Video & Transcript Research : 'Alabama Adult Adoption Code'
Page 118 of 500
MN
Minnesota 2025-2026 Regular Session
Committee on Environment, Climate and Legacy - 04/10/25
Environment, Climate, and Legacy
AL
Alabama 2025 Regular Session
Alabama House County and Municipal Government Committee Mar 5th, 2025
County and Municipal Government
Transcript Highlights:
- We do have municipalities in the state of Alabama that do not participate in RSA, correct?
- It is adopted. Now we're back on the bill as... Amended one more simple question, sorry.
- I'm Baker, the Director of Governmental Affairs to the Alabama League of Municipalities.
- They're in Northwestern Alabama.
- See live you in session, actually, see all that the state of Alabama does for anyone to do that.
MS
Mississippi 2026 Regular Session
Public Health and Welfare - Room 216, 3 March, 2026; 3:00 PM
Public Health and Welfare
Transcript Highlights:
- The eyes appear to have it. adoption of the amendment. Are there adoption of the amendment.
- that's where we're amending code that's where we're amending code 73-21-215.
- have adopted this formulation. have adopted this formulation. >> Mhm. >> Mhm.
- .<01:41:50.880>
Uh adopted. - Is there further has been adopted.
Summary:
The committee first took up House Bill 1622, a strike-all amendment to create a pilot program for certain small-community hospitals to receive limited certificate-of-need exemptions. The bill would allow qualifying hospitals to open a geriatric psychiatric unit without a CON, permit each hospital one additional CON exemption for a service otherwise requiring one, cap dialysis-unit exemptions at eight hospitals, continue existing moratoriums with periodic Department of Health review, allow facilities in Issaquena or Humphreys Counties under limited conditions, and add a loser-pays rule for unsuccessful CON court challenges. Technical corrections were made, the strike-all amendment was adopted, and the bill was reported do pass as amended by voice vote. The committee then moved to House Bill 942, where Senator McMahan offered an amendment to allow a Lee County chiropractor to advertise as a neurologic chiropractor and list related credentials. Members questioned whether chiropractic neurology is recognized in Mississippi and raised concerns about the practitioner’s prior discipline by the board, but the chair ruled the amendment germane. The amendment failed on voice vote, and the bill itself then passed and was reported to the floor.
The committee next considered House Bill 1034, but no amendment was offered. It then took House Bill 479 off the table. That bill extends the temporary licensing period for psychology and marriage-and-family-therapy boards from 30 to 60 days to allow more time for criminal background checks. Senator Blackwell offered a clarifying amendment to make clear that temporary licenses must be revoked if required background checks or other licensure requirements are insufficient, and that the temporary license does not replace the underlying education, training, and examination requirements. The amendment was adopted and the bill was reported do pass as amended.
Finally, the committee heard House Bill 1067, the Rural Health Transformation Program. Senator Hickman explained that the bill would require procurement procedures and reporting for the state’s rural health transformation funds, prioritize projects tied to the original application, and direct funds toward rural and underserved areas such as health professional shortage areas, low-income counties, and places without hospitals. Senators questioned whether the added state rules would layer on top of existing federal requirements and whether the bill could slow distribution or invite litigation, but supporters said it was meant to add transparency and guardrails rather than change the federal program. The bill was discussed at length, but the transcript ends before a final vote on HB 1067.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Thursday, September 18, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- The Chair recognizes the gentleman from Alabama, Mr. Strong, for five minutes.
- , recognizes the gentleman from Alabama, recognizes the gentleman from Alabama, Mr.<00:45:35.119>
- North Alabama is ready. exist together. North Alabama is ready.
- The chair recognizes the gentlewoman from Alabama, Ms. Su, for five minutes. Mr.
- printed in the bill would be adopted. printed in the bill would be adopted.
MS
Mississippi 2026 Regular Session
Appropriations - Room 216, 28 January, 2026; 8:15 AM
Appropriations
Transcript Highlights:
- Uh, there's a billion-dollar bond fund for this type of work that was done last year in Alabama to do
- Uh, there's a billion-dollar bond fund for this type of work that was done last year in Alabama to do
- <00:49:30.000>
protective youth services and our adult protective youth services and our adult - we have to do related to our adult we have to do related to our adult protective<00:51:11.760>
- It's the adult protective programs.
Summary:
The committee heard a budget presentation from the Mississippi Development Authority (MDA), including its consolidated tourism and agency request. MDA said it has had strong recent results, citing about $65 billion in capital investment since 2020, roughly 25,000 jobs, record tourism, clean audits, and oversubscribed incentive programs. For FY27, the agency requested $26.4 million in general funds, level special-fund operating support, restoration of eight pins reduced in the LBR process, and several general-fund increases for a career ladder, a new HR system, training, and operating costs. MDA also discussed a $1.25 million request for America 250 activities, including a Mississippi event and participation in the National Mall “Great America State Fair,” plus an energy accelerator program tied to the governor’s energy initiative and a broader three-tier energy preparedness strategy.
MDA also explained its incentive refill requests, saying it was not seeking additional funding for the ACE grant program this year and had shifted that support toward the governor’s port/rail/road investment fund and energy-ready sites. The agency highlighted a renewed request to restart funding for the small municipal and limited population counties grant program, which it said had previously helped smaller communities with water, sewer, downtown, and other projects. On tourism, MDA presented a breakout showing what the budget would look like if tourism were separated into its own department; officials said the current tourism budget within MDA is about $5.7 million in general funds and $7.9 million total, and estimated about $1.3 million in additional cost would be needed to stand up a separate tourism agency.
A significant portion of the discussion focused on criticism from Senator Wiggins that MDA has not delivered enough economic development for the Mississippi Gulf Coast. He argued that constituents believe MDA does little for the coast and objected to the agency’s role in the GCRF and coastal projects, saying the coast has not seen meaningful results in years. MDA officials responded that complaints about uneven distribution are common across the state, that MDA works with local economic development partners rather than dictating project locations, and that it has helped support major coastal projects such as Relativity Space, Lockheed Martin expansions, PCC Gulf Chem, BWC Terminals, and AWS. The exchange also touched on the Port of Pascagoula and local leadership disputes, with both sides disagreeing over whether the port and the coast have been adequately supported. No votes or formal actions were taken in the excerpt.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Health Jun 21st, 2026 at 09:00 am
Joint Committee on Public Health
Transcript Highlights:
- In high school, no adults took my symptoms seriously, dismissing this as just a normal period.
- It mostly serves people with disabilities, but also older adults and some low-income folks.
- There's no reason not to adopt it because it's basically disabled folks asking for the accommodations
- For youth in unsafe homes or without a supportive adult, it increases risk.
- As a family physician, I see both children and adults, and I have a large adolescent patient...
Summary:
The committee opened by explaining hearing procedures and time limits, then heard testimony on House 2499, a bill to create a public awareness campaign on menopause and related midlife health issues. Supporters, including a nurse, the Massachusetts Commission on the Status of Women, and other advocates, said menopause is widely misunderstood by patients and providers, leading to delayed care, unnecessary suffering, workplace impacts, and inequities in women’s health. Several speakers shared personal experiences with symptoms being dismissed or misdiagnosed and urged the committee to advance the bill.
The committee then took testimony on a package of endometriosis bills, including House 2527 and Senate 1564, calling for a task force and broader awareness efforts. Patients, a physician, and advocates described long diagnostic delays, severe pain, infertility, medical gaslighting, and limited access to specialists and effective treatment. They argued for more research, provider education, and a coordinated state strategy, and several asked for favorable reports. The chair also noted the hearing was running behind and extended time to allow more testimony.
Later, the committee heard Senate 1579, which would eliminate parental consent and judicial bypass requirements for abortion access for minors under 16. Planned Parenthood representatives, physicians, legal advocates, and students argued the current law creates unnecessary delays and harms vulnerable youth, especially those in unsafe homes or foster care, while supporters said minors can already consent to other reproductive health care. A pro-life witness opposed the bill and emphasized parental involvement and support services. The committee also heard House 2403 and Senate 1560, which would create a Human Service Transportation Consumer Advisory Board; disability advocates and riders described past safety problems and current service gaps, and supported the board as a low-cost way to improve accountability, rider input, and reliability. No votes or final actions were taken in the excerpt.
TX
Transcript Highlights:
- You know, there's a code red.
- But no code red was issued, correct? No, there was a code red issued, I believe, to look about 501.
- They did not send the code red. No, ma'am.
- So, going forward, under the health and human services codes, I believe it is, safety codes, that's where
- It's probably similar to code red.
AR
Transcript Highlights:
- As young men who can grow into adults who lead our communities, As young men who can grow into adults
- And if a business is going to fail, it's just going to go to Texas, Alabama, Missouri, Louisiana.
- zoning inside growing and/or medium-sized cities through a statewide grant program to provide the adoption
- of effective dual-use zoning. ...sized cities through a statewide grant program to provide the adoption
- As these communities choose to adopt the grant, there will be an increase in foot traffic.
Summary:
The Arkansas Boys State House convened with a quorum, heard opening remarks from legislative leaders and guests, and then considered a series of bills focused on rural services, education, taxes, and zoning. House Bill 1001 would have increased rural health care funding through a 10% tax on individuals earning at least $300,000; supporters argued it would improve access and quality in rural areas, while opponents raised concerns about fairness, long-term funding, and whether it would drive away doctors and taxpayers. The bill failed by a vote of 24 yeas, 51 nays, and 1 present. House Bill 1002 would have limited the number of subjects rural teachers could be assigned and offered sign-on bonuses to recruit more teachers; supporters said it would reduce burnout and improve specialization, while opponents questioned funding and whether it would worsen inequities. After immediate consideration, it passed narrowly, 38 yeas, 36 nays, and 2 present.
The House then debated House Bill 1003, which would regulate AI data centers through county zoning authority and a 10% tax on corporations to fund conservation efforts. Supporters said counties should be able to decide whether data centers fit local needs, while opponents warned about lost jobs, higher costs, and federal-state jurisdiction issues. The bill passed 62 yeas, 7 nays, and 3 present. House Bill 1004 would have reduced motor vehicle registration fees to offset high fuel costs, but critics argued it would reduce highway and road funding and strain the state budget; it failed 20 yeas, 46 nays, and 4 present.
The chamber then took up Senate bills. Senate Bill 1 proposed incentives tied to SNAP benefits to encourage healthier food purchases and address food insecurity and obesity; supporters framed it as a way to improve access to healthy food, while opponents objected to taxing junk food and burdening SNAP users. It passed 43 yeas and 27 nays. Senate Bill 2 would require reading tests in middle school and state tutoring for students who fail; supporters said it would address literacy problems early, while opponents wanted clearer provisions for older students and implementation. It passed 67 yeas, 6 nays, and 1 present. Senate Bill 3 would cut individual and corporate income taxes to promote economic growth and ease cost-of-living pressures; supporters cited prior tax cuts and business attraction, while opponents said the benefits would mostly go to wealthy corporations and CEOs. It passed 53 yeas, 15 nays, and 16 present. Senate Bill 4 created a mixed-use zoning grant program funded by a 1% hotel tourism tax to encourage affordable housing and downtown redevelopment; it passed 51 yeas, 7 nays, and 13 present. The session ended with a motion to adjourn, which carried.
TX
Transcript Highlights:
- Chair hears none, substitute is adopted.
- Substitute is adopted.
- Substitute is adopted.
- Substitute is adopted.
- Chair hears none substitute is adopted.
OK
Oklahoma 2026 Regular Session
Appropriations and Budget 3rd Reviion: SB1427 added to agenda Apr 21st, 2026 at 04:30 pm
Appropriations and Budget
Transcript Highlights:
- I believe there is a full PCS too will adopt its working draft without objection.
- We'll adopt. Also, believe there is an amendment to the PCS one.
- Amendment one will adopt it without objection. Representative, back on the bill.
- So, what you have is it's kind of like a code enforcement officer for a city.
- Move to adoption. Yield for questions. How do we pass in a second?
Bills:
SB44, SB237, SB248, SB985, SB1204, SB1239, SB1307, SB1360, SB1390, SB1400, SB1405, SB1427, SB1428, SB1732, SB1832, SB1859, SB1989, SB2018, SB2143
Keywords:
sales tax exemption, nonprofit organizations, contractors, charitable purposes, state law, ad valorem tax, manufacturing facilities, exemption, battery energy storage, employment, payroll, state tax regulation, tourism, revolving fund, Oklahoma Tourism and Recreation Department, real property, fund management, Oklahoma Local Food for Schools, school meals, local food procurement
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 25-after Call of the Chair Mar 16th, 2026 at 02:00 pm
Oklahoma House Floor Meeting
Transcript Highlights:
- With that, moved for adoption.
- Move to adopt. Yield to questions. It was a lawsuit question.
- Move for adoption.
- Cards with that, yield for questions and move for adoption.
- This is food truck fire code.
Bills:
HR1038, HB3263, HB3127, HB2997, HB3115, HB2123, HB3587, HB3028, HB2035, HB3369, HB3620, HB3621, HB3622, HB3624, HB3175, HB3173, HB3178, HB1979, HB4476
Keywords:
Oklahoma Youth Expo, OYE, 4-H, FFA, agriculture, agricultural education, youth expo, livestock show, junior livestock, scholarships, youth leadership, Oklahoma City, rural communities, ag mechanics, engineering contest, farm youth, student recognition, ceremonial resolution, house resolution, livestock competition
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 25 Mar 16th, 2026 at 01:30 pm
Oklahoma House Floor Meeting
Bills:
HR1038, HB3263, HB3127, HB2997, HB3115, HB2123, HB3587, HB3028, HB2035, HB3369, HB3620, HB3621, HB3622, HB3624, HB3175, HB3173, HB3178, HB1979, HB4476
Keywords:
Oklahoma Youth Expo, OYE, 4-H, FFA, agriculture, agricultural education, youth expo, livestock show, junior livestock, scholarships, youth leadership, Oklahoma City, rural communities, ag mechanics, engineering contest, farm youth, student recognition, ceremonial resolution, house resolution, livestock competition
AL
Alabama 2026 1st Special Session
Alabama House Education Policy Committee Mar 18th, 2026
Education Policy
Transcript Highlights:
- Dear Lord, we want to do what we can for the children of Alabama to make sure that education in Alabama
- page two with the following: the executive director of engineering, the executive director of the Alabama
- three with the following: School of Cyber Technology and Engineering, the board of directors of the Alabama
- c><00:31:57.760>
getting <00:31:58.000>them <00:31:58.159>to <00:31:58.320>adopt - level uh or getting them to adopt it. level uh or getting them to adopt it.
NH
Transcript Highlights:
- So, Alabama, in success stories.
- So, Alabama, in Alabama,<00:26:10.720>
they <00:26:10.960>have <00:26:11.120>this - Over Alabama, they have this program.
- Summer said, it's adopted 1938.
- Summer said it's adopted 1938. There Summer said it's adopted 1938.
KY
Kentucky 2025 Regular Session
Kentucky Housing Task Force 2025 (7-28-25)
Transcript Highlights:
- in this those states that have adopted in this those states that have adopted them,<00:50:31.119
- states this year that have adopted states this year that have adopted statewide<00:51:37.040>
- but many other states have adopted this. but many other states have adopted this.
- , Arkansas, Alabama, Arkansas, Alabama, Virginia,<00:54:20.559>
North <00:54:20.800>Carolina - Um land and code reform, credit program.
Keywords:
Meeting Start 00:00:07
Roll Call 00:00:14
Discussion of Pro-Growth Housing Policies 00:02:01
Discussion of Historic Rehabilitation Tax Credit 01:11:13
Adjournment 01:40:27, 958, all
Summary:
The Kentucky Housing Task Force met and heard first from the Kentucky Chamber of Commerce, which presented findings from a housing study done with the Home Builders Association. The chamber said housing is now a major economic-development issue, citing survey results that 90% of community leaders said their region could not absorb a major job announcement and 66% said housing is holding back Kentucky’s economy. The chamber described Kentucky’s housing shortage, rising home prices, declining permits since 2008, and the need for more production to support growth. It urged policy changes including zoning and land-use reform, tax incentives, regional approaches, and especially a residential infrastructure fund modeled on Indiana’s low-interest loan program to help communities finance roads and other infrastructure needed for new housing. Members asked about the severity of the problem, workforce shortages in permitting and construction, the loan interest rate, repayment, and whether Kentucky could replicate Indiana’s results; the witness said the issue is a crisis and that the program would be a revolving public-private partnership, likely around 3% interest, with implementation details still to be worked out.
The Kentucky Bankers Association then testified that the housing gap is especially acute for households at 80% of area median income and below, which it said represents about 70% of Kentucky’s housing need. It emphasized that the shortage affects both urban and rural counties and pointed to examples such as Rowan County, where workers at major employers must commute long distances because local housing is unavailable or unaffordable. The bankers said high interest rates remain a major barrier and proposed a $20 million bank commitment for a revolving fund tied to tax credits to finance new housing, not refinances. They cited Hope of the Midwest as an example of a successful tax-credit housing model with a long track record and no defaults, and said the proposal would leverage public-private partnerships to create new units.
Committee members questioned how the proposed fund would compare with industrial revenue bonds and whether it could be structured like Kentucky’s tobacco settlement fund, with seed money, a review board, scoring criteria, and possible population thresholds to ensure smaller communities benefit. The bankers said the proposal would be another tool for cities and counties, specifically tied to residential infrastructure, and that larger cities should not be able to capture all of the resources. No formal votes or actions were taken during this portion of the meeting.
LA
Louisiana 2026 Regular Session
Chronic Wasting Disease TF Jan 7th, 2026
Transcript Highlights:
- The next order of business is adoption of the agenda.
- I have a motion by Senator Womack to adopt the agenda. The adoption of the agenda is approved.
- We know this disease is more prevalent, at least early on, in adult bucks. It's a great source.
- It will begin next deer season, the 2026–27, and it will be on the Alabama model of charging a permit
- parkway, 303 miles from Natchez, Mississippi, all the way to where it enters the northwestern tip of Alabama
Summary:
The meeting began with roll call, adoption of the agenda, and approval of the prior minutes. The main presentation was from Julie Grenwald of Louisiana Hunters for the Hungry, who described the nonprofit’s protein donation programs, including freezer clean-out days, deer and fish processing partnerships, and a paused feral hog donation program that had collected about 3,500 hogs and 137,000 pounds of pork before funding ran short. She said the group has donated roughly 300,000 pounds of protein over two years, works with food banks and local agencies, and is protected under Louisiana’s Good Samaritan Law. Members asked about processor locations, exotic species, signage, sponsorships, and whether the program could expand to other invasive species or mobile drop-off options; Grenwald said expansion is possible if processors and funding are available.
The task force then received a Louisiana Department of Wildlife and Fisheries update from Jonathan Bordelon on chronic wasting disease testing. He reported more than 2,800 samples collected and over 2,300 results returned, with nine positives total: eight in Tensas Parish and one confirmed in Concordia Parish on Richard K. Yancey WMA, which triggered preparation of an emergency declaration and future rulemaking to adjust the control area. He said harvest and sampling remain near record levels, most samples are voluntary, and the agency continues to monitor symptomatic deer reports and public submissions.
The final major presentation was from William McKinley of the Mississippi Department of Wildlife, Fisheries and Parks, who gave a detailed overview of Mississippi’s CWD response. He said Mississippi has 529 detections across 18 counties, with prevalence rising from about one in 500 samples to about one in 80 statewide, and much higher in some counties. He described Mississippi’s surveillance system, targeted tags within three miles of positives, environmental sampling, feeder bans in CWD zones, and research showing contamination at feeders and in scrapes. He also discussed possible multiple strains, including one linked to the Wisconsin whitetail strain and another around Vicksburg/Issaquena, and said the disease appears to be expanding about 3.5 miles per year. Members asked about high-fence enclosures, live deer movement restrictions, baiting and feeding rules, hunter participation, and whether Louisiana should develop similar environmental testing capacity; no votes were taken on these issues, but members discussed possible future legislative or budget action.
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 3/11/26
Commerce Finance and Policy
Transcript Highlights:
- So, it is not necessary to include the similar tax language in the insurance code.
- c> So,<00:02:28.840>
it <00:02:28.920>is <00:02:29.000>not 379 of the tax code - So, it is not 379 of the tax code.
- That is a simple in the insurance code.
- ,<00:08:54.000>
that <00:08:54.280>language adopted, that language adopted, that language
Keywords:
travel insurance, regulation, insurance licensing, consumer protection, travel assistance, short-term rental, vacation rental, home sharing, rental marketplace, online platform, property damage guarantee, damage waiver, reimbursement insurance, insurance regulation, commerce department, platform user, Airbnb, Vrbo, host protection, rental home marketplace
OK
Oklahoma 2026 Regular Session
Senate Legislative Session May 4th, 2026 at 01:30 pm
Oklahoma Senate Floor Meeting
Transcript Highlights:
- The motion is adopted.
Bills:
SR28, SB201, SB1379, SB1525, SB1966, SB2112, SB2170, HB2749, HB3262, HB3265, HB3673, HB3781, HB3040, HB3076, HB3369, HB3982, HB3462, HB3465, HB3521, HB3796, HB3800, HB4095, HB4298, HB4316, HB4338, HB4408, HB4454
Keywords:
minimum salary, education funding, teacher compensation, Oklahoma education, salary schedule, human trafficking, victims, prevention, support services, Attorney General, pilot program, grant funding, SB1525, tourism, recreation, conference, Oklahoma Tourism and Recreation Department, Oklahoma Tourism and Recreation Commission, special agency account, private partnerships
AZ
Transcript Highlights:
- In practice, the platform that hosts adult content.
- Seeing none, members' question for you, is the adoption of the Judiciary Committee Amendment be adopted
- The Committee of the Whole report is adopted. Mr.
- The Committee of the Whole report is adopted. Mr.
- HB 2042 be adopted. The floor amendment to the bill be adopted for 2032?
Summary:
The House met with prayers, the Pledge of Allegiance, guest introductions, and a proclamation honoring Adrian Ace Stubbs Day. Members also recognized Doctor of the Day Dr. Victoria Tannenbaum and welcomed visitors for Lutheran Day at the Legislature, along with Judge Kaluli from Veterans Treatment Court. Attendance was recorded at 56 present, one absent, and three excused. The chamber then moved through communications, committee reports, and first readings before taking up a long third-reading calendar.
The floor debate centered on a wide range of bills, especially water, education, elections, public utilities, labor, and criminal justice measures. Members discussed tax administration, groundwater and water-rights issues, superintendent contract transparency, mining reclamation, school employee disclosure, AI and digital privacy, sexual extortion, probation, veterans and military employment protections, adult protective services, salvage vehicles, real estate licensing, and several education-related appropriations for ESA administration. There were also resolutions and memorials on voting centers and precincts, student athletics, Route 66, and recognizing Judea and Samaria. Several members explained votes, with supporters emphasizing transparency, consumer protection, public safety, and administrative cleanup, while opponents raised concerns about privacy, cost, overreach, lack of accountability, and impacts on schools, elections, and local control.
Most measures passed, often along party-line or near party-line votes, and several emergency measures were adopted with the required two-thirds vote. Notable votes included HB 2016, HB 2026, HB 2028, HB 2049, HB 2075, HB 2090, HB 2092, HB 2094, HB 2098, HB 2111, HB 2113, HB 2114, HB 2133, HB 2135, HB 2179, HB 2192, HB 2228, HB 2256, HB 2260, HB 2262, HB 2265, HB 2278, HB 2328, HB 2351, HB 2381, HB 2409, HB 2410, HB 2411, HB 2425, HB 2451, HB 2476, HB 2499, HB 2500, HB 2584, HB 2662, HB 2663, HB 2666, HB 2693, HB 2752, HB 2756, HB 2804, HB 2812, HB 2827, HB 2877, HB 2908, HB 2932, HB 2933, HB 2943, HB 2953, HB 2966, and HB 2985, along with HCM 2007 and HCRs 2003, 2016, and 2047 and HR 2002 and 2003. The House then moved into Committee of the Whole to begin consideration of HB 2174 and related amendments.
NH
New Hampshire 2025 Regular Session
Committee to Study Long-Term Managed Care (09/12/2025)
Transcript Highlights:
- In 2017, New Hampshire ranked 48th in the nation, ahead of only Alabama and Kentucky, for reliance on
- <00:35:23.040>
and the nation, ahead of only Alabama and the nation, ahead of only Alabama - Um, I am the bureau chief at the Bureau of Adult and Aging Services.
- <00:59:36.480>
Um, Bureau of Adult and Aging Services. - Um, Bureau of Adult and Aging Services.
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.