Transcript Highlights:

• to this, which I would say no, that we shouldn't, as legislators, have access to this.
• So we need to have access to this.
• The OIG needs to, not us as legislators, the OIG needs to have access.
• <01:00:46.480> to shouldn't as legislators have access to shouldn't as legislators have access
• legislators the oig needs to have access legislators the oig needs to have access representative

Bills: HF1, HF2

Keywords: Office of Inspector General, inspector general, legislative audit, fraud prevention, waste and abuse, public funds, grant oversight, state grants, grant management, whistleblower protection, retaliation, subpoena power, data practices, government transparency, accountability, law enforcement referrals, sanctions, debarment, payment withholding, public assistance fraud

Transcript Highlights:

• Every Minnesotan can have access to affordable, quality, fast, and reliable internet, and trade unions
• years every Minnesotan can have access years every Minnesotan can have access to<00:04:56.400>
• Minnesota is on the verge of achieving universal broadband access.
• across the state there broadband access across the state there are<00:09:19.320> three<00:09:
• <00:10:42.320> indefinitely delaying Broadband access indefinitely delaying Broadband access

Bills: HF47, HF335

Keywords: telecommunications, installation, certification, safety, underground utilities, HF335, Greater Minnesota, economic development, public infrastructure, grant program, DEED, Department of Employment and Economic Development, business development, infrastructure grants, local government aid, general fund appropriation, rural development, site development, utilities, roads

Transcript Highlights:

• make them more accessible uh to all<00:02:46.400> um<00:02:46.800> really<00:02:47.120
• We also provide a range of other freely accessible services.
• We also provide a range of other freely accessible services.
• money that you should be able to access from the feds to this point?”
• In the event that we didn’t have access to those funds and didn’t believe we were going to have access

Keywords: 1187, senate, all

Transcript Highlights:

• ,<00:36:18.960> readiness, and um that expand access, readiness, and um that expand access
• <00:36:28.320> to students have equitable access to students have equitable access to effective
• access and opportunities division access and opportunities division division<00:37:05.839> serves
• <00:42:32.800> to every school system has access to every school system has access to coherent
• It is a statewide public access school. It is a statewide public access model.

Keywords: 1183, house

Summary: The Education Finance Committee met on March 3, 2026, approved the minutes from February 26, and then held a lengthy informational hearing on the Minnesota Department of Education’s funding and internal allocation of resources. House fiscal staff walked members through several spreadsheets showing federal, non-general fund, and general fund administrative spending, noting the data was filtered from SWIFT and was not exact. The chair said the discussion was intended to help members understand how MDE is funded and how those funds are used internally, in advance of later budget decisions and a separate upcoming hearing on the Perpich Center. Commissioner Willie Jett opened by describing MDE’s mission, statewide reach, and FY 2026 budget of about $14.1 billion, most of which flows directly to districts and charter schools for instruction, special education, transportation, nutrition, and operations. He emphasized transparency, accountability, and the department’s role in implementing laws, distributing aid, and supporting schools and students across urban, suburban, and rural communities. He also noted the department serves more than 873,000 pre-K through 12 students in 2,264 schools. Deputy Commissioner Maren Holden outlined the Office of American Indian Education, the Office of General Counsel, and the Office of Inspector General, highlighting support for American Indian students, legal and rulemaking work, special education dispute resolution, fraud prevention, and student maltreatment investigations. Assistant Commissioner Dr. McCari Traum described the Office of Equity and Engagement, including equity and inclusion training, safe and supportive schools work, public engagement, family outreach, and fraud-prevention coordination. Assistant Commissioner Darren Cordy reviewed nutrition programs, special education services, and the charter center, including free school meals, commodity food distribution, IDEA compliance, and charter school support. Assistant Commissioner Bobby Bernham then described the Office of Teaching and Learning, including early education, academic standards, instruction and assessment, state library services, expanded learning, and literacy work. He highlighted early childhood alignment efforts, standards development across core subjects, professional learning, and library grants. No votes were taken beyond approval of the prior minutes, and the meeting remained informational, with members expected to ask questions after the presentations.

Transcript Highlights:

• That access control reader that you used to gain access into this very building embodies three of my
• If SB 7 passes, I won't just lose access to a restroom.
• ” “...single ADA-accessible bathroom that's in a common space.
• They are designed to be accessible to every person.
• These spaces make restrooms more accessible and safe for all. This makes restrooms more accessible.

Bills: SB7, SB14

Keywords: gender designation, civil penalties, private civil rights, multiple-occupancy spaces, Texas Women's Privacy Act, law enforcement, confidentiality, personnel files, employee records, misconduct

Summary: The Committee on State Affairs heard testimony on Senate Bill 7, the Texas Women’s Privacy Act, with the author and committee substitute explaining that the bill would require public facilities to designate multi-use private spaces by biological sex, restrict access to women’s restrooms, locker rooms, showers, sleeping quarters, shelters, and correctional facilities, and create civil penalties and enforcement mechanisms. Members asked about how the bill would apply to family violence shelters, children in mixed-family settings, venue layout, and venue for lawsuits; the author said the bill was similar to prior legislation but with stronger penalties and the 15th Court of Appeals as the exclusive intermediate appellate court for challenges, while clarifying that trial venue should generally be local except for state agencies. The committee also heard that the bill would be amended to better address local venue concerns and shelter-related issues. Invited testimony was largely in support of the bill from witnesses who described personal experiences in women’s sports, prisons, shelters, and public facilities, arguing that single-sex spaces are necessary for privacy and safety. Supporters included parents, former incarcerated women, a Republican county chair, a legal advocate, and a prison educator, who cited incidents involving transgender-identifying individuals in locker rooms, shelters, prisons, and restrooms, and said the bill would restore sex-based boundaries and protect vulnerable women and girls. One witness from Texas Values said the bill was needed despite the recently enacted Women’s Bill of Rights, and another ADF witness said the measure would protect privacy in schools and shelters. Opponents testified that the bill would harm transgender and intersex Texans, create harassment and “gender policing,” and expose cisgender women and children to invasive enforcement. Several witnesses argued there is no evidence that transgender women pose a restroom safety threat, while others said the bill would worsen mental health, employment, and school conditions for trans people and could conflict with prison standards and federal law. Family violence advocates urged changes to protect shelter operations and clarify that children can stay with parents, while other witnesses said the bill would create barriers for victims seeking help. The hearing featured extensive public testimony on both sides, but no final vote or committee action was taken in the portion provided.

Transcript Highlights:

• As part of a concern of access to care, we had a concern about access to care, so we looked into that
• We hear we had a of access to care.
• We see that see that access to care.
• <01:03:33.599> buprenorphine fact that we are accessing buprenorphine fact that we are accessing
• But appropriate adequate access to care.

Keywords: 958, all

Summary: The subcommittee met on October 14, approved the minutes, and then took up a large group of staff-suggested amendments to multiple regulations. Those staff amendments were approved without objection and were described as technical changes needed to comply with KRS Chapter 13A and other governing law. The committee then moved out of order to consider Kentucky Board of Medical Licensure regulation 2011 KAR 9:270, which governs buprenorphine prescribing and related standards. Board representatives said the regulation has been updated over time since 2015 and that the current amendments are intended to streamline the rule, remove outdated federal references such as the X-waiver, narrow education requirements to addiction-related topics, and create exceptions for settings like emergency rooms and certain pain treatment situations. The agency amendment would also allow buprenorphine monoproduct for up to 30 days when a patient is transitioning from a full opioid agonist, and would add physicians certified in addiction medicine as eligible specialty consultants. Board officials said the regulation was developed through a two-year process with a work group, informal outreach to medical organizations, and multiple comment periods, and they argued the rule is working because overdose deaths have declined and provider numbers have increased. Several witnesses and committee members raised concerns that the regulation remains too restrictive. Senator Rocky Adams noted that major medical organizations had said the proposed language could restrict access and worsen overdose risk, and he questioned whether the committee was being asked to choose between conflicting expert views. Opponents, including a medical student, a recovery advocate, and Dr. Colleen Ryan of the Kentucky Society of Addiction Medicine, argued the rule is outdated, creates unnecessary barriers to buprenorphine treatment, and should be repealed or substantially revised to align with federal guidance and evidence-based care. They said rigid requirements can discourage treatment and that addiction should be treated like other chronic illnesses. No final vote on the medical licensure regulation is reflected in the transcript excerpt, and the discussion ended with the chair preparing to hear from additional opponents.

Transcript Highlights:

• <00:43:28.440> to including like limited access to including like limited access to language
• However, accessible tenant right notice.
• , consumers benefit from choice, access, consumers benefit from choice, access, and<00:54:34.280>
• <00:54:59.320> to<00:54:59.440> healthcare, access to healthcare, access to healthcare,
• 21, um, they're still getting access.

Bills: SB2960, SB2347, SB2272, SB3137, SB3132, SB2271, SB2804, SB2175, SB2487

Keywords: homeowners insurance, disaster recovery, replacement cost value, state of emergency, policyholder rights, insurance extensions, tenant rights, landlord obligations, housing crisis, eviction prevention, multilingual access, SB2272, Act 105, home health licensing, home health agency, home health services, Department of Health, DOH, CMS, Centers for Medicare and Medicaid Services

Summary: The committee heard several resolutions and one bill focused on energy reliability, utility infrastructure, insurance, tenant rights, and home health licensing. On the energy side, members heard HCR 203/HR 193 on a status update for the Hawaii Electric Reliability Administrator, HCR 204/HR 194 on a comprehensive PUC analysis of cost reduction and risk, and HCR 202/HR 192 creating a legislative task force on future energy pathways. Testimony on the energy measures was generally supportive from the PUC, DCCA’s Division of Consumer Advocacy, the Hawaii State Energy Office, and the Office of Hawaiian Affairs, with OHA urging that equity, native Hawaiian impacts, and public trust resources be considered alongside cost savings. The committee also heard HCR 125/HR 117 on coordinating with utilities to address aging utility poles and lines along Farrington Highway and other high-risk corridors; Hawaiian Electric supported the measure, Hawaiian Telcom and Charter Spectrum said much of the work is already underway and questioned whether the resolution was necessary, and committee questioning focused on existing double-pole tracking and the role of DOT and the PUC. The committee then took up HCR 137/HR 129 on timely reimbursement of health care claims under the clean claims statute. The DCCA Insurance Division and the Hawaii Insurers Council opposed the measure as drafted, saying it could be read to require payment beyond policy limits and could raise premiums or reduce market participation. United Policyholders supported the measure, arguing it would simply give policyholders more time to collect benefits they already purchased, and clarified that it was not intended to increase coverage beyond policy limits. The committee later amended the resolution to direct the DCCA Insurance Division to prioritize investigation and enforcement of clean claims complaints. In the decision meeting, the committee recommended and adopted passage of HCR 203/HR 193 as is, HCR 204/HR 194 with an amendment removing the eighth whereas clause, HCR 202/HR 192 with an amendment adding a committee representative to the task force, HCR 125/HR 117 as is, and HCR 137/HR 129 with amendments. The committee also heard SB 2960 SC1 on property insurance, which would extend the time policyholders have after a declared disaster to document replacement-cost claims. The Insurance Division and Hawaii Insurers Council opposed it, warning it could force coverage beyond policy limits and increase premiums, while United Policyholders supported it and said it would help disaster survivors recover benefits they already paid for; members questioned whether similar laws in other states had caused premium spikes and clarified that the bill was not intended to exceed policy limits. The committee also heard SB 2347 SD1 on multilingual tenant-rights notices, with OHA, Hawaii Appleseed, and others supporting the bill but urging restoration of language requiring landlords to directly provide the notice at lease signing. Finally, SB 2272 SD1 HD1 on home health licensing drew support from the Department of Health, SHPDA, and the Health Care Association of Hawaii, with the association requesting an effective date amendment; testimony explained that the bill would allow state licensing compliance to be demonstrated through CMS-approved accreditation or certification surveys, potentially reducing duplication and freeing state resources.

Transcript Highlights:

• Uh, creating spaces for children to access education is not radical.
• It's in access education is not radical.
• to needed medical care, children access to their schools, the displaced access to food and shelter,
• people of faith access to their place of worship, and more.
• You are allowed access for the areas of our facility that are listed on the warrant and access to the

Keywords: 1183, house

Summary: The committee took up House File 3415, a bill aimed at limiting immigration enforcement activity at child care centers. House Research explained the DE1 amendment, which defined key terms and barred child care employees from consenting to civil immigration enforcement entry without a judicial warrant, while requiring officials to identify themselves and state their purpose; the amendment also clarified that it would not block officials administering child care programs. After brief debate, members adopted the DE1 amendment. The bill author, Representative Sensor Mura, said the measure was intended to address fear and disruption in child care settings caused by recent immigration enforcement activity and to keep those spaces safe for children and families. Supporters, including a pastor, a Children’s Defense Fund representative, parents, child care workers, and an ACLU policy counsel, testified that immigration enforcement near daycares has caused fear, staff absences, lockdowns, and emotional harm to children. They argued the bill would not stop lawful enforcement but would require warrants and basic identification before entry, protecting children from witnessing raids or arrests and giving providers clear rules. Several witnesses described specific incidents involving ICE activity near Spanish immersion daycares in Minneapolis and St. Paul, including staff members being detained, parents organizing safety watches, and children showing distress. Testimony emphasized that many affected children are U.S. citizens in immigrant families and that visible enforcement can create toxic stress and separation anxiety. No final action on the bill was taken in the portion of the meeting provided beyond adoption of the DE1 amendment and continuation of testimony.

Transcript Highlights:

• He said there are massive concerns with the broad scope of data the IG would have the power to access
• <00:30:18.799> and all data requests and accesses and all data requests and accesses and provide
• here and so this is a bare access here and so this is a bare minimum<00:30:34.000> provision<
• to that so that we shouldn't have access to that so that's<00:31:41.039> you<00:31:41.159>
• That we shouldn’t, as legislators, have access to this.

Keywords: 1183, house

Transcript Highlights:

• access becomes uncertain. access becomes uncertain.
• progress by destabilizing access progress by destabilizing access to<00:16:04.800> essential<
• director of field market access director of field market access covering<00:18:11.360> the
• a critical gap in access to care. a critical gap in access to care.
• And about $750 million in managed care is the hospital access program, so that is the hospital access

Keywords: Medicaid - Room 216, 4 February, 2026; 2:00 PM, 925, all

Summary: The committee heard presentations on several Medicaid-related topics. First, a pharmacy representative discussed nonopioid pain medications as a way to reduce opioid dependence and overdose risk, emphasizing that options such as acetaminophen, NSAIDs, and topical diclofenac can be useful for pain management. She cautioned that nonopioids can still have risks and said any policy should avoid requiring patients to step through opioids before accessing safer alternatives, while still allowing reasonable step therapy among nonopioid options. The presenter said the goal is to keep patients from being pushed toward opioids by cost or insurance design. The committee also heard emotional testimony from parents of a child with Prader-Willi syndrome, who described the condition as a rare genetic disorder that causes severe, lifelong hyperphagia and requires rigid supervision and ongoing treatment. They argued that alternative funding programs can disrupt access to medically necessary drugs such as human growth hormone, forcing families into costly and uncertain coverage gaps. They asked lawmakers to ensure insurance coverage remains stable for rare disease patients and thanked Senator Blackwell for prior support of rare disease legislation. Next, a Livanova representative urged the committee to support higher Medicaid reimbursement for vagus nerve stimulator surgery for drug-resistant epilepsy. He said inadequate hospital reimbursement has reduced access in Mississippi, causing patients to travel long distances or go without treatment, and argued that better reimbursement would improve outcomes and save money over time. He cited studies showing seizure reductions, lower ER use, and a projected $2.8 million in five-year savings for Medicaid based on 40 patients, and asked that hospitals be reimbursed at 100% of Medicare rates for the procedure codes. Finally, a Medicaid official gave a broad overview of hospital payment structure, including fee-for-service, managed care, MHAP, DSH, UPL, provider taxes, and related funding mechanisms. She explained that hospital payments are interrelated and have shifted over time, with major changes tied to managed care, MHAP/UPL increases, and provider taxes. At the end of the discussion, the committee was running short on time and asked her to skip ahead to the provider tax component; no votes or formal actions were taken in the portion provided.

Transcript Highlights:

• And that door is not easily accessible.
• And those would be all secure access again.
• And those would be all secure access again.
• And those would be all secure access again.
• And I was surprised that it's still not accessible to the general public. access it then, and I was surprised

Keywords: 908, all

Transcript Highlights:

• While certified payroll data is technically public today, access is limited.
• Someone must must access is limited.
• <00:46:00.560> to that's being limited is access to that's being limited is access to personal
• access to this<01:07:22.600> information.
• . access. access.

Keywords: 1187, senate, all

Transcript Highlights:

• been previously accessible.
• Cultural resources that haven't been previously accessible.
• But it is going to be a set of things like park uses, public access, tribal access.
• Does the state look at what access folks have to parks in their communities?
• Does the state look at what access folks have to parks in their communities?

Summary: The hearing focused on the governor’s May Revision proposals for transportation, natural resources, climate, and related programs, with the Department of Finance and the LAO presenting competing views on the state’s fiscal condition. Finance said the budget remains balanced over two years, with major climate-bond, water, parks, transportation, DMV, and agriculture proposals, while the LAO argued the state still has a structural deficit and should reject or defer many new discretionary spending items, preserve reserves, and be cautious about ongoing commitments. The LAO specifically questioned the timing and scale of new spending for programs such as Clean California, Healthy Rivers and Landscapes, and the Golden Gate Fields acquisition, and urged more clarity on future obligations and revenue scenarios, including for the Greenhouse Gas Reduction Fund. A major portion of the hearing was devoted to the Healthy Rivers and Landscapes proposal for Bay-Delta water quality implementation. Secretary Wade Crowfoot and Finance described it as an enforceable, science-based alternative to a more traditional regulatory approach, with the state’s $25 million request intended to support early implementation, monitoring, habitat restoration, and environmental flows. The LAO countered that the Water Board has not yet adopted the updated Bay-Delta plan, that the proposal may be premature, and that the Legislature should wait for more information on the state’s total funding commitment and the program’s long-term costs. Several members expressed support for the program as a way to reduce conflict and protect water reliability, while others echoed concerns about timing and fiscal exposure. The committee also examined the proposed $125 million Proposition 4 contribution toward acquiring the Golden Gate Fields property for a shoreline park and habitat project. State officials said the acquisition is a time-sensitive, once-in-a-generation opportunity, with an appraised value of $175 million and additional philanthropic and local funding expected to close the gap. Members questioned whether the project had gone through the usual competitive process, whether the site is the best use of scarce park bond dollars, and how public access, habitat, and disadvantaged-community priorities would be protected. The discussion ended without a vote, and the committee moved on to transportation items including Clean California litter abatement, the Games Route Network, homeless encampment coordinators, and DMV modernization and field office proposals, with LAO recommending rejection or delay on several of those requests as well.

Transcript Highlights:

• The families you represent deserve the same access.
• fertility<00:14:23.680> care Right now, access to fertility care Right now, access to fertility
• they come from the health care access they come from the health care access fund?
• The total the health care access fund.
• <01:03:11.720> to and age that we haven't had access to and age that we haven't had access

Keywords: 919, house, all

Summary: The committee heard House File 4609, the Minnesota Building Families Act, and laid it over for possible inclusion in an omnibus bill. The bill would require insurance coverage for infertility diagnosis and treatment, including IVF-related care, and the author emphasized that it would not change Minnesota’s current surrogacy laws. She also noted the bill already contains a religious exemption and clarified that it had been referred through commerce but came to health first because of reviser delays. Supporters testified that infertility is common and financially devastating, describing personal experiences with miscarriages, cancer-related fertility loss, and large out-of-pocket costs such as second mortgages, retirement withdrawals, and fundraising. A physician testified that infertility is a disease, that delays in care can worsen outcomes, and that insurance coverage can improve health outcomes and reduce multiple births and costs. Supporters also argued that fertility coverage is already offered by some large employers and in other states without major premium increases. Opponents, including representatives of the Minnesota Catholic Conference and Minnesota Family Council, argued the bill would subsidize IVF and potentially surrogacy, which they said raises ethical concerns about embryos, commodification, and exploitation of women. They urged the committee to vote no and instead support restorative reproductive medicine or other approaches that address underlying causes of infertility. In member discussion, some legislators expressed sympathy for families affected by infertility and miscarriage but raised concerns about insurance costs, success rates, and the need for guardrails; others noted adoption as another way families are built. No vote was taken beyond laying the bill over.

Transcript Highlights:

• <00:02:23.599> website accessed on the legislaturator's website accessed on the legislaturator's
• voter registration system. to have an accessible electronic ballot to have an accessible electronic
• > submit<00:07:24.400> a accessible electronic ballot, submit a accessible electronic ballot
• :32:03.760> to<00:32:03.919> the convenient accessible services to the convenient accessible
• :36:26.720> convenient provide secure, accessible convenient provide secure, accessible convenient

Keywords: 912, senate, all

Transcript Highlights:

• I call those out because they all make up what we hope to transform as far as better access to local
• Yes, so this is where the Market Access Program dollars that we've been able to access historically have
• Again, we have safety and accessibility at the park.
• The missing how eligible uses, long-term pathways, and technical assistance for land access.
• So Prop 4 set aside $30 million for land access.

Keywords: 988, house, all

Transcript Highlights:

• My name is Stacy Lond, and I'm the director of food access at Catholic Charities of the Diocese of St
• Particularly in our rural communities, access to food is more and more of a challenge.
• And food access is one of the major parts about this.
• And food access is one of the major parts about this.
• individuals who are eligible can access individuals who are eligible can access it<00:54:24.720>

Bills: HF4210, HF4212, HF4549, HF4464, HF4546, HF4447

Keywords: senior nutrition, older adults, aging services, home-delivered meals, congregate dining, meal delivery, grocery delivery, food insecurity, nutrition support, area agencies on aging, Minnesota Board on Aging, human services, special revenue fund, nonprofit grants, SNAP outreach, medically tailored meals, rural nutrition, food access, transportation services, elderly

Transcript Highlights:

• It will help families access services and provide material support for basic needs.
• Plant medicine has the power to heal, and it should be accessible here in the United States.
• Plant medicine has the power to heal, and it should be accessible here in the United States.
• Plant medicine has the power to heal, and it should be accessible here in the United States.
• No veteran should have to leave their home to access life-saving care.

Keywords: 912, senate, all

Summary: The Health and Human Services Committee heard testimony on several measures related to child welfare, health care access, overdose response, disability services, and waste management. For SB 710 on child welfare, the Department of Human Services, the Office of Wellness and Resilience, the Attorney General’s office, and multiple advocacy groups testified in support, with the Governor’s office noting support but deferring to the Attorney General on implementation because of separation-of-powers concerns. For SB 952 on child welfare services, DHS, the Governor’s office, and child- and trauma-informed care advocates supported the bill, saying it would help families access services, provide basic material support, and reduce strain on the child welfare system. SB 954 on a home health services rate study also drew support, including from DHS, the Hawaii Healthcare Association, and a public testifier who said the study would help ensure funds reach low-income, disabled, and kupuna recipients. SB 957 on overdose prevention received support from the Department of Health and the Attorney General, who said overdose prevention centers are evidence-based but raised federal-law concerns and recommended amendments; the Hawaii Health and Harm Reduction Center and others also testified in support. The committee then moved to the 1:00 regular calendar and heard SB 850 on disability health disparity, which was supported by the Executive Office on Aging, the Hawaii State Council on Developmental Disabilities, the Hawaii Disability Rights Center, self-advocates, and others. Testimony emphasized that a disparity study could improve workforce development, training, and services for people with disabilities. SB 838 on continuous glucose monitoring drew support from health agencies and advocates, with testimony stressing that monitors can be critical for some diabetes patients. SB 829 on health care was supported by the Department of Health and health care stakeholders, who said it would help rotating physicians serve neighbor islands without local hospital privileges and align with CMS rules. SB 446 on waste management drew mixed testimony: the Department of Health and several public entities provided comments, the County of Maui opposed, and environmental advocates urged stronger aquifer protections and limits on ash reuse. During decision making, the committee adopted recommendations to pass SB 298, SB 322, SB 299, SB 450, SB 451, SB 949, SB 710, SB 957, SB 69, and SD 952 with various amendments, including technical changes, blank appropriations, and defective dates. SB 323, SB 324, SB 712, SB 950, SB 954, and SB 959 were deferred, largely because companion House measures were moving or similar Senate measures had already passed. The chair also announced recesses to find quorum and noted that some bills from the earlier Monday calendar were being deferred to avoid duplication.

Transcript Highlights:

• Some exceptions would be some of the funds that we use or have access to for homeless individuals.
• Because those are state funds you are not, you don't have access to, you have access to only what we
• And access to care, primary medical integrated behavioral health care on the street.
• Have you accessed any funding from that?
• This is about really denying access to folks and being able to get a home.

Transcript Highlights:

• So when it comes to enrolled members, historically enrolled members have access to all the areas within
• With the state allowing any charitable gaming or any access like that across North Dakota affects all
• We've seen a 266% increase in members accessing residential SUD treatment services.
• We've seen a 266% increase in members accessing residential SUD treatment services and a 56% increase
• in members accessing outpatient services in that time frame.

Summary: The committee met at Spirit Lake Tribe and heard an extended discussion with Spirit Lake tribal leaders and program directors about government-to-government relations with the state. Chairwoman Street and others outlined a number of concerns and requests, including taxation of tribal and trust lands, state school support for non-beneficiary students, homelessness services, Indian-managed health care, gaming/e-tabs, the Feather Alert system, industrial farming near waterways, tourism and cultural issues, and the need for more consistent tribal consultation. Committee members responded that many of these issues had previously been passed along without direct action, and several members emphasized the committee’s role in education, communication, and preparing possible legislation or resolutions for the next session. Tribal representatives also offered to provide training on treaties, IHS 638, and compact services to help legislators better understand tribal jurisdiction and billing issues. A major portion of the meeting focused on Spirit Lake Fish and Wildlife concerns, especially jurisdictional “gray areas” around hunting and fishing on the reservation, recognition of tribal licenses, and the boundary of the reservation around Spirit Lake/Devils Lake. Tribal officials said they wanted a co-stewardship agreement or MOU with the state to clarify jurisdiction, improve cooperation, and address invasive species and aquatic nuisance species. Committee members discussed whether to draft legislation or a resolution directing the executive branch and state agencies to negotiate such an agreement, and they asked for further input from the North Dakota Game and Fish Department at a future meeting. The committee also discussed county involvement in land status changes and trust land issues, with Spirit Lake leaders describing a past Benson County resolution that tried to block fee-to-trust transfers and saying it was later rescinded. The committee then heard from Benson County tax equalization director Randy Thompson, who explained how the county values land and handles tax-exempt, inundated, and fee-to-trust parcels. Members asked about the impact of tax-exempt lands on county services and discussed prior legislation that helped counties with large tax-exempt bases. The committee also received a presentation from Dr. Steven Smith of Sisseton Wahpeton College, who described the college’s programs, economic impact, and funding needs, including support for non-beneficiary students and workforce training. Members asked about expanding tribal college education into correctional settings, and Smith said the idea was worth exploring through the tribal college system. Finally, HHS interim medical services director Christoph Framing presented remotely on 1115 Medicaid waivers and the IMD exclusion, explaining current state funding mechanisms for inpatient and residential behavioral health services and the bill draft directing HHS to pursue a waiver for IMD payments.