Transcript Highlights:

• um the council for developmental um the council for developmental disabilities<00:32:21.200>
• <00:33:33.279> disabilities developmental disabilities developmental disabilities Council<00:33
• intellectual and developmental intellectual and developmental disabilities<00:33:42.919> in
• very specifically uh developmental very specifically uh developmental disabilities<00:34:47.760>
• <00:38:47.240> disabilities related to developmental disabilities related to developmental

Keywords: 928, house, all

Summary: The committee first heard from the Personnel Appeals Board, which explained that it became an independent state agency after Senate Bill 487 and was presenting its first standalone operating budget. The board described its quasi-judicial role in hearing appeals from classified state employees over disciplinary actions such as warnings, suspensions, and terminations, and said it handles about 25 to 35 cases a year, with some cases lasting longer because of their complexity. Members also outlined the need for a chair and vice chair who are attorneys, the board’s current staffing and space needs, and its plan to move away from reliance on Administrative Services for office support and website functions. The board requested about $353,500 for fiscal year 2026, including startup costs, routine operating expenses, and two new part-time positions: a program director and a paralegal. Members said the budget reflects the new independent status, includes funding for only four board members rather than the authorized five, and is designed to avoid full-time staffing costs and benefits. Legislators asked about the cost per case, the board’s relationship to DAS, whether appeals must go through the board before court, and how often cases are appealed further. The board said appeals must first go through it, that court appeals are infrequent but have increased recently, and that the board’s process is intended to resolve disputes more quickly and less expensively than court litigation. Committee members also asked about the board’s caseload, outcomes, and staffing. The board said that in the prior year there were 22 cases, with four decisions overturned in favor of employees, nine dismissals, and nine settlements, and that many disputes are resolved before reaching the board through a multi-step internal process. A member noted the governor and council had recently approved a new board member and were expected to approve a fifth soon. The discussion ended with questions about the board’s website and records access, which members said would need to be moved from Administrative Services as part of the agency’s transition. The committee then moved to the New Hampshire Council on Developmental Disabilities. The executive director explained that the council is 100 percent federally funded under the Developmental Disabilities Assistance and Bill of Rights Act and develops a five-year plan to address the needs of people with intellectual and developmental disabilities. She said the council works with state agencies and advocacy organizations on quality-of-life issues, accessibility, voter rights training, and plain-language or easy-to-read materials, and that 60 percent of its membership must be individuals with disabilities or family members/guardians. She also described the council’s funding structure, including reimbursement to the state for operating costs, and noted that it currently has three full-time and three part-time positions, with no new positions requested but one full-time position being eliminated and replaced after a pandemic-era staffing change did not work out as planned.

Transcript Highlights:

• Ryan Lee, medical director of the Developmental Disabilities Division, and I'm also the acting administrator
• for the Developmental Disabilities Division, Department of Health.
• director of the um developmental director of the um developmental disabilities<01:28:48.239>
• acting administrator for developmental disabilities<01:28:51.840> division<01:28:52.239> department
• <01:28:52.560> of disabilities division department of disabilities division department of

Bills: SB2175, SB2410, SB2080, SB2276, SB2277, SB2282, SB2413, SB2425, SB2491, HB2315, HB2562, HB1532, HB1857, HB2209, HB1961, HB2343, HB2160, HB2505, HB1537, HB1562, HB1731, HB1853, HB1973, HB1974

Keywords: environmental protection, waste management, disposable electronic smoking devices, plastic pollution, lithium-ion batteries, public health, electronic smoking devices, e-liquids, certification, FDA compliance, penalties, directory, mental health, telepsychology, interjurisdictional compact, psychology regulation, LGBTQ+ youth, access to care, professional licensing, surgical assistant

Summary: The committee opened a hearing on multiple health-related bills and first took up HB 2315, which would create a Department of Health pilot program allowing eligible employees to defer unused vacation leave in exchange for a payout to help with home purchase assistance. The Department of Health testified in support, saying the proposal could aid recruitment and retention, and United Public Workers also supported it as a creative, cost-effective benefit that could help employees become first-time homebuyers. The chair likewise praised the department’s effort, and there were no questions or opposition before the committee moved on. The committee then heard HB 2562 on workplace violence in health care settings. The Department of Health said it preferred requiring licensed hospitals to adopt workplace-violence prevention policies and public reporting rather than creating a new state program. The Department of Labor and Industrial Relations said it appreciated the intent and explained that, absent a specific standard, enforcement would rely on OSHA’s general duty clause, guidance, and inspections. Nurses and the Hawaii Nurses Association gave emotional testimony describing harassment, threats, doxxing, and fears for patient and worker safety, arguing that existing processes were too slow and that hospitals needed immediate, enforceable requirements. The committee discussed current hospital alarm systems and OSHA enforcement, and Labor said it does inspect hospitals and can receive complaints from employees. HB 1532, concerning importation of large cigars and pipe tobacco, was announced as deferred at the request of the bill’s author so it could be refined with proponents and the Attorney General. The committee also discussed HB 1857, a very large measure redefining qualified health care provider and making extensive changes to health care law; the chair said the House would likely pass it without substantive changes and instead defer the effective date while using the Senate companion bill as the vehicle. Testimony on HB 1857 was generally supportive, including from the Hawaii Association of Nurse Anesthesiology and a certified genetic counselor, though both referenced proposed amendments. Finally, the committee heard HB 2209, which would require insurers to honor a patient’s written assignment of benefits to a substance use disorder treatment provider. The Insurance Division and HMSA opposed the bill as drafted, arguing it would create a special class of providers, raise fraud and litigation concerns, and potentially increase premiums. Treatment providers and advocates strongly supported the measure, saying insurers often refuse direct payment even when patients assign benefits, forcing families to front large sums and delaying access to residential treatment; they argued the bill would improve access and help keep care in Hawaii. A psychiatrist testified that he had not seen fraud in Hawaii and that the bill could help address long wait times for life-saving treatment. The committee also received written support from multiple individuals and organizations, and members began asking questions about HMSA’s network size and wait times, with follow-up information requested."}】【。final json to=commentary 天天中彩票出票 to=commentary code 彩神争霸邀请码 to=commentary 彩票平台招商 to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary

Transcript Highlights:

• The Ombudsman for Mental Health and Developmental Disabilities is approximately $7 million.
• The next chapter is Chapter 252, Services for Persons with Developmental Disabilities.
• <00:33:56.639> disabilities developmental disabilities developmental disabilities uh<00:33:58.639
• disabilities and it with developmental disabilities and it establishes<00:34:17.720> day<00:34
• mental health and developmental mental health and developmental disabilities<00:36:49.640> um

Keywords: 1183, house

Transcript Highlights:

• <00:07:44.880> Disabilities<00:07:45.480> Monitoring Developmental Disabilities Monitoring
• Pediatrics has updated the developmental Pediatrics has updated the developmental disability<00:
• Developmental, and Intellectual Disabilities.
• The link to Developmental Disabilities.
• intellectual and developmental intellectual and developmental developmental<01:13:36.240> disabilities

Keywords: 958, all

Transcript Highlights:

• So I don't care for that phrase, developmental disabilities.
• So I don't care for that phrase, developmental disabilities.
• issue with the phrase developmental issue with the phrase developmental disability<01:22:23.199>
• I also think developmental disabilities.
• developmentally disabled because I think developmentally disabled because I think that's<01:23:35.520

Keywords: 1189, house, all

Transcript Highlights:

• GM 552, Pina Lemusu, State Council on Developmental Disabilities, for term to expire June 30, 2026.
• <00:16:06.360> Disabilities Developmental Disabilities Developmental Disabilities uh<00:16:07.800
• individuals with developmental individuals with developmental disabilities<00:19:17.400> and<
• For GM 552, Pinal Aumua Amosa, for State Council on Developmental Disabilities, for term to expire June
• c> to Developmental Disabilities, for term to Developmental Disabilities, for term to expire<00:20

Keywords: 912, senate, all

Summary: The Health and Human Services committee heard and considered several gubernatorial nominations to advisory boards and councils. Early in the meeting, members heard testimony in support of Miriam Chang for the Health Planning Council Windward O‘ahu subarea, with supporters highlighting her long medical practice on the Windward side, work at Ko‘olau Health Center, and community involvement. Chang said she wanted to help improve health, especially in rural areas. The committee also heard support for Terrilyn Luke’s nomination to the Center for Nursing Advisory Board; the Center for Nursing director and nursing organizations backed her, and Luke said she would bring a front-line nursing perspective, focus on workforce conditions, retention, and collaboration, and help address tensions between the Center and nursing labor groups. The committee then heard support for Valerie Rose’s nomination to the Language Access Advisory Council; Rose briefly noted her prior work in the Chronic Disease Branch and Bilingual Health Aide Section. The committee also took up nominations in a later agenda segment. James Montgomery was heard for the State Rehabilitation Council and described his interest in serving based on a family experience with disability and his work in talent management, saying he wanted to help people with disabilities gain opportunities. Kevin Nakamura was heard for the Board of Certification of Operating Personnel in Wastewater Treatment Plants and said his 30-plus years of wastewater experience would help ensure operators are properly trained and certified to protect resources and the environment. Pina Lemusu was heard for the State Council on Developmental Disabilities; she said her long career with the Division of Vocational Rehabilitation and personal experience with disability would help her contribute to the council. Additional testimony in support came from the State DD Council and Voc Rehab representatives. The committee voted to recommend advise and consent on the nominations it considered, including Miriam Chang, Terrilyn Luke, Valerie Rose, James Montgomery, Kevin Nakamura, and Pina Lemusu. Most recommendations were adopted without objection, though Senator Dela Cruz voted no on some of the later nominations. The meeting also briefly noted another nomination, Olivia Kim, which was recalled and advanced with an advise-and-consent recommendation before adjournment.

Transcript Highlights:

• <00:05:31.759> disabled<00:05:32.479> and<00:05:32.960> very developmentally disabled
• and very developmentally disabled and very medically<00:05:34.000> fragile.
• has significant developmental has significant developmental disabilities.<00:18:27.120> Uh
• look at significant developmental look at significant developmental disabilities,<00:18:45.679><
• have both levels of developmental have both levels of developmental disability<00:20:53.600>

Keywords: 1189, house, all

Transcript Highlights:

• First division: 4. Second division: 12. Third division: 6. Fourth division: 3.
• Law Center, the Massachusetts Developmental Disabilities Council, the Arc of Massachusetts, and Mass
• the Massachusetts Developmental Disabilities Council, the Arc of Massachusetts, and Mass Advocates for
• First Division: First Division, nine. Second Division: twelve. Third Division: eight.
• Senate 2563, an act relative to individuals with intellectual or developmental disabilities.

Keywords: 995, all

Summary: The House first adopted several resolutions from the Committee on Rules, including congratulations to four Eagle Scouts and recognition of Sturbridge on the 250th anniversary of the United States. The chamber then took up a series of bills reported by Ways and Means and other committees, repeatedly suspending the rules to move them forward. These included the Massachusetts Consumer Data Privacy Act, a Fall River land conveyance bill, a Belmont alcohol licensing bill, a Reading senior property tax exemption bill, and a Linfield funding transfer bill, with each measure advancing by amendment or being passed to a third reading or engrossment. A major portion of the session focused on the Massachusetts Consumer Data Privacy Act, with multiple members speaking in support. Supporters described the bill as a broad consumer privacy framework that would limit data collection, require consent for sensitive data, ban the sale of precise location data, restrict targeted advertising to minors, create consumer rights to access, correct, delete, and opt out of data uses, and provide enforcement tools for the Attorney General and, in limited cases, a private right of action. Several members emphasized protections for reproductive health, immigrant communities, and neural data, while others argued the bill would not burden small businesses and would instead hold large data holders accountable. The House adopted the Ways and Means amendment and ordered the bill to a third reading, then later passed the bill to be engrossed and enacted. The House also considered and enacted Senate 2563, a bill updating language in the laws concerning individuals with intellectual and developmental disabilities. Members described the measure as removing outdated and offensive terminology and replacing it with person-first language without changing substantive law. After debate, the House adopted an amendment, passed the bill to be engrossed, and then enacted it by roll call. In addition, the House enacted the fiscal year 2026 supplemental appropriations bill, House 5470, and approved a bill extending deadlines for Middleton and Milton, both by roll call votes with no opposition. Later, the House took up a temporary summer 2026 local-option pilot allowing municipalities to extend liquor license hours and permit public consumption in designated districts. Supporters framed it as an economic development and tourism measure tied to major upcoming events, and the House adopted an amendment, passed the bill to be engrossed, and then concurred with the Senate version. The session ended with the House adopting an adjournment order and adjourning to meet again the following Monday in informal session.

Transcript Highlights:

• Okay, next up we have the Hawaii State Council on Developmental Disabilities uh in person in support.
• Developmental Disabilities uh in person Developmental Disabilities uh in person in<00:15:06.480>
• I am an intern at the Hawaii Council on Developmental Disabilities.
• , when you're disabled, Unfortunately, when you're disabled, you're<00:23:18.000> you're<00:23
• our disabled but our aging population. our disabled but our aging population.

Keywords: 910, house, all

Summary: The committee heard STR 73 SD1, which requests the Office of Wellness and Resilience to develop a report on the developmental needs of children born during the COVID-19 pandemic. The Office of Wellness and Resilience testified in support, saying it was eager to work with local researchers on evidence-based, community-informed recommendations. Support also came from a Zoom testifier, the Department of Education, and the Hawaii Community Foundation. The testifier emphasized the need for trauma-informed supports for children who were ages zero to five during COVID, especially in communities also affected by the Kilauea eruption and the Maui wildfires. Members discussed the long-term impacts of the pandemic and natural disasters on children, and one member said they would support the measure but vote with reservations because they wanted the phrase “climate crisis” changed to “natural disasters.” The committee adopted the chair’s recommendation to pass the resolution as is, with some members noting reservations. The committee then took up SCR 239 SD1, which asks DAGS, DLNR, and the City and County of Honolulu Department of Parks and Recreation to provide universal changing accommodations in state and county facilities and parks. DAGS submitted comments, DLNR State Parks testified that it supported the intent but raised concerns about the cost and feasibility of retrofitting existing facilities, noting it has 73 comfort stations statewide, ongoing vandalism and maintenance issues, and possible ADA space conflicts. The Hawaii State Council on Developmental Disabilities and the Hawaii Disability Rights Center supported the measure, with testimony stressing that accessible changing facilities are important for independence and equity for people with disabilities. In response to questions, DLNR said it had not received complaints about the lack of such infrastructure and that any future installations should be considered in new designs rather than existing facilities. After discussion, the chair moved to defer the resolution, citing budget and implementation concerns and suggesting the issue be revisited in the future with a revised approach and possible needs assessment. The committee agreed to defer SCR 239 SD1 and then adjourned.

Transcript Highlights:

• complexity, unity in the face of complexity, unity in the face of complexity, unity in the face of division
• , and strength to carry the division, and strength to carry the division, and strength to carry the weight

Bills: HB 29, HB 125, HB 145, HB 171, HB 255, HB 50, HB 796, HB 363, HB 116, HB 491, HB 589, HB 1495, HB 368, HB 1285, HB 1905, HB 1360, HB 2002, HB 917, HB 2723, HB 2067, HB 1238, HB 2337, HB 745, HB 1188, HB 1606, HB 2003, HB 2147, HB 2391, HB 2355, HB 2546, HB 2495, HB 2818, HB 2249, HB 1749, HB 3109, HB 3228, HB 3240, HB 1507, HB 658, HB 1748, HB 1851, HB 1922, HB 2001, HB 2798, HB 107, HCR 29, SB 5, SB 262, HB 11, HJR 72, HB 106, HB 18, HB 48, HB 27, HB 37, HB 1481, HB 581, HB 1696, HB 2216, HB 1035, HB 1633, HB 742, HB 754, HB 1689, HB 1690, HB 2669, HB 391, HB 517, HB 1024, HB 1607, HB 252, HB 1716, HB 1562, HB 4116, HB 1866, HB 1741, HB 2103, HB 2637, HB 2884, HB 503, HB 1089, HB 2986, HB 972, HB 502, HB 29, HB 125, HB 145, HB 171, HB 255, HB 50, HB 796, HB 363, HB 116, HB 491, HB 589, HB 1495, HB 368, HB 1285, HB 1905, HB 1360, HB 2002, HB 917, HB 2723, HB 2067, HB 1238, HB 2337, HB 745, HB 1188, HB 1606, HB 2003, HB 2147, HB 2391, HB 2355, HB 2546, HB 2495, HB 2818, HB 2249, HB 1749, HB 3109, HB 3228, HB 3240, HB 1507, HB 658, HB 1748, HB 1851, HB 1922, HB 2001, HB 2798, HB 107, HCR 29

Keywords: water audit, water loss, water loss mitigation plan, municipally owned utility, municipal utility, water conservation, Texas Water Development Board, TCEQ, Texas Commission on Environmental Quality, water leakage, leak detection, billing data accuracy, utility validation, water audit validation, water scarcity, water management, infrastructure, public utility, conservation plan, administrative penalty

Transcript Highlights:

• Remove any influences that would bring division or conflict, and grant them wisdom, unity, and courage
• While it is important to protect students from content that is developmentally inappropriate, the removal
• Read the next bill. >> Student Academic Success CS/HB... 809, a bill relating to disability and awareness
• He now lives with pain and permanent disabilities.
• The bill directs the Departments of Professional Regulation and the Division of Alcoholic Beverages and

Bills: HB 29, HB 125, HB 145, HB 171, HB 255, HB 50, HB 796, HB 363, HB 116, HB 491, HB 589, HB 1495, HB 368, HB 1285, HB 1905, HB 1360, HB 2002, HB 917, HB 2723, HB 2067, HB 1238, HB 2337, HB 745, HB 1188, HB 1606, HB 2003, HB 2147, HB 2391, HB 2355, HB 2546, HB 2495, HB 2818, HB 2249, HB 1749, HB 3109, HB 3228, HB 3240, HB 1507, HB 658, HB 1748, HB 1851, HB 1922, HB 2001, HB 2798, HB 107, HCR 29, SB 5, SB 262, HB 11, HJR 72, HB 106, HB 18, HB 48, HB 27, HB 37, HB 1481, HB 581, HB 1696, HB 2216, HB 1035, HB 1633, HB 742, HB 754, HB 1689, HB 1690, HB 2669, HB 391, HB 517, HB 1024, HB 1607, HB 252, HB 1716, HB 1562, HB 4116, HB 1866, HB 1741, HB 2103, HB 2637, HB 2884, HB 503, HB 1089, HB 2986, HB 972, HB 502, HB 29, HB 125, HB 145, HB 171, HB 255, HB 50, HB 796, HB 363, HB 116, HB 491, HB 589, HB 1495, HB 368, HB 1285, HB 1905, HB 1360, HB 2002, HB 917, HB 2723, HB 2067, HB 1238, HB 2337, HB 745, HB 1188, HB 1606, HB 2003, HB 2147, HB 2391, HB 2355, HB 2546, HB 2495, HB 2818, HB 2249, HB 1749, HB 3109, HB 3228, HB 3240, HB 1507, HB 658, HB 1748, HB 1851, HB 1922, HB 2001, HB 2798, HB 107, HCR 29

Keywords: water audit, water loss, water loss mitigation plan, municipally owned utility, municipal utility, water conservation, Texas Water Development Board, TCEQ, Texas Commission on Environmental Quality, water leakage, leak detection, billing data accuracy, utility validation, water audit validation, water scarcity, water management, infrastructure, public utility, conservation plan, administrative penalty

Summary: The Florida House of Representatives conducted legislative business including prayer, pledge, and voting on multiple bills. Key legislation included HB 1105 expanding Florida Bright Futures Scholarship eligibility, HB 443 on charter school regulations (passed 83-23), and HB 1539 on materials harmful to minors (passed 81-29) after extensive debate about book challenges in schools. Other bills addressed education funding, law enforcement benefits, parole guidelines, and various local issues. The Speaker announced budget negotiations with the Senate have stalled, with disagreements over spending levels and tax cuts. The House will not meet this weekend as originally planned. Session adjourned until tomorrow at 10 AM.

Transcript Highlights:

• to qualifying individuals, including seniors, low to moderate income taxpayers, and people with disabilities
• disability and who must be related to the owner or trustee of the property within a certain degree by
• It deals with intellectual disabilities, the family, Caitlin is here, and so many people and I want to
• HB number 2818. 18 by Capriglione, relating to the Artificial Intelligence Division within the Department
• We'll establish an artificial intelligence division within the Department of Information Resources to

Bills: HB29, HB 125, HB145, HB171, HB255, HB50, HB796, HB363, HB 116, HB491, HB589, HB1495, HB368, HB 1285, HB1905, HB1360, HB2002, HB917, HB2723, HB2067, HB 1238, HB2337, HB745, HB 1188, HB1606, HB2003, HB2147, HB2391, HB2355, HB2546, HB2495, HB2818, HB2249, HB1749, HB3109, HB3228, HB3240, HB1507, HB658, HB1748, HB1851, HB1922, HB2001, HB2798, HB 107, HCR29, SB5, SB262, HB 11, HJR72, HB 106, HB18, HB48, HB27, HB37, HB1481, HB581, HB1696, HB2216, HB 1035, HB1633, HB742, HB754, HB1689, HB1690, HB2669, HB391, HB517, HB 1024, HB1607, HB252, HB1716, HB1562, HB4116, HB1866, HB1741, HB2103, HB2637, HB2884, HB503, HB 1089, HB2986, HB972, HB502, HB29, HB 125, HB145, HB171, HB255, HB50, HB796, HB363, HB 116, HB491, HB589, HB1495, HB368, HB 1285, HB1905, HB1360, HB2002, HB917, HB2723, HB2067, HB 1238, HB2337, HB745, HB 1188, HB1606, HB2003, HB2147, HB2391, HB2355, HB2546, HB2495, HB2818, HB2249, HB1749, HB3109, HB3228, HB3240, HB1507, HB658, HB1748, HB1851, HB1922, HB2001, HB2798, HB 107, HCR29

Keywords: water audit, water loss, water loss mitigation plan, municipally owned utility, municipal utility, water conservation, Texas Water Development Board, TCEQ, Texas Commission on Environmental Quality, water leakage, leak detection, billing data accuracy, utility validation, water audit validation, water scarcity, water management, infrastructure, public utility, conservation plan, administrative penalty

Transcript Highlights:

• This included compliance with DD providers, which is developmental disability providers, enrolling directly
• providers, which is developmental providers, which is developmental disability<00:15:59.839>
• Um, there are currently three committees providing oversight and support related to developmental disabilities
• to devel to to developmental to devel to to developmental disabilities<00:16:50.959> and<
• The second one is the system redesign, which has been very controversial within the developmental disabilities

Keywords: 1189, house, all

Summary: The Legislative Performance Audit and Oversight Committee approved the November 7 minutes with three abstentions and then received status updates on several ongoing audits. Audit staff reported that the special education oversight audit was in report-writing, with 34 of 71 observations completed and a draft expected in the second quarter and a final report in the summer. The education freedom accounts audit had 22 of 41 observations completed, with a draft also expected in the second quarter and a final report in the summer. The Doorway program audit had 5 of 13 observations completed, with a draft expected by the end of February and a final report by April or May. The committee then discussed possible new oversight topics, prompted by concerns about fraud in other states and the need to ensure New Hampshire programs are not vulnerable. Members suggested hearing from DHS officials, contract administrators, and possibly the Department of Justice Medicaid fraud unit about SNAP and other programs, as well as reviewing staffing levels in HHS contract management. There was also discussion of whether to revisit the Bureau of Elderly and Adult Services, though members noted that prior work on that area had been suspended because of litigation. A representative from HHS, Teresa Narrow, briefed the committee on the Bureau of Developmental Services. She said the state had been in compliance with CMS since July 1, 2023 after resolving issues tied to a system redesign and billing changes, and that provider-side billing problems had also been fixed. She also described three existing bodies involved in developmental disability housing oversight, including the Council on Housing Stability, the ABLE Housing Task Force, and a legislative study committee created by HB 168 in 2024. Committee members asked for her notes to be shared. The committee spent substantial time debating whether to pursue a new special education audit at the school-district level. Members discussed the need to examine why some districts have much higher special education rates and costs than others, and whether a statistically selected sample of schools could be used. Audit staff said no new audits could begin until about May or June and that only a couple of auditors would then be available. Members also noted that a legislative study committee is already working on special education and may issue a report later this year, and the committee appeared to leave the school-level audit idea as a potential future item rather than taking immediate action.

Transcript Highlights:

• So, we are happy to report on our quarterly wait list numbers for the developmental disabilities waiver
• <01:19:57.040> disabilities<01:19:57.760> waiver,<01:19:58.560> the developmental
• disabilities waiver, the developmental disabilities waiver, the acquired<01:19:59.199> brain<
• Um, we'll start with the developmental disabilities waiver.
• we'll start with the developmental we'll start with the developmental disabilities<01:21:32.800>

Keywords: 928, house, all

Summary: The committee first approved the draft minutes from September 26. Senator Gray then raised the idea of creating a continuing subcommittee or recurring agenda item on palliative care and hospice, noting that the issues are evolving and suggesting the committee revisit the idea in coming months. The bulk of the meeting focused on Department of Health and Human Services updates. Officials described contingency planning for SNAP amid the federal shutdown, including a USDA notice that November benefits may not be fully funded, letters to participants warning of possible delays, and coordination with the New Hampshire Food Bank and local pantries. They said New Hampshire serves about 42,000 SNAP households, with average benefits around $300 a month, and that the department is also preparing to transfer funds for a special fiscal committee meeting. WIC was discussed separately: officials said WIC benefits had been extended through November 7 using additional USDA funds, but that some community agency-based WIC services may need to pause while money is redirected to food benefits. Officials also outlined New Hampshire’s rural health transformation grant application under the federal One Big Beautiful Bill, describing a potential five-year, up-to-$1 billion opportunity focused on critical access hospitals, small rural hospitals, federally qualified health centers, community mental health centers, and EMS. Members asked about transportation, workforce, and nursing retention; officials said transportation is included in the proposal, housing is not, and workforce supports may include lower tuition or awards but not loan repayment or traditional scholarships. They also said the final application would be submitted in early November and that priorities would be adjusted depending on the eventual federal award. Finally, Medicaid director Henry Lipman gave a quarterly postpartum coverage update. He said postpartum coverage is now nearly universal nationwide, and in New Hampshire 2,351 women had used the benefit through May 2025. He reported that mental health services were the most frequently used postpartum service, followed by preventive care, substance use disorder treatment, and cardiovascular-related care, and noted that Medicaid women have experienced a disproportionate share of maternal deaths. Committee members asked about rural distribution and the share of women receiving mental health services, and Lipman said the department would follow up with additional data. The meeting then moved into the annual update on New Hampshire’s 10-year mental health plan, with staff describing progress toward a more integrated continuum of care and improved data infrastructure.

Transcript Highlights:

• I know with The developmental disabilities waiting lists funding we created a revolving fund so that
• And then talking That we're not increasing the developmental disabilities funding this year.
• It will be for the purpose of funding grants to local law enforcement divisions to cover some of the

Bills: HB4030, HB4031, HB4032, HB4033, HB4034, HB4035, HB4036, HB4037, HB4038, HB4039, HB4040, HB4041, HB4042, HB4043, HB4044, HB4045, HB4046, HB4047, HB4048, HB4049, HB4050, HB4051, HB4052, HB4053, HB4054, HB4056, HB4057, HB4065, HB4067, HB4071, HB4072, SB1144, SB1145, SB1146, SB1147, SB1148, SB1149, SB1156, SB1157, SB1158, SB1159, SB1161, SB1162, SB1163, SB1164, SB1165, SB1166, SB1167, SB1174, SB1175, SB1176

Keywords: education funding, budget appropriations, public schools, teachers' retirement, early childhood education, aeronautics, infrastructure, funding, sustainability, Oklahoma, mining, operator fees, coal production, noncoal mining, department of mines, revenue, state budget, budgetary reform, financial legislation, fiscal accountability

Bills: HB4030, HB4031, HB4032, HB4033, HB4034, HB4035, HB4036, HB4037, HB4038, HB4039, HB4040, HB4041, HB4042, HB4043, HB4044, HB4045, HB4046, HB4047, HB4048, HB4049, HB4050, HB4051, HB4052, HB4053, HB4054, HB4056, HB4057, HB4065, HB4067, HB4071, HB4072, SB1144, SB1145, SB1146, SB1147, SB1148, SB1149, SB1156, SB1157, SB1158, SB1159, SB1161, SB1162, SB1163, SB1164, SB1165, SB1166, SB1167, SB1174, SB1175, SB1176, HB4030, HB4031, HB4032, HB4033, HB4034, HB4035, HB4036, HB4037, HB4038, HB4039, HB4040, HB4041, HB4042, HB4043, HB4044, HB4045, HB4046, HB4047, HB4048, HB4049, HB4050, HB4051, HB4052, HB4053, HB4054, HB4056, HB4057, HB4065, HB4067, HB4071, HB4072, SB1144, SB1145, SB1146, SB1147, SB1148, SB1149, SB1156, SB1157, SB1158, SB1159, SB1161, SB1162, SB1163, SB1164, SB1165, SB1166, SB1167, SB1174, SB1175, SB1176

Keywords: education funding, budget appropriations, public schools, teachers' retirement, early childhood education, aeronautics, infrastructure, funding, sustainability, Oklahoma, mining, operator fees, coal production, noncoal mining, department of mines, revenue, state budget, budgetary reform, financial legislation, fiscal accountability

Transcript Highlights:

• Our disability system, developmental disability system as well, strengthening that, making sure that
• developmentally disabled long-term care.
• Again, we have the developmental disabilities waiver serving individuals who have a diagnosed developmental
• disability.
• disability.

Keywords: 1189, house, all

Transcript Highlights:

• We reached out to the Association of Developmental Disability Providers and the Association of Developmental
• Disability Providers and the Association of... ...the Association of Developmental Disability Providers
• disabilities.
• disabilities.
• disabilities, and autism in the trades. ...to get people with disabilities, intellectual disabilities

Keywords: 995, all

Summary: The Workforce Support Subcommittee met to discuss using registered apprenticeships to help address workforce shortages in disability services, human services, and other high-need fields. Co-chairs and staff introduced the session as a follow-up to earlier discussions with state labor officials and representatives from developmental disability and behavioral health provider associations. The panel focused on how apprenticeships can create paid, structured pathways into jobs while also supporting credentialing and retention. Amara Ramon of the Division of Apprenticeship Standards explained how Massachusetts apprenticeship programs are registered and supported, including the roles of apprenticeship liaison staff, operations, quality assurance, and grant support. She described the core features of apprenticeships—paid on-the-job training, related technical instruction, wage progression, and industry credentials—and contrasted them with internships or co-ops. Melissa Chabelli of the MassHire Hampden County Workforce Board described the intermediary role her board plays in designing programs, registering apprentices, coordinating employers, and handling compliance. She emphasized flexibility, employer investment, tax credits, retention benefits, and the importance of mentors and local workforce partnerships. Lisa Morris of UMass Chan/For Health Consulting described a developing apprenticeship for medical interpreters, built from an existing training foundation and designed to address the gap between classroom preparation and work experience. She said the model would combine pre-apprenticeship training, employer interviews, 2,000 hours of apprenticeship, and related technical instruction tied to national certification. Speakers also discussed examples for nursing, early childhood education, CNC machining, and programs serving neurodivergent learners, including Bridgewater State’s Excel program. In response to audience questions, panelists said state agencies can serve as intermediaries, recruitment can come through career centers, youth programs, community colleges, ESL centers, and incumbent workers, and accommodations or modified curricula can support apprentices with disabilities. No votes were taken; the session ended with encouragement for attendees to contact the presenters and Division of Apprenticeship Standards for help developing programs.

Transcript Highlights:

• I'm Amy Morton, with the Department of Health Developmental Disabilities Division.
• I'm Amy Morton, with the Department of Health Developmental Disabilities Division.
• I'm Amy Morton, with the Department of Health Developmental Disabilities Division.
• I'm Amy Morton, with the Department of Health Developmental Disabilities Division.
• Amy Morton, with the Department of Health Developmental Disabilities Division.

Keywords: 910, house, all

Summary: The committee first heard House Bill 302, which would repeal the requirement that a provider-patient relationship for medical cannabis certification be established in person first. The Department of Health said it supported the House Draft 2 version as a way to expand patient access, and several testifiers from the medical cannabis community and dispensary industry supported the bill, especially for patients on outer islands or those unable to travel. One witness asked that earlier language removed in committee be restored to further improve access. Representative Shimizu asked whether follow-up in-person visits would still occur, and DOH responded that this varies by provider, with some continuing in-person care and others moving to telehealth for chronic conditions. The committee then took up House Bill 712, relating to the federal 340B drug pricing program and contract pharmacies. The Office of Consumer Protection and the Attorney General’s office both said they supported the bill’s purpose but wanted it clarified and possibly moved into a standalone chapter rather than chapter 481B. Supporters, including Hawaii Pacific Health and the Queen’s Health Systems, said the bill is needed to protect safety-net funding and access to discounted drugs, citing large financial benefits from 340B and losses caused by manufacturer restrictions on contract pharmacies. PhRMA opposed the bill, arguing the issue is not access to discounts but accountability and transparency in how contract pharmacies distribute benefits, and said it was willing to discuss amendments. Members asked follow-up questions about whether there was data showing misuse; PhRMA said it did not have numbers, while hospital witnesses said the program is federally audited and used appropriately in Hawaii. Finally, the committee heard House Bill 1482, HD1, which would tighten hemp and controlled-substance definitions to exclude Schedule I cannabinoids from manufactured hemp products and clarify the treatment of artificially derived cannabis. The Department of Health supported the measure, saying it adds clarity to existing prohibitions. Kūre Hawaii and other supporters said it would close loopholes involving Delta-8 and similar products. An individual testifier urged stronger language to also cover compounds such as HHC, THCA, THCP, and THCO. In response to questions about enforcement against mislabeled hemp products, DOH explained that THC percentages are relative to product weight, that some products can remain under the hemp threshold while still containing significant THC, and that hemp flower is already prohibited from direct retail sale, though enforcement can be complicated and involves both administrative and criminal authorities.

Transcript Highlights:

• The Division of Developmental Disability Services requests moving almost $2.9 million to cover increased
• Contract number three, Higher Education Division with ASUBB.
• This is DHS Developmental Disabilities with UA Fayetteville.
• This is DHS Developmental Disabilities with UA Fayetteville.
• Number 10 is DHS with Arkansas Support Network for developmental disability services for DCFS clients

Summary: The committee heard a series of appropriation requests and contract reviews across multiple sections. In Section B, members approved temporary appropriations for the Court of Appeals, Commerce/Aeronautics, and Insurance-related payments and refunds. Section C ARPA requests from DHS were approved to return unused federal funds. Section D infrastructure-related appropriations, including wildfire preparedness, broadband BEAD funding, forestry support, recycling, and oil and gas sample preservation, were approved after questions about broadband audit controls and performance safeguards. Section E DHS reallocations were approved, including large transfers within Medical Services from hospital medical to private and public nursing home lines, along with smaller transfers for children and family services, developmental disabilities, and youth services; members asked about the source and purpose of the medical services transfer. Sections F and G were reviewed, covering cash fund requests, federal grants, and miscellaneous grants, including community college storm repairs, corrections commissary and maintenance, 911 enhancements, maternal health, disability determinations, state police equipment, digital newspaper archiving, and CDL data improvements. In Section H, the committee reviewed pay plan appropriations and performance fund transfers tied to the new Class and Comp pay plan. Section I reviewed three methods of finance for UA Little Rock, UAMS, and the University of Arkansas system. In Section J, the committee reviewed discretionary grants, including a $1.4 million HIV services grant and nine tobacco prevention subgrants through UAPB. Members questioned the effectiveness, metrics, and addresses of some tobacco-cessation arts-based grantees, especially Arts Absolutely Inc.; after discussion, Representative Kavanaugh moved to expunge the vote on J2 and refer it back for review at a later ALC meeting, and that motion passed. J3, a Department of Energy and Environment grant for propane safety training and e-waste recycling services, was then reviewed. The committee also reviewed contracts in Section K. K-1 ratified emergency management nuclear planning work performed during a transition between agencies. K-2 construction contracts included architectural and engineering services for corrections, National Park College signage, a Razorback Road parking facility, and UAMS cyclotron installation. K-3 intergovernmental contracts covered health, education, autism waiver, stroke, newborn screening, Medicaid evidence review, and radiation testing services. K-4 out-of-state contracts included staffing, IT, tobacco prevention, audit, marketing, planetarium, recruitment, and janitorial services; Senator Irvin noted one contract appeared to belong in the out-of-state list rather than intergovernmental. K-5 in-state contracts covered staffing, cleaning, re-entry and treatment services, foster care and disability services, hearing officers, asbestos abatement, campus IT support, and janitorial work. The meeting ended after a brief personal update from Senator Irvin about tornado damage in Stone County and thanks to members for their concern, followed by adjournment.