Transcript Highlights:

• What that would look like in Utah, you know, that might be a little different district by district, but
• It depends on the district.
• So Jordan School District runs an online program.
• So if a district does it, then it would be a district. It would be with whoever holds the contract.
• So if a district does it, then it would be across the district.

Committee: Joint Education Interim Committee

Transcript Highlights:

• Over the last 10 years, Pew has worked with 18 states and the District of Columbia to improve access
• districts to provide ongoing mentorship.
• Those centers also provide ongoing critical care through case management and family navigation.
• The assistant district attorney's office in actual district attorney offices has a panel of three former
• This is a significant issue for our state and for our school districts.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• So there will be more money going out to the districts.
• I happen to represent all small cities in my district.
• In my district, I have the 710 freeway, the 91 freeway, 605.
• I was in the school district.
• I was in the school district.

Committee: House Budget

Transcript Highlights:

• I am a district court judge. I am chambered in Fillmore County in the Third Judicial District.
• I am a district Jeremy Kleinfelter. I am a district court<00:02:23.520><c> judge.
• I spend most of my judicial district.
• </c> am a member of the Minnesota District am a member of the Minnesota District Judges<00:02:39.040>
• He heads up our security navigator program.

Bills: HF1151 , HF1239 , HF1240 , HF2020 , HF2514 , HF2515 , HF2451

Committee: House State Government Finance and Policy

Keywords: Compensation Council, salaries, state officials, judicial compensation, legislative process, public funds, misuse, law enforcement, accountability, state government, legislative auditor, compliance, transparency, retirement benefits, health insurance, dependents, state employees, Medicare, legislative studies, government oversight

Transcript Highlights:

• We know that public hospital districts play a critical role in our communities.
• For instance, Southwest Washington does not have any public hospital districts.
• For instance, Southwest Washington does not have any public hospital districts.
• All but two of them are associated with a public hospital district or governed by a public hospital district
• It seems to be very isolated to the Spokane District.

Summary: The Senate Health and Long-Term Care Committee heard testimony on several bills. SB 6159 would create a public hospital infrastructure account funded by a new annual coverage assessment on insurers and other businesses subject to the premium tax, and would allow public hospital districts and other public health entities to collaborate more freely and access capital financing for major construction or modernization projects. Senator Dhingra said the bill is intended to help public hospitals compete and modernize, especially amid federal Medicaid and ACA subsidy cuts. Supporters included UW Medicine, while hospital districts supported the general concept but said Section 2 could unintentionally narrow existing cooperative agreements with nonpublic entities. Health plans and insurers opposed the bill, arguing it would raise premiums, increase consolidation, and improperly sweep in property and casualty insurers and mutual companies; testimony also raised concerns about pass-through costs and retaliatory tax effects. The hearing on SB 6159 closed with 5 pro, 74 con, and 2 other sign-ins. The committee then heard SB 5845, which would modernize timely payment rules by requiring carriers and public employee plans to pay or deny all clean claims within 30 days, require prompt notice and a single request for additional information on incomplete claims, and impose interest or penalties for missed deadlines. Senator Slaughter said the bill would reduce uncertainty for providers and stabilize payments without increasing patient costs. Hospitals, physicians, and health systems strongly supported the measure, citing large volumes of late clean claims and examples of prolonged delays, including a Harborview claim that remained unpaid more than a year after billing. Health plans opposed the bill, saying the current 95% standard is workable, that they already meet high compliance rates, and that the bill could limit fraud, waste, and abuse review on high-dollar claims; they also sought more flexibility and additional time for responses. The hearing closed with 69 pro, 4 con, and 2 other sign-ins. The committee also heard SB 5916, which would prohibit health plans from disadvantaging non-opioid pain treatments relative to opioids in formularies and utilization management, and would require a Department of Health educational pamphlet on non-opioid alternatives. Senator Harris described the bill as a response to opioid deaths and a way to encourage safer pain treatment options. Patients, recovery advocates, and rare disease advocates testified in support, saying insurance barriers and step therapy often make non-opioid care harder to access and can push patients toward opioids. The Health Care Authority and an association of health plans opposed the bill, arguing it could reduce formulary flexibility, increase costs, and limit tools such as prior authorization and step therapy. The hearing closed with 8 pro, 1 con, and 2 other sign-ins. Finally, the committee heard SB 6102 and SB 6103, both sponsored by Senator Muzzall, and SB 6071. SB 6102 would align the ambulance transport quality assurance fee with federal rules after H.R. 1 barred new provider taxes, preserving the existing fee rate and adjusting the Medicaid add-on rate annually; the Washington Ambulance Association supported it, saying the program had improved wages and benefits for EMS workers. SB 6103 would make Medicaid payments for services provided by a rural emergency hospital subject to appropriation, creating a framework for East Adams Rural Health Care to convert to the new federal rural emergency hospital model; East Adams and the Washington State Hospital Association supported it as a way to preserve rural access. SB 6071 would shorten overpayment recovery timelines for all services to six months, or nine months for coordination-of-benefits cases, matching the shorter timelines already enacted for behavioral health services; providers and specialty associations supported the bill as a way to reduce destabilizing clawbacks, while the remaining testimony was still underway when the transcript ended.

Transcript Highlights:

• District schools are also eligible to participate in the program.
• It's my understanding that district schools did not apply, but even if they did, the program and the
• navigate real briefly what you're looking at here, the schools that are approved are on the left.
• And yeah, that was a district school, not a charter school.
• Both public school districts and charter schools can participate in the program.

Committee: Senate Senate Education Committee of Reference

Summary: The Senate Education Committee of Reference first heard a sunset review of the Credit Enhancement Eligibility Board. Governor’s Office staff explained that the board was created in 2016 to lower borrowing costs for qualifying schools by providing a state guarantee that improves credit ratings, but the board has no dedicated staff or budget and is now largely in a monitoring role because it has reached its statutory leverage cap. Members discussed the long maturities of the approved financings, whether rural districts might benefit from additional capacity, and why a 10-year continuation was being requested. The committee voted to recommend continuing the board for 10 years until July 1, 2036. The committee then heard a sunset review of the Western Interstate Commission for Higher Education (WICHE). WICHE’s president described the interstate compact, its regional student access programs—WUE, WRGP, and PSEP—along with behavioral health fidelity reviews and cooperative purchasing savings. Testimony emphasized tuition savings for Arizona students, the return of health care graduates to Arizona, and the value of regional collaboration. The committee voted to recommend continuing WICHE for 10 years until July 1, 2036. Finally, the committee reviewed the Arizona Department of Education School Safety Program performance audit. The Auditor General reported that the program has grown substantially, but many sampled schools were not fully complying with requirements such as operational plans, safety teams, training, activity logs, and reimbursement documentation. The department agreed with the finding and said it would implement the recommendations. The school safety director responded that the department has already begun tightening monitoring, training, and documentation procedures, and he answered questions about emergency plans and campus safety. No further action was taken on the audit, and the meeting adjourned.

Transcript Highlights:

• We have Olivia Collins from the great Senate District 10 here to speak.
• This is absolutely impactful to my district. Franklin County.
• The time was the Department of Water Management District must make a determination if sufficient credit
• In general, up in the water management districts have booked with the mitigation banks.
• But there is a process that the district works with and in slowly allows these credits to be released

Transcript Highlights:

• They are navigating systems that feel more complicated than they should be.
• That includes significant case management, housing navigation assistance, and increased integration with
• or street navigation where those funds won't, right?
• What Medi-Cal has done is helped specifically with housing navigation in particular.
• They have slowly been navigated to other locations.

Summary: The Senate Budget and Fiscal Review Subcommittee 4 met to hear an oversight discussion focused on homelessness, including the state of homelessness in California, state data systems, and the Homeless Housing, Assistance, and Prevention (HAP) program. In opening remarks, the chair emphasized accountability and the need to focus on families and people at the bottom rung, while the vice chair argued that homelessness and affordability problems stem from policy choices and the state should give counties more flexibility rather than top-down mandates. The committee also announced that the one scheduled vote would be postponed and public comment would be taken later. Dr. Ryan Finnegan of UC Berkeley’s Turner Center presented recent homelessness data, saying California’s homelessness remains high at about 187,000 people in the 2024 point-in-time count, with most still unsheltered, though the unsheltered share has declined somewhat. He explained differences between point-in-time counts and the state’s Homeless Data Integration System (HDIS), noted progress in shelter, permanent supportive housing, rapid rehousing, and interim housing capacity, and highlighted declines in youth and veteran homelessness. He also described persistent racial disparities, the large number of chronically homeless people, and risks from federal changes and possible reductions to programs such as Emergency Housing Vouchers and Continuum of Care funding. Members questioned the causes of recent trends, the role of Housing First, Proposition 47, Martin v. Boise, and how funding streams such as HAP and CalAIM are layered together. The California Interagency Council on Homelessness then outlined its data systems and AB 799 implementation. Staff explained that HDIS aggregates HMIS data from all 44 continuums of care and is used to measure outcomes, disparities, and program effectiveness statewide. They said HAP 4 was cost-effective under the State Auditor’s methodology, and that new AB 799 dashboards will provide more public-facing fiscal and outcome reporting by June 2027. Members asked whether the system can better distinguish which interventions work, how self-sufficiency will be measured, how fraud is detected, and whether the council can meet the auditor’s concerns on time. Cal ICH said it has met prior statutory deadlines, that program outcome data already exist, and that fiscal reporting will be built through a web-based tool and aligned with existing departmental reporting systems.

Transcript Highlights:

• She might be having trouble navigating the Teams. I can get...
• Rub it in, rub it in than your district. Any questions from committee members? All right.
• But this small change would address an issue that many veterans, maybe even from your own districts,
• Teams is not an easy platform to navigate.

Committee: Joint Joint Committee on Revenue

Summary: The Joint Committee on Revenue held a hybrid hearing on 32 bills related to veterans and service members, with opening remarks from Chair Madaro and Senator Eldridge emphasizing the committee’s work on tax credits and property tax relief, including follow-up to the HERO Act of 2024. The chairs outlined hearing procedures, noted the August 23 reporting deadline for House-filed matters, and explained that testimony would focus on issues including voluntary contributions, sales tax, property tax, and economic development. No votes were taken during the hearing. Several bills drew testimony in support of expanding or simplifying veterans’ property tax benefits. Rep. Sylvia supported H. 3255 to raise the veterans’ property tax workoff cap from $1,500 to $2,000, matching the senior workoff program. Rep. Soder and Sen. Moore advocated for stronger property tax relief for disabled veterans, including H. 3245 and S. 2046, with Moore proposing a disability-based exemption and state reimbursement to municipalities. Rep. McGregor supported H. 3175, which would eliminate the need for veterans to refile annually for exemptions unless their status changes, arguing it would reduce burdens on veterans and assessors. Testimony also addressed line-of-duty death benefits and local implementation concerns. Mary Ann Cardi supported H. 3188 to clarify that surviving spouses of police and fire personnel who died in the line of duty qualify for a full real estate exemption. Chris Clark, Senator Sear, and Counselor Ludke all backed the veterans’ workoff bill, describing it as an equity fix that would align the veterans’ program with the senior program and help municipalities like Barnstable use the benefit more effectively. After hearing from all scheduled speakers and confirming no additional in-person testimony, the chairs adjourned the hearing.

Transcript Highlights:

• districts.
• Generally, a taxing district may not impose an EMS levy if another taxing district has already imposed
• So this bill corrects that situation so that if you have a fire district and part of your fire district
• Fire District 3 right now serves...
• Fire District 3 right now serves about 49,000 residents within our fire district.

Bills: HB2334 , HB2140 , HB2326 , HB2100

Committee: House Finance

Keywords: cash transactions, pennies, currency adjustment, economic impact, consumer protection, tax exemption, governmental transfer, agriculture, land use, property tax, emergency medical services, levies, healthcare funding, local government, taxation, excise tax, large companies, payroll expenses, minimum wage, Well Washington fund

Transcript Highlights:

• And when you can cross my six counties and my Senate district, and it seems unanimous from the directors
• And when you can cross my six counties and my Senate district, and it seems unanimous from the directors
• And when you can cross my six counties and my Senate district, and it seems unanimous from the directors
• This is part of a long-running controversy in my district regarding the Roseau Lake project.
• CONTROVERSY IN MY DISTRICT REGARDING THE ROSEAU LAKE PROJECT THEIR.

Transcript Highlights:

• These children are an integral part of our communities: they play in our city parks, they attend district
• CCRI is in my district um and one<00:36:42.200><c> of</c><00:36:42.280><c> the</c><00:36:42.440><c>
• Um, in our district we have a very rural district, and uh I'll let Adam tell the story.
• </c><01:02:09.079><c> the</c> senion don't have to navigate the senion don't have to navigate the complexity
• For example, our staff must navigate multiple screens just to determine the history of an individual

Bills: HF1380 , HF1166 , HF487 , HF1553 , HF1472 , HF258 , HF1911

Committee: House Human Services Finance and Policy

Keywords: psychiatric treatment, human services, mental health funding, per diem rate, Clay County, disability services, assistive technology, remote support, advocacy, training programs, HF487, Wellness in the Woods, Minnesota human services, grant funding, general fund appropriation, peer support, substance use recovery, addiction recovery, reentry services, reentry after incarceration

Transcript Highlights:

• , Assembly District... ...Assembly District 52, just to name a few.
• But in my district, in addition to being a Dodger fan, I also have SoFi in my district.
• district, and the topography of my district really lends itself to e-bikes.
• And in my district, we've had two deaths. So I've got a lot of outcry from my district.
• Back in the district, he was everywhere.

Summary: The Senate Committee on Transportation heard testimony on a large agenda of transportation-related bills, with several measures discussed before a quorum was established. AB 1588 focused on sideshows and street takeovers, with the author, San Francisco Police Department, and Streets Are for Everyone arguing the bill would modernize enforcement, add motorbikes and dirt bikes to the sideshow framework, and improve public safety; there was no opposition testimony. AB 2015 would require Caltrans to study the effects of third-party navigation apps on congestion, local streets, infrastructure, and emergency response, and was supported by Streets for All, AAA, and local agencies, with no opposition. AB 2717 would extend a sunset for off-site advertising displays at large sports venues; the Dodgers supported it, the San Jose Sharks and others noted amendments, and no opposition was heard. AB 1608 would strengthen the independence and transparency of the High-Speed Rail Office of Inspector General by requiring public reports, adding confidentiality protections for sensitive security information, and granting staffing and purchasing authority; the First Amendment Coalition supported the amended bill, while the Vice Chair raised concerns about transparency and limiting confidential notices to committee chairs. The committee also heard AB 2346 on e-bike safety, which would require speedometers on Class 2 e-bikes, lights, a statewide sidewalk speed limit, local authority over bike-path speeds, and point-of-sale disclosures. Support came from medical, law enforcement, local government, and safety groups citing rising injuries and confusion over e-bike rules; PeopleForBikes remained opposed unless amended, mainly over lighting and disclosure requirements, though Streets for All withdrew its opposition after amendments. Members broadly supported the bill and discussed helmet use, youth safety, and the distinction between e-bikes and higher-powered e-motos. AB 1919 would let Santa Cruz Metro place a citizens’ initiative on the ballot to secure transit funding and protect service and jobs; the sponsor, bus operators, and labor supported it, with no opposition testimony. AB 2012 would streamline permits for moving manufactured homes under an annual permit, and AB 2024 would clarify Outdoor Advertising Act permitting and relocation procedures; both drew support from industry and housing groups and no opposition. After quorum was established, the committee adopted the consent calendar, which included items 13, 6, 8, 11, 14, 15, and 21, by roll call vote. The committee then heard AB 2484, which would allow San Diego voters to authorize a local transit tax initiative for MTS; the author and MTS argued it would preserve service and allow voters to decide future funding, and the bill advanced on a 5-2 roll call with the roll left open for absent members. The committee also heard AB 2560, which would codify the state transportation climate principles known as CAPTI; supporters said it would lock in goals for transit, rail, active transportation, equity, and greenhouse gas reduction, while Orange County Transportation Authority opposed. The author closed by asking for aye votes, and the committee proceeded toward roll-call action on the bill.

Transcript Highlights:

• We are all navigating a tight fiscal environment, but we remain fully committed to making smart, equitable
• GATRA got us so we can go across state lines with regional transit from two states, from District 5,
• It is even more important as we navigate funding uncertainty at the federal level.
• My district, where I'm in the greater role area and the 128/495 district of my area, post-pandemic was
• In my district alone, I have two new MBTA train stations, and we haven't had train in 70 years.

Committee: Joint Joint Committee on Transportation

Summary: The Joint Committee on Transportation held an informational hearing with invited testimony from MassDOT leadership, the MBTA, Massport, and the state’s Federal Funds and Infrastructure Office. MassDOT officials outlined work across highways, rail and transit, the Registry of Motor Vehicles, and aeronautics, emphasizing major capital spending, bridge and roadway programs, transit grants, rail expansion, airport safety, and modernization efforts. They highlighted Chapter 90 and municipal grant programs, the Compass Rail and West-East Rail efforts, RMV upgrades such as electronic titles and driver licensing systems, and aeronautics work on airport pavement, drones, and advanced air mobility. Committee members focused on safety, service access, and project implementation. Questions to MassDOT covered automated enforcement and rising roadway fatalities, the Allston multimodal project’s federal funding, Complete Streets access for rural communities, and South Coast Rail staffing and future electrification. The RMV was asked about the Work and Family Mobility Act, Real ID demand, and appointment access, especially in Metro West. Members also raised concerns about South Coast Rail operations, Keolis staffing, and whether the Stoughton route remains part of future plans; MassDOT and MBTA officials said they are working on staffing, service reliability, and long-term expansion, while noting that nothing is off the table for future rail improvements. MBTA General Manager Phil Eng reported progress including workforce growth, elimination of subway speed restrictions, expanded reduced-fare access, bus network redesign, South Coast Rail launch, and commuter rail signal upgrades. He said the agency is pursuing a new commuter rail operating contract designed to support future regional rail, electrification, and higher-frequency service, while maintaining service and workforce stability amid funding uncertainty. Members also asked about fare collection data privacy and the impact of state funding levels; Eng said the MBTA needs the governor’s proposed funding to preserve service and staffing, and that the fare system’s data are encrypted and handled through a secure vendor system. Massport CEO Rich Davey reported record activity at Logan, Worcester, and the cruise and maritime facilities, along with major capital and climate investments such as sustainable aviation fuel planning, shore power at Flynn Cruiseport, renewable diesel, and expanded ground transportation. He said Massport is planning for continued passenger growth and managing congestion through parking, HOV, and curbside changes, while monitoring federal policy, tariffs, and air traffic control staffing issues. Federal Funds Director Quentin Palfrey described the administration’s efforts to secure federal infrastructure dollars, citing about $9 billion in federal awards since the start of the administration, including major transportation grants for the Cape Cod Bridges, Allston, West-East Rail, North Station drawbridge replacement, roadway safety, and clean school buses. He warned that changing federal policies, grant delays, and possible future congressional actions create uncertainty, but said the office is working case-by-case with municipalities and agencies to protect awarded funds and find alternative financing where needed.

Transcript Highlights:

• but... ...my district.
• From Hobbs District.
• to school districts, just like Senator Soules had said.
• It's been remanded back to the state district court, where it's in the First Judicial District here in
• It really is impacting many school districts and will continue to impact many school districts around

Summary: The Senate met with a quorum, opened with an invocation, pledges, and a series of announcements recognizing West Side Day, School Board Appreciation Day, Sierra Club Climate Solutions Day, Gallup-McKinley County Day, and New Mexico Athlete Trainer Day. Members also agreed to allow cameras on the floor and a relaxed dress code for guests. Numerous student and community groups were introduced, including West Side Day students, ABC Prep basketball students, Bernalillo High School AP students, MANA del Norte Hermanitas, honorary lieutenant governors, Taos Municipal Schools leaders, Classical Conversations homeschool students, Bloomfield school board members, and others. A major portion of the session was devoted to honoring Bueno Foods with a Senate certificate recognizing February 5, 2026, as Bueno Foods Day in the Senate and celebrating the company’s 75th anniversary. Senators praised the Baca family’s multigenerational business, its role in New Mexico’s chile industry, its jobs and community support, and its national reach. Several members spoke in support, sharing personal stories about Bueno products and the company’s help during COVID and over decades of family and community life. The Senate also adopted a condolence certificate for Kayla Reagan Van Landingham, a 19-year-old bicyclist killed in Albuquerque, with remarks emphasizing her life, advocacy, and the need for stronger pedestrian and bicycle safety. Her mother and family were recognized, and members observed a moment of silence. Senators spoke about the importance of traffic safety reforms and the local ordinance changes already pursued in her memory. On legislation, the chamber received House and governor messages and adopted several committee reports. The main floor debate was on Senate Bill 38, concerning the spay and neuter program funding stream. Senator Block offered a floor substitute to restore a sunset clause for review and transparency; supporters argued the program should be periodically evaluated and that the funding functions like a tax rather than a fee. Opponents argued the program is important and should continue without a sunset. The floor substitute failed by roll call, 15 in favor and 22 against, and the Senate returned to the underlying bill for further debate.

Transcript Highlights:

• Joining me today are Christine Soto-DeBerry, board member of the South Marin Fire Protection District
• And we're here today proud to sponsor a board member of the Southern Marin Fire Protection District.
• I had to figure it out myself navigating the application forward.
• I had to figure it out myself navigating the application process on the requirements that nobody really
• With me today are two representatives of charter schools in my district to offer comments and support

Committee: House Public Employment and Retirement

Transcript Highlights:

• Working on this issue in 2022 when a carpet recycling company reached out to me about a plant in my district
• Hinkle and Culver City may not, but there's no one I trust more to navigate this than the author.
• Hinkle and Culver City may not, but there's no one I trust more to navigate this than the author.
• It's water agencies, it's resource conservation districts, and municipalities.
• Districts and municipalities.

Committee: House Natural Resources

Summary: The committee heard a long agenda of natural resources and related bills, with several measures receiving broad support and due-pass recommendations. AB 80 on carpet recycling would require CalRecycle to implement prior reforms, expand collection sites, and improve reporting and backstamping; it drew support from the author, carpet industry representatives, labor, environmental groups, and no opposition. AB 452 would create a voluntary process for local governments to designate state surf reserves as part of 30 by 30 conservation goals; supporters included Save the Waves Coalition, tourism and environmental groups, and several members praised the bill, while the League of California Cities sought clarifying amendments. AB 823 would ban sale of certain personal care and cleaning products containing intentionally added plastic microbeads, but it generated significant debate over scope and ambiguity, with environmental groups supporting stronger restrictions and industry groups warning the bill could unintentionally affect sunscreens, cosmetics, fragrance encapsulation, and other products; the committee ultimately passed it 13-2 to Environmental Safety and Toxic Materials as amended. The committee also advanced AB 1046, which creates a narrow exemption from SB 1383 organic waste requirements for crop preparers and tree nut processors that do not send organic waste to landfills; agricultural groups and rural county representatives supported it, and it passed with no opposition. AB 252, the “Stop Laying Off Firefighters Act,” would require Cal Fire to maintain year-round staffing; the author and Cal Fire labor representatives argued wildfire conditions are now year-round and staffing gaps are unsafe, and the bill passed unanimously to Appropriations. AB 571 would provide a targeted CEQA exemption and urgency clause for the Southern California Veterans Cemetery at Gypsum Canyon; veterans, county officials, and supporters emphasized the long delay and need for a dignified burial site, and it passed unanimously to Military and Veterans Affairs. Later, the committee approved AB 1455, which would authorize the Board of Forestry to adopt emergency regulations and streamline future rulemaking for ember-resistant standards after recent Los Angeles County fires; it passed without opposition. AB 687, which would allow public agencies to use forest practice rules and timber harvest plans for certain fuel reduction projects, drew concerns from environmental groups about CEQA confusion and agency review, and while the author said it was not a CEQA exemption, the bill moved forward with some opposition and ongoing discussion. AB 652 would allow alternate members on the San Diego County Air Pollution Control District board to avoid quorum problems and passed with support from the City of San Diego. AB 317, the California First-Time Home Owner Dream Act, would exempt certain small, lower-cost homes from CEQA and defer property taxes to encourage affordable housing; it passed with support but also prompted concerns about guardrails against misuse in larger subdivisions. The committee also heard AB 900, which would require the Natural Resources Agency to develop a stewardship plan for current and future 30 by 30 lands; supporters from land trusts and conservation groups said stewardship funding and management are essential to make conservation durable, and the bill passed to Appropriations. Finally, AB 738 would let certain wildfire-disaster survivors rebuild under the solar standards in place when their homes were originally built, rather than newer requirements; the author and county representatives framed it as limited relief for underinsured homeowners, and the committee began discussion with questions about what other rebuilding requirements might be affected.

Transcript Highlights:

• And then to make it easy for people at home to navigate, pages 1 through 178 is the recurring portion
• And then the last few pages are all related to the bars, so that's just a way to navigate House Bill
• And when a school district, like Gallup-McKinley County, wants to take SEG money and hold it from the
• There is a backfilling in here so people know of roughly $5 million for McKinley County School District
• And remember, 90% of that goes to the private company and 5% goes to the school district.

Bills: HB97 , HB280 , HB183 , HB151 , HB202

Committee: Senate House Appropriations & Finance

Summary: The committee took up House Bill 2, the General Appropriations Act, and reviewed the Senate Finance Committee substitute and amendments. Staff described the budget as balanced, with recurring growth of about 2.65% and reserves maintained at roughly 28% if the related disaster reform bill passes. Members discussed the bill’s major spending areas, including health care, child care, public safety, economic development, natural resources, and education, along with technical corrections, cleanup items, and where the public could find the revised bill online. There was also discussion of contingent appropriations that depend on other bills passing, and staff said a hot list of those items would be circulated. Several members asked about specific allocations, including university athletics and facilities funding for UNM and NMSU, tourism, the State Racing Commission, the Spaceport Authority, and school-related items. The committee also discussed reserve levels, oil and corporate income tax revenue assumptions, disaster and fire recovery funding, and concerns about fraud, waste, and abuse in emergency spending. Members raised questions about a Gallup DA funding issue, online school funding, and a personal care/health care item in the Health Care Authority budget. Staff clarified several line items and explained that some appropriations were tied to future legislation or temporary provisions. After debate, the committee adopted the Senate Finance Committee amendments and then voted on the committee report for House Bill 2. The motion to do pass House Bill 2 as amended passed 8-3. The chair noted that the committee would need to return later because of caucuses and the floor schedule, and staff thanked members for the process and preparation.

Transcript Highlights:

• Who in my district I should connect with HHS, because we could do a project in this area.
• So we want to be a great partner. who in my district, I should connect with HHS, because we could do
• I'm like Pat, too, and I don't like to navigate this slide, so we'll do my best.
• And again, we'll have individuals that will help those providers and entities navigate the process.
• we want to make sure that we don't create a process that has a lot of requirements for people to navigate

Summary: The Rural Health Transformation Committee met to receive an extensive briefing from the Department of Health and Human Services on North Dakota’s federal Rural Health Transformation award. HHS leaders Pat Traynor, Donna Auckland, Jonathan Ollum, and Krista Freming described the $198.9 million award, the tight federal timelines for obligating and liquidating funds, and the need for rapid procurement, CMS approval, and technical assistance. They outlined broad funding priorities including connect tech/data, care closer to home, workforce recruitment and retention, and a “Make North Dakota Healthy Again” prevention initiative focused on chronic disease, movement, nutrition, behavioral health, and community connection. They also emphasized that the program cannot fund new buildings or supplant existing funding, and that sustainability will be a key requirement for all projects. The department previewed likely first-round grant opportunities, including recruitment and retention incentives, technical assistance and equipment grants for rural providers, financial analysis support for rural hospitals, and exploration of a unified electronic health record option. Freming also reviewed four policy bills tied to the award: a presidential fitness test, nutrition continuing medical education, the Physician Assistant Compact, and pharmacist scope-of-practice changes, explaining that these policy actions affect future scoring and funding. HHS said it will work with tribes, local public health, hospitals, medical and pharmacy associations, and other partners, and will use a website, listserv, listening sessions, and committee updates to communicate opportunities. Committee members raised concerns about how the money will reach rural residents, whether newspapers and existing local communication networks will be used, how “rural” and “frontier” will be defined, how faith communities might participate in behavioral health efforts, and how HHS will avoid CMS delays and supplanting issues. HHS responded that the focus will be on where the patient lives and on rural community need, that local public health units and existing structures will be part of outreach, and that technical assistance and template applications will help speed approvals. The committee approved the December 4, 2025 minutes, then recessed into divisions for further work on the appropriations bill and the four policy bills, with the full committee set to reconvene the next morning.

Transcript Highlights:

• I'm curious to know whether it's difficult for IMGs here in the United States to really navigate the
• I represent the 28th Legislative District, and it is my honor to I represent the 28th Legislative District
• So we know that doulas are having problems or barriers sometimes navigating the provider enrollment process
• So we know that DULAs are having problems or barriers sometimes navigating the provider enrollment process
• It's really important to maintain the quality of how people are navigating certification and ProviderOne

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.