Transcript Highlights:

• As well as additional costs related to continued migration of IT systems.
• </c> for safety and soundness of the system for safety and soundness of the system and<01:02:28.960><
• to withhold payments enabling agencies to withhold payments and<01:22:09.120><c> from</c><01:22:09.360
• </c><01:48:52.880><c> and</c> oversee grants Management Systems and oversee grants Management Systems
• The grants management system feasibility study will determine if a single system is feasible.

Committee: Senate State and Local Government

Transcript Highlights:

• </c><01:21:18.320><c> in</c> going to cost to keep our payments in going to cost to keep our payments
• </c><01:23:36.239><c> preservation</c> encourage payment preservation encourage payment preservation
• repair to extend the life of the payment repair to extend the life of the payment.<01:23:49.920><c>
• </c> system each each year? system each each year?
• </c><01:34:41.600><c> And</c><01:34:41.760><c> so</c> system. Does that make sense? And so system.

Committee: House Transportation Finance and Policy

Transcript Highlights:

• Specifically, Senate Bill 1635 aims to provide a credit against... required recapture payments.
• We understand our role in support. supporting the broader public education system in Texas.
• Many of which remain unaddressed in the current school finance system.
• First off, were your recapture payments...
• utilized and underappreciated aspects of our system.

Bills: SB2920 , SB2929 , SB2398 , SB865 , SB401 , SB2619 , SB2927 , SB1395 , SB1972 , SB2540 , SB1635 , SB1581 , SB2008

Committees: Senate Education , Senate Education K-16

Transcript Highlights:

• This system is 38 years old. This system is 38 years old and is nearing its end of life.
• development system, which includes three components: the Pulse E registry, the central registry system
• , as well as the California EMS information system.
• We represent community-based providers in the treatment system.
• And does it align with the deadlines for moving from the managed care system to the fee-for-service system

Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.

Transcript Highlights:

• </c> the income tax system. the income tax system.
• </c> made the system more progressive. made the system more progressive.
• </c> tax system is. tax system is.
• tax system.
• </c> regressive tax system. regressive tax system.

Bills: HF1669 , HF4709 , HF3531 , HF4048

Committee: Senate Taxes

Keywords: tax credits, sustainable aviation fuel, environmental policy, corporate franchise, Minnesota taxation, electricity generation, property tax exemption, renewable energy, incentives, economic development, fuel delivery, tax exemption, retail transactions, diesel exhaust fluid, fuel lubricants, healthcare tax, gross receipts tax, hospitals, chiropractors, healthcare providers

Transcript Highlights:

• I think the first one I did was on the tracking system for sexual assault kids.
• I think the first one I did was on the tracking system for sexual assault kids.
• Interest allows health care providers to offer payment plans instead of payment in full at the time of
• This bill, with its crazy color-coding system for firearms, is a huge mistake.
• This bill, with its crazy color coding system of firearms, is a huge mistake.

Summary: The committee held public hearings on several bills. SB 5720 would enact the Uniform Consumer Debt Default Judgments Act, adding complaint and notice requirements before default judgments in consumer debt cases and preserving existing debt-buyer protections; the sponsor and witnesses from consumer and collection groups described it as a compromise measure, and there was broad support with 53 people signed in pro. SB 5833 would allow a vehicle to remain running for up to 30 minutes to keep a pet safe from heat or cold; the sponsor said he would amend liability language, while animal control and police groups raised concerns about shifting the focus away from animal welfare and creating liability issues, though many sign-ins were pro (107 pro, 4 con). SB 5936 would update human trafficking law by allowing prosecution of business entities that knowingly benefit from trafficking, adding confidentiality protections for victims, and creating a process for T and U visa certifications; survivors and advocacy groups supported it, while hospitality and law enforcement groups asked for clarifying amendments, especially on business liability and duplicative visa procedures, and sign-ins showed 24 pro and 283 con. SB 5993 would prohibit interest on new and unpaid medical debt and shorten enforcement of judgments involving medical debt to six years without renewal; supporters said it would reduce financial harm and help patients, while hospitals, physicians, collectors, and business groups warned it could discourage payment and worsen provider finances, especially for rural hospitals, with 129 sign-ins pro and no con sign-ins. Finally, SB 5735 would create state standards for labeling imitation firearms, including BB guns and toy guns, with advisories and penalties for altered markings; the sponsor said it was intended to reduce mistaken shootings, while gun-rights and firearms-training witnesses argued federal law already covers the issue and that the bill would burden lawful training and competition, with 8 pro and 184 con sign-ins. The committee closed each public hearing and adjourned without recorded votes on the bills.

Transcript Highlights:

• of our most vulnerable residents, including individuals with disabilities, children in the welfare system
• Medical operating room personnel are exposed to requiring the use of smoke evacuation systems during
• To the Florida nursing home uniform reporting system.
• We discussed this. to the Florida nursing home uniform reporting system.
• systems in other states to look for best practices in terms of systems and methodologies that truly

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Health and Human Services Appropriations Committee met to review and advance the Senate’s fiscal year 2025-26 budget proposal for the committee’s portfolio. The presentation highlighted a $1.8 billion increase over the current base budget, including full funding for Medicaid and KidCare, investments in IT modernization, Medicaid provider rate increases, mental health and substance use services, opioid treatment, foster care and guardian assistance, elder care, veterans’ services, cancer research, school nurse staffing, and other public health initiatives. The committee adopted a motion allowing technical adjustments and then approved the budget proposal to be reported to the full Senate Appropriations Committee. The committee then heard and voted on several bills. SB 152 on surgical smoke protection required hospitals and ambulatory surgical centers to adopt smoke evacuation policies; nurses testified in support, citing workplace and patient safety risks, and the bill was reported favorably. CS/SB 958 on early detection of type 1 diabetes required the Department of Health to provide educational materials to schools and, by amendment, early learning coalitions; it was also reported favorably. CS/CS/SB 170 on nursing home oversight added consumer satisfaction surveys, reporting requirements, quality incentive changes, and financial reporting penalties, with an amendment exempting state-operated homes and directing a study of best practices; it passed after questions about dementia, language access, and retaliation protections. CS/SB 738 modernized child care regulation by streamlining DCF processes and reducing obsolete requirements, and was reported favorably without opposition. The committee also approved CS/SB 1356 creating the Florida Institute for Pediatric Rare Diseases at FSU and a Sunshine Genetics pilot to expand rare-disease screening and research, with support from members emphasizing early detection and data collection. SB 1370 separated ambulatory surgical centers into their own statute, with testimony that the change would better reflect the industry and help avoid burdensome regulation; it passed favorably. Finally, CS/CS/SB 1626 made a range of child welfare changes, including codifying DCF coordination with military installations, adjusting shelter certification, refining criminal-background exemptions, extending licensing compliance time, addressing room-and-board rate methodology, and clarifying missing-child procedures; after adopting three amendments and hearing both support and concerns, the bill was reported favorably. The committee also recorded a member’s affirmative vote on SB 958 before adjournment.

Transcript Highlights:

• The legal system is only as good as the laws that we have in place at the time of the crime.
• ,</c><00:32:08.960><c> whether</c> uh with an electronic payment, whether uh with an electronic payment
• system in place.
• system in place.
• on each one of would make the payments on each one of them. them. them.

Committee: House Local Government

Transcript Highlights:

• </c> we have to account for those payment we have to account for those payment shifts<00:44:26.079><c
• </c><00:46:02.160><c> um</c> um increase in managed care payments um um increase in managed care payments
• and how much that receives a payment and how much that<01:10:42.560><c> payment</c><01:10:42.800><c>
• is, the frequency of that that payment is, the frequency of that payment<01:10:44.159><c> is</c><01:
• Thank you. passenger uh, restraint systems passenger uh, restraint systems training.<01:56:58.880><c>

Committee: Senate Health and Human Services

Transcript Highlights:

• </c> providers who attempt to game the system providers who attempt to game the system by<02:36:37.439
• If we want to trust in the system.
• </c> act lowers the improper payment act lowers the improper payment threshold<04:53:32.160><c> of</c
• </c><05:32:20.878><c> This</c> instances of improper payments. This instances of improper payments.
• And the crown transportation systems.

Bills: HCR84 , HR518 , HCR86 , HB7726 , HB2860 , HB8872 , HR1333 , SB254 , HB7618

Keywords: War Powers Resolution, Lebanon, troop withdrawal, U.S. Armed Forces, military deployment, foreign policy, congressional war powers, executive authority, Middle East, troop removal, concurrent resolution, defense policy, overseas deployment, Ukraine, support, foreign affairs, military aid, international relations, War Powers, military action

Transcript Highlights:

• Well, the law says monthly, but this committee can approve alternative payments.
• It will reflect those payments. Thank you, ma'am. Okay.
• Who approved the payment is what I...
• The receipt books in which these payments were recorded could not be located.
• The receipt books in which these payments were recorded could not be located.

Committee: All LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES

Summary: The committee first approved a motion by voice vote, then received updates on delinquent private water and sewer reports. For the 2012 reports, staff said five additional 2024 reports had been received since the December meeting, bringing the total to 17 with escrow funds released and 26 still escrowed. For the 2023 delinquent reports, two more had come in, leaving five outstanding; both reports were filed without objection. The committee then focused on Act 709 repayment issues for the town of Daisy. Audit staff said Daisy had made unauthorized payments to a nonprofit and had used restricted street funds for fire-related expenses, and that the town had not yet adopted the required repayment ordinance. Mayor Lisa Cogburn said the council had not approved repayment because members disputed the amount, though she said the town had funds to pay. After discussion about the audit calculations and statutory repayment requirements, the committee adopted a motion requiring 10% repayment of the street fund under the statute and providing that failure to comply would result in withholding turnback funds. The Daisy report was then filed. The committee reviewed numerous additional audit findings from cities, counties, and water departments. Several local officials appeared and described corrective steps, including reconciliation work in Harrison and Carroll County, revenue-code corrections in Izard County, monthly bond-pending reviews in Alexander, fixed-asset documentation and receipt procedures in the town of 56, and bookkeeping/receipt improvements in Ozan and Lee County. Some matters were deferred, including several private water and sewer reports and Green Forest, while others were filed. Reports involving more serious issues were referred to the prosecuting attorney and Attorney General, including Bull Shoals, Lone Oak County, Beaver, Central City, Gravette, Ralston Water Department, Thornton Waterworks, and others. The committee also filed 19 reports with resolved findings and 53 reports with no findings, and adjourned with the next meeting set for February 12, 2026.

Transcript Highlights:

• small clarification on parity and payment, just to clarify that it's an in-network payment, not out-of-network
• Federal payment error analyses, for example, only assess whether or not the capitation payment was made
• This bill implements greater transparency in the MCO system.
• So is it the same system?
• So is it the same system?

Summary: The Appropriations Committee considered a large agenda of bills and reported several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and a trust for Leila Estrada and Sapphire Williams, and CS/CS/SB 1266, which creates a cybersecurity experiential learning and clearance-readiness program through the Department of Commerce and Cyber Florida. The committee also approved SB 532 on clerks of court funding, allowing clerks to retain all excess Article V revenue rather than returning half to the state and clarifying foreclosure sale procedures. In addition, the committee passed CS/CS/SB 1602 and CS/CS/SB 1604 to create and fund a pilot housing program for veterans through the Florida Housing Finance Corporation, and CS/SB 1110 to expand Medicaid and private insurance coverage for medically necessary orthotics and prosthetics, including testimony from affected families and advocates. The committee also adopted an amendment and then favorably reported CS/CS/SB 1012 on inmate services, removing the bill’s medical-services compensation provisions while retaining changes to the inmate welfare trust fund and related facility uses. It also adopted a delete-all amendment and then favorably reported CS/CS/CS/SB 1614, which was narrowed to remove a provision allowing local governments to use excess fees to construct new buildings. The committee spent substantial time on CS/SB 17, a Medicaid oversight and transparency bill. The sponsor said the measure would create a joint legislative Medicaid oversight committee, authorize the Legislature to retain its own actuary, modernize Medicaid statutes, strengthen managed-care performance standards, and increase accountability for pharmacy benefit managers and related entities. After amendment, the committee adopted changes removing several PBM-related provisions while retaining the broader oversight framework. Testimony from supporters emphasized transparency, fraud prevention, and cost control, while a PBM trade association asked to continue working on affiliate-manufacturer, network, and payment issues. The bill was reported favorably. The most extensive discussion centered on CS/SB 1758, which proposes major changes to Medicaid and SNAP. The sponsor described five reforms: stronger fraud and overpayment recovery authority, a Medicaid work requirement for certain able-bodied adults, expanded behavioral-health services through Medicaid waivers, pharmacy-program changes to obtain rebates and reduce institutional costs, and SNAP/EBT reforms including photo IDs and work requirements. The committee adopted two amendments: one adding a transitional “glide path” for people who gain employment but risk losing Medicaid, and another exempting hospice patients with six months or less to live. Supporters argued the bill would reduce fraud, improve accountability, and encourage work, while opponents warned it would increase administrative burdens, push eligible people off coverage, and conflict with federal law or guidance. The bill remained under debate with extensive public testimony from advocates, providers, and affected families, and the transcript ends before final disposition on the measure.

Transcript Highlights:

• I spent a lifetime trying to support the health care system.
• </c><00:57:02.520><c> to</c> received the state makes payments to received the state makes payments to
• </c><00:57:08.319><c> is</c> claim now even though the payment is claim now even though the payment is
• </c><00:58:28.920><c> no</c> receiving reinsurance payments no receiving reinsurance payments no for-profit
• </c> currently need for that directed payment currently need for that directed payment program<01:27:

Bills: HF837 , HF1903 , HF499 , HF794

Committee: House Health Finance and Policy

Transcript Highlights:

• Systems matter.
• Systems matter.
• We don't want folks to enter the system as homeless. So I would just enter the system as homeless.
• Payment errors are not the same as fraud.
• Like any system that moves money electronically, whether it's banking, credit cards, or online payments

Committee: Joint Joint Committee on Ways and Means

Summary: The hearing was a FY27 budget session on Health and Human Services held in Mattapan, hosted by the Joint Committee on Ways and Means. Opening remarks from Senator Lydia Edwards, Representative Brandy Fluker-Reed, Representative Russell Holmes, and Boston Public Library President David Leonard emphasized the significance of holding the first Ways and Means hearing in Mattapan, the importance of community access, and the role of libraries as human services institutions. Committee members and attendees introduced themselves before agency testimony began. MassAbility testified first, describing its mission to support people with disabilities through employment, independent living, and disability determination services. The agency highlighted federal funding uncertainty, a modest FY27 budget reduction, and a proposed reworking of its home care program, which it said is outdated and should better target those most in need. Members questioned the home care cut, staffing reductions, and federal coordination. MassAbility also shared a participant story about recovery and community support to illustrate the impact of its services. The Massachusetts Commission for the Deaf and Hard of Hearing then presented its FY27 request, focusing on interpreter and captioning access, workforce development, emergency communication, aging-related hearing loss, and transition services for deaf and hard-of-hearing youth. Members asked about interpreter shortages, after-hours emergency coverage, ASL education, and community training; the commission said it is expanding mentorship and referral systems but still faces staffing and vendor challenges. The Massachusetts Commission for the Blind followed with a $30.8 million request, describing services for nearly 9,000 consumers, peer support groups, vocational rehabilitation, and Turning 22 services, while noting federal funding uncertainty and a 7% budget cut. Members raised concerns about maintaining services with fewer resources, and the commissioner said the agency had trimmed overhead and could manage the proposal. The Office for Refugees and Immigrants closed the segment, outlining expanded legal, housing, workforce, citizenship, and financial literacy supports for immigrants and refugees, including Know Your Rights trainings, legal defense initiatives, and the Massachusetts Access to Counsel Initiative. Members discussed the effects of federal policy changes, the loss of refugee resettlement funding, and the need for state support to fill gaps. No votes were taken in the portion provided; the hearing consisted of agency presentations and committee questioning.

Transcript Highlights:

• Systems matter.
• We don't want folks to enter the system as homeless.
• Payment errors are not the same as fraud.
• Like any system that moves money electronically, whether it's banking, credit cards, or online payments
• I built a lot of the systems that are in place.

Committee: Joint Joint Committee on Ways and Means

Summary: The Joint Committee on Ways and Means held an FY27 Health and Human Services budget hearing in Mattapan, hosted at the Boston Public Library branch. Chairs Lydia Edwards and Russell Holmes, along with Rep. Brandy Fluker-Reid, emphasized the significance of holding the first Ways and Means hearing ever in Mattapan and highlighted the importance of bringing state budget deliberations into a majority-Black neighborhood. Several legislators introduced themselves as they joined, and the committee noted that public testimony was not part of the format, though agencies were invited to discuss priorities and challenges. MassAbility opened the agency testimony. Leadership described the agency’s mission to support people with disabilities through employment, training, home and community life services, and disability determination. They said Governor Healey’s FY27 budget funds MassAbility at $93.3 million, a 1% reduction from FY26, and explained that the agency is responding to federal funding uncertainty and shifting program needs by redesigning services internally. Members questioned a proposed $1.3 million reduction to the Home Care Program, staffing changes, and whether services could be maintained with fewer resources. MassAbility said it was reviewing data on who uses the program, that it does not provide nursing or personal care, and that it is working with a transition plan and a working group. The agency also discussed federal uncertainty around vocational rehabilitation funding and said it had received delayed federal awards but remained in contact with national associations and federal partners. The testimony included a personal story from a participant, Joshua Corcoran, to illustrate the impact of services. The Massachusetts Commission for the Deaf and Hard of Hearing testified next, requesting $11.27 million, about a 6% increase over FY26. The commission said it serves about 1.4 million residents and focuses on communication access in health care, courts, public safety, and other public systems. It highlighted interpreter and captioner workforce shortages, a mentorship program to expand the provider pool, and a modernized referral platform funded through capital contingency money. Members asked about interpreter availability, after-hours emergency coverage, ASL access for students and families, and training for police and emergency responders. The commission said staffing remains limited, especially for after-hours services, but that it is expanding training, school outreach, and partnerships with DCF and other agencies. The Massachusetts Commission for the Blind then presented its FY27 budget request of $30.8 million. The commissioner said the agency serves nearly 9,000 legally blind residents, provides training and peer support, and placed 190 consumers in competitive integrated employment this year. It also described services for older adults, vocational rehabilitation, and the Turning 22 program for young adults with additional disabilities. Members raised concerns about a 7% cut from the prior year and asked how the agency could maintain services; the commissioner said the agency had no waiting list, had trimmed overhead, and could manage the budget through internal efficiencies and strong partnerships. The Office for Refugees and Immigrants closed the session, describing expanded legal and support services for immigrants and refugees, including Know Your Rights trainings, the Massachusetts Access to Counsel Initiative, citizenship and financial literacy programs, and the Family Welcome Center in Mattapan. Members asked about federal funding losses and the structure of the new legal services program; ORI said FY26 funding is stable but FY27 federal cuts remain uncertain, and that the legal program uses a centralized intake system with priority for emergencies and first-come, first-served access.

Transcript Highlights:

• It creates a redundant system that Arizona would now be responsible for administering.
• Obviously you're concerned about this system here where it offers the telemedicine.
• Under the current access model, the payment gap is a significant problem.
• Switched over and actually start making the payments to the new owner.
• This is a very long time to wait to be paid, and the system... It is a problem.

Summary: The committee first approved the January 28, 2026 minutes and held Senate Bill 1241 for a later hearing because a witness was unavailable. It then took up Senate Bill 1144, which would create an alternative pathway for veterinary technician certification through supervised on-the-job training and board-approved skills standards. Supporters, including the Arizona Humane Society, a high school student in a veterinary program, and other advocates, said the bill would help address workforce shortages, reduce student debt, and improve access to care, especially in rural and low-income areas. Opponents, including the Arizona Veterinary Technician Association and several veterinarians, argued the bill could weaken training standards, increase liability, and create safety risks; the Arizona Veterinary Medical Association ultimately moved to neutral after amendments added supervision and affidavit requirements. The committee adopted the amendment and then passed SB 1144 as amended on a 6-1 vote. The committee next passed Senate Bill 1247 unanimously. That bill would allow a person who does not receive care services to live with a resident in an assisted living center, and would bar the Department of Health Services from imposing requirements on that person that the resident would not face. Supporters said the bill was needed to fix a recent agency interpretation that could force spouses or other companions to separate or pay for services they do not use, and noted a possible floor amendment to extend the same treatment to assisted living homes. The committee then heard Senate Bill 1286, which would extend from 14 days to 60 days the period for veterinary prescriptions and renewals issued through telemedicine. Supporters said the change would improve access in underserved and rural areas and reflect how telemedicine is already used in human medicine, while opponents warned that longer telemedicine prescriptions could delay necessary exams and diagnostics, increase the risk of misdiagnosis, and create animal welfare and liability concerns. After testimony, the sponsor asked that the bill be held for a possible amendment next week, so no vote was taken. The committee also passed Senate Bill 1164, which would allow Medicaid claims to continue under a prior owner’s billing number during a skilled nursing or assisted living facility change of ownership until new enrollment is complete; supporters said this would prevent long reimbursement delays, while Access raised concerns about federal-law conflicts and said it needed advance notice to process ownership changes. The bill passed 6-0 with one member not voting. Finally, the committee passed Senate Bill 1181, which expands CPA licensure pathways by allowing combinations of degree and work experience and updates reciprocity and rulemaking provisions, and Senate Bill 1415, which creates a licensing path for salaried insurance adjusters with out-of-state credentials, subject to an amendment clarifying exam and employment requirements. Both bills were supported as workforce and mobility measures, and both were reported out of committee on unanimous or near-unanimous votes.

Transcript Highlights:

• ago and... ...installment payments.
• Yeah, some hospital systems are six years, but it's not necessarily the safety of the system.
• Fire protection systems in buildings rely on interconnected systems, including emergency power, ductwork
• , smoke control systems, structural fire protection systems, egress, sprinklers, you name it, fire alarm
• We know these systems will fail over time.

Committees: House Local Government , House Local Government, Elections and Pensions

Transcript Highlights:

• And so we, as a system, I think the idea for the strategic enrollment plan is to evolve the system to
• For the CSU system, is the CSU system engaging in these opportunities between K-12...
• For the CSU system, is the CSU system engaging in these opportunities between K-12 and the CSUs, and
• They're already using the system-wide case management system.
• And the system of the community college system, you mean? Correct. Yeah. Just...

Transcript Highlights:

• system.
• Basic care is a prospective payment system that is based on cost reports that facilities submit.
• A timeline was provided of legislative efforts and studies showing that the basic care payment system
• The basic care payment system review covered the core structure of the system, discussed the inflation
• The pros and cons of the payment system were also presented.

Committee: Joint Human Services

Summary: The Human Services Committee met in interim session and first approved the previous meeting minutes before receiving a series of presentations on homelessness and housing stability. Jennifer Henderson of the North Dakota Housing Finance Agency updated members on the new Interagency Council on Homelessness, describing its executive-order mandate to review resources, gather input from stakeholders, identify gaps, and develop recommendations. She said the council’s first work is building a statewide program matrix of existing homeless services and funding sources, with attention to youth, tribal communities, and other vulnerable populations. Members raised concerns about youth homelessness, homeless veterans, and how the council will stay focused on a practical framework rather than getting lost in details. The committee also discussed possible connections to the rural health transformation grant and agreed to continue the topic later in the spring. Beth Olson of Presentation Partners in Housing described the organization’s housing-first model in Cass County and Clay County, including homeless prevention/diversion, housing navigation, and Cooper House, a 42-unit permanent supportive housing building in Fargo. She said the organization focuses on people with long-term and chronic homelessness, many with mental health, addiction, health, domestic violence, and Indigenous identity-related barriers, and reported strong outcomes: 85 of 86 people housed in 2025, 91% still housed after one year, and major reductions in emergency room use, ambulance rides, jail stays, detox days, and shelter use. She also explained that state funding has grown from a small share of the budget to about $1.1 million in state-connected funding for fiscal 2026, largely through contracts tied to supportive services. Members asked about vouchers, rent contributions at Cooper House, length of stay, and whether similar projects could be expanded elsewhere. Andrea Olson of the Community Action Partnership of North Dakota outlined statewide homeless and housing-related services delivered through six community action agencies in all 53 counties. She explained the Community Services Block Grant structure, said housing was identified as the top need in the most recent statewide needs assessment, and described programs including Supportive Services for Veteran Families, North Dakota Homeless Grant services, and Home ARP supportive services. She emphasized that the end of North Dakota Rent Help has increased pressure on the system, that the current $2 million annual homeless grant is far smaller than prior rent-help assistance, and that community action is using case management and financial assistance to move households toward self-sufficiency. Members asked about funding formulas, rural service delivery, and coordination with Presentation Partners to avoid duplication. YouthWorks then began a presentation on youth homelessness, describing services for ages 12 to 24, the special needs of youth and former foster youth, and the organization’s use of federal and state funds to support transitional housing, emergency shelter, maternity housing, and diversion services.

Transcript Highlights:

• Uh, 457 allows the department to look at various value-based payment models.
• payment uh models. models. models.
• </c> management of the enterprise system. management of the enterprise system.
• Section 6, line 2177, allows for supplemental payments to hospitals.
• The section 6, line 2177, allows for supplemental payments to hospitals.

Committee: Joint Medicaid