Transcript Highlights:

• The copay accumulators are not welcome in North Dakota.
• Theoretically, yes, because what happens is patient assistance from, say, a drug manufacturer or from
• And a lot of patients do get assistance from the drug manufacturer because they research this for years

Bills: SB2271, HB1216

Keywords: adult residential facilities, care services, Medicaid, payment rates, elderly care, health services, North Dakota, prescription drugs, drug affordability, copay assistance, copayment accumulator, deductible accumulator, out-of-pocket maximum, health insurance, health benefit plan, self-insured health plan, self-funded plan, third-party payment, manufacturer assistance, patient assistance program

Summary: The Appropriations Committee met with a quorum and took up three bills. House Bill 1216, dealing with prescription drug expense co-pay accumulators in health plans, was presented by Rep. Karen Carl’s, who explained it would prevent insurers from refusing to count third-party assistance toward deductibles for patients using high-cost, non-generic drugs. An amendment was offered to clarify effective dates, including a delayed January 1, 2026 start for PERS coverage. PERS testified that the amendment would align with its calendar-year benefit structure and likely reduce the fiscal note. The amendment was adopted 16-0, and the bill was set aside for further discussion later. House Bill 1199, creating a criminal justice data-sharing system and missing persons/missing Indigenous people task force, was introduced with a committee amendment changing the Attorney General reference to the Attorney General or designee. The committee noted the bill includes a $250,000 general fund appropriation for ongoing costs. The amendment passed 16-0, and the amended bill received a do pass recommendation by a 15-1 vote, with one no vote from Senator Magrum. House Bill 1531, appropriating $75,000 for an irrigation expansion study by the Agriculture Commissioner, was supported as a way to update older economic-impact studies on irrigation and assess opportunities for expansion. Members discussed its relationship to broader study pauses and the history of irrigation development in the state, including Garrison Diversion and remaining authorized acres. The bill passed 16-0. The committee then discussed scheduling for the coming week, noting a heavy bill load and plans for daily morning meetings before adjourning.

Transcript Highlights:

• I'm the American Legion Department of Minnesota legislative chair, and I'm an assistant county veteran
• I'm the American Legion Department of Minnesota legislative chair, and I'm an assistant county veteran
• everybody, but it's very costly, and the way that it works is that it's significant ongoing rental assistance
• is that it's significant ongoing works is that it's significant ongoing rental<00:53:51.400> assistance
• <00:53:52.280> and rental assistance and rental assistance and services<00:53:54.280> including

Bills: HF169, HF195, HF194, HF1756, HF2133

Keywords: HF169, Minnesota insurance, health plan, summary of benefits and coverage, SBC, patient assistance program, deductible, health insurer, consumer disclosure, out-of-pocket costs, medical assistance funds, copay assistance, health coverage transparency, chapter 62Q, enrollee, HF195, Fairmont, street reconstruction, bonding bill, capital investment

Bills: SB19

Keywords: SB19, prostate cancer, prostate cancer screening, PSA test, digital rectal exam, preventive screening, health insurance mandate, no cost sharing, copay, deductible, coinsurance, high-risk men, African American men, men over 50, men over 40, family history, genetic marker, health benefit plan, insurer coverage, Alabama insurance code

Bills: SB190, HB515, SB190

Keywords: SB190, prostate cancer, prostate screening, PSA test, digital rectal exam, preventive screening, health insurance mandate, cost-sharing, copay, deductible, coinsurance, high-risk men, African American men, family history, genetic marker, men over 50, men over 40, health benefit plan, insurance coverage, mandated benefits

Transcript Highlights:

• And I have two of my youngest pages assisting me today. Uh, Anthony Daniels, please stand.
• And I have uh two of my youngest pages And I have uh two of my youngest pages uh<00:10:07.839> assisting
• <00:10:09.120> Uh<00:10:10.399> Anthony uh assisting me today.
• Uh Anthony uh assisting me today.
• I have an animal reserve in my district called Tigers for Tomorrow, and it's kind of like an assisted

Bills: HB527, HB563, HB580, HB579, SB190, HB15, HB390, HB527, HB563, HB580, HB579, SB190, HB15, HB390

Keywords: liability, off-roading, parks, participant safety, risk management, SNAP, food assistance, public assistance, income standards, Department of Human Resources, eligibility, HB580, Alabama Healthy Schools Act, public schools, K-12, school nutrition, school meals, cafeteria, vending machines, fundraising sales

Transcript Highlights:

• Thank you, Senator Vice Chair Nelson, for also assisting on that, because it's important.

Bills: HF2436, HF2929

Keywords: child welfare, economic assistance, child care, grant program, video security cameras, HF2929, SNAP, Supplemental Nutrition Assistance Program, food assistance, nutrition assistance, public benefits, eligibility determination, income eligibility, federal poverty guidelines, poverty level, county agency, Tribal agency, human services, children and families, benefits administration

Transcript Highlights:

• I've been working on this for many many years and I thank Representative Vice Chair Nelson for also assisting
• I've been working on this for many many years and I thank Representative Vice Chair Nelson for also assisting
• Representative Vice Chair Nelson for Representative Vice Chair Nelson for also<00:54:08.559> assisting
• on<00:54:09.359> that<00:54:09.680> because<00:54:10.240> it's also assisting
• on that because it's also assisting on that because it's important.<00:54:11.359> But<00:54:11.440

Bills: HF2436, HF2929

Keywords: child welfare, economic assistance, child care, grant program, video security cameras, HF2929, SNAP, Supplemental Nutrition Assistance Program, food assistance, nutrition assistance, public benefits, eligibility determination, income eligibility, federal poverty guidelines, poverty level, county agency, Tribal agency, human services, children and families, benefits administration

Transcript Highlights:

• We're hearing one bill, House Bill 2284, relating to energy assistance.
• We're hearing one bill, House Bill 2284, relating to energy assistance.
• I oversee the financial assistance programs.
• I oversee the financial assistance<00:11:36.240> programs.
• TANIF does has uh assistance programs.

Bills: HB2284

Keywords: energy assistance, low-income households, electricity costs, Hawaii home energy assistance program, energy efficiency, 910, house, all

Summary: The hearing covered House Bill 2284, which would create the Hawaii Home Energy Assistance Program in the Department of Human Services to help qualifying households pay energy bills and direct the Public Utilities Commission’s public benefits fee administrator to provide information and assistance to recipients. Testimony from the Division of Consumer Advocacy, DHS, and the Public Utilities Commission was in support. A committee member asked about how the program would interact with existing TANF-related energy assistance and whether rules could be adjusted to avoid duplicative benefits; DHS said logistics would need to be worked out and that the agencies would make the rules. The committees noted the bill’s $1.5 million appropriation and moved it forward with amendments, including blanking out amounts and noting them in the committee report. Both committees voted to pass HB 2284 with amendments, with the recommendation adopted. The committee then heard House Bill 2486, relating to plug-in or balcony solar. DCCA, the Climate Change Mitigation and Adaptation Commission, and the Public Utilities Commission stood on prior testimony in support of the bill’s intent. Multiple advocates and organizations, including Carbon Cashback Hawaii, 350 Hawaii, Bright Saver, Sierra Club of Hawaii, and others, testified in support, arguing that plug-in solar would lower electricity bills, expand access for renters and condo residents, and reduce emissions. Several speakers urged the committee to remove or avoid registration, reporting, feed-in tariff, interconnection fee, and other requirements they said would create barriers. Bright Saver testified that the systems are safe and would not back-feed during outages. No vote was taken on HB 2486 during the excerpt. Finally, the committee heard House Bill 1568, which would prohibit the importation or storage of LNG in the state and the construction of related infrastructure. State agencies including the Consumer Advocate, Hawaii State Energy Office, Public Utilities Commission, and Hawaiian Electric opposed the bill, with the Energy Office arguing LNG would perpetuate oil use on Oahu and expose the state to price volatility. Supporters included Life of the Land, Sierra Club of Hawaii, Greenpeace Hawaii, 350 Hawaii, Earthjustice, Our Hawaii, and others, who argued LNG would lock Hawaii into another fossil fuel dependency, create major infrastructure costs and safety risks, and undermine the state’s renewable energy goals. Several testifiers cited climate and affordability concerns and urged the committee to reject LNG. The excerpt ends during testimony on HB 1568, before any committee action or vote is shown.

Bills: HB300, HB40, SB19, HB283, HB179, HB296, HB300, HB40, SB19, HB283, HB179, HB296

Keywords: HB300, Choctaw County, probate court, probate judge, recording fee, filing fee, deed tax, mortgage tax, deeds, mortgages, property records, recordation, county local act, local legislation, technology upgrades, digitalization of records, recordkeeping, county treasury, special fund, court administration

Transcript Highlights:

• I'm a 2008 graduate of the UAB physician assistant program.
• I'm a 2008 graduate of the UAB physician assistant program.
• So it's called the Physician Assistant National Certification Exam.
• So it's called the physician assistant So it's called the physician assistant national<00:13:02.720
• We assist in surgery, substances.

Bills: HB31, HB31

Keywords: absentee voting, disabled, blind, voter assistance, voting rights, SNAP, public assistance, nutritional standards, waiver, food regulation, 1136, house, all

Transcript Highlights:

• This carries the health committees' MinnesotaCare adjustment, medical assistance, and the behavioral
• ,<00:01:25.520> Minnesota<00:01:25.920> supplemental<00:01:26.479> aid, assistance
• , Minnesota supplemental aid, assistance, Minnesota supplemental aid, housing<00:01:27.479> support
• and the behavioral medical assistance and the behavioral health<00:01:35.280> fund.
• In the revised budget, we also have a new proposal around the medical assistance under the Tax Equity

Bills: HF2995, HF2434

Keywords: human services, funding, appropriations, MinnesotaCare, behavioral health, general assistance, healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Bills: SB2026, SB1376, SB1355, SB2115, SB1533

Keywords: military discharge, veterans, DD Form 214, confidentiality, grandchildren access, Oklahoma National Guard, education assistance, military benefits, dependents, CareerTech Assistance Act, burial grant, memorial headstone, eligibility requirements, funding, Oklahoma Department of Veterans Affairs, fiscal management, state law, veteran burial, burial assistance, indigent veterans

Transcript Highlights:

• But we just again provide technical assistance and administrative assistance to that team.
• But we just again provide technical assistance and administrative assistance to that team.
• Just again provide technical assistance and administrative assistance to that team.
• farmer down payment assistance program. farmer down payment assistance program.
• Assistant there.

Bills: HF3508, HF3548, HF3549

Keywords: dairy assistance, agriculture, investment, relief initiative, farm support, farm assistance, down payment, state funding, loan modification, grain indemnity, financial security, crop insurance, Minnesota agriculture, 1183, house

Transcript Highlights:

• <00:15:49.199> programs including premium assistance programs including premium assistance
• and transitional medical assistance and transitional medical assistance programs<00:15:52.160>
• <00:16:05.279> programs have these premium assistance programs have these premium assistance
• <00:16:08.800> and transitional medical assistance and transitional medical assistance and
• <00:18:43.120> um online portal for community assisters um online portal for community assisters

Bills: HF3439, HF3763

Keywords: Medical Assistance, Medicaid, MNsure, MinnesotaCare, disability determination, expedited eligibility, state medical review team, compassionate allowance, rare disease, home and community-based services, long-term care, managed care, county-based purchasing, eligibility redetermination, periodic data matching, death master file, Social Security Administration, program integrity, income eligibility, asset test

Summary: The House Health Finance and Policy Committee met on March 4, 2026, approved the minutes from its February 25 and March 2 meetings, and then heard a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid eligibility changes in the federal One Big Beautiful Bill Act (HR1/OB3). The presentation focused on provisions affecting Medicaid expansion adults ages 19 to 64, including new work and community engagement requirements, changes to retroactive eligibility, quarterly death master file checks, address verification requirements, six-month redeterminations for expansion enrollees, and new limits on some lawful permanent residents and other immigrant groups. Castanza also discussed state implementation issues, including the need for new data-sharing systems, system modernization, outreach, and options for helping people transition to other coverage if they lose eligibility. She said the work and community engagement rules take effect January 1, 2027, with states given flexibility on look-back periods, consecutive versus nonconsecutive months, and optional hardship exemptions, and noted that CMS guidance is not expected until June 2026. She also described federal support for implementation, including $200 million in grants and a 90% federal match for eligibility system work, while warning that the fast timeline could lead to coverage losses, churn, and challenges for special populations such as caregivers, people with behavioral health conditions, incarcerated individuals, and rural residents. She further explained that an erroneous payment provision could expose states to federal recoupment later if eligibility errors increase. During member questions, Representative Beerman asked about the overall size of the Medicaid cuts and the cumulative national impact; Castanza said estimates vary by state and cited KFF analysis suggesting states could lose 4% to 19% of federal Medicaid revenue, with a newer RAND analysis recently released. Beerman also asked about the history and effectiveness of state work requirements, but that discussion was not completed in the excerpt. Representative Elkins noted the presentation was not initially posted on the committee website, and the chair said it had since been posted.

Transcript Highlights:

• <00:21:36.640> program ashor financial assistance program ashor financial assistance program
• <00:24:29.679> to to provide um support and assistance to to provide um support and assistance
• House File 1932 is funds tax assistance and tax credit outreach grants.
• The first is taxpayer assistance grants, and those go to VITA sites.
• Section A is for taxpayer assistance grants, and then section B is for outreach grants.

Bills: HF2274, HF1932

Keywords: taxation, income tax, property tax, corporate tax, homestead credit, local government aid, tax credits, economic development, taxpayer assistance, tax credit outreach, tax preparation, free tax help, IRS, Department of Revenue, general fund appropriation, earned income tax credit, child tax credit, volunteer income tax assistance, VITA, low-income taxpayers

Transcript Highlights:

• I'll note that unlike other forms of assistance such as SNAP or general assistance, these funds would
• assistance, these funds uh or general assistance, these funds uh would<00:09:29.519> not<00:09
• able to be used for rental assistance able to be used for rental assistance for<00:10:03.760>
• government rental assistance program. government rental assistance program.
• government rental assistance program. government rental assistance program.

Bills: HF3403, HF3410, HF3424

Keywords: HF3403, emergency rental assistance, rental aid, homelessness prevention, housing crisis, imminent risk of homelessness, eviction prevention, county aid, Tribal governments, local government aids, general fund appropriation, Minnesota revenue commissioner, poverty level, low-income housing, housing stability, family homeless prevention and assistance, emergency housing assistance, eviction, rent, redemption

Transcript Highlights:

• >> Um, I can—we can assist with the definition. >> Yeah.
• assistance uh to this should it it pass. assistance uh to this should it it pass.
• A youth accompanying aide means a person assisting a disabled youth.
• Note that funds should not jeopardize eligibility for other public assistance benefits.
• eligibility for other public assistance eligibility for other public assistance benefits. benefits

Bills: HB2116, HB1879, HB2214, HB2310, HB2168, HB2427, HB2560, HB1596, HB2197, HB2498, HB2167

Keywords: grants, community engagement, nonprofit organizations, federal assistance, volunteering, youth transit, public transportation, subsidized transit, environment, energy independence, affordable transportation, Hawaii, diaper tax credit, families, low-income, childcare, health, Hawaii Department of Human Services, DHS, emergency appropriation

Summary: The committee heard testimony on several measures related to human services, homelessness, transit, and family supports. HB 2116 HD1, concerning grants from the Office of Community Services to nonprofits providing training and volunteerism opportunities, drew strong support from Catholic Charities Hawaii, Hawaii Children’s Action Network Speaks, and multiple organizations in written testimony. Supporters said the bill would help vulnerable people affected by federal program changes and cuts by connecting them to reintegration and support services. HB 1879 HD1, establishing a subsidized youth transit program coordinated with counties, received extensive testimony in support from the Department of Health, Department of Taxation, Climate Change Mitigation and Adaptation Commission, Aloha United Way, Hawaii Bicycling League, Hawaii Appleseed, Hawaii State Youth Commission, Hawaii Public Health Institute, Greenpeace Hawaii, Hawaii Youth Transportation Council, and others. Testifiers emphasized equity, school attendance, reduced transportation costs, climate benefits, and broader access for youth. Several witnesses urged amendments to make the program universal rather than means-tested, and committee discussion noted implementation questions for neighbor islands and rural areas. HB 2214, creating a refundable diaper tax credit for low-income families with children age four and under, was supported by the Hawaii Diaper Bank, Hawaii Children’s Action Network Speaks, and several other organizations. The Department of Taxation recommended making the credit non-refundable and clarifying definitions to aid administration, while supporters argued refundability was important for low-income families who may owe little or no income tax. HB 2310, an emergency appropriation to replenish DHS funds used to provide SNAP benefits during a federal shutdown, also drew broad support from DHS, Catholic Charities, Hawaii Public Health Institute, Hawaii Children’s Action Network Speaks, Hawaii Food Industry Association, Aloha United Way, and others; witnesses praised the state’s rapid response and said the appropriation would prepare DHS for future emergencies. The committee also heard HB 2168 HD1 and HB 2427 HD1 on education for students experiencing homelessness and unaccompanied homeless youth; the Attorney General recommended technical amendments to avoid conflicts with existing law and to clarify McKinney-Vento-related definitions, while advocates stressed the need for school access, transportation, meals, and other supports for homeless and runaway youth.

Bills: HB0004

Keywords: medical assistance, birthing centers, healthcare, Medicaid, Wyoming, 916, all

Bills: HB0004

Keywords: medical assistance, birthing centers, healthcare, Medicaid, Wyoming, 916, all

Transcript Highlights:

• If you require assistance in registering or testifying, please contact the committee staff.
• I even asked the man if he needed assistance, does he need to go somewhere. He likes that area.
• Finally, to assist in the prosecution of serial offenders, this bill does two things.
• So I would really like to see the substance of the bill and offline I can perhaps assist.
• I'm an assistant DA in Chambers County.

Bills: HB316

Keywords: Medicaid, healthcare, affordable care act, medical assistance, federal funding