Transcript Highlights:

• Within this specific act, there is a tax credit for taxable years and incremental structuring for the
• <00:07:10.759> for years and uh incremental structuring for years and uh incremental structuring
• It mandates public disclosure of ownership and beneficiary structures.
• It mandates public disclosure of ownership and beneficiary structures.
• <00:42:22.720> I ownership or beneficiary structures I ownership or beneficiary structures

Keywords: 912, senate, all

Summary: The Senate Agriculture and Environment Committee heard five bills on January 24, 2025. SB 1 would phase out disposable air filters and require reusable air filters by 2030; testimony was limited, with one supporter urging clearer definitions of fiberglass and paper and several opponents listed, and the committee later deferred the bill indefinitely for lack of support testimony. SB 13 would create an aquaculture investment tax credit beginning in 2026; state agencies and several industry groups supported it, while the Tax Foundation raised concerns about loose definitions, internal inconsistencies, and blanks that made the bill hard to estimate or vet. The committee passed SB 13 with amendments and technical changes, and deferred its effective date to July 1, 2015 as stated on the record. SB 177 would shift aquatic livestock import and movement permitting to the Department of Agriculture’s Animal Industry Division, require a risk-based assessment and biocontainment standards, and seek a $1 million appropriation for research and staffing. The Department of Agriculture said the bill would help expand aquaculture while managing risks to native species; aquaculture and farm groups supported it, while Animal Rights Hawaii was listed in opposition. The committee passed SB 177 with amendments, blanking the appropriation for committee report consideration, and deferred its effective date to July 1, 2050. SB 184 would raise the beverage container deposit and refund from 5 cents to 10 cents. Supporters said the higher deposit could improve recycling and environmental outcomes, while opponents, including the Tax Foundation, cited fraud concerns, the program’s existing fund balance, and practical challenges in redemption; the Department of Human Services also noted potential impacts on blind vendors. The committee took the bill up but deferred decision-making until Monday, January 27, 2025, at 10:01 p.m. in Room 224. The committee also heard SB 250, which would increase the income tax credit for interisland transportation costs for agricultural products. Agricultural and industry witnesses supported the bill as a way to offset rising shipping costs and preserve access to markets, while the Tax Foundation preferred direct appropriations over tax credits and objected to missing bill details. The committee passed SB 250 with amendments from the Department of Agriculture and deferred its effective date to July 1, 2050. Separately, a joint hearing on SB 240, the Right to Farm bill, drew mixed testimony: the Department of Agriculture supported further study and raised concerns about the bill’s fragmented approach, while farm, cattle, and other industry witnesses split between support for protecting customary Native Hawaiian subsistence farming and opposition to excluding CAFOs and certain business structures. No vote was taken on SB 240 in the portion provided.

Transcript Highlights:

• We have campuses that are leading the way as it relates to structured literacy.
• The belief in structured literacy is correct. We're back on track from where we were.
• and systems, thinking about the integration.
• Maybe what you need is a more integrated or co-investment model.
• You know, those exist, but we have to integrate that.

Transcript Highlights:

• But sadly enough, vertical integration But sadly enough, vertical integration in<00:24:47.679>
• And so we've created a new structure, and this structure creates the old structure created an inconsistency
• structure<03:45:11.040> creates<03:45:11.680> the structure and this structure
• creates the structure and this structure creates the old<03:45:12.160> structure<03:45:12.479>
• new structure in governance and the new structure helps<03:45:16.560> us<03:45:16.800> with

Keywords: U.S. House of Representatives Floor Proceedings on Monday, June 8, 2026, 1012, house, all

Transcript Highlights:

• The state of Washington is sort of admired for its work in integration.
• I want to ensure that we are not just achieving financial integration, but that we're really achieving
• care and clinical integration in that behavioral health work.
• I don't even know how much you want to talk about implementation structures.
• It's something that was done via the budget in the way that we structure our budget.

Summary: The committee met to hear introductory briefings from the Department of Health and the Health Care Authority on agency priorities, federal changes, and implementation challenges. Secretary of Health Dennis Worsham said his department’s listening tour is focused on strengthening governmental public health, improving health care quality and access, and responding to federal funding disruptions and the shutdown’s effects on programs such as WIC. HCA Director Ryan Moran said the agency is prioritizing coverage preservation, oversight of major contracts, affordability, behavioral health integration, rural health transformation, and internal agency operations. Members asked about licensure delays; Worsham said the backlog had been reduced from about four months to six weeks and should be caught up by January 1, with possible further process changes if needed. A major portion of the meeting focused on H.R. 1 and its Medicaid-related implementation. Governor’s health policy advisor Caitlin Stafford, HCA staff, and interim Medicaid Director Trinity Wilson said the state is working with DSHS, the Health Benefit Exchange, tribes, and other partners to prepare for eligibility changes, work requirements, and six-month redeterminations. They said the state expects up to 30,000 Apple Health enrollees could lose coverage under the law’s non-citizen eligibility changes, and that the work requirement/redetermination provisions could affect about 620,000 adults, with roughly 80,000 also enrolled in SNAP. HCA said it hopes to automate most verification, but about 15% to 20% of cases may require manual review, with technology costs estimated at up to $30 million. Staff also said they are trying to keep H.R. 1 implementation mostly in budget language rather than statute, and that communication and navigator support will be important to minimize confusion and coverage loss. The committee also received an update on the Rural Health Transformation Program created in H.R. 1. HCA said Washington submitted its application to CMS on November 5 after extensive stakeholder engagement, including more than 310 written comments, webinars, and tribal consultation. The application centers on six initiatives: rural hospital innovation, community care and prevention, tribal investments, technology and data, workforce development, and rural behavioral health. HCA said the state is likely to receive less than the full $200 million annual amount assumed in the federal program, and that an advisory committee may be created to help guide spending over the five-year program. Members asked about palliative care, small business impacts, and communication with enrollees; HCA said it expects to share outreach toolkits and that no 2026 statutory changes are currently anticipated, though that could change. The final panels covered organ donation and transplant services. Department of Health staff explained the 2023 “Lights and Sirens” law for organ transport vehicles, including licensing, driver qualifications, insurance requirements, and use of emergency lanes and traffic preemption; the department said one company is currently licensed and there have been no complaints. LifeCenter Northwest described the organ procurement process, the legal framework under the Uniform Anatomical Gift Act, and the rarity and complexity of deceased donation, noting Washington has seen strong growth in donation and transplants over the past decade. University of Washington Medical Center staff then outlined its transplant programs for kidney, liver, heart, lung, pancreas, and multi-organ transplants, describing the multidisciplinary evaluation and waitlist process and the coordination required with donor organizations and hospitals.

Transcript Highlights:

• By integrating the existing data...
• Agency aligning with current administrative structures and ongoing early childhood efforts.
• It emphasizes integrating our data systems so we can all make better, more informed decisions.
• That's the reason why we're trying to look at a structure here that opens it up a little bit.
• And what we might be able to do to encourage sound, continuing family structures. Thank you.

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• accelerate the adoption and integration accelerate the adoption and integration of<00:40:09.760>
• legislature, so we had kept that same general structure.
• I believe that's same general structure.
• We should apply more to voting and make sure there's integrity in voting.
• about voting and and integrity in this. about voting and and integrity in this.

Bills: HF4074

Keywords: retirement, pension, public employees, MSRS, PERA, TRA, St. Paul Teachers Retirement Fund Association, police and fire, correctional employees, probation officers, telecommunicators, dispatchers, 911 operators, public safety answering point, PSAP, firefighters, volunteer firefighters, paid on-call firefighters, fire relief association, state aid

Transcript Highlights:

• So that's another option in the financing structure.
• That's changing, and deployment structures are changing.
• You can structure options off of that vehicle for future power.
• Internationally, other countries have a strong regulatory structure for it.
• The missile disintegrates and the canister maintains its integrity.

Summary: The Advanced Nuclear Energy Committee met to hear a series of presentations on the economics, financing, workforce, and community impacts of advanced nuclear deployment in North Dakota. William Bridge of Nucleon Energy presented the committee’s economic impacts and private-sector financing report, estimating construction and operating job impacts, local spending, and state/local tax effects for hypothetical SMR projects. He said the report assumes first-of-a-kind costs are still high, used a $6 million per megawatt nth-of-a-kind proxy, and estimated peak construction workforces of about 500 for a 200-MW plant and 1,000 for a larger facility, with roughly 100 operating jobs for a 200-MW plant. Committee members questioned security costs, capital cost assumptions, water and transmission siting constraints, and whether the model included fuel and waste; Bridge said the report included initial fuel in capital cost and that waste disposal is funded through existing federal mechanisms. Lori Brady of the Nuclear Energy Institute then outlined national nuclear workforce needs and NEI’s strategic workforce planning efforts. She described declining labor-force participation, retirements, and the need for a much larger future workforce, and said NEI has organized recommendations around career awareness, pipelines, training and qualification, policy support, retention, and nontraditional recruitment. She highlighted tools such as the Nuclear Works career website, the Nuclear Energy Academic Roadmap, the new federal Energy and Natural Resources career cluster, and the Nuclear Uniform Curriculum Program for community colleges. Members asked about AI, timing for training relative to plant development, and whether advanced manufacturing would reduce staffing needs; Brady said AI is not expected to replace workers and that training timelines depend on the specific project and staffing plan. The committee also heard from Gary Yaco, mayor of Red Wing, Minnesota, who described Prairie Island’s role in his community. He said the plant provides a large share of local property tax revenue, supports well-paid jobs, contributes to emergency preparedness funding and training, and is broadly supported by the city despite periodic protests and public concerns. He emphasized the plant’s security, regular drills with local and federal responders, and the absence of problems with dry cask storage. Later, Benton Arnett of NEI discussed the current financing landscape for advanced nuclear, explaining how tax credits, federal loan support, off-take agreements, and new business models are helping projects move forward. He said early projects face high upfront costs and long lead-time procurement, but that investor confidence is improving as federal policy and regulatory streamlining continue. The committee asked about waste funding, comparisons with natural gas, the effect of political shifts on investor confidence, and whether the market will narrow to a few winning technologies; Arnett said the industry is still sorting that out, but expects clearer winners in the late 2020s and early 2030s. The meeting concluded with an introductory presentation from Julie Kazeraki of DOE’s Office of Energy Dominance Financing, who said the office is focused on accelerating nuclear deployment through financing support.

Transcript Highlights:

• The new rate structure takes into consideration geography, as well as acuity, and the new rate would
• It ensures operational efficiency as well as program integrity through the more than 10.5 million asset
• In the budget you presented today, the enhanced integrity and support.
• In the budget you presented today, the enhanced integrity and support.
• You presented today that the enhanced integrity and support for economic self-sufficiency is the line

Summary: The Appropriations Committee on Health and Human Services heard a presentation on the governor’s proposed fiscal year 2026-27 budget for the health and human services silo, which totals $48.5 billion. Agency leaders outlined major requests for AHCA, APD, DCF, DOEA, DOH, and the Department of Veterans’ Affairs, including behavioral health redesign, Medicaid rate changes, developmental disability services, child welfare and opioid programs, senior services, cancer research, public health initiatives, and veterans’ facility and technology needs. The committee also received an overview of the overall state budget, which was described as $117.4 billion, up 1.1% from the current year. AHCA’s presentation focused on $71.6 million for a Medicaid behavioral health redesign, including funding for residential treatment, a serious mental illness waiver, and higher inpatient psychiatric rates for youth, plus $7.1 million to raise private duty nursing reimbursement in fee-for-service Medicaid, $2.5 million for the background screening clearinghouse, and $124.4 million for the Health Care Connection System (FX). APD requested funding to continue moving people off the pre-enrollment list and to support developmental disability centers, a new forensic facility, an electronic health record system, and higher operating costs. DCF highlighted $81.9 million for eligibility and system integrity, $187.5 million for opioid prevention and treatment, $35.5 million for community-based care lead agencies, and $72.7 million to expand behavioral health bed capacity, including 474 new beds at state hospitals. DOEA sought additional funding for Alzheimer’s services, home care, and community care for the elderly. DOH emphasized $278 million for cancer research and innovation, $5 million for food and product safety testing, $5 million for the Florida FIRST blood-on-ambulance initiative, and $5.7 million for a public lab feasibility study. Veterans Affairs requested funds for facility improvements, cybersecurity, and medication management equipment. Members asked detailed questions about several items, especially the proposed changes to the AIDS Drug Assistance Program (ADAP), which would reduce eligibility and the number of people served. Senators and public witnesses criticized the lack of transparency and urged the department to pause the changes and work with stakeholders; the Surgeon General said the issue was driven by funding constraints and federal changes, not a legal barrier, and that the agency was exploring alternatives. Questions also addressed the Office of Minority Health and Health Equity, the Kids Care/CHIP expansion implementation, the cancer research funding structure, and the timeline and cost of the FX system. Public testimony focused heavily on ADAP, with speakers warning that thousands could lose medication access and calling for community involvement and a review of the program’s finances. The committee adjourned after the presentations and questions, with no votes taken on the budget items during this meeting.

Transcript Highlights:

• That we have in Florida, as well as potentially the number of SIRS structural integrity reserve studies
• integrity reserve study and milestone inspections for all condominiums three stories and above, three
• And secondly, we need to know how many have not yet completed their structural integrity reserve study
• integrity reserve studies that are required by law.
• integrity reserve studies that are required by law.

Summary: The State Administration Budget Subcommittee met for budget day, heard agency follow-up questions, and then presented its recommended budget for fiscal year 2025-2026. Chair Lopez opened with remarks about reducing spending, emphasizing vacancy reductions and recurring savings across agencies. The recommendation eliminated 452.5 vacant positions and produced recurring savings of $57.2 million overall, while still funding selected priorities. Notable funded items included $500,000 for a new DBPR website for condominium complaints and document filing, $481.3 million for the MICEF Florida Home Program in DFS, funding for Florida PALM implementation, $330,000 for a Tampa office in the Office of Insurance Regulation, $835,000 for warehouse space for confiscated gambling machines, $821,000 for the Lottery gaming system contract, and major DMS capital and facilities funding. Lopez also criticized DMS leadership and said the secretary’s salary would be held in reserve pending answers on fleet management, remote workers, SUNCOM billing, and other issues. The committee then questioned DBPR Secretary Griffin about condominium records, structural integrity reserve studies, and milestone-inspection compliance. Members focused on how the division tracks condominiums, whether it can identify buildings with three habitable stories, and whether the current filing system can be improved to better capture building height and story count. Griffin said the division relies heavily on self-reporting and complaint-driven checks, but has updated forms to capture whether a condominium has buildings three stories or higher and has received additional submissions. Members also asked about staffing and the Miami-area office; Griffin said DBPR now has two Fort Lauderdale offices and a Doral office, with about 82% of new positions filled. Secretary Davis of the Florida Lottery also testified, defending travel to Paris and other conferences as part of industry engagement, technology research, and best-practice sharing. He said the travel was reimbursed through lottery-related organizations, described the Lottery as an enterprise fund that receives no general tax revenue, and said the agency has remained a top revenue generator nationally. Members questioned Orlando travel reimbursements and dues to the Multi-State Lottery Association, and asked for more information on how increased revenue translates into more Bright Futures scholarships. Davis said he would provide additional details. The subcommittee then unanimously passed two conforming bills. PCB SAB 25-01 removed statutory references to the legacy FLAIR accounting system in preparation for Florida PALM and was reported favorably. PCB SAB 25-02 addressed Capitol Center space after the planned House lease cancellation, declaring the governor, cabinet, and legislature permanent tenants, protecting existing space and parking allocations, giving the legislature first right of refusal on vacant space, and giving legislative leaders control over utilities in their space; it also passed unanimously. The meeting adjourned after the bills were reported favorably.

Transcript Highlights:

• There were 1,700 structures. I don't remember how many were homes.
• Looking at that structure, we did send a bridge engineer there to assist in the assessment of that structure
• Are we missing that on an integrated solution?
• They understand the incident command structure. structure, how to mobilize and use the incident command
• structure, and our folks are using the same language with them.

Keywords: 997, house, all

Transcript Highlights:

• There are parallel structures.
• Hello, Cynthia Talker with the Office of Technology and Solutions Integration.
• The tiered rate structure will be ready for go live.
• of 2026, and the new tiered rate structure will begin on July 1, 2027, as planned.
• But I also want to reiterate how integral CWS CARES is to all the reform.

Summary: The Assembly Budget Subcommittee on Human Services held an informational hearing on child welfare, foster care, child support, and related prevention efforts. The chair opened by emphasizing mandated reporting reform, foster care system improvements, and community-based prevention, and noted that no votes would be taken. Public testimony focused first on mandated reporting, where a lived-experience advocate and several organizations argued that the current system overreports families, especially Black, Native, and Latino families, causes trauma, and should be reformed through standardized training, clearer thresholds, and stronger community supports rather than more hotline referrals. Casey Family Programs cited data showing nearly 90% of reports are unsubstantiated, while CDSS said it is already forming a Mandated Reporting Advisory Committee, updating training, and exploring community pathways and possible changes to the list of mandated reporters. CWDA and SEIU supported training and alternative response concepts but stressed child safety, county capacity, funding, and the need for careful implementation and accountability. The committee then discussed a proposal to create a foster care multi-agency office within the California Health and Human Services Agency, led by a chief foster youth advocate with authority to coordinate across departments. Advocates said foster youth often need services from education, health, housing, and behavioral health systems that do not coordinate well, and argued that a central office with real authority could improve placement stability and access to services. CDSS responded that existing structures already provide coordination, including AB 2083 interagency teams, the Child Welfare Council, complex care steering committees, and the foster care ombudsperson, but said it was open to technical assistance. Members raised concerns about whether the new office would have enough authority and funding to avoid becoming another layer of bureaucracy, and the chair emphasized the need for real “teeth” and better interagency action. The final major topic was the continuation and expansion of Promise Neighborhoods. A community leader described strong early results from the state-funded neighborhoods, including improved kindergarten readiness, reduced chronic absenteeism, higher graduation rates, food access, housing supports, and mental health services, but warned that current funding sunsets in June 2025 and that a fiscal cliff could jeopardize staff and services. CDSS said the four funded neighborhoods have reported positive outcomes and valuable flexibility, but also noted challenges with one-time funding, student mental health, and long-term planning. Assemblymember Mia Bonta urged continued investment, saying the place-based model is difficult to rebuild once lost, and the chair asked LAO to help identify the minimum funding needed to preserve the existing infrastructure while evaluation results are still pending.

Transcript Highlights:

• We know that structural imbalance is still an issue, as you saw in the out years.
• We're also seeing that conformity to program integrity requirements set by the federal government is
• We know that structural imbalance is still an issue, as you saw in the out years.
• Minnesota Republicans are continuing to fight for program integrity.
• <00:04:55.280> And fight for program integrity. And fight for program integrity.

Keywords: 1183, house

Transcript Highlights:

• No, I think that there is a number of program integrity measures that are being discussed in the human
• measures that are of program integrity measures that are being<00:13:01.600> discussed<00:13:
• We have maintained structural balance.
• We have maintained<00:20:25.400> structural<00:20:25.800> balance.
• <00:20:26.760> Um, maintained structural balance. Um, maintained structural balance.

Keywords: 918, senate, all

Summary: A Minnesota Senate leader discussed the end-of-session budget deal and said the Senate had passed a comprehensive budget that addresses several recent crises and federal policy changes. He highlighted funding to respond to gun violence, Metro Surge, and the effects of a federal Republican budget bill, saying the package includes retroactive medical assistance coverage, support to keep SNAP functioning, $10 million for food banks and shelves, rental assistance, and aid for counties and property taxpayers. He also said the Senate secured $205 million for HCMC, a $30 million uncompensated care pool for other distressed hospitals, and a $500 million health care stabilization reserve, along with a one-year license tab fee reduction and a $1.2 billion bonding bill. He said some priorities were left out or rejected in negotiations, including small business relief, low-income rent, energy assistance, rural EMS stabilization, a manufactured home bill of rights, a social media platform data collection tax, and proposals to block private equity from nursing homes and single-family homes. He also said the House Speaker had promised but not brought a gun vote to the floor, and he expressed disappointment that immigration-related action and some gun control measures did not advance further. He defended the rental assistance as available to Minnesotans regardless of documentation status and said it was not tied only to Operation Metro Surge. The leader also addressed concerns about payment withholding and program integrity in human services, saying the goal was to fight fraud without cutting services. He said hospitals seeking access to the stabilization reserve would need to show distress and financial need, and that both the governor and a legislative advisory committee would have to approve. He closed by saying the process had been difficult and too much negotiation had moved into backroom settings, but that the chambers were working toward an orderly conclusion and that he expected the remaining bills to be finalized and sent to the governor.

Transcript Highlights:

• My concern is that we actually use the structures that are out there already, like...
• We wouldn't create new structures that some way don't get used for a couple of years or go away after
• So I think about the community of care that exists in Castleton, and that organizational structure, I
• But there are ways that you can work within similar sort of structures that allow...
• And they did a terrific job figuring out how do you do that within the current structure. Okay.

Keywords: 908, all

Summary: The Rural Health Transformation Committee met to receive an extensive briefing from the Department of Health and Human Services on North Dakota’s federal Rural Health Transformation award. HHS leaders Pat Traynor, Donna Auckland, Jonathan Ollum, and Krista Freming described the $198.9 million award, the tight federal timelines for obligating and liquidating funds, and the need for rapid procurement, CMS approval, and technical assistance. They outlined broad funding priorities including connect tech/data, care closer to home, workforce recruitment and retention, and a “Make North Dakota Healthy Again” prevention initiative focused on chronic disease, movement, nutrition, behavioral health, and community connection. They also emphasized that the program cannot fund new buildings or supplant existing funding, and that sustainability will be a key requirement for all projects. The department previewed likely first-round grant opportunities, including recruitment and retention incentives, technical assistance and equipment grants for rural providers, financial analysis support for rural hospitals, and exploration of a unified electronic health record option. Freming also reviewed four policy bills tied to the award: a presidential fitness test, nutrition continuing medical education, the Physician Assistant Compact, and pharmacist scope-of-practice changes, explaining that these policy actions affect future scoring and funding. HHS said it will work with tribes, local public health, hospitals, medical and pharmacy associations, and other partners, and will use a website, listserv, listening sessions, and committee updates to communicate opportunities. Committee members raised concerns about how the money will reach rural residents, whether newspapers and existing local communication networks will be used, how “rural” and “frontier” will be defined, how faith communities might participate in behavioral health efforts, and how HHS will avoid CMS delays and supplanting issues. HHS responded that the focus will be on where the patient lives and on rural community need, that local public health units and existing structures will be part of outreach, and that technical assistance and template applications will help speed approvals. The committee approved the December 4, 2025 minutes, then recessed into divisions for further work on the appropriations bill and the four policy bills, with the full committee set to reconvene the next morning.

Transcript Highlights:

• It will for the first time put in statute the requirements that we integrate best practices, pedestrian
• It will for the first time put in statute the requirements that we integrate best practices, pedestrian
• further suicides at public structures further suicides at public structures where<00:05:08.960><
• like bridges, buildings, and structures like bridges, buildings, and rail<00:05:28.479> stations.
• So, thank you for your structural one.

Keywords: 1183, house

Transcript Highlights:

• The next lesson resource you're viewing is for high school pathway integration.
• You will see integration in action tomorrow at our site visit at Miamira High School, and this exact
• I'd like to speak about our State Structured Literacy Initiative and how well it's being implemented
• And so we looked for a vendor that had more integrity in that space, and we switched vendors.
• There's very tight systems and structures related to this data in the background.

Transcript Highlights:

• This is a 36-year-old moratorium, but it created a regulatory structure.
• It created a regulatory structure for the construction of small modular nuclear reactors, or SMRs.
• And so this really created a structured pathways for communities to prepare for it.
• So how do you work to pricing structure for a kilowatt? Yeah, I can. Oh, go ahead. Go ahead.
• And in many places, the structure is there; it's just silent on nuclear.

Summary: The committee met to review advanced nuclear energy issues in North Dakota, beginning with approval of the April 21, 2022 minutes. Nucleon presented an overview of the advanced reactor landscape, distinguishing light-water SMRs, advanced Gen 4 reactors, and microreactors. The presentation emphasized that light-water SMRs are the most near-term deployable and use familiar low-enriched uranium fuel, while many Gen 4 designs may require high-assay low-enriched uranium (HALU), which is not yet supported by a mature U.S. supply chain. Nucleon also noted that advanced reactors are being developed primarily for industrial heat applications, while microreactors are niche, higher-cost systems for remote or mission-critical uses. Committee members asked about fuel availability, safety, recycling, and whether large reactors such as AP-1000s were evaluated; the presenter said fuel development is proceeding in parallel but remains a bottleneck, and that siting and grid capacity often make SMRs more practical than gigawatt-scale plants in North Dakota. Representatives from the National Association of State Energy Officials described how other states are supporting advanced nuclear through task forces, roadmaps, regional coordination, grants, tax incentives, workforce and supply-chain efforts, and pilot programs. They highlighted the Advanced Nuclear First Mover Initiative and said states are focusing on multi-state coordination, demand aggregation, regulatory coordination, waste management, workforce readiness, and community engagement. They also discussed affordability tools such as construction work in progress (CWIP), financing incentives, and consumer protections, citing examples from Kentucky, Texas, Virginia, Illinois, Missouri, Utah, Tennessee, and others. In response to questions, they explained that pilot programs often involve site-readiness and feasibility studies, and that the federal Nuclear Innovation Campus process is moving forward with multiple submissions while broader waste and recycling policy may require congressional action. The Public Service Commission said it would likely have a major role in any North Dakota nuclear project through certificate-of-public-convenience-and-necessity review, siting, and rate regulation, but noted gaps in current law for small reactors, co-located facilities, NRC coordination, and long-term site stewardship. The commissioner said the commission has no authority over a private, self-contained reactor not connected to the grid. The Department of Environmental Quality explained that the state regulates radioactive materials under its agreement-state authority, but NRC retains primacy over fission reactors; DEQ would likely assist with emergency planning and could have a larger role if fusion reactors emerge. The Department of Emergency Services said it would serve as the lead off-site preparedness agency, requiring a dedicated radiological emergency preparedness program, training, drills, public outreach, and likely additional funding and staffing, with industry expected to bear much of the cost. The Department of Water Resources said North Dakota’s water laws and prior-appropriation system are adequate for nuclear siting, that the Missouri River is the best likely source, and that no statutory or budget changes are currently needed from a water perspective. The committee recessed for lunch after these agency presentations.

Transcript Highlights:

• Um, it is integrated into our system.
• And so when I look at structural issues, there's some program integrity challenges that we really need
• some<00:46:07.119> program<00:46:07.520> integrity there is some program integrity
• the integrity of the Medicaid program. the integrity of the Medicaid program.
• <01:04:17.520> the on your program program integrity the on your program program integrity

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:36 Department for Medicaid Services 00:01:44, 958, all

Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.

Transcript Highlights:

• education and our public schools, historic workers' rights, health care, and it balances—we reduce the structural
• It's a structural imbalance. It's a structural imbalance. Oh, where'd it go?
• We knew that there was a structural imbalance out in the planning years in 28 and 29.
• They're there and present, but, you know, they are an integral part of our work, and you never really
• part of our work and you are an integral part of our work and you never<00:09:15.839> really<

Keywords: 1187, senate, all

Transcript Highlights:

• But it is not clear that we have the structure to Scale this to success.
• Pathways and extensive reporting structures create a risk-averse culture.
• I think that structure has... A lot still needs to be built out in that structure.
• Late 60s, 96% of the market for integrated circuits was the Apollo program and the DoD.
• I don't know that we have the structure to actually go scale those currently.