Transcript Highlights:

• > care care, reducing long-term health care care, reducing long-term health care costs,<00:05:
• Uh, this bill allows agents to offer shorter-term long-term care.
• long-term care and long-term care long-term care and long-term care services<00:42:23.040> and
• <00:43:32.480> care I don't know a lot about long-term care I don't know a lot about long-term
• long-term care, you have a 100 day uh long-term care, you have a 100 day uh coverage<00:46:27.760>

Bills: HF2400, HF1724, HF3437, HF4333, HF2874, HF4052

Keywords: real estate, appraisers, disciplinary actions, sanction matrix, Minnesota Statutes, direct primary care, healthcare agreements, medical services, patient care, health insurance, mortgage fees, residential loans, commercial loans, finance regulations, investment properties, insurance, supplemental health insurance, short-term care, home health care, nursing care

Transcript Highlights:

• Section 1 has to do with long-term care facilities. It provides...
• This has to do with long-term care facilities.
• As far as the long-term care facilities, in Section 1, that's the new program.
• And, you know, the long-term care facilities are very important.
• You know, the long-term care facilities are a very important part of our medical care for our citizens

Bills: SB2225, HB1619

Keywords: housing, affordable housing, community development, infrastructure improvement, funding grants, long-term care, infrastructure loan, nursing facilities, financial assistance, North Dakota Century Code, 908, all

Summary: The Appropriations Committee met to clear several remaining bills and discussed scheduling around upcoming conference committees. The chair noted that full committee meetings would likely be held after floor session, while Thursday and Friday mornings were being reserved for conference committees. Members also discussed how conference committees would be scheduled and where they would appear on their dashboards. The committee first took up House Bill 1577, relating to wastewater facility grants. Amendments were adopted to create a loan/line-of-credit mechanism through the Bank of North Dakota and the Department of Environmental Quality to keep two canceled federal BRIC-funded projects moving: a lagoon project in Fezenden and a wastewater treatment project in Lincoln. Members emphasized the language was intended to apply only to those projects and to preserve the possibility of federal reimbursement later. The amendment passed 16-0, and the bill as amended received a 15-1 do pass recommendation. The committee then reconsidered House Bill 1009 and adopted an additional amendment transferring the remaining balance in the bioscience innovation grant fund to the general fund, rather than issuing another round of grants. That amendment passed 16-0, and the bill as amended also received a 16-0 do pass recommendation. Finally, the committee considered House Bill 1619, creating a long-term care facility loan fund and adjusting an existing medical facility loan program. After discussion, members amended the bill to reduce the long-term care fund cap to $10 million per project, set the interest rate at 2%, extend repayment to 30 years, and align the medical facility loan program to 2% with a 30-year term. The amendment passed 14-2, and the bill as amended received a 16-0 do pass recommendation.

Transcript Highlights:

• fragmenting care. fragmenting care.
• actually keeps our kids safe from sex trafficking, exploitation, mental health challenges, and other long-term
• 01:03:23.040> other mental health challenges, and other mental health challenges, and other long-term
• 01:03:24.360> we<01:03:24.480> see<01:03:24.720> when<01:03:24.840> we long-term
• As we see when we long-term poverty.

Bills: HF1767, HF2068, HF4725, HF4637, HF4638

Keywords: human services, community support, integrated care, disability services, stakeholder consultation, homeless youth, grants, funding, Minnesota, mental health, substance use disorder, education, workforce development, licensure, direct care services, healthcare, long-term care, personal care assistants, employment support, medical assistance

Summary: The Human Services Finance and Policy Committee approved the April 8, 2026 minutes and then heard House File 1767, as amended by the DE4 amendment. Representative Garande explained that the bill, originally intended to codify Integrated Community Supports (ICS), was being redirected because of concerns about fraud vulnerability and program integrity. The DE4 would create a smaller legislative study group to redesign ICS, pause DHS changes for about six months while the group develops a transition plan, continue DHS fraud investigations and enforcement, and ultimately terminate ICS as currently structured. Testimony in support came from Mr. Buck and Zania Harut of the Residential Providers Association of Minnesota, both of whom argued that ICS is unstable, inconsistently implemented, and in need of a new statutory foundation. They said the current system mixes different service models under one rate framework, lacks clear codification, and has shifting policy guidance that creates compliance problems for providers and risks to people receiving services. They emphasized that the bill would preserve oversight and enforcement while allowing time to build a replacement service with clearer rules, documentation standards, and guardrails. Members asked about effects on counties, providers, data, audits, and fraud enforcement. Representative Curran and Mr. Berg said the bill would not change funding structures or DHS’s existing authority to audit, request documentation, investigate fraud, or sanction bad actors, and that the study group would use existing data to identify where problems are concentrated. Vice Chair Gillman supported the study-group approach as a bipartisan, public process and raised concerns about whether the bill would prevent DHS from acting on known fraud; Curran responded that the language was intended to preserve those enforcement actions. The discussion ended without a final vote on the bill in the portion provided, beyond adoption of the DE4 amendment.

Transcript Highlights:

• We also have long-term care. The cost varies between these three categories of services.
• We have almost 8,000 seniors approved for long-term care in 2025.
• The cost for long-term care was $51,000 per individual last year.
• Most do not want to go to long-term care, but no one knows the options.
• They assume long-term care is the only answer, but that is not true. But that is not true.

Bills: HB3390, HB4199, HB4407, HB4412

Keywords: home care, community services, Oklahoma Department of Human Services, rating system, inspection reports, substantiated complaints, agency oversight, child care, workforce, pilot program, affordable care, income eligibility, long-term care, revolving fund, options counseling, funding, consultation services, Medicaid, community-based services, seniors

Transcript Highlights:

• SB 1630 modernizes Florida's aging and long-term care statutes, streamlines service delivery, and strengthens
• With regard to long-term care streamlining, it allows DOEA-authorized and certified staff to complete
• long-term care eligibility screenings used by aging and disability resource centers.
• I've spent decades as a long-term care lobbyist and advocate in Washington, D.C., and Tallahassee, primarily
• for seniors in long-term care, nursing homes, but also I represented Easterseals Florida for 15 years

Bills: S1002, S1016, S1030, S1594, S1630

Keywords: child welfare, substance abuse, neglect, parental rights, drug exposure, Medicaid, disabilities, employment, healthcare access, income eligibility, veteran benefits, minor clients, financial assistance, education services, Department of Children and Families, Department of Health, aging services, disability assistance, long-term care, Alzheimer's support

Summary: The committee considered several bills affecting children, disability services, aging, recovery residences, and foster youth benefits. SB 1016 codified the working people with disabilities program for Medicaid waiver recipients, with amendments removing automatic enrollment and improving information sharing between agencies; advocates testified that the program helps people with developmental disabilities work while keeping needed care, though they raised implementation and training concerns. The bill was reported favorably. SB 1002, as amended, clarified that evidence of acute or chronic parental drug abuse can constitute harm or neglect in child welfare cases and allow court intervention and treatment requirements; it was also reported favorably. SB 1594 would preserve veterans’ benefits for foster youth for postsecondary education or aftercare rather than using them as reimbursement to the agency, and it passed favorably. SB 1630 modernized aging and long-term care statutes, expanded emergency service authority, updated oversight of area agencies on aging and guardianship, and permanently established the Florida Alzheimer’s Center of Excellence; after two amendments, it was reported favorably. SB 1030, on recovery residences/substance abuse services, was amended with a substitute that narrowed transfer definitions, sped licensure for existing providers adding levels of care, and limited credentialing entities’ access to resident records; members noted it remained a work in progress, but it was reported favorably. The committee also held confirmation hearings. Robert Astellos, nominated as Director of the Agency for Persons with Disabilities, described efforts to reduce the pre-enrollment list, improve transparency and customer service, expand family involvement, and streamline agency processes; multiple advocacy groups appeared in support, and the committee recommended his confirmation. The committee then unanimously recommended confirmation of the appointees on tabs 7 through 10. The meeting concluded with adjournment.

Transcript Highlights:

• Alzheimer's is a long game. We're building momentum.
• We're working on dementia care navigation training and dementia awareness, early signs of Alzheimer's
• We're working on dementia care navigation training and dementia awareness, early signs of Alzheimer's
• We want to keep it strong so that we can reach every person in this state with dementia care and resources

Bills: SB1131, SB1249

Keywords: cardiac arrest, defibrillators, school safety, emergency response, CPR training, Arizona education funding, Alzheimer's, dementia, memory care, cognitive decline, brain health, caregiver support, long-term care, in-home care, public health, health services, state plan, dementia services program, Arizona Department of Health Services, aging

Summary: The Committee on Appropriations heard two bills. Senate Bill 1131 would require school districts and charter schools to report AED counts, CPR/AED training levels, and cardiac emergency response plans to ADE, and would appropriate $1 million for AED purchases and maintenance. The committee adopted an amendment shifting the funding source from the general fund to the industry-recognized certification and licensure reimbursement fund, after staff said the fund had an estimated $2 million balance and continued to receive $1 million annually. The American Heart Association testified in support, emphasizing the need for AEDs, CPR training, and emergency planning in schools. The bill was returned with a due pass recommendation by a 15-1 vote, with two members voting present and several members noting concerns about using the special fund rather than general funds. Senate Bill 1249 would create or continue a dementia services program and Alzheimer’s state plan at the Department of Health Services and appropriate $600,000 from the Health Services Lottery Moneys Fund. The Alzheimer’s Association testified in strong support, saying the prior three-year appropriation helped establish the plan and workgroups and that the new funding would support implementation, caregiver support, data collection, training, and grant applications. Several members raised concerns about taking money from a fund that supports maternal and child health programs such as Health Start and WIC, describing it as “robbing Peter to pay Paul,” while others said they supported the policy but wanted a sustainable funding source. The bill received a due pass recommendation on a 9-3 vote, with three members voting present.

Transcript Highlights:

• A partnership policy is a long-term care policy that individuals are able to purchase.
• Uh, from what I understand that in terms of the Medicare coverage is Medicare doesn't cover long-term
• Medicare uh coverage is Medicare doesn't Medicare uh coverage is Medicare doesn't cover<00:04:56.320> long-term
• 57.919> So<00:04:58.080> that<00:04:58.320> would<00:04:58.479> not cover long-term
• So that would not cover long-term care.

Bills: HF3797, HF3780, HF4068, HF3935

Keywords: long-term care, insurance policy, healthcare, partnership policy, Minnesota, human services, wage increase, support workers, shared services, community first services, medical assistance, sanctions, healthcare services, monetary recovery, government accountability, assisted living, training, unlicensed personnel, resident rights, safety regulations

Bills: HB0045

Keywords: property tax, exemption, homeowners, long-term, aged, 916, all

Transcript Highlights:

• statewide is from the long-term statewide is from the long-term homeowners<00:05:03.440> exemption
• year long-term homeowners going forward? year long-term homeowners going forward?
• the intent was for the long-term the intent was for the long-term homeowners<00:33:36.720> um
• <00:46:02.880> homeowners qualified for the long-term homeowners qualified for the long-term
• person's also getting the long-term person's also getting the long-term homeowners<00:46:26.400>

Bills: HB0045

Keywords: property tax, exemption, homeowners, long-term, aged, 916, all

Transcript Highlights:

• behalf of the long-term care Imperative. behalf of the long-term care Imperative.
• are in conversation with the long-term are in conversation with the long-term care<00:34:31.520>
• <00:34:52.720> care office of bbudsmen for long-term care office of bbudsmen for long-term
• <00:37:01.119> care as you mentioned the long-term care as you mentioned the long-term care
• Um uh we, the long-term care imperative.

Bills: HF3935, HF2216, HF4354, HF4210, HF4212

Keywords: assisted living, healthcare, training, unlicensed personnel, resident rights, safety regulations, nursing home, long-term care, guardian, conservator, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services

Transcript Highlights:

• <00:02:59.760> Section not a long-term care provider.
• Section not a long-term care provider.
• Aaron Hubert on behalf of the Long-Term Aaron Hubert on behalf of the Long-Term Care<00:10:48.800
• Peric Rudina, Office of Ombudsman for Long-Term Care.
• Peric Rudina, Office of Ombudsman for Long-Term Care.

Bills: HF2216, HF1978, HF2354, HF1963, HF1994, HF1995, HF1894

Keywords: assisted living, nursing home, long-term care, guardian, conservator, resident rights, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services, elderly, seniors, older adults, disability rights

Transcript Highlights:

• On the opposite end of the spectrum Here is the long-term care advisory council that was formed specifically
• , Alzheimer's care, dementia care to make sure that they are accountable and actually providing the services
• This, I'm gonna hopefully get to do a couple of bills here related to foster care.
• It should have been handed out because it was so long.
• That was a very long-winded answer, but thank you for the question.

Bills: SB1423, SB1426, SB1502, SB1377, SB1983, SB1466, SB1645, SB1647, SB1847, SB1565, SB1562, SB1329, SB1383, SB1833, SB1555, SB1344

Keywords: Oklahoma Hospital Advisory Council, hospital licensure, public health, State Department of Health, State Board of Health, hospital regulations, healthcare regulation, hospital standards, hospital construction, hospital operations, stroke care, stroke system, emergency medical services, EMS transport, psychiatric treatment, chemical dependency treatment, substance use disorder, drug storage, pharmacy, quality indicators

Transcript Highlights:

• For the first time in a long time, I felt calm.
• list of entities allowed to provide traditional healing services covered by AHCCCS or the Arizona Long-Term
• Care System to include urban Indian organizations.
• DOC, we really do need to take better care of them.
• And then the last one is: would we be limiting our ability to help victims in the long term by redirecting

Bills: SB1112, SB1517, SB1537, SB1584, SB1673, SB1776

Keywords: mental health, hearings, acquaintance witnesses, patient rights, treatment evaluation, barbering, cosmetology, appropriation, funding, licensing, board operations, peace officer, training, public safety, traffic offenses, judicial system, corrections, recruitment, state budget, crime victims

Summary: The Appropriations Committee met on March 25 for what was described as its last regular meeting, with a possible special meeting tentatively planned for the following Tuesday. The committee first took up Senate Bill 1112, as amended by a strike-everything amendment that would appropriate $1 million from the Special Services Fund in FY2027 to the Arizona Department of Corrections for holistic, studio-based rehabilitative programming, with a required report due by June 30, 2028 on spending and outcomes such as self-harm, discipline, and recidivism. Testimony from the founder of Art of Our Soul and a formerly incarcerated peer facilitator emphasized trauma-informed art and music therapy, reductions in disciplinary violations and self-harm, and benefits for both incarcerated people and staff. The committee adopted the amendment and then gave SB 1112 a do-pass recommendation. The committee then heard Senate Bill 1776, which would allow urban Indian organizations to provide traditional healing services reimbursable through AHCCCS or the Arizona Long-Term Care System. The sponsor said the bill was intended to align Arizona with federal approval and other states’ models. AHCCCS testified neutral but said the bill would require a waiver change, likely at standard FMAP rather than 100%, and estimated a $1.3 million general fund impact; the chair said a COW amendment and fiscal note were needed. Members raised concerns about cost and access, and the sponsor clarified the bill was meant for American Indians and family members served through IHS-related facilities. The committee ultimately passed the bill out with a do-pass recommendation, though several members voted no or present over funding concerns. Senate Bill 1537, which would rename the Peace Officer Training Equipment Fund as the Public Safety De-escalation and Life Safety Fund and repeal an inactive advisory commission, failed after testimony from a legislative liaison explaining the fund’s history and use for equipment and de-escalation tools. Some members supported the cleanup, but others objected after the Arizona Police Association opposed the change and argued the commission should be reformed rather than repealed. The committee then considered Senate Bill 1584, as amended, which would provide $1 million for Department of Corrections recruitment and training, funded instead from the Peace Officer Training Equipment Fund. Testimony supported the need to address DOC staffing shortages, but some members objected that the fund was restricted to peace officer equipment; the committee adopted the amendment and passed the bill out. Finally, the committee heard Senate Bill 1673, which would fund the law enforcement crime victim notification system. A chair amendment shifted the source from the general fund to the victim compensation fund and reduced the amount to about $2.5 million. Testimony from the Arizona Sheriffs Association, a vendor, and the City of Phoenix described the notification system as constitutionally required, widely used, and important for victim safety and communication, but several members argued the amendment would take money from victim compensation and “rob Peter to pay Paul.” The committee adopted the amendment and then gave SB 1673, as amended, a do-pass recommendation. The chair closed by noting the committee was adjourned and that a special meeting might be posted for the following week.

Transcript Highlights:

• um and and re needs to receive uh care um and and re needs to receive uh care if<00:42:28.240>
• long do these petitions take? long do these petitions take?
• housing, health care, you know. housing, health care, you know. >> Yeah. >> Yeah.
• , dental care.
• Prison dental care is horrible. Mental health care is important.

Bills: HB1997, HB2343, HB2566, HB2493

Keywords: students with disabilities, individualized education programs, emergency plans, evacuation procedures, support services, Hawaii education law, HB2343, Maui State Veterans Home, veterans home, veterans, long-term care, skilled nursing, rehabilitation, hospice, Alzheimer's care, respite care, assimilate, transfer deadline, Act 99, Session Laws of Hawaii 2024

Summary: The committee heard House Bill 1997, which would require IEPs for students with disabilities to include individualized emergency accommodations and evacuation supports. The Attorney General’s office supported the intent but recommended amendments to explicitly include students with Section 504 plans and to change references from “department schools” to “public schools” so charter school students are covered. Testimony in support came from disability advocates and several individuals, including Peter Fritz, who said emergency evacuation planning should be made explicit because it is not clearly required by federal law, and Ka Swan, who emphasized student safety during emergencies. No vote or final action was taken on the bill in the transcript. The committee then took up House Bill 2343, relating to the Maui State Veterans Home. The measure would repeal a deadline for transferring the home to a state agency with a Maui affiliation and instead require the transfer to occur as soon as practicable. The Department of Defense, the Office of Veterans Services, HHSC Oahu Region, and several individuals testified in support. Committee members asked whether a more definite deadline should be used, but the department said the open-ended language was preferable because the Maui entity is not yet ready and Oahu is currently providing oversight. No vote or final action was recorded. House Bill 2566, authorizing special license plates for Hawaii Civil Air Patrol members, was also heard. The City and County of Honolulu Department of Customer Services testified in opposition, while Johnny Perry testified in support. The committee did not take a vote in the transcript. Finally, the committee heard House Bill 2493 on wrongful imprisonment compensation procedures. The Attorney General’s office opposed the bill, arguing it would create an automatic payment mechanism without a sufficient finding of actual innocence, could trigger payments within five days of dismissal, and raised concerns about insufficient time for prosecution review and about funding and appropriation issues. Supporters, including people who said they had been wrongfully convicted and later found actually innocent, argued the bill would reduce delays and help released individuals survive while awaiting compensation. Judiciary staff requested technical amendments and said operational details still needed review. Members questioned the AG about the meaning of “actual innocence,” burden shifting, and whether the bill would better define the standard, but no vote or final action was taken.

Transcript Highlights:

• oversight, greater vulnerability to fraud, and destabilization of our provider network, undermining the long-term
• oversight, greater vulnerability to fraud, and destabilization of our provider network, undermining the long-term
• oversight, greater vulnerability to fraud, and destabilization of our provider network, undermining the long-term
• <01:49:09.760> It'll as well money in the long term.
• It'll as well money in the long term.

Bills: HB1853, HB1591, HB1961, HB1854, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115

Keywords: HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health, dementia screening, care coordination, referral network, neighbor islands, rural health

Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.

Transcript Highlights:

• is 2399, and that's related to PRTFs and how they're billing and how that's reimbursed for direct care
• How they're billing and how that's reimbursed for direct care.
• And when I carry the bill, I may mention to the full Senate that we, with term limits, we're looking

Bills: HB1012

Keywords: health and human services, DHHS, appropriations, biennial budget, behavioral health, substance use disorder, opioid settlement, medical assistance expansion, Medicaid, basic care, long-term care, child care assistance, early childhood care, child care provider payments, guardianship, conservatorship, housing loan fund, disability services, extraordinary medical needs, community health trust fund

Summary: The Senate Appropriations Human Services Division met to consider House Bill 1012, the Department of Human Services budget, and reviewed three previously made amendments: correcting a reference to $30 million underfunding, changing “human service centers” to “behavioral health clinics,” and revising section 31 language so the department would review medical assistance services and report findings and recommendations rather than directly implement adjustments. The committee also discussed whether to include funding related to two other bills with fiscal impacts, House Bill 1485 (personal needs allowance) and House Bill 2399 (PRTF reimbursement), noting those measures may go to conference committee and that appropriations could be added there instead of in HB 1012. The committee agreed to proceed with HB 1012 and members noted provider inflation questions would be raised later in full committee. The division then approved a due pass recommendation on the amendments to HB 1012 and, after a roll call vote, approved HB 1012 as amended on a 4-1 vote, with Senator Mathern voting no. Senator Davison was named as carrier. Members also discussed House Bill 1577, involving wastewater project financing and possible amendments related to a line of credit from the Bank of North Dakota for specific projects, and House Bill 1619, for which additional amendments were expected before full committee action. The meeting ended with general thanks and adjournment.

Transcript Highlights:

• 00:15:14.759> billion long-term care is the 880 billion long-term care is the 880 billion dollars
• <00:15:51.519> care<00:15:51.759> whether<00:15:51.959> it's about long-term
• care whether it's about long-term care whether it's nursing<00:15:52.480> homes<00:15:53.040>
• So while this is a great intention, the bigger issue for Minnesota is the long-term sustainability of
• Because that is the long-term survival.

Bills: HF339, HF1272, HF2121, HF2122, HF1216, HF1003, HF2319

Keywords: HF339, Nursing Home Workforce Standards Board, nursing homes, long-term care, elder care, workforce standards, certified worker organizations, labor funding, general fund appropriation, worker grants, Minnesota labor law, nursing home staffing, caregiver workforce, section 181.214, HF1272, nursing home, boarding care home, nursing home workers, labor standards, Medicaid-certified facility

Transcript Highlights:

• I direct the public policy program for the National Consumer Voice for Quality Long-Term Care.
• investors, at the center of long-term investors, at the center of long-term care<01:19:46.080>
• in long-term care.
• I'm here in strong long-term care.
• <01:42:51.679> care some health clinics, some long-term care some health clinics, some long-term

Bills: HF3668, HF2779, HF2771

Keywords: gun violence, public health, Department of Health, prevention, criminal justice, health care transparency, ownership disclosure, control reporting, health care consolidation, private equity, management services organization, MSO, provider organization, health insurer, pharmacy benefit manager, hospital system, affiliate reporting, financial disclosure, public reporting, market concentration

Summary: The House Finance and Policy Committee met on March 2 with a quorum present and heard House File 3668, which would create a state Office of Gun Violence Prevention. The bill author argued the office would treat gun violence as a public health crisis, improve research and coordination, and help reduce deaths and trauma, especially among children. Several supporters testified, including representatives from the Minnesota Medical Association, Protect Minnesota, family medicine, public health, and obstetrics/gynecology, all emphasizing firearm injury and suicide as major public health problems and urging a coordinated, data-driven response. Multiple testifiers shared personal accounts of shootings and their effects on children and families, including the Annunciation shooting, and said the office could help align prevention efforts across health care, law enforcement, and community organizations. Opposition came from the Minnesota Gun Owners Caucus, which argued the bill would create a permanent taxpayer-funded bureaucracy that could be used to shape firearm policy and restrict a constitutional right. The group said Minnesota should focus instead on enforcing existing laws, prosecuting violent offenders, and providing direct victim services. During committee discussion, Vice Chair Nadeau offered an A2 amendment to move the proposed office from the Department of Health to the Department of Public Safety, citing data-sharing, accountability, and examples from other cities and states; after discussion with the bill author, he withdrew the amendment. Chair Becker then noted existing state and local spending on violence prevention and public safety programs and raised concerns about duplication of effort.

Transcript Highlights:

• and manage long-term care.
• and manage long-term care.
• home care and manage long-term care. home care and manage long-term care.
• care or needing some long-term care-type assistance.
• > can<00:52:46.000> be No long-term care application can be No long-term care application

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:

• information collected from managed care information collected from managed care organizations<00
• optional short-term hardship exemptions. optional short-term hardship exemptions. and<00:10:50.640
• term.
• They still need care.
• going to impact our uncompensated care. going to impact our uncompensated care.

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.