Transcript Highlights:

• Senate File 4933 was heard in HHS, laid over, and is being amended on the A19 amendment before us.
• Senate file 4933 was<00:35:15.040> heard<00:35:15.359> in<00:35:15.520> HHS<00:35
• laid over and is being was heard in HHS laid over and is being amended<00:35:18.400> on<00:35
• <00:49:08.319> So included in u the HHS omnimous bill.
• So included in u the HHS omnimous bill.

Keywords: 1187, senate, all

Transcript Highlights:

• So, I can only speak to the language around the Office of Health Equity, which is what resides HHS
• articulated by the House, the Senate, and signed by the governor, there was a provision not just for HHS
• articulated by the House, the Senate, and signed by the governor, there was a provision not just for HHS
• So basically the legislation pivots to direct HHS to develop, you know, a plan to submit to CMS.
• <00:53:51.359> to the legislation pivots to direct HHS to the legislation pivots to direct

Keywords: 1189, house, all

Transcript Highlights:

• c> department of administrative Services department of administrative Services doj<00:20:53.679> HHS
• Medicaid um the Department of doj HHS Medicaid um the Department of Corrections<00:20:58.200> uh<
• through that exercise last year with the insurance department and presented that in December to the HHS
• 00:38:11.960> the and presented that in December to the and presented that in December to the HHS
• committee all right uh HHS committee all right uh representative<00:38:14.440> Daniels<00:38:

Keywords: 928, house, all

Summary: The working session focused on the New Hampshire Prescription Drug Affordability Board’s budget request and its recent work. Early discussion centered on a technical question about a statutory dedicated fund for donations: members asked why the budget did not show a line item for accepting donations, and DHHS CFO Nathan White explained that the statute already authorizes the fund, but because no revenue has been received yet, it does not appear in the budget. He said any future donations would go through the normal process under RSA 14:30-a, with fiscal committee and Governor and Council approval and a memo to the Department of Revenue Administration. The chair clarified that the account was not a prerequisite to soliciting donations, and White said the fund would supplement, not replace, General Fund support. Kirk Williamson, the board’s executive director, then presented the board’s mission and budget. He said the governor’s budget provides about $256,500 in the first year and slightly more in the second, all General Funds, and that the board had distributed a technical amendment to continue the executive director position. He described the board’s role as analyzing prescription drug costs, identifying savings opportunities, monitoring market trends, promoting transparency, and making recommendations to the legislature and public payers. He also emphasized that the board operates publicly, with live-streamed meetings and a stakeholder advisory council that includes unions, state agencies, Medicaid, corrections, higher education, and other stakeholders. A major topic was the board’s estimate of $6 million in potential savings, based on Medicare’s newly negotiated prices for 10 drugs. Williamson explained that the board used those federal negotiated prices as a benchmark to estimate what New Hampshire public payers might be missing by not having similar leverage, and said the board is trying to build evidence for future recommendations rather than directly setting prices. Members asked how those potential savings could become actual savings, and Williamson said the board is sharing findings through its advisory council and feedback loops, though it has not yet sent a formal recommendation letter to specific purchasers. He also discussed the difference between pharmacy-benefit spending, which relies heavily on PBM-negotiated rebates, and medical-benefit spending, which is administered differently and is being added to the board’s next report. Williamson highlighted other work, including a model on Humira and a pending legislative effort to improve biosimilar competition, plus a proposed state-backed pharmacy savings card that would be no cost to the state and could save users about $240 per prescription based on Connecticut’s experience. No votes were taken during the session.

Transcript Highlights:

• The reason for being at this hearing is to ask you to follow the HHS and the FDA trajectory with kratom
• Federal agencies including FDA, HHS, and even the National Institute on Drug Abuse, Johns Hopkins, and
• Federal agencies including FDA, HHS, and even the National Institute on Drug Abuse, Johns Hopkins, and
• Federal agencies including FTA, HHS, and even National Institute of Drug Abuse, Johns Hopkins University

Bills: HB305, HB395, HB341

Keywords: hemp, marijuana, THC regulations, cannabis products, adult-use industry, public health, youth protection, child support, reunification, Department of Services for Children, family court, liability

Summary: The committee met in late June with Senators Hansen, Buckson, Siegfried, Townsend, and Huxable present, and first approved the meeting minutes by voice vote. The opening bill, HB 341, would limit DFS from filing child support in foster care cases unless doing so would not hinder reunification; Children’s Department staff said the department has already decided to stop filing in all such cases, with an estimated fiscal impact of about $140,000 annually. Public testimony from the League of Women Voters supported the bill as a compassionate measure to help families reunite. The committee then heard HB 446/related anaphylaxis legislation for colleges and universities, which would allow institutions to stock and use intranasal epinephrine alongside auto-injectors and update training and reporting requirements. The Asthma and Allergy Foundation of America supported the measure, emphasizing the need for needle-free options and faster treatment of anaphylaxis. The committee also took up HS1 for HB 356 on PFAS, which would ban firefighting foam containing PFAS beginning in 2028, require disclosure if PPE contains PFAS, and address recalls; DNREC and the fire service supported it, saying most departments have already transitioned away from PFAS foam. A major portion of the meeting focused on HB 305, a diabetes wellness pilot program that would use continuous glucose monitoring, app-based care coordination, lab testing, and DHIN data analysis to shift care toward prevention and remission. Sponsor Senator Siegfried described the bill as a response to Delaware’s high diabetes costs and prevalence, and the Medical Society of Delaware supported it as a proactive model. The committee also discussed HB 395, which would regulate intoxicating hemp-derived products and synthetic cannabinoids by classifying products over a THC threshold as marijuana and creating penalties for unlicensed sales; the Office of the Marijuana Commissioner supported the bill, while hemp industry representatives and Senator Hoffner warned it could harm legitimate hemp retailers and access to hemp products. The final item, HS1 for HB 332, would ban sales and marketing of kratom products to those under 21 and direct the state to study testing and regulation of kratom and synthetic variants. Supporters, including the Delaware Healthcare Association and several recovery advocates, said age-gating is a reasonable first step and that synthetic products are the main concern; opponents and some senators argued the bill should go further and fully ban kratom or better distinguish synthetic products from natural leaf kratom. No formal roll-call votes were taken on the substantive bills during the transcript, and the meeting adjourned after public comment.

Transcript Highlights:

• 1st, 2027, the commission must annually submit a report to the House and Senate Appropriations and HHS
• The commission must annually submit a report to the House and Senate Appropriations and HHS committees
• 1st, 2027, the commission must annually submit a report to the House and Senate Appropriations and HHS
• detailing. the Commission must annually submit a report to the House and Senate Appropriations in the HHS

Bills: HB2050, HB2082, HB2176, HB2195, HB2202, HB2307, HB2584

Keywords: radiologic technologist, radiologist assistant, radiology, imaging, x-ray, diagnostic x-ray, fluoroscopy, mammography, computed tomography, CT technologist, nuclear medicine technologist, bone densitometry, radiation safety, radiation licensing, scope of practice, health workforce, rural health care, critical access hospital, supervision, telehealth

Summary: The committee approved the minutes and then heard House Bill 2050, which updates Department of Health Services rules for radiologic technologists and radiologic assistants. The bill changes school accreditation and training requirements, reduces clinical hours, revises supervision and scope-of-practice rules, adjusts fees, and removes radiologic technologists from the telehealth health care provider definition. Testimony from a radiologic technologist supported the bill as an update to outdated standards and a response to workforce shortages, while a nurse practitioner supported the section allowing NPs to use diagnostic x-ray machines under nursing board standards. HB 2050 passed 7-0 with a do-pass recommendation. The committee then considered House Bill 2082, which creates a Childhood Cancer and Rare Childhood Disease Research Commission and expands the research fund to include appropriations, gifts, donations, and federal grants. An amendment shifted grant-awarding authority to the DHS director, required the commission to set criteria and review applications, and added public meeting requirements; it also tied funding to at least $5 million in available resources and removed the return-on-investment reporting requirement. Supporters said the bill would strengthen pediatric cancer research and leverage an underused funding source, though members raised concerns about oversight. The bill was amended and then passed 7-0. House Bill 2176 and House Bill 2195 both dealt with DHS licensing and complaint-investigation procedures for health care institutions and nursing care institutions. HB 2176 allows DHS to deny licenses or ownership changes based on serious prior licensing problems or safety risks, and it sets notice, investigation, and deficiency-statement rules; speakers from public health and hospital groups supported it as improving transparency and preventing bad actors from cycling through ownership. HB 2195 limits DHS access to certain personnel records, requires deficiency statements within 10 business days, and bars investigations of incidents older than 12 months; an amendment delayed implementation to July 1, 2027 and added corrective-plan and off-site review provisions. Both bills passed 7-0 as amended. The committee also approved House Bill 2202, which appropriates $300,000 annually for a dementia care tele-mentoring program to train providers statewide, especially in rural and underserved areas. The Alzheimer’s Association and a patient with younger-onset Alzheimer’s testified that the program would improve early diagnosis and care, though one senator opposed state funding on the view that medical schools should teach the material. HB 2202 passed 6-1. Finally, House Bill 2307, addressing placement for dangerous, incompetent, non-restorable defendants when secure state hospital beds are unavailable, drew the most debate. An amendment replaced out-of-state placement with a temporary, limited-use solution involving up to three beds at the Arizona State Hospital forensic campus, created a study committee, and shifted some non-psychiatric costs to counties; counties and hospital stakeholders opposed the county-cost language, while sponsors and DHS said the measure was an emergency stopgap. The amended bill passed 4-3. The committee then passed House Bill 2584 4-3, which prohibits public funds from being used for genetic sequencing equipment from foreign adversary countries or entities; supporters framed it as a national security measure, and opponents voted no. The committee then adjourned.

Transcript Highlights:

• Other formularies, like ones that HHS does for managed care, are carved out from the statutes from 541A's
• like<00:10:32.160> um<00:10:32.560> ones<00:10:32.880> that<00:10:33.200> HHS
• <00:10:33.839> does formularies like um ones that HHS does formularies like um ones that HHS

Keywords: 928, house, all

Summary: The committee opened with routine business, approving the prior meeting minutes and adopting the consent calendar without objection. It then postponed the Board of Licensed Dieticians and the Board of Accountancy items to next month, with a waiver granted for the dieticians item so it could be carried over. The committee also noted that the Department of Natural and Cultural Resources interim rule would be discussed further, and staff flagged a specific concern about authority over kindling size for category 3 fires under NCR 5601.04. The Board of Registry and Optometry received conditional approval. Staff said the board had addressed editorial comments, but raised one substantive issue about the drug formulary: the statute requires posting it online but does not clearly exempt it from rulemaking, suggesting a possible legislative carveout may be needed. The committee agreed to add that issue to a list of legislative suggestions for later consideration. The DNCR interim fire rule was the main contested item. Committee members and staff discussed whether the rule exceeded authority by regulating kindling for category 3 fires, and the agency explained that the regular rules had expired and interim rules were needed quickly for public safety and permit enforcement. The committee ultimately granted conditional approval on the interim rule 25-4, with the understanding that the agency would continue regular rulemaking and address the objection. The Board of Examiners’ dental rules were then reviewed. The agency explained that it revised the rules to address prior concerns about anesthesia and sedation for children, including a pathway for oral surgeons and dentist anesthesiologists to obtain exemptions for under-13 patients, a pediatric minimal sedation permit, and a moderate sedation permit with pediatric qualification. Members also discussed whether the rules were consistent with House Bill 470; staff and members concluded they appeared compatible and would not require additional rulemaking. The committee approved the dental rules, and then adjourned after no further business.

Transcript Highlights:

• Musk has ordered HHS, the Department of Labor and the Department of Health to fire employees, hand over
• confirmed, but I do think it's important that we maintain public comment, something that so far this HHS
• Well, you know, if you are confirmed, I just urge you to do everything you can to ensure that HHS has
• for your commitment on that front that you would push to try to have an Inspector General. there at HHS

Keywords: nominations, labor, health, veterans, Social Security, Elon Musk, transparency, government accountability

Summary: The meeting primarily focused on various executive nominations and their implications on labor and health affairs. Significant discussions surrounded the nomination of Mr. Sonderling as the Deputy Secretary of Labor, with members expressing concerns about workforce cuts affecting veterans and Social Security employees. There was also a debate led by a member regarding the authority and influence of private individuals, specifically citing Elon Musk's involvement in government decisions. Such discussions raised questions about transparency and accountability within governmental agencies, leading to a proposal for Mr. Musk to provide testimony before the committee.

Transcript Highlights:

• Since 2017, we have had language in the labor HHS appropriations bill that specifically prohibits the
• I'm the ranking member of the Labor HHS Appropriations Subcommittee and I've been raising the alarm about
• for a decentralized decision-making process for the grants, does that mean that you would oppose the HHS
• What if the HHS secretary said, I want you to fund this specific grant at this university?

Keywords: NIH funding, healthcare research, chronic diseases, scientific integrity, public trust, pandemic response

Summary: The meeting of the committee focused on various healthcare and scientific issues, with significant discussions surrounding the impact of recent administrative actions on the National Institutes of Health (NIH) and its research agenda. Senators expressed concerns over funding cuts and personnel reductions, particularly the reported termination of over 1,200 NIH staff members, which could jeopardize ongoing and future research projects. The session included testimonies on the importance of supporting early-stage researchers and restoring public trust in scientific institutions following pandemic-related controversies. Additionally, the potential for future healthcare management based on diverse scientific ideas was emphasized as crucial to tackle chronic diseases effectively.

Transcript Highlights:

• c><00:31:14.240> between<00:31:14.880> dees<00:31:16.320> and<00:31:16.880> HHS
• um interplay between dees and HHS um interplay between dees and HHS on<00:31:18.799> what
• That section sometimes works very closely with HHS public health on the health impacts, and based on
• ,<00:32:40.240> which<00:32:40.399> I've<00:32:40.640> not we'd work with HHS
• , which I've not we'd work with HHS, which I've not thankfully<00:32:41.440> seen<00:32:41.679

Keywords: 1191, senate, all

Transcript Highlights:

• Education and HHS have been the largest areas of state spending, and in the budget years, for example
• I apologize, I'm not on HHS in my first year on finance, but back on slide deck number 14, you talked
• <00:42:55.520> in mangy and I apologize I'm not on HHS in mangy and I apologize I'm not on
• HHS in my<00:42:55.760> first<00:42:55.920> year<00:42:56.079> on<00:42:56.280>
• I know we're in finance, not HHS, but that's a huge number when we're seeing a $9 million increase in

Keywords: 1187, senate, all

Transcript Highlights:

• So to my team, HHS, and most of all, you legislators, thank you for accomplishing this goal in such a
• partners, and community leaders, along with the legislature, governor's office, and especially our team at HHS

Keywords: 908, all

Summary: The House convened in joint session for the special session of the 69th Legislative Assembly, with introductions of visiting officials and a moment of silence for former Governor Alan Olson. The chamber then escorted Lieutenant Governor Michelle Strind and Governor Kelly Armstrong, along with First Lady Kirstie Armstrong, to the rostrum. The governor’s remarks were ordered printed in the journal. Governor Armstrong addressed the special session’s single purpose: considering North Dakota’s $199 million first-year federal award under the rural health transformation program. He thanked legislators, HHS, tribal partners, providers, and community leaders for their work on the state’s CMS application, and said four bills helped improve the application score: requiring the presidential fitness test in PE courses, adding nutrition education to physicians’ continuing education, joining the physician assistant licensure compact, and expanding pharmacists’ scope of practice. He said he looked forward to signing those bills and the accompanying appropriation measure. The governor described the rural health plan as focused on four pillars: promoting wellness and healthy lifestyles, stabilizing the rural health workforce, expanding access through telehealth and mobile services, and using technology and data to improve care. He emphasized that the plan would avoid new buildings and unsustainable programs, and instead use federal funds for lasting, scalable reforms. He said the state could receive at least $500 million over five years, possibly more, and urged quick authorization and appropriation so the funding could be deployed responsibly. After the governor and lieutenant governor were escorted out, the joint session was dissolved. The House then returned to regular business, announced committee meetings, excused absent members, and adjourned until 8:30 a.m. on Thursday, January 22, 2026.

Transcript Highlights:

• During my time on HHS committees, I rode in ambulances, I walked into emergency departments, pediatric
• During my time on HHS committees, I rode in ambulances, I walked into emergency departments, pediatric
• During my time on HHS committees, I rode in ambulances, I walked into emergency departments, pediatric
• During my time on HHS committees, I rode in ambulances, I walked into emergency departments, pediatric
• During my time on HHS committees, I rode in ambulances, I walked into emergency departments, pediatric

Bills: HF4343

Keywords: sales tax, use tax, advertising tax, taxable services, digital advertising, online marketing, marketing services, search engine marketing, lead generation, internet advertising, ad agency, media buying, campaign planning, Minnesota tax law, service tax, broadening tax base, web advertising, promotional services, 1183, house

Transcript Highlights:

• actually have to get and that's probably the committee whether it's transportation or whether it's HHS
• actually have to get and that's probably the committee whether it's transportation or whether it's HHS
• actually have to get and that's probably the committee whether it's transportation or whether it's HHS
• actually have to get and that's probably the committee whether it's transportation or whether it's HHS
• actually have to get and that's probably the committee whether it's transportation or whether it's HHS

Keywords: 1183, house

Summary: The committee met on March 2 and approved the February 23 minutes after a quorum was reached. The main presentation was from the Department of Human Services on non-emergency medical transportation (NEMT), a federally required Medicaid benefit that helps Minnesota Health Care Program enrollees get to medically necessary appointments. DHS said the program served more than 250,000 people in 2025 at a cost of $127 million, with participation up about 14% over five years, and described the seven transportation modes, provider enrollment requirements, STS certification, background checks, prior authorization rules, and planned transitions to a single administrator for parts of the program in 2026 and 2027. DHS officials emphasized fraud prevention efforts, saying NEMT is one of the agency’s high-risk Medicaid services. They described enhanced prepayment review, provider revalidation and site visits, removal of inactive providers, and a provider moratorium in metro counties. Inspector General James Clark said the governor’s anti-fraud proposal would add pre-enrollment risk assessments, more staffing and technology, and electronic visit verification. He also noted that about 80% of NEMT spending is in managed care and that managed care organizations have their own compliance and special investigations units. Committee members raised concerns about fraud, oversight, and privatization. Chair Robbins questioned DHS about the absence of the commissioner and the program’s use of brokers, citing past concerns and asking about the vendor MTM’s history; DHS said the RFP for the new broker had closed and the vendor selection was still underway. Representative Pinto questioned why oversight is outsourced to managed care organizations and suggested bringing more oversight back in house. MTM representative Phil Stahlberger defended the company’s record, said the Missouri dispute was about contract terms from about 15 years ago, and said MTM currently works in Minnesota counties and many other states, with on-site reviews, trip verification, and complaint review processes. No further votes or final actions on the NEMT policy were taken in the portion provided.

Transcript Highlights:

• We have federal agencies like USDA, HHS, SBA that are highlighting the progress and collaboration that
• ,<00:22:49.360> SBA federal agencies like USDA, HHS, SBA federal agencies like USDA, HHS,
• Uh, part of what Bri and I are doing in DC whenever we're there is having more conversations with HHS
• You're getting a lot of support in a number of calls that many of us are having with HHS and we know
• , the White House, and other partners HHS, the White House, and other partners that<00:41:11.200>

Keywords: This meeting was pulled from back ups and uploaded in it's entirety due to technical issues., 958, all

Summary: The Make America Healthy Kentucky Task Force met with a quorum, approved the minutes, and then heard a presentation on the state’s “food is medicine” work from Kentucky Hospital Association and Kentucky Department of Agriculture leaders, including Jim Muser, Holly Harris, and Commissioner Jonathan Shell. The chair framed the discussion around personal wellness, injury prevention, and the broader goal of improving health through better sleep, nutrition, and activity, then asked the presenters to describe current initiatives and any policy changes needed. The witnesses described a partnership linking hospitals and Kentucky farmers to improve health outcomes while supporting rural agriculture. They said the effort has moved beyond the pilot stage and now includes more than 40 hospitals statewide, with programs such as healthier hospital cafeterias, grab-and-go options, farmers markets at hospital sites, subsidized CSA boxes for employees, and medically tailored meals or groceries for patients with chronic conditions. ARH was highlighted as a leading model, with local food procurement, employee wellness efforts, and measurable outcome pilots, including a Russell County Hospital project focused on diabetes, heart disease, and obesity. They also emphasized barriers to scaling the model, including fragmented short-term funding, lack of reimbursement for food-as-medicine programs, and burdensome procurement and testing requirements that can make it difficult for small farmers to participate. The presenters said hospitals are using their own funds or temporary grants to sustain programs and argued that policy changes are needed to simplify sourcing, expand reimbursement pathways, and support clinical measurement of outcomes. No votes or formal actions beyond approving the minutes were taken during the portion provided.

Transcript Highlights:

• Why wasn't HHS involved before you had to go to the Department of Justice?
• recently with case that just occurred recently with tcock<01:48:53.760> did<01:48:54.000> HHS
• take any corrective action tcock did HHS take any corrective action to<01:48:56.320> help<01:
• > HHS<01:49:34.719> involved<01:49:35.280> before<01:49:35.760> you<01:49
• :35.880> had why wasn't HHS involved before you had why wasn't HHS involved before you had to<

Keywords: 928, house, all

Summary: The Finance Committee held a hearing on House Bill 619, which would appropriate $1 million to the Solid Waste Management Fund for matching grants to municipalities and businesses for waste diversion projects, with 50% of the money prioritized for food waste diversion. Representative Karen Ebel, the sponsor, said the fund would help New Hampshire meet its solid waste diversion goals, preserve landfill capacity, and support composting, recycling, and related local business activity. She cited New London’s composting program as an example, saying 172 families participated and 32 tons of food waste were diverted in 2024, reducing tipping and trucking costs. Committee members asked about possible alternative funding sources, including a surcharge on landfill tipping fees. Ebel said many other states use such surcharges to fund recycling and solid waste programs, while New Hampshire relies on general funds. She also said the current fund balance was about $900,000 because some money had been used for staffing, and that the grant program was still in rulemaking. Questions also focused on how household composting works and whether municipalities could generate revenue from compost; Ebel said participation is optional, most programs use buckets and transfer stations, and the main benefit is cost savings from reduced disposal rather than compost sales. Testimony in support came from the New Hampshire Municipal Association and the Northeast Resource Recovery Association. Both said municipalities are interested in food waste diversion and composting, that these programs can reduce long-term disposal costs and property tax pressure, and that there is growing demand for technical assistance and grant support. The Northeast Resource Recovery Association said food waste makes up about 24% of municipal and business waste, that fewer than two dozen communities and fewer than two dozen businesses currently offer such services, and that a City of Lebanon pilot program saw about 30% savings by composting on site. The Department of Environmental Services said it was not taking a position but is working on rulemaking for the grant program and expects strong interest from municipalities, private composters, farmers, and anaerobic digester operators. No vote or final action was taken at the hearing.

Transcript Highlights:

• And number one on the HHS off the commissioner. This is one we had a great discussion on yesterday.
• And I'm glad we're going to combine with what we did last time, you know, the last session for HHS on
• c><00:31:00.960> last<00:31:01.200> session<00:31:01.520> for<00:31:01.919> HHS
• <00:31:02.960> um<00:31:03.039> on you know, the last session for HHS um on you know
• , the last session for HHS um on the<00:31:03.440> call<00:31:03.679> center.

Keywords: 1191, senate, all

Transcript Highlights:

• The first one we dealt with the issue of Medicaid from the perspective of HHS, and we had Henry Litman
• That's how I've always understood HHS.
• handling these costs, whether it be HHS handling these costs, whether it be HHS or<01:30:20.480>
• We've had HHS, we've had the director spin field, we've had, you know, the director of the state here
• We've had HHS, where we want to now?

Keywords: 928, house, all

Summary: The subcommittee met for its third discussion on special education aid under retained bill 742, with the chair noting that no action would be taken at the meeting. The chair reviewed prior hearings on Medicaid and local special education funding shortfalls, saying the committee was trying to understand why districts are facing proration of special education aid and how to reduce unfunded costs. He raised a series of questions for the Department of Education about the Nessus system, eligibility and ineligibility, invoices and vouchers, audit procedures, reimbursement rates, out-of-state placements, and who enters data at the district level. Rebecca Fdet, director of special education services at the Department of Education, explained that Nessus is the statewide special education information system and that every child in special education must be entered into it. She said most districts use it to develop IEPs and track services, while six districts use it only as a data reporting tool. She described which fields are required, how the system connects IEP development to the financial section, and how districts submit invoices when seeking special education aid, court-ordered placement payments, or episode-of-treatment placements. She said the department reviews invoices against the IEP, pays only for allowable services, and uses a cap that notifies districts when they reach the annual limit. Members asked about who submits the information, how districts decide when to seek aid, and how costs are calculated for individual or group services. Fdet said the district, usually an administrative assistant in the SAU office, submits the documentation electronically, and districts decide when to track students for aid based on their own circumstances. She said reimbursement is based on actual costs tied to the IEP, with group services split among students, and that the department does not generally set rates for local services. The only rate-setting she described was for approved private special education providers, which submit annual cost spreadsheets for tuition rates. She also said out-of-state providers must be approved by their own state, and the department checks licensure and certification through monitoring and investigations if concerns arise. The department also described its monitoring process, called Program Approval and General Supervision Monitoring, or PAGS. Fdet said districts are reviewed on a six-year cycle, with more intensive review for districts needing assistance or intervention and fewer file requests for districts meeting requirements. She said the department can review up to 65 data points on an IEP and that districts must submit special education aid paperwork by July 31, with superintendent verification due by August 15. The meeting ended with continued questions about procurement, audit procedures, and how the department handles out-of-district and out-of-state placements.

Transcript Highlights:

• HHS did point out there were a number of commissions that kind of do similar things, with some overlap
• Um, HHS did point out there opposition.
• Um, HHS did point out there were<02:15:12.000> there<02:15:12.239> are<02:15:12.320>
• And before we break for the day, that is the last of the Senate bills in Senate HHS.
• last of the Senate bills in Senate HHS. last of the Senate bills in Senate HHS.

Keywords: 1191, senate, all

Transcript Highlights:

• area of the budget our biggest spending area of the budget our biggest spending is<00:10:35.760> HHS
• :10:37.959> and<00:10:38.120> so<00:10:38.480> I'm<00:10:38.639> not is HHS
• and education and so I'm not is HHS and education and so I'm not saying<00:10:39.040> that<00

Keywords: 1183, house

Transcript Highlights:

• <00:35:51.359> that<00:35:51.680> certifies<00:35:53.040> for<00:35:53.359> HHS
• <00:35:54.079> Now, is being um that certifies for HHS.
• Now, is being um that certifies for HHS.
• to um HHS to um HHS which<00:36:16.079> led<00:36:16.720> HHS<00:36:18.000> to<
• their own which led HHS to write their own standards standards standards which<00:36:21.520> are<

Keywords: 1189, house, all