Transcript Highlights:

• This is a Republican Party. This has always been the Republican Party.
• California's error rate in 2024 was above 10 percent.
• For federal fiscal years 2029 and thereafter, state shall use the error rate from the third fiscal year
• that errors and are both over issuance and under issuance can be counted towards the state's error rate
• With respect to the error rates, right, why do we need to talk about the error rates now when it's happening

Keywords: 988, house, all

Transcript Highlights:

• This allows them to review third-party companies' material and allow folks to use third-party education

Bills: SB1983, SB444, SB1503, SB1561, SB592, SB1501, SB1946, SB1567, SB1833, SB2026, SB904, SB2178, SB1651, SB1558, SB1565, SB1553, SB1257, SB65, SB1749, SB1242, SB1642, SB640, SB667, SB1436, SB1484, SB1562, SB1794, SB1644, SB1533, SB933, SB1555

Keywords: SB1983, foster care, resource family partner, resource family partners, Department of Human Services, DHS, child welfare, foster homes, foster children, placement data, data sharing, de-identified data, aggregated data, sibling groups, placement disruptions, foster parent recruitment, foster parent retention, private child-placing agency, Title 10A, Oklahoma

Transcript Highlights:

• Said House Bill passes third reading.
• Item number eight, third reading. Representative Kahaloa.
• Item number eight, third reading. Item number eight, third reading.
• <00:48:41.680> Representative three pass third reading.
• Said House Bill passes third reading. Said House Bill passes third reading.

Bills: HR203, SB2802, SB3081, SB2902, SB2005, SB3252, SB2096, SB2095, SB2046, SB2999, SB3103, SB83, SB2041, SB3234, SB3156, SB3154, SB2146, SB2053, SB2010, SB2009, SB2667, SB3215, SB2698, SB2363, SB2372, SB2673, SB2948, SB2277, SB2057, SB3085, SB3025, SB2761

Keywords: H.R. 203, House Resolution, Hawaii education, teacher of the year, educator recognition, Jessica Canyon, Natsumi Yamasato, Jodi Kadoyama, Mānana Elementary School, National Blue Ribbon School, Teach For America Hawaiʻi, public education, K-12, elementary school, STEM education, literacy, teacher appreciation, school excellence, Hawaiʻi Legislature, keiki

Transcript Highlights:

• If there was a criminal investigation or a lawsuit, or a criminal prosecution of a third party that this
• It would be fully disclosed to the parties involved.
• Third, it creates an exception for an annual drill.
• The Chair lays that on third reading and final passage.
• This error required that retroactively, so we changed that one.

Bills: SB8, SB4, SB43, SB1, SB2, SB13, SB6, SB10, SB16, SB14, SB3, SB8, SB4, SB43, SB1, SB2, SB13, SB6, SB10, SB16, SB14, SB3

Keywords: education, accountability, public school assessment, state law, transparency, intervention, performance ratings, Texas congressional redistricting, U.S. House districts, congressional map, redistricting, gerrymandering, 2020 Census, census tracts, block groups, voting districts, election law, Texas House of Representatives districts, federal congressional districts, 2026 elections

Transcript Highlights:

• Please read the bill a third time.
• Please read the bill third time.
• The bill addresses these issues by prohibiting labor pools from charging placement fees when a third-party
• Please read the bill third time.
• Please read the bill third time.

Summary: The Senate convened with a quorum, opening prayer, Pledge of Allegiance, and several introductions and recognitions, including a resolution honoring Bob Graham and a moment of silence for firefighter Roger Timmy Miley. The chamber then moved through a special-order calendar with multiple bills, many of them paired with House companions and amended before final passage. Early action included adoption of a tax conformity bill tied to federal changes in the Internal Revenue Code, with a 34-0 vote. The most extensive debate centered on CS/CS/SB 1758, a Medicaid and SNAP reform bill. The sponsor described provisions to strengthen fraud enforcement, impose work requirements for able-bodied adults, expand behavioral health services through a waiver, modernize Medicaid drug purchasing, and require a SNAP fraud-reduction plan and photo ID on EBT cards. Democrats offered amendments to delay work requirements until Medicaid expansion and to add protections for SNAP users such as caregivers, seniors, disabled individuals, and domestic violence survivors; both amendments failed. Senators also questioned implementation details, exemptions, and potential effects on vulnerable populations. After debate, the bill was placed on the calendar for third reading. The Senate also passed bills on technology education and AI instruction, a public records exemption and related Parkinson’s Disease Registry measures, designation of the SS American Victory as the state flagship, electronic payments for local governments, repeal of the sunset on legal tender recognition for gold and silver, public records protections for financial and digital-asset custodians, a Florida stablecoin pilot program, local government budget transparency, digital voyeurism, insurance customer representative licensing, and a medical freedom bill with amendments on vaccine-related materials and anti-kickback provisions. Most of these measures passed with little or no opposition, though the public records bill for gold/silver custodians and the legal tender repeal drew a few dissenting votes.

Transcript Highlights:

• Not mistake, not error. willfulness. Not mistake, not error.
• judge, the sole protector of a party." judge, the sole protector of a party."
• <01:08:08.960> raised, investigating claims no party raised, investigating claims no party
• This was not an error.
• This was not an error. plea hearing. This was not an error.

Keywords: 958, all

Transcript Highlights:

• In hearing or with the parties' agreement.
• We're fixing a scrivener's error.
• In situations of family counseling, it's assumed both parties have an equal voice.
• , and the parties are ordered to follow the recommendations of the counselor.
• Over judges making errors in judgment, I don't think this bill rectifies that.

Bills: HB40, HB1916, HB1973, HB2524, HB2530, HB3180, HB3421, HB3783, HB4170, HB4213, HB40

Keywords: business court, civil procedure, litigation, jurisdiction, arbitration, divorce, property division, family law, court jurisdiction, marital assets, parent-child relationship, birth certificate, identity proof, Family Code, court process, attorney fees, court costs, legal expenses, dispute resolution, child support

Transcript Highlights:

• INSURERS ARE CONTRACTING WITH THIRD-PARTY ENTITIES AND VENDORS. IT IS NOT OURS.
• AND IS THAT THIRD-PARTY. IT IS THIS OUTSIDE VENDOR.
• IN ESSENCE, THESE THIRD-PARTY ENTITIES WITH WHOM THE INSURERS ARE CONTRACTING, THEY ARE ACTING AT THE
• THE FIRST AND ONLY BECAUSE I WANT MORE SCHOOLS OF NURSING TO LEARN FROM OUR LESSONS THE TRIALS AND ERRORS
• WHAT WE FOUND WAS WE HAD CLINICIANS USING THIRD-PARTY AI TECHNOLOGY WITHOUT OUR AUTHORIZATION.

Transcript Highlights:

• I said a comment but also a question: you said you used a third-party outside consulting firm.
• The total reporting error encompassed 19 different sub-awards, totaling $60.8 million.
• You know, you did find some unallowable costs, some reporting errors, pretty significant reporting errors
• , like tens of millions of dollars in errors.
• And apparently they didn't even—they had errors in their reporting to the tune of $60 million.

Keywords: 1182, all

Transcript Highlights:

• Third, the triage process needs to be improved.
• Third, the triage process needs to be. another three to five months.
• Third, the triage process needs to be improved.
• Over a third have already been implemented, and over 50% will be done in FY26.
• Over a third have already been implemented and over 50% will be done in FY26.

Keywords: 1182, all

Summary: The committee conducted sunset reviews for the Arizona State Board of Pharmacy, the State Board of Nursing, the Arizona Board of Occupational Therapy Examiners, and the Arizona Regulatory Board of Physician Assistants. The Auditor General’s reports praised each board for timely licensing in some areas but identified recurring problems with complaint investigations, public safety oversight, fee analysis, records/documentation, and internal controls. For Pharmacy, the main concerns were weak enforcement of controlled substances prescription monitoring program (CSPMP) requirements and slow complaint resolution; the board said it had implemented some recommendations, was pursuing a new database vendor, and supported legislation to strengthen CSPMP enforcement. For Nursing, the audit found a large and growing backlog of complaints and repeated delays in resolving cases; the executive director said the board was under-resourced and requested 28 additional investigative positions, while nursing stakeholders supported process reforms and cited a bill to improve timelines and fairness. For Occupational Therapy, the audit focused on missing or poorly documented fingerprint clearance card checks, delayed action on a serious criminal-charge disclosure, and other compliance issues; the board said it had accepted and was implementing all recommendations, including new procedures and rulemaking. For Physician Assistants, the audit found weak oversight by the executive director, extensive delays in complaint handling, and an incentive-pay system that did not align with key performance goals; the board said it had already made structural changes, was improving tracking and IT systems, and planned to continue implementing recommendations. After discussion and testimony from board officials, public members, and nursing stakeholders, the committee voted to continue the Arizona State Board of Pharmacy for six years until July 1, 2032, the State Board of Nursing for four years until July 1, 2031, the Arizona Board of Occupational Therapy Examiners for four years until July 1, 2030, and the Arizona Regulatory Board of Physician Assistants for a continued term with statutory changes (the transcript includes the board review and related discussion, but the final motion text for the physician assistants board is not fully captured in the excerpt). The votes on the first three continuations were approved by roll call, with members generally supporting continuation while expressing concern about complaint backlogs and the need for reforms.

Transcript Highlights:

• or that option for the third vessel.
• The graph on the right only represents the locations for third-party damages expenditures that we've
• Yes, we go after and contact the insurance company, and there's a whole program on recovery of those third-party
• But we collect from third parties who damage our infrastructure. So this happens all the time.
• We collect from third parties who damage our infrastructure.

Summary: The committee received a detailed staff presentation on Washington State Ferries’ capital needs, current fleet status, and long-range funding outlook. Staff described the current service pattern, ridership recovery since the pandemic, the aging fleet, and the state’s plan to add three new hybrid-electric Olympic-class vessels under the 2025 budget, with delivery expected around 2030-2032. Members also heard that the fleet is operating with no reserve vessel, that preservation time is below the desired level, and that terminal electrification and vessel conversion plans face timing, cost, and procurement risks. Questions focused on ridership trends, biofuel supply, design-risk allocation in vessel contracts, sequencing of terminal electrification with new vessel delivery, and the cost and feasibility of restoring international Sidney service, which would require a SOLAS-certified vessel. Staff then outlined ferry capital funding, saying recent spending and programmed needs are far above regular ferry-specific revenues and that the system relies on a mix of dedicated accounts, transportation package money, federal grants, and transfers. They said the near-term budget is balanced through 2027-29, but the longer-term capital outlook shows a shortfall of roughly $250 million to $300 million per biennium, with broader unmet needs much higher. The presentation estimated costs for future vessels, life extensions, terminal electrification, and additional Jumbo Mark II conversions, and noted that the current enacted plan does not fully fund fleet replacement, full electrification, or life extension of older vessels. Members asked for follow-up information on terminal seismic/environmental issues, contract options for additional vessels, and the timing and cost of alternative vessel designs. The committee then shifted to WSDOT maintenance and preservation. Pascoe Focktich described maintenance operations, including winter response, guardrail repair, facilities, equipment, and the effects of underfunding and inflation. He said most of the maintenance budget is fixed cost and labor, that material prices have risen sharply, and that many facilities are in poor condition with asbestos issues and deferred upkeep. He also noted growing guardrail damage, increasing pavement claims, and the burden of maintaining aging bridges and facilities. Members asked about prior planning for these needs, the role of asbestos, and whether more proactive sequencing could help budget decisions. Troy Suing then presented the highway preservation program, saying WSDOT is in the early stages of critical failure and has stretched preservation dollars as far as possible. He explained the distinction between pavement, bridge, and other highway asset preservation, said the department is largely reactive, and estimated that delaying work can make it three to five times more expensive later. He said about 40% of roadways are currently due or overdue for preservation, bridge conditions are nearing the federal poor-bridge threshold, and the department’s 10-year preservation need is about $8 billion. Members asked about the cost of deferring work, whether the department could do more if funded, how priorities are set, and whether other states face similar problems. Finally, Evan Grimm and Mike Fay briefed the committee on bridge strikes by overheight vehicles. They described recent incidents on I-90 near Cle Elum and SR 410 near White River, the damage and closures caused, and possible countermeasures such as public outreach, improved trip-planning tools, and a pilot warning system with sensors and flashing beacons. Fay explained the state’s financial recovery process for third-party damage, saying WSDOT recovers roughly $20 million per biennium and about 78% to 80% of billed damages, with money going to the motor vehicle fund. Members asked about prevention, insurance recovery, and whether the state uses claim data to inform future design or safety changes.

Transcript Highlights:

• background checks for employees of senior retirement communities, requires transparency and whether third-party
• background checks for employees of senior retirement communities, requires transparency and whether third-party
• service provides. ...of senior retirement communities, requires transparency about whether third-party
• They can go to an independent, an RO, if they didn't get it, and have an appeal to a third party.
• My company's won more awards from Press Ganey, which is the most widely used third-party to measure patient

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Summary: The Senate Committee on Health and Human Services met with several members initially absent, then later established a quorum. The committee heard multiple bills, with most testimony focusing on access to care, insurance practices, senior safety, and health care worker protections. Several bills were laid out with committee substitutes, and public testimony was limited to two minutes per witness. Most bills were left pending after testimony, with no final votes taken in the portion provided. Senate Bill 2069 would create a work group to study the feasibility of a statewide acute psychiatric bed registry; the substitute shifts appointment authority to the Health and Human Services Commissioner and extends reporting and sunset dates. Senate Bill 463 would expand workplace violence protections to additional hospice, home and community support, intermediate care, and state-supported living center settings. Senate Bill 1283 would require background checks and transparency measures for senior retirement communities after testimony about the Dallas-area serial killings of elderly residents. Senate Bill 1784 would require 60 days’ written notice before medical debt is sent to collections. Senate Bill 527 would require medical insurance coverage for general anesthesia for medically necessary pediatric dental procedures for children under 13 with qualifying conditions; pediatric dentists testified that denials delay needed care. A major portion of the meeting centered on prior authorization. Senate Bill 1380 would eliminate prior authorization for a broad list of services, including emergency, primary, mental health, substance use, chemotherapy, preventive, pediatric hospice, and certain chronic-condition care. Physicians and hospice advocates supported the bill, describing delays, administrative burden, and patient harm, while health plans opposed blanket exemptions and argued prior authorization helps prevent unnecessary care and control costs. Relatedly, Senate Bill 547 would require insurers to report gold-card prior authorization exemptions to TDI and create a centralized database and annual report; TMA supported better tracking, while health plans warned of duplicative reporting and administrative cost. Senate Bill 407 would require health care facilities to honor conscience- and religion-based vaccine exemptions for employees, with testimony from a physician and vaccine-choice advocate supporting the bill. The committee also heard Senate Bill 1383, which would regulate senior living referral agencies, allow more flexible compensation structures, and add disclosure and consumer protections; an out-of-state referral company and A Place for Mom supported it. Senate Bill 1511 would allow freestanding emergency centers to provide outpatient services in addition to emergency care, with consumer protections such as estimates, limits on facility fees, and restrictions on balance billing. The chair repeatedly announced that bills were being left pending after testimony, and no final committee action or recorded votes were taken in the transcript provided.

Transcript Highlights:

• Along those lines, now we run the risk of a third-degree felony.
• party.
• As soon as you use a third party, they become a fiduciary, which includes a lot of responsibility, but
• the division indicated that they had seen a decrease in fraud since we've made the changes in the third-party
• And so, you know, there's a lot of things in this bill that mirror the way we treat third-party voter

Summary: The committee first took up CS for CS for CS for SB 462 on transportation, adopting a substitute amendment that would require counties receiving transportation surtax proceeds to report how the money is used, prohibit certain airport fees tied to collegiate flight training, create a Sarasota-Manatee Airport Authority pilot program, and fund a traffic signal modernization program with $10 million annually from the State Transportation Trust Fund. The amendment also removed several provisions from the bill, including a sales tax transfer to the trust fund, a bid protest-related contracting requirement, and repeal of the Metropolitan Planning Organization Advisory Council. A late-filed amendment was tabled, and the bill was reported favorably. The committee then heard CS for CS for SB 628, “Lucy's Law,” on boating safety, which would strengthen penalties for leaving the scene of a vessel accident and reckless vessel operation. Lucy’s parents gave emotional testimony in support, describing the fatal 2022 boating crash and urging stronger accountability. The sponsor withdrew pending amendments, and the bill was reported favorably. CS for CS for SB 700, the Florida Farm Bill, was next; the strike-all amendment covered a broad range of agriculture-related changes, including water fluoridation restrictions, labeling rules, drone restrictions over farmland, disaster recovery programs, an honest services registry, FFA-related provisions, and agricultural land preservation. Testimony included support from agricultural and gun-rights groups, opposition from banking, dental, and local-government advocates, and a lengthy public debate over fluoridation and financial discrimination. The committee adopted the amendment and reported the bill favorably. SB 796 on general permits for distributed wastewater treatment systems was reported favorably with little debate. The committee then took up CS for SB 1618 on K-12 education, adopting a delete-all amendment that combined a wide range of education provisions, including VPK flexibility, agriculture education, financial literacy, reading intervention requirements, teacher assignment reporting, restrictions on spending public funds on political or social activism, postsecondary and workforce-related changes, and other school and college system updates. Several speakers opposed the activism-related funding restriction, while the sponsor said the bill was intended to keep publicly funded schools focused on education; the bill was reported favorably. Finally, the committee considered SB 7016 on initiative petitions, adopting a strike-all amendment that would sharply tighten petition circulation rules and increase penalties. The proposal would require circulators to be Florida residents and U.S. citizens, impose training and registration requirements, shorten petition submission deadlines, require more identifying information on petition forms, limit sponsors to one amendment per election cycle, and create new enforcement and investigation triggers, including a 25% invalid-signature threshold. Sponsors argued the changes were needed to address fraud and protect the integrity of constitutional amendment petitions, while senators raised concerns about due process, public-records issues, burdens on volunteers, and the impact on voters and sponsors. The bill was not reported in the portion provided, and the discussion remained ongoing at the end of the transcript.

Transcript Highlights:

• You get a 404 error that suddenly the website page in question no longer exists.
• If they believe that, that belief is an error.
• parties such as the federal government, Commonwealth of Massachusetts, City of Boston, and non-profit
• That remark is in error, and I'm going to read from a Boston Globe article dated September 17, 2024,
• That belief is in error.

Keywords: oversight, subpoena, illegal immigrants, Massachusetts Port Authority, O'Hare Airport, legislative practices

Summary: The meeting was convened by the Senate Committee on Commerce, Science, and Transportation, where robust discussions were held regarding the need for improved oversight within the Senate. The chairman emphasized the historical decline in oversight activities and proposed motions to authorize subpoenas related to an ongoing investigation involving the Massachusetts Port Authority and allegations of illegal immigrant sheltering at airports. This prompted a detailed examination of the current practices and measures needed to address such issues effectively, particularly in light of recent reports from O'Hare Airport. The committee engaged in deliberations that highlighted the importance of maintaining legislative oversight to safeguard national interests.

Transcript Highlights:

• Purposely, it is much harder for third-party groups to register voters.
• Purposely, it is much harder for third party groups to register voters.
• Some Democrats were against. the Republican Party and Democratic Party were actually against ballot initiatives
• Please read the bill at third time.
• Please read the bill at third time.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a series of introductions recognizing interns, pages, a retiring sergeant-at-arms employee, and advocates visiting for a Prader-Willi Syndrome awareness resolution. Leaders also noted ongoing budget talks with the House and said senators should not plan to be in next week while negotiations continue. The main floor debate centered on Committee Substitute for House Bill 12.5, a citizen-initiative elections bill. Sponsors said it was intended to address petition fraud and protect the integrity of the constitutional amendment process, citing investigations, arrests, and fraudulent petition activity tied to recent initiatives. Opponents argued the bill would make it much harder and more expensive for citizens to place amendments on the ballot, chill volunteer participation, and effectively favor wealthy or corporate interests. After extensive debate, the bill passed 28-10. The Senate then moved through a series of education bills, including measures on Bright Futures, Gold Seal, Florida ABLE, dual enrollment, educator preparation, and broader education policy, all of which passed unanimously. After a recess, the chamber took up House messages and concurred in amendments to bills on stem cell therapy, student athlete ECGs, cardiac emergency response plans, and school safety. Those measures also passed with broad support, with the school safety bill drawing some questions about the Guardian program and child care facilities.

Transcript Highlights:

• A third great question.
• Or what are they doing to limit that error rate?
• Or what are they doing to limit that error rate?
• On your flow chart, there's a little error.
• And so when we look at the error rate, a lot of people perceive error rate as fraud and whatnot.

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:

• SO WHAT IS THE PUNISHMENT FOR THE THIRD DEGREE FELONY?
• YOU MENTIONED ACCIDENTS AND PEOPLE MAKING ERRORS.
• PARTY.
• AS SOON ISSUE USE A THIRD PARTY THEY BECOME A FIDUCIARY WHICH INCLUDES A LOT OF RESPONSIBILITY BUT YOU
• PARTY VOTER REGISTRATION SPACE.

Keywords: 999, senate, all

Transcript Highlights:

• A third great question.
• The payment error rate is not a measure of fraud.
• So what accounts for this wide variability in the error rate when you're looking at monthly error rate
• On your flow chart, there's a little error.
• And so when we look at the error rate, a lot of people perceive error rate as fraud and whatnot.

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:

• A third great question.
• So what accounts for this wide variability in the error rate when you're looking at monthly error rate
• Or what are they doing to limit that error rate?
• And on your flow chart, there's a little error.
• And so when we look at the error rate, a lot of people perceive error rate as fraud and whatnot.

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

Transcript Highlights:

• <00:04:40.440> each qualifying major political parties each qualifying major political parties
• coincides with the major political party coincides with the major political party deadline<00:23
• <00:23:50.200> was contributing factor in these errors was contributing factor in these errors
• <00:24:06.559> were election when ballot errors were election when ballot errors were identified
• accuracy test and testing must be error accuracy test and testing must be error free<00:26:09.520

Keywords: 1187, senate, all