Transcript Highlights:

• The complement of pastoral services and a collective view of all the services could be offered.
• The complement of pastoral services and a collective view of all the services could be offered.
• He asked how these services would be enforced, noting that there is a website to provide the services
• but to see their complimented services but to see their complimented services and<00:26:26.000><
• through uh will these type of services through uh will these type of services be<00:27:28.360>

Keywords: 00:34 Call to Order/Roll Call 02:09 Discussion of 25RS HB 389 04:05 Roll Call Vote on 25RS HB 389 05:16 Discussion of 25RS HB 501 09:31 Roll Call Vote on 25RS HB 501 10:50 Discussion of 25RS HB 414 (Discussion Only) 42:05 Adjournment, 958, all

Summary: The Health Services Committee met with a quorum and first considered House Bill 389, a cleanup measure related to the CASPER prescription monitoring program. Representative Duval and staff explained that the bill addresses implementation issues the Office of Inspector General encountered and aligns the definition of “practitioner” for in-state and out-of-state providers. The committee took no questions, then approved the bill unanimously and reported it favorably. The committee then heard House Bill 501, which would allow a pharmacist to fill a prescription for a limited period after the prescribing provider has died, so patients can maintain continuity of care. Sponsors and a pharmacist witness said the bill is intended to reduce uncertainty and liability for pharmacists, excludes controlled substances to comply with federal law, and leaves professional judgment with the pharmacist. Members asked about documentation and verification, and the sponsor said the bill applies when the pharmacist knows of the death and that pharmacies would document the situation as they normally do. The committee discussed the issue briefly and passed the bill unanimously with favorable expression. Finally, the committee took up House Bill 414 for discussion only. Representative Tate and Adia Wisher described it as “Love Them Both,” a perinatal palliative care proposal meant to provide wraparound support for women and families facing fatal fetal anomalies or other serious pregnancy complications. Testimony emphasized that the bill would encourage referrals to programs offering medical, emotional, spiritual, financial, and bereavement support, with examples such as Footprints at St. Elizabeth. Members discussed access, referrals, counseling, coverage language, and the role of fathers, and supporters stressed that the services would be optional and intended to broaden support rather than impose penalties. No vote was taken on House Bill 414.

Transcript Highlights:

• accessing more services.
• Services and physical therapy service who could not get them.
• based service.
• We did add some services that we referred to a few years ago as evidence-based services, and there was
• a specific package of about five services, I believe, that we added to the behavioral health services

Keywords: 996, all

Transcript Highlights:

• I forget that I said 1.8 because I was just looking at the raw services.
• So the services that are considered... ...it away and then come back.
• mean, from coupon service or whatever you call it—to basic services at that point.
• This is for our third-party administrative services. We issued an RFP.
• Okay, this is the Sedgwick claims management service.

Summary: The State Insurance Programs Oversight Subcommittee met on June 17 and reviewed a series of Employee Benefits Division and Office of Property Risk items. The committee approved formulary changes for March and April that favored lower-cost generics, removed some new-to-market drugs from coverage pending more evidence, and made maintenance changes to migraine and diabetes medications. Members also approved a cell and gene therapy policy that would route those therapies through prior authorization rather than automatic coverage; officials said the process should not delay urgent cases and that no current members would be affected. The committee then reviewed a UAMS pharmacy benefit consultant contract amendment, but after extended discussion about the written scope and dollar amounts, the motion was approved with the understanding that any use of optional services would return to the committee for further review. The committee also reviewed the U.S. Able Mutual/Blue Advantage third-party administration contract and the CompSack employee assistance program contract, which officials said would reduce per-member costs and add services. The subcommittee approved proposed 2027 rates for state employees and public employees, with a 9.8% increase for state employees and a 4.9% increase for public school employees. Officials also reported that the UnitedHealthcare rebid was in its final negotiation stage and would return in August, with medical and pharmacy coverage split as previously recommended. In response to questions, the director said the division was considering broader preventive-care offerings, including weight-loss drug coverage, but would proceed cautiously and with strong utilization controls and holistic support if such a program were adopted. On the property risk side, the committee reviewed permanent rules making prior temporary rules permanent, a contingency-fee subrogation contract, and renewals for claims management, actuarial services, and investment management. Members raised concerns about Sedgwick’s claim-adjustment timeliness and communication with school districts after severe weather events; officials said performance guarantees and communication expectations had been strengthened, but the renewal was kept at three years for continuity. Finally, the committee approved 2026-27 captive insurance program rates, which included no change to minimum deductibles, a 10% overall rate reduction, and bucketed rate changes by entity type. Officials said the captive program was working as intended, with improved actuarial support and claims experience, and the meeting adjourned after the approvals.

Transcript Highlights:

• Elimination of food security services, including meal and grocery services.
• These are public service employees.
• It means immediate cuts to real people, real jobs, real services, real people who rely on those services
• If not, the cities that provide critical services will face service reductions at no fault of their own
• And so it's right-sizing all of our business services and all the services and programs that we oversee

Keywords: 988, house, all

Summary: The committee heard a lengthy presentation on San Mateo County’s request to restore in-lieu vehicle license fee (VLF) funding, which county officials said would otherwise leave the county and its cities facing major budget losses. Supervisors and local officials argued the 2004 VLF swap was intended to hold local governments harmless, but the formula no longer works for San Mateo because of its mix of basic-aid school districts and high property values. They said the loss would force deep cuts to homelessness services, rental assistance, mental health programs, libraries, parks, public safety, wildfire mitigation, and nonprofit partners, with examples including shelter closures, reduced police and fire staffing, and layoffs. The Department of Finance responded that the payments are not statutorily mandated, are discretionary, and are not sustainable in the current fiscal situation, noting the state has still provided more than $300 million since 2012. Members from both parties expressed sympathy, questioned the formula, and said the issue may need a permanent legislative fix; public commenters from cities, labor, nonprofits, and public safety organizations overwhelmingly supported full restoration. The committee ultimately held the item open and later took vote-only action to move two unrelated items on the agenda. The committee also received an update from the Department of General Services on state property redevelopment projects, including the Hillcrest DMV site in San Diego, the Fell Street DMV site in San Francisco, and other state-owned properties. DGS explained that Hillcrest is not yet an active project, while the Fell Street DMV proposal shifted from an integrated housing-and-DMV concept to a plan to relocate DMV into leased space so the site can proceed as housing. Officials said the leased-space option is significantly cheaper than building a new DMV on-site and would allow the housing project to move forward, though questions remained about timing, costs, and whether the partnership model can work. Members pressed DGS on the broader challenge of converting state buildings to housing, and DGS said adaptive reuse depends heavily on building type, floorplate depth, light, and risk from unknown conditions behind walls. The committee also briefly discussed Fairview Developmental Center and the Southern California Veterans Cemetery feasibility study, with DGS saying both are progressing. In Government Operations items, the California Education Learning Lab asked for permanent restoration of its $4 million annual funding and a move from the Office of Land Use and Climate Innovation to GovOps, arguing that the program supports intersegmental innovation in teaching and learning across UC, CSU, and community colleges, including AI-related work. The Legislative Analyst’s Office recommended rejecting the restoration and continuing the planned wind-down, citing the state’s projected deficit and suggesting the interagency council could pursue non-state-funded grant opportunities instead. The committee held that item open. The next item, on the California Education Interagency Council, was presented as a staffing request for four ongoing positions, with GovOps saying the council has already been set up administratively and an executive officer has been appointed.

Transcript Highlights:

• receiving those services.
• receiving those services.
• receiving those services.
• receiving those services.
• for an individual receiving service for an individual receiving services?

Keywords: 1187, senate, all

Transcript Highlights:

• support services. support services.
• . services. services.
• . services. services.
• . services. services.
• Services Center. Services Center.

Keywords: 928, house, all

Summary: The committee held a public hearing on Senate Bill 562, which would create a home damage mitigation and resilience grant program aimed at helping homeowners make property improvements that could reduce insurance costs and non-renewals. Commissioner DJ Bettencourt of the New Hampshire Insurance Department explained that the program is modeled in part on Alabama’s safer homes program, but tailored for New Hampshire hazards such as floods, microbursts, heavy snow, ice, and falling trees. He said the grants would be limited to primary residences, subject to a means test, capped at $10,000, and intended to help homeowners make targeted improvements such as roof fortification or tree removal that could improve underwriting outcomes and lead to premium discounts. Bettencourt said the program would not use state taxpayer funds and would instead rely on philanthropic donations, possible federal or regional housing-bank funding, and other outside sources. He said the department would not need new staff, and that a current position could be reconfigured to help administer the program part-time. Committee members asked about the funding language, the meaning of “loans” in the bill, whether there were any other states using a similar no-state-funds model, and how many homeowners could be helped. Bettencourt said Rhode Island and Connecticut were moving forward in a similar way, and that the number of beneficiaries would depend on how much money is raised. Members also questioned how the grant program would actually lower premiums, whether savings would apply only to participants or more broadly, and how the IBHS evaluation process would work. Bettencourt and department staff said the direct benefit would be to the homeowner whose property is improved, though neighbors could also benefit in some cases. They explained that IBHS is a building-safety organization that certifies contractors and inspectors and that its standards can qualify homes for insurer discounts. Questions were also raised about confidentiality provisions, first-come-first-served grant awards, rollover of unused applications, and possible tax treatment of donations. The sponsor said those details would be addressed through rulemaking or existing tax rules, and no vote was taken during the hearing.

Transcript Highlights:

• of Human Services.
• But PACE programs also have a site to provide adult day services, and adult day services are really a
• interdisciplinary care where Services interdisciplinary care where Services across<00:02:30.160>
• flexible adult day services are really a flexible service<00:04:08.519> model<00:04:08.799>
• if they're not people receive Services if they're not receiving<00:04:27.520> services<00:04:

Keywords: 1183, house

Transcript Highlights:

• Kelly to come up and present the Health and Human Services budget, and she is the Health and Human Services
• Services are available for children with complex medical needs who require continuous nursing services
• In fee for service, sorry, current fee for service rates are lower than those paid by capitated plans
• In fee for service, sorry, current fee for service rates are lower than those paid by capitated plans
• services.

Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed fiscal year 2026-2027 budget for the health and human services agencies. Kendall Kelly outlined the overall HHS budget at $48.5 billion, with AHCA accounting for the largest share, and agency heads then highlighted major proposals for Medicaid behavioral health redesign, APD waiver enrollment and facility needs, DCF child welfare, opioid, and mental health investments, DOEA funding for Alzheimer’s, home care, and community services, DOH funding for cancer research, public health initiatives, and lab capacity, and VA funding for facility improvements, cybersecurity, and medication management. Several members praised specific proposals, including increased reimbursement for private duty nursing, Alzheimer’s supports, and the Florida FIRST blood-in-ambulance initiative. Senators also questioned the proposed changes to the AIDS Drug Assistance Program (ADAP), with the Surgeon General explaining that the department expects a reduction in covered patients from about 30,000 to about 20,000 because of funding pressures tied to rebates, federal changes, and premium tax credit issues. Public testimony strongly criticized the ADAP changes, citing lack of transparency and warning that many patients could lose access to medications. Other questions focused on the Office of Minority Health and Health Equity, DCF’s substance abuse and mental health data dashboard, Kids Care/CHIP expansion implementation, APD bed and facility planning, and the FX Medicaid technology project. DCF said about $7 million is set aside for the dashboard system, and AHCA said the governor’s budget includes $124.4 million for FX maintenance and continued module development, with $13.5 million to begin claims processing work. The committee did not take a substantive vote on the budget presentations and adjourned after questions and public testimony.

Transcript Highlights:

• You also need crisis services.
• employment services.
• services.
• Okay, so if a veteran presents for services, they can access their services, right?
• So that's our T-CHAP service.

Keywords: 1185, senate, all

Transcript Highlights:

• We integrate public health, human services, and the county-run health plan to wrap services around our
• These services include the administration of basic maintenance medications or essential services like
• What exactly are the services? we're talking about.
• He would be paid $0 for the service of dispensing the prescription.
• Who are essential services technicians?

Transcript Highlights:

• The providers of services make strategic decisions and invest resources and staffing and services.
• services to people with disabilities.
• at six, just reducing service hours for some individuals and jeopardizing services for some going forward
• We're a nonprofit service provider of residential and unit-based services, and we're based in Minnetonka
• When legitimate providers close or cut back on their service offerings, people lose services to support

Keywords: 1183, house

Transcript Highlights:

• service is never forgotten. service is never forgotten.
• Your service, your us today.
• stress that comes with military service. stress that comes with military service.
• rooted in service, not status. rooted in service, not status.
• through service. through service.

Keywords: 926, house, all

Summary: The caucus of the whole was held as the annual State of the Guard address, featuring Adjutant General Gregory Knight’s remarks to legislators and guests. Knight said this would likely be his final address before retirement and thanked Gold Star families, military survivors, Governor Phil Scott, honorary commanders, legislative leaders, his family, and many Guard and community partners. He emphasized that the Vermont National Guard is a civic institution, not just a military force, and said its strength depends on a strong relationship with the legislature. Knight reviewed several priorities and accomplishments, including regular transparency updates to the governor, legislature, congressional delegation, and force; the creation of the Vermont National Guard and Veterans Caucus; and legislation supporting education, workforce development, benefits, and service members’ families. He highlighted recruiting and retention efforts, including the Prime employer partnership program, which he said now has 40 employer partners and 24 more pending, and argued that Vermont can attract and retain service members by connecting military experience to civilian jobs and education opportunities. He also discussed organizational climate improvements, mental health and prevention staffing, and the need for more providers who accept military patients and Tricare, noting the Howard Center and other health centers are expanding military and veteran care. The address also covered the Guard’s broader role in emergency response, citizenship, diversity, and international partnerships. Knight described recent deployments and state responses to COVID-19, flooding, and other emergencies, explained Guard duty statuses and called for congressional reform to simplify them, and outlined state partnership work with Austria, North Macedonia, and Senegal, as well as related educational and economic initiatives. He recognized numerous Guard members, recruiters, fiscal staff, media partners, and outside collaborators for their contributions. No votes were taken. The meeting concluded with Speaker recognition of Knight’s service and an announcement that the caucus had ended and the House would gavel in shortly afterward.

Transcript Highlights:

• Recovery support services are different.
• It’s called Recovery Support Services, and I think it’s in those situations that Recovery Support Services
• What they need is Recovery Support Services.
• All of those were for HIV care services.
• We services.

Summary: The meeting focused on Missouri’s substance use prevention and treatment system, with repeated emphasis on recovery support services, peer support, recovery housing, transportation, and harm reduction. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he urged greater investment in recovery housing, peer support, employment, and community-based supports that help people stay sober and avoid relapse. Members asked about funding sources, program capacity, referrals, treatment court, transportation, and how Into Action supports people on medication-assisted treatment (MAT). Haniken said the organization is funded through a mix of federal, state, county, city, foundation, and private donations, and that housing and transportation remain major barriers, especially because support is often funded for too short a period compared with the longer time people need to stabilize. Matt Cushman of the Raytown Fire Protection District gave a strong endorsement of harm reduction, including naloxone distribution, syringe service programs, and broader decriminalization of harm reduction tools. He argued that stigma is a major barrier to care and that Missouri should expand access to clean needles, test strips, and other services, while also improving access to MAT in jails and communities. Committee members questioned the evidence base, the role of faith-based providers, and whether safe consumption sites should be pursued; Cushman said syringe exchange decriminalization should be the immediate priority, while safe consumption sites are a longer-term issue. He also described community paramedicine and mobile integrated health as valuable but funding-dependent, and said naloxone distribution is improving but still uneven, especially in rural and minority communities. Representatives from Central Ozarks Medical Center and Four Rivers Community Health Center highlighted the importance of peer support specialists, community health workers, care coordinators, and wraparound services in rural health centers. COMC’s Morgan McClure and Monet Lehman described a jail reentry program in Pulaski County, with Lehman sharing her trauma and recovery story and explaining how she helps incarcerated people prepare for release with housing, employment, benefits, transportation, and treatment connections. Four Rivers’ Devon Polarys and Cassandra Trout said their CEO would change Missouri policy to allow FQHCs to receive reimbursement for peer support and community health worker services similar to CCBHCs, arguing that these roles are essential for addressing barriers like transportation, housing, food insecurity, and insurance. Members discussed confusion over reimbursement rules, the differences between FQHCs and CCBHCs, and the need for better funding and clearer policy for peer and community health worker services. No votes were taken; the discussion ended with a suggestion to bring in a subject matter expert on community health workers for a future session.

Transcript Highlights:

• Thank you. services.
• Services.
• We provide prevention and behavioral promotion services, intervention services, treatment services, recovery
• Yeah, attendant care, personal assistance services. services, personal care services, those are kind
• General services. Yeah. General services.

Keywords: 1184, house, all

Transcript Highlights:

• Department of Human Services. Department of Human Services.
• treatment services. treatment services. >> Senator<00:10:32.399> Grunhagen.
• Um, the Department of Human Services Aging and Disability Services Policy Bill.
• > and services, community fair services and services, community fair services and supports,<00
• There is no safety net for ICF services. There is no safety net for ICF services.

Keywords: 1187, senate, all

Transcript Highlights:

• Protocol Services.
• We actually provide after-hours services for core service agencies throughout New Mexico.
• New Mexico CORE service agencies that provide 24/7 services, their clientele will call their number.
• That was said, yes, that the services did not decrease when the tribe took over services.
• The services decreased because of a lack of oversight from the Indian Health Service.

Transcript Highlights:

• We ensure that no veteran ever chooses to use our services without understanding the free services that
• First of all, let me say thank you all for your service.
• So not all the services are being provided.
• Association of County Veterans Service Officers.
• providing services, a choice.

Summary: The Assembly Committee on Military and Veterans Affairs met with a quorum and first approved its consent calendar, which included AJR 15, SB 56, SB 296, and SB 855, with the roll left open for absent members. The committee then heard SB 694 by Senator Archuleta, a bill aimed at protecting veterans from unaccredited claims representatives and other for-profit entities that charge fees to assist with VA disability claims. The author and supporters, including county veterans service officers and veterans organizations, argued the measure would curb predatory practices, restore accountability, and steer veterans toward free, accredited assistance through CVSOs and other authorized representatives. Testimony in support emphasized that veterans are often targeted online and may pay large fees for services that are available for free, while supporters said unaccredited firms lack transparency and can exploit vulnerable veterans. Opposition witnesses, including representatives of claims-assistance companies and individual veterans, argued the bill would eliminate choice and that some contingency-based firms provide useful services, better outcomes, and faster claims processing. Committee members debated whether the bill would unlawfully bar legitimate assistance or whether it was needed to stop illegal business practices, with several members noting the issue is also being litigated in federal court and that an accreditation process already exists through the VA. After discussion, the committee voted to pass SB 694 and refer it to the Committee on Judiciary. The final vote was 6 ayes, with some members not voting. The committee then completed the consent calendar vote, which passed with eight votes, and adjourned.

Transcript Highlights:

• parental consent altogether for services parental consent altogether for services in in in 2023.
• So I'm service it's a new care plan.
• So yes, it's not just for those IEP-related services, but any medical services or mental health services
• <00:17:25.039> But Medicaid services. Correct. Yes. But Medicaid services. Correct. Yes.
• would get the service or not get<00:56:47.680> the<00:56:47.920> service.

Keywords: 928, house, all

Summary: The committee heard testimony on Senate Bill 34, which would require parental consent for each new service provided to a student through the Medicaid to Schools program and require reports to legislative policy committees. Senator Ruth Ward said the bill was intended to increase transparency, protect parental involvement, and ensure continuity of care, especially for students with disabilities. She also noted a proposed amendment she received shortly before the hearing that would change the bill’s focus from a “new service” to a “new care plan.” Representatives from the New Hampshire Primary Care Association and Amoscake Health testified that they opposed the bill as written but would support it with the amendment. They explained that tying consent to individual diagnosis codes or services could be burdensome, could delay care, and could create compliance problems if a diagnosis changes during a visit. They said the amendment would better align consent with the overall care plan and avoid interrupting treatment mid-appointment. Committee members raised questions about how the bill would interact with IEPs, individualized health plans, homebound services, telehealth, billing, and whether the amendment would still require parental involvement after a care plan changes. The deputy Medicaid director from the Department of Health and Human Services testified that the amendment was more operationally feasible because Medicaid billing involves many ICD-10 codes that can change or overlap, and consent should be tied to the care plan rather than to each code. He said the current law already requires parental consent for participation in the Medicaid to Schools program and annual consent for billing, but the bill would make explicit consent for care-plan changes. No vote was taken during the portion of the hearing provided, and the committee appeared to continue discussion with DHHS after the testimony.

Transcript Highlights:

• , from here, out to the Public Service Commission.
• Are you familiar with Section 131 of the Social Services Law?
• It takes that off of the social services districts.
• So this puts the onus back onto the social services districts.
• SERVICES DISTRICTS.

Keywords: 993, senate, all

Summary: The Senate convened, approved the prior journal, and then took up a series of utility and public service bills and resolutions. A resolution sponsored by Senator Scarcella-Spanton designating April 9, 2026, as Yellow Ribbon Day was adopted after remarks honoring veterans, active-duty service members, and their families. The chamber then moved through several Public Service Law measures focused on utility affordability, consumer protections, and PSC procedures, with some bills laid aside and others advanced. Among the bills passed were measures by Senators Mayer, Cleare, Hinchey, Comrie, and Parker. Debate on the Mayer bill centered on limiting utility expenses and fees recoverable in rate cases; supporters said it was part of a broader package to reform PSC practices, while opponents argued it would not lower current bills and had been softened from earlier versions. The Webb bill creating a residential utility usage monitoring program drew extended debate over whether it would meaningfully reduce costs, who would pay for the program, and whether it could lead to government monitoring of household usage; supporters said it would give consumers more control and transparency, while critics said it would not lower rates. The Gonzalez bill, which would add consumer protections during PSC investigations and delay shutoffs in certain circumstances, also passed after questions about whether it applied to rate cases, with the sponsor saying rate cases were explicitly excluded. Several members explained their votes, with supporters emphasizing affordability, transparency, and consumer protection, and opponents arguing the package would not address immediate rate relief and could burden ratepayers or encourage nonpayment. Senator Tedisco and others criticized PSC appointments and state energy policy, while Democratic sponsors argued the bills were part of a longer-term effort to reform utility regulation and address climate and affordability concerns. The chamber restored multiple bills to the non-controversial calendar before final votes, and the recorded results showed passage of the major utility bills by substantial margins, along with one amendment appeal being ruled nongermane and rejected.

Transcript Highlights:

• Medicaid Services.
• services in a skilled nursing facility. services in a skilled nursing facility.
• We can start services.
• We can start services.
• How long should people have to wait to provide services? They're getting Medicaid services.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.