Transcript Highlights:

• Care School Nursing.
• in ALFs, and the Alzheimer's Special Care Units became the first state in the country to have home care
• care partners, let's say just supporting access and quality of care, working with our long-term care
• care?
• We all need to collaborate. Yes, collaboration.

Summary: The Arkansas Alzheimer’s Disease and Dementia Advisory Council met with legislative members and agency, advocacy, and provider representatives present. The council adopted its rules and procedures, approved the prior meeting minutes, and authorized the co-chairs to approve special expenses. Members then heard an extensive update on the state Alzheimer’s plan and current developments in diagnosis, treatment, research, caregiving, and workforce issues. David Cook of the Alzheimer’s Association described major changes since the first state plan, including the growth of blood-based biomarkers, broader access to amyloid PET scans, and the availability of disease-slowing treatments such as Leqembi and Kisunla. He emphasized that Arkansas still faces major barriers in rural areas, including limited provider awareness, insurance coverage concerns, shortages of specialists, and long wait times for memory care and infusion services. He also highlighted caregiver burden, the need for better education and care navigation, and new efforts such as a dementia resource center pilot with UAMS, respite grants, and workforce training. Members discussed the importance of public education on brain health, diet, exercise, and risk reduction, as well as the need to collaborate with chronic disease partners and improve outreach to primary care providers. The council approved four proposed focus areas for the next state plan: advancing risk reduction, brain health, early detection and diagnosis; strengthening family caregiver support; improving access to diagnostics and treatment; and supporting access and quality of care, including workforce training and crisis response. Members also discussed possible legislative or statutory changes to keep the council active and engaged, and they agreed to pursue a future meeting in August, tentatively August 12 in Hot Springs, with additional meetings under consideration for later in the month. The meeting adjourned after no further business.

Transcript Highlights:

• It's a sustainable model for elder care, and it's one that engages our kūpuna, strengthens working families
• c><03:34:12.600> it's<03:34:12.720> one<03:34:12.880> that model for Elder Care
• and it's one that model for Elder Care and it's one that engages<03:34:13.560> our<03:34:13.800
• Next we have Partners in Care Oʻahu Continuum of Care.
• Next we have Partners in Care Oʻahu Continuum of Care. Aloha, thank you all.

Keywords: 910, house, all

Transcript Highlights:

• NDSU offers wonderful hands-on and collaborative classes.
• And so I'm being careful there.
• So we have to be careful.
• We wouldn't have health care programs.
• But we need to cultivate collaboration, team building, public, But we need to cultivate collaboration

Keywords: 908, all

Transcript Highlights:

• In this foundational buy-in and collaboration.
• To early childhood, and do they collaborate?
• and foster care preventative services.
• Madam Chair, under the Health Care Authority...
• So that includes much of the foster care maintenance.

Transcript Highlights:

• Planning for the project um has been a collaborative effort, a lot of collaboration uh involving the
• been a collaborative effort, a lot<00:04:29.840> of<00:04:29.919> collaboration<00:04:
• Finally, an alternative proposed model Finally, an alternative proposed model by<00:46:08.000>
• the foundation for a regional model the foundation for a regional model capacity<00:47:31.200>
• Based on regional model of detention.

Keywords: 0:00:01 Call to Order and Roll Call 0:01:19 NKU Capital Project Update 0:38:57 DJJ High Acuity Services Update 1:03:53 Adjournment, 958, all

Summary: The interim Budget Review Subcommittee for Justice and Judiciary received an update on Northern Kentucky University’s capital project to house the Northern Kentucky Medical Examiner’s Office and the Northern Kentucky Crime Lab in the former Highland Heights Civic Center building on NKU’s campus. NKU and Justice Cabinet staff described the project timeline: the building was identified in late 2022, lease terms were agreed to in early 2023, a pre-construction evaluation agreement was executed in May 2023, the General Assembly authorized $21 million in April 2024, and the lease and construction agreement were finalized in spring 2026. The project is now being prepared for bid, with construction expected to start in August and occupancy targeted for January 2028. About $1 million has been spent so far on design and related investigations. Testimony emphasized that the vacant building was structurally sound but required major upgrades, including HVAC, plumbing, electrical, roof, windows, a generator, specialized mechanical systems, security, and geothermal work to meet the needs of two separate operations sharing one facility. NKU said it is contributing $3.7 million to the project. Committee members asked about the condition of the building, the urgency of the project, and why the process took so long. Justice Cabinet and real properties officials said the medical examiner’s office had been shut down since roughly late 2017 or 2018, that the state had first sought funding in the 2022 budget for staffing, a lease, and equipment, and that it took time to find a suitable leased location because the facility has highly specialized requirements. Members also asked about operating costs, annual lease costs, and the impact of the office’s absence on families and counties in Northern Kentucky. Officials said the lease cost is based on NKU’s expected maintenance-related expenses, while utilities and staffing are covered through the Office of the State Medical Examiner or Kentucky State Police, with seven medical examiner positions funded in House Bill 500 and two additional KSP positions requested for the crime lab. They explained that, until the new facility opens, bodies from Northern Kentucky are generally transported to Louisville for autopsy, with transportation costs borne by the coroner’s office. No votes were taken, but the committee requested follow-up information, including lease cost numbers and additional details on facility usage and timing.

Transcript Highlights:

• We've been collaborating with other entities outside of the institution.
• We know that San Quentin is moving toward a single-cell model ...space.
• The team includes local grievance staff and health care professionals.
• We collaborate with them. I mentioned that I used to work for them.
• That have been articulated for the California model.

Summary: The hearing focused first on sexual abuse, harassment, and retaliation in California’s women’s prisons, with testimony from CDCR wardens, the Office of Inspector General, advocacy groups, and formerly incarcerated survivors. Legislators and witnesses described a pattern of staff misconduct, fear of retaliation, gaps in reporting, and the need for stronger accountability, better investigations, and more outside access for survivor support organizations. CDCR said it has expanded training, body-worn and stationary cameras, outside partnerships, and PREA-related response procedures, while the Inspector General requested additional funding and staff to monitor more grievances and staff sexual misconduct cases under SB 1069. Members pressed CDCR on why accused staff are not always placed on leave, how cases are referred to prosecutors, and whether current protections are enough; several members argued the state should aim to investigate all complaints and do more to prevent retaliation and repeat abuse. The second issue was rehabilitative and reentry programming in women’s prisons. CDCR’s Division of Rehabilitative Programs and the wardens highlighted education, vocational training, substance use treatment, peer support, and community reentry programs, citing increased enrollment and recent graduates earning diplomas, degrees, and certifications. They said these programs are intended to reduce recidivism and improve public safety. Formerly incarcerated advocates and community providers argued that current offerings are still too limited, outdated, and not aligned with today’s job market, especially around digital literacy and transferable credentials, and they urged more funding for community-based, trauma-informed, gender-responsive programming. A coalition representative asked for a $20 million continuation and expansion of the Wright Grant program, and members discussed additional budget requests for reentry and related women’s services.

Transcript Highlights:

• Do a lot of the behavioral health care initiatives.
• I mean, I don't know that we could ever fund enough for this, but it's hard to take care of health care
• What is the FACTS Child Care Payment Fund? Mr.
• We know their CARES campus plays a crucial role.
• It started with collaboration.

Transcript Highlights:

• Are they also maybe a partner in this collaboration?
• partner in this collaboration work, because, Mr.
• The other thing that they recommended was... ...that we improve the model.
• This is a collaborative process that we work with the state.
• You know, I'm here because I really care about nuclear safety.

Keywords: 996, all

Transcript Highlights:

• We do encourage and have seen a lot of regional collaboration between MPOs.
• And it's a good model. So there's a lot of opportunities in that, and it's a good model.
• And my response to you would be that it's not a unique model in Florida.
• How do you make sure that their priorities are met and taken care of?
• How do you make sure that their priorities are met and taken care of?

Summary: The Transportation and Economic Development Budget Subcommittee heard an overview from FDOT Secretary Jared Perdue on the state’s transportation work program, with emphasis on the Moving Florida Forward initiative, major roadway projects, workforce needs, seaports, airports, spaceport infrastructure, and the role of MPOs/TPOs in planning. He said the $4 billion general revenue investment in Moving Florida Forward has been leveraged into a roughly $7 billion-plus program, with 20 projects underway and about 70% of the initiative expected to be under construction by year’s end. He highlighted I-4 as the centerpiece, describing a new procurement approach, phased delivery, and added lanes intended to provide congestion relief during construction. He also discussed a projected 38% growth in transportation workforce needs and proposed a Florida Transportation Academy and a research institute to support training and innovation. Tiffany King of the Florida Airports Council said Florida’s 128 public-use airports have about $5.7 billion in unfunded projects through 2029, and stressed that airport priorities include not only terminals and passenger capacity but also safety, security, gates, and environmental work. Michael Rubin of the Florida Ports Council said Florida’s 16 deepwater seaports now have a $195.9 billion economic impact, support about 1.2 million jobs, and generate $7.4 billion in state and local taxes; he noted that ports still have about $4 billion in project needs, including dredging and intermodal connections. Jeff Sheffield of the North Florida TPO described the value of regional, community-based planning and said his four-county TPO has helped align local priorities with FDOT funding. Members asked about whether the state is planning for advanced air mobility and “flying cars,” whether Moving Florida Forward bypassed MPOs, how long major projects take, cost escalation, regionalization of MPOs, port governance, airport governance, and the contractor qualification system. FDOT and the witnesses said the state is working on policy and planning for advanced air mobility, that Moving Florida Forward did not bypass MPOs because the projects were already locally prioritized, and that the main delay is funding rather than the planning process. They said long-range plans are updated regularly and can be amended when priorities change, and that regional MPO structures can improve coordination. The committee took no formal vote; the meeting concluded after questions and comments, including discussion of workforce training opportunities for incarcerated individuals and a motion to adjourn by the ranking member.

Transcript Highlights:

• I don't care if that's offensive.
• We reviewed six months of health care... ...resulting in inconsistent practices and delays in care.
• care for the people we serve.
• One suggestion that I would just give you all is to look at implementing the collaborative care model
• model.

Keywords: 985, all

Transcript Highlights:

• My job and the job of my fellow officers in care and custody.
• We are built on collaboration. We work effectively.
• Nobody cared what happened behind the fortress of the fences or the walls. They just didn't care.
• Well, I'm glad people care today.
• This is the type of care that comes at extreme cost.

Keywords: 995, all

Summary: The special commission on consolidation and cooperation among public safety agencies held a hearing focused on union and correctional staff testimony. Chair Dan Hunt and Senator Brownsberger opened by noting the commission’s extensive site visits and prior testimony, and they recognized Correctional Officers Week. Union representatives from KOUF, NCEU, AFSCME, and local county correctional unions described the daily realities of correctional work, emphasizing staff safety, staffing shortages, retention problems, mental health impacts, and the need to preserve local sheriff’s offices and collective bargaining agreements. Testimony centered on several recurring concerns: violence inside facilities, the spread of synthetic drugs such as K2, inmate suicides and suicide attempts, and the strain these issues place on officers, EMS, and local resources. Speakers also raised concerns about gender-identity housing policies, arguing they can create safety and workplace issues for staff, and urged more support for officer wellness, debriefing, and programs like OnSide Academy. Several witnesses argued that county facilities should remain locally controlled and that consolidation with the Department of Correction would weaken programming, staffing, and community-based reentry work. One witness described the Norwegian correctional model as a possible source of ideas for more rehabilitative approaches. Commission members responded with support for correctional staff and asked questions about K2 detection, paperless systems, EMS transports, and possible metrics to quantify incidents and facility needs. Members also discussed the importance of individualized assessments of each facility rather than a one-size-fits-all approach. The commission voted to seek an extension of its reporting deadline from September 30 to November 30, and agreed to continue site visits, including the upcoming Barnstable visit and a June 15 hearing. The meeting adjourned after the motion passed.

Transcript Highlights:

• Aloha Care. Mike Wen, in support. Thomas Lee, Hawaii Data Collaborative, in support.
• >> Holua Collaborative in support. >> Holua Collaborative in support.
• Aloha Care. Mike >> In support. Thank you. Aloha Care.
• SB 2563 aligns perfectly with our proven model of care.
• We recommend acute care hospitals.

Keywords: 912, senate, all

Summary: The committee heard testimony on SB 3025, relating to medical debt, with multiple organizations and individuals, including the Office of Wellness and Resilience, Healthcare Association of Hawaii, Queens Health Systems, the American Cancer Society Cancer Action Network, Aloha Care, Hawaii Health and Harm Reduction, Hawaii Data Collaborative, and Hawaii Appleseed, all speaking in support. No opposition was heard, and the member present had no questions. The committee then took up SB 3199, which would establish a mental health emerging therapies task force. Testimony was overwhelmingly in support, with speakers including veterans, clinicians, researchers, and advocacy groups describing personal experiences with PTSD, depression, traumatic brain injury, and treatment-resistant conditions, and arguing that Hawaii should prepare for regulated access to emerging therapies such as MDMA, psilocybin, ketamine, and ibogaine. The Department of Health and some medical organizations provided comments, and one opposition witness was called but not present. The chair noted broad support, especially from veterans, and no vote was taken during the excerpt. The final measure discussed was SB 3324, relating to Medicaid. The Department of Human Services, Department of Health, Hawaii State Council on Developmental Disabilities, Hawaii Disability Rights Center, Aloha Care, and numerous care-provider and aging/disability organizations testified in support, while one witness was in opposition and several others offered comments. The discussion then moved to SB 2563, relating to homelessness, where the Department of the Attorney General offered comments on specific sections and recommended adopting suggested amendments if the bill proceeds. Additional testimony on SB 2563 began with support from several individuals, including Shelby Pikachu, who emphasized the severity of homelessness and related social problems in the community.

Transcript Highlights:

• this model.
• Most of the time it's foster care related to foster care suits. Okay.
• care on the date of service, but does... ...ability to get health care or medical care on the date of
• , a model of care that walks alongside her from the moment of diagnosis through birth and up to a year
• care consult.

Bills: HB216

Keywords: HB216, Texas abortion law, abortion-inducing drug, medication abortion, mifepristone, misoprostol, telemedicine, in-person exam, physician presence, out-of-state physician, reproductive healthcare, abortion regulation, Health and Safety Code, Occupations Code, consultation services, remote prescribing, pro-life, pro-choice

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.

Transcript Highlights:

• health care needs.
• I believe that people with disabilities can shape policy discussions, benefit designs, and care models
• Benefit designs and care models.
• If we can't improve care, we can't improve care if we can't study it.
• They might visit a primary care doctor or receive no care at all.

Keywords: 995, all

Summary: The Massachusetts Permanent Commission on the Status of Persons with Disabilities held a public hearing focused on health equity for people with disabilities. The chair opened by explaining that the session was not about specific legislation, but about sharing data, lived experience, and strategies to inform more inclusive health systems. Presenters included representatives from the Health Equity Compact, the Department of Public Health, MassHealth, UnitedHealthcare Community Plan, the Brain Injury Association of Massachusetts, UMass Chan Medical School, Spaulding Rehabilitation, and the Arc of Massachusetts/Operation House Call. Speakers described how structural racism and ableism contribute to poor health outcomes, unemployment, poverty, and barriers to care for disabled people, especially disabled people of color. Testimony highlighted access problems such as inaccessible medical equipment, transportation, inadequate provider training, lack of culturally competent care, and insurance barriers. Several speakers emphasized the importance of collecting and disaggregating disability data, training providers in disability-competent care, and screening for accommodation needs. MassHealth described its Quality and Equity Incentive Program under the 1115 waiver, including disability-related metrics on data completeness, staff training, and accommodation screening, and reported early increases in hospitals collecting self-reported disability data. Brain injury advocates focused on inequities in rehabilitation access, including the impact of CMS’s “three-hour rule,” which they argued denies needed inpatient rehab to people with severe traumatic brain injury. They called for policy changes, a TBI task force, and possibly bipartisan legislation if CMS cannot revise the rule. Other testimony described DPH efforts such as one-to-one navigation, health promotion workshops, mini-grants for accessible recreation, and the Massachusetts Health and Disability Partnership. The hearing also highlighted medical education efforts like Operation House Call, which uses home visits and disability-led teaching to reduce bias and improve provider competence. No votes were taken and no formal actions were announced.

Transcript Highlights:

• to longer-term care.
• pathways model, and so we've done two models of this previously for...
• Optimal care pathways model.
• It's a much better model for care after a crisis.
• It's a pay-it-forward model. It models for them how to do it for the next person.

Summary: The hearing focused on youth mental health and treatment access in California, with opening remarks emphasizing that youth distress, self-harm-related emergency visits, and difficulty obtaining care remain elevated, while workforce shortages and reliance on one-time funding continue to limit access. Assemblymember Lori Davies echoed concerns about unstable funding and said lawmakers need to hear directly from providers and families as they prepare for the budget and legislation. The chair framed the hearing as a chance to hear from county, school, provider, and student perspectives, especially in San Diego County, where needs are high and investments have not always matched demand. County and school officials described the current system and recent state initiatives, including the Children and Youth Behavioral Health Initiative, school-linked fee schedules, payment reform, and the Behavioral Health Services Act transition. San Diego County Behavioral Health said it serves Medi-Cal youth with specialty mental health needs through a broad continuum of care, including outpatient clinics, school-based services, crisis response, residential treatment, and new crisis and residential facilities. San Diego County Office of Education and San Marcos Unified School District described efforts to expand school-based services and reimbursement through CYBHI, but said implementation is slowed by complex billing rules, insurance-data collection concerns from families, administrative burden, and uncertainty about sustaining staff positions funded by grants or soft money. School counselor testimony highlighted reduced stigma through campus outreach and clubs, but also noted that counselor-to-student ratios remain well above national standards and that budget cuts threaten supports. Provider testimony stressed that the system remains fragmented and that youth often move between emergency rooms, inpatient care, outpatient therapy, schools, and county programs without smooth handoffs. A child psychiatrist described crisis cases in which the main choices are brief hospitalization or discharge with limited follow-up, and argued for stronger warm handoffs, more outpatient and intensive outpatient options, better school-clinic coordination, and broader use of mobile crisis and 988. Rady Children’s Hospital and Aurora Behavioral Health described large increases in behavioral health demand, expansion of integrated care, and major barriers tied to low reimbursement rates, delayed payments, and administrative complexity. Across the panel, witnesses called for more stable funding, clearer reimbursement rules, better parent education on warning signs, and stronger collaboration among schools, counties, hospitals, and community providers to reduce stigma and improve timely care for youth.

Transcript Highlights:

• Figure one again on page two shows this model is the least used model across the state.
• My point is that bilingual education is a value-added model. It's a value-added model.
• People come to Gadsden, and they say, 'Oh, you are the model district. I don't wanna be a model.
• We have to be careful with summative data.
• Education caseloads, will you look at models for example, inclusion?

Transcript Highlights:

• In regard to the model that you've developed here, is this model now for going back into it if we want
• What I would add is that as we build the model, the levers within that model, like oil price, production
• So as the model, model has the very first part of the model describes all the different optionalities
• within the model. and Part of the model describes all the different optionalities within the model,
• Our current model is 3% per year.

Keywords: 908, all

Transcript Highlights:

• This initiative is led by the Minnesota Medical Association, which works collaboratively with other care
• . care. care.
• models, and care coordination services.
• Minnesota's integrated managed care models allow us to bridge the gap by coordinating those Medicare
• Second, we use a person-centered care coordination model.

Keywords: 919, house, all

Summary: The committee first took up House File 3939, a bill to support a Helping Paws service-dog litter named in honor of Gilbert and the Hortman family. Testimony from Helping Paws and service-dog graduate Angie Foley described the organization’s work, the significance of the “Guided by Gilbert” litter, and how the funding would help train dogs that provide independence and support to people with disabilities, veterans, and others. Members from both parties spoke warmly about Speaker Hortman’s connection to the organization and Gilbert, and the bill was laid over for possible inclusion. The committee then considered House File 3769, the Department of Corrections’ technical omnibus bill, with an A1 amendment adopted to clarify tuberculosis testing language. The bill updates TB screening procedures in correctional facilities, including how refusals are handled, and adds Quantiferon Gold Plus testing as an option alongside existing methods. Members discussed whether the bill would create costs for counties and jails, with some noting added testing and segregation costs and others arguing the changes would improve accuracy and reduce time in restrictive housing. The bill, as amended, was recommended to the general register. House File 3978 was next, a technical cleanup bill for a provider wellness program created last year. The bill expands eligibility and confidentiality protections from physicians to all health care providers, while supporters said the program is meant to address burnout and mental health strain in the workforce and does not require new money. Some members questioned whether the change was redundant or would broaden the program without additional funding, but the Minnesota Medical Association testified that the program is separate from insurance and was intended to serve all providers. The bill was recommended to the general register. Finally, the committee began House File 3476, which Rep. Liebling described as a cleanup bill related to Minnesota’s Medicaid managed care system and public program oversight. She argued that the state spends billions through managed care organizations and that the system has never been proven better than direct payment, setting up a broader discussion of the bill’s purpose and the state’s oversight of public health care spending.

Transcript Highlights:

• We did implement a Sprint Medic model.
• > response<00:07:26.280> model<00:07:26.919> so doing an alternative response model
• <00:19:53.640> with continues to work collaboratively with continues to work collaboratively
• create a new alternative response model create a new alternative response model um<00:53:41.559>
• Those are our certified child care providers and our licensed child care providers.

Keywords: 1187, senate, all

Summary: The Health and Human Services Finance and Policy Committee met on February 6, 2025, for an update on emergency medical services (EMS) policy and implementation. Senator Seberger described the work of the EMS Task Force, which traveled statewide to hear concerns from providers about staffing, reimbursement, and retention. She said the task force led to the Sprint Medic model and two innovation zones in Otter Tail and St. Louis counties, and she urged continued monitoring and possible reconstitution of the task force to evaluate what is working and what could be expanded statewide. She also said future EMS work should continue to explore alternative response models and telemedicine, but that the most immediate need is additional funding, especially to address unpaid non-transport calls. Dylan Ferguson, director of the newly formed Minnesota Office of Emergency Medical Services, gave a detailed update on the office’s structure and priorities after the transition from the Emergency Medical Services Regulatory Board. He described the office’s three divisions, the appointment of deputy directors, the first meetings of the advisory councils, and work on a statewide EMS strategic plan. He also reviewed the $24 million emergency ambulance aid program, explaining its 40-40-20 formula, the emphasis on rural services, the reporting and spending deadlines, and the positive response from ambulance providers. He noted that the $6 million Sprint paramedic grant program is underway, with Otter Tail County moving forward and St. Louis County still finalizing its application. Ferguson also outlined the office’s budget request for modest staffing and contract-cost increases, two rulemaking efforts to update outdated ambulance vehicle standards and expand medication options for basic life support services, and ongoing data collection on workforce needs, violence against EMS providers, and ambulance crashes. He highlighted the paramedic scholarship program administered by the Office of Higher Education, saying nearly 300 scholarships have been awarded. Members and Senator Seberger praised the EMS reforms and emphasized that non-transport calls create significant unreimbursed costs, especially for rural and volunteer services, but no votes or formal committee actions were taken during the meeting.

Transcript Highlights:

• Committee, and child care providers.
• Child care services.
• Human, DHS, Child Care Services.
• It seems like it should say services of child care services. I mean, human services of child care.
• Child care centers, group child care, two preschools.

Bills: HB1220

Keywords: accelerated degree, high-demand occupations, education reform, North Dakota, licensing, 908, all

Summary: The Workforce Development Committee reconvened to discuss House Bill 1119, which would create a child care advisory committee and authorize a Legislative Council program evaluation of child care services. Senator Hogan explained that the bill is intended to review child care licensing rules, child care assistance, and related laws and policies, while also giving child care providers a stronger voice in the rulemaking process. He described the proposal as a new model for legislative program evaluation and noted that leadership had been briefed and was supportive. Committee members raised concerns about the bill’s wording, scope, and structure. Senator Larson questioned the title and several sections, and multiple members suggested making the response language less directive and more collaborative, including changing “shall” to “may” in the section requiring a written response from the Department of Health and Human Services. Members also discussed limiting the advisory committee to the interim, clarifying that the evaluation would focus on child care services rather than broader early childhood programs, and adjusting language about enacted legislation to sound more neutral. The committee also discussed fiscal impact, with Hogan saying the evaluation would be done by Legislative Council staff and that any costs would likely be limited to meetings and existing DHS rulemaking activities. Members compared the proposal to other oversight models, including audit-style reviews and a possible DOGE process, and Hogan emphasized that the bill is meant to evaluate why child care issues keep recurring and why some laws are not fully implemented. No vote was taken; the committee agreed to continue refining the bill and planned to meet again the following Thursday.