Transcript Highlights:

• <00:10:08.959> Uh have impacts at the state level. Uh have impacts at the state level.
• Um and what income level they acrew to.
• what will happen at the federal level what will happen at the federal level but<00:52:05.599>
• Now, of course, with universal meals, we picked up the state-level funding.
• would potentially go below that level. would potentially go below that level.

Keywords: 1183, house

Transcript Highlights:

• Uh, the latest data we have right now at the state level is December 2025, and we will release, um, uh
• is is December 2025 and we state level is is December 2025 and we will<00:03:13.280> release<
• the federal level is on immigration<00:37:42.800> reform.
• federal level for the reasons stated. federal level for the reasons stated.
• > some<00:54:43.680> specific just high level give some specific just high level give some

Keywords: 1183, house

Transcript Highlights:

• <00:14:16.399> of know that we have two levels of know that we have two levels of contractors
• estimated what is the risk level estimated what is the risk level compared<01:49:52.719> to
• technicians which is the lowest level technicians which is the lowest level for<01:57:59.280>
• level we can solve these problems level we can solve these problems ourselves? ourselves?
• Hospital who need that level of care. Hospital who need that level of care.

Keywords: 1189, house, all

Transcript Highlights:

• > well<00:28:43.480> as<00:28:43.640> some<00:28:43.799> other federal level
• as well as some other federal level as well as some other Federal<00:28:44.480> organizations
• um we agree that there needs to be state um we agree that there needs to be some<00:30:49.039> level
• c> oversight<00:30:51.120> and<00:30:51.880> uh<00:30:52.840> really some level
• of of oversight and uh really some level of of oversight and uh really addressing<00:30:53.840> Bad

Keywords: 1191, senate, all

Transcript Highlights:

• ...housing to our state civil service employees who are what's considered low to moderate income levels
• However, what I've noticed from the local level is that we sell properties to developers.
• don't want to work in the private sector, who want to serve their state and their neighbors on another level
• emergency preparedness, and provides for limitation of liability for actions taken to reduce water levels
• It's limitation of liability for flood mitigation preparedness, lowering water levels pursuant to an

Bills: HR275, HR276, HR277, HR278, HR279, HR280, HR281, HR282, HR283, HR284, HCR112, HCR113, HR265, HR266, HR267, HR268, HR269, HR270, HR271, HR272, HR273, HCR107, HCR108, HCR109, HCR110, HCR111, SCR63, SCR66, SCR67, SB414, SB484, SB513, HR168, HR174, HR194, HR216, HR264, HCR54, HCR74, HCR79, HCR85, HCR87, HCR94, HCR95, HCR97, HCR98, HCR104, SCR23, SCR29, SCR33, SCR38, HB75, HB705, SB54, SB56, SB72, SB79, SB97, SB105, SB123, SB125, SB129, SB163, SB171, SB252, SB287, SB375, SB386, SB461, SB466, HR84, HR188, HR205, HR3, HR197, HR243, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, SCR20, SCR24, SCR35, HCR6, HB301, HB359, HB657, HB675, HB680, HB727, HB39, HB58, HB112, HB134, HB155, HB187, HB287, HB462, HB782, HB825, HB846, HB903, HB904, HB929, HB941, HB962, HB1200, HB4, HB623, HB944, HB986, HB1098, HB1222, SB45, SB58, SB71, SB81, SB92, SB100, SB109, SB141, SB156, SB181, SB203, SB204, SB205, SB207, SB213, SB214, SB216, SB229, SB257, SB274, SB290, SB304, SB374, SB379, SB396, SB410, SB425, SB427, SB429, SB479, SB522, SB34, SB164, SB172, SB198, SB208, SB232, SB281, SB286, SB317, SB322, SB334, SB380, SB385, SB409, SB417, SB421, SB430, SB439, SB447, SB458, SB510, HB842, HB633, HB1191, HB625, HB1255, HB251, HB582, HB646, HB819, HB998, HB1257, SB197, SB436, SB78, HB901, HR20, HR74, HCR65, HCR71, HB284, HB302, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, HB258, SB149, SB382, SB441

Keywords: highway maintenance, signage, transportation safety, DOTD, infrastructure, public safety, federal grants, job creation, carbon storage, carbon dioxide storage, carbon capture and storage, CCS, mineral rights, mineral owners, oil and gas, disposal wells, injection wells, advanced drilling, carbon sequestration, Louisiana energy policy

Transcript Highlights:

• ...housing to our state civil service employees who are what's considered low to moderate income levels
• However, what I've noticed from the local level is that we sell properties to developers.
• don't want to work in the private sector, who want to serve their state and their neighbors on another level
• relative to emergency preparedness, provides for limitation of liability, action taken to reduce water levels
• It's limitation of liability for flood mitigation preparedness, lowering water levels pursuant to an

Bills: HR275, HR276, HR277, HR278, HR279, HR280, HR281, HR282, HR283, HR284, HCR112, HCR113, HR265, HR266, HR267, HR268, HR269, HR270, HR271, HR272, HR273, HCR107, HCR108, HCR109, HCR110, HCR111, SCR63, SCR66, SCR67, SB414, SB484, SB513, HR168, HR174, HR194, HR216, HR264, HCR54, HCR74, HCR79, HCR85, HCR87, HCR94, HCR95, HCR97, HCR98, HCR104, SCR23, SCR29, SCR33, SCR38, HB75, HB705, SB54, SB56, SB72, SB79, SB97, SB105, SB123, SB125, SB129, SB163, SB171, SB252, SB287, SB375, SB386, SB461, SB466, HR84, HR188, HR205, HR3, HR197, HR243, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, SCR20, SCR24, SCR35, HCR6, HB301, HB359, HB657, HB675, HB680, HB727, HB39, HB58, HB112, HB134, HB155, HB187, HB287, HB462, HB782, HB825, HB846, HB903, HB904, HB929, HB941, HB962, HB1200, HB4, HB623, HB944, HB986, HB1098, HB1222, SB45, SB58, SB71, SB81, SB92, SB100, SB109, SB141, SB156, SB181, SB203, SB204, SB205, SB207, SB213, SB214, SB216, SB229, SB257, SB274, SB290, SB304, SB374, SB379, SB396, SB410, SB425, SB427, SB429, SB479, SB522, SB34, SB164, SB172, SB198, SB208, SB232, SB281, SB286, SB317, SB322, SB334, SB380, SB385, SB409, SB417, SB421, SB430, SB439, SB447, SB458, SB510, HB842, HB633, HB1191, HB625, HB1255, HB251, HB582, HB646, HB819, HB998, HB1257, SB197, SB436, SB78, HB901, HR20, HR74, HCR65, HCR71, HB284, HB302, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, HB258, SB149, SB382, SB441

Keywords: highway maintenance, signage, transportation safety, DOTD, infrastructure, public safety, federal grants, job creation, carbon storage, carbon dioxide storage, carbon capture and storage, CCS, mineral rights, mineral owners, oil and gas, disposal wells, injection wells, advanced drilling, carbon sequestration, Louisiana energy policy

Summary: The House met with a quorum and began with prayer, the Pledge of Allegiance, and several personal privileges recognizing National Police Week, fallen law enforcement officers, a young Olympic weightlifter, a community sports agent, a deceased coach, Alpha Phi Alpha Fraternity Day, the Louisiana Cattlemen’s Association, aviation professionals, and a birthday tribute. The chamber also received Senate messages, committee reports, and a long series of resolutions and bills, many of which were adopted or concurred in without objection. Several measures were returned to the calendar, while others were advanced with technical or clarifying amendments. A major portion of the meeting focused on resolutions honoring or commemorating people and groups, including National Police Week, Barron Baker, Paul T. Derezel II, Coach Emilio Tese, Alpha Phi Alpha, Louisiana Realtors Day, Special Olympics Louisiana, and various memorial highway designations. The House also adopted or concurred in resolutions on topics such as DOTD signage, shrimp procurement, geothermal energy, opioid settlement reporting, hospital design standards, Medicaid redetermination flexibility, chronic wasting disease management, remote online notarization, and a task force on intestate succession. Testimony on these items was generally supportive and brief, with sponsors explaining that most were technical, commemorative, or requests for study. The chamber also took up several substantive bills and Senate amendments. Among the measures concurred in were bills on peace officer citizenship requirements, post-conviction bail limits, portable benefits for independent contractors, workforce development, construction debris burning, license plate coverings, insurance and captive insurers, oil field indemnification, and rural infrastructure financing. One notable bill, HB 39 on peace officer citizenship, drew questions about National Guard members and legal permanent residents before the House concurred in the Senate amendments by a 74-22 vote. HB 134 on harmful material and interactive computer services had its Senate amendments rejected, while HB 359 on nonaffiliated candidates was temporarily returned to the calendar. The most extended debate came on the conference committee report for HB 842, which addressed Louisiana election law in response to the federal Callais decision. Members questioned how the report would affect the current congressional election cycle, absentee ballots, qualifying dates, signature requirements, and whether the closed party primary for U.S. House races had been canceled in favor of an open primary in the fall. The sponsor explained that the report cancels the current closed party primary for congressional races, voids ballots cast in that canceled election, returns qualifying fees, lowers petition-signature requirements, and sets new dates for the open primary and runoff. The House suspended the rules to consider the report the same day it was received, and the discussion highlighted concerns about election administration, district maps, and the scope of the changes before the chamber moved forward.

Transcript Highlights:

• and by the time so just at a high level and by the time so just at a high level a<00:20:45.679><
• , so not just the impact of the pandemic, but those prepandemic levels.
• So not compared to prepandemic levels.
• Minnesota is those prepandemic levels.
• really just wanted you to see the level really just wanted you to see the level of<00:57:52.400>

Keywords: 1187, senate, all

Transcript Highlights:

• <00:13:05.279> funding interviews keeping this level funding interviews keeping this level
• <00:18:10.200> funding Advocacy without the level funding Advocacy without the level funding
• Right now, we have an annual occupancy rate of 97%.
• The three levels we are asking for are to sustain the ones that are at risk of sustainability.
• <01:44:05.000> we that out on a New Hampshire level we that out on a New Hampshire level we

Keywords: 1191, senate, all

Transcript Highlights:

• So in Arizona, there are 10,000 students in seventh grade who are reaching the highest level of math
• Same academic level as their peers, they are twice as likely to be enrolled in advanced math compared
• My question is, how come we can't leave it at the local level to let them, you know, have parents work
• The number of kids by race, family income, and gender, highest proficiency in grade-level mathematics
• Kelly indicated—if you look at the satellite level, the EVIT CTE, and...

Keywords: 1182, all

Transcript Highlights:

• I know some of you feel this deeply on a personal level and are grieving in your own ways.
• deeply<00:03:28.879> on<00:03:29.000> a<00:03:29.200> personal<00:03:29.560> level
• <00:03:30.080> and<00:03:30.200> are deeply on a personal level and are deeply on a
• personal level and are grieving<00:03:30.799> in<00:03:30.959> your<00:03:31.159> own
• and so I don't know if that large level and so I don't know if that was<00:54:10.839> sort<00

Keywords: 1183, house

Transcript Highlights:

• Health occupations<00:29:54.320> physicians<00:29:54.920> traded<00:29:55.480> foreign
• Senate Bill 480, Health Occupations Physicians Trained in Foreign Countries Exemption from Educational
• important constitutional right they have, the right to elect their leaders that represent them in their levels
• their leaders that represent them in their leaders that represent them in their<00:43:29.200> levels
• their levels of government. their levels of government.

Keywords: House streaming session for Friday, April 10, 2026, 957, house, all

Summary: The House opened with the Pledge of Allegiance and a prayer, then the Speaker noted a long day ahead and asked members to be patient as the chamber worked through several remaining bills. The House then handled routine business, including reading the journal and taking up a resolution honoring Delegate Susan K. McComas for her 24 years of service representing Harford County. Members from the Harford County delegation praised her work on behalf of families and children, her service as a former mayor of Bel Air, and her long legislative career. McComas briefly spoke in response, reflecting on her service and thanking colleagues. The chamber then moved through a series of consent calendar items and Senate amendments. House Bill 193 on state procurement transparency, House Bill 261 on competitive proof-of-concept procurement, House Bill 266 on the Information Technology Investment Fund, House Bill 998 on Baltimore City alcoholic beverages districts, and House Bill 1422 on procurement and personnel liquidated damages all received concurrence in Senate amendments and were passed, with roll calls showing overwhelming support; HB 1422 drew nine negative votes, and HB 266 drew one negative vote. The House also received committee reports advancing several Senate bills, including measures on child care credential funding, speed monitoring systems, driver skills examinations, school bus fire safety, veterans cemeteries, IT investment fund uses, Baltimore City alcohol regulations, hospital immigration enforcement policies, and board of education compensation changes. Later, the House considered additional amended bills and adopted the committee amendments before advancing them to third reading. These included Senate Bill 212 on tuition exemptions for spouses and dependents of safety employees and the Maryland Fallen Heroes Death Benefits Act, House Bill 1599 and Senate Bill 558 creating a Chesapeake Bay Enhancement Program and Maryland Seafood Industry Financial Assistance Fund, Senate Bill 366 establishing an intelligent speed assistance pilot program, Senate Bill 431 on endangered and threatened species and migratory birds regulations, Senate Bill 947 on Maryland Transit Administration reform, Senate Bill 480 on physician licensure for foreign-trained doctors, Senate Bill 898 on Medicaid reimbursement for registered behavior technicians, Senate Bill 204 on the Maryland Civic Excellence Program, and Senate Bill 890 on captive insurer premium tax study. In several cases, amendments were described as technical or as clarifying reporting, deadlines, eligibility, or program structure. One member asked about SB 890 after amendments removed the proposed tax moratorium, and the floor leader explained that the bill was now only a study requiring a report back to the General Assembly. The session ended with a quorum call showing 133 members present and the House still in session.

Transcript Highlights:

• House Bill 241, Business Occupations and Professions, State Boards and Commission, Sunset Extensions.

Keywords: House streaming session for Friday, February 20, 2026, 957, house, all

Summary: The Maryland House met in session with 122 members present, received the journal, introduced several House bills and Senate Bill 37, and referred bond initiatives and executive nominations to committee. The chamber then took up a series of third-reading bills. House Bill 146, concerning on-site wastewater system inspection and pumping requirements and implementation dates, drew extended debate. Supporters described it as a consumer protection and water-quality measure, while opponents argued it would add significant costs to home sales and rentals, especially in rural areas. After discussion of septic-system costs, enforcement, and the pace of replacement approvals, the bill passed 93-36. House Bill 220, dealing with individual water submeters, also prompted debate over a $1 monthly administrative fee and a provision affecting unpaid water bills in eviction proceedings; members clarified that the eviction language had been struck by floor amendment. Some members argued the bill could raise housing costs, while the sponsor said it mirrored existing electric and gas submetering law. The bill passed 95-34. House Bill 236 on blood-testing timing for contestants before the State Athletic Commission passed 130-0, House Bill 241 extending sunset provisions for state boards and commissions passed 130-0, House Bill 242 on unemployment insurance confidentiality passed 130-0, House Bill 259 revising the Maryland Community Investment Venture Fund passed 120-10, and House Bill 308 on private mailboxes for associations passed 120-2. During the floor session, members also discussed septic-system policy more broadly, including the cost of inspections, the need for timely repairs, and whether government should intervene in real-estate transactions. One member explained that a floor amendment had removed a disputed provision from HB 220, which is why it did not appear in the reprint. The House also received a gubernatorial message with executive nominations, referred it to House Rules, and then heard committee and subcommittee announcements about upcoming votes, budget hearings, and caucus meetings.

Transcript Highlights:

• I'm sure it kind of just meets what you've been doing all these years in your occupations, but more importantly

Keywords: 912, senate, all

Summary: The Committee on Water and Land opened with housekeeping remarks about testimony limits, video availability, and that decision-making would follow the hearing. The committee then heard and considered several SCRs authorizing long-term nonexclusive easements over state submerged lands for existing public or private infrastructure on Oahu, including stormwater outfalls, shoreline protection structures, concrete stairs, seawalls, and a rock revetment. DLNR supported each measure and generally requested only technical or clarifying amendments; for SCR 3, DLNR asked that the title be clarified to specify the easement would be granted to the City and County of Honolulu. After discussion, the committee adopted the chair’s recommendations, passing SCR 3 with amendments and SCRs 4, 6, and 7 unamended, while SCR 5 was passed with technical, non-substantive amendments. Senator Meli noted general concerns about seawalls and hardening but said he would support the measures because they involved repair of existing structures and public access, though he indicated a reservation on SCR 6. The committee then took up governor’s messages for HCDA appointments. For GM 58, Gerald Gordner was nominated to the Kalaeloa district seat; HCDA’s executive director and another supporter praised his urban planning, housing, zoning, GIS, and collaborative skills, and Gordner described his interim service and background in housing affordability and disaster recovery. Members also discussed a former military hangar in Kalaeloa and possible future uses, with Gordner noting he understood there had been restrictions that were later lifted, while the chair raised concerns about airport operations and modular housing use. The committee also heard support for GM 559, nominating Micki Lidstone as cultural specialist; HCDA said she had been an active and reliable board participant and cultural resource, and Lidstone said she valued learning from Native Hawaiian testimony and helping balance community perspectives. Finally, GM 688 nominated Deborah Kabibi to the Leeward Oahu/Maui district seat; HCDA said her community ties would be valuable for South Maui planning, and Kabibi said she had learned a lot from the board’s collaborative process and was eager to represent her community. The transcript ends during discussion of GM 688, before any vote on the nominations is shown.

Transcript Highlights:

• than 54,000 students, about 40,000 students in undergraduate programs and over 14,000 in graduate-level
• 40.240> one<00:01:40.439> in<00:01:40.600> three<00:01:40.840> Minnesota level
• programs one in three Minnesota level programs one in three Minnesota high<00:01:41.520> school
• Graduating in four years helps hold down the cost of college and the level of student debt.
• <00:53:46.760> versus went into deciding um that level versus went into deciding um that level

Keywords: 1183, house

Transcript Highlights:

• As you know, having one level of government pay taxes to another level of government for a public facility
• As you know, having one level of government pay taxes to another level of government for a public facility
• Having one level of government pay taxes to another level of government for a public facility makes the
• and what we fund at the local level.
• <00:33:23.240> it's what they had to raise that level it's what they had to raise that level

Keywords: 1183, house

Transcript Highlights:

• It acknowledges that county level.
• level that it doesn't matter. level that it doesn't matter.
• So this bill, this amendment, just have that level of rationality, have that level, make that case.
• have that level of rationality, have<04:16:26.080> that<04:16:26.319> level,<04:16:26.640
• <04:46:12.878> This question at the federal level. This question at the federal level.

Keywords: 981, all

Transcript Highlights:

• And we will go through this spreadsheet, have a high-level summary of the various articles.
• Our counsel is going to give a pretty much a high-level review of each of the articles, pointing out
• council is going to give pretty much<00:50:47.839> a<00:50:48.079> high<00:50:48.400> level
• <00:50:49.680> uh<00:50:50.800> uh much a high level uh uh much a high level uh uh
• And it lastly provides an allocation of the occupation tax revenue from the gas generated within this

Keywords: 1187, senate, all

Transcript Highlights:

• the benefits that they were entitled to and imposed all these additional requirements at the state level
• > these additional requirements at the these additional requirements at the state<01:52:53.120> level
• that gave us the highest state level that gave us the highest error<01:52:54.720> rate<01:52:
• of of not of not paying the TAs their of of not of not paying the TAs their basic<03:30:37.240> level
• basic level. basic level.

Keywords: MS Senate Floor - 11 March, 2026; 10:00 AM, 925, all

Summary: The Senate convened with a quorum, opened with an invocation by Reverend Anthony Phillips, and dispensed with the reading of the journal and committee reports. The chamber also recognized several guests in the galleries, including family members of senators, medical professionals for Early Childhood Day, and advocates and local officials. After introductions, the Senate moved into the calendar and began considering bills and motions. Among the measures taken up, the Senate passed House Bill 1393 to create the Mississippi Energy Infrastructure Fund, with the sponsor explaining it would allow MDA to support energy projects and require compliance with state procurement laws. The Senate also passed House Bill 420, which provides a full homestead ad valorem tax exemption for honorably discharged veterans age 85 or older and allows an unremarried surviving spouse to keep the exemption; senators asked about eligibility, age limits, and safeguards against improper exemptions. Another bill passed was House Bill 1941 on the Mississippi Outdoor Stewardship Trust Fund, which would allow funding through bonds or other means in addition to direct appropriation and raise the DFA processing cap from 2% to 3%; several senators raised concerns about state debt and the funding mechanism. The Senate concurred in Senate Bill 2906, which gives the Secretary of State additional time to establish minimum cybersecurity standards for county election systems. It also adopted motions to table reconsideration on several House bills, including House Bill 908 on absentee ballot receipt dates, House Bill 525 on mandatory minimum penalties for sexual battery, and House Bill 538 on sanctuary policies and immigration enforcement. The chamber voted to reconsider and then again pass House Bill 1613, described as a bill on aggravated trafficking weight and pill counts that also included a chemical abortion ban, after some senators who were absent earlier asked to go on record. For House Bill 2409, dealing with a comprehensive mitigation program for retrofitting insurable homes, the Senate voted not to concur and invited conference. The Senate also passed and retained numerous other items as it worked through the calendar.

Transcript Highlights:

• And we want to provide that discretion at the local level. Senator Jones.
• We are going to establish a cabinet-level...
• This is a cabinet-level agency that will look holistically across the entire enterprise.
• This is a cabinet-level agency. It's not directly under the governor.
• And now we have an entirely new level of issue that was created because of that.

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:

• <00:17:31.280> of individuals who require a level of individuals who require a level of medical
• have a service coordinator um so long as that agency um is enrolled with Medicaid to provide that level
• <00:50:42.800> Um to provide that level of service. Um to provide that level of service.
• I mean occupational services, you know, we representative mentioned earlier transportation services,
• <01:23:22.639> of necessity dictates uh that level of necessity dictates uh that level of

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.