Video & Transcript : 'fuel switching' :

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ID

Idaho 2026 Regular Session

Agenda Mar 13th, 2026

Business

Transcript Highlights:
  • Fuel... Fee increase is necessary as costs continue to rise. Fuel costs, everything.
Keywords: 989, all
Summary: The House Business Committee first approved the minutes from February 11th without objection. It then took up Rules Docket 24-2801-2501 from the Barber and Cosmetology Services Licensing Board, presented by John Price of the Division of Occupational and Professional Licenses. The docket would add a definition and requirements for mobile establishments, remove references to makeup artistry certification after deregulation, and increase licensing and rule fees by 16% to 28% to address the board’s low cash balance and rising costs. Price said the board held multiple public meetings and that the mobile establishment change would not create a new license type, but would allow new business models under existing licensing. Members questioned the fee increase, asking why it was needed if some recent costs were one-time expenses such as the new licensing system and inspector vehicles. Price responded that the board’s fund balance was already below required levels, that costs continue to rise, and that without the increase the board would move into negative balance next year. He also said the mobile establishment rules should not increase inspection costs because inspectors would schedule visits around a two-week appointment window. Price noted the board has four statewide inspectors, growing licensee numbers, and no general fund support. After discussion, a motion was made to approve the docket. One member praised the department for withdrawing a confusing guidance document after meeting with stakeholders. The committee then voted to approve Rules Docket 24-2801-2501, and the motion carried. The meeting adjourned with notice that the House would reconvene Monday at 10:30.
CA

California 2025-2026 Regular Session

Assembly Floor Session Aug 13th, 2026

California House Floor Meeting

Transcript Highlights:
  • Medical study after medical study shows that when we make the switch to daylight saving time, heart attacks
  • And as my good senator always says, we all agree that we need to ditch the switch, but we don't agree
  • on which switch to ditch.
  • Daylight time, and as my good senator always says, we all agree that we need to ditch the switch, but
  • we don't agree on which switch to ditch.
Summary: The Assembly met in Sacramento with a quorum eventually established after the roll call. The day began with prayer, the Pledge of Allegiance, and several procedural actions, including rereferrals, consent motions, and requests to remove or return bills. The chamber then moved through a long series of concurrence votes, with many Senate amendments adopted on largely unanimous roll calls. Among the measures approved were bills on Pierce’s disease control in wine grapes (AB 230), mortgage-related matters (AB 1278), a Cerritos College seamless enrollment pilot (AB 1636), alcohol and local government cleanup measures, school district employee issues, and a bill creating a “Penny’s Act” framework for local agencies to round cash transactions if penny shortages continue (SB 105). The Assembly also adopted several Senate bills dealing with CalPERS audit notices, community college reporting, tax-sharing consultant fees, AI-related public comment abuse, juvenile dismissals, industrial cities, library access for teens, and clean energy accounting for water agencies, with most passing by wide margins and a few drawing limited opposition. The chamber also took up several resolutions and special items. HR 112, designating Black Music Month, drew extended remarks celebrating Black artists and their influence on American music; it was adopted by voice vote after 62 coauthors were added. HR 132, declaring September as Young Women’s Reproductive Health Awareness Month, was also adopted after testimony about menstrual health, reproductive education, and disparities in care. SJR 8, calling on Congress to modernize the federal immigration registry and create a clearer path to lawful permanent residency, passed 45-2. SCR 7, supporting permanent standard time, generated notable debate over health effects, daylight hours, and voter intent; after a roll call the resolution was adopted 41-3. The Assembly also adopted a consent calendar of additional resolutions and bills, including items related to awareness days and several Senate bills. Several bills were discussed with substantive policy explanations. SB 928 would add guardrails on AI use in CSU classrooms and preserve human faculty roles; SB 1159 would clarify that autonomous AI systems are not “persons” for purposes of public comment and transparency laws; SB 1375 created a narrow CEQA exemption for certain transit and rail projects with prior environmental review; and SB 952 allowed water agencies to carry forward clean-energy procurement credits. SB 917 expanded farmers market sales opportunities for more wineries by removing an estate-grown grape requirement. Most of these measures passed with strong support, though SB 952 and SB 965 on teen library cards drew some opposition or concern, and SB 1055 on flood-management procurement passed with a small number of no votes. The session concluded with multiple adjournment-in-memory tributes honoring community leaders and residents, including Eric Washington Jr., Ivan Garza, Darryl Preston Jackson, Richard “Dick” Oliphant, and Santos Garcia, with members and family offering remarks about their service, advocacy, and local impact.
MO

Missouri 2026 Regular Session

Economic Development Jan 13th, 2026 at 08:00 am

Economic Development

Transcript Highlights:
  • Again, we are going to go in favor and opposition and switch back and forth.
  • And then to not have to sit and go through that constant pressure of knowing I may have to switch fields
  • And then to not have to sit and go through that constant pressure of knowing I may have to switch fields
  • is the amount of these compacts that we're entering into, if some evil person wanted to flip the switch
  • things that we're allowing that group to enter into, and we're not going to just be able to flip a switch
Keywords: 959, house, all
NM
Transcript Highlights:
  • As they're being phased out, there might be facilities that have not yet switched them out or have them
  • in storage for emergency use, but might not have the means or ways to make them available. that switch
  • So, regarding cost and everything for switching that out, I can't speak readily to that.
  • But other options are... looking at switching out fire suppression systems as well as fire response to
  • So, making those switches to a foam or water or... a different substance that could be used in a facility
CA

California 2025-2026 Regular Session

Assembly Transportation Committee Apr 28th, 2025

Transcript Highlights:
  • zero-emission school bus mandate by allowing additional flexibility when determining visibility to switching
  • zero-emission buses and modifies an existing incentive program to allow districts struggling to make the switch
  • However, in the time since the law went into effect and districts have started planning their own switch
  • I have heard from many superintendents in my district that they want to make the switch to zero-emission
  • electrical infrastructure or the financing available, they are facing significant challenges in making the switch
Summary: The committee heard and advanced several transportation-related bills, beginning with AB 431 on advanced air mobility. The author and supporters from AUVSI, Joby Aviation, United Airlines, Wisk Aero, the City of Long Beach, and Archer said the bill would create a statewide plan and technical framework for eVTOL/advanced air mobility infrastructure, public outreach, and local implementation. No opposition testified, and the bill passed the committee as amended to Appropriations on a unanimous roll call. Members then took up AB 630 on abandoned or hazardous RVs. The author and supporters, including Los Angeles Mayor Karen Bass’s office, argued the bill would curb a cycle in which inoperable RVs are towed, auctioned cheaply, and returned to the streets by predatory buyers, while adding notice, recovery, and reporting requirements. Opponents from Western Center on Law and Poverty and ACLU California Action warned the bill would destroy RVs that serve as shelter for unhoused residents and could worsen homelessness. After discussion about the bill’s focus on dismantling rather than towing, the committee passed AB 630 as amended to Appropriations. The committee also approved AB 314, which would support transit-oriented development around planned and existing high-speed rail stations; AB 1223, which gives Sacramento County communities more flexibility to use local transportation revenues for related infrastructure supporting infill development; AB 1111, which adds flexibility to the zero-emission school bus transition for rural and disadvantaged districts; AB 1190, which caps fees charged by DMV business partners and requires clearer disclosure of the official DMV site; AB 987, which limits unreasonable towing fees and related charges; and AB 911, which creates a narrow exemption from Advanced Clean Fleets rules for telecommunications bucket trucks and sail-on-wheels used in emergencies. Most bills drew support from local governments, industry, or consumer groups, while AB 1111 and AB 911 drew opposition from clean transportation and environmental advocates concerned about weakening emissions goals. All of the bills were reported out as amended to the Committee on Appropriations, with recorded roll-call votes and several members adding their names as co-authors or supporters.
HI

Hawaii 2025 Regular Session

RM 329 Conference AM - Wed Apr 23, 2025

Hawaii House Floor Meeting

Transcript Highlights:
  • a manual, electric, or mechanical device designed or adapted to install on a motor vehicle that switches
  • a manual, electric, or mechanical device designed or adapted to install on a motor vehicle that switches
  • adapted to install on a motor vehicle or adapted to install on a motor vehicle that<00:59:01.839><c> switches
  • ><c> between</c><00:59:02.480><c> two</c><00:59:02.640><c> or</c><00:59:02.799><c> more</c> that switches
  • between two or more that switches between two or more license<00:59:03.200><c> plates</c><00:59:03.839
Keywords: 910, house, all
CA

California 2025-2026 Regular Session

Assembly Housing and Community Development Committee Jun 24th, 2026

Housing and Community Development

Transcript Highlights:
  • out that they can delay or fail to provide tax-exempt bond approvals, which forces developers to switch
  • Replacing a fossil fuel HVAC or water pump system with a heat pump eliminates harmful pollutants that
Keywords: 988, house, all
FL

Florida 2026 5th Special Session

Senate in Special Session F Jun 2nd, 2026

Florida Senate Floor Meeting

Transcript Highlights:
  • I wanted to switch a little bit and talk about the state launching the Save Our Homes Property Tax Savings
  • project still awaiting resolution, while crucial decisions continue to impact our economy, such as fueling
Summary: The Senate took up Committee Substitute for Senate Joint Resolution 2F, a proposed constitutional amendment to expand homestead property tax relief, lower the assessment cap on non-homestead property from 10% to 5%, and limit county and municipal ad valorem tax revenues to specified uses. Senator Avila presented the measure as a major property tax reform intended to provide relief to homeowners and restrain local government spending, while opponents argued it would shift costs to fees, services, and state appropriations and could harm local budgets, public safety, schools, and other services. Several senators also raised concerns about the ballot language and the lack of a completed fiscal analysis. The chamber considered and rejected multiple amendments. Senator Sharif’s income-based “circuit breaker” amendment failed, as did Senator Smith’s sunset clause amendment and Senator Berman’s amendment to rewrite the ballot statement for greater accuracy. During questioning, Avila said the revised language was meant to preserve flexibility for local governments and that future legislatures could set implementing procedures and, if necessary, prohibit certain local expenditures by general law. He also confirmed that the proposal would not affect refinancing or portability, and said the measure would not prevent local governments from continuing to fund many services such as libraries, parks, animal control, code enforcement, mosquito control, public housing, county health departments, and elections. Debate on final passage was extensive. Supporters described the proposal as overdue relief for homeowners and a way to force local governments to prioritize spending, while critics called it a risky tax shift that could reduce local revenue by billions and force cuts or higher fees. Some senators emphasized concerns about public safety funding, mental health and social services, and the accuracy of the ballot summary; others argued the measure would give voters a chance to decide on property tax reform. After debate, the resolution was rolled over for third reading and the Senate continued discussion, but the transcript provided does not include a final vote on the joint resolution.
CA

California 2025-2026 Regular Session

Assembly Floor Session May 28th, 2026

California House Floor Meeting

Transcript Highlights:
  • Long-term savings for all ratepayers as California manages our transition away from fossil fuels.
  • They can choose today, tomorrow, to flip the switch, to turn off the addictive properties and make it
Summary: The Assembly convened, established a quorum, and opened with prayer and the Pledge of Allegiance before moving through the daily file. Several measures were taken up and passed, including bills on county jail accountability (AB 2257), claims against public agencies (AB 2529), affordable housing management metrics (AB 2689), digital wellness instruction in schools (AB 2071), pedestrian and bicycle safety project streamlining (AB 1976), manufactured home transport permits (AB 2012), a Surplus Land Act amendment tied to an Inland Empire soccer project (AB 2139), a Monterey Bay stewardship authority (AB 1548), online electrician licensing (AB 1707), a Caltrans study of navigation apps’ traffic impacts (AB 2105), coastal resiliency permitting reforms (AB 2051), downtown housing streamlining and financing (AB 2074), Cal Fire compensation (AB 2129), emergency care authority for Del Puerto Health Care District (AB 2282), charter school facilities hardship relief (AB 2316), theft by a peace officer under color of authority as serious misconduct (AB 2337), an Asian American and Native Hawaiian/Pacific Islander-serving institution designation (AB 2374), energy and cannabis support bills (AB 2464, AB 2537), and a suicide prevention plan requirement for treatment facilities (AB 2562). Most of these measures passed with broad bipartisan margins, and several were described as support bills with no opposition. The floor also debated a major criminal justice measure, AB 2727, which would raise the threshold for elderly parole eligibility for people serving sentences for violent sex offenses and add screening safeguards. Supporters from both parties emphasized child protection, survivor trauma, and specific local cases involving offenders who had become eligible for release; the bill passed 66-0. Another significant debate centered on AB 1958, which would clarify procedures under the California Racial Justice Act by refining how disparity claims are established and rebutted; the author said he would take Senate amendments to address concerns from district attorneys. The Assembly also considered AB 2313, a gas-to-electric transition bill allowing customers with planned service line replacements to opt out of gas service and use funds to electrify their homes. Members raised concerns about cost shifts and equity, and the author responded that the bill includes no-cost-shift language, larger credits for disadvantaged communities, and would not proceed if the math does not work; it passed 41-21. The final major item was AB 1709, a high-profile social media safety bill creating a minimum age of 16 for accounts on platforms using addictive features and establishing an e-safety commission. The author and many supporters from both parties framed the bill as a response to youth mental health harms, addictive design, and the need for age-based safeguards, while some members raised concerns about impacts on LGBTQ youth and other isolated young people who rely on online spaces. Supporters said the bill targets addictive design rather than speech and is intended to preserve safe online connection while limiting harmful features. The measure drew extensive bipartisan support and was still under debate at the end of the transcript.
CA

California 2025-2026 Regular Session

Assembly Floor Session May 28th, 2026

California House Floor Meeting

Transcript Highlights:
  • transition. ...term savings for all ratepayers as California manages our transition away from fossil fuels
  • They can choose today or tomorrow to flip the switch, turn off the addictive properties, and make it
Keywords: 988, house, all
MO

Missouri 2026 Regular Session

2026 Legislative Session - Day Forty Seven - Tuesday, April 7

Missouri House Floor Meeting

Transcript Highlights:
  • It only fueled him.
  • If their product can only be sold because of what they can sell, they're going to have to switch up what
Keywords: 959, house, all
MO

Missouri 2026 Regular Session

2026 Legislative Session - Day Thirty Seven - Thursday, March 12

Missouri House Floor Meeting

Transcript Highlights:
  • So then this bill switches it so that an offender shall serve 70% of the imposed sentence prior to parole
  • I mean, we're going to save quite a bit of fuel and energy with these vehicles over the way we drive
Keywords: 959, house, all
CA
Transcript Highlights:
  • Over 70% of renewing enrollees who switch their plan tier moved to bronze coverage, compared to just
  • state of California have expanded a broken program that the changes in H.R. 1 hopefully give us the fuel
Summary: The Assembly Budget Subcommittee on Health held a hearing on the impacts of H.R. 1 and related federal actions on Covered California, Medi-Cal, and immigrant access to care. The chair framed the discussion around three main issues: expected losses in marketplace coverage as enhanced federal premium subsidies expire, new federal work and renewal requirements that would add administrative burden to Medi-Cal, and the loss of eligibility for certain lawfully present immigrants. Covered California testified that H.R. 1 and new federal rules, combined with the end of enhanced premium tax credits, are driving higher premiums, lower new enrollment, and more cancellations, especially among middle-income, Latino, and Black enrollees. The agency said California’s $190 million state subsidy program is helping lower-income enrollees but cannot replace the lost federal assistance, and it noted that roughly 120,000 lawfully present immigrants in Covered California will lose federal tax credits in 2027. On Medi-Cal, the Department of Health Care Services said H.R. 1 will require work and community engagement verification, six-month renewals for certain adults, and other changes that the department expects will reduce enrollment substantially. DHCS estimated 233,000 members could lose coverage by June 2027 from the work requirement and 289,000 from six-month renewals, with losses rising much higher by 2028; it also said it is using automation, outreach, clinic navigators, coverage ambassadors, community health workers, and street medicine providers to reduce procedural disenrollments. The department described a two-phase outreach plan and said it is working with counties on implementation, while the Department of Finance said the Governor’s budget maintains $190 million for the state subsidy program and does not propose additional changes at this time. The LAO said its independent forecast is somewhat higher than the administration’s, estimating about 2.1 million fewer Medi-Cal enrollees by June 2028, and urged the Legislature to review county administrative workload and readiness. Public testimony and member comments focused on the human and fiscal consequences of coverage losses. A representative from the Sacramento Native American Health Center warned that reduced reimbursement and coverage losses would destabilize community health centers, increase uncompensated care, and worsen outcomes by pushing patients into emergency care. Members raised concerns about paperwork burdens, county capacity, outreach effectiveness, and whether the state should do more to preserve coverage, including possible modeling of additional H-CARF spending and support for middle-income consumers and immigrant enrollees. The hearing did not take any votes or formal actions, but it ended with public comment and continued discussion of implementation and budget options.
CA
Transcript Highlights:
  • Over 70% of renewing enrollees who switch their plan tier moved to bronze coverage, compared to just
  • state of California have expanded a broken program that the changes in H.R. 1 hopefully give us the fuel
Keywords: 988, house, all
WA

Washington 2025-2026 Regular Session

Joint Transportation Committee Dec 3rd, 2025

Joint Transportation Committee

Transcript Highlights:
  • for not having to pay for diesel, we found that generally the electricity costs are lower than the fuel
  • So we're now going to switch gears and talk about traffic stop demographic report. Captain Glover.
Summary: The committee first heard a presentation from WSDOT on balancing uncertainty in capital program estimates and cash flow management. WSDOT explained the differences between design-bid-build and design-build delivery, its tiered risk-assessment process by project size, and how it uses base estimates, inflation, and risk modeling to set budgets. Staff said design-bid-build estimates are generally accurate within about 1% across the program, while design-build projects carry much wider uncertainty and are better communicated as ranges; they cited a P85 budget approach and noted that large, complex projects can be affected by market competition and long procurement timelines. Members asked about the Columbia River Bridge cost growth and about value engineering, and WSDOT said it uses value engineering but has limited scope to cut costs because of project requirements and policy mandates. Troy Swing also discussed cash flow, noting that a few large projects can significantly affect biennial funding needs, and said a risk pool would not reduce overall program risk but could help manage timing if paired with appropriation and cash-flow controls. The committee then received the final presentation in the WSDOT Project Delivery and Innovative Practices study from HKA Global. The consultant said WSDOT’s estimating practices are generally robust and recommended improving transparency by presenting budget authorizations as ranges or estimate classes, better tracking estimate growth over time, and adjusting advertisement timing to avoid competing lettings. The report also discussed surety bonding, suggesting the legislature consider restoring authority for reduced bonding on select large design-build projects or using phased bonding and alternative securities. On indefinite delivery/indefinite quantity contracting, the consultant said current job order contract rules are restrictive and recommended legislative changes to make such tools more usable, especially for smaller tasks and to help use unspent funds more flexibly. The committee also heard a follow-up presentation on transit-oriented development policy recommendations tied to HB 1491. The Urban Institute’s Yona Freemark said Washington has been a national leader on TOD but that housing construction, especially in the Puget Sound, has slowed sharply since 2022. He said rising construction costs, high financing costs, and local tax and rent conditions are making many TOD projects infeasible, and recommended that the state fill infrastructure funding gaps around stations, revisit MFTE affordability requirements, consider minimum rather than average density requirements near transit, and create a statewide system to track TOD outcomes such as affordability, gentrification, and transit access. Members questioned the study’s developer interviews, the role of rent control and crime, property tax assumptions, and parking needs; the presenter said the study included five private developers, that rent control was not part of the study scope, and that parking was included in the model assumptions. Finally, the committee began a presentation on regulating emissions from ocean-going vessels at berth. Staff and consultants described California-style at-berth rules, which require shore power or equivalent emissions controls so ships can shut off diesel auxiliary engines while docked. The study is examining vessel traffic, emissions reductions, implementation costs, labor and operational needs, and possible effects on port competitiveness and cargo diversion. No votes or formal actions were taken during the meeting.
TX
Transcript Highlights:
  • On the kind of switching gears, but. Still on the enforcement side or the criminal.
  • They started off working to combat gas, gas fuel pump skimmers. Yes, thank you.
CA
Transcript Highlights:
  • These are fuel breaks around communities.
  • So in the community, around the community, with fuel breaks.
  • And fuel breaks have again and again demonstrated their effectiveness.
  • demonstrate that we made a lot of success on vastly scaling out those projects around communities, fuel
  • It means more proactive fuel reduction to protect homes and communities.
Summary: The Assembly Budget Subcommittee on Climate, Crisis, Resources, Energy, and Transportation opened its first hearing on the governor’s natural resources budget with Secretary Wade Crowfoot of the Natural Resources Agency. Crowfoot reviewed California’s recent climate and environmental challenges—drought, wildfire, heat, sea level rise, and federal uncertainty—and highlighted progress on clean energy, zero-emission vehicles, wildfire resilience, water management, coastal planning, conservation, tribal land return, and streamlined project delivery. Members praised his engagement and the administration’s work with tribes, and Crowfoot emphasized that the administration is focused on finishing major projects, improving nature-based solutions, and considering whether some temporary streamlining measures should be codified. He also discussed the Mediterranean Climate Action Partnership and said the state is working with other Mediterranean-climate governments on wildfire, drought, and heat response. Members and the LAO then focused on budget conditions and priorities. The Legislative Analyst’s Office said the state budget remains precarious despite strong revenues, with the governor’s proposal relying on borrowing and reserves and leaving large out-year deficits unresolved. The LAO urged a high bar for new spending, especially in a deficit environment, and recommended prioritizing immediate health and safety needs, avoiding new ongoing commitments, and thinking carefully about special funds. On Proposition 4, the LAO said the administration’s approach generally appeared reasonable and consistent with the bond, but noted implementation has been slow and that the Legislature may want to use appropriations language to shape broad programs such as home hardening, outdoor recreation, and climate education. The chair stressed that climate and environmental funds should be used for their intended purposes and that wildfire spending should shift more toward community hardening and home protection. The hearing then turned to water resilience and Proposition 4 spending. Department of Finance and department staff outlined the bond’s water-related funding for safe drinking water, drought, flood, water recycling, stormwater, groundwater management, dam safety, and the State Water Project. Members pressed for details on how funds would be prioritized, how grants would reach disadvantaged communities, and how the state would track the bond’s 40% target for vulnerable communities. Staff said new tools and reporting systems are being used to monitor allocations, and that AB 107 and related changes should speed up grant implementation by reducing redundant regulatory steps. The committee also discussed dam safety needs, State Water Project repairs, groundwater implementation grants, and the risk of relying on uncertain future revenues from the Salton Sea lithium tax. No votes were taken, and the hearing was informational only.
NH

New Hampshire 2026 Regular Session

House Environment and Agriculture (02/10/2026)

Environment and Agriculture

Transcript Highlights:
  • oil tanks and requiring disclosure fuel oil tanks and requiring disclosure of<04:18:52.479><c> tank<
  • </c><04:21:22.000><c> tanks</c> longer uh uh if there are fuel tanks longer uh uh if there are fuel tanks
  • The witness replied that there is not legislation on residential fuel tanks or abandoned residential
  • fuel tanks that the Department of Environmental Services oversees.
  • tanks um, or abandoned residential fuel tanks um, or abandoned residential<04:22:56.880><c> fuel</c>
Keywords: 1189, house, all
MN
Transcript Highlights:
  • . >> Okay, you guys switched. Okay. Um, so this just, uh, makes ownership matter.
  • out makes sense change or that switch out makes sense but<00:09:00.240><c> for</c><00:09:00.480><c>
  • So now we've switched topics. Sorry. The first half of the amendment is about provider enrollment.
  • </c> to So now we've switched topics. Sorry. to So now we've switched topics. Sorry.
  • Um and especially with this switch laws.
Keywords: 918, senate, all
Summary: The committees resumed discussion of amendments to a bill dealing with licensing moratoria, change-of-ownership rules, and related provider oversight issues. Amendment A8 would prevent a licensing moratorium for certain intermediate care service settings from blocking a new license when the change is due to a change of ownership, including temporary licenses and transitional licenses. Department of Human Services staff said they were still reviewing the language but explained the department’s concern was maintaining program integrity and ensuring owners go through full change-of-ownership review so the agency can see who owns a provider and check compliance history. Senators supporting the amendment argued it would keep legitimate businesses from being harmed by a moratorium and could help preserve providers when ownership changes or family members take over after a death. A8 was adopted on a roll call, with both committees voting in support. Amendment A9, also on the moratorium topic, would exempt a change of ownership from the moratorium so long as it does not increase license capacity or service scope. The department said it needed more analysis to avoid unintended consequences, but the amendment was added to the working bill. Amendment A10 proposed a more detailed, data-driven framework for the moratorium and included a provision about refunds after implementation; department staff said the language would add cost and would require technical assistance, while senators emphasized the need to address licensure backlogs and avoid making provider delays worse. A10 was approved by the committees, though not unanimously. Amendment A11 would have set standards for how the commissioner designates provider types or program areas as moderate or high risk, with added transparency criteria. The department said the commissioner already has that authority and raised concerns about federal requirements and the state’s corrective action plan, and Senator Hoffman withdrew the amendment. Amendment A12, offered by Senator Fateh, would preserve remote supports by removing bill language that repealed the service and would add safeguards for remote overnight supervision, including staffing ratios to ensure emergency response times can be met. Several senators supported keeping remote services as an important, cost-effective option amid workforce shortages, while the department said it had program integrity concerns and supported the governor’s proposal to remove the service. The committee nevertheless advanced A12, with members noting the need to balance safety and integrity with access to services.
NH
Transcript Highlights:
  • So whether or not within the umbrella of OT switching from fine motor skills for spoons to fine motor
  • So whether or not within the umbrella of OT switching from fine motor skills for spoons to fine motor
  • Thank you for taking my question. you know umbrella of OT switching from you know umbrella of OT switching
  • </c><00:53:13.280><c> I</c><00:53:13.440><c> don't</c> switched from spoons to forks."
  • I don't switched from spoons to forks."
Keywords: 928, house, all
Summary: The committee heard testimony on Senate Bill 34, which would require parental consent for each new service provided to a student through the Medicaid to Schools program and require reports to legislative policy committees. Senator Ruth Ward said the bill was intended to increase transparency, protect parental involvement, and ensure continuity of care, especially for students with disabilities. She also noted a proposed amendment she received shortly before the hearing that would change the bill’s focus from a “new service” to a “new care plan.” Representatives from the New Hampshire Primary Care Association and Amoscake Health testified that they opposed the bill as written but would support it with the amendment. They explained that tying consent to individual diagnosis codes or services could be burdensome, could delay care, and could create compliance problems if a diagnosis changes during a visit. They said the amendment would better align consent with the overall care plan and avoid interrupting treatment mid-appointment. Committee members raised questions about how the bill would interact with IEPs, individualized health plans, homebound services, telehealth, billing, and whether the amendment would still require parental involvement after a care plan changes. The deputy Medicaid director from the Department of Health and Human Services testified that the amendment was more operationally feasible because Medicaid billing involves many ICD-10 codes that can change or overlap, and consent should be tied to the care plan rather than to each code. He said the current law already requires parental consent for participation in the Medicaid to Schools program and annual consent for billing, but the bill would make explicit consent for care-plan changes. No vote was taken during the portion of the hearing provided, and the committee appeared to continue discussion with DHHS after the testimony.