Transcript Highlights:

• This measure will ensure that schools are prepared to respond when students exhibit trauma or instability
• guidance on supporting students affected by immigration enforcement emergencies and family deportation trauma
• These boarding schools resulted in generational trauma that continues to plague and impact tribal communities
• Recently, amendments allowed exceptions for urgent and trauma-related circumstances if hospitals are

Summary: The Assembly met in session, established a quorum, approved dispensing with the previous day’s journal, and then took up a long third-reading file. Early procedural actions included moving AB 1589 to the inactive file and continuing reconsideration items. The chamber then considered a series of bills largely focused on immigration enforcement, detention, worker protections, child care, voting access, and related public services. Several immigration-related measures passed, including AB 2393 on damages for false imprisonment/arrest, AB 1994 on an immigrant victims’ rights and resources card, AB 1929 on health plan investment disclosures, AB 1633 imposing a tax on for-profit detention facilities, AB 1650 requiring decals on rental vehicles used for enforcement, AB 1655 protecting CalWORKs benefits when a child is detained, and AB 1896 disqualifying people who participated in immigration enforcement from certain public employment. AB 2230, which would bar immigration enforcement near polling places and child care facilities, also passed after extensive debate. Supporters framed these bills as accountability and protection for vulnerable communities; opponents argued they targeted federal law enforcement, were unnecessary, or raised constitutional concerns. AB 1851 on statewide school mental-health guidance also passed unanimously. After the midday recess, the Assembly returned and continued with more bills tied to immigration impacts and child welfare. AB 2379 passed with urgency, requiring child care providers to be informed of constitutional rights and trained on protections when confronted by immigration enforcement. AB 2460 passed to update school behavioral-health referral protocols for students affected by immigration enforcement trauma. AB 2495 passed to expand prohibitions on employer immigration-related threats, and AB 2662 was presented as a way for California to monitor and document federal enforcement actions and report on their community impacts. Throughout the day, the floor featured repeated exchanges over whether the bills addressed real problems or were political messaging, but the measures that came to a vote generally advanced with majority support.

Transcript Highlights:

• equipping educators and school staff to recognize signs of mental health distress and respond with trauma-informed
• equipping educators and school staff to recognize signs of mental health distress and respond with trauma-informed
• work to ensure that staff have the tools needed to prevent fraud and strengthen program integrity. trauma-informed
• The trauma-informed research-based care.

Bills: HF4893

Keywords: education finance, student support, aid allowances, appropriation, school funding

Transcript Highlights:

• challenging to focus on paperwork when you don't have a safe place to stay, haven't eaten, or dealing with trauma
• :04:15.840> with stay, haven't eaten, or dealing with stay, haven't eaten, or dealing with trauma
• c> feels<01:04:17.120> particularly<01:04:17.840> true<01:04:18.120> for trauma
• It feels particularly true for trauma.

Bills: HF1767, HF2068, HF4725, HF4637, HF4638

Keywords: human services, community support, integrated care, disability services, stakeholder consultation, homeless youth, grants, funding, Minnesota, mental health, substance use disorder, education, workforce development, licensure, direct care services, healthcare, long-term care, personal care assistants, employment support, medical assistance

Summary: The Human Services Finance and Policy Committee approved the April 8, 2026 minutes and then heard House File 1767, as amended by the DE4 amendment. Representative Garande explained that the bill, originally intended to codify Integrated Community Supports (ICS), was being redirected because of concerns about fraud vulnerability and program integrity. The DE4 would create a smaller legislative study group to redesign ICS, pause DHS changes for about six months while the group develops a transition plan, continue DHS fraud investigations and enforcement, and ultimately terminate ICS as currently structured. Testimony in support came from Mr. Buck and Zania Harut of the Residential Providers Association of Minnesota, both of whom argued that ICS is unstable, inconsistently implemented, and in need of a new statutory foundation. They said the current system mixes different service models under one rate framework, lacks clear codification, and has shifting policy guidance that creates compliance problems for providers and risks to people receiving services. They emphasized that the bill would preserve oversight and enforcement while allowing time to build a replacement service with clearer rules, documentation standards, and guardrails. Members asked about effects on counties, providers, data, audits, and fraud enforcement. Representative Curran and Mr. Berg said the bill would not change funding structures or DHS’s existing authority to audit, request documentation, investigate fraud, or sanction bad actors, and that the study group would use existing data to identify where problems are concentrated. Vice Chair Gillman supported the study-group approach as a bipartisan, public process and raised concerns about whether the bill would prevent DHS from acting on known fraud; Curran responded that the language was intended to preserve those enforcement actions. The discussion ended without a final vote on the bill in the portion provided, beyond adoption of the DE4 amendment.

Transcript Highlights:

• the last two months we've also gone through an additional significant kind of personal and economic trauma
• and significant kind of personal and significant kind of personal and economic<00:39:49.680> trauma
• 50.320> state<00:39:50.480> and<00:39:50.640> so<00:39:50.800> I economic trauma
• in the state and so I economic trauma in the state and so I think<00:39:51.040> in<00:39:51.200

Bills: HF3676, HF3683, HF3395

Keywords: Safe at Home, address confidentiality, domestic violence, sexual assault, stalking, harassment, victim privacy, survivor protection, confidential address, protected address, secret address, identity protection, residential confidentiality, program participant, nondiscrimination, court disclosure, protective order, service of process, driver's license, state ID

Summary: The committee first approved minutes from February 19 and February 26, while skipping the February 24 minutes because of a drafting error that would be corrected later. It then took up House File 3676, a Safe at Home program bill described by Rep. Nash as arising from a constituent’s dangerous identity exposure and intended to tighten protections for participants, including allowing emancipated minors to enroll. Testimony from the Secretary of State’s office explained that the bill would clarify who may apply for a minor, require proof of guardianship, strengthen court findings before a participant’s physical address can be disclosed, increase penalties for harmful disclosure, prohibit discrimination based on participation, require state agencies to designate a Safe at Home contact person, allow use of the Safe at Home card as proof of residence for certain ID purposes, and require judge training. Members raised concerns about federal compatibility, constitutionality of court-related provisions, and the need for a fiscal note on the felony penalty. Several sections were noted as being removed or modified in a later engrossment, and the committee voted to re-refer HF 3676 to the Transportation Finance and Policy Committee. The committee then heard House File 3683, which would direct the state budget forecast to include the estimated cost of fraud. Rep. Nash argued that fraud is a significant but unquantified drain on state resources and said the bill would adapt existing forecast language used for inflation to track fraud costs. Minnesota Management and Budget Deputy Commissioner Anna Mingi testified that fraud is unacceptable and that the agency works to prevent and detect it, but said the twice-yearly forecast is not the right tool for this kind of retrospective analysis. She explained that if fraud is identified, the forecast would reflect reduced spending through program integrity actions rather than a separate fraud-cost line item. The bill was moved and referred to the general register after a roll call was requested.

Transcript Highlights:

• Um, and none of this includes the soft costs like the emotional trauma that our staff is suffering through
• for the soft costs like<00:54:13.760> the<00:54:14.000> emotional<00:54:14.559> trauma
• like the emotional trauma like the emotional trauma that<00:54:16.480> our<00:54:16.720><

Keywords: 1187, senate, all

Transcript Highlights:

• to be allocated to settled cases, keeping them out of the more expensive court system and reducing trauma
• to be allocated to settled cases, keeping them out of the more expensive court system and reducing trauma
• pending cases with nearly 200 ready to be settled, but there is no money to do so. system and reducing trauma
• to the system and reducing trauma to the victims.<00:24:30.240> An<00:24:30.559> embarrassment

Keywords: 1191, senate, all

Transcript Highlights:

• Thirty-five percent would transfer to the Kentucky trauma care system, and 30% would be transferred to
• 52.400> Kentucky 35% of it would transfer to Kentucky 35% of it would transfer to Kentucky trauma
• 19:54.400> and<00:19:54.720> 30%<00:19:55.360> would<00:19:55.679> be trauma
• care system and 30% would be trauma care system and 30% would be transferred<00:19:56.400> to

Keywords: 958, all

Summary: The committee met for its sixth and final interim meeting after a brief technical delay, approved the October 14 minutes, and heard a presentation on a proposed Kentucky hands-free driving bill. The main discussion centered on distracted driving and a draft measure modeled on South Carolina law that would prohibit holding or supporting a mobile electronic device while driving on public roads, while allowing limited exceptions for parked/stopped vehicles, navigation, emergency reporting, dispatch systems, first responders, and certain hands-free call functions. The bill would make a violation a $100 fine plus court costs, with the draft allocating fine revenue to the traumatic brain injury trust fund, Kentucky trauma care system, and veteran program trust fund. The sponsor also said the bill would address prior concerns about enforcement and clarify that officers need a clear, unobstructed visual observation before stopping a driver, and that they may not search or seize devices or make custodial arrests solely for the violation. Alyssa Burns gave emotional testimony in support of the bill, describing the death of her young daughter Kimberly in a crash she attributed to a distracted driver and urging lawmakers to pass the measure to improve roadway safety. The sponsor cited Kentucky traffic fatality statistics, including 814 deaths in 2023 and an estimated 20% involving distracted driving, and argued that the bill could reduce preventable deaths. Several members voiced support and sympathy, including remarks comparing the effort to past seat belt legislation and suggesting possible future additions such as community service. One member raised concerns about enforcement and whether officers could reliably observe phone use inside vehicles, while another asked about the bill’s interaction with existing texting-while-driving penalties and whether points would still apply. The sponsor said the draft was still being refined, acknowledged gray areas, and invited further changes as the bill moves forward.

Transcript Highlights:

• three adopted children, all with mental health challenges due to their prenatal exposure and early trauma
• c><00:53:29.520> early their prenatal exposure and early their prenatal exposure and early trauma
• > Getting<00:53:31.440> insurance<00:53:31.839> for<00:53:32.160> mental trauma
• Getting insurance for mental trauma.

Keywords: 1183, house

Transcript Highlights:

• For a survivor of trauma, seeking mental health support is already a monumental step due to stigma, cultural
• For a m survivor of trauma,<01:38:15.440> seeking<01:38:15.840> mental<01:38:16.159>
• health<01:38:16.320> support<01:38:16.560> is trauma, seeking mental health support
• is trauma, seeking mental health support is already<01:38:17.040> a<01:38:17.199> monumental

Keywords: 1183, house

Transcript Highlights:

• The trauma of taking a child away from a parent so a parent can get treatment is traumatizing.
• <00:28:07.799> the saving ourselves a lot of money the saving ourselves a lot of money the trauma
• 28:08.880> child<00:28:09.120> away<00:28:09.360> from<00:28:09.799> a trauma
• of taking a child away from a trauma of taking a child away from a parent<00:28:10.279> so<00

Keywords: 1183, house

Transcript Highlights:

• Gentry referred to, that loons are more often killed by fishing tackle ingestion and disease and trauma
• ingestion<01:44:07.400> and<01:44:07.760> disease<01:44:08.840> and<01:44:09.840> Trauma
• <01:44:10.560> so<01:44:11.480> what ingestion and disease and Trauma so what ingestion
• and disease and Trauma so what like<01:44:12.320> I'm<01:44:12.480> just<01:44:12.639>

Keywords: 1187, senate, all

Summary: The committee heard several Arts and Cultural Heritage Fund requests and laid them over for possible inclusion. Senate File 673 sought $795,000 to help replace or refurbish the structurally unsound Marshall bandshell. Senator Gary Dames, Marshall Mayor Bob Burns, and Parks and Recreation Superintendent Preston Stenard described the bandshell as an iconic community venue used for concerts and arts events, noting prior repairs in 2004, a 2001 structural report, and the need for full replacement due to settlement and deterioration near the Redwood River. They said the project has local support and a local funding commitment for the remaining costs. Senate File 627 requested $850,000 for the Olmsted County Historical Society to continue rehabilitation of the George Stoppel Farmstead. Senator Liz Balden, Dr. Mark Warner, and Commissioner Sanum said the site includes three National Register buildings and preserves immigration and agricultural history in southeast Minnesota. They reported that $1.1 million had already been raised and that prior Legacy funding helped stabilize one structure, but additional work is needed on the bank barn and Stoppel house to complete restoration and improve accessibility. Senate File 822 proposed $65,000 in fiscal year 2026 for the Minnesota State Band to provide free public performances across Minnesota. Testifier Craig Allen said the volunteer band, formed in 1898, uses the funding to travel to small towns and schools, including outreach to students and veterans. Conductor Keith Leuty emphasized the educational value of school visits and upcoming concerts in Moose Lake, Grand Rapids, and Cloquet, including a performance at Fond du Lac Ojibwe School. Members expressed support, and the bill was also laid over. The committee then began hearing Senate File 575, which would appropriate $3.8 million for the Grand Rapids Old Central School renovation. Senator Iorn, city councilor Rick Blake, and City Administrator Tom Pagel described the 1895 building as a historic and arts-centered community landmark with artist residencies, galleries, concerts, and other public uses. They said the building needs major repairs, including a new roof, structural truss work, HVAC replacement, and ADA and elevator upgrades, and they were in the middle of detailing those needs when the transcript ended.

Transcript Highlights:

• Okay, I think this is everybody on my screen. Okay, I think this is everybody on my screen.
• Can folks see my screen? You can talk about the— Yes. Yes. As folks know, Charlie...

Keywords: 995, all

Summary: The subcommittee opened with roll call and approved the November 2025 minutes. Commissioner Charlie Carr then introduced Leslie Darcy, chief of LTSS at MassHealth, who provided an update on the PCA working group and on federal and state budget pressures affecting MassHealth and long-term services and supports. Darcy said the PCA working group had completed its work and submitted recommendations, including reinstating the 66-hour overtime cap, strengthening program integrity, and ending paid paperwork time for EVV users; she said those changes were implemented on 11/26 and were expected to save $7.4 million. She also described additional consensus recommendations to lower the overtime cap from 66 to 60 hours, create a seven-hour weekly meal-prep support limit, and continue exploring benchmarks, though the group could not reach consensus on a benchmark standard. Darcy warned that a federal bill enacted about six months earlier would significantly affect MassHealth, with an estimated $3.5 billion loss to the Commonwealth by 2028. She outlined upcoming changes including revised immigrant eligibility rules in October 2026, work requirements for certain non-disabled adults beginning in January 2027, six-month redeterminations for some adults, and shorter retroactive coverage periods. In response to questions, she said people with disabilities and Medicare beneficiaries would be exempt from the work and six-month redetermination requirements. She also explained that reduced federal ACA subsidies were being offset in Massachusetts by state spending, including $250 million in additional state support to keep premiums lower for middle-income families. Members raised concerns about community hospitals, the health safety net, and the impact of federal funding changes on provider rates and uncompensated care. Darcy said restrictions on provider taxes would limit MassHealth’s ability to use those revenues to support rates, and she noted a current $300 million shortfall in the health safety net. She said FY27 would likely include a rate freeze, targeted reductions, one-time budget measures, and further work groups to examine programs such as adult foster care, which she said had grown 40% in two years. Carr emphasized that the situation was serious but potentially fluid, and the meeting ended with no further business; the subcommittee agreed to adjourn before the next meeting and noted an upcoming February presentation from the Department of Public Health.

Transcript Highlights:

• All right, you're showing your votes on the board behind us, but not on our screens. All right.
• We're showing your votes on the board behind us, but not on our screens.
• Now it's on the screens. Computers are definitely a little sleepy today.

Keywords: House Committee Room B, General Assembly Building, 976, house, all

Transcript Highlights:

• yes, we might pull those things, but as a worker, I'm having to look at, you know, ten different screens
• and enter in the information on one screen.
• modernization is really going to help where we can have that information automatically pulled into one screen

Transcript Highlights:

• Landry, on our computer screens, we have a little two-thirds mark next to the bill, meaning it needs
• Rep Landry, on our computer screens, we have a little two-thirds mark next to the bill, meaning it needs
• Next bill: Senate Bill 84 by Senator Myers provides for prostate cancer screening and insurance coverage
• for screening of men over the age of 40 in accordance with certain guidelines.
• Senator Myers’s bill lowers the age for prostate cancer screening.

Bills: HR257, HR258, HR259, HR260, HR261, HR262, HR263, HCR105, HCR106, HR252, HR253, HR254, HR255, HR256, HCR103, HCR104, SB83, SB143, SB155, SB228, SB283, SB295, SB338, SB388, SB408, SB431, HR84, HR188, HR205, HB302, HB597, HB819, HB1257, HB1258, SCR24, 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, SB357, SB406, HR171, HCR49, HCR65, HCR72, HR37, HCR64, HR170, HR191, HR206, HR207, HR208, HR217, HCR11, HCR53, HCR60, HCR66, HCR68, HR9, HCR27, HCR28, HCR50, HCR62, HCR67, HCR71, HCR78, HCR81, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, SCR20, HCR6, HB64, HB68, HB92, HB130, HB258, HB633, HB801, HB61, HB98, HB102, HB139, HB142, HB170, HB185, HB194, HB199, HB231, HB247, HB294, HB336, HB474, HB661, HB842, HB852, HB301, HB359, HB657, HB675, HB680, HB727, HB79, HB251, HB625, HB769, HB775, HB783, HB895, HB1011, HB1057, HB1155, HB1186, HB1224, HB1245, HB1247, HB1253, HB1254, HB1255, HB1256, SB41, SB44, SB64, SB84, SB87, SB93, SB98, SB107, SB118, SB142, SB192, SB195, SB199, SB219, SB222, SB234, SB241, SB255, SB275, SB277, SB292, SB294, SB306, SB314, SB482, SB8, SB10, SB11, SB12, SB13, SB14, SB16, SB17, SB18, SB20, SB21, SB22, SB40, SB48, SB55, SB69, SB75, SB77, SB78, SB85, SB102, SB115, SB133, SB140, SB148, SB151, SB165, SB169, SB170, SB185, SB197, SB200, SB217, SB235, SB278, SB280, SB291, SB300, SB303, SB315, SB324, SB330, SB411, SB416, SB420, SB436, SB438, SB449, SB455, SB456, SB477, SB489, SB521, HB646, HB824, HB341, HB682, HB766, HB926, HB998, HB1051, HB1080, HB1201, HB1223, HB603, HB940, HB1191, SB47, HB901, HR20, HR74, HB284, HB306, HB366, HB393, HB458, HB577, HB582, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, SB149, SB382

Keywords: condolences, memorial resolution, House Resolution, Shreveport, children, tragedy, sympathy, bereavement, tribute, mourning, schoolchildren, public charter school, elementary school, Head Start, family loss, Louisiana House of Representatives, condolence resolution, House resolution, victims, family support

Transcript Highlights:

• Committee Substitute for Senate Bill 1168, a bill to be entitled an act relating to background screenings
• This is a background screening bill that does a few things.
• authorities to be considered a qualified entity and participate in the care provider background screening
• It exempts a person under 18 or a referee of any age from the background screening requirement if they
• through the clearinghouse for purposes of that screening.

Summary: The Senate began with opening prayer, the Pledge of Allegiance, and recognitions, including the doctor of the day and a lighthearted “Cannoli Day” introduction. The chamber then held an extended farewell celebration for Senator Joe Gruters, with numerous senators, colleagues, and family members praising his loyalty, political skill, family focus, and service in the Legislature and Republican Party. Gruters was presented with a commemorative gift recognizing his work on a 2019 public-safety and immigration bill that prohibited sanctuary cities and required local cooperation with federal immigration enforcement. The Senate adopted a motion to spread Gruters’s remarks upon the journal and then recessed briefly. After recess, the Senate returned to regular business and took up third-reading bills. Committee Substitute for Committee Substitute for Committee Substitute for Senate Bill 354, relating to blue ribbon projects, was temporarily postponed. The chamber then considered Committee Substitute for Committee Substitute for Senate Bill 1758, relating to public assistance, with Senator Gates explaining that it contained five reforms to the public assistance system discussed earlier in session. During debate on SB 1758, Senator Berman opposed the bill, saying he could not support it in its current form because he believed the Medicaid-related provisions would create a coverage cliff after the one-year transition period and could leave people without care while increasing costs to hospitals and taxpayers. He also said SNAP error reduction should be a priority, but argued the state should focus on fixing administrative errors and fraud rather than imposing a work requirement whose costs and effects were uncertain.

Transcript Highlights:

• Committee Substitute for Senate Bill 1168, a bill to be entitled an act relating to background screenings
• This is a background screening bill that does a few things.
• authorities to be considered a qualified entity and participate in the care provider background screening
• It exempts a person under 18 or a referee of any age from the background screening requirement if they
• through the clearinghouse for purposes of that screening.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several introductions, then devoted most of the first part of the meeting to a farewell-style recognition of Senator Joe Gruters. Senators from both parties offered extended remarks praising his loyalty, political instincts, family involvement, and work as a legislator and as incoming Republican National Committee chair. Gruters responded with remarks about his background, including overcoming a childhood speech impediment, his service in the Legislature, and major policy efforts he highlighted such as alimony reform and the undergrounding of utilities. A ceremonial gift was presented to him recognizing his work on a 2019 public-safety/immigration bill, and the Senate adopted a motion to spread his remarks upon the journal before recessing briefly. After the recess, the Senate returned to regular business. No committee reports, governor’s messages, House messages, or reconsideration matters were reported. The chamber then moved to third reading and temporarily postponed CS/CS/CS/SB 354, relating to blue ribbon projects. The next bill, CS/CS/SB 1758, relating to public assistance, was taken up, and Senator Gaetz explained that it contained five reforms to the public assistance system previously discussed by the Senate. Debate was about to continue when the transcript ended.

Transcript Highlights:

• I sent over a request for sharing my screen. looking to bid at the same time.
• So those sections became packages, and those are what you see on the screen here today.
• So we have major the screen here today.
• <01:00:32.559> is sit on like the desk where the screen is sit on like the desk where the
• Um, what you're seeing on the screen is on the right-hand side a site map of your guys's campus.

Keywords: 916, all

Transcript Highlights:

• You also see a lot of urine drug screening issues that come hand in hand with the option of either getting
• c><00:10:39.279> of<00:10:39.519> urine<00:10:39.760> drug<00:10:40.000> screening
• also see a lot of urine drug screening also see a lot of urine drug screening issues<00:10:41.360
• Under the screening process, the MCOs will identify potentially fraudulent activity, and then the cabinet
• in a row. that our cancer screening in a row. that our cancer screening rates<01:40:54.400> have

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board reconvened and heard a presentation from the Attorney General’s Office Medicaid Fraud and Abuse Control unit. AG staff described the unit’s structure and work: it investigates and prosecutes Medicaid provider fraud, and also handles abuse, neglect, and exploitation cases involving vulnerable adults in facility settings when asked to assist. They said the office has prosecutors, detectives, auditors, and support staff, works with federal partners, Commonwealth’s attorneys, CHFS, DMS, OIG, and MCOs, and uses a hotline and referral line for complaints. They also explained the MCO referral process, including monthly meetings, stand-down lists, and review of referrals for a “credible allegation of fraud” before the AG office decides whether to open a criminal or civil investigation. The presentation focused heavily on current fraud trends. Staff said behavioral health is a major concern, along with participant-directed waiver services, medically assisted treatment, cash billing for services, controlled-substance billing, and vision and dental fraud. They gave examples such as duplicate time sheets for family caregivers, questionable Suboxone counseling and urine drug screening practices, and a prior optometry case involving false claims for children’s glasses. They also discussed CMS’s estimate that about 5% of Medicaid payments are improper, noted that most improper payments are at the fee-for-service level, and said there is no reliable overall fraud-rate estimate. They highlighted a sharp shift in behavioral health billing after the cabinet’s November 1, 2024 policy changes, saying individual psychotherapy spending dropped while group billing increased, suggesting providers may have moved billing to different codes. Members asked about the scale and timing of cases, how MCO referrals are screened, and whether the data reflected more people being served or just higher spending. The AG office said investigations can take years, with some federal cases still awaiting sentencing from 2018 and 2019 matters, and that they currently had nine individuals awaiting sentencing in federal court. They also reported 58 hotline reports during the referenced period, six cases opened from MCO referrals, and four additional MCO referrals not accepted for active cases. Several members raised concerns about home-based services and the risk of abuse or fraud when family members are reimbursed, and asked whether the process could be streamlined; the AG office said it had no immediate recommendations but would be willing to return with suggestions after further review.

Transcript Highlights:

• Some of these required patient notification and screening.
• Then they will have testing and screening, and we work closely with a laboratory in New York state to
• do that screening.
• and we work closely with a screening and we work closely with a laboratory<00:33:17.440> in<00
• and so we have um our staff screening and so we have um our staff maybe<00:33:23.080> a<00:33

Keywords: 928, house, all

Summary: The committee first handled organizational business, electing Representative Mark Pearson as chair for the coming term, appointing Representative Lucy Weber as clerk, and approving the November 22 minutes with abstentions from members who were absent. Members also noted excused absences for Senator Avard and Representative Jessica Lontine. After the vote, the committee moved to the DHHS commissioners’ update. DHHS associate commissioners Patricia Tilly and Chris Santinello described a process-improvement effort to improve transitions for youth moving from DCF care into adult developmental services and Medicaid. They said the old process was fragmented, dependent on personal relationships, and not sustainable, so staff from DCF, the Bureau of Family Assistance, Developmental Services, and public health used a Kaizen/Lean event to map the workflow, identify bottlenecks, clarify roles, and create a more consistent playbook. Members asked about IT support and whether the process would create new bureaucracy; DHHS said current systems are antiquated, especially DCF’s CWIS, but the goal is to streamline coordination, not add bureaucracy, and future systems like Granite Families may help with reminders and age-based ticklers. Several members praised the work, including a CASA volunteer who said the added attention has improved services for vulnerable youth. The committee then received the annual healthcare-associated infections update from Ctin Hansen of the Division of Public Health Services. Hansen reported that New Hampshire’s HAI program, created by statute, tracks infections in hospitals, ambulatory surgery centers, dialysis centers, and long-term care facilities. For 2023, hospitals reported fewer infections than predicted nationally, with 135 infections statewide and 174 C. diff infections also below national rates; hospital influenza vaccination was 89.9%. Ambulatory surgery centers reported low infection counts and an 80.1% staff flu vaccination rate; dialysis centers reported fewer infections overall than the prior year but higher local access-site infections, with staff vaccination at 52.6%; and long-term care facilities reported a 50.1% flu vaccination rate, up from 37.8%. Hansen also said the program conducted over 100 investigations, handled 84 antibiotic-resistant organism reports, completed 20 infection-prevention assessments, and operated on a budget of about $348,000 plus grant funding, including an Epidemiology Laboratory Capacity Grant that was later reduced.