Transcript Highlights:

• <02:40:30.720> of enforcement for any educator code of enforcement for any educator code of
• and found to have violated this section of this chapter, they shall be deemed to have violated the code
• and found to have violated this section of this chapter, they shall be deemed to have violated the code
• and found to have violated this section of this chapter, they shall be deemed to have violated the code
• there would be a violation of the code there would be a violation of the code of<03:35:25.840>

Keywords: 1191, senate, all

Summary: The committee of conference spent most of its time on Senate Bill 96, which deals with educator conduct and when information may be withheld from parents. The main dispute was over the House-amended language on violations and the “compelling state interest” standard. The Senate sponsor objected to extending penalties to third-party medical or mental health contractors and to language suggesting psychological or emotional injury to a child would not constitute a compelling state interest. The House side argued its draft was intended to keep the bill focused on credentialed educators and administrators, to include parents or guardians, and to avoid creating competing standards by relying on existing abuse definitions in statute. The House also added a requirement that any withholding of information be documented and reported to the school board in nonpublic session, and both sides discussed whether educators, administrators, nurses, and guidance counselors would be covered under the statutory definition of educator. The discussion also covered enforcement and penalties. The House draft proposed that an educator found to have willfully violated the law could have a credential suspended for a first offense and would face a minimum one-year suspension for multiple offenses, while the Senate raised concerns that this was too rigid and did not allow enough discretion or address revocation. The House later explained that the department would still have discretion on first offenses and that the one-year rule applied only to multiple offenses. Another point of disagreement was a three-year statute of limitations for investigations, which the House said was meant to prevent “witch hunts,” while the Senate noted New Hampshire’s constitutional prohibition on retroactive laws. After caucusing, the Senate rejected the House amendment, and the House then voted non-concur; the committee of conference adjourned without agreement. The transcript then moved to Senate Bill 87, concerning one-day liquor license requirements and allowing salons and barber shops to obtain on-premise licenses. The members discussed a House amendment that would allow two drinks instead of one, with supporters saying the change reflected the longer time customers may spend in salons and that alcohol service would still be covered by existing training requirements, including the EDGE course. Opponents worried that allowing multiple drinks would create over-serving and enforcement problems and could complicate business practices. After discussion, the Senate member agreed to go along with the House position, and the bill was reported ready for final sign-off.

Transcript Highlights:

• House Bill 769 by Representative Boyd is an act in the Code of Criminal Procedure relative to arrests
• Relative the Louisiana Uniform Construction Code Commission to provide for legislative purpose, it lies
• act to amend Title 13 relative to the City of Alexandria and administrative adjudication of certain code
• House Bill 1224 by Representative McMakin is an act to amend the Children's Code relative to a child
• House Bill 238 by Representative Zerang is an act to amend Title 42 relative to the Louisiana Code of

Keywords: 974, senate, all

Transcript Highlights:

• Madam Chair, Warner, Senator Gonzales, we have prior authorizations on some codes.
• We have prepayment review on some codes.
• And, Madam Chair, to Damon, my specific code would be for behavioral health.
• and let you know how long the prior authorization turnaround time is for that current code.
• how long the prior authorization turnaround time is for that current code.

Bills: SB1051, SB1114, SB1115, SB1122, SB1132, SB1162, SB1169, SB1171, SB1172, SB1173, SB1174, SB1175, SB1179, SB1188, SB1233, SB1236, SB1242, SB1316, SB1368

Keywords: SB1051, Arizona hospitals, immigration status, patient intake, admission forms, registration forms, health care reporting, uncompensated care, emergency department, lawfully present, undocumented immigrants, noncitizen patients, hospital funding, Arizona Department of Health Services, ADHS, border security, health care institutions, patient privacy, medical access, immigration policy

Summary: The Health and Human Services Committee approved the January 21 minutes and then heard a series of bills focused on developmental disabilities oversight, behavioral health fraud, AHCCCS operations, child safety, and state hospital capacity. SB 1179 would make the Developmental Disabilities Group Home Monitoring Program permanent and remove the appropriations contingency; Disability Rights Arizona and program managers testified that Commit had identified systemic care problems, while the sponsor said the work should continue. The bill received a 6-1 do-pass recommendation. SB 1114 would appropriate $1 million to the Maricopa County Attorney’s Office for behavioral health patient brokering investigations; Native advocates described widespread recruitment and exploitation of vulnerable people, especially Native Americans, and the bill passed 8-0. SB 1115 would prohibit AHCCCS from allowing remote work for Access employees; the sponsor argued in-person oversight was needed, while AHCCCS warned of space and staffing problems. It passed 4-3. SB 1051 would require hospitals to collect and report patients’ citizenship or immigration status for cost accounting; supporters called it a data-collection measure, while nurses and physicians said it would create fear and deter care. It passed 4-3. SB 1122, as amended, would replace prior authorization with 100% prepayment review for certain behavioral health services under the American Indian Health Plan, and passed 7-0 after AHCCCS said it had worked on the amendment. SB 1132, to appropriate unspecified funds for a new Arizona State Hospital wing, drew testimony from families and advocates describing severe shortages of state hospital beds and the need for more long-term treatment capacity; it passed 7-0. SB 1169, to fund graduate medical education and a new residency program, passed 6-0. SB 1171, requiring AHCCCS to check for dual enrollment in exchange plans and AHCCCS, passed 4-2-1 after AHCCCS said implementation would require system changes and costs. SB 1172, requiring more experienced DCS investigators for repeated abuse/neglect reports and court notification of hotline calls in dependency cases, passed 7-0. SB 1173, requiring behavioral health facility applicants, owners, and licensees to be U.S. citizens or lawfully present permanent residents with fingerprint clearance cards, passed 4-3 after an amendment clarifying the lawful-presence requirement.

Transcript Highlights:

• QR code and just put it on your digital menu.
• But not all of us are comfortable with QR codes and have that other paper menu available should your
• Currently, the Retail Food Code fails to set up guardrails for a particular set of food hazards that
• What we have proposed is called the National Model Food Code.
• This model food code is what's used. Menu mandate in every circumstance.

Summary: The committee heard several health-related measures. SB 27 by Senator Umberg would revise and expand California’s CARE Court by limiting the expansion to people with bipolar I disorder with psychotic features, clarifying the definition of “clinically stabilized,” and narrowing the role of nurse practitioners and physician assistants. Supporters, including behavioral health officials and family members, said the bill would reduce dismissals and better serve people with severe illness; opponents warned the expansion would strain county staffing and housing resources and could undermine voluntary engagement. The bill passed on a do pass motion to the Committee on Public Safety. SB 503 by Senator Weber Pierson would require AI tools used in health care facilities to be identified, monitored, and mitigated for bias when used in clinical decision-making or resource allocation. The author and supporters from Kaiser Permanente and the California Medical Association said the bill would help prevent discriminatory outcomes and improve trust and safety. The committee discussed the need to clarify developer and deployer responsibilities, and the bill passed as amended to Privacy and Consumer Protection. SB 68 by Senator Menjivar would require restaurants to provide written allergen information for the top nine food allergens, with tiered flexibility for smaller establishments. The bill was supported by patients, families, nurses, and allergy organizations, who described severe reactions and the difficulty of relying on verbal disclosures alone. The California Restaurant Association opposed unless amended, seeking broader use of the national model food code and additional liability language. The bill passed as amended to Appropriations. The committee also heard SB 403 by Senator Blakespear, which would remove the sunset from the End of Life Option Act; supporters described the law as a compassionate, well-functioning option for terminally ill patients, while faith-based groups opposed it. The bill passed to Judiciary. Later, SB 41 by Senator Wiener was introduced to rein in pharmacy benefit manager practices that steer patients to mail-order pharmacies and reimburse community pharmacies below cost; community pharmacists and several health organizations testified in support, describing pharmacy closures and patient access problems.

Transcript Highlights:

• I can tell you that using this color coding uh scale is kind of unique.
• They don't see a lot of people doing color coding.
• Um, as far as the, uh, 100% and the red color code, really that what.
• Does the total average then, um, it's not the same color coding as the. Uh, Mr.
• The same Color coding we used with the bulk. No, they are not. It might be helpful to do that.

Transcript Highlights:

• So what are we doing with our building codes and things like that?
• I'm not a building code expert, but I can give you some high... Is that for me?
• Bear in mind there's, I think, I want to say eight generations of building code post-Andrew.
• Those are things that the building code has changed.
• Florida is unquestionably the national leader in its building code.

Summary: The subcommittee held its first meeting on homeowners property insurance, with members from both parties introducing themselves and repeatedly noting that insurance affordability, roof condition, claims handling, and storm recovery are top concerns for their districts. Chair Yeager said the meeting was intended as an educational discussion rather than a legislative debate, and introduced a panel that included Insurance Commissioner Mike Yaworski, consumer Chad Carr, agent Mary Catherine Lawler, insurer executive Melissa Burt DeVries, and policyholder attorney Chip Merlin. The panel and members discussed major cost drivers in Florida homeowners insurance, including inflation, home age, roof age, mitigation features, claims history, litigation costs, reinsurance, and the Florida Hurricane Catastrophe Fund. Commissioner Yaworski said underwriting has become more sophisticated and that litigation costs, reinsurance, and replacement-cost inflation all affect premiums; he also said litigation is down about 30% and average requested rate increases have fallen from about 22.1% in 2022 to 0.8% today. DeVries said age of home, replacement cost, roof age, and coverage choices can materially change premiums, and explained that reinsurance is a major expense passed through to consumers. Merlin emphasized transparency concerns, argued that insurers are increasingly individualizing risk, and said consumers often struggle with coverage limits, deductibles, and claim denials. Members asked about flood coverage, hurricane deductibles, managed repair programs, mitigation credits, new insurer capitalization, and whether savings from reforms are reaching consumers. Yaworski explained that flood is generally excluded from homeowners policies and covered separately, that hurricane deductibles are mandatory in Florida and usually around 5%, and that the office tracks savings from reforms through rate filings and insurer discussions. He said the state is updating mitigation discounts and monitoring new entrants closely for solvency and market conduct. Several members and panelists said recent reforms have helped reduce some abuses and litigation, but many consumers are still seeing higher premiums because replacement costs and reinsurance remain elevated. No votes or formal actions were taken.

Transcript Highlights:

• recapture and located in first- or second-tier coastal counties, as defined by the Texas Insurance Code
• windows, reinforced roofing, and other structural features that are required under local and state codes
• These costs are... ...required under local and state codes in wind-prone areas.
• It appears, in my understanding, that due to the legislative amendment to the code that year, it caused
• It appears, in my understanding, that due to the legislative amending the code that year, it caused a

Summary: The Committee on Education K-16 heard testimony on SB 1635, which would give certain coastal, recapture-paying school districts a credit against recapture payments for mandatory windstorm and hail insurance costs. Senator Hinojosa said the bill is intended to offset unusually high insurance expenses for districts in Tier 1 or Tier 2 coastal zones, and he estimated about a $12 million impact to state revenue. Witnesses from Port Aransas ISD and Gregory-Portland ISD described sharp premium increases, reduced coverage, higher deductibles, and the effect on teacher pay and classroom spending. Senators asked about the number of affected districts, the accuracy of the fiscal estimate, and whether the bill might encourage districts to maintain coverage. Public testimony was closed and SB 1635 was left pending. The committee then took up several other bills and committee substitutes, adopting and reporting favorably SB 2786, SB 2623, SB 646, SB 843, SB 2392, SB 1998, SB 1418, SB 2788, and SB 2076, with most votes unanimous or near-unanimous. SB 2392 was amended to add improper relationship between educator and student to mandatory reporting offenses and to authorize an attorney general civil penalty for failure to report. SB 2623 was revised to clarify duties and exemptions related to the Safe Schools and Neighborhood Task Force and school proximity restrictions. SB 843 would create a TEA database of school district bonds and related projects, and SB 2788 would exempt certain PSAT scorers from the Texas Success Initiative assessment. The committee also heard SB 2929, which would allow referees and other officials at school athletic events to immediately eject disruptive spectators. The Texas Association of Sports Officials testified in support, citing abusive spectator behavior and a shortage of officials. SB 2929 was left pending. Finally, the committee heard a substitute for SB 2927 on 1882 partnerships and a substitute for SB 2619, which would require more transparency and accountability for failing school districts, superintendent hiring, trustee training, and takeover timelines. Testimony on SB 2619 was mixed, with one witness from Texas 2036 supporting parts of the bill’s accountability provisions. The committee adopted the substitute for SB 2619, left it pending, and then recessed subject to the call of the chair.

Transcript Highlights:

• we change the code?
• It's a, um, industry code. So, we can't, we don't have the authority to change that industry code.
• we change the code?
• It's a, um, industry code. So, we can't, we don't have the authority to change that industry code.
• project to say, does it meet the code? project to say, does it meet the code?

Keywords: 928, house, all

Summary: The committee first heard Senate Bill 497, a technical correction to last year’s capital budget. Shannon Reid of the Community College System of New Hampshire explained that the bill removes leftover state-agency boilerplate from a repurposed capital appropriation and replaces it with community college language, without changing any dollar amounts. She also described a requested amendment to rename a respiratory therapy renovation appropriation at Nashua Community College as an allied health instructional center, so the space can be used more flexibly for programs such as phlebotomy, radiologic technology, and LNA training. Terry Poff of the General Court then testified on the second part of the bill, which changes legislative space references to support the move of General Court offices from the second floor to the fourth floor of the annex as part of the legislative office building reconfiguration. Members asked whether the community college changes affected funding, and Reid confirmed the amounts do not change and that the bill simply speeds up a correction that otherwise would have been handled later in the lapse process. Poff said the annex space change is part of a permanent transition, though the work cannot proceed until the General Court has legal control of the space. The committee then entered executive session, adopted Amendment 1031H on a 12-0 vote, and voted ought to pass as amended on SB 497 by a 12-0 vote, with several members absent. The bill was placed on the consent calendar. The committee next opened a hearing on Senate Bill 529FN, which would give preference to lumber sourced in the United States on state-funded building projects. Representative Davis, introducing the bill for Senator Roachford, argued that New Hampshire timber is disadvantaged by grading rules that treat U.S. lumber differently from Canadian SPF lumber, even when the wood is from similar species and climates. He said the bill is intended to support New Hampshire’s timber industry and that architects and engineers would still be able to specify stronger materials when needed. Committee members questioned whether the bill should instead refer specifically to New Hampshire lumber, how it would be enforced, and what the cost impact would be. Davis and later witness Mike Olette said the issue is tied to industry grading standards rather than a government code, that the bill is meant to create a preference rather than a mandate, and that price differences are hard to pin down because lumber is a commodity. Olette, who lives near the border, testified that New Hampshire logs are often sent to Canada for milling and then return under a different grade, which he said puts New Hampshire loggers and mills at an economic disadvantage.

Transcript Highlights:

• However,<00:31:30.680> the<00:31:30.800> fire<00:31:31.240> code<00:31:31.640>
• > requires<00:31:32.200> a However, the fire code requires a However, the fire code requires
• Under the fire code, the components of a fuel dispensing system must carry a UL listing specific
• brought to us when there is a process to change codes and do that sort of thing, and people come to
• And Representative Davis, as the author, you have an author’s amendment coded A2.

Bills: HF3547, HF3651, HF4043, HF4282, HF4095

Keywords: fireworks, public safety, regulation, tax revenue, local government, sale, safety standards, fire safety, ethanol, fuel equipment, compatibility standards, law enforcement, peace officer, unauthorized practice, criminal justice, civics education, jail medication, correctional facility, detention, incarcerated persons

Transcript Highlights:

• somewhere that's a lot thicker that code somewhere that's a lot thicker that code somewhere that's a
• section they're under a different code section they're under a different code section that was part
• deals with but you section of the code deals with but you section of the code deals with but you do
• section counties lumped into this code section counties lumped into this code section have a separate
• code section for have a separate code section for have a separate code section for nuisance that was

Keywords: 1136, house, all

Transcript Highlights:

• bit more technical, but the risk models that we're talking about are based on physician diagnoses coding
• They can do, you know, they have armies of people out there making sure that the coding is correct from
• But so if you're in an MAPD like you currently are, that's great, because you have all the coding there
• PD like you currently are, that's great because you have all the coding there, the risk score is going
• have no entry into any of the providers on the medical side, your risk score is based on whatever's coded

Summary: The committee received an update from Grant Wallace on the rebid and possible decoupling of the state’s Medicare Advantage retiree coverage. He said the state is exploring splitting medical and pharmacy benefits for post-65 retirees, with UnitedHealthcare as the incumbent vendor, and that preliminary estimates suggested savings of about $100 to $200 per participant per month. He outlined the expected timeline for final CMS rate announcements in April 2026, with contract amendments likely to come before the committee in May or June after review by the EBD Advisory Commission and State Board of Finance. Representatives from Segal Consulting then reviewed the history and current structure of the Medicare Advantage prescription drug plan, explaining that the plan was adopted after a 2021 recommendation and launched in 2023 alongside the existing Med-Sup option. They said the Medicare Advantage option has produced substantial savings, including a lower monthly rate than the Med-Sup plan and about $40 million in savings from initial enrollment, while also restoring pharmacy benefits for some retirees. The presenters then explained recent federal changes under the Inflation Reduction Act, including major changes to Part D funding, the direct subsidy, and risk-score methodology, which they said have made risk adjustment much more important and are driving interest in separating medical and pharmacy contracts. In response to questions from senators, the presenters said the Medicare Advantage plan covers post-65 teacher and state employee retirees, including retirees from state agencies and K-12 public schools. They also explained that the new Part D structure has reduced out-of-pocket costs for members, with a $2,000 annual cap and lower average member spending to reach it, while shifting more cost to the plan. No votes were taken and no formal action was reported; the committee simply received the update and was told to expect further information after the April rate notice. The meeting adjourned with the committee scheduled to return on May 13.

Transcript Highlights:

• question is, and I had several, but I'm going to sum it up into one, because I do believe in uniform coding
• Or a uniformity of permitting and codes? You're recognized. Thank you, Mr. Chair.
• they can review plans, perform required inspections, and certify work that meets the Florida Building Code
• So when we speak about life and safety measures, they have to abide by the code that Florida has in place
• authorized members of either the Miccosukee or Seminole tribes, are exempt from the Florida Building Code

Transcript Highlights:

• H.R. 988, a bill to amend title 36, United States Code, to move the place of incorporation and domicile
• Code.
• IN 1962, CONGRESS GRANTED THE CORPS A CONGRESSIONAL CHARTER UNDER TITLE 36 OF THE US CODE.
• H.R. 980, a bill to amend title 38, United States Code, to make certain improvements to the provision
• >> H.R. 980, A BILL TO AMEND TITLE 38, UNITED STATES CODE, TO MAKE CERTAIN IMPROVEMENTS TO THE

Keywords: U.S. House of Representatives Floor Proceedings on Monday, February 2, 2026, 1012, house, all

Transcript Highlights:

• So that's the purpose of that, and it has to have a description of the service and the billing code.
• So that's the purpose of that, and it has to have a description of the service and the billing code.
• So that's the purpose of that, and it has to have a description of the service and the billing code.
• your diagnosis codes it's your procedure<00:54:05.359> codes<00:54:06.280> it's<00:54:
• 06.520> demographic procedure codes it's demographic procedure codes it's demographic information

Keywords: 00:00 Call to Order/Roll Call 00:16 Consideration of Referred Administrative Regulations 25:49 Discussion of Hospital Rate Improvement Plan 58:50 Adjournment, 958, all

Summary: The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision. The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work. The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well. After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.

Transcript Highlights:

• includes three technical changes to align a 5% cap on department indirect in Food and Agricultural Code
• This language reinstates repealed language from the former Education Code Section 10858 and clarifies
• So, to get really nerdy, code is infrastructure.
• inside the LLM, but the code inside the government code that we're going to need to be writing to fix
• LLM, but the code inside the government code that we're going to need to be writing to fix us.

Keywords: 987, senate, all

Summary: The subcommittee heard several May Revision proposals, primarily from the Department of Food and Agriculture, the Government Operations Agency, the Department of Technology, and the Franchise Tax Board. CDFA presented funding for the animal care program under Proposition 12, a transition away from the state hemp program to USDA oversight by January 1, 2028, ongoing support for agricultural statistics reporting after USDA reorganization, and trailer bill changes to the department’s indirect cost cap. The LAO generally supported the animal care, hemp transition, and statistics proposals, while also urging future review of the Prop 12 funding once litigation is resolved. The indirect-cost-cap language was described as technical and not increasing charges to programs, and it was held open with no objections from the LAO or Finance. The committee also discussed the new federal Workforce Pell program and related Cradle to Career funding and trailer bill language. Finance said the state is still reviewing federal rules and is focusing on basic implementation steps, with the trailer bill assigning eligibility determinations to the California Student Aid Commission, requiring data sharing through Cradle to Career, and prioritizing public institutions first. The LAO urged caution because the federal rules were just finalized and said the Legislature should better define the process and costs before appropriating the $1.3 million requested for Cradle to Career. Members raised policy concerns about limiting the program to certain institutions and about aligning the proposal with pending legislation and broader workforce policy. The Department of Technology presented a $1 million request for Poppy, the state’s digital assistant, to expand a secure GenAI platform for state employees. Members asked detailed questions about data security, model training, bias controls, and whether the system could eventually support local governments; CDT said the system uses state-controlled cloud infrastructure, does not use user data for training, and quarantines new models for review. CDT also sought provisional authority for the Middle Mile Broadband Initiative to cover possible operating shortfalls while the network is still being built; the LAO remained concerned about broad spending authority, and several members questioned the revenue assumptions and oversight. FTB then proposed retaining a smaller set of CalFile resources after the federal Direct File program was discontinued, with the LAO saying the reduced staffing level was broadly reasonable but still worth legislative scrutiny. The committee also began hearing the administration’s revenue proposals, including a permanent limitation on business tax credits and a tax on electronically delivered prewritten software, with the LAO generally supporting the goal of raising ongoing revenue but recommending changes to the software proposal’s exemptions and business-use treatment.

Transcript Highlights:

• , and we ask for all five zip codes of data.
• They're like, what they've told me is, well, if we can't share data from 58369, which is my zip code,
• , and we ask for all five zip codes of data.
• They're like, what they've told me is, well, if we can't share data from 58369, which is my zip code,
• North Dakota Century Code does create an exemption there.

Keywords: 908, all

Transcript Highlights:

• , and we ask for all five zip codes of data.
• They're like, what they've told me is, well, if we can't share data from 58369, which is my zip code,
• , and we ask for all five zip codes of data.
• They're like, what they've told me is, well, if we can't share data from 58369, which is my zip code,
• North Dakota Century Code does create an exemption there.

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:

• the<00:08:09.520> procurement<00:08:10.080> process<00:08:10.560> the code
• and the procurement process the code and the procurement process the type<00:08:11.039> of<00
• is a good estimate of bringing those facilities up to code and improving them to the point that West
• the system up to safety code. the system up to safety code. um<00:31:34.399> improve<00:31
• <00:31:57.760> and those facilities up to code and those facilities up to code and improving

Keywords: 958, all

Summary: The House Budget Review Subcommittee heard testimony from the Energy and Environment Cabinet on the state-owned dam repair program and Kentucky’s electric grid resilience program. On dams, Commissioner Tony Hatton explained the legal definition and hazard classifications for Kentucky dams, noting there are 975 regulated dams statewide, including 76 state-owned dams, and that hazard ratings are based on potential loss of life or property damage if a dam fails. He described the cabinet’s screening criteria, including inundation mapping, engineering condition, and compliance status, and said the cabinet uses a design-bid-build procurement process to manage public funds responsibly. Hatton outlined current and planned dam projects funded from the prior biennium, including Willisburg Lake in Washington County, where work will address hydraulic capacity, unstable downstream slopes, and likely require a coffer dam, flood wall, auxiliary spillway, and raw water line replacement. He also said Big Bone Lake State Park Dam will be decommissioned, Clemens Lake Dam at Morehead State University is in design for a major rehabilitation, and additional projects include Marion County Sportsman’s Dam, Chenoa Lake Creek/Canning Creek Dam, and a rehabilitation study for the Mud River at Lake Malone. The cabinet also requested $500,000 for routine repairs and maintenance. Members questioned cost estimates, inflation, and whether it would be better to fund design separately; cabinet officials said estimates are current best engineering estimates, costs have generally stayed within about 10%, and the current funding flow requires all funds to be available before bidding. The committee then received a status update on the electric grid resilience program, a five-year federal formula grant under Section 40101(d) of the Infrastructure Investment and Jobs Act. Officials said Kentucky has received years one through three of funding, which has been allocated to state park facilities and municipal electric utilities, while years four and five have not yet been received and would go to distribution cooperatives and remaining municipal utilities. Projects discussed included upgrades at Ken Lake State Park and Kentucky Dam Village, plus municipal projects in Owensboro, Princeton, Williamstown, and Hopkinsville. The cabinet said the selected projects focus on hardening infrastructure, replacing poles, wires, conductors, and transformers, improving vegetation management, and adding or upgrading outage management systems. Officials reported that all projects are under contract and moving into subcontracting and construction, while the Department of Parks is finalizing an agreement with Western Kentucky Rural Electric Cooperative for the park-related work.

Transcript Highlights:

• So on that very bottom line, you will see all other CIP codes.
• And that SIP code is truly six digits long.
• And that SIP code is truly six digits long.
• But you're still keeping the SIP codes, which...
• Is that so here's what the SIP code, that must be what it costs?

Summary: The Higher Ed Funding Committee met to review how North Dakota might identify and address low-producing academic programs and to discuss draft funding formulas for the university system. Lisa Johnson of the NDUS explained that the State Board of Higher Education is already developing a system-wide policy, using models from other states such as Texas, Virginia, North Carolina, Colorado, Kentucky, Ohio, and Connecticut. She described how low-producing programs are typically flagged by multi-year enrollment or completion thresholds, then reviewed for workforce demand, mission fit, cost, accreditation, and regional need before any action is taken. Committee members asked about what counts as a program, how costs are analyzed, whether certificates are included, how exemptions work for mission-critical or high-demand fields, and whether the board or legislature should set the rules. Johnson said the board is the appropriate body to lead the process, but legislators could use funding leverage if they wanted to encourage action; the chair asked the board to bring a detailed proposal to the June meeting. The committee then heard a Legislative Council presentation on a draft formula for UND and NDSU. The proposal uses fall census FTE enrollment, with a placeholder undergraduate rate of $7,000 per FTE and a graduate/professional rate of $10,500, plus incentives for completions in in-demand fields and research productivity. Alex from Legislative Council walked through the projected funding effects, noting that the model would increase funding for NDSU and reduce it for UND in the current biennium, with different results in the next biennium as enrollment changes are recognized. Members questioned the use of the placeholder rates, the definition of in-demand programs, the treatment of research funding, and the exclusion of state-appropriated dollars from the external grants calculation. The chair emphasized that the numbers were illustrative and that appropriators would set the actual dollar amounts later. A second draft formula for the other nine institutions was also reviewed. That model uses fall census FTE without a weighted economic factor, applies a higher undergraduate rate, and adds completion incentives for in-demand credentials and all other completions. Members noted that the formula would benefit some institutions, such as Bismarck State College, while reducing funding for others, such as Mayville State, and discussed whether the nine institutions should be treated more uniformly or split into smaller groups because of their different missions and sizes. Committee members and staff repeatedly stressed that the formulas are still being refined and that some institutions would likely need hold-harmless adjustments or other transition measures. The meeting ended with the chair directing the committee to continue the discussion later and to expect further work on both the low-producing program policy and the funding formulas.

Transcript Highlights:

• Colorado should be moving toward a simpler, more predictable tax code.
• out in a special benefit, but to bring clarity, reduce the administrative burden, and align the tax code
• with the burden, and align the tax code with the reality of how software actually is delivered and used
• That is a direct payment program routed through the tax code. And Colorado...
• While supporters describe this as a modernization of the tax code, the practical effect is clear.

Keywords: 981, all