Transcript Highlights:

• Cable is mandated by Massachusetts General Law 166A and federal statutes to review and approve and to monitor
• I think that parents, not the government, will be far more effective in both monitoring their children's
• Telehealth, portals, remote Telehealth, portals, and remote patient monitoring affect all of the people
• He was able to effectively download the app, set the person up, and help them to monitor their glucose
• My other family has monitored what they do with their phone.

Keywords: 995, all

Summary: The committee held its second hearing on a large docket of technology, internet, cybersecurity, broadband, and media bills. Early testimony focused on community media funding legislation, with lawmakers and local access advocates arguing that as cable subscriptions decline and streaming grows, revenue tied to cable franchises no longer supports community television and PEG programming. Supporters said community media remains a key source of local news, government meeting coverage, and civic transparency as newspapers disappear or consolidate. A related bill on cable contract oversight also drew support, with testimony that the Department of Telecommunications and Cable is backlogged and should more actively review municipal-provider agreements and report its workload to the committee. Another major topic was a proposal to create a Massachusetts Innovation Fund for state IT modernization. The Alliance for Digital Innovation backed the bill, saying agencies need flexible upfront capital to replace outdated systems and improve cybersecurity, and pointing to the federal Technology Modernization Fund as a model. The witness noted that funding for the state program still needs to be identified. The committee also heard strong support for a bill requiring free broadband in public housing, with Rep. Emmela Goodwin and MAPC describing internet access as essential for jobs, school, telehealth, and civic participation. They said the digital divide in Massachusetts is driven largely by affordability rather than infrastructure, though questions were raised about costs, wiring, and whether all housing sites already have broadband access available at the curb. A substantial portion of the hearing centered on bills to limit addictive social media feeds for minors. Supporters, including lawmakers, parents, teens, and advocacy groups, argued that algorithmic feeds contribute to addiction, anxiety, body image problems, and other harms, and said the bills would restrict surveillance-based curation and overnight notifications while leaving search and followed accounts available. Opponents, including FIRE, CCIA, and the Taxpayers Protection Alliance, argued the bills would require invasive age verification, threaten privacy and cybersecurity, burden adults’ anonymity, and likely face First Amendment challenges. They also warned the measures could disadvantage smaller businesses and may be unconstitutional based on recent court rulings in other states. The committee also heard support for blockchain-related bills creating a commission, a pilot program, and consumer education efforts, with testimony that Massachusetts has the talent but needs a coordinated state strategy. No votes or final actions were taken during the hearing.

Transcript Highlights:

• that housing unspent capital sits around is because people cannot get all the way to their funding stack
• We have a small enough portfolio that we have continuous monitoring of these projects.
• Again, in a housing project, the developers are looking to put together an entire capital stack before
• them, they ran into issues—conflicts, actually—between some of the requirements and their capital stack
• It really deals with how quickly they can get their capital stack together.

Bills: SB48, SB64, SB100

Keywords: State Fairgrounds District, fairgrounds bonds, public financing, bond authorization, gross receipts tax, gaming tax, tax-backed bonds, infrastructure funding, Albuquerque fairgrounds, State Fair Tid, economic development, municipal bonds, revenue pledge, capital projects, New Mexico finance, special education, office of special education, deputy secretary, public education department, IEP

Transcript Highlights:

• with tech debt and upgrading to the next level of whatever it is that your code base is and your tech stack
• So we were going from a mon... your code base is and your tech stack. Ms. Green, you recognized.
• You know, we're a .NET stack, which... ...in resources that are easy to find.
• You know, we're a .NET stack, which is the specific type of development in web services.
• It also has improved quality assurance and provider monitoring so that we are in compliance with the

Summary: The subcommittee heard updates on several state technology modernization efforts, beginning with the Florida Division of Emergency Management’s Enterprise Business Solution (DEMS). FDEM said DEMS is about 50% complete, with some grants and finance functions already live, and is intended to replace manual disaster and grants processing with a cloud-based system. Officials described faster reimbursement timelines after recent storms, major return-on-investment claims, and a planned final phase focused on design, testing, communications, data governance, and additional functionality. Members asked about the total cost, the role of Florida Digital Service, deliverables-based contracting, and how much of the system is live; FDEM said the project is expected to cost about $16 million to $16.8 million and finish by June 2027, with some follow-up information to be provided. The Department of Legal Affairs presented its Office of Attorney General Modernization Program, a follow-up to an earlier effort that failed after spending about $26 million. Acting Attorney General John Gard said the department has now moved to an off-the-shelf case management product, LawBase, and is in development and testing, with the Office of Statewide Prosecution already live and full implementation expected by the end of the fiscal year. The request includes funding for staff augmentation, cloud storage, the LawBase license, redundancy through a backup site in Orlando, and OnBase support. Members questioned the prior failure, the use of Florida Digital Service standards, data location and cloud migration, and the redundancy plan; Gard said lessons learned included better scoping and that the current effort is on track. The Department of Highway Safety and Motor Vehicles then updated the committee on Motorist Modernization, including the Orion system and the MyDMV portal. Officials said Phase 1 and Phase 2 have modernized driver license and motor vehicle services, with Phase 2 statewide rollout scheduled to begin in April 2025 and Phase 3 proposed at $16.5 million for dealer services, data warehouse improvements, and call center modernization. Members asked about payment options, organ donor questions, staffing, cybersecurity, cloud strategy, and the digital driver license program. The agency said the portal already allows some sanctions to be cleared online, an ACH option is being developed, the digital driver license vendor has changed with a fall go-live anticipated, and the department is using security testing and a managed security service provider. Officials also said the system is currently on an on-prem private cloud, with future workloads expected to move to public cloud where appropriate. Finally, Florida Commerce presented on the Reemployment Assistance modernization system, Reconnect, and the FLWINS workforce system. Commerce said Reconnect is hosted in the Azure Government Cloud, has reduced claim filing time, improved fraud detection, and increased appeals capacity, and now needs $4.9 million in recurring funding to cover ongoing operations, cloud hosting, licenses, and staff augmentation. Members asked about adjudication issues, wait times, fraud prevention, and whether the system stores caller identifiers; Commerce said the average wait to speak to a representative is about 18 minutes and claims are generally processed in four to six weeks. The committee then began hearing about FLWINS, which is intended to create a “no wrong door” workforce portal under the REACH Act, but the transcript cuts off before that presentation concluded.

Transcript Highlights:

• Stack. Good afternoon, Mr. Chair. I'm going to thank Katherine.
• Yeah, I'm Stephen Stack. I'm the Secretary for the Cabinet for Health and Family Services.
• Stack, and we'll work with you as we proceed in the time. >> Well, thank you all.
• <01:02:57.119> Stack,<01:02:57.359> and<01:02:57.760> we'll<01:02:58.400>
• Stack, and we'll working with today, Dr.

Keywords: 958, all

Summary: The committee met and approved the minutes from its August 27 meeting. It then received a presentation from Katherine Castanza of the National Conference of State Legislators on the Medicaid provisions in the 2025 budget reconciliation bill, referred to as HR1. She explained that the bill is estimated by CBO to save the federal government $911 billion over 10 years, with more than 20 Medicaid-specific provisions, most of the savings concentrated in five policies and largely backloaded into 2030-2034. She emphasized that the bill’s effects will vary by state, but that expansion states and hospitals are expected to be most affected, in part because of changes to eligibility, provider taxes, and state-directed payments. Castanza highlighted several new funding and flexibility provisions, including a $50 billion Rural Health Transformation Fund for 2026-2030 and a new home- and community-based services waiver option effective July 1, 2028, with $100 million in grants in fiscal year 2027. She also outlined major eligibility changes for Medicaid expansion adults: work or community engagement requirements effective January 1, 2027; twice-yearly redeterminations for the expansion population effective the same date; and new cost sharing for certain expansion adults effective October 1, 2028. She noted that Kentucky, as an expansion state, would be subject to these changes and that state agencies would face significant implementation demands, especially because federal guidance and timelines are tight. A substantial portion of the presentation focused on financing changes. Castanza described new limits on provider taxes, including a 0% safe harbor for new taxes and a phased reduction for existing taxes in expansion states beginning in 2028, while nursing facilities and intermediate care facilities are exempt from the reduction if already taxed. She also explained that state-directed payments will be capped and phased down over time, with existing arrangements grandfathered only briefly; she said Kentucky has 11 approved state-directed payments and could see significant fiscal effects. She added that the bill also bars Medicaid payments to Planned Parenthood or similarly situated providers for one year, changes immigrant eligibility rules effective October 1, 2026, lowers the federal match for certain emergency services, and expands the scope of the federal erroneous payment recoupment provision effective October 1, 2029. Throughout, she stressed that federal savings may translate into state cost shifts and that implementation timing will be critical.

Transcript Highlights:

• , surgical, methodological, because at the end of the day, we've already seen what happens when we stack
• , surgical, methodological, because at the end of the day, we've already seen what happens when we stack
• poor people on top of poor when we stack poor people on top of poor people<01:04:03.840> on<01
• :23.480> on<01:04:23.640> top<01:04:23.920> of<01:04:24.040> poor that stack
• poor people on top of poor that stack poor people on top of poor people<01:04:24.640> expecting

Keywords: Senate streaming session for Monday, April 6, 2026, 960, senate, all

Summary: The Senate convened, received an invocation from Pastor Shannon Watkins of Souls One Outreach Cathedral in Cumberland, and welcomed several guests and student pages. The chamber also announced the week’s schedule for the final days of session, including likely double sessions later in the week and a possible Saturday hold. Administrative items included the reading of House messages, a favorable executive nominations report that was special ordered for Tuesday, and the introduction of several House bills and Senate bills on the calendar. The main floor debate centered on Senate Bill 841, the Utility Relief Reducing Energy Load Information for Every Family Act. Senators discussed energy affordability, ratepayer relief, utility costs, data center growth, in-state generation, and the role of programs such as RGGI, EmPower, and the RPS. Supporters said the bill provides a comprehensive short- and long-term response, including consumer transparency and low-income relief, while critics argued it did not go far enough and should have included stronger relief or pauses on renewable energy mandates. After debate and several explanations of vote, the Senate passed SB 841 by a constitutional majority, 38-affirmative votes. Earlier in the session, Senate Bill 213 on state procurement transparency and procedures also passed with 40 affirmative votes. After SB 841 passed, the Senate took up House Bill 1532, a conforming companion to the utility relief measure. The committee offered an amendment to align HB 1532 with SB 841, the amendment was adopted without objection, and the bill then passed on third reading. Senators who explained their votes largely echoed the same themes from the SB 841 debate, with some emphasizing the need for more relief and others stressing the bill’s broader policy changes and regional energy-market constraints.

Transcript Highlights:

• trustee program. to be used for the construction and improvement of roadways that enable detailed monitoring
• It will allow for more detailed monitoring.
• deteriorated. past their useful life, making them costly and unsafe for our law enforcement to patrol and monitor
• The deck right now is stacked so much in favor of the tollways and their associations that the consumer

Bills: HB1589, HB2208, HB2297, HB2560, HB2725, HB3080, HB4417, HB4473, HB4520, HB4662, HB4888, HB4905, HB4906

Keywords: HB 1589, toll road, toll project, toll project entity, voter approval, local control, county election, commissioners court, Transportation Code, Chapter 372, road construction, highway funding, infrastructure, public referendum, ballot measure, transportation policy, Texas toll roads, regional mobility, toll collection, vehicle registration

Transcript Highlights:

• DETAILED LEVEL RETURN ON INVESTMENT AS YOU MENTIONED EARLIER CHAIR YOU CANNOT MANAGER IT YOU CANNOT MONITOR
• THIS RIGHT HERE IS A STACK OF FAIR HEARING REQUEST SO THAT MY AGENCY ALONE HAS FILED.
• CHILDREN COVERED UNDER EPS DT AND PATIENTS WITH DISABILITIES WHO COMMONLY REQUIRE THE ADMINISTRATION OF MONITOR
• BUT WE LIKE THAT SITE AND WE ENJOYED THAT FIGHT ONLY SELF MONITORING OURSELVES DURING THESE CLAIMS.

Keywords: 999, senate, all

Transcript Highlights:

• So I had a stack of paperwork. I sent it into them.
• If you don't give them the big stack of paper within one day, they take it away. All right?
• We are giving them an additional tool, a good tool, that they can use to resolve and not have to monitor

Keywords: 995, all

Summary: The Joint Committee on Revenue held a hybrid hearing on several property and local tax bills. The main focus was H.56, the Municipal Empowerment Act, which the Healey-Driscoll Administration, the Massachusetts Municipal Association, MAPC, and Salem Mayor Dominick Pangallo supported as a package of local options and administrative reforms. Supporters said municipalities need more tools to relieve pressure on property taxes and fund services, citing proposed increases to local meals and lodging taxes, a new local vehicle excise surcharge, senior property tax relief, one-year override flexibility for emergencies, and central valuation of telecom and utility property by DOR. The administration said the bill was based on municipal listening sessions and was intended to give cities and towns optional, not mandatory, revenue tools. Opponents, including the National Federation of Independent Businesses, argued the tax increases would hurt restaurants, hotels, tourism, and small businesses and add to affordability concerns. The committee also heard testimony on H.3211, dealing with deeds excise receipts, from Norfolk County Commissioner Richard Staidi. He said Norfolk County is financially stable but needs additional revenue for major capital needs at its agricultural school, especially a new cafeteria and other aging facilities, and also to support county programs such as veteran transportation services. On S.2020, a bill to allow settlements of tax liability, Greater Boston Legal Services, the Asian American Civic Association, and several individual taxpayers urged creation of a more workable offer-in-compromise process at DOR. They said the current system is too subjective, requires an unaffordable $5,000 threshold, lacks clear standards and appeal rights, and leaves low-income taxpayers stuck with unmanageable debt, license suspensions, or business closures. Supporters said the bill would give both taxpayers and DOR a practical way to resolve liabilities and bring people back into compliance. The committee also took testimony on S.1966, which would require nonprofits selling property to disclose any back-tax obligations to buyers. Senator Peter Durant said the bill was prompted by a personal experience in which a tax bill arrived after a nonprofit property purchase was already completed, and he argued the disclosure would prevent buyers from being surprised by retroactive tax liability. No votes were taken during the hearing, and the chair closed the session after hearing from all scheduled witnesses.

Transcript Highlights:

• And I don't know how it, you know, stacks up against some of the other aging states.
• We just have to monitor it.
• Now, what happens when they have complex care, like, you know, medical needs all stacking up at once,

Keywords: 962, all

Summary: The Complex Care Committee meeting focused first on a new Diabetes Caucus launched at the Capitol. Rep. Johnson described the caucus as a forum to educate people about type 1 and type 2 diabetes, genetic risk, early testing, pregnancy-related diabetes, and ways Medicaid policy might improve prevention and lower long-term costs. Members agreed the caucus could intersect with care management, and Carolyn Grandell of CHNCT offered to share information about current diabetes-related care management services at a future meeting. The committee then heard a detailed presentation from Alex Rigger of the Office of Health Strategy, who is moving to the Office of Policy and Management. He reviewed Connecticut health care benchmark data, including total health care expenditures, medical spending, and market-by-market trends. He said 2023 to 2024 per-capita spending grew more than 8.5% statewide and 14% in Medicaid, with long-term care accounting for about 46% of Medicaid spending and retail pharmacy also identified as a major cost driver. Members asked about enrollment changes, dual-eligible populations, Medicare Savings Program members, 340B drug pricing, and value-based payment models. Rigger explained that his office tracks alternate payment models and quality benchmarks, but does not separately capture 340B data. Discussion then shifted to Medicare Advantage, dual eligibles, and hospital discharge planning. Members said they want better data on how many Medicaid members are in Medicare Advantage plans and whether those plans shift costs back to Medicaid or affect access to care, especially for complex-care patients. Staff noted DSS does have some Medicare Advantage indicators and that CMS is developing encounter-data rules for states. Kathy Holt and others raised concerns about denials, nursing home stays, and the need to compare Medicaid spending for dual eligibles in Medicare Advantage versus traditional Medicare. The meeting ended with plans for follow-up data sharing, including Alex Rigger’s slides, the diabetes caucus materials, and a future discussion with DSS and other agencies; no formal votes were taken.

Transcript Highlights:

• Our purpose is to monitor and promote legislation pertaining to TWIA that serves the best interests of
• So kind of explain how you think the process would work going up that stack.
• Yeah, so that's the order of the stack it would go through, and then you would still get up to your,

Bills: HB778, HB 1266, HB1576, HB2213, HB2517, HB2518, HB2841, HB3306, HB3320, HB3388, HB3508, HB3520, HB3689

Keywords: credentialing, healthcare, physician assistants, advanced practice nurses, managed care, hurricane, windstorm, loss mitigation, grants, insurance discounts, property retrofitting, insurance, Texas Windstorm Insurance Association, board composition, coastal counties, property insurance, taxation, Texas FAIR Plan Association, premium taxes, maintenance taxes

Transcript Highlights:

• , installation of adequate HVAC systems, protocols for medical intervention, indoor temperature monitoring
• , installation of adequate HVAC systems, protocols for medical intervention, indoor temperature monitoring
• And just to add, I have a stack here of civil wage and penalty assessments.
• And just to add, I have a stack here of civil wage and penalty assessments.
• Compared to the hours calculated through monitoring the project.

Summary: The committee heard several labor-related bills, with AB 1424, AB 1340, AB 288, and AB 746 all advancing on due-pass motions to Appropriations after testimony and roll calls. AB 1424 would require climate resiliency and extreme-heat protections in CDCR facilities; supporters described dangerous heat conditions for incarcerated workers and staff, while no opposition testified. AB 1340 would allow rideshare drivers to unionize and collectively bargain; drivers, labor groups, and researchers testified that app-based work is low-paid and unstable, while TechNet, Uber, Lyft, and other business groups argued the bill conflicts with Proposition 22 and could raise costs. AB 288 would let PERB step in when federal labor remedies are unavailable; supporters said it is needed because of NLRB dysfunction, while the Chamber of Commerce raised preemption and enforcement concerns. AB 746 would create an inmate cooperative program and a green reentry reserve; supporters framed it as a recidivism-reduction and reentry strategy, and there was no opposition testimony. The committee also heard AB 858, which would extend hotel and hospitality worker recall rights after declared emergencies and extend existing COVID-era protections. Hospitality workers and unions supported the bill as a way to protect jobs after pandemics, wildfires, and other disasters, while hotel, chamber, retail, restaurant, trucking, travel, and attractions groups opposed it, saying the current recall rules were meant to sunset and that the bill would create broad liabilities and hiring complications. The bill was moved to Appropriations but remained on call after the roll. AB 291, creating a credentialed educator apprenticeship program to address teacher shortages and improve diversity, drew support from education groups and stakeholders who said apprenticeships could lower preparation costs and provide better support; it was also moved to Appropriations and placed on call. Later, the committee took up AB 1104, a solar-energy bill intended to clarify that private solar customers are not “awarding bodies” and to ease certain business-to-business solar transactions while preserving prevailing wage and apprenticeship requirements for contractors. Supporters said the current interpretation has chilled commercial solar adoption and harmed jobs, while opponents from electrical workers, PG&E, and others warned about expanded “over-the-fence” power sales and the need for clearer limits. Members questioned the lack of a definition of “small,” and the bill was held without a second. The committee also heard AB 338, which seeks $50 million for Los Angeles and Ventura wildfire workforce recovery; the author and county officials described major job loss and business destruction and said the funds would support displaced workers and rebuilding, with the testimony continuing beyond the excerpt provided.

Transcript Highlights:

• Articulated systems: how can these programs and proposals stack and braid with coherence to educator
• So in the most recent assignment monitoring report, we found that 19% of the courses that were taught
• Well, what we do is we do assignment monitoring, and we have data on...
• These special education and general education used to be stacked in the 1990s and before, you know, prior
• We built a tool that's based on state data, and the tool's called our Teacher Assignment Monitoring Outcomes

Summary: The Assembly Budget Subcommittee on Education Finance heard an extended discussion on state efforts to recruit, prepare, and retain teachers, with a focus on whether current programs are sustainable and well targeted. Testimony from the Learning Policy Institute, the Commission on Teacher Credentialing, the Department of Education, and the Legislative Analyst’s Office described persistent shortages, especially in special education, math, science, bilingual education, and high-need schools. Speakers emphasized that residency programs, Golden State Teacher Grants, National Board incentives, classified employee pathways, and undergraduate teacher pipelines have helped increase preparation and retention, but many of these efforts rely on one-time funding and lack long-term certainty. Committee members repeatedly raised concerns about the “leaky pipeline,” working conditions, the burden of student debt, and whether the state should simplify and institutionalize support for aspiring teachers rather than rely on a patchwork of grants. The agencies presented data showing continuing shortages and uneven distribution of fully credentialed teachers. CTC reported projected hiring needs of roughly 20,000 to 25,000 teachers annually, with the highest needs in self-contained classrooms, special education, and certain regions of the state. It also noted that emergency permits, waivers, and intern credentials remain high, and that teachers entering through those routes have higher turnover. LPI cited research showing residency-prepared teachers are more effective and more likely to stay, and argued that Golden State Teacher Grants attract candidates who might not otherwise enter teaching and help them complete preparation. CDE stressed that most new demand comes from attrition and urged support for multiple entry points, tuition assistance, and campus-based coursework. Several members also discussed the role of community college pathways, dual credentialing, and support for school leaders as part of retention. The LAO recommended rejecting the educator pipeline proposals under discussion, citing limited evidence of effectiveness and suggesting that any new spending should be more narrowly targeted to the highest-need schools and long-standing shortage subjects. The LAO also said that if the Legislature funds new programs this year, Proposition 98 would be preferable given the state’s fiscal condition. Committee members pushed back on the idea that declining enrollment or layoffs would solve shortages, noting that shortages and layoffs can coexist in different subject areas and regions. The discussion ended with agreement that staff would continue working with agencies on how to make teacher pipeline investments more consistent, coherent, and easier for candidates to navigate. The committee then turned to the Golden State Teacher Grant Program. Finance proposed $50 million in one-time General Fund support to extend the program for one additional year, while the LAO recommended rejecting the proposal because the first CSAC evaluation is not due until later in the year and because the funding would be non-Proposition 98. CSAC supported the extension, saying demand has been strong, over 20,000 aspiring educators have been served since 2021, and the agency had to pause applications after receiving more than 9,200 this year; it also said more than 2,500 candidates had already expressed interest for next year. Members asked how many students the new funding would serve, and CSAC estimated just under 5,000 awards at $10,000 each. The discussion also covered whether the grant could be moved into Proposition 98 and how the one-time nature of the funding affects confidence among prospective teachers.

Transcript Highlights:

• They have to start monitoring water levels, where the contamination is, and pump their proposed well
• They have to start monitoring water levels, where the contamination is, and pump their proposed well
• They have to start monitoring water levels, where the contamination is, and pump their proposed well
• all the the pieces of the value stack all the the pieces of the value stack that<01:11:51.600>
• water all the time um and they monitor water all the time um and they monitor water<01:29:39.440

Keywords: 1191, senate, all

Transcript Highlights:

• We're going to be monitoring calculating and then for the supplemental funding program.
• But again, performance measures are also monitoring the labor and delivery period.
• That is something we continuously monitor.
• So certainly that is something that we continue to monitor.
• And we also invite you to visit the website of Florida charts to help chart stack of data from Florida

Keywords: 999, senate, all

Transcript Highlights:

• align requirements for health professional-related certificate and degree programs and allow for the stacking
• administrators about bilingual education and dual language immersion programs, and it directs the TEA to monitor

Bills: HB178

Keywords: efficiency audit, political subdivision, tax rate, fiscal management, government accountability

Transcript Highlights:

• But I think that's one we should continue to monitor because 80 programs in nine different state agencies
• So how do we stack up across the United States?
• So where do we stack up against everybody else in the country? Again, we're in the top five.
• report on a quarterly basis, and then we put all our numbers together on an annual basis, and we are monitored

Keywords: 908, all

Summary: The Leadership Division of the Budget Section approved the prior meeting minutes and then received an update from Senator Jonathan Sickler on the Cash Management Board’s interim work under House Bill 1278. He said the board has reviewed state cash, investments, and liquidity across agencies and concluded the state’s overall mix of long-term and short-term assets is appropriate, with about $35 billion in total liquid assets and investments and roughly 89% in longer-term investments. He highlighted process improvements already underway, including replacing more than 500 six-month CDs with a special-rate savings account to reduce administrative work, and said the board sees opportunities to improve forecasting, automation, and statewide coordination. Members asked about whether the CD change would increase returns, how the Legacy Fund transfer for the homestead tax relief bill affected earnings, and whether more state cash could be consolidated or better managed through BND; Sickler and BND staff said those issues are being studied and may lead to legislation for the 2027 session. Representative Nathan Toman then updated the committee on the Task Force on Government Efficiency. He said the group has focused less on cutting dollars and more on defining metrics and asking how the legislature knows whether programs are working. The task force is pushing a standard set of questions for new or expanding programs—who is affected, expected outcomes, alternatives, how success will be measured, and full funding—and OMB has agreed to require those answers in future budget requests. Members discussed possible use of dashboards, program evaluators, AI tools, and possible rule or statutory changes to require performance measurement. Toman said the task force will continue meeting with agencies such as the courts, university system, auditor, HHS, Commerce, and ITD to identify workflow bottlenecks and potential efficiencies. Phil Davis of Job Service North Dakota gave a workforce update, reporting that North Dakota’s unemployment rate is 2.5% and labor force participation is about 68.7%, both well above national performance. He described Job Service’s 15 workforce programs, including H-2A housing inspections for foreign agricultural workers, the job placement partnership program with DOCR, WOTC, and other federal and state workforce efforts. Davis said the agency served more than 11,000 individuals in 2025, operates nine workforce centers, and tracks outcomes through quarterly and annual reporting. In response to questions, he said job openings data reflect only positions in the system and may understate actual hiring needs, that child care and other assistance programs could be better tied to employment outcomes, and that the DOCR partnership has shown strong results with lower recidivism and higher earnings. He also said the H-2A inspection workload is growing quickly and additional staffing or less frequent federal inspection requirements could help. Allen Knutson then presented S&P Global’s updated revenue forecast. He said oil prices have risen sharply since the prior month’s outlook, improving the state’s near-term revenue picture, though the economy remains volatile and agriculture is facing weaker commodity prices. Based on the updated forecast, total major tax revenues for the current biennium are projected to be about $89 million above the legislative forecast, and the next biennium could be about $500 million higher, though that estimate is preliminary and may change. He also walked through an alternate oil-price scenario showing significantly higher oil and gas collections and a larger Strategic Investment Fund balance if prices remain elevated. Members asked whether another forecast should be requested once oil markets stabilize and about tribal allocation changes in the alternative scenario; Knutson said additional updates are possible through OMB and future forecast cycles.

Transcript Highlights:

• to suppliers in states<00:07:06.599> with<00:07:06.800> disease<00:07:07.199> monitoring
• <00:07:08.240> programs states with disease monitoring programs states with disease monitoring
• Uh, they have to have a license that's monitored through the New Hampshire Fish and Game, and I'm sure
• that's uh monitored through the New<00:18:20.880> Hampshire<00:18:21.280> fishing<00:18
• This gentleman said, how are you going to monitor and tell what's an invasive species versus on a shiner

Keywords: 1189, house, all

Transcript Highlights:

• So we monitor legislation and always work with you all on that, you know, on a daily basis during the
• So we monitor<00:14:03.160> legislation<00:14:03.920> and<00:14:04.000> always<00
• :14:04.200> work<00:14:04.440> with monitor legislation and always work with monitor legislation
• <00:20:40.160> those<00:20:40.360> credentials, credentials and stack those credentials
• , credentials and stack those credentials, our<00:20:41.440> veterans,<00:20:42.000> heroes

Keywords: 958, all

Summary: The Budget Review Subcommittee on Education met for an overview of the Council on Postsecondary Education (CPE). After approving the prior meeting minutes, staff from CPE explained that the council was reconstituted in 1997 and serves as Kentucky’s statewide coordinating body for higher education, with responsibilities including advising the General Assembly and governor, coordinating the postsecondary system, supporting budget and performance funding work, and using data to track outcomes. They described Kentucky’s governance structure, including the KCTCS governing board, independent boards at public universities, and CPE’s role in licensing private institutions and overseeing transfer, closed-school records, and tuition approval. CPE staff emphasized statewide strategic planning and the “60 by 30” goal of having 60% of working-age Kentuckians hold a meaningful credential by 2030. They said the agency uses dashboards, KPIs, and peer comparisons to set targets for institutions and monitor enrollment, retention, and graduation. They also highlighted the Kentucky Graduate Profile, a voluntary effort to embed 10 essential workforce skills into general education and major programs, and noted ongoing work on academic program approval, performance funding, and a biennial budget request. The presentation also focused on student support and workforce alignment initiatives. Staff described the Kentucky Advising Academy, the Commonwealth Education Continuum, and the Kentucky Student Success Collaborative, which work with K-12 partners and campuses to improve advising, transfer, wraparound supports, and career planning. They also discussed GEAR UP, the Futurity career-planning platform, and efforts to connect education pathways to workforce needs, including healthcare, veterans, and other adult learners. CPE reported that student debt at graduation has fallen to $10,168 at public institutions and that six in ten Kentucky undergraduates graduate debt free.

Transcript Highlights:

• It's a tough problem because it's hard to monitor that these are happening out there, and the latest
• And really what we're talking about is if you think about the pain management as a stack of blocks...
• All of this in combination means you put the opioid in at a higher point on the stack.
• of approaches and maybe some new products into the... ...introducing a stack of approaches and maybe
• So they can stack on top of each other, but you can't be getting them at the same time.

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• How did we stack up with other states? $189 million, South Dakota; $233 million, Montana.
• But we're still going to have to hook up, like with remote patient monitoring, in order to get the best
• Let's talk tech just for a minute: remote patient monitoring.
• We can monitor that patient from the rural health care facility, and then we can even connect them with
• Let's talk tech just for a minute, remote patient monitoring.

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee heard House Bill 1623, the appropriations bill tied to North Dakota’s Rural Health Transformation Program, which is funded through a new federal rural health care grant. Senator Bekkedahl explained the bill’s background, the interim committee process that developed it, and the federal conditions attached to the award, including spending deadlines, administrative cost limits, and restrictions on uses such as new construction, supplanting existing funding, and certain other costs. Legislative staff then walked through the seven sections of the bill, including appropriation authority, transfer authority, contingent appropriations for pass-through grants, procurement and public improvement exemptions, recipient reporting, legislative reporting, and immediate effective date. Commissioner Traynor and HHS staff described how the department plans to implement the program, emphasizing that the funding is intended to improve rural access, workforce recruitment and retention, technology and data connectivity, and community health initiatives. They said the department will rely on local applications, technical assistance, templates, listening sessions, and partnerships with providers, schools, public health units, tribal entities, and other community groups. Members asked about reimbursement timing, upfront costs, administrative expenses, sustainability after the five-year grant period, and whether CTE centers, public health units, gyms, grocery stores, and other community partners could participate; the department said yes, within program rules and with a focus on measurable outcomes and sustainability. Several supporters testified in favor. Mental Health America of North Dakota and the Mental Health Advocacy Network supported the bill and urged investment in community-based mental health, crisis response, children’s services, peer support, and mobile crisis teams. HIA Health described the grant as a chance to expand home-based and hospice care, noting that rural providers already have workable models but need funding to scale them. A cybersecurity representative also supported the bill, warning that the large amount of health data and AI-related tools will require strong data protection and professional support. The hearing was closed with no opposition testimony, and the committee announced it would return later in the day for further work on the bill and other measures.