Video & Transcript : 'collaborative practice' :

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MO

Missouri 2026 Regular Session

2026 Legislative Session - Day Forty Two - Thursday, March 26

Missouri House Floor Meeting

Transcript Highlights:
  • This restructuring of funding is actually abandoning this longstanding, collaboratively developed funding
  • This restructuring of funding is actually abandoning this longstanding, collaboratively developed funding
  • I think they're pretty good about best practices when talking to property owners, but... ...pretty good
  • about best practices when talking to property owners, but that's really all I have to say about it.
Keywords: 959, house, all
AL

Alabama 2026 Regular Session

Alabama House Education Policy Committee Jan 21st, 2026

Education Policy

Transcript Highlights:
  • Childhood Education, the Department of Human Resources, and the State Department of Education in collaboration
  • Childhood Education, the Department of Human Resources, and the State Department of Education in collaboration
  • see it says that those departments will develop research-based guidelines on healthy screen time practices
  • children birth through five, and the guidelines shall be based on current evidence-based research and practices
Keywords: 1136, house, all
TX

Texas 89th Regular

Senate Session Apr 15th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • The updates in this bill are derived from collaborative work by the State Bar's Business Organizations
  • It just helps us be way more thoughtful as we collaborate in the chamber.
  • consent for Senate Bill 2695, relating to education programs to enable certain students and advanced practice
  • registered nurses to practice medicine in certain rural counties. ...to be withdrawn from the Committee
Summary: The Senate convened with a quorum, heard an invocation, received a House message announcing passage of H.B. 500, and a gubernatorial nomination for the Upper Neches River Municipal Water Authority Board. The chamber adopted several resolutions, including SR 409 recognizing Blue Ribbon Lobby Day, SR 402 honoring the discovery of the woolly devil plant at Big Bend National Park, and recognitions for Operation Christmas RGV and Wilson County Day. The Senate also heard an announcement that the Committee on Senate Nominations action report had been placed on members’ desks. The body then took up and passed several bills. SB 2365 was passed to prohibit personal wireless communication devices by public school students during instructional time, with exceptions for health, special education, and safety needs. SB 1869 was passed to reaffirm the DSHS commissioner’s authority over controlled-substance schedule changes without rulemaking or judicial review. SB 1124 was passed to revise criminal discovery procedures in response to the Heath decision, with supporters saying it preserves exculpatory evidence protections while limiting suppression of inculpatory evidence when the defense already knew of it. SB 1758 was passed to create a Grayson County pilot study and temporary permitting hold concerning a cement kiln/quarry near a semiconductor wafer facility, and SB 2078 was passed to regulate composting in certain counties, after a clarifying amendment. The Senate also passed SB 33, barring governmental entities from transactions that support abortion assistance or out-of-state abortion procurement; SB 34, expanding wildfire preparedness measures, studies, equipment databases, and rural fire department funding; SB 1208, increasing the penalty for interference with public duties from a Class B misdemeanor to a state jail felony; SB 1030, removing the maintenance, repair, and overhaul tax for general aviation; SB 505, creating processes to address election irregularities; SB 2411, updating the Business Organizations Code and changing filing-method requirements; and SB 1333, addressing unauthorized entry, occupancy, sale, rental, lease, or conveyance of real property. Most measures advanced on voice vote or recorded roll call after motions to suspend the regular order and the constitutional three-day rule, with several members raising questions or objections, especially on the criminal justice, abortion, and public duties bills.
MN

Minnesota 2025-2026 Regular Session

Committee on Environment, Climate and Legacy - 04/04/25

Environment, Climate, and Legacy

Transcript Highlights:
  • I also want to thank the Minnesota Chamber for their collaboration and bringing stakeholders in early
  • and often, and appreciate the collaborative efforts that they've done as well.
  • In practice, we've seen multiple counties in Minnesota refuse to even accept feedlot permit applications
  • In practice, we've seen multiple counties in Minnesota refuse to even accept feedlot permit applications
Keywords: 1187, senate, all
NH
Transcript Highlights:
  • So now a peer recovery group is operating out of Dartmouth, run by the perinatal quality collaborative
  • </c> paranal quality collaborative paranal quality collaborative um<00:48:03.839><c> so</c><00:48:04.599
  • I'm really excited about that, but that's also showing how we can collaborate.
  • And so I think for all those reasons, I'm going to close with that: working collaboratively and through
  • how we can collaborate you know we<01:27:34.800><c> can</c><01:27:35.800><c> this</c><01:27:35.920><
Keywords: 928, house, all
Summary: The committee met on March 28 for a Health and Human Services Oversight Committee meeting, approved the draft minutes from February 21, and then received updates from DHHS on the sudden termination of about $80 million in federal COVID-era funding. Commissioner Lori Weaver and Trisha Tilly said the funding had been expected to continue through September 2026, but an email ending it immediately created a 15-month budget gap. They explained that most of the money supported public health work, especially epidemiology, laboratory capacity, data systems, community health workers, outbreak response, and some behavioral health supports. DHHS said it had notified contractors, was reassessing which activities could continue, and had managed to avoid layoffs for its 20 affected staff by shifting funding sources, though some contract lab staff had to leave and some work would stop or be put on hold. Senators and representatives asked about impacts on labs, staffing, and the state budget lapse, and DHHS said the water lab and testing supplies would be affected and that the department was trying to backfill where possible with other federal funds. The committee then heard a maternal mortality report from the Maternal Mortality Review Committee. Alison Power and Caroline Naami explained that the MMRC reviews maternal deaths to identify contributing factors and make recommendations, and that it had completed one CDC grant and received another five years of funding. For 2023, the state recorded five pregnancy-associated deaths, including three from overdose, two from cardiovascular causes, and one homicide; the share of deaths related to substance use fell from 62.5% in 2022 to 40% in 2023. Over the 2019–2023 period, half of pregnancy-related deaths were due to overdose, most occurred postpartum, and many involved Medicaid recipients, transportation or financial barriers, and deaths at home. The committee said mental health and substance use remained the main drivers of maternal mortality, but that 79% of pregnancy-related deaths in the five-year aggregate were considered preventable. Presenters highlighted recommendations and ongoing interventions, including expanding Medicaid coverage through one year postpartum, strengthening behavioral health access, partnering with the Department of Corrections on care for pregnant and postpartum women, and continuing clinical education through the Northern New England Perinatal Quality Improvement Network. Members asked why the maternal mortality rate had declined in recent years; staff said the 2021 spike was tied to the pandemic and that recent declines likely reflected both that spike and the impact of interventions, though the small number of cases makes trends hard to interpret. No additional votes or formal actions were taken beyond approving the minutes.
CA

California 2025-2026 Regular Session

Senate Appropriations Committee Apr 13th, 2026

Appropriations

Transcript Highlights:
  • California Partnership to End Domestic Violence, Community Resource Project, Inland Empire Community Collaborative
  • with some additional support from some of our members: San Diego Humane Society, Micro Enterprise Collaborative
Summary: The Senate Committee on Appropriations met for its first hearing under the new chair and heard opening remarks emphasizing California’s ongoing fiscal challenges, budget uncertainty, and the need to balance policy goals with stewardship of public funds. The Department of Finance said it had no specific positions on the agenda bills, but noted broader risks to state revenues, including stock market volatility, high-income earnings declines, geopolitical instability, and projected out-year shortfalls where spending growth exceeds revenue growth. The committee then took up 26 suspense-file candidates, with authors waiving presentation on each measure and public testimony limited to fiscal issues. Most bills received no support or opposition testimony and no questions from members. A few witnesses testified in support of SB 1240, SB 943, SB 1056, and others; one witness on SB 948 raised concerns that the bill could increase court costs and pressure the General Fund because out-of-state firearm owners might unknowingly miss a new certification requirement. With no objections on any item, each bill was moved to the suspense file, including SB 881, SB 1240, SB 886, SB 1006, SB 891, SB 920, SB 937, SB 943, SB 1009, SB 944, SB 946, SB 948, SB 959, SB 1056, SB 964, SB 1132, SB 1241, SB 987, SB 1049, SB 1044, SB 1047, SB 1053, SB 1054, SB 1108, SB 1140, and SB 1198. The committee recessed briefly to establish attendance and then adjourned after completing the agenda.
MN
Transcript Highlights:
  • The proposed facility will create a modern, centralized space for students to collaborate, access resources
  • campus, but there's a limit to how long they can remain when there is currently not a place to eat, collaborate
Keywords: 1183, house
OK

Oklahoma 2026 Regular Session

Public Safety Feb 11th, 2026 at 09:00 am

Public Safety

Transcript Highlights:
  • I believe this was a collaboration between stakeholders and OCPD, and maybe Tulsa as well.
  • Representative Doriinsky and I were working simultaneously on this, and we'll Collaborate after this
Bills: HB2993 , HB3850 , HB3595 , HB3763 , HB3760
Committee: House Public Safety
ID

Idaho 2026 Regular Session

Agenda Jan 22nd, 2026

Transcript Highlights:
  • Everybody is so good about collaborating.
  • I know you have your hands full too, but this may... we're just inviting collaboration going forward
Summary: The Senate Health and Welfare Committee considered two Medicaid rule dockets from the Department of Health and Welfare. The first docket repealed the consumer-directed services chapter that had been inadvertently omitted from last session’s House Bill 345 Medicaid rule consolidation, with the understanding that the same material would be incorporated into the consolidated Medicaid rules. The committee asked for confirmation that no substantive policy changes were being made in the repeal-and-replace process, and the docket was adopted on a voice vote. The second docket, Medicaid plan benefits, consolidated Medicaid provisions into a single chapter and updated the rules by removing duplicative or outdated language, aligning case management and personal care provisions with appropriations and other services, reverting one definition to federal guidance, removing references to programs now supported in the provider handbook or state plan, and adding speech-language pathology assistants as providers. Senators noted the document was lengthy and discussed the need for transparency and stakeholder input in rulemaking. The department said the docket contained no new policies beyond the consumer-directed services material and the listed cleanup changes. Senator Wintrow raised a stakeholder concern about psychological evaluation timelines affecting payment for providers serving individuals with disabilities. A provider testified that psychologist shortages and long wait times, sometimes four to seven months, delay eligibility determinations and reimbursement, and asked the department to work on a solution. The department said the policy itself was unchanged but was willing to continue discussions during the interim. The committee then approved the Medicaid plan benefits docket, including the temporary and pending rule, by voice vote and adjourned after a brief announcement about a future rule-process presentation.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Revenue Jun 21st, 2026 at 10:00 am

Joint Committee on Revenue

Transcript Highlights:
  • My name is Kendra Baker, and I am the Director of Climate Justice at the Fairmount Indigo CDC Collaborative
  • In practice, most farms are already paying above the minimum wage simply to attract and retain workers
  • And they weren't racist exemptions; they were practical exemptions because they don't fit on that.
  • And they weren't racist exemptions, they were practical exemptions because they don't fit on that.
Keywords: 995, all
Summary: The hearing opened with remarks from the co-chairs explaining committee procedures, testimony limits, submission instructions, and the new deadlines for acting on House and Senate bills. The committee then heard testimony on several bills related to agriculture, land use, environment, housing, transportation, and taxation, with legislators often taken out of turn. No votes were taken during the hearing. The first major topic was H. 3206, a bill to allow fossil fuel-free 529 college savings plans to qualify for the state tax deduction if MEFA does not offer a comparable option. Representative Steve Owens said the bill would not force MEFA or Fidelity to change existing plans, but would create a definition for fossil fuel-free funds and extend the deduction to qualifying out-of-state plans. The committee also heard strong local testimony on a Belmont home-rule petition, H. 3970, to change tax treatment for the Belmont Country Club under Chapter 61B. Belmont residents and officials argued the private golf course receives an unfair tax break that shifts costs to other taxpayers, while Senator Brownsberger and Representative Rogers supported the measure as a way to help the town recover revenue. Committee members asked about town meeting support, the club’s lack of payment in lieu of taxes, and the size of the tax savings. The committee next heard testimony on a vehicle miles traveled tax proposal, S. 1925, from Senator Barrett and economists Gilbert Metcalf and Christopher Knittel. They argued that declining gas-tax revenue and rising fuel efficiency, especially with electric vehicles, require a more stable transportation funding source; they also said a VMT tax could be designed to be revenue-neutral and mildly progressive, though members raised concerns about administration, fairness, EV disincentives, and the possibility of annual tax shocks. The largest block of testimony focused on the Ahead Act, H. 3194/S. 1973, which would double the deed excise fee and dedicate the new revenue to affordable housing and climate adaptation. Supporters from MACDC, MAPC, FICC, Boston Climate Action Network, CLF, 350 Mass, CHAPA, and a tenant advocate said the bill could generate about $300 million annually for housing production, vouchers, weatherization, resilience, and environmental justice communities, and that it links two urgent crises with a stable funding stream. The committee also heard testimony on the Conservation Land Tax Credit bills, H. 3147/S. 2083, which would raise the annual cap on the credit from $2 million to $5 million for three years and then sunset back down. Conservation groups and a landowner said the program has conserved thousands of acres and that the higher cap would reduce delays and help meet state conservation goals. Finally, the committee took testimony on the Fairness for Farm Workers bills, S. 2011/H. 3107 and S. 2012, which would extend overtime, minimum wage, breaks, and paid time off protections to farm workers and include a refundable tax credit to help farmers offset overtime costs. Senator Gomez and advocates described the bills as overdue civil rights and public health measures, citing low wages, long hours, dangerous conditions, and the racial history behind farm labor exclusions. The hearing also included testimony on H. 3240, a bill to give municipalities a local option vacancy tax on chronically vacant shopping malls, with the sponsor arguing it would help towns address blight, encourage redevelopment, and potentially create housing and tax revenue.
LA
Transcript Highlights:
  • House Bill 692 is a practical extension of the procurement tools already in use in Louisiana.
  • Members, I'm here to present House Bill 685, which is a practical government efficiency measure.
  • It has to include skills and tactics practice, critical decision-making exercises, and actual deployment
  • And there's no—would there be any collaboration for assisting the municipalities in what they choose?
Summary: The committee first heard House Bill 1157, which would create a Louisiana State Infrastructure Bank to provide another funding mechanism for transportation-related projects, including roads, bridges, rail, ports, airports, and other surface transportation needs. Chairman Borek and DOTD Secretary Glenn LaD said the goal is to leverage state, federal, local, and private dollars, using models from Florida and other states. Members asked about board makeup, staffing, project selection, administrative costs, and how the bank would differ from capital outlay and existing transportation programs. Testimony in support came from business and economic development representatives, including Michael Hecht of Greater New Orleans, Inc., who said infrastructure is critical to major economic projects and that the bank could attract outside capital. The bill was reported favorably without objection. The committee then took up several local and procurement-related bills. House Bill 860, allowing fillable electronic public bid forms, was reported favorably. House Bill 972, naming a portion of Highway 93 in Lafayette Parish the Desert Shield Desert Storm Memorial Highway, and House Bill 965, naming a portion of Highway 163 the Sergeant William Billy Earl Collins Jr. Memorial Highway, were both reported favorably after brief testimony honoring veterans and law enforcement. House Bill 692, authorizing local governments to enter group purchasing agreements, was amended and reported favorably. House Bill 685, allowing use of FAST Act cooperative procurement for public motor vehicles and rolling stock, drew support from transit officials and was reported favorably after a roll call vote, with one member voting no. The committee also advanced House Bill 982, which designates portions of highways in Morehouse Parish in memory of local residents killed in a crash after attending an LSU game; it was reported with amendments. House Bill 506, creating special prestige license plates for local high schools as a fundraiser, was amended and reported favorably. House Bill 839, lowering the contract limit for hospital service districts to use construction management at risk from $2 million to $1 million, was reported by substitute after testimony from hospital leadership and industry representatives. House Bill 1072, revising powers and emergency procurement authority for the Office of Louisiana Highway Construction, was amended and reported favorably after discussion about its relationship to DOTD and emergency repairs. Finally, the committee heard House Bill 887, which revises construction management at risk procedures, including committee makeup, scoring, and financial qualification requirements; it was amended and reported favorably. House Bill 647, creating timelines and an annual application process for waterway projects under a waterway assistance program and fund, was reported by substitute. The last major item discussed was House Bill 873, which would fund pursuit intervention technology and training for law enforcement through a $2 fee on driver’s licenses. The bill was presented alongside emotional testimony from the widow and daughter of Sergeant Grant Candies and from a St. John the Baptist Parish sheriff’s captain, all urging safer equipment and better training for officers. Members expressed strong support, and the discussion continued into funding and grant administration details.
AZ

Arizona 2026 Regular Session

03/23/2026 - House Public Safety & Law Enforcement

House Public Safety & Law Enforcement Committee of Reference

Transcript Highlights:
  • These are complex cases that require close collaboration between law enforcement, prosecutors, child
  • This is a really practical, responsible bill that protects an existing investment and helps ensure the
  • SB 1270 doesn't fix everything, but it's a meaningful and practical step forward.
  • provide any long-term value to the citizens SB 1270 doesn't fix everything but it's a meaningful and practical
Summary: The committee heard and advanced several public safety and corrections measures. SB 1161 would prevent $750,000 appropriated to DPS for Yuma County’s Amberly’s Place Family Advocacy Center from lapsing; testimony emphasized that the bill preserves existing funding for crisis response and victim services. The committee also advanced SB 1215, which clarifies the cancer list tied to the occupational disease presumption for firefighters and peace officers and adds retroactivity to June 30, 2021. SB 1270, aimed at retention for Tier 3 corrections employees, would allow optional employer supplemental contributions to defined contribution accounts at specified service intervals, with an amendment capping annual contributions at $5,000 and requiring employer policies; members discussed retention, vesting, and whether the incentive could simply be taken and left after the waiting period. Both SB 1161 and SB 1215 received due pass recommendations, as did SB 1270 after one no vote and several members noting the need for better retention tools. The committee then considered SB 1400, which authorizes law enforcement wellness and crisis response programs and sets confidentiality rules for information shared in those programs. Supporters said the bill would expand access to peer and professional support while preserving public records and misconduct investigation access, but members raised concerns that the privilege language could be too broad for licensed therapists; the sponsor indicated openness to an amendment, and the bill was advanced with members reserving the right to change their votes if the language is not tightened. SB 1538, as a strike-everything amendment, would require workers’ compensation coverage for PTSD treatment for firefighters and peace officers and could include one course of MDMA treatment if federal approval and DEA rescheduling occur by the stated deadline. Supporters described promising clinical trial results and argued the bill is a conditional authorization, while counties opposed the mandate and raised cost concerns; after debate over whether the bill is permissive or mandatory, the committee adopted the strike-everything amendment and gave the bill a due pass recommendation. The committee also passed SB 1537, which renames the Peace Officer Training Equipment Fund as the Public Safety De-escalation and Life Safety Fund and repeals the advisory commission. Supporters said the new name better reflects the fund’s use for de-escalation and less-lethal equipment, while some members opposed the change and preferred the money be used for raises. Finally, the committee began hearing SB 1580, which would appropriate funds for fire incident management support hardware and software and, under a chairman’s amendment, redirect money from the Peace Officer Training Equipment Fund to additional public safety technology and retention/recruitment purposes; testimony focused on regional data-sharing systems and the need for accountability and clarity on how the funds would be spent.
MA

Massachusetts 2025-2026 Regular Session

Special Joint Committee on Initiative Petitions Mar 17th, 2026

Special Joint Committee on Initiative Petitions

Transcript Highlights:
  • This predatory practice could be stopped in its tracks by rent control, as putting a cap on rent increases
  • increases and displacing original tenants it's a quicker and cheaper path to profit this predatory practice
  • In practical terms, that means rent increases will be limited to levels that are often well below the
  • And I want to start from Senator Friedman, your point about wanting the pro and con to collaborate.
Bills: H5008
ID

Idaho 2026 Regular Session

Legislative Session Day 65 Mar 17th, 2026

Idaho Senate Floor Meeting

Transcript Highlights:
  • Or, under current practice, even though the IRS audits at the entity level, in Idaho we're still auditing
  • It updates a statute and reflects the current practice. The 60-40 split.
  • It updates a statute and reflects the current practices.
  • alignment with the themes of last year's House Bill 14, the Idaho Code Cleanup Act, the Board collaborated
Keywords: 989, all
FL

Florida 2026 4th Special Session

February 11, 2026 - 12:00 PM

Transcript Highlights:
  • This change aims to better protect teenage riders by requiring safer riding practices.
  • the ability to report anonymously justly targets victims' rights to autonomy and trauma-informed practices
  • it from both sides and had an opportunity to talk to Representative Aristide around some of the practical
  • This bill ensures comprehensive oversight through enhanced cooperation and collaboration with Florida's
Summary: The committee heard and advanced a large slate of bills, beginning with HB 1405, which would reestablish a pilot program at four state universities to screen people with special needs who are at risk of elopement and provide families with tracking devices. Members spoke in support, citing real-life incidents involving missing children and adults, and the bill passed 18-0. HB 4037, a Pasco County mosquito control cleanup bill, also passed unanimously, as did PCS for HB 639, which expands eligibility for an existing Fraternal Order of Police specialty license plate to all Floridians and adds nonprofit and financial reporting requirements for specialty plate organizations. HB 667, brought by Rep. Valdés with Freedom High School students through the Ought to Be a Law program, would raise the helmet requirement for electric personal assisted mobility devices from under 16 to under 18; the students testified about e-bike and e-scooter injuries and fatalities, and the bill passed 18-0. The committee also approved PCS for HB 975, which clarifies management and security authority for the Capitol Center and Complex, and HB 695, a public records exemption tied to a health care interstate compact, by a 17-1 vote. HB 181, expanding a pawnbroker transaction records exemption to FDLE, and HB 1087, making Florida Retirement System pension-plan member and payee information confidential, both passed unanimously. HB 1515, a public records exemption tied to a uterine fibroid research database, also passed unanimously after the sponsor explained the Department of Health had been unable to implement the database because of data-identification problems. A major portion of the meeting focused on HB 1283, which would allow anonymous complaints against law enforcement officers only when accompanied by corroborating evidence and would bar non-disciplinary investigative outcomes from being used in promotions and other personnel decisions. Police chiefs and sheriffs opposed the bill as amended, arguing the corroboration standard should include evidence developed by agencies and warning about personnel-management consequences, while law enforcement supporters said the bill protects officers from malicious complaints. Civil rights and advocacy groups opposed it, warning it would chill reporting and harm victims, especially in sexual misconduct cases. After extensive debate, the committee adopted an amendment to align the bill with the Senate companion and then passed HB 1283 18-0. The committee also passed HB 139, expanding whistleblower protections to adverse actions by individuals and placing investigations with the Florida Commission on Human Relations, and HB 953, which gives county tax collectors authority to partner with DHSMV in overseeing commercial driving schools and combating fraud; both passed unanimously. The meeting also included HB 627, which directs officers in the field to refer public records requesters to the proper custodian rather than processing requests during active incidents; despite opposition from protest and civil liberties advocates, it passed 18-0. Finally, the committee heard HB 1473, a public records exemption for portions of domestic-terrorism designation materials. Supporters said it was needed to protect sensitive security information, while opponents argued it was vague and could be used to hide executive decision-making and target protesters or Muslim communities. After an amendment and lengthy debate, the bill passed 13-4.
NM

New Mexico 2025 Regular Session

IC - Legislative Finance Nov 18th, 2025

Transcript Highlights:
  • our presentation today and in the 30-day session, that you are assured that we are following best practices
  • That is for best practices with regard to accounting.
  • It is a significant technological advance both with regard to the practice and at the appellate level
  • And so that's going to mean while we continue to work collaboratively on the core areas, we're going
NM

New Mexico 2025 Regular Session

IC - New Mexico Finance Authority Oversight Jul 10th, 2025

New Mexico Finance Authority Oversight Committee

Transcript Highlights:
  • Again, we've collaborated with historic preservation and state forestry to determine how to do this strategically
  • you for this great presentation, which shows where our investments are for the historical and the practical
  • Those two constraints in our Public Project Revolving Fund have created more conservative lending practices
  • It's not practical. So that's a problem.
US
Transcript Highlights:
  • If confirmed, what would you do to support the HUD-VASH program and increase collaboration between the
  • I'd like to know from you, what does that mean in practical terms about the employees who deliver veterans
  • Collins, it's always my practice, and almost always my practice in a hearing, to give our witnesses the
MN

Minnesota 2025-2026 Regular Session

Committee on Finance - 01/23/25

Finance

Transcript Highlights:
  • Budget rules are used to convey best budget practices to the executive branch and organizations that
  • Budget rules are used to convey best budget practices to the executive branch and organizations that
  • </c><00:22:47.960><c> for</c> rules establish a budget practice for rules establish a budget practice
  • ><c> would</c> come from the better practice I would come from the better practice I would hope<00:29
  • Chair, Senator, I would also add that this rule is somewhat rooted in best budgeting practices.
Committee: Senate Finance
Keywords: 1187, senate, all
NH

New Hampshire 2025 Regular Session

House Finance Division III (03/11/2025)

Transcript Highlights:
  • </c><01:24:04.800><c> cap</c><01:24:05.560><c> on</c> really that provides a practical cap on really
  • that provides a practical cap on uh<01:24:06.760><c> I</c><01:24:06.840><c> would</c><01:24:07.000><c
  • Statewide um as part of collaboration Statewide um as part of the<01:40:19.719><c> mental</c><01:40:
  • </c><02:23:59.640><c> of</c><02:23:59.880><c> using</c><02:24:00.960><c> unfilled</c> uh the practice
  • of using unfilled uh the practice of using unfilled positions<02:24:02.640><c> to</c><02:24:02.920><
Keywords: 928, house, all
Summary: Division 3 opened a work session focused on direct care agencies, with the chair saying the day would center on the Veterans Home and other state hospitals and homes. Members first discussed the upcoming Finance Committee process, including how many bills would be assigned to Division 3, whether they would appear on the House calendar, and how much time would be allowed for each bill. The chair said the division would likely spend about an hour on each bill, then return for a second day of review before making recommendations. Staff later identified three bills expected on the calendar: House Bills 704, 751, and 54. Members also raised a question about the use of educational trust fund money in the budget, but that issue was deferred. The main presentation came from Kim McKay, commandant of the New Hampshire Veterans Home, who described the facility as a long-term care intermediate facility serving eligible veterans. She said the home is licensed for 250 beds, budgeted for 225 veterans, and currently has 135 residents with four more scheduled to arrive. McKay highlighted improvements over the last two years, including a reduction in the admission wait list from more than a year to about three to six months, the creation of an LNA training program, energy-saving and Wi-Fi upgrades, and a new electronic learning management system that will provide mandatory training and continuing education units for staff. She said the home’s long-term goal is to return to a 225-bed census, but staffing remains the biggest hurdle. Members asked about admissions, wait times, staffing, vacancies, and the home’s use of contract nurses. McKay explained that the wait time is measured from the initial application date, not from a completed packet, and that staff now help families gather records and paperwork more quickly. She said the home averages about 45 deaths per year, residents stay about 2.5 years on average, and the vacancy rate is around 35 percent, though some positions are intentionally held open until census grows. She attributed staffing shortages largely to retention problems, citing higher private-sector pay, bonuses, and more flexible hours, and said the home has a handful of contract nurses, mainly on second shift. On finances, she said pharmacy services are contracted, the VA reimburses some medication costs based on disability, and the home is pursuing federal changes to cover high-cost medications and catastrophic disability cases. The discussion also covered the home’s off-book donation account, which is overseen by the state and transferred into the state system when funds are spent.