Transcript Highlights:

• So if we can't recruit to nursing, then we can have contract nursing available, as everyone does at some
• Another example might be a residency program with NDSU for nurse practitioners and some of those kinds
• But it doesn't seem there is any penalty for low performance with this program or many of the programs
• Dementia care services program.
• So if an individual has made an application through one of our programs, the programs will be looking

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:

• IHSS is a very large program.
• We need to improve the programs. We need to enhance the program. Some final thoughts.
• IHSS is a vital program. It's not an optional program for those who use it.
• residual program.
• Part C programs.

Summary: The subcommittee heard an overview of the governor’s IHSS budget proposals and extensive testimony from the Department of Social Services, Department of Finance, the Legislative Analyst’s Office, county representatives, labor, consumer advocates, and advocates for older adults and people with disabilities. The administration described IHSS as a large and growing program serving more than 900,000 recipients, and outlined three proposals: shifting the cost of growth in authorized hours per case to counties, eliminating the backup provider system, and aligning IHSS terminations with Medi-Cal terminations. The LAO said the overall budget estimates appeared reasonable but raised concerns about the hours-per-case proposal, including the lack of a comprehensive root-cause analysis, the limited control counties have over statewide cost growth, and uncertainty about how the baseline and savings would work. CWDA, SEIU, and consumer advocates strongly opposed the hours cost shift, arguing that counties use state-designed tools, that demographic changes and rising need explain much of the growth, and that the proposal would pressure counties to cut services and destabilize care. The chair and members repeatedly questioned the administration about the proposed baseline, the claimed savings, and whether the measure effectively circumvents the county maintenance-of-effort agreement. On the backup provider system, the administration said the statewide program is underutilized and administratively expensive, and proposed eliminating it to save about $3.5 million. The LAO suggested the Legislature consider whether administrative costs could be reduced while preserving some version of the program. County and consumer advocates opposed the cut, saying the system is a critical safety net when regular providers are unavailable, especially in rural areas and for people with complex needs. They argued that low utilization reflects the difficulty of finding emergency backup care, not lack of need, and that many counties already rely on local backup systems or other models. Committee members also pressed for better data on requests, fulfillment, and administrative costs, and discussed whether the state could support local alternatives instead of eliminating the program. The final topic was the proposal to align IHSS terminations with Medi-Cal terminations by automating the process when recipients fail to complete Medi-Cal redeterminations. The administration said this would reduce General Fund costs by about $86 million by preventing payment of IHSS in the residual program when recipients are no longer eligible for Medi-Cal, while also automating reinstatement when Medi-Cal is restored. The LAO noted the proposal has been rejected in prior years and suggested improved notice and communication to recipients as an alternative. CWDA and advocates warned that the change could create gaps in care, especially for people who lose Medi-Cal for procedural reasons, and urged additional safeguards such as better notices, faster reprocessing, and automatic reinstatement. Members questioned how many people would be affected, how the residual program currently works, and whether providers could go unpaid during the gap; the department said the automation is already built and would be activated if the proposal is approved. No votes were taken during the discussion, and the committee moved through public comment and questioning without final action on the proposals in the excerpt provided.

Transcript Highlights:

• JP Hanna, on behalf of the California Nurses Association, in support.
• JP Hanna, on behalf of the California Nurses Association, in support.
• Hanna, on behalf of the California Nurses Association, in support.
• I am here with Outdoor Outreach, and I am a youth program coordinator assistant.
• I used to be a leadership program participant, and I am in support.

Committee: Senate Labor, Public Employment and Retirement

Keywords: 987, senate, all

Transcript Highlights:

• Are those new programs, or have you more clearly defined those programs that existed before?
• </c><00:15:54.120><c> or</c> Corrections are those new programs or Corrections are those new programs
• </c><03:46:35.319><c> is</c> nurse and that if the school nurse is nurse and that if the school nurse
• The free programs are available.
• The free programs are available.

Keywords: 928, house, all

Summary: The Finance Division 2 hearing took testimony from the director of New Hampshire Police Standards and Training on the agency’s budget request and operations. He described the agency’s role in setting hiring, education, certification, and discipline standards for police, corrections, probation and parole, and court security officers, and noted that the agency runs the full-time, part-time, corrections, and court security training programs. He also outlined the agency’s staffing, facility, and budget request for FY 2026-27, including a request to keep funding level with the governor’s recommendation while shifting funds to support an IT manager position by defunding a vacant administrative slot. The agency requested several statutory changes in Chapter 106, including clarifying the definition of police misconduct, allowing a temporary member on the Conduct Review Committee, clarifying reporting requirements for misconduct allegations, and codifying the Law Enforcement Accreditation Commission. The director also reviewed new responsibilities added in recent years, including crisis intervention training, statewide accreditation, the Conduct Review Committee, and increased annual in-service training requirements. He explained that crisis intervention funding is carried in a continuously appropriated, non-lapsing account and that some budget lines were reclassified, including software and janitorial services, to reflect actual spending needs. Members asked about national standards, the different academy tracks, crisis intervention funding, maintenance and contract changes, temporary positions, and the court security training program. The agency said it coordinates with national peers through IADLEST, that the part-time and corrections academies are longstanding programs, and that the new court security academy can be delivered either as a full academy or as in-service training depending on resources. The director also said the agency has been running extra full-time academies because of high vacancy rates, but expects to return to three full-time academies this year, with two corrections academies and one or possibly two part-time academies. He also explained the current approach to misconduct records and public disclosure, saying sustained findings under RSA 106-L are heard by the council and published, replacing the older, less standardized exculpatory list process.

Transcript Highlights:

• So if we can't recruit to nursing, then we can have contract nursing available, as everyone does at some
• Another example might be a residency program with NDSU for nurse practitioners and some of those kinds
• So if an individual has made an application through one of our programs, the programs will be looking
• Some programs have an informal conference option.
• Usually it's a high-level program administrator.

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:

• Chair: Next we have HB 783, Coordinated Access Model Pilot Program.
• They may contact the program directly or be referred for assistance.
• And that includes 60 different behavioral health programs in our community.
• And that's why it's a pilot program to test to see if we can do it.
• I've been a nurse for 43 years.

Transcript Highlights:

• And I ask because there's a lot of cooperation around the state with using rideshare programs to get
• This will also affect taxi programs, public transportation, and as another member, as another testifier
• Have you been to a nursing home? Like, have you noticed how understaffed they are?
• It's like if I'm in the nursing home and this person is my beautiful daughter in the case of my mother
• I'm also worried that this will create a presumption of illegitimacy of ballots that come from nursing

Committee: House Elections

Transcript Highlights:

• Yet this program remains chronically underfunded.
• Hanna, and I'm representing the California Nurses Association, National Nurses United, and it's more
• Nurses see the impacts of corporate profiteering on patients.
• Nurses witnessed firsthand how public support programs like food, housing, and housing assistance, Medi-Cal
• Programs that patients truly lean on to survive. Thank you.

Summary: The joint informational hearing examined California’s taxation of multinational corporations, especially the Water’s Edge election versus worldwide combined reporting. Chairs opened by framing the issue as a review of whether current rules fairly and sufficiently tax foreign subsidiary income, given profit shifting concerns, budget pressures, and the long history since Water’s Edge was adopted in the 1980s. The first panel from the Legislative Analyst’s Office and Franchise Tax Board explained the mechanics of unitary taxation, apportionment, and the Water’s Edge election, and provided filing data showing Water’s Edge filers are a small share of returns but account for a large share of corporate tax liability. FTB witnesses said the agency already administers both methods and could handle a shift to mandatory worldwide reporting with education and outreach, though revenue estimates are difficult because foreign affiliate information is not directly available. Committee members asked about foreign government pushback, administrative burden, industries with more profit shifting, revenue uncertainty, and whether companies would leave California. LAO and FTB witnesses said pushback from foreign governments was plausible, but they did not expect major business flight because California’s tax is largely based on sales rather than physical presence. They also said worldwide reporting could reduce profit shifting but might increase revenue volatility and litigation risk. A second panel of academic and tax policy witnesses argued that Water’s Edge is a loophole that rewards aggressive tax planning, that worldwide combined reporting would better capture income tied to California, and that modern federal and international rules such as NCTI/GILTI, CAMT, and Pillar Two reduce compliance concerns and make a return to worldwide reporting more feasible. They also said California’s current system can create selection effects and may under-tax large multinationals. In the next panel, a California Budget and Policy Center witness urged eliminating the Water’s Edge election, calling it a costly loophole that benefits large global corporations over smaller domestic businesses and deprives the state of billions in revenue that could support health care and other services. A Silicon Valley Leadership Group witness gave historical context for why Water’s Edge was adopted and began outlining concerns about compliance, double taxation, and the risk of overreaching beyond income truly connected to California. No bill was voted on or advanced; the hearing was informational only, with members using the testimony to weigh the policy trade-offs and possible transition periods if the Legislature were to change the current rules.

Transcript Highlights:

• certified to practice as a clinical nurse specialist or nurse practitioner.
• certified to practice as a nurse certified to practice as a clinical<00:36:29.800><c> nurse</c><00:36
• or nurse clinical nurse specialist or nurse practitioner. practitioner. practitioner.
• </c> They administer the SNAP program. They administer the SNAP program.
• ,</c> related to administering these programs, related to administering these programs, particularly<

Keywords: 1183, house

Transcript Highlights:

• Only 50 are for seniors known to the Adult Protective Services Program.
• </c><00:57:54.640><c> it's</c><00:57:55.000><c> doctors</c> it's nurses it's doctors it's nurses it's
• She's got a degree in nursing and still has quite a sharp wit."
• So, like nursing homes, they do a cost report.
• I am a women's health and psychiatric nurse practitioner.

Committee: Senate Health and Human Services

Keywords: 1191, senate, all

Transcript Highlights:

• My name is Laura LaRose, and, as the Senator said, I'm an oncology nurse practitioner.
• Maybe the doctor... nurse practitioner, but... Sorry, nurse.
• Nurse practitioner, but. Sorry, nurse. So the follow-up tests might. “Sorry, nurse.
• and patient eligibility rules for those programs at any time.
• This oversight is intended to clarify how coupon programs affect utilization.

Committee: Senate Health

Keywords: 987, senate, all

Transcript Highlights:

• So when the program changed significantly, did many banks drop out of the program? Senator Grohl.
• Did many banks drop out of the program? Senator Grohl. Thank you.
• And also, I do want to say this is a voluntary program.
• I'm concerned about this program overall, to be quite honest with you.
• It requires the department to establish a statewide mapping program.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several introductions and moments of silence, including tributes to those affected by the Florida State University shooting and recognition of Coach Amir Abdur-Rahim, John Thrasher, student advocacy groups, conservation organizations, and visiting school groups. Members also adopted Senate Resolution 1878 honoring Coach Abdur-Rahim. The chamber then moved into special order business and considered a series of bills, many of them with House companions substituted in and passed by wide margins or unanimously. Among the measures passed were bills updating child care and early learning provider regulation, imposing costs on false swatting reports, extending protections against extraordinary hospital collection actions, expanding hazardous walking conditions for schoolchildren, creating young adult housing support for foster and homeless students, clarifying school choice disclosure requirements under the Family Empowerment Scholarship Program, adjusting interest rules for trust accounts supporting legal aid, revising transportation and traffic enforcement provisions, expanding public records exemptions for certain judicial and health care investigators and appellate clerks, changing municipal water and sewer utility rates in Miami-Dade, strengthening motor vehicle offenses involving impersonation and obscured plates, increasing trespass penalties at certain law-enforcement-controlled sites and large ticketed events, requiring refunds of patient overpayments, authorizing certain stem cell therapies, allowing relatives and direct support professionals to administer insulin in group homes, addressing rideshare impersonation and transit funding rules, and updating the Uniform Commercial Code for digital assets and emerging technologies. Several bills drew notable debate. The trust fund interest bill prompted extended discussion over legal aid funding, bank participation, and whether the measure would reduce support for legal services; it ultimately passed 28-10. The transportation bill was heavily amended, including removal of speed-limit increases and changes to school bus camera enforcement and micromobility rules, and passed 37-0. The Miami-Dade water and sewer rate bill sparked debate over fairness, fiscal impact, and accusations of racism, but passed 36-2. Public records bills protecting agency investigators and JQC employees also drew questions about accountability and transparency before passing. Most other measures passed with little or no opposition, and a few bills were temporarily postponed or set aside.

Transcript Highlights:

• The pilot program costs nothing. The resources are already there. The pilot program costs nothing.
• And so the program is free. The cost is just a cost-saving program. Representative Kelly.
• And so the program is free. The cost is just a cost-saving program. Representative Kelly.
• Not every nursing home is the same.
• Not every nursing home is the same.

Committee: House Health and Mental Health

Keywords: 959, house, all

Transcript Highlights:

• A central and meaningful part of the tradition is the Kolache Royalty Program.
• She teaches in the doctoral program at Oklahoma City University.
• Please recognize Representative Kelly to present the Nurse of the Day.
• It's my privilege to introduce our Nurse of the Day, Caitlin Simack.
• Please welcome Caitlin Simack, our Nurse of the Day. Mr. Floor Leader. Thank you, Mr. Speaker.

Bills: HCR1026 , SB1130 , SB1134 , SB1131 , SB1132 , SB1133 , SB1142 , HR1049

Keywords: light pollution, bird mortality, migration, energy conservation, wildlife protection, University Hospitals Authority, funding, behavioral health, appropriation, adolescent health, emergency legislation, Oklahoma State University, Medical Authority, human performance, pharmaceutical expansion, emergency funding, juvenile justice, youth services, pandemic relief, healthcare

Summary: The House convened, called the roll, and opened with prayer, the Pledge of Allegiance, and a series of recognitions and presentations. Members honored Vice Admiral Jeff Trusler as Veteran of the Week, recognized the Prague Kolache Festival royalty and candidates, unveiled an artwork for the Capitol’s Hall of Heroes, and introduced the Doctor, Psychologist, and Nurse of the Day, along with the OSBI cold case team. The House also adopted HCR 1026, a resolution tied to Earth Day and “Lights Out Day” in Oklahoma, aimed at reducing light pollution and protecting migrating birds. A major portion of the meeting consisted of farewell remarks from Representatives Mike Osborne and Kevin West. Both reflected on their years of service, thanked family, staff, colleagues, and constituents, and emphasized themes of public service, hard work, conviction, and working across differences. Osborne’s remarks focused on freedom, immigration, service, and doing good in public life, while West stressed standing on principle, listening to others, and choosing courage over convenience. After the presentations and personal privilege speeches, the House moved into consideration of legislation. Chairman Caldwell presented the joint committee report on Senate Bill 1130, relating to the University Hospitals Authority, saying it would help ensure Oklahoma and the University of Oklahoma have one of the world’s leading pediatric cardiology units. The transcript ends as members begin considering the bill, with no final vote shown in the excerpt.

Transcript Highlights:

• these changes do not have any unintended impact on eligibility or enrollment in the various state programs
• Home care is more affordable than paying for assisted living or a room in a nursing home.
• of home care to older adults' health and well-being, including savings from delayed or prevented nursing
• We have the state's home care program, which provides care management and coordination, advocacy, and
• Under the home care program, home care agencies that contract with aging services, Home care agencies

Keywords: 995, all

Summary: The House opened with routine ceremonial business, including the Pledge of Allegiance and adoption of several resolutions, such as congratulations to the Williamsburg Grange on its 125th anniversary and to Fire Captain Melissa Blodgett on her retirement. The chamber also concurred in a Senate petition to establish a sick leave bank for a Bristol County Sheriff’s Department employee and suspended Joint Rule 12 to advance local petitions, including one involving the Dalton Fire District and another renaming a Chelmsford bridge. The main floor action centered on several Ways and Means bills. The House advanced a bill amending laws relative to individuals with disabilities, replacing outdated and offensive terminology in the General Laws with person-first language; members spoke at length in support, emphasizing dignity, inclusion, and the bill’s non-substantive nature. The bill was engrossed by a roll call vote, 152-0. The House also took up and engrossed a bill to improve Massachusetts home care, which would create a licensing and oversight framework for private-pay home care agencies, establish standards for contracts, background checks, training, insurance, and consumer protections, and create advisory committees to guide implementation. An amendment establishing a Family Caregiver Commission was adopted 154-0, and the bill itself was then engrossed 153-1. In addition, the House passed or engrossed several other measures, including a bill authorizing the Massachusetts Water Resources Authority to provide sewer services to land in Sharon, a sick leave bank bill for a Trial Court employee, a Marblehead parking fines bill, a Hingham municipal property bill for a center for active living, and a Taunton bill allowing continued employment of Police Chief Edward J. Walsh. The chamber also handled numerous calendar items, holding or passing over many while advancing a few. The session ended with a special adjournment in memory of former Representative George L. Sacco Jr., and the House adjourned to meet the next day at 11 a.m. in informal session.

Transcript Highlights:

• This program is already surging. We are This program is already surging.
• of the program.
• In a single year it was funded, the program helped 184 essential workers—nurses, elder care workers,
• nurses because the nurses have been no nurses because the nurses have been forced<04:33:37.039><c> out
• program? program?

Keywords: 1189, house, all

Transcript Highlights:

• would decide on health and safety of the programs and on quality of the programs.
• </c> of those types of programs. of those types of programs.
• </c> types of programs. types of programs.
• ><c> programs.
• Nurses set nursing standards through professional boards.

Keywords: 1183, house

Transcript Highlights:

• the same program as the sexual assault nurse examiner program.
• nurse same program as the sexual assault nurse examiner<03:26:05.359><c> program.
• ><c> our</c> assault nurse examiner program, and our assault nurse examiner program, and our antihuman
• I had never heard of the same nurse program. That's a problem. Um, so just wrap up.
• </c> never heard of the same nurse program. never heard of the same nurse program.

Committee: House Executive Departments and Administration

Keywords: 1189, house, all

Transcript Highlights:

• and P-TECH is one of those programs.
• nursing technology we have a practical nursing pathway<00:05:25.880><c> that</c><00:05:25.960><c> is
• and it so there is unique High nursing and it so there is unique High School<00:14:07.800><c> programming
• in</c><00:24:18.919><c> the</c> the the program the one program in the the the program the one program
• or part of the to be part of the program or part of the program<01:23:51.159><c> participants</c> program

Committee: Senate Education Finance

Keywords: 1187, senate, all

Transcript Highlights:

• She did an excellent job of highlighting all the revenue programs.
• They do great work evaluating the impact and efficiency of programs.
• You certainly want to go for the lowest performing programs first, and then work your way down.
• So, there's a distribution to the program fund that occurs each year.
• Sharon Clark mentioned for nursing care, nursing homes, and kind of the aging.

Committee: House Revenue Stabilization & Tax Policy Committee