Transcript Highlights:

• The goal posts moved several times this weekend, and we were very accommodating, working all the way
• and we moved several times this weekend and we were<01:36:26.280><c> very</c><01:36:26.560><c> accommodating
• ,</c><01:36:27.200><c> working</c><01:36:27.520><c> all</c><01:36:27.680><c> the</c> were very accommodating
• , working all the were very accommodating, working all the way<01:36:27.880><c> through</c><01:36:28.080

Bills: HF3794, HF4472, HF4410, HF4347, HF4412, HF4398, HF4397, HF4201, HF4199, HF4203, HF3706, HF4071, HF4120, HF4175, HF4188

Keywords: surveillance, price discrimination, wage discrimination, automated decision systems, consumer protections, data privacy, biometrics, school district health insurance, charter school health benefits, employee benefits, public sector health insurance, health insurance survey, Legislative Budget Office, LBO report, premium costs, retiree coverage, broker commissions, third-party administrator, health plan transparency, health reimbursement arrangement

Transcript Highlights:

• under the health department's licensing framework that the language that you passed last week accommodated
• language that you passed<01:36:38.000><c> last</c><01:36:38.239><c> week</c><01:36:38.719><c> accommodated
• </c><01:36:39.440><c> both</c><01:36:39.679><c> their</c> passed last week accommodated both their passed
• last week accommodated both their needs<01:36:40.400><c> and</c><01:36:40.639><c> the</c><01:36:40.800

Keywords: 1187, senate, all

Transcript Highlights:

• concern, which I had echoed previously and that's the reason why we're not expanding more than to accommodate
• we're not expanding more than um<00:26:24.679><c> to</c><00:26:24.960><c> to</c><00:26:25.200><c> accommodate
• </c><00:26:25.960><c> all</c><00:26:26.240><c> potential</c> um to to accommodate all potential um to
• to accommodate all potential occupations<00:26:29.280><c> healthcare</c><00:26:29.679><c> occupations

Keywords: 912, senate, all

Summary: The committee first took up gubernatorial message nominations. Margaret Jackson was heard for reappointment to the State Council on Mental Health, where she said her lived experience with family members facing schizophrenia, houselessness, and substance use issues motivates her service. Andrew Savaiano was heard for the Juvenile Justice State Advisory Council and said he wanted to continue elevating youth voice and lived experience. Tao Yan was heard for the Board of Certification of Operating Personnel in Wastewater Treatment Plants and emphasized the importance of wastewater treatment to public health and the environment. The Department of Health testified in support of the nominations, and the committee later adopted chair recommendations to advise and consent to all three nominations, noting Senator Favela’s excuse and no recorded objections. The committee then heard HB 1853 relating to dementia. Testimony was overwhelmingly in support from state agencies, advocacy groups, caregivers, and individuals with lived experience, including a person living with Alzheimer’s and his caregiver spouse, who described the value of early diagnosis and coordinated support. Supporters said the bill would expand memory care navigation and access, especially on neighbor islands and in rural areas, and help families connect to resources earlier. One member raised concerns about the cost and scale of the proposed program, asking about the number and cost of dementia specialists and noting broader budget pressures, but the bill remained under discussion with no final action shown in the transcript. The committee also heard HB 1591 relating to health care, which would expand the preceptor tax credit to additional health professions, including physician assistant students and PAs, with testimony in support from nursing, public health, medical, and provider organizations. Supporters argued the measure would help address workforce shortages and improve training opportunities for local and economically disadvantaged students. A committee member asked about the aggregate cost of the credit and whether the existing credit had been fully utilized; the chair noted the bill was being kept narrower than broader proposals because of fiscal concerns. The transcript then moved to HB 1961 relating to health care access near facilities, with supporters arguing it protects access to legal reproductive health care and opponents saying it is unnecessary, vague, and burdensome on free speech and protest activity. No final vote on the bills appears in the excerpt provided.

Transcript Highlights:

• disability community right now, there is a sense that the most vulnerable will be denied the care and accommodations
• vulnerable will be denied the<00:47:41.040><c> care</c><00:47:41.200><c> and</c><00:47:41.440><c> accommodations
• </c><00:47:42.319><c> they</c><00:47:42.640><c> need</c><00:47:42.960><c> in</c> the care and accommodations
• they need in the care and accommodations they need in an<00:47:43.359><c> unfocused</c><00:47:44.000

Bills: HF3174, HF3800

Keywords: background study, disqualification, set-aside, permanent disqualification, Office of Administrative Hearings, chief judge, human services licensing, substance use disorder treatment, SUD treatment, chemical dependency, recovery, rehabilitation, abstinence, foster care, child foster care, vulnerable adults, caregiver background check, license holder, direct contact, risk of harm

Transcript Highlights:

• Current law relating to nonprofit associations was written to accommodate homeowners associations and
• <01:45:37.520><c> was</c><01:45:37.760><c> written</c><01:45:38.000><c> to</c><01:45:38.159><c> accommodate
• </c> associations was written to accommodate associations was written to accommodate homeowners<01:45

Keywords: 1136, house, all

Transcript Highlights:

• the amendment before you today, we've significantly revised the language of the original bill to accommodate
• 00:19:58.040><c> original</c><00:19:58.480><c> bill</c><00:19:58.760><c> to</c><00:19:58.880><c> accommodate
• </c> of the original bill to accommodate of the original bill to accommodate concerns<00:20:00.040><c

Bills: HF1234, HF3528, HF3672, HF3679, HF3680, HF1944

Keywords: payment transparency, public contracts, contractor rights, government accountability, construction payments, barbering, licensing, examinations, barber schools, public safety, certifications, Barber Examiners Board, data transparency, Legislative Budget Office, state agencies, fiscal notes, public data, standard time, federal law, time zone

Transcript Highlights:

• This legislation would effectively remove core universal access accommodations meant to be accessible
• universal</c><00:09:32.400><c> access</c> remove core universal access remove core universal access accommodations
• 34.200><c> to</c><00:09:34.320><c> be</c><00:09:34.480><c> accessible</c><00:09:35.080><c> to</c> accommodations
• meant to be accessible to accommodations meant to be accessible to all. all. all.

Bills: HF3776, HF3557, HF3585

Keywords: screen time, preschool, kindergarten, early childhood education, digital media, tablets, smartphones, educational technology, EdTech, classroom devices, publicly funded preschool, school policy, child development, special education, IEP, 504 plan, IFSP, Minnesota education law, climate literacy, education

Transcript Highlights:

• If you require any accommodation, please ask our Sergeant staff, who is wearing a gold tie and probably
• If you require any accommodation, please ask our Sergeant staff, who is wearing a gold tie and probably
• If you require any accommodation, please ask our Sergeant staff, who is wearing a gold tie and probably
• If you require any accommodation, please ask our Sergeant staff, who is wearing a gold tie and probably

Keywords: 1183, house

Transcript Highlights:

• technicians, snow makers, snowcat drivers, lift operators, teachers, and school administrators who accommodate
• And to the teachers and school administrators<00:34:01.440><c> who</c><00:34:01.679><c> accommodate</
• c><00:34:02.240><c> skier</c> administrators who accommodate skier administrators who accommodate skier

Keywords: 981, all

Transcript Highlights:

• Whether housing would be available to accommodate the employees coming in?
• Whether housing would be available<00:29:58.399><c> to</c><00:29:58.640><c> accommodate</c><00:29:59.440
• ><c> the</c><00:29:59.760><c> employees</c> available to accommodate the employees available to accommodate

Keywords: 928, house, all

Summary: The committee first heard testimony on House Bill 1042, which would increase the BFA contingent credit limit. State Treasurer Monica Misipelli explained that under RSA 66, state debt capacity is tied to unrestricted revenue and that guaranteed debt counts in the calculation even though it is contingent rather than direct debt. She said the state currently has about 4.2% to 4.3% debt-to-revenue ratio, about $120 million in additional capacity, and that approving the bill’s proposed increase would reduce available capacity for future state borrowing, including capital budgets. She noted the BFA has a long history of using guarantees without a state payout, but said the legislature should consider whether the full additional $250 million is needed and whether unused guarantee authorizations, such as one for the Pease Development Authority, should be reviewed in the future. Committee members asked whether guarantees have the same effect as actual debt for bonding capacity, and the treasurer confirmed that they do for purposes of the formula. Members also asked about the usual level of debt relative to the statutory 10% cap, and she said the state generally stays well below that limit. BFA Executive Director James Key Wallace then testified that the request was driven by rising project costs, inflation, and the need for more runway so the agency does not have to return to the legislature in an emergency. He said the BFA is self-supported, has never had a guarantee paid out by the state, requires collateral and reserves, and believes the appropriate range is closer to $400 million to $450 million; he also said a Senate bill would raise the limit to $400 million. He added that the BFA’s pipeline includes projects from about $15 million to $100 million and that housing availability is an important factor in business location decisions. After closing the work session on House Bill 1042, the committee opened House Bill 241, a bill on health insurance coverage for pain management services for chronic pain. Representative Dave Nagel, the prime sponsor, gave extensive background on his long career in pain medicine and said the bill is intended to improve access to non-opioid therapies and evidence-based pain management. He described the broad population affected by chronic pain and opioid use disorder, and said the proposal has long had bipartisan and stakeholder support. No vote or final action was taken on House Bill 241 in the portion of the meeting provided.

Transcript Highlights:

• Whether housing would be available to accommodate the employees coming in?
• Whether housing would be available<00:29:58.399><c> to</c><00:29:58.640><c> accommodate</c><00:29:59.440
• ><c> the</c><00:29:59.760><c> employees</c> available to accommodate the employees available to accommodate

Keywords: 1189, house, all

Summary: The committee first heard testimony from State Treasurer Monica Misipelli on House Bill 1042, which would increase the contingent credit limit for the BFA. She explained that under RSA 66 the state’s debt capacity is capped at 10% of unrestricted revenue, and that guaranteed debt counts in the calculation even though it is not direct debt. She said the state currently has about 65% of its capacity used, roughly $120 million of remaining room, and that raising the BFA contingent credit limit from $200 million to $450 million would reduce that capacity. She noted the state’s debt-to-revenue ratio is about 4.2%, that the state’s credit rating is not immediately affected by the guarantee program unless the state actually has to assume the liability, and suggested unused guarantee authorizations, such as one for the Peace Development Authority, could be reviewed in the future. Members asked whether a credit guarantee affects bonding ability like actual debt, what the usual debt level is relative to the statutory cap, and whether the increase would crowd out future capital borrowing. Misipelli answered that guarantees are included in the formula and do affect available capacity, though the current ratio remains manageable. She also said she had been using a $120 million benchmark for capital budget planning and was now modeling $130 million in future state debt. When asked whether the full $250 million increase was necessary, she deferred to the BFA, saying the question should be answered by the agency. James Key Wallace, executive director of the New Hampshire BFA and interim commissioner of Business and Economic Affairs, then testified in support of the bill. He said the request was driven by larger project costs over the last several decades, with construction inflation causing guarantees to be used up in bigger chunks, and by the fact that the BFA has been close to its current cap. He said the agency does not use taxpayer funds, has never had a payout on a guarantee in nearly 35 years, and requires collateral, reserves, and an 80% loan-to-value buffer. He told members the Senate had a similar bill to raise the limit to $400 million and that the BFA considered that range acceptable. In response to questions, he said a smaller increase such as $150 million would cover known transactions but might not provide enough runway for future opportunities, and he confirmed the bill was brought at the BFA’s request. He also said businesses consider housing availability when deciding whether to locate in New Hampshire, since housing and workforce are key location factors. At the end of the work session, the chair closed House Bill 1042 and opened House Bill 241, a bill on health insurance coverage of pain management services for chronic pain. Representative Nagel began introducing the bill and asked for copies of the treasurer’s debt-capacity report, but the transcript cuts off before any further action on HB 241.

Transcript Highlights:

• of time, and we're not at—there's no, there's nothing here that would add to the school day to accommodate
• that would add to the school<01:11:14.560><c> day</c><01:11:14.800><c> to</c><01:11:15.120><c> accommodate
• </c><01:11:16.480><c> Um</c><01:11:16.960><c> and</c> school day to accommodate this.
• Um and school day to accommodate this.

Keywords: 1191, senate, all

Transcript Highlights:

• So that's fine, and we've accommodated that for them to do their daily business.
• So, and that's fine and and we've<00:36:54.640><c> we've</c><00:36:54.960><c> accommodated</c><00:36:
• 55.440><c> that</c><00:36:55.680><c> and</c><00:36:55.920><c> to,</c> we've we've accommodated that and
• to, we've we've accommodated that and to, like<00:36:56.400><c> I</c><00:36:56.560><c> said,</c><00:

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the October 15 minutes, and began with a moment of silence following a Louisville UPS plane explosion that was described as a local tragedy affecting many families and first responders. The main presentation was an overview of Kentucky’s Medicaid non-emergency medical transportation (NMT) program from the Department for Medicaid Services and the Transportation Cabinet. Witnesses explained that NMT is a federally required Medicaid benefit, administered by the Transportation Cabinet under a risk-based capitated model, with eligibility limited to Medicaid members traveling to medically necessary, Medicaid-covered services and who lack access to other transportation. They also described exclusions, including certain KCHIP, QMB, and PACE members, and outlined the brokered regional structure, call center operations, scheduling rules, vehicle and driver oversight, complaint handling, and rider surveys. The presenters reported that NMT handled more than 3.1 million trips in state fiscal year 2024, with over 1.38 million trips already recorded in October, and said customer satisfaction surveys were high. They said the FY 2025-26 contract total is about $360.6 million, with monthly per-member capitation rates set by region through an actuarial process and approved by CMS. They emphasized that payments are tied to monthly Medicaid enrollment and that the state draws down federal funds for the exact amount paid, with no leftover balance. They also said most NMT use comes from adult day centers and rehabilitative care such as dialysis. Members questioned the witnesses about how quality metrics and contract standards are set, whether the state had explored alternatives such as Uber Health or other integrated models, and how utilization was calculated. The witnesses said contract requirements are developed collaboratively by Medicaid Services, the Transportation Cabinet, and other agencies, and that studies of other models generally found higher costs and lower approval ratings, with additional research on a hybrid model expected by the end of the year. They clarified that one figure reflected the share of Medicaid members with registered vehicles, while another reflected actual NMT users, and they defended the capitated structure as shifting financial risk to brokers rather than the state. Representative Fleming also raised concerns about oversight, reporting, and the apparent gap between budgeted and contracted amounts, asking whether any unused funds would return to general funds; the discussion ended before a final answer was given.

Transcript Highlights:

• know that we do want to keep track of these permits, then I think they can do it while they're accommodating
• while</c><00:06:07.919><c> they're</c> they can do it while they're they can do it while they're accommodating
• </c><00:06:10.319><c> But</c><00:06:10.800><c> we</c> accommodating the other changes.
• But we accommodating the other changes.

Keywords: 928, house, all

Summary: The committee took up House Bill 74, which would require agencies issuing certain real-property-related permits to track and report how many permits they issue and how long the process takes. Representative Carol McGuire introduced the bill and said the goal is to gather data on permit timing and fees, especially for DES and DOT permits involving wetlands, alteration of terrain, driveway permits, and similar approvals. Supporters argued the state needs better visibility into permitting delays and whether statutory deadlines are realistic; they also noted the bill had passed the House on a voice vote with no debate. Adam Crapo of the Department of Environmental Services said DES is generally supportive of the reporting concept but warned that the agency’s data are spread across many separate, partly manual databases. He said DES can already do this for some land resources permits through its new system, but not across all of its more than 90 permit types without additional help. DES estimated it would need two part-time positions to compile the reports, especially for waste management and water programs, and said otherwise existing permitting staff would have to do the work, potentially slowing permit processing. He also said the agency is already working to simplify rules and move more permits onto a new online platform, but could not meet the bill’s 2026 reporting deadline with current staffing and systems. Committee members questioned whether delays are often caused by incomplete applications rather than agency inaction, and Crapo said that is frequently the case. He said DES already tracks timelines to some extent for management and statutory compliance, but not at the individual-permit detail the bill would require. He also said some letters and records are captured in One Stop, but not all are. Members expressed support for the bill’s transparency goals while also worrying about added workload and possible slowdowns. The discussion then moved to DOT, where Susan Clawson said DOT is neutral on the bill because it recently implemented Salesforce and now has good data for reporting; DOT’s fiscal note reflects software-related costs, but the agency can already track the required information in its system.

Transcript Highlights:

• Commissioner Herbert, Madam Chair, the purpose of the original study, the bridge when it would be done to accommodate
• </c><01:26:31.840><c> be</c><01:26:31.920><c> done</c><01:26:32.080><c> to</c><01:26:32.320><c> accommodate
• </c><01:26:32.880><c> this</c> it would be done to accommodate this it would be done to accommodate this

Bills: HF1569, HF460, HF850, HF707, HF798, HF852, HF366, HF365, HF836, HF866, HF885, HF959, HF1196, HF1788, HF1349, HF2272, HF2652, HF1251, HF607

Keywords: transportation, bond issuance, capital investment, infrastructure, road improvements, HF460, Sibley County, Highway 21, County State-Aid Highway, bonding bill, state bonds, bond proceeds fund, transportation grant, infrastructure improvements, sanitary sewer, water main, storm sewer, stormwater, public works, local infrastructure

Transcript Highlights:

• by</c> Starting with the adjusted gross income, homeowners also, as you know, do not have that accommodation
• 01:10:30.400><c> that</c> you know, they we do not have that you know, they we do not have that accommodation
• 32.239><c> them</c><01:10:32.560><c> and</c><01:10:32.800><c> they</c><01:10:33.120><c> still</c> accommodation
• to them and they still accommodation to them and they still need<01:10:33.600><c> to</c><01:10:34.400

Keywords: 1187, senate, all

Transcript Highlights:

• who could not attend our school if transportation was taken away or if we had to raise tuition to accommodate
• tuition</c><00:54:44.880><c> to</c> or if we had to raise tuition to or if we had to raise tuition to accommodate
• 45.920><c> loss</c><00:54:46.640><c> of</c><00:54:46.880><c> assistance</c><00:54:47.359><c> for</c> accommodate
• the loss of assistance for accommodate the loss of assistance for pupil<00:54:48.040><c> instruction

Keywords: 1187, senate, all

Transcript Highlights:

• /c><00:10:17.440><c> may</c><00:10:17.680><c> stock</c> This allows for the law to be nimble to accommodate
• This allows for the law to be nimble<00:10:45.120><c> to</c><00:10:45.360><c> accommodate</c><00:10:45.920
• ><c> current</c><00:10:46.320><c> and</c><00:10:46.640><c> future</c> nimble to accommodate current and
• future nimble to accommodate current and future delivery<00:10:47.800><c> methods.

Keywords: 1183, house

Transcript Highlights:

• that the circuit court does because there's a little bit of a conflict with needing that space to accommodate
• conflict with needing that<01:20:34.080><c> space</c><01:20:34.320><c> to</c><01:20:34.560><c> accommodate
• </c><01:20:34.960><c> all</c><01:20:35.120><c> those</c> that space to accommodate all those that space
• to accommodate all those panels<01:20:35.679><c> of</c><01:20:35.840><c> juries</c><01:20:36.239><c>

Keywords: 928, house, all

Summary: The subcommittee met to continue its review of recommendations for New Hampshire’s family court, with the chair emphasizing a collaborative approach and noting that the group would focus on the origins of the family division, recurring problems identified in earlier reports, and comparisons with other states. Members discussed organizing testimony into three broad topics: the court hearing process and pro se litigant preparation, mediation/arbitration/counseling, and the interaction of domestic violence issues with family court and related criminal proceedings. The chair also noted that the subcommittee would not meet again for two weeks and encouraged members to review materials from Judge Michael Mace and NCSL research on other states’ family court systems. Attorney Heather Culp, senior administrator for the judicial branch’s circuit court, testified about New Hampshire’s ADR programs. She explained that the Office of Mediation and Arbitration, created by statute in 2007, oversees more than 12 statewide ADR programs across the Supreme, Superior, and Circuit Courts, including family division programs such as divorce-parenting mediation, neutral case evaluation, guardianship, termination of parental rights, and voluntary adoption mediation. She said the divorce-parenting mediation program is the largest family division ADR program, with about 3,400 mediation sessions in 2023 out of roughly 6,700 cases, and that most cases involving minor children are referred to mediation soon after the first appearance session. Culp described the family division process as beginning with a first appearance session led by a case manager, who provides information, helps with paperwork, and schedules mediation, usually within 30 to 45 days. She said mediation is strongly encouraged in parenting and divorce cases, but there is no requirement to reach agreement, and parties may settle some issues while leaving others for court. She also explained that mediation is prohibited or limited in certain domestic violence cases: cases with active civil protection orders may proceed only with both parties’ consent and possible safeguards, while cases involving criminal protective orders are not sent to mediation. Mediators in court-referred family cases are contracted with the court and must be certified by the executive branch’s mediator certification board; mediators do not communicate with judges, except through a brief ADR report noting whether the case settled or what the next procedural step is. Members asked about referrals, timing, and the meaning of “neutrals,” and Culp said the court uses in-house contracted neutrals for family division ADR and does not refer divorce-parenting cases to outside providers.

Transcript Highlights:

• The concern is that not all cemeteries, uh, can accommodate that size of a plot, so this is just removing
• :04:11.159><c> cemeteries</c><00:04:12.079><c> uh</c><00:04:12.239><c> can</c><00:04:12.560><c> accommodate
• </c> not all cemeteries uh can accommodate not all cemeteries uh can accommodate that<00:04:13.439><c

Keywords: 1187, senate, all