Transcript Highlights:

• All funds to sustain intensive psychiatric stabilization program. This funded a pilot program.
• We administer many programs.
• For example, our nurses.
• They administer the SNAP program, the WIP program, TANF, CHIP, etc.
• program is at risk.

Committee: House Appropriations - S/C on Article II

Keywords: 1184, house, all

Transcript Highlights:

• This is why programs like the high-rise sprinkler grant program are so important. They are vital.
• </c> current statute for this program current statute for this program requires<00:09:16.760><c> that
• </c><00:12:34.240><c> that's</c> pretty rare to have a a program that's pretty rare to have a a program
• </c> 30 interested uh parties in the program 30 interested uh parties in the program and<00:12:49.680
• Home-sharing programs.

Committee: House Housing Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• There's a lot of nursing program, like summer nursing type programs.
• Nursing program, like summer nursing type programs.
• But more broadly, the nursing, the CNA program—are we finding or is there any data kept on the number
• pre-nursing student and then complete their nursing program, it would probably be, I think, we're probably
• </c> student and then complete their nursing student and then complete their nursing program<01:08:26.880

Committee: House Higher Education Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• </c> Administration uh they have a program Administration uh they have a program called<01:09:35.080>
• The newborn screening program is a vital public health program.
• The newborn screening program is a vital public health program.
• The program notifies the provider.
• Courtney Tanner: Well, Daisy is a certified nurse midwife. She also has a doctorate in nursing.

Committee: House Health, Human Services & Elderly Affairs

Keywords: 1189, house, all

Transcript Highlights:

• by opening the program up to physicians. ...by opening the program up to physicians whose practice setting
• Loan repayment programs are a great recruitment and retention tool for physicians.
• The nurse insisted that the medicine was harming me.
• Since 2017, I've been the medical director for the Compass Moms Do Care Program, which is a program providing
• Moms Do Care is a statewide program founded in 2015 designed to support Moms Do Care is a statewide program

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

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on 17 bills focused on behavioral health workforce shortages, studies, and commissions. Chairs Mindy Domb and Senator John Velis opened by emphasizing the severity of the Commonwealth’s mental and behavioral health workforce crisis, the resulting gaps in access to care, and the legislature’s ongoing use of loan repayment programs, studies, and commissions to address these issues. They outlined hearing procedures and noted that testimony would be limited to three minutes, with written testimony also accepted. A major portion of the hearing focused on bills to expand the primary care workforce, including H. 2205/S. 1385, which would broaden eligibility for the Mass RePay loan repayment program. Testimony from the Massachusetts Medical Society, Senator Jo Comerford, and Dr. Kate Atkinson described severe primary care shortages, long wait times, physician burnout, high debt burdens, and the need to recruit and retain physicians in more practice settings and regions. Committee members asked about the likely impact of loan repayment, the role of nurse practitioners and physician assistants, and how to prioritize limited funding. Witnesses argued that primary care investment improves access and outcomes and that the bill would help sustain community-based practices. Another large block of testimony supported H. 2208/S. 1411, the proposed perinatal behavioral health care workforce trust fund, often referred to as the Moms Matter Act. March of Dimes, perinatal mental health advocates, doulas, clinicians, parents, and organizations such as the Boston Public Health Commission and Empty Arms Bereavement Support testified that postpartum depression, anxiety, substance use, and grief are widespread, often untreated, and worsened by long waitlists and a shortage of trained, culturally competent providers. Speakers repeatedly stressed that screening alone is not enough without a workforce to provide timely treatment, and several shared personal stories of postpartum illness, loss, and difficulty accessing care. The bill was also framed as a needed complement to the Commonwealth’s recent maternal health law, which increased screening and therefore increased demand for treatment. The committee also heard support for the Bridge Act, H. 2207/S. 1388, which would create mental health capacity grants for organizations serving communities at high risk of hate crimes or hate incidents. Testimony from the Jewish Community Relations Council and the bill’s sponsor described the mental health harms of hate, including anxiety, trauma, isolation, and loss of trust, and argued that community organizations need resources to build resilience and provide support. In addition, the committee heard from the Massachusetts Mental Health Counselors Association on H. 2218/S. 1380, which would update job classifications to explicitly include licensed mental health counselors and licensed supervised mental health counselors in state behavioral health roles. Witnesses said the change would modernize hiring, expand access, and better reflect current licensure and scope of practice. No votes were taken during the hearing, and the session ended with a motion to adjourn after all testimony was completed.

Transcript Highlights:

• </c> whether that's perhaps a nursing whether that's perhaps a nursing facility<00:42:22.800><c> or</
• So quick overview of the PACE program: PACE is a program or a model that is PACE is a program or a model
• I'm a nurse, as I said.
• </c><01:37:09.600><c> in</c> our program we have a program in our program we have a program in Kentucky
• practitioner in a physician or nurse practitioner in a PACE<01:40:12.960><c> program</c><01:40:13.480

Committee: Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• I also founded the National Dental Advocacy Program through the Patient Advocate Program, a nonprofit
• The benefit of being able to sell the drugs on the 340B program is that it is a voluntary program for
• from 340B, there are standards and programs that have done this really well, such as the HIV programs
• This program is, this bill is not trying to eradicate the 340B program.
• the Medi-Cal program.

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.

Transcript Highlights:

• Identified population health programs support mental health and substance use prevention programs for
• programs as needed, but in general, these programs were assessed within the intentions and context of
• Proposition 1 to identify programs that again provide population health programming, being provided
• , the advocacy grant program as well as the Innovation Partnership Grant Program—would you categorize
• Right, the first $300 million is a grant program—pardon me, is a loan, a no-interest loan program.

Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.

Transcript Highlights:

• Doherty on behalf of the New Mexico Nursing Association and the New Mexico Nurse Practitioner Council
• So then my next question is, This program.
• We already know the dramatic shortage we have for nurses.
• And we have, as I said, a major nursing shortage in the state.
• I'm Gloria Doherty, on behalf of the New Mexico Nursing Association and the New Mexico Nurse Practitioner

Summary: The committee first heard Senate Bill 21, as amended, which would create an annual birthday-based open enrollment period for Medicare supplement policyholders age 65 and older, allowing them to switch to equal or lesser coverage without medical underwriting. The Aging and Long-Term Services Department and the Office of Superintendent of Insurance supported the bill as a consumer protection measure for seniors who are locked into rising premiums, while AHIP opposed it, warning it could raise premiums for existing policyholders. The League of Women Voters and AARP supported the measure. After debate over premium impacts and market stability, the committee voted 6-4 to give SB 21 a due pass. The committee then considered Senate Bill 20, dealing with prior authorization for medications used to treat serious mental illness. An amendment to change the bill from limiting prior authorization to once every three years to once every 12 months was debated; insurers supported the annual review, while nursing, disability, and mental health advocates argued that more frequent prior authorization would add burden and delay care. The committee tabled the amendment 5-4, then passed the unamended bill on a do pass vote. Testimony emphasized that the bill would not change how often patients see their doctors, only how often insurers can require prior authorization. Next, Senate Bill 101 was heard, which repeals the delayed sunset of the Health Care Delivery and Access Act so the hospital provider tax can continue. Sponsors and the Health Care Authority said the program has generated substantial federal matching funds and supports hospitals, especially rural facilities. AARP, Health Action New Mexico, the Greater Albuquerque Chamber of Commerce, and the New Mexico Hospital Association supported the bill. Committee members asked about how funds are distributed and reported; the agency said distributions are based on Medicaid discharges and hospitals must report on spending. The bill received a do pass. The committee also approved House Memorial 52, which requests a study group on health insurance premium affordability for working families and small employers. Supporters from Blue Cross and Blue Shield and AHIP said the memorial would help identify cost drivers and improve transparency. The committee then passed House Bill 132, as amended, creating a workers’ compensation presumption for certain occupational conditions affecting police officers. Supporters from labor, state police, OSI, and business groups said it would help recruitment, retention, and recovery, while members discussed the removal of back pain from the presumption and the reinstatement of PTSD. Finally, the committee began hearing Senate Bill 14, which expands the state’s health professional loan repayment program and creates a broader advisory structure to address workforce shortages. The bill would cover physicians and many other health professions, with a large appropriation and special provisions for part-time service and loan repayment terms. The sponsor described it as a competitive recruitment tool, and numerous health care, labor, and consumer groups testified in support. The sponsor also described a proposed amendment to reallocate physician funds to other eligible health professionals if there are not enough qualified physician applicants, but the committee was preparing to move on when the transcript ended.

Transcript Highlights:

• I'm a nurse at the Brigham and Women's Hospital and the President of the Massachusetts Nurses Association
• I could see why you lead the MNA, the Nurses Association.
• assistant in a nursing home, in spite of working 60 to 65 hours a week, In a nursing home, in spite
• Now is the time to make a good program better.
• My focus is the PFML program.

Committee: Joint Joint Committee on Labor and Workforce Development

Keywords: 995, all

Summary: The hearing focused on employment rights legislation, especially the Protect Labor Act (H. 2086/S. 1327), which would create state-level labor protections if federal private-sector labor law is weakened or struck down, and would also add protections such as bans on captive audience meetings, virtual elections, stronger misclassification rules, and protections for health care workers and immigrant workers. Supporters from the AFL-CIO, nurses, SEIU, UAW, building trades, teachers, graduate workers, and policy groups argued that the bill is needed because of Trump administration actions, Project 2025, and threats to the NLRA and NLRB. They described the bill as a “trigger” law meant to preserve organizing and bargaining rights in Massachusetts if federal protections disappear or if the NLRB declines jurisdiction over certain workers. The committee also heard testimony on bills to restore a limited right to strike for certain public employees (H. 2078/S. 1311 or related filings). Supporters, including a representative, educators, and labor advocates, said the current ban on public employee strikes weakens good-faith bargaining and leaves workers without leverage to secure wages, staffing, and student supports. They argued that strikes are used as a last resort and that legalizing them under defined conditions would improve negotiations and better reflect the realities of recent teacher strikes in Massachusetts. The Massachusetts Municipal Association opposed the strike bills, warning that public employee strikes are already prohibited by state law, that strikes disrupt students and communities, and that local governments face budget constraints under Proposition 2 1/2. The committee also took testimony on paid family and medical leave bills (S. 1351/H. 2110 and S. 1352), which would improve notice to workers, expand public reporting on claim denials and demographics, and fix a technical definition issue that has limited access for some covered contract workers. Witnesses from legal aid, policy organizations, and a small business owner said the changes would improve transparency, equity, and access to benefits without imposing major burdens on employers. Additional testimony supported a railroad sick leave bill and a private construction transparency bill, with Senator Keenan urging favorable action on both. No votes were taken during the hearing; members asked questions, and several witnesses and legislators requested favorable reports on the bills.

Transcript Highlights:

• certified to practice as a clinical nurse specialist or nurse practitioner.
• We had nurses, we had doctors.
• certified to practice as a clinical nurse specialist or nurse practitioner.
• certified to practice as a clinical nurse specialist or nurse practitioner.
• certified to practice as a clinical nurse specialist or nurse practitioner.

Keywords: 1187, senate, all

Transcript Highlights:

• The audience is not heard; it's just they need to divide or get a 2 o'clock program. Really?
• Staffing cuts are particularly prevalent in nursing home acquisitions, where it is easier for private
• This is linked to declines in nurse staffing and lower compliance with care standards.
• hours per resident day compared to other for-profit nursing homes.
• New Mexico hospitals and more than 35% of nursing homes are owned by private equity.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• The ombuds program? I think we had it. Go ahead, Jim.
• Establishing and operating this new program would be very costly.
• The current long-term care ombuds program is funded out of Commerce.
• And we historically have used a lot of volunteers in our program.
• Nothing of what they pay in their fees comes to our program.

Bills: HB2299 , HB2118 , HB2236

Committee: House Housing

Keywords: seniors, independent living, ombudsman, elderly support, continuing care retirement communities, common interest communities, restrictions, property rights, homeowners association, community governance, housing finance, affordable housing, housing commission, state agency, financial assistance, 904, all

Transcript Highlights:

• And that program ended.
• And that program ended.
• </c> program.
• The program was originally program.
• </c><01:14:12.960><c> Pra,</c><01:14:13.280><c> Nurse</c> England, Vermont Nurses Pra, Nurse England,

Keywords: 927, senate, all

Transcript Highlights:

• And currently Missouri HealthNet, our own program, does offer that.
• And I don't know whether or not that is something that is similar to the HealthNet program, because I
• think this could be the language that HealthNet has posted. ...program, because I think this could be
• It sounds like a great program. Thank you. Thanks. Representative Banser.
• But this is for individuals who may not already be part of a nursing home care program.

Committee: House Health and Mental Health

Keywords: 959, house, all

Transcript Highlights:

• </c> fraud in Minnesota's EIDBI program. fraud in Minnesota's EIDBI program.
• </c> uh this disproportionate share program uh this disproportionate share program is<00:57:54.560><c
• I department does not like this program.
• It's just a requirement um to have... facility um or nursing home, but now as facility um or nursing
• </c><01:21:06.400><c> home</c> have a conservator, but the nursing home have a conservator, but the nursing

Committee: Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• </c> mechanisms um and the different programs mechanisms um and the different programs with<00:03:54.599
• </c> ball will help cover some of our program ball will help cover some of our program elements<00:04
• </c><00:04:38.560><c> you've</c> you've seen one Medicaid Program you've you've seen one Medicaid Program
• </c> the the HCBS waiver the CFI program the the HCBS waiver the CFI program waiver<00:17:12.480><c>
• is</c> share program the dish program is share program the dish program is historically<01:34:14.080

Keywords: 928, house, all

Summary: The House Finance Division III held an informational hearing on Medicaid, Medicare, Choices for Independence, and related financing, while postponing nursing facility financing and the county cap discussion to a later date. DHHS officials Ann Landry, Jonathan Ballard, and Medicaid Director Henry Litman provided an overview of Medicaid’s role, noting it is a federal-state partnership with state-specific eligibility and benefits, and emphasizing that Medicaid is a major funding and programmatic support for other DHHS initiatives. They also distinguished Medicaid from Medicare and explained that Medicaid funding is not the same as grant funding, though some providers may also receive federal grants through other channels. The presentation focused on New Hampshire’s relatively small Medicaid program and why it differs from national averages. Officials said about 184,000 residents are covered, roughly one in seven Granite Staters compared with one in five nationally, and attributed the difference largely to the state’s higher per-capita income and older population. They highlighted that about 65% of Medicaid-enrolled adults in New Hampshire are working, that only 22% of births are covered by Medicaid versus 42% nationally, and that the state’s uninsured rate is lower than the national rate. Members asked about covered services, income limits, federal matching rates, and the names of optional eligibility groups; staff explained that New Hampshire offers the optional groups discussed, with matching rates varying by category, including 90% for Granite Advantage and certain other groups, and 65% for children above the required level. A substantial portion of the hearing covered eligibility rules and recent policy changes. Officials reviewed the history of Medicaid, including HCBS waivers, the CFI program, Katie Beckett, the Olmstead decision, the ACA, and the end of continuous enrollment after the public health emergency. They also discussed the 2023 legislative expansion of postpartum coverage from 60 days to 12 months and child eligibility changes. In response to questions, DHHS said it is tracking utilization and costs for the postpartum expansion and reported that many maternal deaths occur after the prior 60-day coverage period, often involving substance use disorder or suicide; they said the longer coverage is intended to improve access to treatment and prevention. The committee also walked through household-income examples, clarified that Medicaid eligibility is based on household income and categorical rules, and confirmed that Granite Advantage ends at 138% of the federal poverty level unless another categorical basis applies. No votes were taken, and the hearing remained informational.

Transcript Highlights:

• So that's a federal program that our department runs. That's called SHIP.
• To be looking out at these programs. I have a...
• My name is Gloria Doherty, on behalf of the New Mexico Nursing Association and the New Mexico Nurse Practitioner
• We already know the dramatic shortage we have for nurses.
• I'm Gloria Doherty on behalf of the New Mexico Nursing Association and the New Mexico Nurse Practitioner

Bills: SB101 , SB21 , HM52 , HB132 , SB14 , SB20

Committee: House House Health & Human Services

Keywords: SB 101, Health Care Delivery and Access Act, repeal of repeal, sunset repeal, delayed repeal, health care, healthcare, access to care, medical services, provider regulation, state health law, New Mexico, SB 21, Medicare supplement, Medigap, open enrollment, guaranteed issue, birthday month enrollment, health insurance, insurance regulation

Transcript Highlights:

• that semiquincentennial school program that semiquincentennial school program that we're initiating
• and military apprenticeship programs and military apprenticeship programs and military enlistments to
• mothers from jury this exempts nursing mothers from jury this exempts nursing mothers from jury duty
• chairman Oliver volunteer rescue program chairman Oliver volunteer rescue program chairman Oliver Mr
• by authorizing the reimbursement program by authorizing the reimbursement program by authorizing the

Keywords: 1136, house, all

Transcript Highlights:

• They've done a great job administering this grant program.
• Bunch has a new nursing school where they're doing some workforce training.
• We may have her discuss some of what they're doing at their new nursing school.
• Bunch has a new nursing school where they're doing some workforce training.
• A new nursing school.

Committee: All ALZHEIMER'S DISEASE AND DEMENTIA ADVISORY COUNCIL

Keywords: 1204, all