Transcript Highlights:

• And folks are concerned about little access to care, but also the quality of care once these mergers
• care prices to rise.
• In health care generally causes health care prices to rise.
• entities in our health care system.
• Before you is Engrossed House Bill 1574 concerning access to life-saving care and substance use services

Committee: Senate Law & Justice

Keywords: 904, all

Transcript Highlights:

• We have CART services this morning enabled, and we have shared a CART services link with attendees and
• And four, mental health services. research, and for mental health services.
• There is a College of Direct Support.
• There is a group that’s the National Association of Direct Support Workers.
• There is a group that's the National Association of direct support workers.

Summary: The commission approved the December minutes and heard opening remarks on upcoming initiatives, including a second “Meeting the Moment” community forum in Lowell on March 27 focused on digital accessibility, education-to-employment transition, workforce supports, long-term services and supports, and health equity. The chair also previewed planning for National Disability Employment Awareness Month in October, including formation of a small planning group to help select employer awardees and shape the program. A major portion of the meeting featured an update from the Attorney General’s office on federal litigation affecting Massachusetts. The presentation covered lawsuits and amicus work involving higher education diversity data requests, anti-DEI funding conditions, immigration and Haiti Temporary Protected Status, NIH research grant disruptions, and Department of Education mental health training grants. Commissioners asked about possible impacts on Medicaid and whether disability is included in the federal administration’s undefined “DEI” restrictions; the AG’s office said it was monitoring Medicaid developments closely, had not seen a CMS letter at that time, and would share guidance on DEI and employment initiatives. The meeting also included a workforce and apprenticeship presentation from Undersecretary Josh Cutler and Amara Riemann. They described registered apprenticeship and pre-apprenticeship programs, emphasizing paid, employer-driven training, classroom instruction, wage progression, and transferable credentials. Commissioners highlighted the Bridgewater State University Excel program for neurodivergent individuals and people with disabilities as a promising model and discussed the need to build similar pathways through community colleges and employer partnerships in fields such as direct support, CNA work, and other in-demand jobs. Subcommittee reports noted that the disability employment subcommittee heard from SEED and will host future presentations from the Lawrence Partnership for Transition to Employment and the Office of Veterans Affairs. The long-term services, supports, and health equity subcommittee discussed MassHealth budget pressures, a projected $3.5 billion budget gap tied to federal changes, upcoming Medicaid eligibility changes, and crisis standards of care. The executive director reported on collaboration with the Massachusetts Office on Disability, planning for the Lowell event, participation in statewide disability employment and autism advocacy work, and upcoming engagement with the Massachusetts Caregiver Coalition. Commissioners also announced several honors, including awards for Regina Marshall, Jay Livingstone, and Vanna Howard.

Transcript Highlights:

• The State Treasurer's Service Account at 1.1...
• The state treasurer's service account at 1.1.
• services.
• A couple of the positives in this area: Cascade Care.
• And while it isn’t providing direct services, it allows the state government to efficiently and effectively

Summary: The conference committee met on Engrossed Substitute Senate Bill 5167, the state operating budget, and received a detailed staff briefing on the proposed conference report. Staff explained how to read the comparison documents, the four-year balanced-budget outlook, and the main resource assumptions, including use of the March 2025 revenue forecast, exclusion of the statutory 4.5% growth assumption, revenue legislation totaling about $8.7 billion, numerous fund transfers, and reversion assumptions. They also noted the proposal does not include a temporary salary reduction or furloughs. The briefing highlighted major policy areas and their net five-year impacts, including increases for state and higher education employee compensation, K-12 education, long-term care and developmental disabilities, corrections, information technology, and other policy items. It also described net reductions in behavioral health, children/youth/families, higher education, natural resources, other human services, and health care/public health, with many of the changes tied to delayed programs, rate adjustments, fund shifts, and savings options from Governor Ferguson. The committee then heard member comments, with supporters emphasizing K-12 funding and fiscal responsibility, and Senator Gildon opposing the process and the closed-door nature of the budget development. A motion was made and seconded to recommend adoption of the conference report and pass the bill. The roll call showed one member voting do not recommend, one member excused, and the remaining members recommending adoption. By vote of the committee, the conference report was adopted, and the committee adjourned.

Transcript Highlights:

• I'll now invite the Department of Human Services up to give their child care licensing overview.
• , adult foster care, and some of our family adult day care services.
• , adult foster care, and some of our family adult day care services.
• , adult foster care, and some of our family adult day care services.
• , adult foster care, and some of our family adult day care services.

Committee: House Children and Families Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• Is that health care... No request was made.
• This bill requires schools, health care providers, and child care staff to report any child's request
• or medical care from providers, is life-saving care.
• But the parent who has custody or the legal guardian would care a lot.
• and the other parent does care.

Committee: House Judiciary, Rules and Administration

Keywords: 989, all

Transcript Highlights:

• Before becoming chief of staff, I spent 20-plus years providing direct mental health services.
• Before becoming chief of staff, I spent 20-plus years providing direct mental health services and launched
• by requiring colleges that have existing health service centers to provide these services.
• Expanding and promoting these services without immediate access to emergency care puts students at risk
• However, they cannot be denied services or school services should they choose not to get vaccinations

Summary: The committee heard several education bills, beginning with AB 387 on youth sports safety and AED access. The author and supporters, including youth sports and cardiac safety advocates, said the bill would improve coordination between youth sports organizations and facilities to ensure AEDs are available and emergency response is better prepared. School administrators, county groups, and school business officials opposed unless amended, citing liability, cost, staffing, maintenance, and school security concerns. Members asked about AED portability, CPR training, and liability; the author said committee amendments were accepted, but the bill was held due to lack of quorum while negotiations continued. AB 467 would codify the California Center for Climate Change Education at West Los Angeles College, allowing it to seek multi-year grants and other outside funding after an initial state appropriation sunsets. Supporters said the center has already trained faculty, supported paid internships and fellowships, and reached thousands of Californians, while opponents were absent. Members questioned whether codification was premature before the required report is due in 2027; the author said the measure was needed now to stabilize fundraising. The bill was also placed on hold for lack of quorum. A major portion of the hearing focused on AB 664 and AB 2694, both dealing with community college bachelor’s degrees. AB 664 would authorize Southwestern College to seek up to four targeted bachelor’s programs to address local workforce shortages in South San Diego County; students, local officials, and community college advocates supported it, while CSU and UC opposed, arguing for a statewide solution and concern about the master plan. AB 2694 proposed a broader statewide framework for community college bachelor’s degrees with stronger workforce and partnership requirements, reduced program caps, and limits on duplication; it drew support from community college groups and students, but CSU and UC again opposed or opposed unless amended. Members discussed place-bound students, workforce needs, transfer pathways, and the need for a master-plan-level approach, but no votes were taken because the committee lacked a quorum. The committee then heard AB 917, which would require certificated employees in very small school districts and certain county-run programs to receive permanent status under the same rules as larger districts. CTA and many educators supported the bill as a fairness and retention measure, while small school district and ROP representatives opposed, saying the current flexibility is necessary to manage enrollment swings, staffing, and specialized regional programs. Testimony emphasized the tension between job security for educators and operational flexibility for small LEAs; the hearing continued with more opposition testimony after the excerpt ended.

Transcript Highlights:

• With that being said, we are very careful about what we're doing, and... ...being said, we are very careful
• I think we have good men and women that take care of these three services.
• They're people that good men and women that take care of these three services.
• This is a way for school systems to share the cost of much-needed services.
• buy the services.

Keywords: 989, all

Transcript Highlights:

• As a note, it's not just primary care that we review services for.
• primary care that we review<03:02:36.240><c> services</c><03:02:36.640><c> for.
• We look at primary care as health care services categories.
• 26.880><c> our</c><03:06:27.120><c> citizens,</c> health care services to our citizens, health care services
• and directing the Department of Health and Human Services to develop a rural maternal health care delivery

Committee: House Health, Human Services and Elderly Affairs

Keywords: 1189, house, all

Transcript Highlights:

• The Health Care Authority was authorized by the federal 1115 Medicaid waiver program to provide services
• Or service schedule to a managed care system.
• After that change from fee-for-service to managed care, that clinic wasn't able to operate based on the
• Is it going to encompass both kind of the fee-for-service Medicaid and managed care Medicaid?
• Medicaid programs to both fee-for-service and managed care.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• by KW because the lawsuit has changed directions now, and the new services under that service array
• to go and get those services elsewhere.
• services.
• at that time, and we didn't do it. services.
• , personal care services, community-supported employment, and a couple of others that are listed out

Committee: Senate Health and Welfare

Keywords: 989, all

Transcript Highlights:

• Madam Whip, members, as amended by the Health and Human Services Committee, Senate Bill 1162 directs
• But during that time, the facilities continue their care, but they can't bill Medicaid for the services
• But during that time, the facilities continue their care, but they can't bill Medicaid for the services
• services until the very end.
• Services, CMS.

Summary: The caucus reviewed a long list of Senate bills and memorials, mostly on consent calendars, covering housing, elections, health care, public safety, land use, transportation, and water. Several measures focused on housing and local government regulation, including limits on municipal interference with home design standards, restrictions on alleged “malicious delays” in permitting, and rules on exactions. Election-related bills addressed internet access for voting equipment, timekeeping requirements for election systems, primary election timing, precinct committeeman vacancies, and other election administration changes. Other topics included liquor law updates, assisted living facility rules, deed and title fraud prevention, a Freedom of Speech Monument committee, renaming public spaces, and a bill restricting gender transition procedures for minors. Health and human services bills drew discussion on behavioral health technician definitions and AHCCCS/DHS coordination, Medicaid billing during facility ownership changes, breast cancer screening cost-sharing, naturopathic physicians administering IV antibiotics and similar drugs, safe-haven newborn surrender at hospitals, and reporting requirements for dialysis social workers. In public safety and judiciary, members considered bills on probation for dangerous crimes against children, sex offender registration limitations, victim restitution costs, unlawful alerting, increased penalties for unlawful flight, and a new offense for motor fuel theft. One member noted a no vote on extending the Vulnerable Adult System Study Committee, saying it would become a long-running study committee, while supporters said the committee had produced useful recommendations. The caucus also heard land, agriculture, energy, water, and transportation measures, including creation of a foreign entity land review commission, restrictions on transporting Mexican gray wolf pups with state resources, water reuse and banking provisions, solar installation disclosures and roof inspections, a larger revolving fund loan cap, and several congressional memorials. Transportation items included roadable aircraft registration, motor vehicle booting rules, military property signage, a towing and impound study committee, and photo enforcement penalties. Public safety bills included extending traumatic event counseling programs and requiring state data sharing with the federal government regarding unauthorized aliens. No formal votes were taken in the transcript; members mostly asked clarifying questions and several sponsors explained the intent and practical effects of their bills.

Transcript Highlights:

• customer service.
• Cash gratuities are earned by employees whose primary duties involve direct customer service, including
• One of my strategies was, well, we need to get more child care providers.
• And that's having an impact on our health care system.
• I paid taxes in eight years in civil service.

Summary: The House Revenue and Finance Committee met to consider House Substitute 1 for House Bill 386, which would create a temporary Delaware income tax deduction for qualified tip income from tax years 2027 through 2029. The sponsor described it as relief for service workers in restaurants, salons, and similar tipped occupations, with a deduction of up to $15,000, income-based phaseouts, a refundable credit for lower-income workers, and a sunset for later review. Committee members raised questions about the resident/non-resident language, the fiscal note, and whether the Department of Finance could implement the change; Finance said the department could administer it and expected only modest administrative costs, while the Comptroller’s office said the bill would reduce general revenue. After a brief recess to review updated language, the committee took public comment, but no one testified. A motion to release the bill failed to receive enough votes, and the chair said she would walk it to seek additional signatures. The committee then considered Senate Bill 219, which would phase in an increase in the military pension income exemption from $12,500 to $25,000 by tax year 2029. The sponsor argued the measure would help attract and retain military retirees, citing economic return estimates, workforce benefits, and support from all 21 Senate co-sponsors. Some members supported the bill as a way to reward service and bring in long-term residents, while others questioned whether the exemption should be income-based rather than available to all military retirees, including those with substantial second careers. The Department of Finance said it could operationalize the bill and that the non-resident language was unnecessary because the subtraction is already picked up in the non-resident code section. Public testimony from veterans’ organizations strongly supported the bill, emphasizing that the exemption can influence retirement decisions and help veterans and their families stay in Delaware. A motion to release the bill also failed to get enough votes, and the chair said she would walk it for signatures before adjourning the meeting.

Transcript Highlights:

• </c> the community than a primary care the community than a primary care provider<00:02:34.480><c> or
• care."
• care."
• patient care people.
• systems that are not actually going towards direct patient care, this would be beyond awesome.

Keywords: 26RS SB 38 Testimony 00:28 26RS SB 38 Roll Call Vote 06:54 26RS SCR 9 Testimony 11:06 26RS SCR 9 Roll Call Vote 32:00 Adjournment 32:49, 958, all

Summary: The committee first considered Senate Bill 38, sponsored by Sen. Richardson, which would require Medicaid to reimburse pharmacists for services already within their legal scope of practice. Richardson and Taylor Williams of the Kentucky Pharmacists Association argued the bill would improve access to care, especially in rural areas, reduce emergency room use, and lower Medicaid costs by using pharmacists as lower-cost providers. Members asked whether the bill’s language simply aligned Medicaid with an earlier commercial parity law, and Richardson confirmed that it did. He also cited prior study work, research articles, and examples such as strep/flu testing and medication therapy management as covered services. The bill passed unanimously, and several members commented in support, including concerns about pharmacy access and the need for pharmacists to remain available to patients. The committee then took up a concurrent resolution sponsored by Sen. Meredith calling for a feasibility study of a proposed new Medicaid delivery model. Meredith argued that Kentucky’s Medicaid spending is growing unsustainably and that current managed care arrangements are not improving outcomes enough. He proposed an accountable community health care organization, described as a locally owned, not-for-profit public-private partnership combining elements of accountable care models, with the goal of reducing bureaucracy, improving outcomes, and lowering costs. He said the study would examine a five-year program and ultimately test the model in five regions, with initial focus on the Lincoln Trail, Green River, and Barren River area development districts. Members asked about the study timeline, vendor costs, rural versus urban impacts, and provider recruitment; Meredith said the resolution would be studied by November and that no fiscal note had been prepared. The resolution passed unanimously.

Transcript Highlights:

• Will it continue to go ahead and take care of the entire layout?
• And don't go around the capital process to do direct appropriations.
• You take care of one year and you continue from there.
• And another very important service, Mr.
• So there's a sense in my feeling that we are moving in the right direction now.

Bills: SB194 , SB200 , SB203 , SB204 , SJR3

Committee: Senate House Education

Keywords: appropriation, higher education, sports facilities, community college, Luna Community College, KANW, educational radio, rural news, public education, funding, education, documentary, historical figure, Padre Antonio Jose Martinez, cultural heritage, research funding, federal funding, New Mexico, University of New Mexico, New Mexico State University

Summary: The committee began with announcements about an upcoming Friday breakfast and presentation with the School Board Association in El Dorado, then moved through a series of education appropriation and capital-style bills. The first major item was Senate Bill 194 for Luna Community College baseball and softball fields. Senator Campos and Luna officials described the project as part of a larger athletic and community complex, emphasizing the college’s NJCAA compliance turnaround, 100% athlete graduation rate, 3.44 average GPA, and the fact that 94% of athletes are New Mexico residents. Supporters said the fields would improve recruiting, reduce annual rental costs, and add community amenities such as a walking path, soccer pitch, and wildfire resiliency training space. Several senators raised concerns that the project should go through the normal capital outlay process and questioned funding sources, ongoing operating costs, bathrooms, electricity, parking, audits, and whether the $5 million request was sufficient. Despite those concerns, the committee voted 5-3 to give the bill a due pass. The committee then heard a request for KANW educational radio funding. KANW’s general manager and staff said the station is celebrating 75 years, serves much of the state with news, cultural programming, Spanish music, and emergency alert services, and is one of the state’s primary radio stations. Supporters praised its public service and statewide reach. However, several senators objected to the funding mechanism, arguing that the request was being routed through growth funding rather than the usual capital or appropriations process and that other legislators lacked equal access to those funds. After discussion about federal funding cuts, translator opportunities, and the station’s educational mission, the committee voted 3-5 and the bill failed. Senate Bill 203, a duplicate of a previously heard Northern New Mexico State School documentary bill, was quickly tabled on motion. The committee then took up Senate Joint Resolution 3, which would ask voters to replace the current appointed Secretary of Education model with an appointed State Board of Education that would hire a state superintendent. Senator Soles argued the change would create more stability and reduce political whiplash, while supporters from the school board and superintendent associations backed the idea but noted concerns about appointment clarity. Opponents from PED, KIDS CAN, the Chamber of Commerce, charter schools, and others argued the proposal would add bureaucracy, reduce accountability, sideline the governor and voters, and repeat a failed pre-2003 system. Committee members were split along similar lines, with supporters emphasizing continuity and critics stressing accountability and local control; the transcript ends before a final vote on SJR 3 is shown.

Transcript Highlights:

• The highway don't care if you're coming home.
• And according to the Rural Health Info by the Department of Health and Human Services, services, people
• We're discussing that in places like Human Services, where we're saying some of these services that our
• And so I certainly care about that.
• if that provides a needed service for them.

Transcript Highlights:

• However, our school district started a community service varsity letter.
• However, our school district started a community service varsity letter.
• The first portion pertains to educational service districts.
• Also through fee-for-service or cooperatives, also through federal grants.
• It gave me direction, discipline, and opportunity.

Summary: The committee heard testimony on several education-related bills. Senate Bill 6130 would move public high schools’ voter registration events from Temperance and Good Citizenship Day in January to National Voter Registration Day in September, with schools offering Future Voter registration to eligible students in history or social studies classes. The sponsor, Sen. Krishnadasan, and supporters from King County Elections, Pierce County, OSPI, and the Legislative Youth Advisory Council said the change would better match student interest and improve youth civic engagement at no fiscal cost. A senator asked about community service opportunities, and the sponsor said that could potentially fit within existing community service recognition programs. Senate Bill 6247 would expand financial oversight and training for school districts, especially those in financial distress or binding conditions. It would require additional ESD involvement, add WASDA training on budgeting and financial health for school directors, and impose stronger consequences for knowing financial misconduct, including future employment bars and state reimbursement of certain unrecovered damages. Sen. Dozier said the bill responds to district financial problems, including Prescott School District. OSPI supported the bill, while the Association of Educational Service Districts, WSSDA, and WEA raised concerns about ESDs being placed in an oversight role, the need to align the bill with other pending training legislation, and whether some enforcement duties should instead rest with the state auditor. Senate Bill 6268 would require OSPI to keep an online record of final special education community complaint decisions for 20 years instead of the current five years on its website. OSPI supported the bill, saying it would improve transparency and help families, educators, and policymakers identify patterns and understand how complaints are resolved; the sponsor said the retention period may be amended. Advocates from Washington Autism Alliance, The Arc, and parent advocates testified in favor, saying the records help families avoid repeated disputes and reveal systemic issues. Senate Bill 6278 would change how PESB reviews teacher and principal preparation programs and adjust student-teaching field placement plan submission timing; the sponsor said the goal is to ensure educators are better prepared, and PESB testified neutral, saying many of the review elements already exist and the bill would add flexibility. The committee also heard Senate Bill 6260, a budget-savings bill affecting public education. It would lengthen school bus depreciation to 15 years, withhold up to 1.9% of MSOC funds to pay for the High School and Beyond Plan platform, and reduce Running Start funding from 1.4 to 1.2 FTE. OFM supported the bill as part of the governor’s budget approach, but many testifiers opposed it, arguing it would cut district resources, keep older buses on the road longer, shift costs to schools, and reduce access to Running Start—especially for low-income, rural, and technical-program students. School district, college, PTA, counselor, and student witnesses said the current 1.4 FTE model has expanded access and completion, while supporters of the bill emphasized state budget pressures and said the changes would preserve other priorities.

Transcript Highlights:

• Is that health care? No request was made.
• This bill requires schools, health care providers, and child care staff to report any child's request
• or medical care from providers, is life-saving care.
• But the parent who has custody or the legal guardian would care a lot.
• and the other parent does care.

Summary: The committee approved the minutes from March 5, 2026, then took up House Bill 681, which would remove the statute of limitations for aggravated lewd conduct with a child and for producing or making sexually exploitive material. The sponsor and the Idaho Prosecuting Attorneys Association said the bill would help prosecute serious child sexual abuse cases, including cases involving delayed reporting and AI-generated child sexual abuse material. A motion to send the bill to the floor with a due pass recommendation passed unanimously. The committee then heard extensive testimony on House Bill 822, a parental rights bill requiring schools and health care providers to notify parents when a minor requests assistance with social transition or related changes. Supporters argued it protects parental rights and prevents secret transitions; opponents said it could endanger vulnerable youth, create vague reporting duties, and expose providers and schools to excessive penalties. After debate, a motion to hold the bill in committee failed 12-4, and the original motion to send it to the floor with a due pass recommendation passed. Finally, the committee considered Senate Bill 1296, which updates Idaho’s criminal trespass law to create a specific offense for disrupting worship services at houses of worship and sets misdemeanor penalties for intentional interference. Supporters said it would protect churches from harassment and disruption while preserving lawful protest. After limited testimony, the committee voted unanimously to send the bill to the floor with a due pass recommendation.

Transcript Highlights:

• , and Department of Health Care Services.
• Care Services.
• Health Care Services.
• gender-affirming care services.
• , medical care... ...access to gender-affirming care, including pharmacy services, medical care, mental

Summary: The joint hearing focused on access to gender-affirming care in California, with opening remarks from the subcommittee chairs emphasizing the importance of protecting transgender, gender-diverse, and intersex Californians and asking for decorum during public comment. The first panel from the Department of Justice, Department of Managed Health Care, and Department of Health Care Services described existing state protections, including nondiscrimination rules, privacy protections, shield laws, and Medi-Cal and commercial coverage requirements for medically necessary gender-affirming care. State officials also outlined ongoing litigation against federal actions and against hospital decisions to end or restrict care, including the Rady Children’s case and challenges to federal proposed rules and declarations affecting Medicaid, Medicare, and provider participation. Members questioned state agencies about why some hospitals that had stopped providing care had not been sued, how network adequacy is measured, whether the state can track actual access to gender-affirming care, and what legislative changes might strengthen protections. DMHC said it monitors complaints and independent medical reviews but does not track gender-affirming care as a separate provider category or collect utilization data, while DHCS said Medi-Cal continues to cover medically necessary care and that the state is preparing for possible federal rule changes. Finance staff said the previously approved $15 million for gender-affirming care was still being implemented through Covered California. The second panel featured a physician, clinic leaders, a parent, and a transgender teen describing how care is delivered and the effects of hospital closures and federal pressure. Dr. Johanna Olson-Kennedy described the history and medical basis for gender-affirming care, said minors need parental consent for medical interventions, and argued that care should be individualized and supported by families. Providers and families testified that hospital closures and insurance barriers have disrupted continuity of care, forced patients to travel farther, and shifted demand to community clinics that lack sufficient funding and contracting support. Several witnesses asked the Legislature to provide new funding, strengthen insurance enforcement, and stabilize access to care for transgender youth and families.

Transcript Highlights:

• by KW because the lawsuit has changed directions now, and the new services under that service array
• to go and get those services elsewhere.
• services.
• Like I said, we're not removing this service.
• , personal care services, community-supported employment, and a couple of others that are listed out

Summary: The Senate Health and Welfare Committee approved the February 18, 2026 minutes and then heard House Bill 863 from Senator Julie Van Orden. The bill would reduce Medicaid residential habilitation rates by pulling back funding tied to a 2022 KW lawsuit-related service array while keeping the separate provider rate increase in place, and it would add audit/cost-survey language. Department of Health and Welfare officials said the 2022 funds were originally federal ARPA dollars, that the state share was later expected to be addressed, and that the bill would require third-party audits and broader cost surveys for home and community-based services. Van Orden and the department argued the bill would not eliminate services but would strengthen oversight and provide better data for future rate decisions. Testimony was sharply divided. Providers and advocates said the proposed reduction would destabilize residential habilitation agencies, force wage cuts, reduce services, and risk closures, while supporting the audit and transparency provisions. Several witnesses emphasized that the services help vulnerable adults remain in the community and warned of downstream costs if supports are reduced. A litigation attorney testified that the bill’s findings were inaccurate, saying the KW case remains active, the department is still under court orders, and reductions could trigger further litigation or enforcement issues. Department officials responded that the bill would repeal certain rate-setting rules tied to current cost-survey methods and that the new audits would be phased in. After testimony, Senator Van Orden closed by reiterating that the bill was intended to reduce, not remove, the service funding and to require a third-party audit. The committee then considered motions to hold the bill in committee. A substitute motion to hold House Bill 863 in committee subject to the call of the chair passed on a 7-4-2 vote, and the bill was held in committee.

Transcript Highlights:

• or delivering the services?
• Another thing is child care.
• Another thing is child care.
• No health care worker, no care. So we need well-trained health care professionals.
• We should be careful how we rate those. I will be very careful. Representative Stemen.

Keywords: 908, all

Summary: The committee first approved the December 10 minutes and then received a DEQ base budget summary and agency overview. DEQ staff explained that the agency is largely federally and special funded, with major ongoing costs in salaries, operating expenses, grants, and continuing appropriations. Director Dave Glatt and accounting director Beth Jacobson highlighted core programs, the move to a new chemistry laboratory, the new state fuel inspection program, wastewater-related funding from HB 1577, and implementation of SB 2267 for on-site wastewater rules. They also noted the agency’s spending patterns, possible federal EPA cuts, and the likelihood of some fee adjustments or program changes if federal support declines. Members asked about DEQ’s travel, field offices, future staffing, and how the agency would respond to reduced federal regulation. DEQ said most staff are based in Bismarck, with field offices in Fargo, Sawyer, and Gwinner, and that travel is driven by inspections and spill response. Glatt said the agency would continue to rely on science and law, and that any future federal retrenchment could mean more state responsibility but likely not a wholesale increase in FTEs. The committee also discussed a feedlot enforcement case in the Minot area, with DEQ explaining its role in ensuring compliance, permitting, and animal-waste management standards. The Department of Health and Human Services then presented on FTE block grant reporting, TANF balances, child care transfers, and the Rural Health Transformation Program. Donna Ockland explained that no line-item transfers had occurred yet for the new rural health work, but about 33 positions were planned and some current staff time could be reimbursed through approved cost allocation. HHS also reviewed TANF’s frozen eligibility and block grant structure, the transfer of up to 30% of TANF funds to child care, and recent program changes that increased benefits and raised the income limit. Staff said the department is using TANF more strategically to support child care and other allowable uses, while still carrying over unused funds as many states do. Finally, Pat and HHS staff gave an update on the Rural Health Transformation Program, saying the first funding opportunity was being posted and that the state is on track to obligate the federal funds within the required timeline. They described priorities such as workforce retention, preceptor development, technical assistance for critical access hospitals, community wellness projects, and ambulance upgrades. Members asked about rural versus urban eligibility, immigrant recruitment, evaluation of year-two funding, and how the program would address varied local workforce needs. The meeting then shifted to an Office of Management and Budget update on the new State Hospital project, where Lindsay Ashley reported continued construction progress, updated cost information, and selected alternates, with photos and details showing work underway in multiple building sections.