Transcript Highlights:

• So the CMDE that I mentioned is completed by a physician and advanced practice registered nurse, or a
• So the CMDE that I mentioned is completed by a physician and advanced practice registered nurse, or a
• In a time when the nursing homes are still struggling with the 18 to 21 month delay in payments and the
• homes and the using to fund our nursing homes and the 20%<01:46:09.920> reduction<01:46:10.440
• homes are still time when the nursing homes are still struggling<01:46:16.320> with<01:46:16.440

Keywords: 1183, house

Transcript Highlights:

• the state millions of dollars every year by keeping loved ones out of expensive institutions like nursing
• ><02:12:59.119> like out of expensive institutions like out of expensive institutions like nursing
• Investing in them is an nursing homes.
• I was a registered nurse for over 40 years, and John was in insurance.
• nursing facilities. nursing facilities.

Keywords: 1189, house, all

Transcript Highlights:

• , nurse practitioners, or physician assistants, and aligns with the local public health medical consultant
• , nurse practitioners, or physician assistants, and aligns with the local public health medical consultant
• to their third year in college and going this is not really what I want to do and they end up in nursing
• to their third year in college and going this is not really what I want to do and they end up in nursing
• which has happened to many of in nursing which has happened to many of these<01:35:32.480> people

Bills: HF4438, HF4467, HF4379, SF3402, HF4349, HF4064, HF84, HF85, HF3804

Keywords: healthcare, WIC, community health, licensing, speech-language pathology, audiology, contract term limits, healthcare services, provider enrollment, disenrollment, premium payments, medical assistance, substance use disorders, mental health, children's mental health, early childhood, early intervention, consultation grants, Head Start, child care

Transcript Highlights:

• I am a nurse by trade practicing at a hospital in northern Minnesota and... the life-saving care that
• I am a nurse by trade practicing Steel.
• I am a nurse by trade practicing at<01:33:01.679> a<01:33:01.840> hospital<01:33:02.080
• and Public Health Nursing this January.
• As I progressed in my career, beginning as a new nurse in a rural critical access emergency department

Keywords: 1187, senate, all

Transcript Highlights:

• You like give up already because you're going to be a nurse because it's so easy to become a nurse because
• because you're going to be a nurse because you're going to be a nurse because<00:30:57.039> it's
• because it's so easy to become a nurse because it's so easy to become a nurse because<00:30:58.159
• So, teachers, nurses, construction. We have the data based on their course taking.
• So, teachers, nurses, construction.

Bills: SB2901, SB2902, SB2903, SB2904, SB2905, SB2906, SB2907, SB2908, SB2909, SB2910, SB2911, SB2912, SB2913, SB2914, SB2915, SB2916, SB2917, SB2918, SB2919, SB2920, SB2921, SB2922, SB2923, SB2924, SB2925, SB2926, SB2927, SB2928, SB2929, SB2930, SB2931, SB2932, SB2933, SB2934, SB2935, SB2936, SB2937, SB2938, SB2939, SB2940, SB2941, SB2942, SB2943, SB2944, SB2945, SB2946, SB2947, SB2948, SB2949, SB2950, SB2951, SB2952, SB2953, SB2954, SB2955, SB2956, SB2957, SB2958, SB2959, SB2960, SB2961, SB2962, SB2963, SB2964, SB2965, SB2966, SB2967, SB2968, SB2969, SB2970, SB2971, SB2972, SB2973, SB2974, SB2975, SB2976, SB2977, SB2978, SB2979, SB2980, SB2981, SB2982, SB2983, SB2984, SB2985, SB2986, SB2987, SB2988, SB2989, SB2990, SB2991, SB2992, SB2993, SB2994, SB2995, SB2996, SB2997, SB2998, SB2999, SB3000

Keywords: geological subsurface characterization, groundwater, geothermal resources, environmental review, Hawaii groundwater and geothermal resources center, scientific research, non-extractive, public trust doctrine, clean energy, greenhouse gas, carbon sequestration, climate change, energy policy, Hawaii state energy office, emissions reduction, sustainable development, fare-free transportation, greenhouse gas emissions, public transit, tax on petroleum

Transcript Highlights:

• Three days in the ER and, you know, he went. to a psychiatric hospital, and the nurse said if he Still
• We employ registered nurses, receive medical referrals, and even provide IV drip therapy.
• Last week, a nurse from a local nursing home came into our shop.
• My sister and one of my aunts are both nurses, and it's important to note that many elderly patients
• The nurse said, did you use Delta 8? And I was standing there, and I'd never Heard of Delta 8.

Bills: HB 28, SB 3

Keywords: hemp regulation, consumable products, cannabinoids, state health, youth protection, licensing fees, criminal offenses, HB28, public testimony, committee decorum, bill substitute, legislative process

Summary: The meeting featured significant discussions regarding HB28, where the chair outlined the plans to bring forward a substitute for the bill. The chair emphasized the importance of maintaining order and decorum during the proceedings. Members engaged in deliberations, and a number of public witnesses were invited to testify, thereby enriching the discussion around the bill. This interaction provided valuable insights into public sentiment regarding the issues at hand.

Transcript Highlights:

• happens in the absence of people to help guide these folks in their decision-making, perhaps to go to a nursing
• happens in the absence of people to help guide these folks in their decision-making, perhaps to go to a nursing
• important aspect that truly helps us keep individuals in their home and not in some type of long-term nursing

Keywords: 995, all

Summary: The Joint Committee on Children, Families and Persons with Disabilities held a hearing on a broad slate of disability-related bills. Topics included creating a permanent Acquired Brain Injury Advisory Board (H. 231/S. 134), establishing a system for compensating guardians who serve incapacitated, unbefriended individuals through MassHealth (H. 253/S. 154), expanding Nikki’s Law to require MassHealth day habilitation programs to use the abuse registry (S. 165 and related bills), modernizing and streamlining the Disabled Persons Protection Commission’s statute and procedures (H. 243/S. 139), updating the definition of developmental disability to align more closely with federal law and include people such as those with fetal alcohol spectrum disorder (H. 276/S. 150), removing outdated and offensive terminology from the General Laws (H. 232/S. 137), and an autism education reform bill (H. 286). Several bills had no sign-ups, and the committee also noted related measures on cueing and prompting in PCA programs (H. 277/S. 157).

Transcript Highlights:

• AB 2391, Arreguín, nursing grant support program, held in committee.
• AB 2301, Soria, nursing pilot program, do pass. That's out on an A roll call.
• AB 2240, Stephanie, Medi-Cal private duty nursing, held in committee.

Summary: The Assembly Appropriations Committee held a suspense-file hearing on May 14, 2026, reviewing hundreds of Assembly bills and a few committee bills. The chair opened by explaining the committee’s budget constraints and the factors used in suspense decisions, including fiscal impact, return on investment, effects on constituents, and protection of the state’s social safety net. The agenda was organized alphabetically by author, and the committee noted that results would be posted later that day online. The committee then acted on a very large number of measures, sending many bills to the Assembly floor on do pass or do pass as amended motions, while holding many others in committee. Topics covered a broad range of policy areas, including housing, health care, education, labor, public safety, wildfire mitigation, water, energy, transportation, cannabis, immigration, and state governance. Many bills were amended to narrow scope, make implementation contingent on appropriations or existing resources, remove provisions, or clarify agency responsibilities; several bills were held without further action. Among the notable actions, the committee advanced bills on items such as Medi-Cal services, child care, wildfire-related programs, housing financing, school and college issues, public safety and criminal justice, environmental and energy policy, and various consumer and business regulations. Some measures were sent out on A or B roll calls, with Republicans often not voting on amended bills. The hearing concluded after the committee reported that a large number of bills had been moved to the Assembly floor, either as do pass or do pass with amendments, and the committee adjourned.

Transcript Highlights:

• Resolution 28 by Representative Miller is a concurrent resolution to create the Task Force on School Nurse
• Orientation to develop a school nurse orientation program for new registered nurse graduates.

Bills: SCR63, SCR12, HB89, HB451, HB595, HB617, HB621, HB730, HB1064, HB1125, HB221, HCR58, SB106, SB206, SB248, SB441, SB104, SB122, SB180, SB260, SB424, SB476, SCR9, SCR30, SB57, SB414, SB525, SB35, SB65, SB135, SB215, SB246, SB249, SB269, SB276, SB282, SB296, SB323, SB363, SB369, SB474, SB484, SB490, SB492, SB500, SB501, SB513, HCR31, HB462, HB547, HB613, HB691, HB712, HB720, HB723, HB728, HB735, HB747, HB759, HB825, HB845, HB846, HB903, HB904, HB907, HB923, HB929, HB941, HB962, HB965, HB1036, HB287, HB370, HB515, HB521, HB570, HB1200, HB29, HB39, HB58, HB67, HB73, HB76, HB77, HB82, HB112, HB121, HB125, HB132, HB134, HB151, HB154, HB155, HB161, HB166, HB187, HB191, HB207, HB211, HB224, HB238, HB241, HB242, HB250, HB260, HB265, HB275, HB300, HB320, HB338, HB339, HB349, HB379, HB399, HB427, HB463, HB464, HB468, HB545, HB550, HB551, HB565, HB588, HB639, HB725, HB782, HB805, HB808, HB834, HB847, HB853, HB858, HB861, HB883, HB916, HB937, HB977, HB1012, HB1027, HB1044, HB1054, HB1091, HB1117, HB90, HB127, HB138, HB150, HB201, HB268, HB273, HB285, HB315, HB354, HB355, HB360, HB376, HB445, HB506, HB606, HB649, HB665, HB681, HB721, HB746, HB757, HB781, HB835, HB844, HB857, HB872, HB886, HB889, HB892, HB982, HB987, HB1037, HB1068, HB1072, HB1078, HB1085, HB1132, HB1137, HB1167, HB1174, HB1232, HB1238, HB23, HB136, HB17, HB21, HB51, HB55, HB74, HB106, HB108, HB133, HB140, HB159, HB168, HB215, HB226, HB263, HB296, HB299, HB322, HB364, HB519, HB535, HB538, HB568, HB571, HB622, HB635, HB676, HB772, HB784, HB1006, HB1018, HB1033, HB1034, HB1043, HB1070, HB1134, HB1237, HB1239, HB36, HB119, HB126, HB129, HB245, HB271, HB280, HB337, HB351, HB677, HB726, HB789, HB850, HB956, HB966, SB149, SB382

Keywords: fiscal notes, legislation, legislative auditor, state policy, conflict of interest, logging, recognition, John Keith, environment, safety, HB89, Act 615, district attorney, assistant district attorney, retiree health insurance, group health insurance, retirement benefits, public employee benefits, Third Judicial District, Thirtieth Judicial District

Summary: The Senate convened with 32 members present, heard a guest prayer from Pastor Dr. Michael Linton, and proceeded through routine journal approval and legislative bureau reports. The chamber received numerous House messages on passed Senate bills and House bills, introduced several resolutions and concurrent resolutions, and recognized Former Legislators’ Day with remarks honoring deceased former members and welcoming back past legislators and other officials. The Senate also adopted SCR 63, which asks the Legislative Auditor to review how fiscal notes are developed and prepared, after an amendment clarifying the study’s scope and a 33-0 vote. The body then took up a series of Senate bills returned from the House. It concurred in House amendments to SB 106 (crime scene recordings/public records), SB 206 (blood pressure testing in schools, narrowed to athletes), SB 248 (polling place closures for very small precincts), SB 104 (highway memorial designation), SB 122 (bridge preservation), SB 180 (disabled veterans’ homestead exemption transfer language), SB 260 (youth athletics safety training/Coach Safely Act), and SB 476 (garnishment service wording). It rejected House amendments to SB 441 on pre-kindergarten programs. SB 57 on nutrition cleanup, SB 414 on medical debt protection, SB 525 on unclaimed property purchases, SB 501 on postsecondary health information postings, and SB 276 on bail bond producer affidavits all advanced or passed, with SB 57 and SB 414 ultimately passing and SB 525 and SB 501 also receiving final passage. The Senate also adopted SCR 30, a resolution urging Congress to ensure accountability and release of Epstein-related files, and later took up SB 513, a pilot program involving average bid/design-build contracting for certain airport-related projects, which passed 25-10 after extended questioning about its purpose and safeguards. SB 484, revising higher education governance and removing LUMCON language in favor of a study commission, passed 36-1. In personal privilege remarks, senators recognized Louisiana Arts Day and introduced guest Ed Tillman. The chamber then began a long series of House bills, including HB 462 on the Capital Area Road and Bridge District board composition, HB 547 on photographing voter registration information, HB 613 on marking driver’s licenses with citizenship status, HB 691 on voter-roll verification through the federal SAVE system, and HB 712 waiving certain OMV fees for homeless individuals; several of these bills were explained and moved toward final passage as the session continued.

Transcript Highlights:

• We have, we're exploring opportunities to expand opportunity scholarship for potential nurses and physicians
• Nursing homes. I didn't see it in any specials.
• I just want to make sure they weren't in the nursing homes. I didn't see it in any specials.

Bills: SB193, SB132, SB35, SB145

Keywords: SB193, acequia, community ditch, irrigation works construction fund, water infrastructure, ditch infrastructure, irrigation, New Mexico water law, agricultural water, farmers, Rio Grande, acequia association, forest land protection revolving fund, state fund transfer, irrigation projects, SB132, DOIT, Department of Information Technology, software replacement, equipment replacement

Transcript Highlights:

• Uh, and then the tax valuation will go up whenever they sell it, move out of it, go to a nursing home
• Uh, and then the tax valuation will go up whenever they sell it, move out of it, go to a nursing home
• Uh, and then the tax valuation will go up whenever they sell it, move out of it, go to a nursing home

Keywords: Meeting Start: 00:02 Attendance Roll Call: 00:06 SB 10 (Sen. McDaniel): 00:56 SB 51 (Sen. Nemes): 08:30 Adjournment: 17:23, 958, all

Summary: The Senate State and Local Government Committee met and first considered Senate Bill 10, a proposed constitutional amendment to restrict the governor’s pardon power during the 60 days before a gubernatorial election and until a new governor is sworn in, effectively limiting pardons for 90 days in a four-year term. Sponsor Senator McDaniel argued the measure was a response to abuses of the pardon power and said it would force accountability before voters. Senator Herron raised a concern about a possible chilling effect on pardons but supported the bill after asking about the historical example cited. The committee voted unanimously 11-0 to pass the bill with favorable expression. The committee then took up Senate Bill 51, which would freeze property tax assessment increases for homeowners age 65 and older who reside in their homes, with the assessment resuming if the home is sold, vacated, or the owner moves to a nursing home or with family. Senator Neis described the bill as relief for seniors on fixed incomes facing rising property taxes, and he walked through the fiscal impact as a budgeted-revenue issue rather than an actual loss of current revenue. Several members spoke in support, saying constituents frequently raise concerns about being priced out of their homes and that the bill would help seniors remain in their communities. During the roll call on SB 51, Senator Chambers Armstrong said he wished the bill were means-tested but supported it because of its importance to low-income seniors; Senator Bledsoe also explained his support, citing senior homeowners in Fayette County; and Senator McDaniel said it complemented broader housing efforts and should go to the people for a vote. The committee reported SB 51 with favorable expression, then adjourned.

Transcript Highlights:

• Let's take up Tab 4, Senate Bill 788 on veterans nursing homes by Senator Truenow.
• housing for only veterans, their spouses, and surviving spouses to create veteran and spouse designated nursing
• In a skilled nursing facility.

Keywords: 999, senate, all

Transcript Highlights:

• of Florida's most vulnerable, primarily the infirm elderly living in assisted living facilities, nursing
• Under federal law, crimes in nursing homes must be reported.
• Just want to clarify that this is specifically connected to those who are in facilities like nursing

Summary: The committee met with a quorum and considered a large agenda of bills, mostly in the criminal justice, courts, civil procedure, and family/consumer protection areas. Early measures included CS/HB 1161 on removing altered sexual depictions posted without consent, HB 403 modernizing LLC law to allow protected series LLCs, CS/HB 97 on service of process in protection proceedings for vulnerable adults, and HB 813 as the state courts package addressing duty judges, arbitrator compensation, and notarization by judges. All of those bills were reported favorably, with HB 403 and HB 813 amended. The committee also heard and advanced CS/HB 947 on evidence of medical damages in personal injury and wrongful death cases, which drew substantial opposition from insurers, business groups, and defense-oriented witnesses, while the sponsor argued it would let juries hear all relevant evidence; it passed 19-3. Members also approved CS/CS/HB 615 allowing electronic delivery of landlord-tenant notices by email, after an amendment requiring opt-in language and written notice to update an email address; tenant advocates still raised concerns about eviction-related notices and receipt verification. HB 663 increased penalties for using tracking devices or apps to commit dangerous crimes and passed unanimously. CS/HB 385 made technical changes to the Florida Trust Code and passed unanimously after a conforming amendment. CS/HB 255, known as Dexter’s Law, increased penalties for aggravated animal cruelty and was supported by law enforcement and animal welfare groups; it passed unanimously. Later in the meeting, the committee approved HB 513 on electronic transmittal of court orders after the sponsor withdrew an amendment that would have changed the deadline from six hours to six business hours, following concerns that the delay could be too long for urgent orders. CS/HB 1099 gave law enforcement discretion in arrests involving individuals with significant medical conditions in facilities and passed unanimously. HB 653 added aggravating factors for capital felonies involving assassinations or attempted assassinations of heads of state; it drew opposition from the Florida Conference of Catholic Bishops and passed 20-2. CS/HB 59 expanded wrongful incarceration compensation by extending the filing deadline, removing the clean-hands bar, and allowing exonerees to choose between civil suit and the state claims process; it passed unanimously. PCS/HB 777 increased penalties for in-person luring or enticing of children and barred certain age-based defenses, passing unanimously. Finally, CS/HB 437 increased penalties for tampering with electronic monitoring devices; two amendments softened the bill by clarifying juvenile treatment and giving judges limited discretion to avoid automatic revocation of pretrial release, and the bill passed 21-1 before the meeting adjourned.

Transcript Highlights:

• in terms of mandatory reporters, it's referring to a physician or and advanced practice, registered nurse
• opinion that would be required, you're saying that you are this would be a pediatrician, presumably a nurse
• If you have a conflict between the pediatrician that saw the child and you have a nurse practitioner,

Keywords: 999, senate, all

Transcript Highlights:

• Association of Nurse Anesthetists, CANA.
• I commend California's certified registered nurse anesthetists, CRNA, for their expertise, dedication
• Please join me in giving these members of the California Association of Nurse Anesthetists a warm welcome

Keywords: 988, house, all

Transcript Highlights:

• Teacher, a school bus driver, a school food services cook, a school nurse, or a paraprofessional as defined
• That was the teachers, school bus drivers, school food services cooks, school nurses, superintendents
• school bus drivers, school food services cooks... ...drivers, school food services cooks, school nurses
• will allow... ...allow a financing mechanism through Health Care Policy and Financing for helping nursing
• And the more patients that we can get into long-term care and nursing facilities with these incredibly

Keywords: 981, all

Transcript Highlights:

• And as for the funding, this would be state funding dollars, but we want to make sure that the nursing
• , In high schools, let them build their dreams of becoming future engineers, teachers, nurses, yet we
• House Resolution 1057 by Rowe of the House, a resolution relating to National Nurses Week.
• National Nurses Week. Representative Roe, you are recognized to explain the resolution.
• Do you show your favorite nurses in here some love and adopt this resolution?

Bills: SB1687, HB1687, HB4431, HB2894, HB2979, HB3262, HB3298, HB3369, HB3431, HB3462, SB1226, SB1876, SB1916, SB1920, HB3467, HB3498, HB3500, HB3521, HB3581, HB3650, HB3673, HB3764, HB3767, HB3781, HB3800, HB3831, HB3834, HB3941, HB2749, HB3970, HB3972, HB3979, HB3980, HB3981, HB3996, HB4095, HB4104, HB4191, HB4248, HB4298, HB4338, HB4427, HB4428, HJR1023, HB3660, HB3718, HB4326, HB3443, HB3880, HB3649, HB3000, SB1651, SB504, SB372, SB1326, SB1633, SB248, SB1242, SB1238, SB423, SB1989, SB1286, SB904, SB1213, SB1216, SB1827, SB65, SB1390, SB259, SB1944, SB540, SB2139, SB346, SB1595, SB1400, SB1555, SB1209, SB2110, SB1670, SB1061, SB2104, HR1057, SB1946, SB1734, SB1316, SB1360, SB1557, SB1684, SB2049, SB1410, SB2011, SB1437, SB1204, SB1732, SB1775, SB2084, SB1380, SB1572, SB1772, SB1224, SB710, SB1338, SB1266, SB1303, SB1307, SB1562, SB1794, SB1191, SB1983, SB1832, SB1448, SB1534, SB1593, SB1597, SB1630, SB1489, SB1726, SB1796, SB1806, SB1877, SB1451, SB1553, SB1632, SB1423, SB1425, SB1502, SB2180, SB1725, SB2182, HB3003, HB3004, HB4434, HB4324, HB4342, HB2137, HB4432, SJR50, SJR52, SJR53

Keywords: driver licenses, exam proctor, Service Oklahoma, commercial training, background checks, advance directive, advance health care directive, health care proxy, medical power of attorney, durable power of attorney for health care, living will, surrogate decision-maker, default surrogate, health care agent, capacity determination, supported decision making, mental health directive, psychiatric advance directive, end-of-life care, life-sustaining treatment

Summary: The House recognized several visitors and groups during the day, including the Norman North High School Cheer and Stunt Team, a student page, Bartlesville Day at the Capitol, and Leadership Elk City. The chamber then took up a long series of Senate amendments and final passage votes on a wide range of measures, with most amendments adopted without objection and many bills passing by wide margins. Topics included advanced health care directives, the Oklahoma Rural Jobs Act, motor vehicle and insurance changes, food truck fire suppression, foreign adversary land ownership restrictions, plumbing licensing reform, probate procedure, financial institutions, riots, Medicaid, court reporters, public finance, district attorney recruitment incentives, child care, the Oklahoma Brine Development Act, adjunct teachers, workers’ compensation, and other technical or policy updates. Several bills drew substantive debate. The Oklahoma Rural Jobs Act prompted questions about the additional $15 million funding tranche, return on investment, and the use of out-of-state fund managers; supporters said the program had created thousands of jobs and generated strong tax revenue, while opponents criticized the lack of independent ROI data and transparency. House Bill 3500 on probate procedure also drew questions about a nine-month deadline for successor affidavits, with the author saying the change would prevent a “gotcha” that could defeat a decedent’s wishes. House Bill 3660 on natural organic reduction was the subject of extended debate, with supporters arguing for personal freedom and rejecting claims about misuse of the resulting material, while opponents raised concerns about the practice and its regulation. The House passed most measures by comfortable margins, including bills on advanced health care directives, professions and occupations, motor vehicles, Medicaid, insurance, child care, court reporters, public finance, and criminal law. A few measures failed or were reconsidered: Senate Bill 1916 initially failed on a 46-39 vote, but the House later voted to reconsider and then passed it on reconsideration. Several bills also carried emergency clauses, which were adopted where required by two-thirds votes. The session ended with the House still considering debate on House Bill 3660 after the chamber had recessed and returned to order.

Transcript Highlights:

• Is this nursing home so grandma can sit there and eat her gummies and stuff?
• included in this that is this nursing included in this that is this nursing home<00:50:54.880>
• Results from a survey among nurses indicate that almost two-thirds of nurses, 62%, experience burnout
• a<01:36:52.480> doctor<01:36:53.280> or<01:36:53.520> a<01:36:53.679> nurse
• <01:36:54.320> or<01:36:54.560> a they can't see a doctor or a nurse or a they can't

Keywords: 1187, senate, all

Transcript Highlights:

• within three separate days of that phone call, then they will reach out to the IHS public health nursing
• That IHS public health nurse may help with demographics to locate the person.
• We have a registered nurse. We have two DIS. One is actually a medical lab scientist.
• The other one is a registered nurse also that is just eager to get out there and try to find these cases
• There's new programs for nursing. One of our board members works out at the college.

Keywords: 908, all

Transcript Highlights:

• within three separate days of that phone call, then they will reach out to the IHS public health nursing
• That IHS public health nurse may help with demographics to locate the person.
• We have a registered nurse. We have two DIS. One is actually a medical lab scientist.
• The other one is a registered nurse also that is just eager to get out there and try to find these cases
• There's new programs for nursing. One of our board members works out at the college.

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.