Transcript Highlights:

• And I see something in the chat that they're launching a community of learning.
• That would be wonderful because those of us who They're launching a community of learning.
• Second is that we are launching a community of learning for payers from now until July.

Summary: The meeting was an organizational and planning session of the Ellen Story Commission on Postpartum Depression. After roll call and housekeeping, the co-chairs thanked Senator Liz Miranda for her service and announced Senator Adam Gomez as the new Senate co-chair. Senator Miranda explained her transition off the leadership role due to other responsibilities and personal losses, while Senator Gomez said he was honored to join, would listen and learn, and would bring a Western Massachusetts perspective to the statewide commission. Members discussed current maternal health developments, including a new Department of Public Health regulation implementing the 2024 midwifery law and allowing temporary licenses for licensed certified professional midwives. The commission also reviewed open seats and possible future appointees, with an emphasis on adding regional, clinical, and lived-experience diversity. Several commissioners raised concerns about birthing hospital and inpatient obstetric unit closures, workforce shortages in OB-GYN and midwifery, reimbursement changes, and the need to expand training slots and funding for perinatal care. A major theme was how the commission should focus its work in the coming year. Members suggested more attention to parent-child relational health, pediatric screening for postpartum mood disorders, coordination across OB-GYN, pediatrics, infant mental health, and home visiting systems, and stronger involvement from clinicians and organizations such as PSI of Massachusetts. The Division of Public Health and the Division of Insurance shared updates on community midwifery reimbursement, a payer learning community, insurance coverage for mental health examinations, and the need for better education about birthing centers and doulas. Commissioners also discussed substance use and maternal mental health supports, noting that current funding for community-based organizations is limited compared with demand. The group reviewed upcoming maternal health events in April, including Black Maternal Health Week activities, and agreed there was not enough time to plan a new commission event for May. Instead, members favored using the commission’s communication channels to share relevant events and information. The commission approved a motion to create a biweekly digest for information sharing, with urgent items still able to be sent directly to commissioners, and then adjourned.

Transcript Highlights:

• And I see something in the chat that they're launching a community of learning.
• That would be wonderful because those of us who They're launching a community of learning.
• Second is that we are launching a community of learning for payers from now until July.

Summary: The Ellen Story Commission on Postpartum Depression met to reopen its work for the year, confirm attendance, and note several membership transitions, including the departure of Beth Buxton, Nekah Hall, and Dr. Lisa Scarfo. Senator Miranda stepped down as co-chair, and Senator Adam Gomez was welcomed as the new Senate co-chair. Both outgoing and incoming leaders spoke about the importance of the commission’s work, the need for continued advocacy on maternal mental health, and personal losses that have shaped their commitment to the issue. Members discussed priorities for the coming year, including implementation of the maternal health omnibus law, publicizing upcoming maternal health events, and improving information-sharing through a biweekly digest. Several commissioners raised concerns about the closure of birthing centers and inpatient obstetric units, workforce shortages in obstetrics and midwifery, and the need to preserve or expand training slots and federal matching opportunities. Others emphasized the need to strengthen community-based perinatal mental health supports, including Moms Do Care and First Steps Together, and to increase funding beyond the $220,000 appropriated for community organizations. The commission also heard updates from the Division of Insurance and the Department of Public Health about regulatory and reimbursement issues, including a new community of learning for payers, mental health exam reimbursement guidance, and concerns about sustainability of birth centers and midwifery reimbursement. Commissioners stressed the importance of better coordination among OB-GYN, pediatric, infant mental health, home visiting, and clinical providers, with some suggesting a stronger role for clinicians and perinatal mental health organizations such as PSI of Massachusetts. The meeting ended with a motion and vote to create a biweekly information digest, with urgent items to be shared by email, followed by adjournment.

Transcript Highlights:

• Since its launch.
• one supporting sibling adoptions, helping to keep them together and preserve family bonds since its launch
• , ensuring that financial resources keep pace with program expansions and increased demand at its launch

Transcript Highlights:

• I think this measure is long overdue and very thankful that you are making sure that we’re launched into
• a space of greater... ...to do, and very thankful that you are making sure that we’re launched into
• Health care providers operate within an increasingly complex claims system.
• Jenkins on behalf of the Orange County Board of Supervisors in support and the California Cannabis Operators

Summary: The Assembly Health Committee heard a series of bills focused on behavioral health, cancer screening, provider reimbursement, research funding, workforce licensing, and tobacco regulation. SB 16 would require counties to maintain procedures for designating and training professionals authorized to perform 5150 evaluations and initiate involuntary holds; supporters said it would expand the pool of qualified clinicians and reduce reliance on law enforcement, while opponents raised concerns about local control and implementation. SB 1124 would require CDPH to create and post lung cancer screening eligibility signage at tobacco point-of-sale locations; supporters emphasized low screening awareness and early detection, and the bill was advanced with amendments. SB 28, a CARE Court cleanup bill, proposed an ombudsperson, reporting, electronic petitions, remote participation, and other changes to improve accountability and access; it drew both strong support and significant opposition over concerns about coercion, scope, and whether the program is working as intended, but it passed the committee as amended to Judiciary. The committee also heard SB 874, which would strengthen oversight of Medi-Cal behavioral health treatment services, including background checks for providers and a stakeholder workgroup to develop standards; it passed to Public Safety. SB 1049 would let providers resubmit corrected claims within 90 days after a plan’s denial or recoupment action when the original claim had a correctable technical defect; supporters described delayed and withheld payments harming practices, while insurers argued the bill could duplicate existing dispute processes. The bill passed to Appropriations on call. SB 1224 would create a state framework to compete for federal ARPA-H funding for emerging therapies research, with testimony from a UC Davis psychiatrist and veterans’ advocates supporting expanded research into treatments for PTSD, depression, and other conditions; it passed to Military and Veterans Affairs. Later, SB 1057 would change how the Department of Public Health evaluates conviction history for certified nurse assistants and home health aides, shifting from automatic denial toward individualized assessment based on the offense, time elapsed, and rehabilitation; it passed to Appropriations with some no votes. Finally, SB 1314, a tobacco-related bill, sought to create a 600-foot buffer around schools and day care centers for certain tobacco retailers and address related issues such as cigar lounge definitions and nitrous oxide sales; several local government and public safety groups supported it, while health organizations and business groups opposed it unless amended. The chair announced that committee amendments were being set aside for now and the bill would move forward to Business and Professions with a commitment to continue working on the language; it passed out of committee.

Transcript Highlights:

• I think this measure is long overdue and very thankful that you are making sure that we're launched into
• a space of greater... ...do and very thankful that you are making sure that we're launched into a space
• Health care providers operate within an increasingly complex claims system.
• Jenkins, on behalf of the Orange County Board of Supervisors, in support, and the California Cannabis Operators

Committee: House Health

Transcript Highlights:

• It's operated by community-based organizations, workforce development organizations, higher education
• In 2023, we partnered with English for New Bostonians to launch an on-site English program.
• In 2023, we partnered with English for New Bostonians to launch an on-site English program, and the results
• Countries like Japan and the UK have done this, and they have seen improved productivity and even lower operational

Committee: Joint Joint Committee on Labor and Workforce Development

Summary: The Joint Committee on Labor and Workforce Development heard testimony on several workforce-related bills, with most of the hearing focused on ESOL and apprenticeship legislation, followed by testimony on a four-day workweek pilot and paid prenatal leave. On ESOL, witnesses including the Boston Foundation, Skillworks, MassINC, MIRA, JVS Boston, Eastern Bank, immigrant advocates, employers, and legislators supported H.2080/S.1326, arguing that Massachusetts has a large backlog of limited-English-proficiency residents waiting for classes, that ESOL is essential to economic mobility and immigrant integration, and that the state needs a coordinated, statewide strategy with more vocational and workplace-focused English instruction. Testifiers cited long waitlists, fragmented delivery across agencies, labor shortages, and examples of workplace English programs helping immigrants gain jobs, advance careers, and support businesses. Committee members asked questions about how vocational ESOL differs from standard classes, and witnesses explained that it focuses on job-specific language and workplace scenarios. The committee also heard strong support for H.2085/S.1303, which would require more use of registered apprentices on public construction projects over $1 million. Labor leaders from the Massachusetts AFL-CIO and Massachusetts Building Trades, along with electricians and apprentices, said the bill would help apprentices complete training by ensuring enough job-site hours, expand access to good union careers, and strengthen the construction workforce for housing, infrastructure, and clean energy work. Several witnesses defended existing apprenticeship ratios and electrical licensing standards, warning against deregulation and emphasizing safety. Committee members asked about project thresholds and apprenticeship ratios, and witnesses said the bill’s phased apprentice-hour requirement was intended to cover most public projects under current cost conditions. The committee then heard testimony on S.1330, a four-day workweek pilot program. Senator Dillon Fernandez and Representative Shirley Arriaga described the proposal as a response to burnout, affordability pressures, and changing workplace norms, arguing that a pilot would let Massachusetts study whether shorter workweeks improve productivity, retention, and worker well-being. Witnesses said the model could help families balance caregiving and commuting while maintaining or improving output. Finally, the committee took testimony on S.1361, establishing paid prenatal leave. Parents, health advocates, March of Dimes, and others said paid leave would help pregnant workers attend critical prenatal appointments, reduce missed care, and improve maternal and infant health outcomes. Several speakers shared personal stories about high-risk pregnancies, pregnancy loss, and the financial strain of taking unpaid time off. No votes were taken during the hearing; the committee primarily received testimony and asked a limited number of questions.

Transcript Highlights:

• Previously, Lauren headed San Luis Obispo's Jewish Community Center Federation, where she helped launch
• Department of Justice's Office of Professional Responsibility launched an investigation into whether
• millions of residents and visitors each year, from recreational boating to water sports and commercial operations
• Unauthorized drones operating above crowded venues can create serious safety risks, interfere with emergency

Summary: The Assembly convened after a quorum call and opened with a prayer and pledge, then held a ceremonial observance for Jewish American Heritage Month. Assembly Concurrent Resolution 195 by Assembly Member Gabriel was presented with extensive remarks from members of multiple caucuses highlighting Jewish Californians’ contributions, the importance of solidarity amid rising antisemitism, and themes of tikkun olam and tzedakah. The resolution was adopted by voice vote after 67 co-authors were added, and the chamber then recognized 14 honorees for their service in public life, philanthropy, media, faith leadership, education, and civic engagement. The floor also featured guest introductions and a procedural vote on Assembly Constitutional Amendment 9 by Assembly Member Borrero, which would add affordability as a required consideration in CPUC rate-making, remove telecommunications from the commission’s portfolio, create an office of broadband, and expand legislative appointments. The amendment was adopted. The Assembly then moved through a long third-reading file, passing measures including AB 1697 delaying implementation of a 2025 employment law, AB 2322 on stormwater permit definitions, AB 1653 on hearing-illness education, AB 2274 closing a loophole involving secrecy in trafficking cases, AB 2512 on Anaheim Angels naming language tied to a land exemption, AB 1956 prioritizing young men and boys in suicide prevention, and AB 2273 addressing prosecutorial handling of a local sexual abuse case. Additional bills passed included AB 1809 extending job order contracting for school and community college districts, AB 1970 banning step therapy for serious mental illness and substance use disorder medications, AB 1973 expanding practice authority for advanced practice clinicians, AB 2055 updating vessel law, and AB 2059 narrowing CEQA vehicle-mile-traveled mitigation for certain rural highway projects. The Assembly also adopted ACR 186 designating May 2026 as California Physical Fitness and Mental Well-Being Month and H.R. 11 recognizing the International Day Against Homophobia, Biphobia, Interphobia, and Transphobia after a lengthy debate that included support from several caucuses and some disagreement over the resolution’s framing of current threats to LGBTQ+ communities.

Transcript Highlights:

• Previously, Lauren headed San Luis Obispo's Jewish Community Center Federation, where she helped launch
• Department of Justice's Office of Professional Responsibility launched an investigation into whether
• millions of residents and visitors each year, from recreational boating to water sports and commercial operations
• Unauthorized drone operations above crowded venues can create serious safety risks, interfere with emergency

Transcript Highlights:

• didn't know, California women in agriculture are outpacing the nation, making up 38% of producers and operating
• We also welcome Tammy McGowan, Senior Advisor for Strategy and Operations at the California State Transportation
• You know, today CDP will launch CAPE system to refund companies up to $166 billion, a refund.
• You know, today CDP will launch CAPE system to refund companies up to $166 billion, a refund.

Transcript Highlights:

• And now, just this past month, we've launched the program in our elementary schools, starting at grade
• three, all the way up through college, with our new elementary program that launched.
• from this piece of legislation is that you promote balance and fair treatment, just like you clearly operate
• Just like you clearly operate in this legislature, and sometimes we, not including myself, we get so

Committee: House Education & Employment Committee

Summary: The committee first took up PCS for CS for HB 1279, a higher education bill focused on Florida’s preeminent universities. The sponsor said the measure would increase access for Florida students, strengthen accountability and transparency, update accreditation references, adjust performance metrics, and address issues such as GPA weighting, engineering credit-hour differences, and certain fee-waiver and dental-program provisions. Members raised questions about the 95% Florida-resident enrollment target, possible funding impacts, Pell Grant metrics, and whether the bill would affect community college pathways; the sponsor said the bill was aimed at first-time-in-college students and that the 95% standard would be measured on a three-year rolling average. After an amendment removing an adjustment to the four-year graduation metric was adopted, the bill was reported favorably by a 17-2 vote. The committee then heard PCS for CS for HB 1059, which would strengthen speech and debate education by designating the Florida Debate Initiative as the statewide organization, supporting coach and judge training, statewide data collection, tournaments, and a Florida Speech and Debate Week. The sponsor and several students and advocates testified that speech and debate builds confidence, civics knowledge, leadership, and opportunities for English learners and other students, with multiple speakers describing how the program changed their lives. Members from both parties spoke strongly in support, and the bill was reported favorably without opposition. Finally, the committee considered PCS for HB 725 on political activity at public institutions of higher education. The sponsor said the bill would standardize campus policies, require notice to students and employees about free-expression and political-campaign rules, and align state practice with federal guidelines while preserving free speech and nonpartisan voter engagement. An opponent argued the bill could create barriers to civic engagement and student organizing, while supporters said it would clarify existing rules and prevent institutions from favoring one viewpoint over another. The sponsor closed by emphasizing that the bill was about information and neutrality rather than restricting speech.

Transcript Highlights:

• When Massachusetts launched Retirement Plus in 2001, the state allowed enhanced retirement benefits for
• When Massachusetts launched retirement plus in 2001, the state allowed enhanced retirement benefits launched
• In 2001, Massachusetts launched Retirement Plus, but administrative chaos excluded thousands of dedicated
• While the Commonwealth is not pulling the triggers or launching airstrikes into Gaza, your hands are
• And this September, I'm launching a new synagogue in Cambridge called Viahafta, you shall love, you shall

Committee: Joint Joint Committee on Public Service

Summary: The Joint Committee on Public Service held a hearing focused first on teacher retirement legislation, especially H. 2932 and S. 1884, which would give long-serving educators a one-time opportunity to enroll in Retirement Plus after the program’s 2001 rollout was described as confusing and inconsistently communicated. Legislators, union leaders, and many teachers testified that some educators missed the opt-in window because of faulty notices, leave status, transfers, or misinformation about payroll deductions, and that many have had to work several extra years as a result. Supporters said the bills would correct an unfair administrative error, provide a buyback option with interest, and could also save local school districts money by allowing earlier retirements. Representative Mark Sylvia also testified for H. 4234, a Fairhaven-specific bill to raise the age limit for special police officers from 65 to 70 and clarify appointing authority, citing experience and budget needs. The committee then heard testimony on several pension investment and divestment bills. Supporters of H. 2811 and related climate-risk measures argued that PRIM should assess, disclose, and address climate-related financial risk in the state pension fund, warning that fossil fuel investments could threaten long-term returns and public finances. Environmental advocates and financial experts said climate risk is systemic and urged transparency, divestment planning, and alignment with the Commonwealth’s climate goals. Another set of speakers supported H. 2984, which would divest pension investments from companies selling weapons to Israel; they argued the state should not be complicit in violence in Gaza and cited humanitarian and human rights concerns. Additional testimony supported H. 2900 and S. 1869 to divest from the firearm industry, with speakers saying pension investments should not undermine Massachusetts gun laws. No votes were taken during the hearing. The chairs repeatedly thanked speakers, limited testimony time, and noted that written testimony could be submitted later. The hearing concluded with the committee moving through the sign-up list and hearing extensive public testimony on the teacher retirement and divestment proposals.

Transcript Highlights:

• But as we go to execute and implement, we realize that we should have put some in the operating line.
• So under operating, we have had to make, we did have to transfer out $9.9 million of operating.
• I guess I'm operating the slide.
• I guess I'm operating the slide.
• I'm the director of clinic operations.

Summary: The committee was called to order, the roll was taken, and the March 18 minutes were approved. Members then received several project and program updates, beginning with CHI St. Alexius’s behavioral health buildouts in Bismarck, Williston, and Grand Forks. St. Alexius reported that the Bismarck project remains on track for June 2027 completion, with demolition underway and final design work nearing completion. Williston reported construction is progressing, staffing recruitment is underway for psychiatrists and other staff, and an air handler replacement is creating a roughly $750,000 unbudgeted barrier that will slightly delay the timeline. Grand Forks reported its expansion is about 30% complete, with no major barriers beyond weather, and leaders said the project should be substantially complete in the first quarter of 2027. The Department of Health and Human Services then presented a series of budget and program updates. Donna Ockland explained several recent line-item transfers as technical corrections that net to zero and do not require new spending, then reviewed salaries, wages, and FTE counts, noting the department remains within its authorized staffing levels. Pat Rainer followed with an update on the Rural Health Transformation Program, saying 12 opportunities have been posted, 422 applications received, and $8.4 million obligated so far, with a goal of obligating the full $199 million by September. He described grants for workforce retention, rural rotations and housing, community gardens, school wellness, behavioral health promotion, safety net services, equipment, technology, EMS, and other initiatives, emphasizing that the program is intended to be transformational and tied to metrics. Members asked extensive questions about how rural eligibility is defined, how grants will support both rural facilities and hub hospitals, and how future years of funding will build on current awards. The committee also heard an update on certified community behavioral health clinics from Elena Zeller, who said North Dakota has been accepted as a demonstration state, implementation is underway in Williston, North Central/Minot, Fargo, and Dickinson, and care coordination and service counts are increasing. Rebecca Askins then reviewed SNAP payment error rates, saying the 2025 rate was finalized at 9.89%, with the state aiming to get below 6% through policy updates, training, data tools, and a quality assurance team. Members pressed her on the causes of the error rate, the role of the SPACES software system, and the need for accountability and improvements. Finally, Dirk Wilkie reported the state laboratory project reached substantial completion on June 12 and is on budget at about $69.95 million, though a service elevator had to be redesigned because it was too small for equipment.

Transcript Highlights:

• So under operating, we have had to make, we did have to transfer out $9.9 million of operating.
• I guess I'm operating the slide.
• I'm the director of clinic operations.
• And can be a little bit more challenging to operate than operating, let's say, a basic federal SNAP program
• So one we did launch was these pre-authorization quality checks.

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on major health-related projects and programs. CHI St. Alexius representatives reported progress on behavioral health buildouts in Bismarck, Williston, and Grand Forks, including demolition and construction milestones, staffing plans, and timelines. The Bismarck project remains on track for completion in June 2027 with about $346,500 spent to date. Williston reported construction underway, a $750,000 unbudgeted air handler replacement, active recruitment for psychiatrists and other staff, and a projected substantial completion in early 2027. Grand Forks reported about 30% completion, weather-tight status expected in August, and continued staffing ramp-up as the facility expands from its current 24-bed operation. The Department of Health and Human Services then reviewed a set of technical line-item transfers, emphasizing that they were administrative corrections with no net change in funding. The department also walked through the Salaries and Wages Block Grant and FTE counts, noting overall staffing remained within appropriated limits and that behavioral health staffing had increased. Members asked about vacancies, consultant use, and the mix of in-state versus out-of-state expertise for the Rural Health Transformation Program. HHS said it had posted 12 funding opportunities, received 422 applications, obligated $8.4 million so far, hired 26 people, and was preparing additional grant rounds and a CMS budget submission. The department said the program is structured around workforce, prevention/healthy living, care closer to home, and technology/data, with ongoing stakeholder engagement and community forums. The committee also heard on the certified community behavioral health clinic implementation plan, SNAP payment error rates, and the state laboratory project. HHS said CCBHC certification is being implemented in four regions—Williston, Minot/North Central, Fargo/Southeast, and Dickinson/Badlands—with care coordination expanding and baseline data still being collected. On SNAP, the department reported a 2025 payment error rate of 9.89%, acknowledged cost impacts under HR1, and said it is using training, system changes, and pre-authorization quality checks to reduce errors toward a 6% target over the next 6 to 12 months. Finally, Public Health reported the state laboratory reached substantial completion on June 12, with total costs at $69.95 million of the $70 million budget, though a service elevator issue will require a new lift to be added using contingency funds.

Transcript Highlights:

• And uh I operate in a high school setting and have for a long time.
• This year, after 4 years and more than 100 hours of curriculum and partnership development, we launched
• To make support more accessible, we've launched the attendance inbox at the website or the location that
• the attendance inbox at the launched the attendance inbox at the webs<01:13:06.240><c> or</c><01:13:
• And that finding came even before Operation Metro Surge, which has further impacted student attendance

Bills: HF3776 , HF3557 , HF3585

Committee: House Education Policy

Transcript Highlights:

• </c> operations in the state Medicaid agency? operations in the state Medicaid agency?
• That would make it sustainable in an ongoing operating manner.
• That would make it sustainable in an ongoing operating manner.
• That would make it sustainable in an ongoing operating manner.
• That would make it sustainable in an ongoing operating manner.

Summary: The committee met and approved the minutes from its August 27 meeting. It then received a presentation from Katherine Castanza of the National Conference of State Legislators on the Medicaid provisions in the 2025 budget reconciliation bill, referred to as HR1. She explained that the bill is estimated by CBO to save the federal government $911 billion over 10 years, with more than 20 Medicaid-specific provisions, most of the savings concentrated in five policies and largely backloaded into 2030-2034. She emphasized that the bill’s effects will vary by state, but that expansion states and hospitals are expected to be most affected, in part because of changes to eligibility, provider taxes, and state-directed payments. Castanza highlighted several new funding and flexibility provisions, including a $50 billion Rural Health Transformation Fund for 2026-2030 and a new home- and community-based services waiver option effective July 1, 2028, with $100 million in grants in fiscal year 2027. She also outlined major eligibility changes for Medicaid expansion adults: work or community engagement requirements effective January 1, 2027; twice-yearly redeterminations for the expansion population effective the same date; and new cost sharing for certain expansion adults effective October 1, 2028. She noted that Kentucky, as an expansion state, would be subject to these changes and that state agencies would face significant implementation demands, especially because federal guidance and timelines are tight. A substantial portion of the presentation focused on financing changes. Castanza described new limits on provider taxes, including a 0% safe harbor for new taxes and a phased reduction for existing taxes in expansion states beginning in 2028, while nursing facilities and intermediate care facilities are exempt from the reduction if already taxed. She also explained that state-directed payments will be capped and phased down over time, with existing arrangements grandfathered only briefly; she said Kentucky has 11 approved state-directed payments and could see significant fiscal effects. She added that the bill also bars Medicaid payments to Planned Parenthood or similarly situated providers for one year, changes immigrant eligibility rules effective October 1, 2026, lowers the federal match for certain emergency services, and expands the scope of the federal erroneous payment recoupment provision effective October 1, 2029. Throughout, she stressed that federal savings may translate into state cost shifts and that implementation timing will be critical.

Transcript Highlights:

• Under operating, we have had to transfer out $9.9 million of operating.
• I guess I'm operating the slide.
• I guess I'm operating the slide.
• I'm the director of clinic operations.
• And can be a little bit more challenging to operate than operating, let's say, a basic federal SNAP program

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on health-related projects and Department of Health and Human Services budget matters. Representatives from CHI St. Alexius in Bismarck and Williston, and Altru in Grand Forks, reported progress on behavioral health expansion projects, including demolition and construction milestones, updated timelines, funding status, staffing plans, and barriers such as an unbudgeted air handler replacement in Williston. Members asked about original completion dates, use of telehealth, recruitment of psychiatrists and other staff, and whether the new beds might reduce the need for patients to travel to Jamestown State Hospital. The projects were described as on track overall, with completion expected in 2027 for the larger builds and earlier openings for some phases in Williston. The committee then heard from HHS leadership on technical line-item transfers and the Salaries and Wages Block Grant. Donna Ockland explained that recent transfers were administrative corrections to place spending in the proper budget lines and did not involve new spending, and she reviewed FTE counts and vacancies across the department. Questions focused on behavioral health staffing changes and the use of consultants in the Rural Health Transformation Program. Pat Rainer outlined the rural health program’s first-year grants and priorities, including workforce retention, rural rotations and housing, community wellness initiatives, behavioral health promotion, safety net services, hospital equipment, suicide prevention training, technology, and EMS support. He said North Dakota’s plan was drawing positive national attention, but the department still needed to obligate roughly $199 million by September and was working with CMS on timing and compliance. The committee also received an update on certified community behavioral health clinics from Elena Zeller. She said North Dakota had been accepted as a demonstration state, with certification efforts underway in Williston, North Central, Fargo, and Dickinson. Members asked about care coordination, service growth, staffing, and whether certification would expand to all clinics; the department said it was still collecting baseline data and evaluating impacts before making future recommendations. Finally, Rebecca Askins reviewed SNAP payment error rates, explaining that the 2025 rate was finalized at 9.89 percent and that the department is working on training, system changes, and quality assurance steps to get below 6 percent. Members pressed on the causes of monthly variability, the performance of the SPACES system, and accountability for ongoing errors, and the department said it expects improvement over the next 6 to 12 months.

Transcript Highlights:

• This was an advocacy program launched back in 2010 by the Lost Coyote's Band of Kui and Kupani Launched
• So after it's launched, we're going to be visiting and sharing what we have with others.
• We're operating after the fact. And we need witnesses. We need evidence to act.
• We're operating after the fact. And we need witnesses. We need evidence to act.

Summary: The Select Committee on Native American Affairs opened with a welcome and acknowledgment of Native land, then heard testimony focused on missing and murdered Indigenous people (MMIP), the Feather Alert system, and the impact of Public Law 280 (PL 280) on tribal communities in California. Chairpersons Antonette Del Rio, Cheyenne Stone, Charles Martin, and others described historical trauma, ongoing underreporting, and the need for education, tribal consultation, and stronger state and county responses. Members of the committee repeatedly emphasized equity, urgency in missing-person cases, and the importance of media attention, data collection, and better coordination with tribes. A major theme of the first panel was the practical failure of law enforcement systems in MMIP cases, especially in PL 280 jurisdictions. Chairperson Charles Martin described the case of Morongo tribal citizen Amy Porter, whose disappearance and death were not met with a timely Feather Alert, and said the family had to organize its own search. Witnesses and members discussed the need for better training, cross-jurisdictional communication, and more consistent use of Feather Alerts. Several members noted that California’s diverse tribal landscape, including federally recognized, non-federally recognized, and rancheria communities, makes one-size-fits-all responses inadequate. The second panel focused on exploitation and trafficking in a PL 280 state. Professor Carol Goldberg explained that PL 280 created serious underfunding, weakened trust, and made investigations harder by shifting jurisdiction without providing resources. Chairman Joe James, Morning Star Gali, and Dustin Contreras linked trafficking and MMIP to historical violence, jurisdictional gaps, and the targeting of Native communities by traffickers who exploit weak coordination. They urged stronger tribal policing authority, more formal partnerships, mandatory training, youth education, and funding for victim services and trauma recovery. Committee members asked about the relationship between trafficking and MMIP, the need for school-based prevention, and how task forces and local partnerships could be expanded. The final panel began with Acting Director Isaac Borges of the Attorney General’s Office, who outlined state efforts including Missing in California and Indian Country outreach, the Native American Marcy’s Law card, tribal response planning, and a PL 280 advisory council. He said the state is working with POST on updated training and with tribal experts to improve law enforcement response. The hearing concluded with continued calls for budget support, better media outreach, and implementation of the bills and reforms discussed, including Feather Alert improvements, tribal policing authority, and stronger coordination across state, county, and tribal systems.

Transcript Highlights:

• </c><01:32:16.160><c> who</c> These are the legitimate operators who These are the legitimate operators
• . operations. operations.
• </c> how an operation takes place. how an operation takes place.
• </c> dispatch operations into one big room. dispatch operations into one big room.
• I'll make a note. the operational side of 911. Would that the operational side of 911.

Committee: Joint Corporations, Elections & Political Subdivisions

Transcript Highlights:

• Have operated under both federal and state statute.
• We have also increased expenditures for staff and operations as well.
• SEG expenditures are a small percentage of overall food service operation expenditures, but it's been
• Not all of their schools have operating kitchens. A lot of them do have new...
• There's a sitting in an empty building in there that has no operations. Out of a veteran center.

Transcript Highlights:

• It is largely based on the ABA model code, but with some variations based on how Minnesota operates.
• And likewise it enacted rules to, uh, govern how the board operates.
• So, board operations, I'm going to go into how we handle complaints first.
• So, board operations, I'm going to go into how we handle complaints first.
• The $520,000 is for our operating funds.

Committee: House Judiciary Finance and Civil Law