Transcript Highlights:

• and to the Rural and Underserved Clinical Rotations Grant Program.
• </c> international medical graduates clinical international medical graduates clinical preparation<00
• Our rural hospitals.
• Our<01:04:58.320><c> rural</c><01:04:58.680><c> hospitals.</c> 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:

• This next item involves rural clinical ... loan forgiveness to participants loan forgiveness to participants
• </c><01:10:51.679><c> clinical</c> This next item involves rural clinical training.
• Um, but I will share it's the Health Professionals Clinical Training Expansion Program, the Rural and
• Um, but I will share it's the Health Professionals Clinical Training Expansion Program, the Rural and
• Um it's this is just a Clinic.

Bills: HF4609, HF4401

Keywords: infertility, fertility treatment, fertility preservation, IVF, assisted reproductive technology, ART, oocyte retrieval, embryo transfer, egg freezing, sperm freezing, reproductive health, maternity coverage, health insurance mandate, health plan benefits, Medical Assistance, Medicaid, MinnesotaCare, family planning, oncology fertility preservation, chemotherapy

Transcript Highlights:

• done that's good here, last session we funded the mobile health units that have gone out into the rural
• While telepharmacy is making a positive impact in rural and underserved areas of Texas, there are still
• There's six that allow it to operate with a full range, where a lot of the states only limit it to the rural
• For NEC, the clinical picture is very confounding initially. In the worst case, we see abdominal...
• I do see patients in the clinic. The first one is a 67-year-old man.

Bills: HB321, HB 1027, HB 1295, HB1782, HB2295, HCR29, HCR56

Keywords: Medicaid, child health, express lane option, income verification, supplemental nutrition assistance, telepharmacy, healthcare access, remote dispensing, rural clinics, pharmacy regulations, health literacy, state health plan, health care, patient outcomes, public health, economic impact, healthcare, breast cancer, cervical cancer, insurance eligibility

Transcript Highlights:

• is there a mechanism that would allow these kinds of exams if there's a school nurse or a school clinic
• Could this potentially be something that we could partner with Dean McGee or some other vision clinic
• As you know, the Rural Health Transformation Program is a five-year investment into rural health in our
• tasked with $7.5 million dollars over five years to help support behavioral health professionals in rural

Bills: HB4329, HB3016, HB4118, HB3066, HB3649, HB3650

Keywords: dental insurance, claims, medical necessity, appeal procedures, dentist reimbursement, education, vision screening, binocular vision, kindergarten, elementary education, health, family caregiver, tax credit, activities of daily living, elderly care, Oklahoma tax law, HB3066, Health Care Workforce Training Commission, workforce recruitment, health care workforce

Transcript Highlights:

• I'm speaking in strong support of HM 45, which recognizes the importance of water for the future of rural
• I'm speaking in strong support of HM 45, which recognizes the importance of water for the future of rural
• It protects freshwater, supports rural communities, and keeps the decisions grounded on evidence, not
• House Memorial 45 is not a benign expression of concern for rural water supplies.
• House Memorial 45 is not a benign expression of concern for rural water supplies.

Bills: HM45, HB276, HB300

Keywords: Taos County, Questa, produced water, treated produced water, water reuse, water quality control commission, freshwater conservation, rural communities, acequias, Indian nations, tribes, pueblos, water rights, industrial water use, data centers, artificial intelligence, AI, quantum computing, economic development, renewable energy

Transcript Highlights:

• You mean relative to the rural health transformation? Correct.
• Uh you mean relative to the rural &gt;&gt; Yeah.
• First, to make rural America healthy again.
• </c> community behavioral health clinics. community behavioral health clinics.
• ><c> or</c><00:58:02.240><c> CCBHC</c> behavioral health clinic or CCBHC behavioral health clinic or

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:01 Department for Public Health Budget Request 00:01:46 Department for Community Based Services Budget Request 00:31:58 Certified Community Behavioral Health Clinics (CCBHC) 00:57:13, 958, all

Summary: The committee first approved the minutes, then heard a lengthy presentation from the Department for Public Health on Kentucky’s rural health transformation plan and related budget questions. Commissioner John Langfeld said the state received a $212.9 million federal award, one of the larger awards nationally, and outlined five focus areas: maternal and infant health, integrated EMS/trauma response, behavioral health and substance use disorder, oral health, and chronic disease prevention with an emphasis on obesity and diabetes. He stressed that the effort is intended to be integrated, data-driven, and sustainable, and that the federal funds cannot be used for new construction, clinician salaries, research and development, EHR replacement, or to pay for currently billable services. He also said the program carries accountability requirements and that funds can be clawed back if milestones are not met. Members pressed for clarification on duplication with other budget requests, sustainability after the five-year funding period, and how success would be measured. Langfeld said he was not aware of any duplicate funding with the department’s additional budget requests and said the rural health funds were separate from those requests. He also said the program will be tracked through specific metrics and timelines, using both execution measures and outcome measures such as readmissions, with more rapid-cycle feedback to allow course correction. Representative Fleming raised concerns about possible overlap with navigator funding and asked for more detail on the budget breakdown; Langfeld said a detailed line-item budget had been prepared but was still awaiting final CMS approval before release, and that he would explore sharing more information once restrictions were lifted. The committee then heard from the Kentucky State Public Health Laboratory about a request for a new central lab expansion. The presenter described the current 35-year-old facility as outdated and constrained by aging infrastructure, obsolete equipment, deferred maintenance, and inadequate space, and said the lab performs critical work with no in-state alternative for many services, including newborn screening, select-agent and biosafety level 3 testing, animal necropsy for rabies, genetic sequencing, environmental and food safety testing, and response to emerging infectious diseases. The project is already in design phase C, expected to finish in mid-April, with construction funding sought at roughly $276 million on top of about $35 million already approved for design. Members asked about long-term operating costs, backup arrangements, and whether the current facility would remain in use; the presenter said the current lab would continue to be used by the department while other divisions move into vacated space, and that the lab has mutual-aid agreements with the Southeast Consortium and universities for contingency support. Finally, the Department for Community Based Services began its budget presentation on SNAP and relative caregiver issues. Commissioner Lisa Dennis and budget director Misty Sammons identified the governor’s recommended budget items tied to new federal requirements under HR1, including changes affecting payment error rates. The discussion was just beginning when the transcript ended.

Transcript Highlights:

• health clinics, to provide for Medicaid reimbursement rates of rural health clinics, to provide for
• The rural health clinic program was established in the Rural Health Clinic Services Act of 1977 to address
• She is an owner of an independent rural health clinic.
• I own Michael Brooks Family Clinic in Ruston, Louisiana. We're a rural health clinic.
• I own Michael Brooks Family Clinic in Ruston, Louisiana. We're a rural health clinic.

Bills: HB288, HB403, HB420, HB783, HB815, HB915, HB927, HB933, HB944, HB962, HB971, HR74, SCR3, SCR20, SB5, SB34, SB37, SB190, SB255, SB270, SB273, SB314, SB415

Keywords: medical terminology, documentation, miscarriage, spontaneous abortion, healthcare, medical records, billing, homemade food, food safety, small business, exemption, regulation, Department of Children and Family Services, background checks, child welfare, employee screening, safety regulations, criminal history, non-lactational dairy, labeling requirements

Transcript Highlights:

• realities faced by patients, providers, critical access hospitals, and rural clinics.
• hospital or a rural clinic, and I believe that does qualify under what we're talking about here.
• 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:

• Wyoming was up quite a bit, very rural, very rural. So they scored very high, and $64 in Iowa.
• It's really for these rural areas associated with these rural hospitals and then health clinics.
• But for the most part, these are the rural areas and the clinics and the hospitals.
• patient or the rural We have to ask the question, is the rural patient or the rural citizen being the
• The gyms do qualify in the rural area.

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:

• hospital-owned rural health care clinics.
• to keep rural health care clinics open.
• Alex Johnson with the Louisiana Rural Health Collective, representing independent rural health clinics
• Louisiana has 252 rural health clinics serving 800,000 rural residents.
• hospital-rural health clinics.

Bills: HB165, HB175, HB198, HB272, HB457, HB488, HB566, HB603, HB763, HB902, HB909, HB971, HB981, HB1066, HB1125, HB1154, HB1231

Keywords: HB165, lottery proceeds, Lottery Proceeds Fund, Veterans Service Grant Fund, constitutional amendment, veterans, military veterans, veterans' benefits, veterans services, family support, state lottery, education funding, Minimum Foundation Program, problem gambling, compulsive gaming, state treasurer, ballot proposition, constitutional referendum, lottery revenue, Louisiana resident veterans

Transcript Highlights:

• I got... county, Green County, which are rural... ...County, Green County, which are rural counties.
• None of the money they bring to Tusa goes back to my rural counties, you know, they keep it all... ..
• of city school systems... ...go to a county or city school systems, what does that do to the most rural
• heard, um, the only benefit I see is that as a body we are publicly acknowledging our support for rural
• areas and that we... support for rural areas and that we have this tool.

Bills: HB402, HB402

Keywords: rural impact, legislation, agriculture, school funding, transparency, data assessment, rural communities, land bank authority, property acquisition, tax-delinquent properties, real estate management, local government revenue, floodplain management, stormwater drainage, emergency powers, 1136, house, all

Transcript Highlights:

• wisdom and knowledge in areas that a lot of physicians may be too busy to work on, such as in the free clinics

Bills: HB330, HB336, HB322, HB346

Keywords: lead ban, plumbing codes, lead-free, public health, environmental management, respiratory therapy, interstate compact, licensing, military service members, healthcare access, regulation, postpartum depression, postnatal care, maternal mental health, perinatal depression, postpartum screening, new mother, birth mother, newborn discharge, hospital discharge materials

Transcript Highlights:

• The Senate Committee on Water, Agriculture, and Rural Affairs will come to order. Kirk Caldwell.
• because this definition determines how the Texas Water Board allocates and reports funds spent on rural
• The unintended inclusion of urban political subdivisions in rural water statutes, and under the Code
• I'm Laura Zent with the Texas Rural Water Association.
• Senate Water, Rural Affairs, and Agriculture stands at ease, subject to the call of the chair.

Bills: SB480, SB767, SB790, SB971, SB1066

Keywords: water resources, interlocal contracts, local government, collaboration, planning activities, wildfire response, firefighting equipment, emergency services, state database, Texas Forest Service, customer complaints, Public Utility Commission, water service, complaint process, utility regulation, SB 971, Texas Water Assistance Program, Water Code, rural political subdivision, rural water

Summary: The Senate Committee on Water, Agriculture, and Rural Affairs met on Texas Water Day and limited public testimony to two minutes. The chair emphasized the need to move quickly because of scheduling conflicts with other committees and noted the importance of water policy and related stakeholders. The committee heard several bills focused on water administration, rural utilities, emergency response, and public works contracting. Senate Bill 790 by Senator Alvarado would let the Public Utility Commission create a simplified process for resolving tenant complaints over water or wastewater bill discrepancies; it was described as a way to avoid lengthy contested-case hearings for small disputes. Senate Bill 971 by Senator Sparks would clean up conflicting statutory definitions of “rural political subdivision” so Texas Water Development Board programs are applied consistently; Texas Rural Water Association testified in support. Senate Bill 767, also by Senator Sparks, would expand and improve a statewide database of fire-response equipment so departments, including volunteer and rural departments, can locate and share resources more effectively during emergencies; fire service witnesses supported the bill and suggested annual updates to keep the database current. Chair Perry laid out Senate Bill 480 to clarify that local governments and special districts may enter interlocal agreements for water-related planning and research, including aquifer management and flood/water planning. He also presented Senate Bill 1066, which raises payment and performance bond thresholds for Texas Parks and Wildlife Department public works contracts to $150,000, arguing the change would reflect inflation and help smaller vendors on lower-risk projects. Witnesses were heard on the bills, with no opposition recorded in the transcript. The committee voted out all five bills favorably. SB 1066, SB 480, SB 767, SB 790, and SB 971 each received unanimous committee approval and were recommended to the local and contested calendar, with SB 767 noted as amended by a suggested annual-update requirement for the equipment database.

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:

• The Senate Committee on Water, Agriculture, and Rural Affairs will come to order. Order.
• I'm Laura Zent with the Texas Rural Water Association.
• We represent over 900 utilities that provide water and wastewater utility services to rural communities
• We worked with him. and a number of stakeholders to work on a definition of rural political subdivision
• Senate Water, Rural and Agriculture and Rural Affairs stand at ease, subject to the call of the Chair

Bills: SB480, SB767, SB790, SB971, SB1066

Keywords: water resources, interlocal contracts, local government, collaboration, planning activities, wildfire response, firefighting equipment, emergency services, state database, Texas Forest Service, customer complaints, Public Utility Commission, water service, complaint process, utility regulation, SB 971, Texas Water Assistance Program, Water Code, rural political subdivision, rural water

Transcript Highlights:

• You have been nominated at a very challenging time for rural America.
• That's a Minnesota euphemism for farmers, ranchers, and rural Americans.
• I want to turn to a discussion of rural development and rural housing.
• Well yes Senator, the work of the Rural Housing Service within the Rural Development Mission area is
• Also, the rural housing service, as you say, has been vitally important in rural America, and this is

Keywords: USDA, nominations, Judge Vaden, Tyler Clarkson, agriculture policy, rural America, tariffs, farmer advocacy

Summary: The meeting focused on the nominations of Judge Stephen Alexander Vaden for Deputy Secretary of Agriculture and Mr. Tyler Clarkson for General Counsel at the USDA. Members expressed concerns regarding the challenges farmers and ranchers face, especially in navigating the impacts of recent tariffs imposed by the President. Significant attention was given to how these nominations could influence agriculture policy and support rural communities amidst economic uncertainty. The committee emphasized the necessity for strong leadership in the USDA to advocate for farmer needs and ensure the proper implementation of assistance programs.

Transcript Highlights:

• We do not have very many rural health clinics in the area. I would like to all...
• We do not have very many rural health clinics in the area.
• I think we did a wonderful job last time talking with the rural health clinics and some hospital administration
• definition of rural regions.
• The darker the color indicates a true rural county or a true rural area.

Keywords: House Select Committee on Advancing Rural and Small Town Health Care, 976, house, all

Bills: HB 1550, HB 1592, HB 1964, HB 2002, HB 2063, HB 2118, HB 2128, HB 2669, HB 2765

Keywords: veterinary, regulation, licensing, practices, board, administration, facilities, pest control, wildlife management, agriculture, disease prevention, alert system, Texas A&M, nonprofit, food banks, agricultural products, grant eligibility, poverty alleviation, transportation, disaster relief

Bills: HB 1550, HB 1592, HB 1964, HB 2002, HB 2063, HB 2118, HB 2128, HB 2669, HB 2765

Keywords: veterinary, regulation, licensing, practices, board, administration, facilities, pest control, wildlife management, agriculture, disease prevention, alert system, Texas A&M, nonprofit, food banks, agricultural products, grant eligibility, poverty alleviation, transportation, disaster relief

Transcript Highlights:

• I'm Shel Nymark with the New Mexico Rural Library Initiative.
• So the Rural Library Endowment was passed in 2019.
• We've surveyed the 60 rural libraries.
• I am also on the Rural Library Initiative Board.
• And Senate Indian Rural Cultural Affairs Committee is in recess.

Bills: SB61, SB62, SB99

Keywords: rural libraries, funding, cultural affairs, education, community support, appropriation, state investment, public resources, 996, all