Transcript Highlights:

• Every year that we do not do that preventive maintenance program... demolishing it would be great uh
• Every year that we do not do that preventive maintenance program... density how many more units that
• We're also mandated by TSA to do a worker screening, an aviation worker screening process, which is unfunded
• <01:51:09.960> uh TSA to do a uh worker screening uh TSA to do a uh worker screening uh Aviation
• > which Aviation worker screening process which Aviation worker screening process which is<01:

Keywords: 910, house, all

Summary: The House Finance Committee held an informational briefing with the University of Hawaiʻi, led by new President Wendy Hensel and Vice President for Budget and Finance Calbert Young. Hensel outlined the university system’s scope, student demographics, research activity, and campus missions, emphasizing four strategic priorities: serving Native Hawaiians and Hawaiʻi, student success, workforce development, and economic diversification through innovation and research. She highlighted the system’s enrollment, research funding, and the roles of Mānoa, Hilo, West Oʻahu, the community colleges, and specialized institutions such as JABSOM and the Cancer Center. Young then reviewed the budget request, focusing largely on making prior one-time appropriations permanent and supporting recurring needs. Items included funding for Mānoa athletics, the Hawaiʻi Institute for Marine Biology, K-12 teacher education, Pamantasan Council support, Hilo programs, Windward’s mental health technician certificate, Maui’s practical nursing bridge program, and student support positions such as financial aid and admissions counselors. He also described workforce-related requests tied to nursing expansion at Mānoa and West Oʻahu, as well as facilities support at West Oʻahu. A major portion of the testimony addressed the university’s two Kakaʻako medical facilities. Young explained that declining tobacco settlement and cigarette tax revenues are no longer sufficient to cover debt service for JABSOM and the Cancer Center, so the governor’s budget includes general fund support to supplement those obligations. He also described a regents-approved request not included in the governor’s proposal: expanding the Hawaiʻi Promise financial aid program to the four-year campuses, estimated at about $11–12 million. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• time so there is a suicide prevention time so there is a suicide prevention Council<01:00:10.760
• There's a prevention unit that oversees their prevention contract.
• There's a prevention unit that oversees their prevention contract.
• ...the Prevention Services 3380.
• Page 56 is overdose prevention.

Keywords: 928, house, all

Summary: The House Finance Committee’s Division 3 held a public work session on the Behavioral Health budget on February 27, 2025. The chair opened by explaining the schedule, materials, and deadlines for the budget process, and noted there would be no motions or votes in the division that day. Division of Behavioral Health Director Ktia Fox and DHHS CFO Nathan White then walked the committee through the division’s mission, structure, and budget materials, describing the division’s four bureaus: Mental Health Services, Children’s Behavioral Health, Drug and Alcohol Services, and Homeless Services, along with the policy unit. They emphasized the division’s role in oversight, technical assistance, quality assurance, contracting, and the continuum of care from prevention and early intervention through crisis and residential services. Much of the discussion focused on major programs and funding lines, including the 988 Lifeline contract with Headrest, a technical assistance contract with UNH, Medicaid pass-through payments to New Hampshire Hospital and Glencliff, crisis response services, cold-weather homeless responses, housing supports, and the children’s system of care. Members asked about the UNH contract, the 988 program, crisis stabilization centers, and the peer certification program; Fox explained that the peer certification is a training-and-credentialing pathway for people with lived experience to enter community-based behavioral health work, not a volunteer program. The committee also discussed the “Choose Love” program, which Fox said was created after the Sandy Hook tragedy to build resilience and strength-based emotional regulation in schools and communities. On the children’s side, Fox described the system of care account as the place where many contracted services are budgeted, including community mental health centers, care management entities, rapid response services, and residential programs. Members asked about temporary staffing, and Fox said roughly $500,000 in temporary staff costs shown in the current year would not be spent next year because the money came from a nonlapsing appropriation in HB 1573 for oversight of children’s residential services. She also said provider rate increases were a prioritized need but were not funded in the governor’s current budget, and that the Children’s Behavioral Health Resource Center was not funded, resulting in about a $1 million reduction. The session ended while the division was still moving through the children’s behavioral health slides, including questions about the Fast Forward high-fidelity wraparound program and medication management.

Transcript Highlights:

• , support the child care system, and families in need of affordable care for their children, and prevents
• , support the child care system, and families in need of affordable care for their children, and prevents
• for their children and prevents for their children and prevents unnecessary<00:02:47.760> foster
• I think it prevents a lot of things that are unpleasant for everyone involved.
• <01:32:14.199> a business practice I think it prevents a business practice I think it prevents

Bills: HF2436, HF470, HF2643, HF2456, HF102, HF1367

Keywords: child welfare, economic assistance, child care, grant program, video security cameras, early education, scholarships, funding, children, families, Minnesota education, child care licensing, family child care, child care center, Minnesota Department of Children, Youth, and Families, correction order, conditional license, fix-it ticket, documented technical assistance, license suspension

Transcript Highlights:

• So this is really preventative measures to make sure that our residents do have access to that health
• And I believe, can you do the timer on the screen? Okay, so you get two minutes. Go ahead.
• flexibility for the state to ensure that Be Well enrollees avoid... ...a spike in costs, as well as help prevent
• This provides children with opportunities for access to preventative care that helps them grow up to
• This uses more credit taxation to prevent production, an affordable care for household income.

Transcript Highlights:

• Without that visibility, we cannot accurately direct prevention resources or respond strategically.
• And I know this is all prevention, which is very good.
• I think this will prevent human trafficking, and I respectfully ask for your aye vote. Thank you.
• Because if we can prevent one athlete from taking their life, this is all worth it.
• Students are targeted behind a screen, receiving invasive messages like, 'Send me more nudes,' or 'Do

Keywords: 987, senate, all

Transcript Highlights:

• funding proposed for reduction goes to communities across the state to provide education, counseling, screening
• name and where you're from, and three minutes please. ...aim to improve infant health outcomes by preventing
• fact that we're deliberately putting in provisions that are essentially a poison pill that would prevent
• fact that we're deliberately putting in provisions that are essentially a poison pill that would prevent
• fact that we're deliberately putting in provisions that are essentially a poison pill that would prevent

Keywords: 1183, house

Transcript Highlights:

• This gives parents vital time to get to their children and prevent a potential tragedy.
• Please. and help prevent needless tragedies that devastate families and communities.
• But it is so important and so preventable.
• But 100% of those tragedies are preventable.
• They're preventable with consistent regulation of bodies of water and swimming pools.

Bills: S0428, S0606, S0192, S0162, S0340

Keywords: drowning prevention, water safety, swimming lessons, swim vouchers, child drowning, infant safety, toddler safety, pool safety, bath safety, safe bathing practices, postpartum education, newborn care, childbirth education, birth centers, home birth providers, Department of Health, public health, water competency, swim instruction, infant supervision

Summary: The Senate Health Policy Committee met with a quorum and took up several health-related bills, with a strong focus on drowning prevention and patient safety. SB 428 by Senator Yarborough would expand Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7. Supporters, including a pediatric emergency physician and YMCA leadership, cited Florida’s high child drowning rates and argued that swim lessons reduce risk and should be available to more children. Senator Harrell noted the need to consider increasing the program’s funding as eligibility expands. The bill was reported favorably. The committee also heard SB 606 by Senator Smith, which adds drowning prevention and safe bathing education to postpartum materials provided by hospitals, birthing centers, and, after amendment, no longer home birth providers. A parent who lost a child to drowning testified in support, and senators emphasized the preventability of such deaths. The bill, as amended, was reported favorably as a committee substitute. SB 340 by Senator Harrell would require nursing students to complete a two-hour human trafficking course before licensure; after a strike-all amendment shifted the requirement from nursing programs to the students themselves, the bill received support from advocates and was reported favorably as a committee substitute. The committee also considered SB 162 by Senator Davis, which would require hospitals and ambulatory surgical centers to adopt policies for using smoke evacuation systems during procedures that generate surgical smoke. The sponsor said the equipment is relatively inexpensive and already common in many facilities, while opponents and some senators questioned the medical evidence, enforcement, and possible impacts on rural and smaller facilities. Despite those concerns, the bill was reported favorably, with some members voting no. SB 192, presented by Senator Trumbull on behalf of Senator Martin, would remove the $1,500 cap on advances chiropractic physicians may collect for examinations or treatment; the Florida Chiropractic Society supported the change as pro-small-business, and the bill was reported favorably. The committee also received an OPAGA presentation comparing Florida’s health care practitioner regulation system with other states, focusing on board autonomy, rulemaking oversight, board composition, appointments, term limits, and funding mechanisms.

Transcript Highlights:

• disease, smoking, and preventable disease, smoking, and preventable hospitalizations<00:04:10.159
• that's happening towards um preventing that's happening towards um preventing um<00:07:39.759>
• Uh here we again food is prevention.
• The good news is prevention more likely. The good news is prevention is<00:49:12.559> possible.
• me and see the screen? me and see the screen? Yes. Yes. Yes. Yes,<00:53:42.160> sir.

Keywords: 958, all

Summary: The meeting opened with roll call and housekeeping, including moving standing attendees to an overflow room and asking the audience to avoid interruptions. The task force then heard testimony from Allison Adams of the Foundation for a Healthy Kentucky, who presented statewide health trend data showing Kentucky ranked 41st overall and 44th in health outcomes, with especially poor performance on premature death, chronic disease, diabetes, and vaccination rates. She emphasized that Kentucky has the highest rates of residents with multiple chronic conditions, that diabetes remains above the national average, and that childhood immunization rates have worsened. She also highlighted major provider shortages in rural areas, noting that 43 of 120 counties meet shortage criteria and that more than half of primary care providers are concentrated in Fayette and Jefferson counties. Adams urged the task force to focus on prevention, early intervention, access to care, physical activity, and healthier school and community environments, and said the foundation is prepared to share results from its demonstration projects. Task force members asked follow-up questions about the age range for chronic-condition data and whether the diabetes figure reflected type 1 or type 2 diabetes; Adams said the chronic-condition measure spans all ages and that the diabetes figure likely reflects type 2, though she offered to provide the full report. The task force then approved the minutes from the prior meeting. The committee next turned to SNAP benefits and heard from Lisa Dennis, commissioner of the Department for Community Based Services, and Roger McCann, director of the Division of Family Support. They explained that SNAP is not only a food assistance program but also a public health and family stability tool, arguing that poor diet contributes to chronic disease and that food insecurity is linked to family stress, child welfare involvement, and neglect-related CPS referrals. They cited research showing that more generous SNAP policies are associated with fewer CPS reports, fewer substantiated reports, and fewer foster care placements, and said SNAP helps reduce risk and promote stability across vulnerable populations including children, older adults, people with disabilities, and pregnant women. They also described SNAP-Ed as the nutrition education component that teaches healthy eating, cooking on a budget, and how to use fresh produce, but warned that recent federal legislation eliminates federal funding for SNAP-Ed beginning in federal fiscal year 2026. McCann outlined the remaining SNAP outreach and employment-and-training components, noting that outreach is typically run by nonprofits with a 50% match and that employment and training funds job-skills programs to help recipients move toward better jobs and self-sufficiency. The discussion emphasized that access to nutritious food, education, and job supports are all part of improving health outcomes and reducing food insecurity.

Transcript Highlights:

• The second one is $277,000 from Substance Abuse Prevention and Treatment.
• J2 is UAPB Tobacco Prevention and Cessation Program subgrants.
• Grants are to providers across the state for tobacco prevention and cessation education and promotion
• Preventing initiation among our youth, we've reached those goals.
• is page two, contract number three, Department of Health with Welco, LCA, Inc. for the Tobacco Prevention

Summary: The committee heard a series of appropriation requests and contract reviews across multiple sections. In Section B, members approved temporary appropriations for the Court of Appeals, Commerce/Aeronautics, and Insurance-related payments and refunds. Section C ARPA requests from DHS were approved to return unused federal funds. Section D infrastructure-related appropriations, including wildfire preparedness, broadband BEAD funding, forestry support, recycling, and oil and gas sample preservation, were approved after questions about broadband audit controls and performance safeguards. Section E DHS reallocations were approved, including large transfers within Medical Services from hospital medical to private and public nursing home lines, along with smaller transfers for children and family services, developmental disabilities, and youth services; members asked about the source and purpose of the medical services transfer. Sections F and G were reviewed, covering cash fund requests, federal grants, and miscellaneous grants, including community college storm repairs, corrections commissary and maintenance, 911 enhancements, maternal health, disability determinations, state police equipment, digital newspaper archiving, and CDL data improvements. In Section H, the committee reviewed pay plan appropriations and performance fund transfers tied to the new Class and Comp pay plan. Section I reviewed three methods of finance for UA Little Rock, UAMS, and the University of Arkansas system. In Section J, the committee reviewed discretionary grants, including a $1.4 million HIV services grant and nine tobacco prevention subgrants through UAPB. Members questioned the effectiveness, metrics, and addresses of some tobacco-cessation arts-based grantees, especially Arts Absolutely Inc.; after discussion, Representative Kavanaugh moved to expunge the vote on J2 and refer it back for review at a later ALC meeting, and that motion passed. J3, a Department of Energy and Environment grant for propane safety training and e-waste recycling services, was then reviewed. The committee also reviewed contracts in Section K. K-1 ratified emergency management nuclear planning work performed during a transition between agencies. K-2 construction contracts included architectural and engineering services for corrections, National Park College signage, a Razorback Road parking facility, and UAMS cyclotron installation. K-3 intergovernmental contracts covered health, education, autism waiver, stroke, newborn screening, Medicaid evidence review, and radiation testing services. K-4 out-of-state contracts included staffing, IT, tobacco prevention, audit, marketing, planetarium, recruitment, and janitorial services; Senator Irvin noted one contract appeared to belong in the out-of-state list rather than intergovernmental. K-5 in-state contracts covered staffing, cleaning, re-entry and treatment services, foster care and disability services, hearing officers, asbestos abatement, campus IT support, and janitorial work. The meeting ended after a brief personal update from Senator Irvin about tornado damage in Stone County and thanks to members for their concern, followed by adjournment.

Transcript Highlights:

• It is the Women's Health Preventative Mobile Units.
• Three, prevent tobacco-related cancers.
• Three, prevent tobacco-related cancers.
• Prevention pays off.
• Prevention pays off.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• > what<01:22:49.280> we're It's preventable and that's what we're It's preventable and
• So imagine someone who could have been screened for cervical cancer who wasn't screened for cervical
• So imagine someone who could have been screened for cervical cancer who wasn't screened for cervical
• So imagine someone who could have been screened for cervical cancer who wasn't screened for cervical
• Is the intent here to uh uh um screen Is the intent here to uh uh um screen down?

Keywords: 928, house, all

Summary: The Division 3 work session focused largely on amendment 1176 to HB 2, which would have incorporated the substance of HB 548FN, a House-passed bill creating a direct-pay or membership-based model for health care facilities. Representative Mlan described the proposal as a way to increase competition in health care by extending the direct-care model used in primary care to facilities, arguing it could encourage innovation and that concerns about widespread harm to critical access hospitals were overstated. He pointed to Oklahoma’s long-standing Surgical Center model as evidence that the approach had not spread broadly or displaced hospitals there. Several members and witnesses raised concerns. Representative Stringham questioned whether the model would shift profitable services and patients away from existing hospitals, potentially worsening their finances and affecting Medicaid-related funding. David Ross, speaking for county nursing homes, opposed the language because it also removed moratoriums on nursing home, skilled nursing, inpatient rehabilitation, and self-pay beds, warning that it could increase pressure on Medicaid rates and undermine community-based care. Ben Bradley of the New Hampshire Hospital Association said the proposal appeared to create a separate regulatory framework for direct-pay facilities and raised concerns about patient safety, CMS participation rules, and a separate patient bill of rights. The chair concluded that, because HB 548 was already moving through the Senate, the HB 2 process was not the best vehicle for the policy and that the issue should be left to the Senate’s more deliberative committee process. Representative Ferski moved to not accept or remove amendment 1176 from the agenda, and the committee approved the motion by roll call, 9-0, withdrawing the item from HB 2.

Transcript Highlights:

• I think 'elderly' has that negative connotation and prevents some people who are aging, but might want
• to access preventative services that we serve, from considering themselves elderly.
• um and prevents some people who<00:22:16.159> are<00:22:16.360> aging<00:22:17.039>
• Services that we to access preventative Services that we serve<00:22:21.480> um<00:22:21.600>
• streams that fund um preventative streams that fund um preventative community-<00:27:25.360>

Keywords: 928, house, all

Summary: The Division of Long-Term Supports and Services presented its budget and program overview as part of the Department of Health and Human Services operating budget review. Leadership described the division’s three bureaus—Aging and Adult Services, Developmental Services, and Family-Centered Services—and explained that the division provides guidance, technical assistance, quality monitoring, and contracted provider oversight across the lifespan. Members also discussed staffing, with reported vacancy rates of 4% in Aging and Adult Services, 15% in Developmental Services, and 6% in Family-Centered Services; the division said the higher BDS vacancy rate is partly due to the small number of authorized positions. The governor’s budget had left eight positions unfunded in the division, including three in Aging and Adult Services and five in BDS. A major topic was the division’s roadmap initiatives, especially building a system of care for healthy aging and strengthening developmental disabilities systems through a new reimbursement rate structure. The division said it contracted with an actuary to study DD service costs and found rates had not been reviewed since 2017 and were significantly below actual costs and other states’ rates, contributing to provider shortages even when services are authorized. Members asked about the impact on service delivery and whether rates would need to rise overall; the division said its strategy is to focus on lower-cost services that help people remain in the community. The division also reported waiver enrollment figures, including about 4,161 people on the Choices for Independence waiver, 3,688 average nursing facility residents, 5,061 people on the DD waiver, 228 on the acquired brain disorder waiver, and 488 children on the in-home support waiver, while noting there is no funding waitlist but provider availability remains a constraint. The division highlighted IT modernization as a major accomplishment, especially moving Adult Protective Services and Developmental Services into the New Heights system. Officials said these changes improve case-note access, data retrieval, service authorization tracking, and transparency for providers, and they asked for future oversight discussion focused on IT leverage. Members noted that New Heights maintenance is budgeted in the Office of the Commissioner under class 27 and suggested better transparency on system costs and benefits. The division also reported that it closed out a long-running CMS corrective action plan for BDS on July 1, 2023, and said it is now focused on strengthening the system rather than compliance alone. Other discussion covered the Aging and Adult Services bureau’s name change from Elderly and Adult Services to Adult and Aging Services, intended to avoid negative connotations and better reflect preventative services. The bureau described Adult Protective Services trends involving scams, financial exploitation, self-neglect, and isolation, and explained that it administers the CFI waiver, determines medical eligibility for nursing facility level of care, and braids funding from Medicaid, state funds, Older Americans Act money, Social Service Block Grants, and other grants. Members asked about waiver growth targets and federal consequences if enrollment remains below projections; the division said it would explain the shortfall in a future waiver amendment and did not anticipate a federal penalty. The meeting ended without any votes or formal actions taken.

Transcript Highlights:

• This gives parents vital time to get through to their children and prevent a potential tragedy.
• Please. and help prevent needless tragedies that devastate families and communities.
• But 100% of those tragedies are preventable.
• They're preventable with consistent regulation of bodies of water and swimming pools.
• Similarly, in Utah, boards advise the department about screening of applicants for licensure.

Summary: The Senate Health Policy Committee met with a quorum and considered several health-related bills, most of them focused on drowning prevention and public safety. SB 428, by Senator Yarborough, would expand Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7. The sponsor and supporting testimony from a pediatric emergency physician and YMCA representatives emphasized Florida’s high drowning rates, especially among very young children, and argued that swim lessons can significantly reduce risk. Senator Harrell noted the need to revisit the funding allocation as eligibility expands. The bill was reported favorably. The committee also heard SB 606, by Senator Smith, which adds drowning prevention and safe bathing practices to postpartum education provided by hospitals, birthing centers, and, after amendment, no longer requires home birth providers to maintain proof of compliance. A parent who lost a child to drowning and Senator Berman spoke in strong support, stressing that the bill would educate new parents at a critical time. The committee adopted the amendment and reported the bill favorably as a committee substitute. SB 162, by Senator Davis, would require hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. The sponsor said the equipment is relatively low-cost and already used in many facilities, while several witnesses supported the bill as a worker-safety measure. Other senators raised concerns about the lack of data, possible rural hospital impacts, and whether the mandate could add costs without clear evidence of harm. Despite those concerns, the bill was reported favorably. The committee also passed SB 340, by Senator Harrell, requiring nursing students to complete a two-hour human trafficking course before licensure, after amending the bill to shift the requirement from nursing programs to the students themselves. Testimony from a trafficking survivor and nursing advocates supported the measure, and it was reported favorably as a committee substitute. Finally, SB 192, presented by Senator Trumbull on behalf of Senator Martin, removed the $1,500 cap on advances chiropractic physicians may collect for examinations or treatment; chiropractic industry representatives supported the change, and the bill was reported favorably.

Transcript Highlights:

• Preventing exposure at the source.
• This is about prevention.
• Preventing exposure at the source.
• Preventing exposure at the source.
• This is about prevention.

Keywords: 1187, senate, all

Transcript Highlights:

• On the bottom left hand of the screen, I want to make you all aware, with the KKMP report a few years
• left<00:03:59.599> hand<00:03:59.760> of<00:03:59.840> the<00:04:00.000> screen
• ,<00:04:00.640> I the bottom left hand of the screen, I the bottom left hand of the screen
• <00:53:19.520> So<00:53:19.760> thank safety and preventative care.
• So thank safety and preventative care. So thank you. you. you. >> Good<00:53:23.040> stuff.

Keywords: Meeting Start 00:00 Attendance Roll Call 00:18 KOAP Report 00:58 Approval of Minutes 53:58, 958, all

Summary: The Tobacco Settlement Agreement Fund Oversight Committee met on June 11 but did not have a quorum, so it could not approve the prior minutes. The committee then received a compliance and program update from Brandon Reed and Bill McClowski of the agricultural development board, who said the office is fully staffed, has digitized most records, and has added a Facebook page to share board actions, projects, and compliance work. They also reported that the board and finance corporation continue to operate with strong county-council participation and that the office had completed numerous site visits, program reviews, and project closeouts over the reporting period. The presenters reviewed monthly funding actions from December through May, including board approvals ranging from hundreds of thousands to several million dollars, with a December finance meeting delayed by a snowstorm. They highlighted that the Kentucky Agriculture Finance Corporation now has 57 loans generating more than $2 million per month in payments, and that the revolving loan program has grown to support more than $24 million annually in repayments available for relending. They also noted that 75% of the portfolio is in beginning farmer loans and that the office had recently surpassed 1,000 active loans. Several projects were discussed in detail. These included a grain facility in Callaway County supporting organic corn production for expanding egg-layer operations, a Union County cattle business expansion, a West Liberty Veterinary Clinic project to build a working cattle facility, a Grayson County farmers market project, a Casey County veterinary services project, and a packing warehouse for the Kanye family to support specialty crops. The presenters emphasized that county and state tobacco settlement funds are often combined, sometimes with participation loans, to leverage local investment. They also stressed the importance of supporting greenhouses, farmers markets, specialty crops, and large-animal veterinary services as key agricultural priorities. No votes or formal actions were taken beyond the lack of quorum and the informational presentations.

Transcript Highlights:

• So they must be getting it from somewhere, and is there anything that prevents them from using some of
• It doesn't need to be on this screen. Sorry, bear with me. It doesn't need to be on this screen.
• Curry, if you don't get it working, we have it on our own computer screens. So it's okay.
• We have it on our own computer screens downloaded, so it's okay. I apologize for that.
• Fines and fees are ineffective in preventing future offending.

Summary: The Judiciary Interim Committee met to begin its study of charitable gaming and the ownership of alcoholic beverage establishments by licensed charitable gaming organizations, a study directed by Senate Bill 2334. Legislative Council gave an overview of the constitutional and statutory framework for charitable gaming, site authorizations, rent limits, proceeds, and recent legislative changes. The Attorney General’s Gaming Division then clarified the financial flow of gaming, explaining that in fiscal year 2025 North Dakota had about $2.5 billion in gross gaming proceeds, with roughly 88-90% paid back in prizes and about $256 million available to organizations after taxes; most of that activity came from electronic pull tabs. Members asked for more detail on winnings, replays, rent, and the breakdown of manufacturer/distributor revenues, and the AG’s office agreed to provide supplemental information. The committee also heard from the League of Cities and the Association of Counties about local site authorization. Cities said they have a limited role in approving gaming sites, can adopt policies after public hearing, may charge up to $100, and can set certain conditions, including local nexus requirements, but cannot require donations or force a specific charity or site. The League said it had worked with stakeholders on a model policy to provide more consistency, though members raised concerns that local requirements could become too restrictive for charities serving broader areas. Counties said the issue is mostly a city matter, with little county involvement beyond minimal site fees and general site approval. The North Dakota Gaming Alliance testified in support of the study and provided IRS-related material suggesting charities may use asset diversification, while emphasizing it had not taken a position on whether charities should own bars. Members questioned whether bar ownership is being used for site stability or to channel charitable gaming dollars, and whether city policies might disadvantage charities with broader missions. The committee also discussed the relationship between gaming organizations, manufacturers, and distributors, including restrictions on incentives and interference, and asked for more information on those entities and their ownership. Later in the meeting, the Racing Commission gave its regular update on live racing, pari-mutuel wagering, ADW providers, purse and promotion funds, a new TRPB contract, and concerns about cease-and-desist actions from other states. Finally, the State Hospital superintendent briefly reported on the Department of Corrections and Rehabilitation’s support services, including the SORT team, training, and security assistance for the hospital campus.

Transcript Highlights:

• I raise that because they're not even on. our radar screen.
• Screens are definitely on my client's screens.
• She made my screen go away. The delay is all her fault. Chair, now we show you as you are.
• We should make every effort to prevent this opportunity. Let's keep the Constitution we have.
• There is no surefire way to put checks in place to prevent a convention that exceeds its authority.

Bills: HB246, HB796, HB 1056, HB1544, HB1846, HB2001, HB2618, HB2625, HB2869, HB2898, HB3069, HB3114, HB3157, HB3228, HJR98, HB246

Keywords: federal directives, state authority, Tenth Amendment, government enforcement, local governance, gold standard, legal tender, currency, transactional currency, financial transactions, electronic payment systems, state finance, regulatory compliance, electric trucks, charging infrastructure, advisory council, transportation, sustainability, criminal penalties, official information

Transcript Highlights:

• So when you look at the screen, it's that bottom-left corner that we really audited and focused on.
• when you look fee for service basis so when you look at<00:03:51.920> the<00:03:52.040> screen
• it's<00:03:52.560> that<00:03:52.760> bottom<00:03:53.079> leftand at the screen
• it's that bottom leftand at the screen it's that bottom leftand corner<00:03:54.560> um<00:03
• The thing that I would like to ask, kind of in the closing, is how could we have prevented this from

Keywords: 1183, house

Summary: The committee approved the January 16, 2024 minutes without objection. Members then heard a presentation from the Office of the Legislative Auditor on its December 2024 performance audit of the Department of Human Services’ outstanding provider debt in Minnesota’s Medicaid fee-for-service program. Legislative Auditor Judy Randall said the audit was launched after the office noticed a large accounts receivable balance during the state financial statement audit and became concerned that DHS did not understand the extent of the overpayments, had poor data, and planned to forgo recovery of some recoverable balances. Deputy Legislative Auditor Lori Lyson explained that DHS had reported $51.7 million in provider debt across about 2,500 providers in fiscal year 2023, with testing focused on long-term care facilities and the largest balances. The audit concluded DHS did not comply with legal requirements and lacked adequate internal controls. Findings included that DHS had not attempted to recover more than $40 million since collection notices were last sent in 2015 and 2019; that the department planned to write off some balances under $1,000 and some older than six years despite the auditors’ view that at least some of that debt may still be recoverable; that DHS overstated accounts receivable in its financial reporting because it had not updated its allowance calculation since 2019; and that MMIS data were insufficient to verify balances, with 20 of 59 sampled providers not reconciling and many dates inaccurate. In response to member questions, the auditors said the overpayments appeared to be routine program adjustments rather than fraud, but the department could not explain many of them because detailed data are only retained for about three years. They also said they did not know which specific DHS leader approved not collecting the debt, and that responsibility for recovery appeared split between program and finance staff, with each pointing to the other. The auditors recommended DHS recover the debt where possible, improve internal controls, retain better documentation, ensure accurate financial reporting, and work with the legislature if needed to clarify recovery authority.

Transcript Highlights:

• Prevention and treatment of chronic diseases of aging will take on growing importance.
• DeepRIT is intentionally modeled after the Cancer Prevention and Research Institute of Texas.
• A proven institute delivering on the promise to accelerate advancements in cancer prevention.
• The grants can cover research into the causes, prevention, treatment, and rehabilitation of dementia,
• Dementia Prevention Research Institute.

Bills: SJR3, SB5, SB21, SB72, SB703, SB764, SB790, SJR36, SJR3, SJR34, SJR18, SCR9, SB616, SB565, SB384, SB5, SB21, SB72, SB140, SB262, SB370, SB372, SB495, SB627, SB703, SB764, SB842, SB971, SB790, SB767, SB480, SB1066, SB929, SB765, SB523, SB62, SB19, SB18, SB666, SB688, SB707, SB888, SB687, SB706, SB847, SB869, SB890, SB992, SB1145, SB494, SB290, SB766, SB11, SB10, SB13, SB263, SJR3, SB5, SR172, SR176, SR177, SR190, SR193, SR194, SR202, SR203, SR208

Keywords: dementia, Alzheimer's disease, Parkinson's disease, research funding, state budget, prevention, healthcare, medical research, Dementia Prevention and Research Institute, research institute, funding, grants, state health initiatives, cryptocurrency, bitcoin, investment reserve, economic resilience, financial security, vehicle rental, damage waiver

Transcript Highlights:

• And there are, in both the population-based prevention and workforce...
• in prevention and going to things that the Legislature has expressed concern about.
• I think the counties feel frustrated that they've lost prevention dollars.
• This is innovative prevention and early intervention that we need to keep in California.
• I oversee a prevention, early intervention mental health program known as ALAS.

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