Transcript Highlights:

• have a question for Representative Lee, to make sure that I have that right, that it does include county-based
• <00:40:36.240> based<00:40:36.640> purchasing our county based purchasing our county
• based purchasing um<00:40:38.880> in<00:40:39.359> line<00:40:40.400> 1.19.
• <00:40:47.359> based<00:40:47.680> purchasing<00:40:48.240> as include uh county
• based purchasing as include uh county based purchasing as well.<00:40:49.520> Um, Thank you,

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:

• <00:15:43.200> and to partnering with um counties and to partnering with um counties and focusing
• The procedures, wait times, and backlogs vary dramatically from county to county. differ in 87 counties
• <00:38:21.160> case simultaneously work with county case simultaneously work with county case
• to county.
• <01:25:14.240> Medical people at Hennepin County Medical people at Hennepin County Medical

Bills: HF4401, HF4466

Keywords: HF4401, Minnesota Medical Assistance, dental reimbursement, dental rates, critical access dental providers, Medicaid dental, MinnesotaCare, managed care plans, county-based purchasing plans, fee-for-service, oral health access, safety-net clinics, federally qualified health centers, rural health clinics, Indian health services, state-operated dental clinics, low-income patients, children's dental care, provider reimbursement, dental access

Transcript Highlights:

• Members, this Senate Bill 2135 Authorizes the county purchasing agent to obtain a Pcard through a local
• Purchasing agent, so typically how high can that go if it can just be established by the county purchasing
• Exceed $5,000 dollars and then it says or the limit established by the county purchasing agent.
• And these are the limits the county can set. Based on these certain limits.
• Obviously, utilities at $5,000 dollars for most counties is not a special. Our county would.

Bills: SB2130, SB2135

Keywords: municipal finance, audit exemption, biennial reporting, local government, transparency, county purchasing, purchase card, government accountability, emergency expenditures, 914, all

Transcript Highlights:

• I understand how the Oklahoma Central Purchasing Act and, like I said, the trying to keep track of it
• They would have to renew in order to justify how they're doing their central purchasing.
• Just a little worried about the governor-appointed OMES leadership appointing the purchasing director
• If we don't get a handle on our exemptions on central purchasing right now, we are going to be a no bid
• What I want to do is make sure that those COLAs are done based on the performance of that fund.

Bills: SB1415, SB1714, SB1962, SB26, SB172

Keywords: nondisclosure agreements, state employment, employee rights, transparency, government accountability, employee suggestions, cost savings, state agencies, incentives, performance awards, efficiency, Oklahoma Central Purchasing Act, state procurement, state purchasing, State Purchasing Director, Office of Management and Enterprise Services, OMES, exempt entities, purchasing exemptions, state contracts

Bills: SB326, SB326

Keywords: sheriff, credit card, debit card, financial procedures, Jackson County, purchasing authority, boating regulations, anchoring, rafting, enforcement mechanism, environmental protection, 1136, house, all

Transcript Highlights:

• Chairman, Senate Bill 2135 authorizes county purchasing agents to obtain and administer a county purchase
• All county Piciccard purchases remain subject to the competitive bidding emergency declaration and purchase
• This bill authorizes the Board of County Commissioners to...
• Are you aware of a Supreme Court case, Kenney versus the Board of County Commissioners in Tulsa County
• taking this to the vote of the people in their county, and the county citizens would actually have to

Bills: SB1265, SB2154, SB1775, SB2139, SB1552, SB483, SB1198, SB2135, SB2118

Keywords: municipal ordinance, municipal court, court of record, court not of record, local government, city penalties, fine limits, penalty cap, ordinance enforcement, state statute, traffic offenses, speeding, parking, DUI, DWI, driving under the influence, alcohol-related offenses, drug-related offenses, prostitution, solicitation

Transcript Highlights:

• CMS required community-based services.
• <00:08:20.120> on here for basically based on here for basically based on uh<00:08:21.520>
• federal<00:29:30.760> recommendation was based on a federal recommendation was based on a
• Back to what Vice seven-county metro.
• reimbursement We passed uh value-based reimbursement We passed uh value-based reimbursement that

Bills: HF4338

Keywords: human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review, postpayment review, surety bond, compliance training, case management, targeted case management

Transcript Highlights:

• It will not exceed $75,000 but will make tourism and recreation exempt from the Oklahoma Central Purchasing

Bills: SB1365, SB2139

Keywords: SB1365, Oklahoma Central Purchasing Act, procurement exemption, competitive bidding, state purchasing, Oklahoma Tourism and Recreation Department, tourism department, merchandise for resale, gift shops, lodges, golf pro shops, state parks, restaurant contracting, retail outlets, public procurement, purchasing flexibility, Title 74, emergency clause, restrictive covenants, discriminatory covenants

Transcript Highlights:

• study for home and community-based study for home and community-based services. services. services
• Pope, Grant, and Traverse counties. Pope, Grant, and Traverse counties.
• <01:03:34.280> Social<01:03:34.600> Services for County Social Services for County
• Rural County Association. Rural County Association.
• counties. Thank you. counties. Thank you.

Bills: HF4207, HF4338

Keywords: housing aid, local housing trust, funding projects, income provisions, technical changes, human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review

Transcript Highlights:

• This proposal transfers authority over HMOs and county-based purchasers, or CBPs, from the Department
• This proposal transfers authority over HMOs and county-based purchasers, or CBPs, from the Department
• This proposal transfers authority over HMOs and county-based purchasers, or CBPs, from the Department
• proposal transfers authority over HMOs proposal transfers authority over HMOs and<01:14:01.679> county-based
• <01:30:00.560> And county and tribal partners with. And county and tribal partners with.

Bills: HF4609, HF4401

Keywords: infertility, fertility treatment, fertility preservation, IVF, assisted reproductive technology, ART, oocyte retrieval, embryo transfer, egg freezing, sperm freezing, reproductive health, maternity coverage, health insurance mandate, health plan benefits, Medical Assistance, Medicaid, MinnesotaCare, family planning, oncology fertility preservation, chemotherapy

Transcript Highlights:

• It makes him competitive with other municipalities or counties of that size.
• So this bill simply allows the Montgomery County City Council to be authorized to...
• We have the Chamber of Commerce, Montgomery County, at the airport.
• I am, I do the county too. My bad. Okay.
• So, we had asked for the county to come in this morning, but I just don't see any of them here.

Bills: HB424, SB286

Keywords: HB424, Montgomery County, sheriff, county sheriff, salary increase, expense allowance, local act, county general fund, retirement contributions, public official compensation, law enforcement pay, elected official salary, Montgomery County legislation, sheriff compensation, term-based salary, retirement system, Montgomery City Council, constitutional amendment, employees, service credit

Transcript Highlights:

• bill that based on a super rural area. bill that based on a super rural area.
• Some of those counties are urban and some of those counties are rural.
• We're based here director of operations. We're based here in<00:28:33.360> Montgomery.
• You take a county like Lowndes County that's rural.
• County to answer a call.

Bills: HB424, SB63, SB269

Keywords: HB424, Montgomery County, sheriff, county sheriff, salary increase, expense allowance, local act, county general fund, retirement contributions, public official compensation, law enforcement pay, elected official salary, Montgomery County legislation, sheriff compensation, term-based salary, immigration, law enforcement, fingerprints, DNA collection, illegal aliens

Transcript Highlights:

• I filed a police report with Cass County Sheriff's Office.
• > to Cass County attorney declined to Cass County attorney declined to prosecute<00:14:04.560>
• has no massage therapy and Cass County has no massage therapy licensing. licensing. licensing.
• So, whatever happened in Cass County, there was something that was..."
• >> Yes, most of us are licensed in a different county.

Bills: HF362, HF2590, HF2760, HF3444

Keywords: massage therapy, Asian bodywork therapy, massage therapist, Asian bodywork therapist, licensure, professional licensing, health occupations, Department of Health, commissioner of health, advisory council, protected title, unlicensed practice, scope of practice, consumer protection, background check, professional liability insurance, continuing education, credentialing examination, state preemption, municipal regulation

Transcript Highlights:

• That 30% in-state does cover all 77 counties, so we are happy to be able to serve everyone in the state
• under $75,000 to be exempt from the Oklahoma Central Purchasing Act specifically just for the purchases
• As mentioned, this exempts those purchases under $75,000 to restock these shelves.
• So, we want to be able to purchase more through a wider, more diverse array of retailers.
• It is simply raising our ability to purchase from $25,000 to $75,000.

Bills: SB1307, SB1425, SB1826, SB1365, SB1696

Keywords: SB1425, health care, healthcare workforce, workforce board, Health Care Workforce Resources Board, Health Care Workforce Resources Act, Oklahoma Health Care Workers and Educators Assistance Program, repeal, statutory repeal, health care workers, educators, workforce development, health professions, state board, assistance program, Oklahoma statutes, economic development, incentives, enterprise zones, local government

Transcript Highlights:

• The Senate Local and County Government Committee meeting will come to order.
• members must be elected by the county at large.
• Just briefly, what we're trying to address is that in every county, it allows the county to decide how
• This bill will allow counties to seek quotes for certain smaller purchases instead of always using a
• The local and county government will meet next week. Meeting adjourned.

Bills: HB3002, HB3416, HB3417, HB3418, HB3419, HB3463, HB3919, HB3985, HB4303

Keywords: counties, county officers, education, training, sunset law, county purchasing, procurement practices, budget management, public accountability, emergency procurement, reverse auction, bidding process, competitive bidding, public procurement, city council regulations, public works, bidding procedures, construction contracts, transparency, public trust

Transcript Highlights:

• Many counties use a purchasing agent appointed by a board composed of district judges and commissioners
• Again, we have a system in our county government where district judges sit on the purchasing board and
• for purchasing. decisions in the business of county government.
• A growing county like El Paso, this change would enhance accountability in the purchasing office and
• All legal matters related to purchasing go through the county attorney's office, and the county auditor

Bills: HB1597, HB2364, HB2437, HB3205, HB3253, HB3310, HB3648, HB3906, HB4259, HB5645

Keywords: county jailer, jail training, veterans, Texas Veterans Commission, Texas Commission on Law Enforcement, TCOLE, criminal justice system, county jail, law enforcement training, mental health training, jail standards, correctional officers, veteran services, veteran interaction, occupations code, jailer licensing, parking, county courthouse, infrastructure, local government

Transcript Highlights:

• contract of the purchasing agency is in the executive branch.
• agency is in contract of the purchasing agency is in the<00:06:29.039> executive<00:06:29.440
• Where this is at play for our local uh county governments is if you take advantage of uh registering
• <00:10:03.920> and<00:10:04.160> city state as well as our county and city state as
• Where this is at play for our local<00:10:59.440> uh<00:10:59.760> county<00:11:00.079>

Bills: HB136, HB137, HB220, HB213, HB256, HB136, HB137, HB220, HB213, HB256

Keywords: Teacher's Retirement System, TRS, DROP, Deferred Retirement Option Plan, retirement benefits, teacher retirement, classroom teacher, Tier I, Tier II, public pension, pension reform, education employees, retirement system, sick leave, cost-of-living adjustment, COLA, beneficiary, lump-sum payout, rollover, service retirement

Transcript Highlights:

• Happy to answer any questions. at the county level. We have invested at the county level.
• But the base grant is $16.9 million a year. the base grant is $16.9 million a year.
• I reside in Ramsey County.
• I reside in Ramsey County. I'm Clapper. I reside in Ramsey County.
• Everything goes back to the counties. Everything goes back to the counties.

Bills: HF3738, HF2295, HF3520, HF3666

Keywords: pediatric care, hospital discharge, home care, healthcare accessibility, nursing services, family support, mental health, crisis services, Dakota County, mobile crisis response, public safety, treatment services, rehabilitation, behavioral health fund, client eligibility, home and community-based services, case management, waiver services, county services, disability advocacy

Transcript Highlights:

• Counties meeting this definition often have a limited tax base, not because of the lack of effort or
• Not only is Beltrami County limited in its tax base, but we also have disproportionate need for services
• 07:18.880> have<00:07:19.120> more In closing, requiring counties with small tax bases
• , counties, county agencies, counties, county representatives,<00:38:00.960> and<00:38:01.200>
• at the county level in Henipin County at the county level in Henipin County and<01:09:24.080>

Bills: HF4421, HF1937, HF4675, HF4715, HF4684

Keywords: county cost share, economically distressed county, human services finance, substance use disorder treatment, SUD services, civil commitment, state aid, county levy, poverty threshold, tax-exempt acreage, property tax exemption, Minnesota human services, county fiscal relief, local government finance, chemical dependency, behavioral health, PACE, elderly, Medicaid, health services

Transcript Highlights:

• was recommended by CMS, and it mirrors the risk control language in the 2025 Karmel legislation for county-based
• purchasers.
• <01:20:45.760> carving<01:20:46.160> out<01:20:46.360> county<01:20:46.640> based
• county carving out county based county carving out county based purchasing purchasing purchasing
• , Rice County, and the smaller counties.

Bills: HF4712, HF4801, HF3756, HF4860, HF4931, HF4289, HF4460

Keywords: residential pools, swimming classes, certification, private business, health safety, health care, prior authorization, managed care, medical assistance, mental health, substance use treatment, chronic conditions, health insurance, insulin, healthcare access, pharmacy regulations, patient assistance, affordable medication, healthcare, pharmacy

Summary: The committee met at 1:00 p.m., confirmed a quorum, and approved the April 8, 2026 minutes. The first bill heard was House File 4712, which was laid over after the committee adopted a DE2 amendment. Representative Schultz said the bill would create a narrow additional exception to public pool limitations so highly certified swimming instructors could use certain pools for specialized infant, youth, and developmental-disability swim instruction. The only testifier, Tessa Seppelt, described ISR instruction as water-safety and drowning-prevention training for very young children and children with developmental delays, and said access to appropriate facilities is the main barrier. Members raised questions about emergency egress, public safety, and insurance coverage, and the author said he would follow up on those concerns. The committee then took up House File 4801, a bill by Representative Nadeau aimed at health care program integrity. He said it would align commercial and Medicaid partners to reduce waste, fraud, and abuse by changing prior authorization and retrospective review processes, improving data sharing on suspected fraud, addressing conflicting or duplicative services, allowing managed care organizations to verify provider credentials, and making risk corridors in MCO contracts permanent. The Minnesota Council of Health Plans supported the bill, saying it would help detect fraud and improve coordination, while the Minnesota chapter of the American Academy of Pediatrics opposed it, arguing that expanded prior authorization would delay care, increase physician burden, and harm children with chronic conditions. Members debated patient safety, fraud detection, and whether the bill would undermine recent prior-authorization reforms. The bill was laid over. House File 3756, a technical update to the insulin safety net program, was also laid over. Representative Backer said the bill clarifies that a hospital-use intravenous insulin product is not part of the program because it is sold only to health care institutions and infused by practitioners, not dispensed to patients for self-use. The Board of Pharmacy testified that the language was drafted to avoid affecting future legitimate uses, and members asked whether the definition could limit new uses if treatments change. The committee then began House File 4860, but the transcript cuts off before the bill’s presentation is completed.