Transcript Highlights:

• Like, because it says in issuing a standing order, or is it the chief medical officer of DHS in any capacity
• Like, because it says in issuing a standing order, or is it the chief medical officer of DHS in any capacity
• <00:36:44.079> medical<00:36:44.400> officer<00:36:45.040> of<00:36:45.480> DHS
• <00:36:46.480> in<00:36:46.800> any the chief medical officer of DHS in any the chief
• medical officer of DHS in any capacity<00:36:47.680> of<00:36:47.920> their<00:36:48.240

Keywords: 928, house, all

Summary: The Legislative Administration Committee met to consider SB 197, which concerns medical supervision for the licensed registered nurse employed by the Legislative Facilities Committee. The main discussion focused on an amendment, 2025188H, that adds language about the chief medical officer’s authority to issue standing orders and includes immunity language for civil or criminal liability when acting in good faith and with reasonable care. John Williams of Health and Human Services explained that the language was modeled on similar provisions used for standing orders such as Narcan and epinephrine, and that it was vetted with the Attorney General’s office. Members raised questions about whether the immunity could shield mistakes or apply beyond the State House nurse; the chair clarified that the provision applies to the chief medical officer’s issuance of standing orders under this section, while the nurse’s practice remains governed by RSA 326. Representative Wade moved the amendment, which was seconded and adopted on a roll call vote of 10-0. The committee then voted on SB 197 as amended and recommended it ought to pass as amended, again by a 10-0 roll call vote. The bill was placed on consent, and the chair noted that a written committee report would be prepared. After the vote, the chair briefly updated members on other upcoming matters, including a Senate message on the Gold Star flag bill, the status of an enroll bills issue, and a Senate amendment to HB 248 on ethics. The committee also discussed scheduling for a joint historic committee meeting and a proposed Wentworth Cheswell portrait item, and members offered closing thanks to the chair, clerk, and staff for their work.

Transcript Highlights:

• <00:43:18.000> to you know the third party and DHS to you know the third party and DHS to
• This is not new that DHS was too big, too unwieldy.
• So I think a reorganization around DHS, I think those are bipartisan things that we agree with.
• This is not new that DHS was too big, too unwieldy.
• ,<00:59:52.480> I think a reorganization around DHS, I think a reorganization around DHS,

Keywords: 1187, senate, all

Transcript Highlights:

• direct payment to the pharmacy from DHS direct payment to the pharmacy from DHS and<00:46:36.640
• <01:27:38.800> I<01:27:39.040> can't DHS. They try really hard. I can't DHS.
• <01:43:31.679> DHS the FMAP matching funds for that.
• DHS the FMAP matching funds for that.
• DHS reviews it, um, passes the money to the health plans.

Keywords: 1187, senate, all

Transcript Highlights:

• On the second-to-last line on the appropriation section in the summary, it says DHS admin paying account
• But the program Services, Quality Insurance, which is just another division within DHS.
• So reserves had been built up when it came from DWS to DHS.
• It is done at DHS. Okay. Thank you so much for the explanation and the detail on that.
• Well, I’m curious to know how much of DHS budget, you’re with Medical Services, right?

Summary: The committee heard a series of Arkansas Department of Human Services budget presentations and questions, beginning with the Secretary’s Office and then the Division of Aging, Adult and Behavioral Health Services. Staff described the divisions’ appropriations, funding sources, and major programs, including senior centers, Meals on Wheels, mental health grants, substance abuse treatment, community alcohol safety, the Medicaid tobacco settlement program, and crisis stabilization units. Members raised concerns about flat or limited funding for senior services, the use and tracing of federal block grants, the lack of a funding source for the veterans’ mental health grant, and the mechanics of the community alcohol safety and treatment programs. The committee also discussed patient benefits funds at state facilities, transportation for senior center clients, and whether some special-language appropriations or fund balances should be revisited. Executive recommendations were adopted for the divisions considered. The committee then reviewed the Division of Children and Family Services and the Division of County Operations. Questions focused on foster care growth, adoption subsidies, professional fees tied to staff training and onboarding, vacancies, the Children’s Trust Fund, and TANF subgrants. Members asked about the reduction or elimination of TANF funding to child advocacy centers and other subgrantees, and DHS explained that prior reserves had been spent down and that the department was now trying to live within the annual TANF block grant and rebuild reserves. County operations questions also covered summer EBT, SNAP employment and training, the farmers’ market program, and the expected impact of a federal SNAP administrative match change, which DHS estimated would increase state costs by about $24 million annually, with roughly $18 million affecting the current year because the change begins October 1. Executive recommendations were again adopted. Finally, the committee heard from the Division of Developmental Disability Services and the Division of Medical Services. DDS testimony covered vacancies, staffing shortages, human development center construction and repairs, the reopening of the Boonville work training program, and funding for infant infirmary and child/family life programs. Medical Services testimony covered the Medicaid program, the current FMAP rate, the Our Kids B CHIP program, Medicaid payments to schools, nursing home distress funding, and large appropriation lines used to provide flexibility for claims and potential facility closures. Members asked for more detail on school Medicaid payments, reserve balances, and why some appropriations were much larger than actual spending. In each division, the committee moved and adopted Executive REC after questions concluded.

Transcript Highlights:

• Next we have Director Berna Hashimoto from DH with comments. >> Good morning, Chair, Vice Chair.
• Hashimoto from DH in support. >> DH will stand on written testimony. >> Thank you. >> Next we have Nancy
• >> DH herd will stand on written testimony.
• >> DH herd will stand on written testimony. >> Thank<00:16:29.279> you.
• from DH Heard with comments. from DH Heard with comments.

Bills: SB3082, SB3110, SB3251

Keywords: military families, family leave, qualifying military exigency, Hawaii Revised Statutes, financial support, Hawaii National Guard, civil-military program, education, collective bargaining, exemption, SB3251, Hawaii public safety, ICE, Immigration and Customs Enforcement, Border Patrol, law enforcement hiring, state employment ban, police powers, Department of Law Enforcement, DLNR

Transcript Highlights:

• Chair West took the bill to the Judiciary Committee and through work with both DHS and the BCA.
• Um, there's a number of other ones outlined in the bill—then DHS would be alerted and would be able to
• Chair West took the bill to the Judiciary Committee and through work with both DHS and the BCA.
• Um, there's a number of other ones outlined in the bill—then DHS would be alerted and would be able to
• Chair West took the bill to the Judiciary Committee and through work with both DHS and the BCA.

Bills: HF2436

Keywords: child welfare, economic assistance, child care, grant program, video security cameras, 1183, house

Transcript Highlights:

• Senate Bill 1555 is a DHS request bill to revise the definition of intellectual Disability to mirror

Bills: SB667, SB904, SB1344, SB1380, SB1423, SB1425, SB1484, SB1500, SB1502, SB1503, SB1555, SB1561, SB1562, SB1565, SB1572, SB1644, SB1749, SB1833, SB2007, SB2044, SB2074

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, gender transition, gender-affirming care, transgender, puberty blockers, cross-sex hormones, hormone therapy, sex reassignment, transition surgery, Medicaid, public funds, state facilities, state hospital, Oklahoma, intersex, DSD

Bills: SB504, SB844, SB1209, SB1266, SB1303, SB1448, SB1496, SB1595, SB1597, SB1655, SB1679, SB1621, SB1716, SB1769, SB1827, SB1876, SB1944, SB2072, SB2084, SB2104, SB2112, SB2170, SB2180, SB2182

Keywords: charitable organizations, donor restrictions, endowment gifts, Safeguarding Endowment Gifts Act, Oklahoma, donor rights, charitable contributions, forcible entry, detainer, trial period, legal notices, housing law, SB1266, notary public, notaries, legal advice, unauthorized practice of law, misdemeanor, Secretary of State, appointment revocation

Transcript Highlights:

• We would defer to DH on ability to manage this, but we believe this is an important measure right now
• <01:00:22.559> would<01:00:22.720> defer<01:00:23.040> to<01:00:23.119> DH
• services um process. would defer to DH services um process. would defer to DH do<01:00:23.920>

Bills: HB1853, HB1591, HB1961, HB1854, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115

Keywords: HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health, dementia screening, care coordination, referral network, neighbor islands, rural health

Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.

Transcript Highlights:

• One of the concerns that I've had brought to me about DHS is a lack of responsiveness in addressing things
• Now I know I've got resistance from DHS, not where I live. I've got resistance across the campus.

Bills: HR1036, HB2975, HB3026, HB3297, HB2981, HB2978, HB4144, HB1322, HB1818, HB3194, HB3767, HB3342, HB3344, HB4170, HB3287, HB3288, HB4454, HB3264, HB3266, HB3268, HB4095, HB4115, HB4316, HB3530, HB3428, HB4272, HB4273, HB4274, HB3405, HB3406, HB3467, HB3469, HB3931

Keywords: poultry waste, nutrient management, environmental regulations, agriculture, water quality, pollution prevention, best management practices, kindergarten, military families, education policy, school districts, international military dependents, age eligibility, towing services, Oklahoma Wrecker and Towing Services Fund, Department of Labor, vehicle storage fees, consumer protection, nonconsensual towing, open meetings

Bills: HB9, SB2069, SB2342, SB2861, SB3123, SB2623, SB585, SB2211, SB2446, SB2919, SB2125, SB2116, SB2999, SB2656, SB2001, SB3169

Keywords: HB9, Hawaii Purple Heart state, Purple Heart, Purple Heart recipients, veterans, military, armed forces, service members, combat wounded, war veterans, military honors, state designation, symbolic legislation, honorary designation, Chapter 5 HRS, Hawaii Revised Statutes, military appreciation, veteran recognition, SB2069, Hawaii housing

Bills: HB9, SB2069, SB2342, SB2861, SB3123, SB2623, SB585, SB2211, SB2446, SB2919, SB2125, SB2116, SB2999, SB2656, SB2001, SB3169

Keywords: HB9, Hawaii Purple Heart state, Purple Heart, Purple Heart recipients, veterans, military, armed forces, service members, combat wounded, war veterans, military honors, state designation, symbolic legislation, honorary designation, Chapter 5 HRS, Hawaii Revised Statutes, military appreciation, veteran recognition, SB2069, Hawaii housing

Transcript Highlights:

• If we can have DHS come up. recommendation adopted. recommendation adopted.
• we<00:04:44.320> can<00:04:44.639> have<00:04:45.360> uh<00:04:45.680> DHS
• We're going to adopt language from DHS to clarify the eligibility for TANF and adopt the Office of Wellness
• Recommendation adopted. >> Uh, recess. language from DHS to clarify the language from DHS to clarify

Bills: SB99, SB585, SB2060, SB2069, SB2110, SB2115, SB2152, SB2211, SB2259, SB2315, SB2342, SB2382, SB2442, SB2446, SB2485, SB2544, SB2577, SB2580, SB2861, SB2919, SB3326

Keywords: SB99, Hawaii, Employees' Retirement System, ERS, retirant, retiree rehiring, reemployment after retirement, retirement benefits, benefit suspension, school resource officer, SRO, public school safety, Department of Law Enforcement, DLE, labor shortage, difficult-to-fill position, teacher shortage, charter school, mentor teacher, vacancy rate

Summary: The Committee on Ways and Means met for decision-making only and adopted recommendations on a long list of Senate bills, with no oral testimony taken. Early actions included SB 99 to pass unamended, SB 585 to pass with a date correction to 2015, SB 2060 to pass with amendments involving public project lists, legislative approval for fund transfers, and removal of certain appropriations, and SB 2069 to pass with amendments extending a sunset date and requiring transit-oriented development zoning. The committee also advanced several other measures, including SB 2110, SB 215, SB 2259, SB 2382, SB 2442, and SB 2485 unamended, while SB 2152, SB 2315, SB 2446, SB 2919, SB 2577, SB 2580, and SB 2861 were moved with various amendments, mostly date changes, appropriation blanks, or technical clarifications. A substantial portion of the meeting focused on SB 2211, where Department of Human Services officials explained how the department was covering costs by using restricted funds and shifting Med-QUEST funding, and noted a need for $14 million plus support for $16.5 million in ACA enhanced tax credit subsidies. The chair indicated the bill would move forward with amendments, including blanking the appropriation pending more information on lapses, and the recommendation was adopted. SB 2544 was also amended to remove a specific appropriation and replace it with a blank cap on funds from DUR, and SB 2342 was amended to require projects to be in transit-oriented development zones and to reflect prior committee concurrence. The most extended debate was on SB 3326, which would address utility restructuring. One senator opposed the bill, arguing it could raise rates, worsen reliability issues, and disrupt an existing utility without a clear plan, especially given island-specific conditions. Supporters argued the bill would separate generation from transmission and distribution, create competition, protect union jobs, and respond to aging infrastructure and financial weakness in the utility sector. After recesses and discussion of the Public Utilities Commission’s role, the chair changed the recommendation from pass unamended to pass with amendments requiring the PUC to conduct a study, provide an interim report before the next session, and a final report the following session. That amended recommendation was adopted, and the meeting then adjourned with no further business.

Transcript Highlights:

• However, it creates significant obligations for DHS.
• However, it creates significant obligations for DHS.
• However, it creates significant obligations for DHS.
• DHS because historically it wasn't there DHS because historically it wasn't there and<04:41:49.280>
• Williams, with DHS. Williams, with DHS.

Keywords: 928, house, all

Summary: The House Committee on Health, Human Services, and Elderly Affairs heard HB 1790-FN, which would address involuntary admissions for certain individuals with a substance use disorder. Representative Lucy Weber introduced the bill for Representative Long, and the committee heard extensive testimony both in support of and in opposition to the proposal. Opponents, including John Burns of SOS Recovery and Jake Barry of New Futures, argued that involuntary commitment is not well supported by research, can retraumatize people, may increase overdose risk after release, and could undermine New Hampshire’s existing recovery and harm-reduction efforts. They emphasized that treatment should be voluntary, trauma-informed, and paired with housing, recovery supports, and other community-based services. Representative Long said he was willing to accept DHHS’s request to amend the bill into a study commission, though he expressed concern that a prior state study had not led to action. He said the commission should focus on implementation details, including where people would be placed, staffing, withdrawal management, elopement prevention, length of commitment, and aftercare. He described involuntary commitment as one tool for people with severe dangerous addictions, distinct from drug court, and said it could help avoid criminal records. Committee members asked about capacity at New Hampshire Hospital and how the proposal would work in practice. DHHS officials Katya Fox and Cynthia Pabonis testified that the bill raises major policy and fiscal concerns. They said New Hampshire’s current system has benefited from investments in naloxone, medication-assisted treatment, recovery centers, and community-based services, and that those investments have helped reduce overdose deaths. They estimated the bill would require a new 70-bed facility costing about $40 million to build and about $33.3 million annually to operate, with only a small portion offset by insurance, plus more than $600,000 in annual legal costs and additional staffing and system changes. They also said New Hampshire Hospital has 185 beds, with about 100 patients typically ready for less restrictive settings, and that housing shortages are a major bottleneck. NAMI New Hampshire also testified in opposition, saying families often want any possible treatment for loved ones but still opposed the bill. No vote or final action was taken in the hearing.

Transcript Highlights:

• DHS will certainly continue to communicate closely with the legislature and the broader public as we
• Can I add as another 988 center, right, earlier you heard DHS say that their budget request funds the
• Yeah, I mean, I actually have some empathy to DHS, right?
• Yeah, so the statute required—so the work group was hosted by DHS and...
• DHS, thank you so much for coming in today.

Summary: The subcommittee heard presentations from the Department of State Hospitals (DSH), the Commission for Behavioral Health, and the Department of Health Care Services (DHCS) on budget proposals and implementation updates. DSH outlined its proposed 2026-27 budget, including funding for patient operating expenses, IST solutions savings, conditional release program costs, LPS bed allocation changes, electrical infrastructure projects at Napa and Patton, SB 380 transitional housing feasibility work, and expanded dental services at Metropolitan and Patton. DSH also reported that it has met court-ordered IST treatment benchmarks in the Stiavedi v. Clinton case, with average time to initiate treatment down to about five days and pending placements reduced to roughly 250, while noting that Proposition 36 could increase referrals and SB 1323 may divert some individuals earlier into community-based treatment. Members asked about rising outside hospitalization costs, Medicare enrollment, the timing and structure of capital projects, and whether IST solution funds are being fully used; DSH said the savings reflect slower-than-expected ramp-up of community programs and that the Central California FACT replacement program is still on track for January 2027 activation. The Commission for Behavioral Health described its role under the Behavioral Health Services Act (BHSA), including data, evaluation, grantmaking, technical assistance, and transparency work. It highlighted the new statewide Innovation Partnership Fund, a five-year, $20 million-per-year program with small and large grant categories; the first RFA drew strong interest, with more than 400 questions and over 1,000 bidders’ conference participants. The Commission also discussed a proposed extension to spend down about $4.1 million remaining for the Alcove Youth Drop-in Center grants so sites can finish implementation and Stanford can complete the final evaluation. Members asked about grant duration, whether projects can be renewed, what qualifies as innovation, and whether the fund could support service delivery rather than awareness campaigns or training; the Commission said awards are expected to be three-year contracts and that proposals must be new or meaningfully expanded approaches that support BHSA priority populations. DHCS reviewed major behavioral health changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, updated specialty mental health access criteria, and new substance use treatment standards based on ASAM’s fourth edition. DHCS reported strong contingency management results, with more than 13,000 members served and 95% testing negative for stimulant use during treatment, and said 21 Indian health care providers have been approved to offer traditional health care practices. It also described BH Connect initiatives such as the $1.9 billion access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation by four counties, and transitional rent services. On BHSA implementation, DHCS said it is not tracking individual county contract cuts but is monitoring county plans and statewide outcomes, while stakeholders raised concerns about local prevention and service gaps. DHCS also outlined its H.R. 1 implementation strategy, including outreach, streamlined renewals, exemptions for disabled, substance use, and medically frail individuals, and proposed clinic navigator and outreach funding; it said it has not yet produced a focused estimate of H.R. 1 impacts on behavioral health populations. The discussion ended with DHCS noting that B-CHIP bond funding has supported 437 infrastructure projects, creating 546 new or expanded facilities and more than 9,500 residential beds across the state.

Transcript Highlights:

• I'm thinking about the DHS modernization problems. Thank you. I'll work with you.
• I'm thinking about the DHS modernization problems. Thank you. Anything else? No. All right, go on.
• First up, we have DHS, written with comments. We have the Deputy Attorney General's Office.
• Um, we have Ryanii, DHS, written with comments. Kirby Shaw. Okay, thank you so much.
• Ryan Yamani, DHS, written in opposition. That's all we have on the measure 1611.

Keywords: 912, senate, all

Summary: The committee met on February 4, 2025, for decision making on previously heard measures, then later held hearings on additional bills. Early action focused on several measures that were amended and advanced, including SB 161 on state project exemptions from county permitting, which was heavily revised to allow programmatic or project-specific agreements with counties, require public reporting of exempted projects, and create a working group to study broader permitting and construction coordination issues. The committee also advanced SB 635 on energy efficiency with changes shifting survey leadership to the Hawaii State Energy Office, SB 700 on resilience hubs after narrowing it to focus on emergency-service-capable hubs and removing distributed energy language, SB 869 on community outreach boards with a technical amendment, SB 1081 on a legislative budget office by converting it to a feasibility study, SB 711 on gubernatorial appointments with a salary threshold change, SB 405 on neighborhood board agendas with a committee-report note about OIP concerns, SB 381 with privacy issues deferred to Judiciary, SB 2 as a two-year pilot for fruit tree planting in selected districts, SB 239 on disaster preparedness with sheltering revisions, and SB 998 as introduced with a cost estimate for site selection work. Several measures were deferred or not advanced, including SB 615, which was deferred indefinitely, SB 1132, which the chair said would be set aside in favor of another childcare bill, and SB 111, which was not taken up further because of confusion during an earlier hearing. During the later hearing portion, SB 1175 on procurement drew testimony from the State Procurement Office, which supported the bill but corrected its estimated database revision cost from $7,500 to $30,000; the Department of Transportation also appeared, while the General Contractors Association submitted opposition. Committee members questioned whether the past-performance database should include more detailed quality information and whether a one-year post-completion review would be useful, but no amendment was adopted at that time. SB 1587 on retainage received written support from the Subcontractors Association of Hawaii and no opposition in the room. SB 1543 on government accountability, which would require justification for outside consultants and cap consultant spending, drew opposition from the American Council of Engineering Companies of Hawaii, which argued it could slow procurement, reduce flexibility, and worsen delays given existing vacancies and limited in-house expertise. The Public First Law Center supported the related transparency bill discussed in the hearing, arguing it would close a loophole by making contractor-created records used in government functions subject to disclosure under UIPA, while the Attorney General’s office opposed it. The transcript ends with that testimony still underway, and no final vote is shown for the later hearing bills.

Transcript Highlights:

• Um, and probably will have a need to ask questions of the folks from DHS.
• As usual, um, I will invite DHS to, uh, to chime in where appropriate.
• ,<00:06:00.800> I<00:06:01.039> will<00:06:01.199> invite<00:06:01.520> DHS
• <00:41:27.440> with of Developmental Services and DHS with of Developmental Services and DHS
• And then I will uh ask DHS, is Okay.

Keywords: 928, house, all

Summary: The Committee to Study Long-Term Managed Care met to approve prior minutes and outline its schedule, with meetings set for September 24 and September 29 ahead of an October 1 report deadline. The chair said the committee would use the first two meetings to digest testimony, likely ask follow-up questions of DHS, and then work toward conclusions and a report format. The minutes from the previous meeting were approved unanimously. The main testimony came from Sharon Alexander of Amera Health, who argued in favor of moving from fee-for-service Medicaid long-term services and supports to a managed LTSS model. She described managed LTSS as a capitated, quality-driven system used in about 26 states, and said it can improve care coordination, accountability, access to home- and community-based services, and budget predictability. She cited Amera Health’s experience in Pennsylvania and Delaware, including care coordination, housing and transportation support, caregiver programs, and quality benchmarks tied to state oversight. She also said nursing facilities would remain an important option for people who need that level of care. Committee members asked about how the programs are administered, how rates are set, how care managers work, and how quality is measured. Alexander said states contract with managed care organizations at actuarially sound capitated rates, with annual contracts, reporting, and oversight. She explained that care managers typically conduct quarterly assessments and follow up after trigger events such as hospitalization, and that housing coordinators may assist with transitions to the community. On quality, she said states use CMS-related and HCBS benchmark measures covering service timeliness, care planning, transitions, and other outcomes, and that New Hampshire could build on existing metrics rather than starting from scratch. She also noted that rural areas face workforce and transportation challenges, which managed care plans try to address through technology and self-direction options.

Transcript Highlights:

• compliance with our policies, because this is somewhat similar to the discussion I think you had with DHS
• <00:02:14.000> uh<00:02:14.120> we<00:02:14.239> of auditor with ogm with DHS
• uh we of auditor with ogm with DHS uh we of course<00:02:14.560> at<00:02:14.720> deed
• about uh compliance issues had with DHS about uh compliance issues versus<00:04:59.919> fraud
• <01:15:07.840> that's of Inspector General within DHS that's of Inspector General within DHS

Keywords: 1183, house

Transcript Highlights:

• I also know that we're cutting funding from DHS.
• I also know that we're cutting funding I also know that we're cutting funding from<01:04:11.200> DHS
• There was a there was a lot of from DHS.
• Before I close public, I'm going to ask you again to work with DRA and DHS.
• cover DHS as well as DRA's uh concerns. cover DHS as well as DRA's uh concerns.

Keywords: 1191, senate, all

Transcript Highlights:

• The subcommittee met again on Monday to hear testimony on DHS hospital spending and an update on reimbursement
• Can I get DHS to the table? Can I get DHS to the table?
• All right, DHS, thank you. I hope you hear this committee and hear it well.
• There's always concerns with DHS, and I know that's part of being who you are because you're big and

Summary: The council opened with a prayer, approved the prior meeting minutes, and received the February 2026 Monthly Revenue Report from Carlos Silva of the Bureau of Legislative Research. He reported gross revenues of $5.36 billion and net collections of $4.5 billion, both above the prior year to date, and said the updated forecast now shows a larger expected surplus. Members asked about declines in some tax categories, natural gas severance fee fluctuations, inflation, and economic development incentives; Silva attributed several changes to timing, refunds, tax cuts, weather, and price volatility, and generally described the state’s revenue trend as positive. The Executive Committee, Administrative Rules, Claims Review, Game and Fish, Higher Education, Infrastructure Investment and Jobs Act, Medicaid studies, Occupational Licensing Review, State Insurance Programs Oversight, and other subcommittee reports were adopted. The Medicaid studies report drew extended discussion about DHS staffing and contract nursing costs at state hospitals and human development centers; DHS officials said they were working on a recruitment and retention plan, reported significant vacancies and turnover, and said the state was not at risk of overspending the contracts. Several members urged reducing reliance on contract labor and moving staff onto state payrolls. The Review Subcommittee report prompted questions about a Department of Public Safety aircraft maintenance item and a Department of Shared Administrative Services contract for Deloitte to implement performance and goals management software tied to the state’s new personnel system. After discussion, the aircraft maintenance item was held briefly and then withdrawn from the hold, while the shared services contract was explained as a one-time integration/configuration project for a system that will support employee evaluations and performance-based pay; the report and the separate contract vote were approved. The Personnel Subcommittee also heard testimony from Commerce Secretary Hugh McDonald about reductions in force at the Division of Services for the Blind, which he attributed to funding shortfalls and fiscal mismanagement; members questioned the impact on blind and visually impaired clients, the status of board appointments, and whether federal funds could be at risk. The report was adopted with immediate consideration, and the meeting ended after filing the remaining APER report and adjourning.