Transcript Highlights:

• I'd like to know what those other programs are.
• There are programs through WIOA.
• There are programs through WIOA.
• work program participation in a work program or training program, educational program, or doing community
• Because you're right, people inside state government all run programs, and everybody loves their program

Summary: The subcommittee first recognized the Arkansas Community Colleges Leadership Institute and received a brief DHS update on the Living Choices Assisted Living Waiver reimbursement process, including that the new cost-reporting period began in January and provider/contractor calls are underway. The main presentation then focused on SNAP and TANF, with DHS describing federal changes under the One Big Beautiful Bill that tighten SNAP work requirements for adults ages 18 to 64 without certain exemptions, remove some prior exemptions, and add new federal definitions for Native American populations. DHS also reviewed SNAP Employment and Training providers, their service areas, projected budgets, participant characteristics, and outcomes, noting that the program is currently voluntary but will shift toward mandatory participation for those subject to the new rules. Members asked detailed questions about how mandatory participation will be implemented, how referrals will be made, what other training options exist, how verification of work, volunteering, disability, and exemptions will be handled, and whether DHS has enough funding and provider capacity. DHS said it will conduct verbal and written notices during eligibility interviews, make direct referrals to providers, use six-month recertifications and documentation from employers or volunteer organizations, and apply sanctions for noncompliance after determining whether a good cause exists. Members also requested additional data, including age breakdowns of at-risk SNAP recipients, provider-level outcomes and costs, and information on other training programs such as WIOA. The committee then moved to Medicaid community engagement requirements for ARHOME, which DHS said are also required by the same federal law and must be implemented by January 1, 2027. DHS said it is preparing policy, system changes, communications, and a customer-service/outbound verification vendor, and plans a soft launch beginning in July to help clients understand what would be required if the rule were already in effect. Members raised concerns about timing, local versus central decision-making, and how clients in rural areas will be notified and assisted. The meeting concluded with broader discussion of the committee’s workforce-development goals, the recently released Alliance for Opportunity audit, and interest in continuing the contract with that group to help guide future reforms.

Transcript Highlights:

• It requires the programs to establish admission criteria.
• like that, but they're offering RN programs.
• And it takes a lot to actually get accepted into the program.
• And it was a fraudulent program. want to vote up.
• And it was a fraudulent program.

Summary: The Education and Employment Committee met with a quorum and considered one bill, HB 121 by Representative Overdorf, relating to nursing education programs. The sponsor said Florida’s nursing shortage is projected to worsen and argued that low NCLEX passage rates show some programs are not adequately preparing students. The bill would tighten probation for underperforming programs, require program directors to be accountable, authorize Department of Health on-site inspections, require admission criteria and public posting of NCLEX passage rates, and require tuition reimbursement and free remediation for students at programs with passage rates below 30 percent. Members asked about how the bill would interact with the Board of Nursing, the Commission for Independent Education, and other agencies, and whether it would address fraudulent or low-quality schools. An opponent from the Florida Association of Independent Nursing Schools said current law already requires Board of Nursing and commission review, institutional accreditation, and provisional status for programs on probation, and argued the bill could reduce the supply of nurses. He also said Florida’s NCLEX results had recently improved. A representative of the Florida Nurses Association supported the bill, saying weak programs waste students’ time and money and do not produce licensed nurses. During debate, several members described concerns about diploma mills, fraudulent programs, student debt, and the need for stronger screening and accountability. Others emphasized that raising standards would improve patient safety and help ensure better-prepared nurses. The chair noted the importance of private nursing colleges in the state’s nursing pipeline. The committee then voted 19-0 to report HB 121 favorably and adjourned.

Transcript Highlights:

• Trust Fund to support the Disability Determinations Program.
• This program provides annual payments...
• This program provides fee-for-service and supplemental payments and directed payment program for physicians
• This program provides fee-for-service and supplemental payments and directed payment program for physicians
• I mean, Through the federal counter-UAS program, I mean aerial systems program, to address emerging drone-related

Summary: The Legislative Budget Commission met to consider 21 budget amendments, beginning with the Department of Education’s request for $14.751 million in federal grant authority for the Preschool Development Grant. Members asked whether any funds would support VPK or provider payments; the department said the money is for birth-to-kindergarten early learning work, including IT modernization, workforce credentialing, training, and streamlining director certification. The amendment was adopted without objection. The commission then approved amendments for the Department of Veterans Affairs to shift $2.2 million within its trust fund to cover higher nursing home occupancy and reduce staffing agency use, and for the Department of Health to realign about $9.1 million for disability determinations amid a backlog of roughly 140,000 cases. The Agency for Health Care Administration presented multiple Medicaid-related amendments, including $766 million for indirect medical education, $1.9 million for managed care network adequacy audits, $209 million for the Rural Health Transformation Program, and several large supplemental payment programs for KidCare, hospitals, physicians, cancer hospitals, nursing IME, and public hospital payments. Members questioned network adequacy, rural access, and the KidCare surplus and expansion; the KidCare realignment drew debate, with some members objecting because the 2023 eligibility expansion has not been implemented, but the amendment passed on a roll call vote. Other amendments adopted included FDLE’s $16.3 million for counter-UAS detection and mitigation equipment, DJJ’s $1.6 million for Florida Scholars Academy and a Social Services Block Grant realignment, and emergency management pass-throughs for FIFA World Cup security and counter-drone funding to the Miami host committee. The Department of Commerce received $148.4 million for disaster recovery under the CDBG-DR program, with questions about the split between housing, infrastructure, and administrative costs. The Department of State also received $408,377 for arts and culture grant authority. Most amendments were adopted without objection, and the commission adjourned after completing the agenda.

Transcript Highlights:

• programming uh our small cities program programming uh our small cities program works<00:29:45.720
• employment Community Employment Program employment Community Employment Program as<00:39:33.560>
• the employment and training programs the employment and training programs team<00:52:46.319>
• /c><00:58:12.960> uh it was a a program it is a program uh it was a a program it is a program
• state money for this program.

Keywords: 1183, house

Summary: The committee held an introductory organizational meeting for the newly named Workforce and Economic Development Committee, with Chair Dave Baker noting a quorum and that no votes or formal actions were scheduled. Members and staff introduced themselves and described their districts, backgrounds, and priorities. Several members emphasized worker protections, labor experience, small business concerns, rural economic issues, and the importance of balancing employer and employee interests. Others highlighted education-to-workforce pathways, affordability, support for seniors, and opportunities for immigrant and refugee communities. Chair Baker said he wants the committee to find a balance between protecting labor and ensuring a strong employment base, fair rules, and fair taxes, while also acknowledging concerns about recent policy trends and the need to get proposals right before they leave the committee. Members from both parties echoed themes of collaboration and economic opportunity, though some Republicans criticized past rules and regulations as burdensome on small businesses. The committee also welcomed nonpartisan staff and DFL/GOP staff, including the committee administrator, legislative assistant, House Research, and fiscal analysis staff. The committee then received an overview from DEED Commissioner Matt Varilek and deputy commissioners. Varilek described DEED’s mission as empowering growth of the Minnesota economy for everyone, increasing prosperity and extending it broadly, and coordinating with other agencies such as Labor and Industry to avoid duplication and use taxpayer dollars efficiently. He said DEED focuses on business attraction, retention, and expansion, workforce development, and helping Minnesotans—including people with disabilities—prepare for jobs and independent living. A deputy commissioner began outlining the economic development division’s structure and operations, but the transcript cuts off before the full presentation was completed.

Transcript Highlights:

• <00:08:42.599> we the water quality reducation program we the water quality reducation program
• programs that we operate of this program programs that we operate of this program in<00:10:37.880
• program is a nation<00:17:36.320> leading<00:17:36.679> program<00:17:37.200> that<
• a water quality certification program a water quality certification program program program implements
• but so the program the programs worked but so the program the programs worked but the<01:24:22.360

Keywords: 1183, house

Transcript Highlights:

• and administer several Grant programs and administer several Grant programs where<00:02:24.720><
• violence community programs and shelters, general crime programs, legal advocacy programs, and parenting
• So these programs impact children and youth impacted by crime, as well as sexual assault programs and
• legal advocacy programs and programs legal advocacy programs and parenting<00:13:29.920> time
• <01:03:54.079> are providing services our programs are providing services our programs are

Keywords: 1187, senate, all

Transcript Highlights:

• It's a separate supplemental program.
• Meyer, there's a separate supplemental funding program for the Florida Cancer Hospital program, so that's
• all of our state-directed payment programs.
• And certainly, looking at the cancer program, and I'm very familiar with the supplemental program that
• And certainly looking at the cancer program, and I'm very familiar with the supplemental program that

Keywords: 999, senate, all

Transcript Highlights:

• <00:21:35.840> from<00:21:36.000> 10<00:21:36.240> to program from 10 to program
• <00:21:52.880> of additional spending to the program of additional spending to the program
• farmer tax credit program.
• beginning farmer tax credit program. beginning farmer tax credit program.
• <01:05:58.319> program.

Keywords: 1187, senate, all

Transcript Highlights:

• I think that the Florida Field Infusion and Resuscitation Supply program is an unbelievable program.
• a little bit about that program.
• Madam Secretary, we've dealt with the Kids Care program.
• I ran the ADAP program from 1993 to 2005 myself with the Ryan White program and an incredible team of
• I ran the ADAP program from 1993 to 2005 myself with the Ryan White program and an incredible team of

Summary: The Appropriations Committee on Health and Human Services heard a presentation on the governor’s proposed fiscal year 2026-27 budget for the health and human services silo, which totals $48.5 billion. Agency leaders outlined major requests for AHCA, APD, DCF, DOEA, DOH, and the Department of Veterans’ Affairs, including behavioral health redesign, Medicaid rate changes, developmental disability services, child welfare and opioid programs, senior services, cancer research, public health initiatives, and veterans’ facility and technology needs. The committee also received an overview of the overall state budget, which was described as $117.4 billion, up 1.1% from the current year. AHCA’s presentation focused on $71.6 million for a Medicaid behavioral health redesign, including funding for residential treatment, a serious mental illness waiver, and higher inpatient psychiatric rates for youth, plus $7.1 million to raise private duty nursing reimbursement in fee-for-service Medicaid, $2.5 million for the background screening clearinghouse, and $124.4 million for the Health Care Connection System (FX). APD requested funding to continue moving people off the pre-enrollment list and to support developmental disability centers, a new forensic facility, an electronic health record system, and higher operating costs. DCF highlighted $81.9 million for eligibility and system integrity, $187.5 million for opioid prevention and treatment, $35.5 million for community-based care lead agencies, and $72.7 million to expand behavioral health bed capacity, including 474 new beds at state hospitals. DOEA sought additional funding for Alzheimer’s services, home care, and community care for the elderly. DOH emphasized $278 million for cancer research and innovation, $5 million for food and product safety testing, $5 million for the Florida FIRST blood-on-ambulance initiative, and $5.7 million for a public lab feasibility study. Veterans Affairs requested funds for facility improvements, cybersecurity, and medication management equipment. Members asked detailed questions about several items, especially the proposed changes to the AIDS Drug Assistance Program (ADAP), which would reduce eligibility and the number of people served. Senators and public witnesses criticized the lack of transparency and urged the department to pause the changes and work with stakeholders; the Surgeon General said the issue was driven by funding constraints and federal changes, not a legal barrier, and that the agency was exploring alternatives. Questions also addressed the Office of Minority Health and Health Equity, the Kids Care/CHIP expansion implementation, the cancer research funding structure, and the timeline and cost of the FX system. Public testimony focused heavily on ADAP, with speakers warning that thousands could lose medication access and calling for community involvement and a review of the program’s finances. The committee adjourned after the presentations and questions, with no votes taken on the budget items during this meeting.

Transcript Highlights:

• for this program robustly.
• Then I moved on to run our jail program, our jail mental health program.
• One of our programs that we're very proud of is our law liaison program.
• the creation of a program like that, a data sharing program.
• , and colonial programs.

Keywords: 1184, house, all

Transcript Highlights:

• Because we have more youth than programs can provide, there is a waitlist for some of these programs,
• I am in the urban forestry program, and I am in an apprenticeship program.
• They will get kind of like an IEP for the program. ...behavior program.
• We have an incentive program.
• Community-based program.

Summary: The committee began with a work session on juvenile rehabilitation institution capacity, services, and staffing. DCYF Assistant Secretary Jennifer Redmond described overcrowding at Green Hill School and Echo Glen, driven by longer adult-style sentences extending past age 25, limited community placements, and small facility sizes. She said Green Hill remains above safe operating capacity, but staffing, injuries, large-scale aggression, and use-of-force incidents have improved over the past year. She also discussed Harbor Heights, a new 46-bed flex facility that had opened with 22 youth and would expand once a medical trailer arrives, as well as community transition services, vocational programming, behavior management reforms, and a request for more resources for mental health-focused facilities and staffing. Members asked about success metrics, developmental disability screening and supports, college access at Echo Glen, Mission Creek planning, and gender-responsive programming; Redmond said JR uses assessments, family involvement, and specialized living units, and that some requested funding had already been secured for returning a girls’ program at Echo Glen. The committee then heard from Team Child and the Youth Action Coalition. Greta Schultz said youth perspectives should guide system reforms and identified key concerns: overuse of sentence extensions, underuse of community transition services, continued criminal referrals from Green Hill to Lewis County, limited family contact, inadequate mental health access, and unequal education opportunities, especially for young women at Echo Glen. Justella Gonzalez, a former system-involved youth, said her time in county and state facilities was harmful, with staff mistreatment, poor education, limited therapy access, and humiliating restraint practices; she also said girls at Echo Glen lacked the same college opportunities as boys at Green Hill. Committee members asked for follow-up on county versus state experiences and on telehealth mental health services. The next presentation covered county-level services for youth involved or at risk of involvement with the justice system, led by juvenile court administrators Christine Simon-Smeyer and Judge Rachel Anderson. They outlined the juvenile court continuum from prevention and truancy work through diversion, detention alternatives, community supervision, and disposition alternatives, emphasizing evidence-based, trauma-informed, and restorative practices. Clark County was used as an example of a court that partners closely with schools and community providers, uses risk assessments and wraparound behavioral health probation, and offers detention alternatives without electronic home monitoring. They said most courts do not use detention for status offenses, but instead use court involvement to connect youth to services. They also described funding, noting that courts rely on a mix of state block grant and local dollars, and that recent cuts to early intervention funding reduced programming and staff hours. Members asked about detention for truancy, developmental disability identification, restorative justice practices, and the juvenile block grant. Finally, DCYF Assistant Secretary Nicole Rose and Katie Warren of the Washington State Association of Head Start and ECAP discussed child care and early learning impacts from recent policy and budget changes. Rose said Fair Start for Kids investments had increased child care access, provider participation, and kindergarten readiness, with more than 60,000 children in Working Connections care and rising ECAP enrollment and provider capacity. She said recent reductions will raise most family copays in 2026, delay eligibility expansions, eliminate some expanded eligibility categories, reduce ECAP slots by about 3,000, delay entitlement timelines, and cut provider supports such as rate increases for centers, complex-needs grants, trauma-informed and dual-language incentives, and infant/early childhood mental health consultation. Warren emphasized ECAP’s role in family stability, workforce participation, and reducing poverty, and noted its two-generation approach to supporting both children and parents.

Transcript Highlights:

• So the Medi-Cal program, unlike many other of our programs, runs on a cash basis, and so dollars that
• I would say that Medi-Cal is one of those programs, and we are looking at several programs that are also
• I would say that Medi-Cal is one of those programs, and we are looking at several programs that are also
• This is for program costs and, again, cash flow needs.
• The actions you're taking today really help stabilize the program right now. sign that the program is

Summary: The Assembly Budget Committee held an informational hearing on SB 100/AB 100, the early action budget bills, with a focus on Medi-Cal funding, wildfire recovery, and several smaller budget adjustments. The Department of Finance explained that the bill would add $2.8 billion General Fund and $8.3 billion federal funds for Medi-Cal, along with other items including wildfire-related local assistance for Los Angeles County, property tax backfills for fire-damaged local agencies, Cal OES wildfire monitoring authority, nonprofit security grants, the Property Tax Postponement Fund, FARMER and Clean Cars for All funding, foster family home insurance claims, Proposition 98 technical assistance for LA wildfire-impacted schools, teacher credentialing authority, and Proposition 4 climate bond appropriations for wildfire and forest resilience projects. Much of the member discussion centered on rising Medi-Cal costs, the recent $3.4 billion cash-flow loan, and whether the new appropriation would cover payments through June. Finance said the new funds were for program costs and cash flow, not repayment of the loan, and that no additional loan authority remained. Members also debated the causes of higher Medi-Cal spending, including expanded eligibility, higher enrollment, pharmacy costs, and federal policy changes. The LAO noted that forecasting errors are not unusual but that current revisions are somewhat higher than typical, though not unprecedented. Several members emphasized that Medi-Cal supports access to care and hospital stability, while others raised concerns about sustainability and future federal cuts. Public commenters largely supported the bill, especially the Medi-Cal funding and wildfire-related provisions. Health and labor advocates argued that the program is functioning as intended by covering more low-income Californians and preventing uncompensated care. Representatives of special districts and the Altadena Library District supported the property tax backfill provisions tied to the Eaton fire. The hearing ended without a vote, with the chair noting that the committee would adjourn for floor session and that the Assembly would vote on one of the early action bills later that morning.

Transcript Highlights:

• severe problems in this program. severe problems in this program.
• seeing in this program. seeing in this program.
• NEMT program. NEMT program.
• I mean, you're this this this program<00:48:01.160> integrity program integrity program integrity
• vulnerabilities in the programs. vulnerabilities in the programs.

Keywords: 1183, house

Summary: The committee met on March 2 and approved the February 23 minutes after a quorum was reached. The main presentation was from the Department of Human Services on non-emergency medical transportation (NEMT), a federally required Medicaid benefit that helps Minnesota Health Care Program enrollees get to medically necessary appointments. DHS said the program served more than 250,000 people in 2025 at a cost of $127 million, with participation up about 14% over five years, and described the seven transportation modes, provider enrollment requirements, STS certification, background checks, prior authorization rules, and planned transitions to a single administrator for parts of the program in 2026 and 2027. DHS officials emphasized fraud prevention efforts, saying NEMT is one of the agency’s high-risk Medicaid services. They described enhanced prepayment review, provider revalidation and site visits, removal of inactive providers, and a provider moratorium in metro counties. Inspector General James Clark said the governor’s anti-fraud proposal would add pre-enrollment risk assessments, more staffing and technology, and electronic visit verification. He also noted that about 80% of NEMT spending is in managed care and that managed care organizations have their own compliance and special investigations units. Committee members raised concerns about fraud, oversight, and privatization. Chair Robbins questioned DHS about the absence of the commissioner and the program’s use of brokers, citing past concerns and asking about the vendor MTM’s history; DHS said the RFP for the new broker had closed and the vendor selection was still underway. Representative Pinto questioned why oversight is outsourced to managed care organizations and suggested bringing more oversight back in house. MTM representative Phil Stahlberger defended the company’s record, said the Missouri dispute was about contract terms from about 15 years ago, and said MTM currently works in Minnesota counties and many other states, with on-site reviews, trip verification, and complaint review processes. No further votes or final actions on the NEMT policy were taken in the portion provided.

Transcript Highlights:

• That obviously would have made the program a tax rather than a social insurance program.
• WACares is just a pure social insurance program.
• to the program.
• on this program for many years, dating back to early feasibility studies before the program was enacted
• Here are our recommendations for this program.

Summary: The Pension Funding Council met on October 8 with introductions from council members and staff, then received a detailed presentation from the Office of the State Actuary on long-term economic assumptions and the state pension systems’ financial condition. OSA reported that the combined pension systems are currently 100% funded on a smoothed basis, with open plans above 95% funded, and that legacy Plan 1 systems remain on a path toward full funding under current policy. The actuaries recommended updating assumptions to 3% inflation, 3.5% general salary growth, and a 7.25% investment return, while keeping Plan 1 membership growth at 1%. They also explained asset smoothing, the role of recent strong investment returns, and the expected budget impacts of the recommended changes. Representatives from the Economic and Revenue Forecast Council and the State Investment Board offered supporting perspectives, generally describing the assumptions as reasonable and consistent with their own outlooks. The council also heard an overview of the Long-Term Services and Supports Trust Program (WACares) from DSHS and OSA. Program staff described the program’s social insurance structure, premium collection, benefit eligibility, and upcoming implementation milestones. OSA reported that the program’s first actuarial valuation showed a positive actuarial balance under the base scenario and recommended no change to the current 0.58% premium rate during the program’s early learning phase, noting that future changes would depend on experience and the program’s risk-management framework. OSA also said the recommendation would remain the same regardless of the outcome of the pending ballot measure affecting investment options. During public comment, a representative of the Washington State School Retirees Association urged continued work on Plan 1 funding and related legislation, while the Association of Washington Cities cautioned against increasing pension assumptions in a way that could raise future employer costs and reduce flexibility for current local government services. In action, the council adopted a motion to maintain the current long-term economic assumptions by a 4-2 vote, adopted the recommendation to keep the WACares premium rate at 0.58% by a 6-0 vote, and then elected Katie Chapman as council chair by unanimous vote. The meeting then adjourned.

Transcript Highlights:

• , but I do believe the most impactful program that we have is a federally funded program.
• It is our affordable housing driver, the low-income housing tax credit program, and our HUD programs.
• If a federal program lost, it would be either the federal low-income housing tax credit program.
• programs later?
• Now, it can vary program by program. Yes, it can vary.

Keywords: 1182, all

Transcript Highlights:

• It is our affordable housing driver, the low-income housing tax credit program, and our HUD programs.
• If a federal program lost, it would be either the federal low-income housing tax credit program.
• programs later?
• It can vary program by program. Yes, it can vary.
• LI-Tech program.

Summary: The Senate Committee on Director Nominations met to consider Ruby Dylan Williams for Director of the Arizona Department of Housing. Williams described her long career at the department, her work on operational improvements, housing development, manufactured housing, and efforts to expand supply, preserve existing housing, and improve transparency through data and technology. She also said she would work with the legislature, local governments, tribal nations, nonprofits, and private partners, and emphasized the department’s role in addressing housing affordability and homelessness across the housing continuum. Members questioned her about the department’s response to Auditor General findings, including fraud prevention, payment verification, site inspections, and oversight of grantees. Williams said the department had rewritten policies, retrained staff, added stronger controls, and implemented verbal verification steps for wire transfers after a fraud incident. Senators also pressed her on budget priorities, possible cuts, and her view of homelessness policy, with some members characterizing her approach as closer to shelter or transitional housing before permanent placement. Williams said interventions should be individualized and that the department works with local jurisdictions and service providers to match people with appropriate support. Public testimony was overwhelmingly supportive. Developers, housing industry representatives, and nonprofit partners praised Williams’ private-sector housing finance experience, her knowledge of LIHTC and the QAP process, and her leadership in making the agency more efficient and business-friendly. After debate, the committee voted 3-2 to recommend her confirmation to the full Senate. Two members voted no, citing concerns about her answers on fraud oversight, cost controls, and homelessness policy, while the majority supported advancing her nomination.

Transcript Highlights:

• <00:16:09.319> which for the good food Access program which for the good food Access program
• assistance program.
• <00:45:32.119> training Trainers for the new program training Trainers for the new program
• <00:53:36.040> this markets for CLC crops program this markets for CLC crops program this
• impactful projects that this program impactful projects that this program supports<00:54:03.440>

Bills: HF1704

Keywords: Minnesota agriculture budget, Department of Agriculture appropriation, Board of Animal Health, Agricultural Utilization Research Institute, Office of Broadband Development, farm bill, rural development, agricultural grants, soil health, livestock compensation, crop damage, meat inspection, poultry inspection, county agricultural inspectors, biofertilizer, nitrogen management, commercial nitrogen fertilizer, water quality, farm down payment assistance, beginning farmers

Transcript Highlights:

• They're both Medicaid programs.
• What you're seeing here on this page is the adult dental program from the standard program.
• > going CARE program the dish program is going CARE program the dish program is going to<02:16
• This 7948 is standard Medicaid program, and 7051 is the Children's Program.
• features of those programs.

Keywords: 928, house, all

Summary: The House Finance Division Three work session on February 21, 2025 focused on the Division of Medicaid Services budget. The chair opened with procedural guidance, noting the division’s role is to make recommendations to the full Finance Committee, that the budget must be balanced, and that members should track possible amendments ahead of a March 26 target for House Bills 1 and 2. Members also discussed the importance of using official budget documents and online resources, and the chair said no motions would be taken at this session. A major early topic was concern over a five-point Medicaid policy document and the timing of House Bill 2. Representative Tarki objected that the document appeared to be an unofficial draft and argued that significant Medicaid policy changes should have been transmitted by February 15 under state law. He said the lack of an official, posted document raised transparency concerns because the changes could affect tens of thousands of residents. Committee leadership responded that the five-point document was a working document, that it would be posted online within minutes, and that House Bill 2 is often delayed while the Office of Legislative Services finalizes and formats the governor’s proposed trailer bill. DHHS Chief Financial Officer Nathan White and Medicaid Director Henry Litman then began the budget presentation. White said the committee would use the PowerPoint as the document of record, starting with the governor’s operating budget pages 885-893, and noted that Medicaid is the largest accounting area in the state budget. He said the governor’s budget reflects about $60 million in reductions within the Medicaid area, with Granite Advantage handled off-budget and another $10 million in reductions there, for roughly a $70 million difference overall. Members asked whether the comparison was being made against an efficiency budget or a prioritized-needs budget, and White said the department could look at it different ways. The presentation then outlined Medicaid’s role in New Hampshire: it provides health coverage, serves as the state’s direct interface with the federal Centers for Medicare & Medicaid Services, and helps finance related services such as long-term supports, school-based services, adult dental coverage, and re-entry programs for people leaving correctional settings. White also reviewed enrollment and program context, saying New Hampshire has about one in seven residents enrolled in Medicaid, making it the fourth smallest Medicaid program in the country by enrollment, and described recent efforts such as youth re-entry and the Medicaid unwind after the end of the federal continuous coverage period. He said the state had to process more than 238,000 redeterminations after the public health emergency and that the department tried to avoid unnecessary coverage loss during that transition.

Transcript Highlights:

• But grantees, FQHCs, they're really only about 20% of the program, about 80% of this program is hospitals
• Program as well.
• Every aspect of this program.
• Under this program.
• Of the program was very good.

Transcript Highlights:

• meet demand. program.
• Uh this program is our grants program.
• The program demand has been program.
• reduction to the program.
• program.

Bills: HF2430, HF2433

Keywords: education finance, teacher training, Read Act, state aid, school funding, education funding, children with disabilities, transition aid, special education, school district consolidation, 1183, house