Video & Transcript : 'shared stewardship' :
Page 394 of 500
WY
Transcript Highlights:
- I'd also like to put on another hat and share the response from our city chief.
- um the response from our city and share um the response from our city chief.<00:10:44.320><c> I</c><
- uh this would be he shared that uh this would be important<00:10:48.880><c> in</c><00:10:49.200><c>
- Anything else you'd like to share with us? All right. Stick around.
- </c> share with us? Senator, you coming up? share with us? Senator, you coming up? Okay.
Keywords:
healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, Medicaid, emergency medical services, ground ambulance, healthcare funding, reimbursement rates, military, national guard, reenlistment, extension bonus, Wyoming, Wyoming National Guard, recruitment
AZ
Transcript Highlights:
- I'm pretty sure that there are thousands of people who share the same thing.
- I don't think that I should be... ...thousands of people who share the same thing.
- I want to thank the people who came to speak, the parents who shared your stories.
- Thank you for sharing. Madam Chair? Yes.
- Thank you again to the people who spoke and shared your personal stories.
Bills:
SB1012, SB1099, SB1234, SB1392, SB1489, SB1535, SB1570, SB1609, SB1627, SB1634, SB1661, SB1709, SB1723, SB1725, SB1743, SB1829, SCR1027, SCR1040, SCR1048
Keywords:
concealed carry, firearms, restaurants, liquor licensing, public safety, defamation, private figure, public concern, statute of limitations, internet defamation, juvenile court, legal representation, appointed attorney, guardian ad litem, child welfare, election canvass, canvassing board, governing body, election inspection, election access
NH
New Hampshire 2026 Regular Session
Senate Executive Departments and Administration (02/11/2026)
Executive Departments and Administration
Transcript Highlights:
- So, thank you for at least sharing your thoughts. Any further questions from the committee?
- To do so, they would need to get a copy of their nursing license from the originating state and share
- However, they may encounter challenges and delays receiving and sharing a copy of their license.
- Their nursing license from the originating state would be shared with the new state.
- However, they may encounter challenges and delays receiving and sharing a copy of their license.
HI
Hawaii 2026 Regular Session
CPC Public Hearing - Thu Feb 5, 2026 @ 2:00 PM HST
Consumer Protection & Commerce
Transcript Highlights:
- </c><00:25:30.720><c> wallet</c> this measure, the shared wallet this measure, the shared wallet prohibition
- </c><00:26:30.960><c> our</c> behalf of them would like to share our behalf of them would like to share
- </c><00:27:10.480><c> a</c> on the families people who do share a on the families people who do share
- We're pleased to be with you and to share our thoughts.
- We're glad to be with you and especially on this topic, eager to share our thoughts.
Keywords:
eviction, housing stability, tenant screening, court records, writ of possession, foreclosures, public sale, eligible bidders, housing, downpayment, judicial foreclosure, digital financial assets, consumer protection, financial kiosks, refunds, transaction security, HB1642, Hawaii, cryptocurrency ATM, crypto ATM
Summary:
The committee on Consumer Protection and Commerce met on February 5, 2026, and heard testimony on several bills, beginning with HB 227 relating to eviction records. Supporters, including the Public First Law Center and the Office of Hawaiian Affairs, argued the bill would help people who prevail in eviction cases avoid long-term housing harm from online court records, while the Public First Law Center said keeping records off eCourt Kokua would not violate the First Amendment because the records would still be available in person. Members discussed access-to-justice concerns, and a witness said legal aid attorneys could still access the records through the attorney-only Jeff’s system and the court’s access-to-justice room. The chair also asked about precedent, and a witness cited a Hawaii Supreme Court case as supporting removal from the online database rather than sealing records entirely.
The committee then took up HP 1775 relating to foreclosures, but the transcript only shows in-person opposition comments from the Hawaii State Bar Association Collection Law Section, the Hawaii Credit Union League, and the Hawaii Bankers Association. The credit union and banking groups said they had concerns about broader negative impacts on mortgage lending and other requirements, but no detailed discussion or action was captured before the committee moved on. The next measure, HB 1560 relating to consumer protection, drew support from the Office of Consumer Protection and cryptocurrency companies including Coinflip and America Digital, which said they already use wallet-pinning and other safeguards to prevent fraud. AARP Hawaii did not take a formal position but said the bill addressed a real problem, noting that Hawaii residents, especially in Kona, had lost more than $920,000 in 2024 to cryptocurrency ATM scams and arguing that stronger oversight was needed.
The committee also heard HB 1642, which would ban cryptocurrency kiosks. The Office of Consumer Protection supported the ban as the best way to protect consumers from fraud, while Coinflip, Bitcoin Depot, and America Digital opposed it, arguing kiosks provide cash-based access to crypto, especially for unbanked or underbanked consumers, and that targeted regulation would be better than an outright ban. AARP Hawaii took no formal position but strongly emphasized the harm caused by scams, saying victims are often frightened into acting quickly and that kiosk transactions currently lack enough friction or intervention. Finally, HB 1647, also on consumer protection, would impose liability on host businesses that provide space for crypto kiosks. The Office of Consumer Protection warned small businesses might not understand the liability, while Coinflip, Bitcoin Depot, and America Digital opposed the bill, saying it would unfairly shift enforcement duties to host stores and could discourage businesses from hosting kiosks, effectively creating a de facto ban. No votes or final committee actions were taken in the portion of the meeting provided.
FL
Transcript Highlights:
- So I'm here today to share why this Evan B.
- He shared something with me that broke my heart.
- Thank you for letting me share my heart with you today.
- And thank you, Senator Pizzo, for sharing.
- Thank you, Senator Pizzo, for sharing.
Summary:
The committee took up a series of bills, beginning with SB 1422 on unmanned aircraft systems. The bill increases penalties for flying drones over critical infrastructure, prohibits drones equipped with weapons or explosives, creates a first-degree felony for drones carrying a weapon of mass destruction, and includes a law enforcement exception. A lay-filed amendment by Senator Pizzo warning against the use of force to shoot down drones was debated but failed, and the bill was then reported favorably. The committee also reported favorably on SB 846 addressing notary public fraud in immigration-related services, SB 650 on hazardous walking conditions for school transportation, SB 922 on employment agreements including non-compete and garden leave provisions, and SB 1820 on motor vehicle manufacturer and dealer relations, covering performance measures, retaliation, and franchise termination standards.
Several bills focused on education, health care, and disability issues. SB 540, the Evan B. Hartzell Act, would require disability history and awareness instruction across grade levels; it drew emotional testimony from the bill sponsor, family members, and supporters, and was reported favorably. SB 998 would allow advanced practice registered nurses to certify deaths and file death certificates in hospice settings under physician protocol, and SB 1412 would modernize home health agency rules by expanding administrative flexibility and contract service use; both passed. SB 1736 would allow direct support professionals and relatives to administer insulin in group home settings for individuals with developmental disabilities, and it was also reported favorably.
The committee also advanced several regulatory and court-related measures. SB 1650 expands Florida’s vexatious litigant law, including allowing designation based on conduct in a single case and extending the look-back period, while SB 1652 creates a public records exemption for certain stricken non-criminal court filings; both were approved. SB 1076 on roofing contractors was amended to require continuing education for roof-to-wall connections and then passed, and SB 1078 on fire prevention was amended with stakeholder-agreed language before being reported favorably. SB 1080 on local government land regulations, after multiple amendments and significant debate over agricultural enclaves and local control, was also approved.
Other major measures included SB 818 on utility relocation, which creates a relocation fund funded by a portion of communications services tax revenue and was supported by multiple industry and local-government groups after a compromise amendment; SB 868 on social media use by minors, which would require a decryption mechanism for law enforcement access under subpoena and prohibit disappearing messages for minors, remained under discussion as the transcript ended. The committee also heard SB 96, a claims bill for Jacob Rogers against the City of Gainesville, and reported it favorably after testimony that the city would pay the settlement amount.
TX
Texas 89th Regular
Delivery of Government Efficiency Apr 2nd, 2025
Delivery of Government Efficiency
Transcript Highlights:
- That way the agencies can share information. lot better, faster, cheaper. Thank you, Chairman.
- My name is Claire Bailey and I have to share that I am from Paris, Texas.
- But the U.S. being a technologically advanced country, it has a higher share. Thank you.
- So that brief that I shared with you, the government use brief, um, is One of a series of briefs that
- we did and so if you go to that AI policy toolkit link that I shared with you from NCSL.
Bills:
HB512, HB2248, HB2679, HB2832, HB3112, HB3368, HB3490, HB3512, HB3623, HB3666, HB3700, HB3711, HB3770, HB3963
Keywords:
grievance procedures, state agency, employee rights, workplace regulations, employment law, employees, employment actions, appeal, state employees, workplace rights, disciplinary actions, employment conditions, employment disputes, job protections, public information, transparency, government accountability, information access, notification requirements, federal funding
WY
Wyoming 2026 Regular Session
Select Committee on Tribal Relations, June 16, 2026
Select Committee on Tribal Relations
Transcript Highlights:
- </c> do both clinics share information? do both clinics share information?
- Is there any there a way to share?
- 51:37.320><c> uh</c> incentive to share um uh incentive to share um uh or<00:51:38.240><c> or</c><00:
- I'd like to share with you real quick.
- I'd like to share with you real quick.
MN
Transcript Highlights:
- We have a very limited number of bills printed for the chamber, so please do your best to share with
- We have a very limited number of bills printed for the chamber, so please do your best to share with
- President, share with me if you would share with me the different fields of data that you actually maintain
- <c> if</c><02:36:21.359><c> you</c> President, share with me if you President, share with me if you would
- </c><03:23:34.640><c> that</c> family, which I know we all share that family, which I know we all share
CA
Transcript Highlights:
- A community member shared that an entire childhood was spent without one nearby, costing families their
- I want to share that for 18 years I have served as the California Tribal Liaison for the International
- I've shared my personal story on the floor, and many of you know where I come from, and this is very
- Pressure from law enforcement and other interests to expand the database of banned designs and share
- As the leading trade association for the dietary supplement and functional food industry, CRN shares
LA
Transcript Highlights:
- Can I share my story? Please do. My name is Maggie Francis Broadwater.
- Thank you all for being here and thanks for both of you sharing your testimony. I just...
- And thanks for both of you sharing your testimony.
- Tilly, for sharing briefly about your mom's victory testimony. I always love those.
- So the program with the cost shares that supported that.
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.
LA
Transcript Highlights:
- Can I share my story? Please do. My name is Maggie Francis Broadwater.
- Thank you all for being here, and thanks for both of you sharing your testimony. I just...
- Thank you all for being here, and thanks for both of you sharing your testimony.
- Tilly, for sharing briefly about your mom's victory testimony. I always love those.
- And so we hope to share with you some of the successes from that. I look forward to it. Thank you.
NM
New Mexico 2026 Regular Session
House - Chamber Meeting Feb 9th, 2026
New Mexico House Floor Meeting
Transcript Highlights:
- And he definitely shared, you know, his salvation experience and how Definitely shared, you know, his
- I would like to share a little bit about Mewborn Oil Company.
- And so that's my concern, and I share that with the gentleman from Santa Fe.
- So I guess I do share some concerns about this bill as written.
- I'll share some of my observations during that time.
Bills:
HB111, HB61, HB43, HB156, HB70, SB3, HB103, HB109, HB128, HB247, HJM2, HJM3, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM32, HM11, HM14, HM21, HM34, HM50
Keywords:
water law, state engineer, civil penalty, compliance order, water rights, overdiversion, illegal diversion, groundwater storage and recovery, well license, permit violation, water enforcement, New Mexico water code, irrigation district, conservancy district, water diversion, unauthorized water sales, measuring device, district court appeal, water resources, water compliance
Summary:
The House convened with a quorum, opened with prayer and pledges, and spent much of the session on memorials and recognitions. Members honored former Senator Clint Hardin with a certificate and extended condolences, with several representatives sharing personal remembrances of his work on autism coverage, second chances for formerly incarcerated people, rural issues, and bipartisan dealmaking. The chamber also recognized Council of Governments Day, 4-H Day, NMSU Day, scouting groups, and several student and community guests, including youth from 4-H, NMSU CAMP, folklórico, and the La Cueva boys soccer team.
The House received messages from the governor and Senate, including authorization for House Bill 320, the Industrial Carbon Reduction Act, and Senate passage of several bills. Committee reports were adopted on a long list of measures, including House Bills 145, 158, 180, 49, 164, 256, 287, 60, 120, 166, 306, 124, 314, 185, 253, 195, 259, 295, 296, 338, and others, along with several joint resolutions and memorials. The chamber also ordered certain bills germane and referred them to committees, and enrolled and engrossed multiple memorials.
On third reading, House Bill 43, a PERA cleanup bill, passed 65-0. The House Judiciary Committee substitute for House Bill 70, updating the Public Regulation Commission and hearing officer structure, passed 66-0 after brief debate. House Bill 247, which modernizes capital outlay procedures and limits reauthorizations, was then taken up; the sponsor explained it would send unspent general fund capital outlay money to a Capital Development and Reserve Fund and tribal project balances to the tribal infrastructure fund. An amendment was offered to redirect the reserve fund money to the state road fund, and debate began, with members discussing road conditions and the purpose of the reserve fund.
NH
New Hampshire 2025 Regular Session
House Environment and Agriculture (03/07/2025)
Transcript Highlights:
- Then we have this language that Peter shared with me. We're going to talk about D.
- Then we have this language that Peter shared with me. We're going to talk about D.
- with language that Peter shared with me<00:48:30.800><c> we</c><00:48:31.000><c> going</c><00:48:31.280
- Um, we have a proposed House resolution which I'll share with you regarding the USDA slaughter bill,
- with you uh resolution which I'll share with you uh regarding<01:28:15.719><c> the</c><01:28:15.880>
Summary:
The committee worked through a draft bill amending animal cruelty and protective custody provisions, focusing on how animals may be seized, cared for, and returned, and on what rights owners have when animals are taken. Members discussed adding language requiring officers to inform a charged person in writing of the right to petition for a veterinarian of their choice, clarifying that any documents presented for signature must be fully and honestly explained, and revising language so confiscated animals cannot be altered without notarized owner authorization. They also considered a new prohibition on using confiscated animals for fundraising or donations, ultimately preferring the term “financial gain” over “profiteering.”
The discussion also covered protective custody procedures, including adding “municipal animal control officer” to the list of officers involved, allowing return of animals to the owner or caretaker if no charges have been filed or no warrant establishing probable cause has been sought or issued, and clarifying the distinction between criminal seizure and temporary protective custody. The commissioner’s comments led to several proposed deletions or revisions, including removing language viewed as redundant or inconsistent with protective custody, and striking references to live racing provisions that are no longer relevant.
Members further addressed lactating animals, agreeing to add language that confiscated lactating animals should not be separated from their nonweaned offspring. They also discussed a proposed confidentiality provision requiring people assisting in investigations or taking possession of seized animals to sign a binding nondisclosure agreement, though members noted similar protections may need to be duplicated in the temporary custody section as well. The conversation was largely about drafting and legal clarity, with no final vote or formal action recorded in the excerpt.
TX
Transcript Highlights:
- Let me share with you, Senator Schwertner, in the last 10-year period, we have seen an 80% increase in
- Let me share with you, Senator Schwertner, in the last 10-year period, we have seen an 80% increase in
- And if not, you know, you can also just share that with us because you may not have time to let me.
- The lion's share of that debt, I see some nodding heads out here, is local.
- Item 2 offers a snapshot of anticipated shared technology services spending by customer agencies.
Bills:
SB 1
Keywords:
campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards
Summary:
The committee began with Article I budget items for the Secretary of State. LBB staff outlined recommendations that would reduce the agency’s appropriation by about $40.3 million, including changes to HAVA funding, removal of one-time business system replacement money, and a rider directing the agency to use Fund 5095 first. Secretary Jane Nelson and staff then defended several exceptional items, especially additional staffing for elections and business filings, a new website, digitization of records, cybersecurity tools, and renovation of the James Earl Rudder Building. Members focused heavily on election administration, cross-checking voter rolls, Harris County complaints, call-center response times, and whether online voter registration should be expanded. No votes were taken; the discussion was informational and budget-focused.
The committee then heard the Office of the Governor and trustee programs. LBB presented a recommended $2.4 million decrease for the governor’s office proper and a much larger decrease in trustee programs driven by one-time funding and unexpended balances, while still preserving major border security funding and victim assistance funding. Governor’s staff emphasized Texas’ economic growth, the importance of border security, and efforts to seek federal reimbursement for the roughly $11 billion Texas has spent on border operations. Members discussed whether shifting National Guard deployment to federal control could reduce state costs, and they also reviewed the music incubator program, the Governor’s University Research Initiative, and the semiconductor innovation consortium. Staff highlighted a $5 million late-added request for grants to protect nonprofits from violence and terrorism. Again, the exchange was largely explanatory, with no formal action.
Finally, the committee took up the Texas Facilities Commission and lease payments for revenue bonds. LBB recommended major reductions overall, including removal of border wall construction funding and capital complex bond funding, but added money for higher utility costs, renovation of the Rudder Building, and additional facilities staff. George Purcell also noted stable maintenance-and-renewal funding and new riders related to the Texas State Library and Archives Commission building, tenant communications, and space utilization. For lease payments, LBB recommended a smaller appropriation tied to revenue-bond costs allocated across agencies. The discussion was informational, with members asking about the Rudder Building renovation, border wall progress, and capital complex construction timelines; no votes were recorded.
MN
Minnesota 2025-2026 Regular Session
House Veterans and Military Affairs Division 1/22/25
Veterans and Military Affairs Division
Transcript Highlights:
- We'll share the division rules at a later date, but now we will use House Rule 6.21 and custom and usage
- We do support the Command Task Force platform and share a lot of priorities in common.
- We also have a shared priority with the American Legion, which is eliminating the charges for vehicle
- between the county areas um data sharing between the county veteran<00:52:03.720><c> service</c><00:
- </c> assessor not wanting to share assessor not wanting to share information<00:52:34.160><c> back</c
AZ
Arizona 2026 Regular Session
02/24/2026 - Senate Appropriations, Transportation and Technology
Transcript Highlights:
- One, perhaps I will share some things I shouldn't share, but that's my nature to just share.
- The Tier 3 changes are shared by both the employees and the employers. So the contribution rates...
- We're taking half the risk, the shared risk with the employers. We think it's that important.
- Tier 2, 25 years, 52 and a half age, no sharing of future costs, et cetera. Mr.
- I have some of the similar concerns that my colleagues have shared. Oh, thank you, sir.
Summary:
The committee first heard Senate Bill 1630, which would direct AHCCCS to seek federal approval for a home- and community-based services program for adults determined to be seriously mentally ill, with quarterly implementation updates, a stakeholder work group, and a cap on enrollment. The sponsor and advocates from Arizona Mad Moms argued the bill would create a Medicaid-funded long-term care option for the most disabled SMI patients, reduce costly hospital and state-only care, and improve continuity of care. A committee amendment narrowed eligibility to individuals needing a long-term SMI level of care, changed reporting to semiannual, reduced the initial cap to 250 members with possible growth tied to savings, and required AHCCCS to keep pursuing approval if CMS denies it. The amendment was adopted, and SB 1630 as amended passed 10-0.
The committee then considered Senate Bill 1131, which originally required every school district and charter school to adopt a cardiac emergency response plan and appropriated $1 million for implementation. A Warner amendment replaced the mandate with a reporting requirement on AED counts, CPR/AED-trained staff, and whether a plan exists, while shifting the appropriation toward AED grants and limiting school spending to purchasing and maintaining AEDs. The American Heart Association supported the amendment as a way to gather baseline data and target resources, while some members questioned the funding split and the rural-school priority. The amendment was adopted, and SB 1131 as amended passed 9-1.
Next, the committee took up Senate Bill 1582, dealing with the school safety interoperability fund. The amendment changed the appropriation from ADE to ADOA and allocated funds to specific county sheriff’s offices to continue existing interoperable communication systems linking schools and first responders; supporters said the systems had been used in drills and some real incidents, and were important for school safety. One member raised concerns about the auditor general’s report and whether the program should continue, but sheriffs and school officials described it as a useful communication tool. The amendment was adopted, and SB 1582 as amended passed 6-4.
Finally, the committee began hearing Senate Bill 1504, which would change retirement rules for Tier 2 and Tier 3 public safety personnel and reduce the waiting period for cost-of-living adjustments. The sponsor, police and fire representatives, and pension consultants argued the bill would improve recruitment and retention and align benefits more closely with what employees were promised, while cities, counties, and taxpayer groups warned it would add substantial unfunded liabilities and undermine the 2016 pension reforms. The committee spent extensive time on actuarial costs, funding status, and the effect of the amendment exempting the bill from statutory pre-funding requirements; the transcript ends during that discussion before a final vote on SB 1504 is shown.
KY
Kentucky 2026 Regular Session
Medicaid Oversight and Advisory Board. (2-23-26)
Transcript Highlights:
- Uh, I think we generally share it.
- And I'm happy to share a few of the findings for the state of Kentucky.
- And I'm happy to share a few of nation.
- You know, I'll share with you my there.
- But thank you for your testimony and thank you for sharing your experience. Thank you.
Summary:
The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone.
The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months.
Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value.
After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.
HI
Hawaii 2025 Regular Session
ACT 279 WG Info Briefing - Mon Dec 1, 2025 @ 10:00 AM HST
Hawaii House Floor Meeting
Transcript Highlights:
- And so, we're partnering on shared infrastructure.
- <c> the</c><00:38:18.160><c> infrastructure</c> monies to share the infrastructure monies to share the
- with you new hopes and us to share with you new hopes and options. options. options.
- Some of these transfer restrictions refer to buyback and shared appreciation restrictions.
- </c> um refer to buyback and shared um refer to buyback and shared appreciation<00:52:17.839><c> of</
Summary:
The Act 279 working group met for an informational briefing with DHHL on its use of the $600 million appropriation and progress on the department’s implementation plan. The chair reviewed the working group’s oversight role, noting that it was created to monitor expenditures, project development, and progress toward reducing the Hawaiian Homes waitlist, and that the group must submit a progress report before the 2026 session and a final report before the 2027 session. DHHL said it had provided an updated booklet reflecting the Hawaiian Homes Commission’s February 2024 recommendations and a detailed accounting of encumbrances and project progress across the islands.
DHHL highlighted several implementation themes: innovative financing and construction methods, land acquisitions and exchanges, technology, beneficiary services, and partnerships with counties and private entities. The department described a “project lease” model that gives beneficiaries access to a project rather than a specific lot, with options such as turnkey homes, owner-builder, self-help, or rent-to-purchase arrangements depending on financial qualification. Officials said this approach is intended to serve lower-income beneficiaries, expand access for people on the waitlist, and allow beneficiaries to receive support services such as financial literacy and down payment assistance.
The department reported that roughly $511 million had been encumbered for infrastructure, about $152.8 million for acquisitions, financing, and beneficiary services, and about $36 million in other covered costs, with about $588.9 million encumbered as of December 31 and about $120 million expected to be spent by that date. Officials said the original implementation plan covered about 2,722 units, while the updated plan projects roughly 6,000 to 7,000 leases and 2,472 lots to be occupied. They also described phase-two needs for additional funding, including projects on Hawaiʻi, Maui, Kauaʻi, and Oʻahu, and said they would need continued legislative support, including possible bonding and private activity bond set-asides, to complete remaining projects.
Members discussed the distinction between encumbered and spent funds, and DHHL explained that encumbrances reserve money for specific contracts while construction spending occurs over time through progress payments. The department also showcased examples of innovative projects, including a high-rise project in urban Honolulu financed through a mix of private activity bonds, tax credits, and state funds, and an acquisition-based project in Kapaʻa, Kauaʻi using multiple funding sources. DHHL emphasized partnerships with the City and County of Honolulu and Maui County, and said it is still assessing future projects to keep infrastructure costs manageable and ensure homes are safe and affordable for beneficiaries.
NH
Transcript Highlights:
- I'm going to share my time with Phil Sherman, Chair Sherman, if you don't mind.
- </c><00:03:52.640><c> help</c><00:03:52.879><c> resolve</c> Our shared goal is to help resolve Our shared
- </c> software systems or workforce to share software systems or workforce to share documents<00:32:14.000
- We have a part-time building inspector that we share with Lamster. Yeah.
- </c> we share with Lamster. Yeah. we share with Lamster. Yeah.
NH
New Hampshire 2025 Regular Session
House Finance Division III (03/12/2025)
Transcript Highlights:
- There are rulemaking efforts, data-sharing agreements, and analytical processes to put in place.
- He said they now have those data-sharing agreements in place, are analyzing and tracking prescription
- agreements getting the data sharing agreements getting the analytical<00:13:40.480><c> processes</c>
- </c><00:16:56.639><c> that</c> those rebates nobody is sharing that those rebates nobody is sharing that
- </c> collaboration to facilitate data sharing collaboration to facilitate data sharing minimize<00:37
Summary:
The working session focused on the New Hampshire Prescription Drug Affordability Board’s budget request and its recent work. Early discussion centered on a technical question about a statutory dedicated fund for donations: members asked why the budget did not show a line item for accepting donations, and DHHS CFO Nathan White explained that the statute already authorizes the fund, but because no revenue has been received yet, it does not appear in the budget. He said any future donations would go through the normal process under RSA 14:30-a, with fiscal committee and Governor and Council approval and a memo to the Department of Revenue Administration. The chair clarified that the account was not a prerequisite to soliciting donations, and White said the fund would supplement, not replace, General Fund support.
Kirk Williamson, the board’s executive director, then presented the board’s mission and budget. He said the governor’s budget provides about $256,500 in the first year and slightly more in the second, all General Funds, and that the board had distributed a technical amendment to continue the executive director position. He described the board’s role as analyzing prescription drug costs, identifying savings opportunities, monitoring market trends, promoting transparency, and making recommendations to the legislature and public payers. He also emphasized that the board operates publicly, with live-streamed meetings and a stakeholder advisory council that includes unions, state agencies, Medicaid, corrections, higher education, and other stakeholders.
A major topic was the board’s estimate of $6 million in potential savings, based on Medicare’s newly negotiated prices for 10 drugs. Williamson explained that the board used those federal negotiated prices as a benchmark to estimate what New Hampshire public payers might be missing by not having similar leverage, and said the board is trying to build evidence for future recommendations rather than directly setting prices. Members asked how those potential savings could become actual savings, and Williamson said the board is sharing findings through its advisory council and feedback loops, though it has not yet sent a formal recommendation letter to specific purchasers. He also discussed the difference between pharmacy-benefit spending, which relies heavily on PBM-negotiated rebates, and medical-benefit spending, which is administered differently and is being added to the board’s next report.
Williamson highlighted other work, including a model on Humira and a pending legislative effort to improve biosimilar competition, plus a proposed state-backed pharmacy savings card that would be no cost to the state and could save users about $240 per prescription based on Connecticut’s experience. No votes were taken during the session.