Transcript Highlights:

• Our licensing also already has the IT infrastructure to be able to accept in the applications and they
• So it included the fiscal note included<00:43:27.520> IT<00:43:27.920> infrastructure<00
• of how do we included IT infrastructure of how do we actually<00:43:29.680> even<00:43:30.000
• it into our existing infrastructure it into our existing infrastructure under<00:43:45.520> licensing
• in a way that really made infrastructure in a way that really made more<00:44:13.680> sense<00

Keywords: 928, house, all

Summary: The House Finance Division 3 work session opened with routine announcements, including new and absent members, a tribute to former chair Rep. Jess Edwards, and an explanation that Division 3 is advisory and will make recommendations to full Finance. Chair Mooney also distributed a self-created index to the budget binder and reviewed the committee’s options under House Rule 45. Members discussed scheduling a future visit to the Veterans Home in Tilton, with several October dates unavailable, and the chair said she would circulate possible dates. The committee also reviewed the second-year budget context and sources of funding, including surplus monies, existing and new revenue streams, grants, reappropriations, and the rainy day fund. The committee then took up several retained bills and repeatedly heard that their substance had already been addressed in the budget. House Bill 519, funding the Waypoint Youth and Young Adult Shelter, was moved ITL and passed 10-0. House Bill 547, county reimbursement funds, was also moved ITL and passed 10-0 after members noted the reimbursement had been included in HB 2. House Bill 570, repealing the prescription drug affordability board, was moved ITL and passed 10-0, with minority members saying they still believed the board had value but acknowledging the repeal had already occurred in HB 2. House Bill 704, concerning caregiver respite and senior volunteer programs, received the most discussion. Mr. Ripple explained that most items were already funded or suspended in the budget, leaving only the senior volunteer grant program unfunded. Chair Mooney offered amendment 2963H to fund the RSVP program at $180,000 for one year, contingent on surplus funds, and DHHS witnesses explained that RSVP is a federally funded AmeriCorps program that would be added to existing state licensing structures. The amendment was adopted unanimously, and the bill was reported ought to pass as amended on a 10-0 vote. The committee then heard House Bill 751, which would require licensure of outpatient substance use disorder treatment facilities and create an ombudsman-related complaint process. DHHS witnesses said the bill had been narrowed substantially from an earlier certification model with multiple positions and IT costs to a licensing model using existing department infrastructure, reducing the fiscal note to $211,000 for one position. They also said the ombudsman section was no longer needed because licensed facilities would fall under existing oversight. Members questioned how many facilities exist and whether licensing fees would cover costs; DHHS said it did not know the full provider landscape and that licensing revenue across the board does not cover the department’s costs. Rep. Daniels then proposed amendment 2964H to form a study committee because of the remaining questions and lack of a clear revenue stream, and the committee was still discussing that amendment when the transcript ended.

Transcript Highlights:

• China decided to make AI infrastructure a national mission.
• So they treat infrastructure like they would railroads. So, I mean, they're looking at AI...
• Number two, the infrastructure for the electrical grid. Good.
• Number two, the infrastructure for the electrical grid.
• One thing I don't see them really considering is the impact on local infrastructure.

Summary: The committee held its first meeting on artificial intelligence and data centers, establishing its purpose as a study and policy-development body rather than one aimed at producing many bills. Majority Leader Hogue urged members to move quickly, focus on federal and other states’ AI laws, consider possible federal preemption, child protections, and the siting and economic impacts of data centers. Committee leadership echoed that the goal is practical, balanced governance that protects North Dakota while allowing innovation to continue. Legislative Council staff provided a background memo and NCSL presented a detailed overview of AI concepts and the current state legislative landscape. The presentations distinguished narrow AI, generative AI, agentic AI, and theoretical AGI/ASI, and summarized major state policy themes: comprehensive AI laws in states such as Utah, Colorado, Texas, California, and Illinois; targeted laws on deepfakes, chatbots, health, education, notifications, and digital likeness; and growing use of appropriations and agency inventories. Members asked about Colorado’s repeal and reenactment, Texas’s sandbox and training provisions, oversight structures, and whether AI regulation is bipartisan; presenters said most issues cut across party lines, with broad agreement on child safety and deepfakes but more division on broader regulatory approaches. The federal update focused on executive orders, preemption, and congressional activity. NCSL described a White House framework favoring a single federal standard, a DOJ litigation task force, Commerce Department review of state laws, and possible funding conditions tied to state AI policy, though no formal state-law challenge had yet occurred. The presentation also covered a recent executive order creating a voluntary federal vetting process for advanced frontier models after safety concerns, and congressional proposals including a failed 10-year state moratorium, Senator Blackburn’s child-safety bills, the Kids Online Safety Act, a House-passed children’s digital safety package, a Senate data center moratorium proposal, and a House ratepayer/data-center bill. The committee took no formal action beyond receiving testimony and asking questions.

Transcript Highlights:

• The project includes parking, site infrastructure, and supporting amenities, property management, and
• I'm Sandy Williams, executive director with the Kentucky Infrastructure Authority, and pursuant to KRS
• <00:40:01.360> Authority,<00:40:02.320> and<00:40:02.480> pursuant Infrastructure
• > revolving Moving to our infrastructure revolving Moving to our infrastructure revolving fund
• will provide waste water infrastructure will provide waste water infrastructure necessary<00:41:

Keywords: 0:00:01 Call to Order and Roll Call 0:00:28 Approval of Minutes 0:00:40 Information Items 0:01:13 Rpt from Postsecondary Institutions 0:26:46 Project Rpt from Finance and Admin Cabinet 0:30:53 Lease Rpt from Finance and Admin Cabinet 0:39:20 Rpt from OFM – KIA 0:52:42 Econ Development – EDF Grants 0:55:15 OFM Debt Issues 0:58:43 Informational Discussion 1:44:36 Adjournment, 958, all

Summary: The committee first handled routine business, including a quorum call, approval of minutes, and informational items on school district financing and KCTCS equipment purchases. It then considered two KCTCS capital projects after initially rolling them together and later unrolling them: a Fire Commission Fire Academy maintenance building project that had grown from an original $2 million authorization to $4.7 million because of design changes, soil issues, and higher mechanical costs, and a $1.5 million renovation of the Blake Lee building at Somerset Community College for a health science simulation lab. Members questioned the large cost increase on the fire academy project and the adequacy of front-end due diligence, while KCTCS said the project was bid and ready to proceed and that a 15% contingency had been included. Both projects were approved by roll call vote, with the Blake Lee project ultimately approved after the committee unrolled the items and took them separately. The committee next heard and approved a University of Kentucky public-private partnership for the Hamburg East Medical Office Building, a five-story, 220,000-square-foot facility with a not-to-exceed budget of $275 million. UK said the project is intended to expand outpatient access, consolidate some services, and support projected growth in patient volume; the building will house multiple specialties, urgent care, therapy, imaging, and a retail pharmacy. Members asked about possible community uses, consolidation of services, and whether the project would free up other space, and UK said it hopes to consolidate some services and free campus space. The project was approved by roll call vote. The committee then approved three UK lease renegotiations: a specialty pharmacy and infusion services lease at Wellington Way in Lexington, a Department of Ophthalmology and Visual Sciences lease at Conte Terrace, and a College of Social Work lease at McGrath Park Way. Members asked about rising lease rates, occupancy, and whether space needs should be reduced; UK and the lessor’s representative said the pharmacy space remains busy, the ophthalmology lease was lower than before, and the social work lease had been negotiated down from a higher request. The committee also approved a Department of Military Affairs project amendment for a Mutual Field Maintenance Shop Restoration project, increasing federal funding by $1 million to $4.5 million because of higher construction costs, and approved a Kentucky State University Shanty Hall renovation project funded by bond and HBCU Title III funds. Finally, it approved a new lease for the Office of Mines and Minerals in Pike County, a new lease for the Cabinet for Health and Family Services in Pulaski County, and a lease renewal for the Cabinet for Health and Family Services in Kenton County after questions about rent increases and office utilization; the cabinet said the Kenton County space still has limited vacancy and remains in use by field staff. The meeting ended as the Kentucky Infrastructure Authority began presenting six sewer and water loans and six cleaner water program grant reallocations, with members agreeing to roll those items for later consideration.

Transcript Highlights:

• This fund supports debris removal, infrastructure repair, and emergency response already underway.
• day to repair critical infrastructure. day to repair critical infrastructure.
• > repair, debris removal, infrastructure repair, debris removal, infrastructure repair, and<00
• His leadership helped support job growth, drive commerce, and invest in infrastructure across the Gem
• The same governments that hack our critical infrastructure, poison our communities with fentanyl, and

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, April 30, 2026, 1012, house, all

Transcript Highlights:

• First up, Senate Bill 2693 relating to capital improvement projects for aerospace infrastructure.
• And with this bill, this can really help our infrastructure to grow a resilient co-op economy.
• to grow a a resilient our infrastructure to grow a a resilient co-op<00:35:17.440> economy.
• <00:42:30.319> Now<00:42:30.560> these infrastructure and facilities.
• Now these infrastructure and facilities.

Keywords: 912, senate, all

Summary: The committee first took up Senate Bill 2693 relating to capital improvement projects for aerospace infrastructure. Members had no questions, and the recommendation to pass the bill with a defective date of July 1, 2050 was adopted unanimously. The committee then deferred decision making on Senate Bill 26980 relating to transportation and Senate Bill 2374 relating to the blue economy until Thursday, February 19, 2026, in Room 229, pending additional information. In the joint hearing on Senate Bill 2816 relating to state enterprise zones, agencies and organizations including DBEDT, HTDC, Taxation, the University of Hawaii Cancer Center, Oceanit, the Hawaii Medical Association, and the Queen’s Health System testified in support or submitted written comments. One public testifier urged expanding enterprise zones around the Kakaako/Cancer Center area and combining them with the foreign trade zone to reduce taxes and attract business. A senator questioned whether the enterprise zone program had ever been comprehensively evaluated, noting DBEDT said it had not done a full study in recent years and cited annual report figures including about $221 million in company revenues and $460,000 in foregone state revenue in 2022. The discussion focused on whether the bill would subsidize existing activity or support new economic development, and on the broader policy question of whether enterprise zones should be used to revitalize depressed areas or to target strategic sectors like health care technology. The committee then heard Senate Bill 2900 relating to sports officials. The Department of Education supported the measure, saying the Attorney General is best positioned to represent employees in temporary restraining order matters and that elevating intentional bodily injury of a sports official to a class B felony would improve safety. The Office of the Public Defender opposed the bill, arguing it would escalate conduct already covered by existing assault statutes and go beyond other protected classes. The Department of the Attorney General recommended narrowing the bill by inserting “substantial” before bodily injury in the criminal section and deleting a section that would make the AG’s office act like plaintiff’s counsel in civil matters, suggesting instead that departments adopt policies to help employees obtain TROs without creating an open-ended civil representation role. Several sports and school-related organizations testified in support, and members discussed whether the bill should be narrowed or coordinated with other measures before further action.

Transcript Highlights:

• The Senate amendment also exempts outlined modifications to certain public water system infrastructure
• The Senate amendment also exempts outlined modifications to certain public water system infrastructure

Summary: The caucus reviewed several House and Senate measures, mostly in concurrence form. HB 2611, which clarifies and expands children’s rights in foster care and kinship care, was presented with a Senate amendment requiring quarterly reports on random employee drug screening results at group homes to the Health and Human Services committee chairs; the sponsor intended to concur. HB 2048, on access to non-opioid prescription drug controls, would bar more restrictive utilization controls such as prior authorization or step therapy for clinically appropriate non-opioid pain medications approved by the FDA, with a repeal date of August 31, 2028; the sponsor intended to concur, though one member raised concerns about opioid addiction in tribal communities and asked about stronger warnings and Indian Health Service involvement. HB 2404, changing inter-facility transport procedures, returned from the Senate with only a delayed effective date change, and concurrence was expected. SB 1630, a Senate bill, would create a home and community-based service program for adults who are seriously mentally ill; members noted there was no opposition, but also that the bill appears to have a cost and no appropriation. HB 2950, creating tourism improvement districts, was amended in the Senate to remove a lodging business assessment requirement for destination marketing organizations and allow local governing bodies to approve assessment rates; members confirmed it remained an opt-in/opt-out structure. HB 2995, which rewrites Arizona’s domestic violence framework for legal decision-making and parenting time cases, was amended to make child and victim safety the highest priority, revise court findings and evidence standards, limit mutual domestic violence findings, and add an emergency clause; the sponsor recommended concurrence, though one member asked where the committee stood on the bill. HB 2265, concerning court fees and assessments, was amended to restore courts’ ability to adopt new fees, fines, and surcharges going forward; concurrence was recommended, but county supervisors remained opposed due to concerns about cost shifts. HB 2986, the annual ADEQ omnibus, was amended to merge the recycling fund into the solid waste fee fund and exempt certain public water system infrastructure modifications from plan review; concurrence was expected. The caucus also briefly noted the fiscal year 2027 budget bills, HB 4154 through HB 4169, before adjourning.

Transcript Highlights:

• which depict the structural elements of 911, E911, or public safety radio communication system infrastructure
• those indicating the actual proposed locations of 911, E911, public safety radio communication infrastructure

Summary: The Committee on Regulated Industries met with a quorum present and took up three measures. First, it considered SB 160 on public accountancy, which would create additional pathways to CPA licensure in Florida without lowering standards. The committee adopted a technical amendment clarifying the licensure application process and effective date, heard a waiver in support from the Florida Institute of CPAs, and then reported the committee substitute favorably by roll call. Next, the committee heard SB 344 on telecommunications access system modernization. The bill updates the Telecommunications Access System Act of 1991 to reflect newer technology, revise outdated terms, broaden eligibility for the advisory committee, and implement recommendations from the Public Service Commission. After adopting a technical amendment, the committee heard supportive testimony from Florida Telecommunications Relay, Inc., including comments that the law is outdated, landline use is declining, and the system should accommodate wireless and other modern accessibility options. The committee then reported the committee substitute favorably. Finally, the committee considered SPB 706, a proposed committee bill on public records and meetings exemptions for NG-911 systems. The bill continues exemptions for certain building plans, maps, and related records and meetings involving 911 and public safety communications infrastructure, while updating the language to include next-generation 911 systems and extending the exemption review period to October 2, 2030. After no questions or debate, Senator Calatayud moved to submit the proposal as a committee bill, the motion was adopted, and the bill was reported favorably as a committee bill. The meeting then adjourned.

Transcript Highlights:

• <00:30:44.080> and services using the infrastructure and services using the infrastructure
• public services and infrastructure on public services and infrastructure on the<04:20:57.120> people
• <04:21:22.159> falls public services and infrastructure falls public services and infrastructure
• This is targeted, efficient, and builds on an existing regulatory infrastructure.
• regulatory infrastructure. regulatory infrastructure.

Keywords: 1189, house, all

Transcript Highlights:

• the focus of HB 595 is to infrastructure the focus of HB 595 is to provide<01:19:50.120> our<
• has been proven to infrastructure has been proven to control<01:24:36.600> the<01:24:36.719><
• residents, and we do have a lot of infrastructure challenges due to flooding.
• residents, and we do have a lot of infrastructure challenges due to flooding.
• residents, and we do have a lot of infrastructure challenges due to flooding.

Keywords: 928, house, all

Summary: The committee first discussed scheduling and notice for upcoming executive sessions on a larger slate of bills, including plans to take up eight bills in the morning and possibly the last three bills in the afternoon, with caucus time provided if needed. The chair emphasized advance notice, publication, and flexibility if more bills are added later. The hearing then opened with the Pledge of Allegiance and proceeded to HB 568, a bill allowing local planning boards to request water supply studies for subdivisions to ensure water adequacy as housing density increases. Representative Kat McGee, the prime sponsor, said HB 568 was developed after constituent concerns about private wells being affected by nearby development. She described the bill as narrowly tailored, non-mandatory, and intended to preserve local control while clarifying that planning boards may request studies under local regulations. She noted bipartisan support, an exclusion for community water systems and larger groundwater withdrawals regulated elsewhere, and said the bill would help prevent water shortages and related problems for new and existing homes. Questions from members focused on whether the bill should specify that it applies to subdivisions of four or more lots, since that language had been in an earlier version. Testimony on HB 568 was mixed. Bob Quinn of the New Hampshire Association of Realtors opposed the bill, arguing it lacked a definition of “water supply study,” could lead to expensive hydrology studies, and might raise housing costs; he suggested more work with DES or a study committee. DES administrator Brandon Kernin said the department had worked from a 2010 groundwater commission report, that such problems arise only intermittently in certain areas, and that the bill would make explicit local authority to adopt such ordinances. He also said DES data and homeowner surveys can help identify problem areas and that more robust wells could be considered in the long term. The committee noted 10 online submissions in favor and 3 opposed, plus blue-sheet testimony of 2 in favor and 1 neutral, and then closed the hearing on HB 568. The committee immediately opened HB 582, a bill on safety requirements for operation of personal watercraft. Representative Darby, the sponsor, said the bill responds to the speed and maneuverability of modern personal watercraft, which he described as more like motorcycles on water than traditional boats, and cited a fatal accident on Lake Monomonac as an example of the risks. He said the bill is not intended to restrict ordinary recreation or wake surfing, but to update safety standards for a newer class of larger, quieter three-person PWCs. The hearing began with Darby’s presentation, and no vote or final action was taken in the portion provided.

Transcript Highlights:

• Um, and also, if it's critical infrastructure controlled by AI, you still have to have a risk management
• critical infrastructure critical infrastructure uh<00:34:12.000> controlled<00:34:12.520>
• <00:37:10.880> whether system or infrastructure whether system or infrastructure whether digital
• I mean, that would be really hard. infrastructure. So, that particular infrastructure.
• That certainly seems to, in your hypothetical about data center infrastructure that generate common law

Keywords: 1191, senate, all

Transcript Highlights:

• UNATIL has had advanced metering infrastructure in place since 2004.
• <00:45:48.640> Let<00:45:48.800> me roll out of AMI infrastructure.
• Let me roll out of AMI infrastructure.
• > in advanced metering infrastructure in advanced metering infrastructure in place<00:45:53.680
• Um, that first-generation advanced metering infrastructure is reaching end of service.

Keywords: 1191, senate, all

Transcript Highlights:

• THE SENATE BUDGET HAS SEVERAL IT INFRASTRUCTURE AND HARDWARE REFRESH PROJECTS FOCUSED ON UPGRADING PHYSICAL
• ASSISTANCE THE COUNTIES AND MUNICIPALITIES $12.9 MILLION TO SUPPORT THE INFORMATION TECHNOLOGY INFRASTRUCTURE

Transcript Highlights:

• We have an issue not just with infrastructure, but we've found an issue with the way the law is written
• itself that wasn't properly valuing that infrastructure.
• And that's just on the public street lighting, not to mention telecommunications infrastructure, broadband
• SB 1157 provides the infrastructure California is missing so the judges, who ultimately will be making
• This also delays public utility infrastructure projects and maintenance.

Keywords: 988, house, all

Transcript Highlights:

• Is it just to create that infrastructure where someone can go and look for these opportunities?
• in place. ...to put the retention standards in place until you have the rest of the infrastructure in
• Most of it was not intentional; it was that they didn't have the infrastructure and the knowledge in
• This completely disrupted and upended not only student learning but the entire infrastructure that helps
• This completely disrupted and upended not only student learning but the entire infrastructure that helps

Keywords: 1182, all

Transcript Highlights:

• <00:35:17.040> including<00:35:17.520> schools<00:35:18.160> that infrastructure
• including schools that infrastructure including schools that agencies<00:35:20.880> elderly<00
• Secondly, the overbroad and vague use of the term public infrastructure that's outlined in the bill.
• infrastructure infrastructure um<00:38:39.119> that's<00:38:39.680> outlined<00:38:40.160
• refers to infrastructure and I'm not<00:38:49.680> sure<00:38:49.839> if<00:38:50.000>

Bills: HB1546

Keywords: Medicaid, health insurance, healthcare access, insurance subsidies, pilot program, affordable care, preventive services, low-income, community engagement, 910, house, all

Summary: The committee heard testimony on HB 2083, which would add homeless shelters to Hawaii’s drug-free/safe-zone protections. The City and County prosecutor’s office strongly supported the bill, saying service providers asked for the change because drug activity near shelters can undermine recovery efforts. The Office of the Public Defender opposed the measure, focusing on a possible notice problem because many shelters are not readily identifiable and the bill’s 750-foot distance requirement could be difficult to apply. The Drug Policy Forum of Hawaii also opposed the bill, arguing it would expand criminalization of poverty and drug use and that drug-free zone laws are ineffective and disproportionately harmful. The prosecutor’s office said it would do more research on the notice concern. The committee then moved on without taking a vote in the transcript provided. The committee next discussed HB 2087, which would change the treatment of abuse of family or household member cases by ending the deferred-acceptance pilot and returning to the prior statute. The prosecutor’s office supported the bill, saying the pilot had not reduced backlog as intended and that domestic violence cases should remain petty misdemeanors without deferral. The Hawaii State Coalition Against Domestic Violence and the Public Defender’s Office both opposed HB 2087, instead urging extension of the pilot for another five years so the legislature can better evaluate how deferred acceptance is working. They said deferrals can be a useful incentive for behavior change and that more data is needed before ending the program. Committee members questioned the prosecutor about why Hawaii should differ from other counties and whether repeat offenders could keep receiving deferrals; the prosecutor said the deferral is available only once and reiterated support for returning to the old statute. The committee then heard HB 2096 on aggravated circumstances in child protective proceedings. The family court and Attorney General’s Office supported the bill, saying current law limits aggravated-circumstances findings to the early return hearing, which can prevent findings in the most serious abuse cases when key evidence is not yet available. They said the bill would allow such findings later in the case and, with proposed amendments, would let the court consolidate aggravated-circumstances and termination-of-parental-rights hearings to reduce delay and appeals. The Libertarian Party of Hawaii opposed the measure, arguing it would expand state power in family matters and could worsen outcomes for parents and children. Committee questions focused on the amended language, including what “another court of competent jurisdiction” means and whether a charge alone would be enough; the judiciary responded that criminal courts are included, but a hearing and opportunity to defend would still be required. Finally, the committee took up HB 1959, another domestic violence measure. The Hawaii State Coalition Against Domestic Violence, the Public Defender’s Office, the Crime Victim Compensation Commission, the Hawaii State Commission on the Status of Women, and county prosecuting offices testified in support. Supporters said the bill would extend the pilot program while keeping deferred acceptance of guilty pleas in place, giving more time to evaluate whether the program is working and whether a more formal diversion model should be developed. The coalition also suggested technical fixes to ensure judiciary data reporting continues and that the deferred-acceptance statute is not inadvertently repealed. No vote or final action was taken in the transcript before the committee moved on to the next bill.

Transcript Highlights:

• And today I want to honor the Divine Nine as builders of Black civic infrastructure.
• black civic infrastructure. black civic infrastructure.
• black communities needed infrastructure black communities needed to<01:11:28.800> survive<01:
• Movements require infrastructure.<01:12:43.280> that<01:12:43.520> require<01:12:44.000
• > places<01:12:44.400> to infrastructure. that require places to infrastructure. that require

Keywords: 981, all

Transcript Highlights:

• ,<00:07:26.720> not government, and infrastructure, not government, and infrastructure, not
• <01:19:53.920> This<01:19:54.159> is<01:19:54.320> a infrastructure remains
• This is a infrastructure remains safe.
• All important to the security of the infrastructure of the manufacturer.
• of the infrastructure of the manufacturer.

Keywords: Discussion of BR 25 (2026 RS) 04:15 Presentation on voting systems by ES&S 48:14 Presentation on voting systems by Hart InterCivic and Harp Enterprises 01:13:07, 958, all

Summary: The committee met to approve the October 21 minutes and then took up BR 25 for the 2026 regular session, a proposal relating to prohibited uses of tax dollars and public resources. The sponsors said the bill is intended to strengthen existing law by adding civil and criminal penalties for taxpayer-funded advocacy on ballot questions, especially in light of controversies during the 2024 election over school officials and districts using public resources to oppose a constitutional amendment. They also described related concerns about school districts hiring third-party lobbyists and public relations firms, particularly in Fayette County, and said the proposal was meant to keep tax dollars focused on public services rather than political persuasion. Committee members raised several concerns about scope and drafting. Some asked whether the bill should specifically mention schools, school boards, and school employees, and the sponsors said they would add that language. Others questioned whether the measure would also affect local government lobbying through groups like KLC and KCO, and the sponsors said they intended to focus narrowly on schools while exempting certain advocacy organizations and internal government lobbyists. Members also asked whether public employees could still speak as private individuals, and the sponsors said yes. Several members suggested splitting the lobbying and ballot-advocacy issues into separate bills, and the sponsors said they would consider that. Members also pressed for clarification on how the bill would apply in practice, including whether it would cover legal challenges to petition drives or only advocacy after a question is on the ballot. Counsel for the sponsors said the bill would not cover some petition-related litigation as drafted, though they believed it should. The sponsors and supporters argued the proposal was needed to give the existing prohibition real enforcement, while some members warned that the language could unintentionally limit legitimate public representation or be too broad if not carefully drafted. No final vote was taken during the discussion.

Transcript Highlights:

• health, substance use disorder, uh, oral health, uh, how we think about our trauma and the EMS infrastructure
• and system, and the EMS infrastructure and system, and then<00:03:58.800> chronic<00:03:59.200
• And then also how's that connected to our trauma acute care infrastructure as well?
• infrastructure as well. infrastructure as well.
• to be able improving the infrastructure to be able to<00:30:21.280> to<00:30:21.440> really

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:

• Beautiful Bill, um, there was a significant amount of money dedicated for states to support the infrastructure
• 00:15:58.000> the for states um to do to support the for states um to do to support the infrastructure
• <00:40:28.240> across<00:40:28.640> hospitals,<00:40:29.680> across infrastructure
• across hospitals, across infrastructure across hospitals, across community<00:40:30.560> providers
• so that New strengthening infrastructure so that New Hampshire's<01:47:36.400> newborns<01:47

Keywords: 928, house, all

Summary: The committee first approved the draft minutes from September 26. Senator Gray then raised the idea of creating a continuing subcommittee or recurring agenda item on palliative care and hospice, noting that the issues are evolving and suggesting the committee revisit the idea in coming months. The bulk of the meeting focused on Department of Health and Human Services updates. Officials described contingency planning for SNAP amid the federal shutdown, including a USDA notice that November benefits may not be fully funded, letters to participants warning of possible delays, and coordination with the New Hampshire Food Bank and local pantries. They said New Hampshire serves about 42,000 SNAP households, with average benefits around $300 a month, and that the department is also preparing to transfer funds for a special fiscal committee meeting. WIC was discussed separately: officials said WIC benefits had been extended through November 7 using additional USDA funds, but that some community agency-based WIC services may need to pause while money is redirected to food benefits. Officials also outlined New Hampshire’s rural health transformation grant application under the federal One Big Beautiful Bill, describing a potential five-year, up-to-$1 billion opportunity focused on critical access hospitals, small rural hospitals, federally qualified health centers, community mental health centers, and EMS. Members asked about transportation, workforce, and nursing retention; officials said transportation is included in the proposal, housing is not, and workforce supports may include lower tuition or awards but not loan repayment or traditional scholarships. They also said the final application would be submitted in early November and that priorities would be adjusted depending on the eventual federal award. Finally, Medicaid director Henry Lipman gave a quarterly postpartum coverage update. He said postpartum coverage is now nearly universal nationwide, and in New Hampshire 2,351 women had used the benefit through May 2025. He reported that mental health services were the most frequently used postpartum service, followed by preventive care, substance use disorder treatment, and cardiovascular-related care, and noted that Medicaid women have experienced a disproportionate share of maternal deaths. Committee members asked about rural distribution and the share of women receiving mental health services, and Lipman said the department would follow up with additional data. The meeting then moved into the annual update on New Hampshire’s 10-year mental health plan, with staff describing progress toward a more integrated continuum of care and improved data infrastructure.

Transcript Highlights:

• for this year, because we were funded, and as you can imagine, when you're building out a huge infrastructure
• legislature, Fortunately, last year, through the legislature, we had established the Sites and Infrastructure
• We need to get these roads and this infrastructure developed in order to meet the project's timeline.
• Priority Program: through the help of Congressman Troy Carter and Senator Bill Cassidy in the infrastructure
• differences of opinion about what a connector road is, but we know that there will have to be infrastructure

Keywords: 965, house, all

Summary: The Ways and Means Committee held an informational hearing on the state capital outlay process, with Roger Husser and Matt Baker of the Division of Administration’s Office of Facilities Planning and Control (FPNC) presenting a detailed review of House Bill 2 and proposed improvements. They said FPNC administers about 54% of the bill, while other agencies administer the rest, and emphasized that the capital outlay program has improved significantly over the last few years, with project expenditures more than doubling due to better cash-flow management, staffing changes, and more efficient project administration. They also explained how the bill is structured by priorities, how the priority-one cash line of credit is capped and adjusted for construction inflation, and how the bill has grown into a much larger, longer-range plan than a true five-year program, especially on the non-state side. A major theme was that the bill contains too many dormant, legacy, and low-priority projects, which creates false expectations and ties up funding. Committee members pressed the presenters on culture change, third-party project management, staffing shortages, and the use of technology and statutory interpretation to speed projects without sacrificing compliance. Husser and Baker said they had reduced internal bureaucracy, used staff augmentation because of hiring difficulties, delegated smaller projects to agencies when appropriate, and improved cash-flow analysis so projects can move forward with less money up front. They also discussed overappropriations, dormant projects, and the need to reappropriate unused funds to projects that can actually spend them. The presenters offered several recommendations and considerations: limit the number and size of new projects, reduce scope creep, require more regular endorsement of long-running projects, consider caps on priority-five funding, impose time limits and reporting requirements on non-state grant projects, and possibly require non-state entities to escrow or otherwise demonstrate their match earlier. They also suggested bundling related projects together, expanding that approach beyond the current pilot, and improving transparency by showing full project funding history and the first year each project appeared in the bill. No votes were taken, and the meeting remained informational, with members generally supportive of the efficiency reforms while also raising concerns about false hope, dormant projects, and the need for clearer expectations and accountability.