Transcript Highlights:

• Lincoln Pipestone, for example, currently serves over 5,000 businesses, homes in the rural areas and
• Our system, Red Rock Real Water System, serves 26 homes, businesses in the rural areas and 15 cities.
• serves over 5,000 uh businesses, homes serves over 5,000 uh businesses, homes in<00:03:56.480>
• , businesses in the rural areas uh homes, businesses in the rural areas and<00:04:07.760> 15<00
• Um, unfortunately the 48-page closing speech I left at home.

Bills: HF1667, HF2526, HF68

Keywords: correctional fees, supervision fees, probation, Department of Corrections, criminal justice funding, electronic home monitoring, drug testing, restitution collection, community service work, postprison supervision, court-ordered services, fee sunset, fee phaseout, offender fees, community corrections, supervised individuals, 1183, house

Bills: SB1041

Keywords: electronic monitoring, nursing care, assisted living, resident rights, privacy, consent, surveillance, 1182, all

Summary: The committee convened and announced that Senate Bill 1041 would not be heard, with the meeting limited to a presentation to keep the schedule moving. Brian Jenkins of Nalco Water, part of Ecolab, gave an informational presentation on the company’s work in the semiconductor industry, especially in Arizona. He described Ecolab’s role in helping chip manufacturers maximize production while reducing water and energy use, including data management, water reuse and recycle systems, and energy optimization for fabs. He also discussed anticipated semiconductor growth in Arizona, citing SEMI data projecting four additional fabs in the state over the next several years. Jenkins emphasized the high water and energy demands of semiconductor fabrication, explaining that fabs can use billions of gallons of water annually and that chip features have become extremely small, increasing the need for precise, resource-intensive manufacturing. He outlined technologies Ecolab uses to identify reusable water streams, model treatment options, and design and operate reuse systems, including treatment of hydrogen fluoride, CMP wastewater, and neutralized acid waste. He gave an example of a fab where Ecolab’s work reduced water consumption by 11 million gallons per year, cut contaminant discharge by 64%, and saved about $675,000 annually. Members thanked Jenkins for the presentation and referenced a prior tour of the facility. They discussed the importance of water conservation for Arizona’s growth in chip manufacturing and data centers, and encouraged follow-up conversations outside the meeting. Jenkins invited members to visit Ecolab’s facility in Naperville, Illinois. No votes were taken, and the meeting concluded after the presentation, followed by adjournment as the room was prepared for House members to join.

Transcript Highlights:

• It's about getting about your electronic monitoring.
• Somebody got out of their ankle monitor and committed a crime, and they never notified any law enforcement
• This is the electric monitoring piece of legislation for Mobile County.

Bills: SB221, SB224, HB440

Keywords: Mobile County, judge of probate, compensation, salary, expense allowance, electronic monitoring, pretrial defendants, criminal justice, court programs, supervision fees, 1136, house, all

Transcript Highlights:

• registered homes, licensed family homes and licensed group homes, permitted by right in all residential
• and registered homes.
• A child's care home has to be a residence-based home, so it has to be a family that lives in the home
• Before you get to center, there's a registered home, a licensed family home, and a licensed group home
• So a registered home and a licensed family home are both only six children.

Bills: SB20, SB53, SB86, SB96, SB129

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder

Bills: SB 393, SB 414, SB 472, SB 578, SB 617, SB 710, SB 785, SB 973, SB 1059, SB 1062, SB 1352, SB 1450, SB 1502, SB 1547, SB 1566, SB 1567

Keywords: appraisal, tax code, property ownership, appraisal district, chief appraiser, homelessness, public notice, municipality, conversion of property, local government, housing, community engagement, electronic communications, municipal entities, transparency, public access, government accountability, property tax, reappraisal, data privacy

Bills: SB 393, SB 414, SB 472, SB 578, SB 617, SB 710, SB 785, SB 973, SB 1059, SB 1062, SB 1352, SB 1450, SB 1502, SB 1547, SB 1566, SB 1567

Keywords: appraisal, tax code, property ownership, appraisal district, chief appraiser, homelessness, public notice, municipality, conversion of property, local government, housing, community engagement, electronic communications, municipal entities, transparency, public access, government accountability, property tax, reappraisal, data privacy

Transcript Highlights:

• warrant for the return of an individual who violates the condition of their parole and is being monitored
• PS ankle monitor, removed his device, and went on to a murder spree, murdering three different individuals
• Just like I can't do my kitchen at home or anything like that. That's probably a good thing.

Bills: HB33, HB298, HB 1024, HB 1234, HB 1261, HB1696, HB298

Keywords: electronic monitoring, parole supervision, law enforcement, warrant execution, public safety, handgun license, judgment evaluation, medical advisory board, application denial, gun law procedures, abandoned property, unclaimed property, disposition, handgun, driver's license, commercial driver's license, weapon carry, gun rights, Texas legislature, legislative attendance

Transcript Highlights:

• Nothing contained in this act, and this act is the Home Rule Charter Act, County Home Rule Charter Act
• In Florida, 20 of the counties have a home rule charter they have never rescinded a home rule charter
• monitoring program.
• monitoring. participation in the electronic monitoring program.
• monitoring program.

Bills: SJR47, SB1491, SB1579, SB1806, SB1552, SB483, SB63, SB137, SB346, SB514, SB1344, SB1360, SB1380, SB1437, SB1189, SB1217, SB1221, SB1262, SB1272, SB1325, SB1339, SB201

Keywords: voter ID, elections, constitutional amendment, Oklahoma, proof of identity, presidential electors, vacancies, oath of office, political party, property tax, valuation increase, taxpayer rights, homestead, protest process, foster care, adoption assistance, transitioning youth, Department of Human Services, voluntary services, county home rule charter

Transcript Highlights:

• The $3.98 today is a daily monitoring fee. Monitoring fee: The equipment's $800.01.
• The monitoring system is to be paid for by the individual if they.
• Don't pay for the monitoring system, they will not be released on bond.
• So, they will have been paying for this monitoring while they were innocent.
• Again, I think it starts outside of the home.

Bills: SJR47, SB1491, SB1579, SB1806, SB1552, SB483, SB63, SB137, SB346, SB514, SB1344, SB1360, SB1380, SB1437, SB1189, SB1217, SB1221, SB1262, SB1272, SB1325, SB1339, SB201

Keywords: voter ID, elections, constitutional amendment, Oklahoma, proof of identity, presidential electors, vacancies, oath of office, political party, property tax, valuation increase, taxpayer rights, homestead, protest process, foster care, adoption assistance, transitioning youth, Department of Human Services, voluntary services, county home rule charter

Transcript Highlights:

• have been rebuilt with families back home. cost.
• Seeing none, moving on to SB 2272 SD1 HD1 relating to home health licensing.
• <00:47:45.120> health happens right now for our home health happens right now for our home
• Um, moving on to SB 2175 SD2 HD1 relating to disposable electronic smoking devices.
• Okay, moving on to SB 2272 SD1 HD1 relating to home health licensing.

Bills: SB2960, SB2347, SB2272, SB3137, SB3132, SB2271, SB2804, SB2175, SB2487

Keywords: homeowners insurance, disaster recovery, replacement cost value, state of emergency, policyholder rights, insurance extensions, tenant rights, landlord obligations, housing crisis, eviction prevention, multilingual access, SB2272, Act 105, home health licensing, home health agency, home health services, Department of Health, DOH, CMS, Centers for Medicare and Medicaid Services

Summary: The committee heard several resolutions and one bill focused on energy reliability, utility infrastructure, insurance, tenant rights, and home health licensing. On the energy side, members heard HCR 203/HR 193 on a status update for the Hawaii Electric Reliability Administrator, HCR 204/HR 194 on a comprehensive PUC analysis of cost reduction and risk, and HCR 202/HR 192 creating a legislative task force on future energy pathways. Testimony on the energy measures was generally supportive from the PUC, DCCA’s Division of Consumer Advocacy, the Hawaii State Energy Office, and the Office of Hawaiian Affairs, with OHA urging that equity, native Hawaiian impacts, and public trust resources be considered alongside cost savings. The committee also heard HCR 125/HR 117 on coordinating with utilities to address aging utility poles and lines along Farrington Highway and other high-risk corridors; Hawaiian Electric supported the measure, Hawaiian Telcom and Charter Spectrum said much of the work is already underway and questioned whether the resolution was necessary, and committee questioning focused on existing double-pole tracking and the role of DOT and the PUC. The committee then took up HCR 137/HR 129 on timely reimbursement of health care claims under the clean claims statute. The DCCA Insurance Division and the Hawaii Insurers Council opposed the measure as drafted, saying it could be read to require payment beyond policy limits and could raise premiums or reduce market participation. United Policyholders supported the measure, arguing it would simply give policyholders more time to collect benefits they already purchased, and clarified that it was not intended to increase coverage beyond policy limits. The committee later amended the resolution to direct the DCCA Insurance Division to prioritize investigation and enforcement of clean claims complaints. In the decision meeting, the committee recommended and adopted passage of HCR 203/HR 193 as is, HCR 204/HR 194 with an amendment removing the eighth whereas clause, HCR 202/HR 192 with an amendment adding a committee representative to the task force, HCR 125/HR 117 as is, and HCR 137/HR 129 with amendments. The committee also heard SB 2960 SC1 on property insurance, which would extend the time policyholders have after a declared disaster to document replacement-cost claims. The Insurance Division and Hawaii Insurers Council opposed it, warning it could force coverage beyond policy limits and increase premiums, while United Policyholders supported it and said it would help disaster survivors recover benefits they already paid for; members questioned whether similar laws in other states had caused premium spikes and clarified that the bill was not intended to exceed policy limits. The committee also heard SB 2347 SD1 on multilingual tenant-rights notices, with OHA, Hawaii Appleseed, and others supporting the bill but urging restoration of language requiring landlords to directly provide the notice at lease signing. Finally, SB 2272 SD1 HD1 on home health licensing drew support from the Department of Health, SHPDA, and the Health Care Association of Hawaii, with the association requesting an effective date amendment; testimony explained that the bill would allow state licensing compliance to be demonstrated through CMS-approved accreditation or certification surveys, potentially reducing duplication and freeing state resources.

Transcript Highlights:

• Please silence all electronic devices.
• So please listen to the children when they tell you something is going on at home.
• The substitute delete-all amendment requires stricter penalties and electronic monitoring for domestic
• It defines electronic monitoring and military protective orders, creates enhanced penalties for repeated
• So for those reasons, I just want to say that we're monitoring this.

Bills: S0436, S0532, S0600, S0644, S0682, S0928, S1072, S1332, S1632, S1634

Keywords: foreclosure, court clerks, budget management, judicial sales, Florida statutes, bail bonds, pretrial release, forfeiture, criminal justice, bond conditions, surety, attorney fees, litigation costs, court jurisdiction, equitable awards, financial resources, domestic violence, protective injunctions, electronic monitoring, enhanced penalties

Summary: The Appropriations Committee on Criminal and Civil Justice met to consider several criminal justice and court-related bills, along with the committee’s proposed $7.9 billion budget. The committee first heard and approved CS/SB 600 on bail bonds, as amended to adjust solicitation, cash bond return, forfeiture remission timing, and clerk procedures; CS/SB 436 on felony battery, which expands qualifying prior offenses and was amended to correct a drafting issue; CS/SB 928, “Missy’s Law,” requiring immediate remand to custody after conviction for dangerous crimes; SB 1332 on career offender registration, adding in-person reporting, more detailed registration requirements, and stronger penalties for noncompliance; and CS/SB 682 on violent criminal offenses, a domestic violence measure adopted via a substitute amendment that adds stricter penalties, electronic monitoring, injunction protections, and related procedures. All of those bills were reported favorably. The committee also approved SB 1072 creating an anti-Semitism task force in the Attorney General’s Office. The bill drew extensive public testimony both for and against, with supporters emphasizing rising anti-Semitic incidents and the need for statewide review, and opponents raising concerns about free speech, the definition of anti-Semitism, and possible conflation of criticism of Israel with hate speech. Senators also discussed the bill’s scope and the IHRA definition before it was reported favorably. In addition, CS/SB 532 on clerks of court was amended to clarify foreclosure sale procedures and funding predictability for clerks, then reported favorably. CS/SB 644 on attorney’s fees, suit money, and costs was also approved after amendments that aligned family-law fee provisions and codified standards for fee awards in dissolution and paternity cases; the sponsor said the bill was intended to curb vexatious litigation and improve consistency across districts. After the bill actions, the chair summarized the criminal and civil justice budget, describing it as a disciplined proposal that addresses corrections deficits and future inmate growth while funding core public safety needs. The committee then heard substantial public testimony on prison conditions, staffing, pay, heat, infrastructure, and the possibility of reducing prison populations or adding air conditioning in facilities. The chair announced that SB 1632 and its conforming bill SB 1634 would be temporarily postponed to the following week, and the record was supplemented with the names of many people who had registered to speak for or against those bills. The meeting concluded after members were invited to record votes and the committee adjourned.

Transcript Highlights:

• So, the next one is HB222, which is a companion to the bill that I carried on electronic monitoring.
• That's the one that allows pardons and parole to share monitoring... ...pardons and parole to share monitoring
• probation officer from using a post. probation officer from using a post office box, possessing electronic
• The mailman doesn't run to their home.
• I can tell you if I had a child who was doing this who didn't come home and tell me, it would be a whole

Bills: SB324, HB395, HB222, HB310, HB285, HB144, HB251, HB380

Keywords: parole, pardons, paroles board, board of pardons and paroles, Alabama criminal justice, sentencing reform, prison reform, reentry, recidivism, risk assessment, validated risk and needs assessment, supervision, probation, parole denial, parole reconsideration, medical parole, violent offense, nonviolent offense, law enforcement member, board appointments

Transcript Highlights:

• <00:21:35.000> the must have cameras that monitor the must have cameras that monitor the entrances
• House File 1916 also has electronic attendance monitoring, which is something that both parties support
• One of those issues was brought up by the Legislative Auditor on this electronic attendance.
• House File 1916 also has electronic attendance monitoring, which is something that both parties support
• Electronic attendance monitoring is something that both parties support.

Bills: HF1169, HF1916

Keywords: child protection, child welfare, paperwork reduction, social services information system, SSIS, Department of Children, Youth, and Families, foster care, children in placement, county social services, Tribal governments, private child placing agencies, case management, administrative burden, information technology, human services, welfare administration, Minnesota tribes, child care assistance, CCAP, program integrity

Transcript Highlights:

• So, say there’s a media monitoring organization...
• There’s a media monitoring organization that deems a certain entity to be not factual or to spread misinformation

Bills: HB282, HB283, HB95

Keywords: government contracting, state agencies, local agencies, procurement, marketing contracts, advertising contracts, media monitoring, fact-checking, news ratings, bias ratings, misinformation, journalistic standards, news accuracy, vendor certification, contractor certification, public relations, media analytics, government procurement, Alabama, data privacy

Transcript Highlights:

• relating to home health care licensing. relating to home health care licensing.
• It follows you home.
• It follows<01:08:51.040> you<01:08:51.160> home. follows you home. follows you home.
• That generation is going to come home That generation is going to come home missing<01:09:56.960
• home to their families. home to their families.

Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Transcript Highlights:

• Section 33 is that the language associated with the medical homes? Okay.
• And it appears that Section 41 is a collaboration with the Housing Finance Agency for the medical homes

Bills: SB2015

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The Senate Appropriations Human Resources Division met with all members present and took up several bills, focusing most of the discussion on SB 1577 and SB 1619, along with a detailed review of the HHS budget bill draft. On SB 1577, Senator Magrum explained that the bill was being revised to focus on wastewater rather than raw water, possibly shifting the Washburn project to the Department of Water Resources so it could access matching funds, and potentially converting the bill into a line of credit if federal money is restored later. Members discussed whether to keep an emergency clause or instead use a date-based approach, and agreed the bill would likely be handled through the full committee and possibly reconsidered later. On SB 1619, Senator Davison said amendments were still being worked on, including changes requested by the Bank of North Dakota, and the committee planned to hold it for possible amendment before full committee consideration. The bulk of the meeting was a section-by-section review of the HHS appropriations bill draft. Members discussed one-time funding items such as technology projects, child care programs, housing programs, behavioral health facility grants, infant and toddler care provider support, juvenile justice diversion, medical housing, and other public health and human services projects. Several adjustments were noted, including reductions or changes to IMD-related funding, incarcerated-person treatment funding, the child welfare technology project, and the provider rate increase. The committee also discussed the FTE block grant structure at length, with staff explaining that the apparent increase in positions reflected budgeting mechanics, zero-dollar “phantom” positions, and positions approved previously but not counted in the FTE total. Members raised concerns about transparency and whether the bill should list FTE numbers, but staff said the block grant was intended to give the department flexibility while quarterly reporting would provide oversight. Other topics included Medicaid expansion funding and provider reimbursement rules, the move toward certifying human service centers as certified community behavioral health clinics, a moratorium on new ICF beds, and studies or reports on Medicaid, obesity, disability services, truancy, and behavioral health facility grants. The committee also discussed removing or revising broad intent language in Section 31 so the department would report findings rather than implement changes without further legislative action. No final votes were taken in the transcript; instead, members agreed to make a few technical adjustments, continue reviewing the bill, and likely revisit it the next day before moving it to conference committee.

Bills: SB2015

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The Senate Appropriations Human Resources Division met to finalize changes to the human services budget bill and related amendments. Members discussed several items, including a proposed $5 million appropriation for the Altru Hospital project to address inflationary costs, with the rest of the funding question left for conference committee. They also agreed to keep the 10-year operating requirement language for the project and remove a matching-funds provision that was no longer needed. The committee spent considerable time on the OASIS child welfare IT system. Donna Auckland explained that the project is still in the RFP stage, with vendor selection and contract negotiation likely taking months, and that the system will require 50-50 federal matching authority. Based on that testimony, the committee agreed to reduce the general fund amount from $14 million to $6 million and use a line of credit for the remaining authority, while preserving the federal match authority so the contract can be signed and the project can proceed. Members also approved a technical fix to add governor’s designee language for the Children’s Cabinet, which had been missed in another bill already on the governor’s desk. Keith reviewed updated long sheets showing additional budget adjustments, including provider inflation changes, a $50,000 Family Voices grant, reductions to CARES Act COVID funds, and moving the $5-per-day basic care rate increase from ongoing to one-time funding. No formal votes were recorded in the transcript, and the committee adjourned with plans to reconvene Monday if the final bill version was ready.

Transcript Highlights:

• So under this amendment, who would own the home? The private investor.
• Who would select who gets to live in the homes? The owner of the home?
• They would need to select it based on who the home would be most appropriate for.
• Who would select who gets to live in the homes? The owner of the home?
• So if we build new homes and don't change the services... ...build new homes and don't change the services

Bills: SB2015

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The committee first discussed a wastewater infrastructure bill, centered on whether state support should be provided as a grant or through the existing Clean Water State Revolving Fund as a low-interest loan program. Department of Environmental Quality official David Brushwine explained that the SRF already finances wastewater projects, can leverage federal funds with state bond proceeds, and could accommodate the Washburn, Lincoln, and Peasant projects if they are ready to proceed. Members noted that losing federal grant support would make projects harder for local residents to afford because costs would be recovered through utility rates or special assessments, but the projects would still be eligible for loans. Senator Magrum indicated he would likely concur with the budget after this discussion, and the bill was set aside for later consideration. The committee then turned to a proposed amendment for a four-plex housing project for people with disabilities or other special needs. Senator Mathern described Sections 7 and 8 as creating a design consultation appropriation and a revolving loan fund modeled on existing hospital and nursing home loan programs, while Section 9 would transfer $3.3 million from the state infrastructure fund. Members debated ownership, rent subsidies, repayment terms, and whether the state should finance the project directly or leave it to a private developer with Department of Human Services oversight. Concerns were raised that the state should not own the housing and that the proposal needed more work to be workable, but the committee ultimately reached consensus to adopt Sections 7 and 8 and leave out Section 9 for further conference committee discussion. The committee also reviewed provider inflation and long-term care rate issues, with members discussing whether to support a 2% and 1.5% inflation adjustment and how to handle the $5-per-day basic care rate. Staff explained that the $5 payment was already in the base budget, but members debated whether it should remain ongoing or be treated as one-time funding and paired with a study of rate rebasing. The committee agreed to have draft language prepared to remove the $5 from the base budget and add study language, then moved the bill forward for drafting.

Transcript Highlights:

• That was the item regarding consultation with nursing homes so they could keep gero-psych patients and
• Oh, the medical homes? And it's going through the Legislative Council system and legal.
• If we give Bismarck a health home, we can give Fargo with an animal.
• Maybe if we give Bismarck a health home, we can give Fargo an animal shelter.

Bills: SB2015

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The committee met to review revised long sheets and section-by-section language for a human services/health budget bill, with much of the discussion focused on how to present block grant funding and full-time equivalent (FTE) positions for behavioral health clinics and CCBHCs. Members debated whether to keep FTE counts in the budget at all, ultimately leaning toward removing or zeroing out the FTE references while keeping the dollar authority, and reducing the salaries-and-wages block grant by about $4.75 million. They also discussed public health federal authority, agreeing to remove about $60 million in unused federal spending authority tied to COVID-era funds, and clarified that if federal money later becomes available it could be requested through the Emergency Commission. A major topic was the provider inflation increase. The House version had 2% and 2%, while members debated alternatives and appeared to settle, at least for further work, on 2% in the first year and 1.5% in the second year, with staff asked to recalculate the fiscal impact. The committee also reviewed FMAP changes, noting a revised 2027 FMAP estimate and its effect on general fund and other funds, and discussed whether to adjust public health and other line items accordingly. Several members emphasized that many of these numbers are still tentative and will be refined before final action. The committee also touched on several policy items and capital-related provisions, including behavioral health services, Medicaid expansion, the moratorium on new ICF beds, and a proposed amendment for a medical homes/fourplex-related item that would show a $400,000 legislative investment with repayment from a developer. There was extended discussion of the All True hospital/facility proposal, with some members favoring leaving it in with a smaller initial commitment and others preferring to remove it and revisit later in conference committee. The meeting ended with staff asked to continue updating the bill language and members instructed to review remaining sections before the next meeting; no final votes were taken in the portion provided.

Transcript Highlights:

• So one solution is a medical home where there would be, I is a medical home where there would be I think
• much like four residents per home or four apartments per home.
• per home.
• “Regular home.
• The concept and features of a home, home and community-based, other than an institution like a nursing

Bills: SB2015

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The Senate Appropriations Human Resources division met with a quorum and spent much of the meeting on a proposed “medical home” concept for people with significant disabilities and medical needs. Matt Schwartz described the need for small, community-based homes so adults like his daughter could live in a least-restrictive setting without losing housing if service providers change. Architect Jeff Eubel presented a conceptual budget for one roughly 5,000-square-foot facility for four residents, explaining that the design would likely include four large sleeping units, common space, support areas, and medical infrastructure such as emergency power, oxygen, sprinklers, and accessibility features. Committee members and George Sink, joining by phone, raised questions about layout, zoning, ownership, staffing, and whether families would actually move loved ones into such facilities if they were far from home. The department said the concept was not in the governor’s budget and identified staff who could continue discussions; the committee did not take final action and instead discussed refining the language with interested members. The committee then turned to amendments related to long-term care and behavioral health funding. One amendment would reduce a planned $4 million general fund incentive payment and instead create a withhold-based quality program for nursing facilities, to be developed collaboratively by the department and providers and reported to Legislative Management by September 2026. The department said it could live with the language but preferred the governor’s timing; several senators questioned whether the committee should be directing an operational policy change and whether the study would simply delay implementation. No vote was taken, and the amendment was set aside for later consideration. A second amendment would clarify use of an existing $2 million general fund item for behavioral health services in nursing homes and basic care facilities, directing it toward training, technical assistance, consultation, and direct patient care for residents with medically based behavioral health disorders. Members noted the funding was already in the bill and discussed it in the context of other budget items, but again deferred action. The committee also clarified that a separate $750,000 juvenile justice diversion appropriation in House Bill 1425 was distinct from a similar amount in the budget and should likely remain in that separate bill. The chair indicated a goal of having amendments ready by the end of the week, and the committee recessed without final votes on the discussed items.