Transcript Highlights:

• access to health care facilities.
• Right now, access only covers emergencies.
• Most of our conversation today is about anesthesia access, but in reality over time, surgery access,
• Access currently covers 16 non-opioid products to treat pain on the Access drug list without prior authorization
• Access believes that the intent in section B is to limit access in its contracted health plans from utilizing

Bills: HB2176, HB2333, HB2435, HB2447, HB2617, HB2683, HB2686, HB2725, HB2726, HB2906, HB2953, HB2958

Keywords: health care, licensure, complaints, investigation, safety, patient care, regulatory compliance, prosthetics, orthotics, health insurance, Medicare, medical necessity, disability rights, coverage, reimbursement, internationally trained physicians, medical board, clinical training, provisional license, healthcare workforce

Transcript Highlights:

• <00:14:01.680> Medicaid as you pointed out accessing Medicaid as you pointed out accessing
• <00:23:36.400> Medicaid are signed up to access Medicaid are signed up to access Medicaid
• Medicaid funding that's been accessed Medicaid funding that's been accessed has<00:23:42.720>
• don't want it accessed. don't want it accessed.
• for not accessing those benefits. Right. for not accessing those benefits. Right.

Keywords: 1189, house, all

Summary: The commission to study special education costs under SB 57 met for its second meeting, with members introducing themselves and reviewing background materials on New Hampshire special education identification rates, NAEP results, and a Wall Street Journal article about the rise in autism diagnoses. The chair explained that the commission is examining special education aid formulas, including how New Hampshire’s current catastrophic aid threshold works and how changes to that threshold might affect school districts, but noted that the needed data on how many students would shift into the aid system at lower thresholds is not yet available. The main testimony came from Henry Litman of HHS on Medicaid reimbursement in schools. He explained that school-based Medicaid funding is tied to health-related services, not all special education services, and that federal rules are changing in state fiscal year 2027. Under the new approach, schools will move away from an in-kind methodology to a certified public expenditure model that may also allow recovery of some overhead costs, such as support staff time. He said the state won a federal grant to help build the new system, hired a vendor, and is setting up training and a help center for districts. Members asked about why Medicaid claims have declined and whether districts are leaving money on the table. Litman said claims are down about 25% from pre-pandemic levels, with declines tied to federal and state rule changes, documentation requirements, provider qualification rules, and the end of temporary pandemic flexibilities. He said some districts adapted better than others depending on local medical-provider access and administrative capacity. He also said the new federal legislation does not directly affect schools, while New Hampshire’s return to pre-pandemic eligibility rules has reduced enrollment somewhat. No votes were taken, and the discussion ended with agreement that the commission needs better data to determine how much special education spending is truly Medicaid-eligible and whether additional legislation is needed.

Transcript Highlights:

• Parents have that access. This simply deals with what is accessible to our kids in our schools.
• We want access to things.
• Yes, there is access. And that's the point.
• They have access to this with no ability for me to even know that they've access this.
• So again, this is accessible to adults.

Transcript Highlights:

• Senate Bill 1606 is a patient access to records bill.
• Now I have to let more and more people have access to it.
• Actually, this has nothing to do with patient access.
• They already have quick and efficient access to it.
• It also presents a complication on having access.

Summary: The Appropriations Committee on Health and Human Services met to consider a full agenda of bills, moving quickly through 20 measures and several amendments. Early bills reported favorably included SB 976 on procedures for challenging court-appointed psychologists in family law cases, SB 306 on Medicaid managed care provider access outside regular business hours, and SB 584 on housing supports for foster youth and college students, which drew supportive testimony from former foster youth and was backed by members as a way to improve stability and educational opportunity. The committee also approved SB 1412 to modernize home health regulations and SB 1800 to create a Parkinson’s research consortium at USF, with members citing the need for more research and future funding opportunities. The committee adopted amendments on several bills, including technical and conforming changes to the Parkinson’s bill and other measures. The committee then advanced a series of health care and child welfare bills. SB 524 added Duchenne muscular dystrophy to newborn screening; SB 1156 revised the Home Health Aide Program for medically fragile children, including training, reimbursement, and work-hour flexibility; and SB 1490 reorganized services for medically fragile children by shifting program administration to AHCA and requiring a redesign plan for the Medicaid waiver. SB 1174 allowed foster home and child-caring agency licenses to be amended when a foster parent relocates, and SB 1620 implemented selected recommendations from the Commission on Mental Health and Substance Use Disorders, including a new research center at USF and school-based behavioral health review requirements. SB 1568 revised e-prescribing exemptions, and SB 78 authorized certain veterans’ nursing home beds and related certificate-of-need transfers. All of these measures were reported favorably after brief debate or supportive testimony. Several bills prompted more extensive discussion and some opposition. CS for CS SB 1270, the Department of Health agency package, included provisions on vaccination-related patient rights, medical marijuana reporting, background screening, temporary licensure, compact participation, and sovereign immunity for volunteer dentists; it passed despite concerns from Senators Berman, Brodeur, and Harrell about vaccination language and board/voting-power provisions. CS for SB 1606 on patient access to records drew strong opposition from physicians and health information professionals over privacy, security, fines, and portal access; it was initially reported unfavorably, then reconsidered and ultimately reported favorably as a committee bill. CS for SB 1736, allowing insulin administration by direct support professionals and relatives for individuals with developmental disabilities, and SB 1808, requiring timely refunds to patients, both passed. CS for SB 1842, requiring referring providers to help patients determine whether referred providers are in-network, also passed over concerns about burden on small practices. The committee also advanced SB 1354, a behavioral health oversight bill requiring audits, performance reporting, and system transparency measures for managing entities, and SB 1768, which authorizes physicians to perform certain stem cell therapies using specified products and requires informed consent; both drew supportive comments but also concerns about patient understanding and oversight. Finally, the committee approved SPB 7032 as a committee bill to create presumptive Medicaid eligibility for permanently disabled individuals during redetermination, and after reconsideration it reported SB 1606 favorably as a committee bill. The meeting ended with members noting their recorded votes on select tabs and adjourning after completing the agenda.

Transcript Highlights:

• Prevention also requires ensuring... ...the highest level of access to opioid antagonists like Narcan
• able to get into community health programs so that people can get access.
• We cannot lose focus, treatment, and access to prevention programs, and access to life-saving opioid
• They would lose access to their addiction treatment.
• Instead, opioid overdoses went up and access to treatment actually went down.

Keywords: opioid crisis, overdose, naloxone, drug trafficking, law enforcement, treatment, prevention, older adults, Medicaid expansion

Summary: The meeting convened to address the dire opioid crisis affecting communities nationwide, with a particular focus on the alarming rise of opioid use disorder among older adults. Key testimonies highlighted the critical need for a comprehensive approach that encompasses prevention, treatment, and strict law enforcement actions against drug traffickers. Sheriff Dennis Lima from Seminole County outlined successful strategies implemented in Florida, including increased access to naloxone and legislative changes to hold drug dealers accountable for overdoses. Various members expressed a united front on tackling this multifaceted issue, advocating for the expansion of Medicaid and better access to treatment as essential steps to curbing the epidemic.

Transcript Highlights:

• <00:03:50.000> to organizations via the access to organizations via the access to streamline
• <00:36:10.040> housing provides affordable accessible housing provides affordable accessible
• <00:36:57.240> res added criteria for accessing res added criteria for accessing res presidential
• access.
• have to have specific uh security access have to have specific uh security access so<01:04:08.440

Bills: HF1662, HF2115, HF2159, HF1095, HF2160

Keywords: veterans, veterans affairs, State Soldiers Assistance Program, Veterans Stable Housing Initiative, MAXIS, human services data, data sharing, eligibility verification, informed consent, private data, benefits coordination, veteran housing, veteran assistance, Department of Human Services, Children Youth and Families, state benefits, federal benefits, privacy, public assistance, human services

Transcript Highlights:

• Access.
• increase access to say that would access increase access to care.<00:53:50.319> I<00:53:50.720
• <01:01:30.880> For access to these procedures. For access to these procedures.
• patient access.
• a hope that this will expand access. a hope that this will expand access.

Keywords: 926, house, all

Summary: The House began with several announcements and recognitions, including a lengthy tribute to Representative Carolyn Brangan of Georgia on her retirement and years of service, followed by remarks from Brangan explaining that she is leaving to care for her husband during cancer treatment. Additional members offered brief reflections, including one on the end of the session and another welcoming students from Founders Memorial School to the gallery, and a member from Brattleboro highlighted a collaborative mural in the card room titled “These Green Hills, Vermont State Symbols and Personal Reflections.” The body then took up its calendar. It adopted Joint House Resolution 12, authorizing limited remote voting in joint committees through the remainder of the calendar year, with an ADA-related accommodation for members physically present but unable to access a meeting room. The House also suspended rules to take up and concur in the Senate amendment to House Bill 935 on emergency management. The committee report described grant programs for emergency response and technical rescue, new definitions and shelter-planning language centered on “whole community,” a wildland fire response task force, and an emergency rulemaking provision requested by the Agency of Natural Resources; the committee approved the Senate proposal on an 8-3 straw poll, and the House concurred. The House next adopted the conference committee report on House Bill 952, the capital construction and state bonding budget adjustment bill. The report explained changes made in conference, including shifting funds to cover a higher-than-expected bid for the St. Johnsbury facility, restoring some funding for maintenance at the women’s correctional facility in Chittenden County, and setting aside $750,000 toward planning for Wi-Fi installation in correctional facilities. It also noted a lease-related language change for a Vermont Huts project at Little River State Park, with notification to the institutions committee chairs. The House then took up Senate Bill 64 on optometrists’ scope of practice; the committee presentation supported allowing specially credentialed optometrists to perform certain minor surgical, laser, and injection procedures, citing improved access, safety, cost, and workforce development, and the bill was read for second reading with committee recommendations for concurrence.

Transcript Highlights:

• We've got the CCAP pathway, the College and Career Access Pathway.
• We've got the CCAP pathway, the college and career access pathway.
• More expansive and easier for our students to access these types of programs.
• I think the biggest inequity for charter schools is access to adequate facilities.
• We've asked for access to Prop. 39 facilities that continues to get litigated.

Keywords: 988, house, all

Transcript Highlights:

• for all four-year-olds and access for all school access for all four-year-olds and access for all three-year-olds
• And California has taken important steps to expand preschool access.
• And California has taken important steps to expand preschool access.
• But each option offers different levels of access and comes with trade-offs.
• But each option offers different levels of access and comes with trade-offs.

Summary: The joint hearing focused on California’s child care, preschool, and transitional kindergarten oversight, with chairs emphasizing the state’s Master Plan for Early Learning and Care and the need to break down silos between programs. CDSS and CDE reported progress toward the plan’s goals, including universal access to TK for all four-year-olds next school year, expanded access for low-income three-year-olds, and more children with disabilities being served in state preschool. They also noted ongoing work on quality rating/review reform, funding structure changes, and the need to address rates, workforce shortages, and federal uncertainty around Head Start. Testimony from advocacy groups and providers largely supported expanding access while simplifying the system. Children Now, Every Child California, and the California Budget and Policy Center argued that California still has uneven access, especially for infants, toddlers, and three-year-olds, and urged investments in mixed delivery, inclusion, full-day options, and a cost-of-care rate methodology. Every Child California recommended consolidating part-day and full-day contracts, streamlining eligibility priorities, making the two-year-old option permanent, and funding staffing incentives. Parent testimony highlighted how child care gaps and county-to-county transfer delays can disrupt work, safety, and children’s stability, and providers described low reimbursement rates, the need for health and retirement benefits, and support for delinking subsidy rates from private pay. The second panel addressed universal transitional kindergarten. The Learning Policy Institute reported rapid TK expansion, with most districts now offering TK, but said access still depends on facilities, staffing, and whether programs are available at all school sites. The Department of Finance said the governor’s budget would fully implement TK by adding funding for all eligible four-year-olds and lowering the adult-to-child ratio from 12:1 to 10:1. The Legislative Analyst’s Office said the administration’s enrollment and cost assumptions were optimistic and estimated lower TK enrollment growth and lower costs for the ratio change. CDE supported the expansion and urged continued funding for UPK coordinators, teacher development, and mixed-delivery planning grants. Members questioned facilities shortages, staffing competition, and how to ensure TK expansion does not displace CSPP or Head Start classrooms. No formal votes or actions were taken in the hearing.

Transcript Highlights:

• They want everyone to have equal access to their businesses.
• They had no intent or desire to deny access to anyone.
• Unfortunately, there are certified access specialists... ...there are certified access specialists, or
• Access is improved for all disabled individuals.
• We need to have a close relationship with disability access.

Summary: The committee heard testimony on several bills. AB 416 would allow emergency room physicians to initiate 5150 mental health holds, with supporters saying it would reduce emergency room bottlenecks and speed care for patients in crisis. County and behavioral health representatives opposed the bill, and some members raised broader concerns about the 5150 system and juvenile placements. The bill was ultimately approved on a do-pass as amended vote. AB 446, the Surveillance Pricing Act, drew extensive testimony. The author and supporters argued it would prohibit businesses from using personal data to charge different prices for the same product or service, describing the practice as discriminatory and exploitative. Business and industry groups opposed the bill, warning that its language was too broad, could affect discounts and loyalty programs, and would create litigation risk through a private right of action. After discussion about enforcement and possible amendments, the bill passed on a do-pass motion. AB 632 would give local governments a faster way to collect penalties for serious code violations, including unsafe housing, fire hazards, and illegal cannabis activity, by allowing certain fines to become money judgments and clarifying lien authority. It had support from county and city groups and no opposition was voiced in the hearing; the bill passed as amended. ACA 7, a constitutional amendment intended to clarify and limit misuse of Section 31A, also moved forward after brief support testimony. The committee then took up AB 649, which would extend protections for businesses that proactively obtain certified access specialist inspections and fix accessibility violations; the author, a small business owner, and others testified in support, while disability rights groups moved to neutral after amendments. Members discussed the balance between access enforcement and reducing predatory litigation, and the bill was still under consideration as the transcript ended.

Transcript Highlights:

• access in the Commonwealth of Kentucky. access in the Commonwealth of Kentucky.
• We've done so access in Kentucky before.
• preschool access in their district. preschool access in their district.
• This uh budget preschool access.
• <00:45:32.079> So, access to child care, period. So, access to child care, period.

Keywords: 958, all

Summary: The subcommittee met without a quorum and first heard from Kentucky Department of Education officials on career and technical education funding. KDE explained that House Bill 499 created a CTE funding formula using 60% weighted full-time equivalent enrollment and 40% incentives, but House Bill 6’s budget language excluded area technology centers (ATCs) from that supplemental funding. KDE requested approval of an additional budget request of $14,789,352 in each fiscal year 2027 and 2028 to include ATCs in the formula and hold local districts harmless. Officials said ATCs serve students from 117 of Kentucky’s 171 districts and argued the change would reduce funding disparities and better reflect the return on investment from CTE programs, citing growth in dual credit and work-based learning participation. Members asked whether the issue would need to be revisited each budget cycle. KDE responded that the problem could be fixed by removing the notwithstanding language from the budget bill, which they said would allow ATCs to be included under the existing statute. Representative Klein supported the request, saying the current clause could lead to stagnation and that the committee should help the program continue to grow. No vote was taken on the CTE item during the portion of the meeting provided. The committee then heard a presentation from PreK for All on expanding preschool access in Kentucky. Advocates said the state’s preschool program has been funded since 1990 and currently serves about 14,200 children at roughly $84 million per year, but that many working families still fall into a coverage gap. They proposed expanding eligibility to 250% of the federal poverty line, which they said would add about 9,600 children at a cost of $40 million in year two, after a planning year. The proposal also included regulatory flexibility for classrooms and partnerships with private child care providers and nonprofits, with speakers emphasizing child care deserts in some counties and citing research that early learning improves kindergarten readiness and later outcomes. No action or vote was taken on the preschool proposal in the transcript provided.

Transcript Highlights:

• I know what access to hearing aids has made possible in my life.
• It will provide access for 8,000 children's hearing aids.
• Christine Smith, Health Access California, in support.
• California's youth deserves access.
• Katie Van Dines for Health Access California.

Keywords: 988, house, all

Transcript Highlights:

• <00:21:07.760> to communities have the same access to communities have the same access to
• <00:59:43.280> and increasing costs limited access and increasing costs limited access and
• <01:00:38.799> to shortages to disparities in access to shortages to disparities in access
• about improving health healthare access about improving health healthare access it's<01:04:56.799
• from the state no to better rural access from the state no to better rural access no<01:09:33.640

Keywords: 1187, senate, all

Transcript Highlights:

• So it is free to the EMS agencies to get access to STARS.
• charge anybody who's accessing for the emergency.
• charge. we're giving access to a website full of PHA, but we do not charge anybody who's accessing for
• So we do make all of the plans accessible anywhere.
• Those are still accessible. People want to know.

Summary: The committee first met in executive session and voted do pass on three bills: House Bill 2370, House Bill 3278, and House Bill 1638. HB 2370 passed 13-9, HB 3278 passed 15-0, and HB 1638 passed 17-0. The committee then moved to public testimony. Senate Bill 1015, sponsored by Sen. Maggie Nuremberg, was presented as a measure creating a legal process for court-ordered assisted outpatient treatment for adults with serious mental illness who are unable to voluntarily engage in treatment and are at risk of deterioration, hospitalization, or harm. Supporters said it would help people remain stable in the community, reduce hospitalization and incarceration, and save state costs. The bill also includes a provision modifying notarization requirements for detention applications. Testimony in support came from the Missouri Behavioral Health Council and the Missouri Association of Public Administrators, and no opposition was offered. The committee also heard a presentation from SSM Health on the STARS program, which provides electronic emergency care plans for children with complex medical needs. Witnesses explained that the program is an EMS-based, physician-reviewed system used to improve information sharing and emergency response, with access free to EMS agencies and emergency providers, while hospitals that write plans pay implementation and subscription fees. Members used the presentation to clarify that the program is distinct from the bill discussed previously in committee. House Bill 2903, sponsored by Rep. Don Mayhew, would change rules for county and district hospitals by limiting certain Sunshine Law disclosures, adjusting board qualifications, and aligning financial reporting deadlines with other political subdivisions. Supporters from Phelps Health said the bill would help publicly owned hospitals compete more fairly with private systems and reduce administrative burden; no opposition testified. House Bill 3379, sponsored by Rep. David Dolan, would expand the employee disqualification list and mandated reporting requirements for abuse, neglect, and financial exploitation of vulnerable adults, including adding bank personnel and other first responders as reporters and creating penalties for failure to report. Supporters from DHSS and the Missouri Bankers Association said the bill addresses financial exploitation concerns, but bankers raised concerns about mandatory reporting for situations they may not know about and asked to continue working on the language. The committee took no final action on the public hearing bills before adjourning.

Transcript Highlights:

• Another 15 states have reduced access.
• services that may not be covered by any of the programs we have access to.
• Improving access to care will be dialed back.
• But nobody dies in those other countries for lack of access to health care.
• this year gain access to care.

Keywords: 988, house, all

Transcript Highlights:

• compromising public access to important information.
• And so I did not have access to our bay.
• In the spirit of the Coastal Act, access to the coast should also be access to the coast. ...of the Coastal
• Act, access to the coast should also be access to living on the coast.
• We must ensure survivors have access to care and pathways for healing.

Keywords: 988, house, all

Transcript Highlights:

• Nomsa Kalfani, co-CEO of Essential Access.
• I'm co-CEO at Essential Access Health.
• So then you have less access, less opportunities.
• It's about access.
• It's about access.

Summary: The subcommittee held an oversight hearing on federal actions affecting California’s public health and family planning systems, focusing first on the freeze to Title X family planning funds and then on broader CDC/public health grant terminations. Chair and members described the cuts as abrupt, harmful, and likely to create major gaps in disease surveillance, vaccination, contraception, STI testing, and other preventive services, while also criticizing the federal administration’s explanation that the actions were tied to DEI or civil-rights compliance. The chair thanked Attorney General Bonta for legal action and said the hearing was intended to document the real-world impacts and inform state budget responses. Witnesses from Essential Access Health, Planned Parenthood Affiliates of California, a Central Coast clinic, and other providers said California’s Title X network serves more than half a million low-income patients annually and relies on the funds for staffing, outreach, training, mobile and school-based clinics, and confidential care. They warned that the freeze has already forced reserve spending, delayed services, and could lead to layoffs, reduced hours, longer waits, and fewer appointments, especially for sexual and reproductive health care. Public comment included support for a proposed state backfill of Title X losses, with advocates emphasizing impacts on low-income, LGBTQ+, and communities of color. On the public health side, CDPH, county health officials, and local health officers testified that the CDC’s rescission of $11.4 billion in grants would affect California by an estimated $840 million and threaten lab capacity, immunization programs, health disparities work, and data systems such as CalConnect and vaccine registries. Sacramento County and others described how the grants supported outbreak response, sequencing, community vaccination clinics, and equity-focused partnerships, and said terminations had already led to canceled appointments, stopped contracts, and layoffs. Several speakers urged the Legislature to preserve and expand state “future of public health” funding and to backfill federal losses, while public commenters from HIV, immunization, labor, and county organizations echoed concerns about workforce losses and worsening health outcomes.

Transcript Highlights:

• <00:07:44.240> Minnesota patient access and moves Minnesota patient access and moves Minnesota
• I want accessibility for our citizens.
• disadvantage for quality access to care. disadvantage for quality access to care.
• I mean, I states for access of care.
• > culturally access to highquality culturally access to highquality culturally competent<01:09

Keywords: 1183, house

Transcript Highlights:

• It's going to be another accessible access point to the building.
• OA already has authority and access and the ability to access data of any type, um.
• OA already has authority and access and the ability to access data of any type, um.
• You know, having access to a system doesn't mean you should access everything in it.
• We don't have access to it.

Bills: HF1867, HF1240

Keywords: lottery, retailer contracts, Minnesota Statutes, contract qualifications, public integrity, criminal background, legislative auditor, public funds, state government, compliance, transparency, 1183, house

Transcript Highlights:

• when trying to access things like employment, education, health care, entertainment, and more.
• of minutes each to access Uber.
• of minutes each to access Uber.
• We enjoy using the Green Line to get to accessible destinations, including going downtown.
• Massachusetts state law, which allows greater access than the ADA, apparently.

Keywords: 995, all

Summary: The hearing opened with the co-chairs introducing House and Senate members and explaining the hybrid format, three-minute testimony guidance, and the deadline for written testimony. The committee then heard extensive testimony on S. 2665, which would require employers to post notice to employees when an I-9 audit or similar federal immigration inspection is underway. Supporters, including immigration attorneys, a pediatrician, a labor leader, and an affected family member, argued the bill would protect privacy, give workers time to gather documents and consult counsel, and reduce fear and wrongful arrests. One witness from Illinois described a similar law there and said it had not caused the problems employers feared, while others said recent ICE enforcement has made notice especially important. The committee also heard testimony on S. 1360, a bill affecting collective bargaining rights for State Police, with the State Police Association arguing that a statutory gap lets departmental rules override their contract and that the bill would restore intended bargaining protections. A separate labor bill, S. 1305, was also briefly supported by the AFL-CIO as part of broader worker-classification protections for app-based delivery drivers. A large portion of the hearing focused on H. 2066, which would impose fines on transportation network drivers who refuse rides to people with disabilities using service animals. Testimony from blind and disabled riders, service dog users, advocates, and the Disability Law Center described repeated ride cancellations, drivers pulling away after seeing a service animal, and the difficulty of enforcing existing anti-discrimination laws through MCAD or other agencies. Witnesses said the current system leaves riders without practical recourse because drivers are hard to identify and complaints can take years, and they argued that fines on individual drivers would create a real deterrent. Several witnesses also described the impact on employment, medical appointments, and daily independence. Committee members asked about service-animal verification, whether refusals are ever appropriate, and whether penalties should target drivers or companies; witnesses said legitimate refusals are limited to misbehaving or unsafe animals and that companies already have policies and some training, but enforcement remains weak. The committee also heard from a witness supporting a related bill on rideshare accessibility and from advocates describing broader transportation discrimination issues. One witness discussed a separate proposal to study service-animal denial, and others noted that Uber’s self-identification feature and company policies have not solved the problem. No votes were taken during the hearing, and the meeting ended after the final witnesses on the service-animal bill and a brief organizational discussion about related legislation and committee business.