Transcript Highlights:

• How are those services overseen? How are they funded?
• young people who are not a public safety risk can access those services. services more upstream without
• they are offering, and what the service utilization is.
• Intervention services across the state.
• . of your health services.

Transcript Highlights:

• and not a comprehensive set of shared services.
• When you do shared services and you have institution A is When you do shared services and you have institution
• to the financial services.
• We also have centralized services.
• So core technology services is a centralized service for the state, for a higher ed system.

Summary: The committee met on the Minot State campus for a presentation from President Shirley and several university leaders on enrollment, academics, workforce initiatives, and partnerships. Shirley reviewed the university’s financial audits, noting mostly clean results with only minor technical findings in recent years, and highlighted Minot State’s major programs, specialized accreditations, and ties to Minot Air Force Base and NCAA Division II athletics. Members asked about education workforce shortages, athletic tuition waivers, dual credit incentives, and the university’s in-state tuition policy for all students. Shirley also discussed the university’s recruitment efforts, including the Hometown Pride and Academic Excellence scholarships, campus visit growth, and the Emerging Scholars dual-credit reimbursement program. A major focus was workforce development and new academic offerings supported by legislative Workforce Education Innovation Funds. Shirley described the new Innovation Engineering program, which was developed with industry input to train broadly skilled engineers for western North Dakota, and said it had already drawn more applicants than expected. Dr. Crystal St. Peter presented a new master’s program in counseling that integrates mental health and addiction counseling to address statewide provider shortages, with a hybrid format to reach rural students. Members asked about licensure requirements, internship hours, and job placement for graduates. Shirley also outlined a new nursing simulation center and health sciences space in downtown Minot, made possible by state support and the purchase of the former Trinity Health Center West building. The committee also heard about Minot State’s efforts to build pipelines into education and special education, including the Aspire program for rural high school students and an online paraprofessional-to-special-education degree pathway. Shirley said these programs, along with new articulation agreements and a large Bush Foundation grant, are intended to address teacher shortages and keep students in North Dakota. No formal committee votes or actions were taken during the presentation; the session consisted of informational updates and member questions.

Transcript Highlights:

• As it's grown, we're in a partnership with Northwest Health Services, and they've been our partnership
• But service one has a program that does community paramedic service, so when we get patients that are
• So those are the examples of the three different services that that service.
• We go all over the service areas that we're adjacent to. I have five counties.
• We provide 911 emergency services, too, but we do go into other areas.

Summary: The Committee on Local Government first took up Senate Substitute for Senate Bill 975, which concerns community paramedic/mobile integrated health services and related jurisdictional issues. Supporters, including ambulance and EMS leaders from Caldwell County and Cox Health, said the bill would help expand community paramedicine in rural and regional areas, improve patient care, reduce unnecessary emergency room use, and lower Medicaid costs. One witness described a successful program that cut Medicaid charges dramatically, while another said the bill would help ambulance districts merge and operate more efficiently. An opponent representing the Missouri State Council of Firefighters said the group supported the underlying bill but was concerned about the Senate-added jurisdictional language affecting community paramedic services and wanted those issues resolved. The committee heard testimony but took no vote before closing testimony on the bill. The committee then heard House Bill 3496, sponsored by Rep. Rodger Reedy, which would update county official salary schedules and assessed valuation ranges that have not been revised in decades. Reedy and the Missouri Association of Counties said the bill is intended to modernize minimum salary schedules while preserving local control through county salary commissions, with a growth factor designed to account for changing assessed valuations over time. Committee members asked about how the bill interacts with other salary legislation and whether counties could use alternative training or salary arrangements approved by their associations. Supporters said the proposal was developed through a multi-year task force process involving county officials and related associations. The Missouri Association of Counties and Warren County officials testified in favor, saying the bill reflects a broad consensus and better matches current county finances. No one testified in opposition to House Bill 3496, and the chair closed the public hearing and adjourned the meeting after testimony concluded.

Transcript Highlights:

• Our first one is our health care program 500, which includes our medical services, nursing services,
• assurance, reentry services, which is our transitional services, and Strength and Family.
• behavior intervention, our reentry services, which is kind of a bunch of transitional services together
• , quality assurance, reentry services, which is our transitional services, are strength and family.
• it to be reentry services.

Summary: The LEAP committee met on June 18, 2025, with introductions from members and staff, then received a clean audit report from the State Auditor covering 2020–2024. The audit reviewed accounts payable, general disbursements, theft-sensitive assets, and data backup/recovery, and found no findings. Staff also outlined the interim work plan, including a full rewrite of the capital budget application (Build Sum), updates to the transportation bond model and operating budget tools, website improvements, and continued research into secure, responsible AI use. Members asked about AI safeguards, keyword search improvements, and making the website more user-friendly, especially on mobile devices. The committee approved the July 8, 2024 minutes after a quorum was reached. It then considered and unanimously approved several budget format changes: the Department of Corrections moved chemical dependency and sex offender treatment into its health care program and renamed Program 700 from “Offender Change” to “Reentry Services”; the Department of Revenue moved the AMP program into its tax analysis and technology support program; and the Department of Transportation changed a toll program title and added new sub-programs for State Route 509 and State Route 167 toll operations to reflect new facilities and more accurate reporting. Kevin Feltis also provided staffing updates, noting the retirements of longtime LEAP staff, the hiring of three new associate consultants in October 2024, and an upcoming December 2025 retirement for Sherry Randage after decades of state service. The new staff members briefly introduced themselves and expressed enthusiasm for their work. The meeting ended with thanks to members and staff and adjournment after the committee completed its business.

Transcript Highlights:

• with those services.
• </c> emergency medical services. emergency medical services.
• </c> you for your public service. you for your public service.
• These services work.
• . services. services.

Keywords: 1187, senate, all

Transcript Highlights:

• </c> rather than fee for service dollars. rather than fee for service dollars.
• </c> and peer support services 80038. and peer support services 80038.
• </c> fee for service. fee for service.
• </c><01:01:05.200><c> are</c> services to determine if services are services to determine if services
• </c> medically necessary services. medically necessary services.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board reconvened and heard a presentation from the Attorney General’s Office Medicaid Fraud and Abuse Control unit. AG staff described the unit’s structure and work: it investigates and prosecutes Medicaid provider fraud, and also handles abuse, neglect, and exploitation cases involving vulnerable adults in facility settings when asked to assist. They said the office has prosecutors, detectives, auditors, and support staff, works with federal partners, Commonwealth’s attorneys, CHFS, DMS, OIG, and MCOs, and uses a hotline and referral line for complaints. They also explained the MCO referral process, including monthly meetings, stand-down lists, and review of referrals for a “credible allegation of fraud” before the AG office decides whether to open a criminal or civil investigation. The presentation focused heavily on current fraud trends. Staff said behavioral health is a major concern, along with participant-directed waiver services, medically assisted treatment, cash billing for services, controlled-substance billing, and vision and dental fraud. They gave examples such as duplicate time sheets for family caregivers, questionable Suboxone counseling and urine drug screening practices, and a prior optometry case involving false claims for children’s glasses. They also discussed CMS’s estimate that about 5% of Medicaid payments are improper, noted that most improper payments are at the fee-for-service level, and said there is no reliable overall fraud-rate estimate. They highlighted a sharp shift in behavioral health billing after the cabinet’s November 1, 2024 policy changes, saying individual psychotherapy spending dropped while group billing increased, suggesting providers may have moved billing to different codes. Members asked about the scale and timing of cases, how MCO referrals are screened, and whether the data reflected more people being served or just higher spending. The AG office said investigations can take years, with some federal cases still awaiting sentencing from 2018 and 2019 matters, and that they currently had nine individuals awaiting sentencing in federal court. They also reported 58 hotline reports during the referenced period, six cases opened from MCO referrals, and four additional MCO referrals not accepted for active cases. Several members raised concerns about home-based services and the risk of abuse or fraud when family members are reimbursed, and asked whether the process could be streamlined; the AG office said it had no immediate recommendations but would be willing to return with suggestions after further review.

Transcript Highlights:

• However, they rely heavily on federal Medicaid funding to support ongoing services.
• Human Services Agency.
• is overseen by the Department of Social Services.
• But the programs are administered locally by county health and human services agencies.
• Then we'll have Ying Zhen Wang from the Department of Health Care Services.

Summary: The Assembly Budget Subcommittee on Accountability and Oversight held a hearing on how H.R. 1’s new federal work and community engagement rules will affect Medi-Cal and CalFresh, especially for Californians with behavioral health needs, people experiencing homelessness, and justice-involved individuals. The Legislative Analyst’s Office outlined the scope of the changes, including Medi-Cal work requirements beginning in January 2027 and CalFresh changes beginning in June 2026, and estimated large potential coverage losses if people cannot document exemptions or comply with reporting rules. State departments said they are still awaiting some federal guidance but are already building implementation plans, data matching, outreach campaigns, and system changes to reduce disruption and automatically identify exemptions where possible. Department of Health Care Services and Department of Social Services officials described efforts to use existing data, CalSAWS, and cross-program coordination to streamline exemption screening, including for medical frailty, serious mental illness, substance use disorders, and student status. They said outreach will include text messaging, webinars, county training, and community-based partners, while also acknowledging that many people will still need direct worker contact. County representatives stressed that the new rules will create major administrative burdens, require significant new staffing, and could lead to coverage loss if counties are not adequately funded. They urged the Legislature to release the $20 million in current-year General Fund for CalFresh implementation and to consider a much larger county augmentation next year. Assembly members pressed the administration on outreach strategy, county funding, consistency across counties, and how to avoid harming eligible people through overly aggressive implementation. They also asked about coordination with universities, CDCR, and community-based organizations, and about how exemptions would be documented for mental health and substance use conditions. Department officials said they are working with counties, education institutions, and correctional agencies, and that they are trying to align Medi-Cal and CalFresh rules where possible, but not all federal definitions match. Public commenters from legal aid, counties, labor, and public hospitals warned that work requirements do not increase employment, will worsen food insecurity and health outcomes, and will strain county systems unless the state provides more funding and support.

Transcript Highlights:

• </c> the service, but who can do the service the service, but who can do the service and<00:01:27.360
• </c> community-based mental health services. community-based mental health services.
• </c><00:21:46.320><c> and</c><00:21:46.640><c> service</c> community-based services and service community-based
• services and service disrespands regulatory<00:21:54.080><c> requirements.
• </c> receives services. receives services.

Keywords: 1183, house

Transcript Highlights:

• officers in the state that service our tribal veterans.
• officers in the state that service our tribal veterans.
• So a veteran servicing a veteran is the best veteran service officer you can have because their heart's
• We have county veteran service officers, tribal veteran service officers, national veteran service officers
• We have county veteran service officers, tribal veteran service officers, national veteran service officers

Keywords: 908, all

Summary: The Senate opened with prayer, roll call, and a quorum present, then moved through a series of conference committee appointments and reconsideration motions. Senator Axtman successfully moved to reconsider House Bill 1160, which had previously failed, and the chamber later passed it. HB 1160 creates a statewide bell-to-bell policy restricting personal electronic devices during instructional time; supporters argued it would reduce distractions, improve mental health and academic outcomes, and help teachers, while opponents raised local control concerns. The bill passed 42-4. The Senate also passed several other measures, including HB 1247 on protecting student victims of sexual offenses, HB 1489 consolidating civil protection orders into one chapter, HB 1032 making municipal courts courts of record and updating related procedures, HB 1487 authorizing a Minot facility for the Highway Patrol and Bureau of Criminal Investigation with a line of credit and emergency clause, HB 1469 requiring annual online statements of interest for public officials, HB 1199 creating the Missing and Indigenous People Task Force and related MMIP initiatives, HB 1169 regulating paid veterans benefits claim assistance with consumer protections, HB 1209 directing a foreign adversary threat assessment, and HB 3018 as amended to study water, wetlands, and taxation of inundated lands. Most of these passed with strong bipartisan support, though HB 1169 drew substantial debate over veterans’ service options and HB 1209 passed on a narrower 40-7 vote. The chamber rejected or declined several other measures. HB 1455, which would have required the Indian Affairs Commission to review introduced legislation for tribal implications, failed 7-40 after concerns about an unfunded mandate and duplicative duties. HB 1259, which would have put North Dakota on year-round daylight saving time, was defeated 15-32 after debate over time zones, construction, recreation, and whether the issue should be left to future legislatures. HB 1555, dealing with statements of ownership for foreign organizations of concern, also failed 3-44. The Senate then moved to announcements and committee scheduling for later meetings and conference committees.

Transcript Highlights:

• DETECTIVE SERVICES, 18 MILLION FOR PROTECTIVE SERVICES.
• ABOUT HALF THE BUDGET IS VICTIM SERVICES.
• WE ESTABLISHED OUR FOUR CORNERS TO SERVICE EXCELLENCE.
• CAUSE THERE'S NO PROGRAMS AND SERVICES TO RELEASE THEM TO.
• THOSE ARE PROGRAMMING SERVICES.

Keywords: 999, senate, all

Transcript Highlights:

• health benefit plan issuers or administrators and out of network facilities to Health and Human Services
• Senate Bill 722 by Colorado relating to a mobile stroke unit grant program to Health and Human Services
• , delivery, sale, and research of certain medical cannabis to Health and Human Services.
• status to emergency medical services personnel to local government.
• Recipients to Health and Human Services.

Transcript Highlights:

• in service, so there is a break in service that is required, um, that is set in state law, um, before
• in service, so there is a break in service that is required, um, that is set in state law, um, before
• ,</c><00:10:17.320><c> a</c> a bonafide separation of service, a a bonafide separation of service, a
• separation in service, so there bonafide separation in service, so there is<00:10:53.400><c> a</c><00
• </c> cannot be a prearranged service cannot be a prearranged service agreement.<00:11:33.120><c> Um</

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:54 Pension System Update 00:03:38, 958, all

Summary: The committee held its first official interim meeting after merging the General Government and Finance, Personnel, and Public Retirement committees, establishing a quorum and opening with the pledge and prayer. Members then received a briefing from KPPA representatives Ryan Barrow and Aaron Sarock on the state retirement systems, including KERS, CERS, and SPRS, and on the importance of fully funding the actuarially determined employer contribution, supplemental appropriations, and investment earnings in reducing unfunded liabilities. They said the systems have made progress toward a statutory closed amortization target of 2049 and emphasized that supplemental funding lowers current employer contribution rates but does not change that end date. A major topic was federal and state reemployment-after-retirement rules for retirees who return to work with participating employers. KPPA explained that retirees must have a bona fide separation from service, no prearranged agreement to return, and generally a one-calendar-month break in service for retirees on or after January 1, 2024. If a member fails to comply, retirement benefits can be voided, payments stopped, health coverage ended, and benefits repaid. The presenters also noted that rehired retirees do not earn a second retirement account, and employers rehiring them must pay employer contributions and, in non-exempt cases, reimburse health insurance costs. Members asked about the scale of rehired retirees and the difference between employer contribution and health insurance reimbursement amounts. KPPA said that in fiscal year 2025 there were over 3,500 rehired retirees in CERS and over 5,000 in SPRS, with substantial employer contributions and health reimbursement payments collected. They also explained that some positions are exempt from these chargebacks, including school resource officers and certain law enforcement positions that meet statutory criteria. The committee discussed House Bill 213, which allows cities, sheriffs’ departments, and post-secondary institutions to offer health insurance to rehired officers if authorized by the governing body, effective August 1, 2026, and clarifies the fiscal-year basis for certain exemption limits. No votes were taken.

Transcript Highlights:

• I am grateful for your service to this state.
• training or a 22-year-old who has had in-service training.
• I received services from the waiver. To say that these services are critical is an understatement.
• And it is because of these services that I am able to live life to the These services have allowed me
• It actually offers some more services.

Summary: The committee took up a series of health and human services bills, beginning with CS/SB 1602, which would require emergency departments to have evidence-based pediatric care protocols, training, appropriate child-sized equipment and medications, a designated care coordinator, and participation in a pediatric readiness assessment. It was reported favorably. CS/SB 1224 followed, aligning Florida law with federal requirements so paramedics may administer controlled substances in the field under physician or nurse practitioner protocols; it also passed favorably after supportive testimony from fire chiefs. The committee then adopted a strike-all for SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by creating a statewide registry, requiring screening and training in hospitals and long-term care settings, and adding assisted living facility response requirements. Assisted living representatives objected to the ALF provisions as unrealistic and potentially harmful, while supporters argued the bill would save lives; the bill was reported favorably. CS/SB 1182, requiring continuous glucose monitors to be covered as both durable medical equipment and a pharmacy benefit, also passed favorably with support from AARP. The committee next considered CS/SB 12, a claim bill for a child severely injured after a DCF home visit allegedly failed to meet standards, and it was reported favorably without opposition. CS/CS/SB 954, dealing with substance abuse treatment centers and recovery residences, drew substantial debate. The bill would limit local zoning restrictions on treatment facilities and allow larger recovery residences if staffing ratios are increased; a late-filed amendment reduced the maximum active patients from 500 to 300. Municipal and county representatives warned that the bill could override local reasonable-accommodation efforts and create institutional-scale facilities, while supporters said housing is essential to recovery and that clustering concerns are overstated. The committee ultimately reported the bill favorably. CS/SB 1050, expanding the developmental disabilities pilot program statewide and creating a statewide family care council, also passed after extensive testimony from families and advocates. Supporters emphasized the long waitlist and the need for more services, while some speakers opposed managed care and warned about provider shortages and loss of individualized supports. Later, CS/SB 614, requiring a public educational webpage about background screening clearinghouse and level two screening requirements, was reported favorably. CS/SB 1578, which would require coverage for mammograms and supplemental breast cancer screening in certain circumstances, was also reported favorably. CS/SB 1060 created a joint legislative oversight committee to review Medicaid operations and financing; members discussed the need for stronger oversight of large midyear spending adjustments, and the bill passed favorably. CS/SB 1240, a Department of Children and Families substance abuse and mental health bill, was amended to clarify Baker Act transfer timing and notification requirements after debate over whether facilities could hold patients too long; it was then reported favorably. Finally, Senator Harrell presented CS/SB 526, a major nursing education bill aimed at Florida’s low NCLEX passage rates. The bill would require nursing programs to use exit exams, remediation, reporting, and stricter oversight, and the strike-all would add graduate preceptorships for low-performing programs and temporary provisional licenses for graduates pending NCLEX passage. The transcript ended while that bill was still being explained, before final action was taken.

Transcript Highlights:

• What type of services are you doing? Are you doing legal advocacy? Are you doing crisis services?
• And then after that, 12% is other services. like legal advocacy, crisis services, other human trafficking
• Protect and financially reward first responders and emergency services personnel for years of service
• It was over 750,000 services with counseling representing the number one service across victims.
• Thank you all for your service.

Keywords: 1184, house, all

Transcript Highlights:

• of things—not just food, but other services, health care services, a host of things.
• Service integration hub.
• They can absolutely go anywhere they need to receive service.
• Well, thank you for your service, Bill.
• And pharmaceutical products, business services, and organic chemicals.

Keywords: 996, all

Transcript Highlights:

• WHEN THE PROVIDER SERVICES MODULE WAS SCHEDULED TO GO LIVE.
• WE WILL START WITH THE INTEGRATION SERVICES INTEGRATION PLATFORM.
• THE AGENCY PROCURED A NEW CONTRACT FOR PDM SERVICES IN APRIL 2024.
• SO THE PROVIDER SERVICES MODULE, THIS ONE CONSOLIDATES PROVIDER ENROLLMENT SERVICES INTO A SINGLE PROCESS
• SO YOU WILL SEE THE FALL IMPLEMENTATION PATH FOR RECIPIENT SERVICES ON THIS MODULE.

Transcript Highlights:

• </c> management services for families. management services for families.
• </c> identifying gaps in any services. identifying gaps in any services.
• </c> incorporated into um our service array. incorporated into um our service array.
• pro um, service to our other service pro um, service areas<02:13:52.079><c> within</c><02:13:52.400>
• </c> services to our residents. services to our residents.

Keywords: 1183, house

Transcript Highlights:

• Has it been steady, or is your service expense and then also the number of your service Corps members
• “Fee-for-service reimbursement.
• Forest Service.
• Forest Service.
• Forest Service.

Keywords: 987, senate, all

Transcript Highlights:

• of clinical preventive services such as screenings and preventive medications.
• It's about preserving affordability to preventive services and vaccines.
• , that they were going to pull a service from either immunization coverage or preventive services coverage
• We also own and operate our own ambulance service. House Bill 2110...
• We also own and operate our own ambulance service.

Summary: The Senate Health and Long-Term Care Committee held public hearings on several House bills and later took executive action on two others. The committee heard testimony on House Bill 2242, which would let the Department of Health issue immunization recommendations and tie preventive-service coverage to federal recommendations as of June 30, 2025, while preserving access to vaccines and other preventive services. Supporters, including the Governor’s office and the Insurance Commissioner, said the bill would protect access, affordability, and stable vaccine purchasing; opponents argued it politicizes vaccine policy and gives too much influence to state agencies and outside groups. The committee also heard testimony on House Bill 2152, allowing terminally ill patients in hospitals, nursing homes, and hospice facilities to use medical cannabis under facility policies, with supporters emphasizing dignity, symptom relief, and safeguards, and House Bill 2088, joining the dietitian licensure compact, which supporters said would help military spouses, telehealth, and workforce shortages. House Bill 2110, on ambulance inter-facility specialty care transports, drew support from rural hospitals seeking more staffing flexibility and opposition from nurses and EMS personnel concerned about training, accountability, and patient safety. House Bill 2247, on veterinarian-client-patient relationships and telemedicine, drew support from the sponsor and some stakeholders as a workforce and access measure, but also criticism from the state veterinarian and others who said it could conflict with federal VCPR requirements and public health protections. House Bill 2340, expanding substance use disorder monitoring program eligibility to nursing assistants and stipend support, was presented as a way to help low-wage health workers stay in the workforce; there were no in-person testifiers against it. In executive session, the committee considered House Bill 2155, concerning the use of nursing titles, and House Bill 2531, aligning the ambulance transport fund quality assurance fee with federal regulations. Both bills received do-pass recommendations and were sent to the Rules Committee. For the public hearings, no final committee votes were taken on the other bills in this transcript, and testimony concluded on each measure after the committee heard from sponsors, agency officials, advocates, and opponents.

Transcript Highlights:

• Um, this bill that is before the committee today allows service dog trainers to house service dogs in
• c> dog,</c> service dog and you use a service dog, service dog and you use a service dog, they<00:07:
• Services. And we'll move to your next Services.
• Managerial services.
• Managerial services.

Keywords: 1187, senate, all