Transcript Highlights:

• SUCH AS GOLF COURSES, TENNIS COURTS, PICKLE BALL COURTS, BALLFIELDS AND OTHER SIMILAR FACILITIES.
• THIS ALLOWS MUTUAL PERMIT HOLDERS TO LEASE FACILITIES TO ANY PERMIT HOLDER.
• THE FAMILY AS PART OWNERS IN THE FACILITY LOCATED IN ALABAMA AND COLUMBIA FALLS.
• NOT ONLY IN THE FACILITY BUT MONTANA AS WELL.
• THIS IS REALLY ABOUT THE INFRASTRUCTURE CAPITAL INVESTMENTS IN THE FACILITIES.

Keywords: 999, senate, all

Transcript Highlights:

• or open-access facilities would help them anchor and expand.
• > open<01:16:27.280> access a shared facility or open access a shared facility or open
• access facilities<01:16:28.159> would<01:16:28.400> help<01:16:28.560> them<01:16
• . facilities. facilities.
• They need access to processing facilities, manufacturing facilities, warehouse space, retail space, greenhouses

Keywords: 910, house, all

Transcript Highlights:

• change will also provide much-needed relief to the countless animal owners who are struggling to access
• Next, you will see on line 17.6, the beginning, there are a few pages related to our good food access
• The Minnesota legislature established the Good Food Access Program and the Good Food Access Program Advisory
• The purpose was to increase the availability of and access to affordable, nutritious, and culturally
• that location even though it has no grain storage facilities, could you comment on that?

Transcript Highlights:

• Tyrone upgraded security system to access control system and fencing.
• Well, you do have a facility.
• All people go through weapon detection before entering those facilities.
• Situation happening on the south side of your town at a state facility.
• And one of the first things we did was limit access by doing the badges, getting the access for that,

Summary: The meeting focused on school safety funding and security practices in Oklahoma schools, especially how districts have used school resource officer (SRO) allocation money and related security grants. Kevin Rey of the Oklahoma State Department of Education’s Office of School Safety and Security explained that the program, created under HB 2903, allows districts to use funds for SROs and physical security improvements such as cameras, access control, fencing, window film, bollards, metal detectors, and vape detectors. He said more than 170 districts used the money to hire SROs in 2024-25, and that the 2024 change allowing retired officers and armed security guards to qualify was a major help. Members questioned whether the money should also support prevention and mental health services, and Rey said the current program is mainly for security hardware and related measures. Mark Stout, chief of police for Putnam City Schools, described the district’s layered security approach, including weapon detection at middle and high schools and the ZeroEyes AI camera system, which monitors existing cameras for visible guns and sends alerts to trained monitoring staff and then to district police. He said the system is used as one layer among others, alongside officers, weapon detection, and school procedures, and noted the district is expanding coverage at athletic facilities. He also explained that the system is more economical than full weapon-detection setups, with annual costs based on the number of cameras. Tecumseh Superintendent Kinsey, Chief Kennedy, and Pottawatomie County law enforcement described the October threat investigation involving a student who posted a photo with a handgun and knife and discussed violence online. They said the FBI tip, rapid coordination among agencies, and an SRO already embedded in the district helped lead to a search warrant and arrest within hours, preventing a possible attack. Kinsey also described the district’s safety measures, including secure entrances, cameras, ALICE training, crisis communication planning, mental health support, clear backpacks, and a new staff alert system. He said community feedback after the incident favored more law enforcement partnership, limited entry points, handheld metal detectors, more SROs, stronger training, and more mental health support. Matt Riggs, former superintendent of McComb, said smaller districts face different security challenges because of limited local law enforcement and long response times. He explained that McComb used its funding for facility upgrades rather than hiring a full-time SRO because the district wanted improvements that would last beyond the three-year funding window. Throughout the discussion, several members emphasized the tension between visible security measures and prevention, with repeated calls for more counselors, mental health supports, and threat-assessment efforts alongside hardening measures. No formal votes or actions were taken in the transcript.

Transcript Highlights:

• <04:03:11.000> to policies related to women's access to policies related to women's access
• I mean, in New Hampshire and Vermont in the last years, most of the critical access access hospitals
• I mean, in New Hampshire and Vermont in the last years, most of the critical access access hospitals
• I mean, in New Hampshire and Vermont in the last years, most of the critical access access hospitals
• I mean, in New Hampshire and Vermont in the last years, most of the critical access access hospitals

Keywords: 1189, house, all

Transcript Highlights:

• scientific and cultural facilities scientific and cultural facilities district.<00:31:22.399>
• <00:31:39.039> to unparalleled levels of access to unparalleled levels of access to Colorado
• access to retirement benefits on par with those of public school employees, this bill allows a facility
• facility This bill provides facil facility This bill provides facil facility schools<02:26:09.760
• access to retirement benefits on par with those of public school employees, this bill allows a facility

Keywords: 981, all

Summary: The House convened with a quorum, approved the corrected journal, and heard several announcements about upcoming committee meetings, events at the Capitol, and recognitions, including Music Therapy Day, Black History Month activities, adoptable puppies, and a Colorado Agricultural Forum. Members also celebrated Representative Story’s birthday and recognized the Scientific and Cultural Facilities District (SCFD) for its long-running support of arts, culture, science access, and economic impact in Colorado. The House adopted Senate Joint Resolution 12, designating February 20, 2026, as Colorado FFA Day, by a vote of 64-1 with one excused. The chamber then moved to special orders for several bills. The first major bill considered was House Bill 1017, which would prohibit insurers from receiving criminal restitution unless they are direct victims. Sponsors argued the bill prioritizes human victims, prevents restitution from becoming an unpayable burden on low-income defendants, and clarifies the law in response to court concerns and stakeholder feedback. Opponents argued it would shift costs to taxpayers and policyholders and could increase civil litigation and insurance premiums. An amendment, L005, was adopted to clarify the bill’s scope, and the bill then passed as amended. The House also took up House Bill 114, concerning minimum lot size and local land-use rules. An amendment, L002, was offered to prohibit certain local lot frontage, setback, open-space, or coverage requirements that would effectively prevent construction of a single-family home on a 2,000-square-foot residential lot. Supporters framed the measure as protecting housing access, while opponents argued it would override local land-use decision-making and public hearing processes. The transcript ends during debate on a substitute motion related to the amendment, before final action on House Bill 114 is shown.

Transcript Highlights:

• Massachusetts hosts some of the best medical facilities in the entire world.
• Okay, I'm going to move on to House 2537, An Act Relative to Primary Care Access.
• I'm going to move on to House 2537, An Act Relative to Primary Care Access.
• We support House Bill 2537, an act relative to primary care access.
• Access to primary care is absolutely essential.

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hybrid hearing on a wide range of bills focused on patient safety, workforce development, health equity, and access to care. A major portion of the hearing centered on H. 2362/S. 1491, which would require health care providers to offer trained chaperones for sensitive exams. Sponsors and supporters said the bill is a common-sense safeguard prompted by cases of physician sexual abuse, and survivors gave emotional testimony describing grooming, isolation, and abuse during exams when no chaperone was present. Support also came from a health services researcher, a physician, and a RAINN representative, all arguing that trained chaperones and clearer documentation would improve transparency and protect patients. Committee members asked about clarifying who may serve as a chaperone and whether the bill would apply to other clinicians such as PTs and OTs. The committee also heard testimony on H. 2401/S. 1485, which would require explicit informed consent for certain educational exams performed on unconscious patients. The bill’s supporters said patients should know in advance if students or physicians will conduct non-medically necessary exams while they are under anesthesia, and that the measure would protect survivors from retraumatization. The hearing then moved to H. 2537, a primary care access bill. Health Care for All, the Massachusetts Medical Society, pediatric and internal medicine physicians, and a patient advocate described long waits, provider shortages, and difficulty finding primary care, especially for low-income people and people of color. They supported the bill’s proposed primary care spending target, payment reforms, Medicaid graduate medical education funding, and a commercial payment floor for health centers. Another set of bills addressed workforce and safety issues. H. 2397/S. 1593 would establish a nursing workforce center; nursing leaders said Massachusetts should make the current workforce council permanent to support data collection, apprenticeships, and long-term planning for the state’s largest health care workforce. H. 2396/S. 1535 would require safe patient handling and mobility programs in health facilities; nurses described serious injuries from lifting patients and said better equipment and programs would reduce staff injuries and improve patient outcomes. H. 2501/S. 1505 on LGBTQ+ health disparities drew support from a medical student and Doctors for America, who urged collection of sexual orientation and gender identity data to improve care and school outcomes. Finally, H. 2448/S. 1522 on patient safety and equitable access to care drew strong support from nursing organizations and individual nurses who described unsafe staffing, burnout, and patient harm, while the Massachusetts Association of Behavioral Health Systems opposed the bill as redundant for psychiatric facilities already regulated by the Department of Mental Health.

Transcript Highlights:

• There is a huge need for access to behavioral health services.
• And do we have access to enough providers?
• Access is always something I'm interested in.
• Access is the key.
• : access is key here, crisis services are key here.

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to a broad discussion of behavioral health policy, taking up work previously handled by a behavioral health working group. Representatives Wooldridge and Vaught described major gaps in Arkansas behavioral health care, emphasizing access problems, workforce shortages, rural service barriers, low reimbursement, and the need to move from a reactive crisis system to more proactive community-based care. Members discussed possible 2027-session priorities such as reducing red tape, improving provider licensing and supervision pathways, expanding billing codes and reimbursement structures, and considering interstate compacts and other workforce fixes. A major focus was the state’s crisis and forensic system, including long waits for competency evaluations, the backlog at the Arkansas State Hospital, and the use of county jails for people awaiting treatment. DHS Director Paula Stone explained that Medicaid pays for most behavioral health services, but cannot pay for services in jails or state hospitals because those individuals are treated as inmates of public institutions, leaving state general revenue to cover much of that cost. She outlined DHS efforts including secured restoration beds, therapeutic communities, community mental health center contracts for jail-based services, and plans for an institution-for-mental-disease waiver that could allow Medicaid payment for certain hospital-based services. Members also discussed crisis stabilization units, with DHS noting that Fort Smith and Jonesboro have been more successful than Fayetteville and Little Rock, largely because of location, partnerships, and law enforcement coordination. Questions covered reimbursement for county jails, step-down facilities, civil commitment options, non-emergency behavioral health transportation, and whether DHS should create a bed-availability dashboard similar to hospital systems. DHS said it does not currently have such a dashboard but is exploring the idea. The meeting ended with a commitment to continue the work, with more detailed discussion planned for August, and the subcommittee adjourned.

Transcript Highlights:

• And do we have access to enough providers?
• we can just start as a state taking access, or utilizing all the players on the field, at least accessing
• Access is always something I'm interested in.
• Access is the key.
• It's more of a holding facility.

Keywords: 1204, all

Transcript Highlights:

• This bill appropriately mandates that facility employers include worker input in developing a facility-specific
• This bill appropriately mandates that facility employers include worker input in developing a facility
• specific Rick facility employers include worker input in developing a facility specific risk assessment
• The testimony on House Bill 2633, as relative to more accessible 9-1-1...
• You can already access it online.

Keywords: 995, all

Summary: The Joint Committee on Public Safety and Homeland Security heard testimony on several bills, beginning with a major workplace violence proposal for health care settings. Senator Lovely, the Massachusetts Nurses Association, the Massachusetts Hospital Association, and SEIU 1199 all supported legislation requiring hospitals and other health care employers to conduct facility-specific risk assessments, develop violence prevention plans, train workers, and provide reporting and protections for assaulted employees. Witnesses described workplace assaults as frequent and escalating, and committee members discussed balancing worker safety with concerns about criminalizing mental illness; testimony emphasized that the bill targets intentional assaults while preserving treatment and discretion for behavioral health crises. The committee also heard strong support for bills to strengthen traffic safety, including primary seat belt enforcement, rear-facing car seat requirements, and seat belts on school buses. AAA Northeast, the Brain Injury Association of Massachusetts, law enforcement, legislators, and the Massachusetts Insurance Federation all backed the measures, citing crash data, injury prevention, and personal stories of traumatic brain injury. Senator O’Connor testified for school bus seat belts, saying Massachusetts should join other states requiring them, and later Sophia Furzada of the National Transportation Safety Board urged passage of school bus seat belt and child passenger safety bills, saying lap-shoulder belts would reduce injuries and save lives in crashes where compartmentalization is not enough. Other testimony included support for a bill to make 9-1-1 disability indicator forms more accessible and inclusive, with the witness arguing the form should better reflect mental health, developmental disabilities, language access needs, and a fifth-grade reading level. The committee also heard opposition to a proposal to extend Christian’s Law to swimming pools, with a parks and recreation director warning of unintended consequences for municipal camps and underserved communities. Finally, the committee took testimony on a bill to expand the Forensic Science Oversight Board to include workforce representation, which MOSES said would restore technical expertise to the board. At the end of the hearing, the committee adjourned without taking votes on the bills discussed.

Transcript Highlights:

• Just as importantly, the bill makes it easier and faster for manufacturers to access training resources
• Good morning, Jennifer Robles with Health Access California in support.
• This bill applies skilled and trained workforce standards to pharmaceutical facilities.
• It actually applies skilled and trained workforce standards to pharmaceutical facilities.
• Pharmaceutical facilities are not typical construction projects.

Keywords: 987, senate, all

Summary: The committee heard several labor-related bills. SB 1059 would modernize the Employment Training Panel by allowing electronic record-keeping, digital attendance documentation, and updated training terminology; supporters said it would reduce paperwork and better match current workplace practices, while no opposition appeared. SB 966 would make permanent refinery worker participation and safety protections adopted in 2017 after the Richmond Chevron fire; labor supporters backed the bill as a way to preserve stop-work and safety review rights, while the Western States Petroleum Association opposed it, arguing it conflicted with a prior settlement and could be preempted by federal labor law. SB 1024 would provide 26 weeks of paid postpartum and recovery leave for firefighters, with supporters emphasizing recruitment and retention of women in the fire service and the health risks of returning too soon after childbirth; there was no opposition testimony. The committee also heard SB 1316, which would strengthen wage theft enforcement by allowing Labor Commissioner liens to be renewed, limiting late use of records by employers, and requiring Cal/OSHA to report complaints and citations data annually. Supporters said the bill would help workers collect judgments and address long backlogs, while no opposition testified. SB 1185 would apply skilled-and-trained workforce standards to pharmaceutical facility construction and maintenance; labor and building trades groups supported it as a safety and quality measure, while contractor groups opposed it as an unnecessary expansion of state mandates onto private projects. SB 1227 would create apprenticeship pathways into DIR enforcement jobs, including Cal/OSHA and Labor Commissioner roles, to address staffing shortages; supporters said it would improve enforcement and create career pathways, and no opposition was heard. The committee first heard the bills in subcommittee and later took formal votes once a quorum was present. All six bills advanced: SB 966 passed 4-1 to Senate Appropriations, SB 1024 passed 5-0 to Appropriations, SB 1059 passed 5-0 to Appropriations, SB 1185 passed 4-1 to Appropriations, SB 1227 passed 5-0 to Appropriations, and SB 1316 passed 5-0 to Senate Judiciary. Several bills were amended before passage, including SB 1059, SB 1185, and SB 1227.

Transcript Highlights:

• generation to access affordable college. generation to access affordable college.
• , that we can have access to intelligence, that we can have access to intelligence, so<01:08:18.080
• 11212 of the Clean Air Act, facilities 11212 of the Clean Air Act, facilities that<02:24:43.600>
• <02:29:24.960> the bottom, giving these facilities the bottom, giving these facilities the
• disorders of allowing these facilities disorders of allowing these facilities to<02:36:53.600>

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, May 21, 2025, 1012, house, all

Transcript Highlights:

• detention facilities, not just OJJ?
• So they would have access.
• So they would have access.
• I've gone on tours at different facilities over the years.
• number of children who have access to unsecured firearms.

Bills: HCR95, HB4, HB244, HB615, HB648, HB1049, HB1201

Keywords: sales tax, exemptions, credits, rebates, uniformity, legislative rules, fiscal report, constitutional convention, Louisiana constitution, electoral process, government structure, delegate elections, delegates, state election, ratification, Louisiana, public meetings, broadcast, transparency, government accountability

Transcript Highlights:

• Fourth, stakeholders want more accessible and user-friendly data on specific facilities, enforcement
• We want to hold these facilities more accountable.
• when at those facilities for any violation?
• the facilities is we'll be meeting with the facilities.
• , held at the facility, and treated at the facility.

Summary: The joint oversight hearing focused on DTSC’s implementation of SB 158 reforms, including enforcement, community engagement, fee stability, the hazardous waste management plan, permitting backlogs, and the Safer Consumer Products program. Senators and Assembly members emphasized protecting overburdened communities and asked how DTSC and the Board of Environmental Safety are using their authority to improve accountability, reduce delays, and address hazardous waste facilities and consumer product chemicals. The hearing also included discussion of extended producer responsibility programs and whether DTSC can support them more efficiently, including through coordination with CalRecycle. DTSC Director Katie Butler said the department is now more transparent, accountable, and fiscally stable, citing stronger enforcement actions, an interactive inspections map, expanded community outreach, and emergency response work on the Los Angeles wildfire cleanup. She said DTSC has made progress on fee reform, the hazardous waste management plan, cleanup grants, permit renewals, and safer consumer products rulemaking, including adding microplastics to the candidate chemical list. Board Chair Andrew Rakestraw said the board has held multiple public meetings and hearings, is working on fee rates and performance metrics, and is revising the hazardous waste management plan after public comment, including removing a proposal to send certain contaminated soil to municipal landfills. He also noted remaining concerns about fee structure, permit delays, and the pace of the safer consumer products program. Public witnesses offered sharply different views. A representative of the California Council for Environmental and Economic Balance said SB 158 reforms have improved permitting and transparency, but urged more attention to risk-based decision-making, reduced duplication, and possible General Fund support for plan implementation rather than relying only on fees. Earthjustice argued DTSC remains too slow and that communities continue to suffer from long-delayed permits and weak protections, urging the Legislature to take a more active role and to prioritize eliminating hazardous substances rather than minimizing costs. Committee members pressed the witnesses on permit renewals, community impacts, and the pace of the safer consumer products program, while DTSC defended its progress and said further legislative collaboration may be needed on hazardous waste management and emerging waste streams.

Transcript Highlights:

• , and that is what we're doing: just upgrading the facilities there.
• The second one is to a facility, to facility upgrades in a central Oklahoma fairgrounds.
• I don't recall hearing quite as many details about us actually purchasing a facility.
• This facility is a step in the right direction with that investment for follow-up.
• But it's also important to note that they do use the full access of the facility; we don't just have

Bills: SB1290, SB1530, SB1847, HR1050, SB169, SB1377, SB1990, SB1991, SB1778, SB1579, SB1992, SB3, SB2028, SB1928, SB2127, SB2117, SB1439, SB1930, SB330, SB1191, SB2110, SB2134, SB2069, SB2095, SB1613, SB1246, SB1976, SB1346, SB1509, SB2071, SB259, SB1314

Keywords: 2-1-1 services, revolving fund, Department of Human Services, crisis pregnancy, abortion, legal funding, research funding, development rebate, Oklahoma Department of Commerce, tax incentives, higher education partnerships, Medicaid, ADvantage Waiver, home-based services, eligibility criteria, healthcare, senior services, Taiwan, Oklahoma, sister-state relationship

Transcript Highlights:

• a rock crushing facility, which is what we permitted.
• It has quite a few, um, pouring facilities. Yes.
• Like the specific near this facility or?
• Like you, you get to each facility y'all permit quarterly.
• All underwater quality of regulating on-site sewage facilities, right?

Bills: HB 1520, HB 1525, HB 1530, HB 1535, HB 2068, HB 2091, HB 2347, HB 2372, HB 2805, HB 2815, HB 2867, HB 3154, HB 3482, HB 3483, HB 3663, HB 3781, HB 3901, HB 3915, HB 4135, HB 4153, HB 4158, HB 4329, HB 4331

Keywords: Angelina and Neches River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, Special District Local Laws Code, local government, natural resources, board of directors, director training, board governance, public testimony, open meetings, public information, conflict of interest, ethics, complaint system, general manager, board president, staggered terms, removal of director

Transcript Highlights:

• Welcome back. uh solid waste facilities. That is uh solid waste facilities.
• . facilities. facilities.
• private animal boarding facilities. private animal boarding facilities.
• <00:51:04.880> I represent boarding facilities. I represent boarding facilities.
• <01:23:44.719> as facility and also uses the facility as facility and also uses the facility

Keywords: 928, house, all

Summary: The committee first heard Senate Bill 302, which would update New Hampshire’s solid waste facility background-check law so the state can continue to access federal FBI criminal databases for checks on key owners and officers. Senator Howard Pearl and DES Waste Management Director Mike Whimsatt said the bill is the third attempt to correct prior drafting problems that prevented the FBI from accepting the language. They explained that the existing statute has long required background checks for hazardous and solid waste facility applicants because of concerns about organized crime, but the current wording is too ambiguous for federal use. The bill also includes technical corrections, clarifies which company officers must be checked, specifies which DES officials receive the results, and removes the Department of Justice as an unnecessary middleman. Committee members asked about the purpose of the bill, whether family members are covered, who pays the cost, and whether permits have ever been denied; Whimsatt said the applicant still pays, the checks focus on key officers, and at least one permit had been denied in the past due to a felony conviction. The hearing then closed, with one person listed in favor on the blue sheet and no opposition noted online. The committee then opened Senate Bill 229, which would allow retailers to sell uninspected bison, red deer, and elk meat and remove the sunset on the existing program. Senator Pearl said the bill would expand market opportunities for farmers while keeping labeling and traceability requirements in place, including identifying the meat as uninspected and maintaining records of the source farms. Representative Bixby, who had worked on earlier legislation, explained the current framework in detail: the animals are raised on closed farms, must be fenced, cannot be newly imported, and are subject to annual veterinary herd inspections and recordkeeping. He said the prior bison inspection regime was too burdensome for farmers to maintain, and the current law was intended as a workable compromise. Questions from members focused on how many farms participate, how many animals have been sold, and whether the program posed disease risks; the witness said he did not know the exact numbers, and Bixby said the existing import and fencing rules help prevent chronic wasting disease from entering the state. No vote was taken during the hearing, and the bill was left before the committee for further consideration.

Transcript Highlights:

• AB 407, Jackson, Capital Access Loan Program: holding committee.
• AB 809, Quirk-Silva, prison facility report: holding committee.
• AB 436, Ransom, composting facilities: holding committee.
• AB 436, Ransom, composting facilities: holding committee.
• AB 436, Ransom, composting facilities: holding committee.

Summary: The Assembly Appropriations Committee held its May 23, 2025 suspense hearing and opened by emphasizing the difficult budget environment, rising costs for constituents, and the need to make tough choices. The chair said many bills would be held, amended to reduce costs, or made two-year bills because the state could not afford broad program expansions this year. The committee also noted the agenda was organized alphabetically by author and that results would be posted later that day. The committee then acted on a large suspense file, taking up hundreds of Assembly bills across topics including housing, health care, education, labor, public safety, climate, water, transportation, elections, and technology. Many bills were held in committee, while many others were approved with cost-saving, clarifying, or author’s amendments. Examples included measures on CalABLE, Covered California enrollment, wildfire and insurance issues, reproductive health, school and college programs, prison and juvenile justice matters, AI and data privacy, and local government and utility regulation. Several bills were converted to two-year bills to continue discussion. Throughout the hearing, the committee repeatedly voted on bills by A roll call or B roll call, often with Republicans not voting on amended measures. Some bills were advanced with notable amendments, such as narrowing scope, removing appropriations, delaying implementation, or striking costly provisions. The committee also approved a number of committee bills and omnibus measures, including emergency management, judiciary, insurance, and water-related bills. At the end of the hearing, the chair stated that the committee had moved 435 bills to the Assembly floor, either as do pass or do pass as amended, and adjourned the meeting.

Transcript Highlights:

• To serve remain accessible.
• that may include a state hospital or other appropriate adult facility.
• Individuals may lose access to benefits or Individuals may lose access to benefits or face delays simply
• EPA-approved E-85 conversion kits, limiting access to this affordable fuel option.
• No one should have to wait to access coverage during such a critical time.

Keywords: 988, house, all

Transcript Highlights:

• maintaining access here locally. maintaining access here locally.
• designated receiving facilities. Wow. designated receiving facilities. Wow.
• to the designated receiving facility. to the designated receiving facility.
• or transport to a facility or transport to a facility can<00:50:14.400> be<00:50:14.640><
• I get phone access the information.

Keywords: 928, house, all

Summary: The committee first handled routine business, approving the prior meeting minutes with one abstention from a member who had been absent. It then received an update from DHHS Commissioner Lori Weaver on the department’s rural health transformation grant submission. Weaver said the grant was submitted ahead of the deadline, reflected input from communities and providers statewide, and would now enter a CMS review and negotiation phase. She explained that the governor’s office will oversee the grant with DHHS, that some proposals may be limited by federal parameters, and that the department may need to hire some staff to administer the grant, within the grant’s administrative cap. Members also discussed DHHS budget pressures and staffing. The department’s CFO, Nathan White, reviewed the agency’s budget mix, noting that DHHS accounts for a large share of the state’s operating and general fund budgets, and explained projected general fund lapse estimates, which he said are currently just under $20 million for the department. He also described why lapse projections are difficult to predict in DHHS because many costs are driven by utilization and because some funds are statutorily non-lapsing. White reported that vacancy rates have risen, citing about 400 unfunded positions in the current biennium and the department’s hiring freeze, while emphasizing that direct-care positions are being prioritized. Committee members raised concerns that back-of-the-budget cuts and weak revenue collections could affect the department’s ability to manage lapse projections. The committee then heard from Division of Public Health Director Ian Watt on vaccine policy and federal changes. Watt said New Hampshire continues to support access to safe and effective vaccines, including through the universal purchase program and seasonal respiratory virus guidance. He explained a recent CDC change regarding the MMRV vaccine, which now discourages the combined shot for the first dose in children under four because of febrile seizure risk, while still allowing it for the second dose. Watt said New Hampshire’s school and child care vaccine mandates remain stable, with nine vaccines required for schoolchildren and 10 for child care, and that the state continues to review federal recommendations cautiously. He also said there have been no supply or funding disruptions affecting vaccine access, and that childhood vaccine funding through commercial insurers remains intact. Finally, the Permanent Subcommittee on Alzheimer’s Disease and Other Related Dementias presented its annual report. The subcommittee said it met about six times, heard presentations on state services, silver alerts, brain health awareness, and palliative/hospice care, and began work on updating the state’s Alzheimer’s plan, which had last been updated in 2015-2016. To gather more direct input, the subcommittee formed a needs-assessment work group to develop a survey for people living with dementia, caregivers, and service providers. It recommended integrating Alzheimer’s and dementia materials into chronic disease, aging, and public health outreach; embedding cognitive health into systems of care and the state health improvement plan; adding cognitive health measures to BRFSS; and continuing partnerships with aging and advocacy organizations. Members praised the report and suggested it should clearly identify the subcommittee and include page numbers in future versions.