Transcript Highlights:

• authority.
• I think some of the services have asked for special authorities.
• A lot of it involves the review timeline and the external authorities.
• Of acquisition authority, cause delays, or even hurt the mission?
• We have the authority to go do it, let's go do it.

Committee: Senate Subcommittee on Personnel

Transcript Highlights:

• The investigators would have limited authority to serve search warrants.
• Investigators do not have the authority to detain, arrest, or carry firearms.
• And the Attorney General's Office has various authority within our concurrent authority under RCW 43.10
• We appreciate that the bill clearly limits investigators' authorities and requires judicial authorization
• We appreciate that the bill clearly limits investigators' authorities and requires judicial authorization

Summary: The committee first waived the five-day notice rule for five House bills, then held public hearings on several measures. On Engrossed Substitute House Bill 2548, the committee heard staff and sponsor testimony on expanding health care merger notice requirements to the Attorney General, adding transactions involving majority ownership/control and asset sales, requiring public posting of notices, pausing closings until information requests are substantially complied with, and adding filing fees. Supporters, including the sponsor, the Attorney General’s Office, the Office of the Insurance Commissioner, nurses, and patient advocates, said the bill would improve transparency and oversight of consolidation and private equity in health care; the Washington State Medical Association and Washington State Hospital Association were neutral after compromise language, though the hospital association raised concern about the added fees. The hearing closed with many people signed in pro and con but not testifying. The committee then heard Second Substitute House Bill 2333, which would allow candidates and elected officials to use campaign or surplus funds to reimburse personal security expenses related to threats tied to their public roles. The sponsor and several prosecutors described personal threats and argued the bill is needed to protect public servants, while public disclosure officials said current PDC processes and the state Address Confidentiality Program already provide some protections and cautioned against over-codifying agency discretion. Some testimony urged restoring earlier address-protection provisions, while county auditors said the revised bill removed operationally unworkable redaction language and was acceptable as amended. The bill had broad signed-in support and opposition, but no vote was taken. For Engrossed House Bill 1574, staff explained the bill would expand Good Samaritan-style protections for people seeking overdose help, bar arrest or conviction for possession in those circumstances, limit related penalties and forfeiture, and allow hospitals and other health facilities to distribute public health supplies without committing paraphernalia infractions. Supporters said it would save lives and improve access to drug checking and harm reduction services, while prosecutors and law enforcement groups said the bill was too broad, especially regarding arrest limits, protection-order violations, probation/parole, warrants, and civil forfeiture. The sponsor said the bill was intended to keep people alive and encourage calls for help. The committee also heard Engrossed House Bill 2156, which would let Attorney General investigators be designated limited authority peace officers to electronically serve search warrants in economic and financial crime cases; the AGO and retailers supported it as a tool against organized retail theft and wage theft, while sheriffs and police chiefs opposed it and urged added guardrails and deconfliction with local law enforcement. Finally, on Engrossed Substitute House Bill 2320, the committee heard a bill to regulate 3D-printed and digitally manufactured firearms and digital firearm manufacturing code. The sponsor and supporters, including students, pediatricians, and a gun-violence survivor’s family member, said it was needed to address untraceable ghost guns and keep pace with technology, while opponents argued the bill was overbroad, raised constitutional concerns, and targeted files and speech rather than criminal conduct. No votes were taken in the hearing excerpts provided.

Transcript Highlights:

• The federal law gives authority to governors to establish state guidelines that are reflective of their
• The federal law gives authority to governors to establish state guidelines that are reflective of their
• We just want to say a special thank you to our congressional delegation for including Workforce PEL.
• <00:25:46.720><c> delegation</c><00:25:47.919><c> for</c><00:25:48.559><c> including</c> congressional
• delegation for including congressional delegation for including workforce<00:25:49.600><c> pel.

Committee: Joint Education

Transcript Highlights:

• If it is a service they cover and Medicare does not, they already have authority somewhere else to use
• </c> limit it and because congressionally limit it and because congressionally approved<00:36:59.400>
• And again, there's some other areas where we give the commissioner some authority if there are major
• And again, there's some other areas where we give the commissioner some authority if there are major
• And again, there's some other areas where we give the commissioner some authority if there are major

Committee: Senate Health and Human Services

Transcript Highlights:

• And this also tracks with the Congressional Budget Office estimate.
• And this also tracks with the Congressional Budget Office estimate.
• And this this also tracks<00:22:11.760><c> with</c><00:22:12.000><c> the</c><00:22:12.799><c> Congressional
• </c><00:22:13.280><c> Budget</c> tracks with the Congressional Budget tracks with the Congressional Budget
• We deputize our staff to actually authorize and approve; that would short-circuit that process and make

Summary: The joint informational briefing by the Health and Human Services and Commerce and Consumer Protection committees focused on projected impacts to Hawaii consumers from federal changes affecting Med-QUEST and the ACA marketplace, including the loss of ACA premium tax credits, OBVA/HR1-related Medicaid changes, immigrant eligibility restrictions, and new Medicaid work/community engagement requirements. Committee members noted the meeting was being streamed live and emphasized the need to explain potential coverage losses affecting a significant share of the state population. Med-QUEST administrators reported current enrollment at 390,766, about 27% of Hawaii’s population, and broke that down into major groups including roughly 128,000 ACA expansion adults and about 52,000 parent/caretaker relatives. They said the expansion adult population would be most affected by the new federal requirements, which will shorten renewal periods from 12 months to 6 months and impose community engagement rules beginning in late 2026 and 2027. They described the work requirement as 80 hours per month of work, community service, work program participation, or half-time education, with an income-based pathway tied to $580 per month at the federal minimum wage; they also noted a long list of exemptions, but said many details are still awaiting federal guidance and rulemaking. The administrators said federal changes to immigrant eligibility would eliminate Medicaid coverage for certain noncitizen categories, with an estimated 1,200 to 2,400 people affected, though about 200 may remain covered through a state-funded program for otherwise eligible individuals. They also said marketplace subsidies would no longer be available for some immigrants under 100% of the federal poverty level starting January 1, 2026, with further restrictions expected in 2027. For Hawaii overall, they estimated the new Medicaid work and renewal rules could push an additional 19,000 to 38,000 people into uninsured status, with another estimated 6,000 at risk from the six-month renewal process alone. Members asked about how exemptions would be determined, especially for medically frail and seriously mentally ill individuals, and administrators said they were still awaiting detailed federal rules and were working on data-matching and verification processes to reduce coverage losses.

Transcript Highlights:

• Given the charge of this committee, I'll focus my testimony today on the bond authorizations within the
• More specifically, the Mass Wins Act proposes a total of $305 million in bond authorizations.
• We've committed nearly 75% of the original authorization.
• I have a question about the bonding authorization itself.
• Secretary, that they were offset by our previous authorizations.

Committee: Joint Joint Committee on Bonding, Capital Expenditures and State Assets

Summary: The House Bonding Committee met to hear testimony on H. 5527, the Mass Wins Act, with Secretary of Economic Development Eric Paley opening by describing the bill as a follow-on to Mass Leads. He said the proposal includes $305 million in bond authorizations, with $180 million for new programs and $125 million to expand existing ones, plus $140 million in deauthorizations of unused or redundant authorizations. He highlighted investments in applied AI and quantum, robotics, business expansion capital, defense innovation, global business attraction, ag tech and food science, downtowns, and the creative economy, and said the bill is intended to support geographic equity and small business growth across the Commonwealth. Committee members questioned the administration on several policy sections, including the MassCEC climate-tech certification language, housing-related provisions tied to 40B compliance and site plan review, the removal of the LCSW exam, AI transparency and federal preemption concerns, and the effect of lower LLC filing fees. Paley generally said some contested sections were added by the Economic Development Committee rather than the administration, defended the MassCEC discretion language as necessary for climate certification, and said the administration would follow up on committee-added provisions. He also said the bill’s housing provisions were meant to help address the state’s need for more homes and that the deauthorizations were housekeeping measures that did not affect current capital plan projects. Public testimony covered a wide range of topics. AARP and local advocates urged a statewide ban on cryptocurrency ATMs, arguing they are heavily used in scams, impose high fees, and drain money from seniors and local economies. Housing groups supported codifying site plan review and adding parking reform and YIGBY-style housing on faith-owned land. Building trades asked to include off-site fabrication in prevailing wage law. The Massachusetts Public Banking Campaign backed the bill and urged inclusion of a public bank concept. Several witnesses supported Section 106, the Transparency and Frontier AI Act, as a way to require safety plans, audits, incident reporting, and whistleblower protections for the largest AI companies, while an AI startup group argued the section would overregulate smaller firms and should be separated from the bond bill. No votes were taken during the hearing.

Transcript Highlights:

• And I'm clerk of machine to co-author. Members, vote to machine to co-author.
• Clerk will close the machine. 18 co-authors. Thank you.
• Members, this just authorizes—the amendment just authorizes, but does not require a governing authority
• Members, this just authorizes—the amendment just authorizes, but does not require a governing authority
• Instead, beginning August 1, 2026, it will be governed by the West Bank Levee Authority.

Bills: HR308 , HR309 , HR310 , HR311 , HR312 , HR313 , HR314 , HR315 , HR316 , HR317 , HR318 , HR319 , HR295 , HR296 , HR297 , HR298 , HR299 , HR300 , HR301 , HR302 , HR303 , HR304 , HR305 , HR306 , HR307 , HCR115 , HCR116 , HCR117 , SCR71 , SCR72 , SCR73 , HR73 , HR118 , HR144 , HR196 , HR237 , HR249 , HR260 , HR267 , HR272 , HR273 , HR276 , HR278 , HCR85 , HCR100 , HCR105 , HCR107 , HCR113 , HCR114 , SCR5 , SCR29 , SCR33 , SCR37 , SCR63 , HB255 , HB378 , HB509 , HB1090 , SB80 , SB131 , SB143 , SB251 , SB254 , SB279 , SB367 , SB384 , SB388 , SB389 , SB398 , SB408 , SB431 , SB468 , SB469 , SB496 , SB25 , SB132 , SB155 , SB157 , SB202 , SB295 , SB433 , HR179 , HR223 , HR225 , HR274 , HCR89 , HR252 , HR253 , HCR96 , HCR103 , HCR108 , HCR26 , HB250 , HB265 , HB339 , HB427 , HB445 , HB463 , HB468 , HB606 , HB639 , HB649 , HB665 , HB746 , HB781 , HB853 , HB861 , HB872 , HB886 , HB916 , HB937 , HB1054 , HB1068 , HB1117 , HB1237 , HB74 , HB108 , HB956 , HB1085 , HB1137 , HB62 , HB193 , HB210 , HB220 , HB246 , HB364 , HB420 , HB475 , HB584 , HB622 , HB772 , HB784 , HB949 , HB953 , HB1043 , HB1070 , HB1092 , HB1134 , HB1162 , HB1176 , HB1196 , HB1214 , HB1199 , SB268 , SB283 , HB782 , SB149 , HR84 , HB646 , HB998 , SB56 , SB163 , SB197 , SB97 , SB326 , SB341 , SB518 , SB123 , SB353 , SB479 , SB495 , HB901 , HR20 , HR74 , HR168 , HCR65 , HCR71 , HCR98 , HB284 , HB302 , HB306 , HB341 , HB366 , HB393 , HB458 , HB577 , HB603 , HB605 , HB614 , HB625 , HB733 , HB752 , HB773 , HB798 , HB911 , HB955 , HB996 , HB1035 , HB1069 , HB1113 , HB1140 , HB1180 , HB1191 , HB1240 , HB1255 , SB82 , SB89 , HB134 , HB258 , HB359 , SB29 , SB42 , SB43 , SB217 , SB274 , SB300 , SB379 , SB382 , SB441 , SB449

Keywords: HR 308, House Resolution 308, Pope Leo XIV, Catholic Church, Holy See, Vatican, commendation, resolution, Louisiana Catholic heritage, St. Louis Cathedral, New Orleans, South Louisiana parishes, religious recognition, ceremonial resolution, faith leadership, pontificate, spiritual solidarity, human dignity, peace, mercy

Transcript Highlights:

• All it is is that if schools choose to, the LEAs, and that gives them back to their local authority,
• House of Representatives, and to each congressional member of Arizona.
• authority under federal law if the waiver is not granted.
• augmentation authority and additionally allows a county water augmentation authority to enter into loan
• This just gives them the authorization to move forward in using the augmentation authorities.

Summary: The meeting covered a very large number of bills across multiple committees, with most items presented on consent calendars and several sponsors explaining their measures. Education bills focused on moving statewide testing later in the school year, allowing paper testing by local choice, increasing transparency around district administrator pay, expanding religious excusal policies, creating a school fitness recognition program, and sending a resolution to voters to require sex-based designation of school sports teams and private spaces. Federalism and Government items included bans on foreign contributions to ballot-measure committees, a proposed ballot measure to eliminate voting centers and return to precinct-based voting, memorials urging withdrawal from the United Nations and the IMF, penalties for late agency financial reporting, restrictions on state contracts with China, and a bill limiting use of ADS-B aviation data for fee collection. Commerce bills addressed digital goods disclosure, child influencer trust accounts, liability for river outfitters, marketplace contractor termination rights, utility submetering charges, unemployment eligibility checks, and association-based health plans. Health and human services measures included lactation consultant certification and Medicaid breastfeeding support, a ban on gender transition procedures for minors, a requirement that chief medical officers hold active licenses, technical ambulance definitions, a SNAP waiver request to restrict non-eligible food purchases, hospital collection of patient immigration status, and enrollment verification for AHCCCS-related hospital presumptive eligibility. Judiciary bills included consent-verification requirements for online sexual material, a civil cause of action for DEI policy violations, hate-crime-style enhancements that also cover political affiliation, name-change disclosure rules for sex offenders, penalties for possession of falsified commercial driver’s licenses by unlawfully present persons, penalties for mailing abortion-inducing drugs, speed-inhibiting devices as an alternative to license suspension, longer transition services for inmates, stronger penalties for sexual extortion of minors, and legislative oversight of state shooting range closures. Natural resources and water bills dealt with brackish groundwater recovery and desalination studies, water augmentation authority financing, HOA drought-year watering restrictions, water-rate parity for customers outside city limits, and groundwater transportation from the McMullen Valley basin. Other topics included a ban on PFAS firefighting foam, restrictions on vaccine and mask mandates by governments and businesses, protections against employment or service discrimination based on medical interventions, elimination of long-vacant state positions, consumer protections against device disabling after owner modifications, and restrictions on Chinese-made critical infrastructure. The committee also heard a Space Commission update bill and a continuation of the Arizona Beef Council. Several bills were pulled from consent or flagged for amendments or legal concerns, including the testing-window bill, student directory information bill, river outfitter liability bill, ambulance bill, and others. No final floor votes were taken in the transcript, but many bills were advanced on third-read or consent calendars, while a few were set aside for amendments or further discussion.

Transcript Highlights:

• officials, and criminal justice participants against threats and incidents of political violence by authorizing
• Certain persons are authorized to apply, as mentioned in statute.
• The bill also authorizes the use of a legislator's member business expense account and funds from the
• authority and the prescriptive authority activity under the agreement.
• of the specific authority be exempt from public disclosure 12th the specific authority of a court to

Summary: The committee heard testimony on several bills, beginning with House Bill 2333, which would expand protections for elected officials, candidates, executive state officers, election officials, and criminal justice participants by allowing address confidentiality, redacting campaign and property records, increasing some penalties for threats, and authorizing security assessments and reimbursement for personal security measures. The prime sponsor and supporters described rising political violence and personal threats, while opponents and agency staff raised concerns about implementation, constitutional issues, public-records transparency, costs, and whether the bill would actually prevent determined actors from finding addresses through other sources. The Secretary of State’s office, county officials, and the Public Disclosure Commission said the bill would create major logistical and fiscal challenges, while prosecutors, judges, and advocacy groups testified that the protections were needed for safety and retention in public service. House Bill 2176 would make collaborative drug therapy agreements confidential under the Public Records Act except when the agreement is the basis for a disciplinary action, in which case only relevant information would be disclosed with personal information redacted. The sponsor and supporters, including pharmacists, physicians, and reproductive-health advocates, said the bill would protect clinicians from harassment and out-of-state targeting while preserving accountability for misconduct. News media representatives and open-government advocates said the underlying agreements should remain accessible only in limited circumstances and emphasized the balance between privacy and transparency. Committee members also discussed how the bill would affect access to the agreements and the scope of disclosure. House Bill 2120 would eliminate two JLARC reporting requirements: the biennial report on municipal lodging-tax revenues and the periodic evaluation of the training benefits program. The bill’s sponsor and JLARC leadership described it as a cost-saving measure that would free staff for other audits, while the hospitality industry supported tourism funding but warned that the lodging-tax report provides useful oversight and accountability. The committee also received staff briefings on House Bill 2244, which would implement multiple Public Records Exemptions Accountability Committee recommendations by changing confidentiality rules in 13 areas, including grand jury reports, accident reports, driver case records, certain health and social-service records, corporate interrogatories, family court files, and other records.

Transcript Highlights:

• Okay, we'll have our first author.
• I'm also the Eighth Congressional District Woman of the Year.
• So I want to thank the author and thank you and all those who came to testify.
• SB 791 will establish a statutory framework of... ...will establish a statutory framework authorizing
• I thank the author for bringing this up and for moving this forward. So thank you both.

Committee: Senate Human Services

Transcript Highlights:

• So we do have the authority to do this.
• This is specific statutory authority that's been on the books since 1996.
• This is because promotion authority is centralized at the highest levels.
• The proposal corrects these problems by untying the reduction of rank authority, Members.
• The proposal corrects these problems by untying the reduction of rank authority from the promotion authority

Committee: Senate State Affairs

Transcript Highlights:

• And also co-author—I forgot to add my name.
• And also co-author—I forgot to add my name. Sorry about that. Thank you, Representative Marceau.
• My seatmate beat me to the move favorable, but I would like to co-author, so thank you for bringing this
• My seatmate beat me to the move favorable, but I would like to co-authors, so thank you for bringing
• for parish elections and from eight to nine for presidential or regularly scheduled or special congressional

Committee: House Appropriations

Summary: The House Appropriations Committee met on May 26, 2026, and first took up Senate Bill 433, which would provide Medicaid coverage for certain weight-loss medications. After adopting a House amendment adding customary subject-to-appropriation language, the committee heard from LDH Secretary Bruce Greenstein, who said the state currently spends about $240 million a year on GLP-1 drugs for Medicaid patients with obesity and certain other conditions, and that the bill would let the department expand coverage gradually while controlling costs and negotiating better pricing. Members spoke in strong support, and SB 433 was reported favorable as amended. The committee then considered Senate Bill 157, which creates paid parental leave for eligible public K-12 educators and staff. An amendment was adopted to adjust fund language and make the bill proper for Appropriations. Senator Jenkins and supporters, including the Louisiana Federation of Teachers, described the bill as providing six weeks of paid leave for birth, adoption, fostering, and related family-building events, while members discussed whether medical leave should also be included and confirmed the leave applies to fathers as well. The bill drew broad support and was reported favorable as amended. Senate Bill 250, requiring the Office of Group Benefits to offer a comprehensive weight management plan with employees paying the full premium and medication costs, was briefly discussed and reported favorable without objection. The committee then spent considerable time on Senate Bill 237, a child welfare measure from Senator Barrow that would expand notification, access, and investigative procedures for the Child Ombudsman and DCFS, including child-on-child sexual abuse cases and multidisciplinary fatality reviews. Members and agency officials debated the fiscal note, with estimates ranging from about $525,000 to $3.2 million and disagreement over whether some costs were already covered or could be absorbed; after a roll call, the bill passed 10-9 and was reported favorable as amended. Finally, the committee began Senate Bill 155, which requires insurance coverage for medically necessary dental care tied to cancer treatment. Senator Talbot and medical and cancer advocacy witnesses said the bill would remove a barrier to timely chemotherapy or radiation and could prevent more expensive complications later. Members expressed support and discussed a relatively small fiscal note, but the transcript cuts off before final action on the bill.

Transcript Highlights:

• It authorizes the California State is the result of those negotiations.
• It authorizes the California State Transportation Agency to loan $590 million to the Metropolitan Transportation
• It authorizes the Metropolitan Transportation Commission to use the proceeds of the loan to offer loans
• number of workers, where we took the participation of Black workers from 2% in our Regional Transit Authority
• the dignity and the courage that have been spoken about by so many colleagues, we stand in the congressional

Summary: The Senate first took up two budget-related transportation bills. AB 107, a junior budget bill, was described as a technical measure that updates federal appropriations by about $15 million, exempts certain Proposition 4 funds from the Administrative Procedures Act to speed spending, and makes other technical corrections without adding new projects or General Fund spending. Some senators objected to the APA waiver as reducing transparency, but the bill passed 28-10. AB 117, an early-action trailer bill for Bay Area transit, authorizes a $590 million loan from the state’s transit and intercity rail capital program to the Metropolitan Transportation Commission, which can then lend the money to Bay Area transit agencies for operating support, with repayment and interest secured by transit revenues. Supporters called it an emergency bridge to prevent major service cuts at BART, Muni, AC Transit, and Caltrain; opponents raised concerns about ridership recovery, accountability, and consolidation. The bill passed 28-9. The Senate then confirmed two California Air Resources Board appointees: Sonoma County Supervisor Linda Hopkins and Riverside Mayor Patricia Locke Dawson. Both were supported by colleagues who praised their experience and backgrounds, and both confirmations passed. The body also adopted SCR 89, a resolution by Senator Smallwood-Cuevas opposing federal attacks on diversity, equity, and inclusion programs. Supporters argued DEI is essential to civil rights, education, public service, and equal opportunity, while criticizing the Trump administration for dismantling related federal offices and funding. The resolution passed on a largely party-line vote after extensive floor debate. Finally, the Senate adopted SCR 78, commemorating the 84th anniversary of Executive Order 9066 and the incarceration of Japanese Americans during World War II. Senators from both parties spoke about the injustice of the internment, the resilience and military service of Japanese Americans, and the importance of remembering the history to guard against future abuses. The resolution passed unanimously, and the author then introduced survivors and guests in the chamber.

Transcript Highlights:

• I am a resident of Legislative District 7, and I'm speaking on behalf of the Congressional Sportsman's
• I can speak with authority that...
• I could speak with authority that this is a no-brainer: 100% voluntary for a participating county, 100%
• I could speak with authority that land trust, cities, and all types of community groups.
• I could speak with authority that this is a no-brainer, 100% voluntary for a participating county, 100%

Summary: The committee heard testimony on Senate Bill 5838, which would add a federally recognized tribal representative to the State Board of Natural Resources. The Department of Natural Resources commissioner and tribal leaders said the change would bring Indigenous knowledge and a voting voice to decisions on trust lands, while preserving existing tribal consultation. Some county and economic interests said they were not opposed to tribal participation but stressed the board’s fiduciary duty to trust beneficiaries and asked for more review of the board’s purpose; one witness questioned whether the beneficiaries had been consulted. The prime sponsor, Senator Claudia Kaufman, said the bill is about inclusion and equity and indicated openness to an amendment adding both eastside and westside tribal representation. The hearing closed with 142 written comments reported: 33 pro, 107 con, and 2 other. The committee then heard Senate Bill 5960, which would require Fish and Wildlife to designate at-risk ungulate populations and take predator mitigation actions when populations fall below specified benchmarks. Senator Shelley Short said the bill responds to declining deer and elk numbers and a lack of management, especially in northeast Washington. Supporters argued the bill would codify existing agency plans and restore balance in wildlife management, while opponents—including conservation groups, the Sierra Club, and several scientists and advocates—said the state’s predator-prey study found wolves were not the main driver of ungulate declines, pointing instead to habitat, forage, weather, disease, and vehicle collisions. Ranching and farm groups supported the overall goal but objected to the bill’s in-state wolf translocation provisions. The Department of Fish and Wildlife said it recognized the bill’s intent but opposed it because some directives were impractical, costly, or would require legislative approval. The hearing closed with 1,197 written comments reported: 843 pro, 352 con, and 2 other. The committee then held a work session on Lake Washington salmon predation. Larry Phillips and Muckleshoot Fisheries Director Jason Schaffler described a coalition effort to reduce predation on juvenile salmon in the Lake Washington system, saying invasive and predatory fish such as walleye, rock bass, American shad, northern pike, yellow perch, and smallmouth bass are harming sockeye and Chinook recovery. They said sockeye returns have fallen from hundreds of thousands to about 18,000 in recent years, ending tribal and sport fisheries, and argued that targeted predator removal, supported by prior state and county funding, could help restore runs. Senators asked about the methods and funding, and the presenters said fishing and netting are being used to suppress larger predatory fish and that more sustained investment is needed. Finally, the committee began public hearing on Senate Bill 1697, which would make federally recognized tribes eligible recipients for county conservation futures funds. Testifiers from the Washington Farmland Trust and the Tulalip Tribe said the bill would expand voluntary conservation partnerships, help tribes steward farmland and habitat, and make it easier to leverage county funds with other grants. They described past projects where tribal participation improved conservation outcomes but said tribes could not directly access conservation futures dollars under current law.

Transcript Highlights:

• I also have in our offices our amazing friends, Maritza Iguera, author and farmer in my district, fire
• Maritza Iguera, author and farmer in my district, fire captain from Nogales; Malki Iguera; Scott, state
• He is the CEO of the Phoenix Development Authority, Industrial Authority.
• I have a dear friend, Jonathan Treble, who is running for Congressional District 1 candidate.

Transcript Highlights:

• or authorizes setting these fees.
• or authorizes setting these fees.
• We authorized $78 million.
• We have to have you have an authorized dealer look at this, and that delayed, and then the authorized
• We have to have you have an authorized dealer look at this, and that delayed, and then the authorized

Committee: Joint Legislative Management

Transcript Highlights:

• from the Rolette County Tax Department and prepare a letter of documentation and support to our congressional
• Council would work with Rolette County to get taxable information and then draft a letter to our congressional

Committee: Joint Tribal and State Relations Committee

Transcript Highlights:

• from the Rolette County Tax Department and prepare a letter of documentation and support to our congressional
• Legislative Council work with Rolette County to get taxable information and then draft a letter to our congressional

Committee: Joint Tribal and State Relations Committee

Summary: The meeting focused on Turtle Mountain’s public health and behavioral health priorities, especially access to rural health transformation funding and a long-running data use agreement with the state. Tribal public health leaders described how, during COVID, a temporary data-sharing arrangement allowed them to do their own contact tracing and case management, and they argued that a similar agreement is now needed to respond more quickly to very high syphilis rates and other infectious disease concerns. Committee members generally expressed support and said they would follow up with state officials, while tribal representatives emphasized that they already have the staff and infrastructure to use timely data effectively. A major portion of the meeting was devoted to the Turtle Mountain Recovery Center and the broader issue of the IMD exclusion and residential treatment capacity. Tribal leaders described the center’s opening, its five levels of care, its 16-bed limit, and its efforts to become financially sustainable through billing, grants, and partnerships. They shared success stories and argued for an IMD waiver or similar flexibility so the center could expand to 32 beds and better meet local need. Committee members discussed the policy barriers to expanding residential treatment, including federal approval timelines, state funding choices, and the need to preserve a continuum of care that includes outpatient and community-based services. The committee then heard a detailed presentation from Hector Hernandez-Dogato of the National Health Law Program on the history and mechanics of the IMD exclusion and Section 1115 waivers. He explained that the exclusion limits Medicaid payment for services in facilities with more than 16 beds, but noted existing exceptions and alternatives such as state plan options, managed care arrangements, telehealth, and community-based services. He also reviewed mixed results from states that have used IMD waivers, warning that they do not automatically improve overdose deaths, emergency room use, or access to community care, and may risk reinforcing institutionalization if not paired with strong upstream services. The committee discussed a draft bill to appropriate $49,000 and one FTE for HHS to pursue an IMD waiver, with members suggesting the bill may need to explicitly include serious mental illness as well as substance use disorder and asking for department input at a future meeting.

Transcript Highlights:

• from the Rolette County Tax Department and prepare a letter of documentation and support to our congressional
• Legislative Council works with Rolette County to get taxable information and then draft a letter to our congressional

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• are understaffed, which means we have to request specific waivers from the state opioid treatment authority
• 02:32:42.600><c> that</c><02:32:42.720><c> you</c> This testimony that you have before you was co-authored
• There might be congressional action that takes it out of the waiver space. We don't know.
• action that takes it out congressional action that takes it out of<04:17:34.680><c> the</c><04:17:34.760
• action that would allow a congressional action that would allow a Medicaid<04:18:55.600><c> agency</

Committee: Senate Health and Human Services