Transcript Highlights:

• <00:45:24.560> the stay fit so that they can perform the stay fit so that they can perform
• <01:39:54.560> was medical examination performed was medical examination performed was performed
• 03:23.680> in However, because human interaction in However, because human interaction in and<
• <04:46:22.240> And can actually find human remains. And can actually find human remains.
• requires access to authentic human requires access to authentic human remains. remains. remains.

Keywords: 1189, house, all

Transcript Highlights:

• Department of Health and Human Services.
• This is a reallocation of resources request from the Department of Human Services.
• This is a reallocation of resources request from the Department of Human Services.
• This is pay plan appropriation and performance fund transfer requests.
• They are performing the services for the state. They're an entity.

Summary: The committee heard a series of appropriation requests and contract reviews across multiple sections. In Section B, members approved temporary appropriations for the Court of Appeals, Commerce/Aeronautics, and Insurance-related payments and refunds. Section C ARPA requests from DHS were approved to return unused federal funds. Section D infrastructure-related appropriations, including wildfire preparedness, broadband BEAD funding, forestry support, recycling, and oil and gas sample preservation, were approved after questions about broadband audit controls and performance safeguards. Section E DHS reallocations were approved, including large transfers within Medical Services from hospital medical to private and public nursing home lines, along with smaller transfers for children and family services, developmental disabilities, and youth services; members asked about the source and purpose of the medical services transfer. Sections F and G were reviewed, covering cash fund requests, federal grants, and miscellaneous grants, including community college storm repairs, corrections commissary and maintenance, 911 enhancements, maternal health, disability determinations, state police equipment, digital newspaper archiving, and CDL data improvements. In Section H, the committee reviewed pay plan appropriations and performance fund transfers tied to the new Class and Comp pay plan. Section I reviewed three methods of finance for UA Little Rock, UAMS, and the University of Arkansas system. In Section J, the committee reviewed discretionary grants, including a $1.4 million HIV services grant and nine tobacco prevention subgrants through UAPB. Members questioned the effectiveness, metrics, and addresses of some tobacco-cessation arts-based grantees, especially Arts Absolutely Inc.; after discussion, Representative Kavanaugh moved to expunge the vote on J2 and refer it back for review at a later ALC meeting, and that motion passed. J3, a Department of Energy and Environment grant for propane safety training and e-waste recycling services, was then reviewed. The committee also reviewed contracts in Section K. K-1 ratified emergency management nuclear planning work performed during a transition between agencies. K-2 construction contracts included architectural and engineering services for corrections, National Park College signage, a Razorback Road parking facility, and UAMS cyclotron installation. K-3 intergovernmental contracts covered health, education, autism waiver, stroke, newborn screening, Medicaid evidence review, and radiation testing services. K-4 out-of-state contracts included staffing, IT, tobacco prevention, audit, marketing, planetarium, recruitment, and janitorial services; Senator Irvin noted one contract appeared to belong in the out-of-state list rather than intergovernmental. K-5 in-state contracts covered staffing, cleaning, re-entry and treatment services, foster care and disability services, hearing officers, asbestos abatement, campus IT support, and janitorial work. The meeting ended after a brief personal update from Senator Irvin about tornado damage in Stone County and thanks to members for their concern, followed by adjournment.

Transcript Highlights:

• transforming the human services system. transforming the human services system.
• the Department of Human Services.
• the commissioner of human services. the commissioner of human services.
• Want to start with Human Services or health? >> Human Services. >> And, Mr.
• human<01:44:19.199> services human services human services >> and<01:44:19.920> and

Keywords: 918, senate, all

Summary: The joint hearing opened with chairs explaining that the program integrity omnibus bill is a combined draft assembled from individual member bills and governor proposals, many of which had already been heard in committee. Members emphasized the compressed end-of-session timeline, said the language was not yet ready for enactment, and invited continued revisions as the bill moves next to judiciary and finance. Several speakers stressed the need for bipartisan collaboration, while also warning that the Legislature must act this session on program integrity rather than defer reforms. The fiscal staff then walked through a spreadsheet showing the bill’s overall budget effects and major provisions. The package includes DHS proposals on transforming human services, market- and receipt-based rate reform, enhanced program and payment integrity, uniform service standards, nursing facility rate changes, ICS reforms, and a repeal/redesign of housing stabilization, along with child care assistance integrity and human services redesign items in DCYF. Staff highlighted that the bill combines multiple sources, including governor proposals and member bills, and noted several items that are also in the supplemental human services budget. Committee discussion focused heavily on prepayment review, remote supports, ICS, and provider accountability. Chairs said the bill would codify prepayment review with a 60-day notice requirement after providers were caught off guard by prior rollout, and that remote supports and ICS language were placeholders or under active debate. One member argued the system needs stronger standards but cautioned against harming compliant providers, while another urged the committee to learn from good providers and warned against repeating failed implementations. Staff also reviewed thematic indexes covering billing and service delivery oversight, EVV, administrative reform, licensing and background studies, provider enrollment, sanctions, and child care provider compliance training. No formal votes were taken in the portion provided. The hearing ended with staff beginning the index walkthrough and members indicating that posted amendments would be considered as the bill advances through the remaining committees.

Transcript Highlights:

• leadership and recognition initiative that honors exceptional teens for their service, academic performance
• leadership and recognition initiative that honors exceptional teens for their service, academic performance
• leadership and recognition initiative that honors exceptional teens for their service, academic performance
• Chairman, I move that the amendment of the Health and Human Services Committee be adopted.
• The question before the House is that the Health and Human Services Committee amendment to Senate Bill

Keywords: 1182, all

Summary: The House convened with prayer, the Pledge of Allegiance, approval of the journal, and recognition of the Doctor of the Day, Dr. May Modi. Members then spent much of the opening portion introducing guests and honoring Arizona Boys and Girls Club Youth of the Year candidates from across the state, along with a proclamation recognizing the Junior League of Phoenix for its civic service and volunteerism. The chamber also heard a personal privilege statement marking Denim Day and Sexual Assault Prevention and Awareness Month. On the floor, the House first rejected Senate amendments to HB 2010 and appointed a conference committee. In Committee of the Whole, members considered several Senate bills and adopted do-pass recommendations on SB 1009, SB 1046, SB 1143, SB 1221 as amended, SB 1613, SB 1013, SB 1338, SB 1121 as amended, SB 1318, SB 1549, and SB 1786 as amended, while retaining SB 1270, SB 1400, and SB 1582 on the calendar. Testimony and debate focused on SB 1013’s merit-based hiring language and concerns about discrimination protections, SB 1338’s public benefits eligibility provisions, SB 1540’s fuel theft provisions and a related amendment, SB 1121’s radiation protection for health care workers, and SB 1318’s cleanup of conflicting breast cancer notification language. The House then took up third-reading votes and passed SB 1113, SB 1193, SB 1448, and SB 1503, with SB 1503 receiving the required three-quarters vote for an emergency measure. Members also moved to not concur in Senate amendments to HB 2003 and appointed another conference committee. The day ended with adjournment until 10 a.m. the following day.

Transcript Highlights:

• I serve as the CEO of the Minnesota Humanities Center.
• I serve as the CEO of the Minnesota Humanities Center.
• <01:10:32.760> in not State funds but go and perform in not State funds but go and perform
• We call these performance measures; they call them measurable outcomes.
• We call these performance measures; they call them measurable outcomes.

Keywords: 1187, senate, all

Transcript Highlights:

• The second new study is a review of the state energy performance standard compliance.
• I was just curious about the energy performance. It is not due until June of 2027.
• So hospitals are being assessed a fee by DOH to perform that work.
• strategic management performance plan that would address the recommendations of the JLARC study and
• MRSC, the Association of Washington Cities, LERA, and state and local human resource associations.

Summary: At the May 14, 2025 JLARC meeting, members approved the January 9 minutes and adopted the 2025–27 biennial work plan with a minor typo correction. Staff reviewed the new work plan studies, including a drug take-back program fee/expenditure review due in December 2025 and a state energy performance standard compliance review due in June 2027, and noted JLARC’s recent session activity, including several bills passed related to JLARC work and recommendations. The committee then heard a preliminary cannabis market study showing Washington businesses likely produced two to three times more cannabis than retailers sold in 2023. Staff and RAND said LCB’s data systems are incomplete and unreliable, limiting regulation, tax verification, and diversion tracking; they recommended that LCB submit a plan by year-end for collecting accurate data by the end of 2026. Members and LCB discussed the long timeline for a new traceability system, the causes of missing sales and weight data, overproduction, diversion, and the social equity program’s effect on producer licenses. JLARC also presented a preliminary hospital oversight report concluding that the Department of Health is late on many hospital inspections, does not verify third-party inspection standards, does not review adverse health event correction plans, and could make hospital data more accessible. The committee discussed fee funding, language access, and inspection timing, and DOH said it would work on a strategic plan and continue coordinating with JLARC. Members also heard a preliminary report on the public records survivor exemption, which found agencies are using it but need more guidance; JLARC recommended keeping the exemption and having the Attorney General provide additional training. Finally, the committee approved the DDA processes and staffing final report for distribution, which recommended performance metrics, stronger data quality controls, and workforce planning; DDA concurred. JLARC also introduced proposed study questions for a future DCYF juvenile rehabilitation review focused on safety, security, programs, staffing, education, and contraband, and the meeting adjourned after members asked about scope and facility conditions.

Transcript Highlights:

• Health and Human Services. 2914 Electric Model. 20915 Tax Reduction Fund.
• Health and Human Services. 2927 Televeter Requirements. 2928 Work and Conditions. 2929. 3.
• In every other area of medicine, once a human being is partially delivered, physicians are ethically
• This is tearing this child apart, part by part in order to perform something that this child can feel
• , that is the people that are considered mandatory reporters. ...birth abortion is being performed.

Keywords: 1182, all

Summary: The House convened with prayer and the Pledge of Allegiance, approved the prior journal, and recognized the Doctor of the Day, Dr. Sarah Lee Davison of Tucson. Members also introduced numerous guests and advocacy groups, including Aliento students for Education Day, gun violence prevention advocates, agricultural producers, military veterans, and representatives from the Kino Border Initiative and Nucor Steel. A proclamation honoring the life of Peter Andrew “Andy” Grosetta was read, recognizing his long service to Arizona ranching and the cattle industry. The chamber then moved into Committee of the Whole and considered two bills. HB 2074, dealing with reporting related to partial-birth abortion, received an adopted Judiciary Committee amendment that changed the penalty to a class six felony and then was recommended do pass as amended. The bill drew sharp debate: supporters said it strengthens reporting and accountability for an already illegal procedure, while opponents argued it would criminalize health care workers and reflect punitive views toward women seeking abortion care. HB 2148, described as a transparency bill, also received an Appropriations Committee amendment and was recommended do pass as amended without significant debate. The Committee of the Whole report was adopted, and HB 2074 and HB 2148 were referred to engrossing. The House also announced several committee meetings for later that day and the next morning, including Appropriations, Federalism and Military Affairs, Science and Technology, Transportation and Infrastructure, Artificial Intelligence and Innovation, and Rural Economic Development, before adjourning until Thursday, January 29, 2026.

Transcript Highlights:

• This is a human right, folks. So please pass AB 1220. Thank you.
• Monica Madrid with the Coalition for Humane Immigrant Rights.
• It's about safety, and it's about humanity.
• So please return to Human Services should you want to add on. Thank you.
• So please return to Human Services should you want to add on.

Summary: The committee heard a series of child care, social services, immigrant support, disability services, and language access bills, with many measures drawing strong support and no opposition. Early in the hearing, AB 450 proposed a Department of Aging task force to study and recommend policies for undocumented adults age 55 and older; AB 593 would let CDSS identify data-sharing opportunities to improve CalFresh administration and participation; and AB 904 would clarify child care subsidy eligibility so families do not lose care during pregnancy leave, family leave, caregiving, or job search periods. All three were presented as ways to reduce barriers and improve access to essential services, and AB 904 was moved out on a 1-0 call after support testimony from child care advocates and a member of the public. AB 617, which would expand and standardize respite care access for people with intellectual and developmental disabilities by requiring licensing and registry participation, drew both support and significant opposition from respite providers and disability service organizations concerned about added regulation, cost, and possible delays; the author said she would continue working with opponents, and the bill was moved out on a 2-0 call. The committee also heard AB 1220, which would require regional centers to document denials, notices of action, and appeals in individual program plans and include that data in annual reports to improve transparency and equity in developmental services. The bill drew extensive public support from parents, advocates, and disability organizations, with no opposition, and passed 5-0. AB 752 would make child care centers by right in certain residential zones when co-located with multifamily housing or institutional uses, and supporters argued it would reduce zoning barriers and help expand child care capacity; it also passed 5-0. AB 1242 would create a CalHHS language access director, require human review of machine translation, and improve language coverage determinations for state and local agencies; supporters emphasized health equity and the need for better access for limited-English communities, and the bill was moved out on a 4-0 call. Later, AB 548 would continue and expand the Asylee and Vulnerable Non-Citizen Program, which provides case management and integration services for asylees and certain visa holders; supporters said the program had been effective but had run out of funding, and the bill passed 4-0. AB 495, the Family Preparedness Plan Act, would strengthen family safety planning for immigrant families, standardize acceptance of caregiver authorization affidavits, and create a joint guardianship process for temporary separations; testimony focused on fear of family separation and the need for clear school and medical procedures, and the bill passed 4-0. AB 1357 would exclude guaranteed income payments from being counted as income for state public assistance eligibility, with supporters arguing it would prevent recipients from falling off the “benefits cliff”; it passed 4-1. Finally, AB 1201, the Reunity Act, was introduced to require individualized court assessments before denying reunification services to parents with certain violent felony convictions after a five-year period, with the author and a witness describing the bill as a trauma-informed approach to family reunification.

Transcript Highlights:

• Deep learning eliminates a portion of the manual human intervention.
• An AGI model could perform any intellectual task a human can.
• So these are systems that can be trained to perform a single or narrow task, but they cannot perform
• any intellectual task that a human can.
• AI can recognize faces better than humans.

Summary: The committee held its first meeting on artificial intelligence and data centers, established a quorum, and heard introductory remarks from Majority Leader Hogue and the chair about the committee’s charge. Members said the goal was to build a factual foundation on AI, hear from experts and stakeholders, and develop practical North Dakota-focused recommendations rather than simply produce a large volume of bills. Legislative Council also reviewed interim committee rules and procedures before the informational presentations began. Staff and NCSL presenters then gave overviews of AI concepts and the state and federal policy landscape. The background memo and presentations covered AI categories and terms, state laws in areas such as consumer protection, algorithmic discrimination, deepfakes, chatbots, children’s safety, health, education, and government use, as well as data center siting and economic impacts. NCSL described a growing number of AI bills introduced and enacted across the states, with comprehensive laws in places like Utah, Colorado, Texas, California, and Illinois, and noted recurring issues around transparency, privacy, liability, and protections for minors. A major focus of the discussion was federal preemption and the tension between state regulation and national AI policy. NCSL said a recent White House executive order and related federal framework seek a light-touch, innovation-friendly national standard, with possible challenges to state laws and possible funding conditions tied to compliance, though no broad federal preemption has yet been enacted. Members asked about Commerce Clause concerns, industry pushback, oversight models, and whether AI policy is bipartisan; presenters said the issue cuts across party lines, with broad agreement on child safety and deepfake restrictions but more disagreement on broader regulatory approaches. No votes or formal actions were taken at the meeting, and the committee recessed briefly for technical issues during the second presentation.

Transcript Highlights:

• classified and approved by state human classified and approved by state human resources<00:15:07.240
• . ...to monitor performance.
• to monitor mon or U monitor performance to monitor mon or U monitor performance so<01:25:52.480>
• Services—I'm not including Health and Human Services—Human Services makes up about 25% of the total
• Services—I'm not including Health and Human Services—Human Services makes up about 25% of the total

Keywords: 1187, senate, all

Summary: The Health and Human Services Finance and Policy Committee met on February 6, 2025, for an update on emergency medical services (EMS) policy and implementation. Senator Seberger described the work of the EMS Task Force, which traveled statewide to hear concerns from providers about staffing, reimbursement, and retention. She said the task force led to the Sprint Medic model and two innovation zones in Otter Tail and St. Louis counties, and she urged continued monitoring and possible reconstitution of the task force to evaluate what is working and what could be expanded statewide. She also said future EMS work should continue to explore alternative response models and telemedicine, but that the most immediate need is additional funding, especially to address unpaid non-transport calls. Dylan Ferguson, director of the newly formed Minnesota Office of Emergency Medical Services, gave a detailed update on the office’s structure and priorities after the transition from the Emergency Medical Services Regulatory Board. He described the office’s three divisions, the appointment of deputy directors, the first meetings of the advisory councils, and work on a statewide EMS strategic plan. He also reviewed the $24 million emergency ambulance aid program, explaining its 40-40-20 formula, the emphasis on rural services, the reporting and spending deadlines, and the positive response from ambulance providers. He noted that the $6 million Sprint paramedic grant program is underway, with Otter Tail County moving forward and St. Louis County still finalizing its application. Ferguson also outlined the office’s budget request for modest staffing and contract-cost increases, two rulemaking efforts to update outdated ambulance vehicle standards and expand medication options for basic life support services, and ongoing data collection on workforce needs, violence against EMS providers, and ambulance crashes. He highlighted the paramedic scholarship program administered by the Office of Higher Education, saying nearly 300 scholarships have been awarded. Members and Senator Seberger praised the EMS reforms and emphasized that non-transport calls create significant unreimbursed costs, especially for rural and volunteer services, but no votes or formal committee actions were taken during the meeting.

Transcript Highlights:

• This allows DFPS workers to be reimbursed for property that is damaged while they're performing their
• I mean, it wasn't like a real actual human, but... There are some visuals there.
• The other section is about the sexual performance of a child. And so this is a wide-ranging issue.
• I mean, we've got a human trafficking issue in the state as well. So certainly sign on for that.
• We’re talking about sexual performances of a child.

Summary: The House convened with a quorum, offered an invocation, led the pledges, and approved a series of routine motions, including excusing absent members and granting permission for several committees to meet while the House was in session. Members also adopted several memorial and recognition resolutions, including H.R. 1023 honoring Christian Beerbill, H.R. 1033 recognizing International Bereaved Mother’s Day, and H.R. 877 recognizing Urban League Advocates Day. The House also recommitted SB 17 and HB 4211 to committee and postponed SCR 27 and HB 2145 for later consideration. The chamber then took up a long third-reading calendar of bills covering a wide range of topics, including Sunset review measures, health care workforce and pricing, child custody and family law, Medicaid, rural ambulance grants, energy reporting, public information requests, trail development, virtual meeting disruptions, occupational licensing, protective orders, county leave pools, animal cruelty, infrastructure, and higher education. Most bills were explained briefly by their authors and passed with broad support, though several drew notable opposition, including HB 5265, HB 2402, HB 3000, HB 3237, HB 3326, HB 1056, HB 281, HB 3308, HB 1043, HB 1234, HB 1193, HB 294, HB 809, HB 334, HB 2037, HB 285, HB 1353, HB 3960, HB 4044, HB 4264, HB 2807, HB 3349, HB 4406, HB 1593, HB 1899, HB 1201, and others. Several bills prompted extended debate or amendments. HB 3237, extending public energy-use reporting for state and higher-education buildings, passed after questions about its public-sector-only scope and energy savings. HB 3326, addressing public service loan forgiveness credit for adjunct professors, initially failed on a 69-70 vote but later passed after verification and machine corrections. HB 3211, concerning optometrists in managed care plans, adopted a Buckley amendment before passing. HB 2213 on Texas Windstorm Insurance Association board composition adopted a Metcalf amendment requiring certain board members to be Texas residents. HB 412, dealing with harmful materials and sexual performance of a child, generated extensive questioning about its scope, existing legal standards, and effects on educators and medical professionals; the excerpt ends during that debate.

Transcript Highlights:

• Kelsey: I was at Papago, so AZ Humane.
• It's being used with humans.
• Are you saying human? Because I'm from—you know, we're humans. We have our own...
• We see telemedicine work in human medicine.
• We see telemedicine work in human medicine.

Bills: SB1021, SB1144, SB1164, SB1178, SB1181, SB1241, SB1247, SB1286, SB1415, SCR1011

Keywords: health profession, regulatory boards, criminal activity, notification, auditor general, investigations, veterinary technicians, certification, education alternative, Arizona Revised Statutes, veterinary education, ALTCS, providers, ownership change, healthcare, Arizona Long Term Care System, naturopathic physician, naturopathic medicine, naturopathic doctor, naturopathic physicians medical board

Summary: The committee approved the minutes and held Senate Bill 1241 for a later hearing because a witness was unavailable. It then took up Senate Bill 1144, which would create an alternative pathway for veterinary technician certification through supervised on-the-job training instead of only a two-year curriculum. Supporters, including the Arizona Humane Society, a high school student in a veterinary program, and a veterinary technician employer, argued the bill would help address a veterinary technician shortage, reduce student debt, and expand access to care. Opponents, including the Arizona Veterinary Technician Association and some veterinarians, said Arizona already has an existing pathway, warned the bill could weaken competency standards and patient safety, and argued the shortage is more about retention and utilization than entry requirements. The committee adopted a Bolick amendment tightening supervision and documentation requirements, then passed SB 1144 as amended on a 6-1 vote. The committee next approved Senate Bill 1247 unanimously. That bill would allow an individual who does not need services to live with a resident in an assisted living center or other unit in the facility, and would bar the Department of Health Services from imposing care requirements on that individual. The sponsor and a lobbyist said the bill was intended to fix a recent statutory interpretation that could force spouses or other companions to separate or pay for services they do not use; a floor amendment was mentioned to extend the same treatment to assisted living homes. Senate Bill 1286, which would extend from 14 days to 60 days the period for veterinary prescriptions and renewals issued through telemedicine, drew extensive testimony and was ultimately held for a possible amendment next week. Supporters, including the sponsor, the Arizona Humane Society, and Animal Policy Group, said telemedicine has expanded access in rural and underserved areas and that longer prescription windows would improve convenience and continuity of care while still excluding controlled substances. Opponents, including the Arizona Veterinary Medical Association and several veterinarians, argued the current 14-day limit is a compromise that protects animal safety, that telemedicine without an in-person exam can lead to misdiagnosis and delayed diagnostics, and that the bill could function like a “pill mill.” The committee then passed Senate Bill 1164, which would let Medicaid billing continue under the prior owner’s certification number during a change of ownership for skilled nursing and assisted living facilities. Supporters said the current process can delay reimbursement for 6 to 18 months and strain providers; Access said it had legal concerns about possible conflict with federal law but was working on fixes. The committee also heard Senate Bill 1181, which would expand CPA certification pathways by adding degree-and-experience options and updating reciprocity rules, and a supporter from the Arizona Society of CPAs said it would address workforce shortages and improve mobility.

Transcript Highlights:

• And then unsheltered means you live on a street or another place unfit for human habitation.
• That is one of the alternatives that we’ve created, is kind of like pay for performance.
• And then unsheltered means you live on a street or another place unfit for human habitation.
• That is one of the alternatives that we've created is kind of like pay for performance.
• So I'm a big advocate of pay for performance. I'm a big advocate of pay for performance.

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

Transcript Highlights:

• I am the CFO for the Department of Health and Human Services.
• I was looking at the human services line.
• Pat Rainer with Health and Human Services. I guess I'm operating the slide.
• So I would ask that we want—we're not getting the performance that we should.
• So I would ask that we want—we're not getting the performance that we should.

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

Transcript Highlights:

• It's the human capital that's necessary to do it.
• That's performative, right? All those kids can learn.
• But the reality is we're a high-performing district.
• What does it mean to have a human in the loop or have human oversight in our classrooms?
• We do need human connection in schools.

Keywords: 1184, house, all

Transcript Highlights:

• Of course, we also want to see what savings we can perform as well.
• I'm a human rights attorney in Santa Clara County.
• I have over 15 years of experience fighting human trafficking here and abroad.
• victims service provider, human trafficking victim services provider.
• And finally, this is my most important point: CMTC actively opposes human trafficking.

Summary: The joint sunset oversight hearing reviewed five regulatory entities: the Board of Behavioral Sciences, the Board of Psychology, the Physician Assistant Board, the Podiatric Medical Board, and the California Massage Therapy Council. Across the hearing, each entity described recent accomplishments, licensing and enforcement workload, workforce shortages, and efforts to modernize processes. Common themes included streamlining licensure, expanding access to care, addressing telehealth or emerging technology, and balancing consumer protection with workforce needs. For the Board of Behavioral Sciences, members discussed workforce shortages in mental health, supervision barriers, telehealth confidentiality, AI in therapy, interstate compacts, school-based services, and military spouse licensure. The board said it has expanded outreach, improved licensing processes, and created temporary practice authority tracking, while also expressing concern about counseling compacts and emphasizing California-specific law, ethics, and cultural competency. Public commenters supported the board’s work and the possible move to a national MFT exam, while also urging more resources. The Board of Psychology highlighted fee adjustments, streamlined licensure pathways, enforcement process improvements, new CPD requirements, and proposed changes including a psychotherapist-client privilege exception for investigations. Committee members and public witnesses focused heavily on that privilege proposal, with some members opposing it as too broad and privacy-invasive, while the board argued it is needed to obtain records in bias and sexual misconduct cases. The board also discussed workforce shortages, processing improvements, and the use of inactive status for psychological associates. The Physician Assistant Board reported growth in the PA workforce and education programs, SB 697 implementation, and financial pressure from rising enforcement costs. The main policy debate centered on physician-to-PA ratios and practice agreements, with board representatives and many public commenters arguing that current restrictions limit access to care, especially in rural areas, while the California Medical Association defended the need for explicit ratios and agreements. The board also discussed AI, fee increases, and tracking temporary practice authority. The Podiatric Medical Board described licensing and renewal reforms, residency expansion, enforcement support, and budget constraints, while public testimony raised concerns about a proposed fee increase and about reimbursement parity and practice recognition for podiatrists. Finally, the California Massage Therapy Council defended the certification model over licensure, citing lower costs, local government collaboration, anti-trafficking work, and its role in vetting applications and disciplining bad actors; no formal votes or final actions were taken during this portion of the hearing.

Transcript Highlights:

• President, these students have just returned from NASA's Human Exploration Rover Challenge at the Marshall

Bills: HB20, HB463, HB469, HB649, HB963, HB1163, HB1334, HB1481, HB1509, HB1511, HB1514, HB1515, HB1516, HB1518, HB1519, HB1523, HB1524, HB1546, HB1548, HB1550, HB1553, HB1573, HB1574, HB1576, HB1588, HB1591, HB1618, HB1619, HB1628, HB1642, HB1643, HB1656, HB1658, HB1664, HB1667, HB1679, HB1682, HB1688, HB1692, HB1696, HB1700, HB1705, HB1707, HB1710, HB1711, HB1713, HB1716, HB1718, HB1721, HB1728, HB1737, HB1740, HB1741, HB1749, HB1752, HB1753, HB1768, HB1782, HB1800, HB1804, HB1810, HB1823, HB1839, HB1842, HB1854, HB1858, HB1864, HB1870, HB1875, HB1881, HB1886, HB1888, HB1890, HB1894, HB1897, HB1898, HB1920, HB1929, HB1946, HB1959, HB1961, HB1962, HB1973, HB1974, HB2001, HB2005, HB2020, HB2021, HB2022, HB2023, HB2062, HB2078, HB2093, HB2095, HB2096, HB2097, HB2101, HB2137, HB2152, HB2207, HCR137, HCR181

Keywords: lava insurance, homeowners, insurance market, subsidy, Hawaii, eviction, housing access, tenant rights, judicial reporting, disassociation, disability, parking, travel placard, accessibility, mobility, small boat harbors, moorage, harbor permits, commercial use permit, commercial fishing

Bills: HB20, HB463, HB469, HB649, HB963, HB1163, HB1334, HB1481, HB1509, HB1511, HB1514, HB1515, HB1516, HB1518, HB1519, HB1523, HB1524, HB1546, HB1548, HB1550, HB1553, HB1573, HB1574, HB1576, HB1588, HB1591, HB1618, HB1619, HB1628, HB1642, HB1643, HB1656, HB1658, HB1664, HB1667, HB1679, HB1682, HB1688, HB1692, HB1696, HB1700, HB1705, HB1707, HB1710, HB1711, HB1713, HB1716, HB1718, HB1721, HB1728, HB1737, HB1740, HB1741, HB1749, HB1752, HB1753, HB1768, HB1782, HB1800, HB1804, HB1810, HB1823, HB1839, HB1842, HB1854, HB1858, HB1864, HB1870, HB1875, HB1881, HB1886, HB1888, HB1890, HB1894, HB1897, HB1898, HB1920, HB1929, HB1946, HB1959, HB1961, HB1962, HB1973, HB1974, HB2001, HB2005, HB2020, HB2021, HB2022, HB2023, HB2062, HB2078, HB2093, HB2095, HB2096, HB2097, HB2101, HB2137, HB2152, HB2207, HCR137, HCR181

Keywords: lava insurance, homeowners, insurance market, subsidy, Hawaii, eviction, housing access, tenant rights, judicial reporting, disassociation, disability, parking, travel placard, accessibility, mobility, small boat harbors, moorage, harbor permits, commercial use permit, commercial fishing

Transcript Highlights:

• Good afternoon, Chairman, members of the Health and Human Services Committee.
• At this point, an abortion can be performed one of two ways.
• , members of the House Health and Human Services Committee.
• If they choose not to perform any of these things, you do not have to perform them.
• If somebody develops HIV, it's a human immunodeficiency virus.

Keywords: 1182, all

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to people 65 and older to also offer them to Medicare beneficiaries under 65 with ALS or end-stage renal disease, with enrollment periods and premium protections tied to 65-year-old rates. Supporters, including dialysis and ALS advocates, said the bill would help a small population facing high out-of-pocket costs and could improve access to transplants and care; opponents argued it would shift costs onto older seniors and raise Medigap premiums. The committee recommended the bill do pass on a 12-0 vote. The committee also heard House Bill 2593, appropriating $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps obstetric and pediatric providers quickly consult on perinatal depression, postpartum psychosis, suicidality, and other mental health crises, improving outcomes for mothers, children, and families and reducing costly emergency and crisis care. The bill received a do pass recommendation on a 10-1 vote. House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, drew emotional testimony from a young woman with spina bifida and another speaker supporting the sanctity of life. Some members objected that the state should focus on practical supports such as paid leave, child care, and health care access, while others supported the resolution as a statement of human dignity. The resolution passed the committee 7-5. The committee then approved House Bill 4010, creating a Board of Genetic Counselors and licensure standards, after testimony from genetic counselors and a patient advocate about the need for qualified counseling and better access; it passed 11-1. Later, the committee approved House Bill 2196, which would require pharmacy benefit managers to reimburse non-affiliated pharmacies at least their acquisition cost and pay a dispensing fee, and establish an appeals process. Independent pharmacists and their coalition said PBM practices are driving closures and unfairly favor affiliated pharmacies, while PBM and employer representatives warned of major cost increases and said the bill would interfere with private contracts; the bill passed 11-1. The committee also adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, and then gave the amended bill a 12-0 do pass recommendation. Finally, the committee approved House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, with the sponsor and board staff saying it would help implement routine ventilator care in the home; it passed 12-0. The committee then began hearing House Bill 2404, a strike-everything amendment on inter-facility transports for behavioral health patients, but the transcript cuts off before action on that bill.

Transcript Highlights:

• . performance. performance.
• housing, and the Agency of Human housing, and the Agency of Human Services Services Services and
• recognized plan by the agency of human recognized plan by the agency of human services. services
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• Committee from the House, House Human Committee from the House, House Human Services, Services,

Keywords: 927, senate, all