Transcript Highlights:

• You'll hear her mom talk about how, through a sports injury, she started using prescription painkillers
• Prescription painkillers led as an entryway to many things, including fentanyl, which took her too soon

Transcript Highlights:

• Their statewide guidelines are not necessarily prescriptive; not every council looks the same. ...prescriptive

Keywords: 924, joint, all

Transcript Highlights:

• to invite Senator Burgess to the podium when on Senate Bill 668, on the storage and disposal of prescription
• get at the heart of the conflict between federal and state law that deals with the disposal of prescription

Keywords: 999, senate, all

Transcript Highlights:

• 01:55.200> chapter<00:01:55.680> 13A 907 K23010 amends to allow reimbursement for prescription
• of course this is all subject to personal preference providers if they're even going to write prescriptions
• to write prescriptions for these drugs. to write prescriptions for these drugs.
• for individuals with a prescriptions for individuals with a chronic<00:18:59.200> disease.
• Now we're getting into prescriptions.

Keywords: 0:00 – Meeting start/roll call 0:10 - Roll call/approval of minutes 1:43 - Cabinet for Health and Family Services (CHFS), Department for Medicaid Services 27:40 - Department of Alcoholic Beverage Control 55:54 - Board of Veterinary Examiners 1:33:15 - Testimony in support of 804 KAR 13:010E, 020E, 030E and 040E. 1:49:04 - Education Professional Standards Board 1:49:58 - Attorney General, Office of Regulatory Relief 1:52:18 - Kentucky Public Pensions Authority (KPPA) 1:54:28 - Board of Nursing 1:56:44 - Board of Occupational Therapy 1:57:37 - Board of Medical Imaging and Radiation Therapy 1:58:58 - Department of Fish and Wildlife Resources 1:59:50 - Economic Development Finance Authority 2:01:34 - Department of Corrections 2:02:37 - Department of Juvenile Justice 2:04:02 - Department for Employment Services, Unemployment Insurance 2:04:57 - Cabinet for Health and Family Services (CHFS), Department for Public Health, 958, all

Summary: The committee first approved the minutes and then took up Department for Medicaid Services regulations 907 KAR 23:010 and related rules. DMS explained that one regulation would establish a beneficiary advisory council and another would remove language barring coverage of GLP-1 drugs for obesity-related use. The department said coverage would still be limited by prior authorization and clinical criteria, with use tied to underlying chronic conditions such as diabetes or cardiovascular disease, and that the pharmacy and therapeutics committee would help set the detailed standards. Members discussed the potential health benefits, but several raised concerns about cost, timing, and whether the legislature and the Medicaid Oversight and Advisory Board should review the policy first. DMS said the drugs are already on the formulary, that current Medicaid users with diabetes are already covered, and that the fiscal impact was estimated using current utilization, rebates, and expected savings; the department also said it would only cover the drugs if subject to rebates. The committee then voted 5-1 to find 907 KAR 23:010 deficient. The committee next considered several emergency regulations from the Public Protection Cabinet’s Department of Alcoholic Beverage Control implementing SB 100. The rules covered tobacco, nicotine, and vapor product licensing, including the application form, denial standards, and transitional licensing. ABC counsel said the department had received about 5,500 applications and issued nearly 5,000 licenses, with additional provisional licenses issued to avoid interruption in sales after the law’s effective date. He said some applications remained pending because inspections and photographs revealed possible unauthorized nicotine vapor products, and the department was seeking documentation before approval. A staff amendment was adopted without objection before the ABC presentation continued.

Transcript Highlights:

• With programs like this, it helps me use my income toward my doctor's co-pays and prescriptions.
• Faced with the impossible choices between paying rent, filling prescriptions, or buying groceries, many
• vulnerable residents older adults faced with the impossible choices between paying rent filling prescriptions

Keywords: 995, all

Summary: The Joint Committee on Housing held a hybrid hearing on a broad slate of housing and homelessness bills. Chairs Rich Haggerty and Julian Cyr opened by noting the committee’s focus on EOHLC programs such as RAFT, MRVP, and HomeBASE, and several members and advocates emphasized the urgency of the state’s homelessness crisis, including rising family homelessness and the need for earlier intervention, more stable subsidies, and stronger long-term housing tools. A major theme was homelessness prevention and rehousing. Multiple witnesses supported bills to codify and strengthen RAFT and HomeBASE, arguing that assistance should be available earlier in a crisis rather than only after a notice to quit or imminent loss of housing. Testimony from legal services, homelessness coalitions, social workers, municipal housing staff, and tenant advocates said the programs help families avoid eviction and shelter, but need more flexibility, higher benefit caps, and permanent statutory protection. Several speakers also urged support for codifying the Massachusetts Rental Voucher Program (MRVP), describing it as a critical long-term subsidy for low-income households and older adults, and warning that codification would protect the program from future budget or policy changes. The committee also heard testimony on housing stability for older adults, affordable homes for people with disabilities, supportive housing, housing cooperatives, home sharing, local preference, and reentry housing for returning citizens. Advocates for older adults described a Somerville bridge subsidy pilot that helped stabilize seniors while they waited for permanent housing, and urged statewide expansion. Supporters of supportive housing called for an interagency board to streamline funding and development, while cooperative housing proponents backed creation of a Massachusetts Center for Housing Cooperatives and a dedicated funding reserve. A bill to secure housing for returning citizens drew support from reentry providers and Senator Adam Gomez, who said stable housing is essential to successful reintegration. No votes were taken during the hearing; witnesses generally asked the committee to report the bills favorably, and some members asked follow-up questions on data and program details.

Transcript Highlights:

• Madam Chair, Members, House Bill 2434 modifies requirements related to the controlled substances prescription
• requires use of the state's data submission guide to report information to the controlled substances prescription
• unprofessional conduct of a pharmacist or pharmacy intern using employees or common carriers to deliver prescription

Bills: HB2035, HB2086, HB2434, HB2611, HB2732, HB2733, HB2830, HB2923, HB2932, HB4004

Keywords: kinship care, child welfare, foster care, relative placement, child protection, vaccination mandates, mask requirements, public health, government entities, COVID-19, controlled substances, prescription monitoring, opioid crisis, healthcare regulations, patient safety, group homes, children's rights, safety protocols, employee training, mental health

Summary: The committee heard a presentation from the University of Arizona College of Medicine Phoenix on its new tuition-free, three-year regional medical school branch in Yuma, which is intended to address Arizona’s primary care shortage by training students in a rural setting and linking them to rural residency opportunities. Members asked about who could apply, whether out-of-state applicants were eligible, and whether graduates would be required to remain in rural Arizona; the presenter said there is no post-graduation practice commitment, but the program is designed to encourage retention through rural training and residency placement. The committee then considered several child welfare and behavioral health bills. HB 2923 would expand judicial review procedures for court-ordered mental health treatment, adding timelines, notice, counsel protections, and a clear-and-convincing standard for continued treatment; the sponsor and a retired judge said it fills gaps in a 1974 statute. HB 2035 would expand kinship foster care to extended family members, require more notice and written findings when kin placement is denied, and strengthen presumptions favoring placement with relatives or other significant adults; DCS said the bill largely reflects current policy but raised a timing concern about a required report before preliminary protective hearings. HB 2611 would create a Youth Safety Rights and Mental Health Protection Act for foster youth and group homes, adding rights related to immediate and unbiased health care, anti-bullying protections, retaliation safeguards, drug screening, and safety rules; foster youth and former foster youth testified strongly in support, while DCS was neutral and noted possible implementation and fiscal impacts. The committee also heard HB 4004, which would require DCS to investigate credible abuse or neglect reports even when one parent is considered protective, and to take protective action when warranted. Several parents testified that DCS had previously closed or minimized cases because a protective parent existed, leaving children exposed to abuse; DCS did not testify against the bill, and members later said the agency should not use the presence of a safe parent as a reason not to investigate. The committee also considered pharmacy and AHCCCS-related bills: HB 2434 would revise the controlled substances prescription monitoring program and reporting requirements; HB 2732 would continue the State Board of Pharmacy; HB 2733 would make several pharmacy regulation changes including delivery, continuing education, and change-of-ownership rules; and HB 2932 would require AHCCCS contractors to reimburse noncontracting labs referred by contracting providers, which health plans opposed as undermining managed care tools while a lab provider argued it would improve fair payment and competition. On the floor, the committee also took up HB 2086, which would prohibit government and business mask and vaccination mandates, HB 2830, which would require instruction on fetal and prenatal development and bar abortion-related curriculum materials, and HB 2035, HB 2434, HB 2611, HB 2732, HB 2733, HB 2923, HB 2932, and HB 4004. Amendments were adopted on several bills, including HB 2086, HB 2611, HB 2830, and HB 2932. Final committee votes gave HB 2035, HB 2086, HB 2434, HB 2611, HB 2732, HB 2733, HB 2830, HB 2923, HB 2932, and HB 4004 do-pass recommendations, with HB 2086, HB 2611, HB 2830, and HB 2932 reported as amended.

Transcript Highlights:

• is when we had the opioid crisis earlier on under Ducey, Narcan was dispensed with every opioid prescription
• is when we had the opioid crisis earlier on under Ducey, Narcan was dispensed with every opioid prescription
• The bill expands permissible delivery locations for prescription medications, unless prohibited by federal

Keywords: 1182, all

Summary: The meeting was a caucus-style run-through of many bills and resolutions across Appropriations, Commerce, Education, Federalism/Military Affairs/Elections, Government, Health and Human Services, Judiciary, ENRU, Public Safety, and Rural Economic Development. Measures discussed included housing and HOA rules, school policy and funding, health care licensing and records timelines, public safety and corrections funding, election and campaign rules, water and environmental policy, and several criminal justice and juvenile justice changes. Many items were described as being on third-read consent or consent calendars, with staff often noting that no questions were raised and no sponsor was present. Several bills drew sponsor explanation or member discussion. In education, members reviewed bills on teacher strikes, school safety, math placement, student outcomes, free school meals, parent permission for clubs, and school bond ballot disclosures. In health, bills covered prior authorization data reporting, nursing board rules and complaint procedures, pharmacist testing/treatment authority, opioid antagonist expiration dates, board continuations, and a constitutional amendment on refusing medical mandates. In government and public safety, members discussed DCS legal representation, inmate medical records, public safety parity funding, sheriff authority, border support funding, and a resolution supporting county sheriffs. In commerce and housing, bills addressed condominium and HOA authority, shade structures, pet restrictions, insurance certificates, apprenticeship definitions, automatic renewal contracts, and a state housing affordability district. There was notable discussion on House Bill 4044, which would create a Public Safety Parity Fund for DPS and DOC salaries using interest from the state rainy day fund and other revenue sources. The sponsor argued it would provide a reliable way to fund public safety pay, while others objected that it would consume interest needed to preserve the fund’s value and that a general fund appropriation would be more appropriate. The bill prompted extended back-and-forth, with some members supporting the concept and others saying it was fiscally irresponsible. Another point of discussion came on House Bill 2775, where staff noted a possible misprint in the bill history, and on House Bill 467, where staff clarified that the inactive voter list changes related to e-poll book status categories. No formal votes were recorded in the transcript, and the meeting appears to have been a review of measures before floor action.

Transcript Highlights:

• this a suicide mission for this person to try to get back into office because there's nothing prescriptive
• Because there's nothing prescriptive in the legislation, I'm just wondering if you would help me with
• I understand that, but I would be a lot more inclined to support this if we were a little more prescriptive

Keywords: 996, all

Transcript Highlights:

• five, and we may be approaching one in four, New Mexicans often has to choose between filling prescriptions
• So one in five New Mexicans have to choose between filling a prescription or paying some other home cost
• At the same time, the FIR does raise valid concerns that overly prescriptive service requirements could

Bills: SB241, SB145, HB2

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Transcript Highlights:

• So you've expanded some particular programs for us with prescription drug affordability, the health care
• So you've expanded some particular programs for us with prescription drug affordability, the health care
• The prescription drug increases are quite rapid.

Summary: The committee first welcomed new DSHS Secretary Angela Ramirez, who introduced herself and described her background in public service, federal and state legislative work, and health and human services leadership. Members emphasized the importance of building strong relationships with her and noted her focus on protecting services, using strategic approaches in a tight budget environment, and improving partnerships with the Legislature. Ramirez said she wanted to keep communication open and that her priorities would be shaped by what she learns from lawmakers and agency partners. The next work session focused on the West Coast Health Alliance and the broader Governor’s Public Health Alliance. Department of Health and governor’s office staff said the West Coast alliance, involving Washington, Oregon, California, and Hawaii, was formed to coordinate science-based public health guidance, especially around vaccines, return-to-work guidance, and responses to federal changes. They said the alliance is intended to reduce confusion, counter misinformation, and preserve access to evidence-based recommendations, with early actions including vaccine guidance for COVID-19, flu, and RSV, a statement rejecting any vaccine-autism link, and preparation for possible ACIP changes. Members asked about workload and coordination with other regional alliances, and staff said there is informal coordination but no formal regular meetings. The committee then heard from the Washington State Health Benefit Exchange about open enrollment and the effects of federal policy changes. Exchange leaders said the expiration of enhanced premium tax credits, HR1 provisions, and immigration-related eligibility changes are affecting affordability and enrollment, with some customers facing large premium increases and some counties becoming harder to serve. They reported early open-enrollment traffic increases, nearly 10,000 new sign-ups, and nearly 12,000 active coverage drops so far, while noting that many more people may disenroll later if subsidies are not extended. They also described mitigation efforts such as silver loading, Cascade Care Savings, outreach through navigators and community partners, and planning for future HR1 requirements like ending auto-renewal and adding verification steps. In the final work session, staff from the Health Care Authority and Insurance Commissioner’s office reviewed Washington’s health reform history and the state’s current affordability and access efforts. They highlighted past ACA-related coverage gains, continued work on prescription drug affordability, PBM oversight, primary care and behavioral health access, and a pending legislative proposal to preserve access to preventive services. They also discussed federal changes affecting Medicaid and the exchange, including work requirements, six-month redeterminations, and the need to coordinate across agencies to implement new rules. Members raised concerns about network adequacy, provider access, and the complexity of the health care system, while staff said they are trying to mitigate harm, simplify administration, and keep coverage and access as stable as possible.

Transcript Highlights:

• Senator Conway, there are very specific prescriptive guidelines of what the funding can be used for in
• the core things that we've heard from stakeholders and things that we're working on based on the prescription
• prevention, chronic disease management will play an important part of our application based on the very prescriptive

Summary: The Ways and Means Committee held a work session to review how H.R. 1 (the One Big Beautiful Bill Act) could affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on implementation challenges, fiscal impacts, and likely coverage losses. Staff and agency officials explained Washington’s Medicaid financing structure, eligibility categories, caseload trends, and the role of the Health Care Authority and DSHS in administering Apple Health and related services. They also described how Medicaid expansion increased access to behavioral health services and how H.R. 1’s provisions are expected to affect the expansion population most directly. Health Care Authority and DSHS officials outlined several major H.R. 1 changes: new work and community engagement requirements for the Medicaid expansion population, six-month redeterminations instead of annual renewals, changes to immigrant eligibility, limits on provider taxes and state-directed payments, new cost-sharing requirements, reduced retroactive coverage, and changes affecting long-term care eligibility. They said Washington is still awaiting federal guidance on many details, but estimated that about 620,000 Apple Health expansion enrollees could be subject to work requirements, that roughly 30,000 immigrants could lose Medicaid eligibility under the new definition of qualified alien, and that some long-term care and developmental disability clients could be indirectly affected. Officials also said the state is working with other agencies to build shared verification systems and may seek a delay waiver, though they do not expect broad federal flexibility. The committee also heard that H.R. 1 immediately blocks Medicaid reimbursement for Planned Parenthood services for one year, with the state planning to backfill about $11 million to preserve access. In addition, officials warned that the law could reduce federal Medicaid revenue by billions over time and strain hospitals and emergency rooms as more people become uninsured. They noted that Washington’s rural health transformation grant application is due November 5 and could bring some funding, but not to offset coverage losses. No votes were taken; the session was informational only. The committee then heard a separate presentation on food assistance, where staff and DSHS described H.R. 1’s SNAP changes, including expanded work requirements, immigrant eligibility restrictions, higher state administrative costs, and a possible future state share of benefit costs tied to payment error rates. DSHS estimated a four-year fiscal impact of about $750 million for food assistance changes and said the state is working on system and policy changes across agencies before the new requirements take effect.

Transcript Highlights:

• It's very prescriptive on exactly who is covered by these additional monies.
• So, the allotments are very prescriptive in how they're used, as Senator Miles and I had an exchange
• With the language in this legislation and HB 2, every prescriptive allotment that we have will be monitored

Bills: HB2, HB6, HB18, HB43, HB138, HB180, HB300, HB581, HB647, HB748, HB762, HB1240, HB1393, HB1397, HB1584, HB1734, HB2011, HB2254, HB2286, HB2434, HB2467, HB2468, HB2495, HB2516, HB2518, HB2529, HB2564, HB2712, HB2713, HB2715, HB2765, HB2898, HB3146, HB3161, HB3348, HB3800, HB4044, HB4341, HB4370, HB4384, HB4386, HB4396, HB4490, HB4809, HB5057, HB5323, HB5534, HB5668, SB203, SB317, SB719, SB731, SB801, SB867, SB1071, SB1232, SB1798, SB2082, SB2363, SB2603, SB2607, SB2717, SB2797, SB2841, SB2919, SB3038, SJR5, SB4, SB9, SB21, SB23, SB27, SB34, SB40, SB75, SB213, SB458, SB482, SB493, SB647, SB648, SB840, SB841, SB843, SB912, SB1241, SB1253, SB1350, SB1388, SB1423, SB1535, SB1559, SB1709, SB1789, SB1951, SB2037, SB2143, SB2155, SB2544, SB1, SB17, SB260, SB509, SB1506, SB1637, SB1833, SB2308, HB2525, HJR133, HB1393, HB26, HB388, HB2712, HB1633, HB685, HB2286, HB1606, HB1458, HB1240, HB2791, HB3146, HB1397, HB2061, HB647, HB4738, HB2563, HB128, HB581, HB766, HB2259, HB2358, HB4384, HB748, HB1734, HB5180, HB3806, HB3804, HB3803, HB1522, HB3597, HB1612, HB4224, HB1314, HB1237, HB3126, HB2856, HB3114, HB3505, HB5652, HB2025, HB3395, HB2495, HB18, HB2516, HB2713, HB24, HB519, HB609, HB1592, HB3348, HB120, HB6, HB1533, HB2421, HB2273, HB2464, HB2011, HB5057, HB5084, HB5534, HB5668, HB3424, HB2715, HB2564, HB2765, HB2898, HB3800, HB4396, HB4341, HB43, HB5686, HB2467, HB2468, HB2518, HB4310, HB4386, HB4490, HB180, HB5323, HB2, HB149, HB4945, HB2434, HB2529, HB3161, HB3745, HB4044, HB5155, HB5667, HB4996, HB2697, HB2492, HB2355, HB2282, HB2001, HB1902, HB1866, HB1445, HB1443, HB1306, HB1024, HB908, HB305, HB285, HB449, HB171, HB47, HB3464, HB2637, HB4263, HB5436, HB4429, HB3986, HB3966, HB3510, HB2560, HB2026, HB2688, HB4076, HB5246, HB3487, HB3486, HB4226, HB216, HB742, HB2402, HB143, HB5033, HB4413, HB4042, HB2440, HB4426, HB49, HB4112, HB3233, HB2310, HB5515, HB3627, HB2674, HB322, HB1481, HB126, HB3062, HB3421, HB3180, HB2530, HB2524, HB1916, HB3153, HB5650, HB4894, HB3120, HB1629, HB103, HB3234, HB3680, HB5698, HB3171, HB5693, HB2694, HB5664, HB3732, HB2508, HB2293, HB1991, HB2014, HB5331, HB5247, HB4751, HB4690, HB4668, HB4464, HB4395, HB4063, HB3833, HB3623, HB3214, HB3512, HB3250, HB3016, HB2520, HB2221, HB2213, HB3824, HB2067, HB1732, HB1562, HB700, HB1545, HB252, HB146, HB5596, HB1851, HB3619, HB3071, HB3556, HB851, HB4230, HB5320, HB5651, HB5670, HB5665, HB5437, HB5679, HB5699, HB5661, HB5662, HB5654, HB5672, HB5656, HCR141, HCR118, HCR127, HCR40, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB1749, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3038, SB3045, SB1538, SB3071, SB3065, SB823, SB3062, SB3074, SB1380, HB6, HB581, HB1393, HB1734, HB2286, HB2467, HB2468, HB2495, HB2529, HB2564, HB2765, HB2898, HB3146, HB3348, HB3800, HB4341, HB4386, HB4490, HB5057, HB5323, HB5534, HB5668, HB2, HB2715, SR530, SR552, SB482, SB493, SB841, SB912, SB1241, SB1350, SB1388, SB1559, SB1951, SB2143, SB2155, HB205, HB220, HB561, HB2078, HB2300, HB2652, HB3335, HB3441, HB4212, HB4879, HB5228, HB5616, HB205, HB220, HB561, HB2078, HB2300, HB2652, HB3335, HB3441, HB4212, HB4879, HB5228, HB5616

Keywords: public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, mental health, telehealth, public schools, discipline management, behavioral interventions, rural health, hospital funding, healthcare access, mental health services

Transcript Highlights:

• .. ...ensures that Medi-Cal enrollees can access the over-the-counter contraceptives without a prescription
• Requiring a prescription for an over-the-counter contraceptive creates unnecessary delays and administrative
• field by giving Medi-Cal enrollees the same access to over-the-counter contraceptives without a prescription

Summary: The Assembly convened, established a quorum, and opened with a prayer and Pledge of Allegiance. Members then handled several procedural motions, including suspending rules to allow committee hearings and guest access, re-referring bills, and removing one bill from the consent calendar. The chamber also observed Holocaust Remembrance Day with a lengthy ceremony and remarks from many members across caucuses, emphasizing the importance of remembering the Holocaust, combating antisemitism and other forms of hate, and supporting survivors and descendants. ACR 59, the California Holocaust Memorial Day resolution, was adopted by voice vote after 76 coauthors were added. After the ceremony, the Assembly took up the daily file. AB 390, which strengthens California’s “slow down, move over” highway safety law, passed 64-0. AB 439, making small changes to the Coastal Act and reporting requirements, passed 44-11 after debate over Coastal Commission oversight. The body also approved a rules waiver to allow the Education Committee to meet on AB 1468. Later, AB 50, allowing Medi-Cal enrollees to access over-the-counter contraceptives without a prescription, passed 67-0 urgency and 67-0 overall; AB 55, streamlining alternative birth center licensing, passed 68-0; AB 596, protecting workers’ right to wear masks or respirators unless there is a direct safety hazard, passed 53-8; AB 631, requiring animal shelters to post intake and outcome data, passed 60-0; and AB 792, allowing consolidated negotiations for court interpreter contracts, passed 52-1. The Assembly also passed AB 867, banning cat declawing, by 68-0 after bipartisan support; AB 1089, expanding local permitting authority for Western Joshua Tree projects, by 16-0; and AB 1154, clarifying ADU rules, by 63-1. SCR 57, proclaiming Dolores Huerta Day, was adopted 66-0. The second-day consent calendar was then adopted 71-0. The session concluded with adjournment-in-memory remarks for Mary Hammer, a longtime San Lorenzo Valley community leader and environmental advocate, followed by recognition of her family and friends in the chamber.

Transcript Highlights:

• approved program and who has passed national competency examinations, and prohibits VPAs from prescription
• completed an approved program and who has passed national competency examinations, prohibits VPAs from prescription
• There's nothing prescriptive in the bill. The Commission would establish that schedule.

Summary: The committee met with a quorum and considered several bills, reporting each favorably after hearing sponsor presentations, public testimony, and member questions. SB 578 would allow wine to be sold in recyclable containers, aligning wine with beer container rules; it received support from Americans for Prosperity and passed without debate. SB 606 clarified when guests in public lodging or food service establishments may be removed for nonpayment, updated notice and checkout provisions, and removed a mandatory arrest requirement, with support from hotel and restaurant industry groups; it also passed favorably. Members then heard SB 202, which addresses a municipal water utility surcharge issue affecting Miami Gardens and North Miami Beach by requiring the utility to charge residents where the plant sits the same rate it charges its own residents. The sponsor and supporters described it as a fairness issue, while North Miami Beach argued it would shift costs and threaten utility finances; the bill was reported favorably. SB 570 modernized and clarified the scope of work for swimming pool and spa contractors, and SB 928, as amended, regulated non-approved disposable nicotine devices by restricting advertising and display, increasing inspections and penalties, and adding a school-buffer provision; both were reported favorably. The committee also approved SB 346, which repeals state preemption over local regulation of hoisting equipment and cranes, prompted by concerns after Hurricane Milton and a crane collapse in St. Petersburg. Supporters said local governments need authority to address storm-related crane safety, while industry representatives warned against patchwork regulation and said local oversight already exists in some areas. Finally, the committee took up SB 652, creating Veterinary Professional Associates to perform certain tasks, including limited surgeries under veterinarian supervision; animal welfare groups supported it as a way to expand access, while some veterinarians opposed the surgery provisions. The bill was reported favorably after amendment. The committee then began SB 354, a major overhaul of Public Service Commission oversight, including expanding the commission, adding financial expertise, tightening rate-setting and storm-hardening review, and increasing transparency for nonprofit water and wastewater utilities; the substitute amendment was adopted and public testimony was heard from consumer advocates and utility-related groups, but the transcript ends before final action on the bill.

Transcript Highlights:

• bill explicitly clarifies that nutritional counseling does not include home delivered meals, food prescriptions
• part of our work, especially in our partnerships with healthcare institutions through our food prescription
• We feel that the inclusions of medically tailored meals and medical prescriptions to individuals who

Bills: HB 26, HB 140, HB 141, HB 142, HB 215

Keywords: Medicaid, nutrition support, maternal health, chronic conditions, pilot program, DFPS, Department of Family and Protective Services, child protective services, child abuse investigations, child neglect, child exploitation, advisory committee, Family and Protective Services Council, council abolition, foster care, due process, investigative procedures, child welfare, parental rights, family preservation services

Transcript Highlights:

• If you can't feed your kids and you don't have the $3 to afford your prescription, well then tough.
• If you don't pay the $3 and they don't pick up their prescription and they don't get their medicine and
• 01:12:25.199> that, If you can't feed your kids and you don't have the $3 to afford your prescription
• If you don't pay the $3 and they don't pick up their prescription and they don't get their medicine and
• and they don't get their prescription and they don't get their medicine<01:12:57.120> and<01:

Keywords: 919, house, all

Summary: The committee took up House File 4466, the sub health supplemental budget bill, and moved it to the Ways and Means Committee after a walkthrough of the fiscal spreadsheet and the DE1 amendment. Nonpartisan staff explained that the bill produces general fund savings of about $2.4 million in FY27 for the 2026-27 biennium and about $97.7 million in the next biennium, with most savings tied to HR1-related Medical Assistance changes affecting adults without children. The Department of Health provisions were described as largely cost-neutral, with some increases for implementation, data, and IT work. Staff then reviewed the DE1, which combines several bills into four articles. The bill includes health licensing board changes, Department of Health provisions such as all-payer claims database fees, newborn screening fee exceptions, loan forgiveness and scholarship program extensions, workforce shortage grant changes, and reciprocal licensure and mortuary science provisions. The federal conformity article makes changes related to MA work and community engagement requirements, six-month renewals, retroactive eligibility limits, contact information updates, cost sharing for MA expansion enrollees, and related provider tax and disability-notice provisions. Article 4 and Article 5 were described as forecast adjustments for DHS and the Department of Children, Youth, and Families. Public testimony focused largely on the federal conformity and eligibility provisions. Legal aid testified that the work requirements and retroactive eligibility changes would be confusing, could expand requirements beyond intended groups, and would increase uncompensated care. The Minnesota Hospital Association said shortening retroactive eligibility would increase uncompensated care and strain hospital finances, and Unidos Minnesota criticized the immigrant eligibility changes as harmful to lawfully present immigrants and Native communities. Blood Cancer United supported the all-payer claims database provisions and urged attention to fertility coverage. Representative Elkins offered an amendment to add $55,000 for the Department of Health to include denied-claims data in the all-payer claims database; Department of Health staff said the idea was useful and provided a one-time setup cost, but the amendment was not acted on in the portion of the transcript provided.

Transcript Highlights:

• Episodes can comprise inpatient admissions, outpatient services, as well as prescription drugs.
• So, reading this chart here, the prescription number, like top one, 1,254, is that the number of prescriptions
• Yes, that would be the number of prescriptions or members that had that drug in the calendar year.
• Okay, so $11 million, then, that is paid to the providers at a cost of $8,800 per prescription for Humeter
• Is there not any other medications that can cover these that are not $8,800 per prescription?

Keywords: 908, all

Transcript Highlights:

• that describes the technology and everything following it uses the word must and is very, very prescriptive
• 49.760> very um uses the word must and is very, very um uses the word must and is very, very prescriptive
• . prescriptive. prescriptive.
• <01:08:29.440> It<01:08:29.560> must<01:08:29.799> be again, very prescriptive
• It must be again, very prescriptive.

Keywords: 1187, senate, all

Transcript Highlights:

• Episodes can comprise inpatient admissions, outpatient services, as well as prescription drugs.
• So, reading this chart here, the prescription number, like top one, 1,254, is that the number of prescriptions
• Yes, that would be the number of prescriptions or members that had that drug in the calendar year.
• Okay, so $11 million, then, that is paid to the providers at a cost of $8,800 per prescription for Humira
• Is there not any other medications that can cover these that are not $8,800 per prescription?

Summary: The committee met to receive a series of audit presentations, beginning with the statewide Annual Comprehensive Financial Report (ACFR) for fiscal year 2025. The State Auditor’s Office and OMB reported a clean, unmodified opinion for the state, with strong financial results including a $40.6 billion net position, $30.99 billion in assets, $1.81 billion in liabilities, and continued Legacy Fund growth. OMB also explained the new GASB 101 compensated-absences reporting change and discussed pension-liability fluctuations tied to discount-rate assumptions and investment performance. Members asked about how the state compares to others and about the effect of short-term commodity price swings, and OMB said the report reflects actual fiscal-year results rather than forecasts. The committee then heard the University System audit, which also received a clean opinion but included four findings: misreporting of Strategic Investment and Improvements Fund revenue, insufficient monitoring of service organizations at CTS, NDSU, and UND, improper bank reconciliations at Dakota College of Bottineau, Dickinson State, and Williston State, and investment/cash reconciliation problems at Bismarck State College related to bond proceeds. University officials agreed with the findings and said corrective actions were underway, including internal review of bank reconciliations. Members raised questions about NDSU’s use of certificates of deposit, and university staff explained that CDs are used to earn interest on funds being accumulated for future projects. Several other audits were presented, most with clean opinions and no findings, including the State Auditor’s Office, Workforce Safety and Insurance, Housing Finance Agency, Housing Incentive Fund, Job Service North Dakota, the Retirement and Investment Office, PERS, the Center for Distance Education, the Commission on Legal Counsel for Indigents, the Ethics Commission, and the Office of Administrative Hearings. Notable exceptions included a State Fair Association audit with an adverse opinion on the foundation component unit because its financial statements were not available for audit, and a Securities Department performance audit finding that performance-based pay increases and bonuses were issued without required evaluations. The committee also discussed the State Auditor’s future needs, including more staff capacity, data analytics, cybersecurity reviews, possible subpoena authority, independent legal counsel, and whether some audits—such as the Ethics Commission and State Fair—should be handled by independent third parties or under different statutory arrangements.

Transcript Highlights:

• Leading to unfilled or delayed prescriptions, worsening chronic health... motion to ITL.
• /c><00:59:57.280> delayed Leading to unfilled or delayed Leading to unfilled or delayed prescriptions
• ,<00:59:58.400> worsening<00:59:58.880> chronic<00:59:59.240> health ...prescriptions
• New Hampshire was the 49th state to pass a prescription drug monitoring program.
• a prescription drug monitoring program. a prescription drug monitoring program.

Keywords: 1189, house, all