Bills: HB3767, HB3934, HB4199, HB4336, HB2947, HB3834, HB4302, HB4095, HB3287, HB3649, HB4430, HB4431, HB2059, HB3647, HB3986, HB3548, HB3661, HB4346, HB3075, HB4273, HB3391, HB4128, HB3557, HB3239, HB3982, HB2123, HB2979, HB2997, HB3148, HB4108, HB4143, HB4266, HB2053, HB4058, SR30

Keywords: dentistry, licensing, dental hygiene, foreign-trained dentists, temporary license, public health, emergency response, child care, workforce, pilot program, affordable care, income eligibility, interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation

Bills: SB683, SB1579, SB1389, SB1387, SB1390, SB1391, SB2063, SB1829, SB2060, SB1842, SB1398, SB1212, SB2158, SB102, SB1772, SB1958, SB2010, SB1595, SB1687, SB1684, SB2049, SB1966, SB1989, SB1191, SB1258, SB1920, SB1936, SB2143, SB2122, SB330, SB2071, SB2169, SB2069, SB2095, SB2157, SB1806, SB1430, SB206, SB1547, SB1849, SB1428, SB1653, SB1984, SB1644, SB1561, SB1813, SB1570, SB1796

Keywords: education, tax credit, student support, private school, Oklahoma Parental Choice Tax Credit, financial assistance, homeschooling, qualified expenses, property tax, valuation increase, taxpayer rights, homestead, protest process, school choice, tuition assistance, income limits, parental choice, accreditation, sales tax, motor vehicles

Transcript Highlights:

• are being held based on that detainer because another successor agency that that ICE would fall under DHS
• are being held based on that detainer because another successor agency that that ICE would fall under DHS
• are being held based on that detainer because another successor agency that that ICE would fall under DHS
• are being held based on that detainer because another successor agency that that ICE would fall under DHS
• judge is going to take that very... ...because another successor agency that that ICE would fall under DHS

Keywords: House streaming session for Saturday, April 11, 2026, 957, house, all

Summary: The House met in session, opened with a prayer, confirmed a quorum, and then moved through a long series of concurrence items and committee reports. Early on, the House rejected Senate amendments to House Bills 14 and 573 and sent messages asking the Senate to recede or appoint conference committees. It also entered conference on House Bill 907 (third degree assault) and on several other measures where the chambers disagreed, including Senate Bill 233 (cemeteries) and Senate Bill 626 (sex designation on birth certificates and IDs). House Bill 501, dealing with sexual offenses by a person in a position of authority, was concurred in and passed unanimously. The House then took up a large concurrence calendar and passed a number of bills with Senate amendments, including House Bill 613 on living shoreline waivers, House Bill 315 on income-based housing subsidies, House Bill 548 on development rights and the Maryland Housing Certainty Act, House Bill 571 on nonprofit housing corporation tax exemptions, House Bill 895 on predatory pricing and protected class data, House Bill 1430 on charter school facilities funding, House Bill 1076 on over-the-counter contraception access and reporting, House Bill 624 on hospital staffing committees and plans, House Bill 811 on aging-in-place and multi-generational third places, House Bill 939 on birth certificate filing time periods, House Bill 1151 on a Medicaid hospice reimbursement study, House Bill 1367 on the Commission on Reimagining Healthcare in Maryland, House Bill 828 on State Board of Education membership, House Bill 130 on deed fraud, House Bill 281 on child care provider background checks, House Bill 963 on appointment of personal representatives, House Bill 1326 on child abuse and neglect records, and House Bill 525 on phone-free schools. Several of these were briefly explained on the floor, including changes to shoreline waiver timing, housing and tax provisions, contraceptive access concerns, hospital staffing protections, and the school phone policy’s exemptions. The chamber also received committee reports that advanced additional bills for third reading, including House Bill 1020 and Senate Bill 654 on the State Police Retirement System mandatory retirement age, Senate Bill 877 on Baltimore City stop sign monitoring systems, Senate Bill 940 on water quality testing, House Bill 44 on plain-language ballot questions, Senate Bill 215 on the Maryland Veterans Trust Fund, Senate Bill 627 designating Korean American Day, and Senate Bill 634 on county discrimination complaints. No final votes were taken on those reported bills in the portion provided; the report simply adopted favorable reports and ordered the bills printed for third reading.

Transcript Highlights:

• <04:39:49.120> was<04:39:49.200> noted<04:39:49.520> that<04:39:49.760> DHS
• It was noted that DHS currently hiring.
• It was noted that DHS currently had<04:39:52.080> uh<04:39:52.400> in<04:39:52.638>
• It would be overseen by DHS. In the original bill, it required two new positions to administer.
• <04:44:58.878> I<04:44:59.120> want<04:44:59.200> to I want to remind you that DHS

Keywords: 1189, house, all

Transcript Highlights:

• So I'm just wondering whether anybody in DHS has seen anything in addition to the information provided
• just wondering whether just wondering whether anybody<00:39:42.160> in<00:39:42.320> DHS
• seen<00:39:43.440> any<00:39:43.760> anything<00:39:44.160> in anybody in DHS
• has seen any anything in anybody in DHS has seen any anything in addition<00:39:44.640> to<00
• We went through a lot of testimony on upgrades to the IT system in DHS, and I'm wondering, this is an

Keywords: 1189, house, all

Summary: House Finance Division 3 met in work session and opened with procedural remarks from the chair about the committee’s schedule, deadlines, and recommendation options, noting the meeting was advisory and no votes were expected. The first bill discussed, House Bill 1569, concerned repealing the directive to sell the Anna Philbrook Center for Children property in Concord. Testimony from DHHS and New Hampshire Hospital focused on whether the property could be subdivided, the relationship to Senate Bill 572, the status of the city of Concord’s first right of refusal, and the practical effects of a sale. Witnesses said the $5 million sale estimate was a budget assumption, that moving staff and equipment would create some relocation costs, and that the center had required significant recent maintenance and renovation spending. Members also discussed the number of transitional housing beds at the site, the temporary nature of those beds, and whether the property should remain available given hospital workforce and service needs. The committee then turned to House Bill 661, which had been recommitted for further review after new information emerged. The chair summarized federal developments, including a December 2025 ACF letter and a related executive order, as well as a federal HHS press release about states diverting foster youths’ Social Security survivor benefits. Representative Walner explained that amendment 3055H had been drafted to move the bill forward in smaller steps, with a fiscal note requested on the amendment because the original bill was viewed as too large and expensive. Members discussed whether the committee had received copies of the amendment and whether federal guidance or funding had changed the policy landscape. The discussion also included broader questions about foster youth benefits and whether federal action would support state implementation. One member cited ACF language stating that only 11 states had enacted policies to stop interception of survivor benefits and that technical assistance would be available to the remaining states. The meeting remained in work-session mode throughout, with no votes taken and no final recommendations made during the portion provided. The chair indicated the committee could return to the bills later in the month.

Transcript Highlights:

• So as of now, SB 874 requires DHS to take the following actions to evaluate and improve Medi-Cal behavioral
• about immigration enforcement sightings in the neighborhood of North Hills in Los Angeles, an area that DHS
• This is just one example of the brutality, deception, and complete disregard for community safety that DHS

Keywords: 988, house, all

Transcript Highlights:

• It is setting up and directing DHS to be able to, next year, if this legislative body so chooses to fund
• So we're not asking CMS as much as we are asking DHS to basically file and start the process when it
• to give some financial relief to child care providers and reduce regulatory burden: first, directing DHS

Bills: SB1687, HB1687, HB4431, HB2894, HB2979, HB3262, HB3298, HB3369, HB3431, HB3462, SB1226, SB1876, SB1916, SB1920, HB3467, HB3498, HB3500, HB3521, HB3581, HB3650, HB3673, HB3764, HB3767, HB3781, HB3800, HB3831, HB3834, HB3941, HB2749, HB3970, HB3972, HB3979, HB3980, HB3981, HB3996, HB4095, HB4104, HB4191, HB4248, HB4298, HB4338, HB4427, HB4428, HJR1023, HB3660, HB3718, HB4326, HB3443, HB3880, HB3649, HB3000, SB1651, SB504, SB372, SB1326, SB1633, SB248, SB1242, SB1238, SB423, SB1989, SB1286, SB904, SB1213, SB1216, SB1827, SB65, SB1390, SB259, SB1944, SB540, SB2139, SB346, SB1595, SB1400, SB1555, SB1209, SB2110, SB1670, SB1061, SB2104, HR1057, SB1946, SB1734, SB1316, SB1360, SB1557, SB1684, SB2049, SB1410, SB2011, SB1437, SB1204, SB1732, SB1775, SB2084, SB1380, SB1572, SB1772, SB1224, SB710, SB1338, SB1266, SB1303, SB1307, SB1562, SB1794, SB1191, SB1983, SB1832, SB1448, SB1534, SB1593, SB1597, SB1630, SB1489, SB1726, SB1796, SB1806, SB1877, SB1451, SB1553, SB1632, SB1423, SB1425, SB1502, SB2180, SB1725, SB2182, HB3003, HB3004, HB4434, HB4324, HB4342, HB2137, HB4432, SJR50, SJR52, SJR53

Keywords: driver licenses, exam proctor, Service Oklahoma, commercial training, background checks, advance directive, advance health care directive, health care proxy, medical power of attorney, durable power of attorney for health care, living will, surrogate decision-maker, default surrogate, health care agent, capacity determination, supported decision making, mental health directive, psychiatric advance directive, end-of-life care, life-sustaining treatment

Summary: The House recognized several visitors and groups during the day, including the Norman North High School Cheer and Stunt Team, a student page, Bartlesville Day at the Capitol, and Leadership Elk City. The chamber then took up a long series of Senate amendments and final passage votes on a wide range of measures, with most amendments adopted without objection and many bills passing by wide margins. Topics included advanced health care directives, the Oklahoma Rural Jobs Act, motor vehicle and insurance changes, food truck fire suppression, foreign adversary land ownership restrictions, plumbing licensing reform, probate procedure, financial institutions, riots, Medicaid, court reporters, public finance, district attorney recruitment incentives, child care, the Oklahoma Brine Development Act, adjunct teachers, workers’ compensation, and other technical or policy updates. Several bills drew substantive debate. The Oklahoma Rural Jobs Act prompted questions about the additional $15 million funding tranche, return on investment, and the use of out-of-state fund managers; supporters said the program had created thousands of jobs and generated strong tax revenue, while opponents criticized the lack of independent ROI data and transparency. House Bill 3500 on probate procedure also drew questions about a nine-month deadline for successor affidavits, with the author saying the change would prevent a “gotcha” that could defeat a decedent’s wishes. House Bill 3660 on natural organic reduction was the subject of extended debate, with supporters arguing for personal freedom and rejecting claims about misuse of the resulting material, while opponents raised concerns about the practice and its regulation. The House passed most measures by comfortable margins, including bills on advanced health care directives, professions and occupations, motor vehicles, Medicaid, insurance, child care, court reporters, public finance, and criminal law. A few measures failed or were reconsidered: Senate Bill 1916 initially failed on a 46-39 vote, but the House later voted to reconsider and then passed it on reconsideration. Several bills also carried emergency clauses, which were adopted where required by two-thirds votes. The session ended with the House still considering debate on House Bill 3660 after the chamber had recessed and returned to order.

Transcript Highlights:

• removed what we passed yesterday, $7.5 billion, similar program using the TANF funds, and directed the DHS
• Um, there's just some concern between the stakeholder and DHS.
• assurance from the department that if we do this, we invest this $3.8 million into the call center, that DHS

Keywords: 1191, senate, all

Transcript Highlights:

• with us today Anna Mingi, the state budget director, and Dave Grieman, the chief financial officer for DHS
• today are Anna Mingi, the state budget director, and Dave Grieman, the chief financial officer for DHS
• heard over time a number of potential ways in which Medicaid could be reduced at the federal level, and DHS

Keywords: 1183, house

Transcript Highlights:

• Like those people wouldn't be on Se Hall or DH Hall people wouldn't be on Se Hall or DH Hall people wouldn't
• be on Se Hall or DH Hall and Y, you know what I'm saying?

Keywords: 1136, house, all

Transcript Highlights:

• Our next report is from Christine Greff with Stroke and Cardiac Systems from DHS, and she is going to
• Our next report is from Christine Greff with Stroke and Cardiac Systems from DHS, and she is going to

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• We only wish that this current DHS and ICE abided by the high standard of professionalism that we see
• WE ONLY WISH THAT THIS CURRENT DHS AND ICE ABIDED BY THE HIGH STANDARD OF PROFESSIONALISM THAT WE SEE

Keywords: 993, senate, all

Summary: The Senate opened with routine proceedings, approval of the prior day’s journal, and several motions to restore previously passed bills to the third-reading calendar. Senate Print 2436A, an amendment to the Administrative Code of New York City, and Senate Print 7160, an amendment to the Elder Law, were both reconsidered and restored to the calendar by roll call. Amendments were also received on Senate Print 9960, which retained its place on the third-reading calendar. The chamber then paused to honor Madeline Wilson on her 100th birthday and Marilyn D. Mosley through previously adopted resolutions, with family members and guests recognized on the floor. The Senate also welcomed Columbia Kicks Cancer, a student-run East Greenbush fundraising team that raised more than $239,000 for blood cancer research and care. The Finance Committee reported Senate Print 9005C, a budget bill amending Chapter 268 of the Laws of 1996, directly to third reading, and the Senate accepted the report and the message of necessity. The bill was then taken up on the controversial calendar, leading to extended debate on Part LL, which focused on limits on state and local cooperation with federal immigration enforcement, including 287(g) agreements, informal cooperation, masking rules for law enforcement, sensitive locations such as polling places, and the creation of an Office of Immigration Trust within the Attorney General’s office. Supporters argued the bill would keep state and municipal employees focused on their own duties, protect constitutional rights, and prevent New York resources from being used for federal immigration enforcement; they also said it would not bar all cooperation or prevent local police from responding to crime. Opponents argued it would hinder public safety, restrict law enforcement cooperation, and interfere with local discretion, while some raised concerns about constitutional issues and the practical effects on sheriffs, county jails, and police agencies. The debate also included a separate provision creating a civil cause of action for constitutional-rights violations by federal, state, or local officials, which supporters described as an accountability measure. Members further discussed the masking section, with supporters saying it applied broadly to officials and was intended to withstand constitutional scrutiny, while opponents cited a recent Ninth Circuit ruling striking down a similar California law. The Office of Immigration Trust and its complaint/referral process were also examined, including the role of the Governor and the State Education Department in reviewing alleged violations. No final vote on the controversial calendar bill was taken in the portion of the transcript provided.

Transcript Highlights:

• tele-mentoring sessions, offer continual education, and collect, report participation, and outcomes data to DHS
• The bill requires DHS to annually publish a summary report and repeals the program on January 1, 2030

Bills: HB2014, HB2111, HB2156, HB2165, HB2202, HB2305, HB2321, HB2399, HB2403, HB2416, HB2418, HB2446, HB2601, HB2615, HB2620, HB2812, HB2939, HB2940, HB2955, HB2957, HB2960, HB2992, HB4026, HB4049

Keywords: air emissions, fuel blends, environmental quality, feasibility study, Arizona Department of Agriculture, driver license, examinations, motorcycle awareness, public safety, traffic laws, livestock, compensation, funding, ranching, agriculture, veterans, state parks, admission fees, military exemption, recreation access

Summary: The committee heard House Bill 2615, a strike-everything amendment creating an Independent Oversight Committee tied to the Department of Child Safety, with authority to review DCS practices, request briefings and audits, visit sites, and receive confidential complaints, along with a $2.2 million appropriation. The sponsor and several parents and advocates testified that stronger independent oversight was needed because of serious DCS failures affecting children and families. Some members supported the goal but objected to housing the committee in the Ombudsman’s office or questioned whether the structure was the right approach. The strike-everything amendment was adopted, but the bill itself then failed on a 5-5 vote. The committee then passed House Bill 2620, which provides $300,000 annually for five years to the Arizona Department of Veterans Services to grant funds to emergency shelters serving veterans without requiring scheduled intake appointments. The sponsor and shelter representatives said the money would support trauma-informed case managers, help veterans connect to VA and shelter resources, and move the state closer to functional zero for veteran homelessness. The bill received unanimous support and a do-pass recommendation. House Bill 2321 also passed unanimously. It requires DCS to place a security freeze on the credit reports of children entering foster care, with the freeze remaining until age 16 unless the child later chooses otherwise, and includes a $100,000 appropriation and one ongoing FTE. The sponsor said foster youth are especially vulnerable to identity theft and need automatic protection. House Bill 2601, which directs ADOT to seek federal segmentation for the Interstate 11 project between Casa Grande and Wickenburg, passed 6-4 after testimony from supporters who said it would keep the project moving and opponents who raised environmental, cost, and litigation concerns. House Bill 2992, a pilot program for child sexual abuse and grooming awareness education in six public schools, also passed 6-4 after testimony from a survivor and advocates; supporters framed it as prevention and critics argued it duplicated existing sex education and should be handled through broader curriculum or parent education. Additional bills considered included House Bill 2156, which appropriates $250,000 to the livestock compensation fund and passed 7-3 despite transparency and conflict-of-interest concerns from an opponent; House Bill 2165, which exempts certain veterans and military members from state park admission fees, as amended to narrow the exemption to retired or disabled veterans and similar National Guard members, and passed 6-4 amid concerns about lost park revenue; House Bill 2960, creating a veterans specialty court grant program and requiring better coordination on incarcerated veterans, which passed 8-0; House Bill 2014, directing studies on gasoline blends and emissions modeling, which passed 6-2 despite concerns about cost and limited impact; and House Bill 2957, preserving non-REAL ID driver licenses and restricting biometric collection and data sharing, which passed 5-4 after amendment.

Transcript Highlights:

• 1210 that created the legal…” “HB 1210 created the legal ability to have alternative transporters, but DHS
• We just need to get DHS to follow through on the authorized transporter, and I don't think this would

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:

• It is why I will vote no and not give a single other penny to DHS.
• IT IS WHY I WILL VOTE NO AND NOT GIVE A SINGLE OTHER PENNY TO DHS.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, February 2, 2026, 1012, house, all

Transcript Highlights:

• DHS may grant to companies to limit their liability for claims around... That U.S.
• DHS may grant to companies to limit their liability for claims arising from terrorist activities.

Keywords: 1182, all

Summary: The committee opened with remarks about moving JLAC to a more frequent monthly schedule and spending more time on each audit. Members also recognized Melanie Chesney of the Auditor General’s office for 32 years of service, with several members praising her work and her role in school safety and other audits. The meeting then turned to the JLAC-directed Arizona School Safety Special Audit on interoperable communication systems, with the Auditor General’s office presenting the December 2025 report. The audit found that the state had allocated nearly $26 million to interoperable communication efforts, but implementation varied widely. Auditors said all 14 law enforcement agencies used the money for interoperable systems, yet four agencies allowed private or tribal schools to participate contrary to statute, and several agencies failed to submit required expenditure reports. The report also found procurement problems: nine of 14 agencies did not follow procurement requirements or lacked documentation, many contracts lacked accountability provisions, and some agencies had not planned for ongoing costs. The audit estimated ongoing annual costs for an average rural county could range from about $16,000 to $382,000, and recommended that agencies document costs, follow procurement rules, monitor vendors, and plan for future funding. It also recommended the legislature clarify whether non-public schools may participate and revisit statutory system requirements that were vague or inconsistently interpreted. Members questioned the Auditor General about vendor licensing, whether systems could be built in-house, why some functions were not configured, and whether the systems were truly usable in emergencies. The presentation explained that some systems met requirements only in part, that Mutualink had a per-user licensing model affecting access to secure text and file sharing, and that some schools were unwilling or unable to install apps or keep devices logged in. The committee also discussed the difference between the separate school safety grant program administered by ADE and this interoperability fund, and several members expressed frustration with sole-source contracting and weak documentation. In the final portion of the presentation, auditors said only two of eight observed systems demonstrated all five critical emergency functions, while four agency systems could not be tested because they were reportedly not functioning. The committee then began hearing responses from county sheriffs, starting with the Arizona Sheriffs’ Association president, who emphasized county commitment to school safety and noted that some counties had implemented systems across multiple districts, including tribal and rural schools. No votes or formal actions were taken during the portion provided.

Transcript Highlights:

• And thankfully, we had a really good working group with DPI, Levi Bachmeier, and with DHS, particularly
• It was DPI, Legislative Council, and DHS. Further questions?

Keywords: 908, all

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

Transcript Highlights:

• I'm really going to focus on question four in your agenda since my colleagues at DHS and CDA have really
• elimination of the asset test that was previously used to determine Medi-Cal eligibility, and my colleague at DHS

Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.

Transcript Highlights:

• is on the expedited—if you go on to section 16, and it really is clarifying, so to simplify from a DHS
• is on the expedited—if you go on to section 16, and it really is clarifying, so to simplify from a DHS

Keywords: 1187, senate, all

Transcript Highlights:

• they haven't been issued yet, but news about conditions that the administration is seeking to place on DHS

Keywords: 904, all