Transcript Highlights:

• . $428 million for educator workforce investments to support the Student Teacher's Stipend Program, the
• Workforce training programs or employment opportunity that would help our working families who may fall
• I can't speak to workforce programs, but I do want to mention that the bill does include 100... ...workforce
• We're very disappointed that the administration chose not to include the restoration of the workforce
• Also on behalf of Inclusive Action for the City, along with our Economic Mobility for All coalition,

Keywords: 987, senate, all

Transcript Highlights:

• We'll look at our utilization of our mobile response teams.
• I also sit on the Education and Workforce Committee, so I'm interested in the mental health workforce
• And we do hear from our managing entities, but also from the providers about workforce and workforce
• And we do hear from our managing entities, but also from the providers about workforce and workforce
• keep workforce in place.

Summary: The Human Services Subcommittee met to review implementation of House Bill 7021, the recent overhaul of Florida’s Baker Act and Marchman Act, and to hear from DCF Assistant Secretary Erica Floyd Thomas about how the department is using the $50 million appropriation tied to the bill. Representative Maney, the bill sponsor, gave a lengthy background on why he pursued the reforms and emphasized that the goal was to improve access, reduce unnecessary crisis interventions, and give agencies the resources needed to carry out their responsibilities. He and the chair both noted that the bill was the product of many years of work and broad bipartisan support. DCF reported several early outcomes and implementation steps, including a statewide reduction in Baker Act initiations over the past five years, strong diversion rates from crisis through 988, mobile response teams, care coordination, and forensic multidisciplinary teams, and the creation of new tools such as a Baker Act dashboard and the first annual Marchman Act report. The department described key statutory changes: law enforcement discretion in initiating Baker Acts, a single-petition process, remote appearances, stronger discharge planning, interim services, updated parent notification and hold-period rules, an ombudsman office for children’s behavioral health, and regional collaboratives to identify local service gaps. DCF said it has updated manuals, FAQs, trainings, and rules, and that the managing entities have begun contracting for services. Members asked about how the $50 million was allocated, why much of it went to crisis capacity rather than outpatient care, how much has been spent so far, whether administrative costs are capped, and how the department will measure success. DCF said most of the money was used to preserve and expand crisis beds, detox beds, CSU beds, short-term residential treatment, discharge planning, and outpatient supports, with $1.3 million for the ombudsman and regional collaboratives and $48.3 million to managing entities. The assistant secretary said the department tracks readmissions, utilization, provider capacity, and monthly and quarterly reports from managing entities, but it is still early to see full effects because contracts were only recently executed. Members also raised concerns about children, families, veterans, workforce shortages, transparency, and gaps for hard-to-place individuals, including those with developmental disabilities or dementia. The meeting ended with no formal action beyond adjournment after questions were completed.

Transcript Highlights:

• So some of the workforce pieces that tie to ag we want to do the same thing with.
• This is a workforce development piece, and this makes sense when it comes to workforce development.
• This is a workforce development piece, and this makes sense when it comes to workforce development.
• Something like a mobile food truck to help make that happen the way it should happen.
• So I was just—I think when you said that about the mobile, I think that addresses that.

Keywords: 1204, all

Summary: The committee first approved the minutes from its October 27 meeting and then heard testimony on the economic and practical effects of Arkansas’s raw milk law, Act 698. Clinton Ballard of Milk and Honey Hill Farm said the law allowed his family farm to expand from 8 to 12 cows, serve about 150 families, add retail sales of raw cheese, and increase annual sales by roughly $50,000. He argued that raw milk production supports small farms, improves food security by keeping milk production in-state, and should be paired with optional state inspection and certification so producers could access USDA grants and other value-added opportunities. Committee members asked about herd management, safety practices, labeling, consumer education, and whether a voluntary inspection system could be created without leading to more regulation. Ballard said his farm follows sanitary practices, chills milk quickly, uses educational materials for customers, and has not had any reported illnesses among customers. Members also discussed broader concerns about raw milk safety, including E. coli, sick animals, and whether state agencies should provide more guidance or training. Several lawmakers expressed support for consumer choice and for small producers, while others emphasized the need for clear standards and accountability. The discussion also touched on the decline of commercial dairies in Arkansas, the role of the health department, and whether state certification would be limited to in-state sales. The committee then heard a lengthy presentation from Terence Bolden of TLB Enterprises on hydroponic and container-based agriculture as a response to food insecurity and workforce needs. Bolden described retrofitted shipping containers that can grow produce year-round with low water use, and said the model could be paired with career and technical education, drones, robotics, and agribusiness training in schools and communities. He said pilot projects are underway or planned with the Little Rock School District, Southwest High School, UAPB, and other partners, and estimated that five regional hubs could have significant economic impact while creating jobs and reducing food deserts. Members asked about target communities, costs, energy needs, crop types, and how the model would work in rural areas; Bolden said the approach is a public-private partnership intended to support local farmers, schools, and community food access. No votes were taken on Bolden’s proposal, and the meeting adjourned after questions concluded.

Transcript Highlights:

• Workforce pathways or flexible instruction for children in foster care.
• needs while expanding economic mobility for students.
• Education and workforce development.
• Second, developing a future-ready workforce.
• By the Texas Workforce Commission, they're supported by many grants.

Bills: HB117

Keywords: county regulation, impervious cover, land use, unincorporated areas, environmental management

Transcript Highlights:

• And they have rolled out plans to lay off half of HUD's workforce.
• mortgages and what could that mean for available workforce housing?
• A lot of the people that we're talking about are people in the workforce.
• I think about workforce housing.
• Workforce housing, things like that.

Keywords: affordable housing, government investment, barriers, legislative solutions, public testimony

Summary: The committee meeting focused on addressing the significant issue of affordable housing in America. Members expressed concern over the persistent barriers faced in the housing sector, despite substantial government investment aimed at alleviating these issues. It was highlighted that government interference plays a critical role in complicating the housing landscape, and discussions revolved around potential legislative approaches to mitigate these challenges. Several witnesses provided testimony, contributing to a thorough exploration of the topic.

Transcript Highlights:

• Investing in capacity and workforce: staff are on the front lines.
• They already know what housing needs are present, what workforce training is needed for businesses to
• They already know what housing needs are present, what workforce training is needed for businesses to
• Department of Labor as Native American grantees providing services under the Workforce Innovation and
• Department of Labor as Native American grantees providing services under the Workforce Innovation and

Summary: The Senate and Assembly Human Services Committees held a special oversight hearing on California’s 2026-27 Community Services Block Grant (CSBG) state plan, a federal anti-poverty funding stream. Committee members opened by citing statewide poverty and homelessness data and said the hearing was meant to review how CSBG dollars are used, how local agencies respond to community needs, and how the state is preparing for possible federal funding cuts. Jason Wimbley of the Department of Community Services and Development (CSD) explained that California’s CSBG network works through 60 organizations in 58 counties, serving about 1.5 million low-income Californians in 2023, and that the state received $68.4 million in federal CSBG funds in fiscal year 2025. He described the program as flexible funding used for housing, employment, education, food, health, transportation, and emergency response, and noted that the federal administration had proposed eliminating CSBG, though the Senate Appropriations Committee had voted to fully fund it for the coming year. Representatives from the California Community Action Partnership Association and several CSBG-funded agencies described how the program supports local anti-poverty work and leverages other funding. CalCAPA emphasized local flexibility, workforce development, partnerships, and data systems such as ROMA, while also warning that agencies are preparing for possible reductions by tightening budgets, planning staffing contingencies, and seeking private foundation support. Agency witnesses from Contra Costa County, Northern California Indian Development Council, Proteus, and Sacred Heart Community Service described services including housing assistance, food distribution, utility help, employment training, youth programs, and culturally specific services for Native communities and migrant farmworkers. They repeatedly said CSBG is essential because it funds staffing and infrastructure that allow them to braid other grants and serve people who do not qualify for standard safety-net programs. Members also asked about the impact of federal staffing changes and the Los Angeles fires. Wimbley said federal layoffs had affected some CSD programs but not CSBG administration, and that the department coordinated disaster response with state agencies and used CSBG-funded supply distribution, food, water, clothing, and documentation support during the fires. Witnesses said they were preparing for possible future cuts by diversifying funding, reducing expenses, and considering service changes, while county officials warned that state and federal reductions could not be backfilled locally. During public comment, one speaker urged stronger oversight of community action agencies and raised concerns about transparency and compliance with state law. The chair then thanked the witnesses, emphasized the importance of CSBG for low-income seniors, youth, and people with disabilities, and adjourned the hearing without any votes or formal action taken.

Transcript Highlights:

• And I guess the theme eventually we will get to workforce, how it connects to the workforce system.
• We mentioned that workforce.
• I got to go to the NCSL workforce conference not long ago and talked about workforce Pell.
• eligible for Workforce Pell.
• workforce connections.

Summary: The meeting focused on Arkansas’s workforce development reorganization and a set of federal waiver requests intended to consolidate and streamline the state’s WIOA system. Commerce officials said the department has already centralized shared services, split the old workforce agency into reemployment and Arkansas Workforce Connections, and submitted a combined WIOA/Perkins state plan. They described nine waiver requests, including replacing local workforce boards with a single statewide board, creating one planning and accountability structure, allowing more flexible movement of funds across regions, easing the “last-dollar” requirement for training and supportive services, reducing required youth program elements, and allowing affiliate sites instead of mandatory comprehensive centers. Officials said the goal is to reduce administrative costs and redirect more money to training, supportive services, and employer-driven programs. Legislators raised concerns about rural representation, local employer relationships, and whether local offices would close. Commerce officials said local offices would remain open, some current staff could be rehired, and regional business councils would preserve local employer input. They said the current system is fragmented and expensive, with roughly $14 million in federal workforce funds flowing through local boards but only about $1.9 million spent on training and supportive services last year; they argued the reorganization could raise training spending to about $6 million to $7 million annually. Questions also addressed board composition, performance accountability, and how funds could be shifted between regions when needs change. The State Board of Workforce Development had approved the waiver package 11-3 before it was submitted to the U.S. Department of Labor. Members also discussed workforce access for people with disabilities, child care and transportation supports, and the role of Arkansas Launch, apprenticeships, and career and technical education. Officials said vocational rehabilitation now has better access to the state job board and that referrals and data-sharing with DHS and other partners still need improvement. Several legislators emphasized the need for training to align more closely with employer demand, especially in manufacturing, technology, health care, and rural areas. The committee also heard a brief overview of Workforce Pell, with staff explaining that the new federal short-term Pell option has narrow eligibility rules and may not fit many existing programs, including some CDL and CNA programs.

Transcript Highlights:

• Libraries also support workforce development and local entrepreneurship.
• Libraries also help entrepreneurship and workforce development in other ways.
• Where is the funding for the mobile library? Is it part of your program or not?
• ...are tied directly to the efforts of the library-based workforce programs.
• We first of all want to talk about a shrinking workforce.

Keywords: 996, all

Transcript Highlights:

• <00:45:01.280> right what's about to happen in Mobile right what's about to happen in Mobile
• blow to our our way of life in Mobile blow to our our way of life in Mobile County<00:48:45.599>
• , the gentleman from Mobile, the gentleman from Mobile, Representative<01:11:42.080> Jones.
• Representative a gentleman from Mobile.
• , recognizes the gentleman from Mobile, recognizes the gentleman from Mobile, Representative<01:38

Keywords: 1136, house, all

Transcript Highlights:

• Highly educated workforce being able to do upwardly mobile jobs in the research and development industry
• Highly educated workforce being able to do upwardly mobile jobs in the research and development industry
• Highly educated workforce being able to do upwardly mobile jobs in the research and development industry
• Highly educated workforce being able to do upwardly mobile jobs in the research and development industry
• Highly educated workforce being able to do upwardly mobile jobs in the research and development industry

Keywords: 1183, house

Transcript Highlights:

• Mobile Blessings from the Heart is a non-profit mobile food pantry that distributes food to senior citizens
• Jeanette and Mobile Blessings from the Heart...
• House Bill 3801 establishes the Health Professions Workforce Coordinating Council.
• The definition of this is only applying to mobile devices.
• Bonnen's bill that gives people mobile strokes. I move passage.

Bills: SB17, SB1569, SB2420, HB5138, HJR161, HB1937, HB3334, HB5444, HB5137, HB361, HB321, HB5447, HB464, HB678, HB2294, HB4172, HB3225, HB1769, HB5394, HB1837, HB1787, HB2271, HB2440, HB5134, HB5149, HB2151, HB2073, HB2186, HB2025, HB1936, HB1777, HB1663, HB 1306, HB 1290, HB1527, HB4802, HB3462, HB2963, HB2462, HB2560, HB644, HB2725, HB2621, HB2588, HB1443, HB1403, HB3032, HB1557, HB1664, HB2811, HB2088, HB2598, HB3062, HB3134, HB3940, HB4027, HB4097, HB4862, HB4170, HB4157, HB4205, HB4279, HB4377, HB4838, HB5424, HB5294, HB4870, HB4763, HB5639, HB4112, HB2275, HB1677, HB5014, HB3848, HB3797, HB3727, HB3709, HB3177, HB3057, HB4176, HB4202, HB2180, HB3528, HB3658, HCR76, HCR127, SB906, SB1229, SB855, SB703, SB1025, SB888, SB1119, SB1080, SB929, SB1355, SB2231, SB1877, SB1998, SB552, SB17, SB1569, SB2420, HB2697, HB3801, HB3488, HB3477, HB3466, HB3469, HB2594, HB2564, HB2298, HB5331, HB5646, HB5247, HB5323, HB4384, HB3896, HB4014, HB3627, HB3594, HB2524, HB510, HB561, HB 1181, HB3963, HB5111, HB2785, HB1661, HB200, HB1803, HB249, HB721, HB851, HB 1128, HB1904, HB30, HB1916, HB541, HB5560, HB3071, HB5627, HB5435, HB2688, HB3045, HB3483, HB4213, HB4226, HB783, HB175, HB4735, HB5155, HB5057, HB4813, HB5339, HB5196, HB5033, HB3486, HB4211, HB74, HB4730, HB4743, HB4463, HB4139, HB4752, HB4486, HB4437, HB4426, HB4396, HB4263, HB3487, HB3418, HB2266, HB2229, HB2189, HB5224, HB5195, HB3947, HB3358, HB3370, HB3745, HB3697, HB2001, HB1968, HB3371, HB3909, HB4944, HB2284, HB4506, HB3317, HB4166, HB3913, HB1768, HB4603, HB2494, HB3099, HJR138, HB133, HB3832, HB1988, HCR34, HB3421, HB3892, HB5138, HJR161, HB1937, HB3334, HB5444, HB5137, HB361, HB321, HB5447, HB464, HB678, HB2294, HB4172, HB3225, HB1769, HB5394, HB1837, HB1787, HB2271, HB2440, HB5134, HB5149, HB2151, HB2073, HB2186, HB2025, HB1936, HB1777, HB1663, HB 1306, HB 1290, HB1527, HB4802, HB3462, HB2963, HB2462, HB2560, HB644, HB2725, HB2621, HB2588, HB1443, HB1403, HB3032, HB1557, HB1664, HB2811, HB2088, HB2598, HB3062, HB3134, HB3940, HB4027, HB4097, HB4862, HB4170, HB4157, HB4205, HB4279, HB4377, HB4838, HB5424, HB5294, HB4870, HB4763, HB5639, HB4112, HB2275, HB1677, HB5014, HB3848, HB3797, HB3727, HB3709, HB3177, HB3057, HB4176, HB4202, HB2180, HB3528, HB3658, HCR76, HCR127

Keywords: foreign ownership, real property, national security, criminal penalties, civil penalties, personal information, higher education, privacy protection, governing board, institutional security, software applications, mobile devices, age verification, parental consent, data protection, app store regulation, HJR 161, Texas constitutional amendment, voting rights, non-citizen voting

Transcript Highlights:

• Only one of these bills promotes licensure portability and workforce mobility.
• Massachusetts wisely joined the Nurse Licensure Compact, which expanded workforce mobility while preserving
• Since 2013, ASWB has prioritized licensure mobility.
• Department of Defense because, of course, in the military there is a lot of need for mobility.
• We don't want to lose our workforce in Massachusetts.

Keywords: 995, all

Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure focused on health care and human services, reviewed testimony logistics, and then heard a long series of witnesses on several bills. Much of the testimony centered on interstate licensure compacts for dentistry, social work, and occupational therapy, with supporters arguing these compacts would improve workforce mobility, continuity of care, and access while preserving state oversight and public protection. Dental witnesses were split on H.455/S.257, with supporters backing the AADB dental compact for its hands-on exam, background checks, and disciplinary safeguards, while opponents argued a competing compact would better promote portability and avoid conflicts tied to proprietary testing and outside commissions. Social work witnesses strongly supported H.380/S.252, emphasizing continuity of care for clients who move across state lines, reduced costs and delays for practitioners, and the compact’s public-protection features; occupational therapy witnesses similarly supported H.427/S.256, citing access, telehealth, military families, and maintained standards. The committee also heard testimony on S.242, which would expand licensure for lactation care providers. Supporters, including lactation counselors and health center staff, said adding certified lactation counselors and related credentials would expand access, improve breastfeeding support, and allow reimbursement for services now often provided without billing. They described the training required and said the bill would help families, especially in underserved communities. Representative James O’Day also testified in support of the social work compact, and a Council of State Governments witness provided background on compact mechanics and state participation. Another major topic was H.419/S.214 on medical debt. Physicians and researchers testified that cancer patients experience long-lasting medical debt and collections burdens, and they supported limits on the sale and collection of medical debt, bans on reporting it to credit bureaus, and related consumer protections. The hearing also included H.465 on a pathway to special licensure for certain long-term limited-registration dentists serving MassHealth patients, which Representative Senna supported as a way to allow immigrant dentists to practice independently. Finally, the committee heard sharply divided testimony on H.444/S.284, which would allow trained dental hygienists to administer Botox and dermal fillers: supporters framed it as a safe, preventive, and access-expanding tool for TMJ, bruxism, and pain management, while dermatologists opposed it as outside hygienists’ training and a patient-safety risk. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• Technologies enhance our human Workforce Technologies enhance our human Workforce by<00:53:57.160
• And lastly, a workforce needs—we're going to have to train new workers, right?
• And lastly, a workforce needs—we're going to have to train new workers, right?
• <01:40:21.080> uh relative efficiency and and Mobility uh relative efficiency and and Mobility
• <01:41:12.080> improvements terms of our major Mobility improvements terms of our major Mobility

Keywords: 1187, senate, all

Summary: The committee heard testimony on Senate File 285, a bill to shift MnDOT highway project cost participation away from local governments and onto MnDOT. The bill’s author and several city representatives said current cost-share policies force cities to spend local aid, property taxes, or debt on state highway projects they do not control, leaving less money for local streets and maintenance. Testifiers from Richfield, Elk River, Faribault, Minneapolis, and the Minnesota Association of Small Cities all supported the bill, describing the policy as one-size-fits-all, financially burdensome, and especially harmful to smaller cities and cities with major state highways running through them. Witnesses gave examples of large and sometimes changing local cost-share obligations, including Richfield’s spending of most of its MSA funds on projects it does not own and a small-city project where the estimated local share rose from about $2.3 million to over $3 million. Several testifiers said cities often have little practical ability to refuse MnDOT projects because the projects are valuable and MnDOT can move on if a city declines. One witness also raised concerns about money being paid upfront and held in an account during construction, causing cities to lose interest earnings while funds sit unused. Members asked whether cities truly have a say in these projects and whether there are limits on how much the local share can increase. Testifiers said MnDOT does engage cities, but the cost participation policy largely dictates the outcome, and they described the municipal consent statute as too narrow in practice. Senators expressed concern about fairness and the burden on local budgets, while one member noted the bill may not fully address the broader consent issue. No vote or final action was taken in the portion of the meeting provided.

Transcript Highlights:

• homes, with the mobile home um associations, mobile home owners, mobile home, um.
• , mobile home owner, uh, what are they called?
• Mobile home, um, site owners and, um, the families and owners. Thank you.
• Another one is a mobile home replacement program.
• It's now with the Workforce Solutions, and it's been, uh, the Secretary of Workforce Solutions is now

Transcript Highlights:

• The language was left out of the Mobile Act inadvertently, I am sure.
• The language was left out of the Mobile Act inadvertently, I am sure, and this simply puts that back
• We reviewed literature about health care compacts and their potential effects on the workforce.
• We reviewed literature about health care compacts and their potential effects on the workforce.
• Opportunity by Interstate Licensure Endorsement, or the MOBILE Act.

Summary: The committee heard and approved several health care bills. Senate Bill 68, by Senator Harrell, would require all hospital emergency departments to be prepared to treat children by maintaining pediatric equipment, staff training, written policies, a pediatric care coordinator, and completion/public posting of the National Pediatric Readiness Assessment. Senator Harrell said the bill is intended to improve pediatric emergency care in general hospitals, and the bill was supported by the Florida College of Emergency Physicians and the Florida Chapter of the American Academy of Pediatrics. It passed favorably. The committee also approved Senate Bill 154, which corrects the Mobile Act for dentists and dental hygienists by requiring graduates of out-of-state dental schools seeking licensure by endorsement to have attended a CODA-accredited school. The bill drew support from dental and dental hygienist groups and passed favorably. Senate Bill 40, by Senator Sharif, would require Medicaid managed care networks to ensure at least half of primary care providers offer appointments outside regular business hours, including evenings and weekends, to improve access and reduce emergency room use; it also passed favorably. A lengthy discussion centered on Senate Bill 254, also by Senator Harrell, which would tighten oversight of nursing education programs, create a temporary provisional license and preceptorship for new graduates awaiting NCLEX results, require remediation for low-performing programs, add standardized admission and exit-exam requirements, and allow the Department of Health to inspect programs unannounced. Supporters said the bill would improve quality and help students gain experience, while opponents warned it could reduce the number of nursing programs and worsen shortages, especially among private schools. After debate and testimony from nursing and school representatives, the bill passed favorably, with Senator Davis voting no. The committee then received an OPPAGA presentation on interstate health care licensure compacts. OPPAGA reviewed how Florida uses licensure by endorsement, telehealth registration, and compacts for nurses, psychologists, and physicians, and explained the potential benefits and drawbacks of joining additional compacts, including portability, data sharing, and emergency staffing versus costs, administrative burdens, and possible conflicts with Florida scope-of-practice laws. No action was taken on the presentation, and the meeting adjourned after Senator Davis requested to be recorded in support of SB 68 and SB 154.

Transcript Highlights:

• This bill would provide funding for mental health crisis services, including mobile crisis response,
• How much do we have in the mobile crisis funding that we allocated? >> Mr.
• .<00:40:07.599> Something<00:40:07.839> our<00:40:08.160> state workforce.
• Something our state workforce. Something our state desperately<00:40:09.119> needs.
• system is under significant workforce system is under significant workforce strain.<01:15:31.679

Bills: HF3738, HF2295, HF3520, HF3666

Keywords: pediatric care, hospital discharge, home care, healthcare accessibility, nursing services, family support, mental health, crisis services, Dakota County, mobile crisis response, public safety, treatment services, rehabilitation, behavioral health fund, client eligibility, home and community-based services, case management, waiver services, county services, disability advocacy

Transcript Highlights:

• But at a terms of access and mobility.
• can understand potential workforce can understand potential workforce displacement<00:43:11.480>
• Metro Mobility doesn't provide that type of service.
• Metro Mobility doesn't provide that type of service.
• :04:50.400> type<01:04:50.560> of Mobility doesn't provide that type of Mobility doesn't

Keywords: 1187, senate, all

Transcript Highlights:

• The purpose of this program really is to build housing that is affordable to local workforces.
• The purpose of this program really is to build housing that is affordable to local workforces.
• foundation for economic Mobility foundation for economic Mobility academic<00:56:52.839> success
• <00:58:04.880> and foundation for economic mobility and foundation for economic mobility and
• <00:58:32.079> affordable increasing economic Mobility affordable increasing economic Mobility

Keywords: 1187, senate, all

Transcript Highlights:

• Mobile telephony is something that we are probably all pretty familiar with because now mobile phones
• States are also taking steps to address workforce strategies, ah, such as through training programs for
• mobile phone provider in the nation.
• I am the director of state government affairs for T-Mobile based out of the Kansas City area.
• I represent T-Mobile in Texas and 8 other states in our central to South region.

Transcript Highlights:

• Your pediatricians and all of us are doing every single thing that we can to mobilize.
• We're working to get can to mobilize.
• Um, our health care workforce is extremely diverse.
• Um I our<00:26:42.080> healthcare<00:26:42.480> workforce<00:26:42.960> is<00:26
• :43.200> extremely our healthcare workforce is extremely our healthcare workforce is extremely

Keywords: 918, senate, all

Summary: At this meeting, Senator Matt Klein and a group of Minnesota physicians and medical organizations described what they said was escalating ICE activity in and around hospitals and clinics, and argued it is deterring patients from seeking care and interfering with medical work. Speakers from emergency medicine, pediatrics, the Minnesota Medical Association, obstetrics/gynecology, and family medicine said patients are avoiding appointments, missing follow-up care, and in some cases suffering serious harm because of fear of detention or family separation. They emphasized that emergency departments and other health care settings should remain safe spaces where care is based on medical need, not immigration status. Several speakers gave examples they said showed actual patient harm, including missed prenatal and pediatric visits, delayed treatment leading to sepsis, perforated colon, burst appendix, and a patient with cancer who was detained and moved without medications. Pediatric and OB/GYN speakers focused on trauma to children and families, including fear of bringing children to appointments, requests for home births, and patients refusing transfer for higher-level care. Family medicine and emergency physicians also said staff morale is low, some workers are afraid to come in, and the situation is affecting diverse health care teams across the state. The discussion also touched on legal and policy questions. Speakers said they have tried calling police, hospital administration, and security to remove ICE agents from private patient areas, but reported that agents refused to leave. They said ICE may be allowed in public spaces but should not be in patient rooms or during private exams, and suggested there may be a role for legislation to codify best practices for law enforcement interactions in health care settings. No votes were taken; the meeting consisted of testimony, questions from reporters, and calls for collaboration and for ICE to stop enforcement activity in health care settings.