Transcript Highlights:

• place because of the years of service place because of the years of service and<00:11:33.839>
• And he thought to public service.
• for and services for service members for and services for service members for service<04:44:20.560
• service of our nation. service of our nation.
• Service members life a tragedy.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, April 7, 2025, 1012, house, all

Transcript Highlights:

• sound similar, truly there is no comparison to the quality of services they would receive through Fast
• local base services. local base services.
• Importantly, these services services.
• health<03:12:32.399> services Services and behavioral health services, and that are, say
• service is ridiculous. service is ridiculous.

Keywords: 1191, senate, all

Transcript Highlights:

• They do incredible service to our community. Senator Sigley, thank you.
• They do incredible service to our community, and Senator Sigley, thank you. Additional debate.
• They do incredible service to our community and Senator Sigley, thank you. Additional debate.
• The process replaces low-quality wetlands with the preservation of high-quality wetlands.
• The process replaces low-quality wetlands with the preservation of high-quality wetlands and allows the

Summary: The Appropriations Committee on Agriculture, Environment, and General Government heard and advanced a large slate of bills, beginning with SB 978, which directs DEP to report on large sewage disposal facilities, rank them for wastewater treatment upgrades, and provide progress reports; it was reported favorably without public opposition. The committee also adopted an amendment and favorably reported SB 1388, which restricts vessel safety inspections without probable cause, creates a five-year safety decal, addresses spring protection zones, and bars FWC fishing licenses for commercial vessels owned by alien powers. Members raised some questions about spring protections and boating access, and one public witness urged further review of the spring-zone language. The committee then favorably reported SB 880, designating the American flamingo as state bird and the Florida scrub jay as state songbird, after testimony supporting both birds as symbols of Florida’s identity and conservation values. Several other measures were heard and passed. SB 830, dealing with lost or abandoned migrant vessels and aligning with House language, was amended and reported favorably. SB 1326, which requires local plans to maintain hurricane evacuation clearance times and allocates building permits in Monroe County and nearby municipalities, was amended to spread allocations over at least 10 years and then passed. SB 490, expanding off-duty concealed carry eligibility to correctional officers and correctional probation officers and exempting certain public safety personnel from the waiting period for rifles and shotguns, was reported favorably after support from the Florida PBA. SB 26, an uncontested claim bill for injuries from a 2022 crash, also passed, with one member suggesting future consideration of health insurance coverage for victims in similar cases. The committee additionally approved SB 98 on securities regulation and fingerprinting requirements, SB 1212 on firefighter health and safety, SB 196 on labeling food and cosmetics that contain vaccine materials or certain chemicals, SB 1300 restricting oil and gas drilling structures in sensitive areas, SB 1612 on financial institution assessment and stock offering timelines, and SB 492 on mitigation banking and wetland conservation easements. SB 1212 drew strong support from firefighters, while SB 492 drew both support and opposition from environmental and development interests, with concerns raised about wetland function, credit release timing, and conservation easement releases. Finally, the committee unanimously recommended confirmation of 12 appointees to water management district governing boards and adjourned after members recorded individual votes on selected bills.

Transcript Highlights:

• And that goes to the cost-of-service model.
• He really has done a service to the state in understanding the market.
• That strategy, it's not just a standalone evaluation of the air quality benefits of CARB.
• Also recognize that there may be some air quality degradation benefits that are offset by that.
• We can have environmental quality. We can have labor protections and environmental standards.

Summary: The Assembly Committee on Utilities and Energy held a hearing on the impact of the Iran conflict and global oil supply disruption on California fuel markets. Committee members and administration witnesses from the California Energy Commission and the Division of Petroleum Market Oversight described California’s heavy reliance on imported crude and refined products, the state’s shrinking refining base, current inventory levels, and how global supply tightness is affecting gasoline, diesel, and jet fuel prices. CEC officials said near-term supply looked adequate for roughly the next six weeks, but warned that continued disruption would likely raise prices further and increase competition for imports. DPMO said the conflict is a real supply shock, but also emphasized a separate, longstanding problem of unusually high California retail gasoline prices, especially among major branded stations. Witnesses and members debated the causes of high prices and the state’s longer-term fuel strategy. Professor Severin Borenstein argued that much of the price gap beyond taxes and environmental costs comes from a “mystery gasoline surcharge” downstream of refineries, while also noting that California’s shrinking number of refineries creates market-power and supply-resilience concerns. Western States Petroleum Association CEO Jody Mueller argued that state policies have weakened California’s refining system and made it more vulnerable to global shocks, urging the state to protect remaining refining capacity and improve infrastructure for imports. United Steelworkers Local 675 Vice President Norman Rogers stressed the need for safe, reliable refinery operations and adequate staffing. Several members pressed witnesses on whether California should rely more on imports, how to manage inventories and port/storage capacity, and whether the state needs clearer authority and better data collection to coordinate fuel policy. Discussion also covered branded versus unbranded gasoline pricing, the role of California fuel specifications, and whether a floating gas tax or other policy tools could buffer consumers from global price spikes. No formal votes or committee actions were taken during the hearing.

Transcript Highlights:

• ,<00:13:16.079> workforce<00:13:16.480> development, quality, workforce development, quality
• And we engage quality of life.
• and nearly 17,000 participate in service and nearly 17,000 participate in service learning<00:42
• <00:49:02.240> remain uh access extension services remain uh access extension services remain
• <01:00:48.559> you extension program and the services you extension program and the services

Keywords: Call to Order and Roll Call – 0:00:00 Workforce Pell Grant Update – 0:03:30 Extension Office Update – 0:33:25 Kentucky Academic Standards for Social Studies – 1:07:08 Early Literacy Outcomes – 1:32:20 Consideration of Referred Administrative Regulations – 1:58:30 Adjournment 2:13:13, 958, all

Transcript Highlights:

• about an amalgam a single service about an amalgam a single service amalgam<00:24:28.000> being
• and other for ABA services um and other intervention<00:31:28.480> services<00:31:28.880> it
• services to your to your point, Senator. services to your to your point, Senator.
• of those quality payments, as well as the stakeholder work group and the provider quality scorecards
• cabinet for health and family services. cabinet for health and family services.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• savings on their electric bill relative to what they would be paying under Delmarva standard offer service
• High-functioning wetlands mean they may not be a unique type, but they are in good quality and are doing
• If you're a smaller wetland or if you're low quality, then what they would be determining is what level
• Also, Delaware wetlands provide about $474 million in annual water quality benefits.
• This bill makes an important distinction between exceptional value wetlands and lower quality wetlands

Bills: SB9

Keywords: wetlands protection, nontidal wetlands, Delaware, environmental sustainability, climate change, carbon sink, permitting process

Summary: The House Natural Resources and Energy Committee met and first considered SB 321 with Senate Amendment 1, the community solar utility billing bill. The sponsor explained that it would consolidate the two-bill system for community solar subscribers into one utility bill, with the utility forwarding the subscriber fee to the solar facility through an escrow mechanism so costs are not shifted to other ratepayers. Testimony from the solar industry, the Public Advocate, and environmental advocates supported the measure, emphasizing easier enrollment, fewer barriers for low-income customers, and guaranteed savings. The committee initially lacked enough members present to release the bill, but after a roll call vote it was released from committee. The committee then heard SB 9 with Senate Amendment 1, a wetlands protection bill creating a state non-tidal freshwater wetlands permitting program. The sponsor and DNREC described a framework of exemptions, general permits, and individual permits based on wetland type and value, with an advisory committee to develop regulations. Witnesses explained that “exceptional value” wetlands would include unique wetland communities and high-functioning wetlands, and that the bill was intended to preserve important habitat while allowing farming, drainage, and other exempt activities to continue. Some members raised concerns about flooding, land classification, and the balance of the advisory committee, while supporters said the bill was the product of broad stakeholder consensus and would protect wetlands without unduly harming agriculture or development. Public comment on SB 9 was strongly supportive from environmental groups, the Delaware Native Species Commission, the Home Builders Association, the Farm Bureau, The Nature Conservancy, and affordable housing advocates, who said the bill balanced conservation with practical land use concerns. After remote testimony, the committee took a roll call vote and SB 9 was released from committee. The meeting concluded with remarks thanking the chair for her service and instructions for members to sign the backers before adjournment.

Transcript Highlights:

• Let's prioritize direct services and supports to those in need versus indirect services facilitated by
• <00:48:54.960> affordable don't have access to quality affordable don't have access to quality
• health care services?
• mean health care services?
• be forced to pull back on the services be forced to pull back on the services they<01:15:08.080>

Bills: HF10, HF27

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:

• and cybersecurity services and provide those services. ...commodities and cybersecurity services, and
• And it requires rulemaking by Florida Digital Service. And as I said, one more thing.
• and cybersecurity services and provide those services. commodities and cybersecurity services, and provide
• Over $500 million for water quality improvement issues outside of the Everglades.
• Okay, let’s go to the water quality budget. Thank you. Okay, let’s go to the water quality budget.

Summary: The Appropriations Committee on Agriculture, Environment, and General Government heard and reported favorably several bills. CS/SB 800 would increase penalties for repeated unlicensed engineering practice and create an engineering student loan assistance program funded by licensure fees and fines; Senator Sharif asked about restitution for victims, and the sponsor said the bill does not create a reimbursement mechanism. CS/SB 576 would create a local government cybersecurity protection program administered by Florida Digital Service, with state purchasing support, grant access, and data-sharing requirements; local government and cybersecurity groups waived in support. CS/SB 1078 would establish transition procedures between gubernatorial administrations, including liaisons, briefing books, office space, IT access, and access to agency records under a signed confidentiality agreement. The committee also reported favorably CS/SB 314 on payment stablecoin issuers, CS/SB 530 updating lottery operations and security rules, CS/SB 1614 giving JAC/LAC-related audit findings more enforcement effect for local governments seeking state funds, SB 990 authorizing protective cell captive insurance companies, SB 1588 beginning implementation of the prior gold-and-silver legal tender law, CS/SB 1440 adding cybersecurity-related exemptions and reporting provisions for financial institutions, and CS/SB 1568 creating a stablecoin pilot program for DFS fee payments. Several bills had support testimony from state agencies and industry groups, and some included technical or guardrail amendments that were adopted without objection. The committee also received a budget overview highlighting major funding items, including more than $350 million for Florida Forever, $738 million for Everglades restoration, more than $500 million for water quality projects outside the Everglades, $60 million for Farmers Feeding Florida, and more than $250 million for citrus recovery. Members asked questions about school lunch funding, state park improvements, land acquisition, water quality funding, gaming enforcement offices, and staffing for PERC. After the bills and budget discussion, members recorded a few affirmative votes on selected tabs, and the committee adjourned.

Transcript Highlights:

• He identified that as the Public Service Commission and asked to hear from the Public Service Commission
• He said that would be the Public Service Commission, and asked to hear from the Public Service Commission
• comply with water quality requirements. comply with water quality requirements.
• get service for an extended long time. get service for an extended long time.
• that through our services. that through our services.

Keywords: 916, all

Summary: The chairman opened by explaining that the committee would hear proposed interim topics and then rank them by written submissions rather than debating them one by one. The Public Service Commission presented two topics: an educational session on small water utilities, citing maintenance needs, water-quality compliance, and difficulty accessing capital, and a review of civil penalties for pipeline safety violations because Wyoming’s statutory penalties are far below federal levels and could affect compliance and funding. Members and outside presenters then outlined a range of additional topics. Representative Campbell proposed work on fire protection districts and EMS districts, focusing on financial stability, mill levies, and possible county authority to combine districts and levies. He also raised public records at meetings, corporate filing fees, and fraudulent corporate filings. The Community College Commission proposed updating annexation statutes so communities can join community college districts more easily, especially where current mill-levy rules create funding issues. Senator Crago supported the fraudulent corporate filings topic and noted related technology-based solutions and overlap with blockchain issues. Other proposals included CPA “Pathways” licensing changes to address a shortage of accountants, a review of public meetings and public records laws, continuation of the electricity study with emphasis on grid reliability and large-load capacity constraints, and a broader review of the public meetings and records act. Ashley Harpstreith of the Wyoming Association of Municipalities supported extending municipal audit deadlines and described a statewide shortage of auditors and CPAs. Healthy Wyoming proposed studying health coverage options for low-income working adults, including state-sponsored or cooperative models. Representative Chestek proposed making most nonpartisan county offices elected on a nonpartisan basis. No votes or final selections were taken in the portion provided; the committee mainly heard testimony and discussed whether topics should be assigned to this committee or another one.

Transcript Highlights:

• portfolio, which has three different divisions: veteran services, community-based services, and veteran
• portfolio, which has three different divisions: veteran services, community-based services, and veteran
• portfolio, which has three different divisions: veteran services, community-based services, and veteran
• and have a broad uh array of uh services and have a broad uh array of uh services that<00:07:48.800
• doesn't require the level of service doesn't require the level of service that's<00:29:54.279>

Keywords: 1191, senate, all

Transcript Highlights:

• through customer service managers.
• services. efficiently.
• services efficiently.
• General Services Administration.
• Have a quality surveillance plan.

Transcript Highlights:

• This will seriously impact the quality of life and the economic vitality of California.
• I’m the Interim Division Chief for the Fiscal Service Division at CARB.
• Again, Michelle Buffington, Interim Chief of the Fiscal Services Division at CARB.
• Alan Abbs with the Bay Area Air Quality Management District. I'd like to echo my counterpart.
• I'm Ross Buckley on behalf of the South Coast Air Quality Management District.

Keywords: 988, house, all

Transcript Highlights:

• And that goes to the cost-of-service model.
• He really has done a service to the state in understanding the market.
• He really has done a service to the state in understanding the market.
• That strategy, it's not just a standalone evaluation of the air quality benefits of CARB OB.
• We can have environmental quality. We can have labor protections and environmental standards.

Keywords: 988, house, all

Transcript Highlights:

• I was looking at the human services line.
• Are folks receiving more services on more people who are coming in for services?
• And that was our service elevator.
• We don't do services for the crime lab.
• So unless it's talking about crime lab does toxicology services for us, but we do not do services for

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:

• It has nothing to do with the quality of the service or a question that the service was provided.
• The feedback has nothing to do with the quality of the service or a question that the service was provided
• We don't have the manpower to continue to do this and continue providing the quality of services.
• We don't have the manpower to continue to do this and continue providing the quality of services.
• We don't have the manpower to continue to do this and continue providing the quality of services.

Keywords: 00:00:00 Call to Order/Roll Call 00:01:19 Discussion of 25RS HB 785 00:30:25 Roll Call Vote on 25RS HB 785 00:32:15 Discussion of 25RS HB 61 00:36:42 Roll Call Vote on 25RS HB 61 00:38:07 Discussion of 25RS HB 788 00:51:01 Discussion of 25RS SB 14 01:11:09 Discussion of 25RS HB 685 01:44:57 Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and took up House Bill 785, as amended by a committee substitute that combined language from HB 785 and HB 787. The bill was described as addressing Medicaid managed care organization (MCO) audits, provider contract notice and amendment procedures, mental health parity compliance, and related transparency requirements. Supporters said the measure would tighten notice to providers, limit repeated contract amendments and rate reductions, require more standardized audit procedures, and add reporting on Medicaid claims, appeals, and grievances. It also includes a provision requiring coverage of at least two evaluation-and-management billable services per physician per recipient per date of service, and a section addressing narcotic/opioid treatment program licensing and reimbursement language. Testimony in support came from Representative Kim Moore, John Inman of BrightView Health, Michelle Sandborne of the Children’s Alliance, and Kelly Cormic of RYSE. They argued that MCOs often use audits and recoupments in ways that are burdensome, opaque, and financially damaging to providers, especially smaller and rural ones. They cited examples of multiple audit requests in short timeframes, large record requests with short deadlines, delayed or absent feedback, and recoupments taken before appeals are resolved. They also said parity laws are not being consistently enforced and that the bill would give the Department of Insurance authority to suspend or revoke an MCO certificate of authority for willful or repeated parity violations. Committee members generally expressed support for provider protections and transparency, while asking for clarification on the narcotic treatment and E/M billing provisions. Tom Stevens of the Kentucky Association of Health Plans testified in opposition, saying the bill is complex to implement and should be handled through the broader Medicaid oversight work of House Bill 9, the MOAB. He said the issues raised were better suited for that bipartisan stakeholder process and noted the committee substitute had not yet been fully reviewed by his group. After discussion, the committee adopted the committee substitute and then moved to a vote on the bill; the roll call began, with several members recorded as voting yes, but the transcript cuts off before the final vote result is shown.

Transcript Highlights:

• We don't do services for the crime lab.
• So unless it's talking about crime lab does toxicology services for us, but we do not do services for
• Does toxicology services for us, but we do not do services for the crime. Okay.
• Dementia care services program.
• Service denials and appeals process. Service denials and appeals process.

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:

• Are folks receiving more services on More people who are coming in for services?
• And that was our service elevator.
• So unless it's talking about crime lab does toxicology services for us, but we do not do services for
• Does toxicology services for us, but we do not do services for the crime. Okay.
• Dementia care services program.

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

Transcript Highlights:

• So this has been a significant improvement in the quality of the last half of K-12 as kids transition
• A high school fundamentally redesigned its services in cooperation with employers in the area and in
• delivery quality in education all over the state.
• Thank you, gentlemen, for your... service in coming and educating us.
• The Department of State Health Services is allowed to provide 30 waivers.

Keywords: 1184, house, all

Transcript Highlights:

• TODAY OUR INSURANCE CODE REQUIRES A CHILD MIGHT BE DIAGNOSED BY AGE 8 AND SERVICES ARE MANDATED TO BE
• BUT ONCE YOU MOVE HERE THOSE AMENITIES AREN'T AS HIGH ON THE LIST IN TERMS OF QUALITY OF LIFE AND THE
• I CAN TELL YOU FROM MY EXPERIENCE IF FLORIDA HAS A PROBLEM WITH THAT QUALITY OF HEALTHCARE SYSTEM AND
• YOU ARE RELATIVELY GOOD HOSPITAL AND PROVIDE QUALITY CARE. >> YES WE ARE TOP.
• IT IS THE QUALITY, AVAILABILITY, AND COST OF HEALTHCARE FOR ALL FLORIDIANS.

Keywords: 999, senate, all