Transcript Highlights:

• for developmentally disabled Floridians who receive support through the Medicaid waiver programs.
• This program and this bill is about supporting Florida's developmentally disabled as they seek inclusion
• for developmentally disabled Floridians who receive support through the Medicaid waiver programs.
• This program and this bill is about supporting Florida's developmentally disabled as they seek inclusion
• developmentally disabled individuals to opt into the program and requiring DCF to provide written notice

Bills: S0006, S0036, S0560, S0778, S0844, S0864, S1002, S1016, S1022, S1030, S1630

Keywords: child welfare, negligence, settlement, injury compensation, Department of Children and Families, nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, psychotropic medication, community-based care, liability insurance, forensic services, defendants, mental health, judicial system, defense, legal definitions, sickle cell disease

Summary: The Appropriations Committee on Health and Human Services heard and advanced a series of health, child welfare, aging, disability, and public records bills. CS/SB 1002, on child welfare and parental substance abuse, was described as clarifying that acute or chronic parental drug abuse can constitute harm or neglect when it creates an ongoing risk to a child; it passed after limited questions and supportive testimony from Florida Smart Justice Alliance. CS/SB 1630, a broad aging and long-term care modernization bill, would streamline eligibility screenings, allow temporary DOEA services during emergencies or lead agency failures, tighten oversight of area agencies on aging, permanently establish the Florida Alzheimer’s Care Center of Excellence, and expand guardianship training and enforcement tools; it drew support from AARP, area agencies, and the Alzheimer’s Association and was reported favorably. The committee also approved SB 1022 to add Bay County and Pompano to the Florida Children’s Initiatives, and CS/SB 1030, via strike-all amendment, to streamline regulation of substance abuse and behavioral health providers and clarify background screening and privacy rules. Several bills focused on health care practice and patient access. CS/SB 36, with an amendment, allows nurses with doctoral degrees to use appropriate titles while requiring clear identification as nurses and making misuse grounds for discipline; nursing organizations supported it and it passed. CS/SB 844 requires physicians and nurses to complete a one-time, board-approved continuing education course on sickle cell disease care management, with multiple patients and advocates testifying about delayed care, bias, and the need for better provider education; the bill was reported favorably after an amendment aligning it with the House version. CS/SB 560 streamlines procedures for psychotropic medication for children in DCF custody by reducing duplicative reports, clarifying evaluator qualifications, limiting repeated background checks, and simplifying consent documentation; an amendment removed postsecondary education language, and the bill passed. The committee also approved a public records exemption bill for a uterine fibroids research database (CS/SB 864). The committee also advanced measures affecting disability services and forensic care. SB 6, a claims bill, would pay $3.8 million to a trust for a child who suffered severe abuse-related injuries after DCF involvement; it passed without opposition. SB 778 updates the definition of forensic clients so certain individuals with intellectual disabilities or autism found incompetent to proceed can be housed in the same secure forensic setting, reducing duplicative staffing and space needs; it was reported favorably. CS/SB 1016 codifies the Working People with Disabilities Program, allowing eligible developmentally disabled adults to work while retaining Medicaid waiver benefits and requiring notice to enrollees; advocates described the bill as essential to employment and independence, and it passed. Throughout the meeting, most bills received supportive public testimony, few questions, and unanimous or near-unanimous favorable votes.

Transcript Highlights:

• support other programs across the state. support other programs across the state.
• Kentucky 7 1915 C waiver programs. Kentucky 7 1915 C waiver programs.
• the waiver program. the waiver program.
• intellectual and developmental intellectual and developmental developmental<01:13:36.240> disabilities
• Same program.

Keywords: 958, all

Transcript Highlights:

• disabilities Vantage Care pilot program, also known as the IDD pilot program, that was established in
• , and it expands the IDD pilot program to all individuals with developmental disabilities enrolled in
• Having worked with you on the original pilot program, I appreciate the expansion of the pilot program
• programs, that are going to pass, that students who finish these programs are going to be able to...
• Imagine when our program directors walks up to some students and say, because our program was...

Summary: The committee took up a series of health and human services bills, beginning with CS/SB 1602, which would require emergency departments to have evidence-based pediatric care protocols, training, appropriate child-sized equipment and medications, a designated care coordinator, and participation in a pediatric readiness assessment. It was reported favorably. CS/SB 1224 followed, aligning Florida law with federal requirements so paramedics may administer controlled substances in the field under physician or nurse practitioner protocols; it also passed favorably after supportive testimony from fire chiefs. The committee then adopted a strike-all for SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by creating a statewide registry, requiring screening and training in hospitals and long-term care settings, and adding assisted living facility response requirements. Assisted living representatives objected to the ALF provisions as unrealistic and potentially harmful, while supporters argued the bill would save lives; the bill was reported favorably. CS/SB 1182, requiring continuous glucose monitors to be covered as both durable medical equipment and a pharmacy benefit, also passed favorably with support from AARP. The committee next considered CS/SB 12, a claim bill for a child severely injured after a DCF home visit allegedly failed to meet standards, and it was reported favorably without opposition. CS/CS/SB 954, dealing with substance abuse treatment centers and recovery residences, drew substantial debate. The bill would limit local zoning restrictions on treatment facilities and allow larger recovery residences if staffing ratios are increased; a late-filed amendment reduced the maximum active patients from 500 to 300. Municipal and county representatives warned that the bill could override local reasonable-accommodation efforts and create institutional-scale facilities, while supporters said housing is essential to recovery and that clustering concerns are overstated. The committee ultimately reported the bill favorably. CS/SB 1050, expanding the developmental disabilities pilot program statewide and creating a statewide family care council, also passed after extensive testimony from families and advocates. Supporters emphasized the long waitlist and the need for more services, while some speakers opposed managed care and warned about provider shortages and loss of individualized supports. Later, CS/SB 614, requiring a public educational webpage about background screening clearinghouse and level two screening requirements, was reported favorably. CS/SB 1578, which would require coverage for mammograms and supplemental breast cancer screening in certain circumstances, was also reported favorably. CS/SB 1060 created a joint legislative oversight committee to review Medicaid operations and financing; members discussed the need for stronger oversight of large midyear spending adjustments, and the bill passed favorably. CS/SB 1240, a Department of Children and Families substance abuse and mental health bill, was amended to clarify Baker Act transfer timing and notification requirements after debate over whether facilities could hold patients too long; it was then reported favorably. Finally, Senator Harrell presented CS/SB 526, a major nursing education bill aimed at Florida’s low NCLEX passage rates. The bill would require nursing programs to use exit exams, remediation, reporting, and stricter oversight, and the strike-all would add graduate preceptorships for low-performing programs and temporary provisional licenses for graduates pending NCLEX passage. The transcript ended while that bill was still being explained, before final action was taken.

Transcript Highlights:

• , And finally, with the doorway program, And finally, with the doorway program, we're<00:04:05.200
• you know how to uh what program to use. you know how to uh what program to use.
• about the special education program. about the special education program.
• program audit. program audit.
• . program. program.

Keywords: 1189, house, all

Summary: The Legislative Performance Audit and Oversight Committee approved the November 7 minutes with three abstentions and then received status updates on several ongoing audits. Audit staff reported that the special education oversight audit was in report-writing, with 34 of 71 observations completed and a draft expected in the second quarter and a final report in the summer. The education freedom accounts audit had 22 of 41 observations completed, with a draft also expected in the second quarter and a final report in the summer. The Doorway program audit had 5 of 13 observations completed, with a draft expected by the end of February and a final report by April or May. The committee then discussed possible new oversight topics, prompted by concerns about fraud in other states and the need to ensure New Hampshire programs are not vulnerable. Members suggested hearing from DHS officials, contract administrators, and possibly the Department of Justice Medicaid fraud unit about SNAP and other programs, as well as reviewing staffing levels in HHS contract management. There was also discussion of whether to revisit the Bureau of Elderly and Adult Services, though members noted that prior work on that area had been suspended because of litigation. A representative from HHS, Teresa Narrow, briefed the committee on the Bureau of Developmental Services. She said the state had been in compliance with CMS since July 1, 2023 after resolving issues tied to a system redesign and billing changes, and that provider-side billing problems had also been fixed. She also described three existing bodies involved in developmental disability housing oversight, including the Council on Housing Stability, the ABLE Housing Task Force, and a legislative study committee created by HB 168 in 2024. Committee members asked for her notes to be shared. The committee spent substantial time debating whether to pursue a new special education audit at the school-district level. Members discussed the need to examine why some districts have much higher special education rates and costs than others, and whether a statistically selected sample of schools could be used. Audit staff said no new audits could begin until about May or June and that only a couple of auditors would then be available. Members also noted that a legislative study committee is already working on special education and may issue a report later this year, and the committee appeared to leave the school-level audit idea as a potential future item rather than taking immediate action.

Transcript Highlights:

• .prospective pay program.
• across programs.
• Child care program to maintain parity across programs.
• programs in their area.
• Very important program. Probably the most important program in the world.

Keywords: 988, house, all

Summary: The Assembly Budget Subcommittee on Human Services held a hearing on the Governor’s May Revision, with no votes taken. The first major discussion focused on child care and early education, including proposed reductions tied to federal Child Care and Development Fund and Proposition 64 revenue changes, the shift of reductions from general child care to the California Alternative Payment Program, the end of funding for prospective pay implementation, a 2.01% cost-of-living adjustment, child care infrastructure grants, and a proposal to increase administrative funding for alternative payment agencies. The Legislative Analyst’s Office generally supported removing prospective pay funding and urged caution on the administrative-rate shift, while also recommending more justification for the slot reduction approach and more detail on infrastructure grant alignment. Committee members strongly objected to eliminating about 6,000 child care slots, arguing the Legislature should preserve and expand child care access. The Department of Education supported the preschool QRIS block grant increase and the COLA but raised concerns about rate alignment for three- and four-year-olds and the lack of funding to maintain enrollment growth. The committee then reviewed trailer bill language affecting child care, including codifying age-based reimbursement categories, expanding documentation for enhanced inclusion rates, clarifying CalWORKs child care eligibility, aligning health and safety standards with federal requirements, coordinating disaster-related infrastructure funding, and updating oversight language. Administration officials said the proposals were intended to support the single reimbursement rate structure, improve safety compliance, and coordinate disaster recovery funding. LAO said it had no major initial concerns with the trailer bill language but would continue reviewing it. The hearing then turned to CalFresh and nutrition programs. CDSS described projected caseload declines, a one-time augmentation for county administration to implement federal H.R. 1 changes, a proposed reassessment schedule for county administrative funding, and updated estimates that H.R. 1 could cut CalFresh funding by $2.3 billion to $3.7 billion annually and affect about 500,000 people. Members pressed the administration on the impact of H.R. 1, the “chilling effect” on immigrant households, county workload, and whether the state should backfill federal cuts, especially for families with children subject to new work requirements. The committee also discussed a one-time CalFood augmentation, state administrative expense funding, staffing for H.R. 1 implementation, and a small increase to the CACFP meal reimbursement rate. Finally, the committee began IHSS items, including the impact of reinstating the Medi-Cal asset limit, automatic IHSS termination tied to Medi-Cal loss, and related savings and caseload estimates, with the administration explaining that these proposals would reduce eligibility and that there is no broad substitute for IHSS for many recipients.

Transcript Highlights:

• He served in the capital office as part of the UC Sacramento program.
• House resolution 24 by Assemblymember Nguyen relative to developmental disabilities.
• Proposed $300 million budget cut to preschool programs for kids with developmental disabilities.
• This bill ignores the fundamental purpose of inmate labor programs.
• the program.

Keywords: 988, house, all

Transcript Highlights:

• I'm the CFO of Kids Developmental Therapy and Kids Developmental Clinic.
• developmental disabilities programs at TechSAN Center.
• Texas Families Program.
• I am Carreon, Chief Operating Officer of Day Programming for Mission Road Developmental Center in San
• My wife, Shelly, and I own an HCS program serving almost 200 individuals with intellectual and developmental

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• all developmental developmental developmental uh<00:18:08.919> individuals.
• has significant developmental has significant developmental disabilities.<00:18:27.120> Uh
• look at significant developmental look at significant developmental disabilities,<00:18:45.679><
• I understand you did mean developmental I understand you did mean developmental uh<00:19:41.200>
• have both levels of developmental have both levels of developmental disability<00:20:53.600>

Keywords: 1189, house, all

Transcript Highlights:

• developmental developmental disabilities.
• The State Council on Developmental The State Council on Developmental Disabilities<00:44:25.920>
• Developmental Developmental Wait.
• We have a special program called our housing assistance program, which helps elders 60 years and older
• program to make the same change there. program to make the same change there.

Keywords: 910, house, all

Summary: The committee heard testimony on HB 963, which would make crimes against elders age 60 and over strict liability offenses by removing the requirement that the perpetrator knew or should have known the victim’s age. The Office of the Public Defender opposed the bill, arguing that removing the state-of-mind element would create unfair and subjective results and suggesting sentencing enhancements or broader vulnerability-based language instead. Supporters, including Sandy Wong and another testifier with elder-abuse experience, said the current knowledge requirement creates a loophole that lets offenders avoid the elder enhancement even when they target vulnerable older adults. No vote was taken on the measure in the portion provided. The committee also heard HB 384, which increases penalties for promoting minor-produced sexual images, extends probation terms for felony obscenity offenses, tolls the statute of limitations during a victim’s minority, and requires sex offender registration for certain felony obscenity offenses involving minors. The Public Defender opposed the bill as overly broad and warned of absurd results, while the Department of the Prosecuting Attorney supported it, saying the bill addresses sextortion and other exploitation cases where adults solicit images from minors and that the 3-year age-gap threshold preserves ordinary teen relationships. Committee members questioned whether the bill was aimed at adults only and whether the age-gap carveout was narrow enough; the prosecutor said it was intended to cover adult predators and not consensual peer conduct. No final action was reported. HB 1100, which renames the Neighbor Islands Blind and Visually Impaired Service Pilot Program to use “low vision” instead of “visually impaired,” was supported by the Department of Human Services and disability advocates, who said the current term is derogatory and that the change responds to the blind community. The department said it was beginning work on administrative rules and expected to seek an appropriation, with implementation hoped for in 2026. The committee then heard HB 1283, exempting paternity proceedings from mediation when domestic abuse is alleged; the Hawaii State Coalition Against Domestic Violence and others supported it as consistent with divorce law and important for survivor safety. HB 689, creating safe harbor protections for survivors of sexual exploitation who seek medical or law enforcement help, drew support from HPD, Emua Alliance, the Judiciary, and others, who said it would prevent traffickers from using prostitution charges to silence victims. Finally, HB 383, reinstating mandatory minimum jail terms for successive violations of protective orders and removing the court’s ability to suspend those minimums, drew opposition from the Public Defender, who said some repeat violations stem from mental health or substance use issues, and support from the Prosecuting Attorney, who argued the bill treats protective orders like temporary restraining orders and preserves judicial discretion within a misdemeanor framework.

Transcript Highlights:

• Bureau of Developmental Services. Bureau of Developmental Services.
• Developmental Services administers. Developmental Services administers.
• They didn't have a direct relationship with the Bureau of Developmental Services or the Medicaid program
• They didn't have a direct relationship with the Bureau of Developmental Services or the Medicaid program
• program.

Keywords: 1189, house, all

Summary: The meeting opened without a quorum, so approval of the prior draft minutes was deferred until later. The committee then heard a DHS update from Commissioner Lori Weaver and COO David Weers, who described the recent flood at the Brown building and the relocation of nearly 400 DHS staff while operations are restored. They also outlined New Hampshire Care Connections, a privacy- and consent-focused closed-loop referral platform intended to improve referrals among providers, reduce duplication, and support continuity of care, with an Upper Valley implementation partnered with Dartmouth Health and an Epic integration already underway. Members asked whether the system would merge medical records or simply track referrals. DHS said it is not intended to store or transmit full medical records, but to integrate with providers’ electronic health record systems so referrals can be sent, received, and tracked, with consent controls limiting what information can be shared. Officials said the project will be tested over the coming months, with metrics, governance, and advisory committee oversight, and that it is tied to broader rural health transformation efforts and statewide implementation after the regional pilot. The committee also received the annual report from the Child Care Advisory Council. Maryanne Barter and Jessica Carver said the council worked with licensing to streamline the child care licensing rules, reducing the handbook by about 30%, and is now helping develop an informal dispute resolution process, revising the Granite Steps for Quality system, and creating a clearer handbook for providers handling state scholarship audits. They reported ongoing concern about child care closures and workforce shortages, said there is currently no wait list for child care assistance, and discussed questions about federal CCDF immunization requirements, which DHS said it would follow up on with federal technical assistance partners. After quorum was established, the committee moved to approve the minutes from the prior meeting.

Transcript Highlights:

• My twin brother, William, a man with a beautiful soul, also has developmental disabilities, and without
• We need to do more to protect our family members. has developmental disabilities and without community
• , And so places that can help him with all of his care, not just his developmental disabilities and being
• It will end a program that I think is very vital to citizens in the state of Washington.
• It gives an opportunity for another pathway to personal wealth through this employee ownership program

Summary: The House considered Substitute Senate Bill 5393, relating to closing Rainier School by June 30, 2027. After many withdrawn amendments, the House adopted striking Amendment 1455, which changed the bill to allow current residents to remain at Rainier School as long as they choose and can live there, while also creating opportunities for community care transitions, return to Rainier if needed, and regular reporting from DHS on transition outcomes, mortality, and related data. Members speaking in favor emphasized the need to move away from institutional care, protect vulnerable residents, and improve accountability; some noted the emotional and personal significance of the issue. The bill then passed the House 76-22 and was immediately transmitted to the Senate. The House also took up several Senate-amended bills and concurred in the Senate changes before final passage. Second Substitute House Bill 1207 passed 54-44 after debate over a fee increase and whether the revenue would benefit local jurisdictions enough. Substitute House Bill 1498 passed 70-28 after a modest Senate adjustment giving more first-year flexibility. House Bill 2003 passed 53-45 despite concerns that it would reduce fishing opportunities. Substitute House Bill 2047 passed 58-40; supporters praised the Senate changes, while opponents argued it still ended a valuable employee ownership program and remained subject to appropriations. House Bill 2050 passed 56-42 after the Senate removed an apportionment shift from the bill, though some members still objected to the remaining ALE enrollment cap. The House also received messages from the Senate indicating passage of a gross substitute House Bill 249 and that the President had signed gross substitute Senate Bill 5041. The chamber then adjourned until 10 a.m. Sunday, April 27.

Transcript Highlights:

• :09:22.320> operates<00:09:22.800> that programs that the state operates that programs
• program.
• The majority of the programs program.
• ID regional program.
• community support program. community support program.

Keywords: Appropriations - Room 210; 29 January, 2026: 8:00 AM, 925, all

Summary: The Department of Mental Health presented its FY27 budget request and described its statewide responsibilities, including more than 600 grants totaling about $140 million, 11 community mental health centers, and state-operated programs for mental health, substance use, and intellectual/developmental disabilities. The request included $291.2 million in general funds, about $33.4 million above the current year, plus spending authority tied to ID regional programs and the IDD waiver. Major components included funding to enroll 250 additional people in the IDD home- and community-based waiver, a projected waiver rate increase, and added support for state-operated 24/7 programs facing staffing and operational shortfalls. The agency also asked to continue selected ARPA-funded services before those dollars expire, including 988 call center support, peer respite sites, court liaison positions, intensive community services for children and youth, and adolescent offender programs. Other requests covered salary adjustments and longevity increases for hard-to-fill positions, electronic health record support, IT security upgrades, a Jackson County crisis stabilization unit expansion from 8 to 16 beds, capital needs such as generator and boiler/chiller replacements, inflation-related increases for community mental health center grants, and restoration of general funds under a Joint Legislative Budget Committee recommendation. Officials emphasized that community-based care now accounts for 58% of funding and that the goal is to keep people out of institutions unless they need the highest level of care. Committee members asked about ARPA balances, forensic referrals, Jackson County’s request, and county support for community mental health centers. The department said about $25 million in ARPA funds remained and should be spent by September 30, with some delays due to reimbursement revisions. On forensic services, officials reported the new 81-bed maximum-security unit at State Hospital has cut the wait list roughly in half, but admission orders are up 51%, and some referrals may be unnecessary or used to delay proceedings. Members also discussed county contributions to community mental health centers, which the department said total about $9–10 million statewide, with most counties now meeting their obligations and only a few using small in-kind contributions.

Transcript Highlights:

• and fellow of our evidence-based intern and fellow of our evidence-based practice<00:03:31.519> program
• practice program. practice program.
• GM 552, Pina Lemusu, State Council on Developmental Disabilities, for term to expire June 30, 2026.
• <00:16:06.360> Disabilities Developmental Disabilities Developmental Disabilities uh<00:16:07.800
• individuals with developmental individuals with developmental disabilities<00:19:17.400> and<

Keywords: 912, senate, all

Summary: The Health and Human Services committee heard and considered several gubernatorial nominations to advisory boards and councils. Early in the meeting, members heard testimony in support of Miriam Chang for the Health Planning Council Windward O‘ahu subarea, with supporters highlighting her long medical practice on the Windward side, work at Ko‘olau Health Center, and community involvement. Chang said she wanted to help improve health, especially in rural areas. The committee also heard support for Terrilyn Luke’s nomination to the Center for Nursing Advisory Board; the Center for Nursing director and nursing organizations backed her, and Luke said she would bring a front-line nursing perspective, focus on workforce conditions, retention, and collaboration, and help address tensions between the Center and nursing labor groups. The committee then heard support for Valerie Rose’s nomination to the Language Access Advisory Council; Rose briefly noted her prior work in the Chronic Disease Branch and Bilingual Health Aide Section. The committee also took up nominations in a later agenda segment. James Montgomery was heard for the State Rehabilitation Council and described his interest in serving based on a family experience with disability and his work in talent management, saying he wanted to help people with disabilities gain opportunities. Kevin Nakamura was heard for the Board of Certification of Operating Personnel in Wastewater Treatment Plants and said his 30-plus years of wastewater experience would help ensure operators are properly trained and certified to protect resources and the environment. Pina Lemusu was heard for the State Council on Developmental Disabilities; she said her long career with the Division of Vocational Rehabilitation and personal experience with disability would help her contribute to the council. Additional testimony in support came from the State DD Council and Voc Rehab representatives. The committee voted to recommend advise and consent on the nominations it considered, including Miriam Chang, Terrilyn Luke, Valerie Rose, James Montgomery, Kevin Nakamura, and Pina Lemusu. Most recommendations were adopted without objection, though Senator Dela Cruz voted no on some of the later nominations. The meeting also briefly noted another nomination, Olivia Kim, which was recalled and advanced with an advise-and-consent recommendation before adjournment.

Transcript Highlights:

• that to all of our programs.
• occurring through our program design, administration, and oversight of those programs.
• For that program, we appreciate it.
• Compliance right now is measured by documentation, not outcomes as this program, the HCS program, was
• And I know for providers, whether it's in the ICF program or HCS program, struggle with that on a daily

Keywords: 1184, house, all

Transcript Highlights:

• This program has a 36% recidivism rate.
• Texas currently has PACE programs operating in Amarillo, El Paso, and Lubbock, and these programs have
• ABA therapy leads to developmental...
• implement the program.
• elderly, or PACE program.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• So two complementary programs.
• program.
• Many of which are in New Hampshire programs, New Hampshire contracted programs, certified programs.
• Very few are in national<00:48:10.319> programs. national programs. national programs.
• health programs. health programs.

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:

• There is federal oversight of these programs.
• There is federal oversight of these programs.
• There is federal oversight of these programs.
• State Council on developmental State Council on developmental disabilities<00:49:25.880> on
• with intellectual and developmental with intellectual and developmental disabilities<01:00:52.160

Keywords: 910, house, all

Summary: The committee first heard House Bill 302, which would repeal the requirement that a provider-patient relationship for medical cannabis certification be established in person first. The Department of Health said it supported the House Draft 2 version as a way to expand patient access, and several testifiers from the medical cannabis community and dispensary industry supported the bill, especially for patients on outer islands or those unable to travel. One witness asked that earlier language removed in committee be restored to further improve access. Representative Shimizu asked whether follow-up in-person visits would still occur, and DOH responded that this varies by provider, with some continuing in-person care and others moving to telehealth for chronic conditions. The committee then took up House Bill 712, relating to the federal 340B drug pricing program and contract pharmacies. The Office of Consumer Protection and the Attorney General’s office both said they supported the bill’s purpose but wanted it clarified and possibly moved into a standalone chapter rather than chapter 481B. Supporters, including Hawaii Pacific Health and the Queen’s Health Systems, said the bill is needed to protect safety-net funding and access to discounted drugs, citing large financial benefits from 340B and losses caused by manufacturer restrictions on contract pharmacies. PhRMA opposed the bill, arguing the issue is not access to discounts but accountability and transparency in how contract pharmacies distribute benefits, and said it was willing to discuss amendments. Members asked follow-up questions about whether there was data showing misuse; PhRMA said it did not have numbers, while hospital witnesses said the program is federally audited and used appropriately in Hawaii. Finally, the committee heard House Bill 1482, HD1, which would tighten hemp and controlled-substance definitions to exclude Schedule I cannabinoids from manufactured hemp products and clarify the treatment of artificially derived cannabis. The Department of Health supported the measure, saying it adds clarity to existing prohibitions. Kūre Hawaii and other supporters said it would close loopholes involving Delta-8 and similar products. An individual testifier urged stronger language to also cover compounds such as HHC, THCA, THCP, and THCO. In response to questions about enforcement against mislabeled hemp products, DOH explained that THC percentages are relative to product weight, that some products can remain under the hemp threshold while still containing significant THC, and that hemp flower is already prohibited from direct retail sale, though enforcement can be complicated and involves both administrative and criminal authorities.

Transcript Highlights:

• , the early prevention screening, treatment, and diagnosis program.
• Why could we not use that program? Thank you.
• Why can we not use that program and let those interested in having their children tested?
• The reality is that the uptake in those programs is relatively low.
• The programming is already in place.

Bills: SB1421, SB1427, SB1484, SB1503, SB1553, SB1557, SB1564, SB1566, SB1567, SB1591, SB1642, SB1794, SB1837, SB2044

Keywords: mental health, nonphysical intervention, training, youth care, conflict resolution, staff training, pediatric screenings, type 1 diabetes, health care providers, parental consent, reimbursement, state funding, public health, medicolegal investigation, medical examiner, coroner, sudden infant death syndrome, SIDS, sudden unexpected infant death, SUID

Transcript Highlights:

• So if it's a loan program, why is your fiscal note...?
• Texas has a wonderful vaccine program for children, the Texas Vaccines for Children program.
• Charity care programs exist for this very purpose.
• in TDLR to create this program.
• The CRNA program currently lasts about 36 months.

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians