Transcript Highlights:

• I think it's not as simple as adding beds.
• due to either administrative hurdles or, most of the time, availability of services.
• A bed is approved, the bed is available, but there's no transport there to move the patient, so the patient
• The biggest thing that I want to be available to you in the legislature is to call anytime.
• And we must make it readily available, accessible, and affordable.

Keywords: 995, all

Summary: The Joint Committee on Public Health held an introductory informational hearing for the new session, with Chairs Marjorie Decker and Senator Michael Driscoll outlining the committee’s scope and emphasizing the impact of the federal landscape on Massachusetts public health. They noted the hearing would focus on testimony from agencies and advocates, with short testimony limits due to the hybrid format. No votes were taken; the meeting was for briefing and discussion of priorities. Commissioner Robbie Goldstein of the Department of Public Health described the department’s budget and federal funding, warning that recent CDC grant terminations could cut nearly $100 million and affect lab testing, surveillance, vaccines, and community engagement. He highlighted DPH priorities including racial equity, maternal health, substance use and child welfare coordination, emergency preparedness, data transparency, and public hospital quality. MassHealth Assistant Secretary Michael Levine discussed MassHealth’s role covering about 2 million residents and its priorities in health equity, behavioral health, primary care, member independence, and customer service, while noting the agency relies heavily on federal Medicaid dollars and would face major strain from federal cuts. Several advocacy and provider groups focused on reproductive health and maternal health. Planned Parenthood warned of threats to Title X, 340B savings, and other federal funding, and supported a bill to eliminate parental consent and judicial bypass for abortion care for young people. Reproductive Equity Now urged stronger shield-law protections and changes to Massachusetts’ later-abortion framework. Dr. Indyamaka Anugaka called for full implementation of the maternal health law, better reimbursement for doulas and midwives, stronger data collection, and support for full-spectrum pregnancy care coverage. The Health Policy Commission said new maternal health and primary care task forces would begin work soon. Mental health and health system access were also major themes. The Mass Medical Society urged action on vaccine hesitancy, removal of non-medical school vaccine exemptions, and primary care reform. The Massachusetts Association for Mental Health and the Children’s Mental Health Campaign opposed proposed cuts to DMH and substance use services, called for more school-based supports, and raised concerns about inpatient capacity, including a unit serving LGBTQ youth. The Massachusetts Nurses Association and 1199 SEIU warned that staffing shortages, low wages, workplace violence, hospital closures, and possible Medicaid cuts threaten patient care and the health care workforce. The Betsy Lehman Center also urged investment in automated patient-safety monitoring to reduce harm and costs.

Transcript Highlights:

• Closing beds is the last thing we need. And just to illustrate, this really is an important matter.
• When I was in California, they had a five-bed crisis triage center. There was one RN and one LVN.
• You would have to close beds, and if you close beds, this happens to us all the time, like you said,
• Somebody crashes, somebody else needs an ICU bed, and there isn't one. You end up...
• One of the options that became available was the VNS device.

Transcript Highlights:

• are available in this hearing room.
• are available in this hearing room.
• The County Bed Billing Reimbursement Authority pertains to hospital beds that DSH makes available to
• Since last year, DSH increased its available bed capacity for LPS patients from 556 beds to 625.
• The independent placement panel could thereby expand the availability of state hospital beds for IST

Keywords: 988, house, all

Summary: The Assembly Budget Subcommittee on Health heard presentations on several May Revision proposals, beginning with an overview from the Legislative Analyst’s Office and the Department of Finance on the state’s budget condition and the administration’s efforts to reduce out-year deficits through a mix of revenue measures, fund shifts, and program reductions. The chair expressed support for some administration proposals, such as added health IT funding, county administration support, a delay in Medi-Cal cuts for some immigrants, and additional Covered California subsidy backfill, but also criticized proposed Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other cuts affecting counties, workforce, and rural access. The LAO said the budget still relies heavily on reserves and borrowing and urged more reserves and caution on new commitments. The Department of State Hospitals presented several proposals, including reduced county bed billing authority, limited contract exemption authority for online clinical subscriptions, reversion of unspent prior-year funds, additional lease revenue authority for the Metro Central Utility Plant replacement, funding for electronic health record implementation, and a shift of workforce development costs to Behavioral Health Services Act funds. The department also described savings and realignments in its IST and CONREP programs, including making the Independent Placement Panel permanent and adjusting funding for jail-based competency treatment and conditional release services. Members questioned the BHSA workforce funding swap, and the administration said it was part of a broader General Fund offset strategy. The Emergency Medical Services Authority requested funding for statewide behavioral health crisis response guidance and for continued operation of its enterprise systems, and the Department of Managed Health Care sought funds to modernize its complaint system and claims settlement data systems. The largest debate centered on the administration’s proposed use of Behavioral Health Services Act revenues to offset General Fund spending and fund state-directed behavioral health programs. The Department of Finance said the proposal would support population-based prevention, workforce programs, mobile crisis services, and other state-directed uses, while the LAO said it was still reviewing whether the uses comply with Proposition 1 and whether the non-supplement and eligible-use requirements are met. The Commission for Behavioral Health strongly opposed proposed cuts to its Innovation Partnership Fund and community advocacy grants, arguing that both programs are central to community voice, culturally responsive services, and statewide innovation. Commissioners and many public commenters said the cuts would reduce grants to community-based organizations, tribal groups, veterans, LGBTQ communities, youth, and other underserved populations, and that the advocacy program helps communities participate in local planning and access services. The Department of Finance defended the reductions as a way to prioritize direct services and said the programs fit within Proposition 1, but members criticized the proposal as a midstream shift that would weaken community engagement and redirect funds away from prevention and advocacy.

Transcript Highlights:

• For each segment, there is now a growing number of beds available to students.
• , have built over 1,000 beds each.
• The average cost of buying the hospital, buying the beds, was about half a million dollars a bed.
• With a hundred beds, which is huge.
• So that facility would be available to serve additional students.

Keywords: 988, house, all

Transcript Highlights:

• Liz Perlman, executive director for AFSCME Local 3299, is available to answer questions.
• Liz Perlman, executive director for AFSCME Local 3299, is available to answer questions. Thank you.
• available, which is the biggest issue when there are not enough shelter beds available to put people
• It ensures that if a shelter bed is available, cities can enforce rules against public camping consistent
• is available and within 500 feet of a school, open space, or major transit stop.

Summary: The committee first heard AB 1157, the Affordable Rent Act, which would lower California’s annual rent cap, remove the single-family home exemption, and eliminate the sunset on existing tenant protections. The author and supporters argued that renters are facing severe affordability pressures, especially in single-family rentals, and that stronger statewide rent stabilization is needed to prevent displacement and homelessness. Opponents, including apartment, building, and property-owner groups, said the bill would discourage housing production, harm small landlords, and override a deal they said was intended to be temporary while the state focused on building more housing. Public testimony on AB 1157 was extensive, with many renters, tenant advocates, labor groups, and community organizations speaking in support, while many landlords, business groups, and property-owner representatives spoke in opposition. Committee members were split: some praised the bill as a necessary response to the rent crisis, while others warned it could reduce investment and worsen the housing shortage. The committee ultimately voted 7-5 to pass AB 1157 to the Assembly Judiciary Committee. The committee then approved the consent calendar, including AB 413, AB 1152, and AB 1275, on a 9-0 vote. It also heard ACA 3, which would require the University of California to make available a limited number of down payment loans for eligible long-term support staff who are first-time homebuyers. Supporters said the measure would help lower-wage UC workers afford homeownership and improve retention, while UC and other opponents argued the proposal was duplicative of existing state programs, unnecessary, and potentially harmful to UC finances. The discussion focused on financing mechanics and the relationship to CalHFA, but no final vote on ACA 3 was included in the portion provided.

Transcript Highlights:

• Are those readily available? So we can access those.
• There is nothing publicly available now, but it would be great.
• I'm sure people talked about test beds while I was gone.
• , commercially available quantum network.
• Test beds for near-term applications?

Keywords: Senate Committee, Commerce, Science, Technology, Quantum Computing, Artificial Intelligence, FTC, Consumer Protection, Innovation, Emerging Technologies

Summary: The meeting of the Senate Committee on Commerce, Science, and Transportation featured significant discussions regarding technological advancements and their implications for the future. Notably, nominations were made for key positions in the White House's Office of Science and Technology Policy and the Federal Trade Commission. Committee members expressed the importance of leading in emerging technologies like artificial intelligence and quantum computing, emphasizing that the pace of innovation is crucial for maintaining the United States' global position as a leader in technology. The discussions also highlighted the role of the FTC in protecting consumers from deceptive business practices and ensuring fair competition in the marketplace. Attendees underscored the urgency of advancing research and development in areas such as quantum computing, as evidenced by a demonstration of a new quantum chip anticipated to redefine computing capabilities across industries. Various members engaged in vibrant exchanges, showing support for initiatives aimed at bolstering innovation through public and private collaboration. Overall, the meeting set a strong agenda for pursuing future science and technology policies that ensure the U.S. remains at the forefront of global advancements.

Transcript Highlights:

• additional 788 state beds. additional 788 state beds.
• these extra beds and get rid of that. these extra beds and get rid of that.
• , the classification of the beds.
• hospital beds.
• I'm not voting to give you more beds. beds. beds.

Keywords: 981, all

Summary: The House convened, established a quorum, approved the journal, and then moved out of order to consider Senate Joint Resolution 10, a resolution celebrating Lunar New Year 2026. The resolution highlighted Colorado’s observed Lunar New Year holiday, the cultural significance of the holiday to Asian-American communities, and the contributions of Asian-Americans in Colorado. Several members spoke in support, including remarks about the Far East Center, Asian-American heritage, and the importance of recognizing the holiday statewide. The chamber also welcomed a number of guests and groups for the Lunar New Year observance, including state and international dignitaries, community leaders, and lion dancers. Representative Soer and others introduced guests and offered brief remarks; the House then recessed briefly for the celebration. After returning, the House adopted Senate Joint Resolution 10 by a vote of 60 ayes, with five excused and no no votes. Following the resolution, members made announcements about committee meetings and visiting student groups, including District 6 Day, Disability Rights Advocacy Day, and several school groups at the Capitol. The House then took up third reading of supplemental appropriations bills. House Bill 1150, a supplemental appropriation to the Department of Agriculture, passed on third reading. House Bill 1151, a supplemental appropriation to the Department of Corrections, prompted extended debate over prison funding, inmate care, staffing, and parole-related concerns; members argued both for humane treatment and for fiscal restraint, and discussion was still ongoing in the portion provided.

Transcript Highlights:

• That has caused us to say, okay, we need more beds, so a huge full-court press for inpatient bed availability
• <00:20:29.919> bed for inpatient bed for inpatient bed availability<00:20:32.159> well<
• DRF beds; they're to be adding 10.
• DRF beds; they're to be adding 10.
• reported by lovering is available reported by lovering is available through<02:36:24.920> G

Keywords: 1191, senate, all

Transcript Highlights:

• So this pot of funds would be available, and this bonus would be available to people that work and help
• Are we contemplating any of those available beds as possible inventory for housing some of these aliens
• Are we contemplating any of those available beds as possible inventory for housing some of these aliens
• that may be available to Be available to ICE in this manner.
• Today I found out that our available capacity is 8,198 beds at our state prisons.

Summary: The Senate opened with a prayer, the Pledge of Allegiance, and the reading of an amended joint proclamation expanding the Legislature’s immigration agenda. The proclamation added items calling for financial penalties for government officials, enhanced criminal penalties for offenses committed by illegal aliens, and programs and appropriations to support law enforcement in enforcing federal immigration law. The chamber then took up the special order calendar, beginning with Committee Substitute for Senate Bill 2B, the immigration bill. Most of the meeting was devoted to debate and questions on the strike-all amendment to SB 2B. Sponsor Senator Gruters described the bill as a broad immigration enforcement package aligned with President Trump’s agenda. He said it would require greater cooperation with federal immigration authorities, strengthen participation in the 287(g) program, create a chief immigration officer and council, authorize financial penalties for noncompliance, provide bonuses for officers assisting ICE, and direct information-sharing with federal agencies. He also said the bill would bar DHSMV from issuing licenses or ID cards to unauthorized aliens and would end in-state tuition waivers for undocumented students. Senators Polsky, Pizzo, Smith, Jones, Berman, Osgood, and others questioned the scope of the bill, whether it would affect schools, churches, cities, nonprofits, and green-card holders, and how the 287(g) provisions would work in practice. Gruters repeatedly said the operational focus was on jails and detention facilities, not street-level enforcement. A major point of controversy was the bill’s proposed mandatory death penalty for unauthorized aliens convicted of certain capital offenses. Senator Fine said the covered crimes were the most serious capital felonies, including murder, child sexual battery, destructive-device offenses causing death, and certain trafficking offenses, and argued the provision was intended to withstand constitutional challenge. Senator Pizzo raised Eighth Amendment concerns and questioned whether the bill could mandate death sentences. The tuition waiver provisions also drew extended debate: Fine said the state would save about $41 million by ending discounted tuition for undocumented students, while Democrats argued the savings would not return to general revenue and that the policy would harm students who are already enrolled. Fine and Gruters said green-card holders would not be affected and that the bill targeted only students in the country illegally. The discussion also covered appropriations and implementation. Senator Smith asked about the bill’s large funding levels, and Fine broke down the spending as including $375 million for the chief immigration officer, $100 million in grants to local law enforcement, $29 million for the new Office of State Immigration Enforcement, and $10 million for an unauthorized-alien transport program. Gruters said the funds would reimburse local governments and help address staffing shortages, while critics questioned the lack of benchmarks and the fiscal impact. No final vote or disposition on the bill appears in the transcript excerpt.

Transcript Highlights:

• care facility or skilled beds.
• We have licensed for 250 beds.
• These are the actual beds, often what we think of like a hospital bed.
• > think are the actual beds often what we think are the actual beds often what we think of<05:00:
• a hospital bed um our beds are of like a hospital bed um our beds are so<05:00:26.040> old<05

Keywords: 928, house, all

Summary: The committee heard a Department of Corrections capital budget presentation on HB 25, focused largely on urgent maintenance and security needs at the New Hampshire State Prison for Men and other DOC facilities. DOC officials described the governor’s proposed priorities: boiler surge and radiator tank replacements, electronic controls and camera upgrades, and replacement of HVAC units using R22 refrigerant. They also outlined additional requested projects totaling $15.4 million, including a body alarm/man-down system at Northern New Hampshire Correctional Facility, steam line and trap repairs, fire alarm replacements, and removal of an underground diesel tank in favor of above-ground storage. DOC testified that many systems are well beyond their expected service life, including 40-year-old boilers, outdated analog cameras, and HVAC equipment using discontinued R22 refrigerant. They said the men’s prison is relying on a leased temporary boiler, has significant steam leaks causing major water loss and reduced boiler efficiency, and is dealing with frequent fire alarm faults and deteriorating wiring. On the body alarm system, they said the vendor no longer supports the equipment and replacement parts are no longer available. On the diesel tank, members questioned whether it could be abandoned in place or whether fuel could be reused; DOC said it had not explored all alternatives and would follow up, while noting the tank is underground and tied into the warehouse system. Members also asked whether some current investments could be reused in the planned new men’s prison. DOC said some items, such as air handlers, might potentially be moved, but most projects are needed to keep the current facility operational and would not be practical to transfer. Questions were also raised about the leased boiler arrangement, the use of the man-down system by staff and visitors, and whether the kitchen project could be converted to a modular unit. DOC said the modular kitchen approach is necessary because the existing kitchen cannot remain fully operational during repairs. The committee then moved to lapse extensions, and DOC identified several projects no longer needing extensions, including items numbered 64, 65, and 66 in HB 25, with the chair noting those balances would be deleted and that the lapse amount was $550,500.

Transcript Highlights:

• I remain concerned that this data does not appear to be readily available, and without this baseline
• and without this baseline available and without this baseline information,<00:30:45.440> it<00
• available to come out of prison or jail with an ACT order makes it so much easier the next time they
• , which is we got to have the right beds, which is we got to have the right beds, which<00:56:57.599
• based services that include both beds based services that include both beds but<00:58:55.359>

Keywords: 910, house, all

Summary: The working group convened with all members present, approved the minutes from its October 16, 2025 meeting and its October 28, 2025 Halawa Correctional Facility site visit by unanimous consent, and received no public testimony on the agenda or minutes. The chair then reviewed the statutory timeline under Act 292/SB 104, noting the group continues until January 8, 2027, and discussed required reporting dates and the need to develop a work plan for the remaining meetings. The chair also said the October 16 DCR presentation would be treated as satisfying the group’s interim-report purpose, though the legal reporting obligations to the Legislature and oversight commission still needed to be sorted out. The main discussion focused on DCR’s proposed amendments to Act 292 and the department’s interim report. Director Johnson said the department’s October 16 presentation included recommended statutory amendments because the law, as written, could not be fully complied with; the proposals were described as section-by-section changes intended to address implementation problems. Members discussed several specific issues, including transfer language for higher levels of care, the 2010 MOA with the Department of Health, and replacing “physician” with “clinician” to reflect staffing realities. DCR explained that the change would allow licensed clinicians, including APRNs and doctors of osteopathy, to make decisions when physicians are not on duty, and that the MOA is being updated so transfers can occur from any DCR facility to the state hospital. An OHA staff member gave a detailed critique of the proposed amendments, saying they would weaken Act 292’s intent by reducing procedural protections, expanding exceptions, and relying on aspirational language such as “strive” and “if practicable.” OHA also raised concerns about the lack of baseline data on restrictive housing use and said the department’s report showed serious operational problems, including overcrowded and outdated facilities, limited space for private medical or mental health exams, and the use of suicide/safety cells for people who may not need mental health treatment. DCR responded that it had requested 35 new medical positions in the budget, supported by the governor, and said those positions are needed to meet basic care obligations for people in custody. The group did not take a vote on the proposed amendments. Instead, members agreed to continue the discussion, with the chair saying the reports, settlement tracker, 2010 MOA, and comparison guidelines would be distributed and used as the basis for future work. In the final discussion on work-plan priorities, members identified staffing shortages, physical plant limitations, and the need to examine humane alternatives and implementation challenges as key topics for upcoming meetings.

Transcript Highlights:

• They are a registered 501(c)(3) nonprofit, and they provide beds for children who don't have beds.
• , but this group has provided over 15,000 beds to Alabama children who didn't have a bed.
• 501c3 nonprofit and they provide beds 501c3 nonprofit and they provide beds for<00:05:50.960>
• available for this coming school year. available for this coming school year.
• But I have not re had a available.

Bills: HB245, SB16, SB59, SB62, SB79, SB88

Keywords: inhalants, controlled substances, butyl nitrite, nitrous oxide, amyl nitrite, health, public safety, SB16, four-point restraint, hog-tie, hog tie, prone restraint, law enforcement, police, sheriff, use of force, restraint techniques, positional asphyxia, arrest procedures, detention

Transcript Highlights:

• What do you think are available?
• There are 1500 available beds.
• I want to comment on this money that's available because what they need or beds.
• The president also asked for beds.
• And additionally, the governor and cabinet will review the number of bacon detention beds available correction

Keywords: 999, senate, all

Transcript Highlights:

• prohibits hospitals without bank bed prohibits hospitals without bank bed licenses<01:49:23.360>
• We are currently licensed for 554 beds. We are currently licensed for 554 beds.
• inpatient bed ability to increase our inpatient bed capacity.<01:52:52.639> The<01:52:52.880>
• ready to handle the increase in beds. ready to handle the increase in beds.
• testifiers that also would be available testifiers that also would be available if<01:54:24.639>

Keywords: 1187, senate, all

Transcript Highlights:

• Always so much land available. But there's only so much land available.
• to build on. ...very, very tiny pie of land that is available to build on.
• I was thinking long-nosed trolls; those are commercially available.
• So this bill is primarily addressing my client, which is 10 beds or less.
• or 11 beds or more.

Bills: SB1108, SB1205, SB1241, SB1286, SB1366, SB1431, SB1473, SB1477, SB1478, SB1479, SB1492, SB1517, SB1563, SB1586, SB1665, SB1671

Keywords: cash transactions, mandatory rounding, swedish rounding, public notice, Arizona Revised Statutes, motor vehicle booting, private property, fees, dispute process, regulations, SB1241, private permitting provider, private permit, private certificate of completion, building permit, building plan review, inspection, single-trade residential construction, residential construction, municipal permitting

Summary: The Senate Regulatory Affairs and Government Efficiency Committee approved the February 4, 2026 minutes and first considered the reappointment of Troy L. Campbell to the Arizona State Liquor Board. Campbell described his nearly 10 years of service, his role as chair since 2019, and his focus on fairness, public safety, and applying the law consistently. He answered questions about the board’s workload and authority, noting it handles roughly 40 to 50 cases a year and does not issue fines. With no public testimony, the committee voted 6-0 with one not voting to recommend his confirmation to the full Senate. The committee then heard and passed SB 1478, a liquor omnibus bill making technical and policy updates to liquor statutes, including changing “manufacture” to “produce,” allowing rather than requiring cities and towns to levy certain liquor-related taxes or fees, repealing a federal food-safety preemption reference, and clarifying cider’s definition to include products up to 8.5% alcohol by volume. Supporters described it as an annual stakeholder-driven cleanup bill, and the Department of Liquor Licenses and Control testified neutral. The committee adopted the Bolick amendment and then passed the bill as amended. It also passed SB 1108, which creates a Swedish-rounding framework for cash transactions when pennies are unavailable, with signage and enforcement provisions; the Leach amendment removed an individual-item exemption and clarified tax treatment. The Greater Phoenix Chamber supported the bill, and the committee passed it as amended. The committee next approved SB 1205, regulating private-property vehicle booting by prohibiting local bans, setting signage, written permission, rate limits, release rules, and misdemeanor penalties. Supporters said it would provide a more transparent, less costly alternative to towing, while members raised concerns about signage, appeals, and consumer protections. The Bolick amendment made a technical change, and the bill passed as amended. SB 1241, allowing private permitting providers to conduct plan reviews and inspections for single-trade residential projects, drew the most debate: supporters argued it would reduce delays and costs for homeowners and help cities with backlogs, while cities and counties warned about public-safety risks, loss of local control, and liability concerns. After adopting the Payne amendment on immunity, the committee passed the bill 5-2. Finally, the committee passed SB 1366, which creates a Public Property Towing and Impound Practices Study Committee to review fees, standards, insurance, background checks, and related DPS and public-property towing practices. Some members objected that the study committee lacked minority-leader appointments, but supporters said the review was needed before making permanent changes. The committee then began hearing SB 1431, a housing-design bill limiting municipal design standards and restrictions on certain shared features, but the transcript ends before any action on that measure.

Transcript Highlights:

• because I know they're not available everywhere in the state.
• There are actually more detention beds in the state than prison beds and for many, many years counties
• It's available tomorrow, July 1 is the beginning of the fiscal year.
• Um, that's the, that's the maximum coverage that's available. Mr.
• , I was referring to the maximum available for a federal civil rights claim.

Transcript Highlights:

• You can see there, $6.5 million is the total project for a 10-bed unit.
• We do have a 24-bed unit in place today.
• to, if we only have staff for 32 for a period of time, then we have 32 beds available.
• So we wouldn't need to staff 48 beds immediately.
• So we won't be under a complete pressure to fill 48 beds immediately.

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:

• You can see there, $6.5 million is the total project, 10-bed unit.
• We do have a 24-bed unit in place today.
• to, if we only have staff for 32 for a period of time, then we have 32 beds available.
• So we wouldn't need to staff 48 beds immediately.
• So we won't be under complete pressure to fill 48 beds immediately.

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:

• There aren't a lot of jobs available.
• and beds.
• and space, but there is additional capacity available.
• I don't believe those are currently available right now.
• Especially when we have technology available.

Transcript Highlights:

• On line 233, we have bed savings tales.
• So that resolves measurable bed cost.
• Senator Lamer. legislature is available for uh legislature is available for uh distribution<01:12:39.840
• available for funding right now. Okay. available for funding right now. Okay.
• we simply don't have the money available we simply don't have the money available to<02:13:40.400

Keywords: 1187, senate, all