Transcript Highlights:

• This bill provides a memory of Duke Pia, how he was vulnerably and unnecessarily murdered by poachers
• 03.159><c> it</c> a memory of Duke P how how it a memory of Duke P how how it was<01:09:05.159><c> vulnerably
• </c><01:09:06.159><c> and</c><01:09:07.080><c> Ne</c> was vulnerably and Ne was vulnerably and Ne unnecessarily

Keywords: 910, house, all

Transcript Highlights:

• this, but Medicaid is a longstanding public health benefit that provides care to our state's most vulnerable
• ><00:04:22.280><c> most</c> provides care to our state's most provides care to our state's most vulnerable
• um</c><00:04:24.160><c> residents</c><00:04:24.960><c> whether</c><00:04:25.280><c> that's</c> vulnerable
• um residents whether that's vulnerable um residents whether that's lwi<00:04:25.759><c> income</c><00

Keywords: 928, house, all

Summary: The House Finance Division III held an informational hearing on Medicaid, Medicare, Choices for Independence, and related financing, while postponing nursing facility financing and the county cap discussion to a later date. DHHS officials Ann Landry, Jonathan Ballard, and Medicaid Director Henry Litman provided an overview of Medicaid’s role, noting it is a federal-state partnership with state-specific eligibility and benefits, and emphasizing that Medicaid is a major funding and programmatic support for other DHHS initiatives. They also distinguished Medicaid from Medicare and explained that Medicaid funding is not the same as grant funding, though some providers may also receive federal grants through other channels. The presentation focused on New Hampshire’s relatively small Medicaid program and why it differs from national averages. Officials said about 184,000 residents are covered, roughly one in seven Granite Staters compared with one in five nationally, and attributed the difference largely to the state’s higher per-capita income and older population. They highlighted that about 65% of Medicaid-enrolled adults in New Hampshire are working, that only 22% of births are covered by Medicaid versus 42% nationally, and that the state’s uninsured rate is lower than the national rate. Members asked about covered services, income limits, federal matching rates, and the names of optional eligibility groups; staff explained that New Hampshire offers the optional groups discussed, with matching rates varying by category, including 90% for Granite Advantage and certain other groups, and 65% for children above the required level. A substantial portion of the hearing covered eligibility rules and recent policy changes. Officials reviewed the history of Medicaid, including HCBS waivers, the CFI program, Katie Beckett, the Olmstead decision, the ACA, and the end of continuous enrollment after the public health emergency. They also discussed the 2023 legislative expansion of postpartum coverage from 60 days to 12 months and child eligibility changes. In response to questions, DHHS said it is tracking utilization and costs for the postpartum expansion and reported that many maternal deaths occur after the prior 60-day coverage period, often involving substance use disorder or suicide; they said the longer coverage is intended to improve access to treatment and prevention. The committee also walked through household-income examples, clarified that Medicaid eligibility is based on household income and categorical rules, and confirmed that Granite Advantage ends at 138% of the federal poverty level unless another categorical basis applies. No votes were taken, and the hearing remained informational.

Transcript Highlights:

• Cargo or private jets, FedEx, UPS, you know, the little holes that we have, but show us where your vulnerability
• Cargo or private jets, FedEx, UPS, you know, the little holes that we have, but show us where your vulnerability
• Cargo or private jets, FedEx, UPS, you know, the little holes that we have, but show us where your vulnerability
• Cargo or private jets, FedEx, UPS, you know, the little holes that we have, but show us where your vulnerability

Keywords: 912, senate, all

Summary: The committee heard budget testimony first from the Department of Corrections and Rehabilitation. Director Tommy Johnson outlined short-term goals to reduce overcrowding, improve living and working conditions, fill vacancies, expand mental health services, and update the correctional master plan. He said the department is still dealing with severe overcrowding at facilities such as OCCC and HCCC, with 947 people at OCCC against a design capacity of 628, and noted 938 inmates are currently housed on the mainland because of temporary repairs at Halawa. He also reported progress on staffing, saying the correctional officer vacancy rate has dropped from 34.3% to 24% through expanded recruitment. The department’s major budget request was $30 million for planning and design for a new Old Triple C project, along with other requests for re-entry services, identification documents, security systems, radios, sink-toilet modules, and trauma-informed care. Members asked about the timing and scope of the OCCC project, courtroom space in new facilities, and the department’s plan to use the funding to improve re-entry and reduce recidivism. The committee then heard from the Department of Law Enforcement on a wide range of priorities. The department described requests to expand agricultural crime enforcement, traffic enforcement, illegal fireworks enforcement, and facilities such as a police building at the DKI airport, a state training center, and new police facilities in central and Leeward Oahu. It also discussed a major IT request for a statewide law enforcement and critical infrastructure notification platform, plus funding for grants management, the Wahiawa Civic Center and court complex, the prescription monitoring program, narcotics enforcement operations, and the narcotics lab. A significant portion of the discussion focused on a proposed traffic enforcement program for commercial vehicle inspections, speeding, and DUI enforcement, which the department said would be funded with federal dollars and would operate concurrently with county police. Committee members questioned whether the effort duplicated county jurisdiction and how the program would be trained and staffed. Members also pressed the department on salary disparities for deputy sheriffs and related vacancies, and the department said the administration was working on a supplemental agreement and placeholder funding to address the issue. Additional discussion covered agricultural crime staffing, the Silver Alert program, and expansion of the forensic lab to handle explosives, firearms, and related evidence. No votes were taken in the portion provided, and the meeting moved from the corrections presentation to the law enforcement budget review with questions and answers throughout.

Transcript Highlights:

• Please vote ought to pass on HB 1345 to protect our vulnerable students.
• Please vote ought to pass on HB 1345 to protect our vulnerable students. Thank you very much.
• HP1345 to Please vote ought to pass on HP1345 to protect<04:03:20.880><c> our</c><04:03:21.120><c> vulnerable
• </c> protect our vulnerable students. protect our vulnerable students.

Keywords: 1189, house, all

Transcript Highlights:

• I'm very proud of this job, protecting our most vulnerable population.
• Courts have already made it clear: you cannot target a vulnerable group of people based on fear, bias
• You cannot target a vulnerable<03:36:37.520><c> group</c><03:36:37.760><c> of</c><03:36:38.000><c> people
• </c><03:36:38.479><c> based</c><03:36:38.800><c> on</c> vulnerable group of people based on vulnerable

Keywords: 1191, senate, all

Transcript Highlights:

• with that technology often go awry because the chatbots fail to consider the unique needs and vulnerabilities
• with that technology often go awry because the chatbots fail to consider the unique needs and vulnerabilities
• That does seem to be what they're marketing to is mostly lonely adults who feel vulnerable, who need
• that is their primary business model, and your concern is that, like, children who are even more vulnerable
• ><04:40:11.600><c> are</c><04:40:11.760><c> even</c><04:40:11.920><c> more</c><04:40:12.160><c> vulnerable

Keywords: 928, house, all

Summary: The House Judiciary Committee opened a hearing on Senate Bill 146, which would remove the requirement that a medical examiner physically view a body before issuing a cremation certificate. The prime sponsor, Sen. Suprentice, and Chief Medical Examiner Dr. Jenny Duval explained that the bill would not change the death certificate process or the existing waiting period before cremation; it would only eliminate the in-person viewing step. They said the current review of death certificates already catches the vast majority of cases that should be reported to the medical examiner, and that the physical view changes outcomes in less than 1% of cremation cases. The witnesses emphasized that the bill is intended to improve efficiency and reduce delays for families and funeral homes, while freeing deputy medical examiners to focus on homicides, suicides, accidents, and unexpected natural deaths. Dr. Duval cited an example where review of a death certificate, not the body, uncovered a long-ago strangulation-related homicide, arguing that the key safeguard is review of records and cause of death, not the physical view. She also said the change would save travel time and some costs for the department. Committee members asked about how death certificates list primary and contributing causes of death, whether the low percentage of findings means the current process has a deterrent effect, why cremation is treated differently from burial, and whether identification concerns are adequately addressed. The sponsors responded that identification is handled earlier by hospitals, families, and funeral directors, and that any questionable identification would already fall under medical examiner jurisdiction. They also said the bill would not alter the two-day cremation delay or other existing safeguards. No vote or final action was taken in the portion of the hearing provided.

Transcript Highlights:

• services that seniors rely upon, and when community health centers that provide essential services to vulnerable
• services that seniors rely upon, and when community health centers that provide essential services to vulnerable
• services that seniors rely upon, and when community health centers that provide essential services to vulnerable
• Or when tornadoes devastate Texas, how do they make schools less vulnerable before we give Texans assistance
• Or when tornadoes devastate Texas, how do they make schools less vulnerable before we give Texans assistance

Keywords: U.S. House of Representatives Floor Proceedings on Monday, February 10, 2025, 1012, house, all

Transcript Highlights:

• </c> The only thing I keep hearing is it is not ethical, but it's ethical to vaccinate our most vulnerable
• , it's obvious that there's things that they do for the community that help. vaccinate our most vulnerable
• without vaccinate our most vulnerable without repeatable<03:03:44.760><c> evidence-based</c><03:03:45.560
• Babies and children are our most vulnerable, precious part of our culture, part of our families, part
• Babies and children are our most vulnerable, precious part of our culture, part of our families, part

Keywords: 910, house, all

Summary: The joint hearing opened with House Bill 1462 on crisis services. Testimony from the Department of Law Enforcement, the Community Alliance on Prisons, and the Department of Health supported expanding behavioral health crisis services as an alternative to arrest or incarceration. Witnesses said additional crisis sites would help divert people in mental health crisis to appropriate care, and the Department of Health described its current crisis center in Ewa, including the need for renovations such as a padded room and the time required to get the facility operational. In response to questions, the department estimated the Ewa center’s budgeted cost at about $4.3 million, not including rent or startup repairs, and said a second site’s cost would depend on whether it was freestanding or attached to an existing facility. The committee then heard House Bill 700 on cognitive assessments. The Executive Office on Aging supported the bill’s intent but asked that it be amended to make assessments optional rather than mandated, to pilot the program first, and to allow flexibility in handling HIPAA-protected data. SHPDA also supported the measure but said it should not be mandatory and suggested that payers reimburse for assessments when requested by patients, families, or physicians. The Alzheimer’s Association and caregivers strongly supported standardizing cognitive assessments to improve early detection and access to newer treatments, while noting the existing opt-out provision. The Hawaii State Council on Developmental Disabilities supported the bill but asked that the age 65 threshold be removed because cognitive decline can begin much earlier for people with Down syndrome, autism, traumatic brain injury, stroke, and related conditions. In response to a question, the Office on Aging said a pilot project could likely be done for about $150,000, with data security being the main added cost. The final bill discussed was House Bill 237 on peer support programs. Testimony from Family Hui Hawaii, Early Childhood Action Strategy, peer support workers, and families described peer-to-peer programs as a cost-effective way to reduce isolation, strengthen families, and provide long-term community support. Speakers said these programs help parents and caregivers navigate crises, child welfare involvement, addiction recovery, and other challenges, and can have lasting benefits for children’s development and family stability. Several witnesses tied the bill to broader state goals, including infant and early childhood mental health, trauma-informed care, and child welfare reform. Written testimony from about a dozen organizations and individuals was also noted in support.

Transcript Highlights:

• hard in the legislature to support special education services, and quite frankly, everything is vulnerable
• superintendents and central office administrators and better understanding how they serve their most vulnerable
• better understanding how we serve our better understanding how we serve our most<02:32:37.640><c> vulnerable
• </c> most vulnerable most vulnerable population<02:32:40.080><c> so</c><02:32:41.080><c> I</c><02:32:

Keywords: 928, house, all

Summary: The House Education Policy and Administration Committee heard testimony on HB 222, which would repeal the requirement that a chartered public school and the resident school district sign a memorandum of understanding on how students with disabilities will receive special education services. The prime sponsor, Rep. Peggy Balboni, said the bill was requested by the New Hampshire Association of Special Education Administrators and the New Hampshire Alliance for Public Charter Schools. She argued that federal and state law already require districts to provide FAPE and that the MOU requirement has created extra work, legal costs, and delays without improving services. She said many MOUs remain unsigned, but students are still receiving services and complaint numbers have not changed. Rep. Mooney also supported repeal, calling the MOU duplicative and impractical because IEPs and 504 plans already govern services. Testimony from Jane B. Brulu of the special education administrators’ association and Beth McLure of the charter schools alliance echoed that view, saying the MOU has not helped students, has added hours of work and legal fees, and has mostly been a source of disputes over funding and service costs. McLure said her school has worked with more than 15 districts and has always been able to reach agreements, though the first year of the requirement took substantial time and money. Committee members asked about the original purpose of the law, unsigned MOUs, and whether disputes could be resolved without the requirement. A representative from the Department of Education said the MOU was originally proposed to address reports that some students were not getting services on time and to provide some oversight, but the department has no authority to order charter schools or districts to agree and no appeal process if they cannot. The department also said it does not currently audit charter school special education services because it lacks authority to monitor charter schools directly, and it urged the committee to consider some alternative oversight if the MOU requirement is repealed. The hearing on HB 222 was then closed, and the committee announced it would begin the hearing on HB 699 after a short break.

Transcript Highlights:

• They jeopardize access to care for our most vulnerable citizens.
• c><02:43:14.000><c> for</c><02:43:14.160><c> our</c><02:43:14.399><c> most</c><02:43:14.640><c> vulnerable
• </c> access to care for our most vulnerable access to care for our most vulnerable citizens.<02:43:15.680
• I'm all about proper staffing to meet the needs of the most vulnerable.
• I'm all about proper staffing to meet the needs of the most vulnerable.

Keywords: 1187, senate, all

Keywords: 1189, house, all

Transcript Highlights:

• protections for patients and their families, and if I know that people in recovery are particularly vulnerable
• movie Bill, Senate Bill 268 and its twins discriminate, belittle, and victimize the truly most vulnerable
• <03:25:28.880><c> the</c><03:25:29.200><c> truly</c><03:25:29.600><c> most</c><03:25:30.000><c> vulnerable
• </c> victimize the truly most vulnerable victimize the truly most vulnerable members<03:25:30.960><c>
• know that this bill clarifies and strengthens administration and provides emergency provisions for vulnerable

Keywords: 1189, house, all

Transcript Highlights:

• mental health pandemic, epidemic, going on right now, and I think it's showing itself in the most vulnerable
• the</c><01:23:31.000><c> most</c> it's showing itself in the most it's showing itself in the most vulnerable
• and pregnant persons; create a legislative working group to deal with the issues related to other vulnerable
• deal with the issues related to group to deal with the issues related to other<04:07:36.720><c> vulnerable
• </c> other vulnerable other vulnerable populations<04:07:39.760><c> and</c><04:07:40.000><c> three</c

Keywords: 910, house, all

Transcript Highlights:

• Current eligibility leaves a large portion of students who are financially vulnerable without access
• According to the DOE fiscal note, this bill would ensure that half of our student population, the more vulnerable
• Current eligibility leaves a large portion of students who are financially vulnerable without access
• Current eligibility leaves a large portion of students who are financially vulnerable without access
• According to the DOE fiscal note, this bill would ensure that half of our student population, the more vulnerable

Keywords: 928, house, all

Summary: The committee first heard HB 659, which would establish the New Hampshire College Graduate Retention Incentive Program. A Department of Revenue Administration analyst explained technical issues in the bill, focusing on whether the incentive is intended to operate as a rebate or a tax credit, how it would be administered, and how it would interact with the business enterprise tax and business profits tax. She said the bill’s language was unclear on the administering agency, effective tax years, caps, and carry-forward treatment, and noted that reducing BET can also reduce the BET credit against BPT, though not on a one-for-one basis. Committee members asked follow-up questions about the BET/BPT interaction, administrative costs, and whether the Department of Business and Economic Affairs would need additional staffing. Andrew Horn then testified in support, saying the bill is meant to address the large number of New Hampshire college graduates who leave the state after graduation by encouraging them to stay and by incentivizing businesses to hire them. The chair closed the hearing on HB 659 after no further public testimony. The committee then took up HB 770, a bill to establish a program allowing New Hampshire high school students to earn tuition credits at state higher education institutions through community service. Representative Schultz described the bill as a “triple play” intended to increase volunteerism, expand service and internship opportunities for students, and make college more affordable. Ryan Casey, a junior at Bishop Brady High School, testified that the proposal would help students reduce future loan debt while benefiting communities and encouraging young people to attend college in New Hampshire. Committee members asked about eligibility, including why private and preparatory school students were excluded, whether public school students would qualify, whether mandatory service hours would count, and how the bill’s references to education and business eligibility should be read. Schultz said the exclusion of private and prep schools was intended because public school students are more clearly New Hampshire residents, and she noted that mandatory school service hours had been excluded in revisions. The Department of Education then testified that the program would require significant administration, estimating at least three full-time staff, software or tracking systems, and rulemaking to oversee volunteer sites, schools, student eligibility, and tuition credit distribution. No vote was taken in the excerpt, and the hearing remained in testimony phase.

Transcript Highlights:

• Lowering costs should never come at the expense of vulnerable populations.
• So they are still vulnerable to all the systematic flaws and biases of those models.

Keywords: 1064, all

Transcript Highlights:

• Lowering costs should never come at the expense of vulnerable populations.
• So they are still vulnerable to all the systematic flaws and biases of those models.

Summary: The House met on June 30, 2026, with opening ceremonies, guest introductions, a prayer, the Pledge of Allegiance, and a moment of silence for two deceased community members. Members also adopted Consent Calendar 29, which included House Concurrent Resolutions 153, 154, and 156, and passed House Concurrent Resolution 157 directing the State Lottery to report on iLottery options to support traditional lottery retailers, as amended to set a February 15, 2027 reporting deadline. The chamber then considered several bills on agriculture, telecommunications, health, fire service standards, corrections, elections, and education. Among the measures passed were Senate Bill 53 on the Delaware Farm to Community Program, Senate Bill 307 on PSC authority for Lifeline telecom carriers, Senate Bill 339 clarifying advance health care directives, Senate Bill 235 extending manufactured home rent increase rules, Senate Bill 325 updating firefighter/EMS background check and membership standards, Senate Bill 309 discharging incarceration-related balances, Senate Bill 324 on constable-related handgun purchase exemptions, Senate Bill 94 on respiratory care practitioners and ECMO medication access, and Senate Bill 293 creating a licensure pathway for summer camp providers in the Purchase of Care program. The House also passed Senate Substitute 2 for Senate Bill 100, proposing a constitutional amendment to protect the right to marry regardless of race or gender while explicitly preserving religious freedom. The bill drew extended debate, with supporters framing it as a safeguard against future rollbacks of marriage equality and opponents raising concerns about constitutionalizing an issue already in statute; several members explained changed votes and personal reflections before the final roll call, which passed 28-12. House Bill 188, which would allow unaffiliated voters to choose a party primary, also passed after amendment, despite some opposition over party-system effects. Two measures were tabled or amended after debate: Senate Bill 233 on removing snow and ice from vehicles was initially tabled to consider a truck-driver exemption amendment, then the amendment failed and the bill later passed as amended; and Senate Joint Resolution 19 on studying health care costs was tabled briefly pending legal clarification. House Substitute 1 for House Bill 404, creating a three-year pilot program for AI and extended reality in schools, passed after testimony from the Department of Education emphasizing guardrails, data privacy, and teacher oversight. The transcript ends as House Bill 478 is being read in, but no final action on that bill appears in the provided text.

Transcript Highlights:

• If it's on a victim unaware, a vulnerable person, it's not an 85% crime.
• If it's on a victim unaware, a vulnerable person, it's not an 85% crime.

Summary: The committee opened with a moment of silence for a deceased member, then approved the April minutes and heard a presentation from HHS on the Diversion Task Force and related youth services grants. Chelsea Florey described the $750,000 one-time appropriation from HB 1012, the five awarded grants, and how programs in Bismarck, Fargo, Grand Forks, and Minot are using the funds for youth diversion, including school-based groups, physical activity, and services for problematic sexual behavior. Members raised concerns about staffing shortages, family engagement, service silos, and whether diversion eligibility rules are too rigid; Florey said the task force is focused on better coordination, broader education about available services, and possible changes to diversion criteria, with the Children’s Cabinet likely to drive broader recommendations. The committee then received a North Dakota Lottery biennium report from Director Thomas Lawler, who reviewed the lottery’s history, games, retailer commissions, player programs, and revenue distribution. He reported about $67 million in ticket sales for the 2023-2025 biennium, about $16.2 million transferred overall, including roughly $13.6 million to the general fund, plus transfers to drug task force and compulsive gambling funds. Members asked about the compulsive gambling allocation and whether it is set by statute. Next, the Department of Corrections presented on criminal justice data sharing and reentry. Adam Anderson explained that jails, courts, DOCR, HHS, and other entities use separate systems with limited interoperability, making real-time communication largely manual. He outlined possible hub or point-to-point IT solutions, but noted cost, vendor, identifier, and data-definition challenges. Robin Schmolenberger followed with an update on a Medicaid data exchange project between DOCR and HHS to suspend and reactivate inmate Medicaid coverage automatically and improve care coordination, with full bi-directional exchange expected in fall 2026. The committee also heard from county representatives on 24-7 sobriety program fees and an AG opinion allowing local sheriffs to use cheaper testing options when courts waive fees. Finally, the North Dakota Racing Commission reviewed a troubling audit. Bruce Johnson acknowledged serious findings involving overspending from the promotion fund, missing grant documentation, a reversed decision on breeders fund eligibility, and repeated procurement violations. He said the commission has begun corrective actions, including monthly tracking of the promotion fund cap, stricter grant documentation, written procurement procedures, and clearer eligibility rules in condition books. Members pressed him on how the overspending occurred, whether the commission board would impose consequences, and whether statutory clarification is needed on the promotion fund limit and related spending rules.

Transcript Highlights:

• Services, because it funds Department of Health and Senior Services, it really supports the most vulnerable
• that, do prioritize and prioritize those people that are most at risk, those people that are most vulnerable

Keywords: 959, house, all

Summary: The House convened with prayer, the Pledge of Allegiance, approval of the prior day’s journal by roll call, and a long series of special guest introductions recognizing family members, interns, public servants, nonprofit leaders, students, and a park ranger honored for life-saving actions. Committee reports and Senate messages followed, including Senate nonconcurrence on numerous amendments to Senate Bill 1421 and the appointment of a conference committee on another bill. The main floor action centered on budget conference committee reports, especially House Bill 2002 on public education. Members debated whether the conference version fully funded the foundation formula, with supporters arguing it maintained record-level funding and opponents saying it left schools about $190 million short and relied on uncertain funding sources such as blind pension, lottery, and possible ARPA dollars. After a substitute motion to send the bill back to conference was defeated, the House adopted the conference report 83-68 and then third-read and passed House Bill 2002 by the same margin. The House then took up House Bill 2003 on higher education, where members discussed a move toward a future performance-based funding model while keeping current funding flat; the conference report passed 119-28 and the bill was third-read and passed 109-32. The chamber next considered House Bill 2004, covering the Departments of Revenue and Transportation. Debate focused on transportation funding, rural roads, and a small local safety project in Lebanon that had already been addressed by MoDOT. The conference report was adopted 128-21 and the bill was third-read and passed 127-27. Finally, the House began debate on House Bill 2005 for the Office of Administration and IT-related functions, with the sponsor and supporters emphasizing IT accountability, the Movers project, and the transfer of some staff to DSS; the transcript ends during discussion of that bill.

Transcript Highlights:

• But in the meantime, that leaves people very vulnerable.
• But in the meantime, that leaves people very vulnerable.

Bills: SCR145, SCR132, SCR31, SCR110

Keywords: traffic violations, demerit point system, driver license points, traffic safety, hit and run, reckless driving, repeat offenders, recidivism, Department of Transportation, DOT, task force, traffic enforcement, road safety, vehicle code, license suspension, county police, Hawaii transportation, SCR132, Senate Concurrent Resolution, Makakilo Drive Extension

Transcript Highlights:

• to individuals and families across Louisiana, and many of whom in our state are among the most vulnerable
• services to individuals and families across Louisiana, and many of whom among our state are the most vulnerable

Summary: The committee heard public testimony on several budget requests tied to health and human services. Louisiana Children’s Advocacy Centers asked for continued support and a supplemental appropriation of $1.173 million for infrastructure and standardization, explaining that the money would expand use of the Guardify digital evidence system, improve chain of custody, and reduce reliance on DVDs. Baton Rouge and statewide CAC leaders said prior funding helped eliminate a therapy wait list and speed services for abused children. Members asked detailed questions about the digital system, MDT coordination, and how the request related to SB 237, which would strengthen multidisciplinary review of child abuse cases. The Alzheimer’s Association sought $824,000 to sustain the dementia care specialist program, saying it helps families navigate services, keep loved ones at home longer, and reduce Medicaid costs. AARP and the Live at Home Coalition also testified for 750 additional Community Choice waiver slots at a state cost of $3.3 million, arguing that home- and community-based care is cheaper than nursing homes and that the current wait list is more than 11,000 people. Legislators discussed the size of the need, the state’s long-term care spending mix, and whether more support should go to family caregivers and community-based options. Testimony also focused on disability support services, substance use treatment, and developmental disability provider rates. A parent and direct support worker described the Children’s Choice waiver’s 20-hour cap and low pay, saying it makes it hard to retain caregivers and meet the needs of medically fragile children. Odyssey House and O’Brien House asked for higher Medicaid reimbursement rates under ASAM 4, warned that removal of room-and-board payments and weak Medicaid eligibility pathways are reducing access, and called for more oversight of sober living homes; members questioned outcomes data, length of stay, and links to homelessness. Finally, the Arc of Louisiana said the LDH rate study confirmed underfunding and supported a $53.6 million increase in state general funds, with local ARC leaders describing the services they provide and the need for higher direct support professional wages.