Transcript Highlights:

• <00:04:15.920> of are continuing our current program of are continuing our current program
• program with all three partners.
• program with all three partners.
• The Minnesota Parks Artist-in-Residence program was a pilot program with all three partners.
• egg water quality certification program. egg water quality certification program.

Keywords: 1183, house

Bills: SB330, SB2069, SB2095, SB1721, SB1433, SB1316, SB1280, SB1455, SB1456, SB1457, SB1459, SB1461, SB1463, SB1465, SB1466, HJR1088, SB1684, SB378, SB1447, SB1920, SB1443, HR1047, SB1877, SB1884, SB1365, SB2174, SB1525, SB1810, SB1771, SB1805, SB1916, SB1530, SB1847, SB1990, SB2060, SB1992, SB1579, SB1778, SB2132, SB1623, SB2067, SB1589, SB1441, SB1224, SB372, SB1232, SB1264, SB1450, SB2011, SB2030, SB1980, SB1936, SB1477, SB1593, SB1725, SB1670, SB1480, SB1726, SB1633, SB1735, SB1632, SB1277, SB1217, SB1826, SB1824, SB1813, SB1326, SB1937, SB1641

Keywords: elk population, wildlife management, Oklahoma State University, veterinary medicine, ecosystem health, habitat assessment, waterfowl hunting, crane hunting, hunting guide, hunting outfitter, wildlife conservation, commercial hunting, outfitter license, guide license, hunting services, licensed guide, licensed outfitter, game and fish, hunting for compensation, waterfowl guide

Transcript Highlights:

• So, after finishing that program, she served as an Intern in the White House, then she worked with the
• It's a faith-based university, and they are all the education and programs are built around that.

Bills: HB3419, HB4153, HB3430, HB3791, HB3277, HB4119, HB4408, HB3905, HB3968, HB3835, HB3386, HB2650, HB3742, HB3588, HB3748, HB4303, HB4311, HB3028, HB4428, HB4429, HB4132, HB1889, HB3265, HB1739, HB4434, HB3313, HB3852, HB4263, HB3413, HB3414, HB3415, HB3416, HB3417, HB3418, HB3420, HB2116, HB2206, HB3625, HB2939, HB3721, HB1823, HB2425, HB4440, HJR1087, HB4003, HJR1077, HB1770, HB1675, HB3627, HB3891, HJR1067, HB3462, HJR1053, HJR1054, HJR1044, HB3472, HB1225, HJR1019, HB4145, HJR1081, HB1746, HJR1069, HJR1050, HB1638, HB3327, HJR1055, HB3127, HB4488, HB2955, HB3781, HB3783, HB3802, HB2471, HB2937, SCR16, HB2960, HB3466, HB3262, HB3269, HB3152, HB4140, HB4142, HB3148, HB3378

Keywords: corruption, nonpublic information, government accountability, criminal law, public office, driver license, reading proficiency, minors, education requirements, alternative testing, attendance, remedial reading, public school, oath of enrollment, court financial obligations, cost hearing, payment plan, community service, court compliance program, debt relief

Transcript Highlights:

• Let's get them into programs and programs and programs.
• to programs.
• , for the basic training program and the annual in-service training program.
• , for the basic training program and the annual in-service training program.
• We do not have this money for these programs in FY27. Not just the programs.

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held its sixth public hearing on the Governor’s H-2 budget proposal for fiscal year 2026, focused on public safety and judiciary agencies, at the Foxborough Community Center. After opening remarks and local welcomes, the committee heard first from the Executive Office of Public Safety and Security, led by Secretary Gina Kwan, who outlined a $1.72 billion budget, up $69.8 million from FY26. She said the proposal emphasizes core operations, readiness, and partnerships with municipalities, and highlighted work on firearms-law implementation, State Police reform, DOC reentry efforts, hate-crimes prevention, emergency response, and planning for major events including the World Cup. Members also raised concerns about DNA backlog reporting, State Police academy boxing and training standards, ICE communication, disaster relief funding, crime lab staffing, EMS placement, and diversity in public safety leadership. Several exchanges focused on specific operational issues. Secretary Kwan and her team said the State Police are tracking the influx of forensic work from local sheriffs, that the boxing program remains suspended pending an IACP review and likely will not return in its prior form, and that EOPS has no direct communication with ICE but supports law-enforcement coordination where appropriate. On disaster preparedness, officials said the new disaster relief fund is being developed with MEMA and A&F, currently capitalized at $14 million with another $14 million expected, though members urged a more permanent funding source. On the crime lab, staff said the roughly $4.5 million increase is intended to cover core operations and a structural funding gap rather than expand services. The secretary also said EOPS is not ready to absorb OEMS from DPH at this time, though she would keep an open mind. The committee then heard from district attorneys, led by Suffolk County DA Kevin Hayden, who said the Massachusetts District Attorneys Association is seeking a 10% increase in operating budgets, including about $16.7 million for staffing salaries, to recruit and retain prosecutors, advocates, and support staff. He said the request reflects rising workload and the need to keep the criminal justice system functioning efficiently and fairly. The hearing was recessed briefly after the district attorneys’ opening remarks, with additional testimony expected to continue afterward.

Transcript Highlights:

• here from the alternative treatment here from the alternative treatment centers<00:17:38.080>
• <00:22:53.840> is passed on to the people this program is passed on to the people this program
• the program and business actually<00:23:07.600> operates.
• It simply of the program in any way.
• <00:30:57.679> and how we have integrity in the program and how we have integrity in the program

Keywords: 1191, senate, all

Transcript Highlights:

• The statewide milestone inspection program was created.
• , a 12-step program.
• program, was established in 2023.
• Yes, this bill does not change the pilot program, and that's how it existed in the pilot program.
• And it's the issue for me is pilot programs. have and it's the issue for me is pilot programs number

Summary: The Senate began with opening prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness, and a resolution honoring Vietnam veterans exposed to Agent Orange on the 50th anniversary of the fall of Saigon. The chamber also observed a moment of silence for former Senator Karen Johnson Gendron. After routine business, the Senate took up several special-order bills. The first major bill, transportation offenses involving death, increased penalties for repeat DUI/BUI manslaughter and vehicular homicide offenses. An amendment added penalties for refusal to submit to breath or urine testing and required law enforcement to notify suspects of those penalties. The bill passed 37-0. The Senate then passed SB 306 on Medicaid providers, requiring broader after-hours and holiday access to care and setting network standards for Medicaid managed care plans, also by a 37-0 vote. The chamber next considered a major condominium and cooperative associations bill responding to post-Surfside safety and financial concerns. Senators described the measure as balancing building safety with financial relief, extending reserve-study deadlines, allowing temporary reserve relief after inspections, tightening oversight of managers and inspectors, and adjusting voting, resale, and reserve rules. After extensive debate and praise from members for the bill’s sponsors and staff, the bill passed 37-0. The longest discussion centered on a constitutional amendments/petition process bill aimed at curbing fraud in citizen initiative petitions. Sponsors argued that the 2024 petition process was plagued by fraud and identity theft and proposed tighter rules for circulators, faster submission deadlines, voter notification, penalties, and limits on petition handling. Senators offered and adopted multiple amendments, including changes to petition-circulator definitions, invalid-signature thresholds, and voter notification procedures. After a substitute amendment was withdrawn, the Senate continued debating the underlying amended bill, with members split between concerns about election integrity and worries that the bill would burden volunteers and make it harder for citizen initiatives to qualify.

Transcript Highlights:

• the necessary treatment, now out of this fund?
• We are not a dual program.
• It creates a pilot program that provides certain DPS&C programming and services to inmates.
• We're going to create a pilot program where we bring programs to the parish jails and local jails that
• We're going to create a pilot program where we bring programs to the parish jails and local jails that

Summary: The committee first deferred HB 374 without objection. It then heard SB 46, which creates the crime of unlawful operation of a group home aimed at protecting vulnerable adults living in unsafe, unlicensed residences where operators control residents’ assets. The Attorney General’s office described severe neglect and exploitation in some homes, while the Louisiana Fair Housing Action Center opposed the bill over concerns it could create confusion, criminalize legitimate recovery or disability housing, and chill protected housing arrangements. After discussion, including assurances that the bill was narrowly targeted at bad actors, the committee reported SB 46 favorably. The committee next took up HB 276, which sets a statewide minimum bail amount for certain sexual offenses against minors. Testimony from a victim’s mother and an anti-trafficking expert supported the bill as a way to keep dangerous offenders detained and protect children, while members debated whether the original $50,000 minimum was too low and could be treated as a benchmark. The committee amended the bill in committee to raise the minimum to $1 million and to add human trafficking involving a victim under 18 to the covered offenses, then reported HB 276 favorably as amended. Members then heard SB 42 and SB 110, both addressing AI-generated child sexual abuse material. SB 42 expands the definition of child sexual abuse material to include digital and AI-generated depictions, while SB 110 prohibits using a child’s image to train AI to produce such material. The Attorney General’s office and survivor advocates supported the measures as necessary updates to keep pace with technology and protect children; the committee reported both bills favorably. HB 998, dealing with forensic medical exams and reimbursement for domestic violence victims, especially strangulation cases, was also heard and amended to remove human trafficking references and set implementation steps; advocates said the bill would improve evidence collection and reimbursement, and it was reported favorably with amendments. Finally, the committee heard SB 51 on fraudulent representation of military service or awards, which was supported as a tool to address stolen valor and was reported favorably, and HB 323 on notification and reporting of inmate deaths, which was presented as a transparency measure after a family testified about learning of a relative’s death from the news rather than the facility.

Transcript Highlights:

• These programs encourage innovation, support workforce development, and help ensure that all... ...programs
• a commission to create such a program.
• The current federal program is broken. It takes years to move through that program.
• called SWIGS, School Water Infrastructure Grant Program, where ...program called SWIGS, School Water
• Including funding mechanisms for treatment is essential to the success of the program in order to provide

Keywords: 995, all

Summary: The hearing covered a broad set of environmental and water-related bills, with much of the testimony focused on blue economy and circular economy proposals, drought management, drinking water safety, flood resilience, and water infrastructure funding. Supporters of bills such as H. 987 and H. 988 described grant programs for blue economy workforce development, research, small businesses, and public education about a circular economy. Other speakers backed measures on coastal erosion research, recreational boating dredging, cranberry water-right transfers, sand mining oversight, and a voucher program for home water filtration in PFAS-impacted communities. Several elected officials and advocates also urged passage of bills to require private well testing, improve school drinking water safety, and address sand mining pollution and PFAS contamination. Water supply and drought issues drew extensive testimony. Senator Eldridge and others supported legislation to let the state, through DEP and the drought management task force, impose regional water-use restrictions during droughts and make the task force permanent in statute. Advocates from watershed groups, farms, and environmental organizations said the current town-by-town approach is inconsistent and ineffective, and they described drought impacts on rivers, farms, private wells, and wildfire risk. A related bill on private wells was supported as a way to help homeowners test and remediate contaminated wells, especially in rural areas without public water. The committee also heard testimony on a bill to allow the Lynnfield Water District to join the MWRA, with local officials saying the move would help address PFAS and other contamination and improve supply reliability. Another major panel supported a water infrastructure funding bill, arguing that aging drinking water, wastewater, and stormwater systems need major new investment, including support for PFAS treatment, sewer rate relief, biosolids research, and regional interconnections. Members asked about costs, funding sources, and the relationship to existing revolving loan funds; witnesses said the bill would need to be paired with future bond funding and new revenue ideas. No votes were taken during the hearing, and the chairs repeatedly invited written testimony and noted the large number of speakers.

Transcript Highlights:

• for Pell Grants to include short-term workforce training programs.
• At 21 years old, he was committed to a secured youth treatment facility in Sonoma County.
• At 21 years old, he was committed to a secured youth treatment facility in Sonoma County.
• AB 1858 establishes a pilot program centered AB 1858 establishes a pilot program.
• This bill codifies Engaged California as a permanent statewide public engagement program.

Summary: The Assembly met on May 7, 2026, after an initial delay caused by the absence of a quorum, then proceeded with prayer, a moment of silence for victims of a hate-motivated attack at the Islamic Center in San Diego, and the Pledge of Allegiance. The Speaker pro tempore then moved through the daily file, repeatedly urging members to be on time and at their desks as the House of Origin deadline approached. Procedural actions included dispensing with the journal, deferring some items, and moving AB 1667 to the inactive file. The bulk of the session was devoted to floor consideration of many bills, most of which passed with little or no opposition. Measures approved included bills on artificial intelligence provenance information (AB 2713), community college trustee compensation (AB 2528), transit camera enforcement and privacy (AB 1837), excess proceeds claims in taxation (AB 2705), HOA technical cleanup (AB 1892), hepatitis C treatment access (AB 1843), child care planning in local general plans (AB 1914), greenhouse energy code flexibility (AB 2200), rent-now-pay-later consumer protections (AB 2350), housing cleanup and density bonus measures (including AB 2390, AB 2480, AB 1567, AB 1751, and others), spay/neuter access (AB 2010), workforce housing financing tools (AB 2110), supportive housing and homelessness-related changes (AB 2146), mental health and health plan notification measures (AB 1598, AB 2613), student aid and education bills (AB 1534, AB 1636, AB 1669, AB 1728, AB 1784, AB 1871), public safety and criminal justice bills (AB 1546, AB 1572, AB 1872, AB 1877, AB 1932), and several health and social services measures (AB 1602, AB 1628, AB 1680, AB 1825, AB 1845, AB 1906, AB 1907, AB 1925). Most bills were described as support measures, often with bipartisan backing and no opposition, and passed by wide margins. A few bills drew more discussion, especially AB 1751, a housing/townhome bill that sparked extended debate over wages, prevailing wage, stakeholder engagement, and whether the measure could depress pay for construction trades; despite concerns and an opposition speech, it ultimately passed 44-0. AB 1793, which would allow symmetrical rounding of cash transactions to the nearest nickel in light of the penny’s phaseout, also drew light debate and passed 47-1. AB 1932, an urgency measure expanding community-based crisis response, passed with one no vote on both the urgency and the bill. Several urgency or 54-vote bills, including AB 1534 and AB 1932, required later roll calls or calls to be lifted, but all measures described in the transcript were ultimately approved.

Transcript Highlights:

• Protection Committee has met and reports House Bill 369 should pass, an act relating to veteran treatment
• <00:06:11.360> for relating to veteran treatment for relating to veteran treatment for post-traumatic
• Right now, insurance companies have the prerogative to decline or to approve the treatment of eating
• and so forth of whatever it is treatment and so forth of whatever it is might<00:11:34.560> uh
• the cure or the treatment of the plant. the cure or the treatment of the plant.

Keywords: Convene 00:00 Senate Message 04:18 Report of Committees 05:09 Orders of the Day 06:40 HB 169 06:50 HB 393 13:08 HB 194 15:43 Motions, Petitions, and Communications 24:38 Introduction of New Bills and Resolutions 35:23 Recess for ConC/Rules Meeting 38:09 ConC/Rules Report 40:57 Floor Amendments 42:04 Adjournment 42:20, 958, all

Summary: The House convened, opened with prayer and the Pledge of Allegiance, recorded 95 members present, approved the prior journal, and received notice from the Senate that Senate Bills 1 and 3 had passed and were sent over for concurrence. Committee reports advanced a number of bills on housing, local purchasing, health care credentials, postsecondary education, school bus safety, special license plates, milk transportation, veteran PTSD treatment, and the Kentucky Fire Commission, with several reported with committee substitutes. The chamber then considered House Bill 169 on coverage for feeding or eating disorders. The sponsor explained that the bill addresses insurance coverage decisions tied to body mass index by requiring BMI to be considered alongside another factor, such as depression, anxiety, or family circumstances, and said the committee substitute clarified that one factor alone could not control the decision. The substitute was adopted, and the bill passed 95-0. House Bill 393, which updates the Alzheimer’s and related dementias council, adds a caregiver seat, and requires an annual action project including an early detection toolkit, also passed unanimously, 95-0. House Bill 194, relating to cigar bars, drew the most discussion. The sponsor said the bill does not repeal existing smoke-free ordinances, but creates a narrow exemption for tightly defined cigar bars, with a 25% gross revenue threshold from cigar-related sales, age restrictions, local permitting options, smoke containment requirements, and signage. Members asked about local authority, other tobacco products, and whether the bill could affect smoking bans; supporters emphasized the narrow scope and personal choice, while opponents said their districts’ smoking bans and constituent concerns led them to vote no. The bill passed 69-24. The House then applied the clincher and moved to announcements, including committee schedule notices, a Small Business Day event, receptions, and citations recognizing National School Counseling Week, the KBLC Black History Celebration, and memorializing Brandy Engles.

Transcript Highlights:

• release program to support an MHRC program within that. $3.9 million, and, two, to correctly reflect
• funding of $6.1 million for the conditional release program to support an MHRC program within that.
• Identified population health programs support mental health and substance use prevention programs for
• Proposition 1 to identify programs that again provide population health programming, being provided
• The state has now implemented the loan program and is now implementing the grant program.

Keywords: 988, house, all

Transcript Highlights:

• Program, which is a Department of Defense security cooperation program that prepares National Guard.
• So this program was created.
• We have an outreach program.
• We support the veterans... treatment courts with these grant programs to keep them running, and we also
• It's a wonderful program.

Keywords: 1184, house, all

Transcript Highlights:

• would be pouring money into treatments would be pouring money into treatments and<00:11:07.600><
• <00:37:25.119> probably cool in 1999 and this program probably cool in 1999 and this program
• That's the Legacy custody program?
• <01:24:36.760> yes custody that's the Legacy program yes custody that's the Legacy program
• of our programs our public programs are of our programs our public programs are um<01:29:10.520> based

Bills: HF1346, HF1169, HF1276

Keywords: mandatory reporting, training requirements, child maltreatment, abuse detection, local welfare agency, child protection, child welfare, paperwork reduction, social services information system, SSIS, Department of Children, Youth, and Families, foster care, children in placement, county social services, Tribal governments, private child placing agencies, case management, administrative burden, information technology, human services

Transcript Highlights:

• , the... ...treatment centers are not available in our communities.
• that the order for continuing treatment is necessary.
• treatment, rehabilitation.
• But involuntary treatment implicates the 14th Amendment, so due process rights.
• I guess I will hang up and hope that we can continue these programs.

Keywords: 1182, all

Transcript Highlights:

• We obviously have a drug program, and we strive to do everything right.
• His treatments also have secondary benefits on sleep disruption and pain perception.
• treatment, and mental health stigma, many people don't receive these mental health treatments until
• future treatments, so they likely won't get treated.
• Morning and the pain of the subsequent treatments still haunt my dreams.

Bills: HB4806

Keywords: civil action, damages, health care services, noneconomic damages, negligence, legal standards, 1184, house, all

Transcript Highlights:

• What happened after CTCL Zuck Bucks 1.0 shut down was they came up with a new program, a membership program
• What happened after CTCL Zuck Bucks 1.0 shut down was they came up with a new program, a membership program
• Treatment is also $150 a week.
• Treatment is also $150 a week.
• At the end of the day, we would rather have people put their money into treatment than into GPS, and

Bills: SB1285, SB1289, SB1326, SB1328, SB1329, SB1330, SB1392, SB1402, SB1425, SCR1013, SCR1014

Keywords: sentencing, correctional facilities, multiple sentences, death penalty, aggravating circumstances, juvenile offenses, class 2 felony, foreign donations, election administration, certification, Arizona Revised Statutes, transparency, public disclosure, victims' rights, attorney fees, government accountability, right to counsel, legal representation, parents' rights, family law

Transcript Highlights:

• The coalition coordinates the statewide network of SANE programs.
• HB 206 does not expand the scope of the program.
• Is it the same program?
• This one, like, adding these crimes won't put a strain on the program?
• This one, like, I think these crimes won't put a strain on the program.

Bills: HB99, HJR5, HM39, HB206, HB213, SB41, SB153, SB165, SB261, SB264

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• It's actually the water treatment plant there is going to cost $106.
• Section 16 is just the line of credit for the Southwest water treatment plant. Section 18...
• program.
• program.
• Senate Bill 2232 would decrease the fear. treatment program.

Keywords: 908, all

Summary: The Senate met with a quorum present and handled a mix of conference committee appointments, appropriations bills, policy bills, and House amendments. Early in the session, the chamber appointed conference committees for SB 2399 and for House-amended SBs 2213 and 2354, and also named conference committees for HB 103, HB 1308, and HB 1169. The Senate then took up several appropriations measures, including HB 1612, which creates the North Dakota Center for Aerospace Medicine at UND; the Senate adopted an amendment shifting the funding to a one-time $250,000 Community Health Trust Fund appropriation with a required $250,000 match from other sources, and the bill passed 39-7. HB 1193, the “Back the Blue” grant, was amended to make the funding one-time and focus on officer retention, then passed 41-5. HB 1329, a government spending database proposal for school districts, was amended into a legislative study and passed 42-4. HB 1020, the water budget, received extensive amendments reducing and reallocating funding across major water projects, adding studies and oversight changes, and passed 45-0 with the emergency clause. HB 1581, a tribal tourism grant, also passed 40-6. The Senate rejected HB 1330, which would have authorized divestment from direct investments in Chinese companies; after debate over the prudent investor rule, trade impacts, and whether the bill singled out one nation in law, it failed 20-26. HB 1534, limiting property valuation increases, and HB 1266, adjusting the disabled veterans property tax credit, both failed unanimously or nearly so after committee recommendations against them. HB 1566, which would have created a regulatory framework for a product discussed as kratom, was amended on the floor to convert it into a study and then passed 31-15. The chamber also passed HB 2241 on charter schools after a House amendment changed the funding formula to the statewide average from the prior year, and HB 2022, the indigent legal counsel budget, after House changes added funding flexibility, offset lost fee revenue, and included a study on a public defender office. The Senate concurred in several House amendments and then passed a number of Senate bills. SB 2375, allowing joint negotiations between dental providers and insurers under Attorney General oversight, passed 44-2. SB 2251, clarifying that open records requests during state audits should be referred to the audited agency, passed 46-0. SB 2159, related to nuclear energy research, passed 43-3 after House amendments required Industrial Commission approval and consultation with the radioactive waste advisory council. SB 2155, changing gratis antelope license rules, passed 30-16 after debate over landowner rights and tag distribution. SB 251, setting fees and an audit for the Private Investigative and Security Board, passed 44-2. SB 2280, the prior authorization health insurance bill, passed 43-3 with a House-added study and consumer protections. SB 2023, the Racing Commission budget, passed 41-5 after a House change made internship funding one-time. SB 2232, changing prenatal substance exposure reporting requirements and related toxicology rules, passed 44-2. SB 2241, authorizing public charter schools, passed 39-7. The session ended while the Senate was still processing SB 2022’s final passage vote, but the bill had already cleared concurrence on House amendments.

Transcript Highlights:

• They've been doing the ambassador program for the year, where they work for helping all the other 4-Hers
• They've been doing the ambassador program for the year, where they work for helping all the other 4-Hers
• In researching this issue, I found that some treatment centers claim that hyperbaric oxygen therapy can
• of the state, exacerbated by the unaccountable voucher program taking a billion dollars, and here we
• treatment works.

Keywords: 1182, all

Transcript Highlights:

• > program<00:08:54.920> and the federal Medicare program and the federal Medicare program
• One program that we looked at was the dialysis program.
• Without the 340B program, our finances would be much worse. 340B is a federal program that helps fill
• own program.
• <01:15:32.880> and<01:15:33.239> when program or the Medicaid Program and when program

Keywords: 1183, house

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