Transcript Highlights:

• That's my understanding. the beginning of that model. When?
• From the beginning of the existence of the courier model. From the very beginning.
• So understanding a little bit more about their business model, I have a couple.
• We apply the New York regulatory model. to every state in which we operate.
• Well, this lottery model, this lottery courier model.

Bills: SB 28, SB 687, SJR 34, SCR 9, SB 523, SB 62, SB 847, SB 706, SB 869, SB 890, SB 992

Keywords: lottery, gambling, internet gaming, mobile application, criminal offenses, SB 687, land surveyor, land surveying, surveying services, construction contract, anti-indemnity, indemnity, hold harmless, defense obligation, standard of care, professional negligence, civil practice and remedies code, local government code, governmental agency, public contracts

Summary: The meeting was a crucial session for discussing several important bills including SB992, which aims to establish a clear time frame for the Attorney General's approval on outside legal counsel for state agencies. Senator Nichols presented the bill, emphasizing its necessity for timely responses to ensure efficient legal processing. Another notable discussion centered around SB523, which seeks to allow parole and probation officers to use a business address on their driver's licenses for safety and security purposes. This bill passed favorably out of the committee, with public testimony supporting the need for such provisions due to the risks these officers face.

Transcript Highlights:

• So the top of that graph, I think, is very instructive about the model that New Hampshire has chosen,
• When we get to the bottom of the list, there are doctors and providers who have business models that
• So the top of that graph, I think, is very instructive about the model that New Hampshire has chosen,
• When we get to the bottom of the list, there are doctors and providers who have business models that
• So the top of that graph, I think, is very instructive about the model that New Hampshire has chosen,

Keywords: 928, house, all

Summary: The Health and Human Services Oversight Committee met on February 2 and first approved the draft minutes from the prior meeting, with minor corrections to the meeting date and attendance notation. DHHS Associate Commissioner Patricia Tilly then gave a department update, describing the current uncertainty around federal priorities and funding, and provided two substantive reports: progress on the new Hampstead Youth Development Center and an update on the department’s review of an ALS registry proposal. She said the YDC project is underway with tree clearing, fencing, stormwater and site-prep work, and remains on track for completion by June 30, 2026 and operation by August 30, 2026. The center currently has 12 youth, and the new design is intended to provide flexibility for fluctuating census levels. On ALS, Tilly explained that HB 576 had prompted the department to examine whether a registry could be built, but the estimated cost of a HIPAA-compliant system was about $750,000. She said DHHS is reviewing whether existing data sources, such as hospital discharge data and CHIS claims data, could provide useful information, but noted both are incomplete for registry purposes. Committee members discussed whether the Rare Disease Advisory Council, Dartmouth, or existing cancer registry infrastructure could help reduce costs. DHHS said it is neutral and willing to continue exploring alternatives, while members emphasized the value of a registry and the need to consider shared infrastructure and funding. The committee also heard from Jenny Horan of the Alzheimer’s Association, who presented the subcommittee’s report on Alzheimer’s disease and related dementias. She said the subcommittee spent the past year gathering information on dementia care, abuse and exploitation issues, caregiver strain, and available services, and is now moving into a second phase focused on identifying gaps and developing a state plan. Members asked about geriatric psychiatric capacity and long-term care availability; Horan said the state has limited capacity and that the plan will help clarify where needs are greatest. She offered to return for follow-up questions at a later meeting. Finally, Olivia May of DHHS presented the quarterly report on the 12-month postpartum Medicaid coverage extension. She said New Hampshire implemented the extension after federal and state action, and the first claims data are still emerging because of reporting lags. In the initial cohort studied, 95% received some medical services during the extended period, 52.4% received mental health or substance use disorder treatment, 26.7% received preventive visits, and 3.2% received heart or hypertension services. Members asked about return on investment and whether higher federal matching rates are being used appropriately; DHHS said it claims the highest possible match based on eligibility group and will return with more data over time. The committee then heard the annual therapeutic cannabis program report from Michael Holt, who said the program had 1,475 registered patients as of June 30, 2024 and that growth has slowed, with New Hampshire having the lowest per-capita medical cannabis enrollment nationally.

Transcript Highlights:

• the testimony we referred to the model the testimony we referred to the model being<00:54:41.960
• We are building models, and I have two sons in the classroom, but only...
• We are building models, and I have two sons in the classroom, but only one of them worked.
• HB 754, DOE and Community Schools models.
• Community Schools models members that Community Schools models members that like<01:31:46.360> to<

Keywords: 910, house, all

Summary: The House Committee on Education met on February 6 at 2:00 p.m. and heard testimony on a series of education-related bills. HB 1200, which would codify teacher ratios in statute, drew support from the Department of Education, the Democratic Party of the Education Caucus, and 11 individuals; no opposition was noted and the committee moved on without questions. HB 1344, concerning mandatory FAFSA completion, received testimony from the Department of Education, Hawaii P20, and a University of Hawaiʻi student who cited unclaimed Pell Grant funds and low FAFSA completion rates as reasons to support the bill. Committee members asked about current outreach efforts, and DOE and P20 described FAFSA tracking data, hotlines, email support, school-based FAFSA nights, and coordination with counselors; members also raised concerns about federal education funding and Pell Grants. The committee then heard HB 1499, which would authorize staff and volunteers to administer certain medications. The Department of Education, Department of Health, University of Hawaiʻi nursing leadership, and the Hawaii State Center for Nursing all testified in support, along with several individuals and the Democratic Party Environmental Caucus. The next measure, HB 902 on the Public Safety Power Shutoff program, was supported by DOE, the Public Utilities Commission, and Hawaiian Electric, but it prompted extensive questioning from the Vice Chair about whether taxpayers should fund a study to help schools remain open during shutoffs. Hawaiian Electric said the bill would help DOE assess impacts in wildfire-risk areas and noted its wildfire safety strategy, outreach efforts, and potential community resource centers, while the Vice Chair argued the utility should bear more of the cost. The committee also heard HB 961, a bill on school libraries and a CASS pilot program, with DOE offering comments and HSTA and the Hawaii Library Association strongly supporting it. HSTA argued certified librarians are important for literacy, research, and digital literacy, and said many schools lack them because of cost; the association and 14 individuals testified in support. HB 962, a related bill on DOE libraries and the system, also drew support from DOE, HSTA, and the Hawaii Library Association, with 15 individuals in support. Finally, HB 730, concerning the Civil Rights Compliance Branch, received support from DOE, White Children’s Action Network, AAW of Hawaiʻi, and many individuals. Testifiers said the branch needs more resources and training and handles more than Title IX, including Title VI, Title VII, and ADA matters. A student plaintiff in a Title IX lawsuit described unequal treatment in athletics and facilities, and another supporter said the bill would help ensure compliance with federal civil rights laws. No votes were taken during the portion of the meeting provided.

Transcript Highlights:

• <00:29:47.360> for what in many ways is a model for what in many ways is a model for workers
• Ironically, um, I've had two incredible role models in my life.
• Ironically, um, I've had two incredible role models in my life.
• Ironically, um, I've had two incredible role models in my life.
• Ironically, um, I've had two incredible role models in my life.

Keywords: 958, all

Transcript Highlights:

• <01:19:17.440> allows unique earn and learn model allows unique earn and learn model allows
• in designing child savings account models and make recommendations to build a statewide model.
• Representative Caun responded that between last session and this session, they shifted to a 529 model
• > savings<01:43:55.719> accounts<01:43:56.080> model<01:43:56.760> and um
• children's savings accounts model and um children's savings accounts model and that<01:43:57.080>

Keywords: 1183, house

Transcript Highlights:

• There is the task force model, the jail enforcement model, the warrant service officer model, and, just
• recently, I stated that they would be adding a tribal model for 287(g).
• Does that sound correct on that model?
• Madam Chair, Representative, the warrant service officer model that Curry County has does not depend
• Madam Chair, Representative, the Curry County 287(g) agreement, which is modeled off of the template

Bills: SB100

Keywords: burglary, aggravated burglary, dwelling, criminal law, property rights, 996, all

Transcript Highlights:

• <00:39:55.839> However, model of SAU consolidation. However, model of SAU consolidation.
• , And then further with the county model, And then further with the county model, we<00:55:51.119
• >> in the present model. >> in the present model.
• . county model is um things like uh county model is um things like uh sharing<01:39:42.800> office
• see with a county model. see with a county model.

Keywords: 928, house, all

Summary: The meeting focused on reviewing and amending draft minutes and then discussing a draft report on SAU consolidation and school administration efficiency. Members first corrected a disputed statement in the minutes about who starts charter schools, and agreed to mark it as disputed. They also noted a donation figure mentioned in the meeting but not reflected in the notes, and then approved the minutes as amended. The committee then reviewed supporting materials, including a Census Bureau education spending table and a 1993 report on eliminating SAUs. The chair argued New Hampshire ranks very high in administrative spending and used that as evidence for reducing administrative costs. Other members pushed back, noting that education costs are largely borne locally and that the committee should stay focused on its charge. Several members also objected to characterizations of SAU boards and to relying heavily on an old report or on the School District Governance Association’s proposal. The draft report itself drew repeated edits. Members objected to language suggesting the testimony from associations was simply that change was not needed, and proposed more neutral wording about concerns over the impacts of changes. There was also disagreement over a proposed model in which a county-level school administrator would be elected; some members said that would be inappropriate and premature, while others argued the committee had not yet fully developed a consolidation model. The discussion ended with a call from some members for more time and for a future joint legislative committee to continue refining any proposal before legislation is introduced.

Transcript Highlights:

• Again, we use Virginia as the model. That was the most recent. Yeah.
• We converted it to this model ultimately to bring a lower cost of goods to our communities.
• Transparency has always been part of the business model.
• What I'm really curious about is that the business model, is the business model for the item to appear
• The ultimate business model is to bring a lower cost of goods to the consumer.

Bills: HCR66, HB387, HB617, HB797, HB950, HB975, HB1186, HB1222, HB1223, HB1228, HB1256

Keywords: economic development, rural communities, infrastructure, workforce training, Louisiana Economic Development, engineering, land surveying, construction, state fire marshal, plan review, hidden fees, junk fees, drip pricing, price transparency, mandatory fees, surcharges, consumer protection, unfair trade practices, advertising disclosures, total price

Summary: The Senate Commerce Committee met on April 20, approved the prior meeting minutes, and then heard a series of bills and resolutions. It first advanced H. CR 66, which directs Louisiana Economic Development, working with the Governor’s Office of Rural Development, to study rural parish economic assets, infrastructure, workforce, and development opportunities. The committee also moved HB 387, a clarification allowing the fire marshal to review architectural and engineering plans equally, and HB 1223, which seeks to promote clinical trials in Louisiana by having LED market the state’s research capacity and by adjusting internal review board procedures. HB 1228, a cleanup bill for hearing aid dealers that updates definitions, contracts, testing periods, licensing, and related requirements, was also reported favorably, as was HB 950, which would create an elderly consumer perception program through the Office of Elderly Affairs to help seniors recognize scams and fraud. The committee spent the most time on HB 617, a broad “hidden fees” consumer transparency bill. The author and supporters said it would require mandatory fees to be included in upfront pricing so consumers can make informed choices, while opponents from grocery, restaurant, hotel, housing, retail, and business groups argued the bill was vague, overly broad, and likely to create compliance burdens and litigation risk. Housing advocates objected to the bill’s housing exemption, warning it could weaken renters’ ability to bring claims over undisclosed fees. After extensive debate over variable pricing, sales taxes, enforcement, and the scope of the bill, Senator Morris moved to defer HB 617, and the committee agreed without objection. The committee also heard HB 797, which would create a “Bayou Gold” certification program for certain gold vendors and transactional gold products. The sponsor said the program would encourage vendors to keep gold insured, segregated, and closer to Louisiana consumers, with the Treasury administering the certification through participant fees. Several senators and an outside witness raised concerns that the state seal could be mistaken for an endorsement, could create liability or consumer confusion, and would favor a narrow set of vendors. Despite opposition, the committee reported HB 797 favorably, with members noting it still had to go to Finance. Later, the committee advanced HB 1186, which would create a more uniform statewide building code and licensing system for inspectors, add disciplinary authority, and impose a small permit fee to support the program, and HB 1222, which would let LED develop a grocery initiative to address food deserts and food insecurity. The meeting concluded with the committee hearing HB 1256 on abandoned digital assets, which would require dormant digital assets to be held in original form for three years so owners can reclaim them.

Transcript Highlights:

• Incentive funding will be distributed through a pay-for-performance model, where payments are linked
• Incentive funding will be distributed through a pay-for-performance model, where payments are linked
• Incentive funding will be distributed through a pay-for-performance model, where payments are linked
• So, you know, this pay-for-performance model, $3,500 incentive payments will basically be cut to two
• And I think that's one of the things that the Department of Labor is really looking at in their model

Summary: The committee approved the November 3 minutes and then received an extensive presentation from Arkansas education and workforce officials on how the LEARNS and ACCESS Acts are affecting career and technical education, concurrent enrollment, and postsecondary readiness. Officials said the state’s goal is for students to leave high school employed, enrolled, or enlisted, and reported increases in K-12 CTE enrollment from about 161,000 to 171,000 students and concurrent CTE enrollment from about 12,000 to 16,000. They also described the new success-ready pathways, merit and distinction designations, and how those measures tie into school accountability and graduation outcomes. The discussion then turned to scholarships and grants. Officials explained that ACCESS expanded concurrent credit support, increased funding per credit hour, and broadened eligibility for the Arkansas Academic Challenge and Governor’s Scholar programs by adding diploma-of-merit and diploma-of-distinction pathways. They said the Governor’s Distinguished Scholarship itself did not change, but the non-distinguished Governor’s Scholar award now includes diploma of distinction as an additional eligibility route. Members raised concerns about how these requirements apply to private school and homeschool students, and officials said the intent is to ensure those students can qualify if they meet the same standards, though some implementation details are still being worked out. Questions also focused on whether students who explore multiple pathways could be penalized in school letter grades; officials said the system allows multiple ways to earn credit, including AP, IB, concurrent credit, technical certificates, and apprenticeships. Officials also reviewed workforce scholarships and short-term training funding. They said the state is developing policy for the Workforce Challenge and related professional skills training to set an 80-hour minimum and tiered funding, and they discussed the new federal Workforce Pell rules, which they said are very narrow and will likely apply to only a small number of Arkansas programs unless providers repackage training into stackable, credit-bearing pathways. Members asked for lists of eliminated programs, apprenticeships, and data on scholarship recipients, and staff said they could provide those. The committee also heard from Cody Waites on a $35.8 million U.S. Department of Labor cooperative agreement for the American Manufacturing Apprenticeship Incentive Fund, which Arkansas will administer nationally. He said the grant will support advanced manufacturing apprenticeships, use a pay-for-performance model, and be distributed to sponsors after apprentices are employed for 90 days, with applications opening January 28 and the state expecting to keep administrative costs under 8-9%.

Transcript Highlights:

• For example, heavy administrative load, low reimbursement rates, changes in compensation models, and
• We've already implemented similar models for behavioral health and nursing.
• We have also adopted a model for those alternative payment models (APMs).
• And the initiative proposes a new distribution model to hospitals, and because this is new, it would
• This would also utilize an existing distribution model that already exists.

Keywords: 988, house, all

Transcript Highlights:

• cybersecurity risk to infrastructure that the NSA underscores, without providing us the capacity to model
• appropriate zoning, secure expert guidance, evaluate what we're missing, and assess what the DOER model
• cybersecurity risk to infrastructure that the NSA underscores, without providing us the capacity to model
• the cumulative resources, scores without providing us the capacity to model the cumulative risk of cyber
• bylaws fail to take into account for where What the DOER model bylaws fail to take into account for

Keywords: 995, all

Summary: The Joint Committee on Municipalities and Regional Government held a hybrid hearing on late-filed bills and formal petitions, with testimony focused mainly on Senate Bill 3026 and House Bill 5294. The committee heard from legislators and local officials about S. 3026, which would give equal voting access in a six-town regional school district process. Testifiers from the Sixth Town Regional Planning Board and local select boards said the current voting setup is unfair because one town can vote during normal polling hours while others have a narrower voting window, and they argued the bill would ensure equal voter opportunity for a major regional school decision amid declining enrollment and financial pressure on the districts. The committee also heard extensive testimony on H. 5294, a Worthington home rule petition seeking a one-year solar moratorium. Worthington officials, residents, and advocates said the town is facing multiple large-scale solar and battery storage proposals and lacks the staff, legal resources, emergency response capacity, and technical expertise to evaluate them. Witnesses raised concerns about fire risk, groundwater and drinking water impacts, forest and wildlife impacts, decommissioning, and the effect on rural character and farmland, while emphasizing that the moratorium was framed as a planning tool rather than opposition to clean energy. Several speakers said the state’s solar siting and approval process is too complex and top-down for small rural towns, and that volunteer boards are being asked to manage industrial-scale projects without adequate support. One witness from a statewide group said Worthington’s situation reflects broader problems across western Massachusetts and urged the committee to address solar siting more broadly in a future session. The hearing concluded after testimony and committee questions, with no votes or final actions taken during the meeting.

Transcript Highlights:

• A key to that success was our treatment model, which was a medical model, leveraging a multidisciplinary
• We think this bill allows for the same successful medical model to be used to treat people in safe and
• We had not leveraged psychedelic material as a pharmacotherapy intervention in our previous model.
• And I think, obviously, we’re talking about two different things, but the model for the legalization
• There are many providers in this in-home therapy model.

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use and Recovery opened its first public hearing of the 2025–26 session with remarks from the Senate and House chairs outlining the committee’s priorities. They noted recent work on addiction and recovery legislation, the ongoing youth behavioral health crisis, and that members might need to leave periodically for floor votes. The chairs explained hearing procedures, including three-minute testimony limits, written testimony deadlines, and reporting deadlines for Senate and House bills. The hearing then focused on several bills related to youth mental health, overdose prevention, and psychedelic treatment research. A major portion of the hearing centered on bills to improve youth crisis response and overdose prevention. Testimony strongly supported bills to print the 988 Suicide and Crisis Lifeline on student ID cards, with speakers from mental health organizations, crisis centers, and individuals sharing personal stories of depression, suicide attempts, and the importance of making 988 as familiar as 911. Another set of bills would require schools to stock naloxone and provide overdose prevention education. Physicians, harm reduction advocates, students, and grieving family members testified that school-based Narcan access and education could save lives, reduce stigma, and help students recognize overdoses and understand Good Samaritan protections. Senator O’Connor and Tamika Perry also testified for a bill to strengthen substance use prevention education and reduce overdose abandonment, emphasizing the need to teach students about overdose risks and the legal protections for calling 911. The committee also heard testimony on a bill to authorize a pilot program for psychedelic treatment in licensed facilities. Senator Friedman and several medical and behavioral health professionals argued the proposal was a narrow, research-based approach distinct from the broader ballot question rejected in 2024. They said the bill would allow only a small number of supervised clinics to use psychedelics for conditions such as depression, PTSD, anxiety, and substance use disorders, with data reporting and Department of Public Health oversight. Supporters described it as a cautious way to study promising treatments while avoiding unsupervised or commercialized use. Finally, the committee heard support for a bill to create a special commission and five-year strategic plan for children’s behavioral health services, with testimony that the current system is fragmented, difficult for families to navigate, and strained by workforce and funding challenges. No votes or final actions were taken during the hearing; the committee primarily received testimony and questions on the bills.

Transcript Highlights:

• Now, the way we modeled this is, we said, okay, this is going to be phased in over four fiscal years.
• That's a little hard to model because this happens episodically, and it's kind of a windfall, right?
• That's a little hard to model because this happens episodically, and it's kind of a windfall, right?
• A static model, basically, let's do a division divided by five, and let's come up with an answer.
• My team developed a rigorous statistical model by incorporating nearly three decades of state revenue

Keywords: 995, all

Summary: The Special Joint Committee on Initiative Petitions held a public hearing on two proposed ballot initiatives: one to reduce the state personal income tax rate from 5% to 4% over three years, and another to revise the state’s tax collection cap/62F process so it would be based on prior-year collections plus wage growth and include surtax revenue. The committee chair and House co-chair outlined the hearing process, and the first witness was Doug Howgate of the Massachusetts Taxpayer Foundation, who testified as the committee’s subject-matter expert on both measures. He said the income tax proposal would lower taxes broadly but would reduce state revenue by about $5.4 billion when fully implemented, with an estimated $800 million hit in FY27, and he discussed possible effects on competitiveness, taxpayer savings, and public finances. On the 62F proposal, he said the revised cap would make refunds more likely, could have produced several large refunds in recent years, and would reduce stabilization fund deposits and constrain recovery after recessions. Committee members questioned Howgate about competitiveness, outmigration, prior tax ballot measures, spending growth, MassHealth, and the interaction between the income tax and surtax. He emphasized that taxes are only one part of the state’s overall competitiveness and that housing, public services, and other factors also matter. He also noted that the surtax is constitutionally restricted but can still support ongoing spending choices. After his testimony, the committee moved to the proponents’ panel. Proponents of both initiatives, including representatives from Taxpayers for an Affordable Massachusetts, the National Federation of Independent Business, Pioneer Institute, and the Mass Opportunity Alliance, argued that the measures would improve affordability, help retain residents and businesses, and support job growth. They cited polling support, outmigration, small-business reinvestment, and comparisons to lower-tax states such as North Carolina. Their economist, Rebecca Paxton, said her model showed smaller revenue losses than critics claim and projected that the revised revenue cap would not create additional annual revenue losses while producing more regular taxpayer refunds. Committee members pressed the panel on competitiveness, prior ballot initiative implementation, and whether the measures would actually address broader affordability pressures; the hearing ended with the committee continuing to take questions from the proponents.

Transcript Highlights:

• This is the transformative care model...” Three integrated initiatives approved by CMS.
• These are the transformative care model, rural workforce development, and technology and tools.
• services and e-consults, and evidence-based care models.
• And again, the funding is intended for system transformation activities, including care model redesign
• and in other new models of care to provide access in rural communities.

Keywords: 988, house, all

Transcript Highlights:

• adopted a strike-everything amendment to House Bill 2174, which redefines advisory organization as a modeling
• and data organization and authorizes the modeling and data organization to file models to be used by
• adopted a strike everything amendment to Houseville 2174 which redefines advisory organization as a modeling
• and data organization. to Houseful 2174, which redefines advisory organization as a modeling and data
• organization and authorizes the modeling and data organization to file models to be used by insurers

Keywords: 1182, all

Summary: The meeting was a rapid review of a very large bill package, with the chair repeatedly asking staff to keep descriptions high level and many bills placed on third-read consent or consent calendars. A major theme was artificial intelligence: bills would require minors to be told when they are interacting with AI, allow AI-assisted divorce arbitration by consent, create an AI education program, privilege certain AI communications, and require K-12 instruction on ethical and practical AI use. Other education measures addressed school district superintendents, health instruction, anti-Semitism prohibitions, fetal development standards, and school safety, including a bill allowing concealed firearms on school grounds under specified conditions. Several health and public safety bills were also discussed. These included funding and oversight measures for childhood cancer research, nursing care complaint timelines, firefighter cancer data collection, limits on pharmacy penalties, and a bill making it a felony to administer abortion-inducing drugs without consent. Members also heard bills on overtime wage enforcement, domestic violence evidence standards in parenting cases, probation limits for dangerous crimes against children, and a measure expanding manslaughter liability to online encouragement of teen suicide. One sponsor strongly opposed a provisional medical licensing bill for foreign-trained applicants, while other sponsors emphasized rural health access, nurse anesthetist reimbursement parity, and the need for a dental board member who is an oral surgeon. A large portion of the meeting focused on water, land, energy, and state agency oversight. Bills would streamline or change rules for small modular reactors, new power plants, water supply determinations, groundwater transportation fees, water hauling, and state land disposition. Members also considered measures affecting the State Land Department, including audits, oversight boards, continuation, land-use maps for data centers and energy projects, and rules for mineral leases and solar or wind siting. Other topics included wildlife and ranching, Mexican wolf policy, annexation, housing and development incentives, transportation and towing rules, digital driver licenses, and a proposed four-year moratorium on municipal and county fee, tax, and utility-rate increases, which drew questions about stakeholder input and the impact on enterprise funds and local utilities. No recorded roll-call votes were taken in the transcript; most items were simply presented, briefly discussed, and left on consent or calendar status, with one bill noted as held in rules and another pulled for further discussion.

Transcript Highlights:

• The aggregate are producing an open EV model allowing providers to use their own TV platforms and integrate
• The cost model includes allocations for design, development and implementation.
• We also focused on a lot of criteria in in terms of the different models that make up the CMS platforms
• So is it's not to be a SAS model that's gonna be owned and operated after we purchase it by the. >> The
• This is how this model works. This is how this model works.

Transcript Highlights:

• And we reviewed compact documents, including model legislation for 17 health care compacts.
• And we reviewed compact documents, including model legislation for 17 health care compacts.
• Once the model legislation is finalized, states may adopt it into statute.
• After a preset number of states adopt the model legislation, compact commissions form.
• The IMLC, which uses a different compact model than the nurse and psychology compacts, expedites the

Summary: The committee heard and approved several health care bills. Senate Bill 68, by Senator Harrell, would require all hospital emergency departments to be prepared to treat children by maintaining pediatric equipment, staff training, written policies, a pediatric care coordinator, and completion/public posting of the National Pediatric Readiness Assessment. Senator Harrell said the bill is intended to improve pediatric emergency care in general hospitals, and the bill was supported by the Florida College of Emergency Physicians and the Florida Chapter of the American Academy of Pediatrics. It passed favorably. The committee also approved Senate Bill 154, which corrects the Mobile Act for dentists and dental hygienists by requiring graduates of out-of-state dental schools seeking licensure by endorsement to have attended a CODA-accredited school. The bill drew support from dental and dental hygienist groups and passed favorably. Senate Bill 40, by Senator Sharif, would require Medicaid managed care networks to ensure at least half of primary care providers offer appointments outside regular business hours, including evenings and weekends, to improve access and reduce emergency room use; it also passed favorably. A lengthy discussion centered on Senate Bill 254, also by Senator Harrell, which would tighten oversight of nursing education programs, create a temporary provisional license and preceptorship for new graduates awaiting NCLEX results, require remediation for low-performing programs, add standardized admission and exit-exam requirements, and allow the Department of Health to inspect programs unannounced. Supporters said the bill would improve quality and help students gain experience, while opponents warned it could reduce the number of nursing programs and worsen shortages, especially among private schools. After debate and testimony from nursing and school representatives, the bill passed favorably, with Senator Davis voting no. The committee then received an OPPAGA presentation on interstate health care licensure compacts. OPPAGA reviewed how Florida uses licensure by endorsement, telehealth registration, and compacts for nurses, psychologists, and physicians, and explained the potential benefits and drawbacks of joining additional compacts, including portability, data sharing, and emergency staffing versus costs, administrative burdens, and possible conflicts with Florida scope-of-practice laws. No action was taken on the presentation, and the meeting adjourned after Senator Davis requested to be recorded in support of SB 68 and SB 154.

Transcript Highlights:

• The model, $1.4 million. The House and Senate were agreed to that.
• And so this would be kind of the same model.
• And so this would be kind of the same model.
• Because there truly are different governance models when it comes to that.
• Because there truly is different governance models when it comes to that.

Bills: SB2003

Keywords: higher education, student loans, scholarships, capital projects, workforce development, funding, North Dakota university system, 908, all

Summary: The committee met to work through the higher education budget, beginning with a conflict-of-interest request from Representative Martinson, who was excused from voting because of a partnership that leases office space to Bismarck State College. Members then reviewed the higher education institution budget sheets, covering ongoing and one-time funding items for campuses and system projects such as BSC housing, Lake Region roof repairs, UND’s STEM and National Security Crossroads projects, the UND allied health facility, NDSU projects including New Horizons, DSU deferred maintenance and campus security, Mayville’s Old Main, Minot projects, and the regional health institutes. Members also discussed student financial assistance, the professional student exchange program, IT security funding, and workforce/education innovation grants. Several amendments and policy questions were debated. The committee adopted an amendment to make workforce education innovation grants competitive rather than automatically distributed, and then voted to remove language prohibiting those funds from being used to duplicate academic programs. Members also removed similar anti-duplication language from the New Horizons section. They agreed to extend the UND hyperbaric chamber transfer authority to 2027 and clarified language around UND land-sale proceeds. A proposed amendment to add $5.6 million for the Wahpeton State School of Science building purchase failed for lack of a second, and a proposal to restore fetal alcohol spectrum disorder funding to UND was left for conference. The committee also discussed, but did not add, a tuition cap change, a study on the Praxis exam, and several governance-related provisions. The committee spent significant time on broader higher education policy items, including a $3 million enterprise resource planning request for the university system, a $2 million grant program for students who are pregnant, recently gave birth, or are caring for young children, and a $1.1 million request for library age-verification software tied to the Odin system. Members also discussed dual-credit authority for UND and NDSU, a goal for the UND medical school to increase North Dakota resident enrollment, and intent language regarding the commissioner/chancellor model and presidential search authority. At the end of the meeting, the committee approved the amendments and then gave the higher education budget a do-pass recommendation as amended, with Representative Sanford designated as the carrier. The Forest Service budget was also approved, including two additional FTEs, and the committee adjourned after noting it would continue with other budgets the next day.

Transcript Highlights:

• , that you cannot say because you refuse to get this injection, or any other modeling that you cannot
• It expands our current Medicaid waiver program for medically fragile children, the model waiver, so that
• It also requires AHCA to develop a comprehensive plan to redesign the Medicaid model waiver.
• submit a report that addresses certain details about the comprehensive plan on the redesign of the model
• in consultation with the Department of Education, to review every other year to identify effective models

Summary: The committee met to consider a large agenda of health and human services bills, moving quickly because of a two-hour time limit. Early measures reported favorably included SB 976 on challenges to court-appointed psychologists in family law cases, SB 306 on Medicaid provider network access and after-hours availability, and SB 584 on housing supports for college students and youth in extended foster care. SB 1412 on home health regulation modernization also passed, with one support appearance from the Home Care Association. Members then approved several bills focused on research and care delivery, including SB 1800 creating a Parkinson’s disease research consortium at USF with an adopted amendment adding academic medical centers, SB 524 adding Duchenne muscular dystrophy to newborn screening, SB 1156 revising a Medicaid home health aide program for medically fragile children, and SB 1490 transferring and redesigning the managed care program for critically ill children. SB 1174 on foster home licensure transfers, SB 1620 implementing mental health and substance use commission recommendations, SB 1568 revising e-prescribing exemptions, and SB 788 on veterans nursing home beds were also reported favorably. The committee had more extensive debate on SB 1270, the Department of Health agency package, which included provisions on vaccination status, medical marijuana background screening, licensing and compact issues, and sovereign immunity for volunteer dental workers; it passed after an amendment and several members voiced concerns about patient treatment and “voting power” language. SB 1606 on patient access to records drew strong opposition from providers and health information professionals over privacy, HIPAA, and administrative burdens; it was initially reported unfavorably, then reconsidered and ultimately passed after a motion to reconsider. Other bills reported favorably included SB 1736 on insulin administration by direct support professionals and relatives, SB 1808 on patient refunds from providers, SB 1842 on referral disclosure of network status, SB 1354 on behavioral health managing entity oversight, SB 1768 on stem cell therapies with informed consent requirements, and SPB 7032 on presumptive Medicaid eligibility for permanently disabled individuals, which was submitted and reported as a committee bill. The meeting ended after all agenda items were handled and the committee adjourned.

Transcript Highlights:

• We will leverage existing models to build statewide collaboration in research and education while engaging
• It's a unique earn-and-learn model.
• and make recommendations to build a statewide model.
• We, between last session and this session, kind of shifted to a 529 model.
• Originally, it was just children's savings accounts model, and that was done based on..."