Video & Transcript Research : 'managed audits'

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KY

Kentucky 2026 Regular Session

Senate Legislative Session Day 18 (2-2-26)

Kentucky Senate Floor Meeting

Transcript Highlights:
  • and<00:33:20.399> the<00:33:20.640> final<00:33:21.120> working financial audit
  • , and the final working financial audit, and the final working budget. budget. budget.
  • their budget during the 2425 manage their budget during the 2425 school<00:35:40.079> year.
  • We're defining that the board should be in charge of strategic planning, budget approval, audit reviews
  • We're defining that the board should be in charge of strategic planning, budget approval, audit reviews
Keywords: 958, all
Summary: The Senate convened with an invocation, Pledge of Allegiance, roll call, and a quorum established. The journal was approved, absent senators were excused, and new bills and resolutions were introduced, including measures on housing districts, calorie information, alcohol beverage control, county clerk filings, vital records, and a resolution honoring Dr. Samantha Shaver. The chamber also received notice that the House had passed House Bills 384, 144, and 290 and requested concurrence. The Senate then recessed briefly for party caucuses before reconvening. The main floor action centered on Senate Bill 3, relating to school district finances. The bill, as amended by Senate Committee Amendment 1 and Senate Floor Amendment 2, was described as strengthening financial transparency for school districts by requiring public access to budgeting information, monthly credit card statements, superintendent contracts and compensation, audits, and final working budgets. Supporters argued it would improve fiscal responsibility and accountability in response to concerns about spending practices in large districts. The Senate adopted both amendments and passed SB 3 by a vote of 35-1, with one senator explaining a no vote while acknowledging the need for transparency. The Senate then took up Senate Bill 1, relating to education and the governance structure of a large school district. Supporters said the bill responds to a recent court ruling by adding detailed findings to justify treating the district differently and by clarifying that the superintendent handles day-to-day operations while the board focuses on strategic planning, budget approval, audits, and hiring or firing the superintendent. Proponents cited the district’s size, share of state education funding, number of students, and concentration of low-performing schools as reasons for the change. Opponents argued the bill would reduce elected board accountability, questioned whether the structure would improve outcomes, and emphasized broader funding and achievement challenges. After extended debate, the Senate proceeded to a vote on SB 1; the transcript shows a brief proponent statement and a lengthy opposing explanation, but the final vote result is not included in the provided text.
AL

Alabama 2026 Regular Session

Alabama Senate County and Municipal Government Committee Jan 20th, 2026

County and Municipal Government

Transcript Highlights:
  • In fact, the environmental management committee that is appointed by the governor agreed that our toxic
  • , and monthly expenditures, and audits, and monthly expenditures, and budgets<00:29:31.200> online
  • Beck, do you know how many municipalities are one or more years behind on getting their audits done?
  • Um, you know, if the audits are three or four, five years later, um, you know, who knows what could do
  • Um, you know, if the audits are three or four, five years later, um, you know, who knows what could do
TX

Texas 89th Regular

Ways & Means May 12th, 2025

Ways & Means

Transcript Highlights:
  • the franchise tax credit directly. on the federal return, which allows the comptroller to conduct audits
  • The city is responsible for administering and auditing the use of HOT. ...as set forth in state and local
  • Recent audits have investigated the park board's use of restricted funds.
  • As Sheila mentioned, the park board is under an audit.
  • the state and to an unelected body. ...embody the park board that has demonstrated an inability to manage
MN

Minnesota 2025-2026 Regular Session

Committee on Transportation - 04/27/26

Transportation

Transcript Highlights:
  • inspections of vehicles, annual audits inspections of vehicles, annual audits of<00:32:36.360>
  • <00:33:19.920> care DHS, along with the managed care DHS, along with the managed care organizations
  • I am a special project manager at OSVEO within MnDOT.
  • a special project manager at OSVEO within<01:03:15.280> MnDOT.
  • <01:23:05.400> a Ohio has been successfully managing a Ohio has been successfully managing
Keywords: 1187, senate, all
MN

Minnesota 2025-2026 Regular Session

House Workforce, Labor, and Economic Development Finance and Policy Committee 2/19/26

Workforce, Labor, and Economic Development Finance and Policy

Transcript Highlights:
  • or we are audited.
  • or we are audited.
  • or we are audited.
  • Of all of the ones that were audited, who do you think got audited?
  • <01:25:28.560> Our in management meetings today. Our in management meetings today.
Keywords: 1183, house
CT
Transcript Highlights:
  • The second piece of the project is around monitoring and random audits of restraint and seclusion.
  • Again, best practices from monitoring and random audits by the State Department of Education.
  • review on restraint and seclusion laws, looking at other states, policy guidance, monitoring and auditing
  • Thank you so much for managing us all and getting us up and going despite some of our Zoom issues.
  • Thank you so much for managing us all and getting us up and going despite some of our Zoom issues.
Keywords: 962, all
Summary: The meeting began with approval of the May minutes and then moved into administrative updates on several 2025 legislative workstreams. Staff reported progress on two marketing efforts tied to the youth mental health crisis: one focused on increasing awareness and use of urgent crisis centers, and another broader crisis-continuum campaign led by United Way. Both projects are refining materials based on working-group feedback and aim to have materials ready before the start of the school year. Updates were also given on the UCC private insurance review and the crisis continuum review, both of which are gathering data and reconvening working groups over the summer. The main discussion centered on a Civic Solutions Group update on Medicaid school billing. The contractor explained that the project is examining why Connecticut schools are not billing for behavioral health and related services, with the goal of maximizing federal reimbursement. Members clarified that the study is about schools billing for services, not private providers billing in schools. Questions focused on whether Medicaid has caps or authorization issues when students receive services both in school and in the community, and whether recent federal or state changes affect billing. The contractor said the work is still in data collection and analysis, and that some issues, such as reauthorization procedures, were outside his scope. Participants also raised concerns about perceived barriers, fee-for-service limitations, and the need to distinguish school-based billing from provider billing. A second major presentation came from Disability Rights Connecticut on a separate legislative study concerning behavioral health issues affecting students receiving special education. The subgroup is examining the feasibility and impact of requiring evidence-based interventions, especially for challenging behaviors that can lead to restraint and seclusion, and is also looking at monitoring and random audits of restraint and seclusion practices. The team described its project plan, including literature reviews, interviews, focus groups, surveys, and data requests from the State Department of Education and other stakeholders. Members emphasized that the work is aimed primarily at private providers under the statute, but may have broader relevance. Questions from the group focused on whether the study would include public schools, how evidence-based practices apply to students with intellectual disabilities and autism, and whether caregivers or parents would be interviewed; the presenters said caregiver input is not currently part of the charge. The meeting ended with reminders about the July 15 meeting, which will include a Solnit briefing, and a note that August TCB meetings will not be held, though a workshop on the Connecticut Children’s Behavioral Health Provider Survey is being planned for late July or early August.
TX

Texas 89th 2nd C.S.

Pensions, Investments & Financial Services Apr 7th, 2025

Pensions, Investments & Financial Services

Transcript Highlights:
  • These sections contain language that required digital asset managers to ensure that their assertion forms
  • Texas wants to make the state a home for these types of services and asset managers, providing a clear
  • They're just some practical issues relating to the attestation and Marcus Adams: audit requirements that
  • industry stakeholders—there just isn't practical ways to implement Marcus Adams: certain attestation audit
  • They audit.
MN

Minnesota 2025-2026 Regular Session

House Fraud Prevention and State Agency Oversight Policy Committee 3/23/26

Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:
  • verbally warning DHS senior managers verbally warning DHS senior managers repeatedly<00:15:25.000
  • Did interactions with management there.
  • A special audit is just a small sample audit.
  • who was who did a special audit. who was who did a special audit.
  • just a small sample A special audit is just a small sample audit. audit. audit.
Keywords: 1183, house
NH
Transcript Highlights:
  • that's called Arca Capital Management. that's called Arca Capital Management.
  • partner that we've created that manages partner that we've created that manages all<00:26:15.480
  • > about Treasury management, we talked about Treasury management, we talked about previously,<
  • Our smart contract has been audited audited audited and<01:40:56.480> fully<01:40:56.760> vetted
  • That's all that they manage.
Keywords: 1189, house, all
Summary: The meeting opened with roll call, confirmation of a quorum, and approval of the April 6 and May 4 minutes, with minor corrections noted to the May minutes. The main presentation came from JD of Link Network, introduced by Dan Cohen, who described Link’s work with crypto.com and other market participants on tokenized money market funds and real-time settlement for institutional clients. JD gave a detailed history of his earlier work developing the Arca U.S. Treasury Fund and ArCoin, emphasizing that the project was built within existing SEC and 1940 Act frameworks and was intended to use blockchain technology for a traditional asset rather than create a crypto product. He said the effort involved years of discussions with the SEC, multiple custodians, and partners such as U.S. Bank, T-Zero Securities, and Tassat, and that the model eventually led to Link’s settlement system. He highlighted concerns that shaped the design, including regulatory compliance, privacy for institutional users, and the need to bridge traditional banking hours with 24/7 digital asset markets. The presentation also described Link’s features, including segregated and bankruptcy-remote fund structures, tokenized deposit and treasury fund settlement, and “yield in transit,” which allows interest to accrue and be distributed daily down to a two-second block. JD said the platform is being expanded for use cases such as exchange liquidity, cross-border capital movement, off-exchange collateral, stablecoin bridging, treasury management, and peer-to-peer settlement. He closed by posing policy questions for the commission about the use cases for stablecoins versus tokenized money market funds in New Hampshire and whether the state could issue or administer a security-based program with appropriate compliance controls.
MN

Minnesota 2025-2026 Regular Session

Human Committee Meeting - 2026-04-09

Human Services Finance and Policy

Transcript Highlights:
  • Are we looking at, you know, not just reports and audits, but are there going to be some teeth behind
  • Thank you, Chair. you know, not just reports and audits, you know, not just reports and audits, but<00
  • along the way and appropriately audited along the way and what<00:17:37.760> kind<00:17:38.000
  • and request data, request audit and request data, request information,<00:18:31.320> service<
  • And the supports that she's received through these programs have managed to help her get housed.
Summary: The Human Services Finance and Policy Committee approved the April 8, 2026 minutes and then heard House File 1767, as amended by the DE4 amendment. Representative Garande explained that the bill, originally intended to codify Integrated Community Supports (ICS), was being redirected because of concerns about fraud vulnerability and program integrity. The DE4 would create a smaller legislative study group to redesign ICS, pause DHS changes for about six months while the group develops a transition plan, continue DHS fraud investigations and enforcement, and ultimately terminate ICS as currently structured. Testimony in support came from Mr. Buck and Zania Harut of the Residential Providers Association of Minnesota, both of whom argued that ICS is unstable, inconsistently implemented, and in need of a new statutory foundation. They said the current system mixes different service models under one rate framework, lacks clear codification, and has shifting policy guidance that creates compliance problems for providers and risks to people receiving services. They emphasized that the bill would preserve oversight and enforcement while allowing time to build a replacement service with clearer rules, documentation standards, and guardrails. Members asked about effects on counties, providers, data, audits, and fraud enforcement. Representative Curran and Mr. Berg said the bill would not change funding structures or DHS’s existing authority to audit, request documentation, investigate fraud, or sanction bad actors, and that the study group would use existing data to identify where problems are concentrated. Vice Chair Gillman supported the study-group approach as a bipartisan, public process and raised concerns about whether the bill would prevent DHS from acting on known fraud; Curran responded that the language was intended to preserve those enforcement actions. The discussion ended without a final vote on the bill in the portion provided, beyond adoption of the DE4 amendment.
FL

Florida 2025 Regular Session

Ethics and Elections Apr 22nd, 2025

Transcript Highlights:
  • DURING THAT TIME IS THERE ANYTHING ABOUT THE MANAGEMENT OR LEADERSHIP OF THE UNIVERSITY THAT GIVES YOU
  • PAUSE OR MAKES YOU BELIEVE THAT THERE OUGHT TO BE A CHANGE IN MANAGEMENT OR LEADERSHIP?
  • AND CURRENTLY I WAS NOMINATED AS THE CHAIR FOR THE AUDIT AND COMPLIANCE COMMITTEE AND SO I WAS DRINKING
  • FROM A FIRE HYDRANT WITH NUMBERS AND MEETING WITH MISS BETSY BOWERS BECAUSE WE HAD A NEW CHIEF AUDIT
  • I SAID FROM EARLIER DRINKING THE FIRE HYDRANT AUDIT AND COMPLIANCE NUMBERS.
Keywords: 999, senate, all
US
Transcript Highlights:
  • years at the EPA, he worked in both the Executive Secretariat and the Office of Land Emergency Management
  • Gritty, complex details that is California water management.
  • To manage a law this complex, the EPA has built an entangled web of tools that can be of a bureaucracy
  • Whether managed under Superfund or not, Superfund is a cost-effective and cost-effective program.
  • Scientists, engineers, and project managers ensure that cleanups are done right.
Summary: The committee meeting focused on the presidential nominations of Brigadier General Brian Nesvick as Director of Fish and Wildlife and Jess Kramer and Sean Donahue as assistant administrators at the EPA. Each nominee presented their qualifications and experiences in their respective fields, with an emphasis on their commitment to uphold the laws passed by Congress. The discussion highlighted the nominees' dedication to addressing environmental issues and their proactive stances on regulatory matters. After deliberation, votes were held to report the nominations favorably, despite some members voicing concerns regarding their qualifications and potential conflicts with environmental interests.
MN

Minnesota 2025-2026 Regular Session

Committee on Elections - 01/28/25

Elections

Transcript Highlights:
  • the design layout and vendors to manage the design layout and printing<00:23:12.520> of<00:23
  • They're the employer for election judges, managing the recruitment and appointment of election judges
  • This is a required audit that takes place in all 87 counties between 9 and 14 days after Election Day
  • Representative this is a required audit Representative this is a required audit that<00:47:14.440
  • all the way up to the audited all the way up to the possibility<00:47:55.480> of<00:47:55.599
Keywords: 1187, senate, all
AZ

Arizona 2026 Regular Session

01/26/2026 - Senate Floor Session

Arizona Senate Floor Meeting

Transcript Highlights:
  • it also cohabitates with Marine Corps Air Station, so it's very active runways, very difficult to manage
  • SB 1333, SNAP error rate, forensic audit.
  • SB 1333, SNAP, error rate, forensic, audit. SB 1333, SNAP error rate, forensic audit.
  • SB 1391, stress management pilot program, SB 1391, stress management pilot program.
Keywords: 1182, all
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations Apr 15th, 2025 at 02:00 pm

Appropriations

Transcript Highlights:
  • So what happens here is that the bank is the manager, not the manager, administrator.
  • They have to conduct, oversee, and conduct audits. They have to monitor.
  • They have to conduct, oversee, and conduct audits.
  • They have to monitor and manage bad evidence of service providers.
  • And then they have to recommend it to either law enforcement or to audits.
Keywords: 908, all
Summary: The committee first took up House Bill 1012, the Department of Health and Human Services budget. Senator Dever walked through the amended budget, highlighting a roughly $5.85 billion all-funds total, major one-time items for IT, child care, housing, behavioral health, juvenile justice, rural EMS, and supportive housing, along with funding for Medicaid expansion, CCBHCs, opioid settlement uses, and several studies and reporting requirements. Members discussed the provider inflation increase, with Senator Mathern urging a 2%/2% rate instead of 2%/1.5%, but the committee adopted the subcommittee amendment and then passed the amended bill 15-0 with a do-pass recommendation. Senator Dever was named as carrier. The committee then considered House Bill 1540, a school choice/education savings account-style bill. Senator Shibley explained the subcommittee amendments, including clarifying the Bank of North Dakota as administrator, adding a means test at 400% of the federal poverty guideline, and adjusting the fiscal note to about $21.7 million for the second year. In debate, members raised concerns about the bank being assigned duties outside its normal role, the lack of DPI involvement, and whether the means test should be tiered rather than a hard cutoff. The committee rejected a do-not-pass motion 5-10-1, then approved a do-pass motion on the amended bill 9-6-1, with Senator Wobama noted as the likely carrier. The meeting ended with the chair announcing the committee would adjourn and reconvene the next morning.
WA

Washington 2025-2026 Regular Session

Senate Health & Long-Term Care Jul 22nd, 2025

Transcript Highlights:
  • So these are payments made by managed care plans to make up for the fact, again, that Medicaid rates
  • But the piece about this, which is also concerning, is that it applies to any audit by any agency—HHS
  • And so these make things really tough administratively for us to figure out how to manage.
  • And so these make things really tough administratively for us to figure out how to manage.
  • Our second cafe was for ProviderOne enrollment and management.
Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.
MN

Minnesota 2025-2026 Regular Session

Public Safety Committee Meeting - 2026-03-25

Public Safety Finance and Policy

Transcript Highlights:
  • Um, as you all know, the office of the legislative auditor audits the state's financial statements, and
  • auditor audits the state's financial<00:02:41.800> statements<00:02:42.880> and<00:02:
  • So they want line page three, line 11, after 'manager' to insert 'if one exists.'
  • So the language is to pertain to if they need a Minnesota manager. All right.
  • enforcement audits, agency oversight. enforcement audits, agency oversight.
HI
Transcript Highlights:
  • I'm Kimberly Mikami, a native who attended public schools and returned home almost 20 years ago to manage
  • 00:11:37.639> to returned home almost 20 years ago to returned home almost 20 years ago to manage
  • family-owned<00:11:39.320> Pharmacy<00:11:40.320> as<00:11:40.399> a manage
  • our family-owned Pharmacy as a manage our family-owned Pharmacy as a rural<00:11:40.920> healthc<
  • absolutely the committee is coming from, I am going to read some excerpts from the committee on independent audit
Keywords: 912, senate, all
Summary: The Committee on Higher Education met on February 6 and began with decision-making items. SB 663, concerning additional positions for the University of Hawaiʻi College of Tropical Agriculture and Human Resources, was deferred again after the chair said the university’s response did not include the requested details on vacant positions, recruitment status, and fill dates. The chair said the committee needed the full information before considering new positions, and the university apologized for treating the request as informal rather than a formal committee inquiry. The committee then discussed SB 672, relating to capital improvement projects for the Y. Manalo Research Station. University representatives said the project had been identified late because of timing and that they were still developing a broader plan for SEAR research facilities. The chair questioned how the project fit within the university’s existing Board of Regents-approved CIP priorities and whether any current priorities should be displaced. The university said it could not unilaterally reprioritize the budget, and the measure was deferred pending better direction on how it fits into the overall plan. For SB 557, which would require the John A. Burns School of Medicine to direct a study on physician and dentist recruitment and retention for Maui, the committee heard strong testimony in support from Maui health care providers and community representatives. Supporters described severe shortages of physicians and dentists, long waits for care, and the need for housing, loan repayment, scholarships, transportation, and telehealth support to retain providers. The university said it was willing to help and suggested the work could be done through existing rural health and AHEC efforts. The bill was kept alive for further work, with the chair encouraging the parties to develop a plan. The committee also heard SB 1107, establishing a medical education position at JABSOM to support ECHO-style mentorship and guidance programs. The university opposed the bill, saying it did not believe the measure addressed a problem that needed fixing and that Hawaiʻi already has five ECHO clinics administered through the Hawaiʻi State Rural Health Association, not JABSOM. The committee then took up SB 1204, concerning integration of the Kakaʻako medical school and cancer center. University leadership asked for time to develop a plan and timeline, possibly with an external consultant, and requested the bill be withdrawn. The chair expressed skepticism, citing long-standing concerns about the cancer center’s finances and planning. Testimony included support from the American Cancer Society and a patient who warned that integration could jeopardize the cancer center’s NCI designation and clinical trials, while a university vice president said the NIH P30 grant does not require the cancer center and medical school to remain separate and that many NCI centers are integrated. No final votes were taken on the measures discussed in the excerpt.
FL

Florida 2025 Regular Session

March 13, 2025 - 08:00 AM

Transcript Highlights:
  • for revenues received more than the amount in the revenue base year does not contemplate a city's auditing
  • For example, funds paid in fiscal year 2023 will not be completely audited until the end of fiscal year
  • This also adds another BTR management cost to the overall process.
  • You've added now a new level or a new layer of management in the auditing and the issuance of refunds
  • at the refund situation because the refunds don't line up with the fiscal year in terms of how they audit
Summary: The Ways and Means Committee met on March 13, 2025, for its first meeting of the session, with member and staff introductions followed by consideration of several tax-related bills. The committee first heard HJR 163 and its implementing bill HB 165, which would extend the homestead property tax exemption for quadriplegics to surviving spouses, similar to the treatment for surviving spouses of certain disabled veterans. Sponsor Rep. Tant and constituent J.R. Harding described the financial and caregiving burdens faced by spouses of quadriplegics. The committee heard supportive testimony from the Florida Association of Property Appraisers and members voted both measures favorably without opposition. The committee then considered HB 785 on heated tobacco products. Rep. Tramont said the bill would create a new tax/regulatory category for the product, and an amendment clarifying the definition was adopted. The James Madison Institute offered a resource on the issue, the Florida Retail Federation waived in support, and Ranking Member Eskamani said she had concerns about the excise tax treatment and would vote no. The bill passed 16-1. Next, HB 321, a property tax exemption clarification for homes for the aged, was presented by Rep. Smith as a technical “glitch bill” to align state law with IRS tax code and ease development of low-income senior housing. It drew supportive testimony and passed unanimously. The final bill, HB 503 by Rep. Botana, would cap local government revenue from local business taxes and require refunds if collections exceed the cap, with carve-outs for fiscally constrained areas. Local government and economic development groups, including the Florida League of Cities, the City of Winter Haven, the Miami-Dade Beacon Council, and the Florida Association of Counties, opposed the bill, arguing it would limit funding for public safety, inspections, economic development, and other services and create administrative refund problems. Several members supported the bill as a tax-cutting measure, while others warned of impacts on local services and revenue flexibility. The committee reported HB 503 favorably on a 14-5 vote, and then adjourned.
ND

North Dakota 2026 1st Special Session

House Floor Session Jan 23rd, 2026 at 09:00 am

North Dakota House Floor Meeting

Transcript Highlights:
  • patients, chronic disease management, and higher-risk care.
  • We're always audited on something. We do chart reviews and all that.
  • They've turned over their management. They've downsized their management.
  • He is part of that team to restructure the management. The board has turned over.
  • So the management is more stable than it has been.
Summary: The North Dakota House convened in special session with prayer, roll call, and a quorum present, then took up several rural health-related bills. Senate Bill 2401, as amended, required physicians to complete one hour of continuing education in nutrition and metabolic health each renewal cycle and also added language allowing criminal history background checks for the Board of Occupational Therapy Practice. Supporters emphasized the role of nutrition in reducing chronic disease, and the bill passed 92-0. The House then considered Senate Bill 2402, which expanded pharmacists’ limited prescriptive and therapeutic substitution authority for certain low-acuity conditions and clarified related lab-test and communication requirements. Members discussed examples such as motion sickness, cold sores, lice, hypoglycemia, COVID and flu testing, emergency access to medications and supplies, and limits excluding certain drug classes; the bill passed 91-1. Senate Bill 2403 created a temporary medical facility emergency operating loan option through the Bank of North Dakota for qualifying rural hospitals facing severe financial distress, with extensive debate over the targeted nature of the aid, anti-gifting concerns, repayment terms, and the hospital’s turnaround plan; it passed 80-12. Senate Bill 2404 appropriated funds for NDIT to address federal digital accessibility requirements and for the Public Service Commission’s litigation efforts related to transmission costs, with a backup loan authorization available if needed; it passed 92-0. At the close of the session, leaders thanked members and staff for their work on the rural health transformation package, a committee notified the Governor and the Senate that the House had completed its business, absent members were excused, and the House adjourned sine die.