Video & Transcript Research : 'shared services'
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MN
Minnesota 2025-2026 Regular Session
House Fraud Prevention and State Agency Oversight Policy Committee 2/23/26
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- autism services.
- EIDBI a high-risk service. EIDBI a high-risk service.
- ATAM works with numerous autism service providers to address clinical and administrative questions, share
- . share. share.
- need these services. need these services.
Bills:
HF3542
CA
California 2025-2026 Regular Session
Assembly Health Committee Apr 22nd, 2025
Transcript Highlights:
- We understand and share the goal of ensuring timely access to necessary health care services for patients
- We do understand and share the goal of ensuring timely access to medically necessary services.
- As the Assemblywoman had shared, Medics and nurses, as the Assemblywoman had shared, the services that
- need those services.
- Their cost per share, or their earnings per share, their EPS, last year went up by 102%.
Summary:
The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting.
The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call.
The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.
MN
Minnesota 2025-2026 Regular Session
Committee on Judiciary and Public Safety - 02/10/25
Judiciary and Public Safety
Transcript Highlights:
- low-frequency, high-incident services, which is what we'll be sharing today that are included in the
- low-frequency, high-incident services, which is what we'll be sharing today that are included in the
- which is uh what we'll be Services which is uh what we'll be sharing<00:03:48.040>
today <00:03 - Specialties and and the services Specialties and and the services provided<00:04:18.400>
by - prosecutor based crime victim services prosecutor based crime victim services so<00:13:34.600>
TX
Transcript Highlights:
- Thank you. services.
- Services.
- We provide prevention and behavioral promotion services, intervention services, treatment services, recovery
- Yeah, attendant care, personal assistance services. services, personal care services, those are kind
- General services. Yeah. General services.
KY
Kentucky 2025 Regular Session
House Standing Committee on Families & Children (2-20-25)
Transcript Highlights:
- I'd like to share that with everybody. Absolutely.
- services that are not really available in criminal court.
- services that are not really available in criminal court.
- services that are not really available in criminal court.
- <01:03:29.880>
and Department with regard to services and Department with regard to services
Keywords:
00:00:00 Call to Order/Roll Call
00:01:20 Discussion of 25RS HB 479
00:03:22 Roll Call Vote on 25RS HB 479
00:04:51 Discussion of 25RS HB 574
00:21:49 Roll Call Vote on 25RS HB 475
00:23:41 Discussion of 25RS HB 291
01:04:38 Roll Call Vote on 25RS HB 291
01:05:42 Adjournment, 958, all
Summary:
The House Standing Committee on Families and Children met and first took up House Bill 479, which would require one hour of dementia training for DCBS workers. Representative Derrick Lewis and the Alzheimer’s Association said the bill was a straightforward, bipartisan effort to address dementia awareness and improve worker training, with no fiscal impact. Members spoke in support, including remarks about personal family experiences with dementia and the importance of recognizing symptoms early. The committee voted 11-0 to pass the bill with favorable expression.
The committee then heard House Bill 574, the “Baby Maya” child protection bill, sponsored by Representatives Dossett and Lewis. The bill would require reporting when a child is born to a parent who previously had children removed for neglect or abuse, create a rebuttable presumption allowing the Cabinet for Health and Family Services to make an initial safety determination, authorize emergency custody procedures, and name the measure the Baby Maya Law. Sponsors said it was intended to add guardrails after the Baby Maya case and stressed that it would not automatically remove children or add new mandatory-reporter penalties. Members asked about hospital involvement, HIPAA, and information-sharing; the Cabinet commissioner said the agency would be open to better data-sharing with hospitals, but currently has no such system. The bill passed 12-1 with favorable expression.
Finally, the committee considered House Bill 291, the Family Preservation and Accountability Act, with a committee substitute. The bill would expand sentencing alternatives for primary caregivers convicted of nonviolent offenses, allowing judges to consider family status and use options such as counseling, parenting classes, and related services. Supporters argued it would keep families together, reduce harm from parental incarceration, and save money; one witness cited a report estimating $4 million in direct incarceration savings and broader economic benefits. Another witness, Amanda Hall, gave emotional testimony about the long-term harm of parental incarceration and said access to help would have been better for her family than prison. The committee adopted the committee substitute and passed the bill 12-1 with favorable expression.
NH
New Hampshire 2025 Regular Session
Health and Human Services Oversight Committee (09/26/2025)
Transcript Highlights:
- any share. any share.
- And the limits on in OB3, there was a $35 limit on each service cost sharing.
- Department of Health and Human Services. Department of Health and Human Services.
- They do share that with us.
- share my business card. share my business card.
Summary:
The committee first approved the draft minutes of its May 16, 2025 meeting, with one correction removing Representative Dry from the attendance list because she was present as a guest rather than an appointed member. The committee then received a Department of Health and Human Services update from Commissioner Lori Weaver, who focused on the rural health transformation grant process. She said the department has been gathering stakeholder input since July, issued a request for information on September 22, and is working toward an end-of-October draft and a November 3 deadline, with a grant writer request expected to go before Governor and Council at no cost to the state.
The bulk of the meeting centered on federal changes affecting SNAP and Medicaid. Karen Heert explained that the federal law changes commonly referred to as the “Big Beautiful Bill” or HR1 will affect SNAP eligibility and state costs, including a shift in administrative cost sharing from 50/50 to 75/25 beginning in October 2026 and a possible state share of benefits if New Hampshire’s error rate is too high. She said the program affects about 43,000 households, that New Hampshire’s federal fiscal year 2024 error rate was 7.57% versus a national rate of 10.93%, and that the state must get below 6% to avoid liability. She also said DHS is preparing remediation steps, auditing cases, and seeking technology and staffing support, including a grant for automation and training.
Henry Litman then described Medicaid changes under HB2 and the new federal law. He said New Hampshire returned to pre-pandemic eligibility verification rules on July 1, including a 10% income compatibility standard and reduced ex parte renewals, which has increased manual work and contributed to a drop in enrollment from about 185,000 in late June to about 178,000 in early September. He also reviewed new child premiums, pharmacy copays, Granite Advantage premiums, and possible Medicaid work requirements, noting that DHS is working with CMS on implementation details and may use a state plan option rather than an 1115 waiver because it would be less expensive and faster. Members asked several questions about the SNAP error-rate rules, the distinction between administrative and client errors, the effect of unpaid copays, and the timing and legal risk of the Medicaid work requirement; no votes were taken on those policy issues.
MN
Transcript Highlights:
- <00:01:00.280>
this I will be co-chair sharing this I will be co-chair sharing this committee - Well, thank you for sharing.
- Well, thank you for sharing.
- education service education service and<01:11:26.159>
you <01:11:26.280>can <01:11: - Miss Erikson, when you share that with Senator R, would you share it with the rest of us as well?
Summary:
The Senate Education Finance Committee met on January 21 with a quorum present for the first meeting of the 2025 biennium. The co-chairs described the temporary power-sharing arrangement in the tied Senate, introduced committee staff and pages, and had members briefly introduce themselves and share what subject they would teach. After the introductions, the committee moved to a presentation from State Demographer Susan Brower.
Brower reviewed Minnesota’s school-age population trends and projections, noting that the state had just under 1 million children ages 5 to 17 in 2023 and that, for the first time, the older adult population exceeded the school-age population. She said the school-age population is concentrated in the Twin Cities metro and other regional centers, and projected an overall decline of about 5% over the next 15 to 20 years, driven mainly by declining birth rates and long-running net outmigration of young adults. She also explained that growth is expected in some areas, especially along the I-94 corridor north of the metro, while northern regions are projected to see the largest declines. She clarified for members that her figures measure resident children, not school enrollment, and that boundary changes are not reflected in the district-level data.
The presentation also covered demographic change among students. Brower said about 35% of Minnesota children ages 5 to 17 are children of color, with growing multiracial populations and increasing linguistic diversity. She reported that about 20% of school-age children have at least one foreign-born parent, and about 18% of enrolled students speak a language other than English at home, with Spanish, Somali, and Hmong the largest home languages. She also discussed child poverty, saying Minnesota’s rate is just under 10%, below the national rate of about 15%, and that poverty is concentrated in Minneapolis-St. Paul, some first-ring suburbs, and parts of northern Minnesota, including districts with larger Native populations. Members asked questions about whether the projections accounted for migration and whether open enrollment affected the figures; Brower said the data reflect where children live, not where they attend school, and that the projections are based on recent migration and birth patterns, with future changes more likely to come from international immigration than from domestic migration.
ND
North Dakota 2025-2026 Regular Session
Legislative Task Force on Government Efficiency Mar 25th, 2026
Transcript Highlights:
- I'm with the Office of Management and Budget, and I'm the Shared Services Division Director.
- I'm with the Office of Management and Budget, and I'm the Shared Services Division Director.
- He's my director of audit services.
- Director of Audit Services.
- Dorman shared today.
Summary:
The task force reviewed survey results from state agencies on potential statutory revisions, with Levi reporting 70 proposals from 20 agencies and noting that about 33 might become agency pre-file bills. Members discussed the need to share the survey more broadly within higher education and to better coordinate issues involving IT and other cross-agency functions. The task force then heard from the Office of Management and Budget on three topics: concessions, architect/engineering pre-qualification, and legal notices. OMB said the concessions law is outdated and inconsistent with current practice, and suggested a collaborative rewrite to allow best-value evaluation, raise the threshold, and standardize solicitation templates. On architect/engineering pre-qualification, OMB proposed expanding authority beyond current state-agency limits and creating uniform templates. On legal notices, OMB proposed modernizing publication requirements, exploring online and abbreviated notices, and working with newspapers and other stakeholders on technology and accessibility improvements.
Members asked about where concession revenues go, whether political subdivisions must follow the same rules, and how to move from discussion to action. The task force agreed to have OMB work with Legislative Council and affected stakeholders to develop bill drafts, and the motion passed unanimously. The University of North Dakota then presented a series of proposed revisions focused on public buildings and procurement. UND asked to rework the definition of construction so routine maintenance and one-for-one replacements over $250,000 would not automatically trigger public-improvement requirements, suggested raising the threshold to $500,000, and asked for more flexibility based on project complexity and risk. UND also proposed changes to public bid advertisements to reflect electronic bidding, revisions to construction manager-at-risk selection criteria, changes to architect/engineer procurement rules, an increase in the direct-hire design threshold, and a higher legislative-consent threshold for privately funded projects. The task force supported having UND work with counsel and OMB to develop bill drafts, and that motion also passed.
The Department of Public Instruction concluded with proposed cleanup to credentialing and education statutes. DPI recommended reviewing its credential categories for relevance, possibly transferring credentialing authority to the Education Standards and Practices Board, removing outdated school safety patrol language, clarifying waiver provisions, and updating dyslexia screening reporting requirements so the statute reflects current practice. Members focused mainly on whether the dyslexia reporting requirement should remain, and DPI said the screening itself would continue even if reporting language were revised. No votes were taken on DPI’s suggestions, and the task force recessed after the presentation.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Children, Families and Persons with Disabilities Jun 21st, 2026 at 01:00 pm
Joint Committee on Children, Families and Persons with Disabilities
Transcript Highlights:
- SEIU 509 represents 25,000 human service workers and educators.
- Yet the burden of this gap is not shared equally. Yet the burden of this gap is not shared equally.
- One story I often share is what I call the playground problem.
- Thank you for sharing your story with us today. Thank you for sharing your story with us today.
- And if you had more to share, please do submit it in writing. Thank you so much.
Summary:
The committee hearing covered a wide range of child welfare, family support, and human services bills. Testimony strongly supported a guaranteed cash stipend for young adults aging out of foster care (S.161), with the Attorney General’s Office, youth advocates, and foster care providers describing high rates of homelessness and poverty after exit from care. Providers also urged action on a resolve to study the foster care liability insurance crisis (H.197/S.1280), saying premiums and coverage losses are forcing program cutbacks and could reduce foster care capacity statewide. Another major topic was a direct care worker medication administration program registry (H.237/S.162), which supporters said would help recruit and train workers, especially bilingual staff, to address workforce shortages in human services.
Several bills focused on child protection and child welfare system practices. Supporters of H.267/S.145 called for advance notice to children’s attorneys when placements or other major events change, arguing that timely communication is essential to prevent unnecessary disruption and improve advocacy. Testimony also backed legislation to formally recognize and strengthen children’s advocacy centers and the Massachusetts Children’s Alliance (H.233/S.112), with prosecutors and CAC leaders describing the trauma-informed model as a longstanding, effective response to child abuse and trafficking. A bill to establish a Massachusetts children’s cabinet (S.115) drew support from advocates who said cross-agency coordination is needed to align policy and funding for children’s well-being.
The committee also heard testimony on bills addressing safety, equity, and family support. Senator Lovely and survivors supported S.152, which would create a civil cause of action for sexual abuse by adults in positions of authority or trust, with witnesses describing grooming and power imbalances in schools and youth-serving settings. H.274, a bill of rights for people experiencing homelessness, was supported by advocates who said it would add anti-discrimination protections and voting and privacy rights amid rising criminalization of homelessness. H.272/S.171 to protect maternal health received support from Rep. Montaño, MLRI, and a physician, who said the bills would make cash assistance available earlier in pregnancy and remove the medical-verification barrier. H.4216 on equitable hair care for children in state custody was supported by social workers and advocates who said hair care is tied to identity, dignity, and mental health. H.255 on empowering early educators drew testimony about barriers faced by renters and condo owners trying to open home-based child care programs. H.217, concerning resources and support for pregnant and parenting families, drew testimony from anti-abortion pregnancy resource center advocates. No votes were taken during the hearing, and several bills had no one signed up to testify or were deferred when witnesses were unavailable.
MN
Transcript Highlights:
- , and deliver services in a timely, connected way.
- and adult social services.
- service delivery and integrated operations.
- Adult services are very similar to the services that are provided to children in the child welfare information
- Some have a lot of overlap, adult services very similar to the services that are provided to children
MA
Massachusetts 2025-2026 Regular Session
Status of Persons with Disabilities Jun 21st, 2026 at 12:00 pm
Transcript Highlights:
- But it's on them, the information that they share.
- I am a 100% service-connected VA-disabled veteran.
- It's a recognition of the damage done to a service member's body while they're in the service or to their
- Severe PTSD anxiety develops while they're in the service.
- I mean, there's a lot of services being provided around this.
Summary:
The Employment Subcommittee of the Massachusetts Permanent Commission on the Status of Persons with Disabilities met on May 18 and approved the prior meeting minutes. The first presentation was an update on the Massachusetts Disability Employment Tax Credit from MassAbility. The speaker explained that the credit, created in 2022, offers employers up to $5,000 in the first year and $2,000 in later years for hiring certified employees with disabilities. He described a streamlined self-attestation certification process, the online application and outreach tools, and noted that the first full tax season resulted in one company successfully claiming the credit. Members asked about how employers learn to file, available data, carry-forward rules, and whether more information from the Department of Revenue could be shared.
The second presentation was from the Office of the Veteran Advocate. The speaker described the office as an independent agency created after COVID and the state veterans home tragedy to improve veteran services and investigate problems. He reviewed VA disability ratings, the fact that service-connected disability does not necessarily prevent work, and the barriers faced by veterans with less-than-honorable discharges. He also highlighted vocational rehabilitation, GI Bill and housing supports, and the office’s work on professional licensure barriers, especially for nurses and other skilled trades. Members discussed whether Massachusetts is behind other states on licensure reciprocity and the need for more openness from licensing boards; the office said it is starting with a narrow nursing-focused review and will report back on findings.
In the final portion of the meeting, members discussed a lengthy policy brief from Seed and agreed it should be taken up at the August 31 meeting rather than rushed through by email. The group focused on two emerging areas of work: the benefit cliff and youth/young adult pathways into employment, including apprenticeships. Members suggested creating a clearer tool or spreadsheet to map existing resources and possibly a white paper for appointing authorities, while noting the commission’s limits on direct advocacy. The meeting ended with an invitation for members interested in the benefit cliff work or youth employment pipeline to join follow-up discussions, and the subcommittee adjourned.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 2/24/26
Human Services Finance and Policy
Transcript Highlights:
- In the next graph, the bar is the long-term care waiver and home care service set of services.
- It just requires states to implement cost sharing, with some requirements that the cost sharing could
- With some requirements that the cost sharing could not exceed 5% of the person's income or $35 per service
- States to implement cost sharing, with some requirements that the cost sharing could not exceed 5% of
- . services. services.
Bills:
HR1
CA
Transcript Highlights:
- The near-sharing opportunity. Near-sharing is not a future trend.
- I'll share them.
- Thank you. ...to share with us.
- the market share that China had.
- By now we've established that the lion's share of trade is in goods, but services is the most rapidly
Summary:
The joint hearing of the Assembly Select Committee on California-Mexico Bi-National Affairs and the Assembly Economic Development, Growth, and Household Impact Committee focused on the USMCA and how the agreement affects California’s economy, jobs, supply chains, and competitiveness. Opening remarks emphasized California’s heavy trade dependence on Mexico and Canada, the importance of stable trade rules, and concerns that tariffs or uncertainty could harm workers, small businesses, agriculture, logistics, manufacturing, and border communities. Members said the hearing would help inform a future legislative report or resolution on California’s priorities for the agreement’s review.
Academic and policy witnesses argued that the USMCA is central to North American economic integration and California’s role in it. Testimony from UC San Diego and CETYS University described California and Mexico as co-producers rather than simple trading partners, highlighting sectors such as medical devices, aerospace, semiconductors, logistics, and advanced manufacturing. Witnesses also warned that the upcoming review could involve not just trade but security and immigration issues, and they urged a stronger, longer-term agreement with more certainty, better border efficiency, and new tools such as specialized technician visas, binational certification standards, innovation zones, and a technology fund.
Go-Biz and chamber representatives said USMCA provides predictability, market access, and support for small and medium-sized businesses, while also creating compliance burdens through rules of origin, labor standards, and customs procedures. They pointed to California’s trade missions, export support programs, and state-level cooperation with Mexico and Canada as ways to help firms participate in regional supply chains. Mexican government and business representatives said the agreement is largely functioning well, that Mexico’s public consultation process received nearly 800 submissions and about 2,000 chapter-specific comments, and that many stakeholders favor maintaining or extending USMCA. No formal votes were taken; the committee heard testimony and asked witnesses for follow-up information to inform its report and future recommendations.
ND
North Dakota 2026 1st Special Session
Legislative Task Force on Government Efficiency Mar 25th, 2026 at 10:00 am
Legislative Task Force on Government Efficiency
Transcript Highlights:
- I'm with the Office of Management and Budget, and I'm the Shared Services Division Director.
- I'm with the Office of Management and Budget, and I'm the Shared Services Division Director.
- He's my director of audit services.
- Dorman shared today.
- We have oodles and oodles of information to share, and I'd welcome the opportunity to share some more
NH
New Hampshire 2025 Regular Session
Committee to Study Long-Term Managed Care (10/27/2025)
Transcript Highlights:
- So I have already shared that draft with my colleagues on the committee.
- So, with that, let me share the recommendation I would like to make.
- <00:04:49.120>
with <00:04:49.759>my already shared that draft with my already shared that - and support or long-terms services and support or behavioral<00:06:59.199>
health. - <00:07:15.919>
and long-term managed care services and long-term managed care services and
Summary:
The Committee to Study Long-Term Managed Care met to approve the prior minutes and then focused on its final report. The chair reviewed the committee’s earlier options—maintaining the status quo, adopting DNIP, adopting an HCBS carveout model, or moving fully to managed care for the aging population—and noted that ABD and developmental disabilities had already been excluded from consideration. He proposed a final recommendation that New Hampshire consider adopting DNIP as a voluntary option to better coordinate Medicare and Medicaid for dual eligibles, reduce duplication, and create a possible pathway toward future managed care, while acknowledging that a majority and minority report could be issued if needed.
Members generally supported the draft recommendation and asked questions about whether federal budget changes would incentivize states to move in that direction, how the proposal would align with current department efforts, and whether the program would remain voluntary. Director Henry Litman said he did not see a specific federal mandate in OB3, but noted incentives in rural health transformation funding and said the proposal aligned with existing managed care contract direction. He and others emphasized that DNIP should be voluntary and that implementation timing would need to account for federal deadlines and broader changes facing the department. Members also discussed PACE, with one member saying it appeared feasible mainly in more populous areas and expressing neutrality, while another raised concerns about county risk and the need to preserve patient choice and maintain three MCOs.
After discussion, members indicated agreement with the majority report approach and no further changes were proposed. The committee then moved to accept the draft language as presented and issue it as its report; the motion was seconded and approved by voice vote. The meeting then adjourned.
MN
Transcript Highlights:
- YES brought veteran stories to life through first-hand accounts of service.
- So I just want to share that with you. Thank you. All right.
- . free nonprofit news and information service.
- One of our services is Your Classical, which is the state's MPR's classical music service.
- I'm here today to share the critical role of ethnic media.
Keywords:
public television, funding, grants, arts and culture, Minnesota, Minnesota Public Radio, arts education, cultural heritage, community engagement, public radio, community radio, educational grants, community cable, public access, programming funding, civic engagement, ethnic media, public access television, Minnesota Humanities Center, funding appropriation
NH
New Hampshire 2025 Regular Session
House Education Funding (03/31/2025)
Transcript Highlights:
- share?
- about a state share and a federal share. about a state share and a federal share.
- certain uh services certain uh services do<00:39:47.440>
services <00:39:48.000>that - versus medical services?
- versus medical services?
Summary:
The subcommittee met to begin work on HB 742, which would require catastrophic special education aid to be drawn from the education trust fund, and more broadly to study special education aid/differentiated aid and related costing issues. The chair said the group was starting early because the issue has been debated for years without resolution, local districts are being forced to absorb prorated costs, and the committee wants to send the Department of Education and HHS Medicaid a clear request for data and recommendations before retained bills return in the fall. A committee clerk was also selected, with Representative Reverend volunteering to take notes for the meeting.
Members reviewed background materials on special education enrollment, high-cost students, and possible funding formulas, including data on students in high-cost brackets and prior ideas such as category-based funding and caseload-based approaches. The chair also referenced research on other states, including Arkansas, which uses a different special education funding structure and audits IEPs. The committee emphasized that it was focused on the funding mechanics and costs, not on questioning whether services should be provided.
Henry Lipman of HHS explained how Medicaid-to-schools currently works in New Hampshire. He said 172 school districts participate, but utilization dropped during the pandemic and remains below historical levels, in part because districts need the capacity to bill Medicaid. Under the current system, schools receive reimbursement based on half of the Medicaid fee schedule, with the school district effectively providing the state share. He said the federal government is requiring a shift by July 1, 2026, to a true certified public expenditure model based on actual costs, which should allow schools to recover 50% of their true costs and some administrative overhead. The department has received a roughly $2.5 million grant to hire a vendor and support districts through the transition, and an RFP and stakeholder meetings are underway.
Committee members asked about how costs would be determined, whether the new system would use actual district-specific costs rather than averages, and how the department would support districts that do not currently participate. Lipman said the cost model would be based on each district’s own reasonable costs, subject to audit standards, and that the department expects to provide templates and technical assistance through the vendor because its staff is limited. He also said about one in four New Hampshire children are enrolled in Medicaid, that child enrollment has been relatively stable, and that continuous coverage rules should reduce churn. No votes or formal actions on HB 742 were taken during the meeting beyond organizing the subcommittee and beginning testimony and discussion.
MN
Transcript Highlights:
- My father dedicated 26 years of service. My mother 20 years of service.
- My older sister 15 years of service. And my youngest sister four years of service.
- My father dedicated 26 years of service. My mother 20 years of service.
- My older sister 15 years of service. And my youngest sister four years of service.
- My father dedicated 26 years of service. My mother 20 years of service.
MN
Minnesota 2025-2026 Regular Session
House Children and Families Finance and Policy Committee 2/25/26
Children and Families Finance and Policy
Transcript Highlights:
- And as I shared, we're happy to be with you today to share an overview and information about the impacts
- And as I shared, we're happy to be with you today to share an overview and information about the impacts
- And as I shared, we're happy to be with you today to share an overview and information about the impacts
- well as Barb Dah, um social services well as Barb Dah, um social services director<00:01:53.119>
- hearing, I asked my social services hearing, I asked my social services director<00:04:24.560>
Keywords:
HF45, Lake Benton, capital investment, bonding bill, state bonds, bond proceeds fund, Public Facilities Authority, public infrastructure, sanitary sewer, water main, storm sewer, utility replacement, U.S. Highway 75, road reconstruction, municipal infrastructure, local government grant, Minnesota bonding, capital appropriation, food insecurity, prepared meals
OK
Transcript Highlights:
- In relation to various services that you provide, what would be television type services, and what would
- be safety type services?
- That would be like services like.
- We work closely with the National Weather Service, as you know, there's a local National Weather Service
- So you provide data to the National Weather Service.