Transcript Highlights:

• I think the Fresh Connect program is very similar to the Double Up Food Bucks program.
• The Double Up Food Bucks program still has federal funding.
• That's a different program.
• I would love a federal standard on this too.
• I would love a federal standard on this too.

Keywords: 993, senate, all

Summary: The Agriculture Committee met for its first 2026 meeting and took up a full agenda of bills focused on food safety, agricultural programs, consumer transparency, and farm-related policy. Early measures included S.592 on a youth and agriculture entrepreneurship summer employment program, which was reported to finance without opposition, and S.1239E, the Food Safety and Technical Disclosure Act, which would require disclosure of certain food ingredients to the state and public and also ban three substances outright. Senator Kavanaugh described the bill as closing a loophole in federal food safety law; Senator Borrello opposed it as a state-by-state approach that could raise costs and disrupt the supply chain, while Senator O’Rourke supported it as a science-based measure with available substitutes. The bill was reported back to the board with one no vote and one without recommendation. The committee also advanced S.1783A on liquefied petroleum/propane fee disclosures, with supporters saying it would prevent consumers from being charged for improper or hidden fees and opponents arguing it should not single out state-related charges; the bill moved to the board. S.4041, creating a sanitary retail food store grant program, was reported to finance. S.4162, relating to the Fresh Connect program and local produce purchases, prompted discussion about whether state resources should instead be concentrated on the Double Up Food Bucks program; sponsors said both programs are needed and that Double Up has capacity limits, and the bill was moved to finance. Later, the committee advanced S.6286A, establishing an agricultural tax viability pilot program tied to agrivoltaics; supporters said it would address a need raised in recent hearings and work with farm groups, while Senator Borrello voted no. The final bill, S.7618 on food safety and quality date label requirements, drew debate over whether New York should act without a federal standard and whether the bill could create confusion or unintended costs, especially for dairy and other perishables. Supporters said the bill would reduce food waste and simplify the many existing date labels without forcing new labeling on those who do not already use it; members also discussed refrigeration references in the bill, and the sponsor said the language could be adjusted. The committee then adjourned and announced that future meetings will be held on the third floor in the new location.

Transcript Highlights:

• The matching criteria is not specific in federal regulation, but the federal regulation...
• The matching criteria is not specific in federal regulation, but the federal regulations point to the
• All training purposes, projects, whatever the federal funds are used for, must meet federal eligibility
• program, which is the primary fix-it-first program to rehab and maintain the highway system.
• Yeah, so if I can clarify, the federal funds that would have been used for this program also would have

Keywords: 988, house, all

Summary: The committee heard several budget and policy items, beginning with the DMV’s proposal for the federal state-to-state verification system and the Digital Experience Platform (DXP). DMV officials said the state-to-state system is required for Real ID compliance and functions as a pointer system that shares only limited identifying information to help states verify whether an applicant has records in another jurisdiction. Members pressed hard on privacy, access, hacking, notification, and misuse concerns, including whether other states or federal actors could use the system to target Californians. DMV said access is limited to member jurisdictions, requests are transaction-based, records are encrypted, California can see when its data is requested, and legal remedies would include working through AAMVA and the Attorney General if misuse occurred. On DXP, DMV said the project has been reset, is on its revised schedule and budget, occupational licensing is complete, vehicle registration is targeted for completion by the end of the calendar year, and the full modernization is expected by fiscal year 2028-29. The committee then took up the High-Speed Rail Office of Inspector General trailer bill and AB 1608. The Inspector General said current law does not clearly authorize public reports or establish a work-paper retention and disclosure framework, and that the trailer bill and AB 1608 would codify those powers, add access to needed job classifications and purchasing authority, and require public reporting with temporary confidentiality only in limited circumstances such as pending litigation, security vulnerabilities, or fraud-detection weaknesses. Members debated how broad the confidentiality language should be, whether reports could remain confidential too long, and whether the bill should define “proposed agreements” and require notice to the Inspector General when agreements are being reviewed. The Inspector General said he had already found at least one procurement-related state law violation involving an amendment that added services not in the original contract, and members discussed the project’s large cost growth and the need for stronger oversight. No vote was taken on the item in the portion provided. Finally, Caltrans began presenting a trailer bill proposal related to workforce development under SB 150, explaining that it would amend Government Code 14017, which governs use of federal highway formula funds and related workforce development efforts. The transcript cuts off as Caltrans starts its overview, so no further discussion, vote, or action on that item is shown in the provided text.

Transcript Highlights:

• And federally mandated regular and short-term special education programs and services.
• A summary of TEA's federally funded programs can be found on page 29.
• The reason why I say we don't really know is that almost all those federal programs that you are noting
• As mentioned previously, the expiration of federal funds means that many programs that are funded through
• program?

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Um, we also did rate increases on line 7 for program, for the program for all-inclusive care, and on
• Um, programs.
• It's a joint federal-state uh healthcare program with certain national standards and wide latitude for
• Um, a state plan that's each state develops its own Medicaid program within federal guidelining, guidelines
• And, and just as Medicaid is a federal program, we can't, we can't say, well, you know, we're gonna do

Transcript Highlights:

• And this coaching program does it. It's been successful. The school meal program.
• and our access program.
• When we've seen billions of dollars in fraud in both programs, something has to be done. Programs.
• January 26, and lastly, it declares that Arizona elects to participate in the federal tax credit program
• “For our government program.

Summary: House Republican caucus met on April 29 to review the FY 2027 budget package and several related “budget implementation” bills, with Chairman Livingston noting that HB 2415 was being held. Staff and members walked through HB 4138, the General Appropriations Act (“feed bill”), which appropriates about $17.96 billion from the general fund and includes one-time fund transfers, 5% lump-sum reductions for most agencies, funding for the state health insurance plan, school facilities, child care, correctional officer stipends, public safety, and other prior-year items. Members emphasized that the budget reflected House and Senate negotiations after the governor left budget talks, and Republican leaders framed it as a package that lowers taxes, shrinks government, and funds priorities such as K-12, child care, foster care, and public safety. The caucus then reviewed a series of mostly standard budget bills: HB 4139 on gaming/racing assessments; HB 4140 on federal monies, the budget stabilization fund, and ACE initiative savings reporting; HB 4141 on capital outlay, highway construction, airport funding, and rural transportation match funds; HB 4142 on commerce and lottery distributions; HB 4143 on corrections reporting; HB 4144 on environmental provisions and water-related fund uses; HB 4145 on state employee health insurance premiums and DES reforms; HB 4146 on higher education funding provisions; HB 4147 on SNAP administration and error-rate reduction; HB 4148 on K-12 inflation adjustments, school facilities, and ASDB property-sale oversight; HB 4150 on county expenditure flexibility and state office rent rates; HB 4151 on the Department of Revenue’s integrated tax system funding and related charges; HB 4152 on tax conformity, deductions, and repeal of several renewable-energy tax preferences and the Rio Nuevo diversion; and HB 4153 on transportation reporting. Discussion repeatedly centered on health plan solvency, SNAP/ACCESS eligibility and fraud controls, school funding, rural transportation, and tax conformity and relief. The caucus also took up several blue-sheet bills: HB 2035 on extended-family placement notifications in child welfare cases; HB 2170 restricting certain PRC-controlled companies from state IT contracts; HB 2249 expanding Parents’ Bill of Rights provisions; HB 2573 on DUI interlock/restricted-license rules and psychotherapy definitions; and HB 2873, which was amended to allow withdrawal of referendum petitions before ballot qualification. HB 2415 was held. The Speaker closed by praising the caucus for its budget work, saying the package delivers tax relief, protects vulnerable populations and public safety, and reflects months of Republican negotiations, and the meeting adjourned to the floor.

Transcript Highlights:

• through the agency, it's a requirement from the federal government, whether it's the SNAP program that
• the federal government, including the SNAP program he had just talked about.
• He said he wanted to make sure that DHS and some of their programs, because of the federal rules and
• He said he wanted to make sure that DHS and some of their programs, because of the federal rules and
• um laws and rules around under Federal um laws and rules around ensuring<00:35:13.359> program

Bills: HF1, HF98

Keywords: Office of Inspector General, inspector general, legislative audit, fraud prevention, waste and abuse, public funds, grant oversight, state grants, grant management, whistleblower protection, retaliation, subpoena power, data practices, government transparency, accountability, law enforcement referrals, sanctions, debarment, payment withholding, public assistance fraud

Transcript Highlights:

• Continued investment in our state's soil health programs is especially critical in the face of federal
• And with cuts in federal funding on the horizon for programs that support resiliency, these dollars will
• New Jersey has the only state buyback program, Blue Acres, which is mostly federally funded, but they
• just ...buyback program, Blue Acres, which is mostly federally funded, but they just introduced a bill
• The federal administration has destroyed solar programs nationwide in favor of continued reliance on

Keywords: 995, all

Summary: The hearing focused on the Healey-Driscoll administration’s Mass Ready Act, a $3 billion environmental bond bill. Administration officials said the bill would fund climate resilience, clean water, land conservation, parks, PFAS remediation, food security infrastructure, and coastal and inland flood protection, while also streamlining permitting for housing, restoration, and other resilience projects. They emphasized that the bond authorizes spending but does not itself obligate it, and said the proposal includes deauthorizations as housekeeping. Committee members asked about the new Resilience Revolving Fund, flood and drought management, MVP funding, land acquisition, Chapter 61 right-of-first-refusal changes, salt marsh carbon sequestration, and how the bill would help smaller municipalities and offset expected federal funding losses. Officials said the revolving fund would be managed through EEA and the Clean Water Trust, with criteria aimed at directing aid to communities most in need, and noted that drought issues would continue to be handled through existing DEP and drought commission tools. Several committee members and witnesses discussed specific policy provisions, including flood disclosure requirements for homebuyers and renters, expanded authority for regional planning and small-town access to grants, and permitting reforms that would exempt or expedite certain environmental restoration and priority housing projects from more time-consuming review processes. Administration witnesses defended the reforms as a way to achieve the same environmental outcomes faster and with more certainty, while some advocates argued the bill should go further, especially on Chapter 91 and restoration permitting. The administration also described investments in DCR facilities, water and wastewater systems, open space, agricultural easements, and a new focus on blue carbon and salt marsh restoration. Public testimony largely supported the bill. Mass Audubon, the Trustees of Reservations, the Environmental League of Massachusetts, The Nature Conservancy, MAPC, the Massachusetts Municipal Association, municipal officials, and others praised the bill’s resilience, conservation, and water infrastructure investments. Some witnesses urged additional funding for land protection, coastal resilience, buyouts, and restoration, and several called for stronger or simpler permitting reforms. Municipal witnesses from Boston, Beckett, Beverly, Conway, and regional planning organizations stressed the need for flexible financing, especially for small and rural communities facing costly infrastructure and climate adaptation projects. No votes were taken during the portion of the hearing provided; the committee heard testimony and asked questions before moving on to additional panels.

Transcript Highlights:

• <00:16:09.319> which for the good food Access program which for the good food Access program
• assistance program.
• are already feeling the Pains of federal are already feeling the Pains of federal funding<00:43:
• <00:45:32.119> training Trainers for the new program training Trainers for the new program
• <00:53:36.040> this markets for CLC crops program this markets for CLC crops program this

Bills: HF1704

Keywords: Minnesota agriculture budget, Department of Agriculture appropriation, Board of Animal Health, Agricultural Utilization Research Institute, Office of Broadband Development, farm bill, rural development, agricultural grants, soil health, livestock compensation, crop damage, meat inspection, poultry inspection, county agricultural inspectors, biofertilizer, nitrogen management, commercial nitrogen fertilizer, water quality, farm down payment assistance, beginning farmers

Transcript Highlights:

• will be if if we can't find federal will be if if we can't find federal funding<00:08:16.640>
• New Hampshire h- with our programs was pointed to as With our programs, it was pointed to as one of the
• grant program that The state local cybersecurity grant program is working its way through Congress,
• With that space that we realize, we can bring programs scattered across campus to the... ...programs
• So, we have hired an engineering program. Um, we had a very strong engineering program.

Keywords: 928, house, all

Summary: The hearing reconvened with testimony from several agencies on their capital budget requests. The Department of Environmental Services requested a little over $38 million, with major emphasis on dam repairs and design work for aging state-owned dams, including a $5.25 million match for possible FEMA BRIC funding at Pawtuckaway/Tuckaway and other projects such as Milton Three Ponds, Murphy Dam, and Lakeport Gates. DES also requested funding for state revolving loan fund matches, a Superfund match for the Savage Well site, IT and air-monitoring upgrades, and a new $750,000 cybersecurity request for water and wastewater systems. Committee members asked about FEMA eligibility, the distinction between design and construction money, and the timing and risk of banking funds if federal grants do not materialize. The University System of New Hampshire requested $20 million in state support, primarily $15 million for a major Diamond Library renovation at UNH to create a student support hub and reduce/repurpose collection space, plus $2.5 million each for deferred maintenance at Plymouth State and Keene State. The Community College System requested about $16.6 million across seven projects, led by critical maintenance, campus safety/security upgrades, IT infrastructure, parking and site improvements, HVAC replacement at White Mountains Community College in Littleton, a building management/energy system, and modernization of NHTI’s dental clinic and radiology spaces. The Department of Education requested $29.5 million, including a $4.9 million internal management platform to replace paper-based and siloed systems, plus career and technical education capital projects; Milford’s CTE project was described as being revised after repeated failed bond votes, while ConVal said its revised project would focus on modernizing existing CTE space and adding a security vestibule. Fish and Game requested $1.075 million for three facilities: Sewall Falls in Concord, the Lancaster Armory, and the Bunker Lane Barn in Durham, focusing on structural repairs, security, reconfiguration, and in one case replacement of a failing barn with a new 40-by-60 building. The department also said hatchery work is ongoing but that it is taking a cautious approach because of the planned New Hampton Hatchery and future capital needs. The Department of Natural and Cultural Resources requested $9.26 million for eight projects, including campground electrical upgrades at Ellacoya and Lake Francis, White Lake water system replacement, Mount Washington fuel tank and safety work, Odiorne Point visitor center work funded through parks revenue, roofing and parking lot repairs, Fox Forest office safety upgrades, and historic site repairs at White Island and Fort Constitution. Members asked about revenue-based capital, the stability of the parks fund, and flexibility in choosing projects as bids come in. The Department of Transportation began its presentation at the end of the transcript, but its detailed requests were not yet discussed.

Transcript Highlights:

• functions of the program. program. program.
• fee-for-service program. fee-for-service program.
• So, the disproportionate share program is a program on the EW program where if a person has low needs
• Um, that's a state-funded program outside of Medicaid, and it would codify the federal requirements that
• . program. program.

Keywords: 1183, house

Transcript Highlights:

• <00:26:37.520> Their busters with their program. Their busters with their program.
• They love are in love with this program. They love this<00:31:35.520> program.
• this program. They're a big fan of it. this program. They're a big fan of it.
• <01:08:24.239> I'm federal law. It's very difficult. I'm federal law.
• Don't point to federal.

Keywords: 1191, senate, all

Transcript Highlights:

• improper payments under federal program integrity laws.
• payments under federal program integrity laws.
• <04:53:08.560> continue Program so that federal dollars continue Program so that federal dollars
• Well, our federal child care programs serve a useful purpose.
• our federal welfare programs a priority. our federal welfare programs a priority.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, June 3, 2026, 1012, house, all

Transcript Highlights:

• We issued an unmodified opinion on the federal program, a clean opinion on the federal program.
• It depends on what program we're auditing for federal compliance.
• You're aware that Medicaid has an extensive federal rebate program, and federal law prohibits us from
• We know from the federal programs like SNAP, they're automatically enrolled.
• We know from the federal programs like SNAP, they're automatically enrolled.

Summary: The committee met to receive a series of audit presentations, beginning with the statewide Annual Comprehensive Financial Report (ACFR) for fiscal year 2025. The State Auditor’s Office and OMB reported a clean, unmodified opinion for the state, with strong financial results including a $40.6 billion net position, $30.99 billion in assets, $1.81 billion in liabilities, and continued Legacy Fund growth. OMB also explained the new GASB 101 compensated-absences reporting change and discussed pension-liability fluctuations tied to discount-rate assumptions and investment performance. Members asked about how the state compares to others and about the effect of short-term commodity price swings, and OMB said the report reflects actual fiscal-year results rather than forecasts. The committee then heard the University System audit, which also received a clean opinion but included four findings: misreporting of Strategic Investment and Improvements Fund revenue, insufficient monitoring of service organizations at CTS, NDSU, and UND, improper bank reconciliations at Dakota College of Bottineau, Dickinson State, and Williston State, and investment/cash reconciliation problems at Bismarck State College related to bond proceeds. University officials agreed with the findings and said corrective actions were underway, including internal review of bank reconciliations. Members raised questions about NDSU’s use of certificates of deposit, and university staff explained that CDs are used to earn interest on funds being accumulated for future projects. Several other audits were presented, most with clean opinions and no findings, including the State Auditor’s Office, Workforce Safety and Insurance, Housing Finance Agency, Housing Incentive Fund, Job Service North Dakota, the Retirement and Investment Office, PERS, the Center for Distance Education, the Commission on Legal Counsel for Indigents, the Ethics Commission, and the Office of Administrative Hearings. Notable exceptions included a State Fair Association audit with an adverse opinion on the foundation component unit because its financial statements were not available for audit, and a Securities Department performance audit finding that performance-based pay increases and bonuses were issued without required evaluations. The committee also discussed the State Auditor’s future needs, including more staff capacity, data analytics, cybersecurity reviews, possible subpoena authority, independent legal counsel, and whether some audits—such as the Ethics Commission and State Fair—should be handled by independent third parties or under different statutory arrangements.

Transcript Highlights:

• Well, we currently have a loan program, which we got through a federal grant from the ED and supplemented
• Research Program.
• Research Program.
• Well, we're hoping that, at some point, we can leverage other federal programs and we don't have to continue
• some point we can leverage other Federal some point we can leverage other Federal programs<00:58

Keywords: 912, senate, all

Summary: The Senate Committee on Economic Development and Tourism heard testimony on several bills, with much of the discussion focused on Enterprise Zones and related economic development measures. On SB 125, the committee heard support from DBEDT, the Department of Taxation, the Tax Foundation of Hawaiʻi, the Hawaiʻi Farm Bureau, and the Farmers Union. Members questioned how the bill would affect job-creation requirements and learned that existing companies and new companies are treated differently under the program, with existing companies generally subject to a 15% annual employment increase and new companies to a 10% increase, while the bill would extend the program period from seven to nine years. DBEDT also said the program has been effective, citing 1,162 jobs created or maintained at a cost of about $1.2 million, and noted that agriculture, manufacturing, and wholesaling are the main sectors involved. The committee then took up SB 729, also relating to Enterprise Zones, which would expand eligibility to better accommodate local manufacturers and value-added businesses that sell directly to retail rather than only wholesale. Testifiers from the Holua Collaborative and Hawaiʻi Farm Bureau supported the measure, saying it would help small manufacturers and agricultural producers add value and adapt to internet-era sales patterns. A committee discussion clarified that the bill would add value-added processing as an allowable activity within the zones, and DBEDT explained that the current rules were written for a wholesale-dominated market. The Attorney General’s office also testified, raising a supremacy clause concern and recommending language changes to avoid conflict with federal law. On SB 129, relating to labeling requirements for fish, the Attorney General and the Department of Agriculture both raised concerns about federal preemption and enforcement. The AG explained that federal law governs fish labeling but includes an exception for processed fish, and recommended narrowing the bill to processed fish and defining that term to fit the federal carve-out. The Hawaii Longline Association supported the bill but suggested excluding canned tuna while including products such as poke, sashimi, and sushi. The Department of Agriculture said it does not currently enforce this kind of labeling requirement and would need to determine whether another agency should handle enforcement. The committee also heard SB 581, which would establish an aerospace and aeronautics development program within DBEDT. Testimony was generally supportive, but members pressed for a fiscal estimate, and the bill’s sponsor said a prior version of the office had operated on about $400,000 annually with a small staff. No votes or final committee actions were taken during the portion of the hearing provided.

Transcript Highlights:

• And you'll see some of those here for the nursing programs, the business programs, the medical programs
• Our final program, the Family and Community Wellness Program, includes programming related to food and
• Our final program, the Family and Community Wellness Program, includes programming related to food and
• Program, and through the Renewable Energy Program.
• Through those programs.

Keywords: 908, all

Summary: The committee first reviewed the 2024-25 tuition waiver report for the North Dakota University System. Staff explained that waivers were reported for degree-seeking students and broken out by residency, institution, and waiver type. Members asked about partial versus full waivers, institutional discretion, athletic waivers, and whether campuses have published guardrails or transparency requirements. Staff said most waivers are set by institutions, with some statutory and board-required categories, and that athletic waivers are a small share of total waiver dollars. The report showed total gross tuition of $354.5 million, tuition waived of $38.9 million, and 11,193 of 42,040 students receiving some waiver. Members also discussed how waivers affect net tuition revenue, housing and food collections, and whether campuses are using waivers strategically compared with scholarships and other funding sources. The committee then heard a presentation on tuition rates by campus and State Board policy. Staff explained the board’s tuition factors for resident, Minnesota reciprocity, contiguous-state/U.S. nonresident, and international students, and noted that campuses often seek exceptions based on program-specific competition and enrollment goals. Members asked whether rates are based on cost or competition, and staff said campuses typically bring forward estimates and market comparisons when requesting special rates. The presentation also reviewed general fund appropriations versus net tuition revenue by campus, and members discussed how local tuition decisions and waivers do not directly affect the state funding formula, though they do affect institutional revenue and reserves. Questions were also raised about the Higher Learning Commission’s financial composite indicator and how it differs from the more intuitive reserve and revenue figures. The committee next received a broad overview of non-higher-education entities affiliated with the State Board of Higher Education, beginning with NDSU agriculture-related units. Dr. Greg Lardy described the State Board of Agricultural Research and Education, the NDSU Extension Service, the Agricultural Experiment Station, and the branch research centers, emphasizing their statewide role in crop and livestock research, extension education, and county-based outreach. He outlined funding mixes for extension, the experiment station, and branch stations, noting that grants and contracts support both research and education, while the agronomy seed farm is self-funded through seed sales. Members asked about the new and vacant FTE pool, R1 research status, matching requirements for grants, and whether state appropriations count toward research expenditures. Dr. Lardy also highlighted major research impacts, including crop varieties, virtual fencing, AI-assisted weed control, and NDAWN weather data. The Northern Crops Institute and the Upper Great Plains Transportation Institute also presented. NCI described its role in market development, technical services, and education for regional agriculture, its governance through the Northern Crops Council, and its funding from state appropriations, other states, and earned revenue. Members asked about the source of out-of-state funding, intellectual property, and the institute’s international reach. UGPTI then outlined its transportation research, federal and state funding structure, and work on road and bridge condition assessments, travel demand modeling, and workforce training. No votes were taken during the portion of the meeting reflected in the transcript.

Transcript Highlights:

• Federal funds. Normally, we don't spend a lot of money on maintenance with federal funds.
• preservation program.
• Typically what happens is you'll receive a federal fund or a federal grant.
• Our local grant program, funded annually through tax distributions, cannot be mixed with any federal
• The overload program, a beam analysis program, is used for these overweight permits.

Transcript Highlights:

• And so to have the federal government cut and slash these programs, it is not only harmful, I think it's
• of federal COVID-19 relief programs to help states address supply chain disruptions and boost local
• Members, today I stand to send a loud and clear message to our federal leaders to fund this program in
• It should be, right, and we should be working with our federal partners to reform the program to make
• Although I gotta say, the federal government's program is flawed, and we should have our own program

Keywords: 988, house, all

Transcript Highlights:

• So, federal funds in the general fund.
• <00:09:39.040> mediator, mediator in, it's a federal mediator, mediator in, it's a federal
• to uh communities if we had a federal to uh communities if we had a federal mediator. mediator.
• <00:12:42.520> So, improvement and repair programs. So, improvement and repair programs.
• The food banks for share programs.

Keywords: 926, house, all

Summary: The House Caucus of the Whole received a budget review from House Appropriations Chair Rep. Shay on H.951, the FY27 budget. He said the budget totals about $9.334 billion across all funds, with a 1.6% increase overall and a 2.1% increase in the general fund, and stated that it balances, fills required reserves, meets pension obligations, and largely reflects the governor’s January budget requests. He also noted that budget documents were emailed to members and that Appropriations Committee members and Joint Fiscal Office staff would be available in the House well during lunch for follow-up questions. Shay described the budget as divided into ongoing base appropriations and one-time appropriations. Major ongoing investments highlighted included funding for designated and specialized service agencies, home- and community-based providers, Medicaid skilled home health services, Bridges to Health, AHEC primary care loan repayment and provider placement, Vermont screening and referral clinics, VHIP housing support, the Vermont Housing and Conservation Board, a homelessness and housing initiative, a disabilities housing coordinator, the Vermont Access Network, Flood Safety Act positions at ANR, a state mediator position, an attorney for the state ethics commission, an additional attorney at the Human Rights Commission, and funding for the Defender General’s public defense contracting and training. He also emphasized one-time funding for the Volunteer Income Tax Assistance program, a pension and benefits funding task force, provider stabilization grants, Meals on Wheels, Vermont Legal Aid’s immigration attorney and hotline, rental arrears assistance, manufactured home repair programs, HomeShare expansion, NOFA food and farm programs, food banks, conservation districts, VSAC Freedom and Unity scholarships, and the Community Resilience and Disaster Mitigation Fund. No votes were taken during the presentation; the meeting ended after a brief opportunity for questions, with members directed to continue discussion during noon office hours.

Transcript Highlights:

• To a federal or state agency ever.
• removed from the federal rules.
• But we administer those programs: Homestead Tax Credit Program, Disabled Veteran Program. on potential
• But we administer those programs, Homestead Tax Credit Program, Disabled Veteran Program.
• The Homestead Tax Credit Program and the Disabled Veteran Program are administered by our office.

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• are clear program guidelines as to how we operate that program.
• This is a specific federal program that requires a match and requires that we don't have people who are
• <01:18:13.040> program<01:18:14.159> that This is a specific federal program that This
• is a specific federal program that requires<01:18:15.360> a<01:18:15.600> match<01:18:
• 27:47.920> federal<01:27:48.320> risk consistent with federal risk consistent with federal

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