Transcript Highlights:

• Over the last several years, the state has designated considerable resources to literacy programming
• possible. get past my desk without the highest level of evaluation analysis possible.
• So that's the final analysis that's run later to understand how it impacted fidelity.
• , and cannot leverage any other resources because of their limitations.
• About the additional resources that can be provided to continue to close those achievement gaps.

Transcript Highlights:

• fleet management duties to state agencies, it was not evident to us that the department had the resources
• Further analysis of these 2,279 unmatched vehicle records found omissions or inaccuracies in vehicle
• Tracy, for the full and thorough analysis.
• I can see, conceptually, where not the thoroughness of the analysis, but the depth of the analysis can
• What might be suffering is the actual in-depth analysis, because there's only so many people to look

Summary: The subcommittee first heard a lengthy Auditor General presentation on the Department of Management Services’ fleet management operations. The audit found major problems with oversight, recordkeeping, policies, fee-setting, purchase and disposal approvals, public auction controls, and FleetWave system access and processing. Key findings included that 2,279 vehicles valued at more than $57 million could not be matched between FleetWave and FLAIR, disposal records were missing or incomplete, user access remained active long after employees separated, and the department had not documented a reasonable basis for its $1.75 per-vehicle monthly fee. Members expressed strong concern about the accuracy of the state’s fleet inventory and the risk of waste or misuse. DMS Secretary Allende said the department concurred with the findings, was working with the Auditor General, and planned corrective actions, including better training, clearer guidance, improved reconciliation, and possible centralization or pilot programs for fleet purchasing and management. The committee then returned to vacancy discussions with several agencies. The Division of Administrative Hearings said its two long-vacant judges of compensation claims positions had been hard to fill because of low pay and short reappointment terms, but the chief judge said the division could operate without them and offered those positions up as part of a reduction exercise. The Public Service Commission reported 42 vacancies but said statutory deadlines were still being met, though staff workloads and depth of analysis were affected. The commission also said vacancies help it manage salaries within its trust-fund budget. Members questioned whether some of those positions were truly needed given the lack of delays. The Florida Gaming Control Commission reported 29 vacancies, including a vacant chair that prevented appointment of an inspector general, and said the chair vacancy was a gubernatorial appointment issue. The acting executive director also said the commission’s compulsive gambling prevention program had lapsed after no responsive bids were received for a new contract, but an invitation to negotiate was nearly complete and a new provider was expected soon. The Public Employee Relations Commission reported that its caseload had more than doubled after Senate Bill 256, which increased union recertification work; it said it was meeting deadlines only with overtime and that the workload had not fallen despite decertifications. Members asked for follow-up data on union cases, vacancy needs, and whether some positions across agencies could be reallocated to better match workload.

Transcript Highlights:

• As the committee analysis points out CDE was required to contract for a study that examines non-public
• We have 41 resource centers or I call it instructional facilities totaling 100,000 square feet with a
• The analysis really thoroughly lists many other missing pieces.
• This bill is about providing students and teachers with the resources they need to succeed regardless
• Some districts can afford robotics labs, mental health counselors, artificial intelligence resources,

Keywords: 988, house, all

Transcript Highlights:

• 20.5% into the Resources Trust Fund.
• In our case, looking into that resource is the Resources Trust Fund.
• It was part of their analysis.
• Of course, we have an incredible resource here with our oil and gas industry resources trust fund.
• The Water Resource District didn't have the resources at the time, so the Stutsman County Commission

Summary: The Water Topics Overview Committee met to review several interim studies and receive updates from the Department of Water Resources. The committee approved the March 26, 2026 minutes, observed a moment of silence for the late Representative Conmy, and welcomed Representative Hansen to the committee. Staff then reported that the watershed management study and the stormwater/wastewater study had both satisfied the presentation requirements in their study directives, with no further required testimony unless members wanted additional information. The department’s main presentation focused on major water projects and agency operations. Reese Haas and staff updated members on the NAWS project, the Southwest Pipeline Project, Devils Lake outlet operations, low-head dam safety work, floodplain management repository implementation, data center water use, and the 2027 Water Development Plan. Members asked detailed questions about NAWS funding sources, remaining project costs, capacity concerns for All Seasons and other users, and whether current construction is being designed for future demand. The department said NAWS remains on track for substantial completion by October, that remaining NAWS funding will come from a mix of federal, state, and local sources, and that current construction is designed for ultimate capacity while some future components will be adjusted for increased demand. A large portion of the meeting was devoted to the department’s cash management, Resources Trust Fund revenues, carryover balances, and the State Water Commission’s cost-share program. The department reported $340.6 million in carryover remaining, explained that much of it is already obligated to long-term projects, and noted that oil price forecasts and stripper-well exemptions will affect future revenues. Members raised concerns about large carryovers, affordability for local sponsors, and whether the state should continue obligating money multiple bienniums ahead. The department said it is working with the commission on a revised prioritization framework, including high/moderate/low project categories and a two-tier pre-construction/construction approach, to better manage obligations and affordability. The committee also reviewed Deloitte’s finalized studies on regional governance/finance and cost-share policy. Deloitte presented options for Southwest, NAWS, and Red River governance, with stakeholders generally favoring keeping NAWS largely as is, using the current Southwest model with improvements, and pursuing a more structured governance option for Red River. On cost share, the department said Deloitte’s recommended package would cover projected needs through the 2030s, but would require policy changes such as lower percentages for some project types, a 25% replacement-project rate with a cap, and possible bonding or delayed reimbursement strategies. No votes were taken on these policy questions, and the chair indicated the committee would continue the discussion at future basin meetings and the September Water Topics meeting.

Transcript Highlights:

• The statute further states that this is accomplished by completing an expenditure analysis and resource
• , and district-level resources.
• Our second matrix category is school-level resources.
• This section will include spending on both matrix resources and non-matrix resources for the total amounts
• and 5% went to non-matrix resources.

Summary: The House/Joint Education committee continued its adequacy study with a Bureau of Legislative Research presentation on resource allocation, focusing first on matrix spending and then non-matrix spending. Staff explained the methodology for mapping APSCN expenditure data to matrix lines, reviewed district and school categories used in the analysis, and highlighted key findings: foundation funding covered a large share of matrix costs but total spending on matrix items exceeded foundation funding, with classroom teachers making up the largest share. Members asked for additional breakdowns on waivers, superintendent survey responses, trend data, and spending by district type, size, and rural/urban status. Staff also noted limitations in tracking two matrix lines—salary enhancement for other employees and all personnel health insurance—because of coding and definition issues. The committee then reviewed non-matrix expenditures, including instructional aides, facilities, school safety, mental health, dyslexia services, gifted and talented, and career and technical education. Staff reported that non-matrix spending remained above $2 billion over the last three years, with most of it coming from other funds rather than foundation funding. Members raised concerns about dyslexia identification and funding, mental health needs, school safety, food service, athletic transportation, and whether some items should be added to the matrix. The Department of Education clarified that the building fund reflects district-held funds for construction and maintenance projects, while the facilities partnership program is a separate state process for approved projects. In the final discussion, staff summarized total spending as more than $15,800 per student in 2025, with about 69% going to matrix resources and 31% to non-matrix resources. The chair explained the adequacy process and the committee’s role in setting future funding recommendations, and members discussed the recommendations worksheet included in the binder. The chair then proposed postponing the remainder of Part Two of the presentation until a May meeting after the fiscal session, along with inviting the Department of Education back for more detailed questions; with no objections, the committee adjourned.

Transcript Highlights:

• Again, this is a fairly complex analysis.
• Again, this is a fairly complex analysis. of losing the mobile home ownership units.
• they do a cost-benefit analysis, right, before they close.
• I accept the committee amendments outlined on page 7 of the analysis.
• I accept the committee amendments outlined on page 7 of the analysis.

Summary: The committee heard several housing-related bills, beginning with SB 1003, which would create pro-housing enhanced infrastructure financing districts to help local governments fund infrastructure needed for housing developments. The author and supporters argued that infrastructure costs often prevent projects from penciling out, while the chair expressed support and said the bill would be taken up later when quorum was available. SB 1014 followed, proposing new disclosure requirements for local jurisdictions to provide good-faith estimates of on-site and off-site improvements within 30 days of application, with supporters saying it would reduce late surprises and opposition from several cities citing implementation concerns with the 30-day timelines. The committee then took up SB 802, a Sacramento-region bill requiring a joint powers authority to coordinate housing and homelessness services. Senator Ashby and former Mayor Darrell Steinberg argued that Sacramento’s fragmented system has failed for years and that a JPA would improve accountability, coordination, and use of state funds. The bill drew broad support from local officials, service providers, business groups, and advocates, while some county and city representatives registered opposition or neutral concerns about state-mandated local governance. Several committee members said they were persuaded by the need for regional coordination, though some raised concerns about local control; the chair noted the bill would be moved when quorum allowed. The committee also heard SB 1092 and SB 1093, both focused on mobile home park residents after disasters or park sales. SB 1092 would give residents a right of first opportunity to match a sale offer for a park, with supporters saying it protects vulnerable seniors and preserves affordable housing, while park owners and their representatives argued it would devalue property and raise constitutional and financing concerns. SB 1093 would require more transparent communication, access to property, and consideration of rebuilding or closure after a disaster; supporters cited the long uncertainty faced by Palisades residents, while opponents warned about liability, safety, and burdensome review requirements. Members split along similar lines, with some emphasizing property rights and market impacts and others stressing the need to protect residents and preserve scarce affordable housing.

Transcript Highlights:

• Those are what we call indirect impacts for economic impact analysis.
• In 1965, following the passage of the federal Water Resources Research Act, the North Dakota Water Resources
• The North Dakota Department of Water Resources.
• So the question would be: do data centers really threaten the water resources?
• But this is where we start engaging more partners and resources.

Summary: The committee met in Fargo and approved the minutes from the March 31 meeting before hearing a series of informational presentations focused on North Dakota agriculture, water, and research. NDSU President David Cook opened with remarks about NDSU’s land-grant mission, emphasizing statewide service through research, teaching, and extension, and highlighting examples such as the Lilac Agriculture startup and the university’s role in applying research to real-world problems. He said he intends to spend time listening across the state to better understand local needs. The committee then received a detailed presentation on a state irrigation and drainage study from Tom Bodine on behalf of Agriculture Commissioner Doug Goehring. The study projected significant potential for expanded irrigation acreage, especially in counties such as McLean, Williams, Sargent, Burleigh, Mountrail, McKenzie, McIntosh, Dunn, and Bottineau, and estimated major economic gains from irrigation, including higher farm returns and support for value-added agriculture. Members discussed water permits, surface water versus aquifers, infrastructure, drought resilience, and the role of legal drains in improving productivity and generating economic activity. The presenters also noted that the full report is available online. Dr. Greg Lardy followed with NDSU’s required interim report, outlining the university’s agricultural research and extension system, including the State Board of Agricultural Research and Education, seven research-extension centers, and the economic importance of agriculture to the state. He highlighted recent research impacts such as new crop varieties, potato breeding successes, virtual fencing, AI-assisted weed control, weather-network tools, and 4-H programming. He also described NDSU’s budget priorities: restoring the governor’s proposed 10% cuts, additional operating support, and deferred maintenance funding. Committee members asked about the new agricultural field lab, storage sheds, and NDSU’s partnership with Grand Farm. The committee also heard from the North Dakota Water Resources Research Institute and a professor presenting water-related research, including data center cooling, water reuse, smart irrigation, and a feasibility study on co-locating data centers with greenhouse and aquaculture production. Members asked about water use, ownership, and whether the concepts were operational or still speculative. Finally, North Dakota AgTech presented its NSF-funded innovation engine work, describing startup commercialization, on-farm trials, workforce development, and partnerships with NDSU, UND, tribal colleges, and other land-grant institutions. No formal votes were taken beyond approval of the prior meeting minutes.

Transcript Highlights:

• originally was, again, two sessions ago, but this last session refined it to be a business case analysis
• And so the State Energy Research Center and the ERC are working on that business case analysis.
• The Bank of North Dakota, the Department of Mineral Resources, the Housing Finance Agency, the Public
• It's all part of the analysis. And part of it would be the cost of the different.
• And then the $500,000 was for the Department of Mineral Resources Geological Survey.

Keywords: 908, all

Summary: The committee received a compliance and status update on Industrial Commission programs and the Bank of North Dakota. Staff reviewed appropriations and spending for several Industrial Commission funds and grant programs, including lignite research, oil and gas research, clean sustainable energy, grid resiliency, salt cavern analysis, and the new NDSU research and technology park grant. Members discussed the timing of reimbursements, uncommitted balances, and the structure of the pipeline capacity and enhanced oil recovery funding. The Industrial Commission also reported on its administrative budget, grant management system project, and recent leadership transitions across several agencies. Karen Tyler of the Industrial Commission described active grant rounds and the status of major projects. She said the Clean Sustainable Energy Authority approved three projects in its sixth round, with remaining uncommitted cash and loan capacity still available, though no new funding was appropriated this session. She also said the Oil and Gas Research Council approved six enhanced oil recovery projects and expects additional funding after a federal Department of Energy award replaces one project’s state funding. For grid resiliency grants, she said some projects have been funded, some commitments were returned or reallocated, and some DOE funds remain pending. She also updated the committee on the salt cavern business case study, which replaced an earlier larger development proposal, and on the NDSU research park grant, where the nonmatching portion was paid and the matching portion has moved slowly because the match must be in cash. Ron Ness then gave an extended presentation on enhanced oil recovery and North Dakota oil and gas trends. He said production remains steady, but future growth depends on infrastructure, especially gas takeaway and projects like the Bakken East pipeline. He argued that enhanced oil recovery using CO2, natural gas, surfactants, and other methods could extend Bakken production for decades, but that the state needs more CO2 supply, better storage, and updated tax and regulatory incentives. Members asked about lateral lengths, CO2 availability, pipeline impacts, and the role of the Strategic Petroleum Reserve, and Ness emphasized that the projects are intended to share technical learning across operators and attract follow-on investment. The Bank of North Dakota then presented its compliance report and strategic update. President Don Morgan said the bank’s mission remains to support North Dakota agriculture, commerce, and industry while cooperating with the state’s financial sector. He reviewed the bank’s main business lines: participation lending with community institutions, student loans, disaster lending, mission-based programs, and a new fintech-focused effort. Morgan said deposits are flattening, so the bank is managing balance sheet growth carefully, while still reporting improved net income and strong efficiency. He also introduced Rough Rider Coin as a bank-to-bank payment rail, not a public cryptocurrency, intended to speed and modernize payments within North Dakota’s banking and credit union system. Committee members asked about student loan eligibility, disaster program use, and how credit lines and liquidity would be affected if deposits shrink.

Transcript Highlights:

• And then the analysis is done on the data that's been entered.
• at the real live, real time... ...do an analysis based on that.
• So if we can be a resource for that, please let us know.
• But, you know, we're going to proceed with our cost analysis this and our. grant.
• we're going to proceed with our cost analysis and our market rate survey.

Summary: The Early Childhood Committee met to receive an update from the Office of Early Childhood on Arkansas child care and early learning programs. Committee members discussed the state’s child care crisis, including reported economic losses from lack of access, the need to track access, affordability, workforce shortages, rural and infant/toddler care gaps, and the role of local leads in identifying needs across the state. The committee also approved the February 17 minutes. Office of Early Childhood staff explained their responsibilities under the LEARNS Act, including kindergarten readiness, provider quality, and access to affordable seats. They reviewed licensing, quality efforts, and the two main funding streams: School Readiness Assistance (SRA), a federally funded voucher program serving about 14,600 children with a wait list of more than 3,000, and Arkansas Better Chance (ABC), a state-funded program serving about 23,000 children, with approval to increase to 24,000 slots. Members asked about the difference between market rate surveys and cost analyses, and staff said the office is procuring both, with results expected by the end of the year. Several members raised concerns about funding levels, especially that ABC reimbursement has not kept pace with K-12 funding increases and that child care reimbursement remains below the true cost of care. Staff said ABC requires certified teachers and lower ratios than SRA, but pays less, and that some federal pre-K slots were moved into ABC to preserve continuity of care. They also explained that SRA eligibility changes, including a higher work requirement and ending a child care worker eligibility category, were made to reduce spending and serve families on the wait list. The committee discussed communication with providers and parents, technical assistance for centers, and possible future legislative action to stabilize providers and expand access, but no votes or formal actions were taken beyond approving the minutes and adjournment.

Transcript Highlights:

• And just to piggyback off of the committee's wonderful analysis where you pointed out that these resources
• And just to piggyback off of the committee's wonderful analysis where you pointed out that these resources
• to historically under-resourced communities.
• So we are trying to give ourselves, the regional centers, a ramp to develop resources, resources that
• So we are trying to give ourselves, the regional centers, a ramp to develop resources, resources that

Keywords: 987, senate, all

Summary: The hearing opened with Department of Finance and Legislative Analyst’s Office remarks on the May Revision, which both described efforts to reduce large out-year operating deficits through a mix of revenue increases, spending reductions, and reserve use. Finance said the May Revision more than halves projected deficits in later years, while LAO stressed that revenues are at unprecedented levels yet the state still faces a significant structural deficit and is drawing down reserves; LAO urged maintaining at least the administration’s level of budget solutions and adding to reserves rather than new ongoing commitments. The chair echoed concern about cuts to vulnerable populations and noted the tension between service reductions and requests for additional administrative positions. The committee then heard a series of California Health and Human Services and HCAI proposals, including additional legal support for CalHHS to respond to federal HR1 changes; a net-zero transfer of positions for a centralized eligibility/data-sharing platform; 988 crisis line implementation funding and continued work with the Trevor Project to train crisis centers to better serve LGBTQ youth; EMS data system maintenance funding; HCAI implementation of AB 1312 hospital charity care screening; SB 660 data exchange framework funding; CalRx biosimilar insulin reappropriation; and a diaper access initiative that would provide free diapers to newborns in participating hospitals and support a future direct-to-consumer purchasing option. Members questioned the diaper program’s universal design, the use of a Public Contract Code exemption, and the selection of Baby2Baby, with the chair expressing concern about optics and the lack of an income threshold. The committee also discussed distressed hospital funding, with HCAI requesting up to $50 million for another round of grants to hospitals in immediate financial distress. HCAI said it receives annual and quarterly financial reports but the data lag limits real-time monitoring, and the LAO recommended stronger program parameters and turnaround plans. Members argued the repeated need for distressed hospital aid reflects a structural problem, not a short-term gap, and raised broader concerns about hospital reimbursement and patient flow. Other items included reverting $19.6 million in unused opioid settlement funds from HCAI to DHCS for General Fund offset, and a Rural Health Transformation Program request to increase HCAI spending authority to cover the full federal award. Later, DMHC presented funding requests to implement PBM licensing and financial review requirements under AB 116, modernize the managed care complaint system, and build an electronic claims settlement data system under AB 3275. The final major discussion focused on the Behavioral Health Services Oversight and Accountability Commission, which opposed the May Revision’s proposed reduction of its Innovation Partnership Fund from $20 million to $10 million and a $6.7 million cut to community advocacy grants. The Commission argued these programs are core to Proposition 1’s goals of statewide innovation and community accountability, while Finance said the proposal is consistent with Proposition 1’s maximum funding levels and reflects a broader effort to prioritize direct services and use unspent prior-year funds; members pressed for more information and questioned whether the cuts would undermine the new behavioral health framework.

Transcript Highlights:

• So I have some of their own resources.
• They need outside resources to figure it out.
• <01:22:47.920> fund establishing a regulatory analysis fund establishing a regulatory analysis
• analysis is very difficult. analysis is very difficult.
• order a uh economic analysis of a rule. order a uh economic analysis of a rule.

Keywords: 1189, house, all

Transcript Highlights:

• Awareness of the resources available to them is crucial.
• I'll move on to our Aging and Disability Resource Center.
• They are a wealth of knowledge and have a number of resources available.
• So that's an important dimension of such analysis. Next slide, please.
• Professors, under the title of OSI data analysis will inform policy solutions.

Transcript Highlights:

• So the three main things it does is the cost-benefit analysis, not only requiring a cost-benefit analysis
• also retrospectively to see how is the reality of that implementation, what is that cost-benefit analysis
• It saves resources and otherwise protracted litigation. Representative Connerley: Just one more.
• It saves resources and otherwise protracted litigation. Just one more. Yes, sir. Yeah. Thank you.
• Is there any sort of staff analysis, or not bills proposals, is there any sort of staff analysis for

Summary: The Joint Administrative Procedures Committee heard a presentation from Representative Esposito on a proposal to strengthen oversight of agency rulemaking under Chapter 120. The bill would require cost-benefit analysis at the front end and after implementation, create an eight-year sunset and review process for rules, and require express legislative authority for agency rulemaking. Members questioned the lack of concrete examples of burdensome rules, the effect on already slow rulemaking, the choice of an eight-year sunset, and the bill’s origin; Esposito said she was working with stakeholders and cited her chamber-of-commerce background and research with the Cicero Institute. No vote was taken on the bill itself. Staff then reported on legislatively mandated rulemaking from 2023 and 2024, noting that most required rules had been adopted, proposed, noticed, or scheduled, with a few agencies still outstanding. The Department of Financial Services explained a delayed notice of rule development for the MySafe Florida Home condominium pilot program as an oversight that has since been corrected, and the Department of Education said it did not proceed with rulemaking for the Fostering Prosperity grants because the program received no funding in the 2025 budget. The Department of Health described delayed rulemaking for the sickle cell disease and trait registry, saying the registry and opt-out forms were being implemented and that notices of rule development had now been filed. Members pressed the department on why rules took so long and discussed the need for statutory deadlines. The Department of Children and Families reported on two 2023 human-trafficking-related rules: signage requirements for residential treatment facilities and children’s safe homes, and a new certification process for adult safe homes. DCF said the signage rule is now moving forward and the adult safe home certification rule has been submitted for final review after workshops and stakeholder feedback. Senators questioned the lengthy timeline and the lack of oversight during the interim, while the chair emphasized the need for time-certain deadlines in legislation and for JAPAC oversight hearings. The committee also considered staff-proposed amendments to Chapter 120 addressing emergency rules pending legislative ratification and the process for initiating ratification, including a one-year limit and notice to JAPAC. After discussion, the committee voted to forward the proposed amendments to the Senate President and House Speaker. Finally, members discussed a proposed amendment to the administrative law judge appointment and retention process under Section 120.65. DOAH’s interim director opposed the change, saying ALJs and workers’ compensation judges have different functions and warning against shifting appointment power to cabinet officers whose agencies appear before DOAH. Members raised concerns about timeliness, consistency, and accountability in DOAH decisions. The committee voted to forward this proposal as well, with Senator Smith voting no on that motion.

Transcript Highlights:

• through regulatory actions, including co-management of water resources.
• The board is the primary... ...regulatory functions of the state for water resources.
• Chair, for your excellent analysis of this bill.
• That way, it does give them a resource.
• The State Water Resources Board is... I'm making it here. I just go ahead, yes.

Summary: The committee heard a series of environmental safety and toxic materials measures, with several bills moving forward on unanimous or near-unanimous votes to Appropriations. Early in the meeting, the consent calendar was approved, including AB 372, AB 455, AB 1096, AB 1102, and AB 754. AB 362 by Assembly Member Ramos, which would recognize tribal beneficial uses of water and strengthen consultation and protection for tribal water uses, drew strong support from tribes and environmental groups. Water agencies and local government representatives opposed unless amended, raising concerns about CEQA requirements, co-management language, and conflicts with existing water law. The bill advanced to Appropriations, with some members voting aye and others not voting or absent. AB 728 by Assembly Member Lee would require age verification for the sale of certain anti-aging skin care products to minors. The author and a youth witness described social media-driven use of adult skin products by children and alleged skin damage, while supporters argued age checks are a reasonable consumer protection. Dermatologists and retailers opposed the bill, saying it could restrict legitimate acne and other medical uses of over-the-counter products, create compliance problems, and lacked a clear scientific basis. The committee discussed possible ambiguity in the bill’s definition of anti-aging products, but the measure still passed to Appropriations. AB 532 on low-income water rate assistance, AB 773 on copper-based anti-fouling paint, AB 998 on household hazardous waste disposal of vape pens, AB 1031 on geothermal hazardous waste fees, and AB 864 on solar panel hazardous waste and recycling all received strong support and advanced to Appropriations. Supporters for AB 532 emphasized water affordability and local program authority; AB 773 supporters said conflicting state water and pesticide rules are creating confusion for harbors and cities; AB 998 was presented as a practical way to let schools and local facilities dispose of confiscated vape devices safely; AB 1031 was framed as reducing DTSC fee burdens on geothermal development in Imperial County; and AB 864 would ease recycling and reuse of end-of-life solar panels. The committee also began hearing AB 1264 on ultra-processed foods in school meals, with the author and supporters arguing it would phase out the most harmful ultra-processed foods from school meals by 2032, but the transcript cuts off before the full discussion and any action on that bill.

Transcript Highlights:

• Again, the agency must approve so we have to receive resources in the community.
• We were also required under Section 29 for an analysis of potentially preventable health care events
• And so we reviewed, in a desk-audit fashion, some of the certificates of analysis, the data packages
• And so we reviewed in a desk audit fashion some of the certificates of analysis, the data package is
• So there's the labeling and there's also the certificate of analysis tied to each batch.

Summary: The Senate Health Policy Committee received updates from the Agency for Health Care Administration and the Department of Health on implementation of 2024 health care laws. AHCA reviewed progress on workforce and reimbursement measures in Senate Bill 7016 and related bills, including FRAME and TEACH funding, graduate medical education reporting, behavioral health teaching hospitals, acute hospital care at home, advanced birth centers, non-emergent care access plans, and rural emergency hospitals. Agency officials said several programs are already operational or have begun payments, while others are still in rulemaking, federal approval, or report-preparation stages. Senators asked about timing, funding reversion concerns, and whether appropriated dollars would be spent on schedule, especially for behavioral health teaching hospitals and the new birth center category. The Department of Health then reported on practitioner licensure and public health programs. MQA described implementation of the Interstate Medical Licensure Compact, the Mobile Act licensure pathway, massage therapy enforcement changes, background screening expansion, liposuction safety requirements, pharmacist HIV post-exposure prophylaxis authority, and chiropractic dry needling. Public health staff updated the committee on FRAME and dental loan repayment, the Sinati screening grant program, the cancer research and innovation changes, the health care innovation council and loan program, the pediatric rare disease grant program, telehealth maternity care expansion, newborn screening for congenital CMV, the sickle cell registry and grants, and the swimming lesson voucher program. Members focused questions on how practitioners were being recruited to underserved areas, the pace of licensure approvals, and whether new programs were on track to use appropriated funds. The committee also heard a lengthy update from the Office of Medical Marijuana Use. The director reported more than 900,000 qualified patients, real-time seed-to-sale tracking now integrated across most dispensaries and labs, and ongoing compliance work on product testing, advertising, diversion, and patient safety. Senators questioned the decline in qualified physicians, how THC potency is labeled and verified, and what the agency can do about diversion to non-patients. The director said the office relies on complaints, inspections, lab audits, and coordination with law enforcement, and that patients can be suspended if violations are confirmed.

Transcript Highlights:

• But here at New Mexico State, we tap into the resources that they have.
• The groundwater resources available throughout the state.
• New resources.
• Already a tight ship with respect to the existing water resources.
• We then conducted a comprehensive water quality analysis.

Transcript Highlights:

• Texas dedicates more resources to addressing waste, fraud, and abuse in Texas dedicates more resources
• I think it's important that a fiscal analysis, a full fraud, waste and abuse impact analysis should happen
• The first way is cross plan EBV data analysis, right?
• But the analysis isn't enough on its own.
• Some themes here are data, data analysis, and the bones per se.

Summary: The Senate Committee on Health and Human Services convened to discuss interim charges regarding fraud, waste, and abuse in Texas human services, particularly focusing on Medicaid and childcare programs. The meeting highlighted the importance of preventing misuse of taxpayer funds, with testimony from various stakeholders emphasizing the need for increased oversight and accountability in these programs. Key points included the alarming rise in healthcare fraud in other states, the necessity for Texas to enhance its fraud prevention measures, and the potential financial repercussions of failing to meet federal compliance standards. Several committee members expressed concerns about the impact of fraud on vulnerable populations, particularly those relying on Medicaid services. Testimonies from experts underscored the effectiveness of Texas's Office of Inspector General (OIG) in combating fraud, yet pointed out existing vulnerabilities, such as inconsistent enforcement and the need for better data sharing among agencies. The discussion also touched on the challenges faced by hospice care providers, with a significant increase in the number of hospices in Texas raising concerns about quality and oversight. The committee heard from various witnesses, including representatives from health plans and advocacy organizations, who provided insights into the complexities of managing Medicaid and the importance of maintaining program integrity. The meeting concluded with a commitment to further explore legislative solutions to enhance oversight and ensure that resources are directed to those in genuine need.

Transcript Highlights:

• I also wanted to spend some time doing some analysis of what the changes to the secondary factor that
• We wanted to conduct as empirical an analysis of this anecdotal feedback as we could.
• On page eight, you can see the results of that analysis.
• of those costs. initial estimates from our rough analysis of those costs.
• We could do some additional analysis to figure out exactly what those costs might look like.

Transcript Highlights:

• That they have the staff to deploy all these resources?
• This is kind of our first step into doing a behavioral health needs and gaps analysis. Analysis.
• So, some of the findings from the behavioral health needs and gaps analysis.
• , this report is an attempt to do a needs and gaps analysis.
• Go back to page one then, the first cover sheet on the LFC analysis.

Transcript Highlights:

• The staff analysis talks about some constitutional issues with that on page 11.
• The staff analysis talks about some constitutional issues with that on page 11.
• Do you have any concerns about any of this language with that being in the staff analysis?
• And, you know, we'll take that back and review the staff analysis.
• for so many other arrests, but we'll take that back and just double check compared to the staff analysis

Bills: S0042, S0196, S0878, S0902, S0914, S1092, S1168, S1340, S1404, S1414, S1684, S1686

Keywords: child protection, medical records, investigation, abuse, neglect, healthcare, Child Protection Team, diagnosis, uterine fibroids, health database, medical research, personal data protection, women's health, clinical laboratory, licensure, healthcare personnel, technologist, technician, medical marijuana, low-THC cannabis

Summary: The Appropriations Committee on Health and Human Services met to hear and vote on a series of health, human services, and education-related bills, along with a presentation of the committee’s proposed HHS budget. The budget was described as increasing by more than $2.1 billion over the current base, with major funding highlighted for Medicaid and KidCare, rural health, provider rate increases, child welfare, mental health and substance use, opioid treatment, Alzheimer’s initiatives, cancer research, ADAP, veterans’ services, and IT modernization. Public testimony on the budget focused heavily on AIDS Drug Assistance Program funding and concerns about Department of Health changes affecting access, premium assistance, notice, and continuity of care for people living with HIV/AIDS. Among the bills reported favorably were measures on podiatric medicine and tissue-based products (SB 1092), background screening and clearinghouse procedures (SB 1168), child protective investigations involving specific medical diagnoses and second opinions (SB 42), clinical laboratory personnel licensure standards (SB 878), uterine fibroid data tracking and research (SB 196), medical marijuana treatment center oversight and related health provisions (SB 902), dyslexia and dyscalculia screening and intervention in schools (SB 1340), memory care licensure for assisted living facilities (SB 1404), congenital CMV education materials (SB 1414), Parkinson’s disease registry and related public records exemption bills (SB 1684 and SB 1686), and occupational therapy dry needling licensure standards (SB 914). Several bills were amended before passage, including SB 1092, SB 42, SB 902, SB 1684, and SB 1404. Testimony generally came from professional associations, advocacy groups, and affected stakeholders, with support voiced for most measures. The committee adopted amendments on the floor, heard no opposition during debate on the bills described, and then voted to report each measure favorably. At the end of the meeting, senators requested to be recorded in the affirmative on selected bills, and the committee adjourned.