Transcript Highlights:

• However, through due diligence, we all learned collectively that there is no Massachusetts standard for
• We're also establishing a peer learning network, a resource database, and having some robust community
• Exposure to lead impairs how our children develop, learn, and behave.
• Exposure to lead impairs how our children develop, learn, and behave.
• We played hockey on the bogs in the winter, and many of us learned to drive around the bogs.

Keywords: 995, all

Summary: The hearing covered a broad set of environmental and water-related bills, with much of the testimony focused on blue economy and circular economy proposals, drought management, drinking water safety, flood resilience, and water infrastructure funding. Supporters of bills such as H. 987 and H. 988 described grant programs for blue economy workforce development, research, small businesses, and public education about a circular economy. Other speakers backed measures on coastal erosion research, recreational boating dredging, cranberry water-right transfers, sand mining oversight, and a voucher program for home water filtration in PFAS-impacted communities. Several elected officials and advocates also urged passage of bills to require private well testing, improve school drinking water safety, and address sand mining pollution and PFAS contamination. Water supply and drought issues drew extensive testimony. Senator Eldridge and others supported legislation to let the state, through DEP and the drought management task force, impose regional water-use restrictions during droughts and make the task force permanent in statute. Advocates from watershed groups, farms, and environmental organizations said the current town-by-town approach is inconsistent and ineffective, and they described drought impacts on rivers, farms, private wells, and wildfire risk. A related bill on private wells was supported as a way to help homeowners test and remediate contaminated wells, especially in rural areas without public water. The committee also heard testimony on a bill to allow the Lynnfield Water District to join the MWRA, with local officials saying the move would help address PFAS and other contamination and improve supply reliability. Another major panel supported a water infrastructure funding bill, arguing that aging drinking water, wastewater, and stormwater systems need major new investment, including support for PFAS treatment, sewer rate relief, biosolids research, and regional interconnections. Members asked about costs, funding sources, and the relationship to existing revolving loan funds; witnesses said the bill would need to be paired with future bond funding and new revenue ideas. No votes were taken during the hearing, and the chairs repeatedly invited written testimony and noted the large number of speakers.

Transcript Highlights:

• are and and you know we've all learned are and and you know we've all learned from<00:08:49.440>
• We're looking at early intervention projects, and then an RFP goes out.
• We're looking at early intervention projects, and then an RFP goes out.
• A contractor was selected and under contract in early June of 2025, and as of this month demolition is
• Um, and are, you know, we're about six months in and are seeing some really early indicators of good

Keywords: Meeting Start: 00:00:03 Roll Call: 00:00:09 Agency Updates: 00:01:44 Juvenile Justice Advisory Board Update: 00:03:36 Department of Juvenile Justice Update: 00:23:10, 958, all

Summary: The Juvenile Justice Oversight Council approved the minutes from its November 8, 2024 meeting and welcomed new member Representative Nick Wilson. The council also heard an update from the Administrative Office of the Courts on a school attendance awareness campaign aimed at reducing truancy referrals to court, and a member requested a future, more detailed presentation on truancy trends. The council then received an update from the Juvenile Justice Advisory Board from Dr. David Frink and Elsie Berger. They described the board’s membership, meeting schedule, public access, annual report and three-year plan, and its role in helping Kentucky remain compliant with federal juvenile justice requirements so the state can receive Title II funding. They said the board reviews grant applications for community-based services, substance use, and early intervention programs, with about $584,000 in federal funds this year and a little over $600,000 expected next year. Members asked about participation, board vacancies, and how to engage with the board, and the presenters emphasized the importance of statewide representation and community input. The Department of Juvenile Justice then provided a broader update through Commissioner Randy White and Deputy Secretary Mona Wamik. White said DJJ is under an ongoing U.S. Department of Justice investigation focused on conditions in detention facilities, including use of force, isolation, abuse, mental health care, and special education, and said the department has cooperated with repeated information requests and site visits. He also reviewed recent legislative and administrative changes, including 2023 Senate Bill 162, regional detention planning, facility segregation requirements, staffing and salary investments, improved staffing levels, reduced mental health vacancies, and training efforts related to security threat groups. He said DJJ has made progress but continues to work on staffing, safety, and facility improvements.

Transcript Highlights:

• This is one of those bills that comes forward, and you learn something about the state that you didn't
• So I see we're starting early. I'm so excited. I haven't put my ear on. Oh, there we go.
• This is one of those bills that comes forward, and you learn something about the state that you didn't
• Moore's leadership in digital learning in the state.
• One thing I learned is leadership is not about returning what you receive.

Keywords: 1064, all

Transcript Highlights:

• learn how to help um disaster survivors. learn how to help um disaster survivors.
• But I learned a lot because those are some of the finest attorneys that I've ever worked with.
• And early on when I was a for legal aid.
• And, you know, to understand, I'm learning about the VA, right?
• And, you know, to understand, I'm learning about the VA, right?

Keywords: 958, all

Summary: The subcommittee heard presentations from the Legal Aid Network of Kentucky, including Legal Aid of the Bluegrass, Kentucky Legal Aid, AppalRed Legal Aid, and the Legal Aid Society in Louisville. The presenters explained that the four nonprofit programs provide civil legal services in all 120 counties, focusing on low-income clients and matters such as domestic violence, family law, housing, expungement, public benefits, and veterans’ issues. They emphasized that they do not handle criminal defense cases and described statewide efforts such as the kyjustice.org website and Project Renew, which helps people in recovery with legal issues that affect stability, employment, housing, and family reunification. Each organization highlighted regional service challenges and examples of casework. Legal Aid of the Bluegrass described its 33-county service area, its mobile “justice bus,” and expungement work for people in recovery. Kentucky Legal Aid focused on disaster response after the December 2021 tornadoes, including insurance disputes and contractor fraud, and said it has continued to handle repeated FEMA-declared disasters. AppalRed described serving 37 rural counties with limited attorneys, the shortage of lawyers in “rural legal deserts,” and its disaster-response work after flooding and tornadoes, including FEMA appeals clinics and volunteer attorney support. The Legal Aid Society described its Louisville-area veteran services, including Social Security and VA disability cases, veterans treatment court referrals, and homeless outreach. Committee members praised the organizations’ work and noted the importance of their services. In response to questions about funding, the presenters said their support comes from a mix of Legal Services Corporation funds, state appropriations, federal grants such as VOCA, VAWA, and HUD, United Way, and foundation funding. They stressed that many grants are restricted, while state funding is more flexible and useful for emergencies and day-to-day operations. The presenters said current funding does not fully meet demand and requested an increase in the General Assembly’s appropriation from $500,000 per year to $1 million per year, or $2 million over the biennium.

Transcript Highlights:

• It was then that we learned about due process.
• I just learned of it recently.
• I've given you a handout so that you can learn more about it.
• It is wild that we don't learn this in school.
• So we learn the wonder and beauty of the frog.

Bills: SB205, SB582, SB625, SB1884, SB1903, SB2600, SB2617, SB2751, SB111, SB3061, SB1908

Keywords: fetal development, health curriculum, public schools, middle school health education, grade 7, grade 8, State Board of Education, school health advisory council, Texas Education Code, pregnancy, reproductive health, infertility, birth defects, prenatal development, unborn child, trimester, medically accurate instruction, age-appropriate instruction, drug and alcohol effects, lead exposure

Transcript Highlights:

• want to leave early I want to<00:37:58.560> accommodate<00:37:59.119> them.
• Aloha, giving back to the community and learning these skills.
• Aloha, giving back to the community and learning these skills.
• Aloha, giving back to the community and learning these skills.
• Aloha, giving back to the community and learning these skills.

Bills: SB3263, SB3261

Keywords: student-athletes, name image likeness, NIL, compensation, transparency, University of Hawaii, Title IX, funding, protections, athlete agents, student athletes, endorsement contracts, professional representation, registration requirements, sports law, 912, senate, all

Summary: The joint Senate Committee on Education and Committee on Health and Human Services heard testimony on several bills related to student health and safety, University of Hawaii programs, and workforce development. For SB 2969, which would appropriate funds for the University of Hawaii to expand and sustain the Maui Wildfire Exposure Study and Maui Health Registry, testimony was overwhelmingly supportive. Witnesses described the ongoing physical and mental health impacts of the August 2023 Maui fires, said the study has identified serious untreated conditions and connected participants to care, and emphasized its role in serving survivors and training students. The committee also heard support from the Department of Health, the Alzheimer’s Association, the American Lung Association, Maui residents, and study staff. No vote was taken during the hearing. The committee then heard SB 2657, which would establish an Alzheimer disease and related dementia research center at the University of Hawaii John A. Burns School of Medicine. University of Hawaii and Alzheimer’s Association representatives supported the bill, saying a local center would improve coordination of existing research, build state capacity, and help Hawaii compete for future NIH designation and federal funding. A family member affected by Alzheimer’s also testified in support, citing the disease’s impact in Hawaii. In response to questions, the university said the proposal would follow a five-year phased plan, with the first year funding used to recruit a senior neuroscientist and staff person, at an estimated cost of about $375,000, and that the effort would still strengthen Hawaii’s research infrastructure even if federal funding is not secured. For SB 2612, which clarifies immunity for Department of Education employees and agents who assist students with medication administration under certain conditions, the Department of Education said the bill is intended to protect volunteers and help ensure students can participate in school activities even when staffing is limited. The committee discussed how volunteers would be selected and whether every school would have someone available, and DOE said schools currently rely on health attendants, nurses, and trained volunteers. The committee also briefly discussed liability language and gross negligence exceptions. The hearing then moved to SB 2412, which would fund a bachelor’s degree program in sign language and sign language interpretation at UH Mānoa with a future master’s pathway. Testimony from interpreters, educators, and university officials emphasized the shortage of interpreters, the need to retain local talent, and the program’s role in building a pipeline; university representatives said the initial request would fund a faculty/staff position as a first step, with additional funding needed later. No final committee action or votes were announced in the transcript.

Transcript Highlights:

• <00:55:04.960> So um or you know we're still learning.
• So um or you know we're still learning.
• <01:19:06.320> childhood a brief focused on early childhood a brief focused on early childhood
• Uh, have since the early 90s. Um, I'm with the Hanover Co-op Food Stores.
• Anybody you know who wants to learn more, have them call me up and I'll talk their ear off.

Keywords: 928, house, all

Summary: The committee first took up a Senate message on HB 179, relative to hazardous waste accident fees. Members reviewed the Senate amendment, which would cap the daily non-payment penalty at no more than $1,000 per day and limit the cumulative penalty to 25% of the cost, with no additional daily penalty if the responsible party is following an agreed payment plan. Members discussed the change from the committee’s earlier version, which had allowed penalties up to 100% of the damages, and agreed the revised language was reasonable. The committee voted to concur with the Senate amendment and indicated the bill could be placed on consent. The committee then recessed SB 302, requiring background checks for solid waste facility owners, because a late request for an additional change had not yet been fully reviewed. It next voted on SB 229, relative to the sale of uninspected bison, red deer, and elk meat. Supporters said the bill would expand retail access to these meats, support New Hampshire farms, and improve food security. Members also noted the Department of Agriculture did not object, that the bill would remove a sunset and keep more workable inspection rules in place, and that the animals involved are largely from closed herds. The committee voted unanimously to pass SB 229 and agreed to place it on consent. Finally, the committee considered SB 50, establishing a committee to study the regulation of private animal boarding facilities. Members described disturbing testimony about missing, injured, or dead dogs and the lack of clear oversight, licensing, or even a reliable list of kennels in the state. They discussed possible study topics including licensing, inspection authority, standards, penalties, and protections for both pet owners and boarding operators, including disclosure of medical conditions. The committee voted unanimously to pass SB 50 and also agreed to place it on consent. After the executive sessions, the committee heard a presentation from the New Hampshire Food Alliance on the state’s first food and agriculture strategic plan, introduced by director Nicole Cardwell, with participation from advisory committee members including Rep. Bixby and Commissioner Sean Jasper.

Transcript Highlights:

• As the undersecretary mentioned, a new dispersal facility at Moore Air Base coming online in early 2026
• And so we expect late summer, early fall to be able to have a brew. food, with the goal that originally
• And so the life cycle of the fly is relatively short, so generally. early speaking about 21 days.
• Um, are we certain that we caught them early enough that they had not already according to?
• This is early on.

Keywords: 1184, house, all

Transcript Highlights:

• They are learning tools.
• > working for early childhood working for early childhood family<00:54:29.440> education<00:54
• My translation and early childhood programming.
• learn in safe and supportive learning learn in safe and supportive learning environments<01:14:50.880
• ><01:36:34.639> of<01:36:34.880> consistent learn a small number of consistent learn a

Bills: HF3698, HF3067, HF3730

Keywords: libraries, electronic books, digital audiobooks, licensing agreements, public access, paraprofessional, paraprofessional qualifications, education support staff, teacher aide, teacher assistant, special education, Title I, federal personnel qualifications, Minnesota Department of Education, school district, charter school, cooperative unit, Read Act, reading instruction, math instruction

Transcript Highlights:

• We are now in the early session.
• The early session is adjourned. We are now in the late session.
• <01:24:51.400> The<01:24:51.600> early<01:24:52.120> session<01:24:52.680>
• The early session is The eyes have it.
• The early session is adjourned.<01:24:53.840> We<01:24:54.000> are<01:24:54.120> now

Keywords: 1191, senate, all

Transcript Highlights:

• So, like he was saying, Roger Babcock, from what I understand, and I knew back in as early as the late
• Roger Babcock, from what I understand, and I knew back in as early as the late 90s, he was doing it as
• Yeah, they are like back, like I said, the early 2000s, some the late 90s.
• So, um, you said early 2000s is when you guys had last testing?
• The reason why I'm asking is because there's a lot of things done since the early 2000s.

Keywords: 912, senate, all

Summary: The committee heard testimony on Senate Bill 1232, which would create a three-year wastewater technology testing pilot program at the University of Hawaiʻi Water Resources Research Center and coordinate testing with state and county agencies. The Department of Health, the Department of Hawaiian Home Lands, and University of Hawaiʻi representatives supported the bill, saying it would help certify new wastewater technologies, lower costs for cesspool conversions, and provide data to the Department of Health. Testifiers said the prior testing effort ended after the departure of Dr. Roger Babcock, and that the new program would use National Sanitation Foundation standards, graduate students, and local wastewater facilities such as Wahiawa. Committee members asked about the $750,000 total cost, the scope of existing research, prior test sites, and whether the program would be tied to individuals or a permanent program. One member raised concerns about the fairness and data basis for sewer conversion decisions in local communities, and the University said it would follow national standards and share results openly. The committee then took up Senate Bill 686, relating to a short-term management initiative for coconut rhinoceros beetle response and related appropriations. The Department of Agriculture and the University of Hawaiʻi testified in support, while a county representative and other advocates urged broader statewide coverage, including Kauaʻi, and asked that appropriated funds be usable on any island. Testimony emphasized the need for immediate action, outreach, tree-trimmer training, canopy treatments, K-9 inspections, container fumigation, and biocontrol research. A member summarized the bill’s funding components, including amounts for training, residential palm treatments, response teams, inspections, fumigation, and research, and noted the importance of directing money toward on-the-ground response. Committee questions focused on how much funding remained available, how the agencies would coordinate with DOA, whether the department was prepared to manage all the bill’s functions, and how infestations were being communicated to the public. Finally, the committee began hearing Senate Bill 657, which would appropriate funds for the University of Hawaiʻi School of Ocean and Earth Science and Technology’s Center for Climate Resilient Development. The Department of Land and Natural Resources testified in strong support, and the Department of Health also supported the measure, noting that it relies on the center’s data to inform decisions and recommendations on projects. The discussion on this item was brief in the portion provided, with no vote or final action shown.

Transcript Highlights:

• not middle school, since she has such a youthful appearance and in her gap year decided to come and learn
• that the House has agreed to the amendments made by the Senate to various House bills. to come and learn
• about the legislative to come and learn about the legislative process<00:01:54.960> and<00:01
• I jumped in early. consent on consent. consent on consent.
• <00:04:01.680> I<00:04:02.080> jumped<00:04:02.400> in<00:04:02.640> early

Keywords: 912, senate, all

Transcript Highlights:

• They were also asked to learn they no longer owe this debt.
• right now as the co-chair of the Children and Families Committee, and we're making an investment in early
• learning scholarships in Minnesota, which research backs me up.
• A second early. When needed, questions.
• Well, Representative Elkins, I learned something about you today that I did not know.

Bills: HF1646, HF2443

Keywords: medical debt, debt relief, healthcare financing, consumer protection, financial hardship, commerce, cannabis, insurance, housing, ombudsperson, affordability, property, task force, financial institutions

Transcript Highlights:

• As part of the application, TDLR learned that while he was incarcerated, he cut the hair of other prisoners
• classification engaged in a TDCJ prison job, such as a barber, cosmetologist, electrician, or HVAC. to learn
• And despite all of these experiences, and despite everything I've been privileged to see and learn, nothing
• for families who suffered the unbearable loss of a loved one due to repeat offenders being released early
• Anguish deserve to live without the persistent fear and anxiety that these offenders will be granted early

Bills: HB153, HB1828, HB2306, HB2498, HB3464, HB3488, HB3636, HB3673, HB3834, HB3860, HB4120, HB4937, HB1515, HB153

Keywords: education, funding, student resources, technology access, equal opportunity, veterans treatment court, mental health, criminal justice, rehabilitation, eligibility criteria, veterans, treatment court, military service, legislation, legislative leave, correctional officers, Texas Department of Criminal Justice, accumulated leave, compensatory time, parole eligibility

Transcript Highlights:

• But Chair Clor also worked on it, and I've learned more about it.
• But Chair Clor also worked on it, and I've learned more about it.
• <01:15:53.960> environment creates a robust learning environment creates a robust learning
• questions that we had on the the early questions that we had on the the early childhood<01:48:29.239
• Can I add that I actually learned of the program during the birth of my three-year-old?

Keywords: 1183, house

Transcript Highlights:

• So I got here early.
• And so I learned about our roles.
• And I've come to learn that it got mailed to Kim Gordon's law firm.
• And so when I learned about AEJG’s dashboard, that was very new to me.
• I didn't know a lot of things that I've learned recently.

Summary: The hearing resumed in the Legislative Ethics Board matter involving Tara Simmons after the board confirmed no ex parte communications had occurred overnight. Respondent’s counsel moved to dismiss two allegations at the close of the board staff’s case: that Simmons pressured the Administrative Office of the Courts to alter a contract in favor of her employer, and that she violated ethics rules by combining legislative support for AEJG with a personal donation to the organization. Board staff opposed the motion, arguing the evidence showed Simmons’s legislative and personal dealings were intertwined. After a recess for deliberation, the board denied the motion to dismiss, and the hearing moved into the defense case. The first defense witness was Sharon Navas, executive director of the Equity and Education Coalition (EEC). Navas testified that she met Simmons in 2018, later hired her, and took steps to separate Simmons’s legislative duties from her work for EEC. She said Simmons was never paid for lobbying or legislative acts, that her compensation came from unrestricted funds, and that the organization used written ethics-compliance language and a formal scope of work. Navas also described the proviso-funded dashboard project involving Anthony Powers and Chris Stanley, testifying that Simmons was not involved in the project’s day-to-day work, did not attend the meetings about the dispute, and was not part of the alleged contract disagreement. On cross-examination, staff focused on the contract documents, the dashboard work, and whether the scope of work matched the parties’ understanding. Tara Simmons then testified in her own defense. She described her background, legislative career, disability accommodations, and extensive efforts to seek ethics guidance from House counsel and board-related materials before taking outside employment or supporting provisos. She said she relied on prior ethics advice when separating her legislative role from outside work and when seeking provisos for AEJG and EEC. Simmons also addressed her relationship with Anthony Powers, describing it as a friendship rooted in criminal justice reform work and prior collaboration. The hearing was still in the middle of Simmons’s direct testimony when the transcript excerpt ended, with no final ruling on the merits or disposition of the allegations.

Transcript Highlights:

• , there's lessons learned from the first couple applications.
• Just because you are in a school doesn't mean that kids shouldn't have learning gains.
• I need to learn more about accountability here.
• How you did that today, I think everybody should watch and learn from.
• So I appreciate everybody bringing some energy to these early mornings.

Summary: The Appropriations Committee on Pre-K-12 Education met with a quorum present and took up several education bills. SB 1150, which would remove an unrelated exam barrier for school social workers to help districts retain them, was briefly explained and reported favorably. The committee then heard SB 1514 on anaphylaxis in public schools, which would require emergency action plans and training for school personnel; amendments narrowed and clarified the bill, including applicability to K-8 schools and FDA-approved epinephrine devices. Orange County Public Schools waived in support, and CS/CS/SB 1514 was reported favorably. The committee spent the most time on SB 1708, which expands Schools of Hope and creates a co-location framework allowing high-performing charter operators to share space in underused public school facilities, with the sponsor explaining that agreements would address safety, supervision, grade levels, emergency protocols, and liability. Members raised concerns about who would be served, lottery access, accountability, and whether the bill would worsen inequities or strain public schools; many public speakers opposed the bill on similar grounds, arguing it would divert resources from already underfunded schools. The sponsor clarified that Schools of Hope recruitment is exempt from lottery, that the bill would not use classrooms already in use, and that districts would receive $600 per student plus associated funding for vacant space. Despite mixed debate, CS for SB 1708 was reported favorably. Finally, the committee considered CS/SB 822, which updates charter school governance by limiting sponsor-imposed deadlines, preventing enrollment caps below facility capacity, improving data sharing, and allowing high-performing charter schools to assume existing charters. A charter school advocate supported the bill as a fairness and efficiency measure, while senators pressed him on claims of district “harassment” and the basis for the bill’s deadline changes. After brief debate, CS/SB 822 was reported favorably. The meeting ended with members recording votes on prior tabs and adjournment.

Transcript Highlights:

• , there's lessons learned from the first couple applications.
• Just because you're in a school doesn't mean that kids shouldn't have learning gains.
• I think I need to learn more about accountability here.
• How you did that today, I think everybody should watch and learn from.
• So I appreciate everybody bringing some energy to these early mornings.

Summary: The Appropriations Committee on Pre-K-12 Education met with a quorum and took up several education bills. SB 1150, by Senator Calatayud, was presented as a measure to help school districts retain school social workers by removing an exam requirement unrelated to the profession. With no questions or debate, the committee voted the bill favorably. The committee then moved to SB 1514, by Senator Smith, on anaphylaxis response in public schools. After adopting a delete-all amendment and a late-filed amendment clarifying FDA-approved epinephrine devices and weight-based dosing, the committee heard support from Orange County Public Schools and reported the bill favorably. The most extensive discussion centered on SB 1708, also by Senator Calatayud, which would expand Schools of Hope by broadening the definition of low-performing schools from those in the bottom 10% in both math and reading to those in the bottom 10% in either subject, and would authorize co-location of Schools of Hope in underused public school facilities. Senators questioned how co-location would work, who could enroll, how liability and contracts would be handled, and whether the bill would help the specific students most in need. Many public speakers opposed the bill, arguing it would strain already underfunded public schools, reduce space and resources, and unfairly favor charter operators. The sponsor said the bill would not reduce classroom space in use, would require contracts to address safety and liability, and would provide a net positive to districts through a $600-per-student facility payment plus associated funding. After debate from both supporters and skeptics, the committee reported the bill favorably. The committee also considered CS for SB 822, by Senator Rodriguez, which would give charter schools more autonomy over governance and operations, including deadlines, enrollment caps, student conduct policies, and data sharing. The Florida Charter School Alliance supported the bill, arguing it would create parity and reduce burdens on charter schools, while committee members pressed the witness on claims of district “harassment” and the basis for those concerns. The bill was reported favorably after a roll call vote. At the end of the meeting, members recorded votes on prior tabs, thanked staff, and adjourned.

Transcript Highlights:

• Yesterday we learned that they're on the way to get rid of half... of Social Security employees at a
• Childhood obesity is not a willpower problem, and the rise of early-onset Alzheimer's is not a genetic
• I think it's more than quibbling to say that you're learning from them. Your thoughts?
• when it's good for people to use these monitors and learn about what they're eating.
• So we don't learn five years after Vioxx is approved that 38,000 Americans died. from it.

Keywords: nominations, labor, health, veterans, Social Security, Elon Musk, transparency, government accountability

Summary: The meeting primarily focused on various executive nominations and their implications on labor and health affairs. Significant discussions surrounded the nomination of Mr. Sonderling as the Deputy Secretary of Labor, with members expressing concerns about workforce cuts affecting veterans and Social Security employees. There was also a debate led by a member regarding the authority and influence of private individuals, specifically citing Elon Musk's involvement in government decisions. Such discussions raised questions about transparency and accountability within governmental agencies, leading to a proposal for Mr. Musk to provide testimony before the committee.

Transcript Highlights:

• I'm the chairman of the Roll-Ed Connick Commission and here to learn something, maybe.
• But it was because we demanded it, and those deaths were a lot of those were early on because we did
• Chairman, I would like to learn more about the Recovery Center that just opened, and I think it's the
• One of the first things you learn about recovery is it's 11 times they will relapse.
• I'd like to learn more about, are there states that have, have, that the tribal, To learn more about

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.