Transcript Highlights:

• It's a continuum of care and continuum of service. services that, you know, as noted in Senator Blumenthal's
• that's eligible for Vet Center services.
• How many of those veterans are connecting in VA for VA services or in the community for community services
• services as health care would require?
• Thank you, Senator, and thank you for your service as well.

Keywords: veterans, mental health, suicide prevention, Staff Sergeant Parker Gordon Fox Grant Program, HOPE Act, BRAVE Act, Every State Counts for Vets Mental Health Act, advocacy, legislation, mental health resources

Summary: The committee meeting focused primarily on the critical issues surrounding veterans' mental health and suicide prevention. Discussions centered on the reauthorization of essential programs aimed at providing non-clinical support services to veterans, particularly the Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program. Senators emphasized the urgent need for adequate mental health resources as the suicide rate among veterans remains alarmingly high. Key testimonies were provided by various advocates and officials, illustrating both successful implementations of these programs and areas needing improvement.

Transcript Highlights:

• <00:03:45.120> and without impacting required services and without impacting required services
• <00:04:52.840> within enhance our frontline services within enhance our frontline services
• a regional service delivery model. a regional service delivery model.
• Rather, it services from the courts.
• <00:07:49.000> recipient the service recipient the service recipient and<00:07:51.000>

Keywords: 958, all

Summary: The Budget Review Subcommittee on Justice and Judiciary received an update from the Administrative Office of the Courts on implementation of House Bill 504, the judicial branch budget, and court facility projects. AOC leaders said they do not anticipate problems balancing the outgoing biennium or fiscal year 2026, and explained that the budget changes were driven by the need to reduce costs while preserving required constitutional, court-rule, and statutory services. They also said the new filing fee increases authorized by HB 504 took effect that day and are expected to generate up to $5 million, while the reorganization is projected to save about $3 million in general fund dollars. The bulk of the presentation focused on a major reorganization of the Office of Statewide Programs, which includes specialty courts, family and juvenile services, and pretrial services. AOC said the plan eliminates 170 positions and creates 109 new ones, mainly by reducing middle-management layers, expanding regional service delivery, and cross-training staff. Officials said 110 employees had already been offered or accepted placements, 24 had chosen voluntary separation, and the final number of employees leaving remains fluid until the process concludes around August 1. They emphasized that specialty court programs were not eliminated, but state-funded treatment court contracts and behavioral health liaison positions were removed, with treatment costs shifted to Medicaid or participants where appropriate. Members asked about the process, staffing impacts, specialty court participation, juvenile services, and how AOC will monitor the changes. AOC said the reorganization was developed by leadership, HR, and legal staff under direction of the Chief Justice and approved by the Supreme Court, and that it is intended to improve efficiency and frontline support rather than reduce services. They said specialty court participant levels are being watched closely, that CDW services will continue to use outside providers for programming, and that the agency will keep judges and stakeholders informed as the new structure goes into effect. No votes were taken, and the committee did not approve minutes because a quorum was not present.

Transcript Highlights:

• The intake service centers and the statewide intake service centers and intake service centers and she'll
• Statewide pre-trial services.
• of trying to connect them with services. of trying to connect them with services.
• order to take part in the service. order to take part in the service.
• > case services, career services, housing, case services, career services, housing, case management

Keywords: 910, house, all

Transcript Highlights:

• We want really depend on your services.
• , prioritized healthcare, human services, prioritized healthcare, human services, education,<00:03
• Child and Family Service, 1 million. Child and Family Service, 1 million.
• 100,000 malama pono health services 100,000 malama pono health services 200,000<00:07:39.440>
• 500,000 Maui family support services 500,000 Maui family support services 800,000<00:07:45.280><

Keywords: 912, senate, all

Summary: The hearing was an informational briefing on Act 310, which set aside $50 million for nonprofit and community organizations facing uncertainty, especially amid federal funding disruptions. Speakers thanked Aloha United Way for handling applications, as well as the governor, lieutenant governor, House and Senate leadership, and legislative staff for helping craft the measure and review more than 200 applications totaling over $150 million in requests. They noted the funding was intended as a safety net for organizations serving at-risk populations and those that had lost federal support, with priority given to healthcare, human services, education, the arts, and food distribution. The co-chair then presented the recommended award list, describing it as aimed at programs with broad reach and high impact. The list included a large number of nonprofits and community providers across the state, such as food banks, health centers, youth and family services, domestic violence and legal aid organizations, cultural and educational groups, and hospitals. Several of the larger awards mentioned included Hui Food Bank, Boys and Girls Club of the Big Island, West Hawaii Community Health Center, The Food Basket, and multiple Maui and Oahu service organizations. After the full list was read, the chair asked for discussion or objections. Hearing none, the committee adopted the list of nonprofit awards as read. The briefing then adjourned.

Transcript Highlights:

• What this bill would do is require such people to purchase the service in the same fashion as others
• who purchase prior non-membership service, where an amount equal to what would have been contributed
• This upended years of practice, as the decision rested on regular compensation requiring a service to
• service purchases.
• Good afternoon, Chair Ryan, Chair Brady, members of the Public Service Committee.

Keywords: 995, all

Summary: The committee heard testimony on several public service and retirement-related bills. Senator Kelly Dooner and Rep. O’Rourke supported a Taunton home rule petition to extend Chief Walsh’s service during the city’s transition to a new public safety facility, citing the need to manage new equipment, cameras, and 911 systems smoothly. Senator Lovely testified in favor of bills expanding retirement savings access through the SMART Plan and the CORE Plan, arguing that automatic enrollment and broader eligibility would help state, municipal, and nonprofit workers save for retirement. No questions were raised on the Taunton petition, and the hearing later moved through the remaining testimony without any votes taken during the transcript. Mary Waldron of the Old Colony Planning Council and Jeffrey Walker of the Southeast Regional Planning and Economic Development District urged support for legislation protecting regional planning agencies from being required to make retroactive payments to the State Retirement Board for past employer contributions. They warned that the costs would be unsustainable, could force layoffs or closures, and would jeopardize their ability to provide transportation, housing, economic development, and planning services. Bill Keith and Patrick Charles of PEREC testified on several retirement administration bills, including measures to ease statement-of-financial-interest filing rules, require payment for certain creditable service purchases, and clarify the definition of wages to include sick, vacation, and personal time; committee members asked questions about regional transit authorities joining retirement systems and about adding local retirement board representation to a proposed commission. Jonathan Osimo and Rob Fabino of the Massachusetts Teachers Retirement System supported bills to penalize delinquent pension reporting by employers and to create a special commission to study retirement credit purchases, saying better reporting would improve retirement processing and that a broader review could improve fairness and sustainability. Eddie Boynton of the Braintree Education Association backed the SMART Plan bill, describing how automatic enrollment and low-fee fiduciary oversight could protect educators from high-cost supplemental retirement products. Matthew Nugent testified for a bill to divest public pension funds from firearms and ammunition. After the final witnesses, the chairs asked if anyone else wished to testify, heard none, and then adjourned the hearing.

Transcript Highlights:

• We have ASL and CART services being provided.
• service providers, and the populations served were diverse.
• What are some of the initiatives particular to direct service professionals and direct support services
• What are some of the initiatives particular to direct service professionals and direct support services
• Wraparound support, right, the wraparound services.

Keywords: 995, all

Summary: The subcommittee met to approve the April and May minutes, welcome a new member, and hear an update from Gina Frey of EOHHS on statewide health and human services workforce development efforts. Frey described cross-secretariat initiatives under the Workforce Skills Cabinet, including MA Repay loan repayment awards, expanded community college and tuition supports, ESOL/work-readiness programming for immigrants, and efforts to build career pathways and reduce attrition in nursing, behavioral health, direct care, and primary care. She also reviewed a $46 million ARPA-funded home and community-based services grant program that supported 82 grantees, led to hiring 8,752 new staff, over 1,000 interns, 2,000 new certifications, and a drop in vacancy rates from 22% to 12%. Members raised concerns about the impact of immigration policy changes on the direct care workforce, including losses of trained workers in provider agencies, and asked whether any exemption or other relief efforts were underway. Frey said EOHHS is tracking the issue closely but did not identify a specific exemption effort. The discussion also touched on Medicaid and related program changes, with Frey noting the administration is focused on understanding potential impacts to eligibility and work requirements. Rep. Howard asked about initiatives for direct support professionals and wraparound supports, and Frey said those efforts are often led by individual agencies such as MassAbility and DDS, with EOHHS coordinating across them. The latter part of the meeting shifted to planning FY26 subcommittee goals and possible events. Members discussed using the Health Policy Commission’s Behavioral Health Workforce Center and possibly asking for a study comparing compensation in DDS and related direct care roles against health care and education jobs. They also discussed a possible cross-state public event on immigration’s impact on the workforce, especially for people with disabilities and direct support services, and agreed to continue refining goals and event ideas by email and at the next meeting. Frey provided a website link and contact information for Amy Doyle at the Health Policy Commission to facilitate future presentations.

Transcript Highlights:

• Paul Regional Water Services.
• Paul Regional Water Services.
• Paul Regional Water Services alone, we started with about 26,000 lead service lines.
• service line.
• I know the need is service lines.

Keywords: 919, house, all

Summary: House and Senate capital investment leaders held a public discussion focused primarily on lead service line removal and the need for a new bonding bill. Rep. Fue Lee and Chair Jeff Franzen said Minnesota’s existing state and federal lead-line funds will be exhausted by the 2026 construction season, warning that without action there would be no lead removal program in 2027. They framed the issue as a bipartisan public health and infrastructure priority, emphasizing that no amount of lead is safe and that regular capital investment is needed to keep communities moving forward. Testimony from Raquel Vasquez of St. Paul Regional Water Services, Bradley Peterson of the Coalition of Greater Minnesota Cities, and Joel Smith of LiUNA Minnesota and North Dakota described the scale of the problem and the progress made so far. Vasquez said St. Paul’s pilot program is working, with costs coming down and about 6,000 of roughly 26,000 local lead service lines expected to be replaced by the end of the season, but warned that 18,000 to 20,000 would remain without more funding. Peterson said there are about 100,000 known lead service lines statewide and more than 200,000 still being assessed, with replacement costs averaging $10,000 to $15,000 per line. Smith stressed that funding gaps would stall momentum, leave at least 90,000 lead pipes in the ground, and cost the state thousands of union jobs. In response to questions, Sen. Sandy Pappas said she supports including $100 million in appropriation bonds for lead service lines in the Senate bonding proposal, while acknowledging the need is closer to $250 million. House leaders said they were discussing the size and contents of the bonding bill and were considering both general fund cash and appropriation bonds, with affordability for homeowners a key concern. The chairs also discussed broader bonding priorities, including other water, sewer, road, and facility projects, and noted that decisions would depend on whether leadership can reach agreement on a final bonding package before the end of session.

Transcript Highlights:

• Program in the Federal Grants Trust Fund from the grants and aids contracted services category.
• This amendment is for the result of the social service.
• and ambulance services.
• Both trust funds are allocated within the investigative service budget entity.
• , Director of Administrative Services, who's going to present Amendment EOGB 2026-0459.

Summary: The Legislative Budget Commission considered 21 budget amendments, most of them routine authority adjustments tied to federal grants, Medicaid payment programs, and trust fund realignments. The Department of Education received $14.751 million for a Preschool Development Grant to support early learning system improvements, workforce credentialing and training, IT modernization, and related early childhood certification work. The Department of Veterans Affairs shifted $2.2 million within its trust fund to cover higher nursing home occupancy, replace contract nursing with OPS staff, and meet rising operating costs. The Department of Health moved about $9.1 million to support Disability Determinations, where roughly 140,000 cases were pending or in process, and said the change would help reduce backlog and avoid a deficit. The Agency for Health Care Administration presented multiple amendments for Medicaid-related programs, including $766 million for indirect medical education, $1.9 million for managed care network adequacy audits, $209 million for the Rural Health Transformation Program, and several large supplemental payment programs for hospitals and physicians; members asked about CMS approval delays, provider access, and how rural funds would be distributed. The commission also adopted an amendment realigning KidCare funds, placing a $32.1 million surplus into reserve, though several members objected that the state had not yet implemented the 2023 KidCare expansion and that children remained on a wait list. Another Medicaid amendment placed a $376 million surplus into reserve after updated estimating conference projections. Other agencies also received approvals. FDLE received $16.26 million to buy counter-unmanned aircraft systems equipment such as radar and RF sensors to detect and mitigate drone threats. The Department of Juvenile Justice received $1.6 million for the Florida Scholars Academy and a Social Services Block Grant realignment, with staff confirming corrective action had been taken after prior audit findings about allowable SSBG spending. The Division of Emergency Management received federal pass-through authority for FIFA World Cup security and counter-UAS funds, both controlled by the Miami host committee, and members noted the state had little direct oversight over how those local grants would be used. The Department of Commerce received $148.4 million for Community Development Block Grant Disaster Recovery work, with questions focused on the split between housing, infrastructure, and administrative costs. The Department of State received $408,377 for arts and culture federal grant obligations. All amendments were adopted, generally without objection, after brief questioning and no public testimony.

Transcript Highlights:

• These services include the administration of basic maintenance medications or essential services like
• coverage includes targeted services coverage includes targeted services provided<00:57:14.480>
• for his service. for his service.
• Central service they so important?
• <01:35:49.840> We service technicians out there. We service technicians out there.

Keywords: 1183, house

Transcript Highlights:

• services but it's it's dynamic. Okay. services but it's it's dynamic. Okay.
• real a little bit on selective service. real a little bit on selective service.
• . service. service.
• selective service. Um follow up. selective service. Um follow up.
• services to nonprofits around the state. services to nonprofits around the state.

Keywords: 1191, senate, all

Transcript Highlights:

• We are currently looking at economic housing or labor services.
• We're on page 6, line 52, for the Family and Youth Services category.
• that are in public service.
• per public service ambulance companies.
• It's intended to pay the service fee charged by Identico.

Keywords: 1064, all

Transcript Highlights:

• , particularly on human services and more access and quality around those services.
• Then there's the non-mandatory services.
• Those HCBS services are optional. Home- and community-based services, waivered services.
• Optional Medicaid services were impacted more than mandatory Medicaid services.
• organizations that do any residential services, we are required by. that do any residential services

Keywords: 995, all

Summary: The Massachusetts Commission on the Status of Persons with Disabilities held its quarterly meeting on September 10, with roll call, approval of the June minutes as amended, and welcoming remarks for newly appointed commissioner Rachel Caprilyan and reappointed commissioners. Chair Denise Garlick outlined plans for a statewide community hearing series, beginning with a November 4 hybrid hearing at Needham Town Hall focused on the Boston/Metro West region, and described the creation of a nonvoting advisory council to broaden the commission’s expertise across health care, transportation, housing, education, employment, business, and local disability commissions. Commissioners discussed the nomination process, the need for geographic diversity, and the goal of having the council in place by the December quarterly meeting. The main presentation addressed proposed federal Medicaid and SNAP changes in H.R. 1, with Jennifer Bertrand of the Massachusetts Developmental Disabilities Council warning that the law could cut federal Medicaid spending by $1 trillion over 10 years, impose work requirements, require redeterminations every six months, restrict provider taxes, and reduce SNAP benefits. She said these changes could increase uninsurance, create administrative barriers, and threaten home- and community-based services, with a Massachusetts analysis projecting 141,000 to 203,000 MassHealth members could lose coverage over six months. Commissioners and attendees responded that the changes could harm people with disabilities, caregivers, and provider organizations, increase institutionalization risk, and intensify competition for limited state resources; several emphasized the need for disability groups and broader health care stakeholders to coordinate advocacy. Subcommittee reports highlighted recent and upcoming work. The Disability Employment Subcommittee reported on a June “Strength and Support” event, an August presentation by Run the Gamut, and an upcoming MAPC/Employment First workshop in Worcester, while the Long-Term Services and Supports and Health Equity Subcommittee discussed a presentation from the Lurie Institute for Policy Research on community living dashboards and disparities in Medicaid and LTSS. Commissioners also shared announcements about upcoming events, including the Paul Spooner Generational Leisure Summit, the Disability Policy Consortium’s John Winsky Memorial Award ceremony, the Massachusetts Health Council’s annual celebration, and a September 17 hearing on insurance coverage for hearing aids. The meeting ended with congratulations to commissioner Carl Richardson for an accessibility award and a motion to adjourn, which passed.

Transcript Highlights:

• Transportation, translation services, housing support services, and all of those were the same group.
• Transportation, translation services, housing support services, and all of those were the same group.
• Transportation, translation services, housing support services, and all of those were the same group.
• I think he provided lip service, unfortunately. Right.
• I think he provided lip service, unfortunately. Right.

Keywords: 1187, senate, all

Summary: The discussion focused on fraud in Minnesota public assistance and human services programs, with an emphasis on the harm done to vulnerable recipients rather than just the dollar amounts. The senator described cases involving childcare, PCA, adult daycare, autism, housing support, and food programs, arguing that fraud and poor oversight leave children, disabled people, nursing home residents, and others in neglect or unsafe conditions. He said many of the programs are Medicaid-related or state-funded entitlements intended to address social needs, and that stolen funds directly worsen outcomes for those they are meant to help. He traced the problem to weak state oversight and agency inaction, citing the creation of the DHS Office of Inspector General after earlier childcare fraud concerns, whistleblower reports, and alleged failures by agency leadership to pursue larger, organized schemes. He pointed to the Feeding Our Future case as a major example, saying federal investigators uncovered broader fraud patterns across multiple programs and that state agencies failed to act despite warning signs. He also said recent audits, including one involving DHS Behavioral Health Administration, showed inadequate site visits and other serious deficiencies. The senator said he recently met with federal officials in Washington, D.C., because a large share of Minnesota spending includes federal dollars and federal partners have a stake in preventing misuse. He argued that federal action is necessary but not sufficient, and that Minnesota also needs stronger internal controls, standardized eligibility verification, identity and residency checks, site visits, and better use of data tools. He supported creating an independent Office of Inspector General passed last session, but said it is only a partial solution and that agencies themselves must be retrained and held accountable. No formal votes were taken in the exchange, but the senator described ongoing legislative efforts and said he was pessimistic about the governor’s willingness to act.

Transcript Highlights:

• the Green Star as part of American Service banner tradition.
• with their military service and should be recognized by our state.
• The impact of military service can continue long after deployment ends.
• But for today, the wounds of service do not end when they come home.
• Battalion Valar's life reminds us that service takes many forms.

Keywords: 987, senate, all

Summary: The Senate opened with a quorum call, prayer, Pledge of Allegiance, guest recognitions, and approval of the Senate journals. Members then considered several gubernatorial appointments to the Department of Corrections and Rehabilitation. Despite protest from Senator Grove over the lack of action on a separate rehabilitation appointment, the Senate confirmed Kathleen Ratliff and Joseph Tuggle, Jason Johnson, Madeline McLean, Brian Bishop, and Sarah Larson, with each confirmation passing overwhelmingly or unanimously. The chamber next adopted Senate Resolution 86 recognizing Cinco de Mayo Week and the 2026 Latino Spirit Award honorees. Senators from multiple caucuses spoke in support, emphasizing Mexican history, Latino civic engagement, and solidarity across communities. The Latino Caucus then introduced the honorees, including leaders in higher education, philanthropy, labor, health, advocacy, environmental justice, journalism, culinary arts, and the legacy band Los Tigres del Norte. The Senate also adopted SCR 146 declaring May Cystic Fibrosis Awareness Month, and SCR 154 establishing Green Star Veterans and Families Day to honor veterans who died by service-related suicide and their families. Later, the Senate adopted SCR 123 for California Peace Officers Memorial Day after emotional remarks naming officers killed in the line of duty and honoring their families, and SCR 164 recognizing Black Health Equity Advocacy Week, with speakers citing racial disparities in health outcomes and maternal mortality. The body also adopted SCR 103 on Tardive Dyskinesia Awareness Week, with a guest recognition for a behavioral health advocate. In third reading, the Senate passed SB 1159 on artificial intelligence and public participation, SB 1416 shortening refund timelines for duplicate medical/dental payments, SB 1273 and SB 1195 on alcoholic beverage tied-house exemptions, SB 941 limiting commissary markups in private detention facilities, SB 1099 clarifying local authority to provide public benefits, and SB 990 allowing a highway information sign near Ridgecrest. The session concluded with adjournments in memory of labor leader Kent Wong and Navy veteran and artist Victor Valar.

Transcript Highlights:

• . services when they need it.
• services.
• provider will be required to actually provide service.
• all receive service.
• With bond issuance comes debt service.

Keywords: 988, house, all

Transcript Highlights:

• for Human Services bill. for Human Services bill. Um Um Um Oh,<00:56:46.040> thanks.
• human services in fiscal year '28-'29. human services in fiscal year '28-'29.
• analyst of the Human Services Committee. analyst of the Human Services Committee.
• transforming the human services system. transforming the human services system.
• and why we do what we do in services and why we do what we do in human<01:36:21.720> services.

Keywords: 1187, senate, all

Transcript Highlights:

• on Human Services. on Human Services.
• no-cost telecommunication services. no-cost telecommunication services.
• service organizations. service organizations.
• of healthcare services. of healthcare services.
• on Human Services as amended? on Human Services as amended?

Keywords: 926, house, all

Summary: The House began with routine business, including referral of Senate Bill 211 on motor vehicle inspections to the Transportation Committee and Senate Bill 298 creating the Vermont Voting Rights Act to the Committee on Government Operations and Military Affairs. The chamber also referred House bills reported by Ways and Means to Appropriations, including H. 211 on data brokers and personal information and H. 931 on miscellaneous education law changes. JRH9, a joint resolution urging the American Speech-Language-Hearing Association to reconsider its opposition to rapid prompting method communication instruction for students with apraxia of speech or autism, was read and referred to Human Services. Several announcements followed, including a welcome to members of the Vermont chapter of the American Physical Therapy Association, a reminder about an education reform meeting, and a correction regarding a prior reference to S. 138 of 2023 and the working group on student protections from harassment and discrimination in schools. The House also recognized guests in the gallery, including Donnie Kanovsky, who was described as a proponent of JRH9. The Speaker announced that H. 606 on firearms procedures, H. 642 on youthful offender proceedings, and later H. 585 would be bumped to later in the calendar. The House then took up H. 537, the right to grow vegetable gardens. The committee explained the bill would protect vegetable gardening in common interest communities and rental housing, while allowing reasonable restrictions and landlord or association oversight; witnesses included a South Burlington resident, HOA and landlord representatives, and legislative counsel. The committee reported an 8-0-0 vote, the House adopted the committee amendment, and ordered third reading. The chamber then passed H. 171 on Attorney General investigations into a law enforcement officer’s use of a firearm and H. 519 allowing Randolph police officers to enroll in Group C of the state retirement system. The House also passed H. 536 on toxic heavy metals in baby food products after extended debate over whether infant formula should be included. Supporters said the bill would help parents make informed choices and noted the amendment was intended to align with federal action; opponents argued formula-specific federal work was still underway and urged waiting. The chamber then passed H. 550 on gender equity in correctional facilities, H. 733 on franchise agreements, H. 775 on housing production tools, H. 887 on crime victim status under the Fair Employment Practices Act, H. 917 on military affairs, and H. 921 on alcoholic beverages. Action on H. 930 addressing chronic absenteeism was postponed one legislative day, and H. 942 on miscellaneous agricultural subjects began second reading with the committee outlining sections on water quality training, non-sewage waste management, and unit pricing.

Transcript Highlights:

• which is intensive wraparound services for...
• Outpatient psychiatric services emergency services. We always just call it Copes.
• Um, then we can provide that service.
• the, well, uh, she, her team provides counseling services through the Midda Youth and Family Services
• We heard a lot of discussion about wraparound services and, uh, how important it is that these services

Summary: The committee held an interim study on how to educate and support students with severe violent or disruptive behavior while protecting classmates, teachers, and school staff. Members framed the issue as one involving students who have often experienced trauma and may be removed from class through suspension, expulsion, or juvenile placement, but who still need a meaningful path back to school. Several legislators shared personal experiences as former educators or administrators and emphasized that schools need clearer criteria for removal and return, along with stronger support for families and staff. Dr. Michelle Butler, an alternative education director, testified that Oklahoma’s current alternative education system is not designed to serve students removed for major discipline issues because placement is generally voluntary and programs are built around students who need a different learning environment, not punitive removal. She argued for early intervention, stronger attendance enforcement, trauma screening, teacher training, and a regional or cooperative model that would combine credentialed educators, social workers, therapists, and family counselors. She also described existing programs such as Trace Academy, Rogers County Youth Services diversion programs, and the limitations of virtual-only models and current funding, saying the system lacks sufficient resources and staffing. Representatives and senators asked about funding, staffing, credentials, and whether statutes should be changed to prevent alternative education dollars from going to programs that do not provide direct services. Other testimony came from Family and Children’s Services and Mid-Del Youth and Family Services, both of which described embedded school-based mental health, crisis response, intensive outpatient services, family engagement, and juvenile diversion programs. Witnesses stressed that wraparound services, school-community partnerships, and a bridge back to the home school are essential, and that many students and families need mandatory or strongly supported participation rather than purely voluntary help. The study concluded with members noting possible next steps, including expanding or supplementing alternative education, improving early intervention, and examining participation requirements and transition supports; no votes were taken, and the committee adjourned after the presentations.

Transcript Highlights:

• for them separate as a fee for service for them separate as a fee for service yes<01:00:42.559><
• <01:10:41.159> so<01:10:41.520> continue service so continue service so continue on<01:
• <01:13:09.960> was fee schedule amount for a service was fee schedule amount for a service
• <01:14:10.679> under claim for coverable services under claim for coverable services under
• it like over 90% are related to Services it like over 90% are related to Services related<01:16:

Keywords: 928, house, all

Summary: The House Finance Division III held an informational hearing on Medicaid, Medicare, Choices for Independence, and related financing, while postponing nursing facility financing and the county cap discussion to a later date. DHHS officials Ann Landry, Jonathan Ballard, and Medicaid Director Henry Litman provided an overview of Medicaid’s role, noting it is a federal-state partnership with state-specific eligibility and benefits, and emphasizing that Medicaid is a major funding and programmatic support for other DHHS initiatives. They also distinguished Medicaid from Medicare and explained that Medicaid funding is not the same as grant funding, though some providers may also receive federal grants through other channels. The presentation focused on New Hampshire’s relatively small Medicaid program and why it differs from national averages. Officials said about 184,000 residents are covered, roughly one in seven Granite Staters compared with one in five nationally, and attributed the difference largely to the state’s higher per-capita income and older population. They highlighted that about 65% of Medicaid-enrolled adults in New Hampshire are working, that only 22% of births are covered by Medicaid versus 42% nationally, and that the state’s uninsured rate is lower than the national rate. Members asked about covered services, income limits, federal matching rates, and the names of optional eligibility groups; staff explained that New Hampshire offers the optional groups discussed, with matching rates varying by category, including 90% for Granite Advantage and certain other groups, and 65% for children above the required level. A substantial portion of the hearing covered eligibility rules and recent policy changes. Officials reviewed the history of Medicaid, including HCBS waivers, the CFI program, Katie Beckett, the Olmstead decision, the ACA, and the end of continuous enrollment after the public health emergency. They also discussed the 2023 legislative expansion of postpartum coverage from 60 days to 12 months and child eligibility changes. In response to questions, DHHS said it is tracking utilization and costs for the postpartum expansion and reported that many maternal deaths occur after the prior 60-day coverage period, often involving substance use disorder or suicide; they said the longer coverage is intended to improve access to treatment and prevention. The committee also walked through household-income examples, clarified that Medicaid eligibility is based on household income and categorical rules, and confirmed that Granite Advantage ends at 138% of the federal poverty level unless another categorical basis applies. No votes were taken, and the hearing remained informational.

Transcript Highlights:

• <00:13:45.920> in supplemental protective services in supplemental protective services in
• Um with the the service providers.
• statewide social service organization. statewide social service organization.
• . services. services.
• <01:48:41.840> Well, additional services required. Well, additional services required.

Keywords: 910, house, all

Summary: The House Committee on Judiciary and Hawaiian Affairs heard House Bill 2095, which would provide supplemental appropriations for the Judiciary for the 2025-2027 biennium. Judiciary Administrative Director Brandon Kimura testified in strong support and outlined a request for about $6.4 million in supplemental operating funds, plus four permanent full-time position conversions. He grouped the request into security, services to court users, and staffing needs, including $3.25 million for supplemental armed private security at judiciary facilities statewide, nearly $200,000 for cybersecurity staffing and support, restoration of funding for substance use treatment purchase-of-service contracts, restoration of funding for the Office of Public Guardian on Kauaʻi, salary commission funding, a Kona court operations position, and two Court-Appointed Special Advocates positions converted from temporary to permanent. He also described five capital improvement requests totaling $55.4 million, led by $30 million for construction of a new South Kohala courthouse, $1.2 million each for air conditioning upgrades in Hilo and Kauaʻi, $15 million for elevator upgrades at Kahumanu Hale, and $8 million in lump-sum bond funds for emerging projects. Several organizations testified in support, including Parents and Children Together and the True Cost Coalition. Supporters emphasized the importance of the purchase-of-service funding for domestic violence and substance use treatment services and said the restoration would return funding to pre-COVID levels and help providers maintain capacity. Kimura explained that the Judiciary often shifts funds among contracts during the year to avoid service interruptions, but that the reduced funding has caused delays and operational problems for providers and probationers. Members asked detailed questions about the capital projects and operating requests. Representative Shimizu asked for more information on the lump-sum bond funds and the elevator project, and Kimura explained that the Kahumanu Hale request covers four remaining elevator shafts after earlier funding addressed the first five elevators. Representative Cochran asked about the absence of Maui County projects, and Kimura said the Judiciary is still planning for its older Maui facilities with DAGS. Chair Tarnas questioned the need for armed private guards and discussed whether court security should be prioritized within the Department of Law Enforcement; Kimura said the Judiciary needs additional personnel now and has not asked DLE to deprioritize other missions, though the chair suggested further coordination between the agencies. No vote or final action on the bill was taken in the portion of the hearing provided.