Transcript Highlights:

• Carbon ion is a transformative technology that will treat radio-resistant cancers, aggressive cancers
• This initiative really aims to transform the way cancer care is delivered and to bring cancer care to
• And applying AI is going to actually transform, I think, how we can actually deliver that in a safe way
• So those are really, really transformative things that the state money is actually supporting, right?
• And so that technology was proven to work really great in mice, but that's fine.

Summary: The Health Care Budget Subcommittee held a panel discussion on Florida’s cancer research and funding programs, including the Casey DeSantis Cancer Research Program, the Florida Cancer Innovation Fund, the James and Esther King Biomedical Research Program, the Bankhead-Coley Research Program, and Live Like Bella. Dr. Ladapo and leaders from Moffitt, Sylvester/University of Miami, UF Health, and Mayo Clinic described how state funding has helped Florida’s four NCI-designated cancer centers expand research, recruit faculty, increase clinical trials, and build collaborations. They emphasized that the programs are intended to improve cancer care statewide, support innovation, and encourage more institutions to pursue NCI designation. The Governor’s budget recommendation was noted as including additional funding, and members asked about the cost and requirements of becoming NCI-designated and eventually comprehensive. Panelists said NCI designation requires major infrastructure, compliance, research, and training investments, with de novo development estimated at about $1 billion. They described Florida’s collaborative model as unusual nationally, with annual symposia, shared pilot funding, and joint projects across the four centers. Members also asked about rural access, home-based care, and recruitment/retention. Mayo described its “Cancer Care Beyond Walls” home-treatment model and said it could expand to rural counties within months; Moffitt and UF discussed mobile screening, satellite sites, and affiliations with local hospitals and practices. Several members raised concerns about workforce shortages, licensure delays, and the need to reach underserved areas. The discussion also covered outcomes, data reporting, and the broader economic impact of the cancer centers. Panelists cited growth in jobs, federal research funding, and clinical trial enrollment, and highlighted advances in immunotherapy, CAR-T, TIL therapy, carbon ion therapy, AI-driven screening, and the firefighter cancer initiative. They said the Florida Cancer Data System is being expanded to track recurrence and quality-of-life measures. Members also asked about philanthropy, medical tourism, and federal funding risks, including possible indirect cost reductions that could affect research budgets. The meeting ended with general support for continued investment, while some members noted an ongoing policy debate over whether future cancer research dollars should be concentrated in the four NCI centers or spread more broadly across the state.

Transcript Highlights:

• And while it's important, we recognize... ...science, technology, sports, and academia.
• Casey Young is the Executive Director of Stanislaus Regional 911, where she has led transformational
• June Natar serves as vice chairwoman of the Tejon Indian Tribe, where she has secured transformative
• Alicia Jackson, a lifelong South Los Angeles resident and mother, is a transformative leader advancing
• Julie Dusharm is a transformational leader, educator, and founder and CEO of Lead and Empower Her She

Keywords: 988, house, all

Transcript Highlights:

• but you have to be a... ...technology that a company is developing.
• Those are known technologies.
• We need to transform our thinking.
• So that's how nuclear energy is transforming right now.
• What technology needs to be in place to operate them?

Keywords: 908, all

Transcript Highlights:

• </c><00:17:19.079><c> or</c> Care uh technology or Care uh technology or whatever<00:17:20.880><c> to
• </c><00:20:02.200><c> moving</c> adoption of these Technologies moving adoption of these Technologies
• is that as it as new technology is that as it as new technologies<00:26:28.360><c> emerge</c><00:26:
• However, history has shown that technology-driven job transformations most often lead to the creation
• However, history has shown that technology-driven job transformations most often lead to the creation

Keywords: 1187, senate, all

Transcript Highlights:

• Because a department only introduces new technology maybe every 20 years.
• Because a department only introduces new technology maybe every 20 years.
• The first is the Transformative Climate Communities Program.
• Yes, and this is just through the Transformative Climate Communities Program.
• Hi, my name is Tara Adari, and I'm the Director of Technology at Women for Wolves.

Summary: The meeting began with a lengthy opening discussion with Secretary Karen Ross of the Department of Food and Agriculture, who reviewed the department’s proposed budget, emphasized California agriculture’s record output, and highlighted major priorities including climate-smart agriculture, groundwater management, local food systems, farm-to-school, food hubs, invasive pest prevention, bird flu response, and food safety. She also warned about federal budget cuts, especially at USDA and FDA, and discussed market access challenges abroad, rising input costs, labor shortages, and the need for automation and workforce training. Members raised questions about the future of Farm to School, the California Nutrition Incentive Program/Market Match, local food procurement, and how to better connect farmers to schools, food banks, and food hubs; Ross said the department had strong evidence the program benefits small farms and Title I schools and noted continued interest in building out local food infrastructure. The committee then took up item one on eliminating vacant positions at the Departments of Fish and Wildlife, Parks and Recreation, and Food and Agriculture. The Legislative Analyst’s Office explained that the Governor proposed eliminating 6,000 vacant positions statewide, with the Joint Legislative Budget Committee previously rejecting 650 of them, including 174 in these three departments. LAO and Finance said the vacancies represented a source of budget flexibility, but warned that eliminating them could create program impacts; LAO recommended retaining the special-funded positions at Fish and Wildlife and Food and Agriculture, while weighing the General Fund positions against other priorities. Finance argued the reductions were part of a broader budget-resiliency exercise and that departments could reclassify or shift vacancies to higher priorities. Members focused heavily on the practical impacts of the cuts. Assemblymember Petrie-Norris argued that Fish and Wildlife staffing shortages were already slowing permits needed for housing, clean energy, water, and transportation projects, and questioned the value of saving relatively small amounts of money. Fish and Wildlife officials said the department had prioritized mission-critical work and could still meet permitting obligations, but acknowledged limited-term staffing constraints. State Parks said the proposed ranger and maintenance cuts would not have immediate effects but could slow maintenance and eventually worsen deferred maintenance. Food and Agriculture said some of the eliminated positions supported early pest detection and eradication, but that the department believed it could still meet its mandate and reclassify positions if needed. The chair and several members signaled concern about the Fish and Wildlife and Parks cuts, while also noting the broader need for budget reductions. The committee then moved to item six, hearing an overview from the Governor’s Office of Land Use and Climate Innovation. Staff described the office’s role in CEQA implementation and said the budget requests were baseline funding to maintain existing functions, including IT services and administrative/legislative support, rather than new programs. The chair asked the presenters to move quickly through background material so the committee could get to questions, and the item began with no votes taken during the meeting.

Transcript Highlights:

• He's so excited about the future and all that technology.
• Chairman, you asked about technology.
• It truly has been transformational for us.
• I see it—is how many students' lives we are able to help transform.
• I mean, it's crucial to that transformation.

Summary: The Senate Committee on Higher Education met to review interim charges on the Permanent University Fund (PUF), the Available University Fund (AUF), the Higher Education Fund (HEAF), and the Texas University Fund (TUF). Legislative Budget Board staff outlined how each fund works, including PUF’s constitutional role for UT and Texas A&M, HEAF’s capital support for institutions outside those systems, and TUF’s research funding for eligible universities. They also described TUF’s growing corpus and distribution changes, and noted which institutions are nearing eligibility. Committee members asked about distribution formulas, comparisons to other states, and how funds are allocated among system institutions.

Transcript Highlights:

• This is the kind of transformation.
• Health Transformation Fund grant.
• Arizona received $167 million in... transformation.
• Why do we have a rural health transformation fund?
• Why do we have a rural health transformation fund?

Summary: The committee began with a presentation from the Alzheimer’s Association Desert Southwest Chapter and Dr. Anna Burke of Barrow Neurological Institute on the growing impact of Alzheimer’s and dementia in Arizona, the need for earlier diagnosis, better provider education, caregiver support, and continued research funding. They described current gaps in training and access to specialists, but also highlighted new therapies, lifestyle interventions, and Arizona-based research efforts. Members expressed support and optimism, but no action was taken on the presentation. The committee then heard HB 2202, which appropriates $300,000 from the general fund over fiscal years 2027 through 2029 for a dementia care tele-mentoring grant program through the Department of Health Services. Supporters, including the Alzheimer’s Association, a dementia specialist, and a patient advocate, said the program would help primary care providers diagnose dementia earlier and improve care. The bill was passed out of committee on an 11-0 vote. Next, the committee took up HB 2251, the midwifery bill, which would authorize certain licensed midwives to dispense and administer specified medications and devices, require liability insurance disclosure and annual reporting, and create a Midwifery Advisory Committee. A committee amendment removed some medications and renamed the bill the Jordan and MacTerry Act. ACOG and the Arizona Osteopathic Medical Association opposed the bill as drafted, citing concerns about oversight, peer review, and the medication list, while licensed midwives and other supporters argued the bill would improve safety, transparency, and alignment with national standards. The bill was held for further stakeholder work, with members indicating more amendments were likely. The committee then heard HB 2252, which would allow certified nurse midwives, certified professional midwives, or licensed midwives to accompany a patient in a ground ambulance during an out-of-hospital birth if approved by medical direction. Supporters described cases where continued midwife involvement during transport helped newborns and mothers, while firefighters and EMS representatives opposed the bill as written, saying it created ambiguity about command and scene control and could raise safety concerns. The chair said the bill would be held for further stakeholder meetings and possible language changes. After a recess, the committee reconvened for presentations on federal Medicaid and rural health funding impacts, beginning with JLBC’s overview of H.R. 1’s Medicaid provisions and the rural health transformation grant program.

Transcript Highlights:

• All right, members, we will begin with Senate Bill 313, which is an act relating to transforming Vermont's
• An act relating to transforming Vermont's career technical education system. >> Member from Coventry.
• </c> An act relating to transforming An act relating to transforming Vermont's<00:02:23.640><c> career
• </c><00:03:03.680><c> Committee</c><00:03:04.120><c> was</c> Energy and Technology Committee was Energy
• and Technology Committee was instituted. instituted. instituted.

Keywords: 926, house, all

Transcript Highlights:

• And finally, Minute may have less capacity to continue advancing the transformative leadership goals
• of the Technology Advisory Council.
• of the Technology Advisory Council.
• of the Technology Advisory Council.
• of the Technology Advisory Council.

Bills: HF2783

Keywords: state government finance, biennial budget, appropriations, Minnesota Management and Budget, Healthy Aging Subcabinet, Office of Healthy Aging, older adults, aging policy, long-term care, caregivers, public health, Medicaid fraud, medical assistance fraud, attorney general subpoena power, fraud enforcement, business filing fraud, Secretary of State, deceptive mailings, consumer protection, certified public accountant

Transcript Highlights:

• </c><00:10:32.959><c> who</c> we think about health transformation who we think about health transformation
• It's really about trying to transform some of the system that we have.
• It's really about trying to transform some of the system that we have.
• </c><01:04:12.799><c> advances</c> in learning how technological advances in learning how technological
• </c> transformative change in New Hampshire. transformative change in New Hampshire.

Keywords: 928, house, all

Summary: The committee first approved the draft minutes of its May 16, 2025 meeting, with one correction removing Representative Dry from the attendance list because she was present as a guest rather than an appointed member. The committee then received a Department of Health and Human Services update from Commissioner Lori Weaver, who focused on the rural health transformation grant process. She said the department has been gathering stakeholder input since July, issued a request for information on September 22, and is working toward an end-of-October draft and a November 3 deadline, with a grant writer request expected to go before Governor and Council at no cost to the state. The bulk of the meeting centered on federal changes affecting SNAP and Medicaid. Karen Heert explained that the federal law changes commonly referred to as the “Big Beautiful Bill” or HR1 will affect SNAP eligibility and state costs, including a shift in administrative cost sharing from 50/50 to 75/25 beginning in October 2026 and a possible state share of benefits if New Hampshire’s error rate is too high. She said the program affects about 43,000 households, that New Hampshire’s federal fiscal year 2024 error rate was 7.57% versus a national rate of 10.93%, and that the state must get below 6% to avoid liability. She also said DHS is preparing remediation steps, auditing cases, and seeking technology and staffing support, including a grant for automation and training. Henry Litman then described Medicaid changes under HB2 and the new federal law. He said New Hampshire returned to pre-pandemic eligibility verification rules on July 1, including a 10% income compatibility standard and reduced ex parte renewals, which has increased manual work and contributed to a drop in enrollment from about 185,000 in late June to about 178,000 in early September. He also reviewed new child premiums, pharmacy copays, Granite Advantage premiums, and possible Medicaid work requirements, noting that DHS is working with CMS on implementation details and may use a state plan option rather than an 1115 waiver because it would be less expensive and faster. Members asked several questions about the SNAP error-rate rules, the distinction between administrative and client errors, the effect of unpaid copays, and the timing and legal risk of the Medicaid work requirement; no votes were taken on those policy issues.

Transcript Highlights:

• Um, moving a transformation plan.
• What they said was this is about transformation.
• What are there transformation project.
• Uh there health transformation? Correct.
• Fourth, to think about technology.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:01 Department for Public Health Budget Request 00:01:46 Department for Community Based Services Budget Request 00:31:58 Certified Community Behavioral Health Clinics (CCBHC) 00:57:13, 958, all

Summary: The committee first approved the minutes, then heard a lengthy presentation from the Department for Public Health on Kentucky’s rural health transformation plan and related budget questions. Commissioner John Langfeld said the state received a $212.9 million federal award, one of the larger awards nationally, and outlined five focus areas: maternal and infant health, integrated EMS/trauma response, behavioral health and substance use disorder, oral health, and chronic disease prevention with an emphasis on obesity and diabetes. He stressed that the effort is intended to be integrated, data-driven, and sustainable, and that the federal funds cannot be used for new construction, clinician salaries, research and development, EHR replacement, or to pay for currently billable services. He also said the program carries accountability requirements and that funds can be clawed back if milestones are not met. Members pressed for clarification on duplication with other budget requests, sustainability after the five-year funding period, and how success would be measured. Langfeld said he was not aware of any duplicate funding with the department’s additional budget requests and said the rural health funds were separate from those requests. He also said the program will be tracked through specific metrics and timelines, using both execution measures and outcome measures such as readmissions, with more rapid-cycle feedback to allow course correction. Representative Fleming raised concerns about possible overlap with navigator funding and asked for more detail on the budget breakdown; Langfeld said a detailed line-item budget had been prepared but was still awaiting final CMS approval before release, and that he would explore sharing more information once restrictions were lifted. The committee then heard from the Kentucky State Public Health Laboratory about a request for a new central lab expansion. The presenter described the current 35-year-old facility as outdated and constrained by aging infrastructure, obsolete equipment, deferred maintenance, and inadequate space, and said the lab performs critical work with no in-state alternative for many services, including newborn screening, select-agent and biosafety level 3 testing, animal necropsy for rabies, genetic sequencing, environmental and food safety testing, and response to emerging infectious diseases. The project is already in design phase C, expected to finish in mid-April, with construction funding sought at roughly $276 million on top of about $35 million already approved for design. Members asked about long-term operating costs, backup arrangements, and whether the current facility would remain in use; the presenter said the current lab would continue to be used by the department while other divisions move into vacated space, and that the lab has mutual-aid agreements with the Southeast Consortium and universities for contingency support. Finally, the Department for Community Based Services began its budget presentation on SNAP and relative caregiver issues. Commissioner Lisa Dennis and budget director Misty Sammons identified the governor’s recommended budget items tied to new federal requirements under HR1, including changes affecting payment error rates. The discussion was just beginning when the transcript ended.

Transcript Highlights:

• , defense technology, and so much more.
• technology, and so much more.
• We're talking about organs on a chip for drug discovery, transformational technologies for energy storage
• Innovation isn't just about technology; it's about people.
• Innovation isn't just about technology; it's about people.

Keywords: 995, all

Summary: The committee on Economic Development held a hearing on the DRIVE Act, a proposal to invest $400 million in Massachusetts research and innovation without new taxes. Governor Healey and administration officials said the bill would direct $200 million to public higher education research and regional partnerships and $200 million to a research funding pool for hospitals, universities, and other institutions, with the goal of retaining talent, leveraging private and philanthropic dollars, and offsetting major federal R&D cuts. They argued that research is a core economic engine for the state, supporting jobs across labs, construction, services, and surrounding businesses, and said the bill would help protect the Commonwealth’s tax base and competitiveness during a period of federal uncertainty and cuts to SNAP, Medicaid, and other programs. Committee members raised concerns about whether Fair Share surtax dollars should instead be used for K-12 and other community needs, whether the proposal is enough given the scale of lost federal grants, and how the money would be allocated. The governor responded that the funds are one-time surplus dollars, that most surtax revenue already supports education, and that the bill is meant as a bridge to stabilize public higher education and research. She also said the legislation includes a review board and could support a revolving or matched-fund approach in some cases. Several members pressed for more detail on selection criteria, future funding, and whether private companies and large endowments should contribute more. University of Massachusetts leaders and researchers testified that federal grant cancellations and delays are already causing layoffs, furloughs, rescinded admissions, and lost research capacity. UMass officials said the bill would help preserve faculty, postdocs, graduate students, and research programs in medicine, climate science, marine science, Braille instruction, and AI decision-making. They emphasized that the funding should be merit-based and that the state needs to act quickly to prevent talent from leaving Massachusetts. Business, labor, and industry groups, including MassBio, the Massachusetts Taxpayers Foundation, AIM, the AFL-CIO, and Building Trades, supported the bill, saying it would protect jobs, sustain the innovation ecosystem, and reinforce Massachusetts’ national leadership in research and life sciences. No vote was taken in the hearing.

Transcript Highlights:

• Fatinas is talking about... ...Transformation Grant, some of the tranches of funding that Dr.
• So we're working very hard on working with our technology changes to put those into practice, but also
• So we're working very hard on working with our technology changes to put those into practice, but also
• I think that covers most of the elements of the HR1, and I think there is a big piece of the technology
• I have the pleasure of serving as the chief technology information officer for the Department of Social

Summary: The Ways and Means Committee held a work session to review how H.R. 1 (the One Big Beautiful Bill Act) could affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on implementation challenges, fiscal impacts, and likely coverage losses. Staff and agency officials explained Washington’s Medicaid financing structure, eligibility categories, caseload trends, and the role of the Health Care Authority and DSHS in administering Apple Health and related services. They also described how Medicaid expansion increased access to behavioral health services and how H.R. 1’s provisions are expected to affect the expansion population most directly. Health Care Authority and DSHS officials outlined several major H.R. 1 changes: new work and community engagement requirements for the Medicaid expansion population, six-month redeterminations instead of annual renewals, changes to immigrant eligibility, limits on provider taxes and state-directed payments, new cost-sharing requirements, reduced retroactive coverage, and changes affecting long-term care eligibility. They said Washington is still awaiting federal guidance on many details, but estimated that about 620,000 Apple Health expansion enrollees could be subject to work requirements, that roughly 30,000 immigrants could lose Medicaid eligibility under the new definition of qualified alien, and that some long-term care and developmental disability clients could be indirectly affected. Officials also said the state is working with other agencies to build shared verification systems and may seek a delay waiver, though they do not expect broad federal flexibility. The committee also heard that H.R. 1 immediately blocks Medicaid reimbursement for Planned Parenthood services for one year, with the state planning to backfill about $11 million to preserve access. In addition, officials warned that the law could reduce federal Medicaid revenue by billions over time and strain hospitals and emergency rooms as more people become uninsured. They noted that Washington’s rural health transformation grant application is due November 5 and could bring some funding, but not to offset coverage losses. No votes were taken; the session was informational only. The committee then heard a separate presentation on food assistance, where staff and DSHS described H.R. 1’s SNAP changes, including expanded work requirements, immigrant eligibility restrictions, higher state administrative costs, and a possible future state share of benefit costs tied to payment error rates. DSHS estimated a four-year fiscal impact of about $750 million for food assistance changes and said the state is working on system and policy changes across agencies before the new requirements take effect.

Transcript Highlights:

• , staff, presenters, and all who are watching live from TVW to the Senate Environment, Energy & Technology
• Details on cooling technologies would put data centers at competitive and proprietary risk.
• Our community has been transformed by the coming of data centers for nearly 20...
• Our community has been transformed by the coming of data centers for nearly 20 years.
• and for addressing the environmental challenges posed by the operation of this technology.

Summary: The committee first met in executive session on Senate Bill 5941, which would exempt certain school districts from a Washington State Energy Code requirement for onsite renewable energy systems on large new commercial buildings or additions. The committee adopted Senator Short’s amendment narrowing the eligible school district definition from 1,000 or fewer students to 500 or fewer students, then approved the bill as amended and sent it to the Rules Committee with a do pass recommendation. The committee then held a public hearing on Senate Bill 6171, a proposed substitute addressing emerging large energy use facilities, primarily data centers. Staff explained that the bill would require utilities serving such facilities to adopt tariffs or policies to protect other ratepayers, require long-term contracts and full cost recovery, allow curtailment during emergencies, add reporting and sustainability requirements, create a fee to fund energy assistance, weatherization, and higher education programs, and impose new clean energy and labor-related requirements. The prime sponsor said the bill is intended to protect affordability, reliability, transparency, and the public interest as data center demand grows. Testimony was mixed. Supporters, including community action groups, environmental organizations, some utilities, Ecology, and student representatives, argued the bill would prevent cost shifting, improve transparency, support low-income energy assistance, and help manage grid and climate impacts. Opponents, including data center representatives, public utility district and business groups, and some local government and port officials, said the bill was too prescriptive, could raise costs, threaten competitiveness, duplicate existing utility practices, and interfere with existing CCA/CETA provisions and local flexibility. No vote was taken on SB 6171 during the hearing, and the meeting adjourned after public testimony.

Transcript Highlights:

• Because a department only introduces new technology maybe every 20 years.
• The first is the Transformative Climate Communities Program.
• Yes and this is just through the Transformative Climate Communities Program.
• The Transformative Climate Communities Program is very community-driven.
• Hi, my name is Tara Adari, and I'm the Director of Technology at Women for Wolves.

Keywords: 988, house, all

Transcript Highlights:

• </c> certainly we are the internal technology certainly we are the internal technology organization<00
• and now uh the information technology and now uh the technology<00:31:49.039><c> advisory</c><00:31:
• 49.559><c> committee</c><00:31:49.919><c> with</c> technology advisory committee with technology advisory
• </c><00:32:00.440><c> experts</c> uh private sector technology experts uh private sector technology experts
• delivered but also how technology delivered but also how technology<00:32:29.760><c> should</c><00:32

Keywords: 1187, senate, all

Transcript Highlights:

• That's transformation. That transformation is a challenge and we are tackling it.
• That's transformation.
• That's transformation. to move the ball. That's transformation.
• <c> challenge</c><00:16:27.360><c> and</c> That transformation is a challenge and That transformation
• </c> does two things in the technology world. does two things in the technology world.

Keywords: Appropriations - Room 216, 24 February, 2026; 1:30 PM, 925, all

Transcript Highlights:

• So the rest of the actions in this yellow packet have to do with the Rural Health Transformation Program
• As a reminder to the committee and the public, the Rural Health Transformation Program is $50 billion
• The focus is on preventative health, workforce development, technology innovation, and new care models
• there's $70 million budgeted for subgrants, $54 million for facility upgrades, $25 million for technology
• there's $70 million budgeted for subgrants, $54 million for facility upgrades, $25 million for technology

Keywords: 989, all

Summary: The joint Senate Finance and House Appropriations committee first revisited the Office of the Attorney General budget after House Bill 951 had failed on the House floor. Members considered two competing restorations from the Consumer Protection Fund: one to restore broader personnel costs and another limited to the Internet Crimes Against Children program. The narrower ICAC-only motion failed, while the broader restoration passed and received a do pass recommendation. The committee then took up several Department of Health and Welfare items from Senate Bill 1428, including the Division of Early Learning and Development, Division of Youth Safety and Permanency, and Division of Family and Community Partnerships. Members approved funding for moving the Idaho Home Visiting Program to Early Learning and Development, a mower replacement at the Southwest Idaho Treatment Center, population forecast adjustments, transfer-limit exemptions, a report on home visiting outcomes, restoration of foster care/post-adoption and safety assessment funding, and $180,000 for kinship navigation services. They also approved a supplemental and FY 2027 budget for Public Health Services, including one-time funding for home visiting, immunization assessment, HIV and hepatitis prevention, suicide prevention, and ARPA grants, along with language requiring reports on outcomes and immunization fund use. A separate Public Health Services language item requiring public health districts to report documented immigration status of HIV prevention service users drew debate. The motion to adopt the language passed after discussion about its purpose and concerns about discrimination. The committee also approved a SNAP-related federal fund appropriation for House Bill 730 and then turned to the Rural Health Transformation Program, creating the fund and oversight structure, approving a FY 2026 supplemental, and approving the FY 2027 appropriation for the program. Members discussed legislative oversight versus executive administration of the new federal dollars, and the committee adopted intent language on physician assistant and dental hygienist reforms. The meeting ended early because of time constraints, with plans to reconvene the next morning.

Transcript Highlights:

• I think that there ought to be a state policy on metering technologies.
• Uh and then related to technologies.
• </c><00:17:38.320><c> see</c><00:17:38.480><c> if</c> new technologies, let's let's see if new technologies
• </c> new technologies. new technologies.
• What should the state policy be on enabling these kinds of transformations into modern technologies and

Keywords: 1191, senate, all

Transcript Highlights:

• dollars because the technology pillar has yet to open.
• dollars because the, the technology pillar has yet to open.
• One after that is bringing high-quality care closer to home, and the last one is connecting technology
• But the technology is getting better, and we're putting bigger, more technology into the system, along
• But the technology is getting better, and we're putting bigger, more technology into the system, along

Summary: The meeting focused on Turtle Mountain’s public health and behavioral health priorities, especially access to rural health transformation funding and a long-running data use agreement with the state. Tribal public health leaders described how, during COVID, a temporary data-sharing arrangement allowed them to do their own contact tracing and case management, and they argued that a similar agreement is now needed to respond more quickly to very high syphilis rates and other infectious disease concerns. Committee members generally expressed support and said they would follow up with state officials, while tribal representatives emphasized that they already have the staff and infrastructure to use timely data effectively. A major portion of the meeting was devoted to the Turtle Mountain Recovery Center and the broader issue of the IMD exclusion and residential treatment capacity. Tribal leaders described the center’s opening, its five levels of care, its 16-bed limit, and its efforts to become financially sustainable through billing, grants, and partnerships. They shared success stories and argued for an IMD waiver or similar flexibility so the center could expand to 32 beds and better meet local need. Committee members discussed the policy barriers to expanding residential treatment, including federal approval timelines, state funding choices, and the need to preserve a continuum of care that includes outpatient and community-based services. The committee then heard a detailed presentation from Hector Hernandez-Dogato of the National Health Law Program on the history and mechanics of the IMD exclusion and Section 1115 waivers. He explained that the exclusion limits Medicaid payment for services in facilities with more than 16 beds, but noted existing exceptions and alternatives such as state plan options, managed care arrangements, telehealth, and community-based services. He also reviewed mixed results from states that have used IMD waivers, warning that they do not automatically improve overdose deaths, emergency room use, or access to community care, and may risk reinforcing institutionalization if not paired with strong upstream services. The committee discussed a draft bill to appropriate $49,000 and one FTE for HHS to pursue an IMD waiver, with members suggesting the bill may need to explicitly include serious mental illness as well as substance use disorder and asking for department input at a future meeting.