Video & Transcript : 'Arizona Long Term Care System' :
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MO
Missouri 2026 Regular Session
Corrections and Public Institutions Jan 14th, 2026
Corrections and Public Institutions
Transcript Highlights:
- throughout the system. 48.98% of all the offenders were enrolled in at least one chronic care clinic
- And many of them are health care concerns that go unanswered or there are long ones.
- And many of them are health care concerns that go unanswered or there are long wait periods.
- It is not, in terms of the statute, compassionate release or health care cost avoidance.
- I am here to address serious concerns with the medical care system in the Missouri Department of Corrections
Committee:
House Corrections and Public Institutions
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Veterans and Federal Affairs Jun 21st, 2026 at 01:00 pm
Joint Committee on Veterans and Federal Affairs
Transcript Highlights:
- Most of the term limit numbers I've always heard is people should serve six terms.
- Senate have served two terms or less.
- How long has that been? I'm not sure.
- of what they care about.
- , and gender-affirming care.
Summary:
The hearing of the Joint Committee on Veterans and Federal Affairs was opened by Chair Joe McGonagle and Vice Chair Senator Mike Rush, who noted that Chair John Velis was deployed with the Massachusetts National Guard. The chairs explained the hybrid format, three-minute testimony limit, live streaming, and filing deadlines, and said the committee would hear 11 House bills and eight Senate bills dealing with federal and overseas issues. Much of the hearing centered on competing resolutions about Article 5 constitutional conventions, along with related resolutions on D.C. statehood, child labor, Citizens United, and Cambodia.
Supporters of H. 4692 and S. 284, a joint resolution to rescind all prior Massachusetts Article 5 convention applications, argued that old resolutions from the 1930s and 1970s could be used to count Massachusetts toward the 34-state threshold for calling a federal constitutional convention. Testifiers from Common Cause, the League of Women Voters, the ACLU, Reproductive Equity Now, labor groups, and others warned that a convention would have no clear rules, could not be reliably limited to specific topics, and could put civil rights, reproductive rights, labor protections, and other constitutional protections at risk. Several speakers also cited a recent federal lawsuit and said the safest course was to remove outdated applications from the books.
A large opposing panel testified in support of H. 3888, a resolution calling for a Convention of States to propose amendments limiting federal power, imposing fiscal restraints, and establishing term limits. Supporters argued that Article 5 provides a lawful way to address federal overreach, debt, and congressional stagnation, and said the process would be limited by state applications and ratification by 38 states. Some committee members and witnesses raised concerns about a runaway convention, broad language in the resolution, and whether Congress could or should set rules for such a convention. Representative Gentile also testified in support of several related resolutions on overturning Citizens United, D.C. statehood, and the child labor amendment, while Representative Howard and Representative Tongue supported a Cambodia resolution condemning political oppression and urging free and fair elections. No votes or final actions were taken during the hearing.
MO
Transcript Highlights:
- If there's a desert, a health care desert, it might be the term. Exactly. Health care deserts.
- care system.
- remains at the center of our health care system.
- I'm going to be so brief, Olivia Wilson, University of Missouri Health Care System.
- The University of Missouri Health Care System is obviously a research facility.
Committee:
House Health and Mental Health
Summary:
The committee first met in executive session and adopted a House committee substitute combining House Bills 1850 and 1975, which was then voted do pass by a 16-0 roll call. The substitute was described as incorporating federal PBM-related transparency and audit provisions, including requirements intended to ensure fair audits, greater transparency for employers and patients, and protections for pharmacies so they are not reimbursed below drug cost and receive a fair fee. Members said the package was a compromise and a needed step because pharmacies are closing.
The committee then heard House Bills 2318 and 2368, related to artificial intelligence and mental health. The sponsors said the bills are aimed at truth in advertising, barring AI platforms from marketing themselves as mental health professionals or therapy providers, while not banning AI use in health care generally. Testimony from supporters emphasized concerns about minors and adults relying on chatbots for mental health guidance and the need to protect consumers from misleading claims. The committee adopted an amendment adding social workers to the bill string, rolled it into a substitute, and voted the combined House committee substitute do pass 14-0.
Next, House Bill 3313, described as an AOT bill from the prior week, was voted do pass 14-0 without discussion. House Bill 2745 was then amended and passed 14-0; the sponsor explained the changes would require a prompt physical exam for children entering foster care, allow a physician or nurse practitioner to perform it, try to continue existing developmental, behavioral, or emotional care when possible, and require biological parental consent before updating vaccines at the initial visit. House Bill 2463 also received a substitute to close a loophole involving referral payments when a prospective resident or legal representative cancels a contract, and the committee voted the substitute do pass 14-0.
The committee also heard House Concurrent Resolution 28, which would designate the last full week of April as Infertility Awareness Week in Missouri. The sponsor linked the resolution to broader efforts to expand fertility access, and supporters, including a patient sharing her infertility experience, spoke about the emotional and physical toll of infertility and the value of awareness. Finally, House Bill 2979, the Rural Missouri Rural Doctors Act, drew extensive testimony. The sponsor and supporters argued it would limit physician non-compete agreements to one year and five miles for nonprofit employers to improve rural access and physician mobility, while opponents from hospitals and health systems said the bill would weaken recruitment, hurt financially stressed rural hospitals, and create uneven treatment between nonprofit and for-profit employers. No vote was taken on HB 2979 in the portion provided.
NH
New Hampshire 2026 Regular Session
House Science, Technology and Energy (02/10/2026)
Science, Technology and Energy
Transcript Highlights:
- The sources of costs, like long-term, long-distance transmission, you know, that go into their bills,
- The sources of costs, like long-term, long-distance transmission, you know, that go into their bills,
- It is simply applying the principle of reasonable care to modern systems that control our energy and
- as human beings have been alive as long as human beings have been alive in<02:10:44.880><c> terms</c
- Additionally, under standard of care, section one, it limits the bill to operational technology systems
Committee:
House Science, Technology and Energy
MN
Minnesota 2025-2026 Regular Session
House Fraud Prevention and State Agency Oversight Policy Committee 3/24/25
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- > and</c><01:23:22.159><c> more</c><01:23:22.880><c> um</c> in terms of long-term care and more um in
- terms of long-term care and more um and<01:23:23.280><c> I'm</c><01:23:23.520><c> looking</c><01:23:
- care, and particularly the long-term care private facilities, the public or private equities getting
- > the</c> long-term care and particularly the long-term care and particularly the long-term<01:24:20.159
- :24:22.080><c> the</c> long-term care uh private facilities the long-term care uh private facilities
MO
Transcript Highlights:
- They'd be waiting for a long-term bed. Right.
- A hundred for competency restoration, 50 for long-term, right?
- How many beds are there available for long-term mental health care across the state?
- And then I need the breakdown of the differentiation between the cost per person for long-term care,
- And they may end up being on a wait list for long-term mental health care, right? Director? Yes.
Committee:
House Budget
WY
Transcript Highlights:
- Thinking about long-term, if we're just going to do 10 million here and then come back and talk about
- So, if we want to think about this as what are our long-term goals, do we want to build this out for
- the long term?
- Nursing homes, long-term care facilities either can't or won't serve them.
- like the state hospital, but more long-term care skilled nursing type care that we now have the capacity
Committee:
Joint Appropriations
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 4 on State Administration and General Government Mar 12th, 2026
Transcript Highlights:
- And the Science Center, I've been at the Science Center a long time, for decades.
- because it takes us time to build getting contributions and support, but that's through a committed long-term
- We probably can't afford to do this at the moment, but long term it's not so clear.
- Those children, those students could be better served by our K-12 system.
- , which is a pre-approved, FBI-approved system where we can do background checks.
Summary:
The subcommittee heard budget proposals for Exposition Park, the California Science Center, the Department of Financial Protection and Innovation (DFPI), the Debt Collection Licensing Act program, and the Board of Registered Nursing. For Exposition Park, the administration requested $96.5 million for utility replacement, site improvements, code compliance, accessibility, and safety upgrades, plus $1.698 million for operational sustainability funded from the park’s improvement fund. The LAO said the proposals had merit but noted the first item could be downscaled if needed because of the state’s budget condition. Members emphasized the park’s deferred maintenance, major upcoming events, and the need to protect a statewide asset; both Exposition Park items were held open.
The Science Center requested funding to open and operate the new Air and Space Center, including staffing for the facility that will display the Space Shuttle Endeavour and expand exhibit space. The LAO supported the proposal but suggested the Legislature consider alternative funding sources such as admission fees, parking fees, or private funds. Members discussed the Science Center’s public-private funding model, the importance of keeping access affordable for disadvantaged communities, and the tradeoff between free admission and long-term operating support. The item was also held open.
DFPI sought continuation of expenditure authority for the California Consumer Financial Protection Law, debt collection licensing, and broker-dealer/investment adviser workloads, and the LAO recommended limited-term funding with more cumulative reporting before permanent funding is considered. Members pressed the department on whether its workload and spending are tied to measurable outcomes rather than just activity counts, and DFPI cited complaint resolution, enforcement actions, and restitution recovered as examples of impact. The Debt Collection Licensing Act item drew similar LAO comments, but members raised stronger concerns about the financing model, the gap between projected and actual licensee counts, and whether spending levels are justified; that item was held open. The Board of Registered Nursing requested $1.4 million for eight special investigators to address rising complaints, and the board said most complaints are resolved through investigation, referral, probation, or rehabilitation rather than discipline. Members asked about complaint backlogs, viral and potentially automated complaints, bias in care, and the lack of broader inspection authority; the item was also held open.
CA
California 2025-2026 Regular Session
Assembly Labor and Employment Committee Apr 23rd, 2025
Transcript Highlights:
- labor standards like occupational health and safety protections, and as a result, are at risk for long-term
- The lingering economic impacts on tourism can mean that workers face eviction, bankruptcy, or long-term
- resilient, trained workforce that can sustain the rebuild while ensuring workers gain meaningful, long-term
- This is not a short-term fix. It's a long-term support. Thank you. Thank you.
- This is not a short-term fix. It's a long-term support. Thank you. Thank you.
Summary:
The committee heard several labor-related bills, with AB 1424, AB 1340, AB 288, and AB 746 all advancing on due-pass motions to Appropriations after testimony and roll calls. AB 1424 would require climate resiliency and extreme-heat protections in CDCR facilities; supporters described dangerous heat conditions for incarcerated workers and staff, while no opposition testified. AB 1340 would allow rideshare drivers to unionize and collectively bargain; drivers, labor groups, and researchers testified that app-based work is low-paid and unstable, while TechNet, Uber, Lyft, and other business groups argued the bill conflicts with Proposition 22 and could raise costs. AB 288 would let PERB step in when federal labor remedies are unavailable; supporters said it is needed because of NLRB dysfunction, while the Chamber of Commerce raised preemption and enforcement concerns. AB 746 would create an inmate cooperative program and a green reentry reserve; supporters framed it as a recidivism-reduction and reentry strategy, and there was no opposition testimony.
The committee also heard AB 858, which would extend hotel and hospitality worker recall rights after declared emergencies and extend existing COVID-era protections. Hospitality workers and unions supported the bill as a way to protect jobs after pandemics, wildfires, and other disasters, while hotel, chamber, retail, restaurant, trucking, travel, and attractions groups opposed it, saying the current recall rules were meant to sunset and that the bill would create broad liabilities and hiring complications. The bill was moved to Appropriations but remained on call after the roll. AB 291, creating a credentialed educator apprenticeship program to address teacher shortages and improve diversity, drew support from education groups and stakeholders who said apprenticeships could lower preparation costs and provide better support; it was also moved to Appropriations and placed on call.
Later, the committee took up AB 1104, a solar-energy bill intended to clarify that private solar customers are not “awarding bodies” and to ease certain business-to-business solar transactions while preserving prevailing wage and apprenticeship requirements for contractors. Supporters said the current interpretation has chilled commercial solar adoption and harmed jobs, while opponents from electrical workers, PG&E, and others warned about expanded “over-the-fence” power sales and the need for clearer limits. Members questioned the lack of a definition of “small,” and the bill was held without a second. The committee also heard AB 338, which seeks $50 million for Los Angeles and Ventura wildfire workforce recovery; the author and county officials described major job loss and business destruction and said the funds would support displaced workers and rebuilding, with the testimony continuing beyond the excerpt provided.
FL
Florida 2026 5th Special Session
FL House Floor Session - 2026-02-17 (1:00PM Session)
Florida House Floor Meeting
Transcript Highlights:
- Secondly, he has continuously during his time, his first term and his second term, this current term,
- of child care.
- Of course, no system is perfect.
- It replaces the outdated term 'child pornography' with the accurate term 'child sexual abuse material
- And so there's a concern, too, that this bill would impact those long-term commitments made by local
Summary:
The House convened with prayer, moments of silence for Reverend Jesse Jackson and former State Attorney Joseph Di Alessandro, and a quorum present. Members then took up a special order calendar and considered a series of bills, with several recognitions and brief recesses interspersed throughout the day.
Early floor action focused on civil justice and estates measures. The House passed CS/HB 1407 on commencement of civil actions, clarifying when a complainant may file an employment discrimination suit if the Florida Commission on Human Relations does not issue a right-to-sue notice. It also passed HB 895 on trustee settlement and discharge, allowing certain non-adversarial irrevocable trusts to be discharged without court involvement; CS/HB 1337 on estates, expanding personal representative authority and increasing small-estate thresholds; and CS/HB 131 on curators of estates, codifying a tool for court protection when the state faces potential loss. Each of these bills passed unanimously or near-unanimously after brief sponsor explanations and, in the case of HB 895, a technical amendment.
The House also approved CS/HB 351 on concurrent legislative jurisdiction over U.S. military installations, which would allow juvenile offenses on certain installations to be handled in state court rather than federal court, and CS/HB 441 on conservation lands, which increases notice and transparency requirements for land swaps involving conservation property. Members from both parties praised the conservation bill as a response to public concern over land swaps. Additional measures passed included HB 409 requiring K-12 schools to observe Veterans Day, CS/HB 461 allowing eligible students to volunteer at polling locations for community service hours, CS/HB 1115 creating grants for genetic counseling education, HB 569 revising forensic client services for persons with developmental disabilities, CS/HB 505 regulating virtual currency kiosks to combat senior fraud, and HB 271 addressing premium reporting rules for foreign and alien bail bond insurers.
The most extended debate centered on CS/CS/HB 919, which creates a statutory definition for major commercial service airports and preempts local naming authority for seven major airports, including a proposal to rename Palm Beach International Airport for President Donald J. Trump. The bill drew sharp partisan debate over local control, costs, trademark/licensing concerns, and the appropriateness of honoring a sitting president. Amendments to delay the naming until after Trump leaves office and to combine his name with John F. Kennedy’s were both defeated. After structured debate, the bill passed 81-? yeas (the transcript records 81 yeas) and was sent on. The House also began debate on HB 191 regarding re-employment assistance eligibility verification, with the sponsor explaining added disqualifications and identity/eligibility checks; questioning began but the transcript ends before final action on that bill.
OK
Oklahoma 2026 Regular Session
Appropriations and Budget Jan 28th, 2026 at 01:30 pm
Appropriations and Budget
Transcript Highlights:
- I don't disagree that in a perfect world, we would try to long-term plan and say in FY28-29, we anticipate
- foster care system.
- , as well as individuals as they age out of the foster care system.
- truly believe that the system, the state, the legislature, the governor, all of us really do care about
- bit over to childcare, also something I got a little bit of experience with when we're looking at long-term
Committee:
House Appropriations and Budget
NM
New Mexico 2026 Regular Session
IC - Radioactive and Hazardous Materials Dec 8th, 2025
Transcript Highlights:
- And long term, like with many communities around the state, we are encouraging water system regionalization
- So far, that would require us to have a long-term plan in place.
- Now, what is our long-term exposure, right? That's what this bill deals with. Mr.
- And they have that long-term liability. They don't just get a go-away.
- So it's just not really a feasible long-term solution.
Summary:
The committee first heard a presentation from the Environment Department on PFAS contamination in private wells in La Cienega, Santa Fe County. Staff said the plume likely came from historic use of firefighting foam associated with airport and National Guard fire-training activities, with possible additional contribution from septic systems and consumer products. They described the contamination as affecting about 200 private wells, the short-term response of providing residential filters through a $2 million legislative appropriation, and ongoing work to define the plume’s full extent, identify responsible parties, and consider longer-term regional water solutions. Members asked about filter costs, replacement schedules, disposal of used cartridges, follow-up testing, health studies, and whether cleanup or containment had begun; the department said cleanup would follow once the plume is fully mapped and that DOH is soliciting interest in a blood study. The committee also discussed the need to track disposal of PFAS filters and the possibility of broader statewide capacity for similar work.
The committee then took up abandoned uranium mine cleanup. NMED and EMNRD staff reviewed the new uranium mine reclamation program created by HB 164, the state dashboard tracking sites, and the FY26 appropriation of $20 million for neglected contaminated sites, of which $12 million is being used for neglected uranium mines and the remainder for other contaminated sites. They said six contractors were hired, three priority sites in Grant County are moving forward quickly, and additional sites are being prepared for possible FY27 work. Members pressed for details on how funds are spent, why the revolving fund remains unfunded, how federal, state, tribal, and landowner requirements are coordinated, where contaminated material will be moved, and whether cleanup could also address homes built with contaminated materials. Staff said the work is governed by multiple regulatory layers, that the state is seeking an additional $25 million for FY27-FY28 plus a time extension, and that partnerships with tribes would require longer-term agreements.
The committee also discussed federal cleanup efforts and the new Good Samaritan law, with members urging stronger advocacy for New Mexico sites, including tribal lands, and asking whether the Attorney General should pursue legal action against federal parties responsible for legacy contamination. Staff explained that some sites are already covered by settlement funds tied to responsible parties, while neglected sites are those with no responsible party and no other cleanup program. The committee then heard from EMNRD on Class VI carbon sequestration primacy. Staff said New Mexico currently has no operating Class VI wells, about 27 Class II acid-gas injection wells are operating, and only a small number might be candidates for conversion. They explained that the state’s primacy application would require more public outreach than federal rules alone, and that cost estimates for post-injection site care are based on long planning horizons, with some costs borne by operators and some by the state after closure. No votes were taken on the substantive items discussed; the committee approved the prior meeting minutes and took a brief recess between presentations.
TX
Texas 89th 2nd C.S.
Appropriations - S/C on Articles I, IV, & V Feb 24th, 2025
Appropriations - S/C on Articles I, IV, & V
Transcript Highlights:
- Representative Lopez: And what are the potential long-term cost savings for Texas?
- for the system's expected funding progress and long-term viability.
- funding ratios and long-term viability?
- And it is a long-term process.
- sound and able to bring long-term retirees up to current retirement standards.
CA
Transcript Highlights:
- The current support structures allow for both short-term and long-term options.
- of care.
- of care.
- This isn't a struggle of a long-term addiction story. This is different.
- This isn't a struggle of a long-term addiction story. This is different.
Committee:
House Public Safety
NM
New Mexico 2025 Regular Session
IC - Federal Funding Stabilization Subcommittee Jul 1st, 2025
Federal Funding Stabilization Subcommittee
Transcript Highlights:
- There are also a number of IT system changes that we can make in terms of predictive analysis for errors
- primary care and specialty care around the state, particularly in rural communities, so that there's
- They're essentially paying themselves for what is real work of child care or elderly care.
- Care or disabled care within their own households.
- Technical terms.
TX
Transcript Highlights:
- It provides $5 billion as the second tranche of funding for the Texas Energy Fund to ensure long-term
- legacy payment to the system's unfunded actuarial liabilities to reduce long-term interest costs.
- I'd ask now that you turn to the next page, which is titled Economic Stabilization Fund Long-term Forecast
- access during not just times of emergency but for very large infrastructure projects or other critical long-term
- And while I don't have any long-term trends kind of available with me right now, anecdotally it does
Bills:
SB 1
Committee:
Senate Finance
Keywords:
campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards
Summary:
The Senate Finance Committee held its first hearing of the 89th regular session, adopted nearly identical committee rules from the previous legislature by a 15-0 vote, and began review of Senate Bill 1, the state budget for fiscal years 2026-27. Chair Huffman outlined the budget framework, emphasizing conservative spending, a $332.9 billion all-funds budget, and major priorities including property tax relief, public education, border security, health and human services, transportation, energy, and water infrastructure. She also introduced committee and leadership staff and described the hearing schedule and public testimony procedures.
Comptroller Glenn Hager presented the biennial revenue estimate, saying the state has $194.6 billion available for general-purpose spending, including a $23.8 billion ending balance, but warned that revenue growth is returning to more normal levels and that lawmakers should avoid using temporary spikes for ongoing commitments. Senators questioned him extensively about the Economic Stabilization Fund cap, sales tax trends, inflation, and whether the state should consider raising the cap or using severance-tax revenues differently. Hager said the Rainy Day Fund is expected to hit its cap, which would leave more severance-tax revenue in general revenue, and he stressed that infrastructure needs remain significant.
The Legislative Budget Board then gave a detailed overview of SB 1 and the budget’s major components. LBB staff explained that the bill includes continued funding for the Foundation School Program, $850 million for the Texas State Technical College endowment, $1.3 billion for the Texas University Fund, $6.5 billion for border security, salary increases for correctional officers and state troopers, $3 billion for dementia research, higher community attendant wages, expanded community-based care, $5 billion for the Texas Energy Fund, and funding to clear volunteer fire department grant backlogs. They also outlined supplemental priorities such as water infrastructure, retirement legacy payments, rail grade separations, wildfire aircraft, and emergency facilities, and said the current controlling budget limit is the tax spending limit.
A major portion of the hearing focused on property tax relief. LBB explained that prior-session relief grew from an expected $18 billion to $22.7 billion because of higher-than-anticipated property values and interactions among hold-harmless provisions, and that SB 1 continues and expands relief with $51 billion in total property tax relief, including $3 billion more for compression, $3 billion to raise the homestead exemption from $100,000 to $140,000, and a $500 million placeholder for business tax relief. Senators discussed the automatic nature of some of these costs, the effect of the non-homestead circuit breaker, the role of federal COVID funds, and the need to maintain school finance commitments if the state continues to compress school tax rates.
MN
Minnesota 2025-2026 Regular Session
House bill would halt changes to Minnesota DHS disability program billing 4/9/26
Minnesota House Floor Meeting
Transcript Highlights:
- </c><00:05:07.600><c> So,</c><00:05:07.840><c> that's</c> feasible in the long term.
- So, that's feasible in the long term.
- And how do we protect continuity of care while holding the system accountable?
- And how do we protect continuity of care while holding the system accountable?
- . system. system.
FL
Florida 2026 5th Special Session
FL House Floor Session - 2026-03-09 (1:00PM Session)
Florida House Floor Meeting
Transcript Highlights:
- Members, firefighters across Florida put their lives and long-term health on the line every day for our
- For children in the foster care system, they may never know that there are benefits for which they are
- There are already barriers to success for youth in the foster care system.
- It is a continuation of Florida's commitment to normalcy for children in the foster care system.
- They're telling me to waive opening, but I'll just say this bill simply treats a long-term lease more
Summary:
The House convened with prayer, a moment of silence for former Judge John Carlin, the Pledge of Allegiance, and a recognition of FSU Police Officer Cody Popple for his actions during the April campus shooting. The Speaker also outlined the final week of session, noting the House would focus on Senate bills and returning messages, and that the 2026-27 budget would not be completed by the end of the week. The chamber then adopted the special order calendar for the day.
The House passed several technical and open-government bills, mostly on strong bipartisan votes. These included SB 100, SB 104, and SB 102 on the Florida Statutes and reviser changes; SB 7006, SB 7014, SB 7002, SB 7012, SB 7024, SB 7016, SB 7026, SB 7008, SB 7000, and SB 7004, which extended or preserved various public records or meeting exemptions involving the Public Service Commission, social media investigations, military affairs, highway safety investigations, cybersecurity, small business loan records, trade secrets, emergency shelter locations, and conviction integrity units. Members asked questions on several of these bills, especially about the scope and purpose of the exemptions, but the bills generally advanced with little opposition.
The chamber also took up more substantive measures. SB 7040 recreated the emergency preparedness and response trust fund and drew extended debate over whether the fund had been misused for the Everglades detention facility; an Escamani amendment to let the fund expire failed, while a Griffiths amendment adding limits and oversight was adopted, and the bill ultimately passed 82-25. CS/CS/SB 302 on coastal resiliency passed unanimously after supporters highlighted nature-based shoreline protection and a Biscayne Bay provision. CS/CS/SB 984 on firefighter cancer benefits passed after a House amendment aligned it with the House version. CS/SB 474 on military affairs passed unanimously after an amendment allowing local governments to extend Guard leave. SB 488 on the Department of Highway Safety and Motor Vehicles was debated extensively over vehicle registration requirements, license plate frames, and I-94 documentation, with amendments including one for disabled veterans and another on dealer allocation; the transcript cuts off before final disposition of that bill.
ND
North Dakota 2025-2026 Regular Session
House Appropriations - Human Resources Division Apr 8th, 2025 at 03:00 pm
Appropriations - Human Resources Division
Transcript Highlights:
- care but also kind of care that is sustainable.
- the long and short of it is we, you know, we can, oh, how do I say this on the record?
- Then the IT medical modules—that is for our Avatar medical system.
- Then moving on, that’s where the new client management system is, Representative Steeman.
- The programming, we do use our case management systems on both sides, Elite and Doc Stars.
Summary:
The committee first took up Senate Bill 2399, concerning therapeutic leave days for psychiatric residential treatment facilities (PRTFs). Sarah Aker from the Department of Health and Human Services explained the current Medicaid rate-setting methodology, how occupancy affects rates, and why paying the full rate for leave days would create additional fiscal impact. Members debated whether the bill should pay the full Medicaid rate, a flat reduced rate, or a tiered rate, and discussed whether a cap or department authorization should be used to control use of leave days. The department said it was not supporting the change as it was not in the governor’s budget, though it supported family engagement in care.
After discussion, the committee settled on a compromise motion to set therapeutic leave days at a $500 daily rate and require department authorization of the number of leave days. The motion passed 6-2, with Representative Anderson voting no and the rest of the recorded members voting yes. The committee then moved on to Department of Corrections and Rehabilitation budget materials, where Michelle Zander walked through detailed population and rate calculations for women’s and men’s facilities, county holds, deferred admissions, transitional facilities, work release, and proposed reentry, man camp, and Grand Forks-related costs. Members asked about the county jail reimbursement rates and the overall pool of funds, and Zander explained the calculations and noted the proposal was roughly break-even depending on assumptions.
The committee also heard an overview of DOCR IT requests from Amy and NDIT staff, including data processing, medical modules, a new client management system, body scanners, data management tools, facility management software, medical software upgrades, college solutions, and body cameras/tasers. Staff explained that the new client management system would likely be a multi-phase project with a wide cost range based on vendor selection and scope, and that the current request was for phase one. Members emphasized the importance of better data tracking, staff safety tools, and information that could help explain programming and release outcomes to the public. The committee planned to continue with Veterans Affairs the next day and then return to Senate Bill 2015.
CA
Transcript Highlights:
- He can serve a third term.
- are connected to care and not lost in the system.
- This bill would create a streamlined referral process for Care Court. Care Court is our...
- There's a solution there somewhere, long-term, complicated, but I appreciate what you're trying to do
- of consumer protection, patient care, access to justice, and putting parameters in terms of guardrails
Committee:
House Judiciary