Transcript Highlights:

• They're a toll services advisor.
• But thank you very much for your services here. But thank you very much for your services here.
• actually for specific services actually for specific services and<00:14:43.320> the<00:14
• that are requiring this service. that are requiring this service.
• So that's my next question is your service area. You already told me that. Service area.

Keywords: 958, all

Summary: The committee first approved the March 10 minutes and then moved through a large agenda of contract reviews, including a deferred Kentucky Transportation Cabinet item tied to Louisville bridge tolling and RiverLink. Transportation officials explained that the contract was part of a bi-state arrangement with Indiana: Indiana Finance Authority held the main contract with HNTB, while Kentucky needed a mirror contract to pay its 50% share under the bi-state management agreement. Members questioned why the work was treated as effectively no-bid, how much input Kentucky had in vendor selection, RiverLink’s collection performance, and when tolls might end. Transportation said Kentucky had equal representation in selection, HNTB served as a toll services advisor, collections and customer service had improved, and tolls are expected to remain until debt obligations are paid off in 2058. Several members criticized the company’s past performance and voted no as a statement of concern, but the contract still moved forward. The committee then deferred a Kentucky State University item because the vendor was not registered with the Secretary of State. It also approved the overall agenda and contract review lists. A Board of Optometric Examiners contract drew significant discussion: board representatives said they had previously relied on the Public Protection Cabinet for legal services, but that office lacked staff and advised them to seek outside counsel. Some members argued the committee could not approve a contract that appeared to conflict with statute, while others said the board should not be left without legal counsel and that the Attorney General should be brought in to resolve the issue. The committee ultimately voted to defer the optometric contract for one month and requested the Attorney General appear at the next meeting. Finally, the committee reviewed an Administrative Office of the Courts amendment for the Court of Appeals building project. Staff explained that the General Assembly had authorized the project, the design contract had already gone through multiple approved phases, and the current item was only an administrative correction to a prior modification amount. Members approved the amendment, with one member noting appreciation that the project costs had been reduced when an error was found.

Transcript Highlights:

• and your family's service as well.
• How are you working with the VA hospital and services to provide services for them, if you are?
• Not just letting them know, "Hey, there are services in Albuquerque," but bringing actual services to
• Of Veterans Services.
• This service, Submarine. service doesn't care what color, creed, race, sex, or orientation you are.

Transcript Highlights:

• disrupt you know, a church service. disrupt you know, a church service.
• . service. service.
• intent to go into that church service intent to go into that church service and<00:23:36.640>
• with the intent to disturb that service. with the intent to disturb that service.
• are disruptive in a in a church service? are disruptive in a in a church service?

Keywords: 1136, house, all

Transcript Highlights:

• Why have those services not restarted?
• services, as far as I can tell.
• recommend CMS, the Centers for Medicare and Medicaid Services, deny current and future payment services
• During the IEP meeting, his service grid, which outlines services he's legally entitled to, was dismantled
• she should be given those services.

Keywords: 995, all

Summary: The special legislative commission on the future of Pappas Rehabilitation Hospital for Children held a hybrid public hearing focused on the hospital’s future, admissions, staffing, infrastructure, and whether the facility should be preserved, expanded, or reimagined. Opening remarks from legislators, commissioners, parents, and union representatives emphasized that Pappas provides a unique combination of medical, rehabilitative, educational, and residential services for children with complex needs, and several speakers argued that the hospital is effectively being depopulated through reduced admissions and ongoing discharges despite public assurances that it remains open. Multiple speakers urged the commission to extend its authorization and continue its work before any closure or major change can occur. Testimony from labor leaders, including AFSCME, SEIU Local 509, and the Massachusetts Nurses Association, described a “silent closure” in practice, with staff reporting confusion about the hospital’s status, declining census numbers, blocked admissions, and uncertainty about the workforce’s future. They called for immediate action to stop admission denials and unnecessary discharges, and some proposed short-term solutions such as temporary modular structures to address infrastructure barriers and allow admissions to resume. Parents and former patients testified that Pappas provided life-changing independence, specialized therapy, and campus-based supports that they said could not be replicated elsewhere, and they criticized alternative placements as inadequate. Commissioner Robert Goldstein of the Department of Public Health said the administration supports keeping Pappas open and funded while the commission works, but he argued that admissions must comply with hospital-level-of-care rules and that the campus’s deteriorating infrastructure limits the kinds of children who can safely be served there. He said the department is continuing admissions for appropriate patients, working to expand outreach and services, and exploring long-term options, including broader statewide models of care. Commissioners pressed him on whether discharge status or lack of a clear discharge plan had been used as a barrier to admission, and requested de-identified data on patients recommended for admission but denied. No formal votes were taken during the hearing.

Transcript Highlights:

• But who was providing that service?
• Emlyn Chabard with the California Disability Services Association.
• This is particularly vital to ensure we have access to services.
• Emlyn Chabard with the California Disability Services Association.
• This is particularly vital to ensure we have access to services.

Summary: The Assembly Budget Committee heard opening remarks on the 2025 Budget Act, which will be amended into AB 101 and SB 101 for floor consideration. Committee leaders described the budget as a difficult compromise shaped by a $12 billion deficit, federal funding uncertainty, wildfire impacts, and rising out-year costs, while emphasizing a balance between compassion and fiscal responsibility. Each budget subcommittee chair then summarized major actions in their areas, including health care, human services, education, climate and transportation, housing and state administration, public safety, and oversight/transparency. Key policy items included delaying or narrowing some of the Governor’s proposed cuts, especially in Medi-Cal and other safety-net programs; preserving funding for dental care, women’s health, family planning, hospice, long-term care, IHSS, and services for undocumented Californians; and maintaining or expanding child care, foster care, food banks, and CalWORKs-related supports. Education actions included additional Proposition 98 settle-up, reduced deferrals, support for TK-12, teacher recruitment, literacy, mental health, preschool slots, and restored funding for UC and CSU. Other major items included housing and homelessness investments, wildfire and disaster response funding, transit loans and greenhouse gas reduction fund support, Proposition 36 and VOCA-related public safety funding, and oversight measures on federal impacts and state efficiency. Department of Finance and Legislative Analyst staff said the package makes some of the same savings moves as the May Revision but relies more on internal borrowing and fewer reductions, leaving a smaller reserve than the administration’s plan but still maintaining roughly $11 billion in the rainy day fund. Members from both parties largely supported the package while raising concerns about long-term sustainability, Medi-Cal costs, reserve use, and the need for future revenue and program review. The committee adopted the subcommittee actions by roll call, 18-6, with the roll held open for absent members and additional comments continuing after the vote.

Transcript Highlights:

• One, it creates mandatory shared service regions called Cooperative Education Service Areas, or CESAs
• Service Areas, or CESAs. Service Areas, or CESAs.
• So they are service providers. They are funded as a fee for service.
• funded as a as a fee for service. funded as a as a fee for service.
• area, for which it is a fee for service area, for which it is a fee for service. service. service.

Keywords: 926, house, all

Summary: The meeting was a caucus of the whole on House Bill 955, described by House Education Chair Rep. Peter Conlin as the year’s education transformation bill. He said the bill is still evolving and must still go through Ways and Means, Appropriations, and the Senate. Conlin framed the bill as a response to declining enrollment, school building needs, future funding changes, and equity concerns, drawing on prior commission work, testimony, surveys, emails, and committee input. Conlin said H. 955 has two major structural pieces: it creates seven mandatory Cooperative Education Service Areas (CESAs) to provide shared services more efficiently at larger scale, and it requires merger study committees in all parts of the state to examine whether districts should voluntarily merge into pre-K through 12 union school districts. He emphasized that CESAs are service providers, not governing bodies, and that merger study committees are required to study merger but not to merge. He also said the bill includes startup grants for CESAs, fee-for-service funding, a guidance map for facilitator work, deadlines culminating in merger votes on November 7, 2028, and reporting requirements back to the General Assembly. Members asked about whether CESAs duplicate supervisory unions, how representation would work, whether the bill affects academic standards, what happens to articles of agreement, why some study groupings include only one district, how the process would work in practice, and what support facilitators would have. Conlin responded that CESAs are intended to add scale for specialized services rather than replace supervisory unions, that they do not govern schools, and that representation and structure could be adjusted as the bill moves forward. He said the bill does not change what is taught in schools, only governance and funding, and that any merger would still require new articles of agreement and voter approval. He also said the facilitator system would be supported by a lead facilitator and the existing CESA structure, and that some groupings may be revised based on local conditions. The committee also discussed cost savings and timing. Conlin said the bill is intended to reduce costs through shared services and larger-scale districts, and that the proposed delay in implementing a foundation formula is meant to allow time for mergers and related administrative work, including bargaining, records, and district consolidation. He cited the existing Vermont Learning Collaborative in southeastern Vermont as an example of a CESA already providing specialized services and saving member districts money.

Transcript Highlights:

• The service map is... ...services and referrals, as I stated earlier, putting it back into context.
• Some of them may vary against the different services, but law enforcement—we provide that service where
• Some of them may vary against the different services, but law enforcement, we provide that service where
• So what we really need is to extend those services to 21 and then create another act to have those services
• with those service providers.

Keywords: 965, house, all

Summary: The first meeting of the Human Trafficking and Emergency Department Task Force focused on implementing Act 267 of 2025, which created the body to develop a statewide human trafficking protocol to be incorporated into regional sexual assault response plans. Chair Rep. Kelly Hennessy Dickerson and Office of Human Trafficking Prevention Director Mary Kate Andrepont outlined the task force’s goal of producing a practical, transferable protocol for hospitals and emergency departments across Louisiana, with help from Heal Trafficking. Members and presenters repeatedly emphasized that the protocol should be trauma-informed, survivor-centered, multidisciplinary, and adaptable to different regions and health systems. Hospital, SANE, and advocacy presenters described current practices and gaps. Ochsner LSU Health Shreveport’s Operation Rahab and FMOLHS’s policies highlighted staff education, badge buddies, private screening, reporting pathways, and coordination with the National Human Trafficking Hotline, law enforcement, DCFS, and local advocates. SANE nurses and forensic staff stressed that most trafficking victims pass through emergency departments and that subtle behavioral indicators, rapport-building, and broad staff education are critical. LaFASA described statewide sexual assault advocacy services, emphasizing 24-hour crisis response, legal support, and the role of advocates in helping survivors understand options and regain control. Child and youth trafficking specialists from DCFS-contracted programs, including Unbound Now and BCFS/Common Thread, explained Louisiana’s Act 662 response for minors, which routes reports into coordinated advocacy and care coordination. They said their teams respond statewide within 90 minutes, provide crisis support, and work with CACs, hospitals, and law enforcement. Members raised concerns about major service gaps, especially for adults, transportation, safe housing, and specialized placements for survivors with disabilities. Presenters also noted that male survivor housing remains limited, though Eden Centers now offers some beds. The task force also reviewed a needs assessment showing many hospitals lack mandatory trafficking training, screening practices, written protocols, and confidence in identifying victims. Members discussed expanding education beyond ED staff to residents, nursing schools, student health, mental health, housekeeping, maintenance, and law enforcement. No formal votes were taken, but the chair said the survey results and testimony would be used to draft a protocol before the next meeting, with a final draft to follow after further review and feedback.

Transcript Highlights:

• In California, just over $42 billion... ...essential programs and services.
• providers that are, you know, desperate to keep services, and the creativity that Ms.
• The services they need.
• The funding provided often doesn't fully cover the actual cost of delivering services.
• The funding provided often doesn't fully cover the actual cost delivering services.

Summary: The joint Senate and Assembly select committee hearing focused on the challenges facing California nonprofits in 2025 and possible state responses. Opening remarks emphasized the sector’s size and importance, the impact of federal funding disruptions and tax policy changes, and the need for stronger public-private partnerships, especially in disaster response and recovery. Witnesses from community foundations, food banks, Cal OES, long-term recovery groups, CalNonprofits, and nonprofit finance organizations described funding uncertainty, delayed reimbursements, reduced indirect cost coverage, staffing strain, and the effects of climate disasters and immigration-related fear on service delivery. Testimony highlighted several policy ideas, including advance payments for state grants and contracts, prompt payment standards, sustainable indirect cost rates, contract flexibility in emergencies, streamlined registration and reporting, and a possible new Office of Nonprofit Empowerment to serve as a central point of contact and coordination within state government. Speakers also described how nonprofits and VOAD networks support wildfire response and long-term recovery, but noted that recovery groups often lack stable operating funding even when they are recognized as best practice. A food bank leader described federal food aid cuts and disruptions to deliveries, while other witnesses stressed that nonprofits are increasingly forced to use reserves, loans, or service reductions to manage cash flow gaps. Committee members generally expressed support for the sector and asked how the state could better partner with nonprofits during both disasters and budget crises. Several members raised the possibility of incremental steps if full legislative changes are not immediately feasible, and witnesses suggested pilots, better sharing of best practices, and stronger state leadership on payment timelines. Public commenters echoed the need for better contracting practices, support for community-based organizations, and attention to nonprofit worker compensation and protections. No formal votes or committee actions were taken in the hearing, which concluded with adjournment.

Transcript Highlights:

• So what type of services do they get? Mr.
• public defense services be required to contribute or reimburse defense services.
• Connect them to behavioral health and treatment services.
• Pretrial services. The pretrial services aspect of 1425 is covered in Sections 5 and 7.
• And we've got human service so we can talk to them.

Keywords: 908, all

Summary: The committee met to review fiscal aspects of House Bills 1417 and 1425, both part of a broader criminal justice reentry package. HB 1417 would eliminate the $35 public defender application fee and end court-ordered reimbursement of indigent defense costs, while also removing the $55 monthly community supervision fee. Testimony from the Commission on Legal Counsel for Indigents and the Department of Corrections said the bill would replace lost revenue with general fund appropriations of about $310,000 for indigent defense and $1.5 million for supervision fees, and that the fees are rarely collected and can hinder reentry. Representative Clemene said the bill is intended to reduce barriers to successful community reintegration and improve data and supervision practices. HB 1425 would create and fund front-end diversion, deflection, and pretrial services programs. Supporters described it as allowing prosecutors and local jurisdictions to divert appropriate low-level offenders from prosecution, establish deflection programs for people with behavioral health needs, and expand pretrial services. The bill includes a pilot program in three counties, a $1 million appropriation to DOCR for one FTE and contracts with local providers, $750,000 to DHS for treatment services, and $55,000 for a study of pretrial services cost savings. Committee members asked several questions about how the pilot counties would be chosen, how the consultant study would be procured, and what services the DHS funds would cover. The committee also heard House Bill 1603, which would provide a $500,000 matching grant for Native American Graves Protection and Repatriation Act compliance, with $100,000 available to each of North Dakota’s five tribes if matched. Sponsor testimony said the funds would support a Historical Society NAGPRA compliance committee and help catalog and repatriate human remains and cultural items in coordination with tribes. After questions about the federal mandate and the difficulty of identifying artifacts, the committee voted 4-0 to give HB 1603 a do-pass recommendation, with Senator Meyer assigned to carry it forward.

Transcript Highlights:

• 78 service providers as our member providers.
• So right now we have 80 service providers, like Leah's organization.
• And then we provide services all over Arkansas, covering 75 counties.
• And then it says available service for seniors in Arkansas here.
• Well, I guess not children's services, but all these services are available to everybody, including any

Summary: The Arkansas Legislative Autism Task Force approved the April 1, 2026 meeting minutes and then reviewed several vacant membership slots on the task force, including appointments from the Arkansas Psychology Board, Arkansas Blue Cross Blue Shield, UAMS, and parent or guardian positions. Members discussed trying to fill those vacancies before the next meeting, and noted that if they remain open they may be addressed in the task force’s legislative report and through possible statutory changes in the next General Assembly. Representatives from the Developmental Disabilities Provider Association (DDPA) and Civitan Services presented on DDPA’s role serving children and adults with intellectual and developmental disabilities across Arkansas. They said DDPA now represents 80 providers serving more than 13,000 individuals in 75 counties, with services including early intervention, adult day programs, supported employment, intermediate care facilities, work activities, and community/residential waiver services. They also shared survey data on older clients and said these services remain available to seniors with IDD, including people with autism. The task force then heard a proposal to amend Act 656 of 2021 to include licensed psychological practitioners as qualified providers for autism waiver-related evaluations. The presenter argued this would reduce wait times, avoid duplicate assessments, and help families access services sooner, while still maintaining quality standards. Members asked about training, licensure, and whether other professionals such as speech-language pathologists or audiologists should be included; Dr. Scott noted that current practice already relies on a two-provider model and that speech-language pathologists play a role because autism diagnosis considers communication, cognitive ability, and language. The discussion also touched on the need for proper testing standards and board oversight. No vote was taken on the amendment, and the meeting ended with plans to return to fraud-related discussion and to begin prioritizing recommendations for the 2027 session before adjourning.

Transcript Highlights:

• >> The Human Services subcommittee will come to order.
• Customer service has to start with me. And of customer service starts with me.
• That simple but comprehensive to lay out what the services are and how you go about obtaining those services
• But there is a way this is a way to get services where you may not be able to get services and you can
• We're getting services in the managed care.

Transcript Highlights:

• Hi, welcome services in the Senate.
• Um so I will skip of Human Services.
• place a cap on IHS uh training services. place a cap on IHS uh training services.
• FRS, CRS, and ICS services.
• other human services human services other human services bucket<00:59:43.760> with<00:59:44.799

Keywords: 1187, senate, all

Transcript Highlights:

• including county eligibility and other services affected by H.R. 1.
• You get legal protection services.
• of crime, and also for rehabilitative services.
• This way it maximizes the connection to Medi-Cal and health services. Emergency Medi-Cal services.
• the $5 million to Chispa for their legal services operations.

Keywords: 988, house, all

Summary: The Assembly Budget Committee met to consider the 2026 Budget Act, which leaders described as the compromise budget expected to move to the floor later that evening. Opening remarks emphasized that the plan balances the budget over two years, reduces the structural deficit, and builds reserves, while also protecting core programs from federal cuts. Jason Sisney outlined the legislative budget plan, saying it uses higher-than-expected revenues and reserve balances to reject some proposed reductions and fund temporary restorations and new spending in areas such as education, child care, health care, housing, homelessness, and public safety. Department of Finance representatives said the administration appreciated the two-year balanced framework and the effort to address out-year deficits, while noting the plan includes additional spending and revenue changes. Sisney also previewed floor bills including AB 109, SB 110, SB 122, and SB 125, with SB 122 described as a modification to the tax credit proposal and SB 125 as the managed care organization tax proposal. Subcommittee chairs then described the major policy choices in their areas. Health chair Addis said the budget responds to federal health care rollbacks by protecting Medi-Cal, clinics, hospitals, dental care, and other safety-net services, while also supporting reproductive care, gender-affirming care, and county health systems. Education chair Alvarez highlighted increased school funding, expanded learning, special education, teacher support, community colleges, and a change to Cal Grant eligibility for older community college students. Other chairs emphasized child care expansions, homelessness and housing funding, prison closure and criminal justice savings, wildfire mitigation, county support for Medi-Cal and CalFresh administration, and accountability measures tied to homelessness and corrections spending. Several members also raised concerns or priorities, including the impact of the MCO tax on providers, the need for more support for local journalism, transit and climate funding, biotech and R&D incentives, and continued work on Prop 98 and long-term revenue solutions. No formal votes were taken in the portion provided, but members broadly expressed support for the budget framework and the need to continue negotiations with the administration before final passage. The committee discussion repeatedly framed the budget as a response to federal policy changes and a choice to protect vulnerable Californians while maintaining fiscal responsibility. The vice chair, citing LAO warnings about future volatility and limited reserves, pressed Finance on whether the budget represented a record-sized state budget and whether revenues were also at record levels, underscoring concerns about the state’s preparedness for a downturn.

Transcript Highlights:

• This can be a transfer from personal services and employee benefits into contractual services, or contractual
• services vice versa.
• And so personal care services in Medicaid are long-term services and supports benefit intended to help
• And so personal care services and Medicaid are long-term services and supports benefit intended to help
• PCS services. Yeah, okay.

Keywords: 996, all

Transcript Highlights:

• being services results in services being services results in services being provided.<00:07:39.759
• controlling of services and rent costs. controlling of services and rent costs.
• Um, it's not a mandated service.
• Uh, welcome back to human services<00:54:12.640> and services and services and >> so<00:
• <01:45:16.159> I services. So, I'm not entirely sure. I services.

Keywords: 1187, senate, all

Transcript Highlights:

• <00:09:56.320> in a hospital ER and medical services in a hospital ER and medical services
• Our mission is to advance equity by addressing the lack of social service services in our communities
• Your support of our GIA request... services to our state holders these services to our state holders
• not present the alcohol rehab Services not present the alcohol rehab Services of of of Hawaii<01
• The first is our shelter services.

Keywords: 912, senate, all

Summary: The joint Ways and Means and Finance informational briefing on grants and aids was held February 14 and was organized as a high-volume public testimony session with strict procedures: no Q&A, one representative per applicant, one minute per testimony, in-person testimony first, and then Zoom participants. The chairs also announced a recess at 11:00 a.m. for floor sessions and a reconvening at 1:00 p.m. Testimony was heard first from neighbor island applicants, then Oʻahu applicants, with members repeatedly directing speakers to line up and keep remarks brief. Neighbor island testimony focused on a wide range of capital and operating requests. Health and community projects included Hawaii Island Community Health Center’s workforce housing in Kau, Wuli Hawaiian Homestead Association’s learning center and predevelopment work, Rescue Tube Foundation’s beach rescue tube expansion, Puna Community Medical Center’s planned hospital/ER campus, Maui Humane Society’s free veterinary care after the wildfires, Hawaiʻi Care Choices’ palliative care readiness, and the Lyman Museum’s HVAC replacement. Other requests included the Maui Advanced Manufacturing Alliance’s Pāʻia Mill redevelopment, Laua 2020’s preschool and learning lab, Mālama Aina’s USDA-compliant meat processing facility, the Hawaiian Lifeguard Association’s water safety programs, Kaha P Organization’s agriculture education support, Ohana Arts’ youth performance project, Friends of the Children’s Justice Center’s emergency closet, EOA Pacific’s Marshall Islands teacher training, and the Central Pacific Youth Athletic Club’s new facility. Oʻahu testimony included the YWCA Oʻahu/Pythink Center’s renovation of Juliet M. Atherton Hall and its community kitchen, West Oʻahu Community Health Center’s wildfire protection and security needs, the Early School’s playground improvements, Surfing the Nations’ food distribution center expansion, and Sounding Joy Music Therapy’s weekly services for people with disabilities. Speakers generally emphasized community benefit, workforce development, health access, food security, disaster recovery, and support for children, seniors, and underserved populations. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• attorney or one firm rendering services. attorney or one firm rendering services.
• personal services contract green list. personal services contract green list.
• administrative service. administrative service.
• Based Services. Based Services. >> Okay. >> Okay. >> Okay.
• Administrative Services. Administrative Services.

Keywords: 958, all

Summary: The committee first approved the September 19 meeting minutes and then took up a deferred University of Kentucky personal services contract amendment for guardianship services. UK officials explained that the contract covers court-appointed guardians for patients who cannot make medical decisions and are not eligible for state guardianship, with the work funded by UK Medical Center agency dollars rather than the general fund. Members questioned the large increase in the not-to-exceed amount, the number of cases, the hourly billing structure, and whether there are safeguards to prevent unnecessary costs or reimbursement issues if a patient later has resources. UK said the increase reflects shifting work from a prior firm, anticipated new cases, a move from a monthly fee to hourly billing, and the need for a second firm because one prior attorney died and another firm has had difficulty appearing in court promptly. The committee ultimately approved the contract, while Senator Thomas said he would vote aye but urged future review of attorney fee limits and broader guardianship statutes, which he described as outdated and inconsistent. The committee then deferred three Office of Energy Policy memorandum of agreement items to the November 2025 meeting without objection. After that, it approved the remaining agenda items, including the contract lists and deferred items not separately selected for review. The final major item was a University of Kentucky personal services contract related to fundraising and philanthropic outreach. UK representatives said the contract supports marketing and donor engagement efforts to grow the university’s endowment pipeline and philanthropic support. The transcript cuts off before the committee finished its questions or took final action on that item.

Transcript Highlights:

• I also want to thank military service.
• I have five VA accreditations. through county veteran service officers through county veteran service
• Earlier veteran service organizations.
• requiring fees and providing a service requiring fees and providing a service that<00:19:41.120>
• I'm a retired Marine Service Officers.

Keywords: 1183, house

Transcript Highlights:

• um withdraw their request for services. um withdraw their request for services.
• services in quarter 2.
• Out of those 42, 30 individuals started services and 12 did not start services in quarter 2.
• or enhanced services.
• The fifth bullet health services.

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:

• Number 2 specific services are provided by the program.
• But we also have parents services and then those parents services.
• There's also provide consultations, technical assistance, pre service in-service training for families
• that those services are not being diminished in with the services that would be provide in in the panhandle
• These services will provide the services to families.

Keywords: 999, senate, all