Transcript Highlights:

• I did learn a lot through that.
• So correct anything that I say that's not right, because I can learn more when you do that that way.
• I mean, this is going to, when I say looking, virtually or otherwise or in the office, but you know,
• This diversity of funding approaches creates an opportunity for states to learn from one another.
• learn from one another. learn from one another.

Keywords: Meeting Start 00:00:00 Budget Process 00:02:28 Allotment Process 00:10:30 School Facilities Construction Commission 00:29:10 Role of KDE in School Facilities Funding 00:47:00 Kentucky School Boards Association 01:13:25 Elementary and Secondary School Construction 01:20:40 Perkins V Funding 01:35:32, 958, all

Transcript Highlights:

• supporting this bill have lived through the consequences of those systems, and we are asking California to learn
• Fortunately, it was empty, but it underscores the reality that there are virtually no limits ...to what

Keywords: 988, house, all

Transcript Highlights:

• And due to technical difficulties, it is virtually 10:00, so HB 297, non-germane amendment, and I'd like
• difficulties<00:09:59.600> uh<00:09:59.720> it And due to technical difficulties, it is virtually
• I learned more about it, Representative.
• I think we've almost learned more about the federal provision just now and the uselessness of it, and
• <05:41:16.920> more I think we've we've almost learned more I think we've we've almost learned

Keywords: 928, house, all

Summary: The committee heard testimony on a non-germane amendment to HB 297 that would create the Granite State Home Mitigation and Resiliency Program. Insurance Commissioner DJ Beton, joined by department staff, explained that the proposal is intended to help homeowners afford insurance by funding proactive home improvements that reduce risk and improve insurability. He said the program would be funded by the first $1 million collected annually from the insurance premium tax, with grants of up to $10,000 available on a first-come, first-served basis. Beton described the problem as rising homeowners insurance premiums, hard-market underwriting, nonrenewals, and the resulting shift to more expensive surplus lines coverage. He said eligible projects could include roof fortification, exterior improvements, flood-related foundation work, and removal of hazardous trees or limbs. He cited similar programs in other states, especially Alabama, Louisiana, and North Carolina, as evidence the model can work and noted that industry representatives were present in support. He also said the program would use means testing aligned with the Department of Energy’s weatherization program to target lower-income applicants. Members asked about the non-germane process, who would administer the program, and how the bill would prevent misuse of grant funds. The commissioner said the department would administer the program using one repurposed existing position, with Treasury handling fund flow through an MOU. Staff explained that applicants would have to show completed work through a signed contract, itemized work, and a sworn contractor affidavit, with some upfront payment allowed for materials and the remainder paid after completion. The chair and members discussed that the amendment is being attached to a different bill only to move the proposal through committee and on to House Finance for further consideration.

Transcript Highlights:

• the Attorney General's website from a task force that spent 14 months, probably hundreds of hours, learning
• year in the labor committee but we last year in the labor committee but we also<00:04:13.360> learned
• how hard it was to measure also learned how hard it was to measure the<00:04:16.120> problem<
• The unique part is what I did with what I learned about worker classification in another example.
• that three of our largest we learned that three of our largest drywall<00:26:34.440> finishing

Keywords: 1183, house

Transcript Highlights:

• And that takes my tax base to virtually nothing, so I can't afford to pay for the public safety.
• We've learned today. I want to thank my senators from Miami-Dade County.
• We've learned today that property valuations have increased five and a half percent.

Keywords: 999, senate, all

Transcript Highlights:

• While the bill offers streamlining for environmental leadership projects, the criteria are virtually
• The CEC’s rulemaking process will incorporate stakeholder input and build on lessons learned from the
• And the fund is now of much discussion of what we've learned, for example, with Altadena and with Palisades

Keywords: 987, senate, all

Summary: The committee heard SB 919, SB 931, SB 1215, SB 1359, SB 1125, and SB 1098, with authors and witnesses presenting each measure and the committee taking up amendments on several bills. SB 919 would extend the biomethane monetary incentive program through 2030 and encourage CPUC action on reducing renewable natural gas interconnection costs; supporters said it would help methane reduction and RNG development, while opponents warned about ratepayer costs and the use of public funds. The author said the amended bill removed the rate-basing direction and instead urged CPUC action. SB 931 would extend Diablo Canyon’s Community Impact Mitigation Program through 2030; supporters said local communities and schools rely on the funding, while opponents argued it would add about $47 million in statewide ratepayer costs and should instead be paid from existing PG&E revenues. Committee discussion focused on whether the bill was tied to a broader Diablo Canyon extension package, and the author said it was intended to cover the five-year extension period already enacted. The committee also heard SB 1215, which would direct the CPUC to set deployment targets for EV charging in multifamily housing. The author and supporters said renters are largely shut out of home charging and that existing utility pilots have been successful but insufficient; the bill’s amendments would require consideration of ratepayer benefits, non-ratepayer funding, and system constraints. SB 1359 would require utilities to more carefully justify new gas infrastructure investments and consider electrification and non-pipeline alternatives first; supporters framed it as a guardrail against stranded gas assets, while gas utilities and other opponents said it could undermine safety, the obligation to serve, and ongoing CPUC proceedings. SB 1125 would establish a statewide low-income water rate assistance program upon appropriation; supporters emphasized widespread household water debt and the lack of statewide aid, while one member raised concerns about the lack of a funding source and the limits of Proposition 218. The bill was moved and the roll was opened, with several ayes and at least one no recorded. Finally, SB 1098 would restrict the use of utility memorandum and balancing accounts by requiring exceptional circumstances, more commission review, cost-sharing or lower returns, and sunset dates. Supporters said these accounts have proliferated and allow utilities to recover costs after the fact with too little oversight, while utilities and business groups argued the accounts are needed for hard-to-forecast costs such as wildfire mitigation and emergencies, and that the CPUC already reviews them. The committee also heard brief introductory remarks on SB 1295, which would promote more targeted use of distributed batteries on the distribution grid to save money and improve reliability, with utilities and environmental groups expressing support and saying they would continue working on the details.

Transcript Highlights:

• That could be totally unknown, and even when we gave this 7.5%, it made virtually no difference in anybody's
• That could be totally unknown, and even when we gave this 7.5%, it made virtually no difference in anybody's
• That could be totally unknown, and even when we gave this 7.5%, it made virtually no difference in anybody's
• That could be totally unknown, and even when we gave this 7.5%, it made virtually no difference in anybody's
• surplus, more in the teachers than in the other ones. ...and even when we gave this 7.5%, it made virtually

Keywords: 928, house, all

Summary: The Department of Administrative Services presented an overview of its budget and operations, emphasizing that it is the lowest-spending agency in state government and that its general fund allocation has declined since 2019. Commissioner Arling House explained that DAS also handles back-office functions for several administratively attached boards, which has affected staffing and spending comparisons. He said the department’s current general fund spending is roughly split between retiree health and other operations, and that the presentation was based on adjusted authorized spending rather than the original budget figures. A major portion of the meeting focused on retiree health benefits and the long-term effort to control costs. Deputy Commissioner Cassie Keane described how the state moved from a projected deficit in retiree health to savings through a series of changes, including higher premium contributions, co-pay adjustments, and shifting Medicare retirees into Medicare Advantage arrangements to capture federal reimbursement. She said the state has about 12,500 retirees and spouses on the plan, with roughly 10,906 Medicare retirees and 1,580 non-Medicare retirees, and that the savings have depended heavily on federal funding and procurement decisions. She also noted that Medicare retirees pay Part B premiums and that the state has grandfathered older retirees from some premium contributions. Members asked about what the expenditures cover, why the state offers retiree health instead of simply giving retirees a payment to buy coverage themselves, and whether out-of-pocket costs changed under Medicare Advantage. Keane said the plan covers actual health claims or insurance premiums, that co-pays and maximum out-of-pocket limits remain in place, and that the state has no authority to change benefit details without legislative action. She explained that retiree health is a long-standing employee benefit that wraps around Medicare and is not collectively bargained in the usual sense, though its eligibility rules and cost-sharing have been tightened over time to better target the benefit to long-term state service. The discussion also covered vendor performance problems. Keane said Anthem recently won the contract back from Aetna, but its pharmacy subsidiary, Caroline, caused serious service disruptions. DAS responded by withholding payments, assessing more than $2 million in performance guarantees, and hiring a third-party auditor to review the pharmacy processes. The current contract runs through the end of calendar year 2026, and officials said they are watching federal Medicare Advantage reimbursement changes closely because future savings are uncertain.

Transcript Highlights:

• largely, um, they interview people by telephone and they generally spend 15 minutes with the child on a virtual
• the<00:55:08.680> child<00:55:09.240> on<00:55:09.440> a<00:55:09.560> virtual
• So, they conduct a CANS virtually and give it a child a number, one through four or five.

Keywords: 1189, house, all

Summary: The commission on the costing of special education met to review several documents and updates, including draft materials on residential placements, an LBA dispute resolution report, prior minutes, rate-setting rules, and a letter involving Senator Hassan. The minutes from March 16 were approved by motion, second, and one abstention. Members also received an update that the LBA special education performance audit is still pending; the report is expected to be very large, NHED and the Board of Education must review and comment before release, and it likely will not be available until late summer or early fall. The separate EFA audit was also noted as still unreleased, and members said they may return later to issues involving EFA costing and differentiated aid. A major focus was HB 1099, which would create a committee to study the cost and liability of providing educational services to students placed in residential facilities. The chair explained that the House version had passed unanimously and the bill was headed to a committee of conference. Members discussed a proposed amendment to add the phrase “including but not limited to” so the study would cover not only court-ordered or treatment-related placements but also other residential placements, including those tied to school district decisions. Some members said this was a substantial expansion, while others said it would simply give the committee broader latitude. Jason Stock of the Winnisquam Regional School Board described how the issue arose during budget work at Winnisquam, where the district was trying to determine who should pay for educational services for students living at Spaulding Youth Center in Northfield. He said the district had 10 students attending Winnisquam, including three foster students and seven students connected to Spaulding, and that Spaulding-specific invoicing for 2024-2025 totaled $141,417.05 for eight students. Members also discussed rising private placement tuition costs and the difficulty of determining residency and fiscal responsibility for students placed in residential settings. Department counsel explained that under RSA 193:27 and 193:28, children placed in a home for children may attend the local district school, and that special education cost responsibility depends on whether the student is identified as disabled and on the nature of the placement. Spaulding representatives had not yet presented by the end of the excerpt, and the committee was still working through the residency and funding questions.

Transcript Highlights:

• We're always learning more.
• We're always learning more.
• We're always learning more.
• We're always learning more.
• We're always learning more.

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, February 27, 2025, 1012, house, all

Transcript Highlights:

• So what I want to do is start with the members who are on screen joining us virtually.

Keywords: 912, senate, all

Transcript Highlights:

• Committee Substitute for Senate Bill 738, a bill to be entitled an act relating to child care and early learning
• Senate Bill 738, a bill to be entitled an act relating to child care and early learning providers.
• Always working to hold systems accountable and ensure that we learn from our past.

Bills: SJR85, SCR29, SCR38, SCR42, SB23, SB39, SB209, SB227, SB240, SB330, SB527, SB584, SB618, SB619, SB636, SB663, SB715, SB732, SB758, SB801, SB825, SB826, SB843, SB844, SB847, SB870, SB884, SB912, SB957, SB1013, SB1020, SB1065, SB1143, SB1152, SB1164, SB1183, SB1257, SB1299, SB1325, SB1349, SB1413, SB1455, SB1539, SB1558, SB1574, SB1583, SB1624, SB1642, SB1643, SB1667, SB1717, SB1718, SB1727, SB1734, SB1756, SB1757, SB1784, SB1789, SB1832, SB1868, SB1870, SB1883, SB1896, SB1920, SB1924, SB1963, SB2010, SB2018, SB2024, SB2037, SB2052, SB2073, SB2111, SB2161, SB2196, SB2207, SB2253, SB2268, SB2322, SB2323, SB2332, SB2349, SB2371, SB2533, SB2570, SB2601, SB2626, SB2692, SB2705, SB2717, SB2774, SB2788, SB2877, SB2920, SB2, SB260, SB1786, SB1, HJR4, SJR36, SJR50, SJR63, SJR85, SJR84, SCR12, SCR39, SCR38, SCR42, SCR29, SCR4, SCR18, SCR43, SCR46, SB2023, SB825, SB2010, SB1870, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1539, SB1505, SB583, SB957, SB1502, SB507, SB1026, SB1349, SB1433, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB619, SB1122, SB732, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB618, SB393, SB1791, SB826, SB1257, SB870, SB529, SB209, SB1883, SB2024, SB2429, SB1999, SB511, SB2309, SB510, SB1860, SB2037, SB1924, SB2253, SB2018, SB2206, SB1963, SB1643, SB1299, SB841, SB668, SB584, SB1085, SB2431, SB1490, SB1868, SB2314, SB434, SB2046, SB1667, SB1727, SB2127, SB1975, SB1760, SB1734, SB1335, SB2246, SB2439, SB1624, SB1244, SB1468, SB2717, SB1612, SB1262, SB604, SB2395, SB1832, SB1745, SB1746, SB2207, SB1784, SB1524, SB528, SB437, SB269, SB1137, SB968, SB636, SB747, SB1325, SB1789, SB1455, SB2056, SB1940, SB2052, SB1579, SB2068, SB3034, SB844, SB1920, SB1558, SB1236, SB1044, SB884, SB463, SB227, SB240, SB517, SB1200, SB1410, SB1626, SB1845, SB1863, SB2216, SB2681, SB1717, SB2141, SB2323, SB2200, SB2332, SB2199, SB1642, SB1757, SB2050, SB1138, SB2626, SB2458, SB1864, SB2201, SB1862, SB1583, SB1055, SB2660, SB1898, SB2662, SB2161, SB2964, SB2881, SB1065, SB801, SB2743, SB2533, SB1413, SB2073, SB3014, SB3013, SB2774, SB2702, SB2629, SB2443, SB2349, SB2167, SB2145, SB2121, SB758, SB648, SB647, SB512, SB438, SB1721, SB2268, SB1495, SB2705, SB2366, SB1422, SB1369, SB1013, SB682, SB2692, SB2570, SB2797, SB2111, SB1896, SB1164, SB1020, SB663, SB2371, SB1152, SB2196, SB2383, SB2581, SB2798, SB330, SB646, SB843, SB1998, SB1418, SB2788, SB1169, SB2873, SB1754, SB1534, SB1718, SB2779, SB2004, SB1143, SB1756, SB912, SB2119, SB2032, SB527, SB1580, SB1952, SB2601, SB2322, SB2448, SB1777, SB1283, SB407, SB2392, SB2076, SB2786, SB3031, SB2877, SB2876, SB2284, SB2225, SB1540, SB2920, SB2929, SB1395, SB1972, SB2540, SB1183, SB2742, SB2595, SB2217, SB2117, SB715, SB2330, SB1964, SB1383, SB500, SB1640, SB39, SB2001, SB2080, SB2722, SB506, SB2514, SB2623, SB2658, SB1574, SB2900, SB23, SB2753, SB2398, SB401, SB1241, SB2927, SB2173, SB2538, SB898, SB467, SB1449, SB2529, SB1531, SB2846, SB2476, SB2031, SB986, SB1181, SB2075, SB2154, SB2864, HB135, HB 1109, SCR48, SB31, SB2880, SB1359, SB2386, SB771, SB2844, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB2807, SB2351, SB410, SB659, SB816, SB2776, SB2693, SB2580, SB1980, SB1886, SB1234, SB739, SB482, SB456, SB127, SB1666, SJR85, SB23, SB826, SB844, SB957, SB1413, SB1539, SB1583, SB1642, SB1643, SB1789, SB1883, SB1963, SB2024, SB2626, SB2774, SB825, SB1870, SB2010, SB240, SB618, SB870, SB1257, SB1727, SR424, SR428, SCR29, SCR42, SCR49, SB3056, SB3057, HB2, HB20, HB 120, HB142, HB210, HB215, HB451, HB 1022, HB 1151, HB1458, HB1700, HB2000, HB3093, SB3056, SB3057, HB2, HB20, HB 120, HB142, HB210, HB215, HB451, HB 1022, HB 1151, HB1458, HB1700, HB2000, HB3093

Keywords: Texas constitutional amendment, property tax relief, school district taxes, ad valorem tax, homestead exemption, residence homestead, elderly homeowners, senior citizens, disabled homeowners, age 65 or older, school finance, tax exemption increase, local school taxes, property tax exemption, homestead tax relief, voter approval, school district revenue, tax rollback, disabled persons exemption, El Paso

Transcript Highlights:

• Yes, I'd like to learn more about your organization, you know what you do, and what happens if things
• Once they're educated, they can reach out to us by phone or through the website to learn more about the
• They can reach out to us by phone or through the website to learn more about the program and see if they're
• order for them to get the vehicle, could they sacrifice maybe one trip and do it, you know, via a virtual
• We like to think of ourselves as having, you know, a niche or a partnership with virtually every community

Keywords: 928, house, all

Summary: New Hampshire Housing Finance Authority officials, led by Executive Director Rob Dapice, briefed legislators on the agency’s structure and funding. They explained that the authority is created by state law but is not a state agency, its debt is not state debt, and it is governed by a board appointed by the governor and approved by the Executive Council. The discussion focused on the Affordable Housing Fund and the lead paint hazard remediation fund, including how state appropriations and federal resources are combined to finance affordable rental housing and lead abatement work. Dapice said the Affordable Housing Fund is used as gap financing for multifamily affordable housing projects, typically alongside federal tax credits and tax-exempt bonds, and that state dollars leverage roughly 2:1 to 10:1 in additional federal and private investment, averaging about 4:1. He said the fund has received historic appropriations in recent budgets, including $30 million over the last two biennial budgets and an annual $5 million set-aside from the real estate transfer tax. He also said the fund is usually structured as 0% interest, deferred loans rather than grants, with repayments returning to the fund if projects generate cash flow. Members asked about rents, oversight, staffing, revenues, and whether the programs had added positions. Dapice said affordability restrictions generally last 30 to 99 years, rents are tied to income limits and capped so tenants pay no more than 30% of income, and compliance staff inspect properties regularly to verify income eligibility and rent limits. He said the organization has about 130 to 135 employees, down from about 145, with no new positions added because of the appropriations. He estimated total revenues at roughly $300 million, with administrative budget around $22 million, much of it pass-through grant money. On lead paint remediation, he said the state first appropriated $6 million in 2019, plus $1 million in ARPA funds, and that the program has cleared more than 500 units. He said the federal grant program is not annual or predictable, with a recent award of about $7.75 million, and that the maximum federal grant per unit is $177,000, typically paired with up to $100,000 in state loan support. He also noted that the program can address homes before a child is poisoned if lead hazards are identified, but that cases involving an already exposed child are a higher priority. No votes or formal actions were taken.

Transcript Highlights:

• He said it is many times virtually impossible to get out a bad-acting tenant because the tenants in the
• And it's just many<01:56:50.400> times<01:56:50.719> virtually<01:56:51.199> impossible
• <01:56:51.840> to<01:56:52.080> get many times virtually impossible to get many times
• virtually impossible to get out<01:56:52.560> a<01:56:52.800> bad<01:56:53.119> acting
• And a big problem that we see with this is the way that it's written is that virtually anyone can make

Keywords: 1189, house, all

Transcript Highlights:

• And the suits index is virtually unchanged between 2023 and 2028 under our projections.
• have a special sharing agreement with Human Services and the Department of Children, Families, and Learning
• have a special sharing agreement with Human Services and the Department of Children, Families, and Learning
• tax on families and students as they go and try to purchase the necessary items that they need to learn
• necessary items that they need to learn. necessary items that they need to learn.

Bills: HF331, HF916

Keywords: school supplies, sales tax exemption, use tax, sales and use tax, back-to-school, classroom supplies, education tax relief, tax holiday, retail exemption, Minnesota sales tax, school materials, binders, calculators, notebooks, pencils, backpacks, book bags, local tax revenue, taxable sales base, income tax

Transcript Highlights:

• 09.440> been wondering um you know lately I've been wondering um you know lately I've been learning
• 27:10.600> about<00:27:11.159> how<00:27:11.480> we<00:27:11.799> in learning
• a little more about how we in learning a little more about how we in the<00:27:12.200> state<
• We hosted several virtual workshops for families, and we have also been able to do some training, or

Keywords: 1183, house

Transcript Highlights:

• It was disheartening to learn how little lawmakers knew about the complicated and vastly underfunded
• And then we also have a virtual testifier.
• in the standing water.<01:00:32.000> Anyway,<01:00:32.640> we're<01:00:32.960> learning

Bills: HF4736, HF4737, HF3806, HF3352, HF4840, HF3748

Keywords: emergency shelter, grant program, homelessness, capital investment, Minnesota Statutes, appropriation bonds, public funding, housing, infrastructure bonds, funding, appropriation, Minnesota constitutional amendment, public debt, state bonds, general obligation bonds, information technology, IT infrastructure, software licenses, technology modernization, capital improvements

Transcript Highlights:

• And I believe that our project manager for this, Corey Wilson, has joined us virtually as well. >> But
• Hi, my name is Melody Cooper, and I'm with the Office of Special Education and Early Learning at
• My name is Shelley Badget, and I'm with the Office of Special Education and Early Learning.

Keywords: This meeting will take place Upon Adjournment of both Chambers. An exact time is not given or known at this time., 958, all

Summary: The Government Contracts Committee met for its first 2026 meeting, approved the December 9 minutes, and reviewed 337 contracts totaling about $71.8 million. After a motion to consider the routine contract lists without objection passed, the committee pulled several items for discussion, including contracts from the Council on Postsecondary Education, the Department of Highways, the Kentucky Horse Racing and Gaming Commission, and Kentucky State University. Most items were ultimately approved by roll call votes. For the Council on Postsecondary Education item, members discussed why the contract was not handled through the usual Finance Cabinet bidding process. Staff explained it stemmed from House Bill 200 and the healthcare workforce incentive fund, which uses a separate competitive award process and steering committee under different statutory standards. The committee accepted that explanation and approved the contract. Department of Highways staff then explained the difference between scour assessments, which evaluate erosion and foundation risk around bridge piers, and load ratings, which assess the bridge structure itself. Members also questioned a larger engineering contract increase; staff said it reflected progression from preliminary engineering to final design on a phased project and estimated the funding split at roughly 80% federal and 20% state. Those highway contracts were approved. The Kentucky Horse Racing and Gaming Commission presented a legal services contract. Officials said the new corporation had identified legal needs, issued an RFP, and awarded four firms to create a pool of counsel to avoid conflicts as the agency now licenses racing, sports betting, and charitable gaming. They also said an emergency contract was needed after a temporary restraining order was issued in litigation involving charitable gaming machines and alleged losses to charities. The committee asked about the litigation and the affected organizations, and the contract was approved. Kentucky State University then defended a marketing/enrollment contract despite financial concerns, saying the work was intended to raise awareness of the university, improve enrollment, and support financial stability. University officials also said they were tightening student payment enforcement and collection practices, including payment plans and holding students accountable for balances. That contract was also approved.

Transcript Highlights:

• So what I learned was it's like Walgreens isn't storing it themselves. It's even a third party.
• And what I learned is that it's one of the number one identity theft ways for you to have that happen
• So what I learned was up. Follow up.
• So what I learned was it's<00:58:05.599> like<00:58:05.920> Walgreens<00:58:06.400>
• And what<00:58:09.760> I<00:58:09.920> learned<00:58:10.160> is<00:58:10.400>

Keywords: 1191, senate, all

Transcript Highlights:

• Johnson,<00:19:51.120> who's<00:19:51.440> with<00:19:51.600> us<00:19:51.760> virtually
• ,<00:19:52.160> to Now, I want to invite our CEO, Dave Johnson, who's with us virtually, to

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.

Transcript Highlights:

• families for private school tuition and homeschooling expenses, with no public measurable academic learning
• 09.439> there's public schools but certainly there's public schools but certainly there's virtually
• c> reporting<04:24:10.720> on<04:24:11.279> the<04:24:11.439> recipient virtually
• no reporting on the recipient virtually no reporting on the recipient of<04:24:12.000> these<

Keywords: 1189, house, all