Transcript Highlights:

• south, that are turned away from our south, that are turned away from our shelter<00:15:44.880> beds
• <00:15:46.480> So<00:15:46.800> HF3403 shelter beds every single day.
• So HF3403 shelter beds every single day.
• already a nonprofit organization that is providing a guarantee and certifying that the funds are available
• already a nonprofit organization that is providing a guarantee and certifying that the funds are available

Bills: HF3403, HF3410, HF3424

Keywords: HF3403, emergency rental assistance, rental aid, homelessness prevention, housing crisis, imminent risk of homelessness, eviction prevention, county aid, Tribal governments, local government aids, general fund appropriation, Minnesota revenue commissioner, poverty level, low-income housing, housing stability, family homeless prevention and assistance, emergency housing assistance, eviction, rent, redemption

Transcript Highlights:

• So I want to make sure that you all have the tools available to do the job, as Representative Willner
• <00:19:37.240> to<00:19:37.480> to you all have the tools available to to you all have
• the tools available to to to<00:19:37.960> the<00:19:38.159> job<00:19:38.480> as
• about these groups that have come up here and they're doing things like, you know, we have so many beds
• in Kentucky we have a lot a lot of beds in Kentucky we have a lot of<00:43:31.960> access<00:

Keywords: 00:00:00 Call to Order/Roll Call 00:01:19 Discussion of 25RS HB 785 00:30:25 Roll Call Vote on 25RS HB 785 00:32:15 Discussion of 25RS HB 61 00:36:42 Roll Call Vote on 25RS HB 61 00:38:07 Discussion of 25RS HB 788 00:51:01 Discussion of 25RS SB 14 01:11:09 Discussion of 25RS HB 685 01:44:57 Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and took up House Bill 785, as amended by a committee substitute that combined language from HB 785 and HB 787. The bill was described as addressing Medicaid managed care organization (MCO) audits, provider contract notice and amendment procedures, mental health parity compliance, and related transparency requirements. Supporters said the measure would tighten notice to providers, limit repeated contract amendments and rate reductions, require more standardized audit procedures, and add reporting on Medicaid claims, appeals, and grievances. It also includes a provision requiring coverage of at least two evaluation-and-management billable services per physician per recipient per date of service, and a section addressing narcotic/opioid treatment program licensing and reimbursement language. Testimony in support came from Representative Kim Moore, John Inman of BrightView Health, Michelle Sandborne of the Children’s Alliance, and Kelly Cormic of RYSE. They argued that MCOs often use audits and recoupments in ways that are burdensome, opaque, and financially damaging to providers, especially smaller and rural ones. They cited examples of multiple audit requests in short timeframes, large record requests with short deadlines, delayed or absent feedback, and recoupments taken before appeals are resolved. They also said parity laws are not being consistently enforced and that the bill would give the Department of Insurance authority to suspend or revoke an MCO certificate of authority for willful or repeated parity violations. Committee members generally expressed support for provider protections and transparency, while asking for clarification on the narcotic treatment and E/M billing provisions. Tom Stevens of the Kentucky Association of Health Plans testified in opposition, saying the bill is complex to implement and should be handled through the broader Medicaid oversight work of House Bill 9, the MOAB. He said the issues raised were better suited for that bipartisan stakeholder process and noted the committee substitute had not yet been fully reviewed by his group. After discussion, the committee adopted the committee substitute and then moved to a vote on the bill; the roll call began, with several members recorded as voting yes, but the transcript cuts off before the final vote result is shown.

Transcript Highlights:

• They're more concerned about having<01:20:06.000> a<01:20:06.159> bed<01:20:06.400>
• And I I think having a bed to sleep in.
• And now, with a lot of people working remote, we probably have excess parking space already available
• street parking or any other space that might be available in a parking ramp.
• I think there's ample space available.

Keywords: 1187, senate, all

Transcript Highlights:

• AND AGAIN IT GOES TO BED NOT ACCEPTED THEM BECAUSE RIGHT NOW THEY ARE EITHER IN A STABLE SITUATION OR
• YOUR FAMILY RESOURCE PAGE, ARE WE SHARING IN SPECIFICITY WHAT KIND OF FAMILY RESOURCES THERE ARE AVAILABLE
• BUT I'D LIKE YOU TO CONSIDER HOW WE CAN EFFECTIVELY EDUCATE THE PUBLIC ABOUT THE SERVICES ALREADY AVAILABLE

Transcript Highlights:

• None of that is available in the West Texas area or in the in the Permian Basin, so we're, we're.
• We're, we're, we built, as I mentioned, two behavioral health hospitals which we have 200 beds out there
• So this is available, but they are testing.

Bills: HB188, HB 265, HJR35

Keywords: emergency preparedness, flood-prone communities, Texas Rural Emergency Preparedness Fund, disaster relief, funding, youth camp, safety regulations, advisory committee, child welfare, health standards, summer camp, camp safety, child abuse reporting, child neglect, mandatory reporting, background check, criminal history check, sex offender registry, CPR training, first aid

Transcript Highlights:

• My grandma would heat up bricks and put them in the bed with us because we didn't have any heat.
• Excuse me, how will they be notified that this is available to them, and how will they have access to
• less than 200— get notification that this petition or potential for their petitioning the court is available

Bills: SB156, SB134, SB108, SB47, SB88, SB89, SB106, SB18, SB9, HB38, HB54

Keywords: habitual felony offender, resentencing, Alabama Department of Corrections, victim notification, criminal justice reform, life sentences, parole eligibility, pardon, parole, law enforcement, GPS monitoring, data sharing, mail theft, stolen mail, criminal penalties, personally identifying information, felony, misdemeanor, SB47, Alabama

Transcript Highlights:

• And inside of his bill, he talks about this being that each meeting shall be video recorded and available
• Sometimes that does not allow based on population or bed space or whatever is taking place, but I do
• Sometimes that does not allow based off population of bed space or whatever that is taking place, but
• I also have my cell phone that's available to them, and we have a website—I'm sorry, an email account—that
• is available just for staff to be able to reach out to me if there's, you know, an event that can't

Bills: HCR95, HB4, HB244, HB615, HB648, HB1049, HB1201

Keywords: sales tax, exemptions, credits, rebates, uniformity, legislative rules, fiscal report, constitutional convention, Louisiana constitution, electoral process, government structure, delegate elections, delegates, state election, ratification, Louisiana, public meetings, broadcast, transparency, government accountability

Transcript Highlights:

• I remember you'd have to literally sleep in the bed with him, and you couldn't get up.
• And many of them are publicly available.
• I indicated on that second page which ones And they are publicly available, many of them.
• I indicated on that second page which ones were publicly available.
• We always want to make available to the general public and to policymakers the results thereof.

Bills: SB237

Keywords: child welfare, Department of Children and Family Services, mandatory reporting, abuse prevention, investigative teams, child ombudsman, forensic interviews, confidentiality

Summary: The Senate Committee on Health and Welfare met on May 20, 2026, with eight members present and approved the May 13 minutes. The committee quickly reported several bills favorably, including SB 1224, which requires DCFS review when a pregnancy involves a child under 17 and makes children under 12 a child in need of care; SB 1100, which repeals an old statute on unenriched bread; HB 1220, a continuation of prior work to codify certain provisions related to the Louisiana State Board of Medical Examiners; HB 1231, clarifying that continuous glucose monitoring is covered through Medicaid for any insulin-dependent diabetic, including gestational diabetes; and HB 198, setting reimbursement rates for ambulatory surgery centers for certain Medicaid procedures. The committee also adopted a personal privilege welcome for physicians on White Coat Day and repeatedly noted that several bills were being advanced with the understanding that further work might continue before floor debate. A major portion of the meeting focused on HB 1160, which would create a streamlined restricted license pathway for qualified international medical school graduates, especially for rural and shortage areas. Committee members pressed the Board of Medical Examiners about delays in promulgating rules under an earlier 2024 law and objected to rule language they said went beyond the statute. Board representatives acknowledged a misunderstanding about the original bill’s intent and said the program had been operating, but members warned against agencies writing rules that contradict enacted law. Despite the criticism, HB 1160 was reported favorably. The committee also reported favorably HCR 67, which creates a task force to study gaps in acute care for special-needs adults and children, following emotional testimony from the sponsor about her son’s death and the lack of appropriate care options. The committee then approved HCR 27, calling for a coordinated statewide evaluation of autism services by the Department of Health and Department of Education, with testimony emphasizing rising diagnosis rates, rural provider shortages, and the need for better data and coordination between medical and school-based services. HCR 28, which would study school nurse orientation and training, was also reported favorably after school nurses described the lack of standardized onboarding for new graduates and the risks of placing them alone in schools without adequate supervision. HB 469, which would have allowed pharmacy license renewal fees to be directed to Xavier University’s pharmacy school as well as public schools, was deferred after concerns about diverting funds from public institutions and the absence of testimony from affected schools. The committee also took up HB 223, which recreates DCFS, and adopted an amendment shortening the sunset date and requiring law enforcement reports to be accepted through a secure web-based platform; the bill was then reported favorably as amended. Another major discussion centered on HB 457 and HB 616, both tied to homelessness. HB 457, establishing minimum standards for shelters and related facilities, was reported favorably as amended after sponsor testimony and support cards. HB 616, which would allow the legislative auditor and local officials access to records and databases for audits of homelessness initiatives, drew extensive debate over privacy, federal funding, and accountability. Supporters cited a 2025 audit showing more than $216 million in federal homelessness spending in New Orleans and argued that auditors need access to performance data to detect waste and abuse; opponents warned about client privacy and the impact of funding cutoffs. The committee adopted an amendment changing permissive language to mandatory language for enforcement and then continued hearing testimony, with the discussion still centered on balancing oversight with confidentiality.

Transcript Highlights:

• issue, which is this is now going to be a clinical workaround to the fact that we don't have enough beds
• issue, which is this is now going to be a clinical workaround to the fact that we don't have enough beds
• I'm only dealing with what's available through this evaluation process. Thank you for the question.
• I'm only dealing with what's available through this evaluation process.
• How many now are available for us? Thank you for the question.

Bills: SR44, HCR1027, SJR50, SJR52, SJR53, HB1185, HB1937, HB2035, HB2137, HB2166, HB3148, HB3323, HB3466, HB3498, HB3661, HB3678, HB3710, HB3977, HB3986, HB4104, HB4108, HB4142, HB4191, HB4274, HB4275, HB4322, HB4336, HB4484, HB3880, HB1687, HB3673, HB1170, HB2959, HB3718, HB3021, HB3443, HB3501, HB4143, HB4326, HB2992, HB3660, SB171, SB1325, SB1980, SB2045, HB4422, HB4423

Keywords: SR44, Senate Resolution 44, Teacher Appreciation Week, teachers, educators, Oklahoma educators, public schools, K-12 education, pre-K, school recognition, education resolution, appreciation week, National PTA, Eleanor Roosevelt, teacher recognition, school staff, classroom, Oklahoma Legislature, concurrent resolution, sine die adjournment

Summary: The Senate convened, established a quorum, offered prayer, and recognized a doctor, a nurse, and a student hero who rescued a driver from a burning vehicle. The chamber also welcomed a new group of pages and adopted a motion to reject House amendments to Senate Bill 1546 and request conference. Senators then adopted Senate Resolution 44 recognizing Teacher Appreciation Week, and heard remarks honoring educators in the gallery. Senator Goodwin also announced the death of former Representative Don Ross and offered condolences to his family. The Senate then took up House Concurrent Resolution 1027, setting a target sine die date of May 14 at 5 p.m. The resolution drew opposition from Minority Leader Kurt and Senator Jett, who argued the chamber still had unfinished business, but it passed 28-17. The Senate also passed SJR 50, SJR 52, and SJR 53, all related to agency rules, including expanded provider types, removal of a physician-visit cap, and medical marijuana packaging requirements. Additional measures passed included HB 1185 on preserving military and historic firearms for honor guards and museums, HB 1937 on student-employee communications and due process, HB 2035 on funeral transportation protection agreements, HB 2137 on involuntary medication procedures for competency restoration, and HB 2166 on legal newspaper distribution without a USPS permit. Later, the Senate approved a series of bills on business, licensing, public safety, and state operations. These included HB 3148 on VIN inspections by dealers, HB 3323 on removing notarization for certain electronic Service Oklahoma documents, HB 3466 eliminating petty cash at the Corporation Commission, HB 3498 updating corporation and LLC statutes, HB 3661 extending a forestry equipment sales tax exemption, HB 3678 expanding the definition of public official for electronic harassment protections, HB 3710 revising the Rising Scholars Award Program, HB 3977 updating state veterinarian qualifications, HB 3986 expanding a tax exemption, HB 4104 strengthening penalties for repeat voyeurism-related offenses, HB 4108 adding airport operational areas to critical infrastructure, HB 4142 covering conspiracies to use bombs or explosive devices, HB 4274 allowing military children to attend non-zoned schools, HB 4275 allowing case managers and peer support specialists to work for local public agencies, HB 4322 removing dual certification for funeral directors in charge, HB 4336 updating interventional pain management rules, HB 4484 allowing certain state vehicles to be used between home and work, HB 3880 on Tourism Department compensation and Oklahoma Today publication discretion, and HB 1687 creating the Uniform Health Care Decisions Act with an amended effective date. The chamber also passed HB 2959 requiring school administrators to report abuse allegations to law enforcement within 24 hours and before school questioning, with emergency passage approved. HB 3718 was then taken up with an amendment clarifying timelines for special education evaluations tied to the Lindsay Nicole Henry Scholarship; discussion centered on the new 15-school-day meeting timeline and the 45-day evaluation period. The transcript ends during questions on that amendment, before final action on HB 3718 is shown.

Transcript Highlights:

• That fear is rooted in the reality that without that support, I cannot get out of bed.
• The parents who may not be available, whether through incarceration or whatever it may be.
• She thanks you for your time, and she's available.
• Two-thirds of Louisiana children under five have every available parent in the workforce.
• So there's not fresher produce available, even if you're purchasing at a store.

Summary: The committee met for public testimony on the Finance budget, with the main discussion focused first on funding for disability services and then on the LA GATOR scholarship program. Several individuals testified in support of fully funding Families Helping Families and Louisiana Rehabilitation Services (LRS), describing how advocacy, transition services, and direct support workers help people with disabilities access education, employment, and independent living. Witnesses urged the committee to preserve or increase state general funds to draw down federal matching dollars, and provider groups said current reimbursement rates and staffing shortages are leaving agencies in deficit, creating waitlists, overtime costs, and difficulty retaining workers. Committee members thanked the speakers and noted that the testimony would be used to compare the governor’s, House, and remaining budget requests. The committee then heard extensive testimony in support of increasing funding for the LA GATOR scholarship program. Supporters included policy groups, school leaders, parents, and students who argued that the program expands educational choice, helps low-income and special-needs students find schools that fit their needs, and should be fully funded at the level of demonstrated demand. Speakers from Catholic and Christian schools said GATOR funding had helped students thrive academically and spiritually, but that shortfalls left many eligible students without awards, hurt kindergarten enrollment, and forced schools to raise private donations to cover gaps. Several witnesses emphasized that the program is not a zero-sum attack on public schools, but a way to let education dollars follow students. A few committee questions focused on the fiscal impact and on whether choice programs improve outcomes without harming public schools. Testimony cited enrollment growth, parent demand, and data from other states to argue that school choice can improve student and parent outcomes and may also strengthen traditional public schools through competition. No votes or formal actions were taken during the public testimony portion of the meeting.

Transcript Highlights:

• Registration is available in the kiosk located in the hallways behind the hearing room.
• Paying lawyers is a noble and honorable undertaking, but nobody gets out of bed in the morning and says
• Of course, a witness is available if needed, and I would respectfully request the opportunity to close
• We are looking to develop an area in Webb County. and one of the challenges is water availability in
• In addition to water availability, it's the cost to pump that water from the aquifer. just laid out another

Bills: HB842, HB1907, HB2844, HB2892, HB3439, HB4211, HB4536, HB5111, HB5138, HB5182, HB5247, HB5269, HB5323, HB5435, HJR201, SB871, HB3896, SJR40

Keywords: power lines, Gulf Coast, weather-related outages, Public Utility Commission, infrastructure, government contracts, Chinese companies, information technology, cybersecurity, state regulations, food safety, mobile vendors, licensing, permitting exemptions, health inspections, nonprofit organizations, personal information, government disclosure, privacy, criminal penalties

Transcript Highlights:

• is also rural America, dust from unpaved roads, farms, off-road vehicles, the expanding exposed lake bed
• off-road vehicles, the expanding exposed off-road vehicles, the expanding exposed lake<02:33:03.520> bed
• > the<02:33:04.000> Sultan<02:33:04.479> Sea,<02:33:05.120> diesel lake bed
• of the Sultan Sea, diesel lake bed of the Sultan Sea, diesel emissions,<02:33:06.399> ozone,<
• The association has made clear that natural gas remains the most dependable energy resource available

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, April 22, 2026, 1012, house, all

Transcript Highlights:

• At that time, I believe we had only two available drugs on the market, and since then there has been
• And we're seeing the increase in the number of drugs available, as well as an increase in the number
• > I<00:24:18.559> should<00:24:18.760> say<00:24:19.600> and more than 16 beds
• I should clarify: when I say on time, at the first that the enrollment was available.
• to them while the services available to them while the governor's<00:56:45.760> budget<00:56:

Keywords: 1187, senate, all

Transcript Highlights:

• And so with the technology that's available, And so with the technology that's available now, ventilators
• Carlson Center that I presume would probably move immediately into this kind of a facility if it were available
• persistent mental illness and who have reached the maximum benefit from mental health resources available
• persistent mental illness and who have reached the maximum benefit from mental health resources available
• This is not creating new beds, and they would still make that decision.

Bills: SB2015

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The Senate Appropriations Human Resources division met with a quorum and spent much of the meeting on a proposed “medical home” concept for people with significant disabilities and medical needs. Matt Schwartz described the need for small, community-based homes so adults like his daughter could live in a least-restrictive setting without losing housing if service providers change. Architect Jeff Eubel presented a conceptual budget for one roughly 5,000-square-foot facility for four residents, explaining that the design would likely include four large sleeping units, common space, support areas, and medical infrastructure such as emergency power, oxygen, sprinklers, and accessibility features. Committee members and George Sink, joining by phone, raised questions about layout, zoning, ownership, staffing, and whether families would actually move loved ones into such facilities if they were far from home. The department said the concept was not in the governor’s budget and identified staff who could continue discussions; the committee did not take final action and instead discussed refining the language with interested members. The committee then turned to amendments related to long-term care and behavioral health funding. One amendment would reduce a planned $4 million general fund incentive payment and instead create a withhold-based quality program for nursing facilities, to be developed collaboratively by the department and providers and reported to Legislative Management by September 2026. The department said it could live with the language but preferred the governor’s timing; several senators questioned whether the committee should be directing an operational policy change and whether the study would simply delay implementation. No vote was taken, and the amendment was set aside for later consideration. A second amendment would clarify use of an existing $2 million general fund item for behavioral health services in nursing homes and basic care facilities, directing it toward training, technical assistance, consultation, and direct patient care for residents with medically based behavioral health disorders. Members noted the funding was already in the bill and discussed it in the context of other budget items, but again deferred action. The committee also clarified that a separate $750,000 juvenile justice diversion appropriation in House Bill 1425 was distinct from a similar amount in the budget and should likely remain in that separate bill. The chair indicated a goal of having amendments ready by the end of the week, and the committee recessed without final votes on the discussed items.

Transcript Highlights:

• Now today, with your support, we've opened 25 kauhale villages statewide, providing nearly 1,000 beds
• > villages statewide, providing nearly villages statewide, providing nearly 1,000<00:33:44.640> beds
• > total<00:33:46.000> of<00:33:46.159> 30<00:33:46.480> villages 1,000 beds
• with a total of 30 villages 1,000 beds with a total of 30 villages planned<00:33:47.200> by<00

Keywords: 910, house, all

Transcript Highlights:

• local motel, go ride in between, and go back and eat at restaurants and get gas before they go back to bed
• gas and all that before they go<00:28:38.159> back<00:28:38.320> to<00:28:38.480> bed
• c> night<00:28:39.760> uh<00:28:39.960> right<00:28:40.120> now go back to bed
• at night uh right now go back to bed at night uh right now with<00:28:40.360> the<00:28:40.480

Keywords: 958, all

Summary: The Senate Transportation Committee met with a quorum, approved the February 19 minutes, and opened with guest recognitions and a brief prayer for a colleague who had a medical episode. The committee then took up Senate Joint Resolution 66, which would create a task force to study Advanced Air Mobility and related policy issues in Kentucky. The sponsor and witnesses described AAM as emerging eVTOL “flying car” technology, argued Kentucky has strong aviation and logistics assets to compete for the industry, and said the task force would include legislative, KYTC, and industry representatives. Senators asked about the technology and potential uses, including rapid transport of medical specialists. The resolution was reported favorably after roll call, with several members expressing support and at least one member noting a desire for more information while still voting yes. The committee next considered Senate Bill 38, as amended by committee substitute, dealing with school bus stop-arm safety cameras. The sponsor cited survey data showing hundreds of illegal school-bus passings in Kentucky and argued the bill would help change driver behavior by allowing, but not requiring, school districts to use camera systems funded through violators rather than district budgets. Testimony emphasized that the measure is voluntary, vendor-neutral, provides an appeals process in district court, limits camera activation to when the stop arm is deployed, and keeps revenues within the school district and court system. Representative David Hale supported the bill, sharing a personal story about a near-miss involving a child crossing after a bus stop. The committee approved the committee substitute and then reported SB 38 favorably with the expression of opinion that it should pass with the committee substitute attached. Finally, the committee heard Senate Bill 63 on street-legal special purpose vehicles. The sponsor and Backroads of Appalachia representatives said the bill would define and regulate these vehicles, while expressly excluding farm and agricultural vehicles from its requirements. They explained the bill would require inspection, registration, and a motorcycle plate for qualifying vehicles, set limits on where and how far they can be driven, and allow local or state restrictions where applicable. Supporters framed the bill as an economic development measure for Eastern Kentucky and the broader state, citing tourism, trail-system spending, and examples from other states. A committee member asked for clarification about farm-to-farm use, and the witness confirmed the bill would not affect agricultural use. The transcript ends during discussion of SB 63, before any final committee action is shown.

Transcript Highlights:

• There's roughly 1,600 beds in residential, a little over 1,000 non-secure, and the rest in high-risk
• and max beds.
• Physical space, classroom availability: we're mitigating that, as I mentioned, with modular units.
• We have housing units and empty housing units available.

Summary: The committee met to hear an overview of the Appropriations Committee on Criminal and Civil Justice budget area and then received performance-measure presentations from the Department of Corrections, the Commission on Offender Review, and the Department of Juvenile Justice. Staff reviewed the roughly $7.4 billion criminal justice and judiciary budget, noting major funding areas such as corrections, law enforcement, victim services, courts, and due process, along with recent investments in prison health care, security equipment, fentanyl enforcement, court staffing, and juvenile justice salaries and education programs. Secretary Dixon of the Department of Corrections described staffing and population pressures, including growth in inmate population, overtime-driven deficits, and the opening of additional housing units. He emphasized the department’s use of performance measures and highlighted reforms such as incentivized prisons, administrative management units, reentry planning, faith-based programs, and expanded education and vocational training. Members asked about teacher hiring, public defender pay parity, fentanyl funding, staffing capacity, and the role of the National Guard; Dixon said teacher vacancies had improved, public defenders had received comparable pay increases, fentanyl funding would be addressed further by FDLE, and the Guard had helped stabilize staffing. The Commission on Offender Review reported on parole, conditional release, addiction recovery supervision, and revocations, saying its recidivism/success rates had improved over a three-year measurement period. Senator Rouson pressed the commission on clemency and pardons, saying that work was omitted from the presentation and asking for backlog and case data; the commission said it did not have those figures on hand and would follow up. The committee also discussed a conditional medical release pilot study, and members questioned the report’s conclusion that no suitable elderly inmate population could be identified, asking what criteria were used and whether stakeholders were consulted. Secretary Hall of the Department of Juvenile Justice outlined the agency’s prevention-to-residential continuum and its emphasis on education, data-driven decision-making, and evidence-based programming. He said salary increases had reduced vacancies, juvenile arrests and residential commitments had fallen sharply over time, and tools such as civil citations, risk assessments, and quality-improvement reviews were being used to guide placements and services. Hall also described the department’s use of dashboards, monthly data check-ins, and the dispositional matrix to improve outcomes and reduce recidivism.

Transcript Highlights:

• The hospital's 25 beds critical access have hopes for expansion in the future. to navigate the federal
• It doubled the amount of child care available in Tucumcari as a result of that project.
• But my understanding is that it has to be available.
• This available in Spanish.
• If there's any hang-ups or anything, that we're available to provide assistance to help. ...them get

Transcript Highlights:

• There were a lot of jobs that were available.
• There are no rental units available outside of our tribal TDHE.
• There are no rental units available outside of our tribal TDHE.
• If they're not available, the next closest will come.
• We have available, I mean, we have specific scholarships available for our native students, but we also

Summary: The Tribal and State Relations Committee met at Standing Rock and heard extensive comments from tribal council members, state legislators, and tribal program leaders about ongoing state-tribal coordination issues. Early discussion focused on the committee’s purpose, the need for better communication, and frustration that the meeting agenda and time allotted did not include enough state department heads or program experts to address child welfare, ICWA, Medicaid, and other human services concerns. Tribal leaders emphasized that Standing Rock wants more direct, regular communication and more practical follow-through from prior meetings. A major theme was health and human services, including concerns that the state’s rural health transformation efforts and human service zone structure do not fit tribal needs, especially for a direct-service tribe that relies on federal funding and Indian Health Service. Members also raised foster care delays, housing shortages that force children off-reservation, substance abuse treatment capacity, and the need for cultural competency in child welfare and education. Other issues included missing and murdered Indigenous people, law enforcement cooperation, extradition and banishment ordinances, cross-deputization, roads, water and sewer infrastructure, census accuracy, and the need for updated lists of tribal liaisons and bills affecting tribes. Economic development and sovereignty issues were also discussed. Standing Rock leaders raised concerns about e-pull-tabs and charitable gaming, saying state regulation has reduced tribal gaming revenue and that e-tabs should be treated as Class III gaming. They also objected to county-issued fireworks and liquor permits that affect reservation communities, arguing that state and county authority often conflicts with tribal sovereignty. In response, legislators said e-tabs and charitable gaming were likely to return as legislative issues and suggested possible solutions such as restricting e-tabs near tribal lands. The committee also discussed the need for more information on tribal-related bills and for legislators to receive cultural and treaty training. Several tribal projects and programs were presented. Joseph McNeil described Sage Development Authority’s 235-megawatt wind project, which is paused because of federal permitting delays, and asked for state support to move it forward. Dave Arshambo described Wojou’s land regeneration, buffalo, food sovereignty, youth, and wellness programs. Later, Cheryl Carey of Sacred Pipe Resource Center introduced the needs of the urban Native population in Bismarck-Mandan and statewide, noting that many Native people live off-reservation and often fall through the cracks in state-tribal discussions. The committee adjourned for lunch and planned to continue with additional presentations afterward.

Transcript Highlights:

• But when you do your research, for every bed, traditionally for an assisted living center, you have a
• This set has been made public and available to members. The set is purely technical.
• This amendment set is available online. It's been distributed to members.
• I think anything that can be verified with such a study, with the data we have available, to help these
• This amendment set is online and available to members. There are 19 amendments in this set.

Bills: HR267, HCR105, HCR107, HCR110, HCR113, HCR114, SB4, SB52, SB57, SB145, SB152, SB194, SB237, SB333, SB433, SB483, SCR37

Keywords: diabetes, amputation, amputations, diabetic foot ulcer, peripheral artery disease, PAD, wound care, podiatry, vascular disease, endocrinology, limb salvage, health policy, public health, healthcare costs, insurance coverage, Louisiana Department of Health, University of Louisiana at Lafayette, Louisiana Center for Health Innovation, patient education, screening