Transcript Highlights:

• In the meantime, families struggle to make ends meet, and children pay the price.
• And the money that I was making at the time, it was directly to pay child care.
• What happens is that these families end up paying more in tax than they should.
• What bills do I have to pay?
• What bills do I have to pay?

Bills: H5085, H5286

Keywords: poverty alleviation, family support, economic mobility, youth transition, financial education, matched savings, community programs, Department of Children and Families, DCF, child abuse investigation, child neglect, pediatrician, advanced practice registered nurse, medical misdiagnosis, rickets, Ehlers-Danlos syndrome, osteogenesis imperfecta, vitamin D deficiency, bone fragility, child welfare

Summary: The Joint Committee on Children, Families, and Persons with Disabilities held a hybrid hearing on miscellaneous bills, including H. 5286, which would require DCF to consult a medical professional when a parent presents evidence of a pre-existing diagnosis that could explain symptoms mistaken for abuse or neglect. Representative Brian Mario said the bill would give DCF another tool in difficult cases. Jennifer Fernandes testified about her family’s experience with her grandson being removed after doctors initially suspected a skull fracture that later proved unfounded, saying the bill could help prevent similar outcomes. Committee members expressed sympathy and indicated interest in further discussion. The committee then heard extensive testimony on H. 5085/S. 3095, the omnibus “An Act Significantly Alleviating Poverty.” Supporters described the bill as a comprehensive anti-poverty package built from the Poverty Commission’s work, combining higher cash assistance grants, matched savings, baby bonds, a guaranteed stipend for youth aging out of foster care, expanded tax credits, language access, clean slate record sealing, and worker protections. Senator Eldridge, Senator Miranda, Representative Decker, and many advocates argued that poverty is tied to housing instability, child welfare involvement, health harms, and racial and gender inequities, and that the bill would help families meet basic needs, build wealth, and reduce the benefits cliff. Witnesses from social service, legal aid, labor, immigrant advocacy, and public health groups strongly supported the bill’s provisions. Several focused on specific sections: child support pass-through and a broader good-cause exception for TAFDC recipients; extending the state EITC to ITIN filers; creating baby bonds and matched savings programs; automating criminal record sealing; improving language access at state agencies; and ending the subminimum wage for farm workers. Former foster youth and service providers said the guaranteed stipend would help young adults avoid homelessness and transition more safely into adulthood. No votes were taken during the hearing, and the chairs repeatedly noted the limited time and encouraged written testimony and follow-up conversations.

Transcript Highlights:

• Is it mostly check, or how do folks pay for their license?
• But in addition to that, we're paying out more because, on average, the benefit amount is higher.
• So that means 11% are continuing to pay by a paper check.
• It's really more of a technical item for how we pay for rental agreements based on bond funding.
• how we pay for rental agreements based on bond funding.

Summary: The Assembly Budget Subcommittee 5 on State Administration held a May Revise hearing focused on state administration proposals, with the chair noting no actions would be taken and all items would remain open. The committee heard presentations on a range of budget proposals, including technical adjustments for the Governor’s Office of Service and Community Engagement and the California Workforce Development Board, security and election-related funding for the Secretary of State, modernization and loan-backfill requests for the Department of Consumer Affairs, and multiple Employment Development Department updates covering EDD Next, UI and DI/PFL benefit estimates, workforce funding, and an EMT training reappropriation. Several items drew discussion from the LAO and committee members. The LAO generally supported technical or modernization items such as PERB’s implementation requests, GoServe’s College Corps adjustment, the Secretary of State’s security and HAVA grant items, and the Board of Pharmacy modernization proposal, but raised concerns about the Bureau for Private Postsecondary Education’s proposed $10 million General Fund backfill and interest-free loan language. For EDD, the LAO flagged the size of the DI/PFL benefit adjustment and the unusual structure of the document management system proposal within EDD Next, while EDD said the changes reflected higher participation and benefit levels after SB 951 and ongoing modernization needs. The Department of Industrial Relations drew the most extensive questioning. It proposed funding for legal unit reclassifications, EAMS and Cal/OSHA data modernization, a new Cal/OSHA emerging technologies unit, a COYA reappropriation, and trailer bill changes requiring electronic payment of employer assessments and adjusting the Workers’ Compensation Appeals Board timeline. Members pressed DIR on high vacancy rates, long wage theft and workers’ compensation backlogs, low collection rates for fines, and the need for clearer workload and outcome measures. DIR said the requests were intended to improve efficiency, support audits and corrective action plans, and better address emerging workplace risks, while the LAO said the workload drivers behind delays remain unclear. The hearing also included support for CalHR’s employee assistance program consolidation and CDT’s proposal to expand “Poppy,” a statewide generative AI assistant for state employees.

Transcript Highlights:

• You pay them back over time.
• Now, there are two ways you pay them back.
• And if we pay... ...program through these private investors or pay them back, and if you pay them back
• You’re going to have to pay for the relocation of our businesses.
• You’re going to have to pay for trench plate up and down our streets.

Summary: The Senate Transportation Committee held an informational hearing on the California High-Speed Rail Authority’s 2026 draft business plan and next steps for the project. Chair Cortese opened by noting major changes since the 2024 plan, including new leadership, a bottoms-up review, scope changes in the Central Valley, loss of federal funds, and renewed interest in private investment and value capture. The Authority’s CEO, Ian Chaudhary, presented the project as moving into a construction and track-laying phase, citing progress on Central Valley structures, right-of-way acquisition, utility relocations, and a new procurement for track and systems. He said the plan reflects a more disciplined, optimized approach, with the Merced-to-Bakersfield segment targeted for revenue service around 2033 and the broader Phase 1 corridor envisioned as commercially viable through ancillary revenues, public-private partnerships, and future private financing. Committee members questioned the Authority about station relocations, single-tracking, tax increment financing, utility relocation authority, transparency, and the feasibility of private financing. Chaudhary said the Merced and Bakersfield station locations were still under discussion with local governments and that no contracts had been finalized. He defended the reduced scope and single-track approach as a just-in-time strategy to avoid overbuilding, while maintaining high-speed standards. He also said the Authority was exploring land value capture, broadband, energy, and other corridor-based revenue sources, but acknowledged that some tools would require legislative action and that private financing options were still being evaluated. Several senators expressed support for the project but raised concerns about permitting delays, local opposition, constitutional and statutory limits, and the need for stronger accountability. The Legislative Analyst’s Office and the High-Speed Rail Inspector General then gave critical assessments of the draft plan. LAO staff said the plan assumes major statutory changes, understates risk, lacks transparency about scope changes, and may not fully fund even the smaller Merced-to-Bakersfield segment once borrowing costs and other uncertainties are considered. Inspector General Ben Belknap said the draft plan does not comply with newer statutory requirements in SB 198 and AB 377, citing three main deficiencies: unauthorized scope changes to the Merced-to-Bakersfield segment, an inadequate funding plan that omits financing costs, and missing procurement milestone dates. He said the Authority’s presentation obscures the true cost and schedule impacts of the project changes, and that incomplete reporting limits legislative oversight. The Authority responded that it would address the OIG’s findings in the final business plan, and committee members indicated they expected a written response on compliance issues.

Transcript Highlights:

• And so we were already completely free, no co-pay, for up to 400% of poverty.
• Referrals are helping parents get employment so they can pay their child support...
• Fifty-seven percent of parents are able to pay their child support through that intervention.
• They are going to have an impact on how much other individuals pay for health insurance.
• Is it true that the funding has been reverted and those pay raises have not been given? Mr.

Transcript Highlights:

• We don't mind paying; we want to pay for the services we're actually getting, and that's the fight we
• we need to pay out.
• I am now paying $144,000 per year...
• Back in the day, you used to go to, like, a pay phone. Well, we still have pay phones. You do.
• I still have pay phones on the wall, and the pay phones are used, as well as our tablets are used for

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held its sixth public hearing on the Governor’s H-2 budget proposal for fiscal year 2026, focused on public safety and judiciary agencies, at the Foxborough Community Center. After opening remarks and local welcomes, the committee heard first from the Executive Office of Public Safety and Security, led by Secretary Gina Kwan, who outlined a $1.72 billion budget, up $69.8 million from FY26. She said the proposal emphasizes core operations, readiness, and partnerships with municipalities, and highlighted work on firearms-law implementation, State Police reform, DOC reentry efforts, hate-crimes prevention, emergency response, and planning for major events including the World Cup. Members also raised concerns about DNA backlog reporting, State Police academy boxing and training standards, ICE communication, disaster relief funding, crime lab staffing, EMS placement, and diversity in public safety leadership. Several exchanges focused on specific operational issues. Secretary Kwan and her team said the State Police are tracking the influx of forensic work from local sheriffs, that the boxing program remains suspended pending an IACP review and likely will not return in its prior form, and that EOPS has no direct communication with ICE but supports law-enforcement coordination where appropriate. On disaster preparedness, officials said the new disaster relief fund is being developed with MEMA and A&F, currently capitalized at $14 million with another $14 million expected, though members urged a more permanent funding source. On the crime lab, staff said the roughly $4.5 million increase is intended to cover core operations and a structural funding gap rather than expand services. The secretary also said EOPS is not ready to absorb OEMS from DPH at this time, though she would keep an open mind. The committee then heard from district attorneys, led by Suffolk County DA Kevin Hayden, who said the Massachusetts District Attorneys Association is seeking a 10% increase in operating budgets, including about $16.7 million for staffing salaries, to recruit and retain prosecutors, advocates, and support staff. He said the request reflects rising workload and the need to keep the criminal justice system functioning efficiently and fairly. The hearing was recessed briefly after the district attorneys’ opening remarks, with additional testimony expected to continue afterward.

Transcript Highlights:

• They don't pay into that program.
• They don't pay into that program.
• are paying right now?
• Hospitals pay into NICA today.
• In a private school setting, I got to pay activity fees, I got to pay for transportation.

Bills: S0036, S0620, S0796, S0934, S1080, S1096, S1366, S1536, S1548, S1580, S1588, S1620, S1756, S7034, S7044

Keywords: nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, candidate qualifying, federal office, election integrity, regulatory compliance, political candidacy, veterinary medicine, telehealth, veterinary professional associate, animal health, public safety, access to veterinary services, payment bond exemption, Habitat for Humanity, Florida Forever Act, land acquisition

Summary: The committee first took up SB 354, the “Blue Ribbon Projects” bill, which creates a framework for large planned communities on at least 15,000 contiguous acres with 60% reserved area and a streamlined local review process. Senator McLean presented the bill and a strike-all amendment, and members raised concerns about local control, conservation enforceability, data centers, concurrency, multi-county projects, and whether reserve lands could later be converted. Audubon Florida and 1,000 Friends of Florida opposed the bill, arguing the conservation protections were not permanent enough and that the reserve areas could be changed later; small-county representatives also worried about tax-base impacts. Supporters argued the bill would better manage growth, preserve green space, and provide a more orderly alternative to sprawl. After debate, the committee voted to report the bill favorably. The committee then approved SB 620 on candidate qualifying, which requires candidates for federal, state, county, district, judiciary, school, and school board offices to disclose any non-U.S. citizenship. Amendments added disclosure about whether federal candidates intend to trade stock if elected and adjusted 2026 congressional qualifying procedures in the event of redistricting, including a new qualifying window and petition rules. The bill was reported favorably after brief support from a member of the public and discussion about candidate vetting. The committee also reported favorably CS/CS/CS/SB 1452, a Department of Financial Services bill with amendments addressing My Safe Florida Home notices, condo pilot eligibility, firefighter hiring, unclaimed property, and related financial-services provisions. Next, the committee approved CS/CS/SB 1620, a school board members’ bill of rights. A substitute amendment narrowed the bill to access to records, fiscal transparency, and nondisclosure agreements, while preserving board members’ rights to timely documents, budget information, and public comment, and setting deadlines for records requests. Superintendents and a school board member testified in support, saying the bill clarifies roles and prevents board members from being frozen out. The committee also passed CS/HB 245, which replaces the term “child pornography” with “child sexual abuse material”; one senator supported the terminology change but warned about preserving legal precedent and avoiding appellate issues. The committee then reported favorably SB 1548, an update to the Live Local affordable housing law expanding eligible sites and clarifying setbacks, airport proximity, and fair-housing protections. Finally, the committee took up the veterinary medicine bill creating veterinary professional associates. The bill allows trained master’s-level VPAs to perform limited veterinary services under a veterinarian’s supervision, and an amendment tightened the standard to immediate supervision on premises. Supporters said the measure would expand access to care, especially in rural areas with vet shortages, while opponents argued it added unnecessary regulation. After testimony from veterinary educators and others, the bill continued with support expressed by committee members, including praise for the direct-supervision amendment.

Transcript Highlights:

• They don't pay into that program.
• They don't pay into that program.
• are paying right now?
• is paying a fee and the midwives that are paying a fee, we would then loop in other individuals who
• In a private school setting, I got to pay activity fees, I got to pay for transportation.

Keywords: 999, senate, all

Transcript Highlights:

• </c><00:13:06.000><c> for</c> responsibility to deliver and pay for responsibility to deliver and pay
• reason is pay not working conditions<00:20:11.120><c> but</c><00:20:11.640><c> pay</c><00:20:12.640><
• </c> meet this critical need not only to pay meet this critical need not only to pay for<00:25:14.799
• She had to pay $1,300 a month for infant child care so she could bring home $2,000 a month to then pay
• </c><01:19:23.679><c> $1,300</c> to pay $1,300 to pay $1,300 a<01:19:25.800><c> month</c><01:19:26.800

Keywords: 1187, senate, all

Transcript Highlights:

• Speaker, $400,000 pay to a school school... Speaker, $400,000 pay to a school superintendent?
• They're still going to be able to have additional pay beyond this.
• Those are good, high-paying jobs. It's very automated. They employ 75 people.
• Those are good, high-paying jobs. It's very automated.
• One is that periodically it will pay interest or dividends.

Bills: HB2720, HB2073, SB5816, SB5919, SB5831, SB6244, SB6044, SB5109, SB5877, SB6258

Keywords: behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, juice grapes, agriculture, commerce, state regulation, market access, fire safety, insurance incentives, best practices, community protection, voluntary measures, mortgage modification

Summary: The House first took up Substitute Senate Bill 6225, a transportation bond measure. Supporters said it was needed to fund preservation and maintenance of Washington’s transportation system, including road upkeep and emergency repairs, while opponents argued the state had already addressed current needs through a recent unanimous budget and existing bond authority. The bill passed final passage 59-38, meeting the required three-fifths vote. The House then considered Gross Substitute Senate Bill 6260, an education budget-related bill with many floor amendments focused on transition to kindergarten, alternative learning experience (ALE) funding, local effort assistance (LEA), educational service district reserves, superintendent pay, MSOC funding, and collective bargaining limits. Most proposed amendments were rejected, though Amendment 2654 on TK priorities was adopted. After the committee amendment as amended was adopted, the bill advanced to third reading and then passed 50-47. Supporters described it as a necessary budget reduction and risk-management measure; opponents argued it cut K-12 funding too deeply, especially in rural and property-poor districts, and would worsen inequities and invite litigation. The House also concurred in Senate amendments and passed several other bills. House Bill 1796, about school construction financing and capital levy use, passed 95-2. Second Substitute House Bill 2105, dealing with immigrant worker protections, passed 58-38. Engrossed House Bill 2211, on food sourcing for a health-related program, passed unanimously. Engrossed Substitute House Bill 2225, regulating companion chatbots and child safety, passed 74-21. Engrossed Substitute House Bill 2247, related to animal care, passed unanimously. Engrossed Second Substitute House Bill 2418, streamlining permitting timelines to support housing affordability, also passed unanimously. The House then moved on to additional Senate-concurred bills, beginning with Second Substitute House Bill 1906.

Transcript Highlights:

• The project applicant would pay for these monitoring costs.
• We think that they should pay more.
• We think that they should pay more.
• We say we can pay our bills on it. That's labor-management negotiations.
• That’s what a first-year apprentice pays in addition to a base wage. We urge you to reject it.

Summary: The Assembly Budget Committee held an informational hearing on the final three-party budget agreement and related trailer bills, with the Department of Finance outlining the major budget bill and omnibus measures. Finance described a package built around balancing the state budget amid economic uncertainty, preserving core health and safety-net programs, and making significant ongoing reductions in some state programs. The budget bill included major items such as shifting $1 billion from the General Fund to the Greenhouse Gas Reduction Fund for Cal Fire, funding universal transitional kindergarten, deferring some UC and CSU funding, supporting foster care and homelessness programs, providing Proposition 36 implementation funding, and achieving Medi-Cal savings through changes to benefits and eligibility. The committee also heard that votes on the budget bills were expected later in the week and the following Monday. Finance then walked through the trailer bills, including health, human services, early learning, education, resources, energy, transportation, labor, housing, tax, public safety, courts, general government, cannabis, and energy-related measures. Notable provisions included a Medi-Cal enrollment freeze for certain adults, new premiums and benefit changes for some immigrants, child care COLA changes, education funding for literacy, teacher support, universal meals, and community college student support, as well as resource and climate measures affecting Cal Fire staffing and energy permitting. The housing trailer bill drew the most discussion, with provisions on CEQA streamlining, a vehicle miles traveled mitigation banking program, a renters’ credit trigger, and a six-year moratorium on new residential building standards. Members also discussed a film tax credit expansion, cannabis enforcement funding, a tribal police pilot program, and changes to tax policy, including military retirement income exclusions and wildfire settlement payment exclusions. Committee members largely praised the staff and the budget process, but several raised concerns and asked detailed questions, especially about the housing trailer bill’s new wage standards, tribal consultation provisions, and possible effects on prevailing wage protections. Finance explained that the housing language was intended to set wage floors for market-rate projects receiving CEQA streamlining, with different county-based tiers and a notwithstanding clause preserving existing prevailing wage laws. Members also questioned the size and timing of funding for the Children and Youth Behavioral Health Initiative, Clean Cars for All, Proposition 36, and the film tax credit expansion. Other members highlighted support for public safety, veterans’ tax relief, child care providers, housing production, and higher education, while some expressed concern that the budget’s policy changes were being negotiated too quickly or without enough stakeholder input.

Transcript Highlights:

• Low pay and rising costs will lead to greater turnover, uncompetitive job openings, diminished quality
• serious</c> without serious without serious consequences<00:05:08.560><c> low</c><00:05:08.880><c> pay
• c><00:05:09.080><c> and</c><00:05:09.240><c> Rising</c><00:05:09.639><c> costs</c> consequences low pay
• and Rising costs consequences low pay and Rising costs will<00:05:10.039><c> lead</c><00:05:10.240><
• These taxes are significantly higher than what plans pay in the self-insured market, which are around

Keywords: 1183, house

Transcript Highlights:

• </c> equals the cost that uh rateayers pay. equals the cost that uh rateayers pay.
• I thought, "I could never pay that." Yeah, I'm almost paying that now.
• They can't pay their bills.
• </c> of motans can't are struggling to pay of motans can't are struggling to pay their<00:19:47.360><
• </c> struggling to pay the bills right now. struggling to pay the bills right now.

Keywords: 1187, senate, all

Transcript Highlights:

• But the federal government pays the facilities.
• If you're on a federal active duty status, the DOD pays for it.
• to supply something, they've got to pay us more rent.
• back pay and make him suffer during that time.
• The back pay, you know, if we pay a veteran 10 years ago or we delay paying him 10 years, he's still

Summary: The committee first heard House Bill 2348, which would appropriate state funds for Arizona Department of Emergency and Military Affairs training-center needs, including Wi-Fi for reserve units at joint facilities, a reimbursement program for service members using personal computers, lodging and kind for drill weekends, and HVAC upgrades and maintenance. Two amendments were considered: the Marquez Amendment, which filled in dollar amounts for each purpose, failed; and the Gillette Amendment, which added national-security restrictions on networking equipment, removed the reimbursement and lodging provisions from the underlying bill, and adjusted the funding language, passed. The sponsor and several military witnesses testified that reserve and Guard members at places like Buckeye lack Wi-Fi, adequate HVAC, and lodging, forcing soldiers to use public libraries, personal devices, or sleep in cars or on armory floors. After debate over whether the state should fund needs tied to federal reserve units and how the money would be sourced, the committee recommended HB 2348 as amended by a 4-3 vote. The committee then took up House Concurrent Resolution 2016, a ballot referral that would cap precinct size at 2,500 registered voters and eliminate county authority to use vote centers, emergency voting centers, and certain on-site early voting options. The sponsor said the measure was intended to restore precinct-based voting and reflect voter preference, noting the change from an earlier 1,000-voter cap to 2,500 after feedback from county officials. County and advocacy witnesses opposed the resolution, arguing that vote centers provide flexibility, are often more cost-effective, and are necessary in rural counties and large counties like Maricopa; they also said precinct voting would require many more locations, staff, and equipment, and could force some counties into central-count tabulation. Supporters argued precinct voting improves voter confidence and access. The committee approved HCR 2016 for the ballot by a 4-3 vote. Finally, the committee heard House Bill 2165, which exempts veterans from Arizona State Parks admission fees, and adopted the Marquez Amendment to extend the exemption to active military, National Guard, and reserve members and to broaden acceptable identification. Arizona State Parks testified in a neutral position, saying the agency is self-funded through user fees and already offers discounts to active duty, veterans, and disabled veterans, but warned that expanding free admission could affect park revenue and rural economies. The bill discussion ended with the amendment adopted and the measure moving forward.

Transcript Highlights:

• California's working families will pay the price.
• We're paying for it with our tax dollars that aren't going to other things, but we're also paying for
• I pay a lot less for my gas prices.
• Royal Shell would pay 0.54%. Chevron, 0.53%.
• They're wondering, how do you pay for it? They're wondering, how do you pay for it?

Summary: The committee hearing centered first on AB 1243, the Polluters Pay Climate Superfund Act of 2025, which would direct CalEPA to identify major fossil fuel companies, study California’s climate damages, and assess fees on the largest polluters to fund resilience, recovery, and related projects. The author and supporters argued the bill would make polluters help pay for climate harms, protect taxpayers, create jobs in construction and clean energy, and dedicate at least 40% of funds to disadvantaged communities. Support testimony came from environmental justice groups, labor, youth advocates, health organizations, and many individual witnesses, while opponents from the building trades, chambers of commerce, petroleum, and business groups warned it would raise fuel and consumer costs, threaten refinery jobs, and create legal and economic uncertainty. Committee members debated the bill’s impact on affordability, jobs, refinery closures, and whether cap-and-trade already addresses climate funding needs. The committee ultimately voted to give AB 1243 a due pass recommendation to the Judiciary Committee, with the roll left open. After AB 1243, the committee moved to another bill on wildfire mitigation and related resilience work. The author said the measure addresses a long-running wildfire problem and accepted committee amendments, describing the bill as a response to increasingly severe wildfire seasons and the need to help communities stay safe and rebuild after disasters. The transcript cuts off as that presentation begins, so no final action on the second bill is shown in the excerpt.

Transcript Highlights:

• </c><00:46:03.040><c> I</c> the uh MCO pays for prescriptions. I the uh MCO pays for prescriptions.
• Um paying in this state to take care of paying in this state to take care of them. them. them.
• >> Yes, on what we actually pay. What is the amount that we do pay the MCOs?
• What &gt;&gt; Yes, on on what we actually pay.
• </c> what is the amount that that we do pay what is the amount that that we do pay the<01:19:30.640><

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.

Transcript Highlights:

• for the rent and the funds to uh pay for the rent and the maintenance<00:07:55.800><c> and</c><00:07
• Do they pay that or something?
• But we can look out to the future and budget based on what our contracts are going to pay us.
• <00:39:57.040><c> us</c> pay us pay us Miss<00:39:58.640><c> tapor</c><00:39:59.079><c> y</c><00:39:59.359
• </c> there and why we're willing to pay there and why we're willing to pay $222,000<00:51:08.720><c>

Keywords: 1187, senate, all

Transcript Highlights:

• </c><01:03:05.800><c> into</c><01:03:06.040><c> this</c> pays Maximus, how much we pay into this pays
• onwards, the state pays all of that.
• And the state would pay the $17,000.
• And the state would pay the $17,000.
• </c><01:41:10.800><c> 10%</c> the local school district to pay 10% the local school district to pay 10%

Keywords: 1189, house, all

Summary: The commission on the costing of special education met to review several documents and updates, including draft materials on residential placements, an LBA dispute resolution report, prior minutes, rate-setting rules, and a letter involving Senator Hassan. The minutes from March 16 were approved by motion, second, and one abstention. Members also received an update that the LBA special education performance audit is still pending; the report is expected to be very large, NHED and the Board of Education must review and comment before release, and it likely will not be available until late summer or early fall. The separate EFA audit was also noted as still unreleased, and members said they may return later to issues involving EFA costing and differentiated aid. A major focus was HB 1099, which would create a committee to study the cost and liability of providing educational services to students placed in residential facilities. The chair explained that the House version had passed unanimously and the bill was headed to a committee of conference. Members discussed a proposed amendment to add the phrase “including but not limited to” so the study would cover not only court-ordered or treatment-related placements but also other residential placements, including those tied to school district decisions. Some members said this was a substantial expansion, while others said it would simply give the committee broader latitude. Jason Stock of the Winnisquam Regional School Board described how the issue arose during budget work at Winnisquam, where the district was trying to determine who should pay for educational services for students living at Spaulding Youth Center in Northfield. He said the district had 10 students attending Winnisquam, including three foster students and seven students connected to Spaulding, and that Spaulding-specific invoicing for 2024-2025 totaled $141,417.05 for eight students. Members also discussed rising private placement tuition costs and the difficulty of determining residency and fiscal responsibility for students placed in residential settings. Department counsel explained that under RSA 193:27 and 193:28, children placed in a home for children may attend the local district school, and that special education cost responsibility depends on whether the student is identified as disabled and on the nature of the placement. Spaulding representatives had not yet presented by the end of the excerpt, and the committee was still working through the residency and funding questions.

Transcript Highlights:

• </c> commercial insurers not paying. Right? commercial insurers not paying. Right?
• </c> that they need or paying their bills. that they need or paying their bills.
• It ensures the plans pay reasons.
• Families are already paying premiums, and they deserve to get the care that they pay for.
• </c><05:01:04.280><c> I</c> you need to pay for this program. I you need to pay for this program.

Keywords: 1189, house, all

Transcript Highlights:

• </c><00:29:50.720><c> this</c> have moorings are willing to pay this have moorings are willing to pay
• </c> already paying already paying and<00:32:55.240><c> they</c><00:32:55.400><c> just</c><00:32:55.760
• Um you asked a willing to pay it.
• </c><02:34:41.880><c> They're</c><02:34:42.000><c> not</c><02:34:42.320><c> paying</c> don't pay for
• They're not paying don't pay for it.

Keywords: 1191, senate, all

Transcript Highlights:

• </c> say well then we're only going to pay say well then we're only going to pay you<00:45:40.200><c>
• should be paying than what you should be paying so<00:48:57.400><c> we</c><00:48:57.520><c> do</c><00
• Would the transportation... pay for the speech and language services pay for the speech and language
• We're not—well, we're paying it, yes. We're not tracking it, but we are paying it. Yeah. Mr.
• <01:44:38.639><c> the</c><01:44:38.760><c> first</c> pay the first pay the first 20,000<01:44:41.480>

Keywords: 928, house, all

Summary: The work session focused on special education, especially the differentiated aid component and special education aid, which members noted is still often called “catastrophic aid.” The chair said the committee was trying to better understand how special education costs are growing, how districts are delivering services through SAUs or internally, and how reimbursement formulas affect local costs. Members also discussed the need for better data before making decisions on several education funding bills, and Representative Brown was tasked with capturing questions for follow-up information from the department or elsewhere. Testimony from the state special education director, Becky Fad, centered on why student counts in various disability categories have shifted over time. She said the categories themselves have not changed much, but autism has increased because of greater understanding and identification, developmental delay has grown because it applies to children under age 10 who may not yet have a clear diagnosis, and some students previously classified under speech/language or other health impairment are now identified in more specific categories such as autism. She emphasized that the IEP is based on a child’s individual needs, so a change in category would not necessarily change services, though it may help educators support the student differently. Members asked about whether the shifts reflect better diagnostic capability, whether the department should gather more data on the reasons for the changes, and whether autism-spectrum data could be broken down further. Fad said the department does not currently have data on the causes of the shifts or on where students fall within the autism spectrum, but that collecting and analyzing such data is on its list of priorities and a new data manager had recently been hired. She also explained that each child is counted only once on the chart by primary disability, that the IEP or eligibility team determines the primary category based on evaluations, and that any child can be referred for special education by a parent, teacher, or doctor, after which the district must meet within 15 days to decide whether to evaluate. No votes or formal actions were taken in the portion provided.