Transcript Highlights:

• in a large majority of those rural areas.
• Oak serves as the head of Rural Community Insurance Services.
• Crop insurance is an economic driver in rural America.
• The Access to Credit for our Rural Economy Act, better known as the ACRE Act, is tax legislation that
• One of those barriers of course is access to credit.

Keywords: farm bill, rural economy, crop insurance, access to credit, young farmers, USDA funding freeze, agricultural policy, risk management

Summary: The meeting of the agricultural committee focused on significant concerns regarding the current state of America's rural economy, highlighting the need for a strong five-year farm bill to address the challenges faced by farmers, particularly young and beginning farmers. Key testimony was given by multiple stakeholders including agricultural leaders and young farmers, emphasizing issues related to crop insurance, access to credit, and the adverse impact of recent USDA funding freezes. Various members discussed the necessity of risk management tools that farmers rely on to secure financing, which is crucial for sustaining agricultural operations and supporting rural communities. The importance of timely legislative action was underscored, as many farmers reported struggles in the current economic climate, raising urgency for reforms within the Farm Bill framework.

Transcript Highlights:

• realities faced by patients, providers, critical access hospitals, and rural clinics.
• Critical access hospitals are not just an optional infrastructure for rural North Dakota, but they are
• hospital-owned rural health clinics, and also the critical access hospital-owned rural health clinics
• Also the Critical Access Hospital-owned Rural Health Clinics.
• The only thing that my amendment is doing is putting the rural hospitals, the rural clinics, the rural

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee first heard House Bill 1624, the “Universal Lunch Bill,” from Rep. Mike Nathie. He argued the proposal should be placed in Century Code rather than the Constitution so future legislatures can adjust it if state finances tighten, and said the bill would start the program a year earlier with a $65 million appropriation for one school year. DPI testified that the estimate did not include nonpublic schools that do not participate, and members questioned the impact on Title I, free-and-reduced applications, private-school accountability, breakfast mandates for schools that do not currently serve breakfast, and whether the funding could come from the DPI budget or other sources. Supporters, including North Dakota United, the North Dakota Catholic Conference, a pediatrician, and the American Heart Association, said universal meals improve student health and learning, reduce family costs, and are better handled in statute than by constitutional amendment. No opposition testimony was offered, and the chair closed the hearing for later work-session action. The committee then took up House Bill 1627, introduced by Rep. Tye Dressler, which would raise the income threshold for the state-funded school lunch program from 225% to 300% of poverty, with an estimated cost of about $7 million for 2026-27. Dressler said the bill is intended as a targeted, budget-friendly alternative to the ballot measure and emphasized that the state should maximize federal meal dollars while improving participation in the current program. Members questioned whether raising the threshold would actually increase utilization, whether a dollar amount would be clearer than a percentage, and how the change would affect federal reimbursements and application rates. DPI said it could quickly calculate additional percentage levels, and the chair closed the hearing, directing DPI to prepare more numbers for the work session. Finally, the committee opened Senate Bill 2403, presented by Sen. Schiable, to create a short-term bridge-loan program for financially distressed hospitals, centered on Jacobson Memorial Hospital in Elgin. The bill would authorize up to $5 million per loan, with a $10 million appropriation available on a first-come, first-served basis, and would run only through June 30, 2027. Schiable said the hospital’s debt and operating problems threaten local health care, ambulance service, and the community’s economy, and that the proposal was designed narrowly with Bank of North Dakota review to avoid creating a broad precedent. Committee members asked whether the appropriation could be reduced and whether the bank would still apply commercial feasibility and repayment standards; Schiable said yes, the bank would still evaluate the loan and could reject it if it was not sound.

Transcript Highlights:

• patient or the rural We have to ask the question, is the rural patient or the rural citizen being the
• How are we going to reorganize so that we guarantee the success of access to health care in the rural
• are we going to reorganize so that we guarantee the success of access to health care in the rural area
• Many families that the Federation supports in rural communities do not have access to case management
• Mental Health Advocacy Network supports efforts to make peer support more accessible, especially in rural

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee heard House Bill 1623, the appropriations bill tied to North Dakota’s Rural Health Transformation Program, which is funded through a new federal rural health care grant. Senator Bekkedahl explained the bill’s background, the interim committee process that developed it, and the federal conditions attached to the award, including spending deadlines, administrative cost limits, and restrictions on uses such as new construction, supplanting existing funding, and certain other costs. Legislative staff then walked through the seven sections of the bill, including appropriation authority, transfer authority, contingent appropriations for pass-through grants, procurement and public improvement exemptions, recipient reporting, legislative reporting, and immediate effective date. Commissioner Traynor and HHS staff described how the department plans to implement the program, emphasizing that the funding is intended to improve rural access, workforce recruitment and retention, technology and data connectivity, and community health initiatives. They said the department will rely on local applications, technical assistance, templates, listening sessions, and partnerships with providers, schools, public health units, tribal entities, and other community groups. Members asked about reimbursement timing, upfront costs, administrative expenses, sustainability after the five-year grant period, and whether CTE centers, public health units, gyms, grocery stores, and other community partners could participate; the department said yes, within program rules and with a focus on measurable outcomes and sustainability. Several supporters testified in favor. Mental Health America of North Dakota and the Mental Health Advocacy Network supported the bill and urged investment in community-based mental health, crisis response, children’s services, peer support, and mobile crisis teams. HIA Health described the grant as a chance to expand home-based and hospice care, noting that rural providers already have workable models but need funding to scale them. A cybersecurity representative also supported the bill, warning that the large amount of health data and AI-related tools will require strong data protection and professional support. The hearing was closed with no opposition testimony, and the committee announced it would return later in the day for further work on the bill and other measures.

Transcript Highlights:

• Welcome to Rural Development, Land Grants and Cultural Affairs. Caitlin, can you go in call room?
• economies and rural economic development plans that look for something more proactive and sustainable
• And, you know, this is a rural committee, and I think most of us here are family people.
• These are small rural areas, and you don't want them to become ghost towns because...
• Small rural areas, and you don't want them to become ghost towns because we eliminated their jobs.

Bills: HB310, HB323, HM51, HB194

Keywords: museum, cultural affairs, lowrider, Espanola, appropriation, feasibility study, broadband access, low-income, rural areas, Indian nations, affordable internet, employment opportunities, detention centers, immigration, economic development, repurposing facilities, job transition, rural development, housing, affordable housing

Transcript Highlights:

• position and contracting authority ensure each and every district, regardless of size or wealth, can access
• What type of system might work best for what we have here based upon our population, the rural environment
• What type of system might work best for what we have here based upon our population, the rural environment
• I believe currently EMS and the ambulance services cover all the parts of the state that are accessible
• to such services. you know, accessible to such services. you know, obviously<00:45:21.920> some

Bills: HB0111, HB0112, HB0122

Keywords: capital construction, state funding, Wyoming, major maintenance, community colleges, task force, legislative services, budget appropriation, unexpended funds, sunset clause, healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, 916, all

Bills: HB0111, HB0112, HB0122

Keywords: capital construction, state funding, Wyoming, major maintenance, community colleges, task force, legislative services, budget appropriation, unexpended funds, sunset clause, healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, 916, all

Transcript Highlights:

• So when I think about conditions, I think about things like ADA accessibility and accommodations or a
• accessibility and accommodations or a accessibility and accommodations or a municipality<01:35:24.159
• Do you feel like this is ADA accessible.
• 02:15:19.440> permit in Teton County, they do not permit in Teton County, they do not permit rural
• And so that leaves rural subdivisions.

Bills: HB0111, HB0112, HB0122

Keywords: capital construction, state funding, Wyoming, major maintenance, community colleges, task force, legislative services, budget appropriation, unexpended funds, sunset clause, healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, 916, all

Transcript Highlights:

• Final bill this morning, House Bill 122, Wyoming Rural Health Transformation Program.
• House Bill 122, Wyoming Rural Health Transformation Program.
• Number two, the bill authorizes what we call the rural health transformation perpetuity.
• Number two, the bill authorizes what we call the rural health transformation perpetuity.
• Do we have a roll call on House Bill 122, Wyoming Rural Health Transformation Program?

Bills: HB0111, HB0112, HB0122

Keywords: capital construction, state funding, Wyoming, major maintenance, community colleges, task force, legislative services, budget appropriation, unexpended funds, sunset clause, healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, 916, all

Transcript Highlights:

• the stability of the critical access the stability of the critical access dental<00:04:11.360>
• Our rural hospitals.
• , and clinics, um increasing access, and clinics, um increasing access, removing<01:02:52.400>
• Our<01:04:58.320> rural<01:04:58.680> hospitals. Our rural hospitals.
• Our rural hospitals.

Bills: HF4401, HF4466

Keywords: HF4401, Minnesota Medical Assistance, dental reimbursement, dental rates, critical access dental providers, Medicaid dental, MinnesotaCare, managed care plans, county-based purchasing plans, fee-for-service, oral health access, safety-net clinics, federally qualified health centers, rural health clinics, Indian health services, state-operated dental clinics, low-income patients, children's dental care, provider reimbursement, dental access

Transcript Highlights:

• , support rural health care teams, and strengthen critical access hospitals.
• , support rural health care teams, and strengthen critical access hospitals.
• faced by patients, providers, critical access hospitals, and rural clinics.
• I asked them about downsizing their designation from a critical access hospital to a rural emergency
• I asked them about downsizing their designation from a critical access hospital to a rural emergency

Bills: HB1621, HB1624, HB1623, HB1622, HB1625, HB1626, HB1627, HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The North Dakota House convened in special session with prayer, roll call, and a quorum present, then took up several rural health-related bills. Senate Bill 2401, as amended, required physicians to complete one hour of continuing education in nutrition and metabolic health each renewal cycle and also added language allowing criminal history background checks for the Board of Occupational Therapy Practice. Supporters emphasized the role of nutrition in reducing chronic disease, and the bill passed 92-0. The House then considered Senate Bill 2402, which expanded pharmacists’ limited prescriptive and therapeutic substitution authority for certain low-acuity conditions and clarified related lab-test and communication requirements. Members discussed examples such as motion sickness, cold sores, lice, hypoglycemia, COVID and flu testing, emergency access to medications and supplies, and limits excluding certain drug classes; the bill passed 91-1. Senate Bill 2403 created a temporary medical facility emergency operating loan option through the Bank of North Dakota for qualifying rural hospitals facing severe financial distress, with extensive debate over the targeted nature of the aid, anti-gifting concerns, repayment terms, and the hospital’s turnaround plan; it passed 80-12. Senate Bill 2404 appropriated funds for NDIT to address federal digital accessibility requirements and for the Public Service Commission’s litigation efforts related to transmission costs, with a backup loan authorization available if needed; it passed 92-0. At the close of the session, leaders thanked members and staff for their work on the rural health transformation package, a committee notified the Governor and the Senate that the House had completed its business, absent members were excused, and the House adjourned sine die.

Transcript Highlights:

• The special session of the Legislative Assembly is convened to act on funding related to the Rural Health
• Act on funding related to the Rural Health Transformation Program.

Bills: HB1621, HB1624, HB1623, HB1622, HB1625, HB1626, HB1627, HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The North Dakota House convened in special session with prayer, the Pledge of Allegiance, and the reading of communications from the Secretary of State and Governor Kelly Armstrong certifying the special session call. The governor’s executive order said the session was called to act on funding for the Rural Health Transformation Program so the state could accept and appropriate federal funds and avoid interruptions to government services. Three new members, Representatives McNally, Scraw, and Timmons, were sworn in, and the roll showed 91 members present, establishing a quorum. The main business was a Rules Committee report outlining temporary special-session rules. The changes were designed to speed up floor action, including allowing second reading the same day a bill is reported from committee, final passage one day after first reading, and immediate transmission to the other chamber unless reconsideration is noticed. The report also replaced the regular standing committee structure with two joint committees: Joint Appropriations and Joint Policy, allowed remote testimony and remote member participation with approval, and limited bill introduction to Legislative Management-approved bills or bills approved by a two-thirds vote. Several deadline changes for resolutions and bill filing were also described, with some provisions delayed until the special session ends. The House adopted the Rules Committee report after a motion by Representative Bosch and no opposition. During announcements, the clerk listed the membership of the Joint Appropriations and Joint Policy committees, and the Highway Patrol announced safety sessions for legislators in the Rough Rider Room at 11 a.m. that day and the next day. The House then recessed until the joint session scheduled for 10 a.m. the following day.

Transcript Highlights:

• These are identical bills dealing with the rural health initiative monies come in.
• dealing with the rural health initiative monies<00:13:33.120> come<00:13:33.279> in.
• Members, as Senator Albert was talking about this rural health transformation act and the money that's
• But on page two, rural healthcare facilities are closing and losing important specialty services due
• <00:18:14.240> hospitals awareness is closed in rural hospitals awareness is closed in rural

Bills: SB367, SB368, SB350, SB351

Keywords: rural health, healthcare access, state funding, health transformation, appropriations, fiscal policy, healthcare funding, economic development, mental health, maternal health, antitrust, competition, market regulation, business practices, consumer protection, anaphylaxis, epinephrine, auto-injector, public health, school safety

Bills: HB259, SB247, HB259, SB247

Keywords: income tax credit, tax incentive, recruitment, remote work, remote worker, recruited worker, rural counties, small counties, county population tiers, opportunity zone, teacher recruitment, nurse recruitment, law enforcement recruitment, workforce development, economic development, relocation incentive, Alabama Department of Revenue, nonrefundable tax credit, tax carryforward, state income tax

Transcript Highlights:

• So, it is expensive, and the city's position is that all parties benefiting from accessing the public's
• about the constitutional concerns that large for-profit streaming services would be granted free access
• PEG fees, public access television fees.
• House Bill 2964 relates to the provision of broadband service in certain rural counties.
• or just broadband. access in general.

Bills: HB2838, HB2964, HB3213, SB924

Keywords: broadband, internet access, digital equity, tax reduction, government funding, rural counties, fiber-optic, state funding, infrastructure, digital divide, economic development, fiber-optic cable, excavation, utilities, civil penalties, municipal regulations, video services, regulation, public right-of-way, franchise authority

Transcript Highlights:

• This relates to increasing access to and reducing the tax on Internet services.
• lastly, members, it provides tax relief to support broadband expansion by exempting internet service access
• We just want to ensure that everyone has access to reliable and affordable internet services.
• Access to them, too.
• These were phone companies that were providing competitive access, whether they owned the lines they

Bills: HB2838, HB2964, HB3213, SB924

Keywords: broadband, internet access, digital equity, tax reduction, government funding, rural counties, fiber-optic, state funding, infrastructure, digital divide, economic development, fiber-optic cable, excavation, utilities, civil penalties, municipal regulations, video services, regulation, public right-of-way, franchise authority

Bills: SB279, HB478, SB279, HB478

Keywords: Alabama State House, Montgomery, Legislative Council, demolition, state capitol, state capitol building, historic preservation, state property, inventory removal, fixtures, furnishings, reuse, recycling, upcycling, surplus property, public assets, legislative chambers, desk sale, chair sale, state auditor

Transcript Highlights:

• pharmaceuticals, and we feel that on behalf of all of our members continue to find a path for affordability and access
• We think people have access to mail-order pharmacies.
• Now, we'd like to just kind of protect the access to a real pharmacist to counsel patients when it's
• We think people have access to mail-order pharmacies.
• Now, we'd like to just kind of protect the access to a real pharmacist to counsel patients when it's

Bills: SCR96, SCR109, SCR164, SCR172, SCR166

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, mail-order pharmacy, insurance, healthcare access, chronic disease management, cost savings, rural access, emergency healthcare, patient adherence, critical infrastructure, foreign influence, local control, energy dependence, economic resilience

Summary: The Committee on Consumer Protection and Commerce heard several Senate concurrent resolutions related to utilities, pharmacy access, critical infrastructure, and energy policy. STR 96 SD1 asked the Public Utilities Commission (PUC) to report on the progress of the Hawaii Electric Reliability Administrator; the PUC offered written comments and the measure later advanced as is. STR 109 SD1 urged the insurance commissioner to study expanding mail-order pharmacy use. Testimony was split: DCCA’s insurance division, HMSA, and the Hawaii Association of Health Plans supported the study, while Shipa and the Hawaii Pharmacist Association opposed it, arguing mail-order pharmacy is already available and that in-person pharmacist counseling should be preserved. The measure was ultimately deferred. The committee also heard STR 164 SD1 on protecting Hawaii’s critical infrastructure from foreign influence. Greenpeace Hawaii and 350 Hawaii strongly supported the resolution, framing it as a consumer protection and resilience measure tied to reducing dependence on imports and strengthening local food and energy systems. No opposition was presented, and the resolution was moved out as is. STR 172 SD1 HD1 directed the PUC to conduct a comprehensive analysis of ways to maximize cost reduction and minimize financial risk while meeting state goals. DCCA, the Hawaii State Energy Office, and the PUC offered comments, and Earthjustice supported the measure; it was also advanced as is. For STR 166 SD1, which concerns how the PUC should evaluate generational energy commitments, DCCA, the Hawaii State Energy Office, and the PUC provided comments, while 350 Hawaii, Greenpeace Hawaii, and others opposed any move toward LNG, arguing it would harm ratepayers and conflict with Hawaii’s renewable goals. After discussion, the committee amended the resolution to add language directing the PUC to evaluate any LNG or other imported-fuel proposal for its potential effects on or delays to the state’s renewable portfolio standards, including the 2045 deadline. The amended resolution then passed, and the committee adjourned.

Transcript Highlights:

• It supports rural farming, beginning and established farmers.
• supports Urban farming it supports rural supports Urban farming it supports rural farming<00:02:
• $68,000 line 191 is a Center for Rural $68,000 line 191 is a Center for Rural policy<00:09:53.040
• <00:37:34.839> that that office helps folks access that that office helps folks access that
• systems for Growers and Rural systems for Growers and Rural communities<00:53:02.799> uh<

Bills: HF1704

Keywords: Minnesota agriculture budget, Department of Agriculture appropriation, Board of Animal Health, Agricultural Utilization Research Institute, Office of Broadband Development, farm bill, rural development, agricultural grants, soil health, livestock compensation, crop damage, meat inspection, poultry inspection, county agricultural inspectors, biofertilizer, nitrogen management, commercial nitrogen fertilizer, water quality, farm down payment assistance, beginning farmers

Transcript Highlights:

• example, he said, how can we continue to sustain and innovate for our farmers and help them find access
• We are not getting it in Minnesota for people who need access to food, especially locally grown food,
• c> to<00:25:38.440> food<00:25:38.679> and<00:25:38.799> especially need access
• bill, up to a million dollars the first year, a million dollars the second year, for the Good Food Access
• is up to a million dollars the first year and a million dollars the second year for the Good Food Access

Bills: HF1704, HF2052

Keywords: Minnesota agriculture budget, Department of Agriculture appropriation, Board of Animal Health, Agricultural Utilization Research Institute, Office of Broadband Development, farm bill, rural development, agricultural grants, soil health, livestock compensation, crop damage, meat inspection, poultry inspection, county agricultural inspectors, biofertilizer, nitrogen management, commercial nitrogen fertilizer, water quality, farm down payment assistance, beginning farmers

Transcript Highlights:

• Cancer patients in rural Arizona often face a difficult reality.
• can unintentionally create access challenges.
• , all rural, even in West Virginia, the Appalachians.
• It's a rural community.
• So radiation therapy now is accessible through the cloud, so we can access treatment plans.

Bills: HB2049, HB2178, HB2179, HB2307, HB2322

Keywords: radiation therapy, particle accelerator, critical access hospitals, patient care, rural healthcare, HB2178, Arizona, state agencies, chief medical officer, medical license, physician license, osteopathic license, licensure requirement, Title 41, Title 32, Arizona Revised Statutes, A.R.S. 41-5902, public health administration, agency leadership, state government personnel

Summary: The Committee on Health and Human Services heard several bills and held HB 2307. HB 2049 would allow particle accelerator treatment for human diseases under general supervision in certain rural counties and critical access hospitals, with documentation, observation, and physician availability requirements. Supporters from the Arizona Hospital and Health Care Association and rural radiation oncologists said it would improve access to cancer care in underserved areas while maintaining safety. The committee also heard HB 2178, requiring state agency chief medical officers to hold an active medical license, and HB 2179, which separates air ambulance definitions and regulations from ground ambulances to clarify statute and align oversight with current practice; both were described as cleanup/common-sense measures and supported by the air medical industry. The committee also heard HB 2322, which would require audio or video recording of DCS interviews with children subject to investigations, with limited exceptions for equipment failure or lack of access. Testimony in support came from a human trafficking survivor, a health care worker and counselor, and a foster parent/child welfare advocate, who argued recordings would improve accuracy, accountability, and child protection, and help preserve a child’s exact words. No opposition was presented. The bill includes a conditional enactment tied to future federal grant legislation and directs DCS to apply for grants if available. After discussion, the committee voted unanimously to give HB 2049, HB 2178, HB 2179, and HB 2322 due pass recommendations, each by a 7-0 vote. The committee then announced HB 2307 would be held and adjourned.