Video & Transcript : 'direct care' :
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HI
Hawaii 2026 Regular Session
HSH-HLT Joint Public Hearing - Tue Apr 7, 2026 @ 9:30 AM HST
Human Services & Homelessness
Transcript Highlights:
- have HCR 67 and HR 61 requesting the Disability and Communication Access Board to study the health care
- have HCR 67 and HR 61 requesting the Disability and Communication Access Board to study the health care
- program for the peer counselors that teaches active listening, ethical boundaries, trauma-informed care
- teaches active listening, ethical boundaries,<00:13:20.800><c> trauma-informed</c><00:13:21.640><c> care
- ,</c><00:13:21.960><c> and</c> boundaries, trauma-informed care, and boundaries, trauma-informed care
Keywords:
disability, communication access, healthcare, sign language interpreters, deaf, hard of hearing, deaf-blind, auxiliary aids, effective communication, peer counselor, youth mental health, social disconnection, Hawaii schools, wellness program, student support, cultural responsiveness, trauma-informed care, disability rights, peer counseling, education
Summary:
The joint Committee on Human Services and Homelessness and Committee on Health heard two measures on April 7, 2026. HCR 67/HR 61 would request the Disability and Communication Access Board to study communication needs in health care settings for people who are deaf, hard of hearing, or deaf-blind and develop guidelines. Written testimony supported the measure from the State Health Planning and Development Agency, DCAB, Local Independent Living Hawaii, and one individual. A DCAB representative noted the proposal could serve as a backup if related measures do not move forward. No one testified in opposition, and both committees voted to pass the measure unamended.
The second measure, HCR 102/HR 94, urged the Department of Education, in collaboration with the Department of Health and the Office of Wellness and Resilience, to establish a statewide peer counselor program to address youth loneliness and social disconnection in schools. Support came from the Department of Education, the Office of Wellness and Resilience, and individual testifiers Katie Smith and Ray Ward. Smith said peer support can reduce stigma, increase belonging, and improve school climate. Ward, speaking from lived experience, described the harms of loneliness and trauma and said a peer counselor program could provide culturally grounded support and safer pathways to help. No opposition was offered, and both committees voted to pass the measure unamended.
HI
Hawaii 2026 Regular Session
AEN-HOU, AEN-EIG, AEN Public Hearings 03-18-2026
Agriculture and Environment
Transcript Highlights:
- </c> to take care of the uh enforcement. to take care of the uh enforcement.
- Yes. that we care get plenty pet lovers Yes. that we care deeply<00:35:45.359><c> for</c><00:35:45.560
- </c><00:49:14.359><c> at</c> would have to be a question directed at would have to be a question directed
- Careful. Careful. Careful. >> No.<01:04:09.680><c> Senator</c><01:04:09.960><c> Richards.
- </c><01:26:06.280><c> So,</c> that they need to take care of. So, that they need to take care of.
Keywords:
animal control, spay and neuter, pet overpopulation, sterilization, counties funding, tax designation, veterinary care, electric vehicles, charging infrastructure, energy policy, rebate program, environmental impact, renewable fuels, sustainable aviation fuel, tax credit, greenhouse gas emissions, local production, energy resilience, agricultural innovation, job creation
Summary:
The committee heard testimony on HB 1737, which clarifies allowable uses in agricultural districts for farm dwellings and farm employee housing, and HB 1604 HD2, which creates an agricultural workforce housing working group within the Department of Agriculture and Biosecurity. Testimony on HB 1737 was overwhelmingly supportive, with county agriculture officials, the Hawaii Farm Bureau, and Hawaii Farmers Union backing the measure; one witness asked for a definition of “affordable” to guard against misuse of farm housing. For HB 1604, the Department of Agriculture, Hawaii Farm Bureau, Housing Hawaii’s Future, Hawaii Farmers Union, and the Office of Hawaiian Affairs supported the bill, with OHA requesting disaggregated data and a seat on the working group. Committee discussion focused on housing shortages, possible misuse, affordability, and whether innovative housing models such as modular, tiny, and container homes should be considered.
The committee then took action on both measures. HB 1737 HD3 was recommended to pass with amendments that would limit farm employee housing to agricultural employees and their immediate family members actively engaged in the farm operation, add a grandfathering provision for existing permitted housing, preserve county zoning authority, clarify that ag tourism must be secondary and not occur in employee housing, delete a square-footage-per-acre ratio, and defer the effective date to July 1, 2050. HB 1604 HD2 was also recommended to pass with amendments adding OHA and a housing-shortage organization to the working group, expanding its scope to include modular, tiny, and container homes and permitting/zoning streamlining, and deferring the effective date to July 1, 2050. Both motions were adopted unanimously by the members present.
The joint hearing then moved to HB 1736, which would establish a spay and neuter special fund and require sterilization and declaration provisions for cats, with some discussion of dogs. DLNR and the Hawaiian Humane Society supported the bill, while Pacific Pet Alliance objected to the broader requirements and the inclusion of dogs; the Hawaiian Humane Society and American Bird Conservancy supported cat-focused sterilization and the special fund, while some testifiers opposed mandatory sterilization as too costly or intrusive. Members raised questions about toxoplasmosis, trap-neuter-release, enforcement, neighbor-island access, and funding needs, and DLNR indicated additional funding and third-party contracting would likely be needed. The transcript then began HB 1620 HD2 on energy, which would increase the environmental response energy and food security tax and shift funds from the hydrogen fueling subaccount to EV charging infrastructure; state agencies generally stood on written testimony in support, while the Tax Foundation objected to special fund earmarks and noted the bill raises only one part of the barrel tax structure.
WY
Wyoming 2026 Regular Session
House Labor, Health & Social Services Committee, March 2, 2026
Labor, Health & Social Services
Transcript Highlights:
- , they're taken care of.
- , they're taken care of.
- , they're taken care of.
- , they're taken care of.
- </c> skilled nursing care. skilled nursing care.
Keywords:
medical necessity, insurance, healthcare policy, independent review, claim processing, shared parenting, family law, joint custody, child well-being, parental rights, pharmacy, collaborative care, healthcare, prescriptions, patient safety, Wyoming Pharmacy Act, welfare, Medicaid, employment, eligibility verification
WY
Wyoming 2026 Regular Session
Senate Labor, Health & Social Services Committee, March 2, 2026
Labor, Health & Social Services
Keywords:
medical necessity, insurance, healthcare policy, independent review, claim processing, shared parenting, family law, joint custody, child well-being, parental rights, pharmacy, collaborative care, healthcare, prescriptions, patient safety, Wyoming Pharmacy Act, welfare, Medicaid, employment, eligibility verification
AL
Alabama 2026 Regular Session
Alabama Senate Banking and Insurance Committee Feb 25th, 2026
Banking and Insurance
Transcript Highlights:
- . >> Uh, this is a bill working with our Department of Finance, striving to take better care of those
- Department of Finance, striving to take better care of those that are required to have public official
- So this would allow us to get a reimbursement rate, and then the most expensive cost to care is taking
- <00:24:40.480><c> expensive</c><00:24:40.880><c> cost</c><00:24:41.120><c> to</c><00:24:41.279><c> care
- </c> and then the most expensive cost to care and then the most expensive cost to care is<00:24:41.679
Keywords:
public officers, bonding, risk management, notification, delinquency, consumer protection, rental home, marketplace guarantees, insurance, commissioner of insurance, healthcare, breast cancer screening, insurance coverage, deductible, copayment, emergency medical services, ambulance reimbursement, health care insurers, balance billing, provider networks
WA
Washington 2025-2026 Regular Session
House Early Learning & Human Services Jan 20th, 2026 at 01:30 pm
Early Learning & Human Services
Transcript Highlights:
- Health Care Authority, come on up.
- A true system of care coordinates across different programs and areas of the care continuum.
- A true system of care coordinates across different programs and areas of the care continuum, offers help
- We do have concrete recommendations that you direct the Health Care Authority, the Department of Health
- dental clinics for their care.
Keywords:
behavioral health, youth support, mental health services, children's health, support services, foster youth, child welfare, education, mental health, dental care, habilitation centers, residential services, healthcare access, patient rights, poverty, task force, legislative, executive, social programs, fatalities
TX
Keywords:
licensing, reciprocity, regulation, Texas Department of Licensing and Regulation, interstate agreements, nuclear energy, advanced reactors, energy security, grant programs, Texas Advanced Nuclear Energy Office, electric utilities, priority facilities, public safety, disaster response, emergency management, insurable interest, individuals with disabilities, life insurance, care providers, insurance regulations
NM
New Mexico 2026 Regular Session
House - Chamber Meeting Feb 14th, 2026 at 01:49 pm
New Mexico House Floor Meeting
Transcript Highlights:
- I want to be direct.
- , health care, jobs, or education.
- the current foster care plus project?
- I'm assuming that those are different from treatment foster care homes or regular foster care homes?
- Assuming that those are different from treatment foster care homes or regular foster care homes?
Bills:
HB145, HB164, HR1, HB20, HB65, HB66, HB80, HB306, SB29, SB37, HB99, HB206, HB213, HB270, SB104, SB193, HB38, HB254, HB256, SB58, SB64, HJM1, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM32, HM13, HM47, HM20, HM51, HM1, HM31, HM35, HM36, HM46, HM53, HM54, HM39, HM29, HM43, HM59, HM11, HM14, HM21, HM34, HM50, HB253
Keywords:
high-wage jobs, tax credit, job creation, New Mexico, economic development, lobbying, transparency, public records, government oversight, accountability, House Resolution 1, HR1, House investigatory subcommittee, special committee, legislative investigation, subpoena power, public corruption, criminal activity, Zorro ranch, Santa Fe County
NM
New Mexico 2026 Regular Session
House - Chamber Meeting Feb 14th, 2026
New Mexico House Floor Meeting
Transcript Highlights:
- So, members, I want to be direct.
- work with the current foster care plus project?
- I'm assuming that those are different from treatment foster care homes or regular foster care homes.
- As noted by yourself, they have been in the process of foster care plus, implementing foster care plus
- They have been in the process of foster care plus, implementing foster care plus since 2023.
Bills:
HB145, HB164, HR1, HB20, HB65, HB66, HB80, HB306, SB29, SB37, HB99, HB206, HB213, HB270, SB104, SB193, HB38, HB254, HB256, SB58, SB64, HJM1, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM32, HM13, HM47, HM20, HM51, HM1, HM31, HM35, HM36, HM46, HM53, HM54, HM39, HM29, HM43, HM59, HM11, HM14, HM21, HM34, HM50, HB253
Keywords:
high-wage jobs, tax credit, job creation, New Mexico, economic development, lobbying, transparency, public records, government oversight, accountability, House Resolution 1, HR1, House investigatory subcommittee, special committee, legislative investigation, subpoena power, public corruption, criminal activity, Zorro ranch, Santa Fe County
Summary:
The House opened with quorum, invocation, pledge, and several announcements recognizing guests and Early Childhood Day at the Roundhouse, including remarks supporting New Mexico’s universal child care efforts. The chamber then received and adopted a long series of committee reports, moving multiple bills forward, including HB 303, SB 96, HB 195, HB 279, HB 292 (with a Judiciary substitute), SB 30, HB 234, SB 35, SB 40, SB 43, HB 153 (with an Appropriations substitute), HB 253, HB 255, HB 287, HB 371 (with an Appropriations substitute), SB 143, HB 248 (with a Taxation and Revenue substitute), HB 309, SB 48, and enrollment/signing reports for memorials. The House also received Senate Judiciary Committee substitute for SB 41, which would eliminate the statute of limitations for certain sexual crimes and was referred to Judiciary.
The main floor debate centered on House Judiciary Committee substitute for HB 99, a medical malpractice reform bill. Supporters said it would balance patient compensation with provider stability by capping punitive damages, raising the burden of proof for punitive damages, and limiting when such claims can be pleaded. Several members described the bill as the product of months of bipartisan work and argued it would help retain doctors, especially in rural areas. The House passed HB 99 on final passage by a vote of 16-3.
The House also passed HB 66, expanding the health care provider loan repayment program, by 69-0; HB 306, addressing unexpected patient-facing facility fees, by 69-0; HB 38, adding wheelchairs to insurance coverage for certain prostheses-related benefits, by 69-0; HB 20, allowing Native American applicants to request a distinguishing designation on driver’s licenses and ID cards, by 66-3; and HB 253, preserving and regulating virtual education with an emergency clause, by 69-0. The chamber then took up HB 213, which expands optometrists’ scope of practice to include certain laser eye procedures. A proposed amendment requiring patients to sign a disclosure acknowledging that optometrists are not MDs or DOs and did not attend medical school was debated at length, with supporters framing it as informed consent and opponents calling it demeaning and unnecessary. The House tabled that amendment 35-19, and the underlying bill continued in debate at the end of the transcript.
WA
Washington 2025-2026 Regular Session
Senate Floor Session Feb 6th, 2026
Washington Senate Floor Meeting
Transcript Highlights:
- and physician care.
- People are charged based on what the care is.
- People are charged based on what the care is.
- Then that's the provider of quality health care.
- We talk a lot about access to health care.
Bills:
SB5223, SB5993, SB5831, SB5928, SB6183, SB6071, SB5995, SB5966, SB5841, SB5840, SB6061, SB6058, SB5931, SB5944, SB5520, SB6011, SB6087, SB6076, SB5916, SB6016, SB5936, SB6137, SB5185, SB5956, SB6025, SB6009, SB5833, SB6161, SB6188, SB5890, SB5917, SB5820, SB5973, SJM8015, SB5816, SB6136, SB6091, SB6024
Keywords:
criminal offense, fingerprinting, law enforcement, state regulations, public safety, medical debt, interest charges, consumer protection, healthcare, financial burden, mortgage modification, uniform regulations, homeowners, financial stability, foreclosure prevention, wildfire risk, disclosure, safety, environmental policy, risk assessment
Summary:
The Senate opened with routine proceedings, including the roll call, approval of the previous day’s journal, referral of committee reports and gubernatorial appointments, and the removal of Senate Joint Memorial 8003 from the consent calendar to the regular calendar. The chamber also received and referred Engrossed Substitute House Bill 1604 to the Committee on Human Services, and later took up several gubernatorial confirmations.
The Senate adopted Senate Resolution 8682 recognizing the YMCA’s 150th anniversary in Washington. Senators spoke in support, describing the YMCA’s role in child care, swim lessons, youth programs, civic engagement, camps, and community health, and guests from YMCA organizations were recognized on the floor. The Senate then confirmed Jeffrey P. Fairchild to the Whatcom Community College Board of Trustees, Randall V. Scott to the Lake Washington Institute of Technology Board of Trustees, and Anna M. Franklin to the Community Colleges of Spokane Board of Trustees, each by unanimous or near-unanimous roll call votes.
The chamber also observed a moment of silence for the family of Representative Tom Dent after his wife suffered a stroke. After caucuses, the Senate returned to floor action on two major bills. Substitute Senate Bill 5185, creating a pilot pathway to physician licensure for international medical graduates, was advanced to final passage and approved 39-1. Engrossed Substitute Senate Bill 5993, lowering the interest rate on medical debt, drew extensive debate about affordability, charity care, and the impact on rural hospitals; amendments were considered, including one to make the bill prospective rather than retroactive, which was adopted, while a rural-hospital differential-rate amendment failed. The bill ultimately passed 29-19. The Senate then adjourned until Monday, February 9, 2026.
WA
Transcript Highlights:
- Morning, Chair Ormsby, ranking member, court care, and committee members.
- Taking care of our loved ones.
- And it is moving in the right direction.
- That's good movement in the right direction.
- I think that that's going in the wrong direction.
Bills:
HB2104, HB1903, HB1909, HB1982, HB2034, HB2105, HB2210, HB2215, HB2271, HB2345, HB2355, HB2384, HB2389, HB2397, HB2418, HB2429, HB2442, HB2479, HB2481, HB2681, HB2688, HB2714
Keywords:
aviation, wildland fires, funding, disaster relief, emergency response, energy assistance, low-income, utility costs, state program, energy affordability, court unification, task force, Washington courts, judicial administration, court reform, access to justice, local court rules, uniformity, centralization, rural courts
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 3 Feb 4th, 2026 at 01:30 pm
Oklahoma House Floor Meeting
Transcript Highlights:
- followed today: prayer, pledge of allegiance, introduction, introduction of doctor and nurse of the Direction
- Doctor Azi provides expert inpatient care for acutely ill and medically complex patients, many of whom
- His commitment to advancing hospital performance, clinical education, and patient-centered care continues
- support the state's medical community and remains actively engaged in initiatives that enhance patient care
Bills:
HB3840, HB3431, HB4422, HB4117, HB4300, HB4298, HB2984, HB3344, HB2979, HB2980, HB3662, HB4107, HB3082, HB2997, HB3083, HB3055, HB2951, HB3469, HB3173, HB3287, HB2947, HB3784, HB3901, HB4275, HR1031, HB4359, HB4115, HB3467, HB2978, HB3026, HB3032
Keywords:
foreign ownership, land acquisition, military installation, critical infrastructure, affidavit requirements, state law, penalties, Attorney General, foreign ownership of land, foreign adversary, foreign government adversary, foreign government enterprise, foreign government entity, foreign terrorist organization, specially designated national, SDN, FTO, critical minerals, land ownership, real property
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 3 Feb 4th, 2026
Oklahoma House Floor Meeting
Transcript Highlights:
- Aziz provides expert inpatient care for acutely ill and medically complex patients, many of whom present
- His commitment to advancing hospital performance, clinical education, and patient-centered care continues
- support the state's medical community and remains actively engaged in initiatives that enhance patient care
- , clinical excellence, and health care innovation.
Bills:
HB3840, HB3431, HB4422, HB4117, HB4300, HB4298, HB2984, HB3344, HB2979, HB2980, HB3662, HB4107, HB3082, HB2997, HB3083, HB3055, HB2951, HB3469, HB3173, HB3287, HB2947, HB3784, HB3901, HB4275, HR1031, HB4359, HB4115, HB3467, HB2978, HB3026, HB3032
Keywords:
foreign ownership, land acquisition, military installation, critical infrastructure, affidavit requirements, state law, penalties, Attorney General, foreign ownership of land, foreign adversary, foreign government adversary, foreign government enterprise, foreign government entity, foreign terrorist organization, specially designated national, SDN, FTO, critical minerals, land ownership, real property
Summary:
The House convened with a roll call, prayer by Chaplain Ronnie Wilson, and the Pledge of Allegiance led by Representative Littrell. The chamber then heard several introductions and recognitions, including guests from members’ districts, the Lady Hornets championship team, and Doctor of the Day Dr. Ahmed Aziz, an internal medicine hospitalist from the Edmond/Deer Creek area.
The main legislative action was consideration of House Joint Resolution 1031 by Representative Tammy West, a resolution recognizing Rose Day 2026 and honoring the sanctity of life. West moved adoption of the resolution, and the House approved it by recorded vote, 72-16.
After the resolution passed, the body moved to announcements and introductions. The floor leader then offered a motion to adjourn, and the House agreed to adjourn until Thursday, February 5, 2026, at 9:30 a.m.
LA
Transcript Highlights:
- Care coordination becomes more difficult.
- Care coordination becomes more difficult.
- House Bill 457 is a necessary and thoughtful step in that direction.
- We are a rural continuum of care. We are a rural continuum of care. We cover 7,000 square miles.
- Louisiana has seven continuums of care.
Keywords:
healthcare, criminal convictions, employment, background checks, prohibited offenses, homelessness, homeless shelter, emergency shelter, transitional housing, group home, halfway house, shelter standards, housing standards, sanitation, habitability, fire marshal, inspection, local permitting, parish government, Louisiana Department of Health
ND
North Dakota 2026 1st Special Session
House Floor Session Jan 23rd, 2026 at 09:00 am
North Dakota House Floor Meeting
Transcript Highlights:
- for basic services, or seek care in emergency.
- Care appointments, travel long distances for basic services, or seek care in emergency departments for
- , inpatient stabilization, primary care services, and skilled nursing support. ...care, inpatient stabilization
- From a health care perspective, this funding helps ensure continuity of care, protects emergency response
- They offer great quality care.
Keywords:
presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards
Summary:
The North Dakota House convened in special session with prayer, roll call, and a quorum present, then took up several rural health-related bills. Senate Bill 2401, as amended, required physicians to complete one hour of continuing education in nutrition and metabolic health each renewal cycle and also added language allowing criminal history background checks for the Board of Occupational Therapy Practice. Supporters emphasized the role of nutrition in reducing chronic disease, and the bill passed 92-0.
The House then considered Senate Bill 2402, which expanded pharmacists’ limited prescriptive and therapeutic substitution authority for certain low-acuity conditions and clarified related lab-test and communication requirements. Members discussed examples such as motion sickness, cold sores, lice, hypoglycemia, COVID and flu testing, emergency access to medications and supplies, and limits excluding certain drug classes; the bill passed 91-1. Senate Bill 2403 created a temporary medical facility emergency operating loan option through the Bank of North Dakota for qualifying rural hospitals facing severe financial distress, with extensive debate over the targeted nature of the aid, anti-gifting concerns, repayment terms, and the hospital’s turnaround plan; it passed 80-12.
Senate Bill 2404 appropriated funds for NDIT to address federal digital accessibility requirements and for the Public Service Commission’s litigation efforts related to transmission costs, with a backup loan authorization available if needed; it passed 92-0. At the close of the session, leaders thanked members and staff for their work on the rural health transformation package, a committee notified the Governor and the Senate that the House had completed its business, absent members were excused, and the House adjourned sine die.
ND
North Dakota 2026 1st Special Session
Senate Floor Session Jan 23rd, 2026 at 08:30 am
North Dakota Senate Floor Meeting
Transcript Highlights:
- Community of care. Like Cass County has, what do they call it, community of care?
- So we need to be careful about this.
- And that's not to mention child care.
- And for a lot of families, child care is more than the cost of a mortgage.
- It's totally going the opposite direction of what our goal is here.
Keywords:
SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine
Summary:
The Senate convened with prayer, roll call, and a quorum present, then took up second reading and final passage of several House bills related to the Rural Health Transformation Program and other matters. House Bill 1621, requiring the presidential fitness test in school physical education with exceptions and a delayed effective date, passed 43-3. House Bill 1623, appropriating federal rural health transformation grant funds and creating a related loan program and reporting structure, passed 46-0 after extensive debate about using the federal money for community health, infrastructure, and sustainability. House Bill 1622, joining the physician assistant licensure compact, also passed unanimously 46-0. House Bill 1625, authorizing the Ray Richards Golf Course land sale to support a Grand Forks transportation project and golf course improvements, passed 46-0. House Bill 1626, clarifying that the primary residence credit is applied after the early payment discount so taxpayers receive the full $1,600 benefit, passed 40-6.
ND
North Dakota 2026 1st Special Session
Senate Floor Session Jan 22nd, 2026 at 08:30 am
North Dakota Senate Floor Meeting
Transcript Highlights:
- our committee put together in the last few months to meet some of the criteria for the rural health care
- I think, Madam President, we've seen a little bit of change in health care in this new administration
- requiring that if a pharmacist does write a prescription for a patient, if they know who the primary care
- The expanded scope maintains patient safety through clear protocols and standards of care.
- Ordinarily, we would direct them to the Emergency Commission, because the Emergency Commission is the
Keywords:
SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine
Summary:
The Senate convened with prayer, the Pledge of Allegiance, and a quorum present. It adopted the procedural employment committee report naming Senate staff for the special session. The chamber then took up several health-care and appropriations measures, first adopting amendments to Senate Bills 2401, 2402, and 2403 before moving them to final passage.
Senate Bill 2401 passed 44-2 and requires physicians to complete at least one hour of continuing education in nutrition and metabolic health, part of a broader rural health care package. Senate Bill 2402 passed 46-0 after major amendments negotiated between the medical and pharmacy boards; as amended, it expands pharmacists’ prescriptive authority and therapeutic substitution in limited areas while excluding categories such as antidepressants, antipsychotics, chemotherapy agents, Schedule II drugs, biological products, and narrow therapeutic index drugs. Supporters said it would improve rural access and help secure rural health transformation funding, while questions focused on how pharmacist competence would be measured and enforced.
Senate Bill 2403, also passed 46-0, creates a short-term medical facility emergency operating loan program through the Bank of North Dakota, reduced by amendment from $10 million to $5 million, to help a financially distressed rural hospital. Senators discussed the hospital’s mismanagement, the need for a bridge loan, and safeguards including a limited application window and expiration in 2027. Senate Bill 2404 passed 46-0 and provides supplemental appropriations to the Information Technology Department for ADA-related website accessibility compliance and to the Public Service Commission for additional legal costs in federal energy-rate litigation. The Senate then made announcements about a Highway Patrol safety presentation and filing deadlines, excused an absent member, and adjourned until the next morning.
ND
North Dakota 2026 1st Special Session
House Floor Session Jan 22nd, 2026 at 08:30 am
North Dakota House Floor Meeting
Transcript Highlights:
- And what voters care about is affordability.
- Well, then what about child care?
- , to stabilize the workforce in child care.
- They're going to ask, what about health care?
- We've also taken care of your income taxes.
Keywords:
presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards
Summary:
The House convened in special session, opened with prayer and the Pledge, confirmed a quorum, and recognized visiting students from Shiloh High School. Members also observed a moment of silence for former Representative Cindy Shriver Beck, and the House adopted the Employment Committee report approving special-session staff appointments.
The chamber then considered House Bill 1621, which would require the presidential physical fitness test in K-12 physical education courses with exemptions for students with disabilities and an effective date of August 1, 2027. Supporters framed it as a return to a historic fitness standard and a response to federal direction; the bill passed 90-0. The House next took up House Bill 1624, a universal school meals bill that would place the program in statute rather than the Constitution, start it a year earlier than the initiated measure, and appropriate $65 million for the first year. Debate centered on whether universal meals were needed, whether the bill would preserve legislative flexibility and property-tax relief, and whether it would help families or subsidize those who could pay. The bill passed 55-38.
Finally, the House began debate on House Bill 1623, the rural health transformation package tied to federal grant funds and a Bank of North Dakota loan program to support rural health projects, EMS, behavioral health, and related infrastructure. The sponsor and supporters emphasized North Dakota’s strong grant award, the need to move quickly, and the bill’s role in filling rural health gaps statewide. Some members raised concerns about federal spending, inflation, and telehealth, while others stressed the need to address EMS and workforce shortages. The transcript ends during debate on HB 1623, before any final vote is shown.
ND
North Dakota 2026 1st Special Session
House Floor Session Jan 21st, 2026 at 08:30 am
North Dakota House Floor Meeting
Keywords:
presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards
Summary:
The North Dakota House convened in special session with prayer, the Pledge of Allegiance, and the reading of communications from the Secretary of State and Governor Kelly Armstrong certifying the special session call. The governor’s executive order said the session was called to act on funding for the Rural Health Transformation Program so the state could accept and appropriate federal funds and avoid interruptions to government services. Three new members, Representatives McNally, Scraw, and Timmons, were sworn in, and the roll showed 91 members present, establishing a quorum.
The main business was a Rules Committee report outlining temporary special-session rules. The changes were designed to speed up floor action, including allowing second reading the same day a bill is reported from committee, final passage one day after first reading, and immediate transmission to the other chamber unless reconsideration is noticed. The report also replaced the regular standing committee structure with two joint committees: Joint Appropriations and Joint Policy, allowed remote testimony and remote member participation with approval, and limited bill introduction to Legislative Management-approved bills or bills approved by a two-thirds vote. Several deadline changes for resolutions and bill filing were also described, with some provisions delayed until the special session ends.
The House adopted the Rules Committee report after a motion by Representative Bosch and no opposition. During announcements, the clerk listed the membership of the Joint Appropriations and Joint Policy committees, and the Highway Patrol announced safety sessions for legislators in the Rough Rider Room at 11 a.m. that day and the next day. The House then recessed until the joint session scheduled for 10 a.m. the following day.
ND
North Dakota 2026 1st Special Session
Senate Floor Session Jan 21st, 2026 at 08:30 am
North Dakota Senate Floor Meeting
Keywords:
SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine
Summary:
The Senate convened in special session with prayer, the Pledge of Allegiance, and roll call establishing a quorum of 45 members present and two absent. The chamber received certification from the Secretary of State and the governor’s executive order calling the special session to address funding for the Rural Health Transformation Program and to act quickly to accept and appropriate federal funds.
The main action was adoption of the procedural rules for the extraordinary session. Senator Klein explained the proposed rule changes, which were designed to speed up consideration of bills during the short session, including limits on bill introduction, same-day second reading and final passage, elimination of standing committees for the session, creation of a Joint Policy Committee and Joint Appropriations Committee, and authorization for remote testimony and limited remote participation. The procedural committee’s report on these rules was adopted without opposition.
The Senate also adopted reports naming members to the Joint Policy Committee and Joint Appropriations Committee. Announcements noted that the Senate Employment Committee, Joint Policy Committee, and Joint Appropriations Committee would meet later that morning, that the Senate would not reconvene at 4 p.m., and that a Highway Patrol presentation on legislator safety would be held. The Senate then moved through the listed orders of business and recessed, planning to meet in joint session with the House before adjourning until Thursday, January 22, 2026.