Transcript Highlights:

• In math, for example, for eighth grade, with little progress we had made as a nation, we have reversed
• Big math, 99 percentile in the math.

Keywords: nominations, Undersecretary of Energy, Undersecretary of Science, Preston Griffith, Dario Gil, energy policy, scientific innovation

Summary: The meeting was convened to discuss several significant nominations, particularly focusing on Preston Wills Griffith III for Undersecretary of Energy and Dr. Dario Gil for Undersecretary of Science. The committee underscored the importance of these roles in shaping American energy policy and scientific innovation. The discussion highlighted the nominees' backgrounds, with Griffith having extensive experience at the Department of Energy and the White House, and Gil bringing expertise in quantum technology and energy research. Members expressed a strong desire to understand the nominees' perspectives on current challenges facing the energy sector, including regulatory mandates and national security concerns. The meeting concluded with a commitment to ensuring thorough evaluations of the candidates and their proposed approaches to pressing issues.

Transcript Highlights:

• back of the envelope math on it yet<00:55:16.359> but<00:55:16.480> it<00:55:16.599>
• It is literally just the content inside, and the math behind it is what changes.
• behind it is what changes and the math behind it is what changes and<00:59:50.680> the<00:59:
• wouldn't see it but because of the math wouldn't see it but because of the math because<05:02:32.000
• What he’s suggesting is his math isn’t wrong. They pay 25% now; they pay a fee on top of that.

Keywords: 1189, house, all

Summary: The public hearing opened on HB 728-FN, which would authorize video lottery terminals at charity gaming facilities and repeal historic horse racing licensing. Representative Om explained that the bill would convert the current historic horse racing terminals into true video lottery terminals/slot machines and change the revenue split, reducing the operator share from 75% to 70% while increasing the state share from 25% to 30%. He also noted the bill would increase the amount going to charities and other state beneficiaries. Former State Rep. Pat Brammy, who had served on the Charitable Gaming Study Commission, testified in support of the bill’s basic structure. He said a consultant’s report found historic racing machines cost facilities 12% to 18% more to operate because of totalizer and track-related fees, and that slot machines would be cheaper because there are more manufacturers and more competition. He argued that although the operator share drops by 5%, facilities could still benefit from lower operating costs, and he said the commission concluded that moving to slot machines would increase revenues to facilities, charities, and the state. He also said the bill would create a more stable stream of funding for problem gambling, since the current HHR “breakage” funding mechanism is limited and dependent on a single vendor. Brammy also discussed the commission’s concerns about market concentration in HHR machines, saying the commission found the market was dominated by only a few manufacturers and recommended legislation to address that issue under Article 83 of the state constitution. He interpreted the bill as allowing a phase-in of slot machines upon passage, with the remaining HHR provisions phasing out by January 1, 2028, and said facilities would likely transition as leases expire. Committee members asked about HHR contracts, machine programming, testing, and whether removing HHR would reduce competition; Brammy said he believed leases were likely short-term, machines are tested by a lab, and the legislature could decide whether the change is appropriate. No vote or final action was taken at the hearing.

Transcript Highlights:

• And gentlemen, you know I'm for intervention. I just want to ask this question.
• That keeps me who's over here waiting to try to get in the intervention. Uh, did the committee...
• try to get in the intervention. try to get in the intervention.
• courts and allow them the intervention courts and allow them the the<04:39:54.880> opportunity
• <04:40:51.720> to need that little bit of intervention to need that little bit of intervention

Keywords: MS House Floor - 31 March, 2026; 10:00 AM, 925, all

Summary: The House convened with prayer, a guest vocalist, and the Pledge of Allegiance before moving into routine business. Members first recognized several special guests and school groups, including championship teams from Simpson County Academy, New Albany High School, Tougaloo College, Madison-Richland Academy, East Rankin Academy, Morton High School, and others, along with honorees such as Dr. Katrina Cox, Pamela Moody, Joe Helen Joey Walker, and Jimmy Carr. The chamber also noted a prior resolution honoring Reverend Dr. Victor Dixon and the Copiah County Ministerial Alliance, and Dr. Dixon led the opening prayer. On the calendar, the House adopted a conference report on House Bill 1752 dealing with judicial salaries. The report set new salary amounts for state court judges effective January 1, 2027, froze district attorney salary increases until January 1, 2028, and then tied DAs to 95% of circuit and chancery judges’ pay. It also removed mandatory raise language for judges and county court judges, and members briefly discussed the broader issue of legislative compensation. The report passed 115-2. The House then adopted a conference report on House Bill 377, the missing persons bill, which clarified definitions, added forensic genetic genealogy testing provisions, and set timelines for law enforcement to enter credible missing-person reports into NamUs and NCIC. That report passed 120-0. The chamber also adopted a conference report on House Bill 525, changing the penalty for sexual battery in a position of trust or authority from a 0-to-30-year range to a 5-to-30-year range; it passed 112-0. Later, the House adopted a conference report on House Bill 925 after removing veto-message language, and adopted another conference report on House Bill 939 combining a low-sat repealer change and a fire truck acquisition program that creates a Fire Equipment Fund supported by recurring black tag revenue. The House also approved unanimous-consent amendments to Senate Bill 3105 and recommitted Senate Bill 2747 for further work.

Transcript Highlights:

• How the students achieve, whether it's in math, language arts, or financial literacy.
• 24 credits are required to graduate high school in the state of Hawaii. 18 are required, English, math
• How the students achieve, whether it's How the students achieve, whether it's in<00:23:50.840> math
• , language arts, or financial in math, language arts, or financial literacy.<00:23:53.680> And
• , Hawaii. 18 are required, English, math, Hawaii. 18 are required, English, math, and<00:24:33.760

Keywords: 910, house, all

Summary: The committee heard testimony on SCR 78, which urges the Department of Education to strengthen natural health education and adopt a comprehensive menstrual cycle curriculum. The Department of Education said it supported the intent and had offered technical amendments to scaffold the curriculum by grade level. The Commission on the Status of Women and several advocates, including students and Ma'i Movement Hawaiʻi, testified in support, describing gaps in menstrual health education, stigma, and the need for more inclusive, age-appropriate instruction. No opposition was heard, and the chair moved on after no questions from members. The committee then took up SCR 194, urging the Department of Education to meet the criteria to recognize cheerleading as a Title IX sport. The Department supported the measure, noting recent expansion of girls flag football and surfing as recognized sports and saying cheerleading would create additional opportunities for students. The Commission on the Status of Women also supported the resolution, saying it could improve participation, resource allocation, and representation for female students. No opposition or further action was recorded in the excerpt. Finally, the committee discussed SCR 195, requesting the Board of Education and Department of Education to revise graduation requirements to include a standalone financial literacy course. The Board of Education and Department of Education both supported the intent but cautioned against a one-size-fits-all mandate, emphasizing school-level flexibility, existing stand-alone and online options, and the requirement that the class of 2030 must complete financial literacy before graduation. Hawaii Kids Can supported the resolution while raising questions about equity, access, quality, and how different delivery models compare; it also asked for more information on community survey data. Committee members questioned the department and board about asynchronous versus in-person instruction, standards, and how the requirement would be tracked in the personal transition plan. No vote or final action was taken in the provided portion of the meeting.

Transcript Highlights:

• We are a reactive body, so we take in and process petitions and requests, and we haven't done that math
• <00:35:59.760> Um<00:36:00.160> but done the math on previous years.
• Um but done the math on previous years.
• <00:37:15.520> haven't<00:37:15.760> done<00:37:15.920> that<00:37:16.240> math
• <00:37:16.880> I um we haven't done that math yet. I um we haven't done that math yet.

Keywords: 1187, senate, all

Transcript Highlights:

• But my rough guess, rough math here, 620 dreamers, 4.9 million, 7,900.
• But my rough<00:49:28.720> guess,<00:49:29.359> rough<00:49:29.680> math<00:49:30.000
• > here,<00:49:31.440> 620 rough guess, rough math here, 620 rough guess, rough math here
• Um, but that federal needs analysis, the result of that math used to always be called the expected family
• Um, but that federal needs analysis, the result of that math used to always be called the expected family

Keywords: 1183, house

Transcript Highlights:

• I I do the math. Let Let's make sure it's done right.
• We got into politics, not because of our math skills here.
• I<01:18:35.440> I<01:18:35.920> do<01:18:36.080> the<01:18:36.239> math
• I I do the math. amendment? I I do the math.
• <01:18:43.840> So, math skills here. So, math skills here.

Keywords: 1187, senate, all

Transcript Highlights:

• And that was later changed to also allow them to use it for federal intervention funding.
• And that was later changed to also allow them to use it for federal intervention funding.
• legislative session, as I mentioned, PSC had come forward to request additional funding for federal intervention

Summary: The Budget Section Leadership Division met with a quorum and approved the March 18 minutes before hearing a series of informational updates. The Petroleum Council reported that North Dakota oil production is expected to remain relatively flat at just under 1.2 million barrels per day, with activity shifting northward in the Bakken as technology improves and three- and four-mile laterals boost well performance. The presentation also discussed oil and gas prices, gas taxation, flaring concerns, the importance of pipelines and other linear infrastructure, and enhanced oil recovery pilot projects supported by state and federal funding. Members asked questions about gas production taxes, natural gas liquids, and the outlook for drilling rigs and future production. The Office of State Tax Commissioner then reviewed the federal “big beautiful bill” and its estimated effect on North Dakota individual and business income tax collections. Staff explained that most of the individual income tax impact comes from the permanent increase in the standard deduction, while temporary provisions such as senior deductions, tip and overtime exclusions, and auto loan interest deductions have smaller or limited-term effects. They also noted that business tax changes, especially depreciation and expensing provisions, create a larger near-term cash impact, and that some FY25 collections likely reflected one-time oil field transactions that may have inflated the baseline used in earlier estimates. OMB provided updates on major capital projects and facility funding. For Capitol grounds improvements, officials described plans for 18th-floor renovations, wayfinding upgrades, public seating, lighting, tree management, and possible restroom and lobby reconfiguration, while also noting the governor’s residence security project and the discovery of human remains on the Capitol grounds. OMB and its consultants also reported on the state facility maintenance fund, including window replacement, boiler work, roof and foundation repairs, and a new facility conditions assessment covering more state buildings. Updates were also given on the new state hospital in Jamestown, the Minot state office building, and the use of federal state fiscal recovery funds, including possible future reallocations to the Department of Corrections. Finally, Legislative Council staff summarized the interim compliance report on legislative intent and trust fund activity, highlighting the status of lines of credit, Bank of North Dakota profit transfers, the statewide litigation pool, the new Office of Guardianship and Conservatorship, corrections planning, HHS program updates, and a likely future general fund request for the unemployment insurance modernization project. No formal votes were taken beyond approval of the minutes; the meeting was primarily informational, with members asking clarifying questions throughout.

Transcript Highlights:

• effects on EMS are as follows: our increased transport times, requiring patients needing emergency interventions
• Our increased transport times requiring patient requiring emergency interventions spend considerably
• They require some airway management interventions and some advanced-level medication.

Keywords: 995, all

Summary: The committee first heard testimony on H. 3599, a bill concerning access to historic Indian lands and easements for landlocked tribal parcels in Massachusetts. Witnesses, including members of the Mashpee Wampanoag and Herring Pond communities, said the bill would restore access to family lands that have long been treated as landlocked and had been denied easements by necessity in prior court rulings. They described heavy tax burdens, prior litigation, and support from the Mashpee Wampanoag Tribe, with conditional support from the Aquinnah Wampanoag Tribe pending language changes. Committee members asked about the tax assessments and the status of tribal support, and the chair said the committee would follow up on possible amendments. The committee then took up S. 2922, which would authorize an underground easement at Magazine Beach in Cambridge for the Greater Cambridge Energy Project. Eversource representatives said the easement is needed for a transmission line connecting the Brighton and Kendall Square substations, supporting grid reliability and the Commonwealth’s clean energy transition. They said DCR would receive fair market value and replacement land in Wendell to satisfy Article 97 requirements. No objections were raised, and the panel’s testimony concluded without a vote recorded in the transcript. Most of the hearing focused on H. 5047, which would authorize the Commonwealth to take the Norwood Hospital site by eminent domain so the hospital can be restored. Sponsors, local officials, hospital task force members, EMS and fire representatives, a chamber of commerce leader, and a former hospital administrator all argued that the 2020 flood and Steward’s bankruptcy left the region without adequate care, causing longer ambulance transports, emergency room boarding, staffing strain, and economic losses. They said the site remains a partially completed shell, that the state should be able to acquire it and bring in a nonprofit operator, and that the taking would not require state funding because an operator would pay the acquisition costs. Committee members from both chambers expressed support and asked about costs, timing, infrastructure, and whether a nonprofit operator is being pursued. The chair took the bill under advisement after extensive testimony; no vote was taken in the transcript.

Transcript Highlights:

• in safe communities through reforms like limiting no-knock warrants, funding for violent crime interventions
• in safe communities through reforms like limiting no-knock warrants, funding for violent crime interventions
• in safe communities through reforms like limiting no-knock warrants, funding for violent crime interventions

Keywords: 919, house, all

Summary: Lawmakers and advocates from the POCI Caucus held a news conference focused on protecting recent DFL-enacted policies in a newly divided Legislature. They highlighted accomplishments from the last biennium, including earned sick and safe time, ethnic studies, unemployment insurance changes, environmental protections, and MinnesotaCare coverage for undocumented immigrants, and argued these measures should not be rolled back in budget negotiations. Speakers said Republicans were pushing cuts or carveouts that would disproportionately harm Black, brown, immigrant, women, and low-income communities, and they urged the House and Governor Walz to reject those changes. A major theme was opposition to proposed carveouts to earned sick and safe time. Amanda Otero of TakeAction Minnesota said the proposed changes would remove benefits from more than 100,000 workers based on employer size, and lawmakers said sick leave should be universal. Another major topic was MinnesotaCare for undocumented immigrants. Representative María Isa Pérez Vega, Council Member Jason Chavez, and others argued the program is affordable, reduces uncompensated emergency care, and improves public health by expanding preventive care. Chavez and Emilia Gonzalez Avalos shared personal stories about family members who benefited from health coverage and said cutting access would worsen disparities and hurt families and communities. The event also included remarks on ethnic studies and historical memory. Representative Samantha Sencer-Mura connected the Ethnic Studies for All Act to her family’s experience with Japanese American incarceration during World War II, and Sally Sudo described her family’s removal and imprisonment under Executive Order 9066. Speakers framed these stories as warnings against scapegoating and exclusion. In the question-and-answer portion, lawmakers said they were still in negotiations but emphasized that certain protections were non-negotiable and that any compromises should be distributed equitably rather than targeting specific groups.

Transcript Highlights:

• > urgent congenital disorder that required urgent congenital disorder that required urgent intervention
• 39.199> passing<00:15:39.680> as<00:15:39.839> amended<00:15:40.319> in intervention
• after passing as amended in intervention after passing as amended in the<00:15:40.600> Human<

Keywords: 1187, senate, all

Transcript Highlights:

• So as I mentioned, our various programs through the division, our first is our early intervention programs
• And so the legislature, thank you very much, many, many years ago, funded services for early intervention
• And so the legislature, thank you very much, many, many years ago, funded services for early intervention

Summary: The Higher Education Budget Subcommittee met for an introductory overview of the higher education programs under its jurisdiction. After roll call and member introductions, Chair Busatta outlined that the subcommittee oversees programs in the Department of Education and the State University System, including vocational rehabilitation, blind services, private postsecondary licensure, student financial aid, career and adult education, the Florida College System, and the Board of Governors. The chair and staff also noted that these areas represent roughly $9 billion in current-year funding. Officials from the Department of Education presented on several programs. Vocational Rehabilitation Director Kelly Rogers described services for adults and youth with disabilities, including pre-employment transition services, job coaching, assistive technology, and employer support; she said the program served more than 55,000 people last year, has no wait list, and reported a return of $7.61 to the economy for every $1 invested. Division of Blind Services Director Robert Doyle explained services from birth through older adulthood, including early intervention, school-age support, vocational rehabilitation, independent living, the Business Enterprise Program for blind vendors, and the Braille and Talking Book Library; he said the division serves about 12,000 people annually and also has no wait list, though some community rehab providers may have one. Tiffany Hurst of the Commission for Independent Education described licensure and consumer protection for independent postsecondary institutions, reporting oversight of about 1,100 institutions and 721 non-degree schools, along with enforcement actions against unlicensed operators. Sean Haskin of Student Financial Assistance reviewed 22 scholarship and grant programs totaling about $1 billion for more than 200,000 students, including Bright Futures, Benacquisto, need-based grants, EASE, EASE Plus, veterans’ scholarships, dual enrollment reimbursement, first responder scholarships, and the Ocoee and Rosewood scholarships. Members asked about surplus funds, marketing, Bright Futures eligibility requirements, and whether EASE awards had changed; Haskin said any unused funds are reverted to the Legislature, that the department markets through schools and the Florida Lottery, and that EASE remained at $3,500 per FTE for the last two fiscal years. Several members raised concerns that students and parents may not learn about aid programs early enough, especially in economically disadvantaged communities. Chancellor Kevin O’Farrell then presented on Career and Adult Education, highlighting record participation in career and technical education, adult education, and apprenticeship. He said about 800,000 secondary students and 480,000 postsecondary students are in CTE, adult education serves about 183,000 learners, and apprenticeship/pre-apprenticeship programs include more than 22,000 participants. He also described the workforce development fund, Perkins, WIOA Title II, the Pathways to Career Opportunities Grant, workforce capitalization grants, CAPE performance funding, and the Pipeline nursing initiative, noting strong NCLEX outcomes and expanded outreach through the Get There, Your Way, Future of Work Florida, and Zello platforms. Kathy Hebda began the Florida College System presentation by emphasizing open access, workforce preparation, statewide reach, and strong enrollment and completion growth, including more than 672,000 students, over 131,000 degrees and certificates, and significant dual enrollment savings for students and families.

Transcript Highlights:

• a rapidly expanding capacity obligation, they heard from ISO about 73 GW and were roughing out the math
• He said that may be off a tiny bit, but that it is back-of-the-napkin math.
• He said that may be off a tiny bit, but that it is back-of-the-napkin math.
• He said that may be off a tiny bit, but that it is back-of-the-napkin math.
• He said that may be off a tiny bit, but that it is back-of-the-napkin math.

Keywords: 1189, house, all

Transcript Highlights:

• It is a necessary intervention that redistributes informational power in a transaction that is often
• Just looking at some basic math of this. Let's just say four months, 16 weeks is harvest season.
• <03:53:42.960> at<03:53:43.120> some<03:53:43.280> basic<03:53:43.680> math
• Just looking at some basic math of this. Just looking at some basic math of this.

Keywords: 981, all

Summary: The House convened with a quorum, approved the journal, and then spent much of the early portion of the meeting on recognitions and announcements. Members welcomed the Sikh community of Colorado for Baisakhi and Sikh Awareness and Appreciation Month, noted a langar lunch at the Capitol, and announced a governor’s proclamation later in the day. Other tributes highlighted Jackie Robinson Day, Golf Day at the Capitol, an upcoming Colorado Religious Freedom Day event, and an Alpha Kappa Alpha Sorority legislative day and youth leadership program. After announcements, the chamber moved to business and adopted a motion making Senate Bill 109, Senate Bill 104, House Bill 1245, and Senate Bill 121 special orders for April 15. The House then began consideration of Senate Bill 109, concerning building code standards for accessible housing supported by public money. The committee report was adopted, and debate focused on an amendment offered by Representative Soper to exempt counties that have not adopted international building codes. Supporters argued the amendment would protect rural counties, preserve local control, and avoid higher housing costs and budget strain; opponents said it would undermine uniformity. Several members spoke in favor, and the amendment was still under discussion when the transcript ended. Committee announcements also noted that Judiciary would hear Senate Bill 1283 and Senate Bill 85, Education would hear Senate Bill 153, and Health and Human Services would hear Senate Bill 60, House Bill 1347, and House Bill 1314 for action only. The House also heard that House Bill 1250 would be pushed to the following week.

Transcript Highlights:

• Her 2024 Cass review concluded that the scientific evidence supporting such interventions is remarkably
• Her 2024 Cass review concluded that the scientific evidence supporting such interventions is remarkably
• Her 2024 Cass review concluded that the scientific evidence supporting such interventions is remarkably
• <04:04:40.239> It's chemical interventions on minors.
• It's chemical interventions on minors.

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, December 18, 2025, 1012, house, all

Transcript Highlights:

• But it's simple math.
• <00:54:11.920> But do the math associated with that.
• But do the math associated with that.
• But it's<00:54:12.240> it's<00:54:12.559> simple<00:54:12.800> math.
• You know, longer it's it's simple math.

Keywords: Meeting Start: 00:00:00 Attendance Roll Call: 00:00:17 Approval of Minutes: 00:02:09 Legislative Proposals: HB 213: 00:02:13 HB 516: 00:25:00 HB 589: 00:39:30 Kentucky Public Pension Authority: 00:44:52 Adjournment: 01:14:07, 958, all

Summary: The Public Pension Oversight Board met on February 13 and approved the minutes after establishing a quorum. The committee then took up three pension-related bills, beginning with Rep. Callaway’s proposal to allow certain retired police officers with 15 to 19 years of service to be rehired by local law enforcement agencies. Callaway and Brandon Lincoln of the FOP said the bill is intended to help recruitment and retention, especially for departments facing staffing shortages, and emphasized that it would be optional and would not allow double-dipping. Committee members raised concerns that lowering the service threshold from 20 to 15 years could create an unfunded liability and weaken the pension system, and several members said they did not yet fully understand how the pension and insurance provisions would work. The sponsor said she was open to working on the bill, and the chair noted the committee would continue to examine it with help from KPA staff. The second bill, presented by Rep. Lewis with Brandon Lincoln and Jeff Taylor, addressed probationary employees in CS agencies, including firefighters and police officers. The bill would let certain former probationary employees purchase service credit for time spent in probation, and would extend line-of-duty death and disability protections to employees who are injured or killed during probationary service. Testimony said the measure is optional for employers, could be used as a recruitment tool, and would allow employees within six months of the probationary period to buy back the time themselves if they choose. Members generally supported the concept, noted a negligible fiscal note, and discussed whether current employees could buy back older probationary periods; the sponsor said the bill did not appear to allow that, though he was open to further discussion. Throughout both bills, members focused on whether the proposals would create new pension costs or liabilities and how they would interact with existing retirement tiers and contribution rules. Several members asked for clarification on whether rehired workers would contribute to the pension system, whether employers would pay normal cost or any contribution at all, and whether the bills would affect future retirement benefits. The sponsors and witnesses repeatedly said the measures were limited, optional, and intended to address staffing and fairness issues without changing the core retirement system, but the committee did not take final action on the bills during the discussion.

Transcript Highlights:

• hospital, juvenile detention, or with the county because families have lacked access to early intervention
• hospital, juvenile detention, or with the county because families have lacked access to early intervention
• By providing timely preventive services, chronic disease management, and early intervention in a trusted
• A little history: the legislature established the early intensive developmental and behavioral intervention
• which is the EIDBI benefit intervention which is the EIDBI benefit in<01:54:36.640> 2013.

Keywords: 1187, senate, all

Transcript Highlights:

• I work for the Early Hearing Detection and Intervention Department.
• Um, I'm not saying that on behalf of the Early Hearing Detection Intervention.
• I also work for Intervention Department.
• <01:42:28.960> I'm<01:42:29.199> saying<01:42:29.360> it detection intervention
• I'm saying it detection intervention.

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Transcript Highlights:

• Well, for public health intervention, perhaps our division interim director or deputy director could
• speak better to this, but it's sort of about the public health interventions that are put right.
• <02:05:01.280> Do<02:05:01.440> you interventions and needs there.
• Do you interventions and needs there.
• supply challenges, where we don't have enough now and we can expect to lose more without state intervention

Keywords: 928, house, all

Summary: The committee first handled roll call and approved the prior meeting minutes. Members discussed attendance and substitutions, then moved to the DHS commissioner’s update, which focused on New Hampshire’s Medicaid 1115 waiver and the new community re-entry initiative for people leaving correctional facilities. The presenter explained that the waiver lets the state cover certain services not normally covered under Medicaid, including substance use disorder treatment, serious mental illness services, adult dental benefits, and the new community re-entry component. She also noted that a separate youth re-entry component is federally required, with youth defined up to age 21 and foster-care-related coverage extending to age 26. The update described how the adult re-entry program works for incarcerated individuals with behavioral health needs, providing up to 45 days of pre-release services, care coordination with managed care organizations and DOC staff, telemedicine assessments, discharge prescriptions, insurance cards, and connections to community mental health, primary care, and substance use providers. For youth, the program includes more intensive case management, 30 days of pre-release services, and 30 days of post-release care coordination, with a stronger emphasis on screening, diagnosis, and holistic assessment. The presenter said New Hampshire received the adult waiver in July 2024, has implemented the program in state correctional facilities, and is beginning work at the youth center. Members and the presenter discussed why the program is structured as a waiver rather than a standard Medicaid benefit, with the explanation that CMS is allowing this as a newer policy area and that states generally pursue waivers for certain services. The chair and others emphasized the need for real cost and outcome data, and the presenter said an independent evaluator and evaluation plan are required under the 1115 waiver. Early results cited included 30 adults enrolled so far, 10 released, five youth enrolled with one released, and anecdotal early successes such as housing, employment, and better continuity of medication and treatment. The committee did not take any additional votes or formal actions beyond approving the minutes.

Transcript Highlights:

• And, you know, I will just say this: the Youth Interventions Study Group has a great report.
• Infants who test positive for congenital or heritable disorders often require urgent medical intervention
• Infants who test positive for congenital or heritable disorders often require urgent medical intervention
• Infants who test positive for congenital or heritable disorders often require urgent medical intervention
• Infants who test positive for congenital or heritable disorders often require urgent medical intervention

Keywords: 1183, house