Transcript Highlights:

• paying the rent, uh, as their SNAP benefits went down.
• Um, you know, there's a young woman who lives in my district who is on SNAP.
• Um, you know, there's a young woman who lives in my district who is on SNAP.
• Um, we saw, you know, the SNAP changes went into effect first.
• <00:52:35.599> and You know, we talked about the SNAP and You know, we talked about the SNAP

Keywords: 1187, senate, all

Transcript Highlights:

• SNAP in New<04:39:12.959> Hampshire.
• Our SNAP incentives programs doubles SNAP dollars for produce through our Cooking Matters classes.
• That includes SNAP beneficiaries.
• So we just restriction on SNAP benefits.
• the likely effects of um the SNAP the likely effects of um the SNAP benefit<04:47:16.480> restrictions

Keywords: 1189, house, all

Transcript Highlights:

• They administer the SNAP program. They administer Medicaid.
• They administer the SNAP program. They administer the SNAP program.
• , It may it kicked people off of SNAP, It may it kicked people off of SNAP, critical<00:57:13.240
• That's most of who receive SNAP. Kids, elders, people with disabilities.
• That's most of who receive SNAP. Kids, elders, people with disabilities.

Keywords: 1183, house

Summary: The House convened with prayer, the Pledge of Allegiance, roll call, and approval of the previous day’s journal. The chamber received Senate messages announcing a joint convention for the governor’s message and transmitting Senate Files 1251, 3769, and 3868. The House also introduced House Files 4868 through 4933 and adopted committee reports and comparison report motions without objection. The Rules Committee placed several bills on the calendar and required pre-filing of amendments for specified measures. On the calendar, the House passed Senate File 3602, which enacts the Uniform Electronic Estate Planning Documents Act and expands electronic signing to estate planning documents beyond wills. Supporters said it would help people who are homebound, hospitalized, or in rural areas and reduce uncertainty for banks and hospitals about electronically signed powers of attorney and health care directives. The bill passed 134-0. The House also passed House File 3516, a Board of Dentistry policy bill that updates licensure language, allows retired dentists to serve low-income uninsured patients, and increases the number of dental hygienists a dentist may collaborate with from four to eight; it passed 134-0. The House then passed House File 3528, a technical barbering bill that reduces training and retesting burdens, gives the board more testing flexibility, repeals duplicative rules, clarifies that waxing is not barbering, and makes other fee and registration changes; it passed 134-0. House File 3718, updating veterinary medicine and veterinary technology statutes, was amended to restore board seal language and then passed 134-0 as amended. Supporters said it modernizes definitions and standards, recognizes licensed veterinary technicians, and may help address veterinary shortages, especially in greater Minnesota. Finally, the House passed Senate File 3402, which broadens who may serve as a medical consultant for Community Health Boards to include additional licensed professionals such as DOs, physician assistants, and advanced practice registered nurses; it passed 134-0. The chamber also considered several motions to move bills between committees, including referrals involving veterans, education, health, and psilocybin-related legislation. A motion to suspend the rules for House File 4487 was presented, and the bill was described as providing a one-time $1 billion property tax rebate or credit, but the transcript cuts off during extended debate on that motion before any final disposition is shown.

Transcript Highlights:

• I was on Medicaid and SNAP as a kid.
• New Mexico will likely see a reduction in their monthly SNAP benefit by 55,000.
• New Mexicans will be subject to work requirements as it relates to SNAP.
• We think about 20,000 New Mexicans could lose their SNAP benefits.
• But we anticipate the reduction in SNAP benefits, the SNAP work requirements, the SNAP changes.

Transcript Highlights:

• Moving back to SB 3245 relating to SNAP.
• First up, we have Department of to SNAP.
• Um, we stand on Janette, SNAP Office.
• how much people on SNAP actually get. how much people on SNAP actually get.
• And so going to the SNAP office could be too much for them.

Keywords: 912, senate, all

Summary: The committee heard testimony on SB 3025, relating to medical debt, with multiple organizations and individuals, including the Office of Wellness and Resilience, Healthcare Association of Hawaii, Queens Health Systems, the American Cancer Society Cancer Action Network, Aloha Care, Hawaii Health and Harm Reduction, Hawaii Data Collaborative, and Hawaii Appleseed, all speaking in support. No opposition was heard, and the member present had no questions. The committee then took up SB 3199, which would establish a mental health emerging therapies task force. Testimony was overwhelmingly in support, with speakers including veterans, clinicians, researchers, and advocacy groups describing personal experiences with PTSD, depression, traumatic brain injury, and treatment-resistant conditions, and arguing that Hawaii should prepare for regulated access to emerging therapies such as MDMA, psilocybin, ketamine, and ibogaine. The Department of Health and some medical organizations provided comments, and one opposition witness was called but not present. The chair noted broad support, especially from veterans, and no vote was taken during the excerpt. The final measure discussed was SB 3324, relating to Medicaid. The Department of Human Services, Department of Health, Hawaii State Council on Developmental Disabilities, Hawaii Disability Rights Center, Aloha Care, and numerous care-provider and aging/disability organizations testified in support, while one witness was in opposition and several others offered comments. The discussion then moved to SB 2563, relating to homelessness, where the Department of the Attorney General offered comments on specific sections and recommended adopting suggested amendments if the bill proceeds. Additional testimony on SB 2563 began with support from several individuals, including Shelby Pikachu, who emphasized the severity of homelessness and related social problems in the community.

Transcript Highlights:

• billion of fraud goes out in the SNAP billion of fraud goes out in the SNAP program?"
• SNAP in the past, and SSI. SNAP in the past, and SSI.
• That is what SNAP<05:38:46.080> has<05:38:46.320> been. SNAP has been.
• SNAP. SNAP.
• Please don't take away SNAP.

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, July 3, 2025, 1012, house, all

Transcript Highlights:

• So what this bill is proposing is to allow for an increase in retention in SNAP benefits.
• and to try to allow for SNAP benefits to only be for healthier foods.
• What mechanism do you plan to use to provide more healthy food for SNAP users? Great question.
• Not everyone is on SNAP. Some people are actually, you know, using their funds to buy healthy food.
• However, I do want to clarify that that would only be for SNAP benefit users.

Summary: The Arkansas Boys State House convened with a quorum, heard opening remarks from legislative leaders and guests, and then considered a series of bills focused on rural services, education, taxes, and zoning. House Bill 1001 would have increased rural health care funding through a 10% tax on individuals earning at least $300,000; supporters argued it would improve access and quality in rural areas, while opponents raised concerns about fairness, long-term funding, and whether it would drive away doctors and taxpayers. The bill failed by a vote of 24 yeas, 51 nays, and 1 present. House Bill 1002 would have limited the number of subjects rural teachers could be assigned and offered sign-on bonuses to recruit more teachers; supporters said it would reduce burnout and improve specialization, while opponents questioned funding and whether it would worsen inequities. After immediate consideration, it passed narrowly, 38 yeas, 36 nays, and 2 present. The House then debated House Bill 1003, which would regulate AI data centers through county zoning authority and a 10% tax on corporations to fund conservation efforts. Supporters said counties should be able to decide whether data centers fit local needs, while opponents warned about lost jobs, higher costs, and federal-state jurisdiction issues. The bill passed 62 yeas, 7 nays, and 3 present. House Bill 1004 would have reduced motor vehicle registration fees to offset high fuel costs, but critics argued it would reduce highway and road funding and strain the state budget; it failed 20 yeas, 46 nays, and 4 present. The chamber then took up Senate bills. Senate Bill 1 proposed incentives tied to SNAP benefits to encourage healthier food purchases and address food insecurity and obesity; supporters framed it as a way to improve access to healthy food, while opponents objected to taxing junk food and burdening SNAP users. It passed 43 yeas and 27 nays. Senate Bill 2 would require reading tests in middle school and state tutoring for students who fail; supporters said it would address literacy problems early, while opponents wanted clearer provisions for older students and implementation. It passed 67 yeas, 6 nays, and 1 present. Senate Bill 3 would cut individual and corporate income taxes to promote economic growth and ease cost-of-living pressures; supporters cited prior tax cuts and business attraction, while opponents said the benefits would mostly go to wealthy corporations and CEOs. It passed 53 yeas, 15 nays, and 16 present. Senate Bill 4 created a mixed-use zoning grant program funded by a 1% hotel tourism tax to encourage affordable housing and downtown redevelopment; it passed 51 yeas, 7 nays, and 13 present. The session ended with a motion to adjourn, which carried.

Transcript Highlights:

• In addition to SNAP, we have for 10 years successfully incentivized fruits and vegetables through the
• You're going to get $10 to spend on anything SNAP-eligible at the market.
• The New Mexico food banks support efforts to increase healthy food access and strengthen SNAP.
• Thank you for continuing to support SNAP and programs for healthy food access.
• I'd like to focus on the N in SNAP program: nutrition.

Keywords: 996, all

Transcript Highlights:

• fraud like so so when when with the snap fraud like so so when when these<00:53:25.480> agency
• Funding from the United States Department of Agriculture, including SNAP, the Supplemental Nutrition
• Again, we are operating under a preliminary injunction for SNAP administrative funding, and then our
• To our SNAP program that our error rates are very high.
• Chair Robbins, I'm not sure that they have internal controls specific to their SNAP error rates.

Keywords: 1183, house

Transcript Highlights:

• Um, so I can speak to the SNAP program very briefly.
• <00:14:45.920> and up to talk about some of the SNAP and up to talk about some of the SNAP
• And SNAP benefits in New Hampshire.
• One of those includes a change to the state share of administrative costs for the SNAP program.
• I will still get that SNAP overpayments. I will still get that for<00:23:55.600> you.

Keywords: 928, house, all

Summary: The committee first approved the draft minutes of its May 16, 2025 meeting, with one correction removing Representative Dry from the attendance list because she was present as a guest rather than an appointed member. The committee then received a Department of Health and Human Services update from Commissioner Lori Weaver, who focused on the rural health transformation grant process. She said the department has been gathering stakeholder input since July, issued a request for information on September 22, and is working toward an end-of-October draft and a November 3 deadline, with a grant writer request expected to go before Governor and Council at no cost to the state. The bulk of the meeting centered on federal changes affecting SNAP and Medicaid. Karen Heert explained that the federal law changes commonly referred to as the “Big Beautiful Bill” or HR1 will affect SNAP eligibility and state costs, including a shift in administrative cost sharing from 50/50 to 75/25 beginning in October 2026 and a possible state share of benefits if New Hampshire’s error rate is too high. She said the program affects about 43,000 households, that New Hampshire’s federal fiscal year 2024 error rate was 7.57% versus a national rate of 10.93%, and that the state must get below 6% to avoid liability. She also said DHS is preparing remediation steps, auditing cases, and seeking technology and staffing support, including a grant for automation and training. Henry Litman then described Medicaid changes under HB2 and the new federal law. He said New Hampshire returned to pre-pandemic eligibility verification rules on July 1, including a 10% income compatibility standard and reduced ex parte renewals, which has increased manual work and contributed to a drop in enrollment from about 185,000 in late June to about 178,000 in early September. He also reviewed new child premiums, pharmacy copays, Granite Advantage premiums, and possible Medicaid work requirements, noting that DHS is working with CMS on implementation details and may use a state plan option rather than an 1115 waiver because it would be less expensive and faster. Members asked several questions about the SNAP error-rate rules, the distinction between administrative and client errors, the effect of unpaid copays, and the timing and legal risk of the Medicaid work requirement; no votes were taken on those policy issues.

Transcript Highlights:

• Or it could be the elimination of a lot of categories of exemptions for SNAP benefits, like veterans,
• Program, SNAP. Program, SNAP.
• categories of exemptions for SNAP categories of exemptions for SNAP benefits,<00:16:22.480> like
• All now left without that critical assistance that the federal SNAP benefit offers. Mr.
• It's not going to be able to substitute for all the cuts in SNAP, but it will help.

Keywords: 1183, house

Transcript Highlights:

• The new SNAP error rate has already been put out, and there are no error rates that fall below 6%.
• House Bill 2442, SNAP mandatory employment and training, reverts the state back and mandates that DES
• require able-bodied adults who are under the age of 65 and who are receiving SNAP to participate in
• House Bill 2797, SNAP/TANF public welfare verification, mandates that DES determine and evaluate SNAP
• Are they going to cut SNAP? Are they going to cut disability services?

Keywords: 1182, all

Summary: The committee worked through a very long minority caucus calendar covering a wide range of bills, with many items being described and then either left on consent, pulled from consent, or noted for votes. Topics included bullion and state depository proposals, a produce incentive appropriation, a biennial budget change, veterans services funding, driver licensing and traffic enforcement measures, procurement and public records changes, school board and school facilities rules, SNAP work requirements and verification, child welfare and juvenile justice provisions, housing and homelessness measures, energy and fuel policy, election administration, and several tax, commerce, and licensing bills. Members repeatedly raised concerns about constitutionality, federal preemption, duplication of existing law, and whether some measures were policy priorities that had been vetoed in prior sessions and were returning unchanged. Several bills drew extended debate. Members objected to English-proficiency requirements for commercial drivers and motor carriers, arguing federal law and the supremacy clause would bar them. Earned wage access regulation prompted strong opposition over consumer harm, overdraft cycles, and high effective APRs. School-related bills were criticized for overregulating public schools while not imposing similar requirements on ESA/private-school programs, especially on fingerprint clearance and reporting. SNAP-related bills were also opposed as setting unrealistic mandates and repeating vetoed proposals. Other contested measures included a drag-show criminalization bill, a bill restricting photo enforcement, a bill limiting local regulation of unmanned aircraft, and a bill conforming Arizona tax law to federal changes, which members said would benefit wealthy taxpayers and corporations without a clear funding source. The committee also heard a number of supportive or less controversial measures, including bills on veterans awareness, dementia care telemonitoring, Braille transcription funding, CPA licensure pathways, cash acceptance by retailers, and some child safety and court administration changes. Several bills were pulled from consent for further discussion, while others were noted as having unanimous or near-unanimous votes. The meeting ended with caucus announcements, including an affordability award presentation, an upcoming Latino Caucus discussion on community land trusts, and an invitation to African American Legislative Day activities, followed by adjournment.

Transcript Highlights:

• To our federal school lunch program, the SNAP Supplemental Nutrition Assistance Program.
• But what it means is that with SNAP, for example, Over 450,000 people benefit from that program.
• I'm not going to go through the SNAP program because you all heard a lot about that in the last couple
• Yet those are seniors who can't apply for SNAP.
• I can't come in here to buy anything because I don't have any money on the SNAP card.

Transcript Highlights:

• The changes involve work requirements in the SNAP manual.
• This policy also implemented the mandatory employment and training in the SNAP program and details that
• And if they do not comply or do not agree to the referral, they will be sanctioned from SNAP.
• We also removed a... ...they will be sanctioned from SNAP.
• How do we verify individuals are cooperating with their mandatory SNAP employment?

Summary: The Arkansas Administrative Rules Subcommittee met to review a large set of agency rules and reports. Early items were routine filings: emergency-rule reports, subcommittee review reports, and administrative directive reports were filed without objection. One rule from the Department of Agriculture on maternal health providers and remote monitoring was noted as pulled by the agency and not considered. The committee then reviewed and approved several Agriculture rules, including repeal of equine ID-chip rules after Act 703 of 2025, updates to finance rules adding a new water and sewer treatment facilities grant and consolidating revolving-fund rules, and a pesticide rule creating a Class J pesticide category for feral hog toxicant use. It also approved a Commerce/Insurance rule removing duplicative workers’ compensation plan provisions, and a Corrections rule creating a unified visitation rule for correctional facilities and community correction centers. A member asked about prison visitation hours during COVID, and staff said they would check on that. The committee next approved multiple Department of Human Services rules. These included marketing rules for provider-led organizations under Act 301 of 2025, a comprehensive revision of the DCFS policy manual, changes to Medicaid eligibility to include fictive kin placements and to expand ABLE account eligibility under Act 875, presumptive eligibility changes for pregnant women to align with federal rules, and a follow-up SNAP/TEA/Work Pays rule with updated work requirements, mandatory employment and training, alien eligibility changes, and job-search requirements for certain applicants. DHS also presented a rule implementing federal coverage for certain incarcerated youth before and after release, and the committee approved it. Another DHS rule updated nurse aide training requirements to match federal CNA hour standards and moved criminal-records-check procedures to the agency website. The most extended discussion involved DHS Division of Medical Services’ dental rate rule under Act 1025. The agency explained that it was increasing pediatric dental rates and certain oral-surgery-related rates, but not orthodontic rates or a broader special-needs benefit limit because CMS would not approve a diagnosis-based limit. Members debated whether the statutory language was intended to cover general dentists performing oral surgery procedures, with legislators, the Dental Association, and DHS discussing legislative intent, fiscal impact, and whether a future fix or emergency rule might be needed. Despite the disagreement, the committee approved the rule. The committee also approved other DHS medical rules: adverse-decision appeal changes and prior-authorization posting requirements, an increased RSV administration fee for children, expanded emergency treat/triage/transport ambulance authority, and clinic-based physical and occupational therapy coverage. Later, the committee approved permanent rules for the new state insurance program under Shared Administrative Services, procurement rule revisions recommended after an ACASO review, and commodity-management rule updates including a new revenue distribution model. Under Act 595 of 2021, the committee granted two Department of Commerce/Insurance requests to be excluded from rulemaking requirements: one for Act 772 on forced organ harvesting, and one for restorative reproductive medicine, with the department saying it would promulgate rules later when clinical guidelines are available. Finally, the committee accepted a recommendation to keep and extend the Department of Education, Division of Career and Technical Education rules, filed outstanding rulemaking updates, and adjourned without further business.

Transcript Highlights:

• Specifically, the bill establishes the SNAP Fund as a non-appropriated fund used to house the federal
• share of the administrative cost of SNAP, modifies procedures for verifying SNAP eligibility, and contains
• reporting requirements relating to the SNAP payment error rate.
• share of the administrative cost of SNAP, modifies procedures for verifying SNAP eligibility, and contains
• reporting requirements relating to the SNAP payment error rate.

Keywords: 1182, all

Transcript Highlights:

• formula whereby we know what every SNAP formula whereby we know what every SNAP recipient recipient
• . individuals who receive SNAP. individuals who receive SNAP.
• SNAP recipients SNAP recipients >> okay<02:53:46.640> thank<02:53:46.800> you
• <02:55:31.200> program around uh fraud in in the SNAP program around uh fraud in in the SNAP
• 50/50 snap match. Now, we know we're not 50/50 snap match.

Keywords: 1189, house, all

Summary: House Finance Division 3 met in work session and opened with procedural remarks from the chair about the committee’s schedule, deadlines, and recommendation options, noting the meeting was advisory and no votes were expected. The first bill discussed, House Bill 1569, concerned repealing the directive to sell the Anna Philbrook Center for Children property in Concord. Testimony from DHHS and New Hampshire Hospital focused on whether the property could be subdivided, the relationship to Senate Bill 572, the status of the city of Concord’s first right of refusal, and the practical effects of a sale. Witnesses said the $5 million sale estimate was a budget assumption, that moving staff and equipment would create some relocation costs, and that the center had required significant recent maintenance and renovation spending. Members also discussed the number of transitional housing beds at the site, the temporary nature of those beds, and whether the property should remain available given hospital workforce and service needs. The committee then turned to House Bill 661, which had been recommitted for further review after new information emerged. The chair summarized federal developments, including a December 2025 ACF letter and a related executive order, as well as a federal HHS press release about states diverting foster youths’ Social Security survivor benefits. Representative Walner explained that amendment 3055H had been drafted to move the bill forward in smaller steps, with a fiscal note requested on the amendment because the original bill was viewed as too large and expensive. Members discussed whether the committee had received copies of the amendment and whether federal guidance or funding had changed the policy landscape. The discussion also included broader questions about foster youth benefits and whether federal action would support state implementation. One member cited ACF language stating that only 11 states had enacted policies to stop interception of survivor benefits and that technical assistance would be available to the remaining states. The meeting remained in work-session mode throughout, with no votes taken and no final recommendations made during the portion provided. The chair indicated the committee could return to the bills later in the month.

Transcript Highlights:

• I'm going to talk about SNAP and the efforts to reduce the payment error rate.
• We're simply calculating if too little or too much was issued in that SNAP determination.
• The next two slides are issued in that SNAP determination.
• There are actually two programs, Medicaid and SNAP, where you can orally appeal the decision.
• There's actually two programs, Medicaid and SNAP, where you can orally appeal the decision.

Keywords: 908, all

Summary: The committee was called to order, the roll was taken, and the March 18 minutes were approved. Members then received several project and program updates, beginning with CHI St. Alexius’s behavioral health buildouts in Bismarck, Williston, and Grand Forks. St. Alexius reported that the Bismarck project remains on track for June 2027 completion, with demolition underway and final design work nearing completion. Williston reported construction is progressing, staffing recruitment is underway for psychiatrists and other staff, and an air handler replacement is creating a roughly $750,000 unbudgeted barrier that will slightly delay the timeline. Grand Forks reported its expansion is about 30% complete, with no major barriers beyond weather, and leaders said the project should be substantially complete in the first quarter of 2027. The Department of Health and Human Services then presented a series of budget and program updates. Donna Ockland explained several recent line-item transfers as technical corrections that net to zero and do not require new spending, then reviewed salaries, wages, and FTE counts, noting the department remains within its authorized staffing levels. Pat Rainer followed with an update on the Rural Health Transformation Program, saying 12 opportunities have been posted, 422 applications received, and $8.4 million obligated so far, with a goal of obligating the full $199 million by September. He described grants for workforce retention, rural rotations and housing, community gardens, school wellness, behavioral health promotion, safety net services, equipment, technology, EMS, and other initiatives, emphasizing that the program is intended to be transformational and tied to metrics. Members asked extensive questions about how rural eligibility is defined, how grants will support both rural facilities and hub hospitals, and how future years of funding will build on current awards. The committee also heard an update on certified community behavioral health clinics from Elena Zeller, who said North Dakota has been accepted as a demonstration state, implementation is underway in Williston, North Central/Minot, Fargo, and Dickinson, and care coordination and service counts are increasing. Rebecca Askins then reviewed SNAP payment error rates, saying the 2025 rate was finalized at 9.89%, with the state aiming to get below 6% through policy updates, training, data tools, and a quality assurance team. Members pressed her on the causes of the error rate, the role of the SPACES software system, and the need for accountability and improvements. Finally, Dirk Wilkie reported the state laboratory project reached substantial completion on June 12 and is on budget at about $69.95 million, though a service elevator had to be redesigned because it was too small for equipment.

Transcript Highlights:

• I'm going to talk about SNAP and the efforts to reduce the payment error rate.
• We're simply calculating if too little or too much was issued in that SNAP determination.
• This is meant to prevent SNAP duplication in multiple states.
• Next, we've been very intentional in updating our SNAP policy manual.
• We can't live with a 10% error rate in SNAP benefits in North Dakota.

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on major health-related projects and programs. CHI St. Alexius representatives reported progress on behavioral health buildouts in Bismarck, Williston, and Grand Forks, including demolition and construction milestones, staffing plans, and timelines. The Bismarck project remains on track for completion in June 2027 with about $346,500 spent to date. Williston reported construction underway, a $750,000 unbudgeted air handler replacement, active recruitment for psychiatrists and other staff, and a projected substantial completion in early 2027. Grand Forks reported about 30% completion, weather-tight status expected in August, and continued staffing ramp-up as the facility expands from its current 24-bed operation. The Department of Health and Human Services then reviewed a set of technical line-item transfers, emphasizing that they were administrative corrections with no net change in funding. The department also walked through the Salaries and Wages Block Grant and FTE counts, noting overall staffing remained within appropriated limits and that behavioral health staffing had increased. Members asked about vacancies, consultant use, and the mix of in-state versus out-of-state expertise for the Rural Health Transformation Program. HHS said it had posted 12 funding opportunities, received 422 applications, obligated $8.4 million so far, hired 26 people, and was preparing additional grant rounds and a CMS budget submission. The department said the program is structured around workforce, prevention/healthy living, care closer to home, and technology/data, with ongoing stakeholder engagement and community forums. The committee also heard on the certified community behavioral health clinic implementation plan, SNAP payment error rates, and the state laboratory project. HHS said CCBHC certification is being implemented in four regions—Williston, Minot/North Central, Fargo/Southeast, and Dickinson/Badlands—with care coordination expanding and baseline data still being collected. On SNAP, the department reported a 2025 payment error rate of 9.89%, acknowledged cost impacts under HR1, and said it is using training, system changes, and pre-authorization quality checks to reduce errors toward a 6% target over the next 6 to 12 months. Finally, Public Health reported the state laboratory reached substantial completion on June 12, with total costs at $69.95 million of the $70 million budget, though a service elevator issue will require a new lift to be added using contingency funds.

Transcript Highlights:

• I'm going to talk about SNAP and the efforts to reduce the payment error rate.
• We're simply calculating if too little or too much was issued in that SNAP determination.
• This is meant to prevent SNAP duplication in multiple states.
• Next, we've been very intentional in updating our SNAP policy manual.
• There's actually two programs, Medicaid and SNAP, where you can orally appeal the decision.

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on health-related projects and Department of Health and Human Services budget matters. Representatives from CHI St. Alexius in Bismarck and Williston, and Altru in Grand Forks, reported progress on behavioral health expansion projects, including demolition and construction milestones, updated timelines, funding status, staffing plans, and barriers such as an unbudgeted air handler replacement in Williston. Members asked about original completion dates, use of telehealth, recruitment of psychiatrists and other staff, and whether the new beds might reduce the need for patients to travel to Jamestown State Hospital. The projects were described as on track overall, with completion expected in 2027 for the larger builds and earlier openings for some phases in Williston. The committee then heard from HHS leadership on technical line-item transfers and the Salaries and Wages Block Grant. Donna Ockland explained that recent transfers were administrative corrections to place spending in the proper budget lines and did not involve new spending, and she reviewed FTE counts and vacancies across the department. Questions focused on behavioral health staffing changes and the use of consultants in the Rural Health Transformation Program. Pat Rainer outlined the rural health program’s first-year grants and priorities, including workforce retention, rural rotations and housing, community wellness initiatives, behavioral health promotion, safety net services, hospital equipment, suicide prevention training, technology, and EMS support. He said North Dakota’s plan was drawing positive national attention, but the department still needed to obligate roughly $199 million by September and was working with CMS on timing and compliance. The committee also received an update on certified community behavioral health clinics from Elena Zeller. She said North Dakota had been accepted as a demonstration state, with certification efforts underway in Williston, North Central, Fargo, and Dickinson. Members asked about care coordination, service growth, staffing, and whether certification would expand to all clinics; the department said it was still collecting baseline data and evaluating impacts before making future recommendations. Finally, Rebecca Askins reviewed SNAP payment error rates, explaining that the 2025 rate was finalized at 9.89 percent and that the department is working on training, system changes, and quality assurance steps to get below 6 percent. Members pressed on the causes of monthly variability, the performance of the SPACES system, and accountability for ongoing errors, and the department said it expects improvement over the next 6 to 12 months.

Transcript Highlights:

• Um, and I just utilize the SNAP program.
• And this to SNAP is getting that access.
• , and then more families can be eligible for SNAP benefits.
• So, mahalo eligible for SNAP benefits.
• appropriation of funds for the SNAP appropriation of funds for the SNAP program<03:09:47.520>

Keywords: 910, house, all