Transcript Highlights:

• Network, Erica Floyd Thomas from DCF, Brian Meyer from AHCA, Melissa Larkin-Skinner from Community Assisted
• I'm Erica Floyd Thomas, and I have the pleasure of serving as the Assistant Secretary for Substance Abuse
• I am president of Community-Assisted and Supported Living, and I am here because I'm a licensed mental
• . um and had to be Baker Acted because they might have attempted suicide.
• I will have to get with the Assistant Secretary responsible for that area to be able to address that

Summary: The Health Care Budget Subcommittee held a panel discussion on Florida’s mental health and substance abuse system, with representatives from DCF, AHCA, two managing entities, and two providers describing how the state’s behavioral health network is funded and operated. Members focused on the implementation of prior legislative investments, especially the $50 million in recurring funding from Representative Maney’s bill and the earlier $126 million community behavioral health appropriation. Witnesses said the newer funds were used mainly for crisis beds, discharge planning, outpatient services, regional collaboratives, and a USF Marchman Act report, while the larger behavioral health appropriation supported CAT, FACT, FIT, forensic teams, residential and outpatient services, and crisis care, with most dollars going directly to services and only a small share to administration. A major theme was access to crisis care and the role of mobile response teams, 988, and central receiving facilities in diverting people from Baker Act admissions and reducing readmissions. DCF and providers said mobile response teams have expanded, are being used to de-escalate crises and connect people to care, and have shown strong diversion results and reductions in Baker Acts in some regions. Members also asked about waitlists, children in crisis, and how to handle people without housing or support; providers said discharge planning is individualized but often constrained by homelessness, transportation, and a lack of safe placements, and several witnesses identified housing as one of the biggest barriers to recovery and stability. The committee also examined provider sustainability, reimbursement, and funding gaps. Witnesses described delays caused by contract timing, cost allocation rules, and Medicaid reimbursement rates that do not always keep pace with labor and operating costs, especially for smaller providers and rural networks. DCF and AHCA said managing entities can provide advances, retroactive rate adjustments, and technical assistance, and that Medicaid managed care plans have network standards and complaint/dispute processes. Members raised concerns about a reported $7 million loss in federal non-sustainable funds, provider closures, and whether there is a formal ombudsman process for disputes; DCF said the federal reductions were known and tied to one-time funds, and that the department generally handles provider issues informally while working with managing entities to preserve continuity of care.

Transcript Highlights:

• Excuse me, this bill allows parties to divorce proceedings to use artificial intelligence-assisted arbitration
• I think that'll assist Representative Simichick's questions. Okay, let's go to HB 2409.
• Madam Chair and members, House Bill 2698, Rental Assistance Study Committee, establishes the rules and
• membership for a rental assistance study committee and the reporting requirements for the findings from
• , with the knowledge that the minor intends to die by suicide.

Summary: The caucus reviewed a large number of House bills, mostly on third-read consent or for floor strategy, covering education, health, water, land, energy, housing, taxation, and public safety. Topics included ESA administration funding, AI in schools and legal communications, towing and DUI changes, health facility licensing and nursing records, internationally trained physicians, nurse anesthetist reimbursement, childhood cancer research, cybersecurity encryption, school mental health instruction, superintendent pay and benefits, adoption disclosures in college health settings, anti-Semitism provisions, school safety firearms authorization, coerced abortion penalties, domestic violence testimony standards, border health and terrorism-related bills, and multiple water, land, and state trust land measures. Several members flagged concerns about unfunded mandates, local control, constitutional issues, and special legislation, while others supported bills as technical fixes, public safety measures, or ways to expand access and funding. A number of bills were pulled from consent for further discussion, including HB 2020, HB 2093, HB 2386, HB 2481, HB 2575, HB 2906, HB 2040, HB 2136, HB 2665, HB 2904, HB 2957, HB 2044, HB 2352, HB 2667, HB 2830, HB 2307, HB 2425, HB 2426, HB 2427, HB 2497, HB 2751, HB 2780, HB 2804, HB 2926, HB 4030, and HCR 2052, among others. Some bills were noted as unanimous or split votes, and several were described as party-line or having constitutional problems. The caucus also discussed committee amendments on multiple measures, including changes to water, land, health, and AI bills. The meeting ended with a series of remarks on the late Reverend Jesse Jackson and an “affordability award” presentation to Representatives Lorena Austin and Simacek for work on economic justice and working families. The caucus then adjourned.

Transcript Highlights:

• Unfortunately committing suicide, I think we're moving in the right step. Okay.
• So there are still some issues with regard to this that we see. committed suicide.
• It could be the assistant principal. It could be the dean of discipline.
• It could be the assistant principal. It could be the dean of discipline.
• It could be the assistant principal. It could be the dean of discipline.

Keywords: 1182, all

Transcript Highlights:

• And then the third one is suicide, and in a very high percentage of our suicide deaths, the parents have
• fatalities that are related to it, because it could be involved in certainly physical abuse, in the suicide
• Are we not providing enough services or assistance? Are we not finding these cases in enough time?
• Are we not providing enough services or assistance? Are we not finding these cases in enough time?

Keywords: 970, all

Transcript Highlights:

• I know too many people from this program who have later died by suicide.
• I watched my peers attempt suicide, run away without staff knowing, or be denied medical care.
• Toward the end of my stay in 2023, I almost successfully completed suicide because I thought being dead
• full-time case managers, and then, of course, support staff, administration staff, and we have a project assistant
• full-time case managers, and then, of course, support staff, administration staff, and we have a project assistant

Summary: The committee heard House Bill 723, which Representative Erickson said was developed in response to a state oversight report on children’s residential care and testimony about abuse and neglect in licensed youth treatment facilities. The bill would codify and strengthen oversight standards, require individualized service planning, create a youth bill of rights for residents and parents, and require critical incident reporting to parents or guardians within one business day. Erickson said the bill largely mirrors existing department rules, was drafted with the Department of Health and Welfare to avoid a fiscal note, and includes enforcement tools such as corrective action plans, sanctions, payment withholding, and law-enforcement referral for crimes. Several senators raised concerns about whether the bill was strong enough, whether unannounced inspections could raise Fourth Amendment issues, whether faith-based facilities would be affected, and whether the department would have too much discretion. Erickson responded that the inspections apply only to licensed facilities, not private homes, and that the bill is intended to improve transparency and oversight without changing existing rights or imposing new costs. Survivors and advocates testified in strong support, describing seclusion, restraints, forced medication, medical neglect, lack of private communication, humiliation, and retaliation in Idaho and out-of-state residential programs. They argued the bill would improve accountability, transparency, and safety for children and families. After testimony, the committee discussed the bill further. Some members said the bill was a meaningful step but wanted stronger consequences, while others noted the seriousness of the abuse described and the need for oversight of Medicaid-funded facilities. Senator Wintrow moved to send H723 to the floor with a do pass recommendation, and the motion passed by voice vote. The committee then received a presentation from Teligen on its role as Idaho Medicaid’s quality improvement organization. Nancy Johnson explained that Teligen handles prior authorization, quality oversight, fraud and abuse reporting, and a small case management program for complex Medicaid participants. She said the case management team of five Idaho-based nurses reached out to just over 1,000 participants in 2025, fully engaged 160, and reported about $850,000 in cost savings through reduced readmissions and better care coordination. Members asked about contract costs, staffing, the scope of services, and how suspected fraud is reported to the Medicaid program integrity unit. The committee adjourned after the presentation.

Transcript Highlights:

• I know too many people from this program who have later died by suicide.
• I watched my peers attempt suicide, run away without staff knowing, or be denied medical care.
• Toward the end of my stay in 2023, I almost successfully completed suicide because I thought being dead
• managers, and then, of course, support staff, you know, administration staff, and we have a project assistant
• managers, and then, of course, support staff, you know, administration staff, and we have a project assistant

Keywords: 989, all

Transcript Highlights:

• Our hometown heroes assistance program, which supports fire service members across the state, is the
• </c><00:14:49.519><c> to</c><00:14:49.839><c> all</c> provides this assistance to all provides this assistance
• You have been recognized for your work on this for the assistance you have provided.
• The horse came up to her and laid down, and she burst into tears because she had contemplated suicide
• the night before and she felt suicide the night before and she felt like<00:26:33.760><c> the</c><00

Keywords: 918, senate, all

Summary: The segment focused first on Senator John Marty’s bill, SF 3612, which would remove private insurers and HMOs from Minnesota’s state health care programs and replace them with a statewide administrative services model. Marty argued that managed care has created churn, coverage disruptions, and administrative waste in Medicaid and MinnesotaCare, and said the state should instead pay providers directly while investing more in care coordination, case management, and wraparound services through primary care clinics and county-based purchasers. He said the goal is better care, not just savings, though he also cited potential taxpayer savings and pointed to Connecticut as a model. He acknowledged the bill is not expected to become law this year and said a fiscal note and more details are still pending. Marty said the proposal has support from the governor and groups such as the American Cancer Society, but that his current co-authors are all DFL members. He expressed hope for bipartisan support and said the simpler system would also improve fraud detection and transparency. He addressed concerns about insurance-industry jobs by saying workers should be treated fairly and that retraining and dislocated-worker assistance would be part of the transition. He also said the broader goal is universal coverage for all medical needs, including mental health and dental care, without co-pays or deductibles. The second half highlighted Senator Jeff Howe and Minnesota’s Hometown Heroes Assistance Program for firefighters. Howe described the program as a statewide effort for roughly 20,000 career, paid-on-call, and volunteer firefighters that provides up to $20,000 in assistance for occupational illnesses such as cancer and heart disease, along with training, counseling, and family support. He said the program helps firefighters process trauma and has been recognized as the nation’s most comprehensive firefighter well-being initiative. Howe said the most recent version of the bill received unanimous bipartisan support in both chambers, and he suggested future expansions could include retired firefighters and possibly peace officers. The segment also noted a separate therapy approach using retired racehorses to help first responders work through trauma, with participants saying it has helped them stay on the job and manage anxiety and PTSD.

Transcript Highlights:

• That survey would include the Hunger Task Force, and it would designate a staff member to assist students
• students in the enrollment of the force for it to designate a staff member for assisting students in
• Initially, we did receive some dollars from a local foundation that assisted, but only in year one.
• A lot of teens suffer with depression, suicide, all the things.
• A lot of teens suffer with depression, A lot of teens suffer with depression, suicide, all the things

Summary: The committee first considered and unanimously recommended confirmation of Melanie Ressler to the Florida Citrus Commission. It then took up SPB 7020, a Department of Agriculture bill to reenact an expiring public records exemption for certain aquaculture production records held by the department. The department supported the measure, and the committee adopted a motion to submit it as a committee bill and reported it favorably. Next, the committee heard SB 534, which would create a Hunger-Free Campus Pilot Program in the Department of Agriculture and Consumer Services. Senator Bernard explained that the program would target campuses with high percentages of Pell-eligible students, require a survey and SNAP-related assistance, provide at least one food pantry on participating campuses, and direct a report to the Governor and House Speaker by December 1, 2028. A supporter waived in, there was no debate, and the bill was reported favorably. The committee then received a lengthy presentation from Carla Bristol and youth ambassadors from the St. Pete Youth Farm. They described the farm as a youth-led response to local food access problems after grocery store closures, and outlined programs in leadership, financial literacy, career readiness, mental wellness, composting, aquaponics, community education, and food production. Members praised the program and asked about expansion, including a culinary kitchen or food truck, partnerships with schools and colleges, and how the initiative began. Bristol said the farm is funded mainly through local redevelopment dollars and that future plans include a food truck, more youth opportunities, and a possible culinary kitchen. The committee concluded with adjournment.

Transcript Highlights:

• I don't know if you know this, but my dad committed suicide and he was a veteran.
• My brother died by suicide at the age of 20.
• suicide, literally.
• But I, as a child whose father died, father committed suicide, have a lot of obvious opinions about suicide
• She needs the assistance.

Bills: HB5141, HB4638, HB2264, HB2035, HB4813, HB4408, HB2684, HB1621, HB2300, HB216, HB3829, HB4466, HB1747, HB2284, HB3614, HB2587, HB3219, HB3318, HB5147, HB4014, HB216

Keywords: lease, state property, public purpose, Travis County, Health and Human Services, pharmaceutical initiative, drug distribution, healthcare services, generic drugs, advanced pharmaceuticals, cost savings, mental health, patient discharge, medical records, health care professionals, substance use, family involvement, chemical dependency, treatment facilities, minor admissions

Transcript Highlights:

• to voluntarily put themselves on a do-not-suicide list.
• It authorizes the commission to award grants to non-profit organizations that provide technical assistance
• Superintendent of Schools in Hamlin, I saw firsthand the positive impact of having a technical assistance
• From my perspective, this is where the technical assistance provider in the Texas Workforce Commission
• A technical assistance provider would add the same value to this partnership that it did for the school

Bills: SB913, SB1086, SB1087, SB1143, SB1534, SB1553, SB1718, SB1754, SB2004, SB2322, SB2448

Keywords: hotel occupancy tax, municipal revenue, tax code, local government funding, Texas legislation, county taxation, economic development, hotel industry, local government, counties, taxation, tourism, workforce development, youth programs, employment, education, technical training, health physics, higher education, nuclear energy

Transcript Highlights:

• organizations not only to fulfill their supply requests, but to get them training and technical assistance
• Leukemia or overdose and suicide? Multifold the latter. ...health.
• Leukemia or overdose and suicide? Multifold the latter. ...dose and suicide. Multifold the latter.
• When we know that it’s associated with gambling disorders and associated with suicide, it’s a higher
• . that it's associated with gambling disorders associated with suicide.

Keywords: 959, house, all

Transcript Highlights:

• That's why it's important that we have everybody's cooperation and assistance to make sure we get the
• how many people are thinking about suicide.
• Technical assistance.
• So technical assistance is huge. And again, I open this with this has never been done.
• So we'll need technical assistance as it relates to the tech one.

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee heard House Bill 1623, the appropriations bill tied to North Dakota’s Rural Health Transformation Program, which is funded through a new federal rural health care grant. Senator Bekkedahl explained the bill’s background, the interim committee process that developed it, and the federal conditions attached to the award, including spending deadlines, administrative cost limits, and restrictions on uses such as new construction, supplanting existing funding, and certain other costs. Legislative staff then walked through the seven sections of the bill, including appropriation authority, transfer authority, contingent appropriations for pass-through grants, procurement and public improvement exemptions, recipient reporting, legislative reporting, and immediate effective date. Commissioner Traynor and HHS staff described how the department plans to implement the program, emphasizing that the funding is intended to improve rural access, workforce recruitment and retention, technology and data connectivity, and community health initiatives. They said the department will rely on local applications, technical assistance, templates, listening sessions, and partnerships with providers, schools, public health units, tribal entities, and other community groups. Members asked about reimbursement timing, upfront costs, administrative expenses, sustainability after the five-year grant period, and whether CTE centers, public health units, gyms, grocery stores, and other community partners could participate; the department said yes, within program rules and with a focus on measurable outcomes and sustainability. Several supporters testified in favor. Mental Health America of North Dakota and the Mental Health Advocacy Network supported the bill and urged investment in community-based mental health, crisis response, children’s services, peer support, and mobile crisis teams. HIA Health described the grant as a chance to expand home-based and hospice care, noting that rural providers already have workable models but need funding to scale them. A cybersecurity representative also supported the bill, warning that the large amount of health data and AI-related tools will require strong data protection and professional support. The hearing was closed with no opposition testimony, and the committee announced it would return later in the day for further work on the bill and other measures.

Transcript Highlights:

• I'm an Assistant Attorney General in the Consumer Protection Division.
• The algorithm fed him what was going to keep him most engaged: a steady stream of pro-suicide content
• Lucia Magis Weinberg, and I'm an assistant professor of psychology and associate director for research
• The Court made clear that while states may assist parents in enforcing their own decisions, they may
• would be covered... ...would believe that children that are led to suicide would be covered under free

Summary: The Senate Business, Trade and Economic Development Committee first held a work session on protecting children online. Testimony focused on a proposed Kids Online Protection Act that would limit addictive algorithmic feeds for minors and restrict push notifications during school hours and at night. Supporters included a former tech executive, a Meta whistleblower, and a psychology researcher, who argued that social media design exploits adolescent development, harms well-being, and that the bill gives parents and children more control without banning access to content. Industry and trade group witnesses opposed the approach, arguing it would violate the First Amendment, create privacy risks through age verification, and could reduce useful personalization and safety tools; they said companies are already implementing teen protections and parental controls. The committee did not take a vote during the work session. The committee then held a public hearing on Senate Bill 5928, sponsored by Senators Warnick and Short at the request of the Insurance Commissioner. The bill would require property insurers using wildfire risk scores or models to disclose more information to consumers, explain adverse factors, provide appeal and rescoring processes, and account for mitigation actions in rate filings and discounts. The Office of Insurance Commissioner, a Colville Tribal representative, fire district testimony, climate advocates, realtors, hospitality businesses, and insurance agents generally supported the bill as a transparency and consumer-protection measure, with some urging inclusion of commercial lines and stronger recognition of local fire mitigation. Several insurance trade groups opposed or were neutral, warning that the bill goes too far, could expose proprietary underwriting information, increase regulation and costs, and should be narrowed to align with other states’ approaches. No vote was taken, and the chair adjourned after the hearing.

Transcript Highlights:

• People have asked for our assistance, and we've reviewed the case, and the evidence has pointed to them
• Years is unlike other people leaving a prison, they don't get housing or assistance or other things.
• The Native American community here in Washington State has some of the highest rates of suicidality.
• And I like to tell folks that it's not a crisis of opiates or suicidality or mental health.
• So this bill should be amended if it moves forward for those protections, and I can assist with that.

Bills: SB6087, SB5934, SB5520, SB6017, SB5890

Keywords: children's items, donations, charitable donations, nonprofit, religious organization, public health agency, liability shield, gross negligence, intentional misconduct, car seats, child safety seats, baby formula, diapers, strollers, cribs, playpens, high chairs, used goods, donation centers, Washington RCW

Transcript Highlights:

• or registered nurse is just as qualified to assist.
• My child ended up in the ER with suicidal thoughts.
• daily rates of suicide among Californians generally.
• resources to assist with filling out applications.
• I don't know. ...assistance.

Summary: The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost. The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns. Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.

Transcript Highlights:

• We hear every year about the twenty-two that lose their battle to suicide.
• it. suicide.
• In fact, there's a black box warning on these drugs that say they increase suicide.
• Those that did not get treatment had a 50% lower suicide rate than those that did.
• Members, this amendment fully funds the tuition assistance program for the Texas military.

Bills: SB1, HB500, SB1, HB1400, HB 1094, HB365, HB 1109, HB647, HB500

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, state budget, mental health funding, education funding, infrastructure improvements, public safety, groundwater, water conservation, financial assistance, Texas Water Development Board, innovation fund, local conservation districts, transportation protection agreement, funeral services, insurance exemption

Transcript Highlights:

• We're, I think, four times more likely to commit suicide than it is in the... they can't administer it
• to commit suicide than it is in the normal community.
• Veterans are 50% more likely to complete suicide when compared to their non-veteran peers.
• I am President and CEO for Home Assist Health.
• And with that said, I am not here for myself, and I'm not here necessarily for Home Assist Health.

Summary: The committee heard House Bill 2615, as amended by a strike-everything amendment creating an Independent Oversight Committee on the Department of Child Safety with 15 members, authority to review DCS data and practices, request briefings and audits, conduct site visits, and receive confidential complaints, with a $2.2 million FY 2027 appropriation. The sponsor and several parents and foster/adoptive caregivers testified in support, describing child safety failures and arguing for independent accountability, while some members questioned whether the Ombudsman’s office was the right home for the committee and suggested other oversight structures. The amendment was adopted, but the bill itself failed on a 5-5 vote. House Bill 2620, which would appropriate $300,000 annually from FY 2027 through FY 2031 to the Arizona Department of Veterans Services for grants to emergency shelters serving veterans, received strong support from the sponsor and shelter advocates who said the funding would help move homeless veterans toward stable housing and connect them with VA services. Members emphasized veterans’ service and the need for trauma-informed case management, and the bill passed with a 10-0 do-pass recommendation. House Bill 2321, requiring DCS to place and later remove a credit freeze for children in care to prevent identity theft, also passed unanimously after the sponsor and members discussed the administrative process and protections for foster youth. The committee then considered House Bill 2601, directing ADOT to seek federal segmentation for the Interstate 11 project between Casa Grande and Wickenburg so environmental review could proceed separately from litigation affecting the southern portion. Supporters framed the bill as a bipartisan way to keep the project moving, while opponents from environmental groups and several members argued it would encourage sprawl, harm desert habitat, and add cost and delay; the bill passed 6-4. House Bill 2992, a pilot program for child sexual abuse and grooming awareness education in six public schools, drew testimony from a trafficking survivor and others who supported prevention efforts, but some members argued the topic should be handled through broader sex education or parent education; it passed 6-4. Later bills also advanced: HB 2156, appropriating $250,000 to the Livestock Compensation Fund, passed 7-3; HB 2165, exempting certain veterans and National Guard members from state park admission fees, passed 6-4 after amendment narrowing the exemption; HB 2960, creating a veterans specialty court grant program and related data-sharing requirements, passed 8-0; HB 2014, directing studies on gasoline blends and fuel feasibility amid EPA waiver concerns, passed 6-2; and HB 2957, preserving non-Real ID licenses and limiting biometric/data retention with a Kavanaugh amendment, passed 5-4-1.

Transcript Highlights:

• projects, having a supportive person in the birthing room, and also allowing for continuous medical assistance
• or suicidal ideation.
• ><00:26:41.440><c> of</c> trans kids they are more at risk of trans kids they are more at risk of suicide
• <00:26:42.320><c> or</c><00:26:42.520><c> suicidal</c><00:26:43.000><c> ideation</c><00:26:43.799><c>
• they</c><00:26:43.919><c> are</c> suicide or suicidal ideation they are suicide or suicidal ideation

Keywords: 1187, senate, all

Transcript Highlights:

• About one third of those calls involve suicidal ideation.
• I believe you said that. 12,865 calls into 988, or a third of them basically being suicidal ideation.
• And then you have the Technical assistance who hosted two statewide calls. Who attended? Mr.
• Chair, Representative Lujan, part of our early access funding is for medication-assisted treatment in
• So, as I look and have spoken to the Animal Protection Organization and their assistance with you with

Keywords: 996, all

Transcript Highlights:

• Then we have suicide intervention with the health care system itself.
• I am the interim economic assistance director.
• economic assistance and our human service zone partners.
• our economic assistance and our human service zone partners.
• We also have a legal assistant and an admin assistant that also do the appeal process and work that case

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on major health-related projects and programs. CHI St. Alexius representatives reported progress on behavioral health buildouts in Bismarck, Williston, and Grand Forks, including demolition and construction milestones, staffing plans, and timelines. The Bismarck project remains on track for completion in June 2027 with about $346,500 spent to date. Williston reported construction underway, a $750,000 unbudgeted air handler replacement, active recruitment for psychiatrists and other staff, and a projected substantial completion in early 2027. Grand Forks reported about 30% completion, weather-tight status expected in August, and continued staffing ramp-up as the facility expands from its current 24-bed operation. The Department of Health and Human Services then reviewed a set of technical line-item transfers, emphasizing that they were administrative corrections with no net change in funding. The department also walked through the Salaries and Wages Block Grant and FTE counts, noting overall staffing remained within appropriated limits and that behavioral health staffing had increased. Members asked about vacancies, consultant use, and the mix of in-state versus out-of-state expertise for the Rural Health Transformation Program. HHS said it had posted 12 funding opportunities, received 422 applications, obligated $8.4 million so far, hired 26 people, and was preparing additional grant rounds and a CMS budget submission. The department said the program is structured around workforce, prevention/healthy living, care closer to home, and technology/data, with ongoing stakeholder engagement and community forums. The committee also heard on the certified community behavioral health clinic implementation plan, SNAP payment error rates, and the state laboratory project. HHS said CCBHC certification is being implemented in four regions—Williston, Minot/North Central, Fargo/Southeast, and Dickinson/Badlands—with care coordination expanding and baseline data still being collected. On SNAP, the department reported a 2025 payment error rate of 9.89%, acknowledged cost impacts under HR1, and said it is using training, system changes, and pre-authorization quality checks to reduce errors toward a 6% target over the next 6 to 12 months. Finally, Public Health reported the state laboratory reached substantial completion on June 12, with total costs at $69.95 million of the $70 million budget, though a service elevator issue will require a new lift to be added using contingency funds.