Transcript Highlights:

• programs and transitional medical assistance programs where um states um can help pay cost sharing for
• So 38 states have these premium assistance programs and Connecticut leveraged both transitional medical
• and transitional medical assistance and transitional medical assistance programs<00:15:52.160>
• <00:16:08.399> assistance<00:16:08.800> and transitional medical assistance and transitional
• medical assistance and subsidized<00:16:09.759> marketplace<00:16:10.240> plans<00:16:

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:

• So they maybe have uh maybe one medical officer, you know, less billing overhead.
• So they maybe have uh maybe one medical officer, you know, less billing overhead.
• We could match medic we federal funds.
• doing it on a durable medical equipment. doing it on a durable medical equipment.
• So the resided in a medical institution.

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

Transcript Highlights:

• Is that it for medical services then? We'll need to reconsider the medical home amendment tomorrow.
• Medical services grants. Donna. So, Donna. Medical services grant.
• Yeah, we did have that assistive technology. Isn't there a bill on that?
• So the assistive... was there language associated with that? No, there was no language.
• Seems to me to be a good thing, but it seems to me to be broader than assisted.

Bills: SB2399

Keywords: mental health, psychiatric treatment, reimbursement, medical assistance, legislative report, 908, all

Summary: The committee reconvened and first reconsidered House Bill 1612, the aerospace medical and mental health support center bill. Senator Cleary offered an amendment to reduce the general fund appropriation from $500,000 to $250,000 and require the university or project sponsors to find the remaining funding from other sources. The amendment passed, and the bill was then recommended do pass as amended, with members citing concerns about university funding, but others supporting the project as a one-time seed investment. The committee also discussed a possible future FMAP increase beginning October 1, 2026, which could reduce general fund costs by roughly $9 million, though members noted the figures were still preliminary and could be addressed later if needed. The committee then returned to Human Services budget items, including early childhood and child care funding, a community cultural center grant, and several other adjustments. Members discussed reducing the “best in class” amount, changes to child care grants and quality/infrastructure funding, and clarifying that prior child care assistance appropriations were in fact being spent. They also agreed to reduce the 1915(i) Medicaid waiver line by $2 million, with the understanding that the entitlement would still be funded as needed. The committee also considered taking guardianship funding out of House Bill 1012 because a separate bill, Senate Bill 2029, would move that funding elsewhere; members agreed that removing it from the budget could help the overall bill and could be restored if the separate bill failed. Several study amendments were discussed. Senator Cleary proposed adding a maternal health study related to prenatal services, doulas, midwives, and Medicaid, and members expressed support. The committee also discussed a software/case-management study proposal, but the department said it had not requested it and would not support it as presented, so members leaned against advancing it unless the department first evaluated it. Another amendment would authorize the department to work with the city of Grafton on a long-term plan for the LSTC campus and require a report back to the legislature; members supported that as legislative intent. The committee also agreed to remove a truancy study section for later conference discussion, and it reviewed other possible study ideas, including assistive technology, before adjourning to await updated long sheets and bill text.

Transcript Highlights:

• I wouldn't say it would be more accurate to say medically, Yeah, I wouldn't say it would be more accurate
• to say medically complex.
• contract with a consultant with expertise in the provision of developmental disability services to assist
• So I think when we get to medical services, that's where the $5 a day for basic care would apply, and

Bills: SB2399

Keywords: mental health, psychiatric treatment, reimbursement, medical assistance, legislative report, 908, all

Summary: The Senate Appropriations HR Division met to work through amendments and budget items in House Bill 2012/HB 1004, focusing first on long-term care, disability services, and behavioral health. Members discussed competing approaches to a four-plex for medically complex individuals, a value-based care payment withhold for nursing facilities, accreditation requirements for providers, a study of developmental disability services, and funding for Family Voices and Ann Carlson-related services. Several amendments were accepted or set aside after discussion, including a study amendment for disability services and a Family Voices grant amendment that was adjusted to remove “one-time” language so it could continue as an ongoing grant. The committee also agreed to keep or defer some items for conference committee, including the youth crisis stabilization pilot and other long-term care proposals. A major discussion centered on the state hospital project. Members debated whether the $330 million project should remain in the DHS budget or be moved to the OMB budget for construction management. After discussion of costs, alternates, and the role of a steering committee and BND loan language, the committee agreed to remove the state hospital funding and related loan language from the DHS budget while leaving the steering committee language in place. The committee also considered a proposed Altru grant for additional beds and settled on a smaller planning-focused approach, with a $1 million grant and a line of credit concept to be refined later. The committee then turned to behavioral health items, including QRTP funding, nursing home behavioral health training, and a youth crisis stabilization pilot. Members generally supported keeping the QRTP funding level, but were divided on the nursing home behavioral health training and the crisis stabilization pilot, with some preferring to leave those issues for conference committee. The division also reviewed the HHS block grant and underfunding structure, with Donna Ackland explaining salary, vacancy, and flexibility calculations; the committee discussed adjusting the underfund and revenue assumptions but did not finalize every number before moving on. Finally, the committee took up House Bill 1577 on wastewater treatment grants. Senator Davison moved to hoghouse the bill into a study-focused version using the proposed amendment language, and the motion passed. The committee then moved HB 1577 as amended with a do pass recommendation; the roll call passed with Senators Cleary, Davison, Dever, and Mathern voting yes, and Senator Magrum not recorded as voting. The meeting adjourned with plans to return later in the day to continue budget work.

Transcript Highlights:

• I believe we have daily technical assistance for providers that they can log on and get daily technical
• assistance if they're having trouble with the process.
• So again, technical assistance was given. We appreciate that.
• So again, technical assistance was given. We appreciate that.
• Withdrawal management is a medical form of detox licensed in Minnesota.

Bills: HF729

Keywords: human services, provider enrollment, medical assistance, healthcare, housing stabilization, substance use disorder, vulnerable adults, fraud prevention, 1183, house

Transcript Highlights:

• covered under medical covered under medical assistance<00:20:22.880> um<00:20:23.600>
• assistance because the onto medical assistance because the treatment<00:25:38.000> that<00:25
• medical assistance and that North Dakota medical assistance and that that<00:31:39.080> might<
• We all know that medical assistance is critical for health care coverage in Minnesota.
• <00:47:56.040> assistants<00:47:56.400> or we all know that medical assistants or we

Bills: HF1005

Keywords: health insurance, medical assistance, behavioral health, reimbursement rates, primary care services, physician fee schedule, managed care, residential services, 1183, house

Transcript Highlights:

• in all National Guard operations, whether under state or federal authority, and provides legal assistance
• They have kids that can use their medical records in place of the blue card.

Bills: HB328, HB377

Keywords: legal services, military law, Alabama National Guard, legal assistance, notary services, military, immunization, school admittance, medical records, dependents, 1136, house, all

Transcript Highlights:

• for medication-assisted treatment for patients with opioid use disorder, otherwise known as OUD.
• medications medications for<00:02:18.440> medication-assisted<00:02:19.560> treatment.
• for medication-assisted treatment. for medication-assisted treatment.
• <00:52:25.000> assistant the 2024 Medicaid assistance assistant the 2024 Medicaid assistance
• medical costs. medical costs.

Bills: HF4493, HF3133, HF4595, HF4143, HF4142, HF3756, HF4289, HF1724, HF2291, HF4568, HF4547

Keywords: opioid use disorder, OUD, medication-assisted treatment, MAT, pharmacist prescribing, pharmacy practice, controlled substances, Schedule III, Schedule IV, Schedule V, DEA registration, Board of Pharmacy, substance use disorder, addiction treatment, buprenorphine, naltrexone, harm reduction, prescription authority, pharmacist intern, Minnesota pharmacy law

Bills: HB0003, HB0004

Keywords: pregnancy centers, abortion, pro-life, healthcare, women's rights, state regulation, civil rights, freedom of speech, medical assistance, birthing centers, Medicaid, Wyoming, 916, all

Transcript Highlights:

• care and medical perform medical care and medical procedures<00:10:45.279> that<00:10:45.519><
• Assistance and Services Act.
• <01:20:05.920> assistance<01:20:06.400> and<01:20:06.719> services Wyoming medical
• assistance and services Wyoming medical assistance and services act.<01:20:08.159> Uh<01:20:08.480
• the first page on line one, it's medical the first page on line one, it's medical assistance<01:

Bills: HB0003, HB0004

Keywords: pregnancy centers, abortion, pro-life, healthcare, women's rights, state regulation, civil rights, freedom of speech, medical assistance, birthing centers, Medicaid, Wyoming, 916, all

Transcript Highlights:

• medications and and this is really good. medications and and this is really good.
• <00:19:02.799> so<00:19:03.280> medical for those in the medical so medical for those
• in the medical so medical healthc<00:19:03.840> care<00:19:04.080> world<00:19:04.480>
• than medical services. than medical services.
• applicant's eligibility for assistance. applicant's eligibility for assistance.

Bills: SF0122, SJ0006, SF0121, SF0106

Keywords: medical necessity, insurance, healthcare policy, independent review, claim processing, shared parenting, family law, joint custody, child well-being, parental rights, pharmacy, collaborative care, healthcare, prescriptions, patient safety, Wyoming Pharmacy Act, welfare, Medicaid, employment, eligibility verification

Bills: SF0122, SJ0006, SF0121, SF0106

Keywords: medical necessity, insurance, healthcare policy, independent review, claim processing, shared parenting, family law, joint custody, child well-being, parental rights, pharmacy, collaborative care, healthcare, prescriptions, patient safety, Wyoming Pharmacy Act, welfare, Medicaid, employment, eligibility verification

Transcript Highlights:

• 53.200> from Medical assistance fraud steals from Medical assistance fraud steals from hardworking
• <00:34:39.440> assistance of penalties for medical assistance of penalties for medical assistance
• 34:45.839> prison brings medical assistance fraud prison brings medical assistance fraud prison
• the<00:34:58.240> state medical assistance fraud in the state medical assistance fraud in
• sure<00:35:48.880> that medical assistance and make sure that medical assistance and make

Bills: HF3423, HF2354, HF3634

Keywords: healthcare, provider enrollment, medical assistance, legislation, state funds, fraud prevention, subpoena authority, criminal penalties, consumer protection, service verification, Medicaid, human services, electronic documentation, 1183, house

Transcript Highlights:

• Section 8 of the bill adjusts the Medical Assistance reimbursement rate for a specific set of home care
• Section 8 of the bill adjusts the Medical Assistance reimbursement rate for a specific set of home care
• Section 8 of the bill adjusts the Medical Assistance reimbursement rate for a specific set of home care
• <00:12:36.120> not medical assistance that we could not medical assistance that we could not
• Part of the success that we would see would be the decrease of Medicaid or Medical Assistance clients

Bills: HF729, HF728

Keywords: human services, provider enrollment, medical assistance, healthcare, housing stabilization, substance use disorder, vulnerable adults, fraud prevention, respite care, children, licensed settings, home and community-based services, 1183, house

Bills: HB689, HB742, HB926, HB946, HB948, HB1028, HB1095, HB1114, HB1121, HB1155, HB1185, HB1217, HB1220, HB1227, HCR76

Keywords: public assistance, child welfare, benefit adjustment, DCFS, LDH, fraud detection, household reporting, Medicaid, immunization, healthcare eligibility, Family Independence Temporary Assistance Program, health policy, vaccination requirements, vaccination status, vaccine mandate, medical freedom, medical autonomy, public buildings, public access, government services

Transcript Highlights:

• Some require medical, involved medical necessity, clinical documentation, third-party review.
• For the record, Christina Corriere, representing the Arizona Medical Association.
• It's happened with durable medical equipment.
• This bill is a product of the Interstate Podiatric Medical Licensure Compact.
• regarding the Interstate Podiatric Medical Licensure Compact.

Bills: HB2180, HB2184, HB2188, HB2194, HB2206, HB2321, HB2322, HB2438, HB2442, HB2448, HB2727, HB2797

Keywords: appropriation, funding, University of Arizona, education, state budget, fetal death, funeral homes, informed consent, abortion, women's rights, medical assistance, emotional support, language acquisition, early intervention, hearing impairment, grant program, deaf education, health care, insurance claims, prior authorization

Summary: The Committee on Health and Human Services opened with remarks about shortening meeting times and then heard a JLBC presentation on the effects of H.R. 1 on SNAP. JLBC staff explained that H.R. 1 expands SNAP work requirements, raises the state share of SNAP administrative costs from 50% to 75% beginning in FY 2027, and could require Arizona to pay a share of benefits if its SNAP error rate exceeds 6%. JLBC estimated the administrative cost increase at about $33 million in FY 2027 and $44 million in FY 2028, and said a 2024 error rate of 8.8% could trigger about $139 million in state benefit costs under the new federal formula. The committee then considered HB 2797, which requires DES to regularly review data from other agencies to verify SNAP eligibility, post fraud and noncompliance data, and address out-of-state EBT purchases. Supporters said it would improve program integrity and help Arizona avoid federal cost-sharing penalties; the bill passed 7-5. The committee next heard HB 2180, which appropriates $2.5 million in FY 2027 to the University of Arizona for AZ REACH, a statewide hospital transfer coordination service. Supporters from rural hospitals and the health system described it as a useful, voluntary service that speeds transfers and reduces burden on physicians, while one health system representative asked for better operational coordination. The bill passed 11-1. HB 2184, as amended, would extend fetal death certificate filing requirements to fetal deaths at or before 20 weeks if requested by the mother and require notice of the option to transfer remains to a funeral home before an abortion. Supporters, including a mortuary owner and parents who had experienced miscarriages, said it would give grieving families dignity and closure; opponents raised concerns about reproductive rights and language in the bill. The committee adopted the Bliss amendment and passed the bill 7-4-1. HB 2188, as amended, created a Language Acquisition Grant Program for services to deaf or hard-of-hearing infants and toddlers. Supporters said it would streamline funding and preserve family choice among spoken language, ASL, or both, while an opponent argued the bill should more explicitly ensure equal access to ASL and Deaf Culture services; the bill passed 12-0. The committee also considered three more H.R. 1-related SNAP bills. HB 2442 would require able-bodied adults under 60 receiving SNAP to participate in an employment and training program unless exempt; supporters said it would connect recipients to work and training, and it passed 7-5. HB 2448 would bar DES from seeking work-requirement waivers or discretionary exemptions unless authorized by law; supporters said it would prevent broad waivers and improve employment outcomes, and it also passed 7-5. Finally, HB 2206 would require DES to reduce the SNAP payment error rate to 3% by 2030, submit annual progress reports, and face corrective action if targets are missed. Supporters said it would save taxpayer money and improve accountability, while opponents argued the target was too aggressive without more staff or funding and could strain DES; the bill was still under discussion at the end of the transcript.

Transcript Highlights:

• Required services include prenatal education, labor support, postpartum assistance, advocacy within medical
• While seeking medical care when their bodies hurt and they cannot breathe.
• That's someone losing food assistance over a checkbox.
• A lot of people can't do that, so they go in to get assistance.
• A lot of people can't do that, so they go in to get assistance.

Bills: S0036, S0864, S0268, S0844, S0514, S1404, S0914, S1758

Keywords: nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, uterine fibroids, public records, health privacy, epidemiology, medical information, emergency department, physicians, privacy, personal information, sickle cell disease, sickle cell anemia, pain management, controlled substances, prescribing education, continuing medical education

Summary: The committee first considered SB 268, a public records exemption for emergency physicians. Senator Rodriguez’s strike-all amendment narrowed and clarified the exemption, and testimony from an emergency physician described threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported the bill favorably as a committee substitute. Members then heard SB 514, creating the Dula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women affected by substance use disorder. Senator Osgood explained the pilot would provide non-medical doula support and data collection, and an amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and complement medical providers. The committee adopted the amendment and reported the bill favorably as a committee substitute. The committee also approved SB 36 on use of professional nursing titles after extensive debate over whether nurses with doctoral degrees should be allowed to use “doctor” in clinical settings, with concerns raised about patient confusion and the need for clearer identification. The bill was amended to align with the House version and then reported favorably as a committee substitute. The committee next approved SB 864, a public records exemption for uterine fibroid research data, after a technical amendment setting a July 1, 2026 effective date; Senator Sharif said the exemption is needed so the Department of Health can collect sensitive data for the related research bill. SB 844, requiring continuing education on sickle cell disease care management for certain licensed physicians and nurses, was also reported favorably after emotional testimony from patients and advocates describing delayed care and bias. Later, the committee approved SB 1404 on memory care, after a strike-all amendment creating a new memory care specialty license for assisted living facilities that advertise or provide specialized memory care services, while allowing optional supportive services without the new license. Supporters from the senior living industry backed the clarification. The committee then passed SB 914, which clarifies that licensed occupational therapists may perform dry needling, after an amendment adjusting supervision and continuing education language. Finally, the committee took up SB 1758, a broad Medicaid and SNAP reform bill that would strengthen fraud enforcement, impose Medicaid work requirements for certain able-bodied adults, expand behavioral health services, modernize drug purchasing and prior authorization, and require SNAP fraud-reduction measures. Several amendments were adopted, and members questioned the work requirement, implementation costs, EBT card photo identification, and due process concerns; debate continued as the transcript ended.

Transcript Highlights:

• A county medical examiner's investigation is not required, and the woman on whom the abortion was performed
• We would prefer fetal remains, the medically accurate term, be used rather than 'unborn child.'
• I was told, unfortunately, no, that it was considered medical waste and that the law determined at what
• At that point, the process that's in place now kicked in, and the remains are turned to medical waste

Bills: HB2122, HB2184, HB2910

Keywords: technical registration, engineering, architect, land surveyor, reciprocity, endorsement, qualification standards, fetal death, funeral homes, informed consent, abortion, women's rights, medical assistance, emotional support, contractors, administrative recovery, regulation, statute of limitations, residential contractors' recovery fund, 1182

Summary: The committee approved the minutes from February 18 and March 4, 2026, then took up House Bill 2122 while holding House Bill 2910. HB 2122 would clarify reciprocity and endorsement requirements for professional registration with the Arizona State Board of Technical Registration, including that applicants must hold a valid license, registration, or certification issued by the proper authority in another jurisdiction and, in some cases, a national council record. Support testimony described it as a simple cleanup measure that would facilitate reciprocity, including for Arizona engineers and the United Kingdom. The committee voted 7-0 to give HB 2122 a do pass recommendation. The committee then considered House Bill 2184 with an eight-page strike-everything amendment. The amended bill would extend the deadline for filing death certificates after taking possession of human remains from seven calendar days to 14 business days, require a disposition transit permit in certain cases involving unborn children under 20 weeks’ gestation or under 350 grams, and address parental authority and abortion clinic form requirements. Testimony in support emphasized grieving parents’ need for dignity, burial options, and recognition after miscarriage or fetal death, while opposition was narrow and focused on replacing the term “unborn child” with “fetal remains.” Several members said they were sympathetic but also stressed that wording mattered. The committee adopted the strike-everything amendment and then voted 4-3 to give HB 2184, as amended, a do pass recommendation. Senators Epstein, Fernandez, and Ortiz voted no, with Epstein explaining that he wanted the bill to move forward but believed the language needed to be changed before final passage. The meeting then adjourned.