Transcript Highlights:

• And there is a great program.
• It’s a federal program that provides reimbursement for nutritious meals and snacks.”
• The child and adult care food program is a federal program that provides reimbursement for nutritious
• reimbursement rate.
• programs.

Keywords: 908, all

Transcript Highlights:

• Program here in California.
• When the state faces a shortfall, our early childhood programs, otherwise known as our ECE programs,
• It's a capped program. The subsidy programs are capped.
• So within the child care system that falls under the CalWORKs program, so the Welfare to Work program
• Reimbursement must reflect the actual cost to run programs.

Summary: The California State Assembly Select Committee on Child Care Costs held its first hearing to examine the state of child care access, affordability, and provider compensation. Chair Cecilia Aguiar-Curry and other members described child care as essential infrastructure for working families and the economy, noting that costs are unaffordable for many households and that providers are underpaid. Early testimony came from a San Francisco parent, Quinn Chung, who described the difficulty of finding safe care and the financial and career sacrifices caused by lack of child care, and from Tuolumne County provider Anita Viscini, who detailed her monthly costs, low margins, and the need to work weekends and teach CPR classes to make ends meet. Assemblymembers also emphasized the crisis in rural communities and the need for a long-term strategy. The first policy panel featured Jennifer Troia of the California Department of Social Services, Laura Pryor of the California Budget and Policy Center, and Alexa Frankenberg of Child Care Providers United. Troia said the state has nearly doubled child care funding in five years, expanded subsidy slots, and reached a new tentative three-year agreement with providers that includes cost-of-living adjustments, stabilization payments, and continued work on an alternative rate methodology and single rate structure. Pryor argued that despite funding gains, child care remains too expensive, only a fraction of eligible children receive subsidies, and provider wages remain far below comparable jobs, worsening racial and gender inequities. Frankenberg said the tentative agreement is progress but not enough, calling for a true cost-of-care system, fair wages, paid time off, better support for emergency and nontraditional care, and stronger integration of family child care into the mixed-delivery system. Members asked about why the crisis persists, how the alternative methodology will work, how family fees and sliding-scale help are being used, and why middle-income families still struggle. The panel said the problem reflects long-term underinvestment, a broken market, and a system that still leaves many families without access. The committee also heard an economic panel from Ashley Hoffman of the California Chamber of Commerce and Sarah Bone of the Public Policy Institute of California. Hoffman described employer child care benefits and public-private partnership models in other states, including shared-cost programs and local chamber efforts. Bone said child care costs reduce family financial security and labor force participation, especially for mothers of young children, and estimated that if mothers of young children worked at the same rate as mothers of older children, more than 80,000 additional women could be in the workforce each year. In the final panel, parent and provider advocates, including Jennifer Greppie and Black Californians United for Early Care and Education co-founder Keisha Doyle, argued for fully funding child care, ending waiting lists, protecting culturally affirming care, and addressing racial inequities and private equity’s role in the sector.

Transcript Highlights:

• So for quarter one of 2026, we received two applications from the same port for the program.
• A little background on the program: the Port Priority Program was created in 1989 and is eligible for
• It says we will reimburse you when the funding becomes available.
• Other than giving you more money, is there anything we can do to improve this program?
• So we're making an attempt to create a tiered program where some projects can garner...

Keywords: 965, house, all

Summary: The Joint Committee on Transportation, Highways and Public Works met to receive public testimony and act on port priority applications for inclusion in the FY 2027-2028 Port Priority Construction and Development Priority Program. After approving the March 9, 2026 minutes, the committee heard from Commissioner Andrew Kilshaw of the Office of Multimodal Commerce on two applications from the Avoyelles Harbor and Terminal District: a building addition and waterfront industrial improvements project, and a Workforce Training Center redevelopment project. He said both met program criteria and projected substantial state benefits, jobs, and high benefit-cost ratios. Committee members asked about the projected jobs, the unusually high benefit-cost ratio, and the status of other port projects. Kilshaw and DOTD’s Molly Bergoin said the program has a backlog of more than $200 million, but the department is working through it, with some projects nearing closeout. They also said the annual request cap has been increased and that a tiered funding approach is being considered to help projects compete for federal dollars. Members expressed support for expanding investment in ports and for a statewide strategic plan. Chairman Boriak moved to accept the port priority applications received through March 1, 2026, for inclusion in the FY 2027-2028 program. There was no objection, and the committee accepted the projects. The meeting then adjourned without objection.

Transcript Highlights:

• And there is a great program.
• It's a federal program that provides reimbursement for nutritious meals and snacks.
• The food care program is a federal program that provides reimbursement for nutritious meals and snacks
• reimbursement rate.
• , program type 2 family child care, and program type 3 center child care?

Summary: The committee first approved the February 11, 2026 minutes and then received an update from the North Dakota Housing Finance Agency on the interagency council on homelessness and continuum of care funding. Testimony described rising homelessness tied to tight housing markets, low incomes, aging homelessness, barriers to rental assistance and public benefits, and limited shelter and case-management capacity. Members discussed the need for more affordable housing, continued one-time funding for the North Dakota Homeless Grant and Housing Incentive Fund, better coordination with Health and Human Services on economic assistance and human service zones, landlord engagement, recovery housing, and reentry housing. The committee also heard that federal continuum of care funding remains uncertain, with possible shifts away from permanent supportive housing and housing-first models; members asked for a future update on the impact if federal rules reduce the share available for permanent housing. The committee then took testimony on accessibility of government services for people who are blind or visually impaired. Paul Olson of North Dakota Vision Services School for the Blind described current screening and service delivery, including infant referrals, regional staff, short-term programs, and collaboration with vocational rehabilitation. He said the targeted screening system is working, recommended maintaining the current model, and noted ongoing challenges with staffing, public awareness, and accessible state websites and documents. Public testimony from a visually impaired resident and a deaf resident emphasized barriers such as CAPTCHAs, inaccessible PDFs, employment forms that screen out applicants based on driver’s license status, shortages of interpreters, and the need for video remote interpreting and video relay services, along with training for users and agencies. Finally, the committee heard a final report on the study of child care provider licensing from HHS Early Childhood Director Kay Larson. The report summarized provider input and committee discussion on simplifying North Dakota’s child care licensing structure, reducing administrative burden, and balancing that with health and safety standards. Key topics included licensing categories, child care assistance eligibility, food program sponsorship, staff qualifications, training requirements, ratios and group size, age bands, and preschool exemptions. The committee’s recommendations included streamlining to three provider types plus a preschool designation, revising ratio and age-band rules, and carrying forward certain preschool outdoor-space exemptions. Larson noted that any changes would require statutory changes, rulemaking, and a transition period before new licensing rules could take effect.

Transcript Highlights:

• THAT PURSUED BY THE FEDERAL GOVERNMENT BUT THIS BILL FOCUSES ON ALL FLORIDIANS NOT JUST GOVERNMENT PROGRAMS
• IF I AM AN ONCOLOGIST AND I CANNOT BUY THE MEDICATION AND GET REIMBURSED FOR THAT PRICE THAT I BUY IF
• $600 WHO WILL BE ABLE TO AFFORD STOCK THAT MUCH LESS REIMBURSE IT SO THE PATIENTS ARE THE ONES THAT
• PBM'S WILL BE NO LONGER ABLE TO REIMBURSE AN INDEPENDENT PHARMACY AT A COST LESS THEN THE PBM REIMBURSES
• THEIR OWN PHARMACIES, AGAIN AN INDICTMENT OF THE STATUS QUO, REIMBURSES THEIR OWN PHARMACIES, AGAIN

Transcript Highlights:

• The second is, I brought this program to Middlesex in 2009.
• assistance directly related to the training program created by Attorney Ryan.
• She had participated in the Cut It Out program in our town.
• These are programs that are helping Massachusetts dealers today.
• Warranty reimbursement. But what about the other provisions of the bill?

Keywords: 995, all

Summary: The Joint Committee on Consumer Protection and Professional Licensure heard testimony on a wide range of bills involving consumer protection, auto regulation, alcohol licenses, and professional licensure. A major focus was legislation to require a one-hour domestic violence awareness training for salon and cosmetology licensees (H.323/S.200), supported by District Attorney Marion Ryan, law enforcement, and a salon industry witness who described the program’s value in identifying and helping victims. The committee also heard strong support from the Attorney General’s office for auto consumer protection legislation (S.228/H.379) that would expand used-car warranty protections, extend the Lemon Law return period to seven days after receipt of the vehicle, raise the mileage cap to 200,000 miles, and increase dealer surety bonds to $50,000. Independent dealers opposed those changes, arguing they would burden small businesses and that dealer education, not expanded liability, was the better solution. The committee also took testimony on bills related to vehicle financial products and repair information. A trade association supported GAP waiver legislation (H.4188/S.281), saying it would create clear consumer protections and standard disclosures. On right-to-repair and heavy-duty vehicle service information (S.266), engine and truck manufacturers supported an exemption for commercial vehicles, while others argued that releasing service data to the general public could create safety, cybersecurity, and emissions risks. The committee then heard extensive testimony on auto dealer franchise and warranty reimbursement legislation (S.201/H.406), with dealer groups supporting changes to warranty labor reimbursement and manufacturer groups opposing them as costly and unnecessary. Manufacturers from GM, Volvo, Toyota, Hyundai, Mazda, and others said their current time-study and appeals processes already compensate dealers fairly and that the bill would raise costs for consumers. In addition, the committee heard testimony on H.333, which would move auto damage appraiser licensing from the Division of Insurance to the Division of Occupational Licensure. Collision repair advocates supported the change, saying the current board structure leads to repeated dismissals of complaints and lacks accountability, while emphasizing that the bill is intended to protect consumers and ensure proper repair reimbursement. The hearing also included testimony in support of a local alcohol license petition for Westwood and a separate local alcohol measure for a town grant license. At the end of the hearing, the chairs announced that all docketed bills had been heard, noted that a joint poll would be held on H.4184, and the committee voted to adjourn by voice vote.

Transcript Highlights:

• The state program is a self-funded program and bears 100% of its risk.
• moving to the state insurance program. moving to the state insurance program.
• So, go ahead. program? One of the pieces too that program?
• and a dual language program.
• and a dual language program.

Bills: SF0059, SF0053

Keywords: language proficiency, literacy education, reading interventions, dyslexia support, Montessori methods, individualized reading plans, amateur status, high school athletics, student eligibility, sports regulation, monetary compensation, 916, all

Transcript Highlights:

• Are youer Agencies have the programs, such as first-time offender programs, so that there is something
• available program Income from Social Security Administration for fiscal year 25, our savings or reimbursement
• And the program, the voc rehab program, one of the constraints on it is that we have to spend 15% of
• or for whatever to the program.
• One of them is the client assistance program, the director of the clients The assistance program, the

Keywords: 914, all

Transcript Highlights:

• under or EXC yeah the reimbursement under or EXC yeah the reimbursement<00:09:53.680> under<00
• :09:53.920> current reimbursement under current reimbursement under current law<00:09:56.519><
• The benefits it brings, while making the program all while making programs for both employment and the
• The benefits it brings, while making the program all while making programs for both employment and the
• Yes, of course, Senator Drazkowski. existing programs are less competitive existing programs are less

Keywords: 1187, senate, all

Transcript Highlights:

• program to start with? program to start with?
• how would you sustain this program? how would you sustain this program?
• And so I think this is nothing against the program. I think the program is great.
• And so I think this is nothing against the program. I think the program is great.
• And so I think this is nothing against the program. I think the program is great.

Bills: HF3738, HF2295, HF3520, HF3666

Keywords: pediatric care, hospital discharge, home care, healthcare accessibility, nursing services, family support, mental health, crisis services, Dakota County, mobile crisis response, public safety, treatment services, rehabilitation, behavioral health fund, client eligibility, home and community-based services, case management, waiver services, county services, disability advocacy

Transcript Highlights:

• How will the reimbursement take place? Mr. Meyer: Yes, yes.
• This program provides annual payments...
• This program provides fee-for-service supplemental payments and directed payment program for physicians
• I mean, ...through the federal counter-UAS program, I mean, aerial systems program, to address emerging
• grant and the counter-UAS program?

Keywords: 999, senate, all

Transcript Highlights:

• . in the program.
• Each one of these programs is a tool in a tool chest, right?
• Then we are going to have to look at what other programs are cut.
• There's still reimbursement rates based on the star levels.
• We should not be supplanting federal programs.

Keywords: 996, all

Transcript Highlights:

• Section 40-7-37.03, administration of statewide leave sharing program.
• That is a program that is within Century Code that was created last session.
• Section 75-09-11-04 amended to provide for the review of a decision for a program whose request for reimbursement
• Section 7509.114 amended to provide for the review of a decision for a program whose request for reimbursement
• for the SUD voucher where previously it said only a program could apply.

Summary: The committee approved the March 12, 2026 minutes and granted the Board of Medicine an extension of time to implement rule changes tied to House Bill 1620/1622, which concern North Dakota’s entry into the physician assistant licensure compact. The Board said it is waiting on compact rules, especially fee structures, before finalizing its own rules. The committee then took up extensive Office of Management and Budget personnel rule revisions, covering salary administration, recruitment, leave policies, funeral leave, service awards, appeals, and shared leave. OMB said the changes modernize HR practices and implement recent legislation, including new hire leave and enhanced annual leave for hard-to-fill positions; the committee raised concerns about the subjectivity and fairness of the hard-to-fill leave provisions, but no action was taken against the rules. The North Dakota Lottery presented emergency and regular rule changes, including updates tied to the Millionaire for Life game and miscellaneous clarifications. The Board of Examiners for Audiology and Speech-Language Pathology described rule updates that add speech-language pathology assistants to the rules, ease continuing education requirements for out-of-state applicants, expand temporary licensure, and clarify supervision standards. The State Electrical Board reviewed numerous code updates, including changes to electrical and fire alarm standards, receptacle labeling, countertop receptacles, and a major new conveyance/elevator inspection program added by the Legislature; the board said it is preparing to begin inspections by August 1. The Industrial Commission’s Geological Survey Division presented new rules implementing House Bill 1459 on critical minerals in coal-bearing formations, including permit, reporting, confidentiality, and royalty-related provisions. The committee asked about confidentiality of exploration data and drilling depth. The Public Employees Retirement System outlined rule changes implementing several bills affecting defined benefit, public safety, defined contribution, insurance, deferred compensation, and retiree health credit programs, and noted possible future proposals to add state EMS or create a LOSAP-style plan. The Department of Health and Human Services presented substance use disorder voucher rules implementing House Bill 1012, including allowing individuals to apply directly and setting reimbursement procedures; the rules were expected to have a $250,000 general fund impact already included in the budget. The longest discussion involved the Gaming Commission rules. Members questioned whether the commission had authority to raise poker tournament buy-ins from $300 to $1,500, viewing it as an expansion of gaming rather than a mere clarification. After debate, the committee voted to void that specific rule section for lack of statutory authority. The rest of the gaming rules covered higher raffle limits from House Bill 1192, the change from “bar” to “alcoholic beverage establishment,” veterans’ organization proceeds, credit ticket voucher kiosks, online raffles, and advertising restrictions; the presenter said several public comments led to revisions or withdrawals of proposed language. The meeting ended with discussion of upcoming Ethics Commission travel-reporting rules and scheduling the next committee meeting in September.

Transcript Highlights:

• For quarter one of 2026, we received two applications from the same port for the program.
• A little background on the program: the Port Priority Program was created in 1989 and is eligible for
• Recently, as we sent y'all the letter, we did increase our cap for program requests.
• It says we will reimburse you when the funding becomes available.
• Other than giving you more money, is there anything we can do to improve this program?

Summary: The Joint Committee on Transportation, Highways and Public Works met to receive public testimony and act on port priority applications for inclusion in the FY 2027-2028 Port Priority Construction and Development Priority Programs. After a roll call showing 18 members present, the committee adopted the March 9, 2026 minutes without objection. Commissioner Andrew Killshaw of the Office of Multimodal Commerce explained the Port Priority Program criteria and presented two applications from the Avoyelles Harbor and Terminal District: a $3.4 million building addition and infrastructure project requesting $2.853 million in state funds, and a $1.5 million Workforce Training Center redevelopment requesting $1.287 million. He said the projects were projected to create 265 jobs and generate substantial state benefits, with very high benefit-cost ratios. Members expressed support for the projects and for strengthening the port program overall. Chairman Boriak moved to approve the applications, and Senator Carter and others discussed the need to increase investment in ports and develop a statewide strategic plan to better compete for federal dollars. DOTD Multimodal Commerce staff, including Molly Bergoin, testified that the program has more than $200 million in backlog, that annual Transportation Trust Fund financing has made it difficult to reduce, and that the department hopes to clear 10 to 12 low-balance projects this year. They also said the request cap had been increased to $7 million per project this year and up to $21 million going forward, and that most projects are proceeding under reimbursement agreements because construction costs have risen sharply. After discussion, the committee voted without objection to accept the port priority applications received through March 1, 2026, for the FY 2027-2028 program. The committee then adjourned without objection.

Transcript Highlights:

• Health programs.
• the program.
• These programs.
• Program, which includes SNAP and TANF and other programs.
• a program for streamlining and. contracting and reimbursing would help get the money out the door.

Transcript Highlights:

• Under Article 6, program integrity, we create a program integrity surcharge for all DHS providers.
• FTEES to be able to provide program FTEES to be able to provide program integrity<00:09:21.200><
• We are very careful not to cut any program, but to continue the funding for those programs as you have
• know that the rates of how we reimburse know that the rates of how we reimburse our<00:19:47.600
• What we're creating is uh program.

Bills: HF2433, HF2434

Keywords: education funding, children with disabilities, transition aid, special education, school district consolidation, healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• managing the program. managing the program.
• . program. program.
• because reimbursement from that program helps to supplement the services that we provide to our non-Medicare
• <01:15:35.520> because<01:15:35.840> reimbursement Medicare program because reimbursement
• Medicare program because reimbursement from<01:15:37.120> for<01:15:37.679> that<01:15

Keywords: 928, house, all

Summary: The committee to study long-term managed care met to approve the prior meeting minutes, with a clarification that “OB3” referred to the “one big beautiful bill.” The minutes were then approved. Chair Jim Kofalt outlined the day’s agenda, which included testimony from the Granite State Home Health and Hospice Association, the New Hampshire Association of Counties, and later DHHS. He also noted that future meetings were expected soon and that the meetings were being livestreamed on YouTube. Granite State Home Health and Hospice Association, represented by Kellyanne Totten and Amy Moore, urged inclusive planning and a cautious, phased approach if managed care is considered. They emphasized that home care providers are not uniform, with different licensing and service models, and said any pilot should include varied provider types, rural and southern regions, and agencies of different sizes. They warned that workforce shortages, inflation, and a possible 9% CMS cut to Medicare home health payments could force agencies to reduce service areas or service types. They also said the 2023 Medicaid CFI rate increase has begun to lose its effect. In response to questions, they said the rural health transformation fund may help with planning and telehealth but likely cannot be used directly for rates or recruitment/retention. They also described the New England Home Care Nurse Residency Program, a Department of Labor grant, as a way to bring new registered nurses into home care with added training and school partnerships. The New Hampshire Association of Counties, through county nursing home administrators Craig Labore and David Ross, revisited the earlier Step Two managed care discussions from 2016-2018. They said prior consultants found the long-term services and supports system was underfunded and needed investment to stabilize providers and expand community-based care. They argued the same concerns remain today and said a managed model would jeopardize the Medicaid quality incentive payment program and, for county nursing homes, the proportionate share payment program. Their testimony was generally opposed to moving forward with managed long-term services and supports without significant additional funding and safeguards.

Transcript Highlights:

• That is a program that is within Century Code that was created last session.
• That is a program that is within Century Code that was created last session.
• for the SUD voucher, where previously it said only a program could apply.
• Section 7509.114 amended to provide for the review of a decision for a program whose request for reimbursement
• for the SUD voucher where previously it said only a program could apply.

Keywords: 908, all

Transcript Highlights:

• Reimbursing procedures, particularly with regard to Medi-Cal.
• all of our health and safety net programs.
• further reductions to the Medi-Cal program.
• reimbursed for that.
• That's always been a state-funded program.

Keywords: 987, senate, all

Transcript Highlights:

• residual program.
• If they go into our program, I know the federal can reimburse us.
• The IHSS program specifically reimburses for services for which individuals are eligible.
• This is a growing program. This is a growing program.
• Part C programs.

Keywords: 987, senate, all

Summary: The subcommittee heard an overview of the governor’s IHSS budget proposals and then took public testimony from the administration, LAO, county representatives, labor, consumer advocates, and an aging/disability advocacy group. The administration described IHSS as a large Medi-Cal long-term services program serving more than 900,000 recipients and proposed three changes: shifting some growth costs tied to authorized hours per case to counties, eliminating the statewide backup provider system, and aligning IHSS terminations with Medi-Cal terminations. The administration also discussed the earlier CFCO reassessment penalty change for counties and said overdue reassessments had dropped significantly. LAO said the governor’s overall IHSS cost estimates appeared reasonable, but raised concerns about the hours-per-case cost shift, including unclear root causes for growth, limited county control over statewide averages, and uncertainty about the eventual savings. County Welfare Directors Association, SEIU, and consumer/advocacy witnesses opposed the hours cost shift, arguing counties use state tools, the proposal would pressure counties to cut services, and it could harm older adults and people with disabilities by increasing institutionalization and shifting costs elsewhere. The chair and members repeatedly questioned the rationale for the proposal, the lack of a defined baseline, and whether the current assessment tools or MOE structure should instead be revisited. On the backup provider system, the administration said the program is underused and costly to administer relative to service spending, while LAO suggested the Legislature consider whether administrative costs could be reduced instead of eliminating it. County, labor, and consumer witnesses opposed the cut, saying the system is a critical emergency safety net even if utilization is low, especially for rural areas and people with complex needs. Members also asked about data quality, county backup systems, and whether consumers know the program exists. On the Medi-Cal/IHSS alignment proposal, the administration said automation would stop General Fund-only spending when recipients lose Medi-Cal and restore IHSS automatically when Medi-Cal is regained; LAO and others noted the proposal had been rejected before and urged better notices and safeguards. Witnesses warned that automatic termination could create gaps in care and unpaid work for providers, while the department said counties already manually terminate in some cases and that automation is ready if approved. No votes were taken in the excerpt, and the chair indicated the committee would continue with public comment and later items before a hard adjournment time.