Transcript Highlights:

• dealing with DOC is the first day and the last day, and if you get your first day and your last day concurrent

Bills: HB372, HB414

Keywords: HB372, Justice of the Peace Court, Delaware courts, Title 10, court administration, judicial staffing, county courts, Kent County, New Castle County, Sussex County, Wilmington, 24-hour hearings, court locations, court hours, magistrate court, access to justice, court consolidation, Delaware General Assembly, destructive weapon, possessing a destructive weapon

Summary: The House Judiciary Committee met and heard three bills. HB 372 would reorganize Justice of the Peace Court resources by shifting the number of judges and court locations among counties, consolidating overnight operations into a single 24-hour court in Kent County, and adjusting staffing to address workload and efficiency concerns. Chief Judge Alan Davis said the change responds to increased civil filings, automated enforcement, and staffing shortages, and that a Sussex County pilot closing a 24-hour facility had worked without major issues. Some members raised concerns about impacts on Sussex and Kent County, bail processing, and local response times, while public comment included one supporter. The committee voted to release HB 372. The committee then considered SB 324, which amends Delaware’s permit-to-purchase law to allow constable agencies, including those serving institutions like Delaware Tech, to purchase handguns for newly hired constables without duplicative background checks. Sponsor Representative Cook said the bill aligns constable procurement with existing law-enforcement exemptions while preserving gun-safety requirements. Public testimony included support from Delaware Tech and comments urging broader fixes to the permit-to-purchase law, including exemptions for retired officers with federal 218 credentials and clarification on firearms returned from manufacturers, gunsmiths, or police departments. The committee voted to release SB 324. Finally, the committee heard HB 414, which clarifies that the Superior Court’s exclusive jurisdiction over certain destructive-weapon offenses applies only to adults, while juvenile cases would still begin in Family Court. Sponsor Representative Romer said the bill preserves the Family Court’s role in handling youth cases and allows referral to Superior Court when appropriate. The Department of Justice said it still believes Superior Court is the proper venue for these serious charges, while the Office of Defense Services supported keeping youth cases in Family Court first, arguing that rehabilitation and juvenile-specific dispositions are more appropriate. After public comment, the committee voted to release HB 414, and the meeting adjourned.

Transcript Highlights:

• So with that, the House has receded from its position of non-concurrence with the Senate amendment and

Keywords: 1189, house, all

Summary: The Conference Committee on House Bill 244 met to resolve remaining drafting issues in the bill updating and recodifying municipal enforcement of building and fire codes. The chair explained that the measure is largely a technical recodification, moving statutory references and correcting broken cross-references after review by the subcommittee, the Senate, AI-assisted checking, and the Building Code Review Board. Members emphasized that Amendment 2026-1923H contains no policy changes, only reference updates and language cleanup to ensure the bill points to the correct current RSA sections. The committee then discussed a few specific drafting questions, including a reference on page one and language on page two concerning the phrase “remove the prohibition on a building permit.” Some members questioned whether that wording should instead describe a variance or exception, but the chair and Representative Darji explained that the language is intended to allow an applicant to return to the zoning board to remove a prohibition attached to a specific building permit, not to broadly eliminate the underlying rule. The committee also noted a corrected reference to current statutory language because the underlying law had changed since the bill was introduced. After the explanation, the House receded from its position of non-concurrence and concurred with the Senate amendment as further amended by 2026-1923H. Members agreed to place the measure on the House consent calendar, and the committee adjourned.

Transcript Highlights:

• It says a holding period will run concurrently. Yes, in other words, you can't tack it on.

Keywords: 974, senate, all

Transcript Highlights:

• Question for the Senate is the adoption of the amendment, or concurrence with the House amendment to

Keywords: 994, senate, all

Summary: The Senate took up a series of House amendments to enrolled bills and, in each case, moved to concur, pass the bill, and in several instances set effective dates. Measures approved included SB 29 (judiciary pay increases), SB 44 (homemade food/cottage food rules), SB 617 (protections against financial exploitation of eligible adults), SB 742 (involuntary hospitalization requirements), SB 952 (court security fund transfer), SB 1008 (asbestos and silica statute of limitations), SB 723 (law enforcement cooperation with bordering states), SB 947 (birth certificate copies for homeless minors), SB 392 (personal income tax reduction), SB 54 (criminal penalties for abuse or neglect of incapacitated adults), SB 228 (technology in child abuse/neglect investigations, including a three-county caseworker aid pilot), SB 231 (value-based payment requirements), SB 402 (Workforce Readiness Opportunity Act, with the House removing several provisions but retaining a micro-credential program), SB 553 (temporary transfer of contractor licenses to qualifying immediate family members), SB 575 (refusal review hearings), SB 686 (coal code modernization and minors protection), SB 906 (lawful prescription of crystalline polymorph psilocybin under FDA recommendations), SB 1026 (penalties for disturbing religious worship), SB 63 (Sustaining Opportunities for Academics and Rural Schools Act), SB 502 (Women’s Collegiate Sports Protection Act), and SB 153 (Unemployment Automation and Administration Fund). Most of these passed with unanimous or near-unanimous votes; SB 392 passed 31-2 on the first vote and was later reconsidered and passed again 32-2. Several bills were made effective from passage or on July 1, 2026, by the required supermajority votes. The chamber also considered Senate Executive Message No. 4 from the Committee on Confirmations. The Senate confirmed all nominees except number 54 in a 33-0 vote, then separately confirmed nominee 54 by a 30-3 vote. In debate on SB 392, the majority leader explained that the House removed a proposed vape tax increase to preserve the income tax reduction, while a senator from the 13th spoke about affordability concerns, tax relief, and urging action on gasoline prices; those remarks were ordered into the Journal. After the legislative business, the Senate received several introductions of guests and visitors in the galleries, including state police sergeants, family members of senators and pages, and the wife of the newest senator from Pleasants County. The Senate then agreed to recess until 5:30 p.m., with the Rules Committee scheduled to meet immediately after recess.

Transcript Highlights:

• The question for the Senate is the adoption of the amendment, or concurrence with the House amendment

Keywords: 994, senate, all

Summary: The Senate took up a series of House amendments to enrolled bills and, in each case, accepted the amendments and passed the bills, often with effective dates set by separate motions. Measures approved included pay increases for the judiciary (SB 29), regulation of homemade food sales (SB 44), protections against financial exploitation of eligible adults (SB 617), involuntary hospitalization changes (SB 742), transfer of the court security fund (SB 952), asbestos and silica statute-of-limitations changes (SB 1008), cooperation with bordering states by law enforcement agencies (SB 723), birth certificate access for homeless minors (SB 947), personal income tax reduction (SB 392), criminal penalties for abuse or neglect of incapacitated adults (SB 54), child abuse investigation technology and a caseworker aid pilot program (SB 228), value-based payment requirements (SB 231), workforce readiness and micro-credential provisions (SB 402), contractor license transfer rules for immediate family members (SB 553), refusal review hearings (SB 575), coal code modernization and minors protection (SB 686), lawful prescription of crystalline polymorph psilocybin under FDA recommendations (SB 906), penalties for disturbing religious worship (SB 1026), the Sustaining Opportunities for Academics and Rural Schools Act (SB 63), women’s collegiate sports protections (SB 502), and modernization funding for Workforce West Virginia (SB 153). Most of these bills passed with unanimous or near-unanimous votes; SB 392 passed 31-2 on the first vote and was later reconsidered and passed again 32-2. Several bills were made effective from passage or on July 1, 2026. The Senate also considered Senate Executive Message No. 4 from the Committee on Confirmations. The chamber confirmed all nominees except number 54 in one vote, then separately confirmed nominee 54 by a 30-3 vote. After the confirmation business, the Senate briefly recessed and later returned to additional floor business. During the session, the majority leader also delivered remarks on affordability, citing prior tax reductions, a personal property tax rebate, elimination of state income tax on Social Security for seniors, and efforts to increase homestead exemptions. He urged the governor to explore ways to address rising gasoline prices. The remarks were entered into the journal by unanimous consent.

Transcript Highlights:

• Chair and members, Senate Concurrent Memorial 1004 urges the U.S.

Bills: SB1041, SB1176, SB1197, SB1198, SB1199, SCM1004

Keywords: electronic monitoring, nursing care, assisted living, resident rights, privacy, consent, surveillance, stormwater, water storage, replenishment credits, groundwater, aquifer, Arizona Revised Statutes, irrigation rights, water duty, water allocation, management areas, Arizona beef council, beef promotion, agricultural marketing

Summary: The Senate Natural Resources Committee approved the January 13, 2026 minutes and held Senate Bills 1041 and 11676 by request for further review. The committee then heard Senate Bill 1197, which would allow irrigation grandfather rights and associated water duty in subsequent active management areas (AMAs) to be sold, leased, or transferred within the same AMA. The sponsor said the bill is intended to help wineries and other farmers in the Wilcox and Douglas areas adjust fields and expand while staying within existing water limits. Opposition testimony from Sierra Club and Rural Arizona Action argued the bill could increase groundwater pumping unless it includes stronger safeguards, such as a net reduction in water use and clearer ties to AMA management goals. The City of Wilcox and the Department of Water Resources were neutral but said the bill needs more work on consistency, oversight, and transparency. The committee passed SB 1197 on a 4-3 vote, with one member not voting. The committee then unanimously passed Senate Bill 1198, which continues the Arizona Beef Council for eight years until July 1, 2034. Testimony from the council’s executive director was supportive, and members discussed the importance of the beef industry and the value of longer continuation periods for agency review. Senate Bill 1199, which continues the Arizona State Veterinary Examining Board for eight years until July 1, 2034, also passed unanimously. Members used the discussion to raise broader concerns about the shortage of rural and large-animal veterinarians and the need for future funding and workforce support. Finally, the committee considered Senate Concurrent Memorial 1004, urging Congress to clarify the EPA’s powers and end what the sponsor described as regulatory overreach. Supporters framed it as a request for Congress to fix unclear federal law, while opponents said it would weaken science-based environmental protections and deny climate and public health realities. The memorial passed 4-3 with one not voting. The committee then adjourned.

Transcript Highlights:

• And we believe this would do that if you guys would be concurrent to that.

Bills: SB2003

Keywords: higher education, student loans, scholarships, capital projects, workforce development, funding, North Dakota university system, 908, all

Summary: The committee first reconsidered Senate Bill 2003 in the higher education budget and adopted several changes. It removed $3 million for enterprise resource planning, struck $2 million for a grant program for students who are pregnant or recently gave birth, and then added $3 million back into workforce education and innovative grants, restoring that line to $12 million. Members also discussed a possible purchase of the 19th Avenue building in Fargo for the State School of Science, but the motion was withdrawn for later consideration. Other higher ed items were briefly noted, including tribally controlled community colleges and a state magazine funding line, but no final action was taken on the building proposal during this segment. The committee then moved to Senate Bill 2018, the Commerce budget, and reviewed a long list of funding items. It restored a vacant workforce FTE, increased tourism marketing to $10 million and Find the Good Life to $5 million, raised Operation Intern by $1 million, removed a $100,000 infrastructure study, increased autonomous agriculture grants to $15 million, and set the Regional Workforce Impact Program at $10 million. It also kept or adjusted several other items, including the uncrewed aerial vehicle replacement program, the global talent office, tribally controlled community colleges, Native American small business grants, and technical skills training grants. A major new provision would transfer $50 million total, split between SIF and Bank of North Dakota profits, to the Theodore Roosevelt Library Museum Endowment Fund, matching a private fundraising challenge; members expressed both support and concern, and said they would revisit it later. The committee also discussed language to allow commercialization of Vantis and to permit the Turtle Mountain gaming compact proposal to move forward with required federal approvals, while clarifying that a previously discussed $100,000 study had been removed. Commerce officials said the workforce language was intended to centralize data and strategy, and they noted Operation Intern would need an emergency clause because applications begin in May. No final vote on the Commerce budget was taken in this segment, and the chair said the committee would return later to finish both budgets.

Transcript Highlights:

• county attorneys, who usually handle deceptive trade practice cases in our local communities. have concurrent

Bills: HB74, HB175, HB460, HB576, HB2271, HB2294, HB2874, HB3016, HB3133, HB3191, HB3458, HB3929, HB4063, HB4115, HB4394, HB74, HB175

Keywords: Puerto Verde, Port Authority, eminent domain, bonds, tax assessments, economic development, infrastructure, transportation, public welfare, child care, certifications, Texas Rising Star Program, grant program, disability inclusion, family income, affordability, economic impact, state study, cost analysis, government support

Transcript Highlights:

• And members, if you will allow me, we have a resolution that's before you today.
• And members, if you will allow me, we have a resolution that's before you today.
• And members, if you will allow me, we have a resolution that's before you today.
• It's incredibly gracious, really, that we should recognize Senator Davis telling that story concurrent

Summary: The Senate opened with prayer, the Pledge of Allegiance, doctor and guest introductions, and then took up Committee Substitute for Senate Bill 168, the Tristan Murphy Act, on mental health. Senator Bradley described the bill as a major criminal justice and behavioral health reform measure that would expand pretrial mental health diversion, strengthen treatment-based probation conditions, broaden grant uses for mental health and substance abuse programs, add Hillsborough County to a forensic hospital diversion pilot, require certain DOC mental health evaluations, and create a Florida Behavioral Health Data Repository. Senators from both parties spoke in strong support, emphasizing treatment over incarceration, public safety, data collection, and the Murphy family’s role in advancing the bill. The Senate passed the bill 37-0 and then approved 37 co-sponsors. The chamber then received the Senate’s 2025-26 General Appropriations Bill, SB 2500, with Chair Hooper outlining a $117.4 billion budget that he said reduces spending, preserves reserves, and includes major investments in water quality, transportation, education infrastructure, and reporting requirements. Committee chairs summarized their portions: K-12 funding at $34.7 billion with increases for FEFP, scholarships, VPK, school hardening, and school safety; higher education at $11.5 billion with workforce, nursing, reading, autism, and student aid investments; health and human services with a $1.8 billion increase for Medicaid, mental health, opioid response, disability services, and veterans programs; criminal and civil justice at $7.6 billion for corrections, juvenile justice, law enforcement, courts, and judgeships; transportation/tourism/economic development at about $18 billion including roads, housing, Visit Florida, and cultural grants; and agriculture/environment/general government with major Everglades, water quality, citrus, food bank, and agency IT funding. Members then questioned several budget items, especially education funding formulas, the shift of scholarship dollars below the line, the impact on public school districts, AP/IB and other accelerated program funding, the APD wait list, opioid settlement spending, arts grants, and the My Safe Florida Home and condo pilot programs. Chairs generally said scholarship and accelerated-program dollars were being restructured for transparency and flexibility rather than cut, that school districts would still receive funding based on enrollment, and that APD and other human services issues would continue to be worked out in conference. The budget discussion concluded with remarks praising staff and noting a 4% across-the-board pay raise for state employees and targeted increases for law enforcement and firefighters, followed by a recognition for FAMU Day at the Capitol.

Transcript Highlights:

• full oversight, documented descendant consultation, burial council authority, and zero assumed concurrence
• purposes because we believe such action introduces confusion and further delays responsibility and resolution
• purposes because we believe such action introduces confusion and further delays responsibility and resolution

Bills: SB1406, SB521, SB3247, SB1654, SB1112, SB1301, SB2443, SB2996

Keywords: historic preservation, burial sites, DHHL, Department of Hawaiian Home Lands, DLNR, Department of Land and Natural Resources, section 6E-8, Hawaii Revised Statutes, Hawaii Register of Historic Places, National Register of Historic Places, cultural resources, archaeology, land use review, environmental review, state historic preservation officer, Hawaiian home lands, project permits, consultation, concurrence, nonconcurrence

Summary: The committee heard testimony on several measures affecting Hawaiian affairs, historic preservation, water access, and land governance. SB 1406 would let the Department of Hawaiian Home Lands assume historic preservation review for projects on lands under its jurisdiction, except for properties listed or nominated for the state or national historic registers. DHHL supported the bill, while a descendant testifier strongly opposed it, arguing that burial and preservation review protects ancestors and should not be streamlined or reduced. No questions were raised and the bill was moved on after testimony. SB 521 would require DHHL to work with county water boards or water departments to provide potable and agricultural water on Hawaiian homelands, with agreements made public. DHHL said it already works with counties but objected to the bill’s mandatory language, saying it could undermine the department’s discretion and independence. A public testifier supported the measure, and committee discussion focused on how water requirements could affect subsistence lots and infrastructure decisions. The committee then took up SB 3247, which would create a Royal Mausoleum Commission within DLNR to oversee preservation, operations, and outreach at Mauna Ala. State Parks said it valued existing collaboration with the aliʻi trusts but wanted clarity on roles, coordination, and funding if a new commission is created. The Royal Order of Kamehameha strongly supported the bill as a culturally grounded way to protect the site, while several other testifiers opposed it, saying the real issue is the curator selection process and warning that a commission could add bureaucracy and delay. The committee also heard SB 1654, authorizing transfer of certain state lands to DHHL, and SB 112, which would add the DHHL chair or designee to the Hawaii Community Development Authority; the Attorney General and HCDA offered technical and policy comments, with HCDA opposing the board change and DHHL supporting participation to protect beneficiary interests. No votes or final actions were taken in the portion provided.

Transcript Highlights:

• It says very specifically that if you have a concurrent criminal investigation, you must follow these
• did what I had encouraged many parents to do before and called the ombudsman's office to get a resolution

Keywords: 1182, all

Summary: The committee met for a presentation-only hearing on the Arizona Department of Child Safety, with no bills on the agenda. Chair Blackman opened by emphasizing that the hearing was intended to be data-focused and respectful, and that personal attacks or false accusations would not be tolerated. Director Catherine Patak then presented DCS data on hotline volume, investigations, reunifications, adoptions, guardianships, foster care entries and exits, kinship placement, congregate care, missing youth, and extended foster care. She said the department investigated more than 43,000 cases in 2025, kept the out-of-home care population relatively steady, and had reunified about 3,000 children with parents, while also noting that older youth and behavioral-health-driven removals are creating a mismatch with available foster homes. She also described kinship supports, foster parent recruitment, and the impact of Family First on funding, saying DCS lost federal drawdown for congregate care while waiting on approval for prevention programs. Members questioned the director about kinship caregivers, behavioral health access, reunification services, parental rights terminations, notice and documentation practices, and the effect of increased reimbursement rates. Patak said unlicensed kin can receive support through the kinship supports contract, that behavioral health assessments are done quickly at the welcome center or within 24 hours for kin placements, and that provider capacity remains a major constraint outside DCS control. She explained reunification conditions and services, said the department is working on documentation and notice issues flagged by the Auditor General, and noted that kinship reimbursement increases have helped some families step forward. She also said DCS procurement for group homes is handled internally through an RFP process and that about 10% of kinship caregivers become licensed. Representative Gillette then delivered a lengthy presentation arguing that the child welfare, Medicaid, and disability systems are structurally intertwined and that procurement and funding rules create incentives for volume and congregate care use. He criticized DCS, DES, and AHCCCS/Access oversight structures, argued that the system diffuses accountability, and said the committee’s work and related materials would be referred to special counsel. He also raised concerns about documentation, placement decisions, and the cost of congregate care, while asserting that the system over-relies on large providers and that reforms should focus on structural and financial incentives. Vice Chair Fink followed with a brief slide noting that congregate care costs far more per child than foster or kinship care, reinforcing the committee’s concern about placement costs and the need to shift children toward family-based care when possible.

Transcript Highlights:

• I am Reid Rydins, and I'm a crossover youth, meaning I was concurrently involved with foster care and
• The young people that we serve are pre-adjudicated and are awaiting trial or another resolution to their

Transcript Highlights:

• Legislature passed Senate concurrent resolution number two, which extended both funding.

Keywords: 1184, house, all

Transcript Highlights:

• I respectfully urge your concurrence on approving House Bill 1194. protections.
• I respectfully urge your<00:19:34.120> concurrence<00:19:34.720> on<00:19:34.840> approving
• <00:19:35.679> House<00:19:36.000> Bill your concurrence on approving House Bill your
• concurrence on approving House Bill 1194.

Keywords: 1191, senate, all

Transcript Highlights:

• The governor selects the commission’s chair, whose term is concurrent with that of the governor.
• term<01:08:16.480> is commission's chair whose term is commission's chair whose term is concurrent
• concurrent with that of the governor. concurrent with that of the governor.

Keywords: 1183, house

Transcript Highlights:

• When we have defective dates, it allows it to go through the legislative process upon concurrent agreement
• 06:04.559> upon through the legislative process upon through the legislative process upon concurrent
• <01:06:05.280> agreement<01:06:05.599> and<01:06:05.760> conference concurrent agreement
• and conference concurrent agreement and conference should<01:06:06.319> the<01:06:06.400>

Keywords: 910, house, all

Summary: The Transportation Committee met on February 5 and heard testimony on a long agenda of transportation-related bills. Early measures included HB 2392, which would create an employer tax credit for transportation demand management benefits; HB 2462, which would bar auto manufacturers and dealers from charging post-sale fees for already-installed hardware; and HB 2423, which would require diesel sold for on-road use to contain at least 5% biodiesel. HB 2392 drew support from the Oahu Metropolitan Planning Organization and one individual, with the Department of Taxation and the Tax Foundation offering comments. HB 2462 drew support from DCCA and one individual, while the Alliance for Automotive Innovation opposed it. HB 2423 drew comments from the Hawaii State Energy Office and Hawaii Farm Bureau, support from Pacific Biodiesel and the Hawaii Transportation Association, and a question from the chair about whether biodiesel is exported; the witness said production stays local. The committee also heard HB 1771 on voluntary carbon offsets for air travel, HB 2081 on requiring firefighters exempt from CDL rules to follow equivalent alcohol and substance abuse policies, HB 2334 on allowing the Department of Transportation to assume NEPA responsibilities for certain projects, and HB 2336 on DOT agreements with the Department of Defense for work at military installations using federal funds. HB 1771 drew comments from Life of the Land warning that carbon offsets are often unreliable and could create liability, while Alaska Airlines and Hawaiian Airlines offered comments. HB 2081 received support from DOT, county human resources offices, fire departments, and county officials, with the Hawaii Firefighters Association in opposition. HB 2334 was supported by DOT, and the director said other states using NEPA assignment can complete projects in about half the time. HB 2336 was supported by DOT, HIEMA, DBEDT’s military relations office, and the Hawaii Military Affairs Council; the committee discussed the administrative fee as a way to recover costs under an intergovernmental agreement. The most extensive testimony centered on HB 1666, which would limit new motor vehicle markups above 5% of MSRP and require recordkeeping. Multiple dealer groups and the Hawaii Automobile Dealers Association opposed it, arguing it would threaten dealership operations, especially in Hawaii’s high-cost market and for vehicles without an MSRP. The committee also heard HB 2375 on uniform towing and parking enforcement standards on state and leased lands, including notice, disability protections, payment safeguards, and public reporting; DLNR, DAGS, and several advocacy groups testified, with strong public support and concerns about towing practices and ADA compliance. HB 2415, which would appropriate funds for crosswalks near school properties, drew support from DOT, DOE, and the Hawaii Bicycling League, and the committee discussed how counties would request projects and how funding would be allocated. Finally, HB 2451, which would move Hawaii toward fare-free public transit beginning in 2027 and create a dedicated funding source through a petroleum tax increase, received broad support from DOT, the Energy Office, public health and advocacy groups, and many individuals; DOE testified that it currently uses about $2.1 million for student bus passes and that the program is tied to savings from inactive school bus routes.

Transcript Highlights:

• Data comes in concurrently. So I already have quite a bit of data from 2025.
• Uh data comes in uh uh<01:08:54.319> concurrently.
• 56.319> already<01:08:56.640> have<01:08:57.120> uh<01:08:57.199> we uh concurrently
• So I already have uh we uh concurrently.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the October 15 minutes, and began with a moment of silence following a Louisville UPS plane explosion that was described as a local tragedy affecting many families and first responders. The main presentation was an overview of Kentucky’s Medicaid non-emergency medical transportation (NMT) program from the Department for Medicaid Services and the Transportation Cabinet. Witnesses explained that NMT is a federally required Medicaid benefit, administered by the Transportation Cabinet under a risk-based capitated model, with eligibility limited to Medicaid members traveling to medically necessary, Medicaid-covered services and who lack access to other transportation. They also described exclusions, including certain KCHIP, QMB, and PACE members, and outlined the brokered regional structure, call center operations, scheduling rules, vehicle and driver oversight, complaint handling, and rider surveys. The presenters reported that NMT handled more than 3.1 million trips in state fiscal year 2024, with over 1.38 million trips already recorded in October, and said customer satisfaction surveys were high. They said the FY 2025-26 contract total is about $360.6 million, with monthly per-member capitation rates set by region through an actuarial process and approved by CMS. They emphasized that payments are tied to monthly Medicaid enrollment and that the state draws down federal funds for the exact amount paid, with no leftover balance. They also said most NMT use comes from adult day centers and rehabilitative care such as dialysis. Members questioned the witnesses about how quality metrics and contract standards are set, whether the state had explored alternatives such as Uber Health or other integrated models, and how utilization was calculated. The witnesses said contract requirements are developed collaboratively by Medicaid Services, the Transportation Cabinet, and other agencies, and that studies of other models generally found higher costs and lower approval ratings, with additional research on a hybrid model expected by the end of the year. They clarified that one figure reflected the share of Medicaid members with registered vehicles, while another reflected actual NMT users, and they defended the capitated structure as shifting financial risk to brokers rather than the state. Representative Fleming also raised concerns about oversight, reporting, and the apparent gap between budgeted and contracted amounts, asking whether any unused funds would return to general funds; the discussion ended before a final answer was given.

Transcript Highlights:

• There were two concurrent activities that were happening at the same time.
• Uh there were<00:41:01.680> two<00:41:02.079> concurrent<00:41:02.880> activities
• ><00:41:03.599> that<00:41:03.920> were were two concurrent activities that were were two
• concurrent activities that were happening<00:41:04.720> at<00:41:04.960> the<00:41:05.119

Keywords: 928, house, all

Summary: The Committee to Study Long-Term Managed Care met to approve prior minutes and outline its schedule, with meetings set for September 24 and September 29 ahead of an October 1 report deadline. The chair said the committee would use the first two meetings to digest testimony, likely ask follow-up questions of DHS, and then work toward conclusions and a report format. The minutes from the previous meeting were approved unanimously. The main testimony came from Sharon Alexander of Amera Health, who argued in favor of moving from fee-for-service Medicaid long-term services and supports to a managed LTSS model. She described managed LTSS as a capitated, quality-driven system used in about 26 states, and said it can improve care coordination, accountability, access to home- and community-based services, and budget predictability. She cited Amera Health’s experience in Pennsylvania and Delaware, including care coordination, housing and transportation support, caregiver programs, and quality benchmarks tied to state oversight. She also said nursing facilities would remain an important option for people who need that level of care. Committee members asked about how the programs are administered, how rates are set, how care managers work, and how quality is measured. Alexander said states contract with managed care organizations at actuarially sound capitated rates, with annual contracts, reporting, and oversight. She explained that care managers typically conduct quarterly assessments and follow up after trigger events such as hospitalization, and that housing coordinators may assist with transitions to the community. On quality, she said states use CMS-related and HCBS benchmark measures covering service timeliness, care planning, transitions, and other outcomes, and that New Hampshire could build on existing metrics rather than starting from scratch. She also noted that rural areas face workforce and transportation challenges, which managed care plans try to address through technology and self-direction options.

Transcript Highlights:

• I mean, well, you know, dual concurrent enrollment, it means the possibility that we really have essentially
• I mean, well, you know, dual concurrent<00:49:27.359> enrollment,<00:49:28.240> it<00:49
• :28.480> means<00:49:28.720> the concurrent enrollment, it means the concurrent enrollment

Keywords: 1191, senate, all

Transcript Highlights:

• On line 69, the $680,000 per biennium appropriation for the concurrent enrollment grant program is eliminated
• $680,000 per bianium appropriation<00:08:52.959> for<00:08:53.440> the<00:08:53.680> concurrent
• appropriation for the concurrent appropriation for the concurrent enrollment<00:08:54.800> grant

Keywords: 1187, senate, all