Transcript Highlights:

• disposable testing supplies rather than some of the higher-ticket items like the continuous glucose monitor
• Not the insulin pump, but a continuous glucose monitor.
• lab test and you adjust, you wouldn't want to be switching those out frequently because of that monitoring
• lab test and you adjust, you wouldn't want to be switching those out frequently because of that monitoring

Bills: SB2401, SB2402, SB2403, SB2404

Keywords: SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine

Summary: The Senate convened with prayer, the Pledge of Allegiance, and a quorum present. It adopted the procedural employment committee report naming Senate staff for the special session. The chamber then took up several health-care and appropriations measures, first adopting amendments to Senate Bills 2401, 2402, and 2403 before moving them to final passage. Senate Bill 2401 passed 44-2 and requires physicians to complete at least one hour of continuing education in nutrition and metabolic health, part of a broader rural health care package. Senate Bill 2402 passed 46-0 after major amendments negotiated between the medical and pharmacy boards; as amended, it expands pharmacists’ prescriptive authority and therapeutic substitution in limited areas while excluding categories such as antidepressants, antipsychotics, chemotherapy agents, Schedule II drugs, biological products, and narrow therapeutic index drugs. Supporters said it would improve rural access and help secure rural health transformation funding, while questions focused on how pharmacist competence would be measured and enforced. Senate Bill 2403, also passed 46-0, creates a short-term medical facility emergency operating loan program through the Bank of North Dakota, reduced by amendment from $10 million to $5 million, to help a financially distressed rural hospital. Senators discussed the hospital’s mismanagement, the need for a bridge loan, and safeguards including a limited application window and expiration in 2027. Senate Bill 2404 passed 46-0 and provides supplemental appropriations to the Information Technology Department for ADA-related website accessibility compliance and to the Public Service Commission for additional legal costs in federal energy-rate litigation. The Senate then made announcements about a Highway Patrol safety presentation and filing deadlines, excused an absent member, and adjourned until the next morning.

Transcript Highlights:

• However, the California Birth Defects Monitoring Program has limited resources and is only funded to
• Jurisdictions that decide to do their own monitoring will be able to collect data to improve their health
• California's birth defects monitoring program is currently limited to 10 counties to monitor.

Keywords: 988, house, all

Transcript Highlights:

• WITH THIS, IF YOU COULD GIVE US AN IDEA HOW IT IS GOING TO, HOW THIS FUNDING MODEL IS GOING TO BE MONITOR
• IS DOE GOING TO BE THE ONE MONITORING THESE EXPENDITURES, YES, I AM TOTALLY THERE FOR TRANSPARENCY BUT
• WHOSE RESPONSIBILITY IS IT, IS IT THE SCHOOL DISTRICT, STATE COLLEGE, WHO IS GOING TO MONITOR THE EXPENDITURES
• COMES TO THE APPROPRIATIONS COMMITTEE WE NEED TO LOOK AT WHERE THAT RESPONSIBILITY SITS FOR THE MONITORING

Keywords: 999, senate, all

Transcript Highlights:

• Monitors return the counts. Members voting in favor of the emergency preamble, please rise.
• Monitors return the counts.
• Monitors, please return the counts.

Keywords: 995, all

Summary: The House opened with the Pledge of Allegiance and a message from the Governor recommending legislation on energy affordability, independence, and innovation, which was referred to the Committee on Telecommunications, Utilities, and Energy. The House also recognized several guest groups, including visitors from the Celiac Disease Foundation and a sixth-grade class from Holy Name School in West Roxbury. The Committee on Rules reported a series of congratulatory and commemorative resolutions, including observances for Cystic Fibrosis Awareness Month and ALS awareness, a commemoration of Wakefield’s Soldiers’ and Sailors’ Monuments, recognition of veterans’ efforts regarding Agent Orange awareness, and congratulations to an Eagle Scout. The House suspended the rules and adopted these resolutions. The House then considered Senate amendments to House Bill 4010/House 4100, the fiscal year 2025 supplemental appropriations bill. The House did not concur in the Senate’s amendment and instead ordered a committee of conference, appointing Representatives Michalowitz, Ferranti, and Smola. The House also concurred in the referral of a retirement-credit petition and suspended Joint Rule 12 for several other petitions, including measures on arts education, a psychedelics treatment pilot program, toxic-free medical devices, and retirement credit service. House 4100 was later taken up for final passage, its emergency preamble was adopted, and the bill was passed to be enacted. The House adopted an order to adjourn to Monday at 11 a.m. and then adjourned accordingly.

Transcript Highlights:

• So we're just codifying in law that you have to monitor hydration and care and that sort of thing on
• ...saying have to make sure they monitor that: the hospice provider or the facility that they're in?
• I’m pretty sure LDH monitors these already, over living homes, but I just wanted to make sure that if
• And the quality in nursing homes, I think, is something that they monitor and they have the wherewithal
• to monitor.

Summary: The House Committee on Health and Welfare met on May 12 and considered a wide range of health, social services, and licensing measures. Early in the meeting, the committee reported favorably HCR 98, which asks the Louisiana Department of Health to study whether SNAP recipients should be allowed to use benefits for grocery delivery fees. The author said the proposal would not change SNAP rules directly, but would examine access issues for elderly, disabled, rural, and transportation-limited residents. The committee also advanced SB 273, a hospice patient-protection bill requiring documentation of hydration, nutrition, and care decisions in inpatient licensed facilities where hospice is provided, with LDH oversight and enforcement authority; members discussed how responsibility is shared between facilities and outside hospice providers, and adopted technical amendments. The committee then approved SB 415, creating the Empower Louisiana Food Purchase Program, a privately funded charitable food-card program intended to let nonprofits distribute food-only cards to people in need. Members and the author discussed whether the cards would be reloadable, which retailers could accept them, and whether prepared foods could be included; LDH said the program could use all SNAP-authorized retailers, and the bill was reported favorably with amendments. SB 437, a cleanup bill for judicially referred residential substance abuse treatment facilities, was also reported favorably with amendments after LDH clarified that facilities providing treatment must be licensed, while residences only housing individuals would not be. SB 451, updating newborn hearing screening terminology and reporting requirements, was reported favorably after testimony that the bill would strengthen early detection and follow-up for deaf or hard-of-hearing children. Later, the committee advanced SB 426, which modernizes the addictive disorder regulatory authority and creates a formal peer support specialist licensing pathway. Supporters said the bill would strengthen the behavioral health workforce, improve accountability, and create a progression from peer support to higher credentials; the committee adopted technical and transition amendments and reported the bill favorably with amendments. SB 236, requiring LDH annual reviews and reports on kidney disease treatment services in Medicaid, was also reported favorably with amendments. Additional measures approved included SB 39, allowing provisional licenses for massage therapy graduates; SB 190, which tightens oversight of poor-performing nursing facilities in the CMS Special Focus Facility Program and sets an 18-month improvement timeline; SB 124, allowing hospitals within the same health system to share peer review records without waiving privilege; HR 174, urging study of fenbendazole as a possible cancer treatment; SB 270, allowing terminally ill patients to use medical marijuana in health care facilities; SB 359, changing terms for certain Morehouse Parish hospital district commissioners; and HR 194, requesting de-identified school visual acuity screening data for research. The committee adjourned after reporting all measures favorably, several with amendments.

Transcript Highlights:

• Utilize Fuchsia technology and drones to enhance Operational monitoring for the facility.
• This will take the place of the ankle monitors, or will you still use ankle monitors?
• We'll still use ankle monitors as well. Right now, we don't have very many.
• The GPS monitors are a totally different thing.
• but I appreciate that, and I will tell you also, you know, that where you were asking about ankle monitors

Keywords: 914, all

Transcript Highlights:

• We continue to monitor the PBM spread pricing and other opportunities to control or influence it to some
• As I noted, those rules are not yet out, but we have been working closely with CMS and monitoring their
• We have stringent network access standards that we monitor on an ongoing basis.
• We have stringent network access standards that we monitor on an ongoing basis.
• The fact that an insurance company Thank you. that we monitor on an ongoing basis.

Summary: The committee first welcomed new DSHS Secretary Angela Ramirez, who introduced herself and described her background in public service, federal and state legislative work, and health and human services leadership. Members emphasized the importance of building strong relationships with her and noted her focus on protecting services, using strategic approaches in a tight budget environment, and improving partnerships with the Legislature. Ramirez said she wanted to keep communication open and that her priorities would be shaped by what she learns from lawmakers and agency partners. The next work session focused on the West Coast Health Alliance and the broader Governor’s Public Health Alliance. Department of Health and governor’s office staff said the West Coast alliance, involving Washington, Oregon, California, and Hawaii, was formed to coordinate science-based public health guidance, especially around vaccines, return-to-work guidance, and responses to federal changes. They said the alliance is intended to reduce confusion, counter misinformation, and preserve access to evidence-based recommendations, with early actions including vaccine guidance for COVID-19, flu, and RSV, a statement rejecting any vaccine-autism link, and preparation for possible ACIP changes. Members asked about workload and coordination with other regional alliances, and staff said there is informal coordination but no formal regular meetings. The committee then heard from the Washington State Health Benefit Exchange about open enrollment and the effects of federal policy changes. Exchange leaders said the expiration of enhanced premium tax credits, HR1 provisions, and immigration-related eligibility changes are affecting affordability and enrollment, with some customers facing large premium increases and some counties becoming harder to serve. They reported early open-enrollment traffic increases, nearly 10,000 new sign-ups, and nearly 12,000 active coverage drops so far, while noting that many more people may disenroll later if subsidies are not extended. They also described mitigation efforts such as silver loading, Cascade Care Savings, outreach through navigators and community partners, and planning for future HR1 requirements like ending auto-renewal and adding verification steps. In the final work session, staff from the Health Care Authority and Insurance Commissioner’s office reviewed Washington’s health reform history and the state’s current affordability and access efforts. They highlighted past ACA-related coverage gains, continued work on prescription drug affordability, PBM oversight, primary care and behavioral health access, and a pending legislative proposal to preserve access to preventive services. They also discussed federal changes affecting Medicaid and the exchange, including work requirements, six-month redeterminations, and the need to coordinate across agencies to implement new rules. Members raised concerns about network adequacy, provider access, and the complexity of the health care system, while staff said they are trying to mitigate harm, simplify administration, and keep coverage and access as stable as possible.

Transcript Highlights:

• bilingual and TESOL-endorsed teachers, supported by professional development and weekly collaboration to monitor
• superintendents and charter school head administrators as the ones in control of this process, monitoring
• So, this becomes a one-stop shop for them as they monitor the progress.
• quality is that sometimes what has happened is You're assigned to turn in the strategies and 90-day monitoring
• And it's going to take some extra dollars to do that to monitor it and monitor it with Martinez and Yazi

Transcript Highlights:

• So we immediately referred to DCF as the monitoring and certification agency and provided the information
• The Office of Domestic Violence's primary role is to manage administration and monitoring of domestic
• , Florida Statutes, and contracts directly with those providers while maintaining oversight and monitoring
• 39.901 Florida statutes and direct contracts with those providers while maintaining oversight and monitoring
• provide that viability through budget, submitting things like that, and then also complete the monitoring

Summary: The committee held a panel discussion on Florida’s domestic violence system, focusing on the roles of the state, the federally designated coalition, direct-service providers, and law enforcement. Members reviewed the history of the system after the dissolution of the former coalition in 2020, the creation of the Florida Partnership to End Domestic Violence, DCF’s Office of Domestic Violence, and the current contract structure involving Women in Distress and its subcontractors for hotline and legal services. Panelists also discussed the 2024 lethality assessment law, the workgroup’s conclusion that the evidence-based Maryland tool could not be used because of copyright and cost issues, and the state’s current use of statutory questions instead. DCF and FDLE described the statewide certification and funding framework, including more than $60 million in domestic violence funding for fiscal year 2025-26 and the requirement that law enforcement complete lethality-assessment training by October 1, 2026. Testimony highlighted both collaboration and conflict. Florida Partnership to End Domestic Violence and Women in Distress described overlapping training and technical-assistance roles, but disagreed sharply about the quality of their relationship with DCF and whether the current structure is duplicative. DCF said it maintains communication with both the coalition and the centers and emphasized that the coalition is federally required, while the coalition argued that the department has obstructed its work. Women in Distress and Hope Villages stressed direct services, prevention, and the need for more housing, staffing, and funding, especially in rural areas. They also described programs in schools, hospitals, and child welfare settings, and noted that children exposed to domestic violence often need specialized services. Members asked about funding flows, certification, rural coverage, the number of centers, and the lethality assessment rollout. DCF said the 41 certified centers serve all 67 counties and that no new applications have been received in about 15 years. FDLE reported that 46 of roughly 400 law enforcement agencies had completed the lethality-assessment training and attestation, with the statutory deadline still ahead. Panelists said domestic violence appears to be increasing, citing higher hotline demand, shelter occupancy, and local case numbers, while also noting that statewide crime data remains outdated. The discussion ended with calls for better coordination, clearer implementation of statutes, more funding, and possible legislative fixes to improve data collection, training, and service delivery.

Transcript Highlights:

• So we immediately referred to DCF as the monitoring and certification agency and provided the information
• The Office of Domestic Violence's primary role is to manage administration and monitoring of domestic
• 39.901 Florida statutes and direct contracts with those providers while maintaining oversight and monitoring
• provide that viability through budget, submitting things like that, and then also complete the monitoring
• "Complete the monitoring for those centers. And how long does that take?"

Summary: The committee held a panel discussion on Florida’s domestic violence system, focusing on how state and federally funded services are coordinated, the role of the Florida Partnership to End Domestic Violence (FPEDV), the Florida Domestic Violence Collaborative, DCF, and certified domestic violence centers. Members reviewed the post-2020 restructuring after the dissolution of FCADV, the current hotline, legal services, training, and technical assistance contracts, and the Legislature’s recent work on lethality assessments under SB 1224. Panelists also described prevention, shelter, counseling, child advocacy, and legal support services, along with the statewide network of 41 certified centers serving all 67 counties. Testimony highlighted both collaboration and tension. FPEDV and Women in Distress described overlapping training and technical assistance roles, but FPEDV said its relationship with DCF has been difficult and at times obstructive, while DCF said communication and coordination are ongoing. Women in Distress and other providers emphasized the importance of direct services, the statewide hotline, injunction assistance, child welfare co-located advocates, and prevention programs. Several members asked about funding flows, certification, and whether the current structure is sufficient for rural counties; witnesses said federal FVPSA funds are formula-based, DCF contracts directly with centers, and rural programs face staffing and fundraising challenges that limit beds and services. A major portion of the discussion centered on the lethality assessment work group and implementation of the new statewide tool. FDLE explained that the work group concluded the Maryland model was copyrighted and costly to replicate exactly, so Florida adopted a statutory assessment that is not evidence-based in the same way, with training available online and 46 of about 400 law enforcement agencies having completed it so far. Senators raised concerns about multiple assessments, redacted police reports, and whether the tool will be useful without better coordination and data collection. Witnesses also discussed rising domestic violence, teen dating violence, and strangulation cases, with providers reporting increased demand, full shelters, and greater use of hotels and mobile crisis responses. No formal votes or actions were taken.

Transcript Highlights:

• This committee, our committee, Legislative Health and Human Services, is monitoring that.
• what we're calling a Federal Fund Working Group, which has allowed us, the DFA, and the agency to monitor
• So then I will go to slide 10, and just finally, DFA is close. monitoring the legislative process around
• And then I also want to say that we've been monitoring this at a local level.
• Not here with me today, but we are monitoring those on a daily basis and we do keep track of that.

Transcript Highlights:

• The commission's mission is to strengthen California's efforts to monitor, prevent, and respond to hate
• The commission's mission is to strengthen California's efforts to monitor, prevent, and respond to hate
• Professor Brian Levin, Chair of the California Commission on the State of Hate: Our efforts are to monitor
• We can also have monitor ice rates movements when they're happening, ensure that we are at monitor ice
• We're also closely monitoring these escalating attacks in real time, and in the months ahead, we'll need

Summary: The Select Committee on Hate, Racism, and Xenophobia met to examine the scope of hate activity in California and hear from state agencies, commissions, and community organizations. The chair opened by framing hate as a persistent crisis affecting many protected groups, and Assembly Member Gonzalez briefly joined the committee. The first panel included the California Department of Justice and the California Commission on the State of Hate, both of which presented recent data and policy recommendations. The Department of Justice reported that in 2024 California saw 2,023 reported hate crime events, 2,568 hate crime offenses, and 2,491 victims, with anti-Black bias remaining the most common category, followed by anti-Jewish and anti-Latino bias. DOJ also said referrals for prosecution increased, and it described its hate-crimes guidance, rapid response protocol, and multilingual resources. The Commission on the State of Hate said hate is undercounted in law enforcement data and cited a survey suggesting about 2.6 million Californians experienced at least one hate act in a year, including more than half a million potentially criminal incidents. It recommended permanent data infrastructure, mandatory law enforcement training, and continued funding for community-based prevention and victim support. The committee then heard testimony from representatives of the NAACP, LULAC, Jewish Public Affairs Committee of California, CHIRLA, Asian Americans Advancing Justice Southern California, CARE, Equality California, and the Racial Equity Commission. Witnesses described systemic racism, anti-immigrant enforcement, antisemitism, Islamophobia, anti-Asian bias, and anti-LGBTQ+ hate, often linking these harms to political rhetoric, social media, and federal actions. They urged the Legislature to fund programs such as California vs. Hate, Stop the Hate, nonprofit security grants, language access, school and mental health supports, and legal assistance, while also protecting civil rights, due process, and free speech. No formal votes or committee actions were taken during the hearing, but members indicated they would request additional recommendations and continue the discussion in future hearings.

Transcript Highlights:

• We need to monitor the increased funding in education and ensure that student outcomes are at the center
• So it's something we're monitoring very closely.
• I think, you know, obviously we're monitoring revenues and all other Prop 98 factors, incorporating that
• So we have to monitor this very carefully, as Mr. Kapan indicated.
• All of your work in monitoring and enforcing fiscal discipline to try to keep our schools and school

Keywords: 988, house, all

Transcript Highlights:

• There hasn't been enough coordination with the agency that is supposed to be monitoring this.
• You know, we have to be the monitors of the funds that these agencies spend and how they spend their
• FWC staff and partners have been monitoring tortoise populations for more than 15 years, surveying 94
• FWC monitors existing emergent diseases that might impact our gopher tortoises.
• Sites must commit to providing habitat management and population monitoring.

Summary: The committee first heard SB 200, which would implement recommendations from DEP’s 2020 Recycling Goal Final Report by creating a technical assistance group to develop a comprehensive waste reduction and recycling plan by 2026. The bill focuses on recycling education and outreach, evaluating the former recycling grant program, and developing markets for recyclable materials. Supporters from the waste and recycling industry and counties said the bill would finally create a real plan to help Florida move toward its recycling goals. The bill was reported favorably. The committee then considered SB 50 on nature-based coastal resilience, which would promote green, gray, and hybrid infrastructure, direct USF’s Flood Hub to develop guidelines, require DEP rulemaking on erosion and mangrove protection, and study whether nature-based flood reduction could help lower insurance costs. Supporters appeared in favor, and the bill was reported favorably. The committee also passed SB 7000 as a committee bill to continue a public records exemption protecting site-specific location information for threatened and endangered species. Members next took up SB 56 on weather modification activities. The bill would prohibit the release of chemicals or substances into the atmosphere to affect weather or sunlight, define geoengineering, increase penalties through an amendment, and create a DEP reporting hotline with possible referral to DOH or emergency management. The sponsor and several supporters argued the bill was needed to address public concerns and lack of oversight, while several senators questioned the evidence, the role of state agencies, and whether the bill was ready for passage. Despite opposition from some members, the committee adopted the amendment and reported the bill favorably. The committee also approved CS for SB 62 creating a resilient building tax credit program, after amending it to shift agency references from DEP to DBPR and add university advisory members, and CS for SB 80 to clarify state park management as conservation-based, require public notice and advisory input for plan changes, and improve reporting on park repairs; both bills were reported favorably after testimony from supporters and conservation groups who sought tighter language to prevent incompatible uses. Finally, the committee received presentations from the Florida Fish and Wildlife Conservation Commission on gopher tortoise relocation, wildlife disease surveillance, and the Florida Keys National Marine Sanctuary. FWC described tortoise relocation and recipient-site programs, ongoing monitoring of wildlife diseases such as chronic wasting disease and feline leukomyelopathy, and efforts to address fish die-offs and update sanctuary agreements amid state-federal jurisdiction issues. No votes were taken on the presentations.

Transcript Highlights:

• They conduct the monitoring and testing, installation of remote electronic monitoring equipment, enter
• Taking a look at the various monitoring options that are offered to the individuals that are ordered
• Taking a look at the various monitoring options that are offered to the individuals that are ordered
• Which is a bracelet that is used for remote monitoring and detects alcohol.
• So various monitoring options—oops, sorry, got thrown out there. Oops, sorry, got thrown out there.

Keywords: 908, all

Transcript Highlights:

• They conduct the monitoring and testing, installation of remote electronic monitoring equipment, enter
• So taking a look at... there we go, that's probably better... taking a look at the various monitoring
• and detects alcohol. which is a bracelet that is used for remote monitoring and detects alcohol.
• So various monitoring options, oops, sorry, got thrown out there.
• , I'm going to impose that monitoring because it could be a domestic violence case or something along

Summary: The Judiciary Interim Committee met to begin its study of charitable gaming and the ownership of alcoholic beverage establishments by licensed charitable gaming organizations, a study directed by Senate Bill 2334. Legislative Council gave an overview of the constitutional and statutory framework for charitable gaming, site authorizations, rent limits, proceeds, and recent legislative changes. The Attorney General’s Gaming Division then clarified the financial flow of gaming, explaining that in fiscal year 2025 North Dakota had about $2.5 billion in gross gaming proceeds, with roughly 88-90% paid back in prizes and about $256 million available to organizations after taxes; most of that activity came from electronic pull tabs. Members asked for more detail on winnings, replays, rent, and the breakdown of manufacturer/distributor revenues, and the AG’s office agreed to provide supplemental information. The committee also heard from the League of Cities and the Association of Counties about local site authorization. Cities said they have a limited role in approving gaming sites, can adopt policies after public hearing, may charge up to $100, and can set certain conditions, including local nexus requirements, but cannot require donations or force a specific charity or site. The League said it had worked with stakeholders on a model policy to provide more consistency, though members raised concerns that local requirements could become too restrictive for charities serving broader areas. Counties said the issue is mostly a city matter, with little county involvement beyond minimal site fees and general site approval. The North Dakota Gaming Alliance testified in support of the study and provided IRS-related material suggesting charities may use asset diversification, while emphasizing it had not taken a position on whether charities should own bars. Members questioned whether bar ownership is being used for site stability or to channel charitable gaming dollars, and whether city policies might disadvantage charities with broader missions. The committee also discussed the relationship between gaming organizations, manufacturers, and distributors, including restrictions on incentives and interference, and asked for more information on those entities and their ownership. Later in the meeting, the Racing Commission gave its regular update on live racing, pari-mutuel wagering, ADW providers, purse and promotion funds, a new TRPB contract, and concerns about cease-and-desist actions from other states. Finally, the State Hospital superintendent briefly reported on the Department of Corrections and Rehabilitation’s support services, including the SORT team, training, and security assistance for the hospital campus.

Transcript Highlights:

• Um, so we were monitoring it to see what would happen with that process.
• Um so we were monitoring did not occur.
• So, we're monitoring the situation.
• <00:42:01.440> And<00:42:01.599> as we're monitoring the situation.
• And as we're monitoring the situation.

Keywords: 910, house, all

Summary: The committee on Human Services and Homelessness received a briefing from Scott Morish of the Hawaii Department of Human Services on upcoming SNAP changes tied to the federal One Big Beautiful Bill Act (HR1/OBBA) and on the federal government shutdown’s impact on November SNAP benefits. DHS described its SNAP workload and statewide participation, noting about 86,229 households and 168,947 individuals receiving benefits in September, with roughly $58–$60 million distributed monthly. Morish said DHS has already made system and policy updates in preparation for the November 1 implementation date. Most of the briefing focused on expanded able-bodied adult work requirements. DHS explained that the work rule now applies to additional groups, including adults ages 55 to 64, households with dependent children age 14 and older, people experiencing homelessness, veterans, and youth ages 18 to 24 who transitioned from foster care. The department said affected individuals must generally work or participate in qualifying activities for 80 hours per month, with noncompliance leading to a three-month benefit limit and a 36-month ineligibility period. DHS also reviewed exemptions, including for disability, pregnancy, caregiving, school or training, unemployment, and substance use treatment, and clarified that the new Indian Health Care Improvement Act exemption does not include Native Hawaiians. DHS said it received approval for Hawaii’s request for a non-contiguous-state exemption from payment error penalties through September 30, 2026, but must still make good-faith efforts to implement the work rules. Morish also outlined OBBA changes to non-citizen eligibility, saying that beginning November 1 only lawful permanent residents, COFA residents, and Cuban or Haitian entrants will remain eligible, while other previously eligible categories such as refugees, asylees, and some parolees will no longer qualify. He noted that ineligible non-citizens must still be included in household reporting and their income counted. The committee then discussed the federal shutdown’s effect on SNAP, with DHS saying USDA directed states to suspend November SNAP issuance because of insufficient funding; existing October benefits remain usable, and TANF and general assistance are not affected. DHS said it has posted FAQs and call-center messages, and is working with the Hawaii Food Bank on an additional $2 million in support and with nonprofit partners on a new Hawaii Relief program funded by TANF for families with dependent children. Members asked about eligibility for kūpuna and documentation for the relief program, and DHS said the TANF-funded program is limited to households with a child under 18, while FAQs are now available online.

Transcript Highlights:

• So we're continuing to monitor the situation, and we'll certainly let you know if we hear of any attempts
• So we're continuing to monitor the situation, and we'll certainly let you know if we hear of any attempts
• <00:31:15.360> to<00:31:15.720> to um and and certainly monitoring to to um and and
• certainly monitoring to to hopefully<00:31:16.639> you<00:31:16.760> know<00:31:17.080
• the condition of continuing to monitor the condition of the<00:32:19.200> viaduct<00:32:19.799

Keywords: 1183, house

Transcript Highlights:

• Rule F is the rule for continuous glucose monitors.
• It also includes remote monitoring.
• We were already providing blood pressure cuffs and continuous glucose monitors to pregnant women, but
• per Healthy Moms and Healthy Babies, this covers the remote monitoring, and we lifted any limits per
• Pittman, I'm going to take a motion to expunge a vote by which we reviewed the glucose monitoring so

Summary: The committee reviewed a series of Arkansas DHS and Department of Health rules, most tied to 2025 legislation. Early items covered Medicaid changes including presumptive eligibility application timing, adding a fictive kin definition for foster child eligibility, raising the able account disability onset age to 46, allowing continuous glucose monitors to be billed by both pharmacy and DME providers, increasing the RSV vaccine administration fee for children, a telemedicine exemption for ET3 ambulance services, and a physical therapy access rule that also included occupational therapy. Members generally asked limited questions and most rules were reviewed without objection. A major portion of the meeting focused on the dental rate increase rule under Act 1025. DHS said it implemented rate increases for certain pediatric, special-needs, and oral surgeon services, but not orthodontics, and it interpreted the act as applying only to oral and maxillofacial surgeons, not general dentists. The Arkansas State Dental Association and legislative sponsors testified that the intent was to cover general dentists performing oral surgery procedures for special-needs patients, estimating the broader interpretation would add about $1.5 million annually. Committee members debated the plain language of the act versus legislative intent, and the rule was reviewed, but with testimony noting the issue should be fixed in future legislation. Later items included the Healthy Moms, Healthy Babies rule adding doula and lactation consultant billing and remote monitoring benefits; an adverse decisions rule extending provider appeal time from 35 to 65 days; CNA training program updates; PASSE network-status disclosure rules; certification rules for community-based doulas and community health workers; cosmetology, massage therapy, lead-based paint, radiation, radiologic technology, and RV park rule updates. Most of these were described as technical, statutory, or federally driven changes and were reviewed without objection. The committee briefly reopened the CGM rule after a motion to expunge the prior vote, and Representative Wardlaw said he would hold the rule for further review because he believed the billing changes did not match the law’s intent. The meeting ended with no further business and adjournment.

Transcript Highlights:

• The fourth step is to monitor over time how effective those strategies are working, and the fifth is
• And that guidance falls short of recommending monitoring and adapting over time.
• But we were... ...recommending monitoring and adapting over time.
• this work is the pullback we see from our federal partners in science, staff, and funding needed to monitor
• However, staff said they did not track or monitor whether fine revenues were used for specific activities

Summary: The Joint Legislative Audit and Review Committee I-900 Subcommittee heard JLARC’s annual update on the status of legislative implementation of State Auditor recommendations, followed by two State Auditor performance audits. JLARC staff reported that for the 2024 review period there were three new legislative recommendations and three unresolved older recommendations. They said the legislature did not convene a work group on civil asset forfeiture, and no formal action was taken on two water-use-efficiency recommendations. Two recommendations related to concurrent Medicaid enrollments were addressed in a bill introduced this session, but that bill was not adopted. The first audit examined how Washington can ensure climate-resilient electricity infrastructure. The State Auditor found the state has opportunities to better adapt new energy infrastructure by using more site-specific climate information, broader collaboration, and vulnerability assessments. The report recommended expanding climate analyses through the University of Washington Climate Impacts Group if funding is available, using forecasted information in DNR wildfire maps, designating a non-regulatory office to coordinate siting and conflict resolution, and expanding vulnerability assessments in Ecology and Commerce processes. Agency witnesses generally agreed resilience is important but emphasized existing efforts, the need to avoid duplicative requirements, the importance of affordability and efficiency, and the role of current forums such as the Clean Energy Siting Council and SEPA processes. The second audit reviewed fines for human trafficking and related sexual exploitation crimes. Auditors found courts assessed fines inconsistently, collection rates varied, some revenues were sent to the wrong local government, and some jurisdictions did not use the money as required for enforcement, prevention, or survivor services. The audit recommended courts work with prosecutors to improve awareness of mandatory fines, and that King and Pierce County improve coding, templates, and tracking so revenues are routed and used correctly. King County testified that it appreciated the audit and described its existing prevention and survivor-support work. The committee took no votes or formal actions and adjourned after the presentations and testimony.