Video & Transcript Research : 'regional program'

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TX
Transcript Highlights:
  • My company worked with the engineering program and then got involved with the logistics program, which
  • The regions, how to DEI, SB 17. You heard me as sure region. Georgie Addis. Tell me what.
  • Audit program within TEA.
  • It's a program that has no public face and it's a confidential program that superintendents. and their
  • So we have that we have the guard. program, we have the Marshall program, so there are many different
Keywords: 1185, senate, all
NM

New Mexico 2025 Regular Session

IC - Science, Technology and Telecommunications Sep 22nd, 2025

Science, Technology & Telecommunications Committee

Transcript Highlights:
  • Yes, we do have a very active annual cybersecurity program.
  • I mean, it comes down to old-fashioned program project management.
  • There's a program run out of the Pacific Northwest called the Western Resource Adequacy Program.
  • Programs that have covered MS programs in some institutes, but mostly four- and two-year programs, and
  • We need to ensure that our programs are age-appropriate.
TX

Texas 89th 2nd C.S.

Public Health Jun 4th, 2026

Public Health

Transcript Highlights:
  • program.
  • Regions like mine; continued investment in broadband infrastructure and sustainable telehealth programs
  • We have also added six new nursing programs here in the Austin region in the last five years.
  • Now, Dwyer has been able to train thousands of CNAs through their program in our region to address that
  • Now, Dwyer has been able to train thousands of CNAs through their program in our region to address that
Keywords: 1184, house, all
CO

Colorado 2026 Regular Session

Colorado Senate 2026 Legislative Day 035 Feb 18th, 2026

Colorado Senate Floor Meeting

Transcript Highlights:
  • rural transportation planning regions. rural transportation planning regions.
  • <00:47:43.680> I76 interstates in their region. I76 interstates in their region.
  • regions. It's not even up to the NPOS's. regions. It's not even up to the NPOS's.
  • commission, not at the regional commission, not at the regional transportation<00:53:49.680>
  • . program. program.
Keywords: 981, all
Summary: The Senate convened, established a quorum, approved the February 13, 2026 journal, and then took up several resolutions and bills. Senate Joint Resolution 12, designating February 20, 2026 as Colorado FFA Day, was laid over until that date. On the consent calendar, Senate Bill 74, concerning the penalty for claiming an excessive amount in a public construction performance bond dispute, passed third reading unanimously, 30-0. The chamber then passed Senate Bill 16, which prohibits the discharge of pre-production plastic materials, on third reading and final passage by a vote of 19-11. Senate Bill 34, expanding participation by members of the AARIA Board of Directors advisory committees, also passed 19-11. On second reading, the Committee of the Whole considered Senate Bill 11, dealing with search warrant requirements for operators of certain electronic platforms, and Senate Bill 76, concerning the practice of certified public accountants; the committee adopted the report, with SB 11 amended and SB 76 passed and ordered engrossed. The general order calendar was then laid over until February 18, 2026. A major portion of the meeting focused on Senate Resolution 001, which urges CDOT to prioritize road improvement projects in Morgan County. Supporters argued that Morgan County’s state highways are in poor condition, citing assessments showing 70% of the county’s highway miles have low drivability life and stressing the importance of safe roads for agriculture and commerce. Opponents said the resolution resembled a district-specific funding request and argued transportation dollars should be allocated through existing statewide and regional processes rather than by legislative resolution. Despite the debate, the discussion centered on the broader need to improve road maintenance and transportation safety across rural Colorado.
KY
Transcript Highlights:
  • Most of those bond resolutions are to fund our capital program, which is driven by a federal consent
  • We currently have a customer assistance program to help folks be able to afford their rates and their
  • For example, we have an emergency wastewater rate assistance program that provides a 30% discount to
  • have a senior C citizen discount program have a senior C citizen discount program uh<00:09:40.600
  • that would save our ratepayers money, particularly seniors, or any programs of that nature.
Summary: The committee first took up House Bill 387, which would amend MSD governance and spending rules in Louisville. The sponsor said the bill was intended to add oversight and accountability in response to large MSD rate increases, though the original rate-approval provision had been removed because of concerns about contracts and bond ratings in Oldham and Bullitt counties. MSD Executive Director Tony Parrott testified that MSD is a public utility serving more than 800,000 people through wastewater, stormwater, and flood protection services, and argued that most rate pressure comes from federal and state mandates tied to a consent decree and other orders. He said MSD already provides annual notice and bond approvals through Metro Council, offers customer assistance programs, and needs flexibility for advertising, public notices, recruitment, and compliance. Members discussed stormwater funding, aging infrastructure, flood control, and the bill’s limits on advertising and other expenditures. The committee substitute was adopted and the bill passed on a roll call vote. The committee then considered House Concurrent Resolution 22, as substituted, which expressed support for exploring nuclear energy and included language noting Kentucky’s ability to use nuclear waste, uranium tailings, and spent fuel in ways described by the sponsor as cleaner. Supporters said Kentucky faces an energy shortage and that nuclear, including small modular reactors, should be part of the state’s future energy mix. Some members said they would support the resolution but wanted a feasibility study or noted that it does not carry the force of law. The resolution passed. Finally, the committee began House Bill 519, sponsored by Representative Fugate, which would prevent utility companies from passing demolition costs for retired coal-fired or fossil-fuel plants on to ratepayers. The sponsor cited sharply rising electricity bills in eastern Kentucky, the decline in coal employment, and the burden of demolition costs from the Big Sandy plant being placed on customers. He argued that utilities should absorb those costs rather than shifting them to ratepayers. The bill was introduced with a motion and second, and the committee was preparing to hear further questions and testimony when the transcript ended.
FL

Florida 2026 Regular Session

Health Policy Jan 14th, 2025

Health Policy

Transcript Highlights:
  • How does that program work?
  • Within the statewide Medicaid managed care program, we refer to it as the SMMC program.
  • that program.
  • , and our BH Impact program.
  • regionally.
Summary: The Senate Health Policy Committee met to discuss maternal and infant health, beginning with a presentation from New Jersey’s Maternal and Infant Health Innovation Authority (MiHA). Pamela Taylor described New Jersey’s statewide effort to reduce maternal mortality and racial disparities through the Nurture New Jersey campaign, a strategic plan with more than 80 recommendations, universal home visiting, Medicaid-covered doula care, hospital report cards, limits on non-medically indicated early elective C-sections, and a new maternal and infant health innovation center. Senators asked about doula certification, funding, home visiting, and how New Jersey coordinates across agencies; Taylor said the authority uses quarterly stakeholder meetings, annual summits, and a tracker for recommendations, and that community input helped shape its programs. Florida Agency for Health Care Administration Deputy Secretary Brian Meyer then outlined Florida Medicaid’s maternal coverage and managed care structure. He reviewed eligibility and services for pregnant women, labor and delivery, postpartum coverage, newborn coverage, and family planning, noting 12 months of postpartum coverage, expanded benefits in managed care plans, and new contracts launching February 1 with more maternal-health-focused benefits, quality measures, and a new quality withhold incentive structure. Senators questioned doula certification and duplication with Healthy Start, provider access and network adequacy, kick payments, quality reporting, and whether Florida should consider broader eligibility standards; Meyer said many details are still plan-driven, that quality metrics are public, and that the agency is working on maternal-health work groups and incentives. Department of Health Division Director Shea Holloway followed with an overview of Florida’s maternal and child health programs and data. She cited Florida CHARTS data showing pregnancy-related deaths, severe maternal morbidity, and infant mortality trends, and described the Title V block grant, the Maternal Mortality Review Committee, the Florida Perinatal Quality Collaborative, the electronic prenatal risk screen, Healthy Babies, BH Impact for perinatal mental health, Healthy Start, WIC, family planning, telehealth maternity care, and the Pregnancy Care Network. Senators asked about delays in mortality review reporting, preterm birth, substance use disorder in pregnancy, WIC participation, cesarean rates, and the impact of the abortion ban; Holloway said the department is continuing to monitor outcomes, expand screening and telehealth, and use data and hospital partnerships to improve care. The committee then adjourned without further business.
NM
Transcript Highlights:
  • So here's a map of our region.
  • So in our region, in the NPR region, starting on the west and going all the way to the far east of El
  • And again, I'm all about the region, right? So, as a region, are we ready, yes or no?
  • Focused on looking at this as a region. The region has to win for this to be feasible, right?
  • You know, number three, within that region of Mexico, within this region of New Mexico and Texas. there's
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Economic Development and Emerging Technologies Jun 21st, 2026 at 12:30 pm

Joint Committee on Economic Development and Emerging Technologies

Transcript Highlights:
  • We also have a program.
  • Atlantic region.
  • That program was to EPA, and EPA's program was cut.
  • is a flagship program of NECASC.
  • And AANAPISI programs, the federal funding, and the programs exist to close these gaps.
Keywords: 995, all
Summary: The committee on Economic Development held a hearing on the DRIVE Act, a proposal to invest $400 million in Massachusetts research and innovation without new taxes. Governor Healey and administration officials said the bill would direct $200 million to public higher education research and regional partnerships and $200 million to a research funding pool for hospitals, universities, and other institutions, with the goal of retaining talent, leveraging private and philanthropic dollars, and offsetting major federal R&D cuts. They argued that research is a core economic engine for the state, supporting jobs across labs, construction, services, and surrounding businesses, and said the bill would help protect the Commonwealth’s tax base and competitiveness during a period of federal uncertainty and cuts to SNAP, Medicaid, and other programs. Committee members raised concerns about whether Fair Share surtax dollars should instead be used for K-12 and other community needs, whether the proposal is enough given the scale of lost federal grants, and how the money would be allocated. The governor responded that the funds are one-time surplus dollars, that most surtax revenue already supports education, and that the bill is meant as a bridge to stabilize public higher education and research. She also said the legislation includes a review board and could support a revolving or matched-fund approach in some cases. Several members pressed for more detail on selection criteria, future funding, and whether private companies and large endowments should contribute more. University of Massachusetts leaders and researchers testified that federal grant cancellations and delays are already causing layoffs, furloughs, rescinded admissions, and lost research capacity. UMass officials said the bill would help preserve faculty, postdocs, graduate students, and research programs in medicine, climate science, marine science, Braille instruction, and AI decision-making. They emphasized that the funding should be merit-based and that the state needs to act quickly to prevent talent from leaving Massachusetts. Business, labor, and industry groups, including MassBio, the Massachusetts Taxpayers Foundation, AIM, the AFL-CIO, and Building Trades, supported the bill, saying it would protect jobs, sustain the innovation ecosystem, and reinforce Massachusetts’ national leadership in research and life sciences. No vote was taken in the hearing.
NM

New Mexico 2025 Regular Session

House - Appropriations and Finance Jan 24th, 2025

House Appropriations & Finance

Transcript Highlights:
  • rural regions?
  • Now, moving to the last program code, let's go to page 11. This is Program Code 709.
  • Programs so that those startup business programs, the JEDI program does an amazing job helping support
  • program, and labor relations program.
  • apprenticeship programs.
AR
Transcript Highlights:
  • program.
  • We do have programs that do both, and so typically what you see there is it'll be an ABC program.
  • Or you have school programs who might apply for a grant with us, You have school programs who might apply
  • That is the biggest difference between the programs: on staffing for the ABC program, there has to be
  • I feel like we have shifted from federal program to state program and vice versa what makes sense.
Summary: The Early Childhood Committee met for an update from the Office of Early Childhood within the Department of Education. Members heard that the office’s goals under the LEARNS Act are to improve kindergarten readiness, support families, ensure quality providers, and expand affordable, accessible child care. Staff reviewed the local lead system, licensing, quality efforts such as CLASS and QRIS, and the two main funding streams: School Readiness Assistance (SRA), a federal CCDF-funded voucher program serving about 14,600 children with a wait list of a little over 3,000, and Arkansas Better Chance (ABC), a state-funded program serving about 21,000 children with authority recently increased to 24,000 slots. A major topic was the difference between market rate surveys and cost analysis studies. Officials said the department is procuring both through an RFP, hoping to begin by August and have results by late in the year. Members pressed for current reimbursement levels, the gap between ABC and SRA funding, and whether ABC funding should be increased to better match costs. Staff explained that SRA rates are set at 75% of the market rate, while ABC per-child funding is much lower, and that ABC slots are limited by the overall allocation. They also explained that some ABC slots were increased by moving children from a discontinued federal pre-K arrangement into ABC to preserve continuity of care. Committee members raised concerns about rural access, infant and toddler shortages, provider stability, workforce pay, and communication with families and providers. Officials said local leads are now helping identify underserved areas, that no county with absolutely no care is known, and that the department is trying to get a truer statewide count of children and providers. They also described efforts to improve communication through monthly provider calls, website postings, and direct case contacts with families. Members discussed possible funding increases, including ideas to reduce the SRA wait list and raise ABC funding, but no formal vote or action was taken beyond approving prior meeting minutes and receiving the update.
TX

Texas 89th 2nd C.S.

89th Legislative Session Mar 18th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • And representing their organizations as regional directors across our great state is Retta Washington
  • We have past regional director Patrice Hillier. Regional secretary, Jasmine Ervin.
  • Regional programs chair, Ashley McGee and the area for coordinator, Amanda Wilson.
  • healthcare programs for the employees of small employers for the Subcommittee on County and Regional
  • HB 2748 by Goodwin relating to the pilot program to just by.
NM

New Mexico 2026 Regular Session

House - Taxation and Revenue Feb 11th, 2026 at 08:37 am

House Taxation & Revenue

Transcript Highlights:
  • Different than what we call safety net programs or benefit programs like Medicaid at the federal and
  • It's a pilot program to see if it works, and I like that.
  • It's a pilot program and see if it works, and I like that.
  • Did you talk to them about administering this program? Mr.
  • Chair and expert, who did you talk to at MFA about this program? Mr.
Keywords: 996, all
KY
Transcript Highlights:
  • While VOCA is a federal program, it is not funded in the same way as other programs.
  • . programs. programs.
  • Programs offered.
  • Programs<00:19:13.679> offered. Programs offered. Programs offered.
  • monitoring programs and placement. monitoring programs and placement.
Keywords: 958, all
Summary: The subcommittee first heard from the Justice and Public Safety Cabinet’s Grants Management Division on federal victim-services funding. Staff described the main grant programs they administer, including STOP VAWA, VOCA victim assistance, sexual assault services, Byrne state crisis intervention, and Project Safe Neighborhoods. They emphasized that VOCA is especially volatile because it is funded by the federal Crime Victims Fund, which has declined sharply in recent years, reducing Kentucky’s available awards and forcing cuts to state, local, and nonprofit subgrants. They also outlined steps the cabinet has taken to stabilize funding, including changing the subaward formula, aligning the grant period with the state fiscal year, subawarding one year behind the federal cycle, and retaining a reserve. Members asked about how funds reach victims, how subgrantee amounts are determined, and requested a breakdown of grant recipients and amounts; staff said they would provide that information later. The committee then received a detailed presentation from the Department of Juvenile Justice on alternatives to detention. Commissioner Randy White and staff explained that ATDs are short-term, less restrictive placements for low-risk youth, including electronic monitoring, home supervision, group homes, foster care, private child care, community programs, mentoring, evening reporting centers, and in-home wraparound services. They described the referral and approval process involving court-designated workers, detention alternative coordinators, courts, and county attorneys, and said DJJ currently has 16 ATD-related contracts, with placements, programs, and electronic monitoring among them. They also reported that between July 1, 2024, and July 30, 2025, 1,652 juveniles were involved in the process, including 168 diversion cases. Members questioned the cost of juvenile detention versus adult incarceration, whether families pay for electronic monitoring, whether there is a national model for juvenile detention, and what alternatives exist for truancy and contempt cases. DJJ said families do not generally reimburse for electronic monitoring, there is no single national model, and day treatment centers are an important alternative for some youth. The department also said it builds daily routines and wellness education into its facilities, and that more than two-thirds of its programs are evidence-based. Officials said they currently monitor vendor performance through quarterly reviews and can end contracts for poor performance, but that data tracking is still largely manual. They said the new JCOM system, now in pilot in the eastern region, should improve reporting and help identify outcomes and recidivism more effectively.
FL

Florida 2025 Regular Session

March 27, 2025 - 12:30 PM

Transcript Highlights:
  • In the pilot program, the initial pilot program had a required number that we were trying to reach.
  • If they don't want to be on the program, they don't have to be on the program.
  • If they don't want to be on the program, they don't have to be on the program.
  • In my Northeast region, there's In all six APD regions.
  • In my Northeast region, there's in all six APD regions.
Summary: The Budget Committee took up six bills. HB 313 passed unanimously and was reported favorably; it exempts vehicles or motorcycles displaying the Purple Heart specialty license plate from paying tolls on Florida facilities. HB 749 also passed and was reported favorably; it extends benefits to firefighters injured during training exercises. CS/HB 1103 passed and was reported favorably; it addresses APD’s developmental disability waitlist by increasing transparency, creating statewide family care councils, expanding the existing pilot program statewide on a phased timeline, and improving coordination for young adults transitioning out of foster care. Testimony on HB 1103 focused on the long waitlist, the need for more provider capacity and support coordinators, and concerns from Disability Rights Florida about moving too quickly without enough data, while supporters argued the current system is not working and families need access to services now. HB 1097 passed after a unanimous amendment removing an appropriation; it creates a premier academic insurance research center at Florida State University to conduct applied insurance and catastrophic risk research, with members discussing the transition from FIU and noting continued collaboration. HB 1309 passed and was reported favorably; it requires evidence-based reading interventions for K-2 students with reading deficiencies and creates a reading coaches program for grades 4-12. Supporters from education and business groups appeared in favor. CS/HB 433 also passed and was reported favorably, though it drew the most debate. The bill requires agencies to review existing rules and guidance documents for consistency with legislative intent, repromulgate rules over time, and report licensing metrics. Members raised concerns about possible duplication of work, staffing needs, and cost, while the sponsor and supporters argued agencies should already be doing this and that the bill would reduce unnecessary regulation and improve accountability. The committee then adjourned after completing its agenda.
TX

Texas 89th Regular

Natural Resources Mar 26th, 2025

Natural Resources

Transcript Highlights:
  • As I said, there are 27 multiple entities across the region.
  • Central Texas is one of the fastest-growing regions in our state.
  • And for us, it's really for the financial program purposes.
  • These districts need to get together in a regional area to have regional planning, and this kind of provides
  • Acre-feet was felt across the region.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Telecommunications, Utilities and Energy Jun 21st, 2026 at 01:00 pm

Joint Committee on Telecommunications, Utilities and Energy

Transcript Highlights:
  • There are regular reviews of the efficacy of the program.
  • There are many tools of the efficacy of the program.
  • vehicles through the Mass EVIP program.
  • We've been very active in this room, also with the MOR-EV program, the IRS program, and the tax credits
  • We've got the $3,500 in the MOR-EV program. The IRS program is very strict about the sale.
Keywords: 995, all
Summary: The committee on Telecommunications, Utilities and Energy heard testimony on several transportation and clean-fuel bills. Supporters of H. 3535 argued for delaying or pausing enforcement of Massachusetts’ zero-emission vehicle sales mandate, saying the current ACC2 timeline is unrealistic given low ZEV sales, limited charging infrastructure, dealer inventory concerns, and potential economic impacts on dealerships, consumers, and tax revenue. Opponents of that approach, including automakers and clean transportation advocates, said the state should stay on course with electrification and that the mandate is necessary to meet climate goals. The committee also heard support for H. 3570/S. 2326 to update vehicle emission standards for municipal and utility fleets, with municipal utility representatives saying current electric truck technology, charging access, and costs make the rules impractical for critical public services. A major portion of the hearing focused on S. 2246, the Freedom to Move Act, which would require MassDOT and regional planning agencies to set vehicle miles traveled reduction goals and align transportation spending with climate targets. Supporters said the bill would better coordinate transportation planning, encourage transit, biking, and walking, and help Massachusetts meet emissions goals while saving money and improving public health. Some committee members raised concerns that the bill could duplicate existing transportation climate mandates and could disadvantage rural residents who must drive long distances; witnesses responded that the bill is meant to add coordination and flexibility, not impose a one-size-fits-all solution. The committee also heard testimony on H. 3448, which would set deadlines to electrify school buses and public fleets and create programs for private fleet electrification. Advocates said fleet electrification is a practical way to cut emissions, improve air quality, and save money over time, especially for schoolchildren exposed to diesel exhaust. Several witnesses also supported low-carbon fuel standard bills H. 3576 and S. 2251, arguing they would reduce fuel carbon intensity and generate revenue for charging and clean-fuel investments. Others, including a coalition opposed to private jet expansion, objected to the bills’ treatment of sustainable aviation fuel, saying it is not scalable, is expensive, and could create land-use and food-supply tradeoffs. No votes or formal committee actions were taken in the hearing excerpt provided.
NH

New Hampshire 2025 Regular Session

House Finance Division II (01/27/2025)

Transcript Highlights:
  • , in the Monadnock region, the Lakes Region, and the North Country.
  • <00:06:43.680> the<00:06:43.800> Lakes regions um in the Mano region the Lakes regions
  • Actually, it's not unusual to end a program or start a new program based on need.
  • to end a program or start a new program to end a program or start a new program based<00:39:22.040
  • We've been able to build some new programs, expand some new programs.
Keywords: 928, house, all
Summary: The committee received an orientation from University System of New Hampshire Chancellor Katherine Preventure and Senior Director of Government Relations Lauren Banker on the system’s enrollment, finances, workforce role, and academic programs. They described the system as consisting of UNH, Keene State, and Plymouth State, with about 23,000 students, $928 million in FY24 operating expenses, a $3.7 billion economic impact, and UNH’s R1 research status. They emphasized the system’s role in graduating students into the New Hampshire workforce, its statewide Cooperative Extension and regional campus presence, and its alignment of degree offerings with top occupations identified by New Hampshire Employment Security. The presentation also highlighted partnerships with businesses, internships, and collaboration with the community college system, including 100 transfer pathways and a direct-admit program. A substantial portion of the discussion focused on tuition, state support, and student costs. The chancellor said the state invested $95 million in FY25, with about $81 million used to reduce resident tuition and about $14 million for statutory programs such as Cooperative Extension and the Agricultural Experiment Station. She said the state subsidy is about $7,300 per New Hampshire student, and that resident net tuition averages about $7,000, while nonresident net tuition averages about $16,600. She provided published tuition figures for UNH, Plymouth State, and Keene State, and explained that resident tuition has been held flat for five years while financial aid has increased, reducing average net tuition and fees for New Hampshire students from about $10,500 in 2020 to $9,800. Members asked for clarification on how residency and workforce-retention percentages were calculated, and the chancellor said she would follow up. Members also asked about comparisons with peer institutions, housing and meal costs, research funding, and the reasons for declining enrollment and staffing reductions. The chancellor said peer comparisons were based on flagship universities for UNH and smaller regional publics for Plymouth and Keene, and noted that out-of-state tuition has risen about 2.5% annually. She said housing for a UNH double room is $8,536 and a meal plan is $5,100, and offered to provide a consolidated cost document. On research, she said the system’s direct research spending includes federal funding and that indirect costs were about $34 million last year, with a follow-up promised on the federal/state and direct/indirect split. She attributed enrollment declines largely to demographics and said the system is responding by reducing costs, selling buildings, exiting leases, moving the system office to NHTI, and implementing Workday. She also noted that Plymouth received approval for five three-year bachelor’s degree programs and that members praised the shorter, workforce-focused pathways, especially for manufacturing and other in-demand fields.
NM

New Mexico 2025 Regular Session

IC - Radioactive and Hazardous Materials Dec 8th, 2025 at 09:45 am

Radioactive & Hazardous Materials Committee

Transcript Highlights:
  • EPA's programs.
  • The program you had mentioned...
  • Like, they enter the program, we don't really have the ability to say no, you can't enter the program
  • Finally, I want to highlight some workforce pipeline programs with our regional colleges.
  • to strengthen that program.
Keywords: 996, all
MN

Minnesota 2025-2026 Regular Session

Committee on Taxes - 03/26/26

Taxes

Transcript Highlights:
  • regional Training Facility and our regional community<00:15:45.280> center.
  • regional needs. Thank you for your time. regional needs. Thank you for your time.
  • Should this project move forward, programs that serve the region can continue to grow.
  • our community and region. our community and region.
  • serve the region can continue to grow. serve the region can continue to grow.
Keywords: 1187, senate, all
NH
Transcript Highlights:
  • Both both programs. >> correct? Both both programs.
  • companies will bring to this program. companies will bring to this program.
  • managing the program. managing the program.
  • . program. program.
  • with a Medicaid program.
Keywords: 928, house, all
Summary: The committee to study long-term managed care met to approve the prior meeting minutes, with a clarification that “OB3” referred to the “one big beautiful bill.” The minutes were then approved. Chair Jim Kofalt outlined the day’s agenda, which included testimony from the Granite State Home Health and Hospice Association, the New Hampshire Association of Counties, and later DHHS. He also noted that future meetings were expected soon and that the meetings were being livestreamed on YouTube. Granite State Home Health and Hospice Association, represented by Kellyanne Totten and Amy Moore, urged inclusive planning and a cautious, phased approach if managed care is considered. They emphasized that home care providers are not uniform, with different licensing and service models, and said any pilot should include varied provider types, rural and southern regions, and agencies of different sizes. They warned that workforce shortages, inflation, and a possible 9% CMS cut to Medicare home health payments could force agencies to reduce service areas or service types. They also said the 2023 Medicaid CFI rate increase has begun to lose its effect. In response to questions, they said the rural health transformation fund may help with planning and telehealth but likely cannot be used directly for rates or recruitment/retention. They also described the New England Home Care Nurse Residency Program, a Department of Labor grant, as a way to bring new registered nurses into home care with added training and school partnerships. The New Hampshire Association of Counties, through county nursing home administrators Craig Labore and David Ross, revisited the earlier Step Two managed care discussions from 2016-2018. They said prior consultants found the long-term services and supports system was underfunded and needed investment to stabilize providers and expand community-based care. They argued the same concerns remain today and said a managed model would jeopardize the Medicaid quality incentive payment program and, for county nursing homes, the proportionate share payment program. Their testimony was generally opposed to moving forward with managed long-term services and supports without significant additional funding and safeguards.