Transcript Highlights:

• Katie Walden, Bureau of Legislative Research Fiscal Division.
• Number 21 is with U of A Fayetteville with PFM Financial Advisors, a new $2 million contract for financial
• consulting and financial advisory services.
• And as an example, our financial wing that's at the system office that helps administer the financial
• They have quite significant expertise in the financial market.

Summary: The review subcommittee met to consider a supplemental agenda, methods of finance, an alternative delivery project, discretionary grants, and a large slate of construction, out-of-state, and in-state contracts. The supplemental item was a $2.6 million out-of-state contract with Tyler Technologies for a mobile app that would let citizens access state services through a single sign-on, initially for DFA vehicle and licensing services, with possible expansion to other agencies. Members also reviewed five methods of finance, including University of Arkansas projects for roof and cooling tower replacements, a new $100 million academic classroom building at U of A Fayetteville, a police department renovation at UA Fort Smith, and a boiler/chiller replacement at Hope-Texarkana. Questions focused on project timing, why some items were being reviewed after work had begun, and the high estimated cost of the Fayetteville classroom building; DFA explained that projects under $250,000 are not reviewed and that the larger project was still in design and would later seek a guaranteed maximum price. The committee also reviewed two DHS discretionary grants: one for targeted youth advocacy in southwest Arkansas and another adding $582,000 for family-centered treatment training and implementation. In the services contract section, members discussed construction-related contracts, including an ASMSA electrical scope increase tied to three-phase power requirements and the U of A Fayetteville architect contract for the classroom building. Out-of-state contracts included major items such as ACT Education’s $17 million amendment to provide required pre-ACT testing for 9th and 10th graders, a $12.5 million DFA contract for rural health transformation grant management, DHS’s $16.5 million EBT services contract with updated chip-card and fraud-prevention features, and ADH’s special procurement for the Behavioral Risk Factor Surveillance System survey. The committee also reviewed U of A system consulting contracts for financial advisory and sponsorship strategy work, with university officials saying the outside expertise was needed for specialized planning and revenue-generation efforts. In-state contracts covered corrections reentry services, nursing board investigations, foster care and child welfare services, DHS office janitorial work, emergency management radio system expansion, veterans’ home nursing staffing, and UAMS grants consulting. A lengthy exchange centered on the Department of Corrections’ reentry housing contract, with members pressing officials about vacant beds and urging fuller use of the program, while corrections staff said placements depend on screening and eligibility. Another discussion addressed the balance between out-of-state and in-state contracting, with a member noting the large dollar volume going to out-of-state vendors and asking whether Arkansas vendors receive any preference; State Procurement said current law does not allow an in-state preference. The committee approved the supplemental agenda, the methods of finance, the alternative delivery project, the discretionary grants, and the contract lists, and then received routine reports and an emergency action report before adjourning.

Transcript Highlights:

• <00:31:31.760> of nurse and the chief of the Bureau of nurse and the chief of the Bureau of
• Protecting schools, protecting child care agencies so that children can learn, can grow and develop in
• Protecting schools, protecting<00:43:18.160> child<00:43:18.560> care<00:43:18.880>
• ahead given those financial ahead given those financial considerations?
• <02:12:29.599> them<02:12:30.079> from pro protecting them from pro protecting them

Keywords: 1189, house, all

Transcript Highlights:

• <01:05:28.319> within comes from a different uh bureau within comes from a different uh bureau
• <01:07:04.400> or that can be really time consuming or that can be really time consuming or
• We have not gotten to the financial portion yet.
• So, that's if we were to build it in, it would be in the financial portion.
• We have not gotten to the financial portion yet.

Keywords: 1189, house, all

Summary: The commission to study the cost of special education met, confirmed a quorum, introduced members and guests, and approved the minutes from the October 29 meeting. Members noted the commission’s mandate under Senate Bill 57 and emphasized the need to focus on recommendations and findings by July 1, 2026. The chair also distributed additional handouts, including materials related to the Education Freedom Account (EFA) program and administrative rules tied to differentiated aid and disability determinations. The main discussion centered on how students qualify for differentiated aid under the EFA program. Matt Sutherton of the Children’s Scholarship Fund explained that the organization, which contracts with the state to administer EFAs, accepts either school-district/IEP documentation or a medical certification of disability (MCD) from a licensed medical professional. Members questioned how this process relates to the state’s special education rules and whether the school-district examiner standards in ED 107/1107.04 apply to EFAs. Sutherton said the MCD form, created with the department, requires the medical professional to sign that they are qualified to make the determination and to identify the disability. Several members expressed concern that the EFA process is less rigorous than the school-district IEP process and may be inflating disability counts. One member argued that the administrative rules cited are primarily for school districts, not EFAs, and said the Department of Education may not know how many of the roughly 890 EFA students receiving differentiated aid came through school-district documentation versus the MCD pathway. Another member said the EFA system appears more generous than the school system and raised concerns about oversight, auditing, and whether the program’s data are accurate. Sutherton said the organization reviews signed documentation, credentials, and diagnosis information, and may request additional records to help adjudicate expenses. No votes or formal actions were taken beyond approving the prior minutes.

Transcript Highlights:

• <02:12:06.159> children, restoring lives, protecting children, restoring lives, protecting
• And so there is a protective that.
• you said about uh uh the financial you said about uh uh the financial resources<03:05:23.359>
• choice for our consumers. choice for our consumers. uh<03:22:21.359> tax<03:22:21.600>
• <03:33:11.680> It will not be just be financially. It will not be just be financially.

Keywords: 1189, house, all

Transcript Highlights:

• California consumers cannot afford to wait any longer.
• It's just giving an option for consumers.
• , but would ensure that federally protected rivers in California would continue to receive protection
• That federally protected rivers in California would continue to receive protection under state law.
• that currently lack state... 819 miles of federally protected rivers that currently lack state protection

Summary: The committee heard and advanced a series of natural resources and climate-related bills. AB 70 would codify a definition of pyrolysis and allow procurement credit for projects using organic waste to generate pipeline biomethane; supporters said it would help divert organic waste from landfills, reduce methane, and support energy reliability. AB 30 would authorize E15 fuel sales in California, with supporters arguing it could lower consumer fuel costs and emissions, while opponents from boating and marine groups raised concerns about engine damage and the need for clear labeling and continued E10 availability. AB 66 would create a CEQA exemption for emergency evacuation routes in high fire-risk areas; supporters emphasized wildfire evacuation safety, while some members worried the bill lacked sufficient guardrails and environmental review. AB 399 would let the Coastal Commission consider blue carbon sequestration in coastal permitting and authorize blue carbon demonstration projects; environmental groups supported it, while business groups objected to new costs and regulatory uncertainty. AB 491 would codify California’s nature-based solutions climate targets for lands and wetlands, with supporters citing climate and adaptation benefits and the Farm Bureau opposing statutory targets. AB 580 would extend Metropolitan Water District authority related to the Colorado River Aqueduct, and AB 43 would make permanent state authority to protect federally designated wild and scenic rivers if federal protections are weakened. The committee also considered AB 436 to streamline siting and permitting of composting facilities and AB 539 to streamline certain Coastal Act procedures and reporting. Most measures received due-pass recommendations and were reported out on roll calls, with several bills also moving on consent; AB 404 was pulled at the author’s request.

Transcript Highlights:

• We analyze a large amount of data to develop our forecasts, which represent the best financial projections
• The Bureau of Economic Analysis, or BEA, now estimates that real GDP grew at an annual rate of 2.3% in
• <00:14:37.079> spending and some forms of consumer spending and some forms of consumer spending
• and consumers to be less<00:17:07.079> willing<00:17:07.400> to<00:17:07.640> take<
• This increase is due directly to a higher forecast of the Consumer Price Index.

Keywords: 919, house, all

Summary: Minnesota Management and Budget presented the February 2025 budget and economic forecast, with Commissioner Aon Campbell, State Economist Anthony Becker, and Budget Director Anam Mingi outlining updated revenue, spending, and long-term balance projections. The state’s FY 2026-27 general fund outlook remains positive but weaker than in November, with an ending balance of $456 million, down $160 million from the prior forecast. Looking ahead, the planning years FY 2028-29 show a projected deficit of just under $6 billion, driven largely by spending growth outpacing revenues. Officials emphasized that discretionary inflation is a major factor in the forecast, but also noted that those amounts are not automatically appropriated and would require legislative action. Becker said the national outlook has changed since November, with higher expected inflation, higher interest rates for longer, and slower growth in later years. He highlighted uncertainty around tariffs, trade policy, immigration policy, federal spending, and possible changes to tax and debt-ceiling policy, all of which could affect Minnesota’s economy and revenues. Minnesota’s labor market remains tight, with low unemployment and rising wages, and the revenue forecast was revised upward overall for FY 2026-27, including higher income and sales tax receipts, though corporate tax revenue was slightly lower than previously projected. Mingi said projected general fund spending is up $79 million in FY 2026-27 and $960 million in FY 2028-29 compared with November. The largest increases are in education and health and human services, especially due to inflation, higher pupil counts, special education costs, long-term care, and higher Medical Assistance spending. She noted that higher utilization of weight-loss drugs also raises Medicaid costs, and that a smaller assumed bonding bill helps offset some debt service costs. The commissioner and staff repeatedly warned that federal policy changes, especially possible Medicaid reductions, pose a major risk; they said Minnesota could face billions in lost federal funding, including a potential $2.4 billion hit if the enhanced Medicaid match for adults without children were eliminated. No votes or legislative actions were taken in the presentation.

Transcript Highlights:

• The data underlying it comes from the Bureau of Economic Analysis.
• The data underlying it comes from the Bureau of Economic Analysis.
• The data underlying it comes from the Bureau of Economic Analysis.
• <01:41:50.679> challenges take seriously the financial challenges take seriously the financial
• You know, we have a severe financial problem ahead of us.

Keywords: 1183, house

Summary: The Ways and Means Committee began with member and staff introductions, including several new members and committee staff. Representative Zach Stevenson, the DFL lead, objected to the day’s presentation, saying he was disappointed the committee was starting with a group he viewed as aligned with Republicans rather than a nonpartisan budget presentation. The chair responded that the committee had a bipartisan agreement and that hearing a different perspective was appropriate. The committee then proceeded to a presentation from economists with the Center of the American Experiment, with questions held until the end. The presentation focused on Minnesota’s budget outlook, arguing that the state faces a structural imbalance and a projected $5.14 billion deficit in the 2028-29 biennium. The presenters said spending has outpaced revenues, highlighted a large increase in general fund spending since 2023, and argued that inflation-adjusted per-capita spending remains above pre-2024 levels through the forecast period. They said the biggest growth areas are E-12 education and especially Health and Human Services, with HHS projected to become the largest budget category and much of its growth tied to Medicaid and long-term care waivers. The presenters also argued Minnesota spends more than most states on welfare and Medicaid, citing comparisons showing the state near the top nationally in spending per person in poverty and in several Medicaid categories. They said some of the HHS growth reflects policy changes from the 2023 session, while other pressures come from enrollment growth, health care prices, federal debt, and an aging population. No votes or formal committee actions were taken during the portion of the meeting shown.

Transcript Highlights:

• affordability coming from financial affordability coming from financial markets<00:57:42.640>
• data that Bureau of Bureau of Labor data that Bureau of Bureau of Labor Statistics<01:23:17.000>
• Bureau of Labor Statistics Statistics Bureau of Labor Statistics publishes<01:23:18.800> but<
• financial plan and that is a financial financial plan and that is a financial plan<01:55:29.800>
• So, um... the financial plan is in good shape if the financial plan is in good shape if we<02:04:18.079

Keywords: 910, house, all

Summary: The Committee on Finance held its first informational briefing for 2025, beginning with member introductions and then hearing an economic outlook presentation from Dr. Eugene Tian of the Department of Business, Economic Development and Tourism. Dr. Tian said Hawaii’s economy was in relatively good shape in several areas, especially construction, which he described as at a historical high, with construction employment above 40,000 monthly and building permit values and contracting tax base both up sharply. He also noted real estate sales had rebounded in 2024, the labor market had stabilized with unemployment around 2.9%, and initial unemployment claims were below 2019 levels. At the same time, he highlighted challenges including inflation running above the national rate, a shrinking labor force, lower employment compared with 2023, and continued weakness in visitor spending and arrivals. He said future growth would likely come from health care, professional services, construction, tourism recovery, and diversified sectors such as renewable energy, aquaculture, creative industries, and technology. Dr. Tian also discussed Hawaii’s economic structure and recovery, saying the state remains more concentrated in a few industries than the U.S. overall, with government and hospitality making up larger shares of the economy. He said non-tourism sectors had recovered, but tourism-related jobs and output were still below pre-pandemic levels, with Maui and the visitor industry still affected by the wildfire and COVID-19 impacts. He projected tourism and non-agricultural wage and salary jobs would not fully recover until 2027, and said population trends remain a concern because of aging, the likelihood of deaths outpacing births in coming years, and reliance on in-migration. After his presentation, the chair said questions would be taken later and the committee took a short break. After the break, Dr. Carano of the Hawaii Executive Director’s office presented a second outlook, saying Hawaii’s economy in 2025 looked better than 2024 overall, though he emphasized substantial uncertainty tied to the incoming federal administration. He said possible changes to tariffs, tax policy, immigration, and federal spending could raise inflation and keep interest rates higher than previously expected, which would affect housing, consumer debt, the dollar, and Hawaii’s visitor industry. He noted that U.S. visitors account for roughly three-quarters of visitor spending in the state, making federal policy especially important. He also said deregulation could be a long-term positive but would not likely have much effect in 2025 or 2026. As an additional risk, he pointed to bird flu and its effect on livestock, poultry, and egg prices. No votes or formal actions were taken during the briefing.

Transcript Highlights:

• The Green Amendment is a tool to protect it.
• That constitutional provision protects the environment and protects human health.
• Yet if the protections associated with protecting these horses and our environments were not in place
• They have the fundamental right to execute their protections and to ensure that they're being protected
• And again, it would really protect the county or whoever permitted it. protect the county or whoever

Keywords: 996, all

Transcript Highlights:

• and then last question for um consumer and then last question for um consumer Advocate<00:34:45.800
• solve for we agree with the consumer solve for we agree with the consumer Advocate<01:00:16.240>
• <01:17:01.040> protections maintaining strong consumer protections maintaining strong consumer
• First up to testify, we have the Department of Commerce and Consumer Affairs Consumer Advocate.
• have Department of Commerce and Consumer have Department of Commerce and Consumer Affairs<01:21:

Keywords: 910, house, all

Summary: The House Committee on Energy and Environmental Protection opened its first hearing of the session and heard testimony on several energy and environmental bills. On HB 470, relating to noise and leaf blowers, the Department of Health supported the bill’s intent to reduce noise pollution but raised concerns about using decibel limits alone and suggested using dBA measurements; testimony also noted the bill would regulate future sales rather than current use, and there were three additional testimonies, two in support and one in opposition. No questions were raised before the committee moved on. The committee then heard HB 742 on transit-oriented development, which would require HCDA to prepare a programmatic EIS for Ewa, Kapalama, and West Oahu improvements. UH supported the bill, HHFDC said it was already preparing a master plan and programmatic EIS for the Ewa area, and HCDA explained that the projects are already underway or completed, including infrastructure work funded by prior appropriations. Supporters said the bill would streamline environmental review and potentially reduce costs for future housing, while HCDA emphasized the work is already in progress. On HB 340, concerning a streamlined grid-ready home interconnection process and related cost recovery, DCCA provided comments, the Attorney General suggested changing a deadline to a specific date, and the PUC said it wanted to study the matter further while still meeting the 180-day reporting requirement. Solar and clean energy groups strongly supported the bill as a way to speed interconnection and advance grid-interactive technologies, while Hawaiian Electric supported the goal of more DERs but opposed the process, saying its interconnection performance has improved and that collaboration would be preferable to legislation. Members asked about newer technologies, UL 1741, and ratepayer impacts, and the Consumer Advocate said removing the cost-recovery section would alleviate its concerns. The committee also heard HB 243, requiring PV- and EV-ready new residential construction, which the Hawaii State Energy Office described as a cost-saving no-brainer because installing these features during construction is much cheaper than retrofitting later. The hearing then shifted to HB 350, expanding the water-heater systems that can satisfy building-permit requirements to include heat pump water heaters alongside solar hot water systems. The Energy Office supported the bill, Solar Ray supported the concept but asked for amendments to align efficiency standards and noted the bill’s removal of a 15-year lifespan limit for solar thermal systems, and Hawaii Solar Energy Association raised questions about how heat pump performance should be measured and whether PV-plus-heat-pump combinations should qualify. Committee members asked about impacts on smaller homes and ADUs, and the discussion remained focused on technical standards and possible amendments; no votes or final actions were taken in the portion provided.

Transcript Highlights:

• These are not designs that incorporate all of the technical, regulatory, and financial requirements for
• And this would allow federal subsidies to cover this care and reduce the financial burden on the state

Bills: SR185, HB2452, HB2329, HB2272, HB2273, HB2335, HB1656, HB2207, HB2289, HB1854, HB2581, HB20, HB2296, HB1707, HB2297, HB1890, HB2241, HB2474, HB1688, HB2546, HB1574, HB1546, HB2218, HB1163, HB1514, HB1749, HB2385, HB1576, HB1974, HB2022, HB1973, HB2005, HB1894, HB1515, HB1718, HB1591, HB2475, HB1721, HB1864, HB1946, HB1920

Keywords: Department of Education, capital improvement program, performance audit, infrastructure, transparency, state bonds, general obligation bonds, GO bonds, bond authorization, state debt limit, constitutional debt limit, Article VII Section 13, Hawaii bonds, state borrowing, public finance, capital improvement projects, supplemental appropriations, judiciary appropriations, refunding bonds, reimbursable bonds

Transcript Highlights:

• <03:12:57.080> consumers protecting consumers protecting consumers positions<03:12:59.640>
• It's just happening without oversight, without consumer protections, and without any financial benefits
• It's just happening without oversight, without consumer protections, and without any financial benefits
• It's just happening without oversight, without consumer protections, and without any financial benefits
• protections and without without consumer protections and without any<03:25:32.399> Financial<

Keywords: 910, house, all

Transcript Highlights:

• Again, our consumer protections laws are already built to consider hospital finances.
• Again, our consumer protections laws are already built to consider hospital finances.
• But also, you know, I think it's incumbent upon us to be able to pass laws that protect consumers.
• And, you know, there's a number of things that I think are protecting consumers and sometimes protecting
• And, you know, there's a number of things that I think are protecting consumers and sometimes protecting

Summary: The Assembly Health Committee heard a long agenda of health-related bills, with most items presented for later vote once quorum was reached. Early in the hearing, the committee adopted a consent calendar of multiple bills with motions for due pass to Appropriations, and it noted that AB 2029 had been pulled from the agenda. The committee also took up AB 1973, a bill by Aguiar-Curry to expand who may provide procedural abortion care. Supporters, including physicians and certified nurse midwives, argued the bill would align law with current training and improve access, while opponents said later-term abortion procedures require physician-level surgical training and raised safety concerns. The author emphasized hands-on training, consultation, and transfer protocols, and the bill was held pending quorum with a motion and second recorded. The committee then heard AB 1558 by Arambula, which would adopt the Uniform Emergency Volunteer Health Practitioners Act to speed the use of out-of-state licensed volunteers during declared disasters. Supporters from the Uniform Law Commission and the Red Cross said the bill would reduce delays and clarify legal authority for volunteer health workers; there was no opposition testimony. AB 2282 by Alanis, a temporary rural emergency stabilization center for Patterson while a permanent hospital is built, drew support from local emergency responders and a late opposition from the California chapter of ACEP. The chair praised the bill as a creative local solution and agreed to coauthor it; a motion and second were recorded, with the vote to occur later. Several public health access bills followed. AB 1843 by El-Hawari would limit prior authorization and align hepatitis C treatment coverage with medical guidelines; supporters said it would remove barriers to a curable disease, while health plans opposed it as a mandate, citing premium impacts and the recent SB 306 prior-authorization process. AB 2247 by El-Hawari would create the THRIVE program for mental health services for youth affected by gun violence; Youth Alive and other supporters described trauma-informed, community-based care, and the chair and another member asked to be added as coauthors. AB 2138 by Krell would expand access to certified peer support specialists in enhanced care management and remove automatic disqualifications based solely on criminal history; supporters said peers are essential to engagement and recovery, and the bill was held with a motion and second. Later, AB 1682 by Hart would require coverage of scalp cooling for chemotherapy patients, with emotional testimony from cancer survivors and clinicians; insurers opposed it as another mandate, but the author stressed the modest per-member cost and the bill was moved with a motion and second. AB 1879 by Dixon would standardize data reporting for alcohol and drug treatment facilities, including private providers, to improve statewide information on outcomes and access; the bill drew broad support from recovery organizations and the prior opposition was withdrawn after amendments. AB 1906 by Aguiar-Curry would require coverage of at-home cervical cancer screening kits without cost sharing; supporters cited improved access for rural and working Californians, insurers opposed it on affordability grounds, and the bill passed on a recorded roll call after quorum was established. Finally, AB 1556 by Haney would clarify and support drug-free recovery housing and return-to-use policies; supporters said it would expand sober housing options, while opponents warned it could allow evictions after relapse and conflict with Housing First principles. The hearing ended with the bill still under discussion and opposition-unless-amended concerns noted.

Transcript Highlights:

• The process of determining special education services takes time, personnel, and financial resources,
• resources and typically and financial resources and typically works<00:11:47.600> like works
• These meetings are thorough, detailed, labor-intensive, and time-consuming.
• These meetings are thorough, detailed, labor-intensive, and time-consuming.
• little bit about the financial reasons little bit about the financial reasons that<00:22:23.640>

Keywords: 928, house, all

Summary: The House Education Policy and Administration Committee heard testimony on HB 222, which would repeal the requirement that a chartered public school and the resident school district sign a memorandum of understanding on how students with disabilities will receive special education services. The prime sponsor, Rep. Peggy Balboni, said the bill was requested by the New Hampshire Association of Special Education Administrators and the New Hampshire Alliance for Public Charter Schools. She argued that federal and state law already require districts to provide FAPE and that the MOU requirement has created extra work, legal costs, and delays without improving services. She said many MOUs remain unsigned, but students are still receiving services and complaint numbers have not changed. Rep. Mooney also supported repeal, calling the MOU duplicative and impractical because IEPs and 504 plans already govern services. Testimony from Jane B. Brulu of the special education administrators’ association and Beth McLure of the charter schools alliance echoed that view, saying the MOU has not helped students, has added hours of work and legal fees, and has mostly been a source of disputes over funding and service costs. McLure said her school has worked with more than 15 districts and has always been able to reach agreements, though the first year of the requirement took substantial time and money. Committee members asked about the original purpose of the law, unsigned MOUs, and whether disputes could be resolved without the requirement. A representative from the Department of Education said the MOU was originally proposed to address reports that some students were not getting services on time and to provide some oversight, but the department has no authority to order charter schools or districts to agree and no appeal process if they cannot. The department also said it does not currently audit charter school special education services because it lacks authority to monitor charter schools directly, and it urged the committee to consider some alternative oversight if the MOU requirement is repealed. The hearing on HB 222 was then closed, and the committee announced it would begin the hearing on HB 699 after a short break.

Transcript Highlights:

• We identified that our current system currently using our office discipline referrals, was consumed with
• You're, you're saving lots and lots of the kids and you're protecting the graduation rates of some of
• To support implementation of these requirements, the College and Career Readiness Bureau worked together
• with multiple bureaus to develop the high school graduation requirements guidance manual.
• Um, we have a coach in our bureau, Judith Cruz, who is responsible for graduation requirements, and we

Transcript Highlights:

• A nonprofit legal organization founded in 1969, to protect and advance the health rights of low-income
• of civil... ...in some states has been the beginning of an erosion of the protection of civil rights
• So that’s another thing that really is a way to protect this from becoming more institutional care.”
• The Bureau of Venn and Affairs turned around agency received a copy.
• The Bureau of Venn and Affairs turned around agency received a copy.

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• Bureau, the TRPB.
• We have of, um... and beyond, is a contract we signed with the Thoroughbred Racing Protective Bureau,
• So is the financial punishment different than its deterrent value?
• I think there's also some equal protection concerns.
• And I think that consumes my two minutes. Thank you. And a little more.

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:

• I defend the American consumer. I defend the Consumer Financial Protection Bureau.
• Well, Al, why do you bring the Consumer Financial Protection Bureau into this statement?
• Protection Bureau.
• That the one entity that is designed to protect the consumer, that would be there to look into illicit
• the<03:13:49.359> consumer protect the consumer protect the consumer that<03:13:51.120

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, March 19, 2026, 1012, house, all

Transcript Highlights:

• Financial institutions like HSBC have found that this approach identifies two to four times more financial
• If the consumer wants, or the taxpayer wants, via direct deposit, maybe tracking checks so we know at
• But they offer the same sorts of guardrails in some cases that will help ensure this protects privacy
• In D.C., as Ronald Reagan once quoted, a government bureau is the nearest. Thank you.
• The financial sector does this all the time.

Keywords: artificial intelligence, waste reduction, fraud prevention, government efficiency, improper payments, data reliability, oversight

Summary: The meeting was chaired by Chairman Schweikert and involved a comprehensive discussion on how to utilize artificial intelligence (AI) for reducing waste, fraud, and improper payments within federal programs. Key witnesses, including Mr. Andrew Canarsa from the Council of the Inspectors General, provided insights on the potential of AI in enhancing government efficiency. The committee emphasized the importance of reliable data and thorough examination of AI application to avoid unintended consequences while addressing the estimated $162 billion in improper payments reported by the federal government. Concerns were raised regarding the recent firing of inspectors general and the impacts that could have on oversight and accountability processes.

Transcript Highlights:

• Medicaid LTSS expenditures in New Hampshire already consume a large share of the state budget, as you
• Medicaid LTSS expenditures in New Hampshire already consume a large share of the state budget, as you
• New Medicaid um LTSS expenditures in New Hampshire<00:15:44.079> already<00:15:44.399> consume
• risk to managed shifting the financial risk to managed care<00:16:04.079> organizations<00:16
• uh which was coordinated by the Bureau uh which was coordinated by the Bureau of<00:41:25.280>

Keywords: 928, house, all

Summary: The Committee to Study Long-Term Managed Care met to approve prior minutes and outline its schedule, with meetings set for September 24 and September 29 ahead of an October 1 report deadline. The chair said the committee would use the first two meetings to digest testimony, likely ask follow-up questions of DHS, and then work toward conclusions and a report format. The minutes from the previous meeting were approved unanimously. The main testimony came from Sharon Alexander of Amera Health, who argued in favor of moving from fee-for-service Medicaid long-term services and supports to a managed LTSS model. She described managed LTSS as a capitated, quality-driven system used in about 26 states, and said it can improve care coordination, accountability, access to home- and community-based services, and budget predictability. She cited Amera Health’s experience in Pennsylvania and Delaware, including care coordination, housing and transportation support, caregiver programs, and quality benchmarks tied to state oversight. She also said nursing facilities would remain an important option for people who need that level of care. Committee members asked about how the programs are administered, how rates are set, how care managers work, and how quality is measured. Alexander said states contract with managed care organizations at actuarially sound capitated rates, with annual contracts, reporting, and oversight. She explained that care managers typically conduct quarterly assessments and follow up after trigger events such as hospitalization, and that housing coordinators may assist with transitions to the community. On quality, she said states use CMS-related and HCBS benchmark measures covering service timeliness, care planning, transitions, and other outcomes, and that New Hampshire could build on existing metrics rather than starting from scratch. She also noted that rural areas face workforce and transportation challenges, which managed care plans try to address through technology and self-direction options.