Transcript Highlights:

• in administering the Medicaid program. in administering the Medicaid program.
• They could do work program participation for not less than 80 hours in a month, including any program
• They could do work program participation for not less than 80 hours in a month, including any program
• They could do work program participation for not less than 80 hours in a month, including any program
• on our accuracy and program integrity. on our accuracy and program integrity.

Bills: HR1

Keywords: January 6 insurrection, pardon, law enforcement, violent crimes, public safety, justice system, political accountability, 1183, house

Transcript Highlights:

• So it's not only a situation in which our football program or our basketball program, but all of our
• Mexico program.
• And my daughter-in-law is... ...a pretty good program in West Texas, a New Mexico program.
• That Division I program.
• It does not mandate new programs.

Bills: SB234, SB210, SB243, SB244, SM16, HB8

Keywords: foster children, school transportation, education funding, public education, child welfare, New Mexico Highlands University, soccer field, women's sports, infrastructure improvement, funding allocation, student athletes, appropriation, New Mexico State University, nutrition, travel support, funding, education, university support, financial assistance, parenting students

Transcript Highlights:

• As we all heard previously, that federal program is in jeopardy.
• You're taking four million dollars from the dairy program.
• specifically. ...increase in the program.
• immediately. ...program immediately.
• For some of the, we set up two grant programs: one is an AgriWorks grant program and one is Agri-Support

Bills: HF2784, HF2785, HF2778, HF2281, HF2576, HF2280, HF2579

Keywords: beginning farmers, agriculture, loans, economic opportunity, farmers' equity, agriculture appropriations, farm to school, early care, child care food program, school lunch program, local food, Minnesota agriculture, food access, farm-to-institution, limited market access, county fairs, biofuels, E25, ethanol, meat processing

Transcript Highlights:

• Since we enacted this program, it has been widely successful.
• The program really needs to be maintained over time.
• So we're doing our best to continue to push that program forward.
• , which stands for Casework, Outreach, Referral, and Education.
• The Meals on Wheels program is a very honorable program, but my fear with that—and I believe I spoke

Transcript Highlights:

• Uh with<00:56:44.360> their<00:56:44.560> outreach<00:56:45.040> to<00:56:45.160
• To get an outreach to moms and babies who, you know, weren't given a, you know, here's your blueprint
• First, we partnered with Family Spirit, a Native American maternal childhood program.
• And I was all in programming.
• And it was so I loved doing programming. And it was so I loved doing my<01:05:08.280> job.

Keywords: 1187, senate, all

Transcript Highlights:

• Uh information about the state programs Uh information about the state programs was<00:18:21.120
• about the state learned more programs about the state programs<00:18:37.840> from<00:18:38.080
• Uh so Hawaii programs from the app.
• social workers included in this program. social workers included in this program.
• health monitoring pilot program. health monitoring pilot program.

Bills: SB2936, SB2850, SB2851, SB2521

Keywords: accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle

Summary: The committee heard testimony on several health-related bills. HB 1871, establishing a maternal health monitoring pilot program, drew support from the Department of Health, the Hawaii State Commission on Status of Women, and the Hawaii affiliate of the American College of Nurse Midwives, with testimony urging provider-neutral language so midwives and other qualified providers would not be excluded. HB 1977, requiring a maternal and infant health information mobile app, received support from ACNM and Philips, which said similar apps in other states improved awareness of services and helped families navigate care; a member asked the Department of Health about implementation time. HB 1858, relating to certificates of fetal deaths, was supported by the Department of Health and clinicians, who said the current statute is outdated and inconsistent with CDC guidance; the department and a physician testified that the bill should shift documentation responsibilities to physicians and APRNs, and members discussed optional versus mandatory issuance language and whether the bill would improve data on home births and transfers. The committee also heard HB 1591, expanding definitions for preceptor and volunteer-based clinical training to improve income tax credits. The Department of Health supported the measure but preferred a similar, broader bill; Taxation suggested clarifying terms; the University of Hawaii and the State Center for Nursing supported it. ACNM asked that midwifery preceptors and Hawaii-based students enrolled in mainland programs be included, while the Hawaii Public Health Institute supported expansion of the program as a workforce solution. HB 1574, on the health care education loan repayment program, also drew broad support, including from the governor, SHPDA, OHA, and health organizations, but ACNM raised concerns that the bill’s 30% Medicaid-client threshold could exclude many providers and limit participation. For HB 1575, creating a feasibility committee on Parkinson’s patient air transport, the Department of Health supported the intent but said transportation is more likely an insurance or benefit issue and suggested redirecting funds to Parkinson’s research; the Michael J. Fox Foundation and the Hawaii Parkinson Association supported the bill, citing inter-island travel barriers and high costs for patients and caregivers. HB 1854, establishing certification of community behavioral health clinics, was supported by the Department of Health and DHS, which said certification would help clinics qualify for enhanced Medicaid reimbursement and expand access; the Attorney General’s office raised a legal concern about the special fund language and recommended a purpose section, and the committee discussed whether the fund would be self-sustaining and noted a possible amendment to change membership language and reduce the board size if the amendment moved forward.

Transcript Highlights:

• for example, with MFA, our Mortgage Finance Administration, being very intentional about how we outreach
• , but not just outreach—how do we collaborate in partnership more... ...but not just outreach—how do
• First of all, I will tell you that we are working very closely with the VIC on the transition programs

Keywords: 996, all

Summary: The House Labor, Veterans and Military Affairs Committee began by rolling House Bill 132 at the sponsor’s request because amendment language was still being worked on. The committee then proceeded without quorum as a subcommittee until additional members arrived. House Bill 285, as amended, was heard first. The bill was described as a cleanup measure to clarify New Mexico’s disabled veterans property tax exemption, including that it applies to a veteran’s primary residence and how it works for properties with multiple owners. Testimony from New Mexico counties, the Tax and Revenue Department, and the Department of Veterans Services supported the bill, saying it would reduce confusion for assessors and help veterans access the exemption. One member raised broader concerns about housing insecurity among unhoused and renting veterans and asked for interim data on how many veterans would actually benefit, but the committee noted those issues were outside the bill’s scope. The committee adopted the amendment and then passed HB 285 as amended with a do pass recommendation. The committee then heard House Bill 128, which updates the state’s occupational disease and disablement law for firefighters by expanding the list of covered cancers and related conditions, aligning the state law with newer research and recent federal changes, and standardizing the employment period to five years. The sponsor and supporters said the bill reflects current science, removes outdated age limits for some cancers, and makes it easier for firefighters to receive workers’ compensation without having to prove causation case by case. Firefighters and union representatives gave emotional testimony about personal cancer diagnoses and the burden of fighting insurers while undergoing treatment. The Workers’ Compensation Administration, labor groups, and trial lawyers all supported the measure. Committee members asked about the federal model, the five-year threshold, the impact on rural jurisdictions, and why women’s cancers were not previously included; witnesses explained that the changes reflect updated data and the underrepresentation of women in the fire service. Dr. Dan Wu, speaking online, said firefighter cancer is an epidemic and argued the science supports the bill. The committee then adopted the motion and passed HB 128 with a do pass recommendation before adjourning.

Transcript Highlights:

• officer and firefighter recruitment bonus payment program, thereby expanding the program to include
• newly employed firefighters in that program.
• , and program development in support of first-responder behavioral health.
• Our only path to securing the care that he needed was through the NICA program.
• That context matters because NICA is not just an administrative program.

Summary: The Senate Committee on Banking and Insurance met with a quorum present and took up a full agenda of bills, beginning with SB 1286 by Sen. Wright. That bill expanded the state recruitment bonus program to include newly employed firefighters, created a DFS grant review panel, and established a PTSD institute within DFS for first-responder behavioral health. Fire chiefs, the Florida League of Cities, and others supported the measure, and the committee reported it favorably. The committee then considered SB 198 on virtual currency kiosks by Sen. Rousan. A substitute amendment was adopted that clarified daily transaction limits, registration requirements, expiration rules, and OFR authority to deny registrations. Testimony focused on protecting seniors from crypto-ATM scams while giving the industry regulatory certainty. The committee also favorably reported CS/SB 198. Members next approved CS/SB 772, which allows portable electronics limited licensees to sell eyewear insurance, and CS/SB 1504, which updates insurance customer representative licensing pathways by allowing a high school insurance and personal finance course to count toward pre-licensure education. The committee also favorably reported Sen. Gruters’ CS/SB 1038 and CS/SB 1040, which together create the Florida Strategic Cryptocurrency Reserve and its trust fund framework, and CS/SB 1440, which expands public records exemptions and cybersecurity-related protections for financial institutions, loan originators, money service businesses, and credit unions. Sen. Burton’s SB 1668 on the NICA program drew extensive testimony from a NICA board member and family advocate, who urged stronger funding to preserve lifelong care for catastrophically injured children; the bill was reported favorably despite concerns from the Florida Justice Association about benefit restrictions and retroactivity. Finally, the committee approved CS/SB 570, creating a DFS task force on payment scams, after an amendment reduced FDLE’s required representation. At the end of the meeting, Sen. Burton requested to be recorded in the affirmative on SB 1286, and Sen. Passidomo requested affirmative votes on tabs 3, 5, and 9; the committee then adjourned.

Transcript Highlights:

• The Disability Employment Subcommittee deepened outreach to employers and co-hosted with the Workforce
• The program strengthened support, connecting young workers with disabilities, job coaches, and inclusive
• The Disability Employment Subcommittee deepened outreach to employers and co-hosted with the Workforce
• The program strengthened support, connecting young workers with disabilities, job coaches, and inclusive

Keywords: 995, all

Summary: The Permanent Commission on the Status of Persons with Disabilities met virtually to review and gather feedback on its annual report covering July 2024 through June 2025. The chair summarized the report’s main themes: five public meetings on employment data, benefit cliffs, developmental services priorities, health care, civil rights, and workforce stability; active work by the Disability Employment, Workforce Support, and new Long-Term Services and Supports/Health Equity subcommittees; and the second annual National Disability Employment Awareness Month celebration with more than 300 participants. Commissioners praised the report and suggested improvements, including shortening it with an appendix, adding charts/graphs, including dates and raw data alongside percentages, and producing a more visual slide deck or presentation version after submission. Commissioners also discussed the need for clearer outcome-focused goals and strategic planning, especially given limited staff capacity. The chair responded that the annual report is a statutory requirement and that a separate strategic planning effort is underway through the executive board. She said the team would continue refining the report, incorporate feedback, and prepare both a text version and a more visual hard-copy version with photos and alternative text. The report was described as due to appointing authorities by October 30, and the commission planned to continue collaborating on presentation materials. Before adjourning, members briefly discussed the 2025 Paul Spooner Generational Leadership Summit, which was described as successful but still in need of funding for future years. The chair also previewed the commission’s first community event on November 4, a hybrid community listening session and resource fair, with about 170 registered participants and roughly 35 in-person organizations. The meeting ended with a motion and second to adjourn.

Transcript Highlights:

• These courts are peer diversion programs.
• These courts are peer diversion programs, a different program for first-time juvenile offenders, juveniles
• I'm the Women's Program Assistant and Outreach Director. Gun Owners' Action League.
• I'm the Women's Program Assistant and Outreach Director.
• The whole program in and of itself is... The whole program in and of itself is very trusting.

Keywords: 995, all

Summary: The hearing covered a wide range of Judiciary Committee bills, with much of the testimony focused on criminal justice, public safety, and civil asset forfeiture reform. Several lawmakers and advocates supported bills to increase penalties or create new offenses related to assaults on sports officials, assaults on transit workers, reckless discharge of firearms, fires and explosives, pill press machines, and drug-induced homicide. Testifiers described rising harassment and violence against youth sports officials and transit workers, as well as the fentanyl overdose crisis and the need for stronger tools to prosecute dealers whose conduct leads to death. Supporters of the sports-official and transit-worker bills emphasized declining referee availability and repeated assaults on commuter rail and MBTA workers. District attorneys also backed bills on reckless firearm discharge and fires/explosives, saying current law does not adequately address dangerous conduct that endangers bystanders. The committee also heard testimony on several proposals related to youth diversion and prison mitigation. Supporters of the youth court justice fund bill said youth courts are peer-led diversion programs with strong compliance and low recidivism, and argued for a stable funding source rather than annual earmarks. A representative from Bridgewater supported a prison mitigation fund for municipalities that host state prisons, saying the costs of public safety and emergency services are not fully covered. On gun policy, testimony split between supporters of a bill to ban in-state manufacture of assault-style rifles for civilian sale and opponents or skeptics of other firearm-related measures, including a bill on collateralizing firearms and a bill to increase penalties for drug trafficking combined with illegal firearm offenses. A major portion of the hearing was devoted to civil asset forfeiture reform. Advocates from the ACLU, CPCS, the Boston Bar Association, the Institute for Justice, and others supported bills to increase the burden of proof, improve transparency and reporting, require counsel, and limit or eliminate the current practice of directing forfeiture proceeds to law enforcement. They argued the current system creates perverse incentives, lacks adequate due process, and is insufficiently transparent. District Attorney Paul Tucker defended current forfeiture practices, saying his office has reporting and oversight, uses the funds for investigations and community programs, and warned that reducing forfeiture revenue would hinder crime fighting. No votes or final committee actions were taken during the hearing; the chairs repeatedly thanked witnesses and indicated the bills would remain under consideration.

Transcript Highlights:

• Um, for your strong history of innovative programming and outreach as library patrons and library workers
• programming and outreach as library programming and outreach as library patrons<00:05:04.080>
• specialist meant no library programming specialist meant no library programming in<00:25:55.600>
• <01:21:17.360> That early literacy programming. That early literacy programming.
• That includes a Champions program.

Keywords: 1187, senate, all

Transcript Highlights:

• program.
• We have a lot of programs.
• We have a robust education and outreach program. We have regulatory authority.
• program, the CERNA Farm Worker Program, and the homeless housing rescue fund.
• low-income housing tax credit program and the multifamily housing program.

Keywords: 987, senate, all

Summary: The subcommittee heard an overview of the Governor’s housing reorganization proposal and trailer bill language that would consolidate several affordable housing finance programs under the new Housing Development and Finance Committee (HDFC). Administration officials said the plan is intended to create a one-stop application and award process, reduce duplication, and pair state subsidy with private activity bonds and federal tax credits so projects can move from award to construction more quickly. The proposal would also shift some positions and reallocate portions of the Affordable Housing and Sustainable Communities program and other housing funds. The Legislative Analyst’s Office said the concept has merit but raised concerns about the proposed bond set-aside floor and recommended more flexibility and earlier reallocation of unused bonds. Several senators questioned the structure and, especially, the proposed changes to the climate-related ASIC program, arguing that it could weaken the program’s original transportation-and-housing integration and that the budget lacks enough direct funding for core housing production programs. The item was held open. The committee then received an update from the California Debt Limit Allocation Committee and the California Tax Credit Allocation Committee on federal tax credit changes and state housing finance tools. Staff explained that federal H.R. 1 increased the 9% low-income housing tax credit allocation and reduced the bond-financing threshold for the 4% credit from 50% to 25%, allowing California to finance many more projects. They reported that emergency regulations were adopted quickly to implement the new federal rules, resulting in awards for 195 projects and more than 25,000 units in the 4% program, while the 9% program funded 58 projects and nearly 3,000 units. Members discussed the importance of state enhanced low-income housing tax credits, with committee questions focused on how much additional leverage state credits provide and how they help fill remaining financing gaps. The final portion of the hearing focused on the Civil Rights Department’s response to federal civil rights policy changes and on three programs facing the end of limited-term funding: California vs. Hate, the Community Conflict Resolution Unit, and Investigations and Conciliation Enhancement. Director Kevin Kish said federal civil rights enforcement has been weakened by closed offices, shuttered programs, and reduced support for fair housing organizations, while CRD’s open caseload has grown from about 8,700 to more than 12,000 matters. He said the department is using overtime, triage, and process reengineering to manage the surge and to direct people to the right services. Senators expressed strong support for continuing the programs and concern that California is being asked to do more with less as federal protections erode. No votes were taken on the informational items, and the committee discussed the vote-only budget requests for CRD separately.

Transcript Highlights:

• These students are creating voter education materials, organizing outreach campaigns, and reminding their
• These students are creating voter education materials, organizing outreach campaigns, and reminding their
• A rising junior at UC Davis, a student in the UC Sacramento program, Roman Bellow brought energy, initiative
• and culture in California, making our state the only one in the country with such a comprehensive program
• He wanted workforce development, affordable housing, community policing, and paid youth programming.

Summary: The Assembly met after a quorum call and opened with prayer, the Pledge of Allegiance, and several guest introductions recognizing the League of Women Voters of San Francisco Youth Council, the Jane Center of Northern California, a departing UC Sacramento intern, and members of the Sam Yup Benevolent Association/Chinese Consolidated Benevolent Association. The chamber then moved to the Daily File, where most items were passed and retained on file, and AB 1044 was moved to the inactive file at the author’s request. The main floor action was on ACR 91, authored by Majority Leader Aguiar-Curry, which recognized June 2025 as Portuguese Heritage Month, June 10 as the Day of Portugal, and April 18 as the Day of the Azores. Supportive remarks highlighted the long history and contributions of Portuguese Americans in California, especially in agriculture, business, public service, and culture, and Assembly Member Macedo spoke as a co-author and second-generation Portuguese American. The resolution received 64 co-authors and was adopted by voice vote. Macedo also shared Portuguese sweet bread with members, and Aguiar-Curry introduced Portuguese dignitaries and community leaders in the chamber. The remainder of the session was devoted to adjournments in memory. Members honored Phil Jerizzo, Dr. Marvin Lavelle Boomer Jr., and Elizabeth Starr, describing their public service, mentorship, community leadership, and family legacies. The Assembly then announced upcoming session dates and adjourned until Thursday, June 12, 2025, at 9 a.m.

Transcript Highlights:

• programs, and nutrition assistance.
• In a program with so many outstanding participants, it seems difficult to choose the best.
• programs, and nutrition assistance.
• In a program with so many outstanding participants, it seems difficult to choose the best.
• programs, and nutrition assistance.

Bills: HR209, SB3131, SB2494, SB2447, SB2727, SB2145, SB2143, HR22, HCR22, HR97, HCR105, HR138, HCR146, HCR16, HCR35, HCR40, HR3, HCR4, HR161, HCR171, HR109, HCR117, HR33, HCR33, HR141, HCR149, HR190, HCR200, HR193, HCR203, HR194, HCR204, HR196, HCR206, HR197, HCR207, HR191, HCR201, HR12, HCR10, HR148, HCR157, HR184, HCR194, HR195, HCR205, HR192, HCR202, HR173, HCR183, HR179, HCR189, HR181, HCR191, HR21, HCR21, HR23, HCR24, HR60, HCR66, HR113, HCR121, HR145, HCR153, HR74, HCR82, HR77, HCR85, HR90, HCR98, HR27, HCR36, HR165, HCR175, HR187, HCR197, HR5, HCR6, SB2054

Keywords: entertainment, comedy, youth wellness, cultural identity, Hawaiian culture, mental health, public service, job title, administrative assistant, executive assistant, state personnel, civil service, modernization, employment standards, bribery, corruption, statute of limitations, public servant, criminal justice, campaign finance

Transcript Highlights:

• Those programs are provided in group settings, so they're not individual education programs.
• the farmers market program.
• That is for Our Kids B program. It is for our CHIP program, Children's Health Insurance.
• So this is actually diversion programs that juvenile programs...
• Nuclear One program.

Keywords: 1204, all

Transcript Highlights:

• No first-episode psychosis programs, no peers, no outreach and engagement to make sure individuals are
• However, so many of the programs and services that do work, like specialty courts, diversion, outreach
• Schedule program.
• or a TK program, or where there is a preschool program on campus, we are supporting those programs as
• And these are not just programs. They are not social media programs.

Keywords: 988, house, all

Summary: The hearing focused first on behavioral health, especially hard-to-treat serious mental illness through the lens of anosognosia, and the impact of potential federal Medi-Cal reductions under H.R. 1. A family member, Dawn Marie Anderson, described her son’s long cycle of psychosis, homelessness, arrests, jail-based stabilization, and repeated relapse when treatment ended, arguing that anosognosia is a symptom of illness rather than refusal of care. She and other witnesses urged more consistent, long-term treatment, family involvement, medication support, and stronger county and state coordination. County and provider representatives said the current system still relies too heavily on crisis response and leaves people with serious mental illness falling through gaps between managed care, county specialty care, housing, and justice systems. Testimony from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association emphasized that people with anosognosia often cannot self-navigate care, making a “no wrong door” system essential. They said H.R. 1 could destabilize coverage and shift costs to counties, while existing private insurance coverage is inadequate for early psychosis and related services. Witnesses highlighted CalAIM, jail in-reach, assertive community treatment, mobile crisis, supportive housing, and LEAP-style family training as promising tools, but said counties still need more resources and that the state should strengthen both Medi-Cal and private insurance behavioral health coverage. A public commenter from Lake County said private insurers denied most claims, especially for unlicensed staff providing case management and mobile crisis services. The committee then heard an update on the Children and Youth Behavioral Health Initiative, including the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule program. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, and said the platforms are serving children and youth statewide, including many who had never previously accessed care. For the fee schedule, DHCS said 72% of school districts and 50 of 58 county offices of education are participating across six cohorts, with $9.6 million reimbursed to date and 41,556 students represented in claims. Members pressed the department on the program’s roughly $69.3 million administrative cost, the slow pace of reimbursement relative to the investment, and the late delivery of requested data. DHCS responded that many claims are still being submitted, most denials are correctable, and local implementation is still scaling up through technical assistance and capacity grants.

Transcript Highlights:

• This legislation would expand access to the state employee tuition waiver program, extending eligibility
• It authorizes the Institute to focus on research, prevention, care, education, collaboration, and outreach
• Thank you. ...care, education, collaboration, and outreach.

Summary: The Senate Committee on Education Postsecondary met with a quorum present and considered several bills and one appointment. SB 720, by Senator Osgood, would allow formerly incarcerated Florida residents to retain their residency status for tuition purposes so they can qualify for in-state rates after release. Senator Osgood and supporter Eddie Fordham testified that the bill addresses documentation barriers faced by long-term incarcerated people and supports reentry and rehabilitation; several organizations waved in support. Senators Jones and Rodriguez spoke in favor, and the bill was reported favorably. The committee also heard SB 372, by Senator Trumbull, which would extend the state employee tuition waiver program to sheriff’s office employees on a space-available basis. The Florida Sheriffs Association supported the measure, and it was reported favorably. SB 176, by Senator Berman, would require public postsecondary institutions to provide clearer, publicly available procedures for reporting threats to physical safety and identifying responsible contacts and protective steps. Support came from several education and faculty groups, and the bill was reported favorably by unanimous roll call. Members then recommended confirmation of Douglas Broxton to the State University System Board of Governors. Finally, SB 816, by Senator Bradley, would establish the University of Florida Diabetes Institute in statute to advance diabetes research, education, prevention, and outreach. Senators emphasized the institute’s potential to improve outcomes and attract grant funding, and the bill was reported favorably. The committee then adjourned.

Transcript Highlights:

• This kind of program is modeled after a program that exists in New Hampshire called Green Snow Pro.
• This kind of program is modeled after a program that exists in New Hampshire called Green Snow Pro.
• um snowplow program. So um that's it. um snowplow program. So um that's it.
• voluntary program? voluntary program?
• [clears throat] to support the program. [clears throat] to support the program.

Keywords: 927, senate, all

Transcript Highlights:

• I think that will require some outreach on my part.
• I will also say there is a patient savings program or co-pay assistance program, those kinds of things
• Program.
• that program has gone in a second.
• It would have been through the Medicaid program.

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• programs.
• and the In-Home Supportive Services program, IHSS.
• DOR is additionally closely monitoring the elimination of DEI programs and policies, as these programs
• day program rates are higher.
• , as well as our Unified Champions Program, which is an integrated sports program of students with and

Summary: The Assembly Budget Subcommittee on Human Services held a hearing on developmental services, rehabilitation, and related supports, with no votes taken. The first major topic was the Master Plan for Developmental Services. Administration officials described a year-long, community-driven process that included a steering committee, work groups, and statewide engagement sessions, and said the final draft would be released that Friday with about 170 recommendations. The Department of Developmental Services said the plan would inform future work, but did not offer a detailed implementation roadmap. The LAO said the plan contains significant policy and budget implications, may require statutory changes, and needs further analysis to turn recommendations into actionable proposals. Advocates and regional center representatives urged the Legislature and administration to avoid letting the plan sit on a shelf, called for prioritization and ongoing stakeholder oversight, and emphasized the need to address equity, workforce, service coordination, and cross-system collaboration. The chair said he wanted to work with the LAO on trailer bill language and future reporting to create a clearer path forward. The second topic was the Office of Employment First and competitive integrated employment. Administration witnesses said California has ended subminimum wage under SB 639, but that moving people into competitive integrated employment remains a major priority. They described existing efforts such as DDS’s coordinated career pathways pilot, paid internships, job development services, benefits counseling, and DOR’s career counseling and referral services, along with pilot projects in San Diego and Orange County. The State Council on Developmental Disabilities and advocates argued that employment outcomes have remained stuck at roughly 15% and that a dedicated Employment First Office is needed to coordinate across agencies, align goals, and improve outcomes. The LAO recommended regular legislative oversight on people transitioning out of subminimum wage and asked for technical assistance on coordinated career pathways. The chair criticized the administration’s decision to effectively eliminate funding for the office, requested a detailed implementation timeline and quarterly transition reports, and said the committee would continue pressing for the office to be implemented. The final issue was respite services, utilization trends, and access. DDS reported that in-home respite use and spending have risen sharply over several years, with about 150,000 people using respite in 2023-24 and expenditures reaching about $1 billion. Officials said access depends on families knowing the service exists, service coordinators identifying need, and having enough providers, especially in rural and linguistically diverse communities. The San Diego Regional Center said utilization generally mirrors statewide trends, but access is stronger in some areas, such as Imperial County, where families often prefer family-directed or agency-supported models that allow them to hire trusted workers. Committee members emphasized the importance of respite for family health and caregiver well-being, asked whether service coordinators are asking practical questions about sleep and stress, and discussed the need for better identification of complex behavioral and medical needs. DDS said a standardized family support tool and updated IPP process are intended to improve consistency, transparency, and person-centered assessment for respite and related services.