Video & Transcript Research : 'programming'

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NM

New Mexico 2025 Regular Session

IC - Legislative Finance Nov 19th, 2025

Transcript Highlights:
  • Some people are involved in some of our programs.
  • and prevention program.
  • Now he instituted a misdemeanor diversion program.
  • We now have the assisted program for mental health.
  • We call it VPP, violence prevention program.
CA

California 2025-2026 Regular Session

Senate Labor, Public Employment and Retirement Committee Jun 24th, 2026

Labor, Public Employment and Retirement

Transcript Highlights:
  • The Deferred Retirement Option Program, known as DROP, is nearly revolutionary, not untested.
  • The program allows participating officers and firefighters to continue working one to five years.
  • I strongly oppose a DROP program. When we passed PEPRA, our bond ratings in California almost...
  • I strongly oppose a drop program.
  • When we did DROP, we looked at previous history and what DROP programs didn't work.
Keywords: 987, senate, all
AR

Arkansas 2026 1st Special Session

ALC-OCCUPATIONAL LICENSING REVIEW SUBCOMMITTEE Jun 18th, 2026

ALC-OCCUPATIONAL LICENSING REVIEW SUBCOMMITTEE

Transcript Highlights:
  • So the Division of Environmental Quality administers the asbestos abatement program.
  • Okay, so primarily what we're doing with this program is pulling the asbestos out of the program, monitoring
  • looking at really attributing real cost to the actual expenses of the program.
  • that program in the last three years, if I am correct.
  • But there is a program out there for them to do that, sir. That's a good program.
Summary: The committee first reviewed the Arkansas Division of Environmental Quality’s asbestos abatement program. DEQ explained that it licenses asbestos-related workers and businesses under federal and state law, including contractors, workers, inspectors, planners, designers, consultants, air monitors, and training providers. Members asked about the continued presence of asbestos in modern products, the status of the program’s grant fund, and why program expenses were expected to rise; DEQ said grants have not been issued in more than six years because revenues have not left a surplus, and the higher expenses reflect a reallocation of inspector salaries to the fund that supports the program. DEQ also described complaint-driven inspections, enforcement tools such as civil penalties and notices of violation, and the health risks of exposure, including asbestosis and mesothelioma. The report was accepted without objection. The committee then heard from the Arkansas Commission on Law Enforcement Standards and Training. The commission outlined its standards, compliance, decertification, basic academy, advanced training, and jail standards functions, and said it operates three basic academies in Camden, Benton-Bryant, and Springdale. Members asked about recruitment and retention, academy capacity, training hours, and costs to local agencies; the commission said attendance costs counties nothing because the state funds the academies, and that basic training is being expanded to 705 hours with a greater emphasis on practical instruction. The commission also described separate training for detention officers and school resource officers, and said law enforcement divisions in other agencies, such as the Department of Agriculture, are held to the same standards. It noted that most academy attendance requires agency hiring first, though a veterans-to-law-enforcement program allows some veterans to attend on their own and later seek employment. This report also was accepted without objection.
CA

California 2025-2026 Regular Session

Assembly Human Services Committee Jun 17th, 2025

Transcript Highlights:
  • , or SNAP, which is the largest anti-hunger program in the United States.
  • In California, the CalFresh benefit program alleviates hunger for 5.4 million people, or one in seven
  • and, accordingly, to the CalFresh program.
  • So food banks alone will not be able to fill the gap if the SNAP program is cut at the federal level.
  • I'd go to whichever food program, and I'd always take my mom.
Summary: The Assembly Committee on Human Services heard two measures after announcing that SB 792 had been pulled from the agenda. The first bill, AB 412, would require affiliated home care aides to receive training on Alzheimer’s disease and dementia care. The author and supporters, including the Alzheimer’s Association, AARP, and the Home Care Association of America, said the bill would help ensure more consistent and compassionate care for people living with dementia. A witness described difficult personal experiences finding aides who understood her husband’s needs. There was no opposition, and the committee members expressed support and personal appreciation for the issue. AB 412 was moved on a do-pass-as-amended motion to the Assembly Appropriations Committee and passed 7-0. The committee accepted the author’s committee amendments. The committee also heard SJR 3, a resolution urging Congress to avoid cuts to SNAP, known in California as CalFresh. The author and supporters from the California Association of Food Banks and End Child Poverty California argued that the program is essential to reducing hunger, supporting children and families, and sustaining the food economy, and that food banks could not replace lost benefits. Public testimony was overwhelmingly in support, with no opposition. Members from both parties spoke in favor, including one member who shared personal experience relying on SNAP. SJR 3 was adopted 7-0 and sent forward.
TX

Texas 89th Regular

Education K-16 (Part I) Mar 27th, 2025

Education K-16

Transcript Highlights:
  • It is funded through the Foundation School Program. It's an estimated appropriation.
  • So that's currently how the FAST program works.
  • The other area that we excel in is our co-enrolled programs.
  • So we have two programs in particular, the TEAMS program and the Engineering Academy program, and those
  • When they complete those programs, they just automatically become an A&M student.
Bills: SB 49
Summary: The Senate Committee on Education K-16 heard several higher education bills and took public testimony on each. Senate Bill 60 would let public junior college libraries donate outdated, duplicative, or valueless materials instead of treating them as surplus property; no public testimony was offered, and the bill was left pending. Senate Bill 49 would expand performance-tier funding incentives so community colleges are also rewarded for student transfers to private four-year universities; it also received no public testimony and was left pending. Senate Bill 365 would allow higher education institutions to choose a transcript lookback period between 5 and 10 years for adult undergraduates seeking to waive older transcripts. Senator Eckhardt and witness Daniel Arrevalo described how old academic records can block adults from returning to college; the bill was left pending after testimony. Senate Bill 895 would expand the FAST dual-credit program beyond public school students to include eligible private school and homeschool students, with support from the Texas Private Schools Association, the Texas Homeschool Coalition, and a coordinating board witness explaining the funding structure; it too was left pending. Senate Bill 1400 would clarify what counts as a transfer for performance-tier funding by allowing students with 30 or fewer prior university credit hours to still be counted as transfer students when moving from a public junior college to a general academic institution. Former Representative Leighton Schubert testified that the change would address funding losses and better reflect modern student pathways; after testimony, the bill was left pending. The committee then recessed subject to the call of the chair.
KY
Transcript Highlights:
  • , which is a community health worker program, and also the East Kentucky Family Medicine Residency Program
  • , among many other outreach programs.
  • Uh, state directed programs.
  • <00:53:19.119> integrity and abuse, that program integrity and abuse, that program integrity
  • if I didn't say the Medicaid program if I didn't say the Medicaid program turns<00:57:13.599>
Summary: The first meeting of the Medicaid Oversight Advisory Board opened with Chair Ken Fleming and Co-Chair Rocky Adams welcoming members, explaining the board’s purpose, and introducing the diverse membership of legislators, providers, advocates, and state officials. Fleming said the board would meet monthly, allow public comment at the end of meetings, and operate transparently with materials posted online and distributed in advance. Both chairs emphasized that the board’s work would focus on improving Medicaid outcomes, efficiency, and oversight, while preparing for possible federal changes and avoiding premature assumptions about what Congress may do. Members then gave brief introductions describing their backgrounds in medicine, nursing, hospital administration, behavioral health, insurance, budgeting, pharmacy, and Medicaid administration. Several noted direct experience with Medicaid populations or managed care, including the Department for Medicaid Services commissioner, health plan representatives, hospital and clinic leaders, and legislators with health care backgrounds. The board also heard from Stephanie Bates of the LRC Office of Health Data Analytics, who said her office supports the General Assembly with health-related data, policy, and research and would serve as a resource to the board. Bates then began a presentation on Medicaid basics, explaining that House Bill 695 created the board and that the presentation would cover eligibility, enrollment, covered benefits, waivers, managed care, the budget, and the federal reconciliation bill. She described Medicaid eligibility as complex, noted that Kentucky had more than 1.4 million enrollees, and explained enrollment churn and the unwinding of pandemic-era continuous coverage. She also outlined mandatory and optional Medicaid benefits, the requirement that services be medically necessary and provided by enrolled providers, and the main waiver types used in Kentucky, including 1115, 1915(b), and 1915(c) waivers. No votes or formal actions were taken at this meeting beyond organizational setup and receiving the initial informational presentation.
KY
Transcript Highlights:
  • Development Block Grant program.
  • little over $25 million for the program. little over $25 million for the program.
  • And development program by one month.
  • that program. that program.
  • to request funding from another program to request funding from another program area<00:08:21.240
Summary: The concurrent meeting began with roll calls for both the Senate Standing Committee on State and Local Government and the House Standing Committee on Local Government, establishing quorums. The committees then heard a Department for Local Government presentation on the Community Development Block Grant program, which serves smaller and more rural areas. Commissioner Matt Sawyers and Executive Director Mark Williams explained the 2026 HUD application as a public hearing, noting an estimated total of a little over $25 million, with proposed allocations for public facilities, community projects, economic development, public services/Recovery Kentucky, and housing. They also described proposed changes, including shifting some funding from economic development to housing, raising non-traditional application ceilings, extending the economic development application window, and giving the commissioner flexibility to reallocate funds if requests exceed the allotment. No legislators or members of the public asked questions, and both chambers approved the presentation and then adjourned the House portion. The Senate committee then took up Senate Bill 149 by Senator Elkins, which updates county treasurer statutes. The bill shortens the waiting period for appointing an acting treasurer from 30 days to 5 days and allows fiscal courts to appoint a temporary treasurer for up to 60 days during vacancies, illness, incapacity, or termination. Members discussed the need for continuity in county finances, and the bill received favorable expression 9-0. Next, the committee considered several housing-related bills from the housing task force. Senate Bill 224, by Senator Mills, creates vested property rights for development applications and narrows who may appeal certain local land-use decisions; the committee adopted a substitute, then approved the bill 8-1 after members raised concerns about standing language and possible impacts on local participation. Senate Bill 225 requires the housing and construction department to analyze the cost and housing-supply effects of proposed housing regulations; it passed 9-0 after a committee substitute. Senate Bill 233, by Senator Neal, removes annual financial reporting requirements for homeowners associations with 14 lots or fewer to reduce burdens on small developments; it passed 9-0. Finally, Senate Joint Resolution 75, as amended, directs the Public Service Commission to study affordability and water/wastewater utility regionalization, including possible consolidation of small districts; the amendment and the resolution both passed 9-0, with one member noting concerns about whether the matter should proceed as an administrative case rather than a study.
CA
Transcript Highlights:
  • like the Multifamily Housing Program, HAP, Homekey, and others.
  • Housing Program, HAP, Homekey, and others.
  • : the SB 375 program does not limit housing availability or decrease affordability.
  • To the extent that CARB programs are mentioned in the scoping plan, we act to align our programs with
  • The DTSC grant program is supporting more... ...program.
Summary: The Assembly Select Committee on Regulatory Authority held its first hearing to examine how California’s regulatory framework affects housing production, affordability, and timelines. Chair Pacheco and Assemblymember Haney framed the discussion around the state’s housing shortage and the need to reduce costs while maintaining environmental, safety, and community protections. The first panel featured housing experts and industry representatives who argued that state regulations, code complexity, utility constraints, and agency review processes add substantial cost and delay to development. Bill Fulton described overlapping state and local land-use authorities and the tension among housing, coastal protection, climate, and wildfire goals. CBIA’s Chris Ochoa and California Apartment Association representative Bob Raymer said building codes, energy mandates, and agency processes have materially increased per-home costs, and they urged more centralized affordability analysis and greater scrutiny of regulatory impacts. The Bay Area Council’s Louis Marante called for a statewide cost target for housing and stronger timelines and accountability for state agency reviews. The second panel brought in state agencies to explain their roles. HCD said its housing element enforcement, streamlining laws, and technical assistance have helped increase production, shorten entitlement timelines, and improve compliance by local governments. CARB said SB 375 is a planning law that does not directly regulate land use, and argued that regional housing assumptions in sustainable communities strategies are not being fully implemented on the ground. The Coastal Commission said it works with local governments to balance coastal protection, sea-level-rise risk, and housing, and noted recent guidance and pilot efforts to streamline housing approvals in the coastal zone. The Energy Commission said its building energy standards are designed to be cost-effective and save consumers money over time, though they can add some design and documentation complexity. Fish and Wildlife and DTSC both emphasized early engagement and collaboration to reduce delays while protecting natural resources and public health; DTSC said it is refining vapor intrusion guidance and using brownfield grants to support redevelopment. The State Water Resources Control Board said it uses general orders and basin planning to provide predictable permitting while balancing water quality, water rights, and housing needs, and noted billions in grants and loans for water infrastructure and site remediation that can support housing affordability. In response to questions from Assemblymember Haney, several agencies described ongoing coordination across departments, including regular meetings among HCD, CARB, the Coastal Commission, and transportation agencies, as well as broader interagency efforts to reduce redundancies and identify pinch points in project delivery. No formal votes or legislative actions were taken during the hearing; the main outcome was informational testimony and discussion of possible future reforms to improve coordination, predictability, and affordability in state regulatory processes.
TX

Texas 89th Regular

S/C on County and Regional Government Apr 14th, 2025

S/C on County & Regional Government

Transcript Highlights:
  • day fund. ...to implement its 287(g) program in Maricopa County, Arizona.
  • That's what we're asking when we're asking them to engage in a 287(g) program.
  • These programs improve public safety.
  • We need money to care for our families and invest in preventative programs and services.
  • U.S. citizens have been wrongfully detained and even deported under programs like this.
FL

Florida 2026 Regular Session

Education Pre-K - 12 Feb 4th, 2025

Education Pre-K - 12

Transcript Highlights:
  • So, but our boards drive decision-making and choice of program services.
  • More than 50% of our teachers are coming to Alternative certification program.
  • We provide a state-approved program so that those teachers can receive training and instructional programming
  • We have to stop and look at programs first. Is that program economically feasible?
  • FBLE, FFA, all those things are programs that we don't get the same funding for those programs.
Summary: The Senate Education Pre-K-12 Committee met to discuss the needs of rural school districts and the role of Florida’s three regional education consortia: the Panhandle Area Education Consortium, Northeast Florida Educational Consortium, and Heartland Educational Consortium. Executive directors and several rural superintendents described the consortia as member-led organizations that provide shared services, professional learning, leadership development, grant support, cooperative purchasing, risk management, IT/cybersecurity help, and back-office assistance that small districts could not afford to provide on their own. They emphasized that rural districts are often very small, have limited staff, and must still meet the same state reporting and compliance requirements as large urban systems. Testimony focused heavily on teacher recruitment and retention, alternative certification, and the difficulty of staffing specialized roles such as CFOs, MIS directors, IT staff, and content-area teachers. Superintendents said many new hires are career changers or alternatively certified teachers who need consortium-supported training, and several argued for more flexibility in funding so districts can raise salaries and compete with neighboring districts and nearby states. Members also asked about the impact of declining enrollment, homeschooling, and voucher-related school choice; superintendents said those trends are reducing FTE and creating budget instability, while also requiring districts to right-size staff and programs. Several speakers described the financial strain on rural districts, including rising insurance costs, transportation costs, and the challenge of forecasting budgets when enrollment changes after the school year begins. One superintendent recounted major hurricane damage and said consortium risk-management support was essential to recovery. Others said the consortia help districts pool resources for property and health insurance, payroll, student data systems, and procurement, and that this shared approach saves money and improves services. No votes or formal committee actions were taken during the meeting.
NM

New Mexico 2025 Regular Session

Senate - Finance Feb 3rd, 2025

Senate Finance

Transcript Highlights:
  • Most recently, we created the K-12 Plus program units. That was done in 2023.
  • So for the basic program, as long as.
  • For this, school districts would receive an additional $79.8 million for the basic program.
  • And then, of course, retaining and completing programs for students. Mr.
  • Create a program, but other than that, it would be relegated to the local district to create a program
ND
Transcript Highlights:
  • The Physicians Health Program is a lifesaver for people like me.
  • Section 1 defines several key elements of the program.
  • The programs must be evidence-based.
  • I am with the department, and I am the program administrator for the long-term care ombudsman program
  • program to establish equivalency. ...for a graduate of a non-accredited program to establish equivalency
Keywords: 908, all
Summary: The committee first approved the December 3 minutes, then heard a request from the Board of Clinical Laboratory Practice to amend its proposed rule on exempt test methods to add certain closed-system DNA/RNA tests, including rhinovirus. After testimony explaining that the board had considered late comments from BioMérieux and wanted the rule record to reflect that review, the committee agreed to a limited amendment and passed the motion unanimously. The Department of Agriculture then outlined broad rule updates affecting dairy, eggs, poultry, pesticides, animal health, environmental mitigation, and the Egg Product Utilization Commission. The commissioner said the changes mostly clarified existing requirements, updated references, and reduced some burdens, such as easing dairy hauler training/licensing timing and clarifying out-of-state grade A milk language. Members asked about dairy industry decline, the APUC scoring system, and the rationale for the milk-hauler and out-of-state milk provisions. The State Board of Dental Examiners presented extensive rule changes tied to recent legislation and workforce issues, including a new professional health program for dentists, expanded duties for assistants and hygienists, broader local anesthetic authority for hygienists, and fee increases to fund the program and cover administrative costs. Testimony from Dr. Edward May strongly supported the professional health program based on his own recovery experience. The committee also heard from Game and Fish on rules easing some guide/outfitter experience requirements, allowing electronic exams, and modifying boating safety equipment rules, with no public comment and no fiscal impact. Later, Health and Human Services received approval for an extension to update tattoo/body art rules and a separate motion to repeal an obsolete nurse aide training chapter. HHS also described nursing facility rule updates, lodging sanitation revisions, and related clarifications on licensing, safety, pest control, and fire requirements. The Department of Environmental Quality received an extension for septic-system installer rules, and also presented rules for above-ground storage tanks and water/wastewater operator certification, including new fees and third-party testing options. The Industrial Commission’s oil and gas division described multiple rule changes, some withdrawn after comments, including drilling unit flexibility, site stability, wildfire authority, and streamlined transport/reporting procedures. Finally, DPI began presenting several rule packages, including school construction loan limits, school bus standards, cooperative agreements, special education rules for public charter schools, and new math curriculum and intervention requirements.
TX

Texas 89th 2nd C.S.

Natural Resources Jun 23rd, 2026

Natural Resources

Transcript Highlights:
  • But the SWIFT... ...program, again, that's our flagship program for water supply development, has been
  • over $17 billion through that program.
  • So effectively, that would help our program capacity limitations in that fiscal year or program year
  • WISC is a one-time 100% grant program.
  • It's a very complex program.
Keywords: 1184, house, all
CA

California 2025-2026 Regular Session

Assembly Floor Session Jun 29th, 2026

California House Floor Meeting

Transcript Highlights:
  • reporting requirement timelines to various grant programs.
  • As a father of a son with severe disabilities, I know these programs are lifelines.
  • And they say to us, basically, if you fund this program, I will probably live longer.
  • And it funds care for seniors through the PACE program and through other nutrition programs and important
  • And it funds care for seniors through the PACE program and through other nutrition programs and important
Keywords: 988, house, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Housing Jun 21st, 2026 at 01:00 pm

Joint Committee on Housing

Transcript Highlights:
  • Because I think the program is well run, it's just a little bit tired.
  • Because I think the program is, it's well run, it's just a little bit tired.
  • One of them would be to codify a rural set-aside in that LIHTC program.
  • This really lowers our ability to reach out to those programs, even programs like Housing Works, to get
  • We also need to keep making investments in programs like Raft and HomeBASE.
Keywords: 995, all
Summary: The Joint Committee on Housing held its second introductory hearing to frame the session’s housing agenda. Chairs Cyr and Haggerty described the hearing as a chance to hear a wide range of perspectives on Massachusetts’ housing crisis, including underbuilding, zoning and permitting barriers, rising costs, and the need for both state and local action. The committee heard from court, municipal, advocacy, and regional housing leaders, with recurring themes of increasing supply, preserving existing housing, preventing displacement, and expanding resources for renters and homeowners. Chief Justice Diana Horan of the Housing Court said the court is handling more than 40,000 new filings annually with only 15 judges, and estimated the court would need about 21 judges to meet demand. She described complications from RAFT-related stays, mental health and guardianship issues, aging housing stock, and the new eviction sealing law, which she said was being implemented smoothly but may require additional resources if filings continue to rise. The Massachusetts Municipal Association and MAPC emphasized that municipalities need flexibility, funding, and better tools such as MassWorks, Housing Works, H-DIP, 40R reforms, inclusionary zoning changes, and a local option transfer fee; they also said local control concerns and long permitting timelines remain major barriers. MAPC and others stressed that supply growth alone will not solve the crisis and urged continued support for subsidized housing, access to counsel, and modular/off-site construction. Advocates and housing providers focused on displacement, preservation, and tenant protections. Homes for All Massachusetts and Mass Law Reform Institute called for rent stabilization, stronger tenant protections, foreclosure prevention, elimination of junk fees, continued funding for RAFT and HomeBASE, and expanded access to counsel. Mass Union of Public Housing Tenants said the state needs far more extremely low-income housing, more operating subsidy, and major investment to repair public housing, while also supporting tenant technical assistance during redevelopment. Franklin County’s housing authority warned that rural communities are being left out of many state programs and asked for a rural LIHTC set-aside, a permanent rural credit boost, and a review of housing choice programs. A Massachusetts Taxpayers Foundation researcher presented findings that communities that add housing generally see stronger municipal finances, and that housing growth can improve property tax and state aid outcomes. Seasonal community representatives from Cape Cod, Martha’s Vineyard, and Nantucket described extreme affordability pressures and the need for tailored tools. Nantucket’s housing trust chair said the island has made progress through local funding, inclusionary zoning, and deed-restricted units, but still needs a real estate transfer fee and faster ways to preserve year-round housing. Across the hearing, members and witnesses repeatedly returned to the need for a mix of production, preservation, tenant protections, and local flexibility, rather than relying on any single policy solution.
MN

Minnesota 2025 1st Special Session

House Veterans and Military Affairs Division 4/9/25

Veterans and Military Affairs Division

Transcript Highlights:
  • Those are the two largest programs<00:07:33.199> for programs for programs for DMA.<00:07:35.280
  • and services program, you'll see the first is reducing the homelessness prevention programs.
  • and services uh to the services programs and services uh program.<00:08:04.160> You'll<00:08:
  • You'll see the first is program.
  • that includes $60.3 million for programs that includes $60.3 million for programs and<00:10:51.200
Keywords: 1183, house
MN

Minnesota 2025 1st Special Session

House Education Policy Committee 1/21/25

Education Policy

Transcript Highlights:
  • providers and the actual and the program providers and the actual and the programs<00:42:00.520>
  • um a teacher programs themselves um a teacher preparation<00:42:02.720> program<00:42:03.119>
  • districts and preparation program districts and preparation program providers<00:43:07.400> so
  • There's kindergarten through grade 12 programming as well as transitions programming.
  • well as grade 12 programming as well as transitions<00:48:33.680> programming<00:48:34.240>
Keywords: 1183, house
Summary: The Education Policy Committee met for its first hearing of 2025 and began with member and staff introductions, along with opening remarks from Chair Peggy Bennett about her first time chairing the committee. Members briefly described their districts and backgrounds, and the chair also reviewed committee rules and procedures, including deadlines for bill requests, amendments, testifiers, and handouts. Nonpartisan House Research then provided an extensive overview of the committee’s jurisdiction and the education code. The presentation covered the Department of Education’s duties, including supervision of public schools, rulemaking under legislative authority, state and federal education funding and compliance, standards and assessments, accountability systems, student discipline, and model policies. It also discussed related entities such as PELSB, the Board of School Administrators, the Perpich Center, regional centers of excellence, Compass, MTSS, and the READ Act. The committee asked questions about zoning for school sites and about teacher licensure changes, including the tiered licensure system and recent adjustments affecting special education teachers and standards of effective practice. No bills were heard and no votes were taken. The meeting was primarily organizational and informational, focused on orienting members to the committee’s work and the structure of Minnesota’s education policy system.
AL

Alabama 2025 Regular Session

Alabama Senate State Governmental Affairs Committee Apr 2nd, 2025

State Governmental Affairs

Transcript Highlights:
  • Senators, this day program in Senators, this day program in Sinclair County is a collaborative effort
  • into the program to be able to opt into the teacher retirement program, with the day program paying the
  • The day program itself decided... correct?
  • That's all borne by the day program.
  • day program itself.
Bills: SB248, SB242, HB44, SB266, HB44
FL

Florida 2025 Regular Session

Appropriations Apr 22nd, 2025

Transcript Highlights:
  • Managed Care pilot program also known as the idd pilot program that was established in 2023.
  • By July one participation in the pilot program is completely voluntary.
  • They were they would return to a comparable waiver program.
  • The Department of Commerce, Tiffany Tilley relocation, the Amendment funds program program by redirecting
  • And I think it is a good program that we're setting up.
Keywords: 999, senate, all
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 7th, 2025 at 09:30 am

Appropriations - Human Resources Division

Transcript Highlights:
  • that we currently have value-based programs.
  • We're really lucky to have you in our Medicaid program.
  • So again, if facilities earn back everything, Incentive program.
  • We already have an existing quality program.
  • This is a new program.
Bills: SB2015
Summary: The Senate Appropriations Human Resources division met with a quorum and spent much of the meeting on a proposed “medical home” concept for people with significant disabilities and medical needs. Matt Schwartz described the need for small, community-based homes so adults like his daughter could live in a least-restrictive setting without losing housing if service providers change. Architect Jeff Eubel presented a conceptual budget for one roughly 5,000-square-foot facility for four residents, explaining that the design would likely include four large sleeping units, common space, support areas, and medical infrastructure such as emergency power, oxygen, sprinklers, and accessibility features. Committee members and George Sink, joining by phone, raised questions about layout, zoning, ownership, staffing, and whether families would actually move loved ones into such facilities if they were far from home. The department said the concept was not in the governor’s budget and identified staff who could continue discussions; the committee did not take final action and instead discussed refining the language with interested members. The committee then turned to amendments related to long-term care and behavioral health funding. One amendment would reduce a planned $4 million general fund incentive payment and instead create a withhold-based quality program for nursing facilities, to be developed collaboratively by the department and providers and reported to Legislative Management by September 2026. The department said it could live with the language but preferred the governor’s timing; several senators questioned whether the committee should be directing an operational policy change and whether the study would simply delay implementation. No vote was taken, and the amendment was set aside for later consideration. A second amendment would clarify use of an existing $2 million general fund item for behavioral health services in nursing homes and basic care facilities, directing it toward training, technical assistance, consultation, and direct patient care for residents with medically based behavioral health disorders. Members noted the funding was already in the bill and discussed it in the context of other budget items, but again deferred action. The committee also clarified that a separate $750,000 juvenile justice diversion appropriation in House Bill 1425 was distinct from a similar amount in the budget and should likely remain in that separate bill. The chair indicated a goal of having amendments ready by the end of the week, and the committee recessed without final votes on the discussed items.