Transcript Highlights:

• We do have our facility access coordinator here with us as well to answer any questions on the accessibility
• Some are parks, some are recreational facilities, some belong to the county, some are DLNR.
• 28.959> some<00:03:29.120> are<00:03:29.280> recreational<00:03:30.000> facilities
• , parks, some are recreational facilities, parks, some are recreational facilities, some<00:03:30.799
• <00:11:14.959> to for state buildings and facilities to for state buildings and facilities

Keywords: 912, senate, all

Summary: The joint committees on Energy and Intergovernmental Affairs and Health and Human Services heard Senate Concurrent Resolution 58 and Senate Resolution 42, which urge counties to install special-needs recreational playground equipment in parks and playgrounds. Testimony came from the Disability and Communication Access Board, the Hawaii State Council on Developmental Disabilities, the Disability Rights Center, Autism Moms of Kona, and a Pacific Disability Center representative, all supporting the resolutions. Several testifiers asked that the term “special needs” be replaced with “access and functional needs,” and one requested language broadening the measure to explicitly include developmentally and intellectually disabled youth. A committee member also discussed the need for inclusion and the benefits of accessible play for all children. After questions, the chairs said they would adopt amendments from the Disability and Communication Access Board, Autism Moms of Kona, and Tina Marie Kira, along with technical, non-substantive changes. Both committees then voted to recommend passage of SCR 58 and SR 42 with amendments, with members voting aye and some excused. The committees then heard Senate Concurrent Resolution 163 and Senate Resolution 132, which request counties to adopt flexible setback requirements for state buildings and facilities to improve land use efficiency and public service delivery. Testimony in support came from the Grassroots Institute and the Department of Accounting and General Services. The chairs moved the resolutions forward with technical, non-substantive amendments, and both committees adopted recommendations to pass SCR 163 and SR 132 with amendments before adjourning.

Transcript Highlights:

• . um product to a facility and they may be um product to a facility and they may be five<00:17:00.000
• , drivers to use the facilities, drivers to use the facilities, the<00:17:30.240> bathrooms.
• Sometimes, as a matter of facilities.
• So, this is um this is the facilities.
• use the facilities. use the facilities.

Keywords: 1191, senate, all

Transcript Highlights:

• And would these facilities pay them?
• That will undoubtedly remove private-pay patients from current facilities that all facilities do rely
• skilled nursing facilities, and rehabilitation facilities be removed from the language of this bill.
• ,<00:20:52.080> skilled intermediate care facilities, skilled intermediate care facilities
• nursing facilities and rehabilitation nursing facilities and rehabilitation facilities<00:20:54.799

Keywords: 928, house, all

Summary: The Division 3 work session focused largely on amendment 1176 to HB 2, which would have incorporated the substance of HB 548FN, a House-passed bill creating a direct-pay or membership-based model for health care facilities. Representative Mlan described the proposal as a way to increase competition in health care by extending the direct-care model used in primary care to facilities, arguing it could encourage innovation and that concerns about widespread harm to critical access hospitals were overstated. He pointed to Oklahoma’s long-standing Surgical Center model as evidence that the approach had not spread broadly or displaced hospitals there. Several members and witnesses raised concerns. Representative Stringham questioned whether the model would shift profitable services and patients away from existing hospitals, potentially worsening their finances and affecting Medicaid-related funding. David Ross, speaking for county nursing homes, opposed the language because it also removed moratoriums on nursing home, skilled nursing, inpatient rehabilitation, and self-pay beds, warning that it could increase pressure on Medicaid rates and undermine community-based care. Ben Bradley of the New Hampshire Hospital Association said the proposal appeared to create a separate regulatory framework for direct-pay facilities and raised concerns about patient safety, CMS participation rules, and a separate patient bill of rights. The chair concluded that, because HB 548 was already moving through the Senate, the HB 2 process was not the best vehicle for the policy and that the issue should be left to the Senate’s more deliberative committee process. Representative Ferski moved to not accept or remove amendment 1176 from the agenda, and the committee approved the motion by roll call, 9-0, withdrawing the item from HB 2.

Transcript Highlights:

• Second, establishing a process of licensure for New Mexico's residential treatment facilities to ensure
• Buprenorphine can be offered across different facilities.
• It's not restricted to an opioid treatment program, which is a specialty facility.
• Our recommendation here is really just to ensure that these dollars are going towards facilities that
• Making that available in residential treatment facilities is absolutely crucial.

Transcript Highlights:

• a level four facility a level four facility is<01:24:39.240> the<01:24:39.440> local
• > the<01:24:47.760> safety These facilities truly are the safety These facilities truly
• <01:24:56.440> does, what a trauma designated facility does, what a trauma designated facility
• <01:30:21.240> types in the designated rural facility types in the designated rural facility
• <01:39:01.680> that of the 85, I believe, facilities that of the 85, I believe, facilities

Keywords: 958, all

Summary: The committee opened its sixth and final interim meeting with roll call, quorum confirmation, approval of the prior minutes, and a brief change in agenda order to preserve quorum and accommodate presenters’ schedules. Members then moved through several proposed health-related items with limited discussion, and the chair noted the committee would reconvene in January for further conversation. The first substantive item was a proposal relating to utilization controls for non-opioid analgesics in Medicaid. Senator Gerald Neal and Tara Hyde of People Advocating Recovery argued that pain parity is needed so patients can access non-opioid options without prior authorization or step therapy barriers, especially in acute pain situations and for people in recovery. Senator Berg supported the concept and suggested expanding the approach to other prescriptions by allowing physicians to explain why step therapy is inappropriate at the time of prescribing; another member cautioned against unintended cost increases if non-opioid drugs are used as add-ons to opioids. The committee then heard a proposal on physician assistants from Senator Scott and Andrew Rutherford of the Kentucky Academy of Physician Assistants. They described a shift from a supervisory to a collaborative practice model, with practice scope set at the practice level, limited Schedule II prescribing authority under guardrails, and permission for PAs to perform driver’s license vision testing. Supporters said the changes would improve rural access, reduce administrative burden, and align Kentucky with neighboring states; a question from Representative Bratcher focused on experience requirements and how the proposal compares with nurse practitioner rules. No vote was taken. Finally, Representative Nancy Tate, Adia Wuchner, and Representative Jason Nemes introduced a 2026 proposal aimed at “protecting vulnerable people.” They described a broad package focused on abortion pill trafficking, marketing to minors, commercial surrogacy, assisted suicide, and organ procurement safeguards, arguing that current law leaves gaps and that additional criminal and civil penalties are needed. The presentation was informational only, with no action taken before the meeting ended.

Transcript Highlights:

• Nursing facilities and intermediate care facilities for intellectual and developmental disabilities are
• Nursing facilities and sense.
• Nursing facilities and intermediate<00:26:41.039> care<00:26:41.279> facilities<00:26:41.840
• > for intermediate care facilities for intermediate care facilities for intellectual<00:26:42.880
• terms of just rural hospital facilities terms of just rural hospital facilities or<00:56:31.280>

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Transcript Highlights:

• . facilities. facilities.
• realities of correctional facilities. realities of correctional facilities.
• . facilities. facilities.
• correctional facilities. correctional facilities.
• manufacturing facility is located. manufacturing facility is located.

Keywords: 926, house, all

Summary: The House resumed consideration of H.606 on firearm procedures and first took up Section 3 and its effective dates. A member from Northfield spoke at length in support, arguing the provision is narrowly tailored, based on actual dangerousness rather than mental illness alone, and is more limited than federal law because it applies only to specific court findings and is temporary, with rights restorable upon recovery. The House then approved Section 3 and its effective dates, approved the remainder of the Judiciary Committee report, and ordered third reading. The chamber then moved through third readings and passed H.385 on remedies and protections for victims of coerced debt, H.556 on exceptions to the state minimum wage, H.559 on the parole board, H.723 on posting of land, and H.757 on manufactured homes and limited equity cooperatives. On H.814, relating to neurological rights and AI in health and human services, the House adopted an amendment offered by the member from Burlington that required the advisory council to include proposed definitions for neurotechnology, artificial intelligence, and related terms in its report; the House Health Care Committee reported the amendment favorable 11-0-0, and the bill then passed. H.816, regulating the use of artificial intelligence in the provision of mental health services, also passed, as did H.927, technical corrections for the 2026 session. The House then took up H.930 on chronic absenteeism. The committee member from Manchester described the bill as an AOE proposal responding to high post-pandemic absenteeism rates and their impact on learning, and outlined provisions adding definitions, updating compulsory attendance language, requiring a state model policy, strengthening notification and truancy procedures, and preserving existing penalties. The member said the Education Committee heard from a wide range of education and child welfare witnesses and passed the bill 11-0. After a brief clarification on the absences section, the House proceeded toward third reading of H.930.

Transcript Highlights:

• That's done at testing facilities, at labs.
• We have a testing facility.
• That's done at testing facilities, at labs.
• We have a testing facility.
• , that's done uh at at testing facilities, that's done uh at at testing facilities, at<00:24:28.240

Keywords: 1187, senate, all

Transcript Highlights:

• I have a sort of an edgy question, so we're putting your facility on a business.
• But would that facility be in a position or location? It's a good question.
• I think the facility possibly could be renovated to do so.
• I have a sort of an edgy question, so we're putting your facility on a business.
• I think the facility possibly could be renovated to do so.

Bills: SB211, SB131, SB183, SB222, SB246, SB254

Keywords: appropriation, local government, Las Vegas, Rodriguez Park, public facilities, zoning reform, building regulations, residential apartments, commercial use, multigenerational housing, local government authority, healthcare, urgent care, emergency services, feasibility study, medical facilities, physician training, medical residency, New Mexico, massage therapy

Transcript Highlights:

• Natalie Kaharick: Yes, since the original facilities funding bill was passed.
• On the facilities funding?
• I cannot tax or call a bond vote in order to address our facility needs.
• This year we received $75,000 in facilities funding.
• received a facilities allotment since 1999.

Bills: HB2

Keywords: public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, 1185, senate, all

Transcript Highlights:

• The bill would force our new facility to close. Thank you very much.
• After those facilities were built, millions of private dollars were invested in them.
• So many of these facilities are needed, unfortunately.
• that have a very strong history of being community-based facilities.
• , it is not a battery storage facility.

Bills: HB551, HB 1281, HB1378, HB1617, HB2868, HB2881, HB3374, HB4439, HB4726, HB4732, HB4878, HB4914, HB4921, HB4958, HB5200, HB5318, HB5360, HB5402, HB5568, HB5573, HB5623, HJR218

Keywords: political contributions, address privacy, Texas Ethics Commission, election transparency, campaign finance, international organizations, World Health Organization, jurisdiction, state law, enforcement, United Nations, World Economic Forum, attorney general, Texas attorney general, state sovereignty, legal enforcement, Texas Attorney General, electric energy storage, municipal regulation, county regulation

Transcript Highlights:

• HHSC regulates healthcare providers, professions, and facilities to protect the health and safety of
• Uh, Medicaid covers, pays for more than half of the births in the state and half of the nursing facility
• or any intermediate care facilities.
• So, do they still meet that nur like nursing facility or intermediate care facility level of care.
• We do not provide any behavioral health services directly through the facility.

Transcript Highlights:

• or any intermediate care facilities.
• Like nursing facility or intermediate care facility level of care.
• Individuals waiting to to be transferred to a state mental health facility.
• We do not provide any... rural health services directly through the facility.
• Those children in actual foster homes versus just in residential facilities.

Keywords: 1184, house, all

Transcript Highlights:

• They say, oh, all LifePoint facilities are going to do this.
• And then, you know, Marquette is the regional facility for the Upper Peninsula.
• And so we can't take patients from all the outlying facilities because of, you know, and I don't want
• And then, you know, Marquette is the regional facility for the Upper Peninsula.
• One night, I was in a facility working in a lockdown unit. It was a dementia unit, 46 patients.

Summary: The Senate Committee on Labor met with a quorum, adopted the June 4 minutes, and then took up Senate Bill 948, the Workplace Employees Boundaries Act (WEB Act), after adopting an S-1 substitute by a 4-1 vote. Senator Geis presented the bill as a Michigan “right to disconnect” measure that would generally bar employers from requiring employees to access or respond to work communications outside usual work hours, allow employees to set availability hours, prohibit retaliation, direct LEO to write rules, and provide complaint and enforcement procedures with exceptions for emergencies and existing collective bargaining agreements. In questioning, Senator Albert raised concerns about how the bill would apply in small businesses and practical situations like staffing calls, school notifications, and emergency-like circumstances; Geis said the bill was meant to protect non-work time while preserving emergency carve-outs and informational messages. NFIB’s Amanda Fisher opposed the bill, arguing it was too broad, difficult to define across industries and schedules, potentially duplicative of existing wage-and-hour law, and likely to create confusion and reduce flexibility, especially for small employers. The committee then shifted to testimony on health care workforce and labor disputes. Nurses from Teamsters Local 332 described a 291-day strike at Henry Ford/Genesis over safe staffing, return-to-work terms, and alleged union-busting, saying the hospital’s staffing levels and use of replacement workers threatened patient safety and could displace experienced specialty nurses. Michigan Nurses Association president Aaron McCormick and Marquette RN union president Christina Hanson said Michigan’s problem is not a shortage of licensed nurses but of nurses willing to stay in overworked, hostile workplaces; they cited retaliation, slow grievance/arbitration processes, hospital consolidation, rural OB closures, and unsafe staffing ratios as drivers of burnout and departures. They urged stronger protections and faster dispute resolution, especially given the limited effectiveness of the NLRB and delays in labor processes. Additional testimony came from UAW Local 4911’s Kim Wheeler, who said UMH Sparrow was outsourcing two low-paid support groups—patient transport/housekeeping and food and nutrition—despite their importance to hospital operations and despite a recently ratified contract, and asked for transparency and limits on corporate outsourcing. Don Hill of SEIU Health Care Michigan described chronic understaffing in nursing homes, mandatory overtime, burnout, retaliation fears, and the need for enforceable patient-to-staff ratios and stronger wage support; he also noted that home care workers are negotiating first contracts after restored bargaining rights. The committee took no vote on SB 948 beyond adopting the substitute, heard extensive testimony, and adjourned without further business.

Transcript Highlights:

• Their facilities require.
• However, we cannot deny the reality of the tremendous energy demand these facilities require.
• Disclosure of this energy and water use by facility raises a lot of serious concerns for data center
• Processed on the servers in their facility.
• I'm the AVP of Facility Services with Macalester College.

Bills: HF2928, HF2912, HF2297

Keywords: water appropriation, data centers, environmental review, energy conservation, permit application, carbon-free energy, geothermal energy, renewable energy, Macalester College, appropriation, sustainability, solar energy, pollinator programs, license plates, agrivoltaics, environmental sustainability

Transcript Highlights:

• , firsthand, saw their facilities, firsthand, saw their facilities, observed<00:04:16.560> their
• It provides for facility construction and operations managed by the respective agencies.
• <00:08:41.680> House<00:08:42.000> Bill uh took into our facilities.
• House Bill uh took into our facilities.
• Uh, 51,000 square foot facility, state-of-the-art.

Keywords: 958, all

Summary: The House Judiciary Committee met for its sixth regular-session meeting and first took up House Bill 5, as substituted by committee amendment, which would authorize KCTCS to partner with the Department of Corrections to create a vocational training campus at North Point Training Center. The sponsor and witnesses described the bill as a prison education and re-entry initiative aimed at reducing recidivism, saving taxpayer money, and meeting workforce needs, citing Michigan’s vocational village model as evidence that prison-based training can lower reoffending. Testimony emphasized that the program would include high-demand vocational fields, credentials, eligibility and security safeguards, data collection, annual reporting, and re-entry documentation such as certificates of employability and employment protections. Several members voiced support, including comments that the bill builds on existing second-chance and employability efforts. One member asked whether post-release employment outcomes could also be tracked, and the sponsor said that would be encouraged and discussed as a possible friendly amendment. After discussion, the committee voted 19-1 to adopt the committee substitute and pass House Bill 5. The committee then began consideration of House Bill 468, which would update the Kentucky Civil Rights Act to conform the state definition of disability to the 2008 federal ADA amendments and clarify the meaning of “qualified individual with a disability.” The bill sponsor said it would remove the Kentucky Human Rights Commission’s adjudicative authority over employment and public accommodations cases, while leaving investigative powers intact and preserving housing-related adjudication, with the goal of placing those disputes in court and preserving jury-trial rights. In response to questions, the sponsor said a local mandate analysis found the court impact would be minimal to moderate, and cited commission data showing relatively few hearings. The transcript cuts off during continued discussion of HB 468.

Transcript Highlights:

• And so, it's important to keep that in mind that for all of our other licenses, including facilities
• , of life practices and the facilities, of life practices and the facilities, products<00:21:28.480
• The Minnesota Higher Education Facilities Authority, MHIEFA, is a very small state agency.
• I was able to tour a facility.
• Um, I think I able to tour a facility.

Keywords: 1187, senate, all

Transcript Highlights:

• So the facilities plan is a $30 million facility to last the state another 40 to 50 years, with... ..
• .million facility to last the state another 40 to 50 years, and still they would have the opportunity
• They would have to raise $20 million in order to build their full plan of a $30 million facility.
• They are, again, in dire need of a new facility. They're based in Fargo.
• They are, again, in dire need of a new facility. They're based in Fargo.

Bills: SB2012

Keywords: transportation, funding, infrastructure, grants, municipal, 908, all

Summary: The Government Operations Division met to continue work on budget and bill amendments. The committee first took up the Attorney General’s budget and reviewed a detailed amendment package that adjusted FTE levels, salary equity funding, funding sources, and several one-time appropriations. Changes included removing some House-added items, adding contingent funding tied to other bills, restoring certain funding sources, increasing the electronic smoking device manufacturer fee, and adding a provision on 24/7 sobriety program fees. Senator Dwyer then offered a further amendment to make the electronic smoking device fee a $2,000 application fee with a $500 annual renewal fee, which passed. The committee then voted 4-1 to adopt the budget as amended and give it a do pass recommendation as amended. The committee next considered House Bill 1143, relating to Great Plains Food Bank funding. After testimony from Amy Cleary on behalf of Great Plains Food Bank, members discussed the organization’s statewide role and the project’s financing, including a planned $30 million facility and existing fundraising. Senator Burkhard moved to restore the appropriation from $5 million to $10 million, and the motion passed 4-1. The committee then voted 4-1 to give the bill a do pass recommendation as amended, with Senator Burkhard designated as carrier. Finally, the committee discussed House Bill 1524, which would fund regional planning councils and authorize 16 FTEs. Members expressed sympathy for the councils’ work but concerns about approving new state-funded positions. No action was taken, and the chair asked to hold the bill over for further review. The committee then recessed, noting remaining budget work and upcoming hearings.

Transcript Highlights:

• Uh, other facilities that we can build out, you know, egg cracking and, um, and others to...
• Uh<00:05:10.760> other<00:05:11.160> facilities<00:05:11.720> that<00:05:11.840>
• He still has to shepherd the tennis facility. He's working on it, Joel.
• . facility. facility.
• Which to me is kind of a glimpse as to how you really take care of facilities.

Keywords: 912, senate, all

Summary: The committee heard multiple governor’s messages for confirmation to the Agribusiness Development Corporation board and one appointment to the Aloha Stadium Authority. For GM 606, David Ige Hinazumi was supported by ADC and DBEDT, with testimony highlighting his private-sector experience, technology background, and ability to help with risk management and finances. He told senators he had attended board meetings since 2018, saw ADC as a state business arm for agriculture, and supported expanding land, facilities, and even aquaculture if resources allowed. Senators asked about ADC’s role relative to the Department of Agriculture, and he said the department’s strength is research/regulatory work while ADC should focus on business development, support, and facilities for farmers and aquaculture businesses. For GM 607, Jason Watts was strongly supported by ADC leadership, DBEDT, and many agricultural and community groups, with one opposing testimony from Hawaii Farm Bureau. Supporters praised his governance, accountability, transparency, and frequent communication with the agency. In questioning, Watts said ADC’s top priority should be increasing land holdings, and he discussed ADC’s role in water systems, including preserving agricultural water sources and inventorying systems statewide. He also said ADC could potentially help small farmers comply with environmental permitting through a broader, regional approach if authorized by the Legislature. The committee also heard from Joshua Uyehara for GM 682, who was supported by ADC, county officials, and farm groups. He said his priorities would be accelerating ADC projects, expanding capacity, and possibly using ADC as a center of expertise for water systems and for helping farmers with environmental requirements; he also said biofuel crops and food production can be complementary, though food should be prioritized when water is constrained. The committee then considered GM 513, Tracy Lester Smith’s appointment to the Aloha Stadium Authority. The stadium authority and DBEDT supported her, citing her experience in NASCAR, boxing, and Bellator MMA as useful for marketing, attracting events, and commercializing the stadium. Smith said she was eager to serve and would bring experience from both the landlord and tenant perspectives, helping the board think about venue operations, sponsorships, and event attraction. Senators asked about improving public perception and execution, and she emphasized accountability, timelines, and building a venue that can draw major sports and entertainment events. No votes or final actions were taken in the portion of the hearing provided.

Transcript Highlights:

• designated receiving facilities. Wow. designated receiving facilities. Wow.
• And uh the New Hampshire facilities.
• to the designated receiving facility. to the designated receiving facility.
• or transport to a facility or transport to a facility can<00:50:14.400> be<00:50:14.640><
• Is that the case in New facility. Is that the case in New Hampshire?

Keywords: 928, house, all

Summary: The committee first handled routine business, approving the prior meeting minutes with one abstention from a member who had been absent. It then received an update from DHHS Commissioner Lori Weaver on the department’s rural health transformation grant submission. Weaver said the grant was submitted ahead of the deadline, reflected input from communities and providers statewide, and would now enter a CMS review and negotiation phase. She explained that the governor’s office will oversee the grant with DHHS, that some proposals may be limited by federal parameters, and that the department may need to hire some staff to administer the grant, within the grant’s administrative cap. Members also discussed DHHS budget pressures and staffing. The department’s CFO, Nathan White, reviewed the agency’s budget mix, noting that DHHS accounts for a large share of the state’s operating and general fund budgets, and explained projected general fund lapse estimates, which he said are currently just under $20 million for the department. He also described why lapse projections are difficult to predict in DHHS because many costs are driven by utilization and because some funds are statutorily non-lapsing. White reported that vacancy rates have risen, citing about 400 unfunded positions in the current biennium and the department’s hiring freeze, while emphasizing that direct-care positions are being prioritized. Committee members raised concerns that back-of-the-budget cuts and weak revenue collections could affect the department’s ability to manage lapse projections. The committee then heard from Division of Public Health Director Ian Watt on vaccine policy and federal changes. Watt said New Hampshire continues to support access to safe and effective vaccines, including through the universal purchase program and seasonal respiratory virus guidance. He explained a recent CDC change regarding the MMRV vaccine, which now discourages the combined shot for the first dose in children under four because of febrile seizure risk, while still allowing it for the second dose. Watt said New Hampshire’s school and child care vaccine mandates remain stable, with nine vaccines required for schoolchildren and 10 for child care, and that the state continues to review federal recommendations cautiously. He also said there have been no supply or funding disruptions affecting vaccine access, and that childhood vaccine funding through commercial insurers remains intact. Finally, the Permanent Subcommittee on Alzheimer’s Disease and Other Related Dementias presented its annual report. The subcommittee said it met about six times, heard presentations on state services, silver alerts, brain health awareness, and palliative/hospice care, and began work on updating the state’s Alzheimer’s plan, which had last been updated in 2015-2016. To gather more direct input, the subcommittee formed a needs-assessment work group to develop a survey for people living with dementia, caregivers, and service providers. It recommended integrating Alzheimer’s and dementia materials into chronic disease, aging, and public health outreach; embedding cognitive health into systems of care and the state health improvement plan; adding cognitive health measures to BRFSS; and continuing partnerships with aging and advocacy organizations. Members praised the report and suggested it should clearly identify the subcommittee and include page numbers in future versions.