Transcript Highlights:

• Care for your people.
• Care for your people.
• Care for your people.
• Care for your people.
• They do not show care. show respect. They do not show care.

Keywords: 1183, house

Transcript Highlights:

• professionals caring for North Dakotans.
• professionals caring for North Dakotans.
• NDSU offers wonderful hands-on and collaborative classes.
• And so I'm being careful there.
• We wouldn't have health care programs.

Summary: The Higher Education Institutions Committee met at NDSU and heard an extensive presentation from President David Cook/President Stewart and NDSU leadership on the university’s priorities, including enrollment, student success, research growth, and use of New Horizons funding. Leaders emphasized NDSU’s land-grant mission, its role in workforce development, and its goal of becoming more distinctive through strategic planning, recruitment and retention, commercialization, and partnerships. They highlighted that NDSU awarded 2,370 degrees in 2025, produces a large share of the state’s engineering, nursing, and agriculture graduates, and reported strong outcomes for graduates staying and working in North Dakota. They also noted enrollment headwinds, competition from other institutions, and the need to manage tuition waivers more carefully through a scholarship optimization effort. Provost Sherry Vale outlined academic stewardship efforts, including review or consolidation of low-producing programs, strategic hiring tied to institutional priorities, faculty workload policy changes, and expanded online and regional offerings. She said the university is using New Horizons dollars to strengthen advising, student support, and programs in engineering, agriculture, and health. NDSU leaders also described new or expanded academic offerings such as robotics and automation, artificial intelligence, material science and engineering, nuclear engineering certificates, accelerated nursing, nurse practitioner certificates, a Master of Health Administration, and a clinical research master’s program with Sanford Health. They stressed that these investments are intended to improve student completion, meet workforce needs, and increase return on public investment. The committee also heard testimony from students and recent graduates who described the value of NDSU’s education, mentorship, internships, research opportunities, and support services. Alyssa Hodges spoke about pharmacy education, public health work, and campus support as a parent and student; Ethan Blessy described engineering coursework, internships with Marvin, and career preparation; and Aiden Freolic discussed neuroscience research, federally funded projects, and plans for graduate study. Their testimony was followed by presentations on partnerships with Gateway to Science for K-12 STEM outreach and with Sanford Research on biomedical research, clinical trials, obesity research, and a joint biostatistics hire. NDSU also highlighted systemwide shared services, Governor’s School programming, and research growth, including a reported 8% increase in research expenditures from $199 million to $215 million. No bill votes were taken; the meeting was informational and featured presentations, testimony, and discussion of future planning and partnerships.

Transcript Highlights:

• lens of where care is delivered.
• direct care workers.
• The Dementia Care Specialist Program is a model wherein, in our case, we are proposing a $1 million outlay
• Specialist Model Program.
• providers in primary care.

Transcript Highlights:

• As noted, no one's been a more harsh critic of the managed care organization model than myself.
• care organization model than the managed care organization model than myself. myself. myself.
• hoping accountable care models, but I'm hoping accountable care models, but I'm hoping we'll<00:08
• I know Co-Chair Moer has a bill to take care of pre-authorization this session under this model.
• I think there's 12 states that already have some type of accountable care organization model, and 10

Keywords: 00:00 - Call to Order/Roll Call 01:38 - Discussion of 26RS SCR 9 22:00 - Roll Call Vote on 26RS SCR 9 23:15 - Discussion of 26RS SJR 23 33:20 - Roll Call Vote on 26RS SJR 23 35:18 - Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and first heard Senate Concurrent Resolution 9 from Sen. Steve Meredith. He argued that Kentucky’s Medicaid system is too costly and bureaucratic, saying spending has grown dramatically and that managed care organizations do not align with improving health outcomes. His proposal would create a feasibility study for a five-year pilot of an “accountable community healthcare organization” in three area development districts, with a locally owned, nonprofit, provider-driven model intended to reduce costs, address social determinants of health, and keep savings in the community. Members asked about how the model would differ from MCOs, administrative costs, eligibility changes, and implementation costs; Meredith said the model would eliminate preauthorization barriers, rely on provider and community risk-sharing, and could be funded initially through existing grant opportunities. The committee then voted unanimously to report SCR 9 favorably. The committee next took up Senate Joint Resolution 23, the “Food is Medicine” resolution, introduced by Sen. Shelley Funke Frommeyer and Dana Feldman of the Kentucky Department of Agriculture. They described the resolution as part of a broader wellness and rural prosperity effort, emphasizing that nutrition should be treated as part of health care and that Kentucky agriculture can support better health outcomes through local, healthy food. They said the effort grew out of task force work and regional listening sessions and is intended to build a foundation for continued collaboration between hospitals, agriculture, and state agencies. Members expressed support for the concept and the partnership approach, and the discussion highlighted using evaluation and shared learning to expand the initiative.

Transcript Highlights:

• We've got modeling and simulation capabilities.
• And here we've got you need 3,380 people in the 3D modeling world. 12,000 drawings across. 3D modeling
• As far as your application space, but those base models with the foundation models are generally running
• You say, Mitchell, who really cares about this?
• Spaces, collaboration spaces.

Summary: The meeting opened with remarks about the value of public engagement and the quality of questions from the group, followed by a series of technical presentations from Idaho National Laboratory staff. Joe Renovitz described recent nuclear regulatory changes tied to presidential executive orders, including NRC Part 53 for advanced reactors, the forthcoming Part 57 for very small reactors, and DOE updates to reactor authorization standards. He emphasized efforts to align DOE and NRC processes, use risk-informed and performance-based licensing, support reactor deployment for AI/data centers and national security, and use AI to speed communications and crosswalks between DOE and NRC requirements. In response to questions, he said there was no plan to merge agencies, but rather to improve coordination and public outreach through groups like GAIN and NEI. David Tolman then discussed the nuclear fuel cycle, including uranium mining, conversion, enrichment, fuel fabrication, spent fuel storage, transportation, disposal, and reprocessing. He explained high-assay low-enriched uranium (HALEU), why it is needed for advanced reactors, and DOE’s HALEU Availability Program and related investments in enrichment, transportation, deconversion, and supply chain development. He also covered spent fuel management, the possibility of centralized storage or a fuel-cycle campus, the Center for Used Fuel Research, and ongoing work on high-burnup cask testing and reprocessing technologies. Tolman described aqueous, pyrochemical, and fluoride-volatility reprocessing approaches, noting the advantages and waste characteristics of each, and said several companies are working with INL on these technologies. Ashley Shields presented INL’s AI and nuclear work, focusing on the Genesis initiative and the Prometheus effort to use AI to design, license, build, and operate reactors with far less human intervention. She described INL’s broad use of generative AI tools, the need to manage large volumes of legacy technical data, and applications in reactor design, materials discovery, autonomous laboratories, and digital twins. Shields said AI is being used to reduce the enormous documentation burden in nuclear licensing and to support autonomous or remotely operated reactor demonstrations, while stressing that humans remain in supervisory roles. In discussion, she addressed data security, model access, and the continued need for software engineers. The session then recessed briefly and resumed with Mitch Kerman beginning a presentation on critical minerals and materials.

Transcript Highlights:

• We call it the Cambiar model.
• So, I will say, you know, the Missouri model is absolutely considered a model.
• The Health Care Affordability Fund was built to use money generated within the health care system and
• We are talking about the Health Care Affordability Fund, and we're talking about subsidizing health care
• We're subsidizing health care.

Keywords: 996, all

Transcript Highlights:

• , great and very requires great care, great and very careful<00:14:27.360> consideration<00:14
• <00:18:44.480> or input to train a generative AI model or input to train a generative AI model
• basically where you would train a model basically where you would train a model on<00:23:42.159>
• <00:23:52.480> that create uh a generative AMI model that create uh a generative AMI model
• <00:25:29.200> effort to work through a collaborative effort to work through a collaborative

Keywords: 1183, house

Transcript Highlights:

• . >> And sir, thank you and care com on that. >> Thank you.
• However, the commission and myself and my staff strive to ensure a collaborative relationship with the
• , practices and technology and enhance for forest management and overall delivery model.
• Some context that I think adds to the model practice a lot of graduate students.
• It's a model that runs vents that are coming in that could be taken a look at.

Keywords: 999, senate, all

Transcript Highlights:

• for health care.
• for health care.
• for health care.
• 1,000 senior care providers.
• collaboration demonstrates a collabor collaboration demonstrates a sustained<00:58:58.960> and

Keywords: 1187, senate, all

Transcript Highlights:

• So that completes the apprenticeship model.
• We prepare students with practical, industry-specific skills from our health care labs to our welding
• Similarly, our health care training labs now feature advanced medical devices, further improving the
• strides in addressing the region's critical need for skilled health care professionals.
• The Transportation Innovation Hub serves as a model for how education and local government can collaborate

Summary: The Appropriations Committee on Higher Education received an overview of Florida’s career and technical education (CTE) system from Chancellor Kevin O’Farrell, who described the state’s CTE pathways, program types, enrollment and completion growth, quality audit metrics, and the Master Credentials List used to identify credentials of value. He highlighted record postsecondary CTE enrollment and completions, strong statewide performance in talent attraction, and several funding tools supporting expansion, including Open Door, the Florida First Responder Scholarship, Workforce Development Capitalization grants, Perkins funding, CAPE performance incentives, and apprenticeship grants. Senators asked about eligibility for Open Door and first responder aid, top industry certifications, and the teacher apprenticeship initiative. A panel of college and technical school leaders then described how state and federal funding has supported local program growth and facility expansion. Santa Fe College, Palm Beach State College, North Florida Technical College, Lake Technical College, Florida Gateway College, and Manatee Technical College each cited increases in enrollment, high placement or licensure pass rates, and new or expanded programs in nursing, welding, CDL, automotive, manufacturing, public safety, and apprenticeship. Several speakers emphasized partnerships with hospitals, employers, school districts, and local governments, and noted that grants helped fund equipment, renovations, and new training hubs. Palm Beach State also raised a request to broaden line funding beyond nursing to other health science fields, and multiple presenters asked for more flexibility, multi-year support, and continued or increased funding to sustain growth. Members discussed broader challenges, including the difficulty of sustaining grant-funded growth after initial awards, the lag between enrollment growth and funding formulas, and alignment problems for dual enrollment and technical programs with high school schedules. Senators also noted the need to balance support for high-demand core programs like nursing and welding with the ability to respond quickly to emerging industries such as AI and space. The meeting ended with no formal action beyond adjournment after Senator Davis moved to adjourn.

Transcript Highlights:

• This should be the standard of care guaranteed to all students, not the exception.
• This should be the standard of care guaranteed to all students, not the exception.
• Educational Collaboratives. I mean, we're working on that one as well.
• So we are approving the model.
• Starting care within three minutes is the gold standard.

Keywords: 995, all

Summary: The Joint Committee on Education held a public hearing on a large slate of bills, with the chairs emphasizing time limits, written testimony, and grouping similar measures together. Early testimony focused on opioid use disorder education in schools (S.382), with Senator Keenan arguing that students should be taught about the risks of substance use disorder and naloxone use as part of health curricula. Representative DeCost also briefly introduced H.551, a narrow bill concerning parent rights for children in third grade and younger. Several bills were then closed without testimony, including measures on type 1 diabetes informational materials and other diabetes-related proposals. A major portion of the hearing centered on school health and emergency response bills. Supporters of H.652/S.342 on diabetes management in schools described inconsistent district practices and urged clearer standards so students can receive care in classrooms rather than being sent out of instruction. Bills on epinephrine access and seizure disorders drew extensive testimony: advocates for stock epinephrine in schools argued that unassigned epinephrine can save lives and should be funded in a cost-neutral way, while a pediatrician opposed one version as an unfunded mandate. For seizure-safe schools (S.422/H.635), students, parents, educators, and advocates described missed or delayed responses to seizures, stigma, and the need for staff training, seizure action plans, and emergency medication protocols. A separate bill, H.645, allowing anti-seizure medication on school buses, was supported by a parent and student who said current law forces costly and restrictive transportation arrangements. The committee also heard testimony on youth skin health bills (S.334/H.600/H.619), which would let students carry and apply sunscreen at school and camp without a physician’s note. Supporters from melanoma prevention, dermatology, and industry groups said the bills would remove unnecessary barriers and promote sun-safe habits, while one witness cautioned about drafting details and unintended consequences. The hearing then moved to CPR/AED education for graduation (S.456), where Senator Tarr, a student advocate, and the Red Cross all supported requiring hands-on CPR certification for high school students. Finally, the committee took testimony on healthy school lunches (H.539/S.401): supporters from the Healthy School Lunch Coalition and school food directors backed stronger nutrition standards and a standing advisory council, while Consumer Brands Association witnesses opposed the bill as too vague and potentially disruptive. A nutrition scientist also warned about unintended restrictions on medically necessary or innovative foods. The chairs closed the hearing on the healthy lunch bills and then opened testimony on universal school meals for virtual schools (H.700), with Superintendent Patrick Latuka supporting access for students in Commonwealth virtual schools who currently receive no meal support.

Transcript Highlights:

• Uh, Madam Secretary, do you care to please call the roll?
• is that mental and physical health care is that mental and physical health care all<00:08:39.839
• to adopt or or being the right model to adopt or or not?
• Um because as as a collaboration.
• <00:43:14.319> and machine is not dictating care and machine is not dictating care and diagnosis

Keywords: 958, all

Summary: The committee met with a quorum, approved the prior meeting minutes, and then heard testimony on the use of artificial intelligence in therapy and mental health settings. Representative Lisa Willner and Brenda Rosen of NASW Kentucky argued for “guard rails” on AI chatbots so they cannot present themselves as licensed therapists or replace school counselors, psychologists, or social workers. They said AI can support licensed professionals, but warned that chatbots cannot reliably recognize nonverbal cues, escalate crises, or provide accountable care, and they cited examples of harmful chatbot interactions, including a suicide case and a chatbot telling a user to “Please die.” The witnesses also raised concerns about data privacy, commercialization of sensitive mental health conversations, and the use of personal clinical content to train AI models. They said minors should require parental consent and suggested transparency about how a chatbot is trained and who created it. They distinguished between unvetted consumer chatbots and AI tools that have been scientifically validated or approved as digital therapeutics, noting that some evidence-based tools may be useful for specific conditions such as depression, anxiety, or eating disorders. Committee members asked whether regulation should be handled by the legislature or by professional boards, and whether a multi-state model would be preferable to 50 different state approaches. The witnesses generally favored expert-led standards and said a board or panel of experts could review and approve mental health chatbots, but members cautioned that boards can become too restrictive and that legislation should preserve flexibility and avoid discouraging children from seeking help. The discussion ended with a request for the witnesses to restate their proposed policy ideas, including privacy protections, bans on commercialization, limits on training AI with clinical content, transparency requirements, and informed consent.

Transcript Highlights:

• Greg Bilman, and to work collaboratively to care for Minnesotans.
• Greg Bilman, and to work collaboratively to care for Minnesotans.
• And we forged partnerships that extend care and compassion beyond our walls and make Minnesota a model
• so innovations in care, not just care, so innovations in care, not just care, so that<00:52:20.559
• care and seeking care delays in reaching care and seeking care and<00:58:45.599> more.

Keywords: 1187, senate, all

Transcript Highlights:

• So, um, just silence collaboration here.
• people can actually have in-person care. people can actually have in-person care.
• It was exactly the same blueprint, same business model, same practice model across the board.
• ,<00:50:46.079> same blueprint, same business model, same blueprint, same business model,
• <00:50:48.640> and practice model across the board. and practice model across the board. and

Keywords: 00:00:20 - Call to Order/Roll Call 00:02:00 - Update on Rural Health Transformation Program 00:29:20 - Discussion of 26RS HB 134 00:36:35 - Roll Call Vote on 26RS HB 134 00:37:41 - Consideration of Referred Administrative Regulations 01:09:44 - Adjournment, 958, all

Summary: The Health Services Committee met to receive an update from Cabinet for Health and Family Services Secretary Steven Stack on Kentucky’s Rural Health Transformation Grant. He explained that all 50 states applied and were awarded funding, and Kentucky received about $212.9 million over five years, with the first year treated as a nine-month period. He emphasized that the award is a cooperative agreement with CMS, is not Medicaid funding, cannot be used to supplant existing funds, and is limited to the five areas approved in Kentucky’s application. He also said the state must submit a revised budget before major spending begins, and that CMS could claw back money if performance metrics are not met. Secretary Stack outlined the five focus areas: maternal health, mental health, oral health, emergency medical services, and chronic disease prevention/management, especially obesity and diabetes. He described possible approaches such as expanding behavioral health crisis stabilization models like EMPath, using teledentistry and mobile services, strengthening EMS staffing and treat-in-place options, and building healthier nutrition and activity supports. He said the application was developed quickly with broad stakeholder input and that the state plans to work with universities, nonprofits, and other partners through procurement and other formal processes. He also noted the program will be overseen by the public health department, with Commissioner John Langfeld leading the effort. Committee members asked about the grant timeline, the split between formula and competitive funding, the role of certificate of need, and whether new laws or regulations would be needed. Stack said the state believes it can implement the approved projects under current law, though some broader policy issues such as certificate of need were not included because they would be risky to change within the grant timeline. Members also asked how stakeholders can submit ideas; Stack pointed them to the public website and contact email, saying additional partner information will be posted soon. The committee did not take any formal vote or action during this discussion.

Transcript Highlights:

• Many of the courts intend to use their treatment courts, their collaborative court models to help with
• In the collaborative court context, yes, I do believe collaborative courts work.
• As far as the foster care system, we do represent is our impacting children in foster care, parents who
• We are a strong supporter of drug court models, but want to make it clear that if similar models are
• As mentioned today, probation is a key element of the success of the collaborative court models.

Keywords: 988, house, all

Transcript Highlights:

• And then we provide specialty care.
• restorative care and exams.
• Traditional health care practices are exclusively offered through our Indian health care providers.
• This care.
• So all across the care continuum.

Keywords: 987, senate, all

Summary: The subcommittee heard updates from the Department of State Hospitals on its proposed 2026-27 budget, including a $3.2 billion total budget, patient-driven operating cost increases, savings in the IST solutions program, and progress in meeting the Stiavedi court-ordered 28-day treatment standard. DSH reported it has met court benchmarks, reduced the IST pending placement list from a pandemic high of 1,953 to about 250, and is now averaging about five days to initiate treatment. Members asked about the effects of Proposition 36 and SB 1323 on referrals, outside hospitalization costs, Medicare coverage, and whether IST solution funds were being overbudgeted; DSH said referrals are slightly down overall, outside medical costs are rising due to inflation and an aging population, and the IST savings reflect slower-than-expected activation of community programs rather than a service gap. The department also outlined proposed funding for electrical infrastructure upgrades at Napa and Patton, a feasibility study under SB 380 for transitional housing for the CONREP SVP program, and a dental services expansion at Metropolitan and Patton. The committee held those DSH items open after discussion. The Commission for Behavioral Health presented its role in overseeing the transition from MHSA to BHSA, including data, evaluation, transparency, grantmaking, and technical assistance. It described the new Innovation Partnership Fund, a statewide innovation grant program funded at up to $20 million annually for five years, with small and large grants, and said it had received strong interest ahead of the May 8 application deadline. Members asked about what qualifies as innovation, whether grants could be renewed, and how the state would ensure the program supports service delivery rather than general outreach or training. The commission also sought a liquidation deadline extension for up to $4.062 million in remaining Alcove Youth Drop-in Center funds so sites can finish implementation and Stanford can complete the final evaluation; that item was also held open. DHCS provided an overview of behavioral health policy changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, the access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation, transitional rent, and upcoming youth-focused guidance such as high-fidelity wraparound and activity funds. On BHSA implementation, DHCS said it is not tracking specific local program cuts, but is monitoring county plans and outcomes while noting that counties must still preserve Medi-Cal specialty mental health and DMC-ODS services. The department also discussed its H.R. 1 implementation strategy, including outreach, streamlined renewals, ex parte exemptions, and proposed clinic navigator and outreach funding to reduce Medi-Cal coverage loss, especially for people with behavioral health needs. In response to questions, DHCS said it has not produced a specific H.R. 1 impact estimate for county behavioral health populations, and later explained that counties can still use BHSA and other funding streams for prevention and early intervention while the state tracks impacts through integrated plans and new performance measures. The department also reported on BH-CHIP bond spending, saying it has awarded $5.8 billion for 437 infrastructure projects creating 546 new or expanded facilities and more than 9,553 residential beds, with tribal set-asides exceeding the original allotment.

Transcript Highlights:

• Our representatives and senators here really try to collaborate.
• We take care of what we have and we do well with it.
• To make this sustainable because it really was an effective model.
• We just have to be careful not to get them in trouble.
• So it's not a top-down model.

Transcript Highlights:

• > criminal is collaborating with the criminal is collaborating with the criminal justice<00:29
• see,<00:32:04.000> has<00:32:04.240> six model, as you can see, has six model, as
• So by maintaining high-quality care inside and ensuring seamless transition to community care outside
• So we do a kind of a graduated sanction model, and then we also do a reward-based model too.
• <02:08:25.760> So collaborations which we are. So collaborations which we are.

Keywords: 910, house, all

Transcript Highlights:

• c> in 89,000 people received long-term care in 89,000 people received long-term care in their<00:
• So these are facility-based care, nursing home care, as well as long-term care provided in a person's
• So these are facility-based care, nursing home care, as well as long-term care provided in a person's
• So these are facility-based care: nursing home care, as well as long-term care provided in a person's
• So these are facility-based care: nursing home care, as well as long-term care provided in a person's

Keywords: 1183, house

Transcript Highlights:

• There are multiple different pathways and models that child care providers can use within their establishment
• long-term care long-term care collaboration<03:16:00.840> uh<03:16:01.000> are<03:
• of care.
• of care.
• a<03:50:28.680> task<03:50:29.080> based model processing model to a task based model

Keywords: 928, house, all

Summary: The committee held a Division 3 budget work session focused on the Department of Health and Human Services’ Division of Economic Stability. Karen Hebert, the division director, and Nathan White, DHHS chief financial officer, walked members through the governor’s operating budget pages and a briefing book, explaining that the division was consolidated in 2018 and serves programs aimed at financial stability, poverty reduction, child care access, and related supports. Members repeatedly asked for clearer breakdowns of general fund spending, historical growth since consolidation, and how the division’s broad mission areas map onto specific budget lines. A major portion of the discussion centered on the Bureau of Child Development and Head Start collaboration and the child care subsidy program. Hebert said the child care scholarship/subsidy helps low- and moderate-income families access daycare so parents can work, attend school, or receive treatment, and that eligibility is based on state median income up to 85%. She reported a 45% increase in utilization, 4,032 children receiving daycare support as of the end of January, and about 15% of eligible children being served. She also described the quality improvement system “Granite Steps for Quality,” with 160 providers enrolled out of 717 licensed programs, and noted that 1,200 child care professionals added credentials in the last year. Members pressed for cost-benefit information, asking for data on how much the state pays, how many providers and children are served, and whether the department could quantify unmet need. The witnesses said some projects were funded with short-term ARPA child care dollars and that detailed cost data for specific examples, such as the Gorm Community Learning Center expansion, would need to be looked up. They also explained that the child care fund is a federal block grant with required spending set-asides of 9% for quality, 3% for infants and toddlers, and up to 5% for administration, and that unused funds remain available. The committee also reviewed slide 10’s accounting units, including that the Child Care Workforce Fund is 100% general funds and was created as a priority item under HB 2 from the 2024 session, while some other child care-related units are 100% federal funds.