Transcript Highlights:

• Scalia wrote the opinion as well, and he said it's impermissible to commandeer the assets and the resources
• That's on page three, lines 1 through 15, where it's just simply limiting how the feds can use resources
• again, reward high-performing and... ...for providers to, again, reward high-performing and cost-efficient
• than five others, and we can't distinguish... ...or more cost-efficient than five others, and we can't
• We're losing the ability to make market-efficient pricing for our members and try to drive those savings

Committee: House General Laws

Keywords: 959, house, all

Transcript Highlights:

• they're having to front these costs for themselves against the public entity that has unlimited resources
• and lawyers. ...against the public entity that has unlimited resources and lawyers, and requiring them
• It's not only the cost, but it's the efficiency, as published papers publish less and less frequently
• notice requirements updating this is really important it's not only the cost but it's the efficiency
• This makes everything much more efficient and much easier for our clerk.

Bills: HB2015 , HB2060 , HB2129 , HB2170 , HB2210 , HB2228 , HB2352 , HB2460 , HB2533 , SB1019 , SB1045 , SB1050 , SB1078 , SB1083 , SB1167 , SB1184 , SCR1006

Committee: Senate Government

Keywords: budget procedures, late filing penalty, accounting standards, financial reporting, state appropriations, abortion, educational institutions, health education, state aid, public schools, municipal libraries, annual reporting, state legislation, transparency, government accountability, procurement, foreign adversary, China, state contracts, information technology

Transcript Highlights:

• The goal of this study will be to evaluate the outcomes, effectiveness, efficiency, and costs associated
• The goal of this study will be to evaluate the outcomes, effectiveness, efficiency, and costs associated
• </c><00:21:39.040><c> as</c><00:21:39.200><c> we</c><00:21:39.320><c> can</c> trying to be as efficient
• as we can trying to be as efficient as we can about<00:21:40.400><c> um</c><00:21:40.560><c> how</c>
• This part also includes some resources and a dedicated study on the DCYF programs, which would include

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• Our youth are our greatest resource. Look around this room. All the young aides...
• Our youth are our greatest resource. Look around this room. All the young aides... Mr.
• such as school counselors. ...help or support others through resources such as school counselors.
• But they can discuss it, they can arrange for it because resources do have to be voted on...
• I thought we were talking about wasting resources.

Summary: The committee took up a long agenda of retained bills and several new measures, with most receiving favorable reports after amendments. Major debate centered on CS/SB 706, which preempts airport naming to the state and designates Palm Beach International Airport as the Donald J. Trump International Airport subject to FAA and trademark-related conditions. Senator Jones offered amendments to avoid private royalty benefits, but both failed. Senators Berman, Osgood, Jones, and Pizzo spoke against the bill, raising concerns about naming an airport after a sitting president, lack of local input, and ethical issues; Senator Mayfield defended the bill as cost-free to the airport and noted the naming agreement. The committee ultimately voted the bill favorably. The committee also approved CS/SB 546 on conservation land notice requirements and CS/SB 1014 on municipal utility service to properties outside city limits, both with amendments and some opposition from the Florida League of Cities on the utility bill. Several other bills were heard and reported favorably with little controversy. CS/SB 1500 would streamline uncontested probate proceedings; SB 962 would exclude farms and farm operations from certain zoning definitions tied to affordable housing preemption; CS/SB 820 would strengthen reporting for problem-solving courts; SB 840 would revise portions of last year’s hurricane-related land-use law to narrow its scope and sunset temporary restrictions; and SB 856 would require online property listings to show estimated ad valorem taxes, with an amendment excluding social media platforms and broadening liability protections. SB 110 would clarify homestead exemption eligibility for 98-year or longer residential leases. SB 394 would exempt certain underwriting managers handling limited facultative reinsurance from licensure requirements, and SB 434 would prevent wind-hardening improvements from increasing assessed value for residential property tax purposes. The committee also advanced several public-safety and transparency measures. CS/CS/SB 658 and 608, a combined water-safety bill, would require safety features for rental properties with pools or nearby water bodies and authorize DBPR enforcement; supporters framed it as a response to Florida’s high child-drowning rates, and Airbnb waived in support. SB 748 would place constitutional language on restoration of voting rights on sentencing score sheets, with broad support from voting-rights and civil-rights groups. CS/SB 824 would require annual reporting of unimproved school-district land inventories, and CS/SB 848 would create a framework for off-site stormwater treatment and related credits, with support from builders and mitigation bankers. The committee also heard CS/SB 1036 on school counselors, which clarifies certification requirements and performance criteria after a delete-all amendment.

Transcript Highlights:

• And so, including making sure that, again, they have the resources to meet MassCore, the resources to
• research resources.
• We're efficient and effective.
• They're a critical resource to look for a job, to access the internet, and much more.
• Our students have needs we can't meet with the resources available to us.

Committee: Joint Joint Committee on Ways and Means

Keywords: 1212, all

Transcript Highlights:

• </c> are spending the the precious resources are spending the the precious resources of<00:40:01.440>
• That's my with limited resources.
• Since early January, our 211 resource Since early January, our 211 resource helpline<00:57:18.640><c>
• </c> without exhausting limited resources. without exhausting limited resources.
• ><c> protections</c> have existing resources and protections have existing resources and protections

Committee: Senate Housing and Homelessness Prevention

Keywords: 1187, senate, all

Transcript Highlights:

• And I would urge you to direct resources to women, having access to those resources before she makes
• Prepared remarks or are you here as a resource? Great. Anybody need the resource?
• House Bill 3801 is designed to use existing state resources from existing agencies more efficiently and
• It is really about using the resources we currently have more efficiently and effectively.
• Those are resource only.

Bills: HB163 , HB216 , HB721 , HB2035 , HB2038 , HB3057 , HB3153 , HB3233 , HB3595 , HB3801 , HB3812 , HB4076 , HB4129 , HB4377 , HB4535 , HB4666 , HB4730 , HB4743 , HB4903 , HB5149 , HB5155 , HB1534

Committee: Senate Health & Human Services

Keywords: epinephrine, healthcare, emergency response, administration, medical policy, health care, itemized billing, patient rights, provider regulations, Texas Health and Safety Code, cost disclosure, insurance, benefit plan, administrators, chemical dependency, treatment facilities, minor admissions, parental notice, mental health, medical licensing

Summary: The committee met without a quorum at first, then established a quorum with five members present. Members heard and left pending several House bills, including HB 4743 on allowing hospitals to license mobile stroke units under a hospital license, HB 4129 on earlier DFPS enforcement tools for single-source continuum contractors in community-based foster care, HB 4903 creating a Quad Agency Child Care Initiative to coordinate child care regulations across state agencies, HB 3812 revising the gold card/prior authorization process for physicians, HB 4535 requiring written informed consent before COVID-19 vaccination and a standardized state information sheet, and HB 4666 reducing the frequency of some HHSC reports to the legislature. The chair also noted HB 35 would be voted on later after a subcommittee back was received, and that a large number of bills would be heard the next day. Most of the testimony focused on HB 4535 and HB 4730. On HB 4535, supporters argued the bill would strengthen informed consent for COVID vaccination by requiring written consent and clearer state-level information about risks, manufacturer liability protections, and adverse-event reporting; opponents, including a pediatrician and medical groups, said existing federal and state informed-consent materials already cover these topics and warned the bill could create duplicative paperwork and penalties. On HB 3812, the Texas Medical Association supported changes that would extend the gold-card evaluation period to one year, raise transparency, and make prior authorization exemptions easier to administer, while health plans said they were neutral and viewed the bill as a balance between reducing burden and preventing fraud or unsafe care. HB 4730 drew extensive testimony from adoption professionals, birth mothers, adoptive parents, and child welfare advocates. The bill would require DFPS to create a relinquishment form, train child-placing agency staff, and extend the minimum waiting period for voluntary relinquishment from 48 hours to seven days. Supporters of the current law argued the 48-hour period aligns with hospital discharge, allows informed decisions, and helps birth parents and adoptive families begin healing and bonding without pushing children into foster care or creating legal and Medicaid complications. The author said the bill would be revised and that the seven-day provision was a work in progress. No votes were taken on the bills during the meeting; each bill was left pending after public testimony closed.

Transcript Highlights:

• We want this to move as efficiently as possible, and we want to protect the public.
• </c><00:44:47.240><c> as</c> we want this to move as efficient as we want this to move as efficient as
• We do need some additional resources.
• We’re efficient. We’re getting things out on time. What I’m saying is that took some time.
• </c><04:53:40.638><c> es</c> happy to provide our resources es happy to provide our resources es to<04

Keywords: 928, house, all

Summary: The meeting was an orientation-style overview from the Office of Professional Licensure and Certification (OPLC), led by Executive Director Deana Jurus and staff. They described the office’s mission to protect public health, safety, welfare, the environment, and the public trust, and outlined the agency structure: enforcement, licensing and board administration, operations, legal counsel, board counsel, and the hearings bureau. OPLC said it currently supports 57 boards, including seven advisory boards, and has about 104 filled positions out of 120 authorized. They also noted new voluntary certifications for doulas, lactation consultants, and community health workers that are in rulemaking. A substantial portion of the discussion focused on how boards and staff divide responsibilities under RSA 310:4. Staff explained that the office handles application processing, complaint intake and initial review, records retention, 91-A requests, and rule drafting, while boards make final decisions on licensure criteria, complaint dismissals or investigations, disciplinary actions, and some hearing matters. They also described the rule structure by chapter number ranges and the distinction between full licensing boards and advisory boards. The committee asked about complaint notifications, and OPLC said it is tightening policies so complainants are told whether a matter is closed or moving forward. The licensing process was discussed in detail, especially for nursing. Bethany Katrell explained that applicants apply through an online portal, may receive approval to sit for exams, can work under provisional authority in some cases, and then receive full licensure after exam results and criminal background checks are complete. OPLC said the portal now reduces back-and-forth paperwork and that, as of the latest biweekly report, 87% of applications were decided within the statutory 90-day period and 57% within 14 days. Members also raised questions about why some professions require board approval before taking an exam, and OPLC said that requirement varies by statute or board rule. No votes or formal actions were taken during the discussion.

Transcript Highlights:

• California should be focused on secure, accessible, and efficient elections, not imposing design mandates
• territory to plan a network of bus services, dubbed Reimagined Metro, that would be faster, more efficient
• I'm not sure I understand why a resource should be diverted to a draft program rather than improving
• And so if they feel like this might be a drain on resources and not worth doing, that's fine.
• I was really looking to find a way to justify the diversion of a resource to, you know, we've got election

Summary: The Assembly Elections Committee met on March 25, 2026, with nine measures on the agenda and three bills taken on consent. The committee approved the consent calendar for AB 1736, AB 1853, and AB 2153. The committee also heard several election-related bills, including AB 1993 on ballot-envelope privacy, AB 1788 on nonprofit disclosure of travel payments for elected officials, AB 1560 on barring people convicted of public corruption from lobbying, AB 1539 on presidential and vice-presidential ballot eligibility certifications, AB 1919 on Santa Cruz Metro local tax initiative procedures, and AB 1562 on county selection of poll workers. The chair also noted membership changes and welcomed new and returning members and staff. AB 1993 drew the most debate. The author argued it was a common-sense safeguard to prevent voters’ choices from being visible through ballot-envelope holes, citing a Sacramento County incident and public concern about ballot privacy. County election officials, the Secretary of State’s office, and Disability Rights California opposed the bill, saying the holes also serve accessibility and processing functions, that existing voter instructions already address privacy, and that the measure would create implementation problems and an unfunded mandate. After extended discussion, the committee voted the bill out on a 2-6 roll call and it failed. AB 1788 was supported by the FPPC and the League of Women Voters and passed as amended to Appropriations, with members emphasizing transparency while seeking to avoid unintended coverage of organizations like NCSL and CSG. AB 1560 passed 6-0 despite the Secretary of State’s implementation concerns about how the office would learn of relevant convictions. AB 1539, which would require party representatives to certify presidential and vice-presidential nominees’ constitutional eligibility, passed 7-0 as amended. AB 1919, which would clarify procedures for a Santa Cruz Metro voter initiative to place a transit tax on the ballot, passed 6-2, and AB 1562, which would allow counties to randomly select poll workers, passed 7-1 after discussion about civic engagement, guardrails, and election administration. The committee then completed roll-call adjustments for absent members and adjourned.

Transcript Highlights:

• Ortiz shared before you, about the resource communities that may be affected when it comes to gun violence
• has escalated the speed and volume of fraudulent activity, putting additional pressure on banks, resources
• To combat the increase of check fraud, we have committed resources to help address this criminal assault
• The use of the death penalty also diverts important financial resources that can be used to support law
• Senate Bill 990 would lead to even more money and resources wasted when we could be investing in proven

Keywords: 1184, house, all

Transcript Highlights:

• The funding reflects the need for new state investments to backfill federal resources that we knew were
• I commend you for identifying efficiencies in your proposal that address the projected budget deficit
• These individuals are desperate for help and resources.
• Long COVID is a health crisis, and without this state funding, the resources of the Minnesota Department
• and funding streams that touch dementia, ensuring better coordination and smarter use of existing resources

Bills: HF2435

Committee: House Health Finance and Policy

Keywords: healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health

Transcript Highlights:

• This can deter under-resourced organizations from even applying for state-funded projects due to the
• It is critical now that the state unlock access to these resources.
• We are proud of the contributions made to provide eligible tribes with vital resources.
• It is the responsibility of the Legislature to ensure taxpayer dollars are spent efficiently.
• It is the responsibility of the Legislature to ensure taxpayer dollars are spent efficiently.

Summary: The Governmental Organization Committee heard a series of bills focused largely on alcohol licensing, nonprofit funding, tribal grants, public transparency, and tobacco policy. AB 342 (Haney) would allow local governments to create hospitality zones with extended last-call hours on certain days; supporters argued it would boost tourism, nightlife, and major-event readiness, while opponents warned of alcohol-related harms and public safety risks. AB 684 (Patel) would subject the UC Board of Admissions and Relations with Schools to open-meeting requirements, with supporters saying admissions-related changes should be more transparent and allow schools time to adjust. AB 1008 (Addis) would authorize up to 10 new on-sale general licenses in San Luis Obispo County to meet tourism demand, and AB 1039 (Hart) would require state agencies to offer advance payments on new nonprofit grants and contracts, which supporters said would help cash-strapped nonprofits deliver services. AB 221 (Ramos) would revise the Tribal Nation Grant Fund to provide more predictable annual distributions to eligible non-gaming and limited-gaming tribes, and it drew broad support from tribal representatives and others. AB 795 (Jeff Gonzalez) would create a California commission for the nation’s 250th anniversary celebration, with supporters describing it as a privately funded, nonpartisan planning body. AB 828/AB 28 (Mark Gonzalez, as referenced in the transcript) would expand neighborhood-restricted liquor licenses in Los Angeles County to reduce costs and support restaurant recovery, and AB 1246 (Hoover) would increase craft distillers’ direct sales limits and address barrel-storage rules; both were supported as small-business measures. AB 1428 (Ta) would require reporting of all surplus and underutilized state land, and AB 957 (Ortega) would prohibit tobacco sales in pharmacies, with strong public health support. Several bills were voted out on motions to Appropriations, some with amendments, while others were held or left on call until quorum was established; the committee also adopted a consent calendar and left rolls open for absent members on multiple measures.

Transcript Highlights:

• It's the Pareto principle: these are the 20% of the folks who are eating up 80% of the resources, and
• It's the Pareto principle: these are the 20% of the folks who are eating up 80% of the resources, and
• And we do a fall risk assessment to make sure that we identify people who need additional resources,
• Steele University and others across the city to get those resources in place. That's all for me.
• The sheer scale of our health care system in Arizona requires robust, efficient oversight.

Committee: Senate Senate Health and Human Services COR

Summary: The committee first approved the March 11 minutes and heard a presentation from Nathan Smith, CEO of Central Arizona Shelter Services, on homelessness in Maricopa County. He described rising homelessness, especially among older adults, and said CASS uses low-barrier emergency shelter, family shelter, and an older-adult shelter with case management, behavioral health services, and partnerships with outside groups for food, banking, digital access, and other supports. Members asked about collaborations with mutual aid groups and about point-in-time data, and Smith said the county data could be drilled down through AZMAG. The committee then moved to legislation. HB 2248, the Arizona Medical Freedom Act, would bar businesses, schools, and government entities from denying services or employment based on medical interventions, with an amendment allowing schools to limit access during outbreaks or for certain infections. Supporters framed the bill as protecting bodily autonomy and informed consent, while opponents argued it would undermine employers’ ability to prevent disease spread. The committee adopted the amendment and gave the bill a due pass recommendation on a 4-3 vote. HB 2906, requiring one dental board member to be an active oral and maxillofacial surgeon, passed unanimously after testimony that the board needs surgical expertise for complex cases and anesthesia oversight. HB 2189, directing the Nursing Board to adopt rules for licensed health aides and routine ventilator care, also passed with an amendment and a 6-0 vote. HB 2403 appropriates $2.5 million in FY2027 for home and community-based services providers for elderly and physically disabled Arizonans. Supporters said the funding would help retain caregivers, whose wages have lagged for years, and argued home care is cheaper than hospitalization or institutional care; the bill passed 6-0. HB 2731 continued the Physician Assistant Board to 2030 and passed with a technical amendment, and HB 2730 continued the Occupational Therapy Board and passed as well. HB 2729 continued the Nursing Board to 2030; the board said it regulates about 150,000 licensees and handles thousands of complaints annually, and the bill passed 6-0. HB 2728 continued the Department of Economic Security and incorporated several previously vetoed policy provisions affecting SNAP, unemployment, and eligibility/redetermination rules. Speakers in opposition said it would make benefits harder to access and turn a continuation bill into a vehicle for controversial policy changes, while supporters argued it was part of the legislature’s oversight role. The bill passed 4-3. The committee also adopted a strike-everything amendment to HB 2048, which limits utilization controls on FDA-approved non-opioid pain medications relative to opioids; supporters said it would improve access to non-opioid pain treatment and reduce opioid harm, while opponents warned it would bypass clinical review and raise costs. HB 2048 passed 4-3. Finally, HCR 2058 would require a comprehensive claim-level audit of Arizona Medicaid claims and direct recovery efforts for misappropriated funds; supporters said it could recover significant overpayments, while opponents questioned its incentives and overlap with existing oversight. The resolution passed 4-3, and the committee adjourned.

Transcript Highlights:

• It's the Pareto principle: these are the 20% of the folks who are eating up 80% of the resources, and
• And we do a fall risk assessment to make sure that we identify people who need additional resources,
• Still University and others, Circle the City, to get those resources in place. That's all for me.
• Steele University and others circle the city to get those resources in place. That's all for me.
• The sheer scale of our health care system in Arizona requires robust, efficient oversight.

Bills: HB2048 , HB2189 , HB2248 , HB2403 , HB2728 , HB2729 , HB2730 , HB2731 , HB2906 , HCR2058

Committee: Senate Health and Human Services

Keywords: orders of protection, domestic violence, court procedures, legal guardian, enforcement, healthcare, licensed health aides, scope of practice, ventilator care, training standards, medical freedom, healthcare mandates, employment requirements, public health, government regulation, elderly, physical disabilities, Arizona Health Care Cost Containment System, home and community based services, funding increase

Transcript Highlights:

• Please see ASWB as a resource for accurate information about the social work examination, social work
• Please come to the front row so we can efficiently cover all 16 speakers.
• It does not address institutional funding and leaves us without resources for bread-and-butter items
• We're serving more students than ever, at 64,000 students, with less state resources and have already
• Vice Chair Nance, appreciate the efficient testimony.

Summary: The committee held its first meeting and heard four bills. HB 2286 would create an alternative route to social worker licensure by removing the exam requirement for advanced social workers and allowing enhanced supervision with supervisor attestation in place of the exam for independent clinical social workers. The sponsor and several social workers testified that the exam is a poor measure of clinical competence and can be a barrier to licensure, while opponents warned that removing the exam could affect public protection and Washington’s participation in the social work compact. Members asked follow-up questions about the compact, the exam format, and accreditation requirements, but no action was taken. HB 2363 would allow music therapy license applicants to practice under supervision for up to six months while waiting for exam verification. The sponsor described it as a technical fix to the new licensure system, and testimony from music therapists, educators, and a patient supported the bill as a way to avoid delays in hiring newly trained therapists while maintaining supervision and patient safety. The bill drew strong support in written testimony and no opposition in the hearing. HB 2324 would change tuition waiver rules for children of eligible veterans and National Guard members by giving eligible children eight years from the date of a parent’s disability determination to use the waiver when that determination occurs after the child turns 18. The sponsor said the bill is meant to align state law with federal dependency education benefits and prevent families from losing access because disability determinations can take years. The committee asked for clarification on how the new timing would work, and the hearing closed without a vote. HB 2098 would eliminate the cap on the advanced computing surcharge, expand Washington College Grant eligibility up to 100% of state median family income, and reduce resident undergraduate tuition by 10% for three years starting in 2027-28. Supporters, including students, labor, and advocacy groups, said the bill would improve affordability and access to higher education by asking large tech companies to pay more. Opponents from business and university groups argued the surcharge would be economically harmful, that the state already has substantial WEA funding, and that the bill would reduce tuition revenue without adequately backfilling institutional budgets. The committee heard extensive testimony and members raised questions about the surcharge cap, WEA spending, and the compacted funding structure, but no final action was taken.

Transcript Highlights:

• The passage of this bill as a standalone will ensure the continued safe and efficient operation of our
• In a county like Carlton, we just don't have a lot of resources to give to our youth.
• We just don't have those resources.
• end with a quote from Iris, one of the graduates, who said, "The program has provided me with the resources
• These resources have been critical in developing effective strategies to advance public safety by making

Committee: House Public Safety Finance and Policy

Transcript Highlights:

• individual allocations in the FEFP to either ensure equitable access to educational services and resources
• Initial forecasts provide a basis for budgeting and resource allocation.
• third calculation can create challenges in maintaining operational autonomy and our operational efficiencies
• Initial forecasts provide a basis for budgeting and resource allocation.
• third calculation can create challenges in maintaining operational autonomy and our operational efficiencies

Summary: The Pre-K through 12 Budget Subcommittee met to review how Florida’s Education Finance Program (FEFP) works, receive an update from the Department of Education on the October 2024 FTE survey and third FEFP calculation, and hear from three county superintendents about forecasting enrollment and reconciling scholarship students. The chair explained that FEFP is funded by both state and local dollars, is recalculated multiple times during the year, and is now closely tied to school choice policy. Department staff said the third calculation was still being rerun but should be completed soon, and described the forecasting process as collaborative among districts, DOE, and the Education Estimating Conference. Superintendents from Polk, St. Lucie, and Hendry counties said enrollment shifts, especially students moving to Family Empowerment Scholarships, homeschooling, or private schools, make budgeting and staffing difficult. They said districts often must hold back funds to protect against midyear losses, which affects collective bargaining, staffing, transportation, and classroom organization. Several members raised concerns about duplicate counting, transparency, and whether students receiving scholarship funds can also remain in district classrooms. DOE said districts can access scholarship information through a secure portal and that scholarship funding organizations are paid quarterly, with a new process requiring certification and possible future payment adjustments to reduce duplication. The superintendents urged better real-time tracking of students through a statewide ID or student information system and suggested scholarship students should be funded separately from district FEFP calculations. Members also discussed whether more frequent or daily attendance-based calculations would improve accuracy, though some warned that daily attendance could create new problems for high-poverty districts. The committee also briefly discussed categoricals, including mental health and ESE funding, with DOE saying it evaluates programs through studies, reporting requirements, and legislative direction. No votes were taken; the meeting ended with a motion to rise and adjourn.

Transcript Highlights:

• </c><00:07:39.520><c> The</c><00:07:39.759><c> additional</c> capacity and resources.
• The additional capacity and resources.
• months more efficiently uh than MHC<00:17:44.559><c> was</c><00:17:44.720><c> able</c><00:17:44.960>
• Uh, we were very fortunate to be efficient enough to be able to save enough dollars within that to be
• enough to be able to save efficient enough to be able to save enough<00:20:47.760><c> dollars</c><00

Bills: HF4148

Committee: House Legacy Finance

Keywords: Lessard-Sams Outdoor Heritage Council, Outdoor Heritage Fund, executive director, natural resources, conservation, wetlands, prairies, forests, wildlife habitat, fish and game, bipartisan hiring, interview panel, legislative branch, Minnesota Statutes 97A.056, administrative expenses, nonpartisan staff, council governance, environment and natural resources, 1183, house

Transcript Highlights:

• Medicaid plan, and if the insurer is also a managed care Medicaid managed care organization, the resources
• over the point about New Hampshire's smaller Medicaid population and how that would affect the efficiency
• Um that's not to say it efficiently.
• </c><00:51:31.680><c> that</c><00:51:31.920><c> are</c> organization the resources that are organization
• </c> how that would affect the efficiency how that would affect the efficiency potentially<00:55:13.200

Keywords: 928, house, all

Summary: The committee to study long-term managed care met to approve the prior meeting minutes, with a clarification that “OB3” referred to the “one big beautiful bill.” The minutes were then approved. Chair Jim Kofalt outlined the day’s agenda, which included testimony from the Granite State Home Health and Hospice Association, the New Hampshire Association of Counties, and later DHHS. He also noted that future meetings were expected soon and that the meetings were being livestreamed on YouTube. Granite State Home Health and Hospice Association, represented by Kellyanne Totten and Amy Moore, urged inclusive planning and a cautious, phased approach if managed care is considered. They emphasized that home care providers are not uniform, with different licensing and service models, and said any pilot should include varied provider types, rural and southern regions, and agencies of different sizes. They warned that workforce shortages, inflation, and a possible 9% CMS cut to Medicare home health payments could force agencies to reduce service areas or service types. They also said the 2023 Medicaid CFI rate increase has begun to lose its effect. In response to questions, they said the rural health transformation fund may help with planning and telehealth but likely cannot be used directly for rates or recruitment/retention. They also described the New England Home Care Nurse Residency Program, a Department of Labor grant, as a way to bring new registered nurses into home care with added training and school partnerships. The New Hampshire Association of Counties, through county nursing home administrators Craig Labore and David Ross, revisited the earlier Step Two managed care discussions from 2016-2018. They said prior consultants found the long-term services and supports system was underfunded and needed investment to stabilize providers and expand community-based care. They argued the same concerns remain today and said a managed model would jeopardize the Medicaid quality incentive payment program and, for county nursing homes, the proportionate share payment program. Their testimony was generally opposed to moving forward with managed long-term services and supports without significant additional funding and safeguards.

Transcript Highlights:

• And the good news here for the aquatic resource mitigation fund, that fund is available along with the
• And the good news here for the aquatic resource mitigation fund, that fund is available along with the
• This effort should include report developers that can efficiently extract data into useful and reliable
• extract</c><00:24:45.840><c> data</c><00:24:46.159><c> into</c><00:24:46.480><c> useful</c> can efficiently
• extract data into useful can efficiently extract data into useful and<00:24:47.039><c> reliable</c><

Keywords: 1189, house, all

Summary: The Joint Fiscal Committee met on March 20, 2026, approved the minutes, and adopted the consent calendar after removing two items for separate discussion: FIS 26048 from the Department of Safety and FIS 26053 from the Department of Environmental Services. The committee then adopted both of those items after brief questioning. Safety explained that a $2 million transfer would reduce its lapse, though it still expected a lapse of just under $4 million. Members, especially Senator Gray, emphasized concern about lapses and the need to track them closely given prior-year shortfalls. On the Environmental Services item, members discussed the Heavy Falls dam removal. The commissioner said the dam is old, not grounded in bedrock, and does not meet current safety standards, so removal was the practical option because replacement funding was unavailable. He said the aquatic resource mitigation fund and Army Corps of Engineers support made the removal feasible, and that the town had been involved in discussions for years. The committee adopted the item. The committee also adopted a Department of Transportation item, with staff noting high snowfall and a roughly 25% vacancy rate but saying contractors and bonus incentives had allowed plowing operations to continue. A Judicial Council item was then adopted, with the director saying it would likely be his last appearance this fiscal year. The committee next reviewed information materials on YDC claims administration, where DOJ staff said current spending would leave about a $10 million buffer into the next fiscal year and described reduced staffing and ongoing claims work; no action was taken. The committee then heard audit presentations for the Liquor Commission and Lottery Commission. The Liquor Commission audit reported seven findings, including a material weakness on reconciliations, issues with NextGen data/reporting, gift and promotional card controls, procurement and leasing practices, and one nonconcurrence on whether certain purchases were exempt from bidding requirements; members discussed whether attorney general review or legislation might be needed. The commission said it had completed a year-end reconciliation and was about 70% reconciled through February. The Lottery Commission audit reported three internal control comments, all concurred with by the lottery, focused on written procedures, filling the controller position, annual risk assessments, disaster recovery testing, user access controls, and training compliance; the lottery said it was hiring to reduce reliance on one employee and had no unresolved findings. The committee took no vote on the audit materials and adjourned after setting the next meeting for April 17 at 11:00 a.m.