Transcript Highlights:

• DOR is additionally closely monitoring the elimination of DEI programs.
• I appreciate the stakeholders and continue to monitor these situations, but we've got to do more than
• And so we're monitoring that. Part of that includes a seven-day weather forecast.
• And so we're monitoring that.
• Regarding federal threats, Assemblymember Aaron's stated that we can't just monitor.

Summary: The Assembly Budget Subcommittee on Human Services held a hearing on developmental services, rehabilitation, and related supports, with no votes taken. The first major topic was the Master Plan for Developmental Services. Administration officials described a year-long, community-driven process that included a steering committee, work groups, and statewide engagement sessions, and said the final draft would be released that Friday with about 170 recommendations. The Department of Developmental Services said the plan would inform future work, but did not offer a detailed implementation roadmap. The LAO said the plan contains significant policy and budget implications, may require statutory changes, and needs further analysis to turn recommendations into actionable proposals. Advocates and regional center representatives urged the Legislature and administration to avoid letting the plan sit on a shelf, called for prioritization and ongoing stakeholder oversight, and emphasized the need to address equity, workforce, service coordination, and cross-system collaboration. The chair said he wanted to work with the LAO on trailer bill language and future reporting to create a clearer path forward. The second topic was the Office of Employment First and competitive integrated employment. Administration witnesses said California has ended subminimum wage under SB 639, but that moving people into competitive integrated employment remains a major priority. They described existing efforts such as DDS’s coordinated career pathways pilot, paid internships, job development services, benefits counseling, and DOR’s career counseling and referral services, along with pilot projects in San Diego and Orange County. The State Council on Developmental Disabilities and advocates argued that employment outcomes have remained stuck at roughly 15% and that a dedicated Employment First Office is needed to coordinate across agencies, align goals, and improve outcomes. The LAO recommended regular legislative oversight on people transitioning out of subminimum wage and asked for technical assistance on coordinated career pathways. The chair criticized the administration’s decision to effectively eliminate funding for the office, requested a detailed implementation timeline and quarterly transition reports, and said the committee would continue pressing for the office to be implemented. The final issue was respite services, utilization trends, and access. DDS reported that in-home respite use and spending have risen sharply over several years, with about 150,000 people using respite in 2023-24 and expenditures reaching about $1 billion. Officials said access depends on families knowing the service exists, service coordinators identifying need, and having enough providers, especially in rural and linguistically diverse communities. The San Diego Regional Center said utilization generally mirrors statewide trends, but access is stronger in some areas, such as Imperial County, where families often prefer family-directed or agency-supported models that allow them to hire trusted workers. Committee members emphasized the importance of respite for family health and caregiver well-being, asked whether service coordinators are asking practical questions about sleep and stress, and discussed the need for better identification of complex behavioral and medical needs. DDS said a standardized family support tool and updated IPP process are intended to improve consistency, transparency, and person-centered assessment for respite and related services.

Transcript Highlights:

• equipped with the knowledge of Texas sexual assaults, trauma-informed care, and the appropriate protocol
• Uh, members, this is the bill we heard a couple of weeks ago that relates to monitoring certain family
• Chairman, may I go, um, thank you, because I, I believe in protocol, um. Mr.
• Despite the fact that the offender is granted conditional release into the community and still monitored
• He cut off his ICE monitor and disappeared before sentencing.

Bills: HB47

Keywords: HB 47, Texas Tax Code, ad valorem taxes, property tax, voter-approval tax rate, tax rate election, taxing unit, injunction, taxpayer rights, property owner, local government finance, tax refund, attorney's fees, court costs, voter-approved tax increase, tax reform, municipal taxes, county taxes, school district taxes, bond election

Transcript Highlights:

• equipped with the knowledge of Texas sexual assaults, trauma-informed care, and the appropriate protocol
• Members, this is the bill we heard a couple of weeks ago that relates to monitoring certain family violence
• Thank you, because I believe in protocol. Mr. Money. Absolutely and and mr.
• He cut off his ice monitor and disappeared before sentencing.
• with me, but someone who can just make sure I have the proper, I go, they go through the proper protocol

Bills: HB47, HB1552, HB1686, HB1953, HB2151, HB2355, HB2582, HB2697, HB2895, HB3073, HB3418, HB47

Keywords: sexual assault, victim rights, forensic examination, medical care, trauma-informed care, crime victims compensation, evidence retention, child sexual abuse material, child pornography, digital services, reporting requirements, children's protection, sex offender registration, indecent assault, educator-student relationship, criminal justice, legislation, crime victims, compensation fund, information disclosure

Transcript Highlights:

• And we have a yeoman’s amount of monitoring on Lake Okeechobee. Mr.
• We monitor that every day.
• And so we have a robust ecological monitoring network.
• And so we have a robust ecological monitoring network.
• You have monitoring to show it, you know.

Summary: The Committee on Environment and Natural Resources met to hear presentations on Lake Okeechobee from the Fish and Wildlife Conservation Commission, the South Florida Water Management District, and the U.S. Army Corps of Engineers. FWC described the lake as a major recreation, water supply, and habitat resource, and outlined its habitat management plan, including control of invasive plants, prescribed fire, and restoration of native vegetation. The agency said low water levels have helped submerged aquatic vegetation recover, with gains in 2025 exceeding 24,000 acres and meeting its target, while torpedo grass and floating invasive plants remain active management priorities. Senators asked about bass fishing trends and blue-green algae; FWC said water levels are the main driver of fishery health and that it was not seeing current water-quality impacts on bass, though algal blooms can affect habitat and wildlife. The South Florida Water Management District focused on nutrient pollution, lake ecology, and restoration projects across the watershed. Director Drew Bartlett said the district’s work is aimed at reducing harmful discharges, improving water quality, and moving more water south to the Everglades through storage and treatment projects, including the EAA Reservoir, C-43 and C-44 reservoirs, aquifer storage and recovery, and wetland treatment areas. He said the state and federal governments have invested about $9 billion in restoration, roughly split 50-50, and that the EAA Reservoir is now targeted for completion in 2029. He also said Lake Okeechobee BMAP participation is around 92% and that recent data show phosphorus and nitrogen loading declines, though the lake remains impaired and eutrophic. An industry witness from Associated Industries of Florida said the BMAP and agricultural best management practices are producing measurable improvements and urged continued funding for water storage and treatment. The Army Corps of Engineers then explained LOSOM and Lake Recovery operations, saying the new operating approach balances flood control, water supply, navigation, ecology, and estuary protection. Colonel Brandon Bowman said Lake Recovery was implemented in late 2024 to bring the lake below 12 feet long enough to help submerged vegetation rebound, and reported that the lake met both recovery metrics, with water levels low enough to support a major increase in SAV from about 4,000 acres to 28,000 acres in 2025. He also noted benefits such as improved water clarity and more Okeechobee gourd plants, but acknowledged drawbacks including reduced navigation and some impacts to wading birds and snail kites. Senators pressed the Corps on the C-44 reservoir’s sloughing issue; Bowman said repairs are underway, the problem is geological rather than a safety failure, and the Corps expects to award a contract by 2027 and complete work by 2030. The committee did not take any substantive vote on the presentations and adjourned after Senator Smith moved to do so.

Transcript Highlights:

• Impacts the daily demands of developing, executing, and monitoring our current projects.
• Can you explain why the number of air monitors... operated is going down?
• Has your agency assessed possible additional funding needs for permanent monitoring?
• Robust or monitoring networks in the country if not the most robust Okay. Thank you.
• Nothing is being done to monitor.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• And those samples, is that routine monitoring, or is it investigative? Which one is it?
• How are you monitoring that? Is it application-driven? Is it complaint-driven?
• those samples is that routine monitoring those samples is that routine monitoring or<01:33:05.960
• Is it the monitoring section of the Safe Drinking Water Branch?
• Is it the monitoring section of the Safe Drinking Water Branch?

Keywords: 912, senate, all

Summary: The joint informational briefing focused on restricted use pesticides in Hawaiʻi, with Senate and House members opening the meeting and explaining that the session was intended to hear expert presentations and community concerns. Fern Holland outlined the background for the briefing, describing how restricted use pesticides differ from general-use products, why state-level regulation matters, and how community advocates have sought disclosure and protections for years. She summarized 2019 reporting data, saying a small number of users accounted for most reported use, with especially heavy application in North Central Oʻahu and on the west side of Kauaʻi. She highlighted concerns about applications near schools, homes, and coastlines, and identified 1,3-dichloropropene and metam sodium as among the heaviest-used fumigants. She also noted concerns about highly hazardous pesticides, some banned in other countries, and the lack of research on long-term combined exposure to multiple pesticides. Greg Takashima of the Hawaiʻi Department of Agriculture described the department’s pesticide program and regulatory authority under FIFRA and state law. He explained the distinction between general-use and restricted use pesticides, the certification requirements for applicators, and the department’s role in tracking RUPs from sale through use. He reviewed the branch’s functions in enforcement, education and certification, registration and technical review, and laboratory analysis, including inspections, complaint response, market surveillance, product registration, groundwater review, and outreach on drift reduction and integrated pest management. He also noted staffing and funding limitations, saying the branch lacks a toxicologist and long-term monitoring capacity, and compared Hawaiʻi’s resources to California’s much larger pesticide regulatory program. Takashima thanked the legislature for passing Act 231 the prior year and said the department supports the measure as it moves forward this session. Dr. Lee, speaking for the Hawaiʻi chapter of the American Academy of Pediatrics and as a former member of the Kauaʻi Joint Fact-Finding Task Force, said pediatric guidance has shifted from focusing on acute poisoning to recognizing chronic low-level pesticide exposure as a concern. He cited AAP publications linking pesticide exposure to cancer, brain tumors, leukemia, birth outcomes, neurobehavioral effects, and asthma, and said pediatricians are now encouraged to advise families on reducing exposure and to support right-to-know measures and buffer zones around schools and public gathering places. He also described the Kauaʻi task force’s work, saying it found the west side of the island to be an unhealthy community but could not prove causation because of missing drift, geospatial, and biomarker data. No votes were taken; the meeting was informational, questions were held until after presentations, and the department expressed support for Act 231.

Transcript Highlights:

• There will be continued emissions from those tanks that will need to be monitored.
• Director, Assembly Member Hart does the state monitor or...
• Assembly Member Hart, does the state monitor or have transparency into the pipeline volumes that are
• So I think SB 1137 can do a lot to track VOCs at a neighborhood level, and we need better monitoring
• They rejected the process safety management protocols that were to be part of that ordinance, but...

Summary: The joint informational hearing of the Assembly Committees on Utilities and Energy, Transportation, and Natural Resources focused on California’s transportation fuels sector, especially the state’s response to refinery closures and the broader transition away from fossil fuels. Opening remarks emphasized the tension between climate and air-quality goals, fuel affordability, refinery jobs and local tax bases, and the need to avoid crisis-driven responses as Phillips 66 and Valero consider shutting refineries in Wilmington and Benicia. Professor Emily Grubert framed the issue as a long-term managed transition in which the public already bears much of the risk and should also capture benefits from a well-planned shift. CARB Chair Leanne Randolph reviewed the state’s emissions and fuel policies, including AB 32, the low-carbon fuel standard, clean vehicle programs, and the at-berth regulation for ocean-going vessels. She said California’s transportation sector remains the largest source of greenhouse gases and a major source of smog-forming pollution, but that the state has made substantial progress and still needs to reduce demand for fossil fuels while maintaining compliance with federal air-quality standards. Randolph also said CARB’s recent LCFS amendments had not caused the predicted spike in gas prices and explained that compliance pathways for the at-berth rule include emissions-reduction technologies or payments into a remediation fund. CEC Vice Chair Gunda described declining gasoline demand, shrinking in-state refining capacity, and growing dependence on imports, arguing that the state is in a “mid-transition” period that requires both support for legacy infrastructure and continued investment in cleaner alternatives. He outlined the administration’s petroleum market stabilization proposal, which aims to return California crude production to 125 million barrels a year through four components: codifying the ban on fracking, validating the Kern County oil-and-gas permitting ordinance, creating a temporary CEQA exemption paired with a two-for-one plug-and-drill framework, and strengthening pipeline and spill-safety requirements. Department of Conservation Director Jennifer Lucasey said the proposal is intended to stabilize crude supply and pipeline throughput while preserving health and environmental protections, and noted that CalGEM would still review permits and enforce other requirements. Mayor Steve Young of Benicia testified that a Valero closure would significantly reduce city revenue and leave the community facing years of cleanup and redevelopment challenges. He said the city supports environmental protection but is worried about the economic hit, the possibility that Benicia becomes a fuel-import terminal, and the lack of local influence over refinery decisions. Members pressed the panel on the CEQA exemption, tribal and habitat review, disclosure of closure liabilities, fuel-demand projections, and whether the proposal should include more demand-side measures. No formal votes were taken; the hearing was informational, and officials said some proposals, including a margin-cap pause and further transition planning, would be taken up later in the process.

Transcript Highlights:

• This means monitoring the availability of services, ensuring compliance across hundreds of contracted
• This is going to support continuous monitoring of the quality of the services provided.
• Monitoring these audits may take the place of some of that, but we're going to do ongoing financial,
• fiscal, and operational monitoring through some of the vehicles we already have set up.
• Contracting directly with a vendor will allow the department to closely monitor training, therapeutic

Summary: The subcommittee heard two Department of Children and Families implementation updates on measures passed in prior sessions. First, DCF reviewed House Bill 633, which increased oversight of behavioral health managing entities through biennial independent audits, standardized claims-based reporting, and new monthly outcome dashboards. The department said it had awarded the inaugural audit to Ernst & Young, found no significant waste, fraud, or abuse, but identified process risks involving financial controls, claims validation, data access, and system access controls. DCF also described its transition to standardized behavioral health coding and said the new public dashboard of 11 measures is posted on its website, though members asked for easier access and for hard copies of the audit report. Members asked about how the department distinguishes Medicaid-covered services from department-funded services, how duplicate payment risks are being addressed, and whether the new reporting and audit requirements would improve oversight without disrupting services. DCF said it is the payer of last resort for uninsured or underinsured individuals, that some overlap with Medicaid is expected because Medicaid does not cover all behavioral health services, and that new claims edits and cross-checks are being built into the system. The department also said it had not found significant negative feedback from providers and that the new requirements are intended to improve transparency and accountability. DCF then updated the committee on Senate Bill 7012, covering human trafficking data collection, domestic violence center certification, limited background-screening exemptions, expanded recruitment for child welfare staff, subcontractor liability protections, a four-year treatment foster care pilot, case management efficiency recommendations, and a statewide study of residential bed capacity for child victims of commercial sexual exploitation. The department said several items are already complete or underway, including limited exemptions in the screening clearinghouse, while others are in procurement or rulemaking. It identified Circuits 4 and 12 as the treatment foster care pilot sites and said the pilot will launch in January 2026. Members questioned recruitment metrics, pilot timing, and report deadlines; the department said final reports are expected by January and that some dates were flexible because of procurement and implementation timelines. The meeting ended after the presentations and questions, and the subcommittee adjourned.

Transcript Highlights:

• psychiatry, cardiology, and clinical pharmacology. provide comprehensive safety, treatment, and aftercare protocols
• supervised by a licensed physician and a hospital or licensed healthcare facility. with adequate cardiac monitoring
• Not it was just horrific, but they just had they felt no medical control or protocols that we would want
• Current training protocols for maternal health care providers in Texas are inconsistent and lock statewide

Bills: SB128, SB640, SB672, SB904, SB1141, SB1263, SB1525, SB1528, SB2041, SB2306, SB2308, SB2357, SB2446, SB2695, SB2857, SB2891, SB2583

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, SB 640, Texas Family Code, Department of Family and Protective Services, DFPS, child welfare, foster care, managing conservatorship, suicide attempt, youth suicide, mental health, child protective services, state custody, annual report, reporting requirements

Transcript Highlights:

• As contractor for the lead entity in the region, uh, and as quality assurance, uh, monitor exists just
• tools and worked with the Texas Department of Juvenile Justice and DFPS to establish training and protocols
• And so according to the DFPS Human trafficking Response protocols, this is a quick, it takes 5 to 7 minutes
• or DFPS is doing screenings in the 5 largest counties, and so they have it laid out within their protocols

Bills: HB 451, HB 645, HB 1041, HB 1151, HB 1155, HB 1536, HCR 12

Keywords: commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

Transcript Highlights:

• The students are progress monitored throughout the year.
• The students are progress monitored throughout the year, and we also have testlets through Atlas that
• So those kids are monitored all throughout the year, and then we take Atlas at the end of the year.
• And what is the proper protocol, Dr. Lever?
• And every time we do any kind of progress monitoring, we add that to their IRPs.

Keywords: 1204, all

Summary: The Senate and House Education Committee approved the March 9 and 10 minutes and then heard a presentation on the Arkansas Excellence in Teaching Fellowship Program from Department of Education staff and three third-grade teachers from Cabot, Poyen, and Drew Central. The teachers described the year-long fellowship for high-performing merit pay recipients, saying it provided collaboration with educators across the state, shared resources, and ideas they brought back to their districts. Members asked about the teachers’ experience levels, how they shared information locally, and whether the program should be expanded to more teachers and districts. A major focus of the discussion was third-grade reading, the new ATLAS testing system, and the state’s third-grade retention law. The teachers said they do not teach to the test, but use standards, data, interventions, small groups, and relationships to help students grow. They described progress monitoring throughout the year, early screening in K-2, and interventions such as before-school tutoring, RTI meetings, and co-teaching. One teacher reported that six students in a small group improved 10 to 15 points on ATLAS, and another said a student who started the year reading four words per minute improved significantly with targeted support. Secretary Jacob Oliva said the state is trying to create clarity and alignment through Arkansas Learns, science-of-reading support, literacy coaches, and faster test-result turnaround, with student scores now available within about 24 hours and district-level results expected later in the summer. Members also asked about student poverty, trauma, ACEs, DHS involvement, social workers, community supports, and the role of counselors. The teachers emphasized that relationship-building is essential, especially for students facing unstable home situations, and described local supports such as backpack food programs, church donations, fire department incentives, and family assistance. Oliva said the fellowship was intentionally small in its first year because it targeted top-tier merit pay recipients, but he expects participation to grow. He also said merit pay and fellowship eligibility spans many grade levels and subjects, including kindergarten and hard-to-staff areas, and that D and F schools receive state literacy coaches. No additional committee votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• So this shows the drought monitor categories from.
• Monitoring, measuring, and requiring the EO targets. So, the purpose is to.
• dedicated monitoring wells, not just somebody's irrigation well being monitored is the goal of that
• With those wells, we also hope to establish some monitoring sites.
• those monitoring wells.

Transcript Highlights:

• that's kind of why I was asking, at what point do we have as a responsibility as a legislature to monitor
• we talk about the pullouts or the summer programming or the transitional, that's the intervention protocols
• If this passes, is it currently mandated the use of Strong Readers Act protocol in a school district?
• Do we need to spell it out, or are they already going to have a protocol for those other conflicts of
• able to do is to effectively call what we call SWAT, where you call an agency that will enact a protocol

Bills: SB1778, SB1570, SB134, SB1966, SB1636, SB1725, SB1726, SB259, SB504, SB592, SB2030, SB1572, SB843, SB1242, SB1255, SB1262, SB1264, SB1286, SB1581, SB1290, SB1316, SB1319, SB1369, SB1379, SB1381, SB1400, SB1427, SB1436, SB1461, SB1496, SB1509, SB1534, SB1553, SB904, SB1592, SB1645, SB1684, SB1767, SB1772, SB1813, SB1894, SB1928, SB1946, SB1980, SB2040, SB2060, SB2061

Keywords: reading instruction, literacy, educational equity, intervention services, third grade retention, Strong Readers Act, child welfare, child safety, administrative transition, Department of Child Safety and Well-being, Oklahoma Commission on Children and Youth, juvenile justice, foster care, retirement, public employees, reemployment, benefit adjustment, Oklahoma Public Employees Retirement System, memorial highways, bridge designations

Transcript Highlights:

• And I hope you are taking into consideration some sort of protocol in your department to follow up with
• can do our best to follow up with the businesses, but we'll continue to do so and look at ways to monitor
• <00:53:30.200> in consideration some sort of protocol in consideration some sort of protocol
• and look at ways we'll continue to do so and look at ways to<00:54:15.920> um to um to um monitor
• <00:54:18.120> uh monitor uh monitor uh firms<00:54:19.480> and<00:54:19.680> their<

Bills: SB2908, SB2671, SB3085, SB2907, SB2353, SB2074, SB2360, SB2057, SB3251, SB2354, SB3001

Keywords: permit processing, permitting reform, county permits, development permits, building permits, land use, construction delays, housing development, infrastructure development, county workforce, differential pay, salary incentive, performance bonus, recruitment and retention, expedited hiring, vacancy rates, permit backlog, government modernization, county mayor, county council

Summary: The committee heard testimony on several Senate bills, with most measures drawing broad support and a few generating significant opposition or policy questions. SB 2908 SD1 and SB 2671 SD1 were taken up first; both appeared to have majority support, with SB 2908 receiving seven in support, one in opposition, and one comment, and SB 2671 receiving five in support and two comments. SB 3085 SD2, related to film industry operations, drew 11 supporters and no opposition. Georgia Skinner explained that the bill would streamline the approval timeline for productions by reducing delays tied to Land Board review, and she said DLNR supported the effort. Committee members asked about the need for the change and the relationship between the film studio, DLNR, and the approval process. The committee then discussed SB 2907 SD1, which would create an Office of Marine Affairs. Testimony was largely supportive, including from DLNR, HTDC, the Department of Agriculture and Biosecurity, ocean industry representatives, and others. The governor’s office supported the bill’s intent but objected to placing the office within the Office of the Governor, urging instead that it be housed at HTDC. HTDC said it was willing and excited to take on the work and described ongoing stakeholder engagement. Members asked about the rationale for the placement and the long-term structure of the office. SB 2353 SD2, concerning the Aloha Stadium district and billboard/naming-rights issues, drew strong opposition overall, with four in support, 23 in opposition, and one comment. Andrew Pereira of the Stadium Authority argued the measure could generate revenue to help maintain and operate the stadium and said the district would remain self-contained; he also emphasized that the development would respect the character of the area. The committee then heard SB 2074 SD1, which had five in support and 26 in opposition; only one support testimony from the Carpenters was heard before the discussion moved on. Finally, SB 2360 SD1, an enterprise zones measure, received 14 supportive testimonies and two comments. Testimony focused on updating the program for modern business models, especially e-commerce and direct-to-consumer sales, while committee members questioned whether the program overlaps with higher tax burdens and whether businesses receiving subsidies should be monitored for job retention after graduation from the program.

Transcript Highlights:

• privileged to safeguard billions of dollars worth of crypto for institutions ranging from crypto protocols
• Because the way that we get transparency, the way that we get monitoring of an industry, is to have it
• **Witness**: Senator, we have active monitoring programs that look for suspicious activity.
• Don't you go through the proper protocol filing when you see something?
• addressing these problems while still making sure our regulators preserve their risk-based approach to monitoring

Transcript Highlights:

• Medicine developed and approved a GAP application and developed rule language to establish supervisory protocol
• needling, including specific education and training requirements, restrictions, and patient consent protocols
• with a community-based organization for the sickle cell disease registry, and we will continue to monitor

Summary: The Health Professions and Program Subcommittee met for an introductory and oversight briefing from the Florida Department of Health on implementation of several 2024 laws. The committee heard first from Jennifer Winhold on practitioner-regulation measures, including SB 1716 and SB 1600, which expanded workforce pathways through foreign-trained physician licensure, area-of-critical-need temporary certificates for APRNs and physician assistants, graduate assistant physician licenses, interstate compacts, and a new universal licensure-by-endorsement process. She also reviewed HB 197 on massage therapy enforcement, HB 975 on broader background screening, HB 1561 on office-surgery and liposuction safeguards, HB 159 on pharmacist HIV post-exposure prophylaxis certification, and HB 1063 on chiropractic dry needling and foreign degree licensure. Members asked about compact scope, foreign graduate requirements, massage enforcement overlap with DBPR, and registration thresholds for liposuction procedures. Dr. Emma Spencer then outlined implementation of SB 76 and related programs, including changes to the FRAME and dental loan repayment programs, the volunteer health care provider program, the Casey DeSantis Cancer Research Program, the Health Care Innovation Council and revolving loan program, and the Andrew John Anderson Pediatric Rare Disease Grant Program. She said the department had updated portals, posted forms, launched or was developing public search tools, and submitted required reports and contracts. Members questioned whether loan repayment funds were reaching rural and underserved areas, how nonprofit applicants were being informed about the Alphonse screening grant program, the short application window for that grant, and how the department would evaluate whether the programs were improving recruitment and retention. A third presentation, delivered by Mike Mason standing in for Shea Holloway, covered maternal and child health and other public health initiatives. He reported on the telehealth maternity care program’s expansion from a pilot in Duval and Orange counties to 23 counties, the pregnancy-and-parenting resources website required by HB 415, CMV newborn screening requirements under SB 168, sickle cell registry and research grants under HB 7085, and the swim lessons voucher program under SB 544, which received nearly 10,000 requests for 3,500 vouchers and enrolled 86 facilities. Members asked about utilization, marketing, website launch timing, and how the department was promoting these services. No bills were voted on; the meeting concluded with the chair noting that more committee presentations and bills would follow and that briefing materials would be distributed to members.

Transcript Highlights:

• COVID victims with a new new protocol COVID victims with a new new protocol using<02:16:12.560><
• <03:55:35.359> And our protocol uh if you call 911. And our protocol uh if you call 911.
• So, this doesn't current protocol.
• , supervision, medical monitoring, supervision, medical monitoring, assistance<04:21:15.040> in
• in daily living, monitoring assistance in daily living, monitoring and<04:21:16.960> supervision<

Keywords: 1191, senate, all

Transcript Highlights:

• And what we could do to have everyone trained to maybe have a different way and a protocol of dealing
• What we could do to have everyone trained to maybe have a different way and a protocol of dealing with
• Remote patient monitoring... ...that EMR and then one that'll be by itself.
• Remote patient monitoring, electronic caregivers, kiosks, and facilitated video visits.
• If there are any additional regulatory changes, we are monitoring the Farm Bill to make sure that we're

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on health-related projects and Department of Health and Human Services budget matters. Representatives from CHI St. Alexius in Bismarck and Williston, and Altru in Grand Forks, reported progress on behavioral health expansion projects, including demolition and construction milestones, updated timelines, funding status, staffing plans, and barriers such as an unbudgeted air handler replacement in Williston. Members asked about original completion dates, use of telehealth, recruitment of psychiatrists and other staff, and whether the new beds might reduce the need for patients to travel to Jamestown State Hospital. The projects were described as on track overall, with completion expected in 2027 for the larger builds and earlier openings for some phases in Williston. The committee then heard from HHS leadership on technical line-item transfers and the Salaries and Wages Block Grant. Donna Ockland explained that recent transfers were administrative corrections to place spending in the proper budget lines and did not involve new spending, and she reviewed FTE counts and vacancies across the department. Questions focused on behavioral health staffing changes and the use of consultants in the Rural Health Transformation Program. Pat Rainer outlined the rural health program’s first-year grants and priorities, including workforce retention, rural rotations and housing, community wellness initiatives, behavioral health promotion, safety net services, hospital equipment, suicide prevention training, technology, and EMS support. He said North Dakota’s plan was drawing positive national attention, but the department still needed to obligate roughly $199 million by September and was working with CMS on timing and compliance. The committee also received an update on certified community behavioral health clinics from Elena Zeller. She said North Dakota had been accepted as a demonstration state, with certification efforts underway in Williston, North Central, Fargo, and Dickinson. Members asked about care coordination, service growth, staffing, and whether certification would expand to all clinics; the department said it was still collecting baseline data and evaluating impacts before making future recommendations. Finally, Rebecca Askins reviewed SNAP payment error rates, explaining that the 2025 rate was finalized at 9.89 percent and that the department is working on training, system changes, and quality assurance steps to get below 6 percent. Members pressed on the causes of monthly variability, the performance of the SPACES system, and accountability for ongoing errors, and the department said it expects improvement over the next 6 to 12 months.

Transcript Highlights:

• One of the multibillion-dollar hospitals had old vital sign monitors.
• One of the multibillion-dollar hospitals had old vital sign monitors.
• And instead of paying a few hundred extra dollars to get new vital sign monitors, there was a patient
• That's pretty inexcusable. ...a defibrillator or to replace a vital sign monitor.
• But because Presbyterian didn't follow its own policies, like having a transfer protocol in place, Ace

Keywords: 996, all

Transcript Highlights:

• Martin, so on the cost per square foot, you know, are we still monitoring that?
• So how are we gonna monitor with these tariffs?
• If the design firm didn't require those and didn't monitor them, I mean, this is a travesty.
• Our comment at that time was we will continue to monitor our financials, and we'll further inform the
• Definitely provide that protocol.