Transcript Highlights:

• were people being informed in real time? were people being informed in real time?
• run into as well over this time frame. run into as well over this time frame. So. So. So.
• <00:49:56.200> with here and just spending some time with here and just spending some time
• It was the same time remember now.
• <01:01:46.480> of on two school boards at the time of on two school boards at the time of

Keywords: 1189, house, all

Summary: The Special Committee on COVID Response Efficacy for New Hampshire held its first organizational meeting. The chair read the committee’s updated mission statement, which says the bipartisan committee will fact-find on the state’s COVID-19 response and its impact on the healthcare system, with focus areas including federal guidance, federal funds, emergency use authorization vaccination efforts, long COVID, the Patient Bill of Rights, and vaccination policies. The chair also announced committee staffing changes: Linda McGrath stepped down as vice chair and Representative Gerard was named vice chair; Representative DeRoy was named clerk. The chair emphasized the committee’s work is intended to be science-based and fact-finding, not anti-vaccine, and noted that the committee may issue follow-up reports and recommendations. Members discussed a broad list of topics for future hearings, including long COVID treatment, ongoing vaccination policies, reporting of COVID deaths, standards of care and provider discretion, COVID-related funding such as ESSER/CARES Act money, and communication of treatment developments during the pandemic. Representative Pollina argued the committee should examine specific treatments and outcomes, including remdesivir, oxygen/intubation practices, and ivermectin, and raised concerns about whether some treatments were harmful or suppressed. He also focused on pediatric vaccination policy, saying the committee should review New Hampshire’s recommendations for children and medical students, and questioned the state’s reliance on federal guidance versus independent review. The chair responded that shifting federal positions may justify an independent New Hampshire evaluation and asked him to gather more information and potential witnesses. In open discussion, members suggested additional witnesses and topics, including local funeral directors, nursing homes, and emergency medical services, as well as how nursing homes were affected by positive tests and admission restrictions. Another member suggested the committee consider what products it should produce, such as a final report, possible bill recommendations, and better documentation or footnotes tying findings to testimony and scientific sources. The chair said the committee’s deliverables could include reports, letters to department heads or legislative leaders, and other actions, and noted that the committee’s 2024 report and supporting documents are available on the House committee page. No votes or formal actions beyond the organizational appointments were taken.

Transcript Highlights:

• into the following month past the time into the following month past the time that<00:20:47.120>
• can be, um, performed at the same time can be, um, performed at the same time as,<00:21:31.120><
• because I know I'm running out of time because I know I'm running out of time as<00:32:39.919>
• Thank you for your time, and I'm available for questions. Yes. And am I on the screen? You got me.
• And am I on the screen? You got me.

Keywords: 910, house, all

Transcript Highlights:

• Over time,... Institutions overseeing it.
• I deal with this all the time.
• And on the other side, from time to time, we do have bad apples that make it into the profession of policing
• criticize my Marines all the time criticize my Marines all the time because<02:51:28.960> they
• Members, House Finance will be meeting probably for the last time… Probably for the last time, uh, in

Keywords: 981, all

Transcript Highlights:

• At this time, I recognize the Vice Chairman for the purpose of a motion. Mr.
• Cummings from the Department of Education, we're happy to take whatever time is necessary today to get
• Senator: Sir, you don't think that it's enough time if we move it to tomorrow? Chair: I don't.
• At this time, I'd like to speak to the bill. Sure, Senator. Further questions of counsel?
• At this time, I'd like to speak to the bill. Sure, Senator. Further questions of counsel?

Keywords: 994, senate, all

Transcript Highlights:

• Or is it just my screen? She's on the board? No? Come on. No, we're good. She got a button.
• And I, as the Art Masterpiece instructor at the time, also very much was able to regulate my nervous
• President, per time, I rise to explain my vote, or by way of explaining my vote, I'd like to make an
• Did you, parenting, time, third, testimony, qualification. Federalism, family.
• H.H. 22, 95, nursing facilities, records, service time, illness.

Keywords: 1182, all

Transcript Highlights:

• That's not the best time.
• That's not the best time. That's not the best time.
• time.
• We limit their screen time. They come home, they watch a movie, a couple shows, and that's it.
• We limit their screen time. They lives. We limit their screen time.

Keywords: 981, all

Transcript Highlights:

• And the good news is, last time the Department of Health said only 1% was being diverted.
• It's about time we start looking at it again.
• <00:23:28.799> of them to housing at the time of them to housing at the time of discharge.
• The question was what average time length of time, um, for an evaluation for somebody who's already at
• jail diversion and at that time jail diversion and at that time to<01:17:05.199> me<01:17

Keywords: 912, senate, all

Summary: The briefing focused on the Hawaii State Hospital’s overcrowding, construction defects in the new addition, and how Act 26 and related court-ordered processes are affecting admissions and discharges. The chair said the hospital has become increasingly forensic-focused, has lost beds after the closure of Kahimohala, and may face further costs and possible litigation over the defective addition. Hospital and Department of Health officials said they are working with the attorney general and contractors on repairs, and that the hospital is currently using all 292 licensed beds, including 13 waiver beds, while average daily census last fiscal year was 376. Officials explained that the high census is driven by both increased admissions and discharge barriers. They said the loss of Kahimohala returned patients to the state hospital, and that Act 26-related petty misdemeanor cases are contributing to admissions. They also said limited lower-level placement options delay discharges. Hospital staff reported that many patients are repeat admissions, about 22% were unhoused before admission, and a significant share are in categories such as fitness-to-proceed evaluations and conditional-release violations. They said these groups could potentially be reduced if evaluations were done elsewhere and if more community or supportive housing were available. The chair and senators questioned whether some fitness-to-proceed detainees need to be held at the state hospital at all, and whether the Clark consent order requires transfer to the hospital. The attorney general’s office said the Clark injunction does not govern unfitness-to-proceed cases; instead, the requirement comes from state statute, and the statute could be changed. Director Johnson said DCR cannot keep such detainees because the court orders them into the custody of the Department of Health, and the department cannot provide the needed therapeutic level of care in a correctional setting. The discussion also emphasized co-occurring substance use and mental illness, especially among petty misdemeanor defendants, and the need for supportive housing and a decompression plan to reduce readmissions and free beds for civil commitments.

Transcript Highlights:

• time? I'm sorry. time? I'm sorry.
• >> your time. I apologize. >> your time. I apologize.
• you for your time. you for your time. >> Thank<02:05:07.200> you.
• This is my first time doing this. I’ll wear a better hoodie next time.
• Thank you for your time.

Keywords: 928, house, all

Summary: The Judiciary Committee opened a hearing on House Bill 1067-FN, which would formalize and expand mental health courts in New Hampshire and create a grant-based funding structure for them. Representative Mark Pearson, the prime sponsor, described the bill as a bipartisan, compassionate, and cost-effective approach that would connect people with mental illness to treatment and supervision instead of incarceration, while still holding them accountable. He said the proposal was developed with input from the judicial branch, law enforcement, corrections, mental health organizations, and others, and emphasized that local courts could tailor programs to their needs. Committee members questioned the bill’s fiscal note, whether the legislature had previously studied the issue, how the program would be funded, and whether the bill should more explicitly address treatment, prevention, and data collection. Representative Buzz Sher, who helped develop the bill, explained how mental health courts work, including referral, clinical and public-safety assessments, case management, goal-setting, and graduation from the program. He said existing New Hampshire mental health courts are mostly partial and county-funded, and that the bill would formalize them, set standards, and allow grant funding. He also cited data from Georgia and New Hampshire suggesting significant savings from reduced incarceration and related costs. Members also raised concerns about due process, whether people not formally charged could be swept into the system, and whether individuals with violent offenses or domestic violence histories could be diverted inappropriately. Sher responded that only people already in the criminal justice process are eligible and that courts use safety assessments to screen out most violent cases. The committee requested that Sher file supporting financial data from other jurisdictions, and he agreed to do so. No vote or final action was taken during the hearing.

Transcript Highlights:

• defining essential Services some time defining essential Services some time ago<00:08:04.159>
• controlled time controlled time temperature<00:19:06.400> um<00:19:06.880> you<00:
• <00:39:59.800> these sometimes these drug many times these sometimes these drug many times
• there and I'd like to pass the time there and I'd like to pass the time because<01:35:36.560>
• amount of time we extended our time amount of time we extended our time frames<01:36:43.719>

Keywords: 1191, senate, all

Transcript Highlights:

• I just didn't have time to have staff draft in a form that I thought was ready for prime time.
• I just didn't<00:02:23.280> have<00:02:23.520> time didn't have time didn't have time um
• So time.
• 8.29 minutes is a long time. 8.29 minutes is a long time.
• exist at that time. exist at that time.

Keywords: 1187, senate, all

Transcript Highlights:

• Wilmarth was on the radar screen. We've known for a long time.
• Wilmarth was on the radar screen. We've known for a long time.
• Wilmarth was on the radar screen. We've known for a long time.
• Wilmarth was on the radar screen. We've known for a long time.
• So, I appreciate your<03:37:25.160> time. your time. your time.

Keywords: 916, all

Transcript Highlights:

• being completed in the timely um phase. being completed in the timely um phase.
• > time.
• Ultimately that would take time. >> Right. Ultimately that would take time.
• Projects take time. There's, you well. Projects take time.
• positions at that time were eliminated. positions at that time were eliminated.

Bills: SB2003

Keywords: Mauna Kea, land management, University of Hawaii, astronomical observatories, leasable lands, natural resource management, stewardship authority, 912, senate, all

Summary: The joint committees on Water, Land, Culture, and the Arts and Education heard testimony and discussed SB 20003, which would require the auditor’s report under Act 255 to include a recommendation on whether the Monarch Stewardship and Oversight Authority is fit to continue managing Monaca lands. Testimony focused on the bill’s reversion language, the role of the auditor, and whether the measure gave the auditor too much discretion without clear criteria. The Office of the Auditor’s position, read into the record, was that it had strong reservations because the bill did not provide standards for assessing fitness and asked that the requirement be held or amended. Other testimony suggested a work group with relevant agencies and Hawaiian practitioners to manage the transition and reduce conflict. Committee members debated whether the bill should simply restore the original reversion language or also require an audit-based fitness determination. Several members questioned the need for a 2031 audit when Act 255 already provides for a performance and financial audit in 2031 and noted that the bill could shift authority away from the legislature. In response, the committee chair explained that the measure was intended to restore language removed during conference and to address the transition back to the University of Hawaii if the authority was not meeting the act’s purpose. The committees ultimately recommended SB 20003 be passed with amendments. The amendments would strike the auditor/audit section, add language addressing timelines by providing a 10-year lease extension and sublease extension, and make technical changes including a defective date. The committees voted to adopt the amended measure and send it forward as an SD1. The transcript also included a separate Education Committee hearing on SB 3286, which would require the University of Hawaii to develop a facilities and student housing master plan and report to the legislature. University of Hawaii testimony said the system supports the intent but that the bill’s requirements are a heavy lift across 10 campuses and should follow development of a broader academic strategy. Members raised concerns about deferred maintenance, shifting priorities, and the lack of a systemwide plan, while the university said it already has a six-year capital improvement plan but acknowledged it does not fully incorporate the broader academic and housing strategy the bill contemplates.

Transcript Highlights:

• At this time, I recognize the Vice Chairman for the purpose of a motion. Mr.
• Cummings from the Department of Education, we'll be happy to take whatever time is necessary today to
• So you don't think that it's enough time? I don't.
• Could you, being that the screen is split and we don't have it in front of us, tell us the counties that
• At the time, I'd like to speak to the bill. Sure, Senator. Further questions of counsel?

Keywords: 994, senate, all

Summary: The Senate Finance Committee met with a quorum present and first approved the minutes from the prior meeting. It then reconsidered Committee Substitute for House Bill 5212, noting that an Education Committee amendment had been inadvertently omitted the day before; the vice chairman withdrew the prior motion to report the bill, and the committee returned to the bill with the technical Education Committee amendments pending. The transcript then moved through a long agenda of bills and supplemental appropriations, with the committee generally hearing brief explanations from counsel, occasional member questions, and then voting to adopt amendments and report measures to the full Senate. Among the substantive policy bills, the committee advanced House Bill 4007 on the Industrial Access Road Fund, allowing an additional possible $3 million transfer in a fiscal year, expanding eligible uses, and increasing county/municipal spending limits; House Bill 4765, which raises salaries for state police, teachers, and school service personnel and, via a strike-and-insert amendment, creates a market pay enhancement tied to county and regional income data; House Bill 5162, recodifying tax lien sale procedures and clarifying ownership and government-property tax treatment; House Bill 5382, extending the Neighborhood Investment Tax Credit Program to July 1, 2031; House Bill 5685, authorizing up to $150 million in revenue bonds backed by excess lottery funds for State Culture Center improvements; House Joint Resolution 42, placing a constitutional amendment on the ballot to raise the homestead exemption from $20,000 to $40,000; House Bill 4010, creating an airport hangar grant program and fund; House Bill 4404, increasing from $500 to $5,000 the amount volunteer fire departments may spend on training and fire prevention materials; House Bill 4592, requiring standardized campus safety mapping data for higher education institutions; House Bill 4784, extending and making retroactive a qualified opportunity zone business tax modification; and House Bill 5088, increasing retirement benefits for Division of Natural Resources police officers, with a one-time $4.25 million cash injection. The committee also reported several supplemental appropriations and originating bills, including Senate Bill 842 for the Spay Neuter Assistance Fund, Senate Bill 846 for Culture and History capital repairs, Senate Bill 872 for Natural Resources capital repairs (reduced to $10 million in committee substitute), Senate Bill 876 for Department of Health facilities, Senate Originating Bills 1 through 5 covering Culture and History, road funds, corrections IT and services, tobacco education, and the Adjutant General’s armory board transfer, respectively. Most items were adopted by voice vote; House Bill 4765’s strike-and-insert amendment was adopted after a division vote of 10-6. The committee then adjourned.

Transcript Highlights:

• Many times we hear that all the time.
• At the time.
• Not at that time. Not at that time. transporting people.
• El Paso time or Texas time? Well, we have more time.
• Not at this time. Not at this time. Not at this time. Filing an amendment. Amendment by Ms.

Bills: HB75, HB188, HB199, HB4029, HB330, HB507, HB524, HB1517, HB 1065, HB1375, HB1630, HB1398, HB 1227, HB689, HB1814, HB2160, HB2140, HB4897, HB5600, HB5489, HB4188, HB2881, HB2048, HB3900, HB4074, HB5568, HB5528, HB3811, HB3726, HB3382, HB4507, HB4775, HB3626, HB3569, HB5212, HB5248, HB5178, HB3453, HB3231, HB3941, HB1571, HB1969, HB1865, HB2879, HB2643, HB4799, HB4891, HB5567, HB5549, HB5187, HB5118, HB3191, HB1730, HB1687, HB2192, HB4511, HB4805, HB1863, HB3195, HB3199, HB5562, HB5551, HB5169, HB3290, HB3712, HB3996, HB5098, HB5097, HB5089, HB3897, HB3868, HB3829, HB4840, HB3753, HB4368, HB4142, HB2841, HB3457, HB3784, HCR46, HCR109, HCR10, SB1844, SB1833, SB2284, SB2052, SB1666, SB1265, SB1146, SB1921, SB480, SB1734, SB296, SB2039, SB462, SB1646, SB2173, SB2925, SB682, SB1173, HB4535, HB4520, HB3824, HB3066, HB2442, HB3863, HB4773, HB4327, HB5115, HB5515, HB3372, HB5659, HB 127, HB386, HB 115, HB2868, HB 1249, HB4766, HB3720, HB4879, HB5383, HB4621, HB5431, HB5678, HB5534, HB4212, HB3954, HB3966, HB3918, HB1422, HB4765, HB4732, HB4742, HB4518, HB5084, HB3986, HB4144, HB3976, HB4473, HB3425, HB3641, HB3642, HB3475, HB3424, HB4744, HB4539, HB3159, HB5228, HB5370, HB4359, HB4443, HB4466, HB3849, HB4240, HB5141, HB5686, HB3629, HB3554, HB3567, HB2015, HB3575, HB5381, HB4398, HB3514, HB4614, HB4546, HB5681, HB5663, HB4271, HB4350, HB4035, HB3812, HB3540, HB3715, HB3664, HB4233, HB3333, HB3510, HB4222, HB2070, HB2854, HB2347, HB 113, HJR218, HB5623, HB4921, HB5673, HB5520, HB 105, HB4685, HB5354, HB4683, HB75, HB983, HB4847, HB1449, HB3833, HB5151, HB265, HB1845, HB782, HB 108, HB1960, HB158, HB1954, HB1955, HB2512, HB605, HB2581, HB2803, HB627, HB2667, HB1738, HB636, HB3679, HB2638, HB2655, HB871, HB2438, HB 1107, HB1765, HB1822, HB2153, HB4099, HB3732, HB3171, HB3178, HB3182, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2132, HB2658, HB2413, HB2757, HB2080, HB3154, HB3063, HB3009, HB3448, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3946, HB3460, HB3405, HB475, HB3463, HB3441, HB3441, HB3520, HB2060, HB4731, HB4991, HB1991, HB5596, HB2014, HB2142, HB2673, HB2731, HB2417, HB2399, HB2301, HB2301, HB3335, HB3234, HB3320, HB5573, HB5573, HB4848, HB4848, HB4748, HB4769, HB4795, HB2086, HB2086, HB2234, HB2234, HB2203, HB4916, HB5624, HB4505, HB139, HB5093, HB5302, HB5402, HB5606, HB2333, HB4630, HB4701, HB2583, HB2983, HB4924, HB3339, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5430, HB5561, HB5561, HB5611, HB5043, HB5064, HB5064, HB3733, HB3733, HB3781, HB3219, HB32, HB4515, HB5348, HB3902, HB4420, HB3269, HB469, HB336, HB316, HB5396, HB993, HB1342, HB1342, HB5216, HB2046, HB2046, HB2188, HB2188, HB2450, HB2813, HB2857, HB4075, HB4075, HB2911, HB4682, HB4682, HB3117, HB3253, HB3442, HB4820, HB4336, HB5356, HB3669, HB3428, HB5465, HB3662, HB2590, HB2288, HB2288, HB1886, HB3458, HB3458, HB5603, HB5620, HB1489, HB1489, HB4101, HB4990, HB5685, HB5685, HB4950, HB4950, HB4980, HB5684, HB3507, HB3507, HB3566, HB4487, HB4487, HB4462, HB4462, HB4876, HB4915, HB4663, HB5570, HB2929, HB5261, HB2920, HB4642, HB4746, HB1609, HB5403, HB5453, HB3844, HB2336, HB1572, HB 1226, HB 1226, HB2806, HB2806, HB2617, HB2617, HB2827, HB3948, HB3948, HB3945, HB4266, HB4542, HB3319, HB1772, HB2496, HB1970, HB3434, HB5545, HB5545, HB5577, HB5577, HB31, HB31, HB279, HB370, HB370, HB4768, HB513, HB875, HB982, HB 1085, HB 1085, HB2677, HB2874, HB5478, HB4880, HB4798, HB4514, HB4958, HB4958, HB4508, HB4508, HB3758, HB3830, HB3744, HB3622, HB741, HB741, HB2204, HB2204, HB2860, HB4659, HB4578, HB813, HB712, HB712, HB1551, HB2790, HB2698, HB3365, HB3504, HB3118, HB3118, HB2959, HB1862, HB1862, HB 1026, HB4401, HB4401, HB4164, HB4164, HB3920, HB4737, HB4966, HB4966, HB4967, HB1958, HB4979, HB4979, HB5459, HB3862, HB1823, HB1823, HB4415, HB4893, HB2343, HB 1228, HB4337, HB188, HB199, HB4029, HB330, HB507, HB524, HB1517, HB 1065, HB1375, HB1630, HB1398, HB 1227, HB689, HB689, HB1814, HB2160, HB2140, HB4897, HB5600, HB5489, HB4188, HB2881, HB2048, HB3900, HB4074, HB5568, HB5528, HB3811, HB3726, HB3382, HB3382, HB4507, HB4775, HB3626, HB3569, HB5212, HB5248, HB5178, HB3453, HB3231, HB3941, HB1571, HB1969, HB1865, HB2879, HB2879, HB2643, HB4799, HB4891, HB5567, HB5549, HB5187, HB5118, HB3191, HB1730, HB1687, HB1687, HB2192, HB4511, HB4805, HB4805, HB1863, HB3195, HB3199, HB5562, HB5562, HB5551, HB5169, HB3290, HB3712, HB3996, HB5098, HB5098, HB5097, HB5089, HB5089, HB3897, HB3868, HB3829, HB4840, HB3753, HB4368, HB4142, HB2841, HB3457, HB3784, HCR76, HCR76, HCR127, HCR9, HCR40, HCR118, HR559, HCR59, HCR59, HCR135, HCR141, HCR46, HCR46, HCR109, HCR10

Keywords: magistrate, criminal procedure, probable cause, written findings, law enforcement, Texas STRONG defense fund, severance tax revenue, oil and gas revenue, constitutional transfers, rainy day fund, economic stabilization fund, state highway fund, oil and gas production, qualifying county, county grants, water infrastructure, first responders, public safety, DPS staffing, commercial motor vehicle safety

Transcript Highlights:

• Please read the bill a third time.
• Please read the bill third time.
• This gives them a bit more time.
• They store them now for a period of time, a very brief period of time, not 22 months even.
• I see it all the time.

Summary: The Florida Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness for sexual assault survivors, a resolution honoring Vietnam veterans exposed to Agent Orange, and a memorial proclamation for former Senator Karen Johnson Gendron. The chamber then moved to special-order bills, with senators also briefly discussing the session’s pace and thanking staff and colleagues for their work. The first major bill, on driving and boating offenses, was amended and passed 37-0. As amended, it increases penalties for repeat DUI/BUI manslaughter and vehicular homicide/vessel homicide offenses, and adds notice requirements and misdemeanor penalties for refusing lawful breath or urine tests. Senators also passed SB 306 on Medicaid providers 37-0, requiring Medicaid managed care plans to offer more after-hours and holiday access and ensuring more primary care appointment availability outside regular business hours. The Senate then passed a major condominium and cooperative associations bill, also 37-0, after extensive debate and multiple amendments. The measure extends deadlines for structural integrity reserve studies, adds flexibility for reserve funding and budgeting, tightens rules for managers and inspectors, limits certain requirements to buildings of three or more habitable stories, and extends the rescission period for condo purchases. Senators from both parties praised the bill’s sponsors for years of work responding to post-Surfside safety and affordability concerns. The longest and most contentious item was SB 7016/HB 1205 on constitutional amendment petition procedures. Sponsors said the bill responds to fraud and abuse in the citizen initiative process by tightening circulator rules, requiring faster submission of signed petitions, adding voter notification, increasing penalties, and shifting costs to sponsors. Opponents argued it would burden volunteers and make it harder for citizens to qualify initiatives. The chamber adopted a series of amendments, including changes to the petition-circulator threshold, volunteer protections, submission timing, invalid-signature investigation thresholds, and notice/cure provisions, while debate continued over whether the overall package would protect election integrity or suppress citizen-led amendments.

Transcript Highlights:

• He was actually, you know, way ahead of time.
• um of a of a one-time cut to people. um of a of a one-time cut to people.
• Chair Hoffman, Senator Abeler, the forecast reflects payment timing all the time.
• :30.000> time<00:48:30.079> in timing assumptions all the time in timing assumptions all
• I think, uh, book a lot of time because this is a conversation that needs a lot of time.

Keywords: 1187, senate, all

Transcript Highlights:

• for your time. Thank you, Ms. Covert. for your time. Thank you, Ms. Covert.
• time and consideration. Thank you, Ms. time and consideration. Thank you, Ms.
• Not surprisingly, our family has had those discussions over screen time, technology tools, safeguards
• . time. time.
• after time.

Keywords: 1187, senate, all

Transcript Highlights:

• <00:44:02.319> today really I'm having a hard time today really I'm having a hard time today
• <01:10:07.040> or They either volunteer their time or They either volunteer their time or
• So in this time yesterday or today.
• of ideas after that time. Am I correct? of ideas after that time. Am I correct? Okay. Okay.
• When we in a short period of time.

Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:02:10 3. Discussion of State-Based Marketplaces and the Federally-Facilitated Marketplace – 00:02:31 4. Discussion of the Role of Kynectors and Navigators – 00:27:29 5. Discussion of Presumptive Eligibility – 01:11:57 6. Discussion of Medicaid Eligibility, Enrollment, and Redeterminations – 01:20:09 7. Update on Rural Health Transformation Program Application Process – 01:47:35 8. Public Comment – 01:59:57 9. Adjournment – 02:06:10, 958, all

Summary: The Medicaid Oversight Advisory Board met for its third meeting and approved the July 30 minutes. The chair outlined a full agenda covering the state-based marketplace versus the federally facilitated marketplace, connectors and navigators, presumptive eligibility, eligibility/enrollment/redetermination, and a rural health transformation update. Commissioner Lisa Lee and Assistant Director David Barry presented first on Kentucky’s state-based exchange, Connect, explaining that it is an integrated eligibility and enrollment system for Medicaid, CHIP, SNAP, TANF, child care, and qualified health plans. They reviewed Kentucky’s move from a state-based exchange to healthcare.gov in 2017 and back to a state-based marketplace in 2021, and said the system helps route applicants to the correct program and allows families to move more easily between Medicaid and exchange coverage as circumstances change. The presenters said the exchange is funded by carrier assessments on qualified health plans rather than general fund dollars, with costs allocated across programs based on use. They said Kentucky’s exchange fees are lower than the federal platform’s and that the state-based system provides local assistance through DCBS offices, connectors, and licensed agents in every county. Members asked about startup and operating costs, fee-setting, and whether any general fund dollars are used; the department said it would follow up with the CFO on fee details and said it was not aware of general fund support for exchange operations. Members also raised concerns about Medicaid eligibility verification and improper enrollment, while the department emphasized that the state system uses different questions than healthcare.gov and is designed to identify the correct coverage based on monthly Medicaid income and annual tax-credit income. The board also discussed enrollment trends, including a COVID-era spike during the public health emergency when disenrollments were largely paused, and current qualified health plan enrollment of more than 97,000 people on Connect. Commissioner Lee explained presumptive eligibility as temporary Medicaid coverage, noting it applies to pregnant women and hospital-based cases, with hospitals able to grant it and certain providers able to grant it to pregnant women. She said full eligibility is still determined within 30 days and that presumptive eligibility ends when full Medicaid eligibility is determined or at the end of the following month. The meeting then shifted to connectors, with representatives from Community Action Kentucky and the Kentucky Primary Care Association describing their statewide outreach network, local offices, and role helping residents apply for Medicaid, renew coverage, report changes, and navigate benefits; they said connectors do not determine eligibility but assist with applications, recertifications, and outreach events across the Commonwealth.

Transcript Highlights:

• long time. long time.
• uh at the time, but I could be wrong. uh at the time, but I could be wrong.
• <01:52:13.119> So time I read something new. So time I read something new.
• during the evacuation during that time. during the evacuation during that time.
• during that time was absolutely amazing. during that time was absolutely amazing.

Keywords: 910, house, all

Summary: The House Committee on Public Safety held an informational briefing on hazard mitigation planning and recent tsunami and wildfire threats. Chair Dela Buladi opened by framing the meeting around the need for iterative disaster planning and lessons learned from events such as the Lahaina wildfires, the Puna Coast earthquake/tsunami, and recent wildfire activity. The committee heard first from Hawaii County Civil Defense Administrator Tomage Magno, who explained the federal and local hazard mitigation planning process, including the requirement for an active five-year mitigation plan to qualify for federal disaster funds. He described the plan as a living document built from prior plans, public and agency outreach, risk and capability assessments, and ongoing updates, with county departments, state agencies, and subject matter experts participating in the process. Magno outlined several FEMA-related mitigation funding programs, including flood mitigation assistance, post-fire assistance, pre-disaster mitigation, revolving loan funds, and dam safety grants. He emphasized that the Hawaii County plan was recently approved by FEMA, that the county council approves the plan, and that the county reviews it annually with a formal revision process beginning in the fourth year. Members asked about how the plan tracks project status, how priorities and funding changes are handled, and whether federal funding programs might be affected by HR1; Magno said the county is proceeding on the assumption that funding will remain available and noted some sources have been reestablished. He also said the county encourages council participation in meetings and planning. Department of Transportation Director Ed Sniffen then addressed the committee on DOT’s response to a recent tsunami threat, saying the agency had about four hours to prepare before the first wave arrival and was focused on its own operational response rather than the broader statewide planning process. In response to questions, he stated that FHWA funds cannot be used for evacuation routes, which is why prior legislative funding was important. Members also discussed specific mitigation projects such as fire breaks, bridge retrofits, and the Singing Bridge, with DOT noting that work is underway and that a replacement bridge upstream is being planned to carry traffic during repairs. No votes or formal committee actions were taken during the informational briefing.

Transcript Highlights:

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Keywords: 1187, senate, all