Transcript Highlights:

• The fiscal note shows $440,000 in operating costs in the 2025-27 biennium and $870,000 in operating costs
• The fiscal note shows $440,000 in operating costs in the 2025-27 biennium and $870,000 in operating costs
• Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn, and those who died by suicide after
• into a facility that is not on this aquifer.
• installation school district facilities.

Summary: The Capital Budget Committee heard briefings and testimony on several bills. Substitute House Bill 2281 would require state agencies to avoid imposing an undue burden on Indian tribes’ traditional cultural practices at tribal traditional cultural places, and would create a Superior Court cause of action for tribes. The prime sponsor and tribal witnesses said the bill is needed to protect sacred sites and cultural resources, while an industry witness asked for narrower, more predictable language. Some testimony criticized the bill as too expansive and likely to increase litigation. The committee also heard testimony on House Bill 2514, which would create a Global War on Terror memorial work group to plan and recommend details for a memorial on the Capitol campus; the sponsor emphasized honoring Washington service members and said private fundraising would be central to the project. House Bill 2551 would let school districts with very low ending fund balances seek OSPI approval to sell district real property and use the proceeds to restore financial stability, rather than depositing the money into capital or debt service funds. The sponsor and Tacoma School District testified that the bill is a safeguard for districts nearing binding conditions, while members raised concerns about possible impacts on local land use and whether the bill could be misused in urban or rural areas. Substitute House Bill 2668 would require the Department of Fish and Wildlife to identify alternate locations for the Bob O’K Game Farm and request future capital funding to relocate and remediate the site because of nitrate contamination affecting the Centralia area aquifer. Local officials, public health staff, and tribal representatives supported relocation, citing public health risks and the potential cost of inaction, while the sponsor stressed that the bill is about moving, not closing, the game farm. In executive action, the committee took up House Bill 2470, as amended by a proposed substitute, which would increase state school construction assistance for schools on military bases by adding 15% to the calculated state match percentage. Members discussed the role of federal funding and the need for safe, equitable facilities for military-connected students. The committee approved the substitute bill and reported it out with a due pass recommendation by a vote of 15-1, with three excused.

Transcript Highlights:

• It kind of sets the tone for how you operate your facilities, and it sets the tone for how you operate
• We're really operating at not even facility level, right?
• are all non-secure facilities.
• And I think we achieved a good mix of both male facility representation and female facility representation
• And it's good to see the facilities too.

Summary: The Special Commission on Correctional Consolidation and Collaboration met on January 12 and heard a presentation from Department of Correction officials and UMass Chan researchers on DOC’s objective point-based classification system. DOC described how the system, in place since 2007, uses standardized criteria to assign custody levels and is intended to balance public safety with reintegration. Officials reviewed the system’s initial and reclassification tools, the role of trained classification staff, and the use of non-discretionary restrictions and discretionary overrides. They said the current population is about 16% maximum security, 74% medium, and 10% minimum/pre-release, and that discretionary overrides remain within national guidance levels. UMass Chan presented findings from a multi-year NIJ-funded study using historical DOC data from 2019 to 2022, focused mainly on male reclassification cases. Researchers said the scored custody level predicted institutional misconduct well, with stronger separation between minimum, medium, and maximum groups. They reported violent misconduct in the sample was under 5% over the follow-up period, while general misconduct ranged from about 30% to 45%. When DOC’s override-informed final custody levels were analyzed, predictive accuracy declined somewhat, and researchers said the reduction was driven primarily by non-discretionary restrictions rather than discretionary overrides. They noted that removing the non-discretionary restrictions, especially Code C civil-commitment-related restrictions, improved the model’s performance. Commission members and guests questioned whether the system overclassifies people into medium security, whether the low minimum-security rate reflects infrastructure and risk tolerance differences from other states, and how much historical practice and subjective judgment still affect placement. DOC officials said the restrictions are designed around safety concerns such as flight risk, serious legal issues, and medical needs, and that the system has been revised over time through revalidation. UMass researchers said there is no compelling evidence that release from minimum security is necessary for successful community outcomes once risk level is accounted for, and they emphasized that comparisons with other states are difficult because Massachusetts’ correctional structure is different. The commission asked members to submit follow-up questions for additional data, and a public commenter argued that the data suggest overclassification to medium security harms incarcerated people.

Transcript Highlights:

• operating loan.
• And is it like a swing-bed operation, or? There is a swing-bed operation.
• I am here in support of Senate Bill 2403 relating to the medical facility emergency operating loan program
• under the Medical...” “...relating to the Medical Facility Emergency Operating Loan Program under the
• I rise today in strong support of this bill, appropriating one-time funding for a medical facility operating

Bills: HB1623

Committee: Joint Appropriations

Summary: The committee first heard House Bill 1624, the “Universal Lunch Bill,” from Rep. Mike Nathie. He argued the proposal should be placed in Century Code rather than the Constitution so future legislatures can adjust it if state finances tighten, and said the bill would start the program a year earlier with a $65 million appropriation for one school year. DPI testified that the estimate did not include nonpublic schools that do not participate, and members questioned the impact on Title I, free-and-reduced applications, private-school accountability, breakfast mandates for schools that do not currently serve breakfast, and whether the funding could come from the DPI budget or other sources. Supporters, including North Dakota United, the North Dakota Catholic Conference, a pediatrician, and the American Heart Association, said universal meals improve student health and learning, reduce family costs, and are better handled in statute than by constitutional amendment. No opposition testimony was offered, and the chair closed the hearing for later work-session action. The committee then took up House Bill 1627, introduced by Rep. Tye Dressler, which would raise the income threshold for the state-funded school lunch program from 225% to 300% of poverty, with an estimated cost of about $7 million for 2026-27. Dressler said the bill is intended as a targeted, budget-friendly alternative to the ballot measure and emphasized that the state should maximize federal meal dollars while improving participation in the current program. Members questioned whether raising the threshold would actually increase utilization, whether a dollar amount would be clearer than a percentage, and how the change would affect federal reimbursements and application rates. DPI said it could quickly calculate additional percentage levels, and the chair closed the hearing, directing DPI to prepare more numbers for the work session. Finally, the committee opened Senate Bill 2403, presented by Sen. Schiable, to create a short-term bridge-loan program for financially distressed hospitals, centered on Jacobson Memorial Hospital in Elgin. The bill would authorize up to $5 million per loan, with a $10 million appropriation available on a first-come, first-served basis, and would run only through June 30, 2027. Schiable said the hospital’s debt and operating problems threaten local health care, ambulance service, and the community’s economy, and that the proposal was designed narrowly with Bank of North Dakota review to avoid creating a broad precedent. Committee members asked whether the appropriation could be reduced and whether the bank would still apply commercial feasibility and repayment standards; Schiable said yes, the bank would still evaluate the loan and could reject it if it was not sound.

Transcript Highlights:

• </c> program um at the correctional facility program um at the correctional facility in<00:19:47.320>
• </c><01:01:12.920><c> would</c> rendering of what that facility would rendering of what that facility
• </c> services within Correctional facilities services within Correctional facilities up<01:09:55.920>
• operating operating adjustment<01:12:48.159><c> members</c><01:12:48.600><c> and</c><01:12:48.880><c
• </c> officers across all facilities officers across all facilities members<01:14:27.239><c> uh</c><01

Committee: House Public Safety Finance and Policy

Transcript Highlights:

• On line five, utilities shall not own or operate generation facilities or control generation capacity
• </c> Commission, own, build, and operate electric generation facilities located in New Hampshire, subject
• On line 14, combine a nameplate capacity of the facilities owned, built, or operated under this chapter
• And not only do these companies operate existing facilities, but they are the ones who have built new
• ><00:25:38.640><c> are</c><00:25:38.720><c> the</c> facility facilities, but they are the facility facilities

Committee: Senate Energy and Natural Resources

Transcript Highlights:

• By nature of our access to the coast and Asian markets, there are several facilities across the state
• The environmental review this terminal operators rely on is over a decade old.
• It did not The terminal operators rely on is over a decade old.
• They have an MOU with one of our health facilities to have a health clinic on site.
• We talk about the need for more open facilities to have a health clinic on site.

Bills: AB40 , AB2674 , SB328 , SB344

Committee: House Natural Resources

Keywords: AB 2674, financial abuse, financial deception, elder financial abuse, bank fraud, scam prevention, consumer protection, depository institution, bank, credit union, suspicious transaction, fraud hotline, trusted third party, power of attorney, guardianship, conservatorship, elder abuse, senior citizen, treble damages, civil action

Summary: The Assembly Natural Resources Committee heard several measures, led by AB 40, which would require a full CEQA environmental impact report before approval of any new or expanded large coal terminal and require updated review if the project changes significantly. The author and supporters, including West Oakland community advocates and environmental groups, argued the bill was needed because an outdated environmental review did not analyze coal at the scale now proposed for the Oakland terminal and because West Oakland already bears heavy pollution burdens. Opponents, including business and terminal representatives, argued the project had already undergone extensive review and litigation and warned the bill would set a precedent for reopening settled approvals. Members questioned whether the air district had already approved the project and whether the bill was targeting a single facility. The author responded that the air district still had to issue a discretionary permit and that the bill was narrowly tailored to large coal terminals. The committee ultimately concurred in the Senate amendments to AB 40 on a recorded vote, with the bill passing out of committee. The committee also heard SB 344, which creates a project-specific pathway for San Diego’s Midway Rising redevelopment, a large mixed-use project with thousands of housing units, including affordable housing, parks, and a new arena. Support came from labor, the city, and business groups, while members raised questions about whether the bill was effectively insulating the project from CEQA litigation. The author said the bill does not exempt the project from CEQA but confirms the final EIR’s sufficiency once certified. SB 344 received a due pass recommendation and passed the committee. Finally, the committee heard SB 328 for the Concord Reuse Project Area, which would streamline implementation of the former Concord Naval Weapons Station reuse plan by creating an exemption within the Surplus Land Act and related disposition process for qualifying projects. The author and supporters emphasized decades of planning, extensive environmental review, a project labor agreement, and commitments to 25% affordable housing and open space. After questions about enforcement of affordability and tribal consultation, the bill received a due pass recommendation and passed. The committee also adopted a consent resolution and passed AB 2674, a transparency measure requiring CARB to post landfill temperature and monitoring data it already receives.

Transcript Highlights:

• would not be incorporating those facility fees.
• That was really the genesis of facility fees. That was really the genesis of facility fees.
• Facility fees, though, for hospitals.
• If this facility fee that you're...
• Operating capacity—if this facility fee that you're describing is removed, how are patients going to

Committee: House House Health & Human Services

Transcript Highlights:

• It's not really designed with the facilities in mind.
• Program requirements under the School Facility Program.
• the School Facility Program...
• the School Facility Program...
• So is a San Bernardino program still operating? Correct.

Summary: The committee heard the May Revision presentation for the Assembly Budget Subcommittee on Education Finance, with public comment focused heavily on K-12 priorities such as universal school meals, kitchen infrastructure, food service and custodial support, youth leadership grants, Special Olympics funding, English learner support, universal pre-K, literacy investments, and concerns about community college funding shifts. Speakers also urged support for expanded learning, teacher recruitment and training, and maintaining or increasing funding for community colleges and student support programs. Finance and the LAO then reviewed the Proposition 98 outlook. Finance said the May Revision lowers the 2025-26 Prop. 98 guarantee to $114.6 billion, about $4.3 billion below January, due mainly to lower revenue estimates, with smaller effects from attendance and property tax changes. The administration also described rebenching for universal transitional kindergarten and a one-time rebench tied to Los Angeles fire-related property tax losses, along with changes to the Public School System Stabilization Account, deferrals, and updated COLA assumptions. The LAO said the budget relies too much on deferrals and one-time funds, creates a structural shortfall, and should instead align ongoing spending with the guarantee and preserve a reserve buffer. Members questioned the TK rebench and the shift of funding from community colleges to K-12, asking why it was being applied retroactively and how colleges would be held harmless. Finance said the changes align funding with where TK costs are being incurred and that reappropriation funding and other adjustments would offset impacts on community colleges. The LAO argued the historical split formula is outdated and should be abandoned in favor of budgeting around current priorities rather than fixed percentages. Members also raised concerns about draining the rainy day reserve and using deferrals, while the LAO said preserving reserves would better protect against future volatility. The committee then moved to specific K-12 and education proposals. Finance outlined May Revision changes including state operations adjustments for the Department of Education, technical trailer bill changes, a $100 million student teacher stipend program administered by Kern County, and updates to the charter school facility grant program. The LAO recommended rejecting the proposed increases for expanded learning, literacy coaches, and the student teacher stipend as currently structured, while supporting the minimum grant increase for expanded learning. Members expressed support for teacher recruitment efforts but questioned whether one-time funding can sustain ongoing programs and whether the student teacher stipend should be targeted to shortage areas or low-income communities.

Transcript Highlights:

• I'm the Chief Operating Officer of Bakar Labs, and I'd love to tell you where you're sitting and what's
• So these are toxic contaminants that come into our facilities.
• Everything else that comes to our facilities is something that we might be able to handle, but is not
• And there are a number of facilities like Orange County, Monterey 1, that they are active in.
• They want to have some test out some of the advanced treatment facilities.

Summary: The Assembly Select Committee on Biotechnology and Medical Technology held an informational hearing at Bakar Labs on the UC Berkeley campus titled “Biotechnology Industries’ Role in Wastewater Treatment.” Chair Assembly Member Ward and Assembly Member Papan opened by framing wastewater as a major California challenge tied to water scarcity, aging infrastructure, regulatory demands, affordability, and the need for innovation. Bakar Labs described its biotech incubator and public-private model, emphasizing the role of state support in helping early-stage companies commercialize technologies and create jobs. The first panel focused on the current wastewater treatment landscape. BACWA Executive Director Laurie Fono described wastewater plants as part of a circular economy that can produce recycled water, environmental benefits, renewable energy, and biosolids for land application, but said agencies face major challenges from aging 1970s-era infrastructure, nutrient reduction mandates, climate change, sea level rise, evolving regulations, and Prop. 218 limits on rate structures. She highlighted PFAS as a major source-control issue, saying most of it comes from households rather than local manufacturing, and argued that treatment plants are not designed to handle everything entering the sewer system. Members asked about regional differences, energy generation, financing, smaller decentralized plants, and agricultural collaboration. The second panel highlighted biotechnology research and testing tools. A Berkeley Lab scientist described using microbial communities and machine learning to improve PFAS and produced-water treatment, while a CEL Analytical laboratory director discussed pathogen testing for direct potable reuse, wastewater surveillance, and the need for larger sample volumes and better filtration methods to validate log reductions. A Stanford researcher presented an anaerobic membrane bioreactor system that converts domestic wastewater into clean water and biogas with lower energy use and less biosolids, reporting a demonstration project in Redwood City that is net energy positive and can reduce operating costs. Legislators asked about AI, scaling technologies, pathogen detection, and funding needs. Panelists and public commenters urged more pilot funding, stronger utility-state-industry partnerships, and better coordination among regulatory agencies. The hearing ended with public comment from the California Association of Sanitation Agencies and adjournment.

Transcript Highlights:

• Inter-facility transfer quality measures.
• So when you as a medical facility are trying to decide how best to use your operating room, you're going
• to an existing medical facility?
• They are working every day at the facility.
• There, we have, you know, from a critical access standpoint, a fairly robust operating room or operating

Committee: Joint Health Care Committee

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:

• Placement limitations at the secure facilities.
• Community facilities. We have eight community facilities across Washington State.
• facility footprint.
• Community facilities. We have eight community facilities across Washington State.
• facility footprint.

Committee: Senate Human Services

Summary: The Senate Human Services Committee held a work session focused first on the impacts of H.R. 1 on Medicaid and SNAP, especially for people with intellectual and developmental disabilities, older adults, and low-income families. DSHS Assistant Secretary B. Rector explained Washington’s Medicaid structure for developmental disabilities and long-term care, noting that most community-based services are optional under federal Medicaid rules and could be vulnerable if state budgets tighten. He described several H.R. 1 changes, including possible cost sharing, a lower home equity limit, work requirements affecting the ACA expansion population, immigration-related eligibility losses, and a future new waiver opportunity. He said Washington could see about 2,700 people lose Medicaid eligibility due to immigration status and that most people with DD or long-term care needs would likely qualify for work requirement exemptions, but he warned that reduced federal dollars could put home and community-based services at risk. Advocates and providers described the practical effects of Medicaid cuts on crisis services, supported living, and family stability. Dr. Eric Bolter said Washington has only a small continuum of services for people with IDD and severe behavioral needs, and that lower ABA reimbursement and other Medicaid reductions could shrink already limited outpatient, residential, and inpatient options, leading to more hospital stays and out-of-state placements. Scott Leavengood said supported living is already underfunded, with high turnover and staffing shortages, and warned that past cuts led to longer waitlists and fewer people served. Stacey Dimm of The Arc of Washington argued that HCBS is the main service system for most people with developmental disabilities and that cuts would push people into more restrictive and expensive institutional care. She also emphasized that many families already lack access to paid services and that workforce, housing, and family support shortages make the system fragile. The committee then shifted to SNAP and food assistance. DSHS Assistant Secretary Carla Reyes outlined H.R. 1 changes to SNAP, including expanded work requirements, reduced exemptions, tighter immigration eligibility, elimination of the SNAP education program, higher state administrative costs, and a new state share of benefit costs tied to error rates. She said about 129,000 Washington residents could be at risk under the new work rules, roughly 30,000 legal immigrants could move to the state-funded food program, and the state could face hundreds of millions in new costs. Anti-hunger advocates and food bank leaders said the changes would increase hunger and administrative burden while reducing benefits, and they stressed that food banks cannot replace SNAP. A SNAP recipient, Amy Rourke, testified that even with extensive civic involvement she barely meets the proposed work-hour threshold and said the rules would punish parents, caregivers, and people facing transportation or child care barriers. She urged the state to count caregiving, advocacy, and community service as qualifying work and to build more flexible pathways for compliance. In the second half of the meeting, the committee turned to juvenile rehabilitation caseload forecasting and court data. Caseload Forecast Council staff presented the current JR forecast, saying caseloads had declined for years, rebounded after COVID, and are now projected to remain mostly flat through the current biennium before rising modestly over the longer term. Members asked about the distinction between regular JR and adult-sentenced youth, and staff explained that longer lengths of stay in the adult-sentenced population reflect policy choices made in prior legislation. Andrew Peterson of the Administrative Office of the Courts described data-sharing efforts intended to help JR forecast admissions, including quarterly counts of pending felony cases and youth criminal history information. He said the courts began sharing some data in 2022 and 2024, but staffing limits interrupted the effort, and JR recently asked to resume and expand the information flow to support weekly forecasting and better planning for facility capacity.

Transcript Highlights:

• as a groundwater savings facility or within one mile of land permitted to operate as a groundwater savings
• facility or within one mile of the exterior boundary of a constructed underground storage facility basin
• , within the boundaries of that facility.
• Over time, we've had facilities that have gone under disrepair.
• Over time, we've had facilities that have gone under disrepair.

Bills: SB1082 , SB1200 , SB1335 , SB1336 , SB1559 , SB1761 , SB1762 , SB1785 , SCM1007

Committees: Senate Natural Resources , Senate Senate Natural Resources Committee of Reference

Keywords: petting zoos, animal encounters, public health, handwashing, supervision, sanitization, safety regulations, civil penalties, groundwater management, rural areas, natural resources, soil health, water conservation, agriculture, public participation, appropriation, University of Arizona, Yuma center of excellence, cooperative extension, experiment stations

Transcript Highlights:

• Agrovoltaic facilities are one such distributed energy priority.
• be operated in conjunction with the irrigated land next to it.
• It also says that pivot corner facilities, agrovoltaic facilities, and other facilities that place solar
• Whether or not the project is completed, operable, or operated, such contract may also provide that payments
• I was also chairman of the Energy Facility Site Evaluation Council after the of the Energy Facility Site

Summary: The committee heard testimony on several local government bills. HB 2006 would extend the deadline for certain rural counties that collect a sales and use tax for economic development to designate industrial land banks under the Growth Management Act. Supporters, including the sponsor and Kittitas County representatives, said the bill would help counties identify industrial land for job growth and economic development; Futurewise opposed it, citing concerns about large industrial land banks and impacts to agricultural lands. HB 2244 would let a city that forms a fire protection district after July 1, 2026, keep its levy rate without reducing it by the district’s levy, and would also allow online notice and interlocal contracting for fire services. City and fire officials supported it as a practical tool to fund fire service, while one witness opposed the broader trend of appointed taxing authorities. The committee also heard extensive testimony on HB 2316, which would limit shrub-step vegetation inside urban growth areas from being treated as wildlife habitat, critical area, or conservation area, and would bar related mitigation or replacement requirements. Tri-Cities officials, builders, housing advocates, and the sponsor argued the bill would reduce delays and costs for housing and development on already designated urban land, while conservation groups, tribal representatives, and some individuals opposed it as a broad rollback of habitat protections and a harmful precedent for ecosystems and wildlife. No vote was taken on the bills during the hearing. HB 2103 would expand public utility contracting authority so cities, utilities, and joint operating agencies could enter “capability” contracts for renewable or non-emitting generation projects, including nuclear, renewable hydrogen, and fusion, and repeal certain price-limit restrictions. Supporters said it would align older contracting law with the Clean Energy Transformation Act and help utilities plan for future power needs; opponents warned it would shift risk to ratepayers and revive concerns tied to the WPPSS nuclear debacle. The committee also heard HB 2388, which would classify pivot-corner solar and agrovoltaic facilities on agricultural land as distributed energy resources and accessory uses; the sponsor and supporters said it would help meet energy needs without harming productive farmland, while Futurewise asked for clarification to avoid unintended loss of agricultural land. The hearing then returned to HB 2103 for additional testimony, with the same basic split between utility and clean-energy supporters and ratepayer or anti-nuclear opponents.

Transcript Highlights:

• I will say, Madam Chair, that I love this facility.
• This facility, with the latest expansion with your support, the 50,000 square foot facility that's going
• Lindstrom** to talk about the living room space relative to that facility.
• operate.
• We also operate on that basis.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• So we're going to streamline inspection for facilities that are in good standing.
• And then the facility was losing that teacher, right?
• So I looked at what we Burden of operating a child care space, it scared us away.
• does, and the facility still needs to be accredited.
• Now my child care facility has to have me sign that paper copy twice a year.

Summary: The Health Care Budget Subcommittee began with a roll call confirming a quorum, then heard a presentation of the proposed health care budget. The chair said the overall health care budget would total $46.7 billion, a 2.1% decrease in total spending and a 3% increase in general revenue, while reducing 3,585 state FTE. He highlighted funding for Medicaid, KidCare, developmental disabilities services, opioid settlement spending, mental health facilities, senior services, school health nurses, veterans’ dental care, and veterans nursing home improvements. The chair also presented PCB HCB 25-01, a conforming bill that eliminates the Health Care Innovation Program, the Health Care Innovation Council, and the revolving loan program; makes changes to cancer research and graduate medical education provisions; and adjusts Medicaid rebate-related language. The conforming bill passed favorably after no questions, public testimony, or debate. The committee then considered CS/HB 47 on child care. The bill, as explained by Rep. McFarland, would reduce regulation for child care providers in good standing, speed background screening for child care workers, allow provisional hiring status in some cases, create license-exempt status for certain employer-provided child care facilities and DOD child care facilities, and remove outdated paperwork requirements such as the flu brochure. An amendment restored language protecting large family child care homes from being dropped by residential insurers and cleaned up statutory language; it was adopted. Members debated the bill at length, with supporters emphasizing common-sense deregulation and helping working parents, while some members raised concerns about safety, early learning quality, and the loss of informational reminders to parents. The bill was reported favorably. The subcommittee also heard HB 1553 on a uterine fibroid research database. Rep. Dunkley explained that the bill would require health care providers to submit identified fibroid data to DOH so it can be de-identified for a research database, after the department had been unable to use prior de-identified submissions reliably. An amendment removed the current appropriation and was adopted. Members spoke in strong support, noting the prevalence of fibroids and the value of better diagnosis and treatment data. The bill passed favorably. Finally, the committee heard HB 1529, which addresses the home health aide program for medically fragile children. Rep. Tremont said the bill would direct AHCA to seek a federal waiver so parents’ earnings from caring for their children would not count against Medicaid eligibility, and would revise training requirements and remove mandated annual program assessments. The bill drew supportive public testimony from home care stakeholders, had no debate, and was reported favorably. The meeting then adjourned.

Transcript Highlights:

• Operation Guardian is our ongoing operation, the governor's initiative to work on deportation of illegal
• The driving facility concrete, all the dirt work is still being done.
• Concrete will start being poured in March on the driving facility.
• We could put our warehouse and operations center next door to their warehouse and operations center.
• And so, cars don't really operate well.

Transcript Highlights:

• </c> system Statewide in Minnesota we operate system Statewide in Minnesota we operate primarily<00:10
• </c> its success in quality and operational its success in quality and operational excellence<00:10:39.639
• </c><00:34:35.919><c> and</c> grants and the actual facilities and grants and the actual facilities and
• </c> academic um uh major um major facility academic um uh major um major facility um<00:56:34.079><c
• </c> is functionally is is not operational is functionally is is not operational right<01:12:26.159><

Committee: Senate Health and Human Services

Transcript Highlights:

• Inter-facility transfer quality measures. Inter-facility transfer quality measures.
• So when you as a medical facility are trying to decide how best to use your operating room, you're going
• to those facilities.
• They are working every day at the facility.
• There, we have, you know, from a critical access standpoint, a fairly robust operating room or operating

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:

• In 2022, he was in a residential facility.
• As you know, last session you appropriated $28 million in Rider 52 to support operations for crisis facilities
• such as intermediate care facilities.
• out of state, but also operate here.
• care facilities, specifically assisted living facilities.

Bills: SB1 , SB 1

Committee: Senate Finance

Transcript Highlights:

• We've been in California 135 years, and we operate cement and concrete plants here.
• Under the bill, CCA alone could go and build and own and operate a transmission line.
• These costs may ultimately be passed on to all ratepayers, especially if the facility.
• of data center facilities.
• Data center operators would be required to report monthly across dozens of categories.

Committee: House Utilities and Energy