Video & Transcript Research : 'accessibility'

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MN

Minnesota 2025-2026 Regular Session

Conference Committee on HF2432 5/16/25

Transcript Highlights:
  • Uh and uh this has to do with um access<00:08:11.199> to<00:08:11.440> the<00:08:11.599
  • > unredacted<00:08:12.479> portable access to the unredacted portable access to the unredacted
  • And without a stable, well-supported workforce, our ability to provide timely access to justice will
  • us develop a new justice partner access us develop a new justice partner access system<00:30:50.559
  • This is part of the justice partners access to court records provisions.
Keywords: 919, house, all
Summary: The conference committee met late on Friday evening to discuss the Public Safety and Judiciary budget agreement, beginning with a brief exchange among members about concerns that the executive branch had been delaying the committee’s work by waiting to approve legislative decisions. Members emphasized that the legislature should retain its independence while still allowing normal collaboration with the governor’s office. The committee then moved through several outstanding policy items and adopted them without opposition, including the A38 amendment addressing data-sharing concerns involving disability-related information, a study of firefighting services by the state fire marshal, and an A46 amendment governing access to unredacted portable recording system data in collision investigations, with guardrails on disclosure and use. The committee next reviewed the spreadsheet and budget targets. Fiscal staff explained the judiciary side of the agreement, including funding for court operating costs, a one-time Justice Partner Access Program appropriation, forensic exam rate increases, guardian ad litem funding, public defense, human rights, the competency attainment board, the cannabis expungement board, and fee increases for civil filings and motions. On the public safety side, staff described the target as well as the discretionary items funded, including nonprofit security grants, BCA staffing changes, fire marshal initiatives, a 10-year arson statute of limitations, prosecutor training grants, legal representation for children, E911 funding for critical infrastructure, Philando Castile Training Fund support, corrections-related savings from the Stillwater phased closure and sentence-to-serve elimination, a mandatory minimums task force, a victims of crime account transfer, a decommissioning study, in-service use-of-force training, and extensions of several expiring appropriations. The committee also noted a correction to a spreadsheet label related to the Stillwater closure item. After the spreadsheet walkthrough, the committee took testimony from Chief Justice Natalie Hudson and State Court Administrator Jeff Shorban on behalf of the Minnesota Judicial Branch. Hudson thanked the committee for its work and said the agreement covers some unavoidable costs, including insurance, lease expenses, forensic examiner pay, and the new access system, but argued it does not adequately address the judiciary’s most urgent problem: staffing and judicial compensation. She said court employees are leaving for better-paying jobs, judicial salaries are frozen for two years, and applicant pools for judgeships have declined, especially in greater Minnesota. She also said the judicial branch was not meaningfully consulted on the budget target and urged lawmakers to recognize the courts as a constitutional obligation rather than a discretionary program.
HI
Transcript Highlights:
  • uniform, fair, and public access uniform, fair, and public access on<00:32:12.240> public
  • need youth before expanding access need youth before expanding access broadly.<01:35:54.400>
  • And I want to preserve that DOT access.
  • It's very difficult for my community to access public transportation.
  • <01:44:00.880> public for my community to access public for my community to access public
Keywords: 910, house, all
Summary: The Transportation Committee met on February 5 and heard testimony on a long agenda of transportation-related bills. Early measures included HB 2392, which would create an employer tax credit for transportation demand management benefits; HB 2462, which would bar auto manufacturers and dealers from charging post-sale fees for already-installed hardware; and HB 2423, which would require diesel sold for on-road use to contain at least 5% biodiesel. HB 2392 drew support from the Oahu Metropolitan Planning Organization and one individual, with the Department of Taxation and the Tax Foundation offering comments. HB 2462 drew support from DCCA and one individual, while the Alliance for Automotive Innovation opposed it. HB 2423 drew comments from the Hawaii State Energy Office and Hawaii Farm Bureau, support from Pacific Biodiesel and the Hawaii Transportation Association, and a question from the chair about whether biodiesel is exported; the witness said production stays local. The committee also heard HB 1771 on voluntary carbon offsets for air travel, HB 2081 on requiring firefighters exempt from CDL rules to follow equivalent alcohol and substance abuse policies, HB 2334 on allowing the Department of Transportation to assume NEPA responsibilities for certain projects, and HB 2336 on DOT agreements with the Department of Defense for work at military installations using federal funds. HB 1771 drew comments from Life of the Land warning that carbon offsets are often unreliable and could create liability, while Alaska Airlines and Hawaiian Airlines offered comments. HB 2081 received support from DOT, county human resources offices, fire departments, and county officials, with the Hawaii Firefighters Association in opposition. HB 2334 was supported by DOT, and the director said other states using NEPA assignment can complete projects in about half the time. HB 2336 was supported by DOT, HIEMA, DBEDT’s military relations office, and the Hawaii Military Affairs Council; the committee discussed the administrative fee as a way to recover costs under an intergovernmental agreement. The most extensive testimony centered on HB 1666, which would limit new motor vehicle markups above 5% of MSRP and require recordkeeping. Multiple dealer groups and the Hawaii Automobile Dealers Association opposed it, arguing it would threaten dealership operations, especially in Hawaii’s high-cost market and for vehicles without an MSRP. The committee also heard HB 2375 on uniform towing and parking enforcement standards on state and leased lands, including notice, disability protections, payment safeguards, and public reporting; DLNR, DAGS, and several advocacy groups testified, with strong public support and concerns about towing practices and ADA compliance. HB 2415, which would appropriate funds for crosswalks near school properties, drew support from DOT, DOE, and the Hawaii Bicycling League, and the committee discussed how counties would request projects and how funding would be allocated. Finally, HB 2451, which would move Hawaii toward fare-free public transit beginning in 2027 and create a dedicated funding source through a petroleum tax increase, received broad support from DOT, the Energy Office, public health and advocacy groups, and many individuals; DOE testified that it currently uses about $2.1 million for student bus passes and that the program is tied to savings from inactive school bus routes.
KY
Transcript Highlights:
  • We also built it to ensure that voters with accessibility needs had a device that gave them equal access
  • through secure, accurate, and accessible through secure, accurate, and accessible elections.<00:
  • Who can access?<01:26:15.280> Who<01:26:15.600> can<01:26:15.840> access?
  • Who can access? What are they access? Who can access?
  • would be a critical part of accessing would be a critical part of accessing that<01:42:32.400>
Summary: The committee met to approve the October 21 minutes and then took up BR 25 for the 2026 regular session, a proposal relating to prohibited uses of tax dollars and public resources. The sponsors said the bill is intended to strengthen existing law by adding civil and criminal penalties for taxpayer-funded advocacy on ballot questions, especially in light of controversies during the 2024 election over school officials and districts using public resources to oppose a constitutional amendment. They also described related concerns about school districts hiring third-party lobbyists and public relations firms, particularly in Fayette County, and said the proposal was meant to keep tax dollars focused on public services rather than political persuasion. Committee members raised several concerns about scope and drafting. Some asked whether the bill should specifically mention schools, school boards, and school employees, and the sponsors said they would add that language. Others questioned whether the measure would also affect local government lobbying through groups like KLC and KCO, and the sponsors said they intended to focus narrowly on schools while exempting certain advocacy organizations and internal government lobbyists. Members also asked whether public employees could still speak as private individuals, and the sponsors said yes. Several members suggested splitting the lobbying and ballot-advocacy issues into separate bills, and the sponsors said they would consider that. Members also pressed for clarification on how the bill would apply in practice, including whether it would cover legal challenges to petition drives or only advocacy after a question is on the ballot. Counsel for the sponsors said the bill would not cover some petition-related litigation as drafted, though they believed it should. The sponsors and supporters argued the proposal was needed to give the existing prohibition real enforcement, while some members warned that the language could unintentionally limit legitimate public representation or be too broad if not carefully drafted. No final vote was taken during the discussion.
MN

Minnesota 2025 1st Special Session

House Education Finance Committee 4/3/25

Education Finance

Transcript Highlights:
  • education programs in Minnesota, offering opportunities they wouldn't otherwise have access to.
  • education programs in Minnesota, offering opportunities they wouldn't otherwise have access to.
  • education programs in Minnesota, offering opportunities they wouldn't otherwise have access to.
  • <00:18:13.039> for<00:18:13.280> all and access for all and access for all youth<00
  • <01:14:28.480> to for my students given me access to for my students given me access to incredible
HI
Transcript Highlights:
  • It’s going to impede emergency access and cause deaths because of delayed emergency access to cardiac
  • It’s going to impede emergency access and cause deaths because of delayed emergency access to cardiac
  • It’s going to impede emergency access and cause deaths because of delayed emergency access to cardiac
  • It’s going to impede emergency access and cause deaths because of delayed emergency access to cardiac
  • It’s going to impede emergency access and cause deaths because of delayed emergency access to cardiac
Keywords: 910, house, all
Summary: The committee first heard House Bill 707, which would create a state income tax deduction for contributions to Hawaii 529 college savings accounts and conform state law to federal changes allowing 529 funds to be used for K-12 expenses. The Department of Taxation said it could administer the bill as written. The Hawaii State Council on Developmental Disabilities supported the measure but asked that ABLE accounts be included and that the program title be changed; the Department of Taxation indicated the title issue could be a problem because the bill’s expanded purpose may not fit the current program name. No vote was taken. The committee then heard House Bill 617, which would fund a Bachelor of Science in Nursing program at the University of Hawaiʻi Community Colleges. UH Community Colleges supported the bill, and Maui nursing staff testified that faculty recruitment is challenging but manageable, clinical placements are available, and the campus already has a statewide RN-to-BSN pathway; they said the new program would create two tracks, including a four-year BSN option. Members also heard support from several organizations, including the Office of Hawaiian Affairs, nursing groups, and health care associations. No action was taken. Next were several UH-related measures. HB 718 would fund faculty and staff positions at the John A. Burns School of Medicine; the dean and other supporters testified in favor. HB 1279 would create a medical education liaison position tied to Project ECHO; the Attorney General raised constitutional concerns about statewide concern and grant standards, while an individual witness supported the concept but suggested the bill should focus on liaison/support functions rather than program administration. HB 1169 would consolidate conference center revolving funds, and HB 1168 would authorize up to $800 million in UH revenue bonds; UH’s CFO said both were procedural/housekeeping measures and supported them. On HB 1168, members questioned debt service, possible uses, and whether deferred maintenance would be included; the CFO estimated annual debt service could be about $33 million to $41 million at current rates, said likely uses could include student housing and research facilities, and said deferred maintenance was not the current strategy. The CFO also explained that revenue bonds require both legislative authorization and a Board of Regents resolution approving the project and amount. Finally, the committee heard HB 548, which would authorize revenue bonds and appropriations to acquire the St. Francis School campus for UH Mānoa. UH supported the bill but noted the property is privately owned and not known to be for sale. A supporter described the site as a unique 11-acre parcel contiguous to the main campus and urged the committee to seize the opportunity for future generations. No vote or final action was taken on the bills in the transcript.
MN

Minnesota 2025-2026 Regular Session

Committee on Environment, Climate and Legacy - 04/14/26

Environment, Climate, and Legacy

Transcript Highlights:
  • craft equitable equitable and accessible craft equitable equitable and accessible options options
  • And what this bill will do is it will open access to people.
  • And what this bill will do is it will open access to people.
  • <01:26:36.440> to will do is it will open access to will do is it will open access to people
  • to access our lands. to access our lands. Thank<01:43:18.960> you,<01:43:19.000> Mr.
Keywords: 1187, senate, all
MN

Minnesota 2025-2026 Regular Session

House Agriculture Finance and Policy Committee 2/23/26

Agriculture Finance and Policy

Transcript Highlights:
  • Um, so people's lives immediately changing by broadband access.
  • Um I'm going to jump a little access.
  • of 253, and 155 homes were without access of 100 by 20.
  • To require that applicants are connected to or in conversation with a land access navigator.
  • <01:19:59.199> to who don't traditionally have access to who don't traditionally have access
Bills: HF3508, HF3548, HF3549
NH

New Hampshire 2025 Regular Session

House Children and Family Law (03/25/2025)

Transcript Highlights:
  • please explain to me what family access please explain to me what family access motion<00:29:54.360
  • accessible to the family<00:43:21.760> I<00:43:21.880> think<00:43:22.000> you'll
  • So being geographically accessible is something we absolutely need to remain.
  • <01:28:25.960> to Division Vision was accessibility to Division Vision was accessibility to
  • <01:28:56.360> is being geographically accessible is being geographically accessible is something
Keywords: 928, house, all
Summary: The subcommittee on the Children and Family Law Committee met organizationally to continue work on family court issues, building on a prior special committee’s report and taking a collaborative approach with the Judiciary. The chair said the group would focus on solutions rather than rehashing public complaints, and identified three main topics for early study: specialization and training of family court judges, the extent to which judges should be bound by the rules of evidence, and whether mediation in family cases should be mandatory or voluntary and what qualifications mediators should have. A fourth concern was also raised about overlap between superior court domestic violence cases and family court custody/support matters, and whether one judge should hear both. Members discussed whether to divide into smaller subcommittees, but the prevailing view was to work as a committee of the whole at first. Most members agreed that additional public testimony was unlikely to add much, though recent concerns could still be emailed to the committee. The committee then heard from Attorney Erin Krian, general counsel for the judicial branch, and Judge Michael Mace. Krian said the judicial branch could provide additional witnesses on mediation and judicial training, including Judge Kissinger, and noted the branch was preparing materials on how other states handle the issues. Mace described the history of the Family Division and said he had reviewed older reports going back to the 1990s. He also outlined current judicial branch efforts, including expanded shadowing for new judges, monthly family-law trainings, and a year-long focus on family law topics. He reported that court rules had been updated to clarify notice requirements for minor guardianship changes, and that the branch had received positive feedback on the family access motion, which provides a statutory timeline and listed remedies for parenting-time disputes. Members also discussed prior committee work on rules of evidence and family court procedures. One member recalled recommending quiet review of any judges who appeared to apply evidence rules inconsistently, and Krian said the administrative judge can review complaints even if they come from a single person. The committee also received a status update on prior initiatives, including a federal grant for guardian ad litem services for indigent litigants in four locations, testing of redesigned court forms, and continued training improvements. The chair scheduled the next subcommittee meeting for April 1 and the full Children and Family Law Committee for April 8, with further documents from committee research and NCSL to be circulated.
MN

Minnesota 2025-2026 Regular Session

House Workforce, Labor, and Economic Development Finance and Policy Committee 3/20/25

Workforce, Labor, and Economic Development Finance and Policy

Transcript Highlights:
  • This funding ensures that youth across Minnesota have access to job training, career exploration, and
  • designed to create an equitable access designed to create an equitable access to<00:10:14.839>
  • He noted that the bill expands dual credit, access to career counseling, reduces financial challenges
  • impossible to improve the accessibility impossible to improve the accessibility to<01:31:17.800>
  • <01:31:40.719> of we can to improve the accessibility of we can to improve the accessibility
MN

Minnesota 2025-2026 Regular Session

Committee on Transportation - 02/24/25

Transportation

Transcript Highlights:
  • Eastern access point to the gravel mine Eastern access point to the gravel mine area<00:07:42.240>
  • These intersections provide access to the Rec Trail system, provide access to Highway 15 and I-94, so
  • These intersections provide access to the Rec Trail system, provide access to Highway 15 and I-94, so
  • These intersections provide access to the Rec Trail system, provide access to Highway 15 and I-94, so
  • These intersections provide access to the Rec Trail system, provide access to Highway 15 and I-94, so
Keywords: 1187, senate, all
MN

Minnesota 2025-2026 Regular Session

House Education Finance Committee 2/20/25

Education Finance

Transcript Highlights:
  • It allows us to access those funds, and if we can access those funds and maybe use those different and
  • And now we have access to the dollars differently.
  • It allows us to access those funds, and if we can access those funds and maybe use those different and
  • It allows us to access those funds, and if we can access those funds and maybe use those different and
  • It allows us to access those funds, and if we can access those funds and maybe use those different and
Bills: HF56, HF780
MN

Minnesota 2025 1st Special Session

House Education Policy Committee 2/26/25

Education Policy

Transcript Highlights:
  • <00:28:44.519> tools if my friend was able to access tools if my friend was able to access
  • All students should have access to that.
  • All students should have access to that.
  • We have access to educational records. We have teacher conferences.
  • We have access to educational records. We have teacher conferences.
Keywords: 1183, house
MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - 04/08/26

Health and Human Services

Transcript Highlights:
  • We all want people to have access.
  • So, there are no access issues. If there's an access issue, we address it right away.
  • So, which one of the have access.
  • access issue, we address it right away. access issue, we address it right away.
  • you represent deserve the same access. you represent deserve the same access.
Keywords: 1187, senate, all
HI
Transcript Highlights:
  • You have the option for people; it’s access.
  • <01:30:47.159> affordable access affordable access affordable medicine<01:30:49.159> protect
  • Denied access to the banking system, lack of access to the banking system is one of the hurdles cannabis
  • to the banking system lack denied access to the banking system lack of<02:09:01.679> access<02
  • I hope that answers your question. that the increased accessibility of that the increased accessibility
Keywords: 910, house, all
Summary: The House Committees on Judiciary and Hawaiian Affairs and Agriculture and Food Systems heard testimony and began decision-making on HB 1246, which would establish the Hawaii Cannabis and Hemp Office within DCCA to regulate cannabis. Chair Tarnas described the bill as divisive and noted the hearing had received 95 testimonies in support, 135 in opposition, and 11 comments. Members were told the office would be administratively attached to DCCA, and the department emphasized it would not direct day-to-day operations. DCCA also raised concerns about banking access due to federal law, while the Department of Agriculture supported a one-plant, one-agency approach and noted its current authority over cannabis plant importation and movement. Several agencies and advocates supported the bill with cautions or requested amendments. The Department of Health said it appreciated the bill’s public health protections but remained concerned about increased adult-use access, youth mental health, pregnancy-related risks, and effects on developing brains; it requested a 12-month delayed effective date. The Attorney General’s office said legalization should include safeguards, recommended a longer implementation timeline and seed funding, and flagged issues in the bill involving impaired driving, open-container language, and penalties for under-21 possession. The Office of the Public Defender supported the bill but objected to new driving and possession offenses, saying existing law already covers impaired driving. Doctors for Drug Policy Reform supported the measure, citing regulation of intoxicating cannabinoids, testing, childproof packaging, and public education as public-health benefits. Opponents focused on youth access, public safety, and the bill’s broader social effects. The Honolulu Police Department opposed the bill over access and diversion concerns, and the City and County of Honolulu Prosecutor strongly opposed legalization, citing higher-potency cannabis, youth harms, psychiatric risks, and increased poison-center calls. The Hawaiʻi Substance Abuse Coalition argued legalization should wait until prevention programs are in place and funded first, while the Hawaiʻi Family Forum and Hawaiian Republican Women also opposed the measure, citing concerns about youth exposure, added bureaucracy, and taxpayer costs. The Tax Foundation of Hawaiʻi questioned the purpose of the proposed cannabis taxes, asking why cannabis should be taxed heavily if legalization is intended. The hearing continued with additional testimony after a brief audio issue for one testifier.
NH

New Hampshire 2026 Regular Session

Senate Session (06/04/2026)

New Hampshire Senate Floor Meeting

Transcript Highlights:
  • innovation does have value and access innovation does have value and access has<00:52:30.000>
  • <00:58:56.960> Some<00:58:57.119> of providing access to the therapy.
  • Some of providing access to the therapy.
  • <01:25:57.679> when not through providing access when not through providing access when somebody
  • somebody doesn't have statutory access somebody doesn't have statutory access to<01:26:00.080>
Keywords: 1191, senate, all
HI

Hawaii 2026 Regular Session

JHA Public Hearing - Thu Mar 5, 2026 @ 2:00 PM HST

Judiciary & Hawaiian Affairs

Transcript Highlights:
  • or insert this accessibility feature. or insert this accessibility feature.
  • >> Disability and Communication Access >> Disability and Communication Access Board.
  • To Communication and Access Board DAB.
  • have access to what is being announced. have access to what is being announced.
  • <02:33:43.760> control age assurance and access control age assurance and access control and
Keywords: 910, house, all
Summary: The committee first took up House Bill 1531, HD1, which would require the governor or county mayors to provide American Sign Language interpreters during official emergency announcements broadcast on television or the internet, ensure the interpreter is visible, and provide a primary pool feed with picture-in-picture so rebroadcasters would not need to add the feature themselves. Testimony from the Disability and Communication Access Board and the State Council on Developmental Disabilities strongly supported the bill, emphasizing effective communication for deaf and hard-of-hearing residents and noting that interpreter placement and size can make broadcasts inaccessible. The council requested an effective date of July 1, 2027 to allow implementation time. Members raised concerns about interpreter availability and emergency logistics on Hawaiʻi Island, but the chair moved to pass the bill with amendments reflecting the picture-in-picture recommendation and the later effective date. The committee adopted the motion, with several members voting aye and others voting with reservations. The committee then heard House Bill 1880, HD2, which would prohibit, beginning January 1, 2027, the use or application of pesticides containing 1,3-dichloropropene, such as Telone. The Department of Agriculture and Biosecurity explained that pesticides are already regulated at both the federal and state levels, with EPA risk assessments and state enforcement of label restrictions, reporting, and school-buffer requirements. The Hawaii Public Health Institute supported the bill, citing cancer and respiratory risks and arguing that safer alternatives exist. In opposition, Dole Food and the Hawaii Farm Bureau said Telone is important for controlling nematodes in pineapple production, that it is applied underground under EPA conditions, and that no comparable registered alternative exists for pineapple; they also said the bill’s 2027 start date is too short for growers to adjust. A representative from the Y Alliance for Progressive Action and Support supported the measure, citing statewide usage data and concerns about drift and chronic health impacts. Committee members questioned both sides about drift monitoring, groundwater impacts, alternative methods, and whether a transition period or research into resistant varieties could reduce reliance on the chemical.
AL

Alabama 2025 Regular Session

Alabama Senate Apr 17th, 2025

Alabama Senate Floor Meeting

Transcript Highlights:
  • You can you accessible on the internet. You can you accessible on the internet.
  • Six, device from accessing a website. Six, device from accessing a website.
  • Now, at this time, we have access to time, we have access to time, we have access to information from
  • D provides interfaces for apps to access device apps to access device apps to access device functionality
  • It has now has access to that file. It has now has access to that file.
Keywords: 920, all
NH
Transcript Highlights:
  • The bill has very low ballot access—very low threshold for ballot access—so it only takes a small number
  • The bill has very low ballot access—very low threshold for ballot access—so it only takes a small number
  • very low threshold for ballot access very low threshold for ballot access<00:07:30.840> so<00
  • <00:31:47.559> to tradition to means test for access to tradition to means test for access
  • that live in that District have access that live in that District have access to<00:36:44.640>
Keywords: 928, house, all
Summary: The Education Policy Committee opened a hearing on HB 748, which would establish a local education freedom account (EFA) program. The prime sponsor, Rep. Kevin Verville, described the bill as enabling legislation that would let local voters decide whether to create a local EFA program by petition and ballot vote, with a 60% threshold to approve or repeal it. He argued that public education is about funding rather than a specific school building, said the proposal would expand parental choice, and cited Deerfield’s move from a single high school option to multiple tuitioned options as an example of local flexibility. Verville said the local EFA would be funded at twice the state adequacy amount, with the district matching the state portion, while other aid categories such as free and reduced meals, English language learner, and special education aid would not be doubled. He said students using a local EFA would still count in average daily membership, that unspent EFA funds would revert to the district, and that the bill would prohibit double-dipping with other scholarship or EFA programs. He also said special education services would remain under district discretion and that local EFA participants would still take statewide assessments for accountability. Committee members pressed him on several issues, especially special education, transportation, and fairness. Rep. Woodcock and Rep. Murray asked whether districts would still have to provide special education and transportation services if a student used a local EFA; Verville responded that special education would remain in the local district at district discretion, while transportation would generally become the family’s responsibility unless already required in an IEP. Rep. Cornell raised an equity concern about no income eligibility cap, asking whether higher-income families should receive the same public support; Verville replied that New Hampshire does not means-test public education and that the local EFA is a public funding mechanism, not a tuition subsidy that would cover full private-school costs. No vote or committee action was taken in the portion provided.
NH

New Hampshire 2025 Regular Session

House Election Law (02/11/2025)

Election Law

Transcript Highlights:
  • bills do not help voters have access bills do not help voters have access this<00:06:51.560>
  • It's how we access our meal plans.
  • issues you know ACC of accessibility issues you know ACC access<01:36:24.320> to<01:36:24.560
  • the voting area um access to the voting area um accessibilities<01:36:27.520> in<01:36:27.679>
  • <03:29:37.080> to Voters those who have already access to Voters those who have already access
Keywords: 1189, house, all
NH

New Hampshire 2025 Regular Session

House Finance Division III (03/28/2025)

Transcript Highlights:
  • the state's critical access hospitals. the state's critical access hospitals.
  • than 40 of which are critical access than 40 of which are critical access hospitals<00:13:52.399
  • threat that some see to critical access threat that some see to critical access hospitals<00:14:
  • first of all um critical access first of all um critical access hospitals<00:16:08.639> make<
  • begin to increase access to services. begin to increase access to services.
Keywords: 928, house, all
Summary: The Division 3 work session focused largely on amendment 1176 to HB 2, which would have incorporated the substance of HB 548FN, a House-passed bill creating a direct-pay or membership-based model for health care facilities. Representative Mlan described the proposal as a way to increase competition in health care by extending the direct-care model used in primary care to facilities, arguing it could encourage innovation and that concerns about widespread harm to critical access hospitals were overstated. He pointed to Oklahoma’s long-standing Surgical Center model as evidence that the approach had not spread broadly or displaced hospitals there. Several members and witnesses raised concerns. Representative Stringham questioned whether the model would shift profitable services and patients away from existing hospitals, potentially worsening their finances and affecting Medicaid-related funding. David Ross, speaking for county nursing homes, opposed the language because it also removed moratoriums on nursing home, skilled nursing, inpatient rehabilitation, and self-pay beds, warning that it could increase pressure on Medicaid rates and undermine community-based care. Ben Bradley of the New Hampshire Hospital Association said the proposal appeared to create a separate regulatory framework for direct-pay facilities and raised concerns about patient safety, CMS participation rules, and a separate patient bill of rights. The chair concluded that, because HB 548 was already moving through the Senate, the HB 2 process was not the best vehicle for the policy and that the issue should be left to the Senate’s more deliberative committee process. Representative Ferski moved to not accept or remove amendment 1176 from the agenda, and the committee approved the motion by roll call, 9-0, withdrawing the item from HB 2.