Transcript Highlights:

• and related Office of Inspector General programs; from the Department of Education, programs from the
• ><c> General</c><00:04:01.640><c> programs</c> office of Inspector General programs office of Inspector
• </c> Health uh the help me connect program Health uh the help me connect program and<00:04:15.560><c>
• We do have a new program.
• We do have a new program.

Committee: House Human Services Finance and Policy

Transcript Highlights:

• And we know that that's been the case with a lot of our programs because our programs are complex.
• And we know that that's been the case with a lot of our programs because our programs are complex.
• We have 29 grant programs, 34 subcategories to those grant programs.
• across several of those programs.
• That's all within that program.

Summary: The Capital Budget Committee heard presentations from the Department of Commerce, the Recreation and Conservation Office (RCO), and a consultant on the School Construction Assistance Program (SCAP) study. Commerce officials described their agency’s role in housing, energy, local government, broadband, and other capital programs, and reported on a $5 million pilot under Senate Bill 5200 that used trusted community messengers and technical assistance to help historically excluded organizations prepare for capital funding. They said 18 organizations received direct support and 79 smaller projects were also funded, but emphasized that statutory match rules, reimbursement-based payments, site-control requirements, insurance and audit costs, and extensive contracting rules remain major barriers. Commerce outlined efforts to expand outreach, digital modernization, internal contracting improvements, tribal MOUs, and innovation centers, and members asked about small business support, housing program placement, and outreach to Eastern Washington and communities of color. RCO described its grant programs for recreation, conservation, education, and salmon/orca recovery, and reviewed equity work done before and after a 2021-23 proviso. The agency had already created a small-communities carve-out in youth athletic facilities, piloted stipends for advisory committee members, and reduced match requirements where allowed. Under the proviso, RCO completed an equity review and a planning program that funded 54 projects across 34 counties, with many applicants being new or long-absent grantees. Staff said the review led to changes in scoring criteria, clearer application guidance, more objective data measures, expanded technical assistance, and targeted community engagement. Members asked about application burden, project sizes, outreach, and how the agency is broadening participation and representation on advisory committees. The final presentation summarized a planning study on SCAP, which examined rising construction costs, fragmented grant programs, local funding barriers, and uneven district capacity. The report recommended nine major changes, including stronger planning support, a new minor-modernization category, a mechanism to use unused funds more quickly, an education-specification prototype, a SCAP enhancement program for low-capacity districts, acceptance of non-SCAP funds, phased modernization, streamlined D-form and reimbursement processes, and revisions to the SCAP formula to better account for grade-band differences, enrollment projections, and regional cost factors. Additional recommendations included ongoing monitoring and evaluation, facilities-impact reviews, matching SCAP increases to construction-cost inflation, earlier locking of funding estimates, flexible program spaces, and updated statewide building-condition assessments. No votes were taken during the meeting.

Transcript Highlights:

• this program.
• MRT program, are you—is that the residency program? No, the—let me find it.
• You all spoke about the FRAME program. You spoke about the TEACH program.
• You all spoke about the frame program. You spoke about the teach program.
• Some key numbers related to our program. State program, a lot of stakeholders.

Committee: Senate Health Policy

Summary: The Senate Health Policy Committee received updates from the Agency for Health Care Administration and the Department of Health on implementation of 2024 health care laws. AHCA reviewed progress on workforce and reimbursement measures in Senate Bill 7016 and related bills, including FRAME and TEACH funding, graduate medical education reporting, behavioral health teaching hospitals, acute hospital care at home, advanced birth centers, non-emergent care access plans, and rural emergency hospitals. Agency officials said several programs are already operational or have begun payments, while others are still in rulemaking, federal approval, or report-preparation stages. Senators asked about timing, funding reversion concerns, and whether appropriated dollars would be spent on schedule, especially for behavioral health teaching hospitals and the new birth center category. The Department of Health then reported on practitioner licensure and public health programs. MQA described implementation of the Interstate Medical Licensure Compact, the Mobile Act licensure pathway, massage therapy enforcement changes, background screening expansion, liposuction safety requirements, pharmacist HIV post-exposure prophylaxis authority, and chiropractic dry needling. Public health staff updated the committee on FRAME and dental loan repayment, the Sinati screening grant program, the cancer research and innovation changes, the health care innovation council and loan program, the pediatric rare disease grant program, telehealth maternity care expansion, newborn screening for congenital CMV, the sickle cell registry and grants, and the swimming lesson voucher program. Members focused questions on how practitioners were being recruited to underserved areas, the pace of licensure approvals, and whether new programs were on track to use appropriated funds. The committee also heard a lengthy update from the Office of Medical Marijuana Use. The director reported more than 900,000 qualified patients, real-time seed-to-sale tracking now integrated across most dispensaries and labs, and ongoing compliance work on product testing, advertising, diversion, and patient safety. Senators questioned the decline in qualified physicians, how THC potency is labeled and verified, and what the agency can do about diversion to non-patients. The director said the office relies on complaints, inspections, lab audits, and coordination with law enforcement, and that patients can be suspended if violations are confirmed.

Transcript Highlights:

• It amends the Rebuilder's Loan Program.
• It amends the Rebuilder's Loan Program.
• But the language, there's a lot of language in it for the program, but it's been a program that we've
• And there's $50 million yet in that program.
• They've got a well-plugging program.

Committee: House Appropriations

Summary: The committee heard House Bill 2014, the budget for the Industrial Commission, with Representative Kempenich walking through the agency’s major components: the administrative office, Bank of North Dakota, housing finance, Department of Mineral Resources, and the State Mill and Elevator. He described mostly special-fund operations, including bond payments, economic development programs, the rail loan program, the Rebuilder’s Loan Program, housing incentive funding, abandoned well reclamation work, lignite research, litigation reserves, and a capacity purchase arrangement for a future natural gas pipeline. He also explained several one-time funding items, such as grid resiliency grants, housing-related transfers from the Strategic Investment Fund, and enhanced oil recovery funding repurposed from a prior salt cavern study. Members asked about the reduction in housing incentive funding from the Senate version, the use of one-time Strategic Investment Fund dollars for ongoing housing programs, and whether a trigger should be added to increase housing funding later. Kempenich said no trigger was discussed and emphasized that housing needs vary widely across the state. Another exchange focused on the enhanced oil recovery grant program, which he said would be driven largely by the Energy and Environmental Research Center and would use repurposed funds. A longer discussion covered the natural gas pipeline capacity purchase, including its purpose, possible routes, and the idea that the state would be buying capacity rather than immediately building a pipeline. The committee adopted Amendment 25.0181.0207 on a 21-1 vote, with one member absent and not voting. The committee then passed HB 2014 as amended on a 21-1 vote, with one member absent and not voting. Representative Kempenich was designated to carry the bill. The chair then noted this was the final budget hearing for the committee, with one bill remaining to be heard later.

Transcript Highlights:

• programs.
• Overall, the program provides about 40 hours of programming weekly, and this includes one-hour family
• for the youth who sexually harm program and the substance use program.
• program in a new location.
• programs.

Summary: The Health and Human Services Committee held an invited-testimony hearing on LR 425, which examines the Whitehall campus in Lincoln and possible long-term options for youth currently served there. Chair Brian Hardin explained that Whitehall houses two separate programs for adolescent males: a substance use program and a youth-who-sexually-harm program. Testimony from DHHS officials described Whitehall as a Joint Commission-accredited psychiatric residential treatment facility (PRTF) that provides about 40 hours of weekly programming, family involvement, school services, and community reintegration activities. Officials said the department is evaluating whether the programs should remain at Whitehall or move to another state-owned facility, with Hastings described as the department’s preferred alternative because it is more residential in design than a youth rehabilitation treatment center (YRTC).

Transcript Highlights:

• The second program used to be called GR housing. It's the housing support program.
• That program has been eliminated. When That program has been eliminated.
• program that we at the program integrity program that we will<00:43:19.839><c> discuss</c><00:43:20.720
• . programs. programs.
• </c> program. Representative Eninggan. program. Representative Eninggan.

Transcript Highlights:

• So the College Bound programs and programs like them are needed.
• So the College Bound programs and programs like them are needed.
• So the College Bound programs and programs like them are needed.
• I've never had any outreach from any programs, and I am a program advocate, so I speak about programming
• I've never had any outreach from any programs, and I am a program advocate, so I speak about programming

Transcript Highlights:

• pay program.
• across programs.
• programs in their area.
• What are our big program drivers?
• Very important program. Probably the most important program in the world.

Summary: The Assembly Budget Subcommittee on Human Services held a hearing on the Governor’s May Revision, with no votes taken. The first major topic was child care and early education, where the Department of Social Services and Department of Finance outlined proposed changes to absorb federal Child Care and Development Fund and Proposition 64 revenue reductions, shift some funding between child care programs, end funding for prospective pay implementation now that the federal requirement has been rescinded, adjust the alternative payment administration structure, and fund child care infrastructure grants and a Low-Income Investment Fund contract closeout. The Legislative Analyst’s Office said the budget makes progress on the structural deficit but recommended maintaining the administration’s solution level, making reserve deposits, and avoiding new ongoing commitments; it also raised concerns about shifting reductions to the California Alternative Payment Program and about the proposed administrative-rate change. Committee members strongly criticized the proposed loss of child care slots and said they would oppose eliminating those slots, while also expressing support for child care as essential infrastructure. The committee then reviewed California State Preschool Program proposals. Finance and CDE described reductions to the preschool COLA from 2.41% to 2.01%, removal of prospective pay funding, and increases for the QRIS block grant, audit support, and rate reform implementation. Trailer bill language would codify age-based rate categories, inclusion-rate documentation, family fee collection rules, portability, and excused absences. CDE supported the QRIS increase and some attendance and family-fee changes, but warned that aligning three- and four-year-old rates could reduce support for three-year-olds and that the budget does not fully cover enrollment growth. Members also questioned whether the preschool and child care slot reductions should be reallocated rather than terminated, and the administration said the reductions were intended to reflect current utilization and avoid harm to currently enrolled families. The hearing then moved to CalFresh and nutrition programs. CDSS said the May Revision includes a one-time CalFood augmentation, funding to cover federal SNAP administrative cost-share pressures, and additional staffing and technical assistance to implement HR 1 changes, including the able-bodied adults without dependents time limit and new non-citizen eligibility rules. The department estimated HR 1 could cut CalFresh funding by $2.3 billion to $3.7 billion annually and affect about 500,000 people, with roughly 806,000 adults potentially subject to the time limit and about 34,000 non-citizens expected to lose eligibility once fully implemented. Members pressed for stronger harm mitigation, including a $98 million backfill to protect families from losing food benefits, and raised concerns about county workload and the “chilling effect” on immigrant participation. The final portion of the transcript began the IHSS presentation, noting a revised budget of $33.7 billion total funds and $12.8 billion General Fund, with proposed reductions tied to Medi-Cal asset-limit changes and other federal conformity items.

Transcript Highlights:

• Gavin is—our John Deere program, we have a few programs that run all summer long, and Gavin is here for
• These are a few of the programs, not all, but a few of the programs that we've added: Fire Science.
• We're starting a Surg Tech program.
• We are at capacity in most of our programs and starting new programs.
• We are at capacity in most of our programs and starting new programs.

Committee: Joint Higher Education Institutions Committee

Transcript Highlights:

• </c> and 27 to the housing challenge program. and 27 to the housing challenge program.
• </c> assistance program assistance program FHPAP.<00:04:02.959><c> This</c><00:04:03.280><c> program<
• challenge program.
• challenge program.
• like the challenge program have programs like the challenge program have supported<00:30:24.000><c>

Committee: House Housing Finance and Policy

Transcript Highlights:

• to implement a physician health program.
• These are programs already available to all other professions regulated under the Washington Program.
• a result of the 340B program.
• and think it is a great program.
• The program is not...

Bills: SB5877 , SB5904 , SB5988

Committee: House Health Care & Wellness

Keywords: anesthesiology, medical personnel, surcharges, licensing, healthcare regulations, nursing titles, licensure, healthcare professionals, patient safety, professional standards, opioid treatment, accreditation, health department, fee authority, substance abuse

Transcript Highlights:

• IHSS is a very large program.
• We need to improve the programs. We need to enhance the program. Some final thoughts.
• IHSS is a vital program. It's not an optional program for those who use it.
• residual program.
• Part C programs.

Summary: The subcommittee heard an overview of the governor’s IHSS budget proposals and extensive testimony from the Department of Social Services, Department of Finance, the Legislative Analyst’s Office, county representatives, labor, consumer advocates, and advocates for older adults and people with disabilities. The administration described IHSS as a large and growing program serving more than 900,000 recipients, and outlined three proposals: shifting the cost of growth in authorized hours per case to counties, eliminating the backup provider system, and aligning IHSS terminations with Medi-Cal terminations. The LAO said the overall budget estimates appeared reasonable but raised concerns about the hours-per-case proposal, including the lack of a comprehensive root-cause analysis, the limited control counties have over statewide cost growth, and uncertainty about how the baseline and savings would work. CWDA, SEIU, and consumer advocates strongly opposed the hours cost shift, arguing that counties use state-designed tools, that demographic changes and rising need explain much of the growth, and that the proposal would pressure counties to cut services and destabilize care. The chair and members repeatedly questioned the administration about the proposed baseline, the claimed savings, and whether the measure effectively circumvents the county maintenance-of-effort agreement. On the backup provider system, the administration said the statewide program is underutilized and administratively expensive, and proposed eliminating it to save about $3.5 million. The LAO suggested the Legislature consider whether administrative costs could be reduced while preserving some version of the program. County and consumer advocates opposed the cut, saying the system is a critical safety net when regular providers are unavailable, especially in rural areas and for people with complex needs. They argued that low utilization reflects the difficulty of finding emergency backup care, not lack of need, and that many counties already rely on local backup systems or other models. Committee members also pressed for better data on requests, fulfillment, and administrative costs, and discussed whether the state could support local alternatives instead of eliminating the program. The final topic was the proposal to align IHSS terminations with Medi-Cal terminations by automating the process when recipients fail to complete Medi-Cal redeterminations. The administration said this would reduce General Fund costs by about $86 million by preventing payment of IHSS in the residual program when recipients are no longer eligible for Medi-Cal, while also automating reinstatement when Medi-Cal is restored. The LAO noted the proposal has been rejected in prior years and suggested improved notice and communication to recipients as an alternative. CWDA and advocates warned that the change could create gaps in care, especially for people who lose Medi-Cal for procedural reasons, and urged additional safeguards such as better notices, faster reprocessing, and automatic reinstatement. Members questioned how many people would be affected, how the residual program currently works, and whether providers could go unpaid during the gap; the department said the automation is already built and would be activated if the proposal is approved. No votes were taken during the discussion, and the committee moved through public comment and questioning without final action on the proposals in the excerpt provided.

Transcript Highlights:

• . grant program.
• For self-determination programs, obviously it's quite a popular program.
• And there are other program features and things going on in the program.
• And there are other program features and things going on in the program.
• both of those programs.

Summary: The hearing began with opening remarks on the Governor’s May Revision for child care and human services, with committee members and advocates stressing that the budget should not be balanced on the backs of low-income families, children, and providers. Legislative members and public witnesses strongly opposed the proposed suspension of the child care COLA, reductions to the Emergency Child Care Bridge Program, and the lack of codified rate reform tied to the alternative methodology. Several speakers also urged more support for providers affected by the Eaton fire and other disasters, and called for child care to be funded at the true cost of care and for additional slots to be restored. Administration, LAO, and Department of Education staff described the child care proposal as maintaining existing funding levels while adding administrative resources to prepare for federally required prospective payment changes and single-rate reform. The administration said the May Revision would suspend the 2025–26 COLA and reduce Bridge Program funding to align with utilization, while the LAO raised questions about the size and purpose of the proposed rate-reform and prospective-payment funding and recommended rejecting a Department of Technology exemption. CDE supported continued early education investments but said it would need additional resources if prospective pay were extended to state preschool, and it objected to a proposed reallocation of preschool funds for inclusive education grants. The committee then moved to the IHSS portion of the May Revision. DSS outlined five major proposals: capping provider work hours at 50 per week, eliminating IHSS for undocumented adults age 19 and older, shifting certain Community First Choice reassessment penalties to counties, reinstating the Medi-Cal asset test as a conforming IHSS reduction, and automating the termination of IHSS when Medi-Cal eligibility ends. DSS also discussed funding to implement a federal HCBS access rule and a separate reassessment of IHSS administrative methodology that found counties would need additional administrative funding. Finance said the proposals were intended to slow program growth and improve sustainability, while the LAO said it was still analyzing the package and raised concerns about implementation, county workload, and the potential loss of services. Committee members and public commenters criticized the IHSS cuts, especially the overtime cap and the elimination of services for undocumented adults and people affected by the asset test. Advocates argued that IHSS workers and recipients depend on these services, that county administration is already underfunded, and that the proposals could destabilize vulnerable consumers. The chair closed by saying the committee would continue to fight for child care and would not pause on child care, and the meeting recessed before moving on to the remaining May Revision items.

Transcript Highlights:

• The Expanded Learning Opportunities Program is the state’s primary before- and after-school program.
• or the 21st Century program.
• or the 21st century program.
• and the intervention programs.
• Infrastructure Grant Program.

Summary: The committee heard testimony on three education budget items: the Expanded Learning Opportunities Program (ELOP), differentiated assistance/statewide system of support, and universal school meals plus kitchen infrastructure grants. For ELOP, the Department of Finance described the Governor’s proposal to provide $4.7 billion ongoing Proposition 98 funding and $62.4 million to set a minimum Tier 2 rate of $1,800 per pupil. The LAO recommended instead fixing the Tier 2 rate at $1,579, and committee members questioned how the rate was determined, how much funding is actually spent, and whether overlapping funding from ELOP, ACEs, and 21st Century programs is being tracked. CDE said ELOP is showing positive attendance and math outcomes, but some requested data will not be available until mid-2027; members also raised concerns about double-funding, transparency, and whether middle and high school students are being equitably served. On differentiated assistance, CCEE outlined the statewide system of support and the various tiers of universal, targeted, supplemental, and intensive assistance. Finance explained the Governor’s proposal to replace the current DA structure with a more stable universal and targeted assistance model, funded at $131.9 million ongoing, with a three-year support cycle aligned to LCAP and ESSA timelines and broader State Board authority to revise eligibility criteria. The LAO objected to considering the proposal before the State Board finalizes the new performance criteria, and committee members expressed concern that moving to a three-year cycle could delay support for LEAs that newly fall into need mid-cycle. There was also discussion about whether the proposal would weaken subgroup-based equity guardrails or give the State Board too much discretion over who qualifies for support. For school meals and kitchen infrastructure, Finance proposed $1.8 billion ongoing for universal meals and an additional $100 million ongoing plus $100 million one-time for a fourth round of kitchen infrastructure and training grants. The LAO recommended rejecting the new kitchen grant round because prior rounds are still being spent and the unmet need is not yet clear. CDE said prior investments have improved meal participation, efficiency, and menu variety, but many schools still lack the facilities for scratch cooking and face construction, electrical, and procurement barriers. Members asked for more data on how prior grants were used, which schools are benefiting, and whether funds could also support lower-cost food access strategies such as pantries, while noting federal restrictions on some meal-service innovations.

Transcript Highlights:

• program.
• For example, we have our SOMAH program. We've had our MASH program.
• For example, we have our soma program. We've had our MASH program.
• I think for over two decades, we've had programs. We've had our MASH program.
• Green Tariff Program.

Summary: The Assembly Committee on Utilities and Energy held an oversight hearing with leaders from the CPUC, Public Advocates Office, CAISO, the Office of Energy Infrastructure Safety, and the Energy Commission. Chair Petrie-Norris framed the hearing around high utility bills, wildfire risk, grid reliability, clean energy buildout, and the state’s long-term decarbonization goals, and also noted it was CPUC President Alice Reynolds’ final week at the commission. Each agency gave an update on its role: the CPUC described efforts to reduce rate increases while maintaining reliability and clean energy procurement; the Public Advocates Office focused on affordability and the need to control underlying utility costs; CAISO discussed transmission planning, market operations, and the upcoming extended day-ahead market; Energy Safety reviewed wildfire mitigation oversight and inspections; and the Energy Commission highlighted clean energy growth, EV adoption, storage, efficiency, and gasoline price monitoring. A major theme was affordability versus the costs of the clean energy transition. Reynolds said the CPUC has lowered utility revenue requests, reduced utility returns, adopted a base services charge, and reworked net metering, while also continuing to manage wildfire-related costs and support resource adequacy and demand flexibility. Sarazawa argued that recent rate decreases may not be durable because billions of dollars in wildfire and other utility costs are still pending or unbilled, and she urged tighter use of general rate cases, lower-cost financing, program reform, and more equitable rate design. Members pressed the agencies on whether state policy is sufficiently accounting for labor, local economic development, and the cost impacts of transmission and procurement decisions, especially where out-of-state resources are being considered. CAISO and the Energy Commission emphasized that the state’s planning and market reforms are helping lower costs and improve reliability. CAISO said the Western Energy Imbalance Market has produced billions in benefits, the extended day-ahead market is on track to launch, and transmission planning is being aligned with long-term resource needs while reducing queue delays. The Energy Commission said California is now getting roughly two-thirds of its power from clean sources, has added massive amounts of storage and renewables, and is seeing strong EV and charger growth that can help spread fixed grid costs. Energy Safety reported thousands of inspections, hundreds of notices of non-performance, and a decline in reportable ignitions, while noting that major fires show more work is needed. Members also raised concerns about the SB 100 report delay, memo and balancing accounts, the future of battery storage, and whether decarbonization zone pilots will affect residential and commercial customers.

Transcript Highlights:

• This program was.
• For 70 years, the small business administration's flagship lending program, the 7A program, has provided
• Your story is just one example of why SBA programs like the Community Advantage Program is so important
• in the 7A program.
• Community Advantage Program? The Advantage Program gave us $250,000.

Committee: Senate Small Business and Entrepreneurship Committee

Keywords: SBA, 7A loan program, underwriting standards, loan defaults, Community Advantage Program, small business funding, testimony

Summary: The committee meeting focused on discussions regarding the SBA's 7A loan program and its implementation challenges. Members raised significant concerns about recent changes to the underwriting standards, which have been criticized for leading to an increase in loan defaults. Ranking members expressed a desire for a return to stronger guidelines to protect taxpayers and ensure the program remains a viable source for small businesses struggling to secure funding. Testimonies from community lenders highlighted their efforts to support underserved communities and stressed the importance of the Community Advantage Program.

Transcript Highlights:

• Gavin is—our John Deere program, we have a few programs that run all summer long, and Gavin is here for
• We do have one fully online program.
• These are a few of the programs, not all, but a few of the programs that we’ve added: Fire Science.
• We are at capacity in most of our programs and starting new programs.
• We are at capacity in most of our programs and starting new programs.

Summary: The committee met at North Dakota State College of Science for a presentation from President Flanagan and campus leaders on the college’s mission, enrollment growth, workforce programs, facilities needs, and industry partnerships. Flanagan highlighted student success in national competitions, strong placement and retention, the college’s strategic plan, and new or expanding programs such as aviation maintenance, fire science, dental hygiene, community health worker, surgical technology, HVAC/plumbing, and precision agriculture. He also described the need for a new dorm and a remodel of the library into academic and allied health space, including a simulation center, to address capacity limits and support growth. Several committee members asked about program demand, faculty recruitment, pay competitiveness, and how the college shifts resources from lower-demand programs to high-demand ones. Industry partner Jim Albright of Comdell testified that the college has been essential to the local manufacturing workforce and that many employees and interns come from NDSCS. A major topic was dual credit. Flanagan said dual credit is important but financially challenging, noting that only a small share of dual credit students ultimately matriculate to NDSCS and that the college’s dual credit model is close to break-even. He explained that many dual credit credits are general education rather than CTE, and that the college pays instructors, supports high schools, and absorbs indirect costs. Williston State College President Bernal Herning added that his institution loses money on the front end but has shifted toward helping students complete associate degrees before high school graduation because many go directly to work after high school. Committee members questioned how dual credit is delivered, how instructors are qualified, and whether students are truly doing college-level work. The committee then received a University System presentation from Jamie Wilkie on the cost of delivering dual credit statewide. Wilkie explained the methodology used to allocate direct and overhead costs and said the analysis shows dual credit is not profitable at several institutions once tuition, instructor payments, and overhead are included. Members asked how much of the cost is borne by students, families, and the state, and whether K-12 funding should also be considered. Discussion also covered the difference between subsidized and unsubsidized dual credit, payments to high school teachers or schools, and the possibility of waiving tuition in the future. No votes were taken, and the committee mainly gathered information for the ongoing dual credit cost study.

Transcript Highlights:

• the program is a program 340B program would increase costs to employers and workers.
• the program is a program 340B program would increase costs to employers and workers.
• The federal program was a broad program that was set forth, and so while there are... ...program was
• It's a bait-and-switch program.
• BIO supports the federal 340B program. It's a good program, but even good programs can be abused.

Summary: The Senate Health and Long-Term Care Committee held a hearing on several bills. SB 5904 would prohibit non-human entities from using nursing titles; the sponsor and nursing groups said it is meant to increase transparency around AI and ensure patients know when they are interacting with a real nurse. SB 5915 would change Health Technology Assessment Program review criteria and timelines, with supporters arguing it would better account for Medicare coverage and national guidelines, especially for rare and life-threatening conditions. SB 6025 would update the definition of fetal death to allow gestational age to be determined by the best clinically accurate method rather than last menstrual period, and medical professionals and the sponsor said this would reduce emotional, financial, and legal burdens on grieving families. SB 5933 would require near real-time sharing of overdose data into ODMAP; public health, local government, and recovery advocates said it would improve overdose response, while one witness asked that poison center data be included and clarified separately. SB 5990 would allow APRNs and physician assistants to serve as local health officers in counties under 100,000 population; rural county officials supported the added flexibility, while public health groups and naturopathic physicians raised concerns about qualifications and asked that naturopathic doctors be included as well. SB 5981 would restrict drug manufacturers from limiting 340B drug access through contract pharmacies or requiring data as a condition of discounts; safety-net hospitals, community health centers, pharmacies, and patients said it protects access and reinvestment in care, while manufacturers, employer groups, and industry representatives argued it increases costs, lacks transparency, and may not ensure savings reach patients. No votes or final committee actions were taken in the transcript; each bill was heard and testimony was closed. Sign-in counts were reported for several bills, including strong pro support for SB 5904, SB 5915, SB 5933, and SB 5981, and mixed or substantial opposition on SB 6025 and SB 5990.

Transcript Highlights:

• </c><00:10:53.120><c> We're</c> program. It's a voucher program. We're program.
• </c> program at UK. program at UK.
• </c> program and a strong incentive program program and a strong incentive program for<00:30:16.399><
• </c> the program. the program.
• </c> programs like this. programs like this.

Committee: Joint State Government

Transcript Highlights:

• program that is being suggested as an expansion of the program by an agency, that these various things
• This is rich discussion because our first program evaluation now is of child care programming.
• We may not be able to evaluate every program, but how do we select which programs we're going to evaluate
• This is rich discussion because our first program evaluation now is of child care programming.
• This is rich discussion because our first program evaluation now is of child care programming.

Committee: Joint Legislative Task Force on Government Efficiency

Summary: The task force first approved the March 25, 2026 minutes as amended, including a correction removing language that suggested the auditor’s office would contract with a security vendor. Members then moved to a bill draft on concessions (LC 27.0161.00000), which would raise the competitive solicitation threshold from $25,000 to $50,000, allow requests for proposals in addition to bids, clarify that proceeds go to the entity’s operating fund or general fund, and make other technical updates. OMB explained the draft and answered questions about scope, fragmentation, vendor restrictions, school districts, and whether concession proceeds could be directed to nonprofits; OMB said the draft could be refined further, including clarifying covered entities and contract length. No vote was taken on the draft during the discussion. OMB also reported on other survey items. It said a proposal to broadly allow agencies to create pre-qualified architect/engineering/land surveying vendor pools would not move forward, because the existing authority is working well for the agencies that already have it. On legal notices, OMB said it has been working with the North Dakota Newspaper Association on modernization, including an ADA-compliant online notice system and possible statutory updates to reflect changing technology and notice definitions. On click-through agreements for routine IT purchases, OMB and the Attorney General’s office said policy clarification—not statutory change—was enough, and the $20,000 threshold was intended to distinguish low-dollar adhesive contracts from purchases where terms can be negotiated. The committee also heard that OMB and the Center for Distance Education had resolved questions about alternate procurements and food/beverage expenditures through existing policy, so no statutory changes were needed there. North Dakota University System representatives gave a brief update on ongoing collaboration with OMB on statutory efficiency ideas, including concessions and surplus property. Finally, the task force discussed a draft on requirements for new or expanded spending programs, which would require agencies to identify purpose, expected benefits, alternatives, success measures, and full implementation costs, and would require reporting on outcomes over time. Members debated whether OMB or Legislative Council should collect and report the information, how to use the new program evaluators, whether real-time dashboards should be used, and how to choose which programs to evaluate; staff from Legislative Council said they would work with OMB and the auditor’s office to revise the draft and process.