Video & Transcript : 'access to services' :

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NM

New Mexico 2025 Regular Session

IC - Mortgage Finance Authority Act Oversight May 28th, 2025

Mortgage Finance Authority Act Oversight Committee

Transcript Highlights:
  • Because those are state funds you are not, you don't have access to, you have access to only what we
  • providers to make sure that people are connected to services.
  • services to people on the medians.
  • and also have access to the services they, that they need to maintain themselves in a stable place.
  • This is about really denying access to folks and being able to get a home.
ID

Idaho 2026 Regular Session

Agenda Jan 22nd, 2026

Transcript Highlights:
  • , they're not able to get access to care.
  • We saw huge costs to not doing dental services to many of these people.
  • live in their homes and they have limited access to community-based services.
  • more services to the people that they see.
  • no longer are able to access service, they can call us and we will help them find another provider.
Summary: The Joint Finance-Appropriations Committee held a budget hearing on the Division of Medicaid within the Department of Health and Welfare. Legislative Services analyst Alex Williamson reviewed Medicaid’s five budgeted programs, enrollment groups, staffing, historic spending growth, and the distinction between ongoing base adjustments and one-time enhancements. She explained that most Medicaid spending is in trust and benefit payments, discussed the large FY 2026 and FY 2027 budget changes, and walked through the governor’s recommendations, including hospital assessment fund alignment, claims forecast updates, MMIS procurement funding, estate recovery, program integrity support, and population forecast adjustments. Members asked extensive questions about the 4% provider rate reduction, the expansion population, federal match rates, and the effect of House Bill 345 and federal changes on Medicaid costs and eligibility. Williamson and Deputy Director Sasha O’Connell said the expansion population has declined, but costs are driven by utilization, provider rates, pharmacy, hospital, developmental disability, behavioral health, and long-term care services. They said the department is pursuing cost containment through prior authorization, redeterminations, higher cost sharing, and program integrity efforts, while noting that expansion is codified in law and any repeal or major eligibility change would require legislative action and could affect hospital assessment revenue and other offsets. The committee also discussed the MMIS replacement project, with lawmakers emphasizing milestone-based funding and risk control. O’Connell explained the estate recovery request as a replacement case management system plus contractor support to help recover Medicaid costs from estates, and said the program is federally required and revenue-generating. Several members raised concerns about backlogs, contractor costs, and whether AI or other technology could improve efficiency in program integrity and estate recovery. No votes were taken during the hearing; the discussion remained informational and focused on the governor’s budget recommendations and possible future reductions or policy changes.
TX

Texas 89th 2nd C.S.

Higher Education May 13th, 2025

Higher Education

Transcript Highlights:
  • College students often lack access to consistently accurate and transparent information regarding course
  • One way to increase enrollment and proficiency in foreign languages is to improve access to study abroad
  • Second, the bill will ask for certain information to be accessible to students so they can plan accordingly
  • , which may hinder students' understanding of how to access critical resources and support.
  • , enhancing steering awareness and access to these vital services.
ID

Idaho 2026 Regular Session

Agenda Feb 18th, 2026

Transcript Highlights:
  • Other than give more people access to try to catch them in the early part of the season, which... ...
  • The ability for folks to be able to take their wheelchairs down and have accessible fishing.
  • And this has access. And this has access to the Salmon River.
  • It has access to some old mining claims and some needle mines.
  • And this has access. acquired on the Salmon River. And this has access to the Salmon River.
Summary: The committee began by recognizing page Marley Johnson, who said she plans to finish school, attend flight school, and possibly pursue an aviation degree. Members asked about her experience in the Senate, and she said it changed her perspective by showing that state politics can be collaborative and focused on doing what is best for Idaho. The committee presented her with a letter of recommendation for flight school and an American 250 flag flown over the Capitol. The committee then considered several gubernatorial appointments and Idaho Department of Lands rules. It voted to send David Bobbitt’s reappointment to the floor with a due pass recommendation, and heard testimony from James Keating for reappointment to the Idaho Parks and Recreation Board; no vote was taken on his appointment at that time. The committee also heard a presentation from the Lake Pend Oreille Basin Commission on a study claiming the Corps of Engineers’ lake-level management costs the North Idaho economy about $40 million annually, with testimony focused on extending the full recreational season. Members asked about effects on recreation, fish habitat, and the geographic reach of the economic impact. Three pending rules from the Department of Lands were reviewed and approved. One rule on mine land reclamation was described as a zero-based regulation update that mainly reduced word count and reorganized application requirements, with no major substantive changes. A fee rule for navigable waterways and encroachments under the Lake Protection Act was also approved; it reduced word count, added definitions, and clarified encroachment-related provisions, with no fee increases. A third rule on easements on state-owned lands was approved as well; it deleted nominal application and assignment fees, adjusted compensation language, expanded emergency work definitions, and extended temporary permits from 10 to 20 years. Committee votes on all three rules were unanimous. Finally, Idaho Parks and Recreation Director Susan Buxton gave an agency update on parks operations, deferred maintenance, new campgrounds and docks, trail management, reservation pricing, and budget impacts. She said outdoor recreation remains a major economic driver, that the department has used appropriated funds to add capacity and improve facilities statewide, and that some service reductions may occur because of budget cuts. In response to a question, she said snowmobile registration revenue is down because of limited snow, which could affect county-run snowmobile programs.
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:
  • Some of the most common services included outreach to people who repeatedly call 911 to connect them
  • And is there a barrier that we need to be addressing? Or obviously the... service.
  • Also, another thing about the audit that was found is communication and access to systems to understand
  • Also, another thing about the audit that was found is communication and access to systems to understand
  • Also, another thing about the audit that was found is communication and access to systems to understand
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.
MN

Minnesota 2025-2026 Regular Session

House Fraud Prevention and State Agency Oversight Policy Committee 5/5/25

Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:
  • </c><00:10:47.040><c> to</c> therapists who provide services to therapists who provide services to groups
  • </c> don't have access to the same source don't have access to the same source data<00:23:50.159><c>
  • </c><00:24:00.799><c> to</c> We don't have real-time access to We don't have real-time access to payment
  • </c> government to provide those services. government to provide those services.
  • But we don't have access to that.
Bills: HF3043, HF2891
HI

Hawaii 2025 Regular Session

HSH Info Briefing - Fri Nov 7, 2025 @ 1:30 PM HST

Hawaii House Floor Meeting

Transcript Highlights:
  • to maintain this access of our ability to maintain this access and<00:36:12.880><c> continuity</c><00
  • But, [laughter] um, you know, I'm very big on early childhood education, access to services for families
  • But, [laughter] um, you know, I'm very big on early childhood education, access to services for families
  • </c><01:01:05.119><c> with</c> access to services for families with access to services for families with
  • </c><01:04:15.039><c> the</c> what you can to continue to service the what you can to continue to service
Keywords: 910, house, all
Summary: The House Committee on Human Services held an informational briefing on the impacts of federal funding cuts, inflation, labor shortages, and chronic underfunding on Hawaii’s nonprofit social safety net. Hawaii Community Foundation opened with a story about a federal worker family relying on food pantry support, then described a “perfect storm” facing human services nonprofits: historically high demand, rising costs, staffing challenges, federal cuts, and state and county contracts that do not cover true service costs. The foundation said it has reactivated its Hawaii Resilience Fund, launched strengthened service grants, and is tracking policy changes and data to help nonprofits respond. Trey Gordner of UHERO presented research on the vulnerability of Hawaii’s nonprofit sector, explaining a framework that assessed political, financial, and structural risk. He said about 8,200 501(c)(3) nonprofits are active in Hawaii, but only about 200 receive direct federal funds; 74 grants to 59 organizations were flagged as politically at risk, totaling about $126 million in unpaid obligations. He said about 68 of the direct-funding recipients rely on federal funds for more than 20% of annual revenue, and that human services nonprofits are among the most exposed subsectors because they serve vulnerable populations and depend heavily on federal support. Catholic Charities Hawaii and the Hawaii True Cost Coalition said community-based organizations were already under strain before the current crisis, with most contracts not covering full costs and many groups depending on private philanthropy to fill gaps. They reported that half of surveyed organizations expect to reduce programs, more than a third may decline future contracts, and some are waiting months for reimbursements. Examples included reduced shelter admissions, fewer case management hours, and cutbacks in kūpuna services. The coalition urged higher contract rates, regular inflation and cost-of-living reviews, and timely reimbursement; no votes or formal actions were taken. Partners in Development Foundation described the loss of Native Hawaiian education funding as especially damaging, saying the federal Department of Education has zeroed out support that creates a roughly $46 million gap, including about $20 million for early childhood programs. The speaker shared a family story from the Nā Pono program to illustrate how early learning services support both children and parents, and warned that the organization’s federal funds make up 72% of its budget. The briefing ended with a call for continued emergency funding and longer-term structural changes to sustain nonprofits statewide.
WA

Washington 2025-2026 Regular Session

House Appropriations Jan 26th, 2026 at 04:00 pm

Appropriations

Transcript Highlights:
  • age, mechanisms to limit their access to any addictive feed, limit their ability to view likes or other
  • likely to be accessed by minors, which is the part that is not retained.
  • , products, or features likely to be accessed by minors.
  • It is not going to restrict access to any platform. And I see my time is up.
  • or special access to or control over the data or accounts of their minor child.
Bills: HB1170, HB1570, HB1834
NM

New Mexico 2025 Regular Session

IC - Economic and Rural Development Sep 4th, 2025

Economic & Rural Development & Policy Committee

Transcript Highlights:
  • People need access to services in their community.
  • The point is to try to allow people to have access to safe and affordable housing that enables them to
  • Survivors then cannot access the services needed or have access to affordable housing, which is essential
  • often struggle to access affordable and reliable transportation services.
  • area, to buyers to get them access to those fresh local goods.
FL

Florida 2026 Regular Session

FL House Floor Session - 2026-02-11 (4:00PM Session)

Florida House Floor Meeting

Transcript Highlights:
  • The bottom line is the Miller test was used in a case to prove what adults should have access to, to
  • are stripping parents from the ability to allow their children to still have access to materials that
  • This is not taxpayer money going to classrooms, to teacher pay, or to student services.
  • Is this really what we want our children to have access to?
  • even know what they've had access to.
Summary: The House convened with prayer, moments of silence for former member Terry Fields and the Parkland victims, the Pledge of Allegiance, and recognition of guests and visitors. The chamber then adopted the Rules and Ethics Committee’s special order report setting the day’s calendar and debate times. The main measure taken up was HB 1119, relating to materials harmful to minors in public schools and charter schools, which the sponsor described as a clarification of existing law to keep pornographic or sexually explicit material away from minors and to give districts clearer standards for review and objection processes. The bill drew extensive debate over constitutional concerns, local control, litigation risk, and the scope of the definition of “harmful to minors.” Members supporting the bill argued it was needed to close loopholes and protect children, while opponents warned it could lead to overbroad book removals, conflict with federal court rulings, and costly lawsuits. A series of amendments sought to narrow or redirect the bill: proposals by Gant, Aristide, Bartleman, Eskamani, Nixon, Rainer, Woodson, and Harris would have preserved literary value review, protected educational and abuse-prevention materials, exempted LGBTQ-inclusive books, limited objections, preserved funding for districts, or delayed enforcement during ongoing litigation. Supporters of the amendments framed them as protecting parental choice, academic value, student safety, and district finances; opponents said they would weaken the bill’s child-protection purpose. All of the amendments failed. After the amendment process, the House waived rules, read HB 1119 a third time by title, and entered structured debate on final passage. Debate continued along the same lines, with opponents emphasizing book removals, First Amendment concerns, and the impact on students and schools, and supporters reiterating that the bill was intended to prevent minors from accessing obscene material. The transcript provided ends during structured debate and does not include the final vote on HB 1119.
MN

Minnesota 2025-2026 Regular Session

Agriculture, Veterans, Broadband and Rural Development - Subcommittee on Veterans - 02/10/25

Agriculture, Veterans, Broadband, and Rural Development - Subcommittee on Veterans

Transcript Highlights:
  • The current Triplex is not ADA or wheelchair accessible, and I feel, as my job and my service to disabled
  • was to House Forest Service and the idea was to House Forest Service employees<00:22:38.679><c> uh</
  • /c> wheelchair accessible it's my goal to wheelchair accessible it's my goal to make<00:25:04.840><c>
  • </c><00:48:45.800><c> going</c><00:48:45.880><c> to</c> through access to funding HH is going to through
  • access to funding HH is going to be<00:48:46.040><c> able</c><00:48:46.200><c> to</c><00:48:46.280><
Keywords: 1187, senate, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Housing Jun 21st, 2026 at 01:00 pm

Joint Committee on Housing

Transcript Highlights:
  • Next up we have Representative Bowen, relative to H. 4568, an act relative to expanding access to the
  • access to more capital.
  • We need to reduce the burden on our local taxpayer and have access to a transfer fee to be able to support
  • access to truly affordable electricity.
  • access to truly affordable electricity.
Keywords: 995, all
Summary: The Joint Committee on Housing heard testimony on several housing bills, with much of the discussion focused on seasonal communities and funding for year-round housing in places like Martha’s Vineyard, Nantucket, Cape Cod, and the Berkshires. Speakers supported bills including H. 4410/S. 966 and related seasonal communities legislation, which would allow local option real estate transfer fees and expand tools for towns to preserve and create affordable housing. Testimony emphasized severe housing shortages, high home prices, workforce displacement, and impacts on public safety, schools, health care, and local businesses. Many witnesses said the transfer fee would provide a sustainable local revenue stream, citing prior land bank models on Nantucket and Martha’s Vineyard as proof the approach can work. The committee also heard testimony on H. 3989 regarding seasonal community designation, with supporters arguing that towns should be included automatically or through a simpler opt-in process, and on H. 4568 to expand the Family Self-Sufficiency Program, which would broaden access to a federal voucher-based savings and self-sufficiency model. Senator Edwards testified in support of a bill to create training for municipal board members, describing it as a toolkit to improve informed local decision-making. Senator O’Connor testified for a bed bug bill, saying it would create clearer landlord and tenant notification and treatment requirements and provide needed legal guidance after his family’s experience with an infestation. Senator Lovely also testified for the Homeworks program, which provides transportation so homeless children in motels and shelters can attend after-school activities. The committee further heard testimony on a bill to fund housing in seasonal communities through a transfer fee and on a companion measure to expand the seasonal communities toolkit, with repeated calls for favorable reports. Witnesses from public safety, health care, housing nonprofits, schools, and local government described staffing shortages and housing insecurity as urgent problems. Later, the committee took testimony on H. 1559/S. 102 to maintain stable housing for families with pets, with animal welfare groups supporting protections against eviction, breed discrimination, and excessive pet rent. They said housing-related pet surrenders are a major driver of shelter intake. The hearing also included testimony on H. 1498 to limit criminalization of homelessness, which would restrict citations, fines, and related consequences for outdoor camping tied solely to homelessness.
TX

Texas 89th 2nd C.S.

Public Health May 12th, 2025

Public Health

Transcript Highlights:
  • , we can expand, uh, access to pricing information.
  • And the Secretary of State, but being able to give this access to, to hospitals would allow them to update
  • Choosing to allow these products to remain legal is the same as accepting that youth will have easy access
  • You have the ability to remove access to e-cigarettes with dangerous combinations of intoxicants.
  • I pray my kid always has access to care, even when I'm not around to fight for it.
MN

Minnesota 2025-2026 Regular Session

Committee on Commerce and Consumer Protection - 03/06/25

Commerce and Consumer Protection

Transcript Highlights:
  • </c><00:35:58.440><c> and</c> access to the specialized equipment and access to the specialized equipment
  • interest to have him pay for a mandated service or benefit.
  • This is because the Women's Foundation believes that women should have access to the services required
  • This is because the Women's Foundation believes that women should have access to the services required
  • ><c> it's</c><01:05:07.720><c> about</c> access to a medical procedure it's about access to a medical
Keywords: 1187, senate, all
WA

Washington 2025-2026 Regular Session

House Appropriations Feb 25th, 2026

Transcript Highlights:
  • to the city of Yakima to maintain public access to aquatics programs.
  • a grant to the North Mason Regional Fire Protection Service Authority to increase the services provided
  • And to date, not a single entity in our state has been able to access that $100 million.
  • have access to advanced learning that, in other areas, they wouldn't have access to.
  • have access to those.
Summary: The House Appropriations Committee met in executive session on a proposed substitute operating budget bill and worked through a long series of amendments before voting on the bill. Members discussed a wide range of budget items, including court funding for Thurston County civil filings, Attorney General funding for a domestic extremism task force, grants for Yakima aquatics access, North Mason mobile integrated health, mentoring programs, poverty reduction work, a proposed Department of Housing task force, federal grant inventory staffing, HEAL Act funding, assisted living rebasing, DCYF family resource centers and pediatric interim care, law enforcement training and equipment, shellfish and birthing center licensing fees, school bus depreciation, charter school accountability, transition to kindergarten priorities, and several Fish and Wildlife and OSPI grants. The committee also considered amendments related to the Columbia River Gorge Commission, shrub-steppe habitat mitigation, and a study on Lower Snake River reservoir drawdown impacts. Debate on many amendments centered on whether items were statewide priorities or local projects, and on the fiscal constraints of the budget. Supporters often argued that proposals would protect vulnerable populations, improve public safety, or leverage future savings and outside funding; opponents frequently cited budget pressure, the availability of existing funding, or the need to avoid singling out local projects. Some amendments were adopted, including Clark 343 on intent to fund up to 10,000 additional eCAP slots, Jones 419 on paint stewardship funding, and Stevens 070 limiting birthing center license fees. Many others failed, including amendments on Thurston County court funding, the domestic extremism task force, Yakima aquatics, North Mason mobile integrated health, mentoring, poverty reduction workgroup funding, the Department of Housing task force, federal grant staffing, HEAL Act funding, assisted living rebasing, the PIC Center contract, the Lacey regional training academy, and several Fish and Wildlife and OSPI-related proposals. The committee then moved to the underlying bill, Proposed Substitute House Bill 2289, and adopted a do pass motion after disposing of the amendments. The transcript indicates the committee ultimately reported the bill out of committee with a do pass recommendation.
CA
Transcript Highlights:
  • The public would no longer have access to areas where it does not need to have access, as we will be
  • present a proposal that's going to provide a vital service to state employees.
  • in order to partner with departments to better service delivery.
  • Next up, we're going to go to issue area number four with the Department of General Services.
  • “And then the last one is for increased access to architectural and engineering services.”
Keywords: 988, house, all
CA
Transcript Highlights:
  • The LAO is going to provide an overview of the impact of HR1 on access to medical school as well as student
  • So it's not our own portal, but we have access to those data.
  • go to concierge service?”
  • We do think that's going to strengthen California's ability to close regional gaps, improve access to
  • continue making more investments to ensure that patients have access to quality care for themselves
Summary: The Assembly Budget Subcommittee on Health held a hearing focused first on the impact of H.R. 1 on medical student financing and physician access, then on state residency-support programs. The chair framed the discussion around expected federal Medicaid and student loan changes, warning that higher borrowing barriers could reduce access to medical school for lower-income students and worsen physician shortages, especially in underserved regions. The LAO explained that H.R. 1 would cap federal loans for professional students, eliminate Grad PLUS for new borrowers, and likely shift more students toward private loans with less favorable terms; it said the bigger concern may be who can afford to attend medical school rather than a sharp drop in enrollment. HCAI described three physician loan repayment programs—the State Loan Repayment Program, the Stephen M. Thompson Physician Corps Loan Repayment Program, and the County Medical Services Program loan repayment program—and said retention data show many awardees remain in California and in underserved or safety-net settings after service obligations end. University of California and UCSF witnesses described California’s physician workforce shortages, especially on the Central Coast and in rural and agricultural communities, and said affordability, limited medical school capacity, and burnout are pushing some doctors into concierge practice or out of underserved areas. They emphasized that students from low-income backgrounds and underrepresented communities are more likely to be affected by loan limits and that residency location strongly influences where physicians ultimately practice. Members asked about medical school capacity, out-of-state students, residency retention, and whether the state could expand slots or better target aid to keep physicians in California and in high-need communities. Public commenters urged the Legislature to consider shortages in anesthesia, pediatric subspecialties, midwifery, and culturally concordant care, and to support broader workforce pathways and public-service loan programs. The second panel reviewed graduate medical education programs, especially CalMedForce, CalMedForce Plus, and Song-Brown. UC and HCAI said CalMedForce has supported new residency slots since 2018, while Song-Brown funds primary care residency training and has recently supported new programs in rural areas such as Del Norte County. The LAO said the state should decide whether residency support should remain a budget priority, whether these competitive grant programs are the best mechanism, and whether their structures are too rigid or duplicative. It noted that most awardees receive funding more than once and that the programs overlap substantially, suggesting possible coordination or consolidation. A family physician from the California Academy of Family Physicians argued that stable funding for primary care residencies is essential, that many California-trained physicians stay where they train, and that future funding should be more deliberately directed to primary care and high-need communities. The hearing ended with discussion of emergency room crowding, geographic inequities in residency distribution, and HCAI’s plan to develop supply-and-demand models to guide future funding decisions.
NM

New Mexico 2026 Regular Session

Senate Chamber Feb 12th, 2026 at 12:12 pm

New Mexico Senate Floor Meeting

Transcript Highlights:
  • And so I want to make sure, and I'd like you to clarify, that law enforcement access to investigate any
  • They would reach out to the private entity to get access to those cameras.
  • get access to as part of the investigation.
  • We do want to be able to make high-speed broadband access available to all New Mexicans.
  • ensure access to broadband Internet services by low-income rural on... ...your access to broadband Internet
Keywords: 996, all
ND

North Dakota 2026 1st Special Session

Joint Policy Jan 21st, 2026 at 10:30 am

Transcript Highlights:
  • So the North Dakota Health and Human Services North Star is our goals are to be the healthiest citizens
  • So the North Dakota Health and Human Services North Star is our goals are to be the healthiest citizens
  • services or providers who are going to aim to fill gaps in the care continuum, like medical detox, that
  • All of the critical access hospitals will have access to this, and the analysis will be used to support
  • home bucket in our plan is so that rural residents would have better access to services without necessarily
Keywords: 908, all
Summary: The Joint Policy Committee met to hear an overview of North Dakota’s Rural Health Transformation Program before taking up the related policy bills. Department of Health and Human Services staff explained that the state received a $198.9 million CMS award, with funding focused on four pillars: strengthening rural workforce, bringing care closer to home, connecting technology and data, and improving population health through prevention. They emphasized that the program is intended to benefit rural and frontier residents statewide, including areas near urban centers when the project serves rural patients, and that CMS approval, provider readiness, and sustainability will drive what can be funded. Committee members asked about how the program would treat border communities, frontier counties, urban providers serving rural patients, multilingual outreach, tribal consultation, and whether there would be information sessions for applicants. HHS said the website will include sign-up and translation features, more listening sessions and training will be offered, and a rural health tribal liaison will work alongside the existing Medicaid tribal liaison. Members also raised concerns about reimbursement timing, cash flow for providers, and whether projects in urban areas could qualify; HHS responded that urban projects may be eligible if they clearly benefit rural residents. The department then outlined the four policy bills tied to the grant scoring: nutrition continuing medical education for physicians, the presidential fitness test, the physician assistant compact, and pharmacist scope of practice. HHS said these policy actions were incentivized in the federal funding opportunity and that failure to pass them could reduce future funding. The committee did not take final action on the bills in this portion of the transcript and recessed for lunch before moving on.
NM

New Mexico 2026 Regular Session

House - Appropriations and Finance Jan 23rd, 2026 at 12:42 pm

House Appropriations & Finance

Transcript Highlights:
  • This would enable the agency to use that funding instead of losing it and having to cut services to cover
  • to try to get those services in if needed.
  • This is equivalent to personal care services.
  • start getting access to data.
  • So we have to make sure, if we go to the cloud or whoever we go to, we have to make sure we can access
Keywords: 996, all
Summary: The committee first heard an Aging and Long-Term Services Department budget presentation comparing the LFC and executive recommendations. The main differences were in the Aging Network, Adult Protective Services, Program Support, and Long-Term Care Division, especially the executive’s proposed $10 million infusion into the Kiki Savadra Senior Dignity Fund and $6.2 million for expanding New Mexico Care. LFC staff explained that the committee recommendation was lower in general fund and fund-balance use, while the executive emphasized rising senior population needs, meal and transportation costs, and the cost savings of keeping older adults at home. The secretary also reviewed the department’s special requests, including the conference on aging, outreach, emergency preparedness, and the Kiki fund, and described New Mexico Care’s growth, its evaluation results, and the department’s plan to separate Kiki into its own accounting fund. Members largely focused on senior services, rural meal delivery, transportation, caregiver support, and the Kiki fund. Several members urged stronger support for non-metro aging providers and for New Mexico Care, citing its role in keeping seniors out of nursing homes and the program’s reported savings and outcomes. Questions also covered eligibility, background checks for caregivers, respite care, dementia and Alzheimer’s screening, and whether Kiki funds can support home modifications such as ramps. The committee then voted to adopt the LFC recommendation with one executive language change: adding the executive’s page 14 language allowing an additional 12.5% distribution for initial payments to aging network providers at the start of FY27. Representative Dow opposed the motion. The committee then moved to the Attorney General’s budget. LFC staff explained that the office’s budget relies heavily on the Consumer Settlement Fund, with both recommendations reducing general fund revenue while increasing settlement-fund use, and that performance measures were in consensus. The Attorney General said the office was not seeking more general fund, but wanted greater ability to use funds it recovers. He highlighted major consumer and public safety work, including litigation against major social media and AI platforms, a case involving Snapchat and child exploitation/extortion, the statewide crime gun intelligence center, efforts to address oilfield theft, work on missing and murdered Indigenous persons, and efforts to protect federal funds coming into New Mexico.