Transcript Highlights:

• Chairman, thank you for your collaboration. Thank you. Thank you.
• . collaboration amongst them.
• Stephen Bain, Vice Chancellor for Innovation and Collaboration at Texas.
• for producing health care workforce degrees that fall under CIP Code 51.
• So let's seize this opportunity and invest in the future of Texas health care.

Bills: HB 1105, HB1527, HB1787, HB1972, HB2081, HB3296, HB3976, HB4071, HB4234, HB4438, HB4701, HB5092, HB5150, HB5180, HB5265, HB5333, HJR203

Keywords: tuition exemption, paramedics, higher education, laboratory fees, emergency medical services, peace officers, criminal justice, law enforcement, degree programs, public institutions, HB 1787, HPV, human papillomavirus, college health, university health, student health, public health education, prevention program, screening, early detection

Transcript Highlights:

• I just do have to jump on and say, in particular, thank you for including the adult day care program.
• And say, in particular, thank you for including the adult day care program.
• Let's go to Tab 12, SB 294 on collaborative pharmacy practice for chronic health care conditions.
• And in that expansion, we allowed for collaborative practice.
• We want to make sure that our patients are getting the very best care.

Summary: The Senate Committee on Rules met with a quorum present and took up a series of bills, beginning with SB 108 on administrative procedures. That bill, as amended, would require agencies to review all rules on a five-year cycle, submit regulatory plans and annual reports, publish intended agency action within 90 days of new rulemaking authority, improve public access to incorporated materials, and streamline rule publication and correction procedures. After brief testimony from the Florida Bar’s Administrative Law Section and support from Americans for Prosperity and the James Madison Institute, the committee adopted two amendments and reported CS for SB 108 favorably. The committee then approved several other measures, including the Senate veterans package (CS for CS for SB 116), which made technical changes and was supported by veterans and advocacy groups; SB 118 on presidential libraries, which preempts local barriers while preserving state and federal law and building codes; CS for SB 126 allowing mail distribution of prescription hearing aids after a Florida-licensed professional examination; CS for SB 150, “Trooper’s Law,” making it a third-degree felony to abandon restrained animals during declared disasters; SB 294 limiting collaborative pharmacy practice expansion for complex cardiac conditions; SM 314 urging Congress to increase Florida National Guard force structure; CS for SB 322 creating a nonjudicial process to remove unauthorized persons from commercial property; CS for SB 348 on ethics, addressing false military rank claims and delinquent ethics fines; SB 356 designating January 27 as Holocaust Remembrance Day; CS for SB 160 expanding CPA licensure pathways and clarifying administrative outsourcing; and CS for SB 50 promoting nature-based coastal resilience measures. Most of these bills received supportive testimony and were reported favorably. The committee also considered and reported favorably the annual reviser bills SB 36, SB 38, SB 40, and SB 42, which adopt the 2025 Florida Statutes, conform statutory names, remove expired provisions, and clean up obsolete language and cross-references. Throughout the meeting, members asked questions on a few bills, but no roll-call votes were recorded as opposed; each measure was approved and reported favorably. At the end of the meeting, senators requested that a few missed affirmative votes be recorded, and the committee adjourned without objection.

Transcript Highlights:

• Much like there's good collaboration across LESC and LFC.
• I don't care if it's a Democratic governor or Republican governor.
• A recommendation on Collaboration.
• Let's collaborate rather than fight Each other in a court system.
• , we have to show that we care about them too.

Transcript Highlights:

• And then I think the final thing that's a concern for a lot of us is collaboration.
• <00:09:55.440> IT have collaboration, right, between IT have collaboration, right, between IT
• which handles all of our long-term care which handles all of our long-term care and<01:05:31.839
• So that had to be added into care plans.
• And so we are working, you know, collaboratively with IT.

Keywords: Appropriations - Room 216, 24 February, 2026; 1:30 PM, 925, all

Summary: Legislative leaders opened the hearing by focusing on statewide technology issues affecting agencies, including rising IT costs, cloud migration, cybersecurity risks, procurement delays, and the need for better coordination across government systems. They said the meeting was intended to hear from agency directors about current challenges and possible legislative solutions. The ITS director described the state’s IT structure as decentralized but increasingly moving toward shared services. He highlighted recent legislative and executive actions on cloud computing, artificial intelligence, procurement modernization, and data sharing, including House Bill 1491, Senate Bill 2426, Senate Bill 2267, House Bill 958, and an executive order on AI. He said ITS has worked with large agencies on a cloud center of excellence, a procurement modernization advisory council, and a state data exchange, and noted plans for a master contract, potentially with OpenAI, that could be available to all public entities. He also emphasized cybersecurity, saying the state is seeking a secure operations center and a broader “cyber maturity” approach after recent incidents. On procurement, he said the goal is to speed up purchasing while keeping it safe, and on optimization he pointed to potential savings from consolidating duplicate agreements, such as multiple Microsoft enterprise contracts. In response to questions, he said exceptions to centralization would be based on business and technical architecture and regulatory requirements such as HIPAA, CISA, or FERPA, rather than ad hoc decisions.

Transcript Highlights:

• > because<00:08:18.720> the collaborative across sectors because the collaborative across
• <00:14:48.160> and help build a strong collaborative and help build a strong collaborative
• > research create a collaborative research create a collaborative research ecosystem<00:19:45.120
• spin-off new startups and collaborative spin-off new startups and collaborative ideas<00:19:53.600
• <01:04:25.599> uh just think we need to be careful uh just think we need to be careful uh

Bills: HF1316, HF4369

Keywords: HF1316, child support, new hire reporting, centralized work reporting system, independent contractors, payors, employers, payor of funds, withholding orders, income withholding, child support enforcement, Minnesota Department of Children, Youth, and Families, gig economy, rideshare drivers, delivery drivers, 1099, W-9, W-4, newly hired workers, rehired employees

Transcript Highlights:

• than exiting care.
• than exiting care.
• languishing in care.
• They are Medicaid-certified to provide long-term nursing care as well as intermediate care.
• or behavioral health care.

Summary: The committee heard a lengthy update on Washington child welfare from Casey Family Programs and DCYF. Dr. David Sanders said Washington has sharply reduced out-of-home care and increased kinship placements, but he flagged concerns about low screening-in rates, long stays in foster care for many children, and a recent rise in repeat maltreatment and child fatalities, especially among infants. He urged more focus on infants and young children, better coordination among child protection, health care, and law enforcement, and more proactive review and investigation practices. Members asked for disaggregated data on children lingering in care, fatalities, and causes such as fentanyl exposure. DCYF said it has increased relative placements and guardianships, but also reported a concerning rise in 2025 critical incidents, mostly near-fatalities involving children age three and under, many opioid-related. The department described responses including safe child consults for opioid cases, more training, hotspot analysis, and proposed investments in peer support, public health nurses, community referrals, and an updated safety framework. Members also discussed whether a broader commission on child abuse prevention would be useful, and DCYF said it was open to that idea. The committee then received a DSHS reorganization update from Secretary Angela Ramirez, who described the “Reimagined” plan to consolidate four administrations into three new ones, with the stated goals of reducing silos, improving customer experience, and making transitions between services smoother. She said the agency is seeking statutory changes and CMS approval to align the new structure, and members asked about preparing for federal HR1 impacts, especially SNAP. Ramirez said DSHS is monitoring those impacts closely and emphasized the need for accurate data and cross-agency coordination. Finally, DSHS’s Behavioral Health and Habilitation Administration updated the committee on residential habilitation centers and implementation of Substitute Senate Bill 5393, which phases out Rainier School by June 30, 2027 and limits new admissions. Officials reported current census and staffing levels at the state’s RHCs, said Rainier has had some residents transition to supported living or adult family homes, and explained that emergency and permanent rulemaking was needed to implement the law. They also said Rainier was recently cited by federal surveyors for not meeting the active treatment requirement for two residents, and that the facility has 90 days to return to compliance before possible payment penalties or further remedies. Members pressed for details on the citation, the meaning of active treatment, the assessment process for admissions, and whether Rainier could be repurposed for other services; DSHS said it is working on corrective action and will follow up in writing.

Transcript Highlights:

• He's passionate about custom patient care.
• more resilient health care ecosystem in Arizona.
• to be a part of the health care community serving our state.
• This is a health care workforce well-being day of awareness, so I appreciate that.
• to caring for those that care for Arizona.

Keywords: 1182, all

Summary: The House opened with prayer and the Pledge of Allegiance, approved the journal, and recognized Dr. Kai Sun as Doctor of the Day. Members also welcomed newly sworn Representative Cody Reim, congratulated Sergeant-at-Arms Chuck Fitzgerald on his wedding, and introduced numerous guests and visiting groups, including pharmacists at Pharmacy Day, the Arizona Education Association, the Well-Being Collaborative of Arizona, and local officials from San Luis. The chamber then took up several measures. House Resolution 2001, recognizing March 18, 2026 as Health Workforce Well-Being Day in Arizona, was adopted unanimously after brief remarks about burnout and workforce shortages in health care. On House Bill 2375, relating to housing and historic neighborhoods, members debated at length the balance between middle-housing reforms, local control, historic preservation, and concerns about exclusion and displacement; the bill passed 31-24, but the emergency clause failed because it did not receive the required two-thirds vote. House Bill 2931, creating the Arizona Civil Rights Advisory Board, passed 36-19, and House Bill 2992, establishing a child sexual abuse and assault awareness and prevention pilot program with appropriations, passed 35-20. The House also passed Senate Bill 1010, substituted for House Bill 4027, relating to historic names, by a vote of 33-22. Several other Senate bills were read for the first time or second reading, and committee assignments were adjusted, including withdrawals and re-referrals of multiple bills. The session concluded with announcements of upcoming committee meetings, a statement from the Arizona Latino Legislative Caucus condemning alleged misconduct and affirming support for survivors, and adjournment until 10 a.m. on Thursday, March 19, 2026.

Transcript Highlights:

• Tarleton State is uniquely positioned to respond to the primary care and rural health care shortages
• Our focus is on primary care practitioners.
• Access to health care, particularly access to a primary care physician, should not be aspirational.
• Well, in rural healthcare, we are master collaborators.
• Of not having health care is much greater.

Bills: HB42, HB 125, HB 1233, HB2853, HB3148, HB3326, HB3701, HB4066, HB4361, HB4762, HB4909, HB4912, HB42, HB125

Keywords: higher education, funding, financial allocation, state budget, Texas A&M University, University of Houston, education funding, medical education, osteopathic medicine, healthcare workforce, Tarleton State University, industry-recognized credentials, workforce development, career opportunities, feasibility study, student fees, university funding, student union, education, UT El Paso

Transcript Highlights:

• collection and collaboration efforts. collection and collaboration efforts.
• of care. of care.
• managed care model does not do that. managed care model does not do that.
• illness that we care about while providing them with this care.
• This is an access to care bill. This is an access to care bill.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.

Transcript Highlights:

• People could care less about politics. It affects them too. So I'm with you.
• Genetic Autism Alliance and John, started in collaboration with the University of Missouri... ...collaboration
• You know, that one thing in the bill, though, it says collaborating nonprofit or industry partner.
• The collaboration is already there. All the things are already in place.
• You know, you wear them close, and it's because you care a lot.

Keywords: 959, house, all

Transcript Highlights:

• forum to give those of us who care forum to give those of us who care deeply<00:39:17.599> about
• <00:48:20.079> with well as continue to collaborate with well as continue to collaborate with
• add impact is in my collaboration add impact is in my collaboration building<01:12:48.159> and
• <01:13:00.880> relationships building collaborative relationships building collaborative relationships
• <01:13:13.040> and opportunity for collaboration and opportunity for collaboration and Partnerships

Keywords: 1187, senate, all

Summary: The forum focused on the University of Minnesota system’s future, with candidates largely agreeing that the five campuses should remain distinct while working more closely together. Speakers emphasized the land-grant mission, the importance of serving Greater Minnesota, and the need for each campus to have a clear value proposition tied to local communities. Several suggested stronger cross-campus partnerships, more use of technology, and more seamless student pathways between campuses, while also noting enrollment declines and the need to preserve campus identities. A second major topic was public trust in higher education and the perceived value of a college degree. Candidates pointed to rising tuition, student debt, and concerns about post-graduation job prospects as key challenges. Proposed responses included better storytelling about university outcomes, stronger partnerships with schools, legislators, and communities, more targeted fundraising and commercialization of research, and clearer evidence of return on investment for students and families. The discussion then turned to athletics, where most candidates described sports as the university’s “front door” but said academics must remain the priority. They raised NIL, revenue sharing, and the need to keep athletics funding separate from core university funding, while also recognizing athletics’ role in campus culture and student recruitment. In later questions, candidates discussed why they sought regent service and how to support diversity, equity, and inclusion, with responses stressing access, belonging, open debate, and meeting students where they are. No formal votes or actions were taken in the transcript.

Transcript Highlights:

• of mental health concerns among our health care providers.
• This initiative is led by the Minnesota Medical Association, which works collaboratively with other care
• <00:01:32.320> providers needs of our care providers needs of our care providers and<00:01
• Medical Association in collaboration Medical Association in collaboration with<00:03:30.159>
• intent of covering all our healthc care intent of covering all our healthc care providers<00:08:

Keywords: 1183, house

Transcript Highlights:

• Uh, 178 House Bill 178 is a psychiatric collaborative care model.
• House Bill 178 is a psychiatric collaborative care model.
• Collaborative care is a model where there's a partnering psychiatrist that works with multiple primary
• Collaborative<00:02:26.160> care<00:02:26.600> is<00:02:26.840> a<00:02:26.920><
• c> model<00:02:27.360> where Collaborative care is a model where Collaborative care is a model

Keywords: 958, all

Summary: The committee met with a quorum and took up a series of health-related measures. House Bill 178, on the psychiatric collaborative care model, was presented by Rep. Kim Mosher and psychiatrist Arthur Oliva. They said the bill would let primary care providers address mental health needs more quickly with psychiatrist consultation, reduce long wait times, and save money. Members voiced support, and the bill passed 7-0 with favorable expression and consent. House Bill 387, presented by Speaker Pro Tem David Meade, would keep veterinarians excluded from KASPER reporting requirements and instead add two veterinarians to the Controlled Substance Council. Meade argued that veterinary prescribing is difficult to track by animal, that prior efforts created complications, and that rural Kentucky needs the flexibility. A senator asked about possible diversion of veterinary opioids to humans; Meade said there was no substantial evidence of widespread abuse. The bill passed 9-0 with favorable expression and consent. House Bill 676, by Rep. Rebecca Raymer, was amended from creating a health data utility to directing LRC to study best practices for one during the interim, with a report due December 1, 2026. Members said the state needs a coordinated way to use health data. The amended bill passed 9-0 with favorable expression and consent. House Bill 689, presented by Rep. Amy Neighbors and Dr. Heidi Marley, would authorize a Medicaid state-directed payment program for qualifying hospital-affiliated physician and non-physician services, pending federal approval, with supporters saying it would improve access in underserved areas, support provider retention, and bring in about $29 million annually in federal funds without using state dollars. It also passed 9-0 with favorable expression and consent. Finally, House Joint Resolution 24, presented by Rep. Kim Fleming, would direct the administration to withdraw a previously required community engagement waiver request because it is no longer needed. The resolution passed 9-0 with favorable expression and consent. The chair noted the next meeting might be April 1, though no bills were currently scheduled, and the committee adjourned.

Transcript Highlights:

• It even potentially gets at access to care: not saying that I need care, but if I did, would I have concerns
• We need broadly more and more efforts in the health care sector.
• We are integrating education, behavioral health, and health care into one coordinated system of care
• And we will connect them to care.
• I care about all of them and want to make sure that they have access to the supports and care that they

Keywords: 988, house, all

Summary: The hearing focused on youth mental health and treatment access, with the chair framing the issue around California’s Children and Youth Behavioral Health Initiative (CYBHI), school-based supports, and the need to coordinate education, health, and community systems. The first panel featured PPIC researcher Shalini Mostala, who said teen mental health remains a serious concern but recent California Healthy Kids Survey data show improvement in chronic sadness and suicidal thoughts since the pandemic peak. Youth advocate Ella Cruz described her own struggles, emphasized stigma reduction, peer support, and the importance of youth voices in shaping policy and outreach. Members asked about phone use, cultural stigma, and how to encourage young people to seek help and connect with trusted adults and peers. The second panel, led by CYBHI director Dr. Sohill Sood and DHCS Deputy Director Autumn Boylan, provided implementation updates. Dr. Sood said recent data show more students receiving counseling, lower stigma, and a drop in reported suicidal ideation, while also highlighting growth in certified wellness coaches and the CYBHI fee schedule. He said the program has generated more than 230,000 claims and over $11 million in new revenue for participating entities, though implementation is still early and technical assistance remains important. Fresno County’s Trina Frazier described a multi-tiered system of care with wellness centers, mobile therapy units, and strong outcomes in attendance, suspensions, and academic performance, while Rachel Kroberniski of the James Morehouse Project described a long-running school wellness center and a peer-to-peer model that helps students feel connected and supported. Members pressed witnesses on rural staffing, billing coordination, higher education participation, and how to sustain services after one-time grants expire. In the final panel, WestEd’s Lisa Eisenberg discussed what makes the fee schedule work best, saying schools are most successful when they build on existing staff, relationships with health plans, and data-sharing agreements rather than creating entirely new systems. Across the hearing, witnesses and members repeatedly returned to themes of flexibility, sustainability, youth-led and peer-based supports, and the need to reduce stigma while improving coordination across schools, counties, providers, and colleges. No formal votes or legislative actions were taken during the hearing.

Transcript Highlights:

• Psychiatric care, medical care, psychosocial treatment, skill building, et cetera, with our population
• I would also say, with respect to partnerships, in any hospital—I don't care if you're in an acute care
• And at the end of this month, we will be launching for the first time a care care care. Thank you.
• And at the end of this month, we will be launching for the first time and a care care care.
• Can we do it on the civil side where there's an actual health care outcome attached to that care?

Keywords: 907, all

Summary: The joint Senate and House Behavioral Health committees held an informational meeting focused first on the Oregon State Hospital (OSH). OHA Director Sajal Hathi introduced the hospital’s incoming permanent superintendent, Sean Murphy, and praised interim superintendent Jim Deagle for stabilizing operations, restoring CMS compliance, and helping drive a culture change centered on safety, accountability, and transparency. Deagle and Chief Medical Officer Dr. Amit Bavon described OSH’s role as the state’s highest-level forensic psychiatric hospital, the patient populations it serves, its partnerships with courts, counties, jails, hospitals, and advocates, and recent leadership changes across the hospital. They also reported improved accreditation and regulatory status, including Joint Commission accreditation and CMS compliance, and said the hospital is now using daily safety huddles, incident review meetings, stronger escalation procedures, and revised seclusion/restraint practices to reduce risk and improve oversight. Members pressed hospital leaders on past seclusion practices, asking how prolonged seclusions could have occurred under federal standards. Leaders said they could not explain past decisions but emphasized that current leadership has changed processes, training, reporting, and oversight so that seclusion and restraint are reviewed in real time and cannot be normalized. Questions also covered staffing, falls, and future planning. OSH said it is generally staffed to budget, though it still has RN and mental health technician vacancies and is working on recruitment, training, and better staffing distribution. Hathi said the hospital is building a public dashboard with key performance and safety metrics, including workforce data, and described the long-term goal as a consistently safe, disciplined, high-functioning institution that responds quickly to mistakes and remains accountable to the public. The committee then shifted to an informational overview of civil commitment. Oregon Judicial Department representative Chanah Newell explained the civil commitment process, including who can initiate it, the role of community mental health providers and courts, the five-day timeline to hearing, and the standards for danger to self, danger to others, and inability to meet basic needs. She summarized changes made in House Bill 2005, including revised statutory language and new provisions allowing a second diversion period, but cautioned that the data are too early to show clear trends. Testimony from NAMI Oregon’s Chris Bonif and psychiatrist Dr. Stephanie Lopez argued that Oregon still relies too heavily on jails and state hospital commitments because the broader community system lacks enough treatment, housing, and less restrictive alternatives. They urged the legislature to focus on upstream services, supported housing, and possible outpatient commitment tools so people can receive treatment before reaching crisis. The meeting ended with acknowledgment that additional reports and follow-up discussions are expected, including on residential treatment capacity and related behavioral health system reforms.

Transcript Highlights:

• Our Minnesota Medicaid programs help more than 1 million people access the care they need—medical care
• I next want to talk about Office of Inspector General collaboration.
• DHS sends that money to the managed care organizations, who are responsible for the care and the payments
• Managed care organizations also have reporting requirements.
• , right, and health care provision.

Transcript Highlights:

• <00:04:52.960> of<00:04:53.040> the passion is really taking care of the passion is
• really taking care of the workforce,<00:04:54.080> as<00:04:54.240> well<00:04:54.560>
• Um definitely the<00:09:05.200> collaboration,<00:09:05.960> that<00:09:06.120> is
• c><00:09:06.880> pretty<00:09:07.120> much the collaboration, that is pretty much the collaboration
• Her collaborative<00:19:19.280> approach,<00:19:19.680> institutional collaborative approach

Keywords: 912, senate, all

Summary: The Health and Human Services committee heard and considered several gubernatorial nominations to advisory boards and councils. Early in the meeting, members heard testimony in support of Miriam Chang for the Health Planning Council Windward O‘ahu subarea, with supporters highlighting her long medical practice on the Windward side, work at Ko‘olau Health Center, and community involvement. Chang said she wanted to help improve health, especially in rural areas. The committee also heard support for Terrilyn Luke’s nomination to the Center for Nursing Advisory Board; the Center for Nursing director and nursing organizations backed her, and Luke said she would bring a front-line nursing perspective, focus on workforce conditions, retention, and collaboration, and help address tensions between the Center and nursing labor groups. The committee then heard support for Valerie Rose’s nomination to the Language Access Advisory Council; Rose briefly noted her prior work in the Chronic Disease Branch and Bilingual Health Aide Section. The committee also took up nominations in a later agenda segment. James Montgomery was heard for the State Rehabilitation Council and described his interest in serving based on a family experience with disability and his work in talent management, saying he wanted to help people with disabilities gain opportunities. Kevin Nakamura was heard for the Board of Certification of Operating Personnel in Wastewater Treatment Plants and said his 30-plus years of wastewater experience would help ensure operators are properly trained and certified to protect resources and the environment. Pina Lemusu was heard for the State Council on Developmental Disabilities; she said her long career with the Division of Vocational Rehabilitation and personal experience with disability would help her contribute to the council. Additional testimony in support came from the State DD Council and Voc Rehab representatives. The committee voted to recommend advise and consent on the nominations it considered, including Miriam Chang, Terrilyn Luke, Valerie Rose, James Montgomery, Kevin Nakamura, and Pina Lemusu. Most recommendations were adopted without objection, though Senator Dela Cruz voted no on some of the later nominations. The meeting also briefly noted another nomination, Olivia Kim, which was recalled and advanced with an advise-and-consent recommendation before adjournment.

Transcript Highlights:

• So I do think we do collaborate.
• And it's a great collaboration.
• And it's a great collaboration.
• receive care.
• Recipients or that received care.

Summary: The committee first recognized Mark Roper of the Economic Development Department for his long service and retirement, with members and the secretary praising his work on economic development across the state. Secretary Rob Black then presented EDD’s budget and special appropriation requests, describing strong recent job and income growth and outlining the department’s strategy around science and technology, site readiness, workforce development, foreign direct investment, and rural/community programs. He highlighted wins in advanced energy, quantum, space and defense, and biosciences, and asked for funding for quantum/DARPA matching funds, additional site readiness work, LIDA closing funds, JTIP training support, New Mexico Partnership, and healthy foods and other community programs. Members asked detailed questions about the quantum proposal, site readiness, the new mapping tool for industrial sites, workforce participation, trade missions, foreign investment, tariffs, water and produced water, tribal site evaluation, and public engagement on major projects. Black said the quantum request was intended to match federal dollars and build a workforce pipeline, that the site-readiness software would be a set enterprise license, and that the department was working with tribes and local partners on future site evaluations. He also said tariffs have created uncertainty but New Mexico’s infrastructure and foreign trade zones could help attract manufacturing, and he acknowledged concerns about transparency and community input while noting that some projects, such as Pacific Fusion, had gone through extensive public processes. The committee also discussed specific projects and funding balances, including Mantis Space’s move to Albuquerque, the status of Virgin Galactic’s spaceport lease, and the current LIDA fund balance and encumbrances. Black and Deputy Secretary Isaac Romero said the department was trying to use State Investment Council-backed venture funds to attract companies and that the new investments were already producing deals and jobs. Members generally supported the department’s direction but pressed for more targeted expertise, faster deployment, and stronger community involvement in future economic development decisions. Later, Secretary de Blassie of the Department of Health presented the department’s budget request and progress report. He said DOH had improved revenue cycle management, reduced old Medicaid-pending cases, increased census at facilities, improved budget and contract timeliness, and responded effectively to the measles outbreak. The department requested additional base funding for epidemiology and response, the DOH helpline, the Vital Records Virtual Vault, state labs, and the veterans home, along with special requests for respiratory vaccinations and marketing and lab equipment replacement. He also noted progress on MOUD and the medical psilocybin program, and said the department was not seeking to launch new programs given the limited time left in the administration.

Transcript Highlights:

• The foster care system and all these issues that we're talking about, The foster care system and all
• We've worked together on foster care bills, foster care awareness.
• It's a collaborative website: MMIPSD.org.
• But better collaboration.
• They were missing from foster care.

Keywords: 988, house, all

Summary: The committee held an informational hearing on the Missing and Murdered Indigenous People (MMIP) crisis in California, with opening remarks emphasizing the need for sustained funding, better coordination, and recognition that foster care, jurisdictional gaps, and public safety systems are all connected to the crisis. Members and tribal leaders described the issue as longstanding and systemic, and several speakers noted progress in recent years, including the Feather Alert, state grant funding, DOJ coordination, and MMIP summits, while stressing that much more remains to be done. The first panel featured tribal leaders from Southern, Central, and Northern California who described how overlapping tribal, county, state, and federal jurisdictions delay investigations and leave families without answers. They called for real-time regional response agreements, better data sharing and transparency, stronger tribal law enforcement capacity, and ongoing rather than one-time funding. Several leaders shared personal stories of missing or murdered relatives and said the state must treat tribal cases with the same urgency as others. Committee members asked about next steps, including training for law enforcement on Public Law 280, improving local relationships, and ensuring tribal courts and protection orders are not overlooked. The second panel focused on strengthening systems and services. The California Highway Patrol commissioner reported that Feather Alert implementation has improved after prior criticism, with more alerts activated and a higher recovery rate, and said CHP has expanded outreach, training, and tribal liaison work. The Department of Justice’s Office of Native American Affairs described work under AB 3099 and AB 1334, including a Public Law 280 advisory council, improved crime reporting, a tribal police pilot program, and outreach on Feather Alert and other resources. A Coyote Valley council member described a local MMIP program that supports prevention and family outreach. Members and panelists also discussed the need for better training, clearer jurisdictional authority, and stronger support for tribal justice systems. The final panel addressed foster youth and the MMIP crisis, arguing that Native children in foster care are at heightened risk of going missing or being exploited. Speakers said Native children are disproportionately represented in foster care, that many MMIP cases begin with child welfare system failures, and that social workers and attorneys often do not know or use Feather Alert procedures quickly enough. They urged stronger ICWA implementation, culturally grounded prevention and healing services, housing and mental health support, and immediate coordination among tribes, families, and agencies when a child is missing.

Transcript Highlights:

• providing those care and that care and providing those care and that care and they're<00:09:18.959
• /c><00:24:27.919> of<00:24:28.399> Medicaid care along with the care of Medicaid care along
• care teams and our nurses on those care care teams and our nurses on those care teams<01:04:52.200
• We are taking to heart and working in collaboration with our direct care employees to implement and operationalize
• in collaboration with our Direct Care in collaboration with our Direct Care employees<01:09:38.920

Keywords: 1183, house

Summary: The Health Finance and Policy Committee heard testimony from the Minnesota Hospital Association and several hospital leaders about the financial strain facing hospitals across Minnesota. The association’s CEO said hospitals are essential 24/7 safety-net providers, but rising labor, supply, technology, and drug costs are outpacing reimbursement from Medicaid, Medicare, and commercial payers. He warned that many not-for-profit hospitals are struggling, that workforce shortages remain significant, and that the committee should consider help on Medicaid rates, discharge/boarding problems, mental health services, workforce development, protecting the 340B drug discount program, and avoiding new mandates that add costs. Relle Schultz of Winona Health described a community hospital with a 49-bed facility and long-term care services that has faced years of losses, including a $17 million loss in 2023 and $12 million in losses the following year. She said government payers now make up about 65% of the hospital’s mix, and each 1% increase in that mix costs about $1 million. She highlighted the difficulty of sustaining services such as dialysis, which was nearly closed until a local donor provided $3 million to keep it open for three years, and she emphasized the importance of 340B savings and the need for higher Medicaid payments. Carrie Mulski of Riverview Health in Crookston said critical access hospitals are also under pressure despite their federal designation. She explained that federal support has eroded, that Medicaid and other public programs do not cover full costs, and that her hospital’s 340B savings help keep the doors open. She said Riverview opened a new hospital in 2020 but was hit by the pandemic and inflation, leading to annual losses of $5 million to $6 million and a negative operating margin of 9% to 10%. She also described bond covenant problems, low cash on hand, the prior closure of the nursing home, and the need for rapid state action to stabilize rural hospitals and preserve access to care.