Transcript Highlights:

• Okay, now we get to the speed round of the MOAB.
• Okay, now we get to the speed round of the MOAB.
• Okay, now we get to the speed round of the MOAB.
• Okay, now we get to the speed round of the MOAB.
• Consumer price index the speed round of the Moab. Uh, we have the speed round of the Moab.

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Transcript Highlights:

• both the House and the Senate multiple times, with the exception of Health, which it just did that round
• both the House and the Senate multiple times, with the exception of Health, which it just did that round
• both the House and the Senate multiple times, with the exception of Health, which it just did that round
• How can we—we don't need a whole new round of grant programs. So just my comments, Mr.
• of Grant programs so whole new round of Grant programs so just<01:48:00.320> my<01:48:00.480>

Keywords: 1183, house

Transcript Highlights:

• My goal here is collaboration because the candy will make the rounds. This is not just a prop.
• Uh, we are now on to the second round of a couple members.
• Uh, we are now on to the second round of a couple members.
• And now I finished kicking off in round two, so we will go to Representative Hicks.
• in round two so we will go to in round two so we will go to representative representative representative

Keywords: 1183, house

Transcript Highlights:

• So one more round of applause. And one more round of applause for this family, please.

Summary: The House convened with prayer and the Pledge of Allegiance, established a quorum, and approved leave requests and the previous day’s journal. The chamber received a governor’s communication listing several fiscal-session measures that had been signed into law, and members recognized a number of guests, including law enforcement officers, medical staff, and several championship athletic teams and Special Olympics participant Justin Tate. Representative Dolly Henley also made a personal explanation regarding her request to vote no on House Bill 1098, apologizing for any confusion. On the red and yellow calendars, the House passed Senate Bill 1, the Arkansas Senate appropriation for fiscal year 2026-2027, by a large margin and then considered a series of appropriation and reappropriation bills in batches. Amendment 1 to House Bill 1034, concerning the Treasury Office of State Appropriation and a 10% salary increase for the Secretary of State, was rejected. Several bills passed, including House Bill 1020, House Bill 1041, House Bill 1098, Senate Bills 2, 14, 26, 68, 69, 72, and 74, along with multiple batched general appropriation and reappropriation measures. House Bill 1023 and House Bill 1053 failed on final passage. Members also discussed the scope of certain appropriations, including questions about whether funds allowed disproportionate staff raises and whether a workforce-services reappropriation would centralize services in Little Rock; the sponsor said the bills did not do those things. After completing the calendar, Representative Meeks moved to adjourn until 3:00 p.m. Monday, and the motion carried. The House announced that House Management would meet 15 minutes after adjournment on Monday and that the deadline for submitting resolutions was that day.

Transcript Highlights:

• So one more round of applause. ...and Representative Eaton, who have them here as their guest today.
• So one more round of applause for this family, please.

Keywords: 1204, all

Transcript Highlights:

• So one more round of applause. And one more round of applause for this family, please.

Summary: The House convened with a prayer and pledge, established a quorum, approved leave requests, dispensed with the prior journal, and received a governor’s communication listing several fiscal-session bills that had been signed into law. The chamber also adopted a consent calendar of resolutions and recognized multiple guests, including law enforcement officers, a doctor and nurse, a House staff member celebrating her 80th birthday, and several student athletic teams and Special Olympics participants. During the floor session, members heard a personal privilege statement from Representative Dolly Henley apologizing for any confusion about her request to vote no on House Bill 1098. The House then took up appropriations and related budget measures. Senate Bill 1, the Arkansas Senate appropriation, passed 90-1 with the emergency clause. An amendment to House Bill 1034 concerning the Secretary of State’s appropriation was rejected. The House passed a batch of general appropriation bills, then separately passed House Bill 1020, House Bill 1041, House Bill 1098, Senate Bill 2, Senate Bill 14, Senate Bill 26, Senate Bill 68, Senate Bill 69, and Senate Bill 72. House Bill 1023 and House Bill 1053 failed. Several bills were pulled from batches for separate votes at members’ requests, and the chamber repeatedly noted that some measures contained no appropriation increase while others reflected pay-plan, security, performance-fund, or capital-project adjustments. Senate Bill 69 was described as a supplemental for a University of Arkansas food science building without drawing on general revenue. Most measures passed with strong margins, though House Bill 1023 and House Bill 1053 failed. The House then adopted a motion to adjourn until 3 p.m. Monday, and committee announcements noted House Management would meet 15 minutes after adjournment and that the deadline for submitting resolutions was that day.

Transcript Highlights:

• plan and $7.8 billion for CUNY's five-year capital plan, and providing $40 million for an additional round
• PLAN AND 7.8 BILLION FOR CUNY'S FIVE-YEAR CAPITAL PLAN AND PROVIDING 40 MILLION FOR AN ADDITIONAL ROUND

Keywords: 993, senate, all

Summary: The Higher Education Conference Committee met to discuss budget priorities for SUNY, CUNY, community colleges, TAP, student aid, and capital funding. Chair Toby Ann Stavisky emphasized the need for increased operating and capital support, protection against enrollment-based funding losses, no tuition increases, a review of TAP because it has not kept pace with living costs, and action on student loan access and research funding cuts. Assembly Chair Alicia Hyndman outlined the Assembly’s higher education proposal, including $475.7 million to expand TAP eligibility, raising income thresholds for TAP and the Excelsior Scholarship, creating a graduate tuition assistance program, adding community college operating aid, expanding the Opportunity Promise Scholarship, forgiving SUNY hospital debt service, increasing CUNY operating support, restoring opportunity program funding, creating a $110 million student loan support program called New York Rises, and funding five-year capital plans for SUNY and CUNY plus additional ECAP grants. Members broadly supported making higher education more affordable and accessible, while highlighting district-specific needs. Senator May praised SUNY Reconnect, community college workforce programs, hospital debt service relief, and a five-year SUNY capital plan. Senator Gonzalez framed the budget as an investment in economic mobility. Senator Griffo supported affordability, operating and capital aid, and additional support for medical schools and hospitals. Assembly Members Walker, Colton, and Fall backed TAP expansion, opportunity programs, disability supports, SUNY Downstate’s transformation, and capital needs at CUNY and SUNY campuses. Assembly Member Smullen, speaking for the minority conference, urged a five-way budget process, said TAP has not kept pace with inflation, and called for a more stable long-term funding model for community colleges. He also stressed aligning higher education with workforce needs. Assembly Member Pirozzolo pointed to the College of Staten Island as an example of the benefits of investment and warned that employers recruiting students directly from high school could weaken higher education unless colleges continue strengthening trade and career training. The meeting ended with no vote on the budget items, and the chairs adjourned the conference committee after concluding remarks.

Transcript Highlights:

• Member Davila, and we have Assembly Member Carroll, whose timing is perfect, perfect, Let's give them a round
• We have to be investing in our youth, and that we want to do the pilots for a year-round youth employment

Keywords: 993, senate, all

Summary: The Human Services and Labor budget hearing opened with Senate and Assembly co-chairs introducing members and naming secretaries for the record. The agencies covered included Human Services, Labor, Temporary and Disability Assistance, Children and Family Services, Veterans Services, Human Rights, Workers’ Compensation, the Welfare Inspector General, and the Public Employment Relations Board. Members then gave brief statements on their priorities for the upcoming budget negotiations. A major theme was affordability, with repeated discussion of child care, SNAP, housing, and worker supports. Senators and Assembly members highlighted the Senate and Assembly one-house proposals for a $500 million child care worker retention grant program, additional child care slots and subsidies, cost-of-living adjustments for human services workers, and expanded support for supportive housing, youth employment, HEAP, and energy affordability. Several members also emphasized food insecurity and SNAP-related issues, including funding to address payment errors, prevent penalties, expand SNAP education, and respond to expected federal changes. Labor-related issues included workers’ compensation fraud, wage theft enforcement, workplace violence, temporary disability insurance reform, and the creation of dedicated enforcement funding for the Department of Labor. Some members supported using workers’ compensation assessments or insurance-company-related funding to pay for anti-fraud efforts, while others preferred grants to district attorneys or broader DOL enforcement. There was also discussion of occupational health clinics, labor standards in any SEQRA changes, and expanding access to doctors in the workers’ compensation system. Veterans, child care, and public assistance fraud prevention were also discussed, including funding for veterans legal defense and mental health services, microchip/secure EBT cards to reduce skimming, and restoring or protecting various programs. No formal votes were taken; the hearing concluded with the chairs stating that the Senate, Assembly, and Executive would continue negotiations toward a final budget.

Transcript Highlights:

• Stewart from Round Rock. ...159th Judicial District, Angelina County, District Attorney, the Honorable
• Members, I think this bill represents another round of big government imposed on the state by the Senate

Bills: SB 10, SB 8, SB 15, SB 12, SB 6, SB 13, SB 9, SB 7, SB 17, SB 4, SB10, SB8, SB15, SB12, SB6, SB13, SB9, SB7, SB17, SB4

Keywords: sex designation, restroom access, civil penalties, private civil right of action, women's privacy, law enforcement, department file, employee records, misconduct, confidentiality, Texas occupations code, election laws, attorney general, prosecution, criminal offenses, criminal prosecution, jurisdiction, hemp, consumable hemp, hemp-derived cannabinoids

Transcript Highlights:

• Let's give them a round of applause. Thank you all. Assemblymember Soria.
• Please give them a round of applause.

Keywords: 988, house, all

Transcript Highlights:

• It would provide year-round opportunities for recreation and a range of services and facilities to serve
• Let's say we round it up to 50 cuz some of them are higher, some of them are lower.
• Let's say we round<00:29:19.200> it<00:29:19.320> up<00:29:19.400> to<00:29:19.520
• it up to 50 cuz some of them are round it up to 50 cuz some of them are higher,<00:29:20.720> some
• what, 720 mile round trip? what, 720 mile round trip?

Bills: HF4094, HF3390, HF3813, HF3583, HF3751, HF4324, HF4789, HF3596, HF4033, HF4424, HF4053

Keywords: Crosby, local sales tax, bonding authority, community projects, voter approval, Owatonna, use tax, special law, community center, municipal finance, capital project, sales and use tax, local option tax, city tax, public facility, general election, bond referendum, debt limit, levy limit, Minnesota local government

Transcript Highlights:

• the timing of we're looking at three years of appropriations, and we haven't yet done this second round
• of appropriations in that next round of funding.
• the come in since then and few the come in since then and few the additional<01:21:34.719> round
• of appropriations in additional round of appropriations in that<01:21:36.400> next<01:21:36.640
• > so<01:21:38.080> that's that next round of funding and so that's that next round of funding

Bills: SF2434

Keywords: housing, development fund, affordable housing, Minnesota Housing Finance Agency, expenditure provisions

Transcript Highlights:

• . >> Miss Childress, we'll go through this first round here, and then we're going to go to online and
• Investigation at the scene would indicate that rounds were fired up in the air.
• the scene would indicate that uh rounds were<00:44:08.560> fired<00:44:08.880> up<00:44
• 00:58:40.160> with<00:58:40.400> thousands<00:58:40.799> of<00:58:40.960> rounds
• <00:58:41.359> of weapons with thousands of rounds of weapons with thousands of rounds of

Bills: SF0101

Keywords: Second Amendment, firearm regulation, state legislation, public safety, civil penalties, 916, all

Transcript Highlights:

• These are the other KIA student aid programs that will be included in our budget request, and that rounds
• Well, the next round of Gear Up funding was actually already been appropriated.
• Well, this<01:20:23.120> the<01:20:23.440> next<01:20:23.679> round<01:20:23.920
• I think we went through a<01:23:29.600> couple<01:23:29.760> rounds<01:23:30.000> for
• for the 7 million and a couple rounds for the 7 million and the<01:23:31.199> 3<01:23:31.440>

Keywords: The livestream event for this meeting failed before the meeting was finished. This copy was pulled from backups and is reposted in it's entirety., 958, all

Summary: The committee met to review KHEAA’s student aid programs ahead of the upcoming biennial budget. KHEAA officials outlined the agency’s role administering state grants and scholarships, emphasizing that net lottery proceeds are statutorily dedicated to student financial aid after a literacy appropriation. They focused on the College Access Program (CAP), Kentucky Tuition Grant (KTG), and KEES, and explained that the FAFSA simplification changes significantly expanded eligibility for Pell and CAP recipients. KHEAA said the General Assembly’s additional funding this biennium allowed CAP to be fully funded, and that FY25 spending for CAP reached about $232 million for roughly 72,000 students, up from about 55,000 recipients the prior year. Officials said they are watching current-year application trends closely and expect a clearer funding picture by late fall as awards are actually disbursed and enrollment data comes in. Members asked about how CAP eligibility works, the difference between applicants and recipients, and whether KTG is tied to Pell eligibility. KHEAA explained that CAP is essentially aligned with Pell eligibility, while KTG uses a different need formula and is limited to private colleges in Kentucky. They also noted that schools verify final eligibility after KHEAA’s initial review of application data. Questions about the FAFSA simplification act and federal changes led KHEAA to say they do not expect major effects on state grant and scholarship programs, though federal student loan changes may affect students, especially at the graduate level. The committee also discussed KEES, which KHEAA said has been fully funded since its creation, and dual credit/work-ready scholarships. KHEAA reported that dual credit participation continues to grow and that FY25 spending for dual credit and Work Ready Kentucky totaled about $26.4 million, compared with a $13.1 million appropriation, with transfers from Work Ready used to keep dual credit fully funded. Officials said they will seek growth funding for dual credit in the next budget because the program has expanded and now includes the work-ready component under one statute. Members asked about transferability of dual credit courses and whether students actually use the credits toward degrees; KHEAA said it does not have hard data on every credit’s transfer, but it is seeing positive trends in bachelor’s completion and more high school graduates earning associate degrees. No votes or formal actions were taken beyond approving the July 15, 2025 meeting minutes.

Transcript Highlights:

• People are coming in on Saturday and Sunday before because you have practice rounds on Monday, Tuesday
• It is a seven-day event, with people arriving on Saturday and Sunday before practice rounds on Monday
• Sunday before because you have Saturday, Sunday before because you have practice<01:37:58.960> rounds
• <01:37:59.280> on<01:37:59.520> Monday,<01:37:59.840> Tuesday, practice rounds
• and um it's coming down to final round and um it's coming down to the<01:39:22.560> wire.

Keywords: 1187, senate, all

Transcript Highlights:

• kids had ever seen a naked picture of a random classmate, the majority of the kids that were at the round
• kids had ever seen a naked picture of a random classmate, the majority of the kids that were at the round
• kids had ever seen a naked picture of a random classmate, the majority of the kids that were at the round
• kids had ever seen a naked picture of a random classmate, the majority of the kids that were at the round
• Sorry for rounding up. Yeah, um, okay, next testimony: Bob Driver and Michelle Krell.

Keywords: 1187, senate, all

Summary: The Minnesota Senate Education Policy Committee heard testimony on Senate File 508, a bill to restrict cell phone use in schools. Senator Mann said the proposal was based on roundtables with school districts across the state and on reports from other states, and argued that cell phones are harming student attention, mental health, classroom culture, and student-teacher relationships. She said K-8 restrictions are broadly supported, while high school policies should be more flexible, and emphasized that districts should control implementation. The bill also includes funding for education efforts around why the restrictions are being adopted and how students can use technology responsibly. Testifiers largely supported the bill or the general goal of limiting cell phone use. Dr. Anna Tyranny, a parent and licensed psychologist, said cell phones and social media can contribute to anxiety, poor concentration, cyberbullying, and inappropriate sharing, and urged a balanced approach that includes digital literacy education. St. Cloud Area Public Schools Superintendent Laori Pam and Tech High School staff member Molly Kenzie described their district’s policies, which keep phones away for the day in elementary and middle school and restrict them during class in high school. They cited U.S. Department of Education guidance, research on mental health and sleep disruption, and the need for age-appropriate, equitable, and consistently communicated policies. St. Cloud reported that its middle school policy, piloted and then expanded districtwide, led to a 50% reduction in cell phone discipline referrals and fewer classroom power struggles. The district said high school violations remain concentrated in certain grades, especially ninth and eleventh, and that it continues to address the issue through PBIS teams. No vote or final committee action on the bill was described in the transcript.

Transcript Highlights:

• was also asked to bring a couple of tax statements from other states, so let me just see if I can round
• From other states, so let me just see if I can round those up. Are you able to see that? Yes.
• So this was a proposed tax in step two, and then rounded out with the property tax statement, step three
• intention in every single case, all four of them, is to have this developed and ready to go by the next round
• But I think the last point, though, is that, you know, we have to realize that we just went through round

Keywords: 908, all

Summary: The subcommittee of the Tax Reform and Relief Committee met with a quorum to begin its study of whether the content of North Dakota real estate tax statements should be revised to improve transparency. Legislative Council staff reviewed the background for the study, including House Bill 1176, current statutory requirements for tax statements, and recent changes such as separate line items for bonded debt, primary residence credit, and legacy fund-related amounts. The Tax Department then explained the current statement format and noted that the form is prescribed and approved by the tax commissioner, with changes typically driven by statute and implemented collaboratively with counties and vendors. County officials from the North Dakota Association of Counties described the full annual process for preparing budgets, setting levies, calculating taxable values, and issuing notices and tax statements. They said counties spend significant time coordinating with taxing districts, neighboring counties, and software vendors, and that the new budget hearing notices and valuation notices have not generated much public response. Members raised concerns about the usefulness and clarity of certain line items, especially the legislative tax relief calculation and the primary residence credit, and discussed whether the current statement creates confusion rather than transparency. Testimony also addressed the 3% cap, mill levy worksheets, assessment cycles, and the role of county auditors and tax directors in maintaining accurate values. The committee also heard from software vendors CPT and Tyler Technologies about how legislative changes are programmed into tax systems and how online taxpayer portals can provide more detailed breakdowns of tax bills. Vendors said changes required by law are generally absorbed in contracts rather than billed directly to counties, and they demonstrated web tools and pie-chart style breakdowns that show where tax dollars go. NDACO presented a survey of eight counties estimating tax statement preparation and mailing costs, concluding that outsourced printing tends to be cheaper on average and that total statewide tax statement costs may be roughly $600,000, though the estimate was based on limited data. No votes were taken; the meeting was informational and focused on gathering testimony and identifying issues for possible future recommendations or bill drafts.

Transcript Highlights:

• You know, in Nazi Germany, one of the first groups to be rounded up were the trade unionists.
• In Poland, they rounded up unions, or they tried to, and then the Solidarity movement formed, which led
• You know, in Nazi Germany, one of the first groups to be rounded up were the trade unionists.
• In Poland, they rounded up unions, or they tried to, and then the Solidarity movement formed, which led
• You know, in Nazi Germany, one of the first groups to be rounded up were the trade unionists.

Bills: S0500, S0536, S0762, S1582, S1632, S1634, S1742, S1750, S1792

Keywords: security detail, protective detail, candidate protection, election security, statewide office, governor, lieutenant governor, cabinet officer, nominee, officer-elect, FDLE, Florida Department of Law Enforcement, primary election, general election, canvassing commission, political party, minor party, campaign safety, election protection, public safety

Summary: The committee first considered SB 536, which updates Florida’s criminal gang statutes to reflect modern recruitment and communication methods, including social media and encrypted messaging. Senator Martin and supporters said the bill does not criminalize gang membership, but helps law enforcement and prosecutors establish gang-related connections for warrants and sentencing enhancements. Senator Smith raised concerns about the lowered threshold for being observed with gang members and possible unintended impacts on business owners and others; Martin said the language was not intended to cover ordinary business interactions and that a gang tattoo must be one used by the gang. After an amendment aligning the Senate bill with the House version was adopted, the committee reported CS/SB 536 favorably. The committee also favorably reported CS/SB 762, which allows chief judges to assign capital conflict cases across regional counsel offices, with an amendment requiring judges to consider judicial economy and geographic proximity. Testimony from regional counsel emphasized projected long-term savings, estimated at about $150 million over 10 years. The committee then approved CS/SB 1742, creating a new indecent exposure offense involving sexual conduct directed at minors, and CS/SB 1750, which increases penalties for serious sex crimes and child sexual abuse material offenses; both bills were amended before passage, with law enforcement groups appearing in support. The committee next took up SB 1582, which creates statewide data sharing for secondhand dealer and pawnbroker transactions without creating a new state-run database, while preserving confidentiality protections and law enforcement access. An amendment was adopted, and pawnbroker and recycling stakeholders testified in support. The linked public records bill, SB 1792, creating an exemption for those transaction records while allowing certain information to be released to alleged owners, was also reported favorably. The committee then approved CS/SB 500, which provides FDLE protective security details to major party nominees for governor, lieutenant governor, and cabinet offices after primary certification and until the general election is resolved; a technical amendment was adopted, and the bill was described as mirroring federal candidate protection practices. The longest and most contentious discussion was on CS/SB 1632, which would bar Florida courts from enforcing foreign or religious law in a way that overrides the U.S. or Florida constitutions and would create a process for designating foreign or domestic terrorist organizations, with related consequences for schools, funding, and student conduct. Senator Grall said the bill is intended to protect constitutional principles and target violent, criminal conduct rather than protected speech or religious practice, and she explained that designations would follow a public process with judicial review. Senators Smith and Polsky pressed repeatedly on First Amendment, due process, vagueness, and academic-speech concerns, asking how “promotion” would be defined and whether students, attorneys, or advocacy groups could be swept in; Grall said she was open to clarifying language but maintained the bill is aimed at furthering illegal acts, not mere opinion. Numerous speakers opposed the bill, warning it could be used to target Muslim students, religious communities, advocacy groups, and political dissent, while a few supporters argued it was needed for public safety. The transcript ends during public testimony on SB 1632, with no final committee vote shown in the excerpt.

Transcript Highlights:

• And so a clear culture history is needed because a pregnant patient with multiple rounds of infection
• We just got through round one not that long ago, to be perfectly honest.
• We got through round one not that long ago, to be perfectly honest, in terms of funding.
• We're approaching round two of funding for the 2025 property tax year, but it's going to work out to
• So that is why we get that first round, and then we have back and forth, and...

Keywords: 908, all

Summary: The committee first took up Senate Bill 2401, which would require physicians to complete continuing education on nutrition and metabolic health as part of the state’s rural health transformation effort. HHS supported the bill, saying it would help physicians better address chronic disease and preserve federal grant points tied to the state’s application. A member of the public also testified in favor, arguing that better nutrition education could improve diabetes outcomes and reduce costs. The committee then adopted an amendment to add the Board of Occupational Therapy Practice to the background-check statute so the occupational therapy compact could proceed, and it passed the bill as amended on a roll call vote. The committee next heard House Bill 1621, which would require the Presidential Fitness Physical Fitness Test in elementary, middle, and high school physical education courses. HHS said the bill was part of the rural health transformation application and could help preserve federal funding, but members raised many questions about the test’s criteria, adaptive options for students with disabilities, equipment needs, and whether the bill should apply to non-public schools. Senator Clemens offered an amendment to limit the requirement to public schools, but it failed. Senator Hogan then offered an amendment to clarify exemptions and allow DPI to align implementation with federal guidance; that amendment passed. A further amendment adding language allowing DPI to establish criteria for and exceptions to the test also passed. The committee then approved the bill as amended on a roll call vote. The committee also considered House Bill 1622, which joins North Dakota to the physician assistant licensure compact. HHS said the compact would improve access to care, especially in rural areas, support military families, and help preserve rural health transformation funding. Members noted the compact had been discussed in a prior session and that many earlier concerns had been resolved. After brief discussion about the compact process and its consistency with other interstate compacts, the committee voted to do pass the bill. Finally, the committee began Senate Bill 2402, which expands pharmacists’ prescriptive authority and therapeutic substitution powers. HHS and the Board of Pharmacy supported the bill as a way to improve access to care and maintain rural health transformation funding. Senator Roers introduced a detailed amendment negotiated with the Board of Medicine and Board of Pharmacy to narrow and clarify the bill, including notification requirements, limits on certain drug categories, and patient-protection language for therapeutic substitution. The Board of Pharmacy then testified in support of the broader bill and explained the CLIA-waived testing provisions and the repeal of the older, narrower pharmacist-testing language. The hearing and amendment discussion were still underway when the transcript ended.

Transcript Highlights:

• to work at the public school for the benefits, the retirement, and the days of the year versus year-round
• ...started is the seven who's gonna who's gonna be first to it for me okay so just rounding to seven
• On a year-round basis.
• Can we get the staff a big round of applause? Their day continues. Their day continues after this.
• Can we get the staff a big round of applause? Their day continues. Their day continues after this.

Summary: The committee heard first from LFC staff on a brief about New Mexico’s universal child care expansion. Staff said child care assistance has clear benefits for parents and families, but LFC has not found evidence in New Mexico that it improves children’s educational outcomes; they argued pre-K is the better tool for that goal. The brief highlighted four concerns with universal access: an estimated annual cost of about $849.7 million, a sharp decline in registered homes, possible crowding out of lower-income families, and reduced access for children under age two. Staff also suggested possible mitigations such as prioritizing slots for low-income and at-risk families, reinstating sliding-scale co-pays, and tying quality improvements to workforce wages. Members raised questions about the cost estimate, funding sources, provider quality, and whether the data showed actual crowding out. Several lawmakers expressed support for child care generally but concern about the fiscal impact and whether universal access would divert resources from the families most in need. Others emphasized the importance of child care for workforce participation, rural communities, and family stability, and questioned how registered homes are counted and regulated. LFC staff clarified that the cost estimate was for child care assistance only, not the entire ECECD budget, and that the data showed declines in the share of lowest-income children and infants/toddlers served, though not causation. The ECECD secretary then presented the department’s response, saying universal child care is intended to complete a cradle-to-career system and that the department has already seen strong uptake, increased capacity, and rising workforce participation. She said 6,206 families were found eligible in the first month, the share of infants and toddlers served rose, and new provider applications and licensed slots increased after the November rollout. The department also emphasized wage increases, quality improvements, and a new wage scale/career lattice, while projecting a lower near-term cost than LFC’s estimate and requesting additional funding for child care, early pre-K, home visiting, workforce systems, and capacity-building. No votes or formal actions were taken in the portion provided; the discussion was informational and focused on questions and testimony.