Video & Transcript Research : 'case manager'

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NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Aug 20th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • We knew it was a bad case.
  • For instance, in case management, I have an individual who has been running the case management department
  • So the case... manager that's in Florida.
  • It's a concern that the case management person is in Florida. I mean... no, no, no.
  • We've never had a case, and we don't have any pending cases.
MN

Minnesota 2025-2026 Regular Session

Public Safety Committee Meeting - 2025-04-01

Public Safety Finance and Policy

Transcript Highlights:
  • of Minnesota Emergency Managers.
  • Minnesota Emergency Managers.
  • With continued cuts to the federal Emergency Management Performance Grant, local emergency management
  • manager.
  • We examined the complete case files for 120 cases, which included body camera footage, dispatch notes
MN

Minnesota 2025-2026 Regular Session

FULL INTERVIEW: Patient-Centered Care | Senator John Marty Mar 20th, 2026

Minnesota Senate Floor Meeting

Transcript Highlights:
  • I'd argue that much of the managing of care of the managed care organizations is managing their claims
  • I'd argue that much of the managing of care of the managed care organizations is managing their claims
  • <00:02:18.920> management<00:02:19.920> and<00:02:20.080> the and the case management
  • and the and the case management and the wrap-around<00:02:20.720> services<00:02:21.200> that
  • managing their claims. managing their claims.
Keywords: 918, senate, all
Summary: The interview focused on Senate File 3612, which the senator described as “patient-centered care” legislation for Minnesota’s Medicaid and MinnesotaCare programs. He said the bill would remove private insurers and HMOs from administering those public programs, replace them with a state contract for claims processing and administrative services, and shift care coordination directly to primary care clinics, counties, and nonprofits. He argued the current managed-care system creates churn, prior-authorization barriers, and fragmented care, and said providers should manage care rather than insurers. The senator repeatedly cited Connecticut as a model, saying that state moved away from managed care, improved primary care participation, and saved money. He also argued Minnesota’s current system lacks transparency and may be overpaying health plans, pointing to fraud concerns and a past example in which UCare returned money to the state after an overpayment. He said the bill would improve accountability, make fraud easier to detect, and could save taxpayers billions, though he emphasized his main goal was better care rather than savings. On support and prospects, he said the bill has backing from the governor and the American Cancer Society but currently only DFL co-authors. He said he does not expect it to become law this year because the fiscal note and details are still pending, and he does not expect insurance companies to support it. He added that he is open to discussion but sees the insurers as fundamentally opposed. The interview ended with him saying workers in insurance and claims processing should be treated fairly and offered retraining or dislocated-worker support if broader reforms reduce their roles.
FL

Florida 2025 Regular Session

November 18, 2025 - 03:30 PM

Transcript Highlights:
  • Medicaid managed care or some.
  • The heart and soul of our company are the over 500 case managers we have across the state and these are
  • It's it's sort of like a case-by-case basis. We very much would love to have Mr.
  • So that service or a includes outpatient services, such as case management outpatient therapy, medication
  • and case management services.
MN

Minnesota 2025-2026 Regular Session

House Judiciary Finance and Civil Law Committee 2/19/26

Judiciary Finance and Civil Law

Transcript Highlights:
  • 10.800> and our case management system database and our case management system database and then
  • 1,610 hours in the case management system.
  • management system so that it our case management system so that it represents<01:21:16.239> case<
  • case management system and hours in the case management system and volunteers<01:21:47.520> logged
  • One of the case management system.
Bills: HF2825
OR
Transcript Highlights:
  • The juvenile justice information system is essentially a case management system.
  • The juvenile justice information system is essentially a case management system.
  • evacuation planning and management.
  • and bringing these cases to closure.
  • Is that not the case?
Keywords: 907, all
Summary: The Emergency Board met on June 17, 2026, and approved a series of subcommittee recommendations, mostly on consent, related to federal grant applications, agency funding adjustments, and position authority. Early actions included approval of four federal grant applications from natural resources agencies, three public safety grant applications, a one-time increase for Judicial Department court security, retroactive approval for an AmeriCorps volunteer-generation grant, and a $7.5 million allocation to Southern Oregon University from a special appropriation for short-term financial stability. Members supporting the SOU item emphasized the university’s structural deficits, declining enrollment, and the need for a long-term higher education plan; several members voted no or raised concerns about sustainability, but the motion passed. The board also approved a federal apprenticeship expansion grant for the Higher Education Coordinating Commission, a school nutrition equipment grant for the Department of Education, and an Oregon Health Authority request tied to Medicaid community engagement requirements under H.R. 1. Public safety items included funding for Oregon Military Department readiness facilities, a report on the stalled juvenile justice information system modernization project with a follow-up viability report due in 2026, and a statewide evacuation planning tool for emergency management. The evacuation tool drew strong support as a wildfire preparedness measure, with members noting it could significantly reduce alert times and save lives. A major point of debate was the Department of Justice request to add 16 permanent positions and increase other funds limitation for antitrust enforcement. Supporters argued the federal government has pulled back and Oregon needs capacity to pursue active cases and protect consumers; opponents objected to the process, the size of the expansion, and the incentive structure tied to settlements and awards. Despite those concerns, the motion passed. The board also approved Water Resources Department requests for the Water Well Abandonment, Repair and Replacement program, an assistant water master position in Washington County, and federal funding for Lower Umatilla Basin groundwater data collection. The water master item prompted questions about county cost shifts, but staff said the position would remain externally funded and would not be filled without those resources.
FL

Florida 2025 Regular Session

November 19, 2025 - 04:00 PM

Transcript Highlights:
  • EXAMPLES INCLUDE CASE MANAGEMENT, THE OPTION FOR SELF-DIRECTION INCLUDING FOR FAMILY MEMBERS, AS WELL
  • A SPECIAL KIND OF MEDICARE MEDICAID MANAGED CARE PROGRAM.
  • BUT THIS CASE YOU IDENTIFIED A PROBLEM, WHERE FIXING IT.
  • SO MANAGED CARE WORKS WHEN PROVIDERS PARTICIPATE.
  • HIS CASE WAS NEVER DEEMED A CRISIS CASE AND IN THE LONG-TERM CARE PLAN, AND I WANT TO BE CAREFUL ABOUT
TX
Transcript Highlights:
  • They didn't let us present our case.
  • rate case expenses incurred in that rate case because utilities are able to recover those rate case expenses
  • in a rate case on that population.
  • If that were the case, we would have numerous cases of rabies routinely reported due to the one and a
  • We aim to rescue hundreds or thousands of bats from buildings where property managers or department managers
CA
Transcript Highlights:
  • Senior medical case manager for Sunburst Projects.
  • The case managers, these case managers ensure long-term survivors receive the support they need from
  • I've not always been a senior medical case manager for the Ryan White program.
  • I said, “I don’t know anything about case management.”
  • I mean, given the fact that you are doing case management, do you see some gaps?
Summary: The committee held an inaugural hearing on the health care and support needs of older LGBTQ Californians, with members and witnesses emphasizing that this population has made major gains in rights and longevity but still faces discrimination, isolation, economic insecurity, and gaps in services. Opening remarks highlighted concerns about older LGBTQ people entering nursing homes and feeling forced back into the closet, as well as the growing number of Californians aging with HIV. The hearing was structured into three panels, with public testimony considered if time allowed. The first panel focused on the overall health and support landscape. Justice in Aging described survey findings showing discrimination, poor health, difficulty with errands, and economic insecurity among older LGBTQ Californians, and warned that federal Medicaid cuts and broader federal actions could worsen access to home- and community-based services and culturally competent care. CalHHS and the Department of Aging described the Master Plan for Aging, the first statewide LGBTQIA older adult survey, and efforts to support gender-affirming care, PACE, care management, and community supports. Witnesses stressed the need for better outreach, data collection, and a “no wrong door” approach so people can more easily find and access services. The chair and senators pressed the departments on how survey findings are being translated into concrete action and how state agencies are coordinating across silos. The second panel addressed health care for seniors living with HIV. A longtime survivor described severe financial and benefits consequences from a federal clawback and argued that California needs stronger legal, navigation, and housing supports, including HIV-specific housing funding. The Department of Aging reported on implementation of SB 258, saying it has educated area agencies on aging, added HIV data to planning tools, and found that 20 of 33 area agencies identified HIV as a target population, with 16 including specific strategies. The Office of AIDS outlined Project Cornerstone, Ryan White, ADAP, HOPWA, a Medi-Cal waiver, and PrEP-AP, noting these programs serve thousands of older clients and that local case managers are expected to coordinate whole-person care. Case managers and advocates said housing, food, transportation, mental health, and premium assistance remain major needs, and senators asked whether future ADAP rebate funds could support navigation, housing, and other gap-filling services. The final panel turned to transgender, gender nonconforming, and intersex seniors. The Department of Social Services described protections under SB 219, including nondiscrimination notices, resident rights postings, required records for preferred names and pronouns, and annual inspections of licensed facilities. The Department of Public Health and a TransLatin Coalition leader were introduced to discuss additional supports for TGI seniors. Across the hearing, members repeatedly returned to the themes of visibility, coordination, and implementation, asking departments to follow up on how they will better connect services, improve outreach, and ensure that existing laws and programs are actually reaching the people they are meant to serve.
MN

Minnesota 2025 1st Special Session

Committee on Health and Human Services - 04/09/25

Health and Human Services

Transcript Highlights:
  • > management<00:15:08.639> for for targeted case management for for targeted case management
  • <01:01:16.160> management mental health targeted case management mental health targeted case
  • > support case management and community support case management and community support services
  • > not<01:11:20.239> take case management services does not take case management services
  • case management um eligibility targeted case management um eligibility up<02:03:40.639> to<02
Keywords: 1187, senate, all
ND

North Dakota 2025-2026 Regular Session

Health Care Committee Jul 15th, 2026

Transcript Highlights:
  • We now have a case worker who is going to help us with investigation of some of these cases.
  • We review cases. Cases only come for review about two years after they occur because of...
  • We had 1,222 cases, maternal mortality. In 2021, we had 1,222 cases of maternal mortality.
  • We had 1222 cases, maternal mortality. 21, we had 1222 cases, maternal mortality.
  • cases.
Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.
FL
Transcript Highlights:
  • NOW, PROJECT SHIFTS TO OUR CASE MANAGEMENT AREA WHERE WE ARE MAINLY FOCUSING ON THE PARTNERSHIP WITH
  • SOME OF THE MODULES THAT WE ARE FOCUSING ON NOW IS THE OVERALL CASE MANAGEMENT MODULE.
  • AND CASE MANAGEMENT HAS BEEN BUILT OUT.
  • Harrell: AS WE LOOK AT THE CASE MANAGEMENT WE LOOK AT THE CBC.
  • IS THERE A DATE CONTEMPLATED WHEN THE CBC WILL NO LONGER BE ABLE TO USE A CASE MANAGEMENT SYSTEM. >>
Keywords: 999, senate, all
FL
Transcript Highlights:
  • But we don't think that's the case here.
  • And in reviewing the cases, Doa out the door to the case was closed.
  • From when Doa got the case to when the case was closed, at Doa took an average of less than 180 days.
  • There were some cases at Doa that took longer than average due to the case.
  • was 194 of our cases.
Summary: The Joint Administrative Procedures Committee reviewed several agency rules and objections under Chapter 120. First, the committee revisited prior objections to Agency for Health Care Administration rules containing sunset provisions. AHCA’s general counsel said the agency amended 26 of the objected rules but declined to amend five others, arguing sunset provisions are lawful, are not themselves rules, and were consistent with a 2019 gubernatorial directive. Committee members questioned that position, especially for licensing and certificate-of-need rules, and urged the agency to consider legislative changes; no formal action was taken on that item during the discussion. The committee then considered an objection to Department of Management Services Rule 60G-1.001 defining the Governor’s Mansion grounds. Committee staff argued the rule is vague and improperly refers to future land acquisitions without updating the rule since 1998. DMS defended the rule as a general definition tied to publicly recorded property and a master lease, but said it would not object if the Legislature chose to codify the definition in statute. After discussion, the committee voted to file the objection. Members also received informational updates from the Department of Environmental Protection on the Solaris state lands inventory system, and from the Florida Gaming Control Commission on its response to the Tampa Bay Downs unadopted-rule litigation, in which the commission said it has stopped relying on the prior tax interpretation and will not promulgate a rule on that issue. The Department of Business and Professional Regulation said it would remove an unsupported cigar wholesale dealer permit reference, repeal an obsolete excise-tax deduction rule, and amend penalty guidelines and an affirmation in its alcohol, beverage, and tobacco rules. Finally, the Division of Administrative Hearings’ interim director discussed case-processing times, possible changes to ALJ status, and whether the Florida Rules of Evidence should apply in administrative proceedings, emphasizing the need to weigh costs, independence, and impacts on pro se litigants. The chair noted this was likely the committee’s final meeting of the year.
TX

Texas 89th 2nd C.S.

Natural Resources Jul 15th, 2025

Natural Resources

Transcript Highlights:
  • Next step, management plan. Districts adopt management plans, their objectives, their goals.
  • Next step, management plan: districts adopt management plans, their objectives, their goals.
  • So there’s not, in case law or much case law in this particular instance.
  • I've seen districts where yes, that's the case. I've seen districts where yes, that's the case.
  • We've learned from the two large takings claim cases, Day and the Brad case, that there's a fact-sensitive
Summary: The committee held a hearing on high-capacity groundwater wells proposed in Anderson, Henderson, and Houston counties, with members framing the issue as one of local water supply, fairness, and the need to modernize groundwater law while protecting private property rights. Opening remarks focused on the scale of the proposed Redtown Ranch and Pine Bliss projects, the potential export of tens of thousands of acre-feet of groundwater annually, and concerns that the applications lacked sufficient technical detail and could harm nearby landowners, cities, agriculture, and manufacturing. Members also noted the broader context of the recent flooding tragedy in central Texas and the Legislature’s intent to address water-related loss of life in the upcoming special session. Witnesses from the Texas Alliance of Groundwater Districts and the Texas Water Development Board explained the current groundwater management framework. They described groundwater conservation districts as the state’s preferred management method, the role of groundwater management areas and desired future conditions, and how the Water Development Board uses those conditions to calculate modeled available groundwater. They emphasized that districts rely on local data, monitoring wells, and planning processes, but that information is often more limited in areas without a district, where the rule of capture applies. Members pressed witnesses on recharge rates, export permits, subsidence, the effect of pumping on nearby wells, the age and real-time availability of model data, and whether the proposed project would exceed modeled available groundwater in some counties. TCEQ explained its limited oversight role over groundwater conservation districts, including inquiries, compliance actions, and, in extreme cases, dissolution authority. Water Development Board staff also outlined funding programs, saying the New Water Supply for Texas Fund is limited to projects such as brackish desalination, reuse, ASR, and other new-supply projects, and does not fund fresh groundwater exports alone. They said the project at issue had not applied for board funding. A water lawyer then testified on the rule of capture, ownership in place, and district regulation, arguing that districts must use permitting and other tools to manage production within modeled available groundwater and that the Legislature could consider additional authority over groundwater exports under current law.
FL

Florida 2025 Regular Session

February 5, 2025 - 12:30 PM

Transcript Highlights:
  • Perhaps I'll start, and Ann can talk in more detail from a managed care, I mean a managing entity perspective
  • We're a Medicaid-managed care state.
  • We're a Medicaid-managed care state.
  • And so the care coordinator does more than just case management.
  • And so the care coordinator does more than just case management.
Summary: The Health Care Budget Subcommittee held a panel discussion on Florida’s mental health and substance abuse system, with representatives from DCF, AHCA, two managing entities, and two providers describing how the state’s behavioral health network is funded and operated. Members focused on the implementation of prior legislative investments, especially the $50 million in recurring funding from Representative Maney’s bill and the earlier $126 million community behavioral health appropriation. Witnesses said the newer funds were used mainly for crisis beds, discharge planning, outpatient services, regional collaboratives, and a USF Marchman Act report, while the larger behavioral health appropriation supported CAT, FACT, FIT, forensic teams, residential and outpatient services, and crisis care, with most dollars going directly to services and only a small share to administration. A major theme was access to crisis care and the role of mobile response teams, 988, and central receiving facilities in diverting people from Baker Act admissions and reducing readmissions. DCF and providers said mobile response teams have expanded, are being used to de-escalate crises and connect people to care, and have shown strong diversion results and reductions in Baker Acts in some regions. Members also asked about waitlists, children in crisis, and how to handle people without housing or support; providers said discharge planning is individualized but often constrained by homelessness, transportation, and a lack of safe placements, and several witnesses identified housing as one of the biggest barriers to recovery and stability. The committee also examined provider sustainability, reimbursement, and funding gaps. Witnesses described delays caused by contract timing, cost allocation rules, and Medicaid reimbursement rates that do not always keep pace with labor and operating costs, especially for smaller providers and rural networks. DCF and AHCA said managing entities can provide advances, retroactive rate adjustments, and technical assistance, and that Medicaid managed care plans have network standards and complaint/dispute processes. Members raised concerns about a reported $7 million loss in federal non-sustainable funds, provider closures, and whether there is a formal ombudsman process for disputes; DCF said the federal reductions were known and tied to one-time funds, and that the department generally handles provider issues informally while working with managing entities to preserve continuity of care.
LA

Louisiana 2026 Regular Session

House of Representatives May 20th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • We managed to get through about 115 different bills. And I would especially like to thank Ms.
  • arson of a religious building, would increase penalties for violations and provide for penalties in cases
  • The Senate simply added an amendment in committee that required all four higher education management
  • enrollment, responsibilities of Board of Regents, public postsecondary education institutions, management
  • The Senate simple added and amended in committee that required all four high education management boards
LA

Louisiana 2026 Regular Session

House of Representatives May 20th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • We managed to get through about 115 different bills. And I would especially like to thank Ms.
  • charge the House Committee on Natural Resources to study the importance, stewardship, protection, management
  • The Senate simply added an amendment in committee that required all four higher education management
  • enrollment, responsibilities of Board of Regents, public postsecondary education institutions, management
  • The Senate simple added and amended in committee that required all four high education management boards
Summary: The House convened with prayer, pledge, and a quorum, then spent much of the day on recognitions and commemorative resolutions. Members honored coach Jeffrey Craig Whittington, tourism and the Louisiana Oil Makers Association, Motorcycle Safety Awareness Month, the Tangipahoa Parish Fair, Washington Parish festivals, ACOG’s 75th anniversary, Louisiana Tech women’s basketball, and Memorial Day. A major Memorial Day presentation commended Lane Frenchy Boudreau for helping recover the body of Army Sgt. First Class James H. Moore in Vietnam; the House observed a moment of silence and presented a flag to Moore’s family. The chamber also received Senate messages, enrolled bills, and committee reports, and introduced several new resolutions on topics including Pope Leo XIV, orphan wells, scenic rivers, Teche water quality, and the LaMelle family’s pilgrimage to Rome. The House then took up numerous resolutions and bills, often adopting them without objection. Among the measures adopted or advanced were studies on neighborhood crime prevention districts, parish solid waste and disaster resiliency in Washington Parish, the Louisiana Climate Action Plan, the Louisiana Maneuvers museum/trail, cash-rounding practices after penny production ends, residential construction costs and inspection practices, roundabout education, Taiwan relations, TSA worker loan assistance in Shreveport, human growth and development standards, and the state income tax credit for water utility customers. The chamber also adopted or concurred in several Senate amendments on bills dealing with financial disclosure, video voyeurism, personal information protections, online child safety, STEM advisory council changes, dual enrollment tuition, fleet vehicle registration, menhaden fishing rules, recording fees, amusement ride insurance, drone footage authentication, garbage and trash contracts, insurance prescription periods, retirement system changes, juror qualifications, fireworks, inspection stickers, employment discrimination, and inactive boards and commissions. Several measures drew discussion or division. H.B. 1199, requiring coverage for genetic testing and treatment for SCN2A-associated disorders, passed 94-0 after being discharged from Appropriations. H.B. 302, which would prohibit vape sales within 300 feet of schools, passed 86-4. H.B. 84, encouraging an interest-free loan program for TSA workers at Shreveport Regional Airport, passed 64-27. H.B. 1054 on self-authentication of law enforcement drone footage passed 78-12, and H.B. 1137 limiting employment discrimination protections to state employees passed 71-23. The House rejected Senate amendments on H.B. 468 (residential real property wholesaling), H.B. 1117 (insurance contractual payments and prescriptive periods), H.B. 956 (fireworks dates), and H.B. 74 (Spectrum Alert for missing children with autism), while concurring in or adopting amendments on many other bills. The session ended amid continued consideration of Senate Bill 56 on the West Bank/Lafitte levee governance structure, including an adopted amendment to ensure Lafitte-area representation on the board, with extended remarks about the history and accomplishments of the existing levee authority.
MN

Minnesota 2025 1st Special Session

House Public Safety Finance and Policy Committee 4/1/25

Public Safety Finance and Policy

Transcript Highlights:
  • hear that that's not generally the case hear that that's not generally the case and<00:29:46.559
  • > out help local emergency managers carry out help local emergency managers carry out critical
  • of Minnesota Emergency Managers.
  • We examined the complete case files for 120 cases that included body camera footage, dispatch notes,
  • the complete case files for 120 cases the complete case files for 120 cases that<01:10:06.199>
WA

Washington 2025-2026 Regular Session

JLARC I-900 Subcommittee for SAO Performance Audits Oct 8th, 2025

JLARC I-900 Subcommittee for SAO Performance Audits

Transcript Highlights:
  • In that case, if not seeing any other questions, we have presenters today...
  • In our case, our municipalities are looking at it.
  • OEDC has six units that manage 16 economic development programs.
  • To begin with, strategic planning is a performance management process that...
  • And targets, establishing a performance management framework, and developing a process to manage program
Summary: The Joint Legislative Audit and Review Committee’s Initiative 900 subcommittee held a hybrid public hearing on two State Auditor performance audits. The first audit examined efforts to reduce non-emergency use of emergency systems through CARES programs. Auditors reported that Washington has 52 fire-agency-led CARES programs in 26 counties, but many communities without programs said they need one. Major barriers included unstable funding, difficulty hiring qualified staff, volunteer-based rural departments, and lack of statewide guidance. The audit also found that only about half of programs tracked both required performance measures, and it recommended that the legislature consider private insurance reimbursement options and convene a statewide work group to develop guidance, standards, and possible changes to the role of the Department of Health. Agency representatives and fire officials largely supported the findings and emphasized that short-term grants and one-year contracts make programs hard to sustain. Committee discussion focused heavily on financing, especially Medicaid reimbursement and accountable communities of health (ACHs). Auditors clarified that the 10% figure cited in the report referred to direct Medicaid reimbursement for treat-and-refer services, which some agencies do not pursue because the $115 rate is too low relative to the administrative effort. Several fire officials testified that their programs rely on grants and ACH support, but that funding is often year-to-year and uncertain. They also described the value of CARES programs in reducing emergency room use, jail detentions, and long ambulance wait times, while noting barriers to sharing patient records across systems. Members asked whether the new public safety sales tax authority could help, but fire district representatives said it is not a direct funding option for them. The second audit reviewed performance management in the Department of Commerce’s Office of Economic Development and Competitiveness. Auditors found that the division does not yet have a statewide economic development strategic plan and that performance management is inconsistent across its 16 programs. In a limited review, all six sampled programs had goals, but only half clearly identified performance measures and targets, and only three tracked outcomes and published results. The audit highlighted leading practices from other states, including strategic planning, regular progress reporting, aligning program goals with agency goals, and using performance-based contracts and grant monitoring. Recommendations urged Commerce to seek stakeholder input, assess internal and external conditions, set goals and measures, align programs with the strategy, and strengthen monitoring and evaluation. Commerce officials agreed with the audit and said the division is already working toward a strategic plan, with a new assistant director to be hired and a target of completing the work by mid-next year. Members pressed the department on how the plan would connect to workforce, higher education, housing, and other economic development systems, and asked Commerce to return to JLARC next year with progress updates. The meeting ended with instructions for submitting written public comments and notice of the next JLARC meeting schedule.
ND

North Dakota 2025-2026 Regular Session

Child Custody Review Task Force Apr 13th, 2026

Transcript Highlights:
  • I don't know why that necessarily was the case.
  • and the rules of operation that Legislative Management has.
  • court would be considered, we could say, identification of the types of cases, to be types of cases,
  • comma, including cases currently or presently under the jurisdiction of the juvenile including cases
  • That is in this case.
Summary: The Child Custody Review Task Force met to approve prior minutes and then worked through draft legislation related to a possible family court study committee. The group discussed the proposed 15-member committee’s makeup in detail, including whether to add parent representation, judges, family law section members, child support, clerks of court, domestic violence advocates, and other stakeholders. The task force ultimately agreed to keep the committee at 15 members, reduce the legislative membership from eight to six, add two judges from different districts, add two family law section members with rural and urban representation, include one parent subject to a custody order, and replace the mental health professional with a clerk of court representative appointed through the trial court administrator’s office. The draft was also revised to keep domestic violence advocacy representation and to clarify that the study could consider juvenile court issues as part of the family court umbrella. The committee voted to approve the revised draft and recommend it to Legislative Management, with one recorded “no” vote from Judge Hovey after the meeting resumed. The task force then turned to a second draft dealing with requiring participation in a family transition program, which was renamed in discussion to a parenting education course. Members debated whether the bill should simply refer to an existing program like Parents Forever or instead specify broader education about the court process, parental rights, co-parenting, and related issues. Some members supported the requirement as a way to reduce conflict and improve understanding of the system, while others raised concerns about vague language, cost to parents, lack of exemptions, and whether the bill was too open-ended or potentially duplicative of other legislation. The discussion became lengthy and unresolved, with the drafter noting that more specific direction would be needed to revise the bill. The transcript cuts off before a final vote or action on this second draft is shown.