Transcript Highlights:

• , mental health services, ...for safety net services for children and families, mental health services
• , mental health services, parenting support, services for children with special needs.
• , mental health services, parenting support, services for children with special needs.
• Whether it's medical services, food services, support services, grants are being cut regularly.
• Thank your husband for his service, and thank you for your service as a military spouse.

Summary: The House took up the special order calendar for a proposed constitutional amendment on property taxes, CS/HJR 1F, which would create a new homestead exemption for non-school taxes, lower the annual assessment cap on non-homestead property, and restrict how counties and municipalities may use ad valorem tax revenue. The sponsor, Rep. Overdorf, said the measure would give homeowners tax relief and argued local governments could adjust spending or use other revenue sources. Opponents repeatedly questioned the ballot language, the lack of a fiscal estimate or backfill, and the potential impact on local services, public safety, and debt obligations. The House adopted the special order report and then debated the resolution and a series of amendments. Several amendments were offered to carve out or protect specific services from the tax changes. Rep. Bartleman’s amendment to protect Children’s Services Councils and Children’s Trusts was supported by members who said those entities fund early learning, mental health, aftercare, and other services for children and working families, but it failed 25-74. Rep. Cross offered an amendment to include water management districts in allowable ad valorem uses, warning of impacts on flood control, water quality, Everglades restoration, and water supply; that amendment also failed. Rep. Eskamani offered an amendment requiring the Legislature to backfill public safety funding if local revenues fall, arguing police and fire services, staffing, and response times would be at risk; it failed 25-71. The chamber then rejected Rep. Woodson’s amendment to require state backfill for senior services, with supporters citing Meals on Wheels, transportation, adult day care, and other local senior programs, and opponents saying the proposal was outside the bill’s scope. Finally, Rep. Gant offered an amendment to protect veteran services, saying local governments fund housing, mental health, transition, and family support programs for veterans; debate emphasized the importance of honoring veterans and avoiding cuts to those services. The transcript cuts off during debate on that amendment, before a final vote is shown.

Transcript Highlights:

• They're very different services. and then across service days.
• Contracted services cost sometimes less than directly operated service.
• tailor service. tailor service.
• mobility service service requires mobility service associated<01:17:28.640> with<01:17:28.880
• and improve transit service. and improve transit service.

Keywords: 1183, house

Transcript Highlights:

• people who are getting services are getting services.
• traditional services.
• traditional services.
• services, um terminating their service services, um terminating their service agreements,<00:57:
• of services. of services.

Bills: HF3797, HF3780, HF4068, HF3935

Keywords: long-term care, insurance policy, healthcare, partnership policy, Minnesota, human services, wage increase, support workers, shared services, community first services, medical assistance, sanctions, healthcare services, monetary recovery, government accountability, assisted living, training, unlicensed personnel, resident rights, safety regulations

Transcript Highlights:

• Services, 702 KAR 5130. Services, 702 KAR 5130.
• services in the child waiver. services in the child waiver.
• PDS services at this time. PDS services at this time.
• participant directed services. participant directed services.
• not a service delivery option. not a service delivery option.

Keywords: 0:06 - Roll Call 0:30 - Approval of Minutes 0:45 - OFFICE OF THE ATTORNEY GENERAL 2:08 - FINANCE AND ADMINISTRATION CABINET - OFFICE OF THE CONTROLLER 2:55 - BOARD OF DENTISTRY 5:30 - BOARD OF OPHTHALMIC DISPENSERS 7:30 - BOARD OF NURSING 8:32 - BOARD OF EMERGENCY MEDICAL SERVICES 9:30 - EDUCATION AND LABOR CABINET - DEPARTMENT OF EDUCATION, OFFICE OF DISTRICT SUPPORT SERVICES 15:35 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH 18:44 - CABINET FOR HEALTH AND FAMILY SERVICES, OFFICE OF THE INSPECTOR GENERAL, HEALTH SERVICES AND FACILITIES 23:39 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR MEDICAID SERVICES 1:01:46 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH, OFFICE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS 1:03:46 - Next meeting/adjournment, 958, all

Summary: The committee first approved the minutes and then took up a series of administrative regulations from several agencies. Early items included Attorney General consumer protection rules on removal sales, health spas, liquidation sales, and nonresident sellers of visual aid glasses; Finance and Administration Controller rules on clearinghouse validation and fraud prevention; and Board of Dentistry rules updating exam requirements, controlled substance prescribing, training for neuromodulators and dermal fillers, infection control, sedation/anesthesia continuing education, and required education on pediatric abusive head trauma and controlled substance ingestion prevention. The committee also approved staff amendments on these items, generally to conform to KRS Chapter 13A, and members asked a brief question about the dentistry controlled-substances changes, which was answered as an alignment with statute. The committee next approved regulations for the Board of Ophthalmic Dispensers, Board of Nursing, and Board of Emergency Medical Services. The ophthalmic dispensers package would revise meeting and recordkeeping language, raise renewal fees, set reinstatement and apprentice-license rules, add complaint and hearing procedures, and repeal a duplicative regulation. The nursing regulations would streamline approval of training programs and require notice and documentation of site visits and deficiencies. EMS rules would create five EMS medical director certifications, set expiration and renewal requirements, require publication of disciplinary sanctions, and exempt currently approved directors before October 1, 2026. Staff amendments were adopted without objection on each set. The Education and Labor Cabinet’s school transportation regulation drew extended discussion. The agency explained the changes were intended to implement Senate Bill 46 and update references affected by later legislation, including an oral amendment to delete a subsection reference tied to KRS 160.380. The committee adopted both the agency and oral amendments without objection after brief questions about the scope of the bill changes and van transportation for students. The committee then heard a lengthy package from the Department for Public Health on WIC and related nutrition program regulations, including updates to infant and child certification periods, documentation requirements, vendor criteria, sanctions, hearing procedures, and high-risk vendor standards. Staff amendments were adopted without objection. Finally, the committee considered the Inspector General’s regulation for freestanding birthing centers, which included both staff and agency amendments. The agency changes would require two neonatal resuscitation program-certified staff, set rules for medical director vacancies and appeals, revise facility and staffing terminology, adjust transfer-agreement requirements, and allow waivers when agreements cannot be secured. Mary Katherine DeLodder of the Kentucky Birth Coalition testified in support, saying the parties had worked through concerns and were ready to move forward. The committee then moved on to Medicaid’s 1915C child waiver regulations, where staff amendments were adopted, but Lucy Heskins of Kentucky Protection and Advocacy testified against the package because it did not include person-directed services, which she said are required by Kentucky law and important for families using the waiver.

Transcript Highlights:

• Client service delivery.
• , Behavioral Health, adult services, long-term services and support.
• , Behavioral Health, adult services, long-term services and support.
• , Behavioral Health, adult services, long-term services and support.
• services.

Keywords: 1189, house, all

Transcript Highlights:

• Behavioral Health Services.
• Direct client Services, sorry. Direct client services were streamlined into HHSC.
• services waivers.
• , some in fee for service.
• services to ensure child safety.

Transcript Highlights:

• They might get housing and lose their service, or get service and lose their housing. Okay.
• VRS is video relay services.
• The Health and Human Services Medical Services Division The Health and Human Services Medical Services
• So we can say we have a service, but if it's not filled, you don't have a service.
• services. ...at what services are designed at the community level for residential services for DD children

Summary: The committee first approved the February 11, 2026 minutes and then received an update from the North Dakota Housing Finance Agency on the interagency council on homelessness and continuum of care funding. Testimony described rising homelessness tied to tight housing markets, low incomes, aging homelessness, barriers to rental assistance and public benefits, and limited shelter and case-management capacity. Members discussed the need for more affordable housing, continued one-time funding for the North Dakota Homeless Grant and Housing Incentive Fund, better coordination with Health and Human Services on economic assistance and human service zones, landlord engagement, recovery housing, and reentry housing. The committee also heard that federal continuum of care funding remains uncertain, with possible shifts away from permanent supportive housing and housing-first models; members asked for a future update on the impact if federal rules reduce the share available for permanent housing. The committee then took testimony on accessibility of government services for people who are blind or visually impaired. Paul Olson of North Dakota Vision Services School for the Blind described current screening and service delivery, including infant referrals, regional staff, short-term programs, and collaboration with vocational rehabilitation. He said the targeted screening system is working, recommended maintaining the current model, and noted ongoing challenges with staffing, public awareness, and accessible state websites and documents. Public testimony from a visually impaired resident and a deaf resident emphasized barriers such as CAPTCHAs, inaccessible PDFs, employment forms that screen out applicants based on driver’s license status, shortages of interpreters, and the need for video remote interpreting and video relay services, along with training for users and agencies. Finally, the committee heard a final report on the study of child care provider licensing from HHS Early Childhood Director Kay Larson. The report summarized provider input and committee discussion on simplifying North Dakota’s child care licensing structure, reducing administrative burden, and balancing that with health and safety standards. Key topics included licensing categories, child care assistance eligibility, food program sponsorship, staff qualifications, training requirements, ratios and group size, age bands, and preschool exemptions. The committee’s recommendations included streamlining to three provider types plus a preschool designation, revising ratio and age-band rules, and carrying forward certain preschool outdoor-space exemptions. Larson noted that any changes would require statutory changes, rulemaking, and a transition period before new licensing rules could take effect.

Transcript Highlights:

• and mental health services?
• The Health and Human Services Medical Services Division The Health and Human Services Medical Services
• So we can say we have a service, but if it's not filled, you don't have a service.
• So we can say we have a service, but if it's not filled, you don't have a service.
• services.

Keywords: 908, all

Transcript Highlights:

• Home care services.
• Focused as a government agency on doing the service, you forget to tell folks where the services are
• And it seems like they're losing their current services, or may lose their service, because not every
• The problem with the services is that, much like any fee-for-service, the costs began to balloon pretty
• fee-for-service.

Summary: The Health Care Budget Subcommittee met to organize the new term, take roll, and hear introductory presentations from the six agencies under its jurisdiction: the Agency for Health Care Administration, Agency for Persons with Disabilities, Department of Children and Families, Department of Elder Affairs, Department of Health, and Department of Veterans’ Affairs. The chair outlined the committee process, including assigning members to review agencies and make budget recommendations. Each agency head gave a high-level overview of their budget, staffing, major programs, and priorities, with recurring themes including Medicaid, long-term care, disability services, child welfare, mental health, aging services, public health, and veterans’ health care. Several agency leaders highlighted recent initiatives and funding priorities. AHCA emphasized Medicaid managed care, provider regulation, Hope Florida, hospital-at-home, and cancer-related efforts; APD discussed iBudget services, Hope Florida, a managed-care pilot, online applications, and forensic care costs; DCF focused on child protection, foster care, adult protective services, food/cash/medical assistance, mental health, and opioid treatment; Elder Affairs highlighted Alzheimer’s services, community-based senior care, guardianship, ombudsman services, and disaster outreach; DOH covered cancer innovation, maternal telehealth, cybersecurity, HIV/hepatitis/syphilis screening, and school nursing; and Veterans Affairs described benefits and health care access for veterans, long-term care, and federal reimbursement. Several speakers also raised concerns about rising costs, provider rates, disaster response, and access to services. The committee heard two public comments from disability advocates about Medicaid redeterminations affecting iBudget waiver recipients and provider payment delays. In response, AHCA and APD said they were coordinating on data sharing, early outreach, escalation processes, and efforts to reduce disenrollments and make recertification smoother. Members then asked questions about provider rates, opioid settlement spending, managed care quality measures, pediatric rare disease grants, group home transparency, senior outreach, ABA services moving into managed care, annual Medicaid recertification, veterans’ service utilization, waiting lists for elder services, and prevention spending. No formal votes were taken during the meeting.

Transcript Highlights:

• ,<00:14:57.920> physician<00:14:58.560> services, support services, physician services
• services in the community. services in the community.
• more awareness about the service, too. more awareness about the service, too.
• treatment and prevention services. treatment and prevention services.
• . how those services.

Keywords: Appropriations - Room 210; 29 January, 2026: 8:00 AM, 925, all

Summary: The Department of Mental Health presented its FY27 budget request and described its statewide responsibilities, including more than 600 grants totaling about $140 million, 11 community mental health centers, and state-operated programs for mental health, substance use, and intellectual/developmental disabilities. The request included $291.2 million in general funds, about $33.4 million above the current year, plus spending authority tied to ID regional programs and the IDD waiver. Major components included funding to enroll 250 additional people in the IDD home- and community-based waiver, a projected waiver rate increase, and added support for state-operated 24/7 programs facing staffing and operational shortfalls. The agency also asked to continue selected ARPA-funded services before those dollars expire, including 988 call center support, peer respite sites, court liaison positions, intensive community services for children and youth, and adolescent offender programs. Other requests covered salary adjustments and longevity increases for hard-to-fill positions, electronic health record support, IT security upgrades, a Jackson County crisis stabilization unit expansion from 8 to 16 beds, capital needs such as generator and boiler/chiller replacements, inflation-related increases for community mental health center grants, and restoration of general funds under a Joint Legislative Budget Committee recommendation. Officials emphasized that community-based care now accounts for 58% of funding and that the goal is to keep people out of institutions unless they need the highest level of care. Committee members asked about ARPA balances, forensic referrals, Jackson County’s request, and county support for community mental health centers. The department said about $25 million in ARPA funds remained and should be spent by September 30, with some delays due to reimbursement revisions. On forensic services, officials reported the new 81-bed maximum-security unit at State Hospital has cut the wait list roughly in half, but admission orders are up 51%, and some referrals may be unnecessary or used to delay proceedings. Members also discussed county contributions to community mental health centers, which the department said total about $9–10 million statewide, with most counties now meeting their obligations and only a few using small in-kind contributions.

Transcript Highlights:

• mitigate uh service recipient impact. mitigate uh service recipient impact.
• service interruption. service interruption.
• anything about the services as much. anything about the services as much.
• These services are not luxurious. These services are not luxurious.
• services get these services. Um Mr. Mr. services get these services. Um Mr. Mr.

Keywords: 1187, senate, all

Transcript Highlights:

• services staff.
• services staff. to pay over time for social services staff.
• And we're purchasing their services? They are performing the services for the state.
• Number eight, DFA Revenue Services with Veteran Cleaning Service for janitorial services in the Ragland
• And number 22 is UAPB, janitorial services for commercial cleaning services for dormitories. Mr.

Keywords: 1204, all

Transcript Highlights:

• SERVICES THAT ARE COVERED FOR BOTH MEDICARE AND MEDICAID SERVICES INCLUDE ACUTE CARE SERVICES, ALL DAY
• ALL SERVICES ARE PROVIDED BY THE PACE SERVICE ORGANIZATION TO PROVIDE EFFECTIVE CARE COORDINATION AND
• , SOCIAL SERVICES, BEHAVIORAL SERVICES, THERAPEUTIC SERVICES, RESIDENTIAL SERVICES, AND MEDICAL SERVICES
• AND THERE IS BASICALLY NO COVERAGE FOR ADULT DENTAL SERVICES BESIDE EMERGENCY DENTAL SERVICES.
• SERVICE ORGANIZATION SERVICE OFFICERS NEED TO SUPPORT VETERANS. BOTTOM LEFT IS OUR HOPE NAVIGATORS.

Keywords: 999, senate, all

Transcript Highlights:

• Daily service limits for the ABA services.
• services.
• Daily service limits for the ABA services.
• services.
• services.

Keywords: 1185, senate, all

Transcript Highlights:

• What is the taxable service?
• personal services.
• Personal services, funeral services, and auto repair and maintenance.
• > services.
• , remote services, out of state services, remote services, out of state services, you<01:21:36.159

Keywords: 1187, senate, all

Transcript Highlights:

• Direct client services, sorry. Direct client services were streamlined into HHSC.
• , the Department of Health and Human Services, and the Department of Health and Human Services.
• The Department of Assistive and Rehabilitative Services and Client Services at DSHS.
• of services. services that they need.
• Conservatorship services in conservatorship services. The child is actually removed.

Keywords: 1184, house, all

Transcript Highlights:

• The Health and Human Services Medical Services Division The Health and Human Services Medical Services
• So we can say we have a service, but if it's not filled, you don't have a service.
• So we can say we have a service, but if it's not filled, you don't have a service.
• services.
• services. at what services are designed at the community level for residential services for D.D. children

Summary: The committee first heard an update on North Dakota’s Interagency Council on Homelessness and Continuum of Care funding. Jennifer Henderson of the North Dakota Housing Finance Agency reported that homelessness remains driven by tight housing markets, low incomes, rising rents, and barriers to rental assistance, public benefits, and disability determinations. She said the state’s one-time North Dakota Homeless Grant is serving all regions but reaches far fewer households than the former Rent Help program, and that aging homelessness, shelter staffing shortages, and limited affordable units are growing concerns. Members discussed the need for more housing supply, better coordination with Health and Human Services, landlord engagement, reentry housing, and possible continued one-time funding for the $10 million Homeless Grant and $25 million Housing Incentive Fund. Henderson also warned that federal Continuum of Care funding is uncertain, with HUD expected to issue a new notice June 1 and possible shifts away from permanent supportive housing toward transitional housing and other models. The committee then took testimony on accessibility of government services for people who are blind, visually impaired, deaf, or hard of hearing. Paul Olson of North Dakota Vision Services School for the Blind described the school’s services for infants, children, and adults, including screenings, mobility training, assistive technology, and outreach across the state. He said the agency works closely with Vocational Rehabilitation and is also involved in improving website and document accessibility, especially for PDF materials. Public testimony highlighted barriers such as inaccessible CAPTCHA systems, online forms, driver’s license requirements on job applications, and limited transportation in rural areas. A deaf resident urged broader use of video remote interpreting and video relay services, along with training so people know how to use them effectively. Finally, Kay Larson presented the final report on the child care provider licensing study. The report recommended streamlining North Dakota’s child care licensing structure into three provider types plus a preschool designation, while preserving health and safety standards and maintaining eligibility for child care assistance. The committee discussed simplifying training and qualification rules, revising ratio and group-size requirements, and adjusting age bands for infants and toddlers. The report also noted that some changes would require statutory amendments and later administrative rule changes, with a transition period likely extending through 2029. No formal votes were taken in the transcript, but the committee accepted the updates and scheduled follow-up presentations for a later meeting.

Transcript Highlights:

• Thank you. heard in Human Services. heard in Human Services.
• Services. Services.
• I am the program services services services uh<00:58:13.160> director<00:58:13.640> at<
• Um, so under our Medicaid funding services, day support services, pre-vocational services, and all of
• where services or development services where services or development services where they<01:46

Keywords: 1187, senate, all

Transcript Highlights:

• autism services.
• Department of Human Services. Department of Human Services.
• services that our taxes fund. services that our taxes fund.
• EIDBI a high-risk service. EIDBI a high-risk service.
• need these services. need these services.

Bills: HF3542

Keywords: data privacy, investigative data, welfare system, public funds, transparency, 1183, house

Transcript Highlights:

• This is the Assembly Budget Subcommittee No. 2 on Human Services hearing on human services issues.
• , legal services, and more.
• We need detention and deportation services. Moreover, we need to provide navigation services.
• truly servicing the pilot.
• an immigrant seeking services.

Keywords: 988, house, all