Transcript Highlights:

• Are there mobile crisis teams that are available?
• , fire, emergency medical services, child welfare services, adult protective services, and our local
• , or should it go to our TRUST or MRSS teams?
• But importantly, those teams actually do their own dispatch.
• We're involved with our hostage negotiation team.

Summary: The hearing focused on California’s 988 suicide and crisis lifeline and the broader crisis response system, with members and witnesses emphasizing both the system’s life-saving role and the risks posed by funding gaps, rising demand, and uneven local implementation. Opening remarks highlighted the personal impact of suicide and the need to strengthen crisis response so calls are answered quickly and linked to appropriate care rather than defaulting to 911, emergency rooms, or law enforcement. State officials described the AB 988 five-year implementation plan, which sets goals around public awareness, equitable access, high-quality call/chat/text response, and better integration with ongoing behavioral health services. State agencies reported progress on infrastructure, coordination, and related behavioral health investments. CalHHS said California has expanded mobile crisis teams, crisis stabilization units, and youth behavioral health supports, and is preparing additional public awareness and grant programs tied to Proposition 1. DHCS explained that 988 is funded through a federal SAMHSA grant and the AB 988 surcharge, while Medi-Cal separately funds mobile crisis services; officials said the mobile crisis benefit is active in 53 counties and that statewide expansion remains a work in progress. Cal OES described the statewide technical buildout, including network infrastructure in all 11 crisis centers, interoperability with 911, and a pilot of next-generation routing and call-handling tools. The 988 California Consortium said call volume continues to rise sharply, missed calls remain a major concern, text/chat capacity is limited, and centers need more stable funding, better reimbursement, and stronger feedback loops with the state. County and community witnesses stressed that local systems need more flexible, sustained support to match the demand. Lake County described a peer-led rural mobile crisis model that has reduced law enforcement holds and increased housing placements, but said county-run mobile crisis teams still cannot reliably access 988 surcharge dollars and face reimbursement problems from Medi-Cal and commercial plans. Santa Clara County reported strong performance metrics, rapid call answer times, and a broad continuum of mobile crisis services, but said staffing and funding are strained and commercial reimbursement remains slow. The Mental Health Association of San Francisco said the peer-run warm line complements 988 by offering non-emergency support and warm handoffs, but recent budget changes forced cuts to Spanish-language service, federation support, and hours. No formal votes or legislative actions were taken during the hearing; members mainly asked questions about surcharge levels, budget timing, coordination among agencies, data collection, and how to improve collaboration with frontline crisis centers.

Transcript Highlights:

• <00:21:53.279> portion year was the patient protection portion year was the patient protection
• I have more than two teams, but two teams that would be impacted by this bill: a licensing team and the
• certification team.
• team the certification team is already team the certification team is already working<01:47:50.599><
• protections for abortion in New protections for abortion in New Hampshire<03:55:41.680> however

Keywords: 1189, house, all

Transcript Highlights:

• common name to protect confidentiality. common name to protect confidentiality.
• under the Maryland Consumer Protection under the Maryland Consumer Protection Act.
• The bill alters the duties of a child.
• <00:47:46.520> care child care teachers in a child care child care teachers in a child care
• If not, the clerk will take the call. protections. House Bill 1100 is on third protections.

Keywords: Senate streaming session for Wednesday, April 8, 2026, 960, senate, all

Summary: The Senate reconvened with a quorum present and proceeded through a series of committee reports and floor actions, mostly on House bills. Several measures were advanced without opposition, often after brief floor explanations and unanimous adoption of committee amendments. Topics included behavioral health rate-setting modernization (HB 772), expedited Medicaid eligibility for relocated individuals with developmental disabilities (HB 1015), perinatal behavioral health screening and coverage (HB 1118), mammogram notices about breast arterial calcification (HB 1364), menopause provider training and coverage (HB 1365), cannabis licensing and training changes (HB 622), cemetery sale and transfer oversight (HB 892), travel services insurance requirements (HB 994), cash transaction rounding authorization (HB 1026), specie as legal tender (HB 1312), menstrual hygiene product ingredient labeling (HB 1357), health care quality reporting and a health centralization commission (HB 1372), special pediatric hospital transfer and review procedures (HB 1376), telehealth continuity of care for out-of-state counselors (HB 1483), and child placement protections for unlicensed settings and pediatric overstay patients (HB 1559). Most of these bills were ordered passed for third reading after the chamber adopted the committee amendments and favorable reports. The Senate also considered environmental and consumer-related measures. HB 146 would delay implementation dates for onsite wastewater system regulation and licensing requirements, while striking provisions on inspections and pumping for rental properties and sales. HB 254, a Department of Natural Resources bill, was described as facilitating community engagement in planning and development of departmental projects. HB 969 on retail electric vehicle fuel sales and charging equipment requirements was also taken up and reported favorably. In each of these cases, members noted no committee opposition and no fiscal impact, and the bills were advanced. Two bills were set aside rather than immediately acted on. HB 1037, concerning a Public Service Commission study on broadband and voice over internet protocol service, was special ordered until Friday at the request of a senator. HB 1312, the specie/legal tender bill, prompted questions about the definition of specie and was also special ordered for consideration the next morning. No roll-call votes were recorded in the excerpt; actions were taken by unanimous consent on amendments and committee reports, with multiple bills ordered to third reading.

Transcript Highlights:

• It doesn't remove any anti-discrimination protections.
• This is not intended to protect bad behavior.
• At the end of the day, they have this liability protection.
• And so there is some overlap, but I don't know that your protections, your civil protections as a citizen
• Compliance is necessary to protect the federal tax-qualified status, as... ...is necessary to protect

Summary: The committee first approved the May 5 minutes and then heard House Bill 578, which would define sex in Louisiana law as biological sex, replace references to gender with sex in various statutes and forms, and direct the Law Institute to make conforming changes. Supporters from the governor’s office said the bill would bring clarity and consistency, while opponents argued it could create conflicts with existing law and weaken protections tied to gender identity. After debate, the committee reported HB 578 favorably. Members then considered House Bill 1250, a measure aimed at aerospace-related litigation. The bill would allow a special motion to strike certain claims against aerospace flight entities when the claims are preempted by federal law. Senators raised concerns that the language was broad enough to affect airports, airlines, contractors, and even unrelated incidents, and the author said he was willing to work on narrowing amendments. The committee nevertheless reported HB 1250 favorably. House Bill 718, dealing with liability protections for private airstrips used for recreation, was amended to narrow its scope and then reported favorably, while House Bill 163, a narrower related airstrip bill, was voluntarily deferred so the committee could work from the other measure. The committee also approved House Concurrent Resolution 61, which asks the Louisiana Law Institute to review possible conflicts between the constitution and statutes on expropriation. House Bill 180, defining foreign adversaries and agents of foreign adversaries for a proposed constitutional amendment, and House Bill 192, a constitutional amendment barring foreign adversaries from expropriating land in Louisiana, were both reported favorably. House Bill 1008, which sets out academic freedom and whistleblower protections for higher education, was rejected on a roll-call vote after concerns about its scope and limits on university discipline. House Bill 638, a prompt-payment bill for contractors, was set aside while amendments were being located. Finally, the committee took up House Bill 71, which would extend existing liability protections for justified use of force to properly trained armed security guards. The author and the Board of Private Security Examiners said security officers receive training and often face dangerous situations, but opponents argued the bill would give too much protection to personnel with far less training than law enforcement and could shield bad shootings. After debate, the committee voted to defer HB 71. The last measure discussed was House Bill 1082, which would change venue rules for lawsuits involving the Municipal Police Employees’ Retirement System so actions by the system would be filed where the employer is located; the author said the bill was meant to help small municipalities, and members indicated they were open to narrowing amendments.

Transcript Highlights:

• And how do you protect those providers from unprofessional conduct when it's the actual provider group
• In the workers' comp area, we have a fee schedule to protect employers from medical abuses, and it's
• Employees get covered by the protections and the coverage of it.
• Employees get covered by the protections and the coverage of it.
• Why do you have, why protect a network to have a different fee schedule?

Bills: HB2211, HB2229, HB2389, HB2403, HB2445, HB2502, HB2620, HB2813, HB2872, HB2889, HB2960, HB4028, HCR2007

Keywords: contractors, subcontractors, resident preference, public contracts, materials supply, Arizona Revised Statutes, local businesses, pregnancy resource center, pregnancy center, crisis pregnancy center, DHS, Arizona Department of Health Services, state appropriation, general fund, nonprofit grant, women's health, maternal health, reproductive health, abortion funding, pro-life

Transcript Highlights:

• And then we're talking about causing the death of an unborn child.
• Child, you know, it's kind of an oxymoron.
• It adds a provision to the Florida Ethics Code to protect the public and to protect veterans and their
• It adds a provision to the Florida Ethics Code to protect the public and to protect veterans and their
• So there are protections there.

Summary: The Judiciary Committee took up a long agenda of 20 bills, beginning with CS/HB 1173 on the Florida Trust Code, which clarified that the Florida Attorney General is the only public official with standing to enforce charitable trusts administered in Florida; it was amended and reported favorably. The committee also unanimously or near-unanimously approved several claims and relief bills, including HB 6507 for Marcus Button, HB 6523 for Darlene Engerville and J.R., HB 6525 for Eric and Jennifer Miles, HB 6529 for J.N., and HB 6519 for the estate of Beniel Hambier, all involving settlements or compensation for injuries or wrongful death. Other measures reported favorably included CS/HB 213 on commercial squatters, CS/HB 1447 on trespass at large-scale ticketed events, CS/HB 515 updating the Uniform Commercial Code for virtual currency and related technologies, CS/HB 1007 on gift card fraud, CS/HB 1049 on protection of court officials, CS/HB 1219 on non-compete and garden leave agreements, CS/HB 399 on stolen valor in the ethics code, CS/HB 57 on xylazine regulation, HB 901 on court-appointed psychologists, and CS/HB 265 on enforcing terrorism-related judgments against frozen assets. Most of these bills had support from industry, law enforcement, or affected parties and passed with little or no opposition. The most contested measure was CS/HB 1517, which would expand Florida’s wrongful death statute to include parents of unborn children as survivors. Supporters argued it would allow families to recover damages when negligence causes the loss of a pregnancy, while opponents—including the ACLU of Florida, Planned Parenthood affiliates, reproductive rights advocates, and some committee members—warned it could be used to advance fetal personhood, chill medical care, and empower abusive partners or others to sue over abortion-related conduct. The sponsor said the bill remained within the wrongful death framework and included protections for mothers and lawful medical providers, but the committee still reported it favorably on a 14-6 vote. CS/HB 903, a corrections bill addressing inmate litigation, sentencing, execution methods, tracking devices, health services, and offender review appointments, also drew debate over a proposed tolling amendment and due process concerns; the amendment failed and the bill passed 16-5. CS/HB 57 on xylazine likewise saw debate over whether penalties should target users or traffickers, but the committee rejected a narrowing amendment and passed the bill 20-1. Several bills were amended in committee, often with technical or clarifying changes, including CS/HB 1219, HB 1351 on sexual offender and predator registration, and HB 901. Public testimony was generally supportive on the non-controversial bills, especially from law enforcement, business groups, and affected claimants. At the end of the meeting, Rep. Gottlieb offered a personal correction, acknowledging he had wrongly criticized FOP in a prior meeting after learning the organization had, in fact, contacted him. The committee then adjourned after completing the full agenda.

Transcript Highlights:

• <00:10:28.320> is the application review um that team is the application review um that team
• We are constantly looking for trends and ways to protect the program.
• We are constantly looking for trends and ways to protect the program.
• We are constantly looking for trends and ways to protect the program.
• closely with our Behavioral Health team closely with our Behavioral Health team as<00:21:16.960>

Keywords: 958, all

Summary: The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations. Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends. Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.

Transcript Highlights:

• To clarify, Family Violence Protective Orders or Magistrate's Orders of Emergency Protection are specifically
• an adult child.
• But I do believe in protecting life.
• giving them that same protection.
• of a 15-year-old or 16-year-old child, or someone's 19-year-old child, for that matter.

Keywords: 1184, house, all

Transcript Highlights:

• If you looked at child support, child support is currently went from a high of 17 down to 9.
• Child support right now is at 9.4%.
• Reasonably happy with where the vacancy rate is in child support.
• Fewer people working in the child support program today than back then.
• Our leadership team meets with our HR team, and we go over every single position and pay detail and can

Summary: The subcommittee met to review agency vacancy reports and agency-requested budget reductions, with Chair Lopez framing the discussion around stewardship of taxpayer dollars, agency efficiency, and whether long-vacant positions should be cut or repurposed. Members were given vacancy summaries and asked to focus on how agencies are functioning with current staffing, which positions are mission critical, and whether some vacancies reflect market pay issues, re-engineering of work, or true excess capacity. The chair also noted that agency heads had been asked to provide follow-up information on current openings, average vacancy duration, mission-critical roles, and reasons for vacancies. The Department of Revenue was the first major agency reviewed because it had the largest number of vacancies. Its leadership said vacancies had improved from pandemic-era highs due to market pay adjustments, but that some areas—especially general tax and audit—still had long-term openings. The department explained that some positions are intentionally frozen while work is restructured, that it hires above minimum salary in some cases to stay competitive, and that it is using automation and process changes to reduce backlogs. Members raised concerns about vacancies outside Leon County, out-of-state auditor positions, salary compression, and whether the department should provide a list of frozen positions and the salaries actually needed to recruit. The Department of Financial Services said its long vacancies were concentrated in risk management, law enforcement, and the general counsel’s office, where salaries and competition from private employers and other agencies make hiring difficult. DFS said it was using outside vendors in some areas, had reduced vacancies in its general counsel office significantly, and was willing to identify positions that could be cut, including some from treasury and OAT. The Department of Business and Professional Regulation reported progress in lowering vacancies through statewide recruiting, centralized legal hiring, automation in service operations, and leadership changes in alcoholic beverages and tobacco; it said one recommended cut could be achieved by combining two half-time positions. The Florida Lottery reported a low vacancy rate, said all positions were critical, and explained its longer onboarding time due to extensive background checks; members discussed sales reps, incentives, and the agency’s field-office structure. The Office of Financial Regulation said many of its vacancies were already in the hiring pipeline, with recent vacancies tied to promotions, a death, and internal moves, and noted that it often serves as a training ground for federal agencies. The Office of Insurance Regulation, which had a high vacancy rate concentrated in Leon County, said it had been reducing vacancies from a much higher level and was still working through hiring and administrative constraints.

Transcript Highlights:

• teams are in seven counties. teams are in seven counties.
• <00:09:55.080> welfare And in that program, our child welfare And in that program, our child
• And the average cost per child spent care.
• Obviously, we get the child spent care.
• <00:15:07.240> welfare we have within our child welfare we have within our child welfare information

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:19 DCBS 00:01:58, 958, all

Transcript Highlights:

• Moving on to item 2, the Gulf Coast Protection District.
• In order to protect the state's investment and ensure the Alamo stands protected as a beacon of liberty
• We're going to have to build a protective structure over the top. of it to protect it while the roof
• This is what DRR protects. We have the Amazon web services.
• The cloud services aren't helping to protect? The cloud vendors are helping us protect.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• I appreciate you and your team helping to coordinate.
• I also read about the litigation team, the attorney for the...
• Katz onto our team. Well, welcome, and please proceed with your testimony.
• That was reviewed by a team put together by the Attorney General of Texas.
• This district's CDA team was born from the struggle.

Keywords: 1185, senate, all

Transcript Highlights:

• or child pornography.
• One is it protects the defendant.
• Will they protect the well, this protect the homeowner and with the requirements in your bill?
• It could one day protect your child or grandchild.
• So when parents are giving care to their child, they are trained for that child.

Keywords: 999, senate, all

Transcript Highlights:

• The basketball teams around the state.
• And they played this team this year.
• On Senator Orur regarding child custody.
• the tournament because both of our teams the tournament because both of our teams were<01:29:18.000
• gone through and as we work as a team gone through and as we work as a team together.<01:32:52.560

Keywords: 920, all

Summary: The Alabama Senate convened with prayer, the pledge, and a quorum present, then approved the prior journal and allowed bills and committee reports to be introduced throughout the day. The chamber received multiple committee reports, including favorable reports on several finance and taxation bills, confirmations, local bills, and a series of resolutions. The Senate also confirmed several appointments to higher education and university boards, including Nicholas J. Balden, Jennifer Wit, Ronnie Stalworth, and Rex Reynolds, using long or previous roll calls as applicable. The Senate adopted a special order calendar that set up floor consideration of several bills, including measures on physician assistants, seafood/aquaculture, motor vehicles, campaign practices, property insurance and energy reduction, child custody, and school bus drivers. During debate on the special order calendar, Senator Smitherman raised concern that no bills on the calendar were sponsored by minority members, noting a prior understanding that minority-sponsored bills should be represented; Senator Wagner responded that the calendar was prepared based on legislation rather than sponsor party, and the exchange ended with an agreement to continue moving forward. The Senate then adopted the special order calendar and began taking up the listed bills. On the special order calendar, the Senate advanced House Bill 156 on physician assistant compacts, House Bill 277 on seafood/aquaculture tastings, and House Bill 42 on motor vehicles, with supporters describing each as consumer-friendly or supportive of industry. The chamber also considered local legislation, including bills for Madison, Tallapoosa, and Shelby counties; House Bill 337 for Madison County was amended and carried over, while House Bills 490, 491, and 493 passed after roll-call votes. Throughout the meeting, the Senate also adopted several commendatory and memorial resolutions, including measures honoring individuals, recognizing organizations and events, and naming a highway, with most adopted by voice vote and no recorded opposition.

Transcript Highlights:

• When you're taking someone's child away, that's as close. to the death penalty as the state's going to
• Elections, child support, cold case and missing persons, consumer protection, crime.
• District Clerk for Meckler County, Clarissa Webster, to be on the team at OCA, and so I just do want
• around protecting the integrity of the judiciary, when I do think we are... seeing it's a pretty easy
• The state bar is dedicated to protecting the public. through our attorney discipline system.

Keywords: 1184, house, all

Transcript Highlights:

• The inspiration I found in the night sky as a child set me on a course to become a scientist.
• But how do you convince a child to care about the stars?
• But how do you convince a child to care about the stars if they've never seen the Milky Way?
• We have a long history of working to protect public health, consumers, and our environment.
• team members said, 'Oh, Rep.

Keywords: 995, all

Summary: The committee hearing focused on a broad set of energy efficiency, building decarbonization, school modernization, and lighting bills. Testimony generally came from municipal leaders, labor unions, environmental groups, and advocates who supported measures such as H. 3529/S. 2294 on building energy and decarbonization, H. 3577/S. 2286 on a zero-carbon renovation fund, H. 3476/S. 2275 on healthy and sustainable schools, H. 3565 on Mass Save zero-carbon assessments, H. 3477 on clean lighting and appliance efficiency standards, and the Dark Sky bills on outdoor lighting. Supporters argued these bills would cut emissions, lower utility bills, improve indoor air quality and school conditions, and direct resources to environmental justice, gateway, and low-income communities. Witnesses emphasized that Massachusetts’ older building stock and school facilities need major upgrades, and that state funding and financing tools are needed to close gaps left by declining federal support. Mayors, labor leaders, and environmental advocates said the proposals would create local jobs, expand apprenticeships, and help municipalities and schools undertake retrofits, ventilation improvements, heat pump installations, and other decarbonization work. Several speakers also defended Mass Save as highly cost-effective while urging new funding sources beyond ratepayer bills for larger-scale building upgrades. One representative asked about the difference between current Mass Save audits and proposed zero-carbon assessments, and the sponsor explained the new assessments would include heat pumps, solar, storage, wiring upgrades, and rate-structure guidance. There was also testimony on the Dark Sky bill, with astronomers and museum representatives arguing that better-shielded, downward-facing lighting would reduce energy waste, protect wildlife and human health, and preserve night skies without compromising safety. Committee members raised concerns about pedestrian safety and whether education might be enough instead of legislation; supporters responded that the bill follows established lighting standards and targets only unnecessary glare and skyward light. On the school bill, an open-shop contractor group opposed the measure, arguing its PLA and apprenticeship requirements would restrict bidding and reduce competition, while labor organizations strongly supported the workforce standards and prevailing wage provisions. No votes were taken during the hearing. The committee heard extensive testimony and several members asked clarifying questions, but the transcript does not show any final action or disposition on the bills.

Transcript Highlights:

• There are 15 of these child advocacy centers across the state serving 3,000 children a year.
• These interviews allow a multidisciplinary team from child protection to criminal justice to make informed
• decisions that impact the safety and well-being of the child.
• Thank you, Speaker; this bipartisan bill will help children to have Protect children, hold offenders
• House Bill 2456 has to do with child support and COLA payments.

Transcript Highlights:

• So, in following up on Representative Bartleman's question about protections, what protections would
• to pick up a second job or care for their medically fragile child.
• to pick up a second job or care for their medically fragile child.
• to earn some income for the care of their child.
• Wave and support, okay, waves in support from Team Select.

Summary: The Health Care Facilities and Systems Subcommittee met with a quorum present and took up five bills. The first, CS/HB 1119 on pediatric readiness in hospital emergency departments, would require hospitals with ERs to adopt evidence-based pediatric care policies, train staff, designate a pediatric emergency care coordinator, complete the National Pediatric Readiness Assessment, and meet minimum equipment and planning standards. Members discussed transport to the closest appropriate facility and implementation concerns, but the bill passed 16-0. The committee then approved HB 677, which would add standard fertility preservation services to the state group insurance program for employees undergoing chemotherapy, and CSHB 497, which would authorize nonprofit agricultural organization medical benefit plans for Florida Farm Bureau members, aimed at improving affordable coverage for farmers and ranchers. HB 677 passed 16-0, and CSHB 497 passed 18-0 after questions about membership, regulation, disclosures, and how the plan would compare with ACA coverage. The subcommittee also approved PCS/HB 791 on surrendered newborn infants, allowing infant safety devices at hospitals, EMS stations, and fire stations as an alternative safe-haven option. Members discussed alarms, unmanned stations, and whether churches should be included; the bill passed 18-0. Finally, HB 1529 on home health aides for medically fragile children was amended and passed 18-0. The bill seeks a federal waiver so compensation for parents serving as home health aides does not count against Medicaid eligibility, and the amendments added reporting of adverse incidents, set work-hour limits, and protected certain other benefits. The chair closed by emphasizing the committee’s role in implementation oversight and fixing problems after enactment.

Transcript Highlights:

• <00:13:34.560> themselves pursue them and protect themselves pursue them and protect themselves
• families and in the communities and our schools and child care.
• You know, we we look at child carees.
• families to be protected. families to be protected.
• We also have an operational infrastructure team, as well as a state House team.

Keywords: 928, house, all

Summary: The committee first handled routine business, including roll call and approval of the prior meeting minutes, with one member abstaining because of absence and one member opposing. The main informational items were a Department of Health and Human Services update on the rural health transformation grant and a public health briefing on vaccines, followed by a quarterly budget and staffing update and an annual report from the Permanent Subcommittee on Alzheimer’s Disease and Other Related Dementias. Commissioner Lori Weaver reported that the department submitted the rural health transformation grant application on November 4, described it as reflecting input from communities and providers statewide, and said CMS review and budget negotiations would follow before final approval on December 31. She said the grant could support hiring as long as administrative costs stay within the 10% cap, and that the governor’s office will oversee administration with HHS. Ian Watt then testified that New Hampshire remains committed to vaccine access, including through the universal purchase program and annual respiratory virus guidance for flu, RSV, and COVID-19. He said the state continues to use evidence-based review for vaccine policy, noted the CDC’s change regarding the combined MMRV vaccine for the first dose in young children, and said New Hampshire’s school vaccine mandates remain at nine for schoolchildren and 10 for child care, with statutory exemptions still in place. Department staff also said there have been no supply or funding problems affecting childhood vaccine access. Nathan White, the department’s CFO, reviewed the DHHS budget and vacancy trends. He said DHHS makes up a large share of the state budget, that about 31% of its budget is general funds subject to lapse, and that lapse projections are difficult because much of the budget is driven by utilization rather than personnel. He reported current projected general fund lapse of just under $20 million, compared with about $39 million in the statewide surplus statement, and explained that only about a third of DHHS general funds can actually lapse because of statutory restrictions. He also said the department has about 400 unfunded positions, contributing to roughly a $30 million general fund reduction across the biennium, and that the hiring freeze has pushed vacancy trends upward while critical direct-care positions are being prioritized. The Alzheimer’s subcommittee reported six meetings this year, presentations on state services, silver alerts, brain health awareness, and palliative/hospice care, and work toward a new state Alzheimer’s plan. The subcommittee is developing a needs-assessment survey for people living with dementia, caregivers, and service providers, with the goal of using the results and other data sources to inform the plan. Its recommendations focus on integrating Alzheimer’s and dementia materials into chronic disease and aging outreach, embedding brain health into systems of care, adding cognitive health measures to BRFSS, and continuing partnerships with statewide organizations. Members also discussed recent research and prevention efforts, and the committee noted that a separate bill is being pursued to include Alzheimer’s and dementia in existing public health awareness campaigns.

Transcript Highlights:

• AND YOU EXPLAIN HOW A FLOCK COULD GROOM A CHILD OR INDOCTRINATE ANYONE?
• HOW IS A FLAG GROOMING A CHILD. >> Sen. Fine: THANK YOU FOR CONFIRMING.
• YOUR JOB TO PROTECT SPEECH DOUBLED OUR CONSTITUTION, NOT TO TRAMPLE IT.
• AND CHILD WELFARE CONCERNS.
• ON PUBLIC EMPLOYEES OF FIRST AMENDMENT PROTECTIONS.

Keywords: 999, senate, all