Transcript Highlights:

• Chair and members, my name is Samantha Diaz, and I am the political director of SEIU Local 26.
• I'm also authorized to speak on behalf of Unite Here Local 17, representing 6,000 hospitality workers
• It is possible that local programs are sharing those resources. they're doing population Health are we
• </c> which uh we distribute funds to local which uh we distribute funds to local Regional<00:54:13.240
• </c> it is possible that uh that local it is possible that uh that local programs<00:54:40.200><c> are

Bills: HF10 , HF27

Committee: House Health Finance and Policy

Keywords: undocumented immigrants, state funding, MinnesotaCare, scholarship ineligibility, state assistance, permit to carry, concealed carry, handgun permit, firearm permit, pistol training, sheriff, application process, electronic filing, mail application, fax submission, certified mail, certified delivery, gun rights, Second Amendment, firearms regulation

Transcript Highlights:

• The local superintendent? No.
• ><03:13:45.760><c> are</c><03:13:45.920><c> losing</c> the local shopkeepers who are losing the local
• </c> local communities. Thank you. local communities. Thank you.
• New Hampshire at the local level.
• Thank you. of the local school. And the one of the of the local school.

Transcript Highlights:

• One notable example of this is WSU's recent decision to close our pharmacy program in Yakima due to budget

Summary: The committee began with a work session on the Workforce Education Investment Act (WEA) Oversight Board, hearing from board co-chair Jane Broome and Joel Anderson of WASAC. They described the account’s origins as a public-private partnership intended to supplement, not replace, existing higher education funding, and emphasized the board’s role in oversight and outcomes. Members discussed the need for better data, especially outcome-based data, and concerns that recent budget actions have used WEA funds to supplant general fund support for higher education, particularly at the University of Washington. The presenters said WASAC staffing has improved transparency, but they urged the committee to preserve the original “do not supplant” intent and to keep WEA focused on high-demand programs, financial aid, and student success. The committee then held public hearings on three bills. SB 6251 would require public medical schools to use letter grades or a tiered grading system; the sponsor said the bill was meant to standardize grading, while both Washington State University and UW Medicine testified in opposition, arguing that pass-fail and competency-based systems better support collaboration, student mental health, and residency competitiveness. SB 6259 would make students ineligible for state aid and require repayment of aid if they are found by a court to have caused major damage to a public institution; the sponsor framed it as accountability for serious vandalism, while the lone testifier from WSU student government supported free speech but opposed the bill’s penalties as inequitable for lower-income students. SB 6235 would address the higher education “fund split” by requiring state funding of compensation and central services to return to 2023-25 levels over time and directing a study on essential student services; nearly all testimony from university, faculty, and community college leaders supported the bill, saying the current approach shifts costs to tuition, creates instability, and forces cuts to classes, staffing, and student services. In executive session, the committee advanced several bills. It adopted proposed substitutes and gave do-pass recommendations to SB 5978, SB 6209, SB 6217, and SB 6227, sending them to the Ways and Means Committee. The committee did not take action on SB 6235 in executive session. The meeting then adjourned.

Transcript Highlights:

• We'd probably still have an autism clinic open in Spokane or a pharmacy program in Yakima, which were

Bills: HB2286 , HB2324 , HB2363 , HB2098

Committee: House Postsecondary Education & Workforce

Keywords: social work, licensure, alternative routes, education requirements, professional regulation, tuition waivers, veterans, education, children of veterans, higher education, military families, music therapy, temporary exemptions, healthcare, therapy practice, funding, tuition, financial aid, state budget

Transcript Highlights:

• If a local jurisdiction creates a local jurisdiction... ...districts, which we refer to as PEIFDs.
• And one of those, of course, is housing, is financing and giving local localities the tools to do that
• This bill does not replace local control.
• This doesn't take any local authority. It centralizes it.
• You could look at a grocery store, you could look at a pharmacy.

Summary: The committee heard several housing-related bills, beginning with SB 1003, which would create pro-housing enhanced infrastructure financing districts to help local governments fund infrastructure needed for housing developments. The author and supporters argued that infrastructure costs often prevent projects from penciling out, while the chair expressed support and said the bill would be taken up later when quorum was available. SB 1014 followed, proposing new disclosure requirements for local jurisdictions to provide good-faith estimates of on-site and off-site improvements within 30 days of application, with supporters saying it would reduce late surprises and opposition from several cities citing implementation concerns with the 30-day timelines. The committee then took up SB 802, a Sacramento-region bill requiring a joint powers authority to coordinate housing and homelessness services. Senator Ashby and former Mayor Darrell Steinberg argued that Sacramento’s fragmented system has failed for years and that a JPA would improve accountability, coordination, and use of state funds. The bill drew broad support from local officials, service providers, business groups, and advocates, while some county and city representatives registered opposition or neutral concerns about state-mandated local governance. Several committee members said they were persuaded by the need for regional coordination, though some raised concerns about local control; the chair noted the bill would be moved when quorum allowed. The committee also heard SB 1092 and SB 1093, both focused on mobile home park residents after disasters or park sales. SB 1092 would give residents a right of first opportunity to match a sale offer for a park, with supporters saying it protects vulnerable seniors and preserves affordable housing, while park owners and their representatives argued it would devalue property and raise constitutional and financing concerns. SB 1093 would require more transparent communication, access to property, and consideration of rebuilding or closure after a disaster; supporters cited the long uncertainty faced by Palisades residents, while opponents warned about liability, safety, and burdensome review requirements. Members split along similar lines, with some emphasizing property rights and market impacts and others stressing the need to protect residents and preserve scarce affordable housing.

Transcript Highlights:

• And one of those, of course, is housing financing and giving local localities the tools to do that.
• This bill does not replace local control.
• This doesn't take any local authority. It centralizes it.
• You could look at a grocery store, you could look at a pharmacy.
• The motion is to pass to the Committee on Local Government.

Committee: House Housing and Community Development

Transcript Highlights:

• of Obstetrics and Gynecology in support, Save Medicaid in support, Hawaiʻi and support, Unite Here Local
• </c><00:02:12.520><c> five</c><00:02:12.840><c> in</c> support um Unite Here Local five in support um
• Unite Here Local five in support<00:02:13.800><c> Americans</c><00:02:14.319><c> United</c><00:02:14.760
• Saifi, in opposition. caucus and support unite your local five caucus and support unite your local five
• First up, we have Relle Araki, Board of Pharmacy, providing comments. Thank you.

Committee: Senate Health and Human Services

Summary: The committee heard testimony on a long calendar of health-related measures, beginning with SB 297, a proposed constitutional amendment to protect reproductive freedom. Supporters included medical, labor, and advocacy groups, while opponents, including Hawaii Family Forum and Hawaii Christian Coalition, argued the term “reproductive freedom” was too vague and could be misunderstood. Testimony on SB 350, a similar constitutional amendment protecting contraception, also drew strong support from medical and advocacy groups and opposition from religious organizations; one witness said the measure was especially important to protect reproductive care and contraception. Several bills focused on health system administration and public health. SB 1438 on home care agencies, SB 1439 on nuisances, SB 1441 on transferring the AAHU regional health care system to the Department of Health, SB 1442 on children’s mental health services, SB 1443 on the Department of Health, SB 1444 on general excise tax, and SB 1445 on youth mental health all received mostly supportive testimony from state agencies and community organizations. On SB 1445, the Hawaii State LGBTQ Commission asked that LGBTQI+ and Native Hawaiian youth be specifically considered in mental health services. SB 1450, creating an intensive mobile team pilot for houseless individuals with serious brain disorders, drew support from state agencies and providers; a street medicine advocate said the pilot could help address sustainability, insurance, and service delivery on the streets. The committee also heard testimony on access and workforce measures, including SB 1596 on nursing, SB 1565 on acupuncture, SB 1564 on Medicaid, SB 1418 for an emergency DHS appropriation, SB 1417 on crimes against protective services workers, SB 1411 on Medicaid third-party liability, SB 1399 on a family resilience pilot program, SB 1398 on trauma-informed care, SB 1281 on telehealth, and SB 1279 on telepharmacy. Most of these measures drew broad support from agencies, provider groups, and advocacy organizations. On SB 1281, HMSA opposed the bill as written, warning about audio-only telehealth and federal rule changes, while other health groups supported it as important for rural, kupuna, and disabled residents. On SB 1417, a Honolulu Police Department captain supported stronger protections for DHS workers but could not provide complaint data and said he would follow up later. The hearing ended with the chair noting quorum and asking whether the committee was ready for decision making; no votes or final actions were recorded in the transcript.

Transcript Highlights:

• health concerns, including the spread of diseases to pets, livestock, and people overpopulation strains local
• This is a request bill brought forward by my local FFA chapter, of which my grandson who is paging this
• Members, the Senate local and county government committee will meet this afternoon.

Bills: SB1636 , SB1584 , SB1730 , SB1255 , SB1627 , SB137 , SB2062 , SB1470 , SB1284 , SB1632 , SB1594 , SB2045 , SB1251 , SB1884 , SB1250 , SB1630 , SB1262 , SB1374 , SB1292 , SB1432 , SB1199 , SB1790 , SB1481 , SB1614 , SB1734 , SB1437 , SB1489 , SB1718 , SB1778 , SB1327 , SB1372 , SB1403 , SB1937 , SB277 , SB2131 , SB1749 , SB1348 , SB1469 , SB2018 , SB1931 , SB1530 , SB2155 , SB2030 , SB1926 , SB2170 , SB2151 , SB2166 , SB1213 , SB1381 , SB1824 , SB1876 , SB1728 , SB1582 , SB1286 , SB1386 , SB1708 , SB1618 , SB2106 , SB1471 , SB2139 , SB2154 , SB1619 , SCR15 , HB2786 , HB2787 , SB1525 , SB2011 , SB2159

Keywords: cold case, unsolved homicide, violent crime, case file review, law enforcement, police records, victim family, immediate family member, designated person, forensic testing, witness reinterview, investigative leads, cold case unit, unsolved murder, public safety, Title 21, Oklahoma statutes, sexual assault, evidence kits, DNA testing

Transcript Highlights:

• He also works as a branch manager at a local bank known as Columbia Bank in Longview.

Bills: SB5223 , SB5286 , SB6002 , SB6178 , SB5892 , SB5177 , SB6039 , SB5874 , SB5863 , SB5972 , SB5941 , SB5203 , SB6014 , SB5993 , SB5831 , SB5928 , SB5912 , SB5825 , SB5223 , SB6178 , SB5892 , SB5177 , SB6039 , SB5941 , SB5993 , SB5831 , SB5928 , SB5912 , SB6183 , SB6071 , SB5995 , SB5966 , SB5841 , SB5840 , SB6061 , SB6058 , SB5931 , SB5944 , SB5520 , SB6011 , SB6087 , SB6076 , SB5916 , SB6016 , SB5936 , SB6137 , SB5185 , SB5956 , SB6025 , SB6009 , SB5833 , SB6161 , SB6188 , SB5890 , SB5917 , SB5820 , SB5973 , SJM8015 , SB5816 , SB6136 , SB6091 , SB6024

Keywords: criminal offense, fingerprinting, law enforcement, state regulations, public safety, policing costs, state hospitals, local funding, budget allocation, automated license plate reader, ALPR, license plate recognition, LPR, surveillance, driver privacy, vehicle tracking, location data, law enforcement technology, data retention, audit trail

Transcript Highlights:

• college educated women. whose purpose is to provide assistance and support to establish programs. and local
• The unit will provide specialized training to local. law enforcement agencies conduct public outreach
• restrict individual and tenants, maximize the use of their dwelling unit potential. from testimony local

Bills: SJR27 , SJR39 , SB22 , SB33 , SB34 , SB37 , SB209 , SB310 , SB326 , SB505 , SB605 , SB618 , SB732 , SB762 , SB769 , SB783 , SB819 , SB825 , SB870 , SB964 , SB1030 , SB1080 , SB1085 , SB1099 , SB1124 , SB1208 , SB1233 , SB1314 , SB1320 , SB1333 , SB1398 , SB1405 , SB1541 , SB1567 , SB1596 , SB1598 , SB1625 , SB1646 , SB1662 , SB1750 , SB1758 , SB1791 , SB1804 , SB1810 , SB1818 , SB1838 , SB1855 , SB1869 , SB1951 , SB2024 , SB2077 , SB2078 , SB2252 , SB2253 , SB2368 , SB2411 , SB2420 , SB2425 , SB2569

Keywords: judicial conduct, state commission, judicial misconduct, commission membership, constitutional amendment, veto override, legislature power, governor, Texas Constitution, Texas, moving image industry, incentive program, film production, grant funding, job creation, economic development, wildfire, wildfire mitigation, wildfire prevention, volunteer fire department

Transcript Highlights:

• to speak up and take action reflected what so many of us saw in her: a strong, capable leader with local

Bills: HB20 , HB276 , HB644 , HB812 , HB816 , HB916 , HB1131 , HB1247 , HB1518 , HB1525 , HB1537 , HB1541 , HB1546 , HB1553 , HB1562 , HB1565 , HB1566 , HB1576 , HB1577 , HB1591 , HB1605 , HB1612 , HB1613 , HB1614 , HB1618 , HB1620 , HB1650 , HB1656 , HB1658 , HB1661 , HB1664 , HB1668 , HB1676 , HB1707 , HB1711 , HB1713 , HB1715 , HB1718 , HB1727 , HB1749 , HB1756 , HB1774 , HB1776 , HB1801 , HB1802 , HB1805 , HB1813 , HB1815 , HB1831 , HB1838 , HB1853 , HB1854 , HB1859 , HB1863 , HB1871 , HB1872 , HB1918 , HB1920 , HB1952 , HB1965 , HB1966 , HB1967 , HB1969 , HB1972 , HB1973 , HB1974 , HB1975 , HB1980 , HB1985 , HB2005 , HB2023 , HB2031 , HB2033 , HB2062 , HB2113 , HB2114 , HB2116 , HB2138 , HB2139 , HB2156 , HB2158 , HB2159 , HB2171 , HB2208 , HB2268 , HB2270 , HB2272 , HB2273 , HB2276 , HB2289 , HB2310 , HB2315 , HB2335 , HB2338 , HB2339 , HB2340 , HB2343 , HB2361 , HB2384 , HB2387 , SB2338 , SB2431 , SB2438 , SB2593 , SB2907 , SB2671 , SB2321 , SB3084 , SB2401 , SB3033 , SB2972 , SB3032 , SB2806 , SB3014 , SB2108 , SB2981 , SB2973 , SB2423 , SB2078 , SB2322 , SB2397 , SB2896 , SB2088 , SB2347 , SB2408 , SB2970 , SB2851 , SB2713 , SB2697 , SB2312 , SB2192 , SB2363 , SB2530 , SB3028 , SB2024 , SB3007 , SB2599 , SB2596 , SB2662 , SB2930 , SB3334 , SB2378 , SB3019 , SB3231 , SB2240 , SB2372 , SB2175 , SB2046 , SB2298 , SB2922 , SB2835 , SB3263 , SB2174 , SB2128 , SB2006 , SB2489 , SB3134 , SB2982 , SB2425 , SB2849 , SB2797 , SB2795 , SB2575 , SB2521 , SB2765 , SB2386 , SB2852 , SB2022 , SB2117 , SB2277 , SB2387 , SB2688 , SB2885 , SB3132 , SB3219 , SB2169 , SB2591 , SB2090 , SB2983 , SB888 , SB3249 , SB2611 , SB2429 , SB2463 , SB3154 , SB3131 , SB3152 , SB3315 , SB2448 , SB2054 , SB2140 , SB2520 , SB2377 , SB2986 , SB2010 , SB2189 , SB2026 , SB3010 , SB2818 , SB2002

Keywords: lava insurance, homeowners, insurance market, subsidy, Hawaii, condominiums, annual report, filing fee, real estate, developer, residency, property regime, PFAS, single-use plastics, environmental health, food ware, pollution reduction, local produce, agriculture, Hawaii Revised Statutes

Transcript Highlights:

• </c> the interests of local control. the interests of local control.
• level of local policymaking, where communities know their locals the best.
• level of local policymaking, where communities know their locals the best.
• </c> communities know their locals the best. communities know their locals the best.
• </c> long valued local control of education. long valued local control of education.

Transcript Highlights:

• requires insurance carriers and risk pools under RSA 5-B to provide regular claim data for medical and pharmacy
• <00:35:24.800><c> for</c><00:35:25.040><c> medical</c><00:35:25.359><c> and</c><00:35:25.599><c> pharmacy
• seeking health care to find the best health care insurance rates possible and save taxpayer money locally
• </c><00:36:30.960><c> That</c><00:36:31.200><c> almost</c> taxpayer money locally.
• That almost taxpayer money locally.

Committee: Senate Finance

Transcript Highlights:

• and tired of being nickeled and dimed, especially by big corporations that don't have to pay most local
• 35.319><c> federal</c><00:15:36.000><c> taxes</c><00:15:37.000><c> which</c><00:15:37.120><c> is</c> local
• state or federal taxes which is local state or federal taxes which is the<00:15:37.399><c> case</c><
• We've done a lot of work on those things, right, in pharmacy and all of those things.
• We've done a lot of work on those things, right, in pharmacy and all of those things.

Committee: Senate Health and Human Services

Transcript Highlights:

• I personally watched the local authorities develop the programs that are in place now.
• I personally watched the local authorities develop the programs that are in place now.
• All of them are dispensed from a dispensary or some sort of pharmacy. We're not there.
• A public safety threat, the elimination of the local news ecosystem in California is.
• My name is Nate Fairman, business manager for IBEW Local 465.

Summary: The committee heard several public safety bills, with testimony split between supporters who framed the measures as targeted fixes and opponents who warned about overcriminalization and unintended consequences. SB 701, by Senator Wahab, drew support from law enforcement and local government groups, who said state law lacks a tool to address the conduct at issue; the ACLU opposed it as duplicative of existing law, while public defenders said they may withdraw opposition after amendments. Because there was no quorum at that point, the bill was held open without a vote. SB 834, by Senator DeRazzo, was presented as a technical cleanup bill to improve California’s automatic record clearance system by preventing outdated “pending” charges from blocking relief, requiring local court records to match DOJ records, and creating a way for people to obtain proof of relief. It received broad support from criminal justice reform and defense organizations, with no opposition, and the chair indicated support, but no final action was taken during the hearing. SB 248, by Senator Rubio, would require DOJ to send new gun purchasers educational materials during the waiting period about safe storage, suicide prevention, domestic violence, and related resources; supporters called it common-sense education, while one opponent argued the information is already available. The committee voted the bill out on a due-pass motion to Appropriations, but it remained on call pending one additional vote. Senator Rubio’s SB 19, the Safe Schools and Places of Worship Act, would create a new offense for credible threats against schools or houses of worship even when no specific individual is named. Supporters, including law enforcement and Jewish community advocates, said current law leaves a loophole and that the bill would help prevent panic and resource-draining lockdowns; opponents from civil liberties and youth justice groups argued existing law already covers threats and that the bill would worsen the school-to-prison pipeline. After a motion and second, the committee voted due pass to Appropriations, with the measure also left on call. Later, SB 759 by Senator Archuleta, prompted by the killing of Whittier Officer Keith Boyer, would require a court hearing after a third supervision violation or new offense for people on post-release community supervision; supporters said it adds accountability, while opponents said it removes probation discretion and could increase jail and court burdens. The bill passed due pass to Appropriations and was reported as passing. The committee also heard SB 6 by Senator Ashby, which would schedule xylazine as a controlled substance while preserving veterinary use. Supporters, including veterinarians, law enforcement, and a parent who lost a son to a drug-related death, said the drug is increasingly present in fentanyl mixtures and needs to be controlled; opponents from drug policy and civil liberties groups argued scheduling would criminalize users, hinder research, and repeat failed drug-war policies. After extensive debate, the committee voted the bill out due pass to Appropriations, and it passed. Finally, SB 11, the AI Abuse Protection Act, was introduced to regulate AI-generated voice, image, and video replicas, with supporters emphasizing protection against deepfakes and nonconsensual images; the California Chamber of Commerce opposed unless amended, seeking narrower definitions and limits on consumer warnings. The hearing ended while SB 11 was still under discussion, with no final vote reflected in the transcript.

Bills: HB4274 , HB3076 , HB4358 , HB3312 , HB3288 , HB3885 , HB3147 , HB4299 , HB4265 , HB4266 , HB3011 , HB3143 , HB3144 , HB3881 , HB3519 , HB3522 , HB3530 , HB2976 , HB4459 , HB3142 , HB4316 , HB4338 , HB4230 , HB3985 , HB3883 , HB4335 , HB3416 , HB3417 , HB3418 , HB3619 , HB3624 , HB3463 , HB4423 , HB3342 , HB3645 , HB3647 , HB3887 , HB4430 , HB4431 , HB2964 , HB3834 , HB4193 , HB4272 , HB3277 , HB3148 , HB3651 , HB3323 , HB4287 , HB4105 , HB3304 , HB3345

Keywords: HB4274, Oklahoma schools, interdistrict transfer, open transfer, school enrollment, military families, active duty, National Guard, Reserve orders, military installation, residency requirements, district of choice, public school transfer, student transfer, special education, IEP, Section 504, military housing, base housing, electronic enrollment

Transcript Highlights:

• However, this is for just ensuring that if someone ...if someone goes to the pharmacy and they are prescribed
• So I'm wondering about people who have—they're not going to just go to their pharmacy when they have

Bills: HF3521 , HF1807 , HF1270 , HF2070 , HF3136

Committee: House Health Finance and Policy

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Transcript Highlights:

• And part of that can be connectability, you know, with pharmacy kiosks, harnessing artificial intelligence
• Another effort, in partnership with one of the local zones, is the creation of a quality assurance team

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:

• And part of that can be connectability, you know, with pharmacy kiosks, harnessing artificial intelligence
• The other thing that we have, which is the very bottom of this slide, in partnership with one of our local

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:

• And part of that can be connectability, you know, with pharmacy kiosks, harnessing artificial intelligence
• The other thing that we have, which is the very bottom of this slide, in partnership with one of our local

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