Transcript Highlights:

• House Bill 1216 deals with co-pay accumulators, and what that is is very, very hard to explain and understand
• The copay accumulators are not welcome in North Dakota.

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:

• federal law changes that might could adjust any definitions of preventative care or co-pays or cost accumulators
• federal law changes that might could adjust any definitions of preventative care or co-pays or cost accumulators
• federal law changes that might could adjust any definitions of preventative care or co-pays or cost accumulators
• federal law changes that might could adjust any definitions of preventative care or co-pays or cost accumulators
• And this basically just removed some of the wording in the definition of HSAs. co-pays or cost accumulators

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:

• 3 to 12 and inserting the following: A health insurance issuer shall not implement or utilize a copayment
• adjustment program, including but not limited to an accumulator adjustment program, maximizer program

Bills: HB591, HB766

Keywords: family leave, insurance, paid leave, employment benefits, caregiver support, cancer treatment, anti-cancer medications, health insurance, copayment, cost-sharing, health policy, 974, senate, all

Bills: SB294, HB296, HB300, SB269

Keywords: public officers, bonding, risk management, notification, delinquency, consumer protection, rental home, marketplace guarantees, insurance, commissioner of insurance, healthcare, breast cancer screening, insurance coverage, deductible, copayment, emergency medical services, ambulance reimbursement, health care insurers, balance billing, provider networks

Bills: SB45, SB73, SB169, HB243, SB177

Keywords: driver licenses, validation, identity, state laws, regulations, K-12 education, athletic associations, student-athlete eligibility, Alabama Administrative Procedure Act, governance, manslaughter, criminally negligent homicide, motor vehicle crimes, restitution, law enforcement, HB243, Devinee Rooney and John Wesley Safe Streets Act, DUI, drunk driving, impaired driving

Bills: HB4422, HB4117, HB4300, HB4298, HB2984, HB3344

Keywords: immigration, public assistance, legal status, food assistance, state benefits, family resource center, community support, employment services, kinship families, social connections, child care, criminal history, background checks, child safety, licensing, Oklahoma laws, advisory committees, daycare, licensed child care facility, child care subsidy

Transcript Highlights:

• through 12 and inserting the following: A health insurance issuer shall not implement or utilize a copayment
• adjustment program, including but not limited to an accumulator adjustment program, maximizer program

Summary: The Senate Insurance Committee met on May 20, confirmed a quorum, and approved the May 13 minutes. The first bill heard was House Bill 591, which would create the Paid Family Leave Insurance Act as a voluntary private-market insurance option for employers, with no mandate, state program, or taxpayer cost. Senator Bass presented the bill, offered technical amendments, and after brief questions about why the framework was needed, the committee adopted the amendments and reported the bill favorably with amendments. The committee then took up House Bill 76, dealing with coverage for orally administered anti-cancer medications. Representative Amy Freeman and former Representative Julie Stokes explained that the bill updates Louisiana’s oral chemotherapy coverage law, which had not been revised since 2012, and addresses insurer rejection of newer oral cancer drugs. They also explained Amendment Set 4063, which was intended to restore the bill to the proper posture after changes made in the Appropriations Committee and to prohibit copayment adjustment programs such as accumulator or maximizer programs from reducing credit for manufacturer assistance toward deductibles and out-of-pocket maximums. Senator Bass raised a concern about prior authorization language and possible ERISA litigation, and department staff responded that the bill would not alter ERISA enforceability and that the fiscal note already reflected about $67,000 in OGB costs. After the amendments were adopted, Senator Bass moved to report HB 76 favorably with amendments, and the committee did so without opposition. Senator Carter thanked the bill authors for their advocacy on cancer-related issues and offered to help during the interim. The committee then adjourned.

Bills: HB813, HB1680, HB3569, HB4074, HB4635, HB5178, SB527, SB1307, SB1822

Keywords: autism, health insurance, coverage, medical treatment, health benefit plan, HIV prevention, prescription drug, prior authorization, health benefits, insurance coverage, insurance, contract termination, property and casualty, insurance agents, discrimination, appraiser, umpire, licensing requirements, continuing education, admin penalties

Transcript Highlights:

• Copayments will be reduced according to the cost level of the enrollee's primary care clinic. from ASME
• Copayments for cost levels three and four will be reduced by $10 each, and the deductible will still
• Uh, the main change here is a change that would allow employees to accumulate comp time on severe weather

Keywords: 918, senate, all

Summary: The Senate Committee on Rules and Administration met virtually on January 6, 2026, and took up four administrative policy items. Darren Hoff, Senate Human Resources Director, presented updates to the Legislative Coordinating Commission benefit book, including insurance changes tied to SEGIP, mental health and substance use office visit cost sharing, dental plan updates, dependent eligibility clarifications, a new voluntary legal services benefit, a 17% increase in Medicare premiums, and multiple leave-policy revisions to conform with the new paid leave law and other employment rules. Senator Pappas moved adoption of the benefit book with the LCC’s November 10, 2025 changes and staff technical corrections, and the motion passed. Secretary Tom Bern described a proposed Senate Policy 1.56 allowing written rules of conduct for visitors in Senate spaces, aimed at setting clear expectations for behavior such as not blocking hallways or using shouting and profanity, while being developed with consultation to address First Amendment concerns. Senator Marty moved adoption, and the committee approved the policy. Council Lexi Stangle then presented a change to Senate Policy 2.47 on severe weather emergencies that would allow employees who work remotely on severe weather days to accrue compensatory time with supervisor approval; Senator Johnson moved adoption, and the motion passed. The committee also considered a modernization of the Senate information systems policy. Secretary Bern and staff explained that the policy had not been substantially updated in about 20 years and was being condensed and updated to reflect current technology and practices. The revisions reduced the policy from 29 pages to 10, removed obsolete references, added a purpose statement, clarified email inspection and hardware/software procedures, updated website rules and accessibility guidance, and removed the secondary member page option. Senator Coleman moved adoption of the Senate information systems update, and it was approved. After the Rules Committee adjourned, the Subcommittee on Committees met and approved two appointments: one public member to the Legislative Citizen Commission on Minnesota Resources through December 31, 2030, and Senator Gustafson to the Financial Crimes Advisory Board Task Force. Members asked about the task force’s scope and the public appointee’s background; staff explained the task force advises on identity theft and financial crimes, and identified the public appointee as Sha Lang of Preston, Minnesota. Senator Pappas moved adoption of the appointment list, and the subcommittee approved it before adjourning.

Transcript Highlights:

• They have an increased copayment that's compared to our S our program that to pay a little bit more of
• So >> there's been some shifts and changes in regards to copayment expectations.
• It's a federal requirement that copayments can't be any more than 7% of a family's income.
• So no matter what, however, the in-game K the payment, the copayment can't be any more than 7% of s our
• My question is. >> Or the School Readiness SR program and those that are on the copayment process.

Transcript Highlights:

• This would transfer the responsibility for collecting the health plans' members' copayment and deductible
• So, the part that says cost share, copayments, coinsurance, deductibles, three related questions aren't
• And lastly, isn't it already the provider's responsibility to collect those deductibles, copayments That

Bills: HB3794, HB3796, HB3928, HB2955, HB4453, HB4460

Keywords: licensure, criminal history, public safety, occupational certification, rehabilitation, state regulations, insurance, regulations, certification, long-term care, mergers, consumer protection, property safety, vision insurance, optometry, reimbursement, healthcare policy, ophthalmic materials, provider agreements, captive insurance

Transcript Highlights:

• We will be utilizing the Inland Protection Trust Fund to ultimately pay for these copayments, deductibles
• , and ensure that the property is not lost. to pay for these copayments, deductibles, and ensure that

Transcript Highlights:

• present law regarding cost-sharing requirements and limits application of proposed law regarding copayment
• of the bill—now, this is not my wheelhouse, so correct me if I'm wrong—that the bill bans copay accumulator
• Tell me what the bill does with consideration to the accumulator and maximizer programs and whether that
• end we had to amend it out because some of the plans wanted to use their co-pay maximizers and accumulators

Summary: The committee first took up House Bill 513 by Representative Young, which would regulate name, image, and likeness activity for intercollegiate and interscholastic athletes, especially high school athletes. Young said the bill reflects recommendations from a task force and sets guardrails such as parental consent and prohibited NIL categories. The committee adopted a technical amendment and then reported the bill favorably as amended. Members then heard several Senate bills from Senator Mizell and Senator Cloud. Senate Bill 233 would create a statewide data exchange compact to allow state agencies to share information more efficiently; it was reported favorably. Senate Bill 300 would make various changes to the Procurement Code, including auction techniques, sole sourcing for consulting services in limited cases, and procurement process clarifications; it was reported favorably. Senate Bill 303 would allow executive branch agencies to buy or share technology solutions with other states and use the federal GSA schedule, and it was reported favorably as amended. Senate Bill 411, removing a 20-year lease limitation for certain Orleans Parish state property, was also reported favorably. The committee spent substantial time on House Bill 660 and House Bill 719, both dealing with district attorney funding and staffing. HB 660 would raise the state warrant amount for assistant district attorney salaries from $50,000 to $60,000, with supporters arguing it is needed to recruit and retain prosecutors; an opposition witness argued the state should fund both prosecutors and public defenders more equitably. The committee adopted an amendment making the bill effective only upon appropriation and reported it favorably as amended. HB 719 would increase the number of assistant district attorney warrants statewide, with most of the new warrants directed to Baton Rouge, St. Tammany, and Caddo; it too was amended to be subject to appropriation and reported favorably as amended. House Bill 596, which would have created an inactive well-feet assessment credit for oil and gas operators, was voluntarily deferred after concerns that it could reduce funding for the oil field site restoration fund. Later, the committee reported favorably as amended House Bill 802, which redirects existing revenue to watershed and flood restoration work in the Amite River Basin, and House Bill 940, which creates a task force and rules framework for law enforcement responses to unlawful drone activity. It also reported favorably House Bill 76 on coverage for orally administered anti-cancer medications, House Bill 950 on consumer protection materials for seniors, and began discussion of House Bill 1028, which would require higher Medicaid reimbursement rates for non-emergency medical transportation providers.

Transcript Highlights:

• present law regarding cost-sharing requirements, and it limits application of proposed law regarding copayment
• of the bill—now, this is not my wheelhouse, so correct me if I'm wrong—that the bill bans copay accumulator
• Tell me what the bill does with consideration to the accumulator and maximizer programs and whether that
• end we had to amend it out because some of the plans wanted to use their co-pay maximizers and accumulators

Bills: HB513, HB581, HB596, HB660, HB719, HB766, HB802, HB940, HB950, HB1028, HB1183, HB1201, SB233, SB300, SB303, SB315, SB324, SB411

Keywords: name image likeness, NIL, student-athlete, college athletics, high school athletics, intercollegiate athletics, interscholastic athletics, athlete compensation, athlete endorsements, sports marketing, athlete agent, marketing representative, sports attorney, publicity rights, right of publicity, Louisiana high school sports, NCAA, school policy, athletic association, athletic conference

Summary: The committee first handled House Bill 513 by Rep. Young, which would regulate name, image, and likeness issues for intercollegiate and interscholastic athletes, especially high school athletes. Young said the bill reflects recommendations from a statewide NIL task force and sets parental-consent and prohibited-category guardrails while preserving flexibility for colleges. The committee adopted a technical amendment and reported the bill favorably as amended. Members then advanced several procurement and administrative measures. Senate Bill 233 by Sen. Mizell would create a statewide data exchange compact for state agencies; testimony from the Department of Health said it would improve eligibility and program administration by allowing agencies to share data more efficiently, and the bill was reported favorably. Senate Bill 300, also by Mizell, would make various changes to the Procurement Code, including auction techniques in negotiated procurement, sole sourcing for consulting services in limited cases, and other technical and legal remedy revisions; it was reported favorably. Senate Bill 303 by Sen. Cloud would let executive branch agencies directly contract with other states for information technology systems and use the federal GSA schedule, and it was reported favorably as amended. Senate Bill 411 by Sen. DePlessis, removing a 20-year lease cap for certain state property in Orleans Parish, was also reported favorably. The committee then took up several bills affecting criminal justice funding. House Bill 660 by Rep. Egan would raise the state warrant amount used to fund assistant district attorney salaries from $50,000 to $60,000; Egan and district attorneys argued the increase is needed to recruit and retain prosecutors, while an opponent said the state should fund prosecutors and public defenders more equitably. The committee adopted an amendment making the bill effective only upon appropriation and reported it favorably as amended. House Bill 719, also by Egan, would increase the number of assistant district attorney warrants statewide, with most of the new warrants directed to Baton Rouge, St. Tammany, and Caddo; supporters cited workload studies and local needs, while an opponent raised concerns about New Orleans court consolidation and broader funding balance. It too was amended to be subject to appropriation and reported favorably as amended. Other measures included House Bill 76 by Rep. Freeman, which addresses coverage for orally administered anti-cancer medications and was reported favorably as amended after changes to cost-sharing and high-deductible plan language; House Bill 802 by Rep. Sawyer, which redirects existing revenue to watershed and flood-control restoration in the Amite River Basin, was reported favorably as amended; House Bill 940 by Rep. Barrow, creating a law-enforcement task force and rules framework for counter-drone operations, was reported favorably as amended; and House Bill 950 by Rep. Boyd, aimed at consumer protection education for seniors, was reported favorably. House Bill 596 by Rep. McCormick, which would have created an inactive-well fee assessment credit tied to plugging wells, drew concerns that it would reduce funds for orphan-well restoration, and the bill was voluntarily deferred after discussion. House Bill 581 and House Bill 1183 were also voluntarily deferred.

Bills: HB3043, HB3044, HB3078, HB3940, HB4117, HB3428, HB4275, HB3257, HB3901, HB4298

Keywords: HB3043, Oklahoma Department of Veterans Affairs, ODVA, seasonal employees, project labor, pro rata jobs, unclassified service, state personnel law, state employee benefits, paid leave, paid holidays, retirement benefits, health insurance, dental insurance, life insurance, temporary workers, veterans affairs, Title 72, Oklahoma Personnel Act, budget reporting

Transcript Highlights:

• Section 26.1-36-09.4 was repealed in 2013, but limited copayments to $5 for prenatal care visits and
• operationally, any willing pharmacy, any willing provider, clinician-administered drugs, prior auth, copay accumulators
• , Any willing provider, clinician-administered drugs, prior auth, copay accumulators.
• So when we were testifying on the copay accumulator bill, which I'm sure Representative Osley doesn't

Keywords: 908, all

Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.

Transcript Highlights:

• This includes capping families' copayments at 7% of a family's income, which is down from 14%.
• In addition to reducing families' copayment, the new tier restructuring would be easier to administer

Bills: HF2436, HF470, HF2643, HF2456, HF102, HF1367

Keywords: child welfare, economic assistance, child care, grant program, video security cameras, early education, scholarships, funding, children, families, Minnesota education, child care licensing, family child care, child care center, Minnesota Department of Children, Youth, and Families, correction order, conditional license, fix-it ticket, documented technical assistance, license suspension

Transcript Highlights:

• UNTIL THE INDIVIDUAL LEAVES THE STATE HEALTH PLAN WHICH EVER COMES FIRST AND ALLOWS DEDUCTIBLES, COPAYMENTS

Keywords: 999, senate, all

Transcript Highlights:

• These range from smoke and soot that come directly from fire to asbestos, silica, and PAHs that accumulate
• fitting adjustments, and ensures that hearing aid benefits can have higher deductibles, co-insurance, copayments

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a public hearing on a wide range of bills, with testimony first focused on H. 1315/S. 824, which would require insurance coverage for pain management options during IUD insertion. Representative Sabadosa, Planned Parenthood clinicians, and policy advocates said sedation can reduce fear and trauma, improve access to effective contraception, and should be reimbursed so providers can continue offering it. A Tufts OB-GYN resident also testified that pain control should be standard care for intrauterine procedures. No votes were taken during the hearing. The committee then heard extensive testimony on firefighter health bills, especially H. 1230/S. 690 requiring insurance coverage for cancer screenings for firefighters. Professional Fire Fighters of Massachusetts leaders, a Dana-Farber oncologist, and firefighters themselves described occupational exposure to carcinogens and personal stories of late-stage cancer detection, arguing that early screening can save lives and reduce long-term costs. Representative Crichton and Representative Howitt also spoke in support, and Representative Ayers testified for H. 4012, which would require neurological disorder screenings for firefighters. Committee members expressed support and sympathy, but no action was taken. The hearing also covered H. 3946/S. 756 on hearing aid coverage, with testimony from students, adults with hearing loss, disability advocates, and HLAA representatives describing the educational, social, and financial barriers caused by lack of coverage and urging broader insurance mandates. Later, Representative Donahue and Representative Vargas testified for H. 1337 to expand insurance coverage for opioid antagonists and related medications, including naloxone dispensed at discharge. The committee additionally heard testimony on H. 1134 to improve chronic pain care coordination and non-opioid access, and H. 4162 to improve ostomy supply coverage and access to certified ostomy care, with patients and clinicians describing denials, quantity limits, and non-medical switching. The transcript ends while testimony on H. 1315/S. 824 is still ongoing; no votes or formal committee actions are recorded in the excerpt.

Transcript Highlights:

• The LFC recommendation has language saying that the department shall implement a copayment system, and
• The LFC recommendation also has language that requires the department to implement a copayment.

Bills: SB2