Transcript Highlights:

• necessary amount to continue the study necessary amount to continue the study in<00:17:02.959>
• My point is, it's—we shouldn't, I don't know if your role is to just fund study after study.
• guys be following in the study? guys be following in the study?
• So then we just need to divide those by two then to get them out that need revenue bonds.
• out that need revenue bonds. out that need revenue bonds. Okay. Okay. Okay.

Keywords: 912, senate, all

Summary: The committee heard three University of Hawaiʻi-related measures. HB 718 HD1 would appropriate funds for faculty and staff positions at the John A. Burns School of Medicine in cardiovascular, law, biology, tropical medicine, quantitative health/biostatistics, and environmental health and safety. Testimony was in support, including from university representatives and others who submitted written testimony. Members asked whether the positions were additional and how they would affect enrollment; the university said the hires would teach medical students and conduct biomedical research, helping increase the class size to about 77 and eventually 80, and noted a workforce paper requested by the committee would be provided soon. The committee then discussed SB 1170 HD1, which would grant resident tuition at any UH campus to certain graduates of Hawaiʻi high schools enrolling in undergraduate programs. UH supported the bill and said it had adjusted its testimony in response to prior committee concerns. Members focused on the proposed four-year window, asking why that timeframe was chosen and whether the change was needed at all. UH explained that four years would allow students who left the state to return and still complete an undergraduate degree or prepare for graduate school, and said the bill would help students who come back after one or two years but otherwise would have to wait a year to reestablish residency under current rules. UH also said it was discussing possible administrative rule changes as an alternative if the bill did not pass. Finally, the committee heard HB 1300 HD1, which would fund a University of Hawaiʻi Cancer Center pilot study on cancer disparities among Native Hawaiians, Pacific Islanders, Filipinos, and people living near landfills in Nanakuli, focusing on social determinants of health, lifestyle, environmental exposures, and resilience factors. Testimony from researchers and advocates strongly supported the measure, saying the study could help explain cancer disparities and support future research funding. Members questioned the cost, the reliance on future federal or foundation funding, and the practical outcome of the study. The Cancer Center said the pilot would cost about $500,000 per year for two years, with later funding sought from federal, nonprofit, or private sources; it said the study would produce longitudinal data that could help identify at-risk groups and provide evidence for policy decisions, though members expressed concern that the project needed a clearer end goal and stronger case for public investment.

Transcript Highlights:

• Maslow's law says we just need our basic needs met.
• These kids have needs. The need does not go away.
• <02:52:46.319> And needs. The need does not go away. And needs.
• You need to need to come to my district.
• assessment.

Keywords: 1183, house

Transcript Highlights:

• We need the trades, we need two-year degrees, we need one-year credentials, we need Ph.D.
• I mean, when we did our initial needs-based assessment, there are lots of places looking to hire mental
• , but isn't certain do we need full-time, do we need part-time?
• We need programs that are going to happen where we need services in other areas.
• My kids have never had a study hall. They don't know what a study hall is.

Summary: The Higher Education Institutions Committee met on the Minot State University campus for presentations on campus operations, enrollment, and new academic initiatives. President Shirley reviewed recent audits, noting mostly clean results with only minor technical findings, and highlighted MSU’s broad academic offerings, specialized accreditations, athletics, and partnerships with Minot Air Force Base and the MSU Development Foundation. Members asked about declining interest in teacher education, tuition waivers for athletes, dual credit incentives, and how MSU decides when to launch new programs and avoid duplication within the university system. Shirley also discussed several workforce-focused initiatives supported by the Legislature’s Workforce Education Innovation Funds, including the purchase of the Trinity Health Center West building for a downtown health sciences hub, a new daycare/preschool partnership near campus, the Aspire program to recruit rural students into teaching, and a paraprofessional-to-special-education degree pathway. Enrollment data showed overall headcount was flat at just under 2,750, but full-time equivalent enrollment rose slightly and new student numbers increased, including the largest freshman class in 15 years. The committee also discussed Minot State’s in-state tuition rate for all students, its dual credit “Emerging Scholars” scholarship, and concerns about the share of high school graduates who do not immediately pursue postsecondary education. Faculty then presented two new programs funded in part by WEAF: an Innovation Engineering degree and a master’s program in counseling with an integrated addiction studies focus. The engineering program was described as industry-driven, designed with broad early coursework, hands-on learning, and local employer input to prepare students for western North Dakota workforce needs; officials said it had already drawn more applicants than expected and would use renovated library space and donated or grant-funded equipment. The counseling program will be mostly face-to-face with hybrid options, aims to address shortages in mental health and substance use providers, and is structured to help students meet licensure requirements. Committee members asked about startup costs, licensure supervision hours, and whether the programs would be on campus rather than online, and presenters said both programs had recently received required approvals and were moving forward.

Transcript Highlights:

• So, we are looking at the need geographically; we are looking at the local need as well.
• We also have conducted quite thorough needs assessments from the department.
• In the area of adult inpatient mental health beds, a 2022 RAND study looked at the needs statewide and
• to have the least need, with no new capacity being added in the region of greatest need, which is the
• Needs.

Keywords: 988, house, all

Transcript Highlights:

• And so you need to ask the question, what do we need to do now in order to prepare for 5 years down the
• Can we need to do more and we need to do a fast. So it's not just the machine.
• The members that city castle, it is like them are 2 programs need.
• I studied memory attention in Looney.
• So there shouldn't be a need for anyone to duplicate that.

Transcript Highlights:

• I'm old enough to need glasses now. Join me in prayer, please.
• We don't need to go back and make those times come back. I caution you and you...
• We don't need to go back and make those times come back. I caution you in your debates.
• So I guess it goes back to why we need...
• The men's Bible study prayer breakfast tomorrow. It's a reunion. Y'all all come.

Bills: SCR63, SCR12, HB89, HB451, HB595, HB617, HB621, HB730, HB1064, HB1125, HB221, HCR58, SB106, SB206, SB248, SB441, SB104, SB122, SB180, SB260, SB424, SB476, SCR9, SCR30, SB57, SB414, SB525, SB35, SB65, SB135, SB215, SB246, SB249, SB269, SB276, SB282, SB296, SB323, SB363, SB369, SB474, SB484, SB490, SB492, SB500, SB501, SB513, HCR31, HB462, HB547, HB613, HB691, HB712, HB720, HB723, HB728, HB735, HB747, HB759, HB825, HB845, HB846, HB903, HB904, HB907, HB923, HB929, HB941, HB962, HB965, HB1036, HB287, HB370, HB515, HB521, HB570, HB1200, HB29, HB39, HB58, HB67, HB73, HB76, HB77, HB82, HB112, HB121, HB125, HB132, HB134, HB151, HB154, HB155, HB161, HB166, HB187, HB191, HB207, HB211, HB224, HB238, HB241, HB242, HB250, HB260, HB265, HB275, HB300, HB320, HB338, HB339, HB349, HB379, HB399, HB427, HB463, HB464, HB468, HB545, HB550, HB551, HB565, HB588, HB639, HB725, HB782, HB805, HB808, HB834, HB847, HB853, HB858, HB861, HB883, HB916, HB937, HB977, HB1012, HB1027, HB1044, HB1054, HB1091, HB1117, HB90, HB127, HB138, HB150, HB201, HB268, HB273, HB285, HB315, HB354, HB355, HB360, HB376, HB445, HB506, HB606, HB649, HB665, HB681, HB721, HB746, HB757, HB781, HB835, HB844, HB857, HB872, HB886, HB889, HB892, HB982, HB987, HB1037, HB1068, HB1072, HB1078, HB1085, HB1132, HB1137, HB1167, HB1174, HB1232, HB1238, HB23, HB136, HB17, HB21, HB51, HB55, HB74, HB106, HB108, HB133, HB140, HB159, HB168, HB215, HB226, HB263, HB296, HB299, HB322, HB364, HB519, HB535, HB538, HB568, HB571, HB622, HB635, HB676, HB772, HB784, HB1006, HB1018, HB1033, HB1034, HB1043, HB1070, HB1134, HB1237, HB1239, HB36, HB119, HB126, HB129, HB245, HB271, HB280, HB337, HB351, HB677, HB726, HB789, HB850, HB956, HB966, SB149, SB382

Keywords: fiscal notes, legislation, legislative auditor, state policy, conflict of interest, logging, recognition, John Keith, environment, safety, HB89, Act 615, district attorney, assistant district attorney, retiree health insurance, group health insurance, retirement benefits, public employee benefits, Third Judicial District, Thirtieth Judicial District

Transcript Highlights:

• Many of them have well-defined processes and ways to assess need or identify projects that should be
• The water board conducts an annual drinking water needs assessment.
• The department can rely on assessments by local reclamation districts about need.
• I want to point out that the fact these programs are well-established and have ways to assess need and
• Water Board's annual needs assessment.

Keywords: 988, house, all

Transcript Highlights:

• And truly, this is a time-permitting, resources-permitting type of study and assessment.
• We need a COLA. We all know.
• that we need to do more study on what is going on in these disability committees and how many of them
• Okay, that's why these studies.
• And what you need, you know. Good idea. I think it's important we need.

Summary: The committee first approved the November minutes by roll call vote, with a majority of members voting aye and some members excused. Staff then provided brief litigation updates: Fowler et al. v. Leathers remains pending in federal district court over interest calculations on transferred TERS funds, with summary judgment motions expected to be heard May 1; Dolan v. King County was decided against the state in Pierce County Superior Court on the issue of recouping attorney’s fees from a former PERS member, though no fees were assessed against the state in that case. An actuarial update noted upcoming presentations on the agency’s work and the latest valuation report, including new contribution rates reflecting updated demographic assumptions. The committee then reviewed its draft interim work plan and correspondence items, focusing on requests related to Plan 3, Plan 1 COLAs, teacher retirement age, and a missed early retirement factor. Members discussed a possible study of Plan 3’s design and outcomes compared with Plan 2, including retirement ages and benefit adequacy, and staff was asked to work with DRS on a study outline. The committee also discussed ongoing COLA requests and the need for retiree groups to bring forward a more formal proposal for the next budget cycle, with members noting that any recommendation should likely be made by October or November. Another major topic was the study of LEOFF 1 medical/disability boards, including how many boards exist, how they operate, and what costs they incur; staff said it was still gathering basic information and would provide an overview next month. Staff also explained planned changes to how correspondence will be handled and posted online due to cybersecurity concerns. The committee approved the May agenda by voice vote and then adjourned.

Transcript Highlights:

• assessments and really trying to get to the layers of... ...what support is needed to improve outcomes
• I'm trying to understand how much do we know of what that need really... ...is: how many kitchens need
• that the kitchen needs?
• The need is real. The L.A.
• The need is documented. The model is proven. The need is documented. The model is proven.

Keywords: 988, house, all

Transcript Highlights:

• Parking is being studied.
• It's a system-wide assessment.
• They had identified facility maintenance needs.
• They had identified facility maintenance needs.
• To be allocated as agencies needed reimbursement.

Summary: The Budget Section Leadership Division met with a quorum present and approved the March 18 minutes. The committee first heard an update from the Petroleum Council on oil and gas activity, which described North Dakota production as holding steady around 1.1 to 1.2 million barrels per day despite lower prices and market volatility. The presentation emphasized that efficiency gains, longer laterals, and improved completion technology are allowing operators to sustain output while activity shifts north in the Bakken. Members asked about gas taxation, natural gas liquids, flaring, and enhanced oil recovery; the witness said gas is taxed by volume, most liquids are handled through oil lines or gas processing, and the state’s EOR pilot projects and new gas infrastructure are intended to help hold production flat and expand future recovery. The committee then received a presentation from the Tax Department on the federal “big beautiful bill” and its effect on North Dakota income tax collections. The department explained that most of the federal changes were extensions of existing Tax Cuts and Jobs Act provisions, but several items — including the larger standard deduction, senior deduction, tip and overtime exclusions, auto loan interest deduction, and business expensing changes — affect state collections. Revised estimates showed a smaller-than-expected impact on individual income tax, with the department suggesting a net cash effect in the range of roughly $30 million to $35 million when business and individual effects are combined, plus a possible one-time distortion from large oil-field transactions in fiscal year 2025. Members asked which provisions apply to standard versus itemized returns, and the department clarified that most of the individual provisions apply broadly, while the SALT-related item is itemizer-specific. OMB then reported on major capital projects and facility funding. Updates included Capitol grounds improvements such as 18th-floor renovations, wayfinding, augmented reality displays for the Rough Rider Hall of Fame, tree management and lighting studies, and restroom and parking reconfiguration in the tower. OMB also described security upgrades at the governor’s residence, where human remains were discovered on site and are being handled with historical and legal review. The state hospital project in Jamestown remains on schedule for substantial completion in winter 2027 and opening in spring 2028, with costs currently estimated a little over $292 million and a line of credit expected to be drawn in April 2027. The North Central State Office Building in Minot is under construction, with a $5.6 million line of credit already accessed. OMB also reported on the State Facility Maintenance Fund, noting about $1.1 million spent so far on projects such as the Liberty Memorial Building roof and foundation work, Capitol window replacement, boiler replacement, and kitchen remodeling. Finally, Legislative Council staff reviewed the interim compliance report on legislative intent and state trust funds. The report highlighted the status of multiple lines of credit, including those for the state hospital and Minot office building, and noted that the executive budget will likely need to include repayment planning for about $350 million of expected outstanding balances. Other updates included the Bank of North Dakota profit transfer schedule, litigation pool spending, the new Office of Guardianship and Conservatorship, the Missouri River Correctional Center planning effort, HHS items such as FMAP and child care assistance, Job Service’s unemployment insurance modernization project, and DPI school aid turnback estimates. No formal votes were taken beyond approval of the minutes.

Transcript Highlights:

• It's also helping with study skills.
• We'll assess the protocols, training needs, and public awareness strategies to support alcohol use disorder
• So, I think we need to change that. These kids... need to have services available to them.
• Absolutely, there is a need because we need this information.
• We need one agency to take the lead.

Transcript Highlights:

• all with specific, with very clear authority on for example, Section 5, the things you need to study
• They have the same megawatt need.
• , ERCOT is who needs the.
• But the word "study" was never in it, yet it seemed like they studied more than they did.
• Our own margins need to benefit ratepayers, and so we need to attract a lot more of that load.

Bills: SB6, SB11, SB33

Keywords: electric power, interconnection, utilities, ERCOT, large load customers, water supply, sewer service, demand management, school prayer, Bible reading, religious text, public schools, Texas Education Code, student prayer, silent prayer, meditation, religious liberty, First Amendment, Establishment Clause, church and state

Transcript Highlights:

• The authority that the agency has to do what it needs to do and the executive needs is there.
• How many FTEs would you need to do that in this budget? How many personnel would you need?
• What do we need to do?
• Again, critical need in the Rio Grande. Again, critical need in the Rio Grande.
• I mean, there's some detailed studies that kind of need to be done to me when we're going to do these

Keywords: 996, all

Transcript Highlights:

• Senators Moore and Keenan may need to leave early to attend that caucus.
• Senators Moore and Keenan may need to leave early to attend that caucus.
• That may be something, too, that we might need to address as we look forward.
• You just need to add an extra field. So anyhow, that's my perspective.
• I will await the results of the viability study on that from law enforcement.

Keywords: 995, all

Summary: The Special Commission on Emerging Firearm Technology met to review its work on intentional microstamping and personalized firearms and to discuss draft recommendations for a final report. The co-chairs summarized testimony received from manufacturers, advocates, law enforcement, and officials from New Jersey, New York, and California. For microstamping, the discussion focused on how the technology could help trace spent casings, its limits in forensic use, and concerns about wear, tampering, implementation costs, and whether it would burden lawful gun owners. For personalized firearms, members reviewed testimony about biometric smart guns, their current commercial availability, higher cost, and potential benefits for preventing accidental shootings and unauthorized use, especially involving children and suicide prevention. Commissioners expressed a range of views. Several supported microstamping as a crime-solving tool and endorsed a recommendation that the legislature direct a feasibility and viability study, set standards and training, fund implementation, and create penalties for tampering. Others opposed microstamping, arguing it has not worked in other states, may not reduce crime, and could impose costs on manufacturers and owners. On personalized firearms, most commissioners supported encouraging the technology, but there was disagreement over whether to create a temporary sales tax exemption; some favored an incentive to promote adoption, while others opposed any tax subsidy for firearms or questioned whether the data justified it. The co-chairs said they would draft a report reflecting the majority consensus and circulate it for review before a final vote at a later meeting, likely in July. The commission also discussed which executive branch agency should conduct the microstamping feasibility study, with the Attorney General’s office and EOPSS mentioned as possibilities. The meeting ended with agreement to reconvene for final votes on the report and recommendations.

Transcript Highlights:

• You can tell I've been doing this far too long when we notice these studies.
• This is a needed yet simple update for our regulatory system.
• But I don't need to go through a whole... I see you got, like, two full pages there.
• We just need one copy. The staff can take it from there. No worries. Who's the bailiff?
• We just need one copy. The staff can take it from there. No worries. Who's the bailiff?

Keywords: 995, all

Summary: The Joint Committee on Consumer Protection and Professional Licensure held a hearing on a range of gaming, racing, horse protection, problem gambling, and lottery bills. A major focus was H. 356 and related horse-racing legislation, which drew strong support from residents and animal-welfare advocates who argued that proposed racetrack and simulcast developments should require upfront traffic, environmental, public health, and economic studies, plus stronger local approval and transparency. They said past proposals in several communities had lacked adequate information and had imposed costs on towns. Opponents, including the New England Horsemen’s Benevolent and Protective Association, argued that the bills would harm racing, breeding, farms, and related jobs, and said horse racing is already heavily regulated and that claims about slaughter and safety were overstated. Several speakers also supported S. 280, which would protect horses and phase out or restrict horse racing, citing animal cruelty, injuries, and deaths. The committee also heard extensive testimony on SB 235 and HB 332 to authorize regulated online casino gaming (iGaming). DraftKings, FanDuel, IDEA, and the Sports Betting Alliance supported the bills, saying iGaming is already occurring illegally in Massachusetts and should be brought into a regulated, taxed market with age verification, responsible gaming tools, and consumer protections. They projected substantial annual tax revenue and argued legal iGaming would not cannibalize brick-and-mortar casinos, instead creating a “rising tide” effect. Opponents, including Local 26, the National Association Against iGaming, and problem-gambling advocates, warned of job losses, casino cannibalization, increased addiction, and greater harm to vulnerable players, citing experiences in other states and rising helpline calls. The committee asked for follow-up information on revenue and market-size estimates. Later, Rep. Scanlon testified in support of S. 240 and S. 241, which would standardize gambling disclaimers and require annual reporting on problem-gambling treatment funded through the Public Health Trust Fund. He said the bills would make it easier for people to find help and improve oversight of treatment programs. Rep. Garcia testified in support of H. 434, which would change the formula for distributing lottery revenues, arguing that gateway and lower-income communities such as Chelsea contribute heavily to lottery sales but receive too little back in local aid. After hearing additional testimony and reading into the record bills that received no testimony, the committee recessed briefly, then closed the hearing by motion and vote.

Transcript Highlights:

• We need to align, as Will said, we need to align the financial incentives of these companies with not
• You need to drive affordable rates. You need to pay all your victims, and you Affordable rates.
• We're assessing them.
• So it needs to be more than that.
• So you probably wouldn't need— you certainly wouldn't need 40%.

Summary: The Assembly Committee on Utilities and Energy held a hearing on the California Earthquake Authority’s SB 254 report and broader options for reforming California’s utility wildfire recovery system. The chair framed the discussion around the Palisades and Eaton fires, the scale of wildfire-related costs on utility bills, and the need to weigh trade-offs among survivors, ratepayers, utilities, insurers, and taxpayers. The first panel featured wildfire survivors William Abrams and Joy Chen, who described long delays in compensation, housing insecurity, and what they viewed as a system that protects utility shareholders more than victims. They urged greater transparency, clearer accountability for utility spending and safety performance, faster and fuller compensation for survivors, and reforms such as independent audits and better alignment of utility incentives with wildfire prevention and restitution. The second panel began with Tom Welsh of the California Earthquake Authority, who explained that the SB 254 report was intended as a broad inventory of policy pathways rather than recommendations. He described the report’s process, including stakeholder submissions, workstreams, and a convergence process, and outlined the current wildfire fund structure: utilities remain liable, the fund reimburses eligible claims after a covered wildfire, and the CPUC later determines prudency and possible reimbursement back to the fund. RAND’s Lloyd Dixon summarized compensation data, saying utilities paid about $38 billion between 2017 and 2024, with major shares going to injured parties, insurers, and public entities, while litigation costs and survivors’ own losses remain substantial. He noted that legal fees and delays reduce the amount survivors ultimately receive. Utility and public-interest witnesses offered differing views on the report’s pathways. PG&E’s Tyson Smith said the report shows inaction is the worst outcome and argued for community wildfire risk reduction, equitable allocation of catastrophe costs, and state-led resilience tools. LADWP’s Fernando Valero emphasized the vulnerability of municipal utilities and cities, and supported inverse condemnation reform, a state-sponsored liability insurance framework, damages and subrogation limits, and stronger insurance access. Consumer Attorneys of California’s John Fisk argued that IOU-caused fires are not natural disasters but the result of negligence and sometimes criminal conduct, and opposed reducing utility liability while supporting stronger oversight and audits. The Public Advocates Office’s Nathaniel Skinner focused on affordability, saying ratepayers already bear large and growing wildfire costs and warning against shifting more costs onto bills without measurable risk reduction and tighter accountability. Committee members then began questioning witnesses about what counts as measurable mitigation, how to define full and fair compensation, and how any fast-pay process should work.

Transcript Highlights:

• Do I need to restart? No. I could hear you just fine. Okay. So good afternoon again.
• But when we led down this that said, hey, look, we're here to do whatever's needed, just let us know.
• It was about how to design a model that meets the needs of kids.
• We have achievement looking at ELA, English language arts, math, science, social studies.
• We have achievement looking at ELA, English language arts, math, science, social studies.

Summary: The committee heard a presentation from Department of Juvenile Justice Secretary Eric Hall on the Florida Scholars Academy, a new unified education model for youth in residential commitment programs. He explained that the academy replaced the prior decentralized district-run system with a contracted model through Florida Virtual School, allowing individualized blended learning, real-time progress monitoring, expanded special education services, and a broader course catalog including dual enrollment, CTE, GED testing, and postsecondary pathways through the Florida Youth College partnership with Tallahassee State College. Hall said the department is using data to focus on academic achievement, workforce credentials, and peer-group change as strategies to reduce recidivism, and reported early results including 60 diplomas or GEDs, a 5.5% teacher vacancy rate, and progress-monitoring gains for most students. Hall also reviewed implementation of House Bill 1181 on swift accountability and juvenile justice reforms. He said the law strengthened pre-arrest delinquency citation use, raised the target for eligible citations to 70%, required written justification for releasing youth charged with certain felony firearm offenses, and directed the department to develop a firearm-offending curriculum focused on avoidance and consequences. He described a new statewide graduated sanctions matrix for probation technical violations, intended to provide quicker and more consistent responses without overburdening courts. He said early data showed reductions in weapons/firearm offenses and auto theft, and that the department had conducted circuit-level outreach to law enforcement, courts, and providers to support implementation. Members asked about the number of unauthorized alien children in detention or residential care, teacher vacancies and whether instruction continues when staff are absent, screen-time and supervision concerns with laptops, and whether students are reentering local schools with improved academic performance. Hall said he did not have data on immigration status, that FLVS and classroom staff provide continuity when teachers are absent, that devices are checked in and out and security has been tightened, and that the department is still early in implementation but is hearing positive anecdotal feedback from parents. Vice Chair Smith asked for more detail on the firearm curriculum, and Hall offered to provide it. The committee took no formal votes and adjourned after no public testimony was offered.

Transcript Highlights:

• So I believe we need to stop. cost increase. So I believe we need to stop pretending here.
• We look forward to your feedback on the proposal during this hearing today, and we will assess the need
• We look forward to your feedback on the proposal during this hearing today, and we will assess the need
• We are assessing feedback to see if any adjustments are needed.
• These are the trade-offs we need to pick, and we need your input on.

Keywords: 987, senate, all

Transcript Highlights:

• I mean, obviously We need housing.
• We need there's a lot of things that we need that there are a lot of good paying jobs out there.
• But there's just so much that we need to do. And we need to protect our New Mexico.
• It needed to be removed.
• Because I need that base there, I need it there for national defense.

Transcript Highlights:

• There's a lot of needs.
• Some people might not need residential. Some people might just need the outpatient.
• There's a need for both.
• I haven’t seen studies.
• Especially in the smaller communities, you really need the opportunity to meet the needs of both.

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