Transcript Highlights:

• Uh, but there's a very significant serious mental illness: schizophrenia, schizoaffective disorder.
• It's really around schizophrenia, schizoaffective disorder, extreme depression disorders, um, that result
• It's really around schizophrenia, schizoaffective disorder, extreme depression disorders, um, that result
• It's really around schizophrenia, schizoaffective disorder, extreme depression disorders, um, that result

Bills: SF0010, SF0005

Keywords: mental health, detention, competency evaluation, treatment, contractual agreements, bankruptcy, hospital, county, healthcare, financial stability, 916, all

Transcript Highlights:

• The second one is on substance use and behavioral health disorders.
• I'm going to spend a little bit of time talking about how we work around improving substance use disorder
• not just the Health Sciences Center but across all of the university, targeted for substance use disorder
• We do it through our research and innovation for things such as the substance abuse disorder program
• the Jamie Cook Movement Disorders Center with the support of this group.

Keywords: 996, all

Transcript Highlights:

• the reason that they are justice-involved is because of a traumatic brain injury, substance use disorders
• the reason that they are justice-involved is because of a traumatic brain injury, substance use disorders
• Um, substance use<00:26:59.360> disorders<00:27:00.000> related<00:27:00.320> to
• <00:27:00.480> trauma,<00:27:00.880> mental use disorders related to trauma, mental use
• disorders related to trauma, mental health<00:27:01.440> conditions,<00:27:02.159> traumatic

Keywords: 1183, house

Transcript Highlights:

• We've also worked with people across the entire political ideology spectrum, which is why this bill is
• c> which<01:18:08.560> is<01:18:08.719> why<01:18:08.960> this ideology spectrum
• , which is why this ideology spectrum, which is why this bill<01:18:09.520> is<01:18:09.760>
• 01:22:15.040> of<01:22:15.199> the<01:22:15.360> political<01:22:15.760> spectrum
• sides of the political spectrum. sides of the political spectrum.

Bills: HB1546

Keywords: Medicaid, health insurance, healthcare access, insurance subsidies, pilot program, affordable care, preventive services, low-income, community engagement, 910, house, all

Summary: The committee heard testimony on HB 2083, which would add homeless shelters to Hawaii’s drug-free/safe-zone protections. The City and County prosecutor’s office strongly supported the bill, saying service providers asked for the change because drug activity near shelters can undermine recovery efforts. The Office of the Public Defender opposed the measure, focusing on a possible notice problem because many shelters are not readily identifiable and the bill’s 750-foot distance requirement could be difficult to apply. The Drug Policy Forum of Hawaii also opposed the bill, arguing it would expand criminalization of poverty and drug use and that drug-free zone laws are ineffective and disproportionately harmful. The prosecutor’s office said it would do more research on the notice concern. The committee then moved on without taking a vote in the transcript provided. The committee next discussed HB 2087, which would change the treatment of abuse of family or household member cases by ending the deferred-acceptance pilot and returning to the prior statute. The prosecutor’s office supported the bill, saying the pilot had not reduced backlog as intended and that domestic violence cases should remain petty misdemeanors without deferral. The Hawaii State Coalition Against Domestic Violence and the Public Defender’s Office both opposed HB 2087, instead urging extension of the pilot for another five years so the legislature can better evaluate how deferred acceptance is working. They said deferrals can be a useful incentive for behavior change and that more data is needed before ending the program. Committee members questioned the prosecutor about why Hawaii should differ from other counties and whether repeat offenders could keep receiving deferrals; the prosecutor said the deferral is available only once and reiterated support for returning to the old statute. The committee then heard HB 2096 on aggravated circumstances in child protective proceedings. The family court and Attorney General’s Office supported the bill, saying current law limits aggravated-circumstances findings to the early return hearing, which can prevent findings in the most serious abuse cases when key evidence is not yet available. They said the bill would allow such findings later in the case and, with proposed amendments, would let the court consolidate aggravated-circumstances and termination-of-parental-rights hearings to reduce delay and appeals. The Libertarian Party of Hawaii opposed the measure, arguing it would expand state power in family matters and could worsen outcomes for parents and children. Committee questions focused on the amended language, including what “another court of competent jurisdiction” means and whether a charge alone would be enough; the judiciary responded that criminal courts are included, but a hearing and opportunity to defend would still be required. Finally, the committee took up HB 1959, another domestic violence measure. The Hawaii State Coalition Against Domestic Violence, the Public Defender’s Office, the Crime Victim Compensation Commission, the Hawaii State Commission on the Status of Women, and county prosecuting offices testified in support. Supporters said the bill would extend the pilot program while keeping deferred acceptance of guilty pleas in place, giving more time to evaluate whether the program is working and whether a more formal diversion model should be developed. The coalition also suggested technical fixes to ensure judiciary data reporting continues and that the deferred-acceptance statute is not inadvertently repealed. No vote or final action was taken in the transcript before the committee moved on to the next bill.

Transcript Highlights:

• properly assess these entries and determine whether they are consistent with an underlying medical disorder
• certified pediatrician, geneticists, orthopedists or other specialist with expertise in skeletal disorders
• diagnosing and with demonstrated clinical experience in diagnosing and treating genetic and metabolic disorders
• But I just wanted to add that this is a bill about the right of children with rare medical disorders

Keywords: 999, senate, all

Transcript Highlights:

• Sudafast stands for substance abuse disorder assessment-fast, which is a program led by the Honolulu
• stands for substance abuse disorder stands for substance abuse disorder assessment-fast assessment-fast
• use disorder and a qualifying<00:29:19.200> charge<00:29:19.919> from<00:29:20.240>
• Public perception of public safety is also often shaped just by visible signs of public disorder such
• such as homelessness or public disorder such as homelessness or open<01:19:57.040> drug<01:19

Keywords: 910, house, all

Transcript Highlights:

• Spectrum, do you have any thought on that, on whether you guys are going to be participating in this
• Spectrum, do you have any thought on that, on whether you guys are going to be participating in this
• We're open to working with Spectrum or Ki on it, but right now the bill calls for that process to occur
• :28.080> but<01:08:28.239> right<01:08:28.400> now<01:08:28.600> the Spectrum
• or Ki on it but right now the Spectrum or Ki on it but right now the Bill<01:08:29.000> calls

Keywords: 910, house, all

Summary: The joint committees heard testimony on HB 982 HD1, a wildfire-related measure aimed at creating a wildfire recovery fund and a financing structure to address future catastrophic wildfire liability. The Department of Commerce and Consumer Affairs, the Division of Consumer Advocacy, and the Public Utilities Commission submitted comments and were available for questions. Supporters included IBW Local 1260, Kauai Island Utility Cooperative, Clearway Energy Group, Hawaiian Electric, Par Hawaii, and others, while Charter Communications and the Hawaii Association for Justice opposed or raised concerns. Life of the Land supported the bill but urged changes to the definition of a catastrophic wildfire and noted concerns about prudency review language. IBW Local 1260 asked to restore language from the original draft, and Charter warned the bill could impair existing contract and indemnity rights unless amended. A major focus of the hearing was Hawaiian Electric’s position on the HD1 version. Hawaiian Electric strongly supported the original bill but objected to the HD1 requirement for an additional $500 million shareholder contribution, arguing it was not feasible and could delay or prevent the fund from operating. The company said the bill would help protect customers and improve credit ratings by creating a dedicated revenue stream and a bankruptcy-remote financing structure, which it said would lower borrowing costs over time. Members questioned how the $1 billion securitization amount was chosen, whether credit rating agencies had indicated it was sufficient, and how the bill would work in bankruptcy; Hawaiian Electric said the amount was a balance among interests, not based on a specific agency directive, and that it would follow up on bankruptcy questions. Opponents and skeptics raised concerns about liability caps, the new claims process, and unclear language on damages above the fund’s limits. The Hawaii Association for Justice argued the bill limits victims’ remedies and gives too much authority to the new entity without clear guardrails. Committee members also pressed Hawaiian Electric on comparisons to California, the feasibility of the shareholder contribution, and whether alternative capital-raising or divestiture options had been considered. No vote or final action was taken in the portion of the hearing provided; testimony and questioning continued with follow-up information requested from Hawaiian Electric and others.

Transcript Highlights:

• Recently, DRTS worked with a client who was a single mother with a child with autism.
• After DRTS got involved, we were able to provide training. and the neighbor about autism and what it

Bills: HB32, HB15, HB171, HB421, HB581, HB644, HB745, HB349, HB917, HB204, HB923, HB15, HB171, HB204

Keywords: eviction, landlord rights, tenant rights, justice court, property law, court procedures, chemical dependency, court-ordered treatment, mental health, health care, treatment facility, juvenile justice, criminal justice reform, deep fake, digital impersonation, age verification, private cause of action, explicit content, consumer protection, HB 581

Transcript Highlights:

• requirement for MDMA treatment for workers' compensation plans to address post-traumatic stress disorder
• to firefighters and certified peace officers who have been diagnosed with post-traumatic stress disorder
• health professional and do have an accepted workers' compensation claim for post-traumatic stress disorder
• ...post-traumatic stress disorder by a licensed mental health professional and do have an accepted workers
• ' compensation claim for post-traumatic stress disorder under this title.

Bills: SB1161, SB1215, SB1270, SB1400, SB1537, SB1538, SB1580, SB1584, SB1627

Keywords: appropriation, public safety, Yuma County, funding exemption, family advocacy center, firefighters, occupational disease, workers compensation, cancer presumption, police officers, hazardous duty, SB1270, Arizona retirement system, public safety personnel, defined contribution plan, correctional officers, corrections officers, retirement contributions, supplemental contributions, retention incentive

Summary: The committee first heard SB 1161, which would prevent lapse of a $750,000 FY2026 appropriation to DPS for the Yuma County Family Advocacy Center (Amberly’s Place). Testimony described the center’s 24/7 crisis response, forensic interview and medical services, and satellite offices in nearby communities. The bill was moved and received a do pass recommendation on an 11-0 roll call, with three members absent. The committee then considered SB 1215, a clarifying bill on the list of cancers covered by the occupational disease presumption for firefighters and peace officers, with a retroactivity amendment to June 30, 2021. Firefighters’ representatives said the measure corrects a drafting issue involving adenocarcinoma and would prevent denials of claims; members asked about peace officer coverage, independent medical exams, and workers’ compensation impacts. The amendment was adopted and the bill received a do pass recommendation, with 11 ayes, one present, and two absent. SB 1270, dealing with supplemental employer contributions to defined contribution accounts for corrections employees, drew testimony focused on severe retention problems in corrections and county detention. Supporters said the bill would allow optional incentive payments at service intervals to help keep trained officers on the job; members discussed vesting, recruitment versus retention, and whether the program could be funded without a new appropriation. The committee adopted the amendment and gave the bill a do pass recommendation, with ten ayes, one nay, two present, and one absent. The committee also heard SB 1400, authorizing law enforcement wellness and crisis response programs and setting confidentiality rules. Police association testimony supported the concept but noted concerns about the breadth of the privilege carve-outs, especially if licensed therapists are involved; several members said they would support the bill after an amendment clarifying privilege protections. The bill was reported do pass with ten ayes, one nay, and two present. SB 1538, as a strike-everything amendment, would require workers’ compensation coverage for PTSD treatment for firefighters and peace officers and allow one MDMA treatment course if federal approval and rescheduling occur by January 1, 2029. Supporters described promising clinical trial results and argued it could help severe PTSD cases, while county representatives opposed the mandate and raised cost and approval concerns. The amendment was adopted and the bill received a do pass recommendation, with seven ayes, three nays, and one present. Finally, the committee considered SB 1537, renaming the peace officer training equipment fund as the public safety de-escalation and life safety fund and repealing its advisory commission. Testimony explained the change was meant to reduce confusion between similar funds and reflect the fund’s use for de-escalation and safety equipment; some members noted opposition from the Arizona Police Association and concerns about whether the money might be better used for raises. The bill passed on a 7-4 vote with three absent. The committee then began SB 1580, which would appropriate Peace Officer Training Equipment Fund money for fire incident management support and other public safety equipment, including pepperball equipment, simulators, records management software, and retention/recruitment efforts. Testimony supported the equipment and data-sharing investments, but members also questioned accountability, ongoing costs, and whether the listed uses were the best use of the fund.

Transcript Highlights:

• inmate, the patient, and then they'll do a cadre of testing to determine whether there's a mental disorder
• And focusing on three different types of population: one for cognitive disorders or cognitive decline
• , or people who have chronic schizophrenia or schizoaffective, or perhaps a more serious bipolar disorder
• This is for severe behavioral disorders that we're diverting from a more restrictive setting to this
• Generally, the people that have the more serious disorders are included in that group, but generally

Summary: The Justice Budget Committee heard detailed presentations from the Department of Juvenile Justice and the Department of Corrections on staffing, services, and budget needs. DJJ Secretary Hall emphasized that the agency’s main public safety strategy is education, along with prevention and recidivism reduction. He described major staffing improvements after pay increases for probation, detention, residential care, and prevention workers, and outlined DJJ’s mental health, aftercare, and education continuum, including the Florida Scholars Academy and Florida Youth College. He said the new statewide education model is showing early gains in progress monitoring, high school graduation, and postsecondary enrollment, while also noting ongoing operational issues such as IT connectivity, rural staffing gaps, and the need for geographic pay adjustments for teachers. He also discussed detention center replacement plans in Hillsborough, Broward, and Palm Beach, and said DJJ would transition the Broward JAC to a security contractor after the sheriff’s office pulls sworn officers from the site. Members asked about campus performance differences, teacher pay, detention education quality, and concerns about the rollout and leadership of the Scholars Academy. Hall said some campuses face rural access and infrastructure problems, but the blended learning model provides continuity when internet or staffing issues arise. He defended the superintendent’s qualifications and said early problems with inappropriate online content were addressed. Representative Porras raised concerns about educational quality and the superintendent’s past disciplinary history, while Representative Barrera urged more mentorship and fatherhood-focused programming in juvenile facilities. DOC Secretary Dixon said the prison system is under pressure from rising inmate populations, staffing shortages, and overtime costs. He argued that the system needs funded posts for every functioning housing unit, noting that the department has added housing units without enough staff and now relies heavily on overtime, mobile officer deployments, and shift conversions to keep facilities operating safely. He highlighted that many officers are new, that outside-hospital transports have risen sharply, and that mental health units require additional staffing. DOC’s mental health chief described a large and growing treatment system with outpatient, inpatient, intensive outpatient, and court-ordered services, saying about a quarter of the prison population has a diagnosed mental illness. Community corrections staff described treatment programs, employment specialists, mobile probation and reentry units, and a new mental health first aid training initiative. Reentry staff reported expanded substance abuse, education, CTE, chaplaincy, and digital learning programs, including Edovo and a forthcoming Work Bay platform. No votes were taken.

Transcript Highlights:

• speech-language pathology, and a comprehensive dementia program with a Parkinson's disease and movement disorders
• , but I'm far from alone, which promises transformational change in the capabilities of treating disorders
• but it's now clear that some of those principles can be applied much more broadly to autoimmune disorders
• students and residents have the experience of taking care of all kinds of communities. socioeconomic spectrum

Bills: SB1, SB 1

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

Transcript Highlights:

• Fifty-two point four percent received mental health or substance use disorder treatment services.
• <00:47:25.520> treatment<00:47:25.960> services use disorder treatment services use
• disorder treatment services 26.7%<00:47:29.359> received<00:47:29.680> preventative<00
• So we have 400 new patients certified as having generalized anxiety disorder, and we have another 50
• , but did not support adding eating disorders generally.

Keywords: 928, house, all

Summary: The Health and Human Services Oversight Committee met on February 2 and first approved the draft minutes from the prior meeting, with minor corrections to the meeting date and attendance notation. DHHS Associate Commissioner Patricia Tilly then gave a department update, describing the current uncertainty around federal priorities and funding, and provided two substantive reports: progress on the new Hampstead Youth Development Center and an update on the department’s review of an ALS registry proposal. She said the YDC project is underway with tree clearing, fencing, stormwater and site-prep work, and remains on track for completion by June 30, 2026 and operation by August 30, 2026. The center currently has 12 youth, and the new design is intended to provide flexibility for fluctuating census levels. On ALS, Tilly explained that HB 576 had prompted the department to examine whether a registry could be built, but the estimated cost of a HIPAA-compliant system was about $750,000. She said DHHS is reviewing whether existing data sources, such as hospital discharge data and CHIS claims data, could provide useful information, but noted both are incomplete for registry purposes. Committee members discussed whether the Rare Disease Advisory Council, Dartmouth, or existing cancer registry infrastructure could help reduce costs. DHHS said it is neutral and willing to continue exploring alternatives, while members emphasized the value of a registry and the need to consider shared infrastructure and funding. The committee also heard from Jenny Horan of the Alzheimer’s Association, who presented the subcommittee’s report on Alzheimer’s disease and related dementias. She said the subcommittee spent the past year gathering information on dementia care, abuse and exploitation issues, caregiver strain, and available services, and is now moving into a second phase focused on identifying gaps and developing a state plan. Members asked about geriatric psychiatric capacity and long-term care availability; Horan said the state has limited capacity and that the plan will help clarify where needs are greatest. She offered to return for follow-up questions at a later meeting. Finally, Olivia May of DHHS presented the quarterly report on the 12-month postpartum Medicaid coverage extension. She said New Hampshire implemented the extension after federal and state action, and the first claims data are still emerging because of reporting lags. In the initial cohort studied, 95% received some medical services during the extended period, 52.4% received mental health or substance use disorder treatment, 26.7% received preventive visits, and 3.2% received heart or hypertension services. Members asked about return on investment and whether higher federal matching rates are being used appropriately; DHHS said it claims the highest possible match based on eligibility group and will return with more data over time. The committee then heard the annual therapeutic cannabis program report from Michael Holt, who said the program had 1,475 registered patients as of June 30, 2024 and that growth has slowed, with New Hampshire having the lowest per-capita medical cannabis enrollment nationally.

Transcript Highlights:

• And in a way that acknowledges victims across the political spectrum, I was going to call it the Hortman-Kirk
• Why don't we add people from the other side of the aisle or the opposite spectrum who died voicing their
• because you would at least acknowledge the reality for folks of all Ranking Member Eskamani: political spectrums

Transcript Highlights:

• What I would say is when we talk about continuing education audits, the spectrum of that noncompliance
• Seeing none, thank you very much for the broad spectrum of issues that were raised.
• Seeing none, thank you very much for the broad spectrum of issues that were raised.

Summary: The joint Assembly and Senate business committees held a sunset review hearing on the California State Board of Pharmacy, with board leadership describing the board’s consumer-protection role and its priorities around access, enforcement, and updating pharmacy law. The board emphasized a proposed shift toward a standard-of-care model for pharmacists, arguing it would reduce rigid protocol requirements and improve access to services such as HIV PrEP/PEP, contraception, and naloxone. Board representatives also discussed pharmacy deserts, possible fee waivers for pharmacies in underserved areas, concerns about payer practices contributing to closures, continuing education audits, and a request to restore more flexibility in licensure decisions and probationary monitoring for applicants with certain criminal histories. A major focus of the hearing was the board’s ongoing compounding regulations, especially the treatment of sterile versus nonsterile compounding and substances such as glutathione and methylcobalamin. The board said the proposal was not a ban on those substances and described the rulemaking as grounded in federal law, USP standards, and public comment, noting the process had gone through multiple modified texts and hearings. Testimony from stakeholders was sharply divided: pharmacists, veterinarians, firefighters, naturopathic doctors, and patient advocates warned the rules were restricting access to compounded medications and harming patients and first responders, while the California Medical Association, psychiatric physicians, and PhRMA raised concerns that the board’s proposals could expand pharmacist authority beyond training, affect physician practice, or create safety risks. Other public comments addressed pharmacy technician ratios, remote processing, flavoring medications, hospital-specific regulation, budget and enforcement transparency, and whether the board should add members with community compounding or pharmacy technician expertise. Committee members also asked about the board’s oversight priorities and the rationale for its standard-of-care proposal. Board staff explained that consumer protection includes education, licensing, policy, and enforcement, with the highest-priority enforcement cases being those posing imminent public harm. After public testimony concluded, the chairs thanked participants and adjourned the sunset review hearing, announcing an immediate transition to the joint informational hearing on the Department of Cannabis Control.

Transcript Highlights:

• I think across the spectrum, we have a recruitment and retention challenge within our the spectrum.

Bills: S0920, S1036, S1216

Keywords: mathematics education, career pathways, applied algebra, college readiness, technical education, school counselors, educational standards, certification requirements, evaluation criteria, professional development, public school personnel, salary adjustment, performance salary schedule, cost-of-living adjustment, school administration

Summary: The Appropriations Committee on Pre-K-12 Education met with a quorum present and first temporarily postponed SB 920 on mathematics education. The committee then took up SB 1216 on public school personnel compensation, sponsored by Senator Rodriguez, which would give districts more flexibility in educator pay by restoring meaningful cost-of-living adjustments for teachers with direct student contact, allowing recognition of relevant advanced degrees, and removing rigid performance-pay caps. Several senators spoke in support, emphasizing teacher retention, compensation, and education as a state investment. The bill was reported favorably on a unanimous roll call vote. After a brief recess, the committee considered CS/SB 1036 on school counselors, sponsored by Senator Calatayud, to address counselor shortages by removing certification barriers tied to classroom teacher requirements. The sponsor and supporting testimony described recruitment and retention problems, high counselor-to-student ratios, and the need for counselors to focus on student academics, mental health, and college/career readiness rather than administrative duties. Public testimony came from students, educators, and school personnel who described limited access to counselors and the impact on student well-being and college planning. Committee members broadly supported the bill while noting that counselors are often overburdened and that additional support personnel, including BRACE advisors, may also need attention in the future. Senators also discussed broader efficiency measures and the need for schools and colleges to improve access to guidance services. CS/SB 1036 was reported favorably by unanimous vote. At the end of the meeting, members recorded their votes on the two bills, and the committee adjourned.

Transcript Highlights:

• I'm concerned that this entity is being given too broad of a spectrum of duties with too little...
• This entity is being given too broad of a spectrum of duties with too little resources as a new entity

Summary: The Assembly Higher Education Committee met in a special hearing and took up SB 638 by Senator Padilla, a workforce development bill aimed at creating a coordinating entity called the Middle Class Pipeline Project. The bill would streamline interagency education and workforce programs, improve career technical education and career pathways, and direct resources toward high-unemployment, low-income regions through changes to the CTE incentive grant program. Supporters, including the Association of Independent California Colleges and Universities, the California Edge Coalition, National University, Long Beach City College, and United Ways of California, argued that California needs a statewide coordinating body to reduce silos, improve access to high-quality jobs, and better align education with labor market needs. Committee members focused heavily on whether the proposed entity would duplicate existing bodies such as the California Workforce Development Board and other education/workforce agencies, and whether its broad duties could be carried out with the $1.5 million budget allocation. The author said the bill is intended to move an operational coordinating entity into broader tri-party negotiations with legislative leadership and the Governor, and that the final structure and staffing would depend on those talks. Some members supported the concept but raised concerns about scope, duplication, and whether the bill should be delayed or audited; one member opposed it as too broad and underfunded. The committee ultimately voted to pass SB 638 to the Assembly Appropriations Committee on a courtesy vote. The roll call showed five ayes and three noes, with one member not voting, and the chair later allowed additional members to add on, including an additional aye from Assemblymember Haney. The hearing then adjourned with the chair noting that further conversations would continue on the coordinating entity and its responsibilities.

Transcript Highlights:

• These kiddos can have many challenges, including sensory sensitivities, mobility challenges, seizure disorders
• , autism, cerebral palsy, and behavioral needs.

Keywords: 959, house, all

Transcript Highlights:

• And you see them listed here, uh, maternal health, behavioral health, substance use disorder, uh, oral
• , uh, oral health, substance use disorder, uh, oral health, uh,<00:03:53.920> how<00:03:54.040
• The third area is around behavioral and substance use disorder.
• It's been oral health, food insecurity, behavioral health and substance use disorder, social drivers
• use disorder but substance use disorder uh<01:25:23.480> has<01:25:23.760> been<01:25:

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.

Transcript Highlights:

• > of<00:58:31.680> opioid<00:58:32.400> use For the treatment of opioid use disorder
• I’d rather spend the money on reimbursing providers for that substance use disorder than sending state
• <02:33:59.080> treatment<02:33:59.479> or substance use disorder treatment or substance
• <02:34:32.359> than<02:34:32.600> sending<02:34:33.080> state use disorder than
• sending state use disorder than sending state employees<02:34:33.960> out<02:34:34.160> to

Keywords: 1191, senate, all

Transcript Highlights:

• And so there's a broad spectrum, but there's somewhere a good middle ground of a base set of curriculum
• So again, when I talk about that spectrum of curriculum and those existing relationships, CVIC is a great
• And we have, there's a broad spectrum of, when I showed that map, you have everything from kindergarten
• And so there's a broad spectrum, but there's, there's somewhere, there's a good mental ground of a base
• set of There's a broad spectrum, but there's somewhere, there's a good mental ground of a base set of

Summary: The committee met to approve prior minutes and then heard a presentation from Dr. Ramona Danielson on adverse childhood experiences (ACEs), focusing on the economic and public-system impacts in North Dakota. She explained that ACEs are a population-level measure, not a diagnostic tool for individuals, and said higher ACE exposure is consistently associated with more chronic illness, mental health challenges, child welfare involvement, justice-system contact, and reduced workforce participation. She emphasized that precise dollar estimates are difficult because of the many interacting factors across a person’s life course, but said the direction of the impact is clear and that evidence-based prevention and protective factors can reduce harm. Members asked about definitions of a “healthy family,” same-sex couples, divorce, substance abuse, historical trends in ACEs, and the role of positive childhood experiences and home visiting. The committee then heard from Allison Mahoney and Missy Barranco about evidence-based home visiting programs in North Dakota, including Healthy Families, Early Head Start, Nurse-Family Partnership, and Parents as Teachers. They described home visiting as voluntary, relationship-based, and tailored to family needs, with referrals coming from hospitals, WIC, human service zones, pregnancy navigators, self-referrals, and other community sources. A parent, Abby, shared that home visiting helped her family after premature births and NICU stays by providing support with postpartum mental health, breastfeeding, developmental screenings, referrals, and parenting guidance. The presenters said the programs are funded through a mix of federal MIECHV/Title IV-E dollars, Medicaid targeted case management, state and tribal funds, philanthropy, charitable gaming, and grants, and they noted that current funding is fragmented and insufficient to serve all eligible families statewide. Members discussed whether the state should expand or better fund these services and how to improve outreach and referrals. Later, the committee received a memorandum on artificial intelligence and sexual exploitation, followed by a presentation from a BCI special agent on how AI is already affecting child exploitation investigations in North Dakota. The memo and testimony described AI-generated child sexual abuse material, deepfakes, sextortion, and risks posed by chatbots, along with relevant federal and state law and recent executive orders. The agent said North Dakota saw 2,698 cyber tips in 2025, the highest on record, and that investigators are increasingly encountering AI-assisted exploitation that is harder to detect and verify. Members discussed the need for child-safety protections, the limits of executive orders, and broader concerns about AI undermining critical thinking and spreading misinformation. No votes were taken on the AI materials during the portion provided, and the committee recessed briefly after the report.