Transcript Highlights:

• and I'm not up on those details like off the top of my head, but we do have co-pays for physician visits
• I'm not up on those details like off the top of my head, but we do have co-pays for physician visits

Keywords: 928, house, all

Summary: The Department of Administrative Services presented an overview of its budget and operations, emphasizing that it is the lowest-spending agency in state government and that its general fund allocation has declined since 2019. Commissioner Arling House explained that DAS also handles back-office functions for several administratively attached boards, which has affected staffing and spending comparisons. He said the department’s current general fund spending is roughly split between retiree health and other operations, and that the presentation was based on adjusted authorized spending rather than the original budget figures. A major portion of the meeting focused on retiree health benefits and the long-term effort to control costs. Deputy Commissioner Cassie Keane described how the state moved from a projected deficit in retiree health to savings through a series of changes, including higher premium contributions, co-pay adjustments, and shifting Medicare retirees into Medicare Advantage arrangements to capture federal reimbursement. She said the state has about 12,500 retirees and spouses on the plan, with roughly 10,906 Medicare retirees and 1,580 non-Medicare retirees, and that the savings have depended heavily on federal funding and procurement decisions. She also noted that Medicare retirees pay Part B premiums and that the state has grandfathered older retirees from some premium contributions. Members asked about what the expenditures cover, why the state offers retiree health instead of simply giving retirees a payment to buy coverage themselves, and whether out-of-pocket costs changed under Medicare Advantage. Keane said the plan covers actual health claims or insurance premiums, that co-pays and maximum out-of-pocket limits remain in place, and that the state has no authority to change benefit details without legislative action. She explained that retiree health is a long-standing employee benefit that wraps around Medicare and is not collectively bargained in the usual sense, though its eligibility rules and cost-sharing have been tightened over time to better target the benefit to long-term state service. The discussion also covered vendor performance problems. Keane said Anthem recently won the contract back from Aetna, but its pharmacy subsidiary, Caroline, caused serious service disruptions. DAS responded by withholding payments, assessing more than $2 million in performance guarantees, and hiring a third-party auditor to review the pharmacy processes. The current contract runs through the end of calendar year 2026, and officials said they are watching federal Medicare Advantage reimbursement changes closely because future savings are uncertain.

Transcript Highlights:

• Well, if a teacher gives detention, guess who has to supervise the kid? The same teacher.
• So I doubt if public schools can do that, but we have to impose it from the supervision of the... they
• guess<04:32:33.600> who<04:32:33.840> has<04:32:34.000> to<04:32:34.239> supervise
• attention, guess who has to supervise attention, guess who has to supervise the<04:32:35.319>
• <04:34:08.561> of<04:34:08.719> the From the supervision of the whole SAU.

Keywords: 928, house, all

Summary: The committee first heard Senate Bill 102, which would make informational materials about type 1 diabetes available on the Department of Education website. Senator Ward said the bill is intended to help parents, teachers, and school staff recognize early symptoms such as thirst, frequent urination, fatigue, and weight loss so children can be referred for care before they develop diabetic ketoacidosis. He noted that a newer blood test can identify some children at risk earlier than in the past. Members asked how people would be directed to the website, and Ward said the information would be posted online and also distributed in handouts, with school personnel helping spread awareness. He emphasized the bill is informational only and not a diagnostic or treatment tool. Several supporters testified in favor, including representatives from the Dartmouth Diabetes Link and students with type 1 diabetes who described delayed diagnoses, emergency hospitalizations, and the difficulty of having symptoms misunderstood as stress, athletics, or normal teenage changes. They said the bill could help parents, teachers, and peers recognize warning signs earlier and reduce the risk of life-threatening ketoacidosis. One witness noted that New Hampshire ranks high in childhood type 1 diabetes, and another said even a single person seeing the information could make a difference. A retired diabetes educator and state representative also testified in support. The hearing on SB 102 was then closed. The committee then opened the hearing on Senate Bill 211, which would require school sports teams to be designated as male, female, or co-ed, bar biological males from female-designated teams and locker rooms, and create a cause of action for violations. Senator Avard said the bill responds to constituent concerns and is meant to protect fairness, safety, and privacy for biological females. In questioning, he said girls could still play on boys’ teams, but boys could not play on girls’ teams, and he said he would be open to changes. Opponents, including an attorney from LGBTQ Legal Advocates and Defenders, argued the bill is substantially the same as a law passed the previous year that was already challenged in federal court and found likely unconstitutional under equal protection and Title IX; they urged the committee to mark it inexpedient to legislate. The transcript cuts off before any committee vote or further action on SB 211.

Transcript Highlights:

• It rotates between the provider visit, the MAC care coordinator, and then the LCSW, so we rotate them
• people that work for them, and not just the people that commit the unlawful act, but those that supervise

Summary: The meeting focused on Missouri’s substance use prevention and treatment system, with repeated emphasis on recovery support services, peer support, recovery housing, transportation, and harm reduction. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he urged greater investment in recovery housing, peer support, employment, and community-based supports that help people stay sober and avoid relapse. Members asked about funding sources, program capacity, referrals, treatment court, transportation, and how Into Action supports people on medication-assisted treatment (MAT). Haniken said the organization is funded through a mix of federal, state, county, city, foundation, and private donations, and that housing and transportation remain major barriers, especially because support is often funded for too short a period compared with the longer time people need to stabilize. Matt Cushman of the Raytown Fire Protection District gave a strong endorsement of harm reduction, including naloxone distribution, syringe service programs, and broader decriminalization of harm reduction tools. He argued that stigma is a major barrier to care and that Missouri should expand access to clean needles, test strips, and other services, while also improving access to MAT in jails and communities. Committee members questioned the evidence base, the role of faith-based providers, and whether safe consumption sites should be pursued; Cushman said syringe exchange decriminalization should be the immediate priority, while safe consumption sites are a longer-term issue. He also described community paramedicine and mobile integrated health as valuable but funding-dependent, and said naloxone distribution is improving but still uneven, especially in rural and minority communities. Representatives from Central Ozarks Medical Center and Four Rivers Community Health Center highlighted the importance of peer support specialists, community health workers, care coordinators, and wraparound services in rural health centers. COMC’s Morgan McClure and Monet Lehman described a jail reentry program in Pulaski County, with Lehman sharing her trauma and recovery story and explaining how she helps incarcerated people prepare for release with housing, employment, benefits, transportation, and treatment connections. Four Rivers’ Devon Polarys and Cassandra Trout said their CEO would change Missouri policy to allow FQHCs to receive reimbursement for peer support and community health worker services similar to CCBHCs, arguing that these roles are essential for addressing barriers like transportation, housing, food insecurity, and insurance. Members discussed confusion over reimbursement rules, the differences between FQHCs and CCBHCs, and the need for better funding and clearer policy for peer and community health worker services. No votes were taken; the discussion ended with a suggestion to bring in a subject matter expert on community health workers for a future session.

Transcript Highlights:

• subject to explicit statutory safeguards, no parallel provision expressly requires similar court supervision
• Public Health to study the real health impacts and costs of wildfire smoke since 2018: emergency room visits

Keywords: 987, senate, all

Transcript Highlights:

• That's what parent supervision tools do.
• insurance covered none of it, not the medications, not the blood work, and not even the doctor's visits

Bills: AB52, AB76, AB163, AB388, AB483

Keywords: health insurance, claims process, insurance regulation, admin penalties, healthcare access, cannabis, cannabis establishment, medical cannabis, adult-use cannabis, advertising regulations, packaging requirements, unlicensed cannabis activities, state prosecution, confidentiality, Cannabis Compliance Board, disciplinary proceedings, mental health, counseling, interstate practice, telehealth

Transcript Highlights:

• the remote supervision how do you see the superintendent<01:32:11.400> having<01:32:11.679>
• <01:58:29.280> and<01:58:29.480> evaluation recruitment supervision and evaluation
• recruitment supervision and evaluation of<01:58:30.280> Staff<01:58:31.079> Development
• My job is to travel all over the place in New Hampshire, and I visit roughly 50 churches from C Brook
• My job is to travel all over the place in New Hampshire, and I visit roughly 50 churches from C Brook

Keywords: 928, house, all

Summary: The committee began by announcing that afternoon hearings, including House Bill 283, would be moved to Representatives Hall because of expected public interest. It then took up House Bill 671, which would establish a kindergarten literacy readiness program. The bill’s sponsor, Rep. Mark Pearson, described the measure as a way to close gaps in early reading readiness and said it was intended as a first step, with only a placeholder appropriation while details are developed. He framed it as a targeted effort to help children who are not entering first grade ready to read. Testimony on HB 671 was largely supportive. Representatives asked about the bill’s structure, whether a specific program had been identified, how it would interact with play-based learning, and why the provider was limited to a registered nonprofit. Waterford.org representatives Teresa Rosenberger and Rob Riley testified in support, describing Waterford Upstart as a home-based, evidence-based early learning program already used in New Hampshire. They said the program provides adaptive instruction, family coaching, and technology support, including computers, tablets, internet access, and translation services in more than 100 languages. They also said the model has been successful in New Hampshire, including a Nashua pilot and later statewide efforts, and that similar legislation has existed in other states. Rep. Jonah Wheeler also spoke in support of the bill. The chair then closed the hearing on HB 671. After a fiscal note for HB 671 was distributed, the committee moved to House Bill 781, which would require school districts to adopt policies for a cell phone-free education and includes an appropriation. The transcript cuts off as Rep. Litchfield was introduced to testify on that bill, so no testimony, debate, or vote on HB 781 is included in the excerpt.

Transcript Highlights:

• We feel that we are the destination that people are coming to when they're visiting New Hampshire.
• Our day-use visitation is another area, the next area, where we're hoping to tackle it.
• Our day-use visitation is another area, the next area, where we're hoping to tackle it.
• Our day-use visitation is another area, the next area, where we're hoping to tackle it.
• <05:09:08.080> and out but you could perhaps go visit and out but you could perhaps go visit

Keywords: 928, house, all

Summary: New Hampshire Housing Finance Authority officials, led by Executive Director Rob Dapice, briefed legislators on the agency’s structure and funding. They explained that the authority is created by state law but is not a state agency, its debt is not state debt, and it is governed by a board appointed by the governor and approved by the Executive Council. The discussion focused on the Affordable Housing Fund and the lead paint hazard remediation fund, including how state appropriations and federal resources are combined to finance affordable rental housing and lead abatement work. Dapice said the Affordable Housing Fund is used as gap financing for multifamily affordable housing projects, typically alongside federal tax credits and tax-exempt bonds, and that state dollars leverage roughly 2:1 to 10:1 in additional federal and private investment, averaging about 4:1. He said the fund has received historic appropriations in recent budgets, including $30 million over the last two biennial budgets and an annual $5 million set-aside from the real estate transfer tax. He also said the fund is usually structured as 0% interest, deferred loans rather than grants, with repayments returning to the fund if projects generate cash flow. Members asked about rents, oversight, staffing, revenues, and whether the programs had added positions. Dapice said affordability restrictions generally last 30 to 99 years, rents are tied to income limits and capped so tenants pay no more than 30% of income, and compliance staff inspect properties regularly to verify income eligibility and rent limits. He said the organization has about 130 to 135 employees, down from about 145, with no new positions added because of the appropriations. He estimated total revenues at roughly $300 million, with administrative budget around $22 million, much of it pass-through grant money. On lead paint remediation, he said the state first appropriated $6 million in 2019, plus $1 million in ARPA funds, and that the program has cleared more than 500 units. He said the federal grant program is not annual or predictable, with a recent award of about $7.75 million, and that the maximum federal grant per unit is $177,000, typically paired with up to $100,000 in state loan support. He also noted that the program can address homes before a child is poisoned if lead hazards are identified, but that cases involving an already exposed child are a higher priority. No votes or formal actions were taken.

Transcript Highlights:

• transfer their firearms to a third party, they do now need to do that at a law enforcement agency supervised
• need to do that at a law enforcement need to do that at a law enforcement agency<01:10:07.720> supervised
• by<01:10:08.400> an<01:10:08.560> officer<01:10:09.400> officer agency supervised
• by an officer officer agency supervised by an officer officer or<01:10:10.560> under<01:10:11.320
• whether they are offering money and whether the prize could be something like a big stuffed animal or a visit

Keywords: 1187, senate, all

Transcript Highlights:

• like the Public Utilities Commission, an independent institution that successfully regulates and supervises
• the state's public utilities since at least 1911, to no longer have a role in the supervision of the
• conduct inspections<05:06:31.040> and<05:06:31.400> investigations<05:06:32.400> supervise
• inspections and investigations supervise inspections and investigations supervise the<05:06:33.080
• <05:23:04.080> the that we would be supervising the that we would be supervising the attorneys

Keywords: 1189, house, all

Transcript Highlights:

• on here, Janelle Smith, who is in charge of our internal accounting service centers, and she is supervising
• Early childhood does go out and do an annual on-site, two on-site visits a year to each of the licensed
• applications from 50 communities requesting $153.2 million in proposals aimed at making North Dakota a must-visit
• applications from 50 communities requesting 153.2 million in proposals aimed at making North Dakota must-visit

Keywords: 908, all

Transcript Highlights:

• So I'd like to visit with your office about that.
• I appreciate the opportunity to visit and thank you for inviting me last year.
• It's an honor to get to visit with this committee.
• Student visits to her library nearly doubled in the first three weeks alone.
• I encourage you to visit the schools that are closing. Talk to the teachers who are being laid off.

Keywords: 1184, house, all

Transcript Highlights:

• contrast, our member psychologists have completed a doctoral degree, completed over 3,000 hours of supervised
• Now being used to threaten nuisance litigation and damages that can exceed over $5,000 per site visit
• time a third-party ad tech tool on LATimes.com collected one of the almost million IP addresses that visit
• there's liability and then stacking penalties, $5,000 for every user, for every person, you know, visit
• So what happens is I get served ads for the best vegan restaurants in a city that I’m visiting.

Keywords: 988, house, all

Transcript Highlights:

• This is a bill that we heard, and it's relative to supervision and registration requirements for associates
• You should all come and visit. They're delicious.
• You should all come and<00:40:56.160> visit.
• <00:40:58.160> Um,<00:40:58.480> and and visit. They're delicious.
• Um, and and visit. They're delicious.

Keywords: 1191, senate, all

Transcript Highlights:

• :04:17.680> we<00:04:17.840> need<00:04:18.040> to It has clear field trip supervision
• 00:04:38.400> clear<00:04:39.200> field<00:04:39.480> trip<00:04:39.720> supervision
• It has clear field trip supervision It has clear field trip supervision rules,<00:04:40.840>

Bills: HF3489, HF3393, HF3785, SF856, HF4006, HF4615, HF3919, HF4591, HF3682, HF4240

Keywords: grooming, child protection, student safety, sexual exploitation, educator licensing, teacher discipline, mandatory reporting, mandated reporter training, school misconduct, predatory offender, child abuse, sexual abuse, sex trafficking, child sexual abuse material, child pornography, position of authority, school employee, school administrator, license revocation, license suspension

Transcript Highlights:

• It is important to provide immediate intensive supervision while also simultaneously drafting the long-term
• intensives It is impossible to provide immediate<00:18:58.880> intensive<00:18:59.440> supervision
• <00:19:00.480> while immediate intensive supervision while immediate intensive supervision

Bills: HF3493, HF4114

Keywords: safe schools, charter schools, nonpublic schools, Tribal education, funding increase, special education, funding, education finance, appropriations, budget, cross subsidy

Transcript Highlights:

• He supervises this program.
• He supervises<01:25:04.080> this<01:25:04.320> program.
• <01:25:05.199> He<01:25:05.440> was<01:25:05.520> not supervises this program
• He was not supervises this program.

Bills: HF2103, HF4508

Keywords: energy, renewable energy, ammonia, hydrogen, certificate tracking, funding, environment, elk, cervidae, cervid importation, chronic wasting disease, CWD, animal health, livestock, wildlife disease, Minnesota Department of Natural Resources, state veterinarian, zoo, Association of Zoos and Aquariums, AZA

Transcript Highlights:

• And at all times, of course, the member must be responsible for the supervision of the member's child
• And at all times, of course, the member must be responsible for the supervision of the member's child
• Senator Boldon. must be responsible for the supervision must be responsible for the supervision of<00

Keywords: 918, senate, all

Summary: The Senate convened under call, established a quorum, and received routine executive communications and House messages, including the House’s passage of Senate File 3623 on school bus stopping requirements and transmittal of House Files 3241, 3731, 3741, and 3802. The chamber also adopted committee reports and gave second readings to several Senate files and House File 3379, while referring Senate File 4854 to the Capital Investments Committee and Senate Resolution 68 to Rules and Administration. The main floor action involved a series of motions to re-refer bills to different committees. The Senate adopted motions to move Senate File 1671 from Judiciary and Public Safety to Housing and Homelessness Prevention, Senate File 2373 from Finance to Labor, Senate File 4452 from Capital Investment to Human Services, Senate File 4580 from Human Services to State and Local Government, Senate File 4589 from Judiciary and Public Safety to Higher Education, Senate File 4630 from Education Policy to Education Finance, and Senate File 4662 from Capital Investment to State and Local Government. The chamber also adopted a motion to give House File 3378 a second reading and place it on general orders after a roll call vote of 46-21. The Senate then took up Senate Resolution 69, which would amend the temporary rules to allow certain accommodations for members who are new parents. Senators Murphy and Coleman spoke in support, arguing the rules should better reflect modern family life and make the chamber more welcoming to parents, especially mothers. Senator Nelson offered the A4 amendment to allow caucus leaders to permit a member’s child under age one on the floor, with the member responsible for supervision and the child exempt from Rule 17.6. Opponents, including Senator Boldon, argued the age limit was too restrictive and that parents should have more flexibility. After roll call, the Nelson A4 amendment failed 32-35, and the resolution remained pending with additional amendments possible.

Transcript Highlights:

• in the know, do do a sort of a working in the field<01:36:26.080> under<01:36:26.480> supervision
• <01:36:27.120> for<01:36:27.360> a<01:36:27.600> little field under supervision
• for a little field under supervision for a little while,<01:36:27.920> but<01:36:28.239> here
• So, um, it allows them to essentially start practicing under supervision without having done the, um,

Bills: HF4438, HF4467, HF4379, SF3402, HF4349, HF4064, HF84, HF85, HF3804

Keywords: healthcare, WIC, community health, licensing, speech-language pathology, audiology, contract term limits, healthcare services, provider enrollment, disenrollment, premium payments, medical assistance, substance use disorders, mental health, children's mental health, early childhood, early intervention, consultation grants, Head Start, child care

Transcript Highlights:

• I'm in charge of Hawaii medical board and I'm a supervising EO.
• board<00:20:47.760> and<00:20:47.919> I'm<00:20:48.159> a<00:20:48.320> supervising
• medical board and I'm a supervising EO. medical board and I'm a supervising EO.

Keywords: 912, senate, all

Summary: The committee heard testimony on several health-related measures, with most of the discussion focused on bills addressing tobacco/vape enforcement, psychology licensure, hospital price transparency, prior authorization, and medical cannabis. The chair opened by explaining the one-minute testimony limit and that written testimony had been reviewed. For SB 2175 on disposable electronic smoking devices, the Department of Health said the bill’s placement in litter-control law was not a good fit because disposable e-cigarettes contain hazardous materials like lithium and nicotine, but it supported the intent and pointed to a related measure. Public health and tobacco-control advocates strongly supported the bill, citing youth use, toxic waste, battery fires, and the need to tighten definitions and remove exemptions; a long list of organizations and individuals were noted in support, with no opposition mentioned. For SB 2410, which would create a state directory and enforcement tools for authorized e-cigarette products, the Attorney General’s office strongly supported the measure and said it would help enforce the FDA-authorized list of products through certification, inspections, and civil penalties. The Department of Health said thousands of illegal products remain on the market and cited youth usage rates, while public health groups also supported the bill. One tobacco industry-related witness was noted in opposition. SB 2080, the psychology interjurisdictional compact, drew support from the Department of Corrections, which said it had severe staffing shortages and that the compact would help fill gaps, especially for forensic psychology and neighbor island facilities. Some committee members raised concerns about whether the compact would loosen licensure standards and reduce licensing revenue, and the Board of Psychology was said to be meeting and had not taken a formal position; testimony also noted the need for resources if the compact were adopted. The committee also heard SB 2276 on surgical assistance, with DCCA in opposition and a supporter from the field, but little discussion followed. SB 2277 on hospital price transparency drew support from consumer and patient advocates, who argued that clearer pricing would reduce medical debt and help patients shop for care; DCCA and the Department of Health offered comments, with the department suggesting an alternative enforcement model using outside review entities and noting that implementation would require significant staffing and funding. The Healthcare Association of Hawaii opposed the bill, saying federal transparency rules already cover the issue and state law could create duplication. SB 2282 on prior authorization received comments from insurers and providers; HMSA asked that the bill be set aside pending the report of the prior authorization working group created by Act 151, while the Hawaii Medical Association said prior authorization is a major burden but deferred to regulators on resources. Finally, SB 2413 on medical cannabis was supported by the Office of Medical Cannabis and others, who said the bill would close a patient-access gap by allowing viable seed sales; one witness suggested clarifying jurisdictional language and allowing dispensaries to sell seeds to each other. The committee then began SB 2425 on health insurance, where an addiction treatment provider testified that insurers’ refusal to honor assignment-of-benefits payments can delay reimbursement and create relapse risk for patients, but the transcript cuts off before further action on that bill.

Transcript Highlights:

• health center or rural health clinic and provided by mental health professionals under the clinical supervision
• health professionals under<00:23:58.400> the<00:23:58.559> clinical<00:23:59.039> supervision
• <00:23:59.679> of<00:23:59.919> a under the clinical supervision of a under the clinical
• supervision of a licensed<00:24:00.640> mental<00:24:00.960> health<00:24:01.200> professional

Bills: HB2488, HB2456

Keywords: disability, communication access, deaf, hard-of-hearing, deaf-blind, healthcare, sign language interpreters, auxiliary aids, weight loss, GLP-1 drugs, obesity, Medicaid, healthcare costs, 910, house, all

Summary: The committee heard testimony on HP 1972, which would create a nonrefundable family caregiver tax credit, and on a related tax measure to increase the existing dependent care tax credit. Supporters of HP 1972, including AARP, the Executive Office on Aging, the Hawaii Public Health Institute, Hawaii Children’s Action Network, and others, said unpaid caregivers are essential to keeping kūpuna and other loved ones at home and described significant out-of-pocket costs. The Department of Taxation and the Tax Foundation raised technical concerns, including the need to avoid overlap with existing credits and to prevent double-dipping. The department said taxpayers can claim credits to the extent allowed, but recommended explicit language barring the same costs from being claimed under more than one credit. No vote was taken in the excerpt, and the chair moved the bill along after questions. The committee then heard HP 1975, which would repeal the sunset on the state rent supplement program for kūpuna. AARP, Catholic Charities Hawaii, the Executive Office on Aging, and others supported making the program permanent, saying it helps low-income older adults avoid eviction and homelessness and allows them to remain in affordable housing. Catholic Charities described clients who were paying unsustainable shares of income for rent before receiving the supplement. Members also shared a constituent example of an elderly retiree who needed the subsidy to stay housed. Written support was noted from additional organizations and individuals. Next, the committee took up HB 1706, which would expand Medicaid prospective payment reimbursement to include mental health services furnished in federally qualified health centers and rural health clinics by mental health professionals under supervision. The Office of Hawaiian Affairs supported the bill, and DHS said it appreciated the intent to address workforce shortages and expand training, but cautioned that unlicensed professionals cannot currently bill Medicaid and that a state plan amendment would be needed, with limited precedent for approval. Members asked about the likelihood and timing of federal approval and whether the bill could help rural areas; DHS said approval is uncertain and the process can take time, though it saw possible alignment with the state’s rural health transformation efforts. The committee also discussed HB 546, a three-year health coverage continuity pilot program for people losing Medicaid coverage. DHS, the Attorney General’s office, DCCA, Catholic Charities, the University of Hawaii, and others testified, with DHS warning that federal changes could increase uninsured rates and that the state may need to act quickly. Catholic Charities and others emphasized the risk to Medicaid recipients, including homeless and near-elderly residents, while DHS explained the state’s existing premium assistance program for certain immigrants and compared it to the proposed pilot. The excerpt ends during discussion of that comparison, with no vote shown.