Transcript Highlights:

• seeking the soft underbelly of our state agencies, our school districts, our water utilities, our community
• Three to five years to try to build something from scratch and to apply to plug into this cyber community
• You know, you're not going to be walking across the street to your FBI or, you know, you'll be communicating
• To me, this cyber command will ensure that the Texas business community and citizens are protected.
• It designates the licensed appraiser as the primary contact for all communication between the board and

Bills: HB146, HB150, HB1500, HB1545, HB1562, HB2067, HB2520, HB2818, HB3214, HB3250, HB3466, HB3512, HB3623, HB4063, HB4395, HB4464, HB4668, HB4690, HB5331, HB3833, HB146, HB150

Keywords: HB 146, Texas Capitol, State Capitol, State Preservation Board, Congress Avenue, Travis County, traffic lanes, lane closure, road closure, municipal authority, local control, Capitol area, downtown Austin, special events, construction traffic plan, pedestrian safety, public works, transportation policy, government code chapter 443, cybersecurity

Transcript Highlights:

• Members and those in the public, please make sure cell phones and other communication devices are turned
• But the goal here is really to have much more interoperability with other state agencies.
• So it is a constant communication, and I touched upon that continuous improvement aspect with the IV&
• We also launched the first phase of our community partner module.
• We'll be looking to use more digitized formats in communicating those notices as well.

Summary: The subcommittee heard updates on several major technology modernization efforts, beginning with the Department of Financial Services’ Florida PALM project, which is replacing the state’s decades-old FLAIR accounting system. DFS described PALM as a statewide effort affecting all three branches of government, with cash management already live and the remaining financial management, payroll, and data warehouse components still in development. Officials said the project began in 2014, was restructured after a 2022 legislative pause, and is now being recommended for a go-live delay from January 2026 to July 2026. Members asked about governance, staffing, contract structure, cost growth, and maintenance costs; DFS said the contract is deliverable-based, the current amendment would add a net $2.2 million, and post-go-live maintenance is expected to be about $13 million annually under the current contract through July 2027. The Agency for Health Care Administration then updated the committee on the FX Medicaid enterprise modernization program. AHCA explained that federal CMS directed states to move from monolithic Medicaid systems to a modular approach, leading Florida to procure separate vendors for integration services, data warehouse, unified operations, provider services, and claims processing, with pharmacy benefits still to be procured. Officials said the project has spent about $334 million to date, with most costs federally matched, and requested $189.95 million for the upcoming year. They also highlighted a 2024 special assessment that produced 81 recommendations, most tied to staffing shortages, and said the Legislature added 47 FTEs, with 17 currently filled or being filled. Members asked about governance changes, production status, data access, and future technology maintenance; AHCA said some components are operational, the data warehouse is nearing certification, and the agency is working to keep the system adaptable and nonproprietary. The Department of Children and Families presented its Access modernization project, which is replacing a mainframe-based eligibility system used for SNAP, TANF, Medicaid assistance, and related programs. DCF said the six-year, $205 million project is in its third year and has already delivered a new customer portal with mobile access, multi-factor authentication, and fraud protections, while also building a worker portal, document management, community partner tools, and workload management functions. The agency said it is requesting $36.625 million for the next fiscal year, the same as last year, and emphasized that the project has remained on schedule and on budget by breaking work into smaller modules and using strong vendor and staff support. Members praised the project’s progress and asked about cybersecurity testing and the long delay before modernization began; DCF said security requirements were built in from the outset and that the remaining work will focus on moving staff off the legacy mainframe and modernizing notices and back-end processes.

Transcript Highlights:

• that live in our communities. that live in our communities.
• 81 community supervision subprogram 81 community supervision 95,128,0415,128,041 personal<03:33:17.920
• private prison providers, and community private prison providers, and community corrections<03:38
• Community Access Enterprise, G5: 3.7 FTE. Community Access Enterprise: $71,397. I.
• <04:56:58.560> 8 4.0 FTEE 7 Commission on Community 8 4.0 FTEE 7 Commission on Community 8

Keywords: 981, all

Summary: The committee and floor took up House Bill 1411, which concerned the Cover All Colorado program. Debate centered on whether removing the program’s cap would create an open-ended entitlement and add pressure to the state budget. Supporters and opponents argued over fiscal impacts, with several members saying the program had grown far beyond its original cost estimate and that the state needed to protect the budget and maintain a balanced plan. The bill was ultimately passed as amended. House Bill 1412 was then considered, authorizing the Department of Health Care Policy and Financing to use statistical sampling and extrapolation to recover Medicaid overpayments in certain provider audits, including ABA therapy and non-emergency medical transportation. Sponsors said the measure would help recapture millions in overpayments tied to fraud, waste, and abuse, and noted safeguards such as strict benchmarks, internal audit review, and a third-party audit firm. An amendment striking the word “alleged” from the bill was adopted, and the bill passed as amended. House Bill 1413, which changes leave provisions for certain public servants, was also approved. The bill removes a statutory cap on how much sick leave state employees may earn, while leaving actual leave policies to departments and bargaining agreements, and increases annual military leave to align with federal law. Members described it as a modest employee-benefit measure in a year without across-the-board pay raises. The House also laid over House Bill 1410 until later in the day and received the committee of the whole report on a large slate of other bills. Later, Representative Richardson sought to reverse the committee’s action on an amendment to House Bill 1389, which involved the comprehensive human sexuality education grant fund, arguing the grant program should be repealed if it is no longer funded.

Transcript Highlights:

• Again, we'll be training community health workers, community paramedics, EMTs, uh doulas, just a whole
• Again, we'll be training community health workers, community paramedics, EMTs, uh doulas, just a whole
• Again, we'll be training community health workers, community paramedics, EMTs, uh doulas, just a whole
• organization will convene community organization will convene community partners<00:42:19.599>
• that have worked in other communities that have worked in other communities and<00:42:56.880>

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 CRISP Shared Services 00:01:39 Rural Health Transformation Plan 00:30:55, 958, all

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.

Transcript Highlights:

• work that CCR is doing in our community work that CCR is doing in our community so<00:37:40.520>
• the director of culture and community the director of culture and community outreach<00:41:04.400
• <00:41:29.760> mental and underserved communities mental and underserved communities mental
• process Improvement and communication process Improvement and communication house<00:43:28.640><
• Different types of people are staying in our community, the elderly, and we've got a community.

Bills: HF1380, HF1166, HF487, HF1553, HF1472, HF258, HF1911

Keywords: psychiatric treatment, human services, mental health funding, per diem rate, Clay County, disability services, assistive technology, remote support, advocacy, training programs, HF487, Wellness in the Woods, Minnesota human services, grant funding, general fund appropriation, peer support, substance use recovery, addiction recovery, reentry services, reentry after incarceration

Transcript Highlights:

• The local community is stepping up to do it.
• That's serving the same community and we decided we can serve this community with a single space. instead
• I think because Chairman Dean is watching, by the way, communicate.
• I have a community substitute coming and it's...
• Chair recognizes Amy O'Donnell, Communications.

Bills: HB5141, HB4638, HB2264, HB2035, HB4813, HB4408, HB2684, HB1621, HB2300, HB216, HB3829, HB4466, HB1747, HB2284, HB3614, HB2587, HB3219, HB3318, HB5147, HB4014, HB216

Keywords: lease, state property, public purpose, Travis County, Health and Human Services, pharmaceutical initiative, drug distribution, healthcare services, generic drugs, advanced pharmaceuticals, cost savings, mental health, patient discharge, medical records, health care professionals, substance use, family involvement, chemical dependency, treatment facilities, minor admissions

Transcript Highlights:

• You might decrease the carbon being emitted in the community, but the community might be more concerned
• portion of the funding, but also prepares communities to participate in the process of community air
• We're funding 19 communities, which represents 10% of the disadvantaged communities that are out there
• In disadvantaged communities throughout their jurisdictions, the Community Air Protection Program also
• I'm here on behalf of San Diego Community Power; we're a community choice aggregator and the second largest

Keywords: 988, house, all

Transcript Highlights:

• I'M PROUD THIS FUNDING WAS SECURED TO SUPPORT MARINE LIFE AND THE COMMUNITY.
• The rescue highlights something special about our coastline communities.
• Among the victims were families from my community in Northern Virginia.
• Among the victims were families from my community in Northern Virginia.
• COMMUNITY, FOLKS WITH WHOLE LIVES AHEAD OF THEM.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, February 23, 2026, 1012, house, all

Transcript Highlights:

• So how is that communicated to the districts that there's latitude to use some of this additional money
• and... ...district by district, but more about what is this larger community and, you know, industry
• They are reflective of the population and the communities they serve.
• It is more along the lines of handling communications and records and organizing... ...handling communications
• There are a lot of community college partners: Clovis, CNM, Northern, Santa Fe Community College, Luna

Keywords: 996, all

Summary: The meeting began as an informal education budget work group focused on reviewing a revised House Appropriations and Finance Committee scenario and flagging concerns rather than taking votes. Staff outlined the main changes from the LFC recommendation, including moving the statewide student information system appropriation, adding funding for the Black, Bilingual, Multicultural and Hispanic Education Act, universal school meals overrun costs, an evidence-based CTE pilot with a 50% local match, STEM network funding, wellness room pilots, Martinez-Yazzie action plan items, and changes to innovation zone and out-of-school time appropriations. A separate handout on the seven-year CTE pilot explained spending patterns, reversions, and possible federal maintenance-of-effort concerns if the state continues funding beyond a true pilot. Members then debated CTE extensively, with several arguing it improves attendance, graduation, and career readiness and should be sustained or expanded, especially in rural areas, while staff and others emphasized that much of the current funding has gone to general operational costs rather than intentional program design and that regional or matched funding models may be more effective. Members also discussed STEM and math initiatives, the need for more industry involvement, and whether the proposed match requirements would be too burdensome for smaller districts and BIE schools. The discussion also covered the Black, Hispanic, and Multilingual Education Acts and the Martinez-Yazzie lawsuit. Some members stressed that the acts should be explicitly named in the budget language and not merely implied, while staff said the scenario reaffirms prior commitments by building the costs into agency operating budgets. Members raised concerns about charter school hold-harmless funding, declining enrollment, and the need to align spending with the needs of at-risk students. The work group ended the education portion without any votes, with staff noting they would incorporate the feedback and return with clarifications, including on CTE funding, the educational acts, and the charter hold-harmless item. The meeting then shifted to the child well-being and early childhood work group, where staff presented a revised Early Childhood Education and Care Department scenario. The proposal moved money toward child care assistance and early pre-K, kept the FIT program funding level unchanged, and used a mix of trust fund, TANF, federal, and operating-budget adjustments to close part of the gap between the executive and LFC recommendations. Members questioned the policy direction, especially the shift toward infant and toddler care and pre-K expansion, the impact on school-age child care, and the implications for continuity of care and provider costs. Staff explained that the scenario prioritizes younger children and at-risk families, includes language for a wage and career ladder, and would require legislation to raise the early childhood trust fund distribution cap from 500 to 525. Members also discussed a separate proposed CYFD pilot bill (HB 65), which would be distinct from ECECD funding. No votes were taken, and staff said they would return with more cost information on full pre-K plus wraparound care. A final work group reviewed C2 and Department of Information Technology-related appropriations. Staff compared the LFC and executive recommendations for new funding and reauthorizations, noting that the LFC generally limited new projects while the executive funded more. Members discussed several IT modernization requests, including the Secretary of State’s voter registration and election management systems, the Spaceport Authority, Game and Fish, the State Engineer’s WATERS system, ECECD’s FitKids and EPIC replacement discovery, and Aging and Long-Term Services’ enterprise system modernization. The main themes were whether to fund planning versus full replacement, how to avoid piecemeal spending, and whether new systems should wait for incoming leadership. The Secretary of State’s office said its system is nearing end of life and the planning funds would help prepare a realistic replacement request, while other agencies described aging infrastructure, cybersecurity risks, and the need for modernization. The work group did not vote on any of the items and ended with staff noting additional follow-up on funding needs and reauthorization details.

Transcript Highlights:

• AND SUPPORTING THE COMMUNITIES THAT HELP TO SHAPE OUR STATE.
• Patsy was an incredible leader in the community.
• PATSY WAS AN INCREDIBLE LEADER IN THE COMMUNITY.
• We build affordable housing in my community and guess what?
• They are important in our communities.

Keywords: 993, senate, all

Summary: The Senate opened with the Pledge of Allegiance and an invocation, then approved the prior day’s Journal and moved into motions, resolutions, and budget-related business. Senator Gianaris called up Senate Print 5898A for reconsideration; the Senate voted 59 ayes to restore the bill to the third reading calendar. Several amendments were also received on third-reading bills, and the Finance Committee was called into session while the chamber proceeded with resolutions. The Senate adopted Resolution J.2106 recognizing Second Chance Month and the mental health impacts of incarceration, with Senator Brisport speaking in support and a guest from the community recognized in the chamber. The body also adopted Resolution J.1492 designating May 27, 2026, as Taiwan Heritage Day, with remarks from Senators Sepúlveda, Stavisky, and Liu highlighting Taiwanese contributions to New York and expressing support for Taiwan amid current geopolitical tensions. The Finance Committee then reported several budget bills, including Senate Prints 9003D, 9004D, 9007C, and 9009C, which were moved to third reading. The remainder of the session focused on the supplemental and controversial budget calendars, especially tax and spending provisions. Senators debated the “Protecting Our Wallets” energy rebate, with supporters describing it as a one-time check for eligible taxpayers and critics arguing it was too small and not tied directly to utility bills; the chamber accepted the message of necessity and laid the bills aside. Members also debated extensions and changes to tax provisions affecting corporations, alternative fuel exemptions, Broadway and theatrical production tax credits, charitable deductions for certain 501(c)(3)s, nicotine pouch taxes, a new New York City pied-à-terre tax, and a standardbred horse-racing testing fee. Several senators criticized the budget as raising costs or favoring certain industries, while supporters defended the measures as revenue-raising, affordability, or public-health policies. No final votes on the controversial budget bills are shown in the excerpt beyond procedural rulings, adoption of the resolution calendar, and acceptance of committee reports.

Transcript Highlights:

• to get them again in community programs. to get them again in community programs.
• community mental health centers.
• community mental health centers.
• community mental health centers.
• community mental health centers.

Keywords: 924, joint, all

Transcript Highlights:

• We interoperability across the states.
• state coordinating council for community state coordinating council for community transportation
• . community. community.
• Speaking to you today in communities.
• <03:36:15.119> are It fails when the entire communities are It fails when the entire communities

Keywords: 1189, house, all

Bills: HR94, HR95, HR96, HR97, HR98, HR99, HR100, HR101, HR102, HR103, HR104, HR105, HR106, HR107, HR108, HR109, HR110, HR111, HCR45, HCR46, HCR47, HCR48, HCR49, HCR50, HR92, HR93, HCR44, SB11, SB72, SB78, SB151, SB207, SB210, SB219, SB241, SB286, SB324, SB351, SB376, SB409, SB411, HR74, HCR26, HB4, HB98, HB108, HB131, HB151, HB161, HB244, HB288, HB294, HB305, HB310, HB320, HB336, HB380, HB392, HB403, HB420, HB459, HB476, HB513, HB540, HB596, HB608, HB615, HB631, HB637, HB648, HB665, HB682, HB789, HB813, HB815, HB835, HB870, HB905, HB915, HB933, HB938, HB944, HB971, HB987, HB1040, HR15, HR20, HCR14, HCR6, HCR19, HCR10, HB81, HB134, HB154, HB163, HB170, HB194, HB217, HB220, HB254, HB259, HB290, HB308, HB311, HB360, HB382, HB401, HB410, HB417, HB463, HB575, HB592, HB718, HB723, HB750, HB755, HB776, HB812, HB844, HB882, HB888, HB961, HB966, HB980, HB54, HB67, HB73, HB125, HB133, HB158, HB168, HB169, HB191, HB195, HB245, HB280, HB283, HB296, HB319, HB339, HB399, HB407, HB448, HB550, HB591, HB826, HB995, HB1085, HB1086, HB722, HB140, HB468, HB546, HB746, HB842, HB923, HB166, HB349, HB352, HB429, HB436, HB588, HB747, HB780, HB782, HB911, HB827, HB953, HB796, HB901, HB9, HB52, HB58, HB193, HB284, HB400, HB570, HB577, HB582, HB605, HB733, HB735, HB868, HB952

Keywords: Sanfilippo Syndrome, awareness, genetic disorder, cognitive impairment, Louisiana, Alzheimer's, dementia, caregivers, public health, health education, civil bench warrants, judgment debtors, notification process, judgment debtor examination, Louisiana State Law Institute, Knock Knock Children's Museum, early childhood education, economic development, community engagement, Louisiana legislature

Transcript Highlights:

• As communities like mine do ADA improvements, they have a larger chunk of money that falls on small community
• as well with a small user base and small community service districts.
• The process for communities will include... ...assist communities in the recovery of a disaster.
• Quick-build projects are interoperable capital infrastructure projects.
• Rural communities do not recover like our urban areas.

Summary: The Assembly convened with a quorum call, prayer, and Pledge of Allegiance, then moved through a long daily file of bills. Early procedural motions included a failed attempt to suspend the rules for AB 1219, followed by consideration of numerous measures on housing, veterans, education, elections, energy, wildfire prevention, public safety, and consumer affordability. Several bills drew bipartisan support and passed overwhelmingly, including AB 878 on safety accommodations for survivors of violence, AB 948 on school district facility maintenance, AB 81 and AB 88 on veterans’ mental health and student aid, AB 640 on school board fiscal training, AB 660 on housing permit timelines, AB 1048 on workers’ compensation billing disputes, AB 1119 on dual credentialing, AB 1172 on inhalable anti-seizure medication access, AB 1227 on wildfire prevention, AB 1285 and AB 696 on lithium-ion battery safety, AB 1417 on offshore wind transparency, AB 1530 on disaster recovery assistance, and AB 353 on affordable home internet. Some measures drew opposition or more divided votes, including AB 704 on sealing certain misdemeanor records, AB 1249 on early voting access, AB 1280 on thermal energy incentives, AB 1448 on offshore oil protections, AB 380 on price gouging, AB 402 on Cal Grant increases, AB 1074 on CalWORKs reunification, and AB 1084 on expedited gender-change and name-change court orders. The Assembly also granted reconsideration on AB 435, a child passenger safety bill, and passed it after debate on the five-step safety-seat standard. The floor debate featured recurring themes of affordability, housing, wildfire preparedness, election access, veterans’ services, and public safety. Supporters of the election bill AB 1249 argued it would simply add a Saturday early-voting option in non-VCA counties, while opponents raised concerns about verification and county staffing. AB 30, authorizing E15 gasoline in California, was presented as an urgency measure to lower fuel costs and passed unanimously on the urgency and the bill. AB 1466 on groundwater disputes was also taken up, with the author arguing it would reduce frivolous litigation and better represent all water users; the vote was 42 ayes and 17 noes. After completing the file, the Assembly recessed for lunch, later returned, and continued with additional file items, with many measures passing on strong bipartisan votes.

Transcript Highlights:

• Excuse me, I'm going to hit community gardens, zero-hour, and community-based walking programs.
• Excuse me, I'm going to hit community gardens, zero-hour and community-based walking programs.
• But I also have communications experts within the agency, and they’re setting up the cadence of communication
• So more dollars would open up to expand walking programs across communities, community gardens, and zero-hour
• So more dollars would open up to expand walking programs across communities, community gardens, zero

Keywords: 908, all

Summary: The committee was called to order, the roll was taken, and the March 18 minutes were approved. Members then received several project and program updates, beginning with CHI St. Alexius’s behavioral health buildouts in Bismarck, Williston, and Grand Forks. St. Alexius reported that the Bismarck project remains on track for June 2027 completion, with demolition underway and final design work nearing completion. Williston reported construction is progressing, staffing recruitment is underway for psychiatrists and other staff, and an air handler replacement is creating a roughly $750,000 unbudgeted barrier that will slightly delay the timeline. Grand Forks reported its expansion is about 30% complete, with no major barriers beyond weather, and leaders said the project should be substantially complete in the first quarter of 2027. The Department of Health and Human Services then presented a series of budget and program updates. Donna Ockland explained several recent line-item transfers as technical corrections that net to zero and do not require new spending, then reviewed salaries, wages, and FTE counts, noting the department remains within its authorized staffing levels. Pat Rainer followed with an update on the Rural Health Transformation Program, saying 12 opportunities have been posted, 422 applications received, and $8.4 million obligated so far, with a goal of obligating the full $199 million by September. He described grants for workforce retention, rural rotations and housing, community gardens, school wellness, behavioral health promotion, safety net services, equipment, technology, EMS, and other initiatives, emphasizing that the program is intended to be transformational and tied to metrics. Members asked extensive questions about how rural eligibility is defined, how grants will support both rural facilities and hub hospitals, and how future years of funding will build on current awards. The committee also heard an update on certified community behavioral health clinics from Elena Zeller, who said North Dakota has been accepted as a demonstration state, implementation is underway in Williston, North Central/Minot, Fargo, and Dickinson, and care coordination and service counts are increasing. Rebecca Askins then reviewed SNAP payment error rates, saying the 2025 rate was finalized at 9.89%, with the state aiming to get below 6% through policy updates, training, data tools, and a quality assurance team. Members pressed her on the causes of the error rate, the role of the SPACES software system, and the need for accountability and improvements. Finally, Dirk Wilkie reported the state laboratory project reached substantial completion on June 12 and is on budget at about $69.95 million, though a service elevator had to be redesigned because it was too small for equipment.

Transcript Highlights:

• And what we found astonished not only us, but the entire scientific community.
• Maybe I'll leave it, but, you know, I mean, it's really community standard of practice.
• Maybe I'll leave it, but, you know, I mean, it's really community standard of practice.
• I will say that has not been my experience with the deployer community writ large.
• We appreciate your goals of making sure that there are not communities left behind. Thank you.

Summary: The joint informational hearing of the Assembly Health and Privacy Committees focused on generative AI in health care, with opening remarks emphasizing both its potential to improve care and its risks around privacy, bias, liability, workforce impacts, and unequal access. Chair Bauer-Kahan and Chair Bonta framed the discussion around how California can encourage beneficial innovation while protecting patients, especially given the sensitivity of health data and the possibility that AI could worsen existing disparities if not carefully governed. The first panel featured representatives from Cedars-Sinai, Kaiser Permanente, Penguin AI, and Google, who described current uses of AI such as ambient clinical scribes, nursing documentation tools, imaging triage, maternal-fetal risk prediction, and administrative automation. Speakers said these tools can reduce clinician burden, improve patient experience, speed treatment, and in some cases improve outcomes, including a reported mortality benefit from a Kaiser predictive model and faster thrombectomy times at Cedars-Sinai. Members raised concerns about accuracy with accents and multilingual visits, whether predictive tools could reinforce bias or lead to more interventions such as C-sections, and how to ensure a human remains in the loop for important decisions. The second panel, including representatives from the California Health Care Foundation, UC Berkeley, and Stanford, focused on policy and governance challenges. Testimony highlighted examples of AI supporting homelessness outreach and community health work, but also warned that biased algorithms can encode inequities, especially when trained on data that reflect under-treatment of Black, rural, or low-income patients. Witnesses urged clearer standards for trustworthy AI, stronger monitoring and governance structures, better data access for accountability, and attention to the safety net’s limited resources. Several speakers argued that states should require health systems to have AI governance processes, clarify liability between developers and deployers, and regulate downstream uses of AI while preserving access to data for lifesaving research and oversight.

Transcript Highlights:

• Excuse me, I'm going to hit community gardens, zero-hour and community-based walking programs.
• So there's interoperability through a hub.
• up the cadence of communication.
• So more dollars would open up to expand walking programs across communities, community gardens, and zero-hour
• So more dollars would open up to expand walking programs across communities, community gardens, zero

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

Transcript Highlights:

• Excuse me, I'm going to hit community gardens, zero-hour and community-based walking programs.
• Excuse me, I'm going to hit community gardens, zero-hour and community-based walking programs.
• So there's interoperability through a hub.
• But I also have communications experts within the agency, and they’re setting up the cadence of communication
• So more dollars would open up to expand walking programs across communities, community gardens, zero-hour

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on major health-related projects and programs. CHI St. Alexius representatives reported progress on behavioral health buildouts in Bismarck, Williston, and Grand Forks, including demolition and construction milestones, staffing plans, and timelines. The Bismarck project remains on track for completion in June 2027 with about $346,500 spent to date. Williston reported construction underway, a $750,000 unbudgeted air handler replacement, active recruitment for psychiatrists and other staff, and a projected substantial completion in early 2027. Grand Forks reported about 30% completion, weather-tight status expected in August, and continued staffing ramp-up as the facility expands from its current 24-bed operation. The Department of Health and Human Services then reviewed a set of technical line-item transfers, emphasizing that they were administrative corrections with no net change in funding. The department also walked through the Salaries and Wages Block Grant and FTE counts, noting overall staffing remained within appropriated limits and that behavioral health staffing had increased. Members asked about vacancies, consultant use, and the mix of in-state versus out-of-state expertise for the Rural Health Transformation Program. HHS said it had posted 12 funding opportunities, received 422 applications, obligated $8.4 million so far, hired 26 people, and was preparing additional grant rounds and a CMS budget submission. The department said the program is structured around workforce, prevention/healthy living, care closer to home, and technology/data, with ongoing stakeholder engagement and community forums. The committee also heard on the certified community behavioral health clinic implementation plan, SNAP payment error rates, and the state laboratory project. HHS said CCBHC certification is being implemented in four regions—Williston, Minot/North Central, Fargo/Southeast, and Dickinson/Badlands—with care coordination expanding and baseline data still being collected. On SNAP, the department reported a 2025 payment error rate of 9.89%, acknowledged cost impacts under HR1, and said it is using training, system changes, and pre-authorization quality checks to reduce errors toward a 6% target over the next 6 to 12 months. Finally, Public Health reported the state laboratory reached substantial completion on June 12, with total costs at $69.95 million of the $70 million budget, though a service elevator issue will require a new lift to be added using contingency funds.

Transcript Highlights:

• I'm here on behalf of our 47 community hospitals.
• Community to do so. Please pass this bill. Thank you. Stephanie Valdez.
• We were there for families, friends, and community throughout the pandemic.
• My family, my neighbors, my community.
• Communities in these rural hospitals—it's pretty much all we really have.

Transcript Highlights:

• We've improved our mental health and recovery services and worked to keep deadly drugs out of our communities
• The Army National Guard has over 60 buildings in 18 communities throughout the state of New Hampshire
• lounge, and some community attributes to our armory to accommodate the veteran community, to include
• PSTC was originally part of the New Hampshire Community College system until...
• Our final request comes from the Division of Emergency Services and Communications.

Keywords: 928, house, all