Transcript Highlights:

• If you're looking first for the Foster Care Multi-Agency Office, I'll be covering that for Cal HHS.
• While Cal HHS does not have the Resources to perform all of the duties that would have been included
• Cal HHS, DDS, and DHS, thank you.
• He is currently awaiting details from federal HHS on additional awards for the CSBG program, and about
• an hour ago, just learned that federal HHS will be releasing the balance of LIHEAP funds to states.

Keywords: 988, house, all

Transcript Highlights:

• We also added in our policy bill that only needs to be heard by the HHS committee about updating the
• be<00:04:31.720> heard<00:04:31.960> by<00:04:32.080> the<00:04:32.160> HHS
• that only needs to be heard by the HHS that only needs to be heard by the HHS committee<00:04:33.240
• know he can answer the question, but I would want to keep us focused on the things that are in the HHS
• Senator Lieske, thank you, Madam Chair and fellow HHS committee members.

Keywords: 1187, senate, all

Transcript Highlights:

• has<00:09:59.839> operational As this reflects, HHS has operational As this reflects, HHS
• HHS needs to continue the hard viable.
• <00:13:07.279> has In the last 16 months, HHS has In the last 16 months, HHS has experienced
• What role as the HHS governing board.
• permanent HHS board. permanent HHS board.

Transcript Highlights:

• under the Board of Pharmacy, which I don't think anybody was happy with, and then now we have it under HHS
• However, one of the points that was made, and I would assume this would be similar coming from HHS, and
• So those are just a couple of things to consider, and I think the same thing with the HHS budget if we
• Before you head out, is there anyone from HHS here that would like to, have you had a chance to look
• at this or would like... ...anyone from HHS here that would like to, have you had a chance to look at

Keywords: 908, all

Summary: The subcommittee met on SB 2370 with a quorum present and focused on how to handle proposed 340B-related reporting language. Members discussed three main paths: adopt the LC draft with reporting requirements for covered entities, PBMs, insurers, and manufacturers; convert only the PBM/insurer/manufacturer portions into a study; or turn the entire proposal into a study. Representative Dobervich explained that the study version would keep the same subject areas but delay initial reporting so the data could be analyzed more thoughtfully, and she noted gaps in the original amendments, including federally qualified health centers participating in 340B, 340B contract pharmacies, and a clearer plan for data analysis and administration. Testimony from HHS and the Insurance Department emphasized that collecting data is different from analyzing it and that any version would need clear authority, confidentiality protections, and a designated agency willing to collect, analyze, and publish the information. The Insurance Department said it could potentially collect data but would likely need additional budget resources for analysis, and it noted that the pending PBM bill, SB 1584, could affect what information is already available through regulation. A representative of the North Dakota Pharmacists Association said SB 1584 contains some reporting but is not as comprehensive as the proposal under discussion. Members also discussed whether the proposal belonged in an insulin bill at all, with concerns raised about germaneness and the possibility of sending the matter to the Delayed Bills Committee or placing study language elsewhere. No vote was taken. The subcommittee adjourned after members agreed to continue refining the language over the weekend and bring options back to the full committee, with several members expressing a preference for a combined version that includes both reporting and study elements.

Transcript Highlights:

• Lori Weaver, Commissioner, HHS.
• And HHS is about 44% of the total operating budget.
• And HHS is about 44% budget, all funds.
• overall HHS budget. overall HHS budget.
• HHS, unlike many other state there.

Keywords: 928, house, all

Summary: The committee first handled routine business, approving the prior meeting minutes with one abstention from a member who had been absent. It then received an update from DHHS Commissioner Lori Weaver on the department’s rural health transformation grant submission. Weaver said the grant was submitted ahead of the deadline, reflected input from communities and providers statewide, and would now enter a CMS review and negotiation phase. She explained that the governor’s office will oversee the grant with DHHS, that some proposals may be limited by federal parameters, and that the department may need to hire some staff to administer the grant, within the grant’s administrative cap. Members also discussed DHHS budget pressures and staffing. The department’s CFO, Nathan White, reviewed the agency’s budget mix, noting that DHHS accounts for a large share of the state’s operating and general fund budgets, and explained projected general fund lapse estimates, which he said are currently just under $20 million for the department. He also described why lapse projections are difficult to predict in DHHS because many costs are driven by utilization and because some funds are statutorily non-lapsing. White reported that vacancy rates have risen, citing about 400 unfunded positions in the current biennium and the department’s hiring freeze, while emphasizing that direct-care positions are being prioritized. Committee members raised concerns that back-of-the-budget cuts and weak revenue collections could affect the department’s ability to manage lapse projections. The committee then heard from Division of Public Health Director Ian Watt on vaccine policy and federal changes. Watt said New Hampshire continues to support access to safe and effective vaccines, including through the universal purchase program and seasonal respiratory virus guidance. He explained a recent CDC change regarding the MMRV vaccine, which now discourages the combined shot for the first dose in children under four because of febrile seizure risk, while still allowing it for the second dose. Watt said New Hampshire’s school and child care vaccine mandates remain stable, with nine vaccines required for schoolchildren and 10 for child care, and that the state continues to review federal recommendations cautiously. He also said there have been no supply or funding disruptions affecting vaccine access, and that childhood vaccine funding through commercial insurers remains intact. Finally, the Permanent Subcommittee on Alzheimer’s Disease and Other Related Dementias presented its annual report. The subcommittee said it met about six times, heard presentations on state services, silver alerts, brain health awareness, and palliative/hospice care, and began work on updating the state’s Alzheimer’s plan, which had last been updated in 2015-2016. To gather more direct input, the subcommittee formed a needs-assessment work group to develop a survey for people living with dementia, caregivers, and service providers. It recommended integrating Alzheimer’s and dementia materials into chronic disease, aging, and public health outreach; embedding cognitive health into systems of care and the state health improvement plan; adding cognitive health measures to BRFSS; and continuing partnerships with aging and advocacy organizations. Members praised the report and suggested it should clearly identify the subcommittee and include page numbers in future versions.

Transcript Highlights:

• But yes, if you are already being inspected by HHS and you want to move forward, you can do that.
• But yes, if you are already being inspected by HHS and you want to move forward, you can do that.
• I think you would want to, at a minimum, just continue to do what HHS is doing.
• <00:33:22.640> I just continue to do what HHS is doing.
• I just continue to do what HHS is doing.

Keywords: 928, house, all

Summary: The committee held a work session on House Bill 396, which would exempt meat and meat food products slaughtered and prepared in-state for in-state sale from certain inspections. Representative Comtois explained her amendment, saying she tried to address prior concerns by limiting the number processed monthly, adding a registration and disclaimer requirement, and folding beef, swine, sheep, and goats into the bill’s framework. Members discussed whether some sections from earlier language on bison, elk, and red deer had been inadvertently struck, and Comtois said she did not intend to remove those protections and would restore them if needed. Several members raised drafting and policy concerns. Representative Miner suggested the waiver language should be a signed, notarized statement kept on file rather than filed with the Department of Agriculture, and Comtois agreed. Representative Gruber and Representative Scully discussed labeling and wording, including clarifying that the meat would not be “exempt” from federal inspection in the same way as non-amenable species, and adding language that any prosecution would be federal rather than state. There was also discussion about whether ground meat should be included for the amenable species, with Miner and Comtois indicating that excluding ground meat would reduce risk. Commissioner Sean Jasper of the Department of Agriculture, Markets, and Food testified strongly against the bill, saying it was a step in the wrong direction, lacked consumer protections, and could jeopardize food safety and the state’s meat processing system. He argued that the federal exemption for non-amenable species could not simply be extended to new species by state law, warned that USDA could respond by withdrawing federal inspections, and said the bill would not solve the real bottlenecks in slaughter capacity. He also said he did not believe there was a general shortage of inspectors, and that the practical issue was producers not scheduling animals year-round, which forces facilities to scale to the slow season. No vote was taken during the work session, and members continued discussing possible amendments and wording changes.

Transcript Highlights:

• Mahalo for joining today's AEN-HHS hearing.
• For HHS, same recommendation. Vice Chair for the vote, Chair.
• Vice chair For HHS, same recommendation.
• >> For HHS, same same recommendation. >> For HHS, same same recommendation.
• Uh for HHS, chair's recommendation is to defer. Thank you very much. unit.

Bills: HB1730, HB1985, HB1749, HB1921

Keywords: cesspool, wastewater systems, public health, environmental protection, affordable upgrades, coral reefs, water quality, Hawaii legislation, cesspools, wastewater, environment, pollution, Hawaii, sustainable development, sewerage system, real estate, disclosure, environmental impact, wastewater management, housing

Summary: The committee heard testimony on several cesspool-related measures. HB 1730 HD2 would create a cesspool conversion implementation working group to help the Department of Health review rules and practices and develop changes to make conversions more affordable. DOH and DLNR stood on written testimony, while environmental and wastewater advocates strongly supported the bill, emphasizing the need for dedicated staffing, technical expertise, and smaller, more focused advisory groups. Members discussed the high cost of upgrades and the need for new technologies that reduce excavation and leach field costs. The bill was passed with amendments, including clarifying the DOH director’s discretion over the size of the working group, and the committee noted DOH’s appropriation request for consideration. HB 1985 HD1 would extend certain cesspool conversion deadlines and authorize funding for consultants, while also advancing outreach and education. Testimony split sharply: advocates supported the education component but opposed deadline extensions as premature, arguing the state still has many years before the 2050 mandate and should not weaken the conversion timeline. The committee agreed to amend the bill to delete the deadline-extension portion, keep technical changes, and note DOH’s position request. HB 1749 HD2 would require sellers to disclose cesspools to buyers before a real estate purchase contract is executed and direct DOH and the Real Estate Commission to create a standardized form. Realtors supported the intent but asked to avoid duplicative statutory form requirements, and advocates stressed that disclosure should be prominent and not buried in paperwork. The committee adopted amendments removing the standardized-form mandate and passed the bill. HB 1921 HD2 would allow certain existing cesspools in priority level three areas to continue serving dwellings with additional bedrooms under conditions. DOH brought the measure, and supporters from the real estate and environmental sectors discussed innovative wastewater technologies, retrofits, and composting toilets as ways to reduce costs while improving treatment. The committee amended the bill to require DOH director-approved wastewater technology using solid waste separation for bedroom-count increases and to clarify priority-level determinations using block-level data from the Hawaii cesspool prioritization tool, then passed it. The committee also heard HB 2310, an emergency appropriation for the Department of Human Services to restore funding used to keep SNAP benefits flowing during the federal shutdown; DHS, public health, children’s advocates, and others supported it, and members questioned why it was not handled through the budget. The discussion clarified that the bill sought new money to move quickly for ACA-related premium support. No final vote on HB 2310 was shown in the excerpt.

Transcript Highlights:

• Oh, Chelsea Florey, sorry, the Director of Child and Family Services for, through HHS.
• So I'm going to ask you the same as the lady that was here before you from HHS. So.
• So I'm going to ask you the same as the lady that was here before you from HHS.
• The first slide here is what the DOCR is sending to HHS.
• So that is an update on the data connectivity between the DOCR and HHS regarding Medicaid.

Summary: The committee opened with a moment of silence for a deceased member, then approved the April minutes and heard a presentation from HHS on the Diversion Task Force and related youth services grants. Chelsea Florey described the $750,000 one-time appropriation from HB 1012, the five awarded grants, and how programs in Bismarck, Fargo, Grand Forks, and Minot are using the funds for youth diversion, including school-based groups, physical activity, and services for problematic sexual behavior. Members raised concerns about staffing shortages, family engagement, service silos, and whether diversion eligibility rules are too rigid; Florey said the task force is focused on better coordination, broader education about available services, and possible changes to diversion criteria, with the Children’s Cabinet likely to drive broader recommendations. The committee then received a North Dakota Lottery biennium report from Director Thomas Lawler, who reviewed the lottery’s history, games, retailer commissions, player programs, and revenue distribution. He reported about $67 million in ticket sales for the 2023-2025 biennium, about $16.2 million transferred overall, including roughly $13.6 million to the general fund, plus transfers to drug task force and compulsive gambling funds. Members asked about the compulsive gambling allocation and whether it is set by statute. Next, the Department of Corrections presented on criminal justice data sharing and reentry. Adam Anderson explained that jails, courts, DOCR, HHS, and other entities use separate systems with limited interoperability, making real-time communication largely manual. He outlined possible hub or point-to-point IT solutions, but noted cost, vendor, identifier, and data-definition challenges. Robin Schmolenberger followed with an update on a Medicaid data exchange project between DOCR and HHS to suspend and reactivate inmate Medicaid coverage automatically and improve care coordination, with full bi-directional exchange expected in fall 2026. The committee also heard from county representatives on 24-7 sobriety program fees and an AG opinion allowing local sheriffs to use cheaper testing options when courts waive fees. Finally, the North Dakota Racing Commission reviewed a troubling audit. Bruce Johnson acknowledged serious findings involving overspending from the promotion fund, missing grant documentation, a reversed decision on breeders fund eligibility, and repeated procurement violations. He said the commission has begun corrective actions, including monthly tracking of the promotion fund cap, stricter grant documentation, written procurement procedures, and clearer eligibility rules in condition books. Members pressed him on how the overspending occurred, whether the commission board would impose consequences, and whether statutory clarification is needed on the promotion fund limit and related spending rules.

Transcript Highlights:

• And when we were doing this, I sort of remembered that that program moved over to HHS, and we had to
• It was moved over in HHS in 2021, and I was thinking, I wonder if they even know that there's an old
• I contacted the internal auditor over at HHS, who happens to be here behind me, and said, "Guess what
• I have it here if you want to look at it." over in HHS in over in HHS in 2021<00:08:40.880> and
• <00:08:52.320> who the internal auditor over at HHS who the internal auditor over at HHS who

Keywords: 1189, house, all

Summary: The committee first accepted the minutes from the April 4 meeting, then moved to a discussion of potential audit topics and follow-up on prior performance audits. Christine Young, Director of Audits, and Jay Henry, performance audit supervisor, walked members through a spreadsheet showing the status of roughly 30 performance audit reports from the past 10 years, including the number of observations, whether agencies concurred, how many observations were fully addressed, and when each report was last updated. They explained that “fully addressed” only means the agency addressed the observations it agreed with, and that some reports include rejoinders when the audit office disagrees with an agency’s response. Members also discussed how some audits have been updated and others have not, including an example from the prescription drug monitoring program, which moved from the Board of Pharmacy/OPLC to HHS and was recently updated after staff contacted HHS. A major focus was the mental health workforce licensing audit, which was described as having little or no follow-up in the spreadsheet. Several members said this was especially concerning given the ongoing mental health crisis and argued that the committee should require a response. The committee agreed to start by sending letters to the chairs of the boards listed under that audit, asking the chair or designee to appear at the next meeting or respond in writing about what has been done and what remains unresolved. Members noted that the current process is voluntary and self-reported, which can lead to long delays or no response, especially for boards that meet only monthly and may have changed membership or leadership since the audit was issued. The committee also discussed other audit follow-up issues, including the liquor commission division of enforcement and licensing, which staff said was farther along than its percentage suggested, and a recently released human rights report that was not yet due for update. Members raised the possibility of using future budget reviews to ask agencies what they have done about old audit findings. In addition, the committee briefly discussed future audit topics, including a possible audit of local school districts related to special education, and staff explained that the statute allows the LBA to audit a limited number of non-state entities over a five-year period. The motion to authorize the chair and LBA to draft and send letters to the mental health workforce licensing boards passed by show of hands with one abstention. The next meeting was tentatively set for June 6 in State House 100, with staff to confirm the room and schedule.

Transcript Highlights:

• We can send a clear, direct message to the Department of Education and to HHS Medicaid.
• We need of Education to HHS Medicaid. We need some<00:08:34.800> resolution.
• Um, but this is not just ...but this is not just unique to HHS and DOE.
• At the same time, you mentioned the HHS.
• HHS, but also to DOE to be working with. HHS, but also to DOE to be working with.

Keywords: 1189, house, all

Summary: The subcommittee met to begin work on HB 742, which would require catastrophic special education aid to be drawn from the education trust fund, and more broadly to study special education aid/differentiated aid and related costing issues. The chair said the group was starting early because the issue has been debated for years without resolution, local districts are being forced to absorb prorated costs, and the committee wants to send the Department of Education and HHS Medicaid a clear request for data and recommendations before retained bills return in the fall. A committee clerk was also selected, with Representative Reverend volunteering to take notes for the meeting. Members reviewed background materials on special education enrollment, high-cost students, and possible funding formulas, including data on students in high-cost brackets and prior ideas such as category-based funding and caseload-based approaches. The chair also referenced research on other states, including Arkansas, which uses a different special education funding structure and audits IEPs. The committee emphasized that it was focused on the funding mechanics and costs, not on questioning whether services should be provided. Henry Lipman of HHS explained how Medicaid-to-schools currently works in New Hampshire. He said 172 school districts participate, but utilization dropped during the pandemic and remains below historical levels, in part because districts need the capacity to bill Medicaid. Under the current system, schools receive reimbursement based on half of the Medicaid fee schedule, with the school district effectively providing the state share. He said the federal government is requiring a shift by July 1, 2026, to a true certified public expenditure model based on actual costs, which should allow schools to recover 50% of their true costs and some administrative overhead. The department has received a roughly $2.5 million grant to hire a vendor and support districts through the transition, and an RFP and stakeholder meetings are underway. Committee members asked about how costs would be determined, whether the new system would use actual district-specific costs rather than averages, and how the department would support districts that do not currently participate. Lipman said the cost model would be based on each district’s own reasonable costs, subject to audit standards, and that the department expects to provide templates and technical assistance through the vendor because its staff is limited. He also said about one in four New Hampshire children are enrolled in Medicaid, that child enrollment has been relatively stable, and that continuous coverage rules should reduce churn. No votes or formal actions on HB 742 were taken during the meeting beyond organizing the subcommittee and beginning testimony and discussion.

Transcript Highlights:

• The reason for the waiver is that it's a joint hearing of HRE and HHS.
• hearing<00:04:04.920> of<00:04:05.239> hre<00:04:05.879> and<00:04:06.360> HHS
• both it's a joint hearing of hre and HHS both it's a joint hearing of hre and HHS both<00:04:07.760

Keywords: 912, senate, all

Transcript Highlights:

• <00:46:49.119> for<00:46:50.079> um HHS for um HHS for um syringe<00:46:51.760> service
• Once the funding is authorized, then there are contractual obligations that are established by HHS, so
• these are closely regulated by HHS when they're being set up and authorized.
• We get regular reports from HHS.
• If you go on to the HHS website, you'll be able to find the most recent reports that were given to the

Keywords: 1191, senate, all

Transcript Highlights:

• Allison is on by your HHS, right by the Department of Health and Human Services.
• Allison is on by your HHS right by Department<00:20:22.000> of<00:20:22.159> Health<00
• you'll see on one end you've got HHS you'll see on one end you've got HHS with<01:12:45.199>
• compliance with paying child support HHS compliance with paying child support HHS can<01:52:21.040
• <01:52:34.840> rulemaking statute but it also has HHS rulemaking statute but it also has HHS

Keywords: 928, house, all

Summary: The committee held an orientation for new and returning members of the House committee on agencies and administration, with introductions from members and staff. Chair Carol Maguire outlined her expectations for hearings: keep questions focused on the bill, be respectful to witnesses, and use the committee’s orientation opportunities to learn about the jail staff, retirement system, and Office of Professional Licensure. Members also discussed related assignments on other bodies, including the Joint Legislative Committee on Administrative Rules and the Joint Committee on Employee Classification, and noted that some members already serve on those panels. A substantial portion of the meeting focused on the State Building Code and the committee’s upcoming workload. Members explained how the state code is intended to provide a common baseline while allowing limited local options, and why municipalities must formally adopt and publish any local amendments. They reviewed several anticipated bills: a consolidation bill to gather building-code enforcement materials in one place, a bill to update the state energy code, a bill to restrict municipal adoption of building-code changes, and a bill to update the electrical code. Members also discussed how building codes apply to older homes and commercial buildings, and why code updates are important for safety and clarity. The chair said the committee had 36 bills currently scheduled, including many early bills that must move by March 6 because they will be heard by two committees. She said the committee would use subcommittees for harder bills, with three subcommittees this year: pensions, licensing, and likely state building code. She also outlined the hearing schedule, including lighter bills on February 12 and the expectation of executive sessions later in the month. No votes were taken during the orientation, but members were told that public hearings do not require a quorum and that hard copies of bills would be distributed by committee staff.

Transcript Highlights:

• Yes, as I recall, the attorney from HHS testified or commented on the fact that, well, it was a hearing
• if the intention is to remove the dollars, then we would need to bring an amendment forward to the HHS
• Bring an amendment forward to the HHS budget to give them the authority to do that.
• And so as we leave here, HHS will be the last department that's on the mainframe.
• And so as we leave here, as we leave here, HHS will be the last department that's on the main frame.

Keywords: 908, all

Summary: The committee began with roll call and a brief update on remaining work, then took up Senate Bill 2213, the “science of math” bill. Members clarified that the appropriation for the program was not included in the DPI budget and would remain attached to the policy bill for now. The committee adopted the amendment and then gave the bill a do pass recommendation, 21-2. The committee next considered Senate Bills 2036 and 2037, both juvenile justice/Human Services bills involving mental health and criminal responsibility evaluations for minors. Testimony explained that the bills create new processes and require DHS to contract with specialized providers, with appropriations of $500,000 in 2036 and $300,000 in 2037. Members debated whether the funding should come from existing DHS resources or remain as separate appropriations, and whether the programs were one-time or ongoing. The committee adopted amendments on both bills and then recommended both do pass, with 2036 passing 14-6 and 2037 passing 17-4. The committee then heard Senate Bill 2021, the Information Technology Department budget. Representative Bosch outlined major themes in the budget, including migration from PeopleSoft and the mainframe, onboarding/off-boarding automation, double-counting of IT spending, and the transition of education technology from PowerSchool to Infinite Campus. Members also discussed a study amendment related to a statewide enterprise resource planning system, and added language on grant management and compliance management. The committee adopted the amendments and gave the budget a do pass recommendation, 20-0-3. Finally, the committee heard Senate Bill 2011, the Highway Patrol budget. Representative Pyle explained the House changes, including shifting some one-time costs to the motor carrier electronic permit fund, funding for body armor, breath tests, road course resurfacing, fleet costs, handgun replacement, and carryover authority for federal technology funds. The committee adopted the amendment and then passed the budget 21-0-2. The committee then began Senate Bill 2399, a Human Services bill on Medicaid reimbursement for psychiatric residential treatment facilities, but deferred action after testimony from a facility representative and committee discussion about therapeutic leave days, reimbursement rates, and whether a cap on reimbursable days should be set in statute or rule. The chair said the committee would seek more information from DHS and take the bill up the next day.

Transcript Highlights:

• He even brought in the form and pointed them to the HHS website.
• He even brought in the form and pointed them to the HHS website.
• stance of the New Hampshire HHS. stance of the New Hampshire HHS.
• Um most importantly that the HHS >> I will.
• , way to an oversight um, from HS HHS, way to an oversight um, from HS HHS, excuse<04:15:04.319><

Keywords: 1189, house, all

Transcript Highlights:

• You did tweak it a little bit, which HHS asked for, and what we would think about doing is ceding to
• Chairman, do you have any objection if HHS wants to clarify? No. Go ahead. I would hate, Mr.
• No, I mean, the reality is, you know, here we are the HHS committee.
• know, here we mean the reality is, you know, here we are<02:22:32.880> the<02:22:33.040> HHS
• I mean, this this are the HHS committee.

Keywords: 1191, senate, all

Summary: The committee of conference first met on Senate Bill 221, which concerned annual voter roll verification and the lookback period for checking voter registration lists. The Senate favored looking back to presidential elections to reduce the number of voters removed, while the House argued for annual verification with a one-year lookback because the voter roll database now makes the process easier and because of population mobility and student turnover. Members discussed possible refinements to the 30-day letter process and agreed to recess and return Wednesday at 9:00 a.m. to continue negotiations. The committee then took up Senate Bill 213 and Senate Bill 218, both involving absentee voting and public employee electioneering restrictions. On SB 213, the discussion focused on clarifying identification/documentation requirements for absentee ballot-related applications and on a House amendment to preserve the ability of certain public employees to provide factual information to the public about official matters without violating the bill. On SB 218, the Senate wanted to remove outer envelopes from absentee voting materials, while the House supported keeping the bill but clarifying that only applicable documentation is required. Members raised concerns about voter access, clerks’ procedures, and whether the electioneering language was too broad; both bills were held over and recessed for further work. The committee also considered Senate Bill 287, which dealt with public employee electioneering and a related carve-out for factual responses by appointed public employees. The House and Senate discussed combining amendments, but the House member said the underlying bill was needed to curb partisan electioneering while still allowing factual public information. The committee then moved to Senate Bill 118, which would adjust a personal needs allowance for nursing home residents, address Hampstead Hospital employee bonuses, and create a maintenance fund for the hospital. The Senate objected to a House-added cannabis cultivation provision, saying it was unrelated to the bill and could jeopardize the measure because of the Senate’s and governor’s opposition to cannabis language; the committee recessed to revisit the issue later, with the House noting the base bill’s importance to nursing home residents and Hampstead Hospital.

Transcript Highlights:

• Each year this Commerce Committee and the HHS Committee field submissions from legislative members in
• Uh, every bill that is on the agenda today will be passed through to HHS, uh, Senator Wiklund committee
• :02:02.920> to agenda today will be passed through to agenda today will be passed through to HHS
• uh Senator Wickland committee where HHS uh Senator Wickland committee where she<00:02:05.719> has
• legislators must notify Commerce or HHS legislators must notify Commerce or HHS chair<01:35:48.320

Keywords: 1187, senate, all

Transcript Highlights:

• Oh, Chelsea Florey, sorry, the Director of Child and Family Services for, through HHS.
• So I'm going to ask you the same as the lady that was here before you from HHS.
• Today I'm going to provide information regarding data connectivity between HHS and the DOCR, specific
• The first slide here is what the DOCR is sending to HHS.
• So that is an update on the data connectivity between the DOCR and HHS regarding Medicaid.

Summary: The committee opened with a moment of silence honoring a deceased member, then approved the April minutes. The first major presentation was from Chelsea Florey of Child and Family Services on the Diversion Task Force and related grant programs created with one-time funding from HB 1012. She reported that five of six proposals were funded, with youth diversion services operating in Bismarck, Fargo, Grand Forks, Minot, and a Red River Children’s Advocacy Center program focused on problematic sexualized behavior. Members discussed barriers such as staffing shortages, voluntary family engagement, service fatigue, and the need for better coordination, broader outreach, and possible changes to diversion eligibility rules so low-level cases can remain in diversion longer. Several legislators pressed for more practical system changes and clearer service navigation, while Florey said the task force is trying to build a service array or hub and is leaning on the Children’s Cabinet for broader recommendations. The committee then heard from North Dakota Lottery Director Thomas Lawler, who gave an operational overview and biennium report. He described the lottery’s history, games, retailer commissions, Pick and Click subscriptions, Players Club membership, and revenue distribution. For the 2023-25 biennium, about $67 million in tickets were purchased, with roughly $16.2 million transferred overall, including money for the general fund, drug task force grants, and compulsive gambling prevention and treatment. Members asked about the compulsive gambling allocation and whether the amount is set by statute. A lengthy presentation followed from the Department of Corrections and Rehabilitation on criminal justice data connectivity and reentry. Adam Anderson explained that North Dakota’s jail, court, HHS, and correctional systems use multiple separate databases that do not communicate in real time, requiring manual cross-checks and staff communication. He said the department is exploring a centralized hub or other integration approach, but noted challenges with identifiers, vendor contracts, confidentiality, and cost. Robin Schmolenberger then updated the committee on a Medicaid data-sharing project with HHS, saying monthly application assistance is now occurring in correctional facilities and that automated bi-directional data exchange is expected in late 2026 to help suspend and reactivate Medicaid coverage and identify former foster care youth. Members also discussed parole, probation, transitional housing, and the need for better real-time notifications and clearer data definitions. The committee also received an update from county representatives on the 24/7 sobriety program, including a recent attorney general opinion that if a court waives 24/7 fees, sheriffs may use the cheaper twice-daily breath test or urine testing instead of SCRAM bracelets or drug patches. Finally, Bruce Johnson of the Racing Commission presented on an audit report, acknowledging serious findings involving overspending from the promotion fund, grant documentation failures, a breeders fund eligibility reversal, and repeated procurement violations. He said the commission has already changed its procedures by tracking fund limits monthly, requiring grant applications and itemized reports, enforcing breeders fund rules as written, and routing purchases through procurement with written contracts. The committee asked follow-up questions throughout but took no formal votes on these presentations.

Transcript Highlights:

• I am Kay Larson, the HHS Early Childhood Director.
• A subcommittee of HHS staff and providers from the joint committees met to discuss qualifications for
• I am the interim director of the Medical Services Division of HHS.
• We updated our HHS website with information for both families and providers.
• We updated our HHS website with information for both families and providers.

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

Transcript Highlights:

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Keywords: 1191, senate, all