Keywords: 908, all

Summary: The committee reviewed four bill drafts for the Rural Health Transformation effort. The first required the presidential physical fitness test in PE classes; members asked about DPI and school support, then moved and approved the draft. The second required physicians to complete one hour of continuing education on nutrition and metabolic health each renewal cycle and included legislative intent encouraging other health boards to consider nutrition-related CE; it was approved after brief discussion. The third bill adopted the Physician Assistant Licensure Compact. Members discussed a separate issue involving occupational therapy compact background checks and whether that fix could be added now or would need to wait until later; the committee also discussed Board of Medicine input and the compact’s workforce benefits. The draft was moved forward to the full committee. The fourth bill expanded pharmacists’ prescriptive authority and therapeutic substitution. Legislative Council explained the draft, and Senator Roars proposed substantial amendments to narrow motion sickness, UTI, diabetes supply, and substitution provisions. Members debated whether to vote on amendments now or wait for the special session public hearing; concerns were raised about transparency, stakeholder input, and avoiding premature action. No amendment vote was taken, and the bill was left for later consideration. The committee then recessed until the next day.

Keywords: 908, all

Summary: The Rural Health Transformation Committee met to receive an extensive briefing from the Department of Health and Human Services on North Dakota’s federal Rural Health Transformation award. HHS leaders Pat Traynor, Donna Auckland, Jonathan Ollum, and Krista Freming described the $198.9 million award, the tight federal timelines for obligating and liquidating funds, and the need for rapid procurement, CMS approval, and technical assistance. They outlined broad funding priorities including connect tech/data, care closer to home, workforce recruitment and retention, and a “Make North Dakota Healthy Again” prevention initiative focused on chronic disease, movement, nutrition, behavioral health, and community connection. They also emphasized that the program cannot fund new buildings or supplant existing funding, and that sustainability will be a key requirement for all projects. The department previewed likely first-round grant opportunities, including recruitment and retention incentives, technical assistance and equipment grants for rural providers, financial analysis support for rural hospitals, and exploration of a unified electronic health record option. Freming also reviewed four policy bills tied to the award: a presidential fitness test, nutrition continuing medical education, the Physician Assistant Compact, and pharmacist scope-of-practice changes, explaining that these policy actions affect future scoring and funding. HHS said it will work with tribes, local public health, hospitals, medical and pharmacy associations, and other partners, and will use a website, listserv, listening sessions, and committee updates to communicate opportunities. Committee members raised concerns about how the money will reach rural residents, whether newspapers and existing local communication networks will be used, how “rural” and “frontier” will be defined, how faith communities might participate in behavioral health efforts, and how HHS will avoid CMS delays and supplanting issues. HHS responded that the focus will be on where the patient lives and on rural community need, that local public health units and existing structures will be part of outreach, and that technical assistance and template applications will help speed approvals. The committee approved the December 4, 2025 minutes, then recessed into divisions for further work on the appropriations bill and the four policy bills, with the full committee set to reconvene the next morning.

Keywords: 908, all

Summary: The committee first discussed security and member contact procedures, with several members emphasizing the need for formal security training at the start of each session and clearer procedures for knowing where legislators are staying during session for welfare checks and emergency contact. Members also raised concerns about the disclosure of home addresses in other public records and forms, and Legislative Council was asked to prepare a background memo on possible training, best practices, and related legislative or rule changes. The committee then took up a bill draft to reduce the number of paper copies of state publications sent to the State Library from eight to two. Legislative Council explained the cost savings and the move toward digital distribution, but the State Librarian testified that the library still needs paper copies for circulation, archives, and depository libraries, and requested a minimum of three copies. After discussion, the committee amended the draft to require three copies instead of two and passed the motion. The committee also approved a related House and Senate Rules amendment reducing the number of bound journals distributed, and a separate rule change removing the requirement that legislators’ home addresses be printed in the rule book and allowing a lower print run based on request and need. The committee next reviewed data on bill pre-filing and legislative workload. After hearing testimony that agency bills tend to arrive in a late-year rush and that staff workload is especially heavy around organizational session and the holidays, the committee voted to move the agency pre-filing deadline to the Wednesday before Thanksgiving. It also amended the deadline for constitutional amendments and study resolutions, moving them earlier so they would occur before crossover, and adjusted the reporting deadline accordingly. Members discussed whether these changes should be handled in special session or organizational session, and staff explained that the agency deadline change could be made effective for the next regular session through a permanent rules change. Finally, the committee reviewed proposed special session rules. Staff explained that the special session would use joint appropriations and joint policy committees, with expedited bill processing, limited bill introduction routes, and remote participation allowed for members and public testimony with approval. The committee also resolved a House appropriations membership issue by keeping the House side at 23 members and giving the House majority leader authority to appoint a replacement for the vacant seat, while increasing the Senate dollar threshold to match the House. Members then discussed the upcoming rural health special session process, including how the interim rural health group would differ from the actual special session committees, the timing of committee work and the governor’s address, and whether remote participation would be permitted in the special session.

Keywords: 908, all

Summary: The Legislative Procedure and Arrangements Committee met with a quorum, approved the previous meeting minutes, and heard an update from Garty Consulting on the interim study of legislative term limits. The consultants outlined their research plan and preliminary themes, including loss of institutional knowledge, shifts in power toward executive agencies and lobbyists, reduced long-term policy capacity, faster leadership turnover, and recruitment/support challenges. They also described possible recommendation categories ranging from constitutional and statutory changes to procedural and cultural adjustments. Committee members asked about how other states repealed term limits, how the public survey would address perceptions of term limits, and how stakeholder focus groups would be selected. The committee also heard a presentation from NCSL on term limits in other states, including examples from Nevada, Montana, and Colorado, with discussion of training programs, staffing changes, annual-session debates, bill limits, and impacts on decorum and leadership continuity. Several members requested follow-up data on part-time versus full-time legislatures, taxpayer costs, and nonpartisan staff devoted to oversight. The committee then considered revisions to the legislature’s workplace harassment policy and related forms. Legislative Council explained changes that clarified the definition of harassment, added captions for readability, extended several deadlines, allowed informal resolution before a review panel is appointed, clarified the role of Legislative Council in intake and documentation, and updated confidentiality/open-records language. Members, especially Senator Hogan, said the revisions better formalize the role of counsel and provide a less intimidating path for resolving complaints. The committee adopted the revised policy and forms by roll call vote. Finally, the committee approved a motion to enter executive session at 1:00 p.m. to review the results of a capital threat assessment and discuss legislator security, citing the applicable open-meetings exemptions. Members were instructed to limit discussion to the stated purpose and not take final action until returning to open session.