Transcript Highlights:

• We have physical education when you're looking at K through 8 certification, K through 6 certification
• We have physical education when you're looking at K through 8 certification, K through 6 certification
• We have physical education when you're looking at K through 8 certification, K through 6 certification
• the only exception being nurses? the only exception being nurses?
• I notice on line nine nurses are included, but we heard that nurses might be removed.

Keywords: 1189, house, all

Transcript Highlights:

• Our nursing home is set up that four residents in the nursing home share one bathroom that is a toilet
• um our our hospital and our nursing um our our hospital and our nursing home.<01:35:35.440> Our
• four residents in the nursing home share four residents in the nursing home share one<01:35:40.880>
• is that even though we're an old nursing is that even though we're an old nursing home<01:36:11.120
• where really you're seeing a nurse where really you're seeing a nurse practitioner practitioner

Keywords: 918, senate, all

Summary: The Select Subcommittee first took up adoption of three previously prepared nonpartisan committee summary reports dated October 15, November 13, and November 21. Senator Rasmusson objected to the lack of advance notice about the day’s testifiers and criticized the practice of having nonpartisan staff summarize what he described as a partisan agenda. The chair responded that the committee’s purpose is to gather information, not hear bills, and that the summaries were intended as neutral resources for the Senate. Senator Coopek moved adoption, the motion was opposed by Rasmusson and another member, and the motion passed. The committee then turned to the day’s hearing on federal impacts on Minnesota, with the chair focusing on federal funding threats and the effect of congressional budget actions on health care, especially in greater Minnesota. The first presentation came from the Minnesota Department of Health on the state’s rural health transformation work. Assistant Commissioner Carol Broom introduced the team and described the rural hospital transformation program as a major opportunity to invest in rural health, while acknowledging longstanding challenges such as demographics, transportation barriers, and the financing of care. Nitha Moibi outlined the state’s rural health chart book and data showing an aging population, workforce shortages, and many health professional shortage areas, and described proposed strategies including workforce pipelines, bridge payments for low-volume birth hospitals, telehealth access points, mental health urgent care, and chronic disease prevention. Acting Assistant Commissioner Anna Ashby of the Minnesota Management and Budget office explained the state’s application to CMS for the Rural Health Transformation Program, which was created in federal law and awarded Minnesota just over $193 million for federal fiscal year 2026. She said the application was shaped by public comments, stakeholder meetings, and legislative outreach, and included initiatives on preventive care, workforce, care access, behavioral health, and provider financial stability. She also reviewed implementation constraints, including a January 30 revised budget deadline, limits on administrative spending, restrictions on using funds to offset Medicaid losses, and the need to show measurable progress to remain eligible for future funding. The presentation noted that most year-one funding would go to rural hospitals, with additional support for federally qualified health centers, community mental health centers, tribal partners, and technical assistance.

Transcript Highlights:

• <00:13:32.560> homes care facilities so that is nursing homes care facilities so that is nursing
• nursing nursing homes<00:21:01.799> those<00:21:02.080> costs<00:21:02.320> are
• All right, moving on to nursing facilities. A proposal here related to nursing home payment rates.
• all right moving on to nursing all right moving on to nursing facilities<00:37:01.319> a<
• it will reimburse States for nursing it will reimburse States for nursing facility<00:37:15.359>

Keywords: 1183, house

Transcript Highlights:

• Question two is: we are not a Certificate of Need state.
• Certificate of Public Advantage.
• I think related to Certificate of Need, when you are thinking about solutions, I think Certificate of
• So, the Certificate of Need doesn't exist?
• have to bring nursing home beds.

Keywords: 1184, house, all

Transcript Highlights:

• This allows for pay to nurses, bus drivers, support staff, and all those employed by the district.
• So, with the removal in the committee substitute of the reference to a national board certification as
• the other people needed to run a school, such as bus drivers, cafeteria workers, custodians, and nurses
• This is especially relevant since the raises in SB 26 only address teachers and not counselors, nurses
• Additionally, we would respectfully like to see the national board certification continue as a pathway

Bills: SB26, SB 26

Keywords: teacher compensation, education funding, public school educators, teacher retention, teacher designation, SB 26, Texas Property Code, colonia, colonias, Spanish translation, bilingual contract, real estate contract, executory contract, residential property, border county, international border, economically distressed area, consumer protection, language access, translator certified in Spanish

Transcript Highlights:

• Fred is a critical care nurse and Army Nurse Corps officer with Saint Francis Hospital and the US Army
• Nurse Corps.
• Fred is a critical care nurse.
• clinical training as a nurse practitioner and is actively engaged in nursing education, mentorship,
• He was named an Under 40 Nurse Leader by Nurse Magazine and is committed to advocating for policies that

Bills: SJR47, SB1491, SB1579, SB1806, SB1552, SB483, SB63, SB137, SB346, SB514, SB1344, SB1360, SB1380, SB1437, SB1189, SB1217, SB1221, SB1262, SB1272, SB1325, SB1339, SB201

Keywords: voter ID, elections, constitutional amendment, Oklahoma, proof of identity, presidential electors, vacancies, oath of office, political party, property tax, valuation increase, taxpayer rights, homestead, protest process, foster care, adoption assistance, transitioning youth, Department of Human Services, voluntary services, county home rule charter

Transcript Highlights:

• So the department sets nursing home rates twice a year, and in January nursing homes realized there were
• going to be devastating reimbursement cuts. 33 nursing homes, including 10 of the county nursing homes
• homes including 10 of the county nursing homes including 10 of the county nursing<00:04:08.560> homes
• home sector and prevent losing nursing home sector and prevent losing more<00:04:24.240> nursing<
• /c><00:04:24.720> home<00:04:24.960> beds more nursing home beds more nursing home beds

Keywords: 1191, senate, all

Transcript Highlights:

• Obtaining these documents certificate.
• those nursing facilities?
• those nursing facilities?
• They need to have a birth certificate.
• It is to lose your birth certificate.

Keywords: 1189, house, all

Transcript Highlights:

• SB 520, Caballero, nurse midwife re-education program, do pass out on an A roll call.
• SB 313, Cervantes, birth certificates, parents' place of birth, do pass out on a B roll call.
• SB 596, Menjivar, nursing staff ratio penalties, do pass with author amendments.
• SB 312, Umberg, dog import health certification or certificates, do pass with author's amendments to
• SB 312, Umberg, dog import health certification or certificates, do pass with author's amendments to

Summary: The Assembly Appropriations Committee held its August 29, 2025 suspense hearing on Senate bills, with the chair emphasizing the state’s ongoing budget constraints and the need to make difficult choices among 261 bills on the suspense file. After establishing a quorum, the committee began taking action bill by bill, with many measures receiving do pass or do pass with amendments recommendations, while others were held in committee or designated as two-year bills. The chair noted the agenda was organized alphabetically by author and that results would be posted later on the committee website. The hearing covered a wide range of topics, including insurance and claims data, wildfire relief and prevention, water planning, energy and utility regulation, housing and land use, health care, labor and employment, criminal justice, education, environmental policy, and election-related measures. Several bills were amended before passage, often to narrow scope, remove sections, adjust definitions, delay implementation, or clarify funding and enforcement provisions. Some notable actions included moving bills on AI regulation, transit-oriented housing, paid family leave, wildfire mapping, chemical hair relaxers, and pharmacy benefit managers, while other bills on subjects such as controlled substances, high-speed rail, and certain education or housing proposals were held. The committee also took formal roll-call votes on selected bills, with some passing on A roll calls and others on B roll calls; a number of measures were advanced with Republicans not voting. One highlighted vote was SB 79 by Senator Wiener, which passed after amendments and a recorded roll call. At the end of the hearing, the committee reported that 190 bills were moved to the Assembly Floor, either as do pass or do pass with amendments, concluding the suspense hearing for the session.

Transcript Highlights:

• They came And met with me on nursing. They put out a lot of LPNs. They all did no.
• The last night she said she's in charge of the nursing licensing process.
• because while the education is free, the certification is not.
• CAs that completed the program but couldn't afford the cost of the certification.
• It will be on their teaching certificate as an add-on.

Keywords: 914, all

Transcript Highlights:

• They don't have a law enforcement<00:15:17.320> certification.
• So, there are enforcement certification.
• So, if law enforcement certification.
• .<00:16:14.440> That<00:16:14.760> is certification.
• That is certification.

Keywords: 927, senate, all

Transcript Highlights:

• By 2050, we're going to be short 100,000 physicians and a million nurses.
• As far as there are protocols for us to make more doctors and nurses, it's not enough.
• We have veterans who have no access to doctors and nurses.
• And doctor care to these settings if they can't go through board certification. Dr. Sittgen.
• There's M.D.s compared to a nurse anesthesia or not. That's a great question.

Bills: HB2176, HB2333, HB2435, HB2447, HB2617, HB2683, HB2686, HB2725, HB2726, HB2906, HB2953, HB2958

Keywords: health care, licensure, complaints, investigation, safety, patient care, regulatory compliance, prosthetics, orthotics, health insurance, Medicare, medical necessity, disability rights, coverage, reimbursement, internationally trained physicians, medical board, clinical training, provisional license, healthcare workforce

Summary: The committee heard and acted on several health care bills. HB 2726 would require Access contractors to cover diagnosis and treatment of mild obstructive sleep apnea, including a new prescription tongue-stimulation device; supporters said it offers an effective, less burdensome alternative to CPAP and could improve adherence and outcomes, while Access was neutral and raised concerns about cost and bypassing its normal clinical review. The committee adopted the Bliss amendment and then approved HB 2726 as amended on an 8-4 due-pass vote. HB 2435 would create a pathway for internationally trained physicians to receive a provisional Arizona medical license, with a later amendment adding a four-year supervised rural practice requirement and automatic conversion to a full license if criteria are met. Supporters argued it would help address severe physician shortages in rural and underserved areas, especially for cardiology and other specialties, and several doctors testified about their experience and the need for more access. Opponents, including the Arizona Medical Board, said the state already has a case-by-case licensure process for foreign-trained physicians and warned the bill could weaken safeguards and allow insufficiently vetted applicants. After adopting the amendment, the committee approved HB 2435 as amended on a due-pass recommendation. HB 2958 would require Access to cover comprehensive dental care for pregnant women age 21 and older, with a $500,000 pilot program and reporting requirements. The sponsor and public health advocates said preventive dental care during pregnancy can reduce infections and improve maternal and infant outcomes, and the bill drew broad support from health and advocacy groups. The committee passed HB 2958 on an 11-1 due-pass vote. The committee also approved HB 2176, which changes criteria and timelines for health care institution licensing complaints and informal dispute resolution, with supporters saying it would improve transparency and predictability for hospitals while preserving enforcement authority. Finally, the committee heard HB 2447, which would bar insurers from paying certified registered nurse anesthetists less than physicians for the same anesthesia service; opponents argued it would interfere with contract negotiations and raise costs, while supporters said insurer reimbursement cuts are harming rural access and shifting costs to hospitals. The transcript ends during testimony on HB 2447, before any committee vote on that bill.

Transcript Highlights:

• Um nurses include um nursing assistants, registered nurses, licensed practical nurses.
• The other piece is all of our nursing schools have now required nursing assistant certification as a
• nursing assistants. nursing assistants.
• :41:46.400> certification nursing assistant certification nursing assistant certification as<00
• c> future<00:41:55.840> nursing Except that our nursing future nursing Except that our nursing

Keywords: 916, all

Transcript Highlights:

• We are the home of the largest nursing program in the state.
• We're also expanding our abilities to do new nurse practitioner certificates in areas like gerontology
• You can do microcredentials, credentials, certificates.
• Certificates are not counted because they can be stackable.
• Mount Pleasure mentioned that certificate programs are not listed in the policy.

Summary: The Higher Education Institutions Committee met at NDSU and heard an extensive presentation from President David Cook/President Stewart and NDSU leadership on the university’s priorities, including enrollment, student success, research growth, and use of New Horizons funding. Leaders emphasized NDSU’s land-grant mission, its role in workforce development, and its goal of becoming more distinctive through strategic planning, recruitment and retention, commercialization, and partnerships. They highlighted that NDSU awarded 2,370 degrees in 2025, produces a large share of the state’s engineering, nursing, and agriculture graduates, and reported strong outcomes for graduates staying and working in North Dakota. They also noted enrollment headwinds, competition from other institutions, and the need to manage tuition waivers more carefully through a scholarship optimization effort. Provost Sherry Vale outlined academic stewardship efforts, including review or consolidation of low-producing programs, strategic hiring tied to institutional priorities, faculty workload policy changes, and expanded online and regional offerings. She said the university is using New Horizons dollars to strengthen advising, student support, and programs in engineering, agriculture, and health. NDSU leaders also described new or expanded academic offerings such as robotics and automation, artificial intelligence, material science and engineering, nuclear engineering certificates, accelerated nursing, nurse practitioner certificates, a Master of Health Administration, and a clinical research master’s program with Sanford Health. They stressed that these investments are intended to improve student completion, meet workforce needs, and increase return on public investment. The committee also heard testimony from students and recent graduates who described the value of NDSU’s education, mentorship, internships, research opportunities, and support services. Alyssa Hodges spoke about pharmacy education, public health work, and campus support as a parent and student; Ethan Blessy described engineering coursework, internships with Marvin, and career preparation; and Aiden Freolic discussed neuroscience research, federally funded projects, and plans for graduate study. Their testimony was followed by presentations on partnerships with Gateway to Science for K-12 STEM outreach and with Sanford Research on biomedical research, clinical trials, obesity research, and a joint biostatistics hire. NDSU also highlighted systemwide shared services, Governor’s School programming, and research growth, including a reported 8% increase in research expenditures from $199 million to $215 million. No bill votes were taken; the meeting was informational and featured presentations, testimony, and discussion of future planning and partnerships.

Transcript Highlights:

• What it does specifically is modernize the certification process for certified nurse assistants and home
• and vocational nurses, physicians, surgeons, and clinical social workers, and more.
• However, under existing law today, people seeking certifications for similar patient care roles such
• and vocational nurses, physicians, surgeons, and clinical social workers, and more.
• as certified nursing assistants and home health aides are not afforded the same protections.

Summary: The Assembly Health Committee heard a series of bills focused on behavioral health, cancer screening, provider reimbursement, research funding, workforce licensing, and tobacco regulation. SB 16 would require counties to maintain procedures for designating and training professionals authorized to perform 5150 evaluations and initiate involuntary holds; supporters said it would expand the pool of qualified clinicians and reduce reliance on law enforcement, while opponents raised concerns about local control and implementation. SB 1124 would require CDPH to create and post lung cancer screening eligibility signage at tobacco point-of-sale locations; supporters emphasized low screening awareness and early detection, and the bill was advanced with amendments. SB 28, a CARE Court cleanup bill, proposed an ombudsperson, reporting, electronic petitions, remote participation, and other changes to improve accountability and access; it drew both strong support and significant opposition over concerns about coercion, scope, and whether the program is working as intended, but it passed the committee as amended to Judiciary. The committee also heard SB 874, which would strengthen oversight of Medi-Cal behavioral health treatment services, including background checks for providers and a stakeholder workgroup to develop standards; it passed to Public Safety. SB 1049 would let providers resubmit corrected claims within 90 days after a plan’s denial or recoupment action when the original claim had a correctable technical defect; supporters described delayed and withheld payments harming practices, while insurers argued the bill could duplicate existing dispute processes. The bill passed to Appropriations on call. SB 1224 would create a state framework to compete for federal ARPA-H funding for emerging therapies research, with testimony from a UC Davis psychiatrist and veterans’ advocates supporting expanded research into treatments for PTSD, depression, and other conditions; it passed to Military and Veterans Affairs. Later, SB 1057 would change how the Department of Public Health evaluates conviction history for certified nurse assistants and home health aides, shifting from automatic denial toward individualized assessment based on the offense, time elapsed, and rehabilitation; it passed to Appropriations with some no votes. Finally, SB 1314, a tobacco-related bill, sought to create a 600-foot buffer around schools and day care centers for certain tobacco retailers and address related issues such as cigar lounge definitions and nitrous oxide sales; several local government and public safety groups supported it, while health organizations and business groups opposed it unless amended. The chair announced that committee amendments were being set aside for now and the bill would move forward to Business and Professions with a commitment to continue working on the language; it passed out of committee.

Transcript Highlights:

• 1368 by representative Jones relating to notification requirement if a public school does not have a nurse
• , and librarians are equally indispensable to a child's overall development. school nurse, the first
• While we have approximately 9,000 public school campuses, there are only about 6,500 school nurses.
• I'm a nationally... certified school nurse and the executive director for Texas School Nurses Organization
• It's no surprise for y'all to hear how much school nurses value emergency preparedness.

Bills: HB367, HB497, HB549, HB983, HB 1188, HB 1290, HB1368, HB2243, HB2310, HB2849, HB3099, HB3546, HB3629, HB3627

Keywords: education, absences, severe illness, life-threatening, school policy, verification, healthcare, insurance, affordability, coverage, patient rights, school health, respiratory distress, airway clearance devices, medication training, public health, HB 983, Texas Education Agency, TEA, educator privacy

Transcript Highlights:

• I'm trying to go to trade school, trying to become a, you know, get some certification.
• We have lots of shortages of people that need some certification employment.
• And you know, the thing is we We have shortage of nurses. his life. And he's talked to that.
• And, you know, the thing is we have shortage of nurses, shortage of teachers, certified teachers.
• We have lots of shortages of people that need some certification employment.

Bills: HB4, HB20

Keywords: district composition, congressional election, Texas, legislature, voting districts, fraudulent solicitation, disaster relief, nonprofit organizations, criminal penalties, consumer protection, fraud prevention, charitable donations

Summary: The Senate Committee on Education K-16 heard a series of higher education and K-12 bills, initially without a quorum and with several measures left pending subject to the call of the chair. Early bills included HB 1868, which would direct a study on lowering the dual-credit funding threshold for public junior colleges from 15 to 9 semester credit hours; HB 2598, which would replace statutory references to “licensed specialist in school psychology” with “school psychologist”; HB 3629, which would bar registered sex offenders from serving on independent school district boards of trustees; and HB 4361, which would require the Higher Education Coordinating Board to adopt rules for timely emergency notifications at public institutions of higher education. Each received brief sponsor explanations, no opposition testimony, and was left pending. The committee also heard HB 4848, requiring public higher education systems to ensure at least one institution offers affordable competency-based bachelor’s degree programs in high-demand fields, and HB 1211, which would remove the age 25 deadline for former foster youth to use public college tuition waivers. HB 1211 drew extensive supportive testimony from Texas CASA, a former foster youth who benefited from the waiver, and a current student headed to medical school, all arguing the change would better match the realities faced by youth aging out of care. Members discussed the bill’s fiscal uncertainty and the argument that the waiver is an investment in workforce participation; the bill was left pending. Later, the committee heard HB 20, creating an Applied Sciences Pathway Program to let high school students earn certificates in targeted industries such as welding, plumbing, electrical work, manufacturing, and oil and gas while in school. Industry and workforce groups strongly supported the bill as a way to address labor shortages, while Texas 2036 raised concerns about allowing applied versions of core academic courses to substitute for traditional instruction. HB 4687, which would extend governmental immunity protections to certain campus/district charter schools and adult charter high schools, also received support from a charter-school attorney who said it would align statutes with existing case law and not expand charter rights. HB 4236, as substituted, would create a study group to examine the property value study’s effect on school finance and alternative valuation methods; it was adopted as a committee substitute and left pending. The committee also heard HB 824 on civics instruction in high school government courses and HB 2243, which would create a commission on teacher job satisfaction and retention; the latter prompted debate over removing “ethnic diversity” language from the commission’s makeup. After adopting the substitute for HB 2243 by roll call, the committee recessed subject to the call of the chair.

Transcript Highlights:

• It has been producing engineers, architects, nurses, and educators for more than 150 years.
• It has been producing engineers, architects, nurses, and educators for more than 150 years, members.
• It remains one of the top producers of nurses in the state of Texas. Mr.
• a change of sex on the birth certificate.
• a change of sex on the birth certificate.

Summary: The Senate convened with a quorum, heard an invocation, and adopted the previous day’s journal. Members then adopted Senate Resolution 358 honoring the University of Texas Rio Grande Valley on its 10th anniversary, with remarks highlighting UTRGV’s growth, degree production, research expansion, medical school, and role in serving the Rio Grande Valley and South Texas. The chamber also recognized the doctor of the day and adopted additional resolutions, including one for Denton County Days at the Capitol and another recognizing Texas HBCU Day. The Senate gave extensive recognition to outgoing Texas A&M University System Chancellor John Sharp through Senate Resolution 368. Senators from both parties praised his long public career, leadership of the A&M System, support for regional universities, and bipartisan approach. The resolution was adopted after multiple members added their names. The chamber also heard from advocates with the Texas Streets Coalition, and received gubernatorial nominations for the State Board of Examiners of Professional Counselors and the Texas Commission on Fire Protection. On legislation, the Senate passed several major bills. Committee Substitute Senate Bill 27, relating to rights and support for public school educators, was debated and amended to address teacher vacancies, bilingual certification testing, paid leave options, classroom removals, and appeal rights, then passed unanimously. Senate Joint Resolution 12, proposing a constitutional amendment on parents’ right to direct a child’s education, advanced on a 22-9 vote. Committee Substitute Senate Bill 1741, aimed at preventing foreign influence and intellectual property theft at public institutions of higher education, passed unanimously. Committee Substitute Senate Bill 29, the business entities bill, also passed after debate over corporate governance and shareholder protections. Senate Bill 857, authorizing law enforcement to tow certain vehicles driven by unlicensed or uninsured drivers, passed despite some concern about towing abuses during disasters. The Senate also took up Committee Substitute Senate Bill 1536 on dementia and Alzheimer’s training for certain guardians, but the transcript ends as that bill is being laid out.

Transcript Highlights:

• Those are important certificate programs, even though we're a four-year graduate, graduate, doctor degree
• university, we have certificate programs.
• In that effort, and to continue the training of our much-needed physicians and nurses in our top-rated
• Morsani College of Medicine and College of Nursing.
• So she is now a nurse at one of our local hospitals in Aventura, Aventura General.

Summary: The Appropriations Committee on Higher Education heard two bills and then moved through a series of confirmations for university and college boards of trustees. Senate Bill 176, by Senator Polsky, would require public postsecondary institutions to have clear, publicly available safety policies and reporting procedures for threats to students, faculty, staff, and visitors. An amendment clarifying the bill’s scope was adopted without objection, there was no public testimony against it, and the committee reported the bill favorably. Members spoke in support, emphasizing campus safety and the need for clear reporting paths. The committee also heard Senate Bill 116, by Senator Bradley, which would establish the University of Florida Diabetes Institute in statute to advance research, prevention, care, education, collaboration, and outreach on diabetes. Testimony included support from AARP and others, and members praised the institute’s research role and the growing public health importance of diabetes. The bill was reported favorably. The remainder of the meeting focused on confirmations for trustees at FIU, UNF, UCF, USF, and Miami Dade College. Nominees and reappointees described their backgrounds and priorities, including student success, research growth, workforce development, engineering, health care, cybersecurity, and fiscal stewardship. Committee members asked several nominees about nursing NCLEX scores and university performance, and one public commenter raised concerns about campus climate and student safety. The committee then voted to report the confirmations favorably in a block and adjourned.

Transcript Highlights:

• And then we do have, everyone's kind of struggling for nurses.
• So if we can't recruit to nursing, then we can have contract nursing available, as everyone does at some
• Gerard's nursing home, a critical asset of the community.
• Highlighting care coordination is one of the key pillars for certification.
• 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.