Transcript Highlights:

• Because you're not going to—if you're in a two-bed unit, each bed is $1,100.
• But that's an apartment because you've got two beds at two beds, and same thing with Atherton.
• Because you're not going to—if you're in a two-bed unit, each bed is $1,100.
• But that's an apartment because you've got two beds at two beds, and same thing with Atherton.
• beds at and same thing with Athetherton. beds at and same thing with Athetherton.

Keywords: 912, senate, all

Transcript Highlights:

• I'm certainly available today and any other day to come and answer your questions.
• Next question is: what is the availability of mental health counselors?
• question is the what is the availability question is the what is the availability of<00:30:59.480
• either exams or to have a treatment bed either exams or to have a treatment bed because<00:32:24.240
• <00:41:53.880> here have this information available here have this information available here

Keywords: 1183, house

Summary: The House Judiciary Finance and Civil Law Committee heard a presentation from State Court Administrator Jeff Shorba on the Minnesota judicial branch’s 2026-27 budget request. He outlined the courts’ structure and workload, noting 322 judges, about 2,800 staff, roughly 1 million district court cases annually, and a current budget of about $479 million. Shorba emphasized the courts’ constitutional role, the fact that court fines and fees are deposited into the general fund rather than retained by the branch, and recent legislative investments that helped reduce pandemic-era backlogs, improve technology, sustain treatment courts, and raise interpreter and examiner pay. The budget request focused on several areas: a 6% judicial salary increase to address recruitment and retention problems, including a 15% rise in turnover and a 27% drop in applicants since 2020; funding for health care and office lease cost increases; digital accessibility compliance work required by new federal ADA rules; a modernized justice partner access system for court records; higher pay for forensic psychological examiners, whose workload has risen sharply; increased juror compensation from $20 to $100 per day and mileage adjustments; and ongoing funding for interpreters, jury services, and cybersecurity. Shorba said the total request would be a 12% increase over the FY 2026-27 base budget. Members asked follow-up questions about funding for newly launched treatment courts and how those courts are financed after federal grants expire. Shorba said he would provide more detail later and noted the branch generally starts treatment courts with federal funding before seeking state support. Representative Ric also asked about labor negotiations, and Shorba explained that the judicial branch negotiates its own contracts rather than using the executive branch, with three unions involved and many unrepresented employees. No votes or formal actions were taken during the discussion.

Transcript Highlights:

• And how many beds does that number represent? Um, so we do support the bill.
• And how many and how<00:07:57.360> how<00:07:57.520> many<00:07:57.680> beds<00:
• number how how many beds does that number represent?
• Um, for these reasons we ask for your support, available to answer any questions, and mahalo for the
• if there are any questions I'm available if there are any questions I'm available for<01:03:17.440

Keywords: 912, senate, all

Summary: The committee opened its Health and Human Services calendar, noted quorum, and first took up HB 194. The chair explained amendments to add an exemption for a person invited by a patient to attend a birth outside an accredited birth facility when no compensation is involved, remove a date reference in section 9, and accept Department of Health amendments. Members raised no objections, and the committee voted to pass HB 194 with amendments. The committee then heard HB 139 on insurance, with the Attorney General flagging possible unlawful delegation issues and suggesting clarifying language, while the Insurance Division stood on written testimony. A number of health organizations and advocates, including HMSA, Hawaii Association of Health Plans, oncology and fertility groups, testified in support. HB 613 on homeless youth drew broad support from state agencies, counties, youth advocates, and community groups; testimony emphasized the need for permanent safe spaces and more attention to unaccompanied minors, with one witness asking for clarity on funding and shelter capacity. HB 71 on a tax credit for family caregivers drew support from AARP, Alzheimer’s and children’s advocates, and several individuals, while the Tax Foundation raised concerns about blank provisions and the cost-effectiveness of administering a small credit. The Department of Taxation said a prior version with a $5,000 nonrefundable credit would have cost the general fund about $397.4 million. HB 716 on health care technology support received strong support from SHPDA, OHIN, and many provider groups, who described it as a one-time investment of roughly $20–25 million to connect rural and neighbor island providers to electronic health records; members questioned how the grant program would be allocated. HB 799 on physician hospital privileges also drew mixed testimony: supporters said it would align Hawaii with updated CMS rules and improve access, especially on Maui, while Maui Health and some members worried it could reduce on-call coverage and hospital safety, leading to discussion of a possible report and sunset date.

Transcript Highlights:

• that this session is also being live streamed on the legislature's website, and a recording will be available
• So the bill puts forward an 85% capacity for any type of hospital bed.
• At 6:30 a.m. today, they had 438 patients in their 374-bed hospital.
• I'm available to any of you guys. Now, I'm sorry if I seem angry. I'm pretty angry.
• But I'm available to talk to any of you.

Keywords: 995, all

Summary: The Joint Committee on Emergency Preparedness and Management held a hearing on several emergency management bills, with most of the testimony focused on Senate Bill 539, which would prohibit COVID-19 mRNA vaccination or gene-altering procedures as a condition of entry, employment, school attendance, or access to public venues. Senator Durant and many public witnesses supported the bill, arguing that COVID-era mandates were coercive, ineffective, and harmful, and that the state should not require proof of vaccination in future emergencies. One witness, Joanne Tuller, testified in opposition, saying the government should retain authority to impose public health measures in emergencies and warning against permanently limiting that power based on the COVID experience. The committee also heard testimony on Senate Bill 540, concerning the prevention of radioactive material discharge, with a Sierra Club representative and local residents opposing Holtec’s disposal of wastewater from the Pilgrim Nuclear Power Plant and citing health, environmental, and economic concerns in Plymouth and nearby communities. Senator Driscoll testified in support of Senate Bills 537 and 538, describing them as measures to strengthen the Commonwealth’s strategic preparedness stockpile and to create a framework for emergency response during surges in hospitalizations, including temporary waivers of prior authorization when hospitals are over capacity. In addition, Dr. Jennifer Carlson testified in support of H.885, a resolve creating a special commission on the field of emergency management, arguing that the profession should be more fully professionalized and staffed by dedicated experts rather than part-time “second hat” officials. Several other bills on the docket, including H.883 and H.84, had no sign-ups. The chair closed each bill’s testimony section as the list was exhausted, and the hearing was adjourned without any votes taken during the session.

Transcript Highlights:

• available for questions. available for questions.
• Um, a few testifiers mentioned that there's a few hundred beds available in our local facilities.
• local hundred beds available in our local hundred beds available in our local facilities.<01:26:
• And we'll be available for you. And we'll be available for questions. questions. questions.
• we're available for questions. we're available for questions.

Keywords: 910, house, all

Summary: The House Committee on Judiciary and Hawaiian Affairs heard testimony on two immigration-enforcement bills: HB 1886 HD1 and HB 2540 HD1. HB 1886 would limit state and federal collaboration in immigration enforcement, require visible identification and restrictions on facial coverings for law enforcement officers, and create offenses for improper masking, lack of identification, and unauthorized civil immigration interrogation, arrest, or detention. HB 2540 would also limit state and federal collaboration, require law enforcement agencies to adopt and publicly post written civil immigration enforcement policies, prohibit stops or arrests based solely on immigration status, and restrict state and county participation in civil immigration enforcement in certain places. Most testimony supported both measures. The Office of Hawaiian Affairs, the Office of the Public Defender, the ACLU of Hawaii, the Hawaii Coalition for Immigrant Rights, the Legal Clinic, and several private individuals said the bills would increase transparency, accountability, and community trust, and would help protect constitutional rights and reduce fear among immigrants and other community members. Several testifiers emphasized Hawaii’s history and the need to keep local law enforcement separate from federal immigration enforcement, while others said the bills would help people feel safer going to court, school, work, or public protests. A retired police officer also supported visible identification and uniform standards for officers, including federal agents operating in Hawaii. A few testifiers opposed the use of masked or unidentified officers and argued that local police should not be diverted from ordinary public safety duties to immigration enforcement. One ACLU witness noted that the federal government has increasingly used local and state agencies to expand immigration enforcement, and said the task-force provisions in the bills are important to prevent blurred lines between agencies. The committee did not take a final vote in the portion of the meeting provided, but it recorded very large numbers of supportive testimonies for both bills, with only a small number in opposition.

Transcript Highlights:

• um Target to this we're asking for bed um Target to this we're asking for bed 105<00:13:56.639><
• 160 and under BED 150.
• <01:24:45.639> 120 are dealing with so this is bed 120 are dealing with so this is bed 120
• That's your... that's your bed 144. Oh, yes.
• AG support under BED 170? When did it come up?

Keywords: 912, senate, all

Transcript Highlights:

• With that, I'm available for any questions.
• And the ways in which they raise revenue are by filling beds.
• And with that, I'm available for questions.
• With that, I'm available for any questions. Thank you.
• With that, I'm available for questions.

Keywords: 1182, all

Summary: The caucus reviewed a long list of Senate bills covering elections, transportation, health care, land use, water, criminal justice, and local government. Several election-related measures were described, including SB 1037 on voting equipment custody and internet/port restrictions, SB 1568 on election system software timekeeping, and SB 1687 moving the primary date to May starting in 2028. Members also discussed bills on photo enforcement fines, roadable aircraft registration, motor vehicle booting, assisted living occupancy limits, and municipal permit and exaction rules. A number of measures were noted as third-read consent items, while others were flagged for further discussion or amendments. Health and public safety bills drew substantial discussion. The committee heard bills on insurance coverage for breast cancer screening, safe-haven hospital surrender of newborns, dialysis documentation, behavioral health licensing compliance, naturopathic IV drug administration, traumatic event counseling for public safety employees, sex offender registration limitations, and probation rules for dangerous crimes against children. Members raised concerns or requested removal from consent on several items, including SB 1095 and SB 1094 related to gender-affirming care for minors, SB 1346 on AHCCCS claims processing, and SB 1178 on naturopathic drug administration. There was also debate over SB 1520 on immigration data sharing and SB 1635 on warning someone about an imminent arrest, with objections citing civil liberties and First Amendment concerns. The committee also considered multiple property, water, and development bills. These included measures on effluent water use for landscaping, groundwater fee diversion in Pinal County, increasing the Water Supply Development Revolving Fund loan cap, creating a foreign entity review commission for real property transfers, and restricting transport of Mexican gray wolf pups into Arizona. Members discussed SB 1419 on solar roof inspections and financing disclosures, and SB 1787 on municipal exactions and appeals, with an amendment proposed to limit it to commercial property. Several members explained their votes or asked to pull bills from consent, and some items were noted as having split votes or anticipated floor amendments. The caucus ended with Rhonda’s election-related bills and a note that the group would move immediately into a closed caucus afterward.

Transcript Highlights:

• is that right now, when a veteran comes to us, we can only offer them an institutional nursing home bed
• It's a large population, one of the largest in the nation, for the number of beds that we provide.
• We're the national leader in our vacancies of beds going down and in the agency use decreasing.
• So just fantastic opportunities for service members that just were not available that long ago.
• We do offer some of the core services that are available to military members and their spouses.

Summary: The committee took up SB 116 by Senator Burgess, a veterans bill aimed at several FDVA-related changes. The bill would reduce annual nominations to the Florida Veterans Hall of Fame from 20 to 5, expand FDVA’s survey work to assess veterans’ awareness of available programs and their health literacy, add mental health training to the veterans suicide prevention pilot, strengthen coordination and reporting between Veterans Florida and FDVA, direct FDVA to develop a plan for adult day health care facilities statewide, and allow the Florida Veterans Foundation to use a portion of Gadsden flag plate proceeds for administrative costs. Senator Burgess said the measure builds on prior “Forward March” efforts and helps close service gaps for aging veterans and others who may not know about available benefits. Testimony on SB 116 was uniformly supportive. FDVA leadership said adult day health care could be added at existing facilities such as Port St. Lucie and Lake City, and that the state would need authority and funding to move forward. A veterans legal collaborative, AARP Florida, and Endeavors all voiced support, with speakers emphasizing the importance of better outreach, mental health awareness, and care options that allow veterans to remain at home. The committee then voted favorably on SB 116. The remainder of the meeting was devoted to agency and stakeholder presentations. Florida National Guard officials described a high operational tempo, deployments at home and abroad, hurricane response efforts, and the need to grow the force and infrastructure. FDVA’s adjutant general reported Florida now has the nation’s second-largest veteran population, rising in-migration of younger veterans, a large and aging Vietnam-era population, strong claims and outreach activity, declining veteran homelessness, and improved suicide prevention outcomes. The Florida Veterans Foundation outlined its emergency relief, dental, transportation, and license-plate-funded programs, while Veterans Florida and CareerSource Florida detailed workforce, apprenticeship, SkillBridge, entrepreneurship, and job-fair programs for veterans and spouses, along with efforts to expand recurring funding and better protect customer information.

Transcript Highlights:

• I can share my slide again; give me a second if I'm available, and I can go back to the slides.
• The language included here will make this funding available beginning in 2026.
• I could stand it until 10:30 last night, and then I had to go to bed.
• Is there data available that demonstrates that that's a problem?
• It's just not affordable or it's not available. ...to you.

Transcript Highlights:

• We do have additional seating available in E1.016 for those who are looking for it.
• It was brought to our attention that a camp had actually added an additional hundred beds recently and
• She said to me one night in bed, "Dad, it hurts my heart to see people hurt."
• I don't know if La Hunta is available; it certainly isn't Mystic.
• She asks me... ...like the hardest questions at night before bed.

Keywords: 1185, senate, all

Transcript Highlights:

• or not, the counties are on the hook for paying for the number of beds that they contracted for.
• staffing to be able to utilize each and every one of those beds.
• So the one entity within the state of Texas that had a large number of beds in one location is not available
• Thank you again for your time, and I'm available for any questions. All right.
• House Bill 4462 addresses a significant gap in the resources available for our constables.

Bills: HB240

Keywords: tax exemption, farm products, ad valorem taxation, tax code, producer ownership

Summary: The subcommittee heard a series of county and regional government bills, with most measures left pending after testimony. HB 2097 would let counties that opt in give sheriff’s deputies an alternative appeal route for certain discipline cases through an independent hearing examiner instead of the Civil Service Commission. The author and a CLEET witness said it would be faster, cheaper, and fairer; questions focused on why the bill was needed and whether sheriffs could already use such a process. No opposition testified, and the bill was left pending. HB 4642 drew extensive testimony after the author said it was prompted by a death involving an out-of-state jail contract. The bill would require counties contracting with out-of-state jail facilities to include Texas-like jail standards and oversight provisions. The author, a former detainee held in Louisiana, his wife, and a Texas Jail Project advocate described poor conditions, lack of accountability, and multiple deaths of Texans housed out of state. The Texas Commission on Jail Standards director said five counties are currently housing 1,251 Texas inmates out of state, mostly because of staffing shortages, and said the bill would give the commission more authority and oversight. The bill was left pending. The committee also heard HB 4350, which would allow peace officers to request redaction of personal information from online real property records. Supporters said officers face retaliation risks and should have protections similar to judges and other officials; a title industry witness cautioned that redaction should not compromise the integrity of land records. The bill was left pending. HB 3687 would require county fire marshals in counties over 100,000 to meet specified training and certification standards, and HB 4105 and HB 4205 would give Harris County preferences in construction contracting and require pay parity for comparable law enforcement ranks within the county, respectively; all drew support from county officials and were left pending. HB 5403 would repeal a special rule requiring Dallas and Tarrant county sheriffs to get commissioners court approval for commissary disbursements, and it was also left pending. Later, HB 4462 would let elected county officials in large counties choose outside counsel in civil cases involving them, rather than relying solely on the county attorney. Supporters argued this would reduce conflicts of interest and protect officials’ reputations; questions centered on who qualifies and whether it could conflict with county interests. Finally, HB 240 would restore a five-member quorum requirement for Harris County tax levies, effectively requiring all commissioners to be present before a new tax rate can be adopted; supporters framed it as a taxpayer protection, while the Conference of Urban Counties opposed it as giving one member a de facto veto and potentially disrupting the budget process. Both bills were left pending.

Transcript Highlights:

• is available.
• The available funding provided supported eight new grantees for a total of $1.5 million.
• However, the demand for these services far surpasses the current funding available.
• The current funding was $1.6 million, while only $2.1 million in new funding was available.
• The demand for youth housing and support services continues to outpace available resources.

Bills: HF2115, HF2276, HF1644, HF99, HF2068, HF2707, HF2704, HF2406, HF1674, HF1579

Keywords: human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator

Transcript Highlights:

• We also apply a bed surcharge to the nursing home beds throughout the state to also work to balance our
• > beds<00:39:18.160> throughout<00:39:18.480> the the nursing home beds throughout
• And actually that is available.
• 3.5 beds per supports per capita. 3.5 beds per 100,000<02:51:34.560> individuals.
• <02:54:48.160> That a bed just for a place to stay. That a bed just for a place to stay.

Keywords: 1183, house

Transcript Highlights:

• All right, I'm going back to bed. Any questions? Any questions, comments, members of the committee?
• All right, I'm going back to bed. Thank you, everybody.
• Seeing none, go back to bed. We appreciate it. Thank you.
• I'd like to go back to bed too.
• So we did a scan with their cell phone of the available chairs in that living room.

Keywords: 995, all

Summary: The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers. On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money. A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore. The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• WE CAN'T GROW INCENTIVIZED PRISONS MUCH MORE UNTIL WE ADD BEDS TO ADMINISTRATIVE MANAGEMENT UNITS AND
• WE STAFFED IT RIGHT AND WE KEEP THEM BUSY FROM THE TIME THEY WAKE UP TILL THE TIME THEY GO TO BED WHICH
• SO WE ARE DESIGNING A PROPORTIONATE NUMBER OF BEDS IN EACH COUNTY FOR EACH PRISON TO HOUSE THOSE INMATES
• AND MENTORSHIP TO PEOPLE GETTING OUT THREE OR FOUR OR FIVE HOURS AWAY FROM THEM SO NOW WE REDESIGNED BEDS
• WE HAVE TO MOVE THOSE REPORTS ARE OUT BASED ON AVAILABILITY AND WE ARE TRYING TO BE MORE INTENTIONAL

Keywords: 999, senate, all

Transcript Highlights:

• to them um you know if if a available to them um you know if if a provider<00:38:42.440> has<
• My question, one of my questions, is what percent of the beds...
• The speaker said it would be interesting to know the breakdown of private versus county beds.
• I can get you kind of the number of certified beds and who currently has room and board funding.
• At this time, we have a total of about 240 beds that providers could bill for.

Keywords: 928, house, all

Summary: The Division of Long-Term Supports and Services presented its budget and program overview as part of the Department of Health and Human Services operating budget review. Leadership described the division’s three bureaus—Aging and Adult Services, Developmental Services, and Family-Centered Services—and explained that the division provides guidance, technical assistance, quality monitoring, and contracted provider oversight across the lifespan. Members also discussed staffing, with reported vacancy rates of 4% in Aging and Adult Services, 15% in Developmental Services, and 6% in Family-Centered Services; the division said the higher BDS vacancy rate is partly due to the small number of authorized positions. The governor’s budget had left eight positions unfunded in the division, including three in Aging and Adult Services and five in BDS. A major topic was the division’s roadmap initiatives, especially building a system of care for healthy aging and strengthening developmental disabilities systems through a new reimbursement rate structure. The division said it contracted with an actuary to study DD service costs and found rates had not been reviewed since 2017 and were significantly below actual costs and other states’ rates, contributing to provider shortages even when services are authorized. Members asked about the impact on service delivery and whether rates would need to rise overall; the division said its strategy is to focus on lower-cost services that help people remain in the community. The division also reported waiver enrollment figures, including about 4,161 people on the Choices for Independence waiver, 3,688 average nursing facility residents, 5,061 people on the DD waiver, 228 on the acquired brain disorder waiver, and 488 children on the in-home support waiver, while noting there is no funding waitlist but provider availability remains a constraint. The division highlighted IT modernization as a major accomplishment, especially moving Adult Protective Services and Developmental Services into the New Heights system. Officials said these changes improve case-note access, data retrieval, service authorization tracking, and transparency for providers, and they asked for future oversight discussion focused on IT leverage. Members noted that New Heights maintenance is budgeted in the Office of the Commissioner under class 27 and suggested better transparency on system costs and benefits. The division also reported that it closed out a long-running CMS corrective action plan for BDS on July 1, 2023, and said it is now focused on strengthening the system rather than compliance alone. Other discussion covered the Aging and Adult Services bureau’s name change from Elderly and Adult Services to Adult and Aging Services, intended to avoid negative connotations and better reflect preventative services. The bureau described Adult Protective Services trends involving scams, financial exploitation, self-neglect, and isolation, and explained that it administers the CFI waiver, determines medical eligibility for nursing facility level of care, and braids funding from Medicaid, state funds, Older Americans Act money, Social Service Block Grants, and other grants. Members asked about waiver growth targets and federal consequences if enrollment remains below projections; the division said it would explain the shortfall in a future waiver amendment and did not anticipate a federal penalty. The meeting ended without any votes or formal actions taken.

Transcript Highlights:

• Continued tax cuts reduce the revenue available to meet basic needs and invest in our future, and that
• He relies on another person to help him out of bed, to He relies on another person to help him out of
• bed, to transfer to his shower chair, to use the restroom, to take a shower, to transfer back to his
• bed, to get dressed, to eat, to drink, to use a napkin to take his meds, to brush his teeth, to access
• Available data indicates that 80% of that spending, or $300 million, will go to families whose children

Summary: The Senate Revenue and Tax Committee considered Senate Bill 1, sponsored by Senator Jonathan Dismang, which would continue Arkansas’s phased income tax reductions, lowering the personal income tax rate to 3.7% and delaying the corporate income tax change until the following January. Dismang said the bill was part of a long-running effort begun in 2013 to reduce rates using conservative budgeting and surplus revenue, and he estimated the change would reduce the effective tax burden for a person making $65,000 by about 45%. Committee members supporting the bill emphasized that the measure would not cut state services and argued Arkansas should balance competitiveness with funding essential programs. Several speakers opposed the bill, including a clergy member/social worker, a parent advocating for disability services, representatives from Arkansas Appleseed and Arkansas Advocates for Children and Families, and a community advocate from the Arkansas Coalition of Marshallese. They argued the state should preserve revenue for public schools, health care, housing, food assistance, early childhood education, and supported living services, citing underfunded schools, a waitlist for pre-K, hospital and child care pressures, and the needs of low-income and vulnerable residents. Some speakers said the tax cuts would disproportionately benefit higher-income taxpayers while providing little relief to working families. In closing, Dismang said Arkansas could be both compassionate and competitive and that no essential services would be cut because the state is operating with a surplus. After discussion, Senator Dismang moved do pass, Senator Petty seconded, and the committee approved SB 1 by voice vote. The committee then adjourned.

Transcript Highlights:

• And consideration of minutes from our April meeting that I hope we all read before we went to bed last
• There are some people who do still bring up the beds issue. That can be resolved.
• You know, 2024, 2025 data is all available?
• And the 600-bed prison that we're planning is not enough. Nope.
• Are we going to appropriate more money, build more beds? What are we going to do?

Summary: The committee opened with a moment of silence for a deceased member, then approved the April minutes and heard a presentation from HHS on the Diversion Task Force and related youth services grants. Chelsea Florey described the $750,000 one-time appropriation from HB 1012, the five awarded grants, and how programs in Bismarck, Fargo, Grand Forks, and Minot are using the funds for youth diversion, including school-based groups, physical activity, and services for problematic sexual behavior. Members raised concerns about staffing shortages, family engagement, service silos, and whether diversion eligibility rules are too rigid; Florey said the task force is focused on better coordination, broader education about available services, and possible changes to diversion criteria, with the Children’s Cabinet likely to drive broader recommendations. The committee then received a North Dakota Lottery biennium report from Director Thomas Lawler, who reviewed the lottery’s history, games, retailer commissions, player programs, and revenue distribution. He reported about $67 million in ticket sales for the 2023-2025 biennium, about $16.2 million transferred overall, including roughly $13.6 million to the general fund, plus transfers to drug task force and compulsive gambling funds. Members asked about the compulsive gambling allocation and whether it is set by statute. Next, the Department of Corrections presented on criminal justice data sharing and reentry. Adam Anderson explained that jails, courts, DOCR, HHS, and other entities use separate systems with limited interoperability, making real-time communication largely manual. He outlined possible hub or point-to-point IT solutions, but noted cost, vendor, identifier, and data-definition challenges. Robin Schmolenberger followed with an update on a Medicaid data exchange project between DOCR and HHS to suspend and reactivate inmate Medicaid coverage automatically and improve care coordination, with full bi-directional exchange expected in fall 2026. The committee also heard from county representatives on 24-7 sobriety program fees and an AG opinion allowing local sheriffs to use cheaper testing options when courts waive fees. Finally, the North Dakota Racing Commission reviewed a troubling audit. Bruce Johnson acknowledged serious findings involving overspending from the promotion fund, missing grant documentation, a reversed decision on breeders fund eligibility, and repeated procurement violations. He said the commission has begun corrective actions, including monthly tracking of the promotion fund cap, stricter grant documentation, written procurement procedures, and clearer eligibility rules in condition books. Members pressed him on how the overspending occurred, whether the commission board would impose consequences, and whether statutory clarification is needed on the promotion fund limit and related spending rules.

Transcript Highlights:

• I didn't learn until a Florida Youth Shine meeting that the voucher is only available in 11 counties.
• I didn't learn until a Florida Youth Shine meeting that the voucher is only available in 11 counties
• However, the voucher would have only been available to me if I had chosen to attend USF instead, which
• Whether the voucher is available or not should never limit our ability to pursue higher education.
• When I say her patient portal, I mean all records available that she could view.

Summary: The committee met to consider a large agenda of health and human services bills, moving quickly because of a two-hour time limit. Early measures reported favorably included SB 976 on challenges to court-appointed psychologists in family law cases, SB 306 on Medicaid provider network access and after-hours availability, and SB 584 on housing supports for college students and youth in extended foster care. SB 1412 on home health regulation modernization also passed, with one support appearance from the Home Care Association. Members then approved several bills focused on research and care delivery, including SB 1800 creating a Parkinson’s disease research consortium at USF with an adopted amendment adding academic medical centers, SB 524 adding Duchenne muscular dystrophy to newborn screening, SB 1156 revising a Medicaid home health aide program for medically fragile children, and SB 1490 transferring and redesigning the managed care program for critically ill children. SB 1174 on foster home licensure transfers, SB 1620 implementing mental health and substance use commission recommendations, SB 1568 revising e-prescribing exemptions, and SB 788 on veterans nursing home beds were also reported favorably. The committee had more extensive debate on SB 1270, the Department of Health agency package, which included provisions on vaccination status, medical marijuana background screening, licensing and compact issues, and sovereign immunity for volunteer dental workers; it passed after an amendment and several members voiced concerns about patient treatment and “voting power” language. SB 1606 on patient access to records drew strong opposition from providers and health information professionals over privacy, HIPAA, and administrative burdens; it was initially reported unfavorably, then reconsidered and ultimately passed after a motion to reconsider. Other bills reported favorably included SB 1736 on insulin administration by direct support professionals and relatives, SB 1808 on patient refunds from providers, SB 1842 on referral disclosure of network status, SB 1354 on behavioral health managing entity oversight, SB 1768 on stem cell therapies with informed consent requirements, and SPB 7032 on presumptive Medicaid eligibility for permanently disabled individuals, which was submitted and reported as a committee bill. The meeting ended after all agenda items were handled and the committee adjourned.

Transcript Highlights:

• I didn't learn until a Florida Youth Shine meeting that the voucher is only available in 11 counties.
• However, the voucher would have only been available to me if I had chosen to attend USF instead, which
• Whether the voucher is available or not should never limit our ability to pursue higher education.
• Whether the voucher is available or not should never limit our ability to pursue higher education.
• When I say her patient portal, I mean all records available that she could view.

Summary: The Appropriations Committee on Health and Human Services met to consider a full agenda of bills, moving quickly through 20 measures and several amendments. Early bills reported favorably included SB 976 on procedures for challenging court-appointed psychologists in family law cases, SB 306 on Medicaid managed care provider access outside regular business hours, and SB 584 on housing supports for foster youth and college students, which drew supportive testimony from former foster youth and was backed by members as a way to improve stability and educational opportunity. The committee also approved SB 1412 to modernize home health regulations and SB 1800 to create a Parkinson’s research consortium at USF, with members citing the need for more research and future funding opportunities. The committee adopted amendments on several bills, including technical and conforming changes to the Parkinson’s bill and other measures. The committee then advanced a series of health care and child welfare bills. SB 524 added Duchenne muscular dystrophy to newborn screening; SB 1156 revised the Home Health Aide Program for medically fragile children, including training, reimbursement, and work-hour flexibility; and SB 1490 reorganized services for medically fragile children by shifting program administration to AHCA and requiring a redesign plan for the Medicaid waiver. SB 1174 allowed foster home and child-caring agency licenses to be amended when a foster parent relocates, and SB 1620 implemented selected recommendations from the Commission on Mental Health and Substance Use Disorders, including a new research center at USF and school-based behavioral health review requirements. SB 1568 revised e-prescribing exemptions, and SB 78 authorized certain veterans’ nursing home beds and related certificate-of-need transfers. All of these measures were reported favorably after brief debate or supportive testimony. Several bills prompted more extensive discussion and some opposition. CS for CS SB 1270, the Department of Health agency package, included provisions on vaccination-related patient rights, medical marijuana reporting, background screening, temporary licensure, compact participation, and sovereign immunity for volunteer dentists; it passed despite concerns from Senators Berman, Brodeur, and Harrell about vaccination language and board/voting-power provisions. CS for SB 1606 on patient access to records drew strong opposition from physicians and health information professionals over privacy, security, fines, and portal access; it was initially reported unfavorably, then reconsidered and ultimately reported favorably as a committee bill. CS for SB 1736, allowing insulin administration by direct support professionals and relatives for individuals with developmental disabilities, and SB 1808, requiring timely refunds to patients, both passed. CS for SB 1842, requiring referring providers to help patients determine whether referred providers are in-network, also passed over concerns about burden on small practices. The committee also advanced SB 1354, a behavioral health oversight bill requiring audits, performance reporting, and system transparency measures for managing entities, and SB 1768, which authorizes physicians to perform certain stem cell therapies using specified products and requires informed consent; both drew supportive comments but also concerns about patient understanding and oversight. Finally, the committee approved SPB 7032 as a committee bill to create presumptive Medicaid eligibility for permanently disabled individuals during redetermination, and after reconsideration it reported SB 1606 favorably as a committee bill. The meeting ended with members noting their recorded votes on select tabs and adjourning after completing the agenda.