Transcript Highlights:

• Continue to work with the Department of Funding Models.
• This is the first year in which the administrative rule becomes effective.
• If I can ask a clarifying question, was that in regard to the rule requirements?
• to come into our rule hearings, but we had a lot of interested people.
• But we do not have a requirement right now in the rule.

Transcript Highlights:

• <00:35:49.440> in federal judges who have um ruled in federal judges who have um ruled in
• So that's in our model legislation.
• So that's in our model legislation.
• So that's in our model legislation.
• but<01:10:18.600> um<01:10:19.080> you model or Montana's model, but um you model or

Bills: SB1166, SB888, SB2387, SB2471

Keywords: insurance, climate change, responsible parties, damages, Hawaii Property Insurance Association, Hurricane Relief Fund, civil action, climate disasters, extreme weather, SB888, Hawaii, consumer protection, smart home security, smart household security device, home security camera, video doorbell, Ring, Nest, connected devices, internet of things

Summary: The committee heard SB 1166 SD2, a bill on insurance and climate-related damages that would authorize the Hawaii Property Insurance Association and, in amended versions discussed during testimony, other public and private entities to pursue civil actions to recover losses tied to climate disasters and extreme weather. DCCA’s Insurance Division and the Department of the Attorney General raised legal concerns, saying the bill’s scope may not fit the insurance code section being amended, that it could create subject-matter and title issues, and that some subrogation language may be duplicative of existing rate-filing practice. Lawyers for Justice opposed the measure, arguing it conflicts with existing subrogation law and recent Hawaii Supreme Court rulings that treat the judicial lien process as the exclusive remedy. The American Petroleum Institute also opposed, warning the bill would add liability and litigation risk for companies operating under existing permits and could undermine energy reliability and investment. Supporters said the bill would help shift climate-related insurance costs away from residents and onto fossil fuel companies and other responsible parties. Testimony in support came from the Polluters Pay Hawaii Coalition, Center for Climate Integrity, Hawaii Island Council, Our Hawaii, Sierra Club of Hawaii, and others, who described recent flooding, storm damage, rising premiums, non-renewals, and underinsurance as evidence of a worsening climate-driven insurance crisis. Several supporters urged amendments to give the Attorney General explicit authority to recover insurance-related losses for the Hurricane Relief Fund, HPIA, and private insurers, and to ensure recovered amounts benefit policyholders. Committee members questioned whether HPIA is a private entity, whether the Attorney General could represent it, whether the bill could create double recovery or affect pending climate litigation, and whether insurers would have standing or damages if they are only paying contractual claims. The committee then took up SB 888 SD2, a consumer protection bill that would restrict smart household security device operators from sharing user data with law enforcement without consent or a judicial order, and would bar conditioning device use on such consent. The Office of Consumer Protection testified in support and said an Illinois law could serve as a useful template for exceptions to the warrant requirement. An individual supporter said the measure would protect immigrant communities, judges, and others from surveillance and misuse of private data. No vote was taken during the portion of the meeting provided, and the chair noted additional written testimony submitted in support of SB 1166.

Transcript Highlights:

• ins and outs of the federal program to get as much money as we are allowed to get according to their rules
• This has a number of extensive modeling to try to estimate and create targets for EVs and EV charging
• And right now we have over 250 models, including some hydrogen fuel cell, not a lot, but some.
• My understanding is there's a legal appeal that could bring those rules back.
• or would it be quick to do a sort of back-of-the-napkin analysis of if we were trying to meet that rule

Keywords: 904, all

Summary: The House Transportation Committee held a work session focused heavily on Climate Commitment Act transportation spending and electrification programs. Staff first reviewed roughly $2.2 billion in CCA transportation allocations over three biennia, noting that the largest shares went to public transportation, active transportation, ferry electrification, ZEV programs, rail freight/ports, and planning, with about half of the electrification and fuel-conversion spending tied to state ferries. Members asked for more detail comparing CCA dollars with the broader transportation budget and for total project costs, not just CCA contributions. The Department of Ecology presented on the zero-emission school bus program. Ecology said the legislature codified the program in 2024 and requires electric buses once diesel and electric costs are equivalent, with exemptions available when electric buses cannot meet district needs. Ecology reported $38.3 million in CCA funding for 2025-27, with $21.4 million already obligated or spent to replace 91 diesel buses in 28 districts, plus additional federal EPA funding leveraged for 13 more buses. Members asked about health impacts, parity timing, rural route exemptions, charging and training costs, and whether the program includes infrastructure; Ecology said the grants cover buses, charging, and sometimes training, and that the Office of Superintendent of Public Instruction is developing the cost-equivalency formula. The Department of Commerce described its clean transportation role, including EV rebates, charging infrastructure, tribal electric boats, and the EV Coordinating Council. Commerce said its rebate program was designed to lower monthly payments for low-income households, that 89% of recipients said the rebate was essential to their purchase, and that lease incentives helped draw additional federal dollars. Members asked about tribal boat details, utility interconnection and curtailment, range anxiety, and vandalism at charging stations; Commerce said battery storage and managed charging are being used in some projects, some utilities are more responsive than others, and vandalism remains a challenge. The Department of Enterprise Services reported 567 Level 2 and 46 Level 3 charging ports installed at 82 state sites, with 19 more sites in progress and over $100 million in additional candidate projects. DES said most funding is for new infrastructure, though some VW settlement money is used for replacements, and members asked about charger replacement needs, mobile charging, and EV fleet purchasing data. WSDOT then outlined its EV infrastructure and transit programs. It said the Zero Emission Vehicle Infrastructure Partnership program has funded 23 new charging sites this biennium, including overburdened communities and tribal locations, and has supported 264 DC fast-charging ports statewide. WSDOT also described the new Washington Zero Emission Incentive Program, a point-of-sale voucher program for zero-emission commercial vehicles and equipment with $112 million available this biennium; it reported strong early demand, especially for off-road equipment and heavy trucks, and said technical assistance is being provided to help businesses participate. In public transportation, WSDOT said CCA funds support bus and bus facility grants, commute trip reduction, green transportation capital projects, paratransit, tribal transit, zero-emissions access car share, and other mobility projects, with most awards benefiting overburdened communities. Finally, WSDOT’s rail freight and ports division said port electrification projects are underway but spending is still low because of long design, permitting, utility, and supply-chain timelines; it estimated the $89.8 million program could reduce more than 140,000 metric tons of emissions over 10 years. Members questioned the pace of spending, the Northwest Seaport drayage project, and how state funds can leverage additional federal or port resources.

Transcript Highlights:

• This has a number of extensive modeling to try to estimate and create targets for EVs and EV charging
• And right now we have over 250 models, including some hydrogen fuel cell, not a lot, but some.
• The Advanced Clean Trucks rules are suspended under this federal administration.
• My understanding is there's a legal appeal that could bring those rules back.
• or would it be quick to do a sort of back-of-the-napkin analysis of, if we were trying to meet that rule

Summary: The House Transportation Committee held a work session focused on Climate Commitment Act transportation spending and electrification programs. Staff first reviewed overall CCA transportation allocations, saying about $2.2 billion has been allocated over three biennia, with major categories including public transportation, active transportation, ferry electrification, zero-emission vehicle programs, rail/ports, and planning. Members asked for additional breakdowns comparing CCA dollars with total program costs across categories. The Department of Ecology presented on the zero-emission school bus grant program. Ecology said the program was codified in 2024 and supports the transition from diesel to electric school buses, including buses, charging infrastructure, and training. For 2025-27, Ecology received $38.3 million in CCA funding; $21.4 million is already obligated or spent, replacing 91 diesel buses in 28 districts, with the rest to be awarded by the end of the biennium. Members asked about cost parity, exemptions for rural and extracurricular routes, health data, and whether the funding covers chargers as well as buses. Ecology said OSPI is developing the parity formula and exemptions are available when electric buses cannot meet district needs. The Department of Commerce described its clean transportation role, including EV rebates, tribal charging and electric boat projects, and the EV Coordinating Council. Commerce said its rebate program was designed to lower monthly costs and prioritize low-income households, with 89% of recipients saying the rebate was essential to their purchase. It also reported strong demand for charging grants, progress on tribal projects, and concerns about utility interconnection timelines, vandalism, and range anxiety. The Department of Enterprise Services reported on state agency EVSE projects, saying it has completed 82 sites with 567 Level 2 ports and 46 DC fast chargers, and that current projects will add 152 more Level 2 ports; members asked about replacing aging chargers and the state’s EV fleet purchasing mix. WSDOT closed with updates on charging, transit, and port electrification. It said its corridor charging program has awarded 23 sites this biennium, with 13 in overburdened communities and five tribal sites, and that the Washington Zero Emission Incentive Program opened with $112 million for vouchers for zero-emission commercial vehicles and equipment. WSDOT also described transit grants, including bus and bus facility funding, commute trip reduction, paratransit, tribal transit, and zero-emissions access car-share projects. The rail freight and ports division reported $89.8 million for port electrification projects, including shore power and drayage trucks, but noted only about 10% has been spent so far because projects are still in design and permitting. Members raised concerns about funding gaps, supply-chain delays, utility capacity, and whether the programs are sufficient to meet broader electrification needs.

Transcript Highlights:

• Good conversations can be constructive and model future behavior.
• Good conversations can be constructive and model future behavior.
• <00:20:01.679> for I think Fosters a very good model for I think Fosters a very good model
• Everyone benefits when they know the rules, and that's the purpose of our public education programs.
• So under the previous Trump administration, there was a proposed rule prohibiting ...

Keywords: 1187, senate, all

Transcript Highlights:

• Have you any discussions on because you're in department rules, because you're in department rules, that's
• , because you're in department rules, because you're in department rules, that's<00:10:01.840>
• <00:40:54.080> and revocation of the roadless rule and revocation of the roadless rule and
• models out there. models out there.
• brought up the business model, right? brought up the business model, right?

Keywords: 916, all

Transcript Highlights:

• We don't actually recommend 128, 129, and 130 for that Evaluation model: There's some money already in
• Again, we're already doing some of this in regard to model and support schools.
• I believe the department promulgated a rule about whether or not letter-trained teachers can also be
• Chairman, because this is new material for those instructional materials, so the materials under rule
• It's actually in rule.

Keywords: 996, all

Transcript Highlights:

• , which is the model of instruction GMCS has adopted district-wide.
• All of our teachers engage in this model.
• These requirements align with the gradual release of responsibility model.
• It's rules-based and it provides systematic phonics instruction.
• That's the model that we're using for, we're gonna link. Mr.

Transcript Highlights:

• But the economic models show that using a veterinary professional associate will increase the average
• I see it again in Rules. I want to go over a few more things that are questions in my mind.
• So for today, I’m supportive, and we’ll talk again before Rules. Thank you. Thanks. Anyone else?
• It was said that Colorado's model was that going with a vet PA option is theoretical.
• This model is as known to us as any other form of health care. It just...

Summary: The Committee on Regulated Industries met with a quorum and took up two bills. First, it considered SB 754 on heated tobacco products. The sponsor said the bill would define heated tobacco products and exempt them from the cigarette tax, arguing they are a less harmful alternative for nicotine users. Senators asked about youth access and regulation, and the sponsor said he would research those issues further. A representative of the Florida Retail Federation appeared in support, and the committee voted the bill favorably. The committee then heard SB 796 on veterinary medicine, after adopting a delete-everything amendment. The amended bill would create a Veterinary Professional Associate (VPA) role, allowing individuals with a master’s degree and national competency exam to perform certain delegated veterinary tasks under a licensed veterinarian’s responsible supervision. It also expanded the allowable period for telehealth prescriptions for flea and tick products and other medications. Supporters said the bill would expand access to care, reduce costs, and help address veterinary shortages, while opponents from the Florida Veterinary Medical Association argued the proposal was unnecessary, could create safety and federal-law concerns, and that existing veterinary technicians and other workforce measures were a better solution. After testimony and debate, the amendment was adopted and the bill was reported favorably. During final debate, several senators said the VPA proposal was more limited and better balanced than earlier versions, with the veterinarian retaining liability and control over delegated duties. The sponsor closed by emphasizing rising veterinary costs, shortages of care, and the need for more affordable access for pet owners. The committee then adjourned.

Transcript Highlights:

• Our ACT law is modeled after Kendra's Law in New York, and that is also modeled after Laura's Law in
• <00:24:57.480> after New York and that is also modeled after New York and that is also modeled
• the bill It's Not Unusual to have rules the bill It's Not Unusual to have rules of<01:04:25.520>
• <01:04:32.599> in you several examples of those rules in you several examples of those rules
• effective date of certain interim rules effective date of certain interim rules adopted<01:22:49.920

Keywords: 910, house, all

Summary: The House Committee on Judiciary and Hawaiian Affairs heard Senate Bill 1322, SD2, HD1, a comprehensive measure revising Hawaii’s mental health code. The bill would clarify emergency transportation, examination, and hospitalization procedures for people who may be mentally ill or suffering from substance abuse and deemed imminently dangerous, expand notice requirements, allow certain information-sharing for assisted community treatment petitions, and add liability protections for emergency responders and providers. The Department of the Attorney General supported the bill as a collaborative update to the law, while the Department of Health asked for a copy of provider-generated emergency transport documentation within five days for data and planning purposes. Testimony was sharply divided. Queen’s Health System, Hawaiʻi Pacific Health, HHSC, and the Institute for Human Services supported the measure or parts of it but requested amendments, including clarifying whether a second psychiatric exam is required, restoring a 72-hour rather than 48-hour stabilization window, and adjusting where patients are taken when an MEO cannot be reached. The ACLU of Hawaiʻi strongly opposed the bill, arguing it weakens due process and civil liberties, especially around involuntary commitment, assisted community treatment, emergency transport by police, and reduced procedural safeguards; it urged the committee to hold the bill and consider an interim working group. Louie E.K. of the Hawaiʻi Disability Rights Center also opposed the bill, focusing on immunity from negligence, the use of police for transport, and the reduction of a three-provider review to one in state-hospital treatment orders. Other testimony included support from an individual who said the bill could improve mental health care delivery amid provider shortages, and a comment from Hawaiʻi Health and Harm Reduction Center warning that the substance use portion of the bill lacks evidence of effectiveness and could be misused. In response to committee questions, the Attorney General’s office said the measure was developed with input from multiple stakeholders, including state agencies, hospitals, the ACLU, HHSC, and IHS, and that it aims to make assisted community treatment more accessible and effective by streamlining the legal process and improving consequences for noncompliance. No vote or final action was taken during the portion of the meeting provided.

Transcript Highlights:

• , that you cannot say because you refuse to get this injection, or any other modeling that you cannot
• It expands our current Medicaid waiver program for medically fragile children, the model waiver, so that
• It also requires AHCA to develop a comprehensive plan to redesign the Medicaid model waiver.
• The bill requires the Department of Children and Families to adopt rules to administer this requirement
• Chair, under Rule 2.35, I would like to move to reconsider Senate Bill 1606.

Summary: The committee met to consider a large agenda of health and human services bills, moving quickly because of a two-hour time limit. Early measures reported favorably included SB 976 on challenges to court-appointed psychologists in family law cases, SB 306 on Medicaid provider network access and after-hours availability, and SB 584 on housing supports for college students and youth in extended foster care. SB 1412 on home health regulation modernization also passed, with one support appearance from the Home Care Association. Members then approved several bills focused on research and care delivery, including SB 1800 creating a Parkinson’s disease research consortium at USF with an adopted amendment adding academic medical centers, SB 524 adding Duchenne muscular dystrophy to newborn screening, SB 1156 revising a Medicaid home health aide program for medically fragile children, and SB 1490 transferring and redesigning the managed care program for critically ill children. SB 1174 on foster home licensure transfers, SB 1620 implementing mental health and substance use commission recommendations, SB 1568 revising e-prescribing exemptions, and SB 788 on veterans nursing home beds were also reported favorably. The committee had more extensive debate on SB 1270, the Department of Health agency package, which included provisions on vaccination status, medical marijuana background screening, licensing and compact issues, and sovereign immunity for volunteer dental workers; it passed after an amendment and several members voiced concerns about patient treatment and “voting power” language. SB 1606 on patient access to records drew strong opposition from providers and health information professionals over privacy, HIPAA, and administrative burdens; it was initially reported unfavorably, then reconsidered and ultimately passed after a motion to reconsider. Other bills reported favorably included SB 1736 on insulin administration by direct support professionals and relatives, SB 1808 on patient refunds from providers, SB 1842 on referral disclosure of network status, SB 1354 on behavioral health managing entity oversight, SB 1768 on stem cell therapies with informed consent requirements, and SPB 7032 on presumptive Medicaid eligibility for permanently disabled individuals, which was submitted and reported as a committee bill. The meeting ended after all agenda items were handled and the committee adjourned.

Transcript Highlights:

• I request unanimous consent to suspend Assembly Rule 45.5 to allow Assembly Members Rubio, Bonta, and
• And we talked about the Norwegian model. And I said, well, the governor likes the Norwegian model.
• So I'm a little suspicious about this so-called Norwegian model.
• But apparently, there's some really good elements to the Norwegian model, which includes $8.8.
• , because I think the Norwegian model actually has a lot to offer for California.

Summary: The Assembly met on March 6, 2025, established a quorum, and opened with prayer, the Pledge of Allegiance, and routine procedural motions, including unanimous consent requests and a re-referral of AB 506. The chamber then moved through a series of guest introductions and second-reading items before taking up several resolutions recognizing awareness days and cultural observances. Members adopted ACR 41 on Down Syndrome Awareness Week/Day and HR 24 on Developmental Disabilities Awareness Month after extensive bipartisan remarks focused on family experiences, inclusion, bullying, funding for services, and support for people with disabilities. The Assembly also adopted ACR 48 recognizing Women in STEM Day, ACR 49 recognizing California STEM Robotics Day, HR 18 celebrating Nauruze, and ACR 2 marking the International Day for the Elimination of Racial Discrimination. Each resolution drew co-authors and supportive comments from members across the aisle. The body then debated and passed AB 248, which would remove the state wage cap on county jail inmate labor and allow counties more discretion; supporters framed it as local control and rehabilitation, while opponents argued it would raise costs and conflict with voter sentiment. The Assembly also passed AB 100, a budget-process measure moving a large package of bills to the Senate, and used a substituted roll call for the remaining related bills. Consent calendar items were approved, and the chamber concluded with multiple adjournments in memory, including tributes to Eric Lopez, Johnny D. Giles, and Roger Diamond, before adjourning until March 24, 2025.

Transcript Highlights:

• Where that model failed was a couple of places, right?
• You now have two sets... ...where that model failed was a couple of places, right?
• It's required by federal rule. It's required of all states and all Medicaid programs.
• What's the pricing model that you guys are working with the vendor on? You are recognized.
• What's the pricing model that you guys are working with the vendor on? You are recognized.

Summary: The subcommittee heard updates on several major technology modernization efforts, beginning with the Department of Financial Services’ Florida PALM project, which is replacing the state’s decades-old FLAIR accounting system. DFS described PALM as a statewide effort affecting all three branches of government, with cash management already live and the remaining financial management, payroll, and data warehouse components still in development. Officials said the project began in 2014, was restructured after a 2022 legislative pause, and is now being recommended for a go-live delay from January 2026 to July 2026. Members asked about governance, staffing, contract structure, cost growth, and maintenance costs; DFS said the contract is deliverable-based, the current amendment would add a net $2.2 million, and post-go-live maintenance is expected to be about $13 million annually under the current contract through July 2027. The Agency for Health Care Administration then updated the committee on the FX Medicaid enterprise modernization program. AHCA explained that federal CMS directed states to move from monolithic Medicaid systems to a modular approach, leading Florida to procure separate vendors for integration services, data warehouse, unified operations, provider services, and claims processing, with pharmacy benefits still to be procured. Officials said the project has spent about $334 million to date, with most costs federally matched, and requested $189.95 million for the upcoming year. They also highlighted a 2024 special assessment that produced 81 recommendations, most tied to staffing shortages, and said the Legislature added 47 FTEs, with 17 currently filled or being filled. Members asked about governance changes, production status, data access, and future technology maintenance; AHCA said some components are operational, the data warehouse is nearing certification, and the agency is working to keep the system adaptable and nonproprietary. The Department of Children and Families presented its Access modernization project, which is replacing a mainframe-based eligibility system used for SNAP, TANF, Medicaid assistance, and related programs. DCF said the six-year, $205 million project is in its third year and has already delivered a new customer portal with mobile access, multi-factor authentication, and fraud protections, while also building a worker portal, document management, community partner tools, and workload management functions. The agency said it is requesting $36.625 million for the next fiscal year, the same as last year, and emphasized that the project has remained on schedule and on budget by breaking work into smaller modules and using strong vendor and staff support. Members praised the project’s progress and asked about cybersecurity testing and the long delay before modernization began; DCF said security requirements were built in from the outset and that the remaining work will focus on moving staff off the legacy mainframe and modernizing notices and back-end processes.

Transcript Highlights:

• <00:04:49.919> and also looking at all the rules and also looking at all the rules and regulations
• I don't see anything in here to look at that national model policy that's out there.
• national model national model uh<00:07:03.199> policy<00:07:03.960> that's<00:07:04.960
• actually look at the national model actually look at the national model codes<00:08:12.080> and
• I don't see anything in here to look at that national model policy that's out there.

Keywords: 1187, senate, all

Transcript Highlights:

• experiencing food insecurity by providing food to the community through a variety of direct service models
• <00:29:45.519> only model only um or a food shelf model only model only um or a food shelf
• You know, I love this no-cost model. Hats off to that. That's great. Can we see more of it?
• You know, I love this no-cost model. Hats off to that. That's great. Can we see more of it?
• You know, I love this no-cost model. Hats off to that. That's great. Can we see more of it?

Keywords: 1183, house

Transcript Highlights:

• So be a model of brevity. >> Okay. So be a model of brevity. So this one should be easy, right?
• Everybody's model is different.
• we these are actually kind of our rules we these are actually kind of our rules and<04:50:54.638
• guidelines and the models that are used. guidelines and the models that are used.
• an outside modeling entity and through an outside modeling entity and then<05:41:37.200> the<

Keywords: 1189, house, all

Transcript Highlights:

• the department the piece around rule the department the piece around rule making<02:18:20.719>
• it adds then that we would adopt rules it adds then that we would adopt rules about<02:23:08.000
• um, the rule making authority for HHS. um, the rule making authority for HHS.
• Where would rules come from DOJ? Where would rules come from DOJ?
• <04:34:46.400> Um CMS rule. Um CMS rule.

Keywords: 1191, senate, all

Transcript Highlights:

• Why the apprenticeship model?
• Why the apprenticeship model?
• <00:13:55.079> there's to be competitive in this model there's to be competitive in this model
• commercially viable as a Statewide model commercially viable as a Statewide model we<00:14:16.519
• Mano they said it's a great model Mano they said it's a great model because<01:03:18.039> they

Bills: HF846, HF1538, HF1959

Keywords: education, special education, apprenticeship, funding, grants, intermediate school districts, teacher apprenticeship, registered apprenticeship, teacher licensure, teacher shortage, workforce development, education finance, K-12 education, higher education, Professional Educator Licensing and Standards Board, PELSB, Tier 3 license, teacher preparation, mentor teacher, school district

Transcript Highlights:

• Each program has its own rules, stakeholder, and interest groups.
• Then I want to talk to you a little bit about the cost allocation model, as well as some other safety
• And you would never design a private-sector model that way.
• But that's how we've designed the public-sector model.”
• So what happens in this more integrated model?

Summary: The committee met to hear an update from consultants Mason Bishop and Cameron Christie on Arkansas’s “one door” or “no wrong door” workforce and social services modernization effort. The discussion focused on moving the state toward a work-first system that better connects job seekers, employers, education, and public assistance programs, with goals of increasing upward mobility, improving labor force attachment, reducing inefficiencies, and adapting to changes such as AI and other economic disruptions. The consultants argued that Arkansas’s current system is fragmented across multiple offices, portals, agencies, and funding streams, and that people often have to navigate separate doors for workforce services, TANF, SNAP, Medicaid, and related supports. Bishop repeatedly pointed to Utah as the model, describing how that state integrated workforce and human services into a single department, used cost allocation to blend funding behind the scenes, and saw improved customer service and outcomes after reform. He said TANF should be treated as a workforce program, not just a benefits program, and suggested that Arkansas could use TANF and other tools to cross-train DHS staff, co-locate services, and create a more unified service delivery model. Members asked about federal flexibility, waivers, and whether the state could use one large waiver or a broader restructuring to simplify the system. Bishop explained that a federal pilot authority proposal failed in Congress, so the current approach relies on waivers, cost allocation plans, and possible state-level changes. The committee also discussed the relationship between DHS and workforce offices, the role of local workforce boards, how disability and vocational rehabilitation cases would be handled, and how the governor’s Restore Hope/Hope Hub and faith- and community-based initiatives might fit into the broader plan. Bishop said Arkansas already has rehabilitation services within the workforce department and emphasized that case managers should focus on people rather than programs. No votes were taken. The chair said the committee would revisit case management at its August meeting and adjourned the meeting after thanking the consultants.

Transcript Highlights:

• as opposed to a managed care model.
• as opposed to a managed care model.
• as opposed to a managed care model.
• as opposed to a managed care model.
• So, uh, I know you said you're not an economic modeling modeler, but I just wonder to what degree, um

Keywords: 928, house, all

Summary: The House Finance Division Three work session on February 21, 2025 focused on the Division of Medicaid Services budget. The chair opened with procedural guidance, noting the division’s role is to make recommendations to the full Finance Committee, that the budget must be balanced, and that members should track possible amendments ahead of a March 26 target for House Bills 1 and 2. Members also discussed the importance of using official budget documents and online resources, and the chair said no motions would be taken at this session. A major early topic was concern over a five-point Medicaid policy document and the timing of House Bill 2. Representative Tarki objected that the document appeared to be an unofficial draft and argued that significant Medicaid policy changes should have been transmitted by February 15 under state law. He said the lack of an official, posted document raised transparency concerns because the changes could affect tens of thousands of residents. Committee leadership responded that the five-point document was a working document, that it would be posted online within minutes, and that House Bill 2 is often delayed while the Office of Legislative Services finalizes and formats the governor’s proposed trailer bill. DHHS Chief Financial Officer Nathan White and Medicaid Director Henry Litman then began the budget presentation. White said the committee would use the PowerPoint as the document of record, starting with the governor’s operating budget pages 885-893, and noted that Medicaid is the largest accounting area in the state budget. He said the governor’s budget reflects about $60 million in reductions within the Medicaid area, with Granite Advantage handled off-budget and another $10 million in reductions there, for roughly a $70 million difference overall. Members asked whether the comparison was being made against an efficiency budget or a prioritized-needs budget, and White said the department could look at it different ways. The presentation then outlined Medicaid’s role in New Hampshire: it provides health coverage, serves as the state’s direct interface with the federal Centers for Medicare & Medicaid Services, and helps finance related services such as long-term supports, school-based services, adult dental coverage, and re-entry programs for people leaving correctional settings. White also reviewed enrollment and program context, saying New Hampshire has about one in seven residents enrolled in Medicaid, making it the fourth smallest Medicaid program in the country by enrollment, and described recent efforts such as youth re-entry and the Medicaid unwind after the end of the federal continuous coverage period. He said the state had to process more than 238,000 redeterminations after the public health emergency and that the department tried to avoid unnecessary coverage loss during that transition.