Transcript Highlights:

• As far as a timeline, we are on track. We shared this timeline with you.
• So we are on track with project completion for June of 2027.
• As far as this timeline, we're on track.
• I don't have it at the top of my head today, but we do track that.
• Does that factor into your certification?

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

Transcript Highlights:

• Finally, I'll highlight two items related to special education and bilingual certification: waiving certification
• The last bullet there, CTE certification, provides reimbursement support for educators earning CTE certifications
• The schools can keep track of that.
• Certification and workforce development in Texas public schools.
• Not just the uncertified fast track; there are other four to six week prep fast track options.

Keywords: 1184, house, all

Transcript Highlights:

• Is it ISAC certifications? Yes, sir. Your certifications.
• Is it ISAC certifications? Yes, sir. Your certifications.
• Is it ISAC certifications? Yes, sir. Your certifications.
• Is it ISAC certifications? Yes, sir. Your certifications.
• Is it ISAC certifications? Yes, sir. Your certifications.

Keywords: Appropriations - Room 210; 22 January, 2026: 1:30 PM, 925, all

Summary: The meeting began with a budget presentation from the insurance commissioner’s office. The commissioner said most of the request was for personnel costs, including an increase above LBO and two additional IT positions tied to a possible conversion to a state-based system and cybersecurity needs. The office also discussed travel costs, contractual expenses, vehicle replacement, and hurricane mitigation funds, noting that some funds are in trust accounts and require legislative authority to spend. The commissioner also briefed members on possible policy changes affecting the ACA exchange and a proposed low-cost plan for the high-risk pool, warning that if coverage options are not developed, more people could shift into uncompensated care. Members asked about the budget request, the IT positions, and a constituent question about propane meter regulation, which the commissioner said falls under the Department of Agriculture and Commerce, though his office sometimes checks related issues informally. The committee then moved to the State Fire Academy hearing. The academy director described a workforce stabilization proposal focused on retaining and recruiting fire instructors, citing competition from local fire departments that pay more, a shrinking applicant pool, and a growing number of retirement-eligible staff. He said the academy’s instructors are being recruited away by municipalities, that recent applicant pools have produced very few qualified candidates, and that the academy may soon have to cut advanced courses if staffing does not improve. He referenced a State Personnel Board review that supported the need for compensation changes and said the academy is trying to remain competitive while continuing to train firefighters, hazmat responders, EMS personnel, and fire officers statewide. No formal votes or legislative actions were taken in the portion provided. Members mainly asked questions, requested written follow-up on some budget items, and indicated they would work with the agencies later in the session if pending bills or funding needs changed.

Transcript Highlights:

• And I think, Sheriff, you mentioned that there’s a tracking system in place.
• So do we have tracking mechanisms now to help folks, or not track them anyway, ability to get these folks
• So do we have tracking mechanisms now to help folks or not track them anyway, ability to get these folks
• now to help folks or not track them anyway, ability to get these folks to work.
• Two of the previous requirements for certification and qualifications were removed.

Summary: The committee first approved a motion, then heard a lengthy presentation on homelessness policy and behavioral health. Testimony focused on the view that Arkansas should shift toward more data-driven, outcomes-based responses to homelessness, including stronger treatment options for serious mental illness and substance use disorder, better data collection, provider accountability, and possible statewide use of the Certified Community Behavioral Health Clinic (CCBHC) model. Speakers from Fort Smith, Restore Hope, Our House, and Western Arkansas Counseling described local work, the need for better coordination across providers, and the role of crisis services, ACT teams, and employment support. Members asked about sex offender tracking, the difference between sheltered and unsheltered homelessness, how to scale successful programs statewide, and whether Arkansas could apply for a statewide Continuum of Care or CCBHC planning grant. The discussion also touched on camping bans, civil commitment, and federal funding changes, with several speakers urging the state to pursue the CCBHC planning grant and more transparent reporting systems. After the homelessness discussion, the committee moved through a series of Department of Energy and Board of Nursing rule reviews. DEQ proposed updating the post-closure cleanup threshold for solid waste matters from $50,000 to $2 million to match Act 791 of 2025, and members asked about financial assurance and oversight; the rule was reviewed without objection. The Board of Nursing then presented multiple rule changes tied to recent acts, including adding fees for dialysis patient care technician registration, expanding contact-information requirements, implementing APRN delegation authority to unlicensed workers, clarifying APRN authority for death certificates and durable medical equipment prescriptions, updating certified medication assistant training and insulin-injection authority, and conforming independent-practice rules for clinical nurse specialists. Each rule was reviewed without objection. Near the end of the meeting, Senator Irvin announced that UAMS had completed its NCI designation submission for the Winthrop Rockefeller Cancer Institute, calling it an important milestone for the state. The committee then adjourned.

Transcript Highlights:

• So, I agree with the need, and I believe we're on track to move forward.
• There simply aren't very many certificate courses out there.
• Possibly doing an ethics certification. Who are you looking to provide that certification?
• , the energy efficiency certificate.
• certification as a home inspector.

Transcript Highlights:

• This is from a hospice impact survey and certification program. G4 is, again, DHS.
• This is to return unused funds from a grant on Medicare survey and certification. G3 is DHS again.
• This is from a hospice impact survey and certification program. G4 is, again, DHS.
• We're getting that data from these programs and there's no way to track it.
• These are on the—I think we're on K-5 if I haven't lost track.

Keywords: 1204, all

Transcript Highlights:

• But then when you go on for certification, you get specialized training.
• What is that comparatively via the track that would open up for the Board of Nursing? Mr. Coburn.
• I do believe that a lot of the agencies report on this and keep track of it.
• Madam Chair, members, House Bill 272 establishes an optional state certification for...
• The access requirement means we have to set up this bill to establish certification.

Bills: HB2049, HB2050, HB2051, HB2072, HB2082, HB2085, HB2177, HB2178, HB2179, HB2183, HB2195

Keywords: radiation therapy, particle accelerator, critical access hospitals, patient care, rural healthcare, radiologic technologist, radiologist assistant, radiology, imaging, x-ray, diagnostic x-ray, fluoroscopy, mammography, computed tomography, CT technologist, nuclear medicine technologist, bone densitometry, radiation safety, radiation licensing, scope of practice

Transcript Highlights:

• So right now, your certification is specifically for backflow prevention, correct? Certification.
• That gives us another avenue for stricter certification.
• With these different certifications, Standards.
• Certification? No, the TCEQ certification.
• To track and enforce compliance.

Bills: HB5208, SB863, SB1243, SB1624, SB1965, SB2660, SB2702, SB2885

Keywords: water filtration, public drinking water, health and safety, well maintenance, water quality, Edwards Aquifer, water conservation, reclaimed water, aquifer storage, environmental protection, public utility agency, dissolution, local government, regulatory framework, municipal authority, Texas Water Bank, Texas Water Trust, water rights, water banking, instream flow

Transcript Highlights:

• and fascinating, but So we're in the process, and Brett's going to help us tally this up and keep track
• And tracking down all that's really difficult sometimes. So, I think that'd be a huge benefit.
• Adults who are trying to get these certifications that are requested.
• You know, career tech ed track. We can create a hub zone for them.
• A learner can track and keep track of all of the learning in one place.

Keywords: 914, all

Transcript Highlights:

• Are we able to track whether they're completing their bachelor's degree more quickly?
• And I get it that these are certificated only, not degrees.
• So we track the aggregate outcomes.
• It's a certificate program. It's not classroom-based.
• certifications, what is your budgeting ratio of administrative cost to pupil spending?

Summary: The committee heard an overview of the California Community Colleges budget proposal, including Proposition 98 funding, a 2.41% COLA for apportionments, enrollment growth funding, repayment of an apportionment deferral, and one-time investments for a student support block grant and deferred maintenance. The Department of Finance described the Governor’s package as providing significant new resources, while the LAO recommended prioritizing COLA and enrollment growth within available funds but raised concerns about some smaller proposals, including making the Healthy School Food Pathways Program ongoing and adding more funding for credit for prior learning before outcomes are known. The Chancellor’s Office supported the COLA, enrollment growth, and one-time investments, and said current projections suggest enrollment growth closer to 3%, with about $85 million to $90 million in ongoing costs if fully funded. Members focused heavily on enrollment growth, the 10% district cap, and whether the state should continue funding growth in the current year and budget year. The Chancellor’s Office said some districts, especially in the Inland Empire and Central Valley, are growing rapidly and that about seven districts are above the cap, with roughly 1,563 FTES and about $30 million in ongoing costs tied to that issue. Members also discussed hold-harmless districts and whether declining campuses should be required to produce turnaround or right-sizing plans. The Chancellor’s Office said districts are already having local conversations and that state funding provides time to adjust, but no formal plan requirement was proposed. The committee then took up common course numbering, where the Chancellor’s Office said all 115 community colleges have implemented the first phase and more than 550,000 students enrolled in the first six commonly numbered courses. The office argued that CCN improves clarity but does not yet guarantee that credits will transfer with full value across UC and CSU, because articulation is still handled campus by campus and can require more than 3,500 separate reviews. Members expressed concern that students can still be forced to retake courses such as calculus or ethnic studies even when they have the same common number, and urged the systems to develop a stronger statewide articulation mechanism tied to outcomes and transparency. The item was left open. Finally, the committee heard the Governor’s proposal to make Calbright College’s funding ongoing at $53.1 million. The LAO recommended instead transitioning Calbright to the student-centered funding formula, with one-time bridge funding in the meantime, arguing the Governor’s proposal lacks a clear enrollment-based rationale and performance expectations. Calbright’s leadership defended the college’s competency-based, flexible model for adult learners, citing more than 6,800 students served, over 2,200 certificates awarded, and wage gains for graduates; they said enrollment is expected to grow from about 7,000 students now to roughly 8,000 to 9,000 next year and around 10,000 over the next couple of years. Members pressed for clearer enrollment and funding data before deciding how Calbright should be funded going forward.

Transcript Highlights:

• It would make sense for the state campaign finance board to do this to keep track of it.
• > However,<00:09:36.720> it'd<00:09:37.040> be<00:09:37.120> a to keep track
• However, it'd be a to keep track of it.
• She explained that legislators have their own authority by virtue of their election certificate, and
• One of the biggest powers certificate.

Keywords: 1187, senate, all

Transcript Highlights:

• So to the extent that that was being tracked, that was in part how those were identified.
• I think the track record in Minnesota is really good.
• And if they have citizenship-affirming documentation, a passport, a birth certificate?
• They submit these documents; they say, "Here's my birth certificate. I was born in St.
• North of 20 million American women, they would have to show two documents: a birth certificate and a

Transcript Highlights:

• We also issue certificates; these are businesses, motor carriers that primarily move people, such as
• It's always a little bit awkward for me to talk about our certificated carriers, because I never knew
• A lot of the business that's tracked through there is tracked primarily by the federal government.
• Anytime there's a crash with over $500 in damage, we receive that information and track it.
• Right now, state police is on Tracks, and they're a great champion of the program.

Transcript Highlights:

• And a lot of people ask certification.
• some sort of certification some sort of certification that<00:23:31.520> they<00:23:31.760
• So that fast track was an incentive to bring them in.
• I read on page eight that we can collect fees for administering this certification.
• <00:31:34.080> I administering this certification. I administering this certification.

Bills: SF0102, SF0123, SF0021, SF0099

Keywords: energy transmission, load growth, Wyoming energy authority, transmission planning study, public utilities, regional cooperation, energy, funding, grants, loans, coal, natural gas, mineral processing, economic development, stable token, liquidity, trust account, Wyoming, fund distribution, financial regulation

Transcript Highlights:

• Certificates of obligation debt in El Paso have been on the rise.
• Certificates of obligation can extend from 40 to 30 years.
• And we have liabilities associated with certificates of participation.
• So we had a Certificate of Obligation, but we did a refunding of our 2013 Certificate of Obligation.
• Governmental bodies and is it we control just the certificate?

Bills: HB1453, HB1718, HB2043, HB2207, HB2798

Keywords: local governments, anticipation notes, certificates of obligation, public works, flood control, financial management, local government, municipal financing, private activity bonds, closing definition, real estate finance, bond issuance, government regulation, bond election, general obligation bonds, GO bonds, political subdivision, city bonds, county bonds, school district bonds

Transcript Highlights:

• There's no way I can keep track of all of them. And so it's just astoundingly growing.
• And that includes adult certification, right?
• So if I deny a certification, they then go to get the determinate sentence petition.
• So if I deny a certification, they then go to get the determinate sentence petition.
• LHJA is tracking those. What are we looking like in that area?

Keywords: 1185, senate, all

Transcript Highlights:

• Another update was to our certification process for domestic violence centers.
• Two of the requirements originally in our full certification is an 18-month operational history and a
• This section and amendment allows the department to issue a provisional certification if there is an
• Under this provisional certification, all of the existing standards... ...close.
• If a certification or provisional certification is approved, the department will work with that provider

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

Transcript Highlights:

• um and certificates of participation. um and certificates of participation.
• On the lead inventory tracking tool.
• certificates of participation to fund certificates of participation to fund the<00:43:14.640> Senate
• <00:44:25.280> of makes it uh certificates of makes it uh certificates of participation<00
• <00:48:15.280> of We borrowed money on a certificate of We borrowed money on a certificate

Keywords: 1187, senate, all

Transcript Highlights:

• So there's kind of that small business track as well.
• And then 64% said something around training certification challenges.
• And I think that really tracks with what we heard from Assistant Secretary B.
• And I think that really tracks with what we heard from Assistant Secretary B.
• So just want to acknowledge, track those questions.

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• Are we saying they don't have bilingual certification?
• This is no certification whatsoever.
• This is not that they have a base certification, but they're lacking.
• Bilingual certification, this is no certification whatsoever.
• those certifications.

Keywords: 1184, house, all