Transcript Highlights:

• We are here today to host this very important hearing on Health and Human Services to hear directly about
• Kiami Mahanya, Secretary of Health and Human Services, and I'm joined here today by Assistant Secretary
• And to support a critical human service workforce, the FY27 recommendation is to maintain Chapter 257
• rates for human service professionals, benchmarked to the 53rd percentile of the Bureau of Labor Statistics
• When I think about what we heard even last week in the Health and Human Services hearing, the thing that

Keywords: 1212, all

Transcript Highlights:

• </c> displacement and sacrifice and service. displacement and sacrifice and service.
• Welcome to the committee.
• Welcome to the committee. Good morning. Welcome to the committee.
• Welcome to committee, sir. museum here. Welcome to committee, sir.
• And that's a human story. That there." And that's a human story.

Keywords: 1183, house

Transcript Highlights:

• The Department of Health and Human Services at the federal level, rightfully so, is doing an investigation
• , transportation services, and meal services.
• When communities are demonized, when the humanity of our fellow human beings is questioned and denied
• Health and Human Services Secretary said he's directed the FDA to reevaluate its approval of safe abortion
• Today I rise to present AB 1532 on behalf of the Committee on Communications and This committee omnibus

Keywords: 988, house, all

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• </c> on 75 years of outstanding service. on 75 years of outstanding service.
• health, human safety, and human rights, that are violated in the mining.
• > and</c><02:40:08.560><c> human</c> human health, human safety, and human human health, human safety
• In the United States, the Department of Health and Human Services last month released a peer-reviewed
• In the United States, the Department of Health and Human Services last month released a peer-reviewed

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, December 18, 2025, 1012, house, all

Transcript Highlights:

• I'm Erik Bottcher, your Chair of the committee.
• The bill is passed and is reported to the Social Services Committee.
• The committee director... Sorry.
• Committee Director...
• So the bill has cleared this committee. Thank you. So the bill has cleared this committee.

Keywords: 993, senate, all

Summary: The Senate Standing Committee on Cities 1 met on May 14, 2026, with a quorum present and Chair Erik Bottcher presiding. The committee considered a series of bills affecting New York City and related tax, housing, and municipal issues. Early measures included a neighborhood small business rent increase exemption (S.1451A), notice to community boards before locating transitional housing (S.3884), a solar and energy storage tax abatement credit (S.4272A), towing protection enforcement (S.4793), safety policies and training for correction and health workers (S.543?), and a proposal to create the city of Staten Island (S.8578). Most of these bills were advanced to other committees after brief discussion and voice votes. The most extensive debate centered on S.8578, which would incorporate Staten Island as a separate city. Senator Lanza argued that Staten Island has long been neglected by New York City, cited past referendums and historical grievances, and urged the committee to let the bill continue through the process. Chair Bottcher and other members responded that Staten Island is an important part of New York City and discussed housing, transit, environmental preservation, and the City of Yes zoning changes; several members said they did not support secession but were open to continued conversation about Staten Island’s needs. After debate, the bill was defeated in committee. The committee also considered an artist housing preferences bill (S.9652), a facade-work tax abatement bill (S.9559), a parkland discontinuance measure (S.9987), and a credit/debit card surcharge prohibition bill (S.1005). S.9652, S.9559, S.9987, and S.1005 were reported out after voice votes. One homeless shelter placement bill (S.5554) failed. The meeting concluded after the final votes and adjournment.

Transcript Highlights:

• the committee analysis.
• Chair, members of the committee.
• Seeing none, bring it back to committee. Any questions from the committee on AB 1455?
• Chair and committee members.
• Chair, members of the committee.

Summary: The committee heard a long agenda of natural resources and related bills, with several measures taken up as the committee reached quorum and many others moving on consent or with due-pass recommendations. Early items included AB 80 on carpet recycling, AB 452 creating a local process for state surf reserves, and AB 823 restricting microplastics in personal care and cleaning products. AB 80 drew broad support from recycling, labor, and environmental groups and was described as a follow-up to earlier carpet recycling reforms. AB 452 was backed by surf, tourism, environmental, and local government interests as a voluntary, community-driven way to recognize and protect surf breaks. AB 823 generated the most extensive debate, with supporters citing public health and environmental harms from microplastics and opponents warning the bill’s language could sweep in products such as sunscreens, cosmetics, and fragrance-encapsulation materials; the committee discussed possible ambiguity and EU comparisons before voting the bill out on a due-pass-as-amended basis to Environmental Safety and Toxic Materials. The committee also advanced AB 1046, which would create a narrow exemption from SB 1383 organic-waste requirements for certain crop preparers and tree nut processors that do not send organic waste to landfills. Agricultural witnesses said the bill would clarify that their operations already reuse byproducts and should not face duplicative reporting, and the measure passed with support from agricultural and rural county representatives. AB 252, the “Stop Laying Off Firefighters Act,” proposed year-round Cal Fire staffing; the author and Cal Fire supporters argued that wildfire conditions are now year-round and that maintaining trained crews would improve response and prevention, and the bill was sent to Appropriations. AB 571, a targeted CEQA exemption for the Southern California Veterans Cemetery in Anaheim, drew strong bipartisan and veterans’ support and also passed out. Later, the committee approved AB 1455, which would authorize emergency rulemaking and streamline future updates for ember-resistant building regulations after recent wildfire emergencies, and AB 687, which would let public agencies use forest-practice rules and timber-harvest plans for certain publicly funded fuel-reduction projects; AB 687 drew some opposition over scope and enforceability concerns but was still advanced. The committee also moved AB 652, allowing alternate members on the San Diego County Air Pollution Control District board to prevent quorum problems, and AB 317, a first-time homebuyer housing bill that would exempt certain small, lower-cost homes from CEQA and defer some property taxes; AB 317 prompted discussion about guardrails to avoid unintended use on larger subdivisions. Finally, AB 900, requiring the Natural Resources Agency to develop a stewardship plan for 30-by-30 lands, was heard with broad support from land trusts and conservation groups and advanced on a due-pass recommendation, and AB 738, a wildfire-rebuild bill easing solar requirements for certain disaster survivors, was introduced and discussed with questions about its narrow scope and the number of homes affected.

Transcript Highlights:

• The committee rule, so the committee rules for a committee on aging and long-term care has been moved
• All right, committee rules are adopted.
• The only thing we care about is Re-refer to the Committee on Human Services, AB 450, Baines? Aye.
• Services can include medically tailored nutrition, legal services, a critical work ombudsman provides
• Committee adjourned. Thank you. Bye.

Keywords: 988, house, all

Transcript Highlights:

• I'm general counsel to the Division of Medicaid with the Department of Health and Human Services.
• </c><01:01:02.280><c> Services</c> The Department of Health and Human Services is one of the departments
• Services Department of Health and Human Services shall be used in support of promoting veteran service
• at Health and Human Services, require them to put a checkbox on their form saying you have to share
• /c><01:55:32.560><c> Services</c> services at Health and Human Services services at Health and Human

Keywords: 1191, senate, all

Transcript Highlights:

• By flat funding the vital Meals on Wheels program for seniors in the Health and Human Services appropriations
• By flat funding the vital Meals on Wheels program for seniors in the Health and Human Services appropriations
• By flat funding the vital Meals on Wheels program for seniors in the Health and Human Services appropriations
• BY FLAT FUNDING THE VITAL MEALS ON WHEELS PROGRAM FOR SENIORS AND THE HEALTH HUMAN SERVICES APPROPRIATION
• , the Veterans' Affairs Committee, and the Armed Services Committee.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, September 8, 2025, 1012, house, all

Transcript Highlights:

• services are moving to... ...delivery mechanisms for software services, and those software services
• If the committee is prepared to allow us to move forward, we would be going to the Transportation Committee
• from disabling human driving of vehicles that folks purchase in order to drive as human beings.
• Good afternoon, committee members.
• Vice Chair, members of the committee.

Summary: The committee first heard SB 1315 by Senator Cabaldon, the “Drive My Car Act,” which was described as a forward-looking bill aimed at ensuring that owners of vehicles with advanced autonomous or software-driven features retain the right to drive their own cars. Cabaldon explained that, after discussions with stakeholders, the bill would likely be redirected out of the insurance space and into transportation to address concerns about mandatory software updates disabling human driving. Members broadly praised the concept as a timely response to emerging technology, and there was no opposition testimony. The committee voted the bill out on a due pass motion to the Transportation Committee, with members voting aye and the bill held on call until all votes were recorded. The committee then took up SB 876, the Disaster Recovery Reform Act, presented by the Insurance Commissioner and supported by the committee chair. The bill was framed as a comprehensive response to wildfire disaster claims problems, especially after the Los Angeles-area fires, and would require more accurate replacement-cost estimates, stronger optional extended replacement-cost coverage, improved building code upgrade coverage, faster claim payments, clearer adjuster communication, pre-disaster emergency response plans, and stronger penalties and restitution for unfair claims handling. Supporters, including United Policyholders, California Environmental Voters, the Los Angeles Mayor’s office, AARP California, and consumer advocates, said the bill would help survivors avoid underinsurance, delays, and repeated trauma in the claims process. Opposition came from several insurance and industry groups, including APCIA, the Personal Insurance Federation of California, the Pacific Association of Domestic Insurance Companies, the Civil Justice Association of California, and the California Building Industry Association. They argued the bill remained too broad, would raise premiums, reduce flexibility, and could worsen availability in an already fragile market, especially because of mandatory coverage expansions and faster payout requirements. Committee members questioned both sides extensively about cost, optional versus mandatory provisions, contents coverage, ALE limits, building code upgrades, and rate-setting timelines. The committee ultimately passed SB 876 as amended to the Judiciary Committee on a due pass motion, with one no vote from Vice Chair Niello and the remaining recorded members voting aye; the bill was held open briefly to add a missing vote before the committee adjourned.

Transcript Highlights:

• Services Committee to the Public Safety Committee and then back to the Human Services Committee.
• Human Services Committee to notice AB 277, Alanis, for their hearing on Tuesday, January 13, pending
• Human Services Committee to notice AB 673, Jackson, for their hearing on Tuesday, January 13th, pending
• It's also service that extends through our larger service corps initiative in California.
• And into services.

Keywords: 988, house, all

Transcript Highlights:

• And for that, we're going to start off with the Department of Human Services. Ms.
• Total employment in the Department of Human Services is approximately 6,603 employees, and I think you
• For the Department of Human Services, total is 6,600 and maybe three; it's a little over 6,600, about
• disabled through community-based services and programs and at the five human development centers.
• Through community-based services and programs and at the five human development centers.

Summary: The committee heard budget presentations and took executive recommendations on several Department of Human Services divisions, including Aging, Adult and Behavioral Health Services; Children and Family Services; County Operations; Developmental Disability Services; and Medical Services, with most divisions showing little or no significant change in total appropriations. Staff and agency witnesses repeatedly explained that many large appropriations are maintained for flexibility, federal matching requirements, or contingency needs, even when actual spending is much lower than the authorized amount. Members also raised concerns about staffing vacancies, long-vacant budgeted positions, and the use of excess appropriation authority across DHS. In Aging, Adult and Behavioral Health, members questioned federal funding levels for mental health and substance abuse grants, the status of senior centers and Meals on Wheels, the Medicaid tobacco settlement program, community alcohol safety grants, and the veterans mental health grant. Agency officials said federal block grants are largely committed, that senior center funding had been delayed by shutdown timing but was now back on track, that the tobacco settlement program had been moved internally within DHS, and that the veterans mental health appropriation remains unfunded. Senators also criticized the adequacy of support for seniors and asked for more detail on how transportation, meal services, and local contributions are funded. In Children and Family Services, members asked about rising appropriation levels, foster care and adoption subsidies, professional fees, the number of children in foster care, and the Children’s Trust Fund. DHS said increases reflect added flexibility for residential treatment, adoption subsidies, and prevention services, while the foster care population has remained fairly steady at about 3,400 children. The Children’s Trust Fund was described as supporting primary prevention programs such as Baby and Me and community schools, and members asked whether it could be administratively combined with other efforts. Questions also covered TANF subgrants, with DHS explaining that it had reduced outside subgrants after discovering over-obligation and was rebuilding reserves. In County Operations, members focused on the summer EBT program, SNAP employment and training, the farmer’s market program, and the state’s TANF reserve position. DHS said summer EBT is still being funded through temporary appropriations because it is a newer program, SNAP employment and training is largely federally funded and may expand under a pending policy change, and TANF reserves were drawn down after prior over-obligation but are now being stabilized. In Developmental Disability Services, members asked about vacancies, human development center staffing, facility construction funds, and the Booneville work program, and DHS said the program has reopened and staffing recruitment continues. In Medical Services, members asked about FMAP, the Our Kids B CHIP program, school-based Medicaid reimbursements, nursing home distress funds, and several large appropriation lines that far exceed actual spending; DHS said these are maintained for claims payment, nursing home receivership contingencies, and other flexibility needs. Each division reviewed was adopted by executive recommendation after questions concluded.

Transcript Highlights:

• E7, Department of Human Services.
• Paula Stone, Arkansas Department of Human Services, Office of Substance Abuse and Mental Health.
• , and the services of oral surgeons, the dental services of oral surgeons.
• I was one of those people who delivered services, oral surgery services,” “who delivered services, oral
• Members, we're going to move to item 12, Department of Human Services.

Summary: The Arkansas Administrative Rules Subcommittee met to review a large set of agency rules and reports. Early items were routine filings: emergency-rule reports, subcommittee review reports, and administrative directive reports were filed without objection. One rule from the Department of Agriculture on maternal health providers and remote monitoring was noted as pulled by the agency and not considered. The committee then reviewed and approved several Agriculture rules, including repeal of equine ID-chip rules after Act 703 of 2025, updates to finance rules adding a new water and sewer treatment facilities grant and consolidating revolving-fund rules, and a pesticide rule creating a Class J pesticide category for feral hog toxicant use. It also approved a Commerce/Insurance rule removing duplicative workers’ compensation plan provisions, and a Corrections rule creating a unified visitation rule for correctional facilities and community correction centers. A member asked about prison visitation hours during COVID, and staff said they would check on that. The committee next approved multiple Department of Human Services rules. These included marketing rules for provider-led organizations under Act 301 of 2025, a comprehensive revision of the DCFS policy manual, changes to Medicaid eligibility to include fictive kin placements and to expand ABLE account eligibility under Act 875, presumptive eligibility changes for pregnant women to align with federal rules, and a follow-up SNAP/TEA/Work Pays rule with updated work requirements, mandatory employment and training, alien eligibility changes, and job-search requirements for certain applicants. DHS also presented a rule implementing federal coverage for certain incarcerated youth before and after release, and the committee approved it. Another DHS rule updated nurse aide training requirements to match federal CNA hour standards and moved criminal-records-check procedures to the agency website. The most extended discussion involved DHS Division of Medical Services’ dental rate rule under Act 1025. The agency explained that it was increasing pediatric dental rates and certain oral-surgery-related rates, but not orthodontic rates or a broader special-needs benefit limit because CMS would not approve a diagnosis-based limit. Members debated whether the statutory language was intended to cover general dentists performing oral surgery procedures, with legislators, the Dental Association, and DHS discussing legislative intent, fiscal impact, and whether a future fix or emergency rule might be needed. Despite the disagreement, the committee approved the rule. The committee also approved other DHS medical rules: adverse-decision appeal changes and prior-authorization posting requirements, an increased RSV administration fee for children, expanded emergency treat/triage/transport ambulance authority, and clinic-based physical and occupational therapy coverage. Later, the committee approved permanent rules for the new state insurance program under Shared Administrative Services, procurement rule revisions recommended after an ACASO review, and commodity-management rule updates including a new revenue distribution model. Under Act 595 of 2021, the committee granted two Department of Commerce/Insurance requests to be excluded from rulemaking requirements: one for Act 772 on forced organ harvesting, and one for restorative reproductive medicine, with the department saying it would promulgate rules later when clinical guidelines are available. Finally, the committee accepted a recommendation to keep and extend the Department of Education, Division of Career and Technical Education rules, filed outstanding rulemaking updates, and adjourned without further business.

Transcript Highlights:

• On the agenda, we have some minutes approval for the January 26 committee. Mr.
• made me think about pre-service teaching.
• We believe that human connection, the human relationship, is the most important part of the educational
• It's a tool, a tool that is to enhance human life. Good. Tool that is to enhance human life. Okay.
• So no Education Committee meeting on Thursday this week. Tomorrow.

Keywords: 989, all

Transcript Highlights:

• The committee will come to order.
• Chairman, members of the committee.
• Are there any questions from the committee?
• Thank you for your service. Any questions from the committee? Representative Walsh?
• We are there trying to service those officers.

Keywords: 995, all

Summary: The committee heard testimony on a wide range of public safety bills, with strong support from law enforcement, advocates, and other stakeholders. Several measures focused on police and correctional officer wellness and protections, including bills on critical incident leave and post-incident support for officers, a bill to improve POST Commission representation, and a bill to protect correctional officers from assaults and exposure to synthetic drugs like K2. Witnesses described traumatic incidents, rising assaults in prisons, staffing shortages, and the need for confidentiality in peer-support debriefings. Committee members asked questions about assault classifications, K2 smuggling, tablet-related contraband, and whether counseling records would remain confidential. No votes were taken during the hearing. A major portion of the hearing was devoted to canine-related bills. Testimony supported creating a fund for retired police dogs and expanding emergency care training for working dogs injured in the line of duty. Speakers described police dogs as partners who locate suspects, missing persons, drugs, and weapons, and said retirement and medical costs are currently borne by handlers or nonprofits. The committee also heard testimony in favor of a purple alert system for missing people with intellectual and developmental disabilities, with advocates citing wandering risks, drowning dangers, and data from other states showing faster recovery times. The committee also heard testimony on a bill to expand the definition of sexual assault by an officer to cover situations beyond formal custody, including investigations and other encounters where police have coercive power. Advocates for sex workers and anti-trafficking organizations said the change would close a loophole, protect vulnerable people, and address documented abuses. In addition, testimony was taken on a bill to protect Massachusetts residents from federal surveillance through fusion centers, with critics calling for stronger oversight of BRIC and related databases. Representative Jeff Turco also testified on bills to change POST Commission membership, arguing for more law enforcement representation.

Transcript Highlights:

• Services team.
• Does it look like having to work with the Department of Human Services for incentive programs...
• , because do you have enough human services uses Cobalt?
• Additionally, Department... ...of Human Services federal level gives money to the Department of Human
• we've had that conversation with both... ...OESC and the Department of Human Services, and I think there

Summary: The meeting began with a budget presentation from the Oklahoma Department of Agriculture, Food and Forestry. Secretary Blaine Arthur and Deputy Commissioner Jan Lee described the agency’s divisions and recent efforts to improve efficiency, including expanded online licensing, electronic veterinary inspection certificates, and a new laboratory information system. They highlighted youth and workforce programs, local food initiatives for schools, market development efforts, and ongoing animal health concerns such as avian influenza, equine herpesvirus, and the threat of New World screwworm. They also discussed staffing, turnover, and uncertainty around federal cooperative agreement funding, while noting they were not requesting new or additional appropriations for the upcoming fiscal year. Members asked about meat inspection staffing, the use of one-time forestry firefighting funds, biosecurity and national security coordination, and agency staffing levels. The department said meat inspection was currently in good shape but dependent on federal funding stability, and explained that prior firefighting dollars had been used for equipment purchases. They also said they work with state and federal partners, including DHS and FBI, on threat preparedness and have reduced turnover by adjusting salaries and maintaining staffing at or below prior levels. The Oklahoma Conservation Commission then presented its budget and program overview. Staff described the agency’s long history and current work in water quality, flood control, soil health, unpaved roads, wetlands, and woody species control, especially eastern red cedar removal. They emphasized data-driven, voluntary conservation practices, citing stream cleanups, flood-control dam benefits, pond cleanouts during drought, and the Cherry-Peach watershed project as examples of programs that improve water resources and reduce wildfire risk. The agency said its workload has grown significantly and requested funding for critical dam repairs, local conservation district staffing, continued unpaved roads work, and expansion of woody species control statewide. Members asked about county matching for road and dam projects, who to contact about flooding roads, sediment removal from pond cleanouts, and the effectiveness of county training programs. Commission staff explained that county in-kind work can count as match, local conservation districts are the first point of contact, and the road training has produced measurable savings and better maintenance practices. They also clarified that “high hazard” dams are those where failure could threaten people or infrastructure downstream, not necessarily dams that are structurally failing.

Transcript Highlights:

• Are there any questions from the members of the committee?
• So I hope that this information has been enlightening to the committee.
• Are there any questions from the committee?
• So I hope that this information has been enlightening to the committee.
• Are there any questions from the committee? Thank you, Dr. Holman.

Summary: The Committee on Education Postsecondary heard a presentation on Florida’s maritime and ocean economy from Florida Atlantic University, the College of the Florida Keys, and Star Center. Speakers emphasized the importance of maritime industries such as aquaculture, marine engineering, shipbuilding, transportation, coastal resilience, and offshore renewable energy, and described workforce programs, certifications, and partnerships designed to train students and workers for these fields. They also highlighted federal and state initiatives supporting ocean economy research and commercialization, including tech hubs and innovation programs. The committee then considered SB 312 relating to the Florida Institute of Human and Machine Cognition. Senator Gates explained that the bill would allow IHMC to create a subsidiary to commercialize research, similar to Moffitt Cancer Center. Senator Fine offered and the committee adopted a friendly amendment addressing board membership concerns tied to a University of West Florida trustee. However, after questions arose about whether the bill and analysis aligned on whether subsidiaries would be for-profit or not-for-profit, the bill was tabled. Finally, the committee took up SB 270 on the Bright Futures Scholarship Program. The bill would extend eligibility for students in certain military/public-service family situations, giving families more time to establish Florida residency after returning to the state. Senator Fine’s amendment was adopted to add AP Capstone Diploma students to the automatic Bright Futures eligibility provisions, alongside IB and Cambridge AICE students. The committee then reported the bill favorably as amended by a vote of 7-0, and adjourned.

Transcript Highlights:

• Human biases are typically visible and can be tracked and scrutinized because they are made at the human
• Bring it back to the committee. Seeing no questions from the committee.
• Bringing it back to committee. Any questions from committee members?
• Bringing about to committee. Any questions from committee members? respectfully opposed. Thank you.
• Bring it back to committee. Any questions from committee members?

Summary: The committee heard a series of labor-related bills, with most measures focused on worker training, privacy, wages, and safety. AB 296 would require schools or districts to host apprenticeship fairs at least once a year, with flexibility on how they are run and whether programs outside the county can participate. Supporters said it would help connect students to skilled trades and address workforce shortages; school administrators opposed the bill as an unfunded mandate that could be impractical for elementary schools. The bill was later moved on call, with the committee noting it could not vote until quorum was established. AB 1221 and AB 1331 both addressed workplace surveillance. AB 1221 would restrict invasive monitoring tools, require notice to workers, limit the use and sharing of worker data, and require human review before discipline based on surveillance outputs. Labor groups supported the bill as a response to AI-driven monitoring, while business groups raised concerns about broad definitions, security cameras, investigations, and data-access provisions. AB 1331 focused more narrowly on privacy in off-duty and private spaces, limiting surveillance in places like restrooms, break areas, vehicles, and homes; hospitals and business groups opposed it as too broad and potentially disruptive to safety, cybersecurity, and facility monitoring. Both bills were advanced by committee vote. The committee also heard AB 1181, which would require firefighter turnout gear to be free of cancer-causing chemicals such as PFAS by 2027, and AB 1198, which would require prevailing wage rates on public works to reflect the wage in effect when the work is performed rather than when the project was first advertised. Firefighter representatives strongly supported AB 1181, while the chemical industry asked to continue working on scope and timelines. AB 1198 drew support from labor and contractor groups but opposition from local governments and housing groups concerned about mid-project cost increases; it was passed to Appropriations after a roll-call vote. Other measures approved included AB 1235 on skilled-and-trained workers for CSU construction, AB 1251 on ghost job postings, AB 552 on locating the Agricultural Labor Relations Board office outside Sacramento, AB 1110 on updating Cal/OSHA workplace posters, AB 1136 on expanding high road training partnerships, and AB 1234 on wage claim enforcement. AB 692, which would ban employer debt agreements that require workers to repay training or other costs if they leave a job, drew strong support from nurses and labor advocates and opposition from business and health care groups; it was also passed on a roll-call vote.

Transcript Highlights:

• ><c> that</c><00:10:36.399><c> we</c> legacy committee asking that we legacy committee asking that we
• </c> contested committee hearing. contested committee hearing.
• , committee, committee, This<00:23:54.520><c> bill</c><00:23:55.520><c> reforms</c><00:23:56.159><c>
• </c> committees and work together as a team. committees and work together as a team.
• </c> sure that we don't fight in committee sure that we don't fight in committee and<00:36:20.960><c>

Keywords: 1183, house

Transcript Highlights:

• Call to order the meeting for the Health and Human Services Oversight Committee for today, which is November
• Human Services oversight, I Health and Human Services oversight, I want<00:11:26.640><c> that</c><00:
• </c><00:26:46.159><c> Services</c> Department of Health and Human Services Department of Health and Human
• >> Subcommittee of the Health and Human Services Oversight Committee. minutes are at the very back of
• </c> &gt;&gt; Subcommittee of the Health and Human &gt;&gt; Subcommittee of the Health and Human Services

Keywords: 928, house, all

Summary: The committee first handled routine business, including roll call and approval of the prior meeting minutes, with one member abstaining because of absence and one member opposing. The main informational items were a Department of Health and Human Services update on the rural health transformation grant and a public health briefing on vaccines, followed by a quarterly budget and staffing update and an annual report from the Permanent Subcommittee on Alzheimer’s Disease and Other Related Dementias. Commissioner Lori Weaver reported that the department submitted the rural health transformation grant application on November 4, described it as reflecting input from communities and providers statewide, and said CMS review and budget negotiations would follow before final approval on December 31. She said the grant could support hiring as long as administrative costs stay within the 10% cap, and that the governor’s office will oversee administration with HHS. Ian Watt then testified that New Hampshire remains committed to vaccine access, including through the universal purchase program and annual respiratory virus guidance for flu, RSV, and COVID-19. He said the state continues to use evidence-based review for vaccine policy, noted the CDC’s change regarding the combined MMRV vaccine for the first dose in young children, and said New Hampshire’s school vaccine mandates remain at nine for schoolchildren and 10 for child care, with statutory exemptions still in place. Department staff also said there have been no supply or funding problems affecting childhood vaccine access. Nathan White, the department’s CFO, reviewed the DHHS budget and vacancy trends. He said DHHS makes up a large share of the state budget, that about 31% of its budget is general funds subject to lapse, and that lapse projections are difficult because much of the budget is driven by utilization rather than personnel. He reported current projected general fund lapse of just under $20 million, compared with about $39 million in the statewide surplus statement, and explained that only about a third of DHHS general funds can actually lapse because of statutory restrictions. He also said the department has about 400 unfunded positions, contributing to roughly a $30 million general fund reduction across the biennium, and that the hiring freeze has pushed vacancy trends upward while critical direct-care positions are being prioritized. The Alzheimer’s subcommittee reported six meetings this year, presentations on state services, silver alerts, brain health awareness, and palliative/hospice care, and work toward a new state Alzheimer’s plan. The subcommittee is developing a needs-assessment survey for people living with dementia, caregivers, and service providers, with the goal of using the results and other data sources to inform the plan. Its recommendations focus on integrating Alzheimer’s and dementia materials into chronic disease and aging outreach, embedding brain health into systems of care, adding cognitive health measures to BRFSS, and continuing partnerships with statewide organizations. Members also discussed recent research and prevention efforts, and the committee noted that a separate bill is being pursued to include Alzheimer’s and dementia in existing public health awareness campaigns.