Transcript Highlights:

• House Bill 971 by Representative Stagney is an act to amend Title 40 relative to rural health clinics
• to provide for Medicaid reimbursement rates for rural health clinics.
• House Bill 971 by Representative Stagney is an act to in Title 40 relative to rural health clinics provide
• for Medicaid reimbursement rates of rural health clinics referred to health clinics referred to health
• Rural Health Clinics provide for Medicaid reimbursement rates of rural health clinics referred to health

Bills: SR110 , SR109 , SCR58 , SCR59 , SCR12 , HB198 , HB225 , HB508 , HB512 , HB599 , HB632 , HB763 , HB909 , HB971 , HB989 , HB1066 , HB1171 , HB1204 , HB1231 , HB1246 , HB1248 , HB1250 , HB221 , HCR41 , HCR63 , HCR76 , HCR77 , HCR86 , HCR92 , HCR93 , HCR58 , SB83 , SB135 , SB143 , SB155 , SB157 , SB202 , SB237 , SB261 , SB276 , SB295 , SB388 , SB450 , SB465 , HB17 , HB21 , HB42 , HB45 , HB51 , HB55 , HB74 , HB106 , HB108 , HB133 , HB140 , HB159 , HB168 , HB215 , HB226 , HB263 , HB296 , HB299 , HB322 , HB324 , HB364 , HB519 , HB535 , HB538 , HB568 , HB571 , HB622 , HB635 , HB676 , HB772 , HB784 , HB821 , HB823 , HB1006 , HB1018 , HB1033 , HB1034 , HB1043 , HB1070 , HB1134 , HB1237 , HB1239 , SB162 , SB382 , SR93 , SCR40 , SCR30 , SB35 , SB65 , SB215 , SB228 , SB246 , SB249 , SB268 , SB269 , SB282 , SB283 , SB296 , SB323 , SB338 , SB363 , SB369 , SB408 , SB431 , SB474 , SB484 , SB490 , SB492 , SB500 , SB501 , SB513 , HCR6 , HCR31 , HB297 , HB305 , HB336 , HB337 , HB351 , HB436 , HB594 , HB789 , HB956 , HB957 , HB995 , HB1040 , HB50 , HB117 , HB120 , HB122 , HB139 , HB148 , HB149 , HB185 , HB247 , HB271 , HB286 , HB301 , HB358 , HB359 , HB384 , HB413 , HB428 , HB450 , HB462 , HB547 , HB613 , HB631 , HB657 , HB669 , HB675 , HB680 , HB691 , HB712 , HB716 , HB720 , HB723 , HB727 , HB728 , HB735 , HB747 , HB759 , HB825 , HB842 , HB845 , HB846 , HB903 , HB904 , HB907 , HB923 , HB929 , HB941 , HB962 , HB965 , HB1036 , HB287 , HB370 , HB515 , HB521 , HB570 , HB1200 , HB29 , HB39 , HB58 , HB67 , HB73 , HB76 , HB77 , HB82 , HB112 , HB121 , HB125 , HB132 , HB134 , HB151 , HB154 , HB155 , HB161 , HB166 , HB187 , HB191 , HB207 , HB211 , HB224 , HB238 , HB241 , HB242 , HB250 , HB260 , HB265 , HB275 , HB300 , HB320 , HB338 , HB339 , HB349 , HB379 , HB399 , HB427 , HB463 , HB464 , HB468 , HB545 , HB550 , HB551 , HB565 , HB588 , HB639 , HB725 , HB782 , HB805 , HB808 , HB834 , HB847 , HB853 , HB858 , HB861 , HB883 , HB916 , HB937 , HB977 , HB1012 , HB1027 , HB1044 , HB1054 , HB1091 , HB1117 , HB90 , HB127 , HB138 , HB150 , HB201 , HB268 , HB273 , HB285 , HB315 , HB354 , HB355 , HB360 , HB376 , HB445 , HB506 , HB606 , HB649 , HB665 , HB681 , HB721 , HB746 , HB757 , HB781 , HB835 , HB844 , HB857 , HB872 , HB886 , HB889 , HB892 , HB972 , HB982 , HB987 , HB1037 , HB1068 , HB1072 , HB1078 , HB1085 , HB1132 , HB1137 , HB1167 , HB1174 , HB1232 , HB1238 , HB36 , HB119 , HB126 , HB129 , HB245 , HB280 , HB677 , HB726 , HB850 , HB966 , SB68 , SB149

Keywords: youth fitness, school achievement, Lafayette Parish, Louisiana Governor's Games, elementary education, Louisiana Arts Day, arts and culture, cultural heritage, artists, musicians, writers, performers, culture bearers, tourism, creative economy, economic impact, cultural sector, Louisiana Partnership for the Arts, festivals, visual arts

Transcript Highlights:

• So the framework does include a range of codes that we have reviewed internally from a clinical perspective
• This model is designed to reduce hospital utilization by delivering clinical support directly where the
• County eligibility staff must establish co-occurring clinical or functional conditions that would exempt
• And so, you know, as we were thinking through how we're going to implement... ...the clinic navigators
• And so, you know, as we were kind of thinking through how we're going to kind of implement the clinic

Summary: The Assembly Budget Subcommittee on Accountability and Oversight held a hearing on how H.R. 1’s new federal work and community engagement rules will affect Medi-Cal and CalFresh, especially for Californians with behavioral health needs, people experiencing homelessness, and justice-involved individuals. The Legislative Analyst’s Office outlined the scope of the changes, including Medi-Cal work requirements beginning in January 2027 and CalFresh changes beginning in June 2026, and estimated large potential coverage losses if people cannot document exemptions or comply with reporting rules. State departments said they are still awaiting some federal guidance but are already building implementation plans, data matching, outreach campaigns, and system changes to reduce disruption and automatically identify exemptions where possible. Department of Health Care Services and Department of Social Services officials described efforts to use existing data, CalSAWS, and cross-program coordination to streamline exemption screening, including for medical frailty, serious mental illness, substance use disorders, and student status. They said outreach will include text messaging, webinars, county training, and community-based partners, while also acknowledging that many people will still need direct worker contact. County representatives stressed that the new rules will create major administrative burdens, require significant new staffing, and could lead to coverage loss if counties are not adequately funded. They urged the Legislature to release the $20 million in current-year General Fund for CalFresh implementation and to consider a much larger county augmentation next year. Assembly members pressed the administration on outreach strategy, county funding, consistency across counties, and how to avoid harming eligible people through overly aggressive implementation. They also asked about coordination with universities, CDCR, and community-based organizations, and about how exemptions would be documented for mental health and substance use conditions. Department officials said they are working with counties, education institutions, and correctional agencies, and that they are trying to align Medi-Cal and CalFresh rules where possible, but not all federal definitions match. Public commenters from legal aid, counties, labor, and public hospitals warned that work requirements do not increase employment, will worsen food insecurity and health outcomes, and will strain county systems unless the state provides more funding and support.

Transcript Highlights:

• practice in Flagstaff, where he first moved when he came to Arizona, and academic medicine at Mayo Clinic
• When he came to Arizona, he worked in academic medicine at Mayo Clinic, Arizona, and was the chief of
• So my local Adelante Health Care Clinic is the one on Metro Center.
• So my local Alante Health Care Clinic is the one on Metro Center.
• So Aalanta Healthcare Clinic is the one on Metro Center. So thank you for the work that you do.

Transcript Highlights:

• When you're expanding your clinic space, you need not only to be able to build the building, but also
• Brown at the Sunshine Clinics. We were able to fund an expansion in Las Vegas as well as.
• Yes, so I just want to make sure this is for clinics. This can also go to clinics, Madam Chair.
• Yeah, that's right; the primary target of this is nonprofit clinics in rural and underserved areas.
• FQHCs are most of the state, so they're nonprofit clinics primarily. Well, thank you.

Committee: House New Mexico Finance Authority Oversight Committee

Transcript Highlights:

• And that's across the board, to every ER, urgent care clinic. One in four chance it's valley fever.
• And that's across the board: every ER, urgent care clinic.
• like if they have nodules over their legs, that's almost always valley fever in the appropriate clinical
• We also know the medical clinics and the providers very well, so we're able to assist clients making
• If we're asking signatories, hospitals, clinics, skilled nursing facilities to share data, we want them

Summary: The committee heard several health-related bills, with extensive testimony on maternal health, prenatal safety, privacy, valley fever, Medi-Cal contracting, anti-discrimination protections, and health data sharing. SB 32 would require time-and-distance standards for labor and delivery units in health plan networks; the author and supporters said it would address maternity care deserts and improve access, while health plans opposed. SB 646 would require testing and public disclosure for toxic elements in prenatal vitamins; supporters emphasized fetal and maternal safety and transparency, while industry opponents warned it could confuse consumers or lead to reduced nutrient content. Both bills drew broad support from medical and public health groups, and both were advanced on party-line or near-unanimous votes after committee discussion. The committee also approved SB 313, which moves a parent’s birthplace on birth certificates into the confidential section to protect privacy, and SB 297, which directs CDPH to identify high-incidence valley fever regions and publish them for screening and awareness; valley fever experts and supporters stressed rising cases and the need for earlier diagnosis, while local health jurisdictions raised concerns about mandates. SB 324, dealing with Medi-Cal enhanced care management and community supports, would prioritize local community-based organizations and clarify contracting and data practices; it received strong support from nonprofits and community health advocates, with children’s hospitals and health plans seeking amendments, and it was sent forward after amendments were discussed. The committee then considered SB 418, which would codify ACA nondiscrimination protections in state law and allow up to a 12-month prescription supply for hormone therapy when medically necessary. Supporters framed it as protecting continuity of care for transgender patients and others using hormone therapy, including IVF and menopause patients, while opponents argued it would conflict with federal policy and promote harmful treatments. The bill passed to the next committee. Finally, SB 660 would strengthen the California Health and Human Services data exchange framework by creating governance and accountability for data sharing across health and social service entities; supporters said it would reduce duplication and improve care coordination, while some providers and hospital groups raised concerns. It was approved and sent to the Privacy and Consumer Protection Committee. The consent calendar and the other measures were also voted out, with the committee recording the required roll-call votes and sending the bills onward.

Transcript Highlights:

• Um, and those are the types of things that go under rigorous, rigorous clinical trials.
• Um, I work in a medical school in Texas, and my job there is that I'm the director of clinical research
• in the department of pediatrics, and I guide and work with physicians to create clinical trials and,
• Including the study of macronutrients, micronutrients, therapeutic diets, advanced clinical nutrition
• Given our deep expertise in clinical nutrition, naturopathic doctors would be a valuable addition to

Bills: HB25 , HB38 , HB997 , HB 1119 , HB25 , HB38

Committee: House S/C on Disease Prevention & Women's & Children's Health

Keywords: HB 25, Texas nutrition, nutrition education, healthy living, public health, school physical activity, recess, physical education, nutrition and wellness course, health curriculum, State Board of Education, Texas Nutrition Advisory Committee, ultra-processed foods, artificial colors, food additives, chronic disease, metabolic health, culinary medicine, functional medicine, dietary guidelines

Transcript Highlights:

• Chair, you're also seeing the current system has operations challenges for legitimate providers, clinics
• ,</c><00:16:56.839><c> and</c> legitimate providers, clinics, and legitimate providers, clinics, and
• A substantial body of clinical research supports its efficacy, with endorsements from institutions such
• So, her son works at Mayo Clinic.
• </c> So, her son works at Mayo Clinic. So, her son works at Mayo Clinic.

Committee: Senate State and Local Government

Transcript Highlights:

• Um, so there was an incorrect cross-reference to licensed professional clinical counselors, or LPCC.
• </c> clinical counselors or LPCC. clinical counselors or LPCC.
• I think you're referring to the definition of clinical supervision, is that right, Senator?
• </c><00:46:53.680><c> Is</c> definition of clinical supervision.
• Is definition of clinical supervision.

Committee: Senate Human Services

Transcript Highlights:

• </c> into consideration the higher clinical into consideration the higher clinical touch,<00:15:19.120
• And that means clinics and agencies.
• She said many of them also have, within their individual clinical scopes and licenses, the credentials
• Normally, their clinical license would allow them to practice in any other medical setting to provide
• </c><01:34:30.480><c> them</c><01:34:30.719><c> to</c> clinical license would allow them to clinical

Committee: House Human Services Finance and Policy

Transcript Highlights:

• And in my clinical world, patient-provider confidentiality prohibits me from then, like, calling BPD
• dog, cat, maybe rabbits or parakeets that people have as house pets and they bring to their local clinic
• health and street outreach nurse practitioner at Boston Medical Center in Project TRUST, as well as a clinical
• there is maybe rabbits or parakeets that people have as house pets and they bring to their local clinic
• access to low-dose titratable naloxone and education, as well as increased access in training for clinical

Summary: The Special Commission on Xylazine convened its second meeting, approved the minutes from its June 23 meeting, and reviewed its timeline and working groups. The co-chairs said the commission’s final report is due to the House and Senate clerks by March 30, 2026, and outlined three working groups focused on regulation/oversight of xylazine, treatment and outreach for exposed patients, and education/training for first responders, clinicians, treatment providers, and people who use substances. Staff will schedule working group meetings, with group presentations planned for December 11, followed by commission meetings in February and March to review and finalize the draft report. Public comment centered on research and practical responses to xylazine contamination in the drug supply. Dr. Tracy Green of Brandeis reviewed recent studies showing severe xylazine-related wounds and amputations in Philadelphia, withdrawal symptoms, the value of wound identification tools, and the usefulness of drug checking in detecting xylazine even when users did not suspect it was present. She urged expanded low-barrier wound care, more access to medications for opioid use disorder, overdose prevention sites, housing, and trauma-informed care, while cautioning that stricter controls could push the market toward other dangerous alpha-2 substances. Commissioners asked about early wound identification, dilution/cutting strategies, supplier engagement, and how to reduce stigma and improve treatment access. Tia Johnson of Boston Medical Center and Boston Health Care for the Homeless testified that xylazine contamination still requires naloxone for overdose response, but sedation can last longer and may require low-dose naloxone, oxygen support, and low-threshold monitoring spaces. She emphasized that xylazine-associated wounds can heal with consistent care, but patients often lose access to services when sent to hospitals unnecessarily. Commissioners discussed reimbursement barriers, especially in MassHealth and behavioral health settings, and the need for wound care to be available within detox and treatment programs rather than requiring transfers. The meeting ended with agreement to continue working group planning and adjournment.

Transcript Highlights:

• assault saves them a further trip down the road to have to visit a pharmacy or go to a different clinic
• So these aren't, you know, it's not a standard of care at a clinic when you present and stuff like that
• We provide them to clinics. We provide anywhere that asks us to come in and do a sane exam.
• We provide the same care if it's a clinic in Memphis or if it's a hospital in St. Louis. Exam.
• We provide the same care if it's a clinic in Memphis or if it's a, you know, a hospital in St.

Committee: House Crime and Public Safety

Summary: The committee first met in executive session and took up House Bill 3174 by Representative Justice. Members adopted two committee amendments: one removed the bill’s mapping provisions so that the vendor-list portion could move forward separately, and another required schools to have at least one master key box for emergency responders. The amendments were rolled into a committee substitute, which the committee then voted do pass on a 10-0 roll call. A second executive-session bill was postponed until the following week because of a family emergency involving Representative Williams. The committee then heard Senate Bill 982, a cleanup and reorganization bill dealing with Missouri’s sex offender registry and related registration rules. Senator Mary Elizabeth Coleman said the bill was intended to align the registry statutes with prior changes, clarify tiering and registration requirements, address offenders with ties to Missouri but living elsewhere, and improve information-sharing rules for law enforcement and victims, including notice when a registrant dies or moves. Testimony in support came from the Missouri Alliance for Family Restoration, which said the bill codifies case law and reduces administrative confusion for the Highway Patrol and registrants. No opposition was offered. The committee also heard House Bill 3414, which would create a state offense modeled on a federal online-fraud law to help law enforcement pursue internet-based fraud, including schemes involving credit cards, account numbers, telecommunication identifiers, and similar access devices. The sponsor and a law-enforcement witness said the bill would give investigators another tool against increasingly common fraud, including elder fraud and VoIP-based schemes; a Maverick convenience stores representative also supported it as a response to changing technology. No opposition was presented. Finally, the committee heard House Bills 2628 and 3460, the CARE Act, which would require hospitals and health facilities treating sexual-assault survivors to inform patients about emergency contraception, provide it if requested, test and treat for sexually transmitted infections, and seek reimbursement through the Department of Public Safety. Sponsor Jacqueline Zimmerman said the bill is meant to reduce trauma and prevent pregnancies resulting from rape, and witnesses from sexual-assault nursing, reproductive-health, anti-poverty, medical, and nursing organizations supported it as a way to standardize care, especially in rural areas. Several members raised questions about whether the bill would require abortion-inducing drugs, whether hospitals could opt out on conscientious grounds, and how reimbursement would work; the sponsor said she intended to add language excluding abortion-inducing medications and that the current DPS forensic-exam payment structure would not change. No votes were taken on the later bills in the portion of the transcript provided.

Transcript Highlights:

• As he explained, psychotherapy is not casual interaction; it is a clinical practice that requires training
• He continued that psychotherapy is not casual interaction; it is a clinical practice that requires training
• clearly therapeutic communication so it clearly applies<00:10:35.400><c> to</c><00:10:35.520><c> clinical
• </c><00:10:35.920><c> therapy</c><00:10:36.280><c> services</c> applies to clinical therapy services
• applies to clinical therapy services rather<00:10:37.680><c> than</c><00:10:37.880><c> potentially</c

Transcript Highlights:

• They being with the health plan, clinical quality team. They have great quality scores.
• There are clinical guidelines, most by, you know, standards, the AMA that all medical directors are following
• And so that standardization of those requirements based on the, you know, the clinical issue or the disease
• I guess, Clinton with the same clinical experience as the doctor who actually requested the prior authorization
• And sometimes providers may say, and I won't get kind of use a clinical clinical example.

Transcript Highlights:

• after a long, long wait—I'm talking since the mid-90s—Alamo Navajo is finally getting a new health clinic
• That is the water and wastewater for the new clinic, and that has to be in place before the new clinic
• Regarding recruitment, the staffing needs for this facility are twice what the clinic has right now,
• But if you would like to have a tour of our Wellness Center and our clinic before you leave, just let
• we do out to Albuquerque, we are dealing with shortages of providers, especially in the specialty clinics

Committee: House House Government, Elections & Indian Affairs

Transcript Highlights:

• In fact, actually, Lou Gehrig was diagnosed at the Mayo Clinic.
• appropriation has funded five research projects, three at the University of Minnesota and two at the Mayo Clinic
• entities, which would include such things as health, fiscal, mental, substance abuse, as well as dental clinics
• For instance, we had the Hazleton Clinic in the past...
• My name is Abigail Canese, and I'm a nurse and clinical supervisor at Children's Minnesota.

Committee: House Higher Education Finance and Policy

Transcript Highlights:

• We have this clinic. We have this clinic.
• We have this clinic. We have this clinic.
• Colleagues, Maysam's position is grounded in decades of medical evidence and clinical expertise.
• reduction clinic at Brockton Neighborhood Health Center in Brockton.
• I'm a licensed mental health clinician and senior clinical manager at Health Resources in Action.

Committee: Joint Joint Committee on Mental Health, Substance Use and Recovery

Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on several harm reduction bills, including measures to decriminalize simple possession and paraphernalia, authorize overdose prevention centers, and expand access to naloxone for first responders. Chair Mindy Domb and Senator John Velis opened by describing harm reduction as an evidence-based public health strategy and noting Massachusetts’ recent decline in fatal overdoses. They emphasized that testimony would help shape whether and how the bills advance, and explained the hearing process, including time limits and written testimony. Testimony was sharply divided. Supporters, including Rep. Kate Donaghue, Sen. Cindy Friedman, Rep. Marjorie Decker, Rep. Manny Cruz, public health professionals, recovery advocates, and people with lived experience, argued that harm reduction saves lives, reduces stigma, and can connect people to treatment. They supported overdose prevention centers and decriminalization as tools to keep people alive long enough to enter recovery, and several speakers described personal losses to overdose or family experiences with addiction. Some supporters also framed the bills as racial justice measures, arguing that criminal penalties for possession have disproportionately harmed Black and brown communities. Opponents, including Sen. Nick Collins and several South End residents, argued that overdose prevention centers and decriminalization would worsen public drug use, crime, and neighborhood disorder, especially around Mass and Cass. They said current approaches such as Section 35, diversion, and police leverage into treatment are more effective, and they urged more treatment beds and recovery facilities instead of harm reduction sites. Committee members questioned witnesses about research, local siting, crime data, and the relationship between harm reduction and treatment, and several members said neighborhood impacts must be considered alongside overdose prevention. The committee did not take a vote during the hearing; it continued receiving testimony and announced a later break before resuming on H. 2196 and S. 1393.

Transcript Highlights:

• The absence of qualified interpreters or captioners directly affects clinical accuracy, informed consent
• This reflects not only our clinical strength, but also the culture of attentiveness, accountability,
• This policy embeds a new research-based structured decision-making tool to help clinical teams assess
• department are clinically informed, data-driven, and evidence-based.
• across the agency and has reorganized clinical oversight to ensure that evidence-based standards are

Committee: Joint Joint Committee on Ways and Means

Summary: The hearing was a FY27 budget session on Health and Human Services held in Mattapan, hosted by the Joint Committee on Ways and Means. Opening remarks from Senator Lydia Edwards, Representative Brandy Fluker-Reed, Representative Russell Holmes, and Boston Public Library President David Leonard emphasized the significance of holding the first Ways and Means hearing in Mattapan, the importance of community access, and the role of libraries as human services institutions. Committee members and attendees introduced themselves before agency testimony began. MassAbility testified first, describing its mission to support people with disabilities through employment, independent living, and disability determination services. The agency highlighted federal funding uncertainty, a modest FY27 budget reduction, and a proposed reworking of its home care program, which it said is outdated and should better target those most in need. Members questioned the home care cut, staffing reductions, and federal coordination. MassAbility also shared a participant story about recovery and community support to illustrate the impact of its services. The Massachusetts Commission for the Deaf and Hard of Hearing then presented its FY27 request, focusing on interpreter and captioning access, workforce development, emergency communication, aging-related hearing loss, and transition services for deaf and hard-of-hearing youth. Members asked about interpreter shortages, after-hours emergency coverage, ASL education, and community training; the commission said it is expanding mentorship and referral systems but still faces staffing and vendor challenges. The Massachusetts Commission for the Blind followed with a $30.8 million request, describing services for nearly 9,000 consumers, peer support groups, vocational rehabilitation, and Turning 22 services, while noting federal funding uncertainty and a 7% budget cut. Members raised concerns about maintaining services with fewer resources, and the commissioner said the agency had trimmed overhead and could manage the proposal. The Office for Refugees and Immigrants closed the segment, outlining expanded legal, housing, workforce, citizenship, and financial literacy supports for immigrants and refugees, including Know Your Rights trainings, legal defense initiatives, and the Massachusetts Access to Counsel Initiative. Members discussed the effects of federal policy changes, the loss of refugee resettlement funding, and the need for state support to fill gaps. No votes were taken in the portion provided; the hearing consisted of agency presentations and committee questioning.

Transcript Highlights:

• The absence of qualified interpreters or captioners directly affects clinical accuracy, informed consent
• This reflects not only our clinical strength, but also the culture of attentiveness, accountability,
• This policy embeds a new research-based structured decision-making tool to help clinical teams assess
• department are clinically informed, data-driven, and evidence-based.
• across the agency and has reorganized clinical oversight to ensure that evidence-based standards are

Committee: Joint Joint Committee on Ways and Means

Summary: The Joint Committee on Ways and Means held an FY27 Health and Human Services budget hearing in Mattapan, hosted at the Boston Public Library branch. Chairs Lydia Edwards and Russell Holmes, along with Rep. Brandy Fluker-Reid, emphasized the significance of holding the first Ways and Means hearing ever in Mattapan and highlighted the importance of bringing state budget deliberations into a majority-Black neighborhood. Several legislators introduced themselves as they joined, and the committee noted that public testimony was not part of the format, though agencies were invited to discuss priorities and challenges. MassAbility opened the agency testimony. Leadership described the agency’s mission to support people with disabilities through employment, training, home and community life services, and disability determination. They said Governor Healey’s FY27 budget funds MassAbility at $93.3 million, a 1% reduction from FY26, and explained that the agency is responding to federal funding uncertainty and shifting program needs by redesigning services internally. Members questioned a proposed $1.3 million reduction to the Home Care Program, staffing changes, and whether services could be maintained with fewer resources. MassAbility said it was reviewing data on who uses the program, that it does not provide nursing or personal care, and that it is working with a transition plan and a working group. The agency also discussed federal uncertainty around vocational rehabilitation funding and said it had received delayed federal awards but remained in contact with national associations and federal partners. The testimony included a personal story from a participant, Joshua Corcoran, to illustrate the impact of services. The Massachusetts Commission for the Deaf and Hard of Hearing testified next, requesting $11.27 million, about a 6% increase over FY26. The commission said it serves about 1.4 million residents and focuses on communication access in health care, courts, public safety, and other public systems. It highlighted interpreter and captioner workforce shortages, a mentorship program to expand the provider pool, and a modernized referral platform funded through capital contingency money. Members asked about interpreter availability, after-hours emergency coverage, ASL access for students and families, and training for police and emergency responders. The commission said staffing remains limited, especially for after-hours services, but that it is expanding training, school outreach, and partnerships with DCF and other agencies. The Massachusetts Commission for the Blind then presented its FY27 budget request of $30.8 million. The commissioner said the agency serves nearly 9,000 legally blind residents, provides training and peer support, and placed 190 consumers in competitive integrated employment this year. It also described services for older adults, vocational rehabilitation, and the Turning 22 program for young adults with additional disabilities. Members raised concerns about a 7% cut from the prior year and asked how the agency could maintain services; the commissioner said the agency had no waiting list, had trimmed overhead, and could manage the budget through internal efficiencies and strong partnerships. The Office for Refugees and Immigrants closed the session, describing expanded legal and support services for immigrants and refugees, including Know Your Rights trainings, the Massachusetts Access to Counsel Initiative, citizenship and financial literacy programs, and the Family Welcome Center in Mattapan. Members asked about federal funding losses and the structure of the new legal services program; ORI said FY26 funding is stable but FY27 federal cuts remain uncertain, and that the legal program uses a centralized intake system with priority for emergencies and first-come, first-served access.

Transcript Highlights:

• The absence of qualified interpreters or captioners directly affects clinical accuracy, informed consent
• This reflects not only our clinical strength, but also the culture of attentiveness, accountability,
• This policy embeds a new research-based structured decision-making tool to help clinical teams assess
• department are clinically informed, data-driven, and evidence-based.
• across the agency and has reorganized clinical oversight to ensure that evidence-based standards are

Committee: Joint Joint Committee on Ways and Means

Transcript Highlights:

• , clinical mental health counselors, licensed marriage and family therapists, psychologists, alcohol
• </c> that the percentage of no clinical that the percentage of no clinical practice<01:38:23.600><c>
• But 13% of dentists have no intention to clinically practice in New Hampshire within the next 5 years
• We have about 950 dentists currently clinically practicing, and that rate is limited in rural, as we'll
• clinically dentists currently clinically practicing.<01:43:17.760><c> Um</c><01:43:18.239><c> and</c

Summary: The committee first approved the draft minutes of its May 16, 2025 meeting, with one correction removing Representative Dry from the attendance list because she was present as a guest rather than an appointed member. The committee then received a Department of Health and Human Services update from Commissioner Lori Weaver, who focused on the rural health transformation grant process. She said the department has been gathering stakeholder input since July, issued a request for information on September 22, and is working toward an end-of-October draft and a November 3 deadline, with a grant writer request expected to go before Governor and Council at no cost to the state. The bulk of the meeting centered on federal changes affecting SNAP and Medicaid. Karen Heert explained that the federal law changes commonly referred to as the “Big Beautiful Bill” or HR1 will affect SNAP eligibility and state costs, including a shift in administrative cost sharing from 50/50 to 75/25 beginning in October 2026 and a possible state share of benefits if New Hampshire’s error rate is too high. She said the program affects about 43,000 households, that New Hampshire’s federal fiscal year 2024 error rate was 7.57% versus a national rate of 10.93%, and that the state must get below 6% to avoid liability. She also said DHS is preparing remediation steps, auditing cases, and seeking technology and staffing support, including a grant for automation and training. Henry Litman then described Medicaid changes under HB2 and the new federal law. He said New Hampshire returned to pre-pandemic eligibility verification rules on July 1, including a 10% income compatibility standard and reduced ex parte renewals, which has increased manual work and contributed to a drop in enrollment from about 185,000 in late June to about 178,000 in early September. He also reviewed new child premiums, pharmacy copays, Granite Advantage premiums, and possible Medicaid work requirements, noting that DHS is working with CMS on implementation details and may use a state plan option rather than an 1115 waiver because it would be less expensive and faster. Members asked several questions about the SNAP error-rate rules, the distinction between administrative and client errors, the effect of unpaid copays, and the timing and legal risk of the Medicaid work requirement; no votes were taken on those policy issues.