Transcript Highlights:

• I serve as the executive director at the New Hampshire Council on Developmental Disabilities.
• I serve as the executive director at the New Hampshire Council on Developmental Disabilities.
• Hampshire Council on developmental Hampshire Council on developmental disabilities<00:30:20.000>
• A majority of individuals with intellectual and developmental disabilities are interested in participating
• Disabilities.

Keywords: 1191, senate, all

Transcript Highlights:

• And on the Status of Persons with Disabilities.
• Today we are joined by the Association of Developmental Disabilities Providers. Thank you so much.
• Today we are joined by the Association of Developmental Disabilities Providers, or ADDP, with President
• But again, ADDP, the Association of Developmental Disabilities Providers, is a statewide association
• What are the numbers for people with intellectual developmental disabilities, autism, and related?

Keywords: 995, all

Summary: The Workforce Support Subcommittee of the Status of Persons with Disabilities met, approved the prior November minutes, and heard a presentation from the Association of Developmental Disabilities Providers (ADDP) on its 2025 workforce metrics survey. ADDP described its membership and the survey’s scope, noting 102 of 132 members responded. The report showed continued improvement in staffing: overall vacancy rates fell from 19% in 2024 to 15% in 2025, with declines across programs such as adult long-term residential, community-based day supports, supported employment, and day rehabilitation. However, vacancies remain high, especially for licensed practical nurses and clinicians, and nearly 4,000 positions were still unfilled. Providers also reported that almost 1,800 people remain waiting for day services. A major new focus in the survey was health insurance costs. Nearly 90% of respondents reported premium increases averaging 11%, and providers said those increases make it harder to offer competitive wages and benefits and hurt recruitment and retention. ADDP said the survey will be repeated in the fall and emphasized that while Chapter 257 investments appear to have helped reduce vacancies, rising insurance costs, immigration-related workforce pressures, and other affordability issues could threaten progress. Commissioners and presenters discussed the need to maintain gains, the importance of keeping the survey manageable while preserving historical comparisons, and the role of immigration and workforce policy in staffing stability. The subcommittee then elected new co-chairs, unanimously approving Rachel Caprillion and Leo Sarkisian. Members discussed possible topics and speakers for the next meeting, including training and turnover, direct support professional pipelines, apprenticeships, PCA training, and workforce models from other states. Several names and organizations were suggested for outreach, including Josh Cutler, Juan Vega, JVS, HSRI, and NASDDDS. The meeting ended with a motion to adjourn, which was seconded and approved.

Transcript Highlights:

• to whether that disability will execute disabled people without regard to whether that disability contributed
• Disabilities.
• And developmental disabilities, and that's the professional organization that represents these individuals
• standards recognize intellectual and developmental disability diagnoses through age 22.
• The DSM-5 and the American Association of Intellectual and Developmental Disabilities require evaluation

Keywords: 974, senate, all

Transcript Highlights:

• President, the House amendment authorizes the division to set requirements for related road signage and
• disabilities.
• The bill provides that the director of the Administrative Services Division may enter into agreements
• The bill provides that the director of the Administrative Services Division may enter into agreements
• Of service for partial duty and non-duty disabled troopers in the State Police retirement system.

Keywords: 994, senate, all

Summary: The Senate opened with prayer, the Pledge of Allegiance, journal approval, and numerous guest introductions, including students, community leaders, food bank representatives, and visitors connected to Hunger Free West Virginia Day. A resolution recognizing March 10, 2026, as Hunger Free West Virginia Day was adopted, and Senate Concurrent Resolution 7 on the Southern West Virginia water crisis was referred to the Rules Committee. The chamber also heard remarks highlighting Hunger Free West Virginia’s work and a West Virginia company, Unigen, developing pharmaceutical manufacturing in the state. The Senate concurred with House amendments and passed several measures, including Senate Bill 467 on enforcement of Purple Heart parking spaces, Senate Bill 712 on cattle guards on certain public roads, and Senate Bill 781, a supplemental appropriation measure that was also made effective from passage. The chamber then adopted and passed Senate Bill 844, a large supplemental appropriation to the Department of Human Services, and Senate Bill 87, a supplemental appropriation to the Department of Commerce, both effective from passage. Other third-reading bills passed included the Blue Envelope Program for drivers with autism, dementia, or intellectual and developmental disabilities; coverage for scalp cooling systems during chemotherapy; expansion of sex-offender registration to include solicitation of a minor and non-consensual disclosure of private images; child safety reporting requirements for school personnel; age-verification requirements for websites hosting harmful sexual material; free Gold Star parent vehicle registration; online training and updated standards for sanitarians; sheriff hiring authority; organ donor registration through voter registration; a Cold Case Task Force; abandoned vehicle title procedures; nutrition continuing education for physicians; special plate rules; gift card fraud offenses; protections for athletic officials; in-year school personnel movement; administrative services powers; pharmacy benefit manager regulation; vape shop regulation; reduced parole supervision fees; disability service credit for certain troopers; property valuation reporting changes; and quarterly Hope Scholarship payments. The Senate also advanced a large number of House bills and committee substitutes on second reading, including supplemental appropriations and measures on mental health examinations, dog registration rules, juvenile jurisdiction on military installations, military interpersonal violence, kinship care subsidies, a statewide prevention plan, contraband smuggling into federal prisons, forestry equipment levy treatment, and Commerce Department rules for microgrid districts and high-impact data centers. Several committee amendments were adopted, and many bills were advanced to third reading without objection. No executive communications were reported.

Transcript Highlights:

• Health Care Authority is at about $18 billion a biennium, followed down to developmental disabilities
• So I'm going to talk about the long-term care and developmental disabilities programs at DSHS.
• So in order for clients to receive services in long-term care and developmental disabilities, they must
• So first, for DD-only, individuals must have a diagnosis of a developmental disability.
• In terms of developmental disabilities, does the increase opportunities for the eligibility requirement

Summary: The Ways and Means Committee held a work session to review how H.R. 1 (the One Big Beautiful Bill Act) could affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on implementation challenges, fiscal impacts, and likely coverage losses. Staff and agency officials explained Washington’s Medicaid financing structure, eligibility categories, caseload trends, and the role of the Health Care Authority and DSHS in administering Apple Health and related services. They also described how Medicaid expansion increased access to behavioral health services and how H.R. 1’s provisions are expected to affect the expansion population most directly. Health Care Authority and DSHS officials outlined several major H.R. 1 changes: new work and community engagement requirements for the Medicaid expansion population, six-month redeterminations instead of annual renewals, changes to immigrant eligibility, limits on provider taxes and state-directed payments, new cost-sharing requirements, reduced retroactive coverage, and changes affecting long-term care eligibility. They said Washington is still awaiting federal guidance on many details, but estimated that about 620,000 Apple Health expansion enrollees could be subject to work requirements, that roughly 30,000 immigrants could lose Medicaid eligibility under the new definition of qualified alien, and that some long-term care and developmental disability clients could be indirectly affected. Officials also said the state is working with other agencies to build shared verification systems and may seek a delay waiver, though they do not expect broad federal flexibility. The committee also heard that H.R. 1 immediately blocks Medicaid reimbursement for Planned Parenthood services for one year, with the state planning to backfill about $11 million to preserve access. In addition, officials warned that the law could reduce federal Medicaid revenue by billions over time and strain hospitals and emergency rooms as more people become uninsured. They noted that Washington’s rural health transformation grant application is due November 5 and could bring some funding, but not to offset coverage losses. No votes were taken; the session was informational only. The committee then heard a separate presentation on food assistance, where staff and DSHS described H.R. 1’s SNAP changes, including expanded work requirements, immigrant eligibility restrictions, higher state administrative costs, and a possible future state share of benefit costs tied to payment error rates. DSHS estimated a four-year fiscal impact of about $750 million for food assistance changes and said the state is working on system and policy changes across agencies before the new requirements take effect.

Transcript Highlights:

• We have Sarah Goldman with the Florida Developmental Disabilities Council, waving in support.
• Eddie Hall with Florida developmental disabilities, waving in support.
• Michael Say it with Florida Developmental Disabilities Council, waving in support.
• Michael Say it with Florida Developmental Disabilities Council, waving in support.
• Ellie Hagan, council member with the Florida Developmental Disabilities Council, waving in support.

Summary: The Health and Human Services Committee considered eight bills and reported all of them favorably, several as amended. HB 1347 on clinical laboratory personnel was presented as a response to staffing shortages in Florida labs; the sponsor and Quest Diagnostics supported aligning state licensure with CLIA standards to improve hiring and turnaround times. The bill passed 24-0. CS/HB 47, dealing with specific medical diagnoses in child protective investigations, drew extensive emotional testimony from parents and advocates who said children had been wrongly removed after misdiagnoses; the bill was amended to tighten timelines and record-sharing requirements, then passed 26-0. CS/HB 287 created a public records exemption for applicants, owners, operators, and references of family foster homes and passed unanimously. The committee also approved CS/HB 439, allowing chiropractors to inject vitamins and nutrients under training and safety limits, after an amendment clarified they may not prescribe prescription drugs; it passed 26-0. CS/HB 1021 would allow pharmacists to administer medications in trauma centers under physician direction, and an amendment added pediatric trauma centers; it passed 26-0. HB 867 would let occupational therapists perform dry needling after specified training and supervision, and it passed 25-0. HB 1309, which shortens deadlines for patients to access their medical records and aligns nursing home access rules with federal law, drew opposition from health information management groups over privacy and portal/data-security concerns, but supporters argued it simply speeds access to records; it passed 21-5. CS/HB 915 codifies and expands Medicaid eligibility protections for working people with disabilities so they can keep coverage while employed, with strong support from disability advocates and emotional testimony from the sponsor about her son’s benefits concerns; it passed 26-0. After these votes, the committee adjourned.

Transcript Highlights:

• The Department closed four prisons, the Division of Juvenile Justice, and several facilities, resulting
• Jared Lozano, Deputy Director, Division of Adult Institutions and Facility Support, CDC.
• Our Armstrong case, also known as our Americans with Disabilities Act case, a lot of it is we're in a
• disabled disabilities case, which is our Clark case.
• David Lewis, Director, Division of Facility Planning, Construction and Management, CDCR.

Keywords: 988, house, all

Transcript Highlights:

• Direct the Division of Industrial Relations to create regulations for how employers will monitor air
• For the record, Brody Leiser with the Fiscal Division. Senate Bill 503 was heard on May 31.
• Brody Leiser with the Fiscal Division. Senate Bill 503 was heard on May 31st.
• For the record, Brody Lyser with the Fiscal Analysis Division. Senate Bill 62 was heard yesterday.
• The bill also makes general fund appropriations totaling $11.9 million to the Division of Public and

Bills: SB6, SB62, SB74, SB90, SB104, SB119, SB132, SB133, SB135, SB182, SB185, SB193, SB207, SB217, SB229, SB233, SB260, SB262, SB280, SB281, SB300, SB306, SB378, SB382, SB393, SB403, SB422, SB427, SB431, SB434, SB442, SB452, SB456, SB468, SB472, SB487, SB503, SB6

Keywords: cloud seeding, Nevada, water conservation, agriculture, Desert Research Institute, victim compensation, hate crimes, property remediation, criminal justice, vulnerable persons, elections, voter registration, mail ballots, candidate eligibility, cybersecurity, education funding, teacher grants, classroom supplies, instructional support, specialized personnel

Transcript Highlights:

• disability delay of the offender.
• disability delay of the offender.
• In Monroe, she was a teacher for 21 and a half years, and she was awarded disability through the Teachers
• And I've seen her go from a wonderful, strong citizen, multi-careered, into almost a totally disabled
• And we're also giving, we're authorizing the Department, the Division of Administration, to review all

Keywords: 974, senate, all

Transcript Highlights:

• We are watching a dangerous rise in extremism, hate, and division in our country, so much that even the
• also looking at cuts to programs that serve vulnerable populations such as medically fragile and disabled
• children. and that was before such as medically fragile and disabled children.
• disabilities who have the most vulnerable population, those with developmental disabilities, who have
• They lost their doctors to these very specific disabilities.

Summary: The Assembly met after a quorum call and prayer, then handled a series of procedural motions, guest introductions, and floor actions. Members welcomed student groups from Hope International University and Vacaville High School, and later recognized several guests connected to public safety dispatch. The chamber also adopted multiple re-referrals and procedural requests, including moving bills between committees and taking up AB 100 on concurrence from the Senate. A major portion of the session was devoted to ACR 34, designating April 14 as Sylvia Mendez Day. Assembly Member Ta and several colleagues spoke in support of honoring Sylvia Mendez and the Mendez v. Westminster case as a landmark in civil rights and school desegregation. The resolution drew extended partisan debate over the framing of the measure and broader issues of diversity, equity, and inclusion, but it ultimately passed on a roll call vote, with the resolution adopted. The Assembly also recognized Dolores Huerta on her 95th birthday through guest introductions and celebratory remarks, then moved through several bills and resolutions. AB 471 on air district board compensation, AB 677 on pupil records and access to screenings for housing-insecure students, ACR 31 designating California Public Safety Telecommunications Week, and AB 1150 on airport customer facility charges all passed. HR 30 recognizing Khmer New Year also was adopted with broad support. The most contentious policy action was AB 100, the early action budget bill. Supporters said it provided funding for wildfire prevention, hospital payments, Medi-Cal, and recovery in Los Angeles fire areas, while opponents criticized the bill for health care spending and high-speed rail. After a failed attempt by Assembly Member DeMaio to amend the bill and an unsuccessful appeal of the chair, the Assembly concurred in the Senate amendments and sent AB 100 to the Governor. The day ended with consent calendar approvals and adjournments in memory for several community members, including Larkin Carol Wells, Carmen O. Perez, and Oscar B. Ramos.

Transcript Highlights:

• Aid to Families with Dependent Children, or TAFDC, and of course the Emergency Aid to the Elderly, Disabled
• perspective of having worked on the past six years, and you start to see the negative impact of the division
• including one in four Massachusetts residents, almost half of all children and individuals with disabilities
• Incredibly important, incredibly important, especially when we see so much fear and division and people
• These programs ensure infants and toddlers in the Commonwealth who have developmental delays or who are

Keywords: 995, all

Summary: The Senate took up debate on the FY2026 general appropriations bill, with several members speaking in support of the Ways and Means budget. Senators Comerford, O’Connor, Feeney, and DiDomenico emphasized the budget as a values-driven response to federal uncertainty, highlighting investments in MassHealth, education, housing, food security, local aid, libraries, transit, mental and behavioral health, and support for vulnerable residents. They also praised the budget’s lack of new taxes and its focus on spending within available revenues, while noting major cost pressures from health care and federal policy instability. Specific programs and items repeatedly cited included universal free community college, expanded financial aid, rural and minimum school aid, TAFDC/EAEDC increases, the Healthy Incentives Program, universal school meals, housing supports, Home and Healthy for Good, and funding for Pappas Rehabilitation Hospital. Speakers framed these investments as both fiscally responsible and morally necessary, and several noted that amendments would be considered during the debate. No votes on the budget itself were taken in the excerpt. After the budget remarks, Senator Miranda spoke in recognition of Haitian Flag Day and the history of Haiti, including foreign interference and the importance of protecting Haitian immigrants in Massachusetts. Another senator then honored Malcolm X on the 100th anniversary of his birth, connecting his legacy to the budget process and calling for investments in equity, education, housing, and health care. The Senate then adopted an order to meet the next day at 10 a.m. with the general appropriations bill as the only item on the calendar, and adjourned.

Transcript Highlights:

• We're continuing to see disability waiver spending growth.
• These are the majority of services under the disability waivers.
• disability waiver, or the DD waiver, particularly around children and youth.
• This is the Early Childhood Health and Developmental Screening.
• Just very quickly, by way of summary, this does not create a new division or new services.

Keywords: 1187, senate, all

Transcript Highlights:

• Do you report it to the developmental disability?
• My name is Katie Ellis, and I am a disability justice activist and someone who has lived with a disability
• I'm a disability advocate.
• I am disabled and a disability advocate.
• And I'm also a disabled employee.

Keywords: 996, all

Summary: The committee first heard House Memorial 54, which would create a stakeholder working group to study utility-service problems in manufactured and mobile home parks and recommend solutions. The sponsor described repeated water and utility outages in large parks, said current law places maintenance responsibility on park owners, and argued that the state needs clearer standards and alternatives to costly attorney general lawsuits. Supporters from PNM and the New Mexico Center on Law and Poverty backed the memorial as a step toward better oversight and protections for residents. The committee asked about existing landlord obligations and whether rent withholding is available; the sponsor said current law does not clearly provide that remedy. HM 54 was reported out with a due pass. The committee then considered House Bill 166, which would create a statewide permitting framework for battery-charged electric fences used by commercial businesses while preserving local zoning authority. The sponsor and an industry witness said businesses face inconsistent local permitting, delays, and added costs, and that the bill would provide uniform standards and security options. Several members raised concerns that the bill appeared to favor a specific product type, could override local code differences, and might not address mixed-use areas, historic districts, or homeowners associations. After debate, the bill passed on a 4-3 vote, with one member explaining support but urging further work with local government experts before floor consideration. House Bill 20, a bipartisan measure, would allow Native American applicants to request a voluntary Native American designation on state driver’s licenses and ID cards, without naming a specific tribe, and with documentation requirements tied to tribal cards, certificates of Indian blood, or affidavits of birth. Supporters said it would recognize tribal political status, help with law enforcement and Turquoise Alert verification, and assist with education, health, and child welfare matters; tribal representatives and State Police testified in favor. Several members expressed concern about racial profiling, privacy, and possible unintended consequences of marking IDs, while others noted the designation is optional and tied to political status rather than race. Members also flagged drafting language that appeared to require multiple documents, and the sponsor agreed to clarify it. The bill ultimately passed, with some members explaining their votes and asking for continued discussion with tribes. The committee also approved Senate Joint Resolution 1, which would amend the state constitution to allow school bond and mill levy questions to appear on the general election ballot rather than being limited to separate school elections. Sponsors said the change would reduce special-election costs, increase turnout, and remove outdated language dating to 1910; school board and education groups supported it. Members asked about ballot crowding and local election timing, and sponsors emphasized that the measure gives school districts a choice rather than a mandate. Finally, the committee heard House Bill 295, which would create an Office of Accessibility to centralize reporting, provide technical assistance, and produce annual reports on accessibility of state buildings and websites. Disability advocates largely supported the bill as a way to improve compliance and consistency, while one webcast commenter opposed it, arguing that without enforcement authority it would not produce meaningful change. The transcript ends during testimony on HB 295, before final committee action is shown.

Transcript Highlights:

• Margaret Hooper, Florida Developmental Disabilities Council—Margaret, are you here?
• Additionally, the amendment removes the direction for the Division of Law Revision to add the effective
• Thank you, Margaret Hooper, Florida Developmental Disabilities Council, waives in support.
• And that’s from Stefan Ulreich, the president of Bayer’s pharmaceutical division.

Summary: The Health Policy Committee met for its final meeting of the session and handled a very full agenda, beginning with a few housekeeping items and a brief thank-you to staff. Senate Bill 596 was temporarily postponed. The committee then reconsidered and amended SB 1606 on patient access to records, clarifying portal access obligations and deleting a section that would have improperly affected nursing home facility records; the bill was reported favorably as a committee substitute. The committee also recommended confirmation of a block of appointees and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after testimony focused on transparency, financial oversight, Medicaid managed care accountability, and internal controls at AHCA. Harris said she would prioritize staffing, monitoring, and improved reporting, and several health care groups waived in support. The committee next heard and passed several bills, including claims bills SB 28 and SB 22 for South Broward Hospital District settlements, both reported favorably. It also approved SB 772 on undesignated glucagon in schools, SB 998 on allowing physician assistants and APRNs to complete death certificates under hospice/palliative protocols, SB 1412 on home health agency administration and staffing flexibility, SB 1800 creating a Parkinson’s disease research consortium at USF, SB 306 on Medicaid managed care network access during holidays and after hours, SB 1768 on stem cell therapies and informed consent, SB 1602 on pediatric readiness standards in emergency departments, SB 1156 on the home health aide program for medically fragile children, SB 1490 on Children’s Medical Services and Medicaid managed care administration, and SB 1182 on Medicaid coverage of continuous glucose monitors. Most of these bills were amended, generally to narrow scope, align with the House, or make technical changes, and most received support from provider associations, advocacy groups, or affected institutions. The most debated measure was SB 1270, which combined several health freedom and medical marijuana provisions. The strike-all amendment retained language prohibiting discrimination based solely on vaccination status, added protections related to mRNA vaccine documentation requirements, and included medical marijuana regulatory and background-screening language. The committee heard extensive testimony both in support and opposition, including concerns from senators about whether the bill would force providers to treat patients contrary to medical judgment, and support from witnesses arguing it protected patient autonomy and access to care. After a time-certain motion, the bill was reported favorably as a committee substitute. At the end of the meeting, senators recorded their votes on selected tabs, and the committee adjourned.

Transcript Highlights:

• Margaret Hooper, Florida Developmental Disabilities Council — Margaret, are you here?
• Additionally, the amendment removes the direction for the Division of Law Revision to add the effective
• Margaret Hooper, Florida Developmental Disabilities Council, waves in support. Thank you.
• And that's from Stefan Ulreich, the president of Bayer's pharmaceutical division.

Summary: The Health Policy Committee met with a quorum and took up a long agenda of health care, Medicaid, and patient-access measures, along with confirmation votes. The committee first reconsidered and amended SB 1606 on patient access to records, clarifying portal obligations, deleting a section affecting nursing home facility records, and setting a January 1, 2026 effective date; the bill then passed favorably as a committee substitute. The committee also recommended confirmation of a block of appointees and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after Harris testified about priorities including financial accountability, managed care oversight, transparency, and quality improvement. Senators asked about audit findings and Medicaid managed care performance, and several witnesses and committee members voiced support for her appointment. The committee then advanced a series of bills, most of them with amendments, including claims bills SB 28 and SB 22 for South Broward Hospital District settlements, SB 772 on undesignated glucagon in schools, SB 998 on death certification by physician assistants and APRNs, SB 1412 on home health administration flexibility, SB 1800 creating a Parkinson’s disease research consortium at USF, SB 306 on managed care network access during holidays and after hours, SB 1768 on stem cell therapies by physicians, SB 1602 on pediatric readiness in emergency departments, SB 1156 on the home health aide program for medically fragile children, SB 1490 on Children’s Medical Services and managed care administration, and SB 1182 on Medicaid coverage of continuous glucose monitors. Most of these bills received support from industry, advocacy, or provider groups and were reported favorably as committee substitutes. The most debated measure was SB 1270, a broad strike-all amendment combining provisions on mRNA vaccine documentation, vaccination-status protections in the Patient Bill of Rights, medical marijuana reporting and background-screening definitions, compact language, and volunteer immunity. The committee heard extensive testimony both for and against the vaccine-related provisions, including concerns about discrimination, patient safety, provider discretion, and medical liability. After additional technical amendments and a time-certain motion, the bill passed favorably as a committee substitute, with Senators Davis and Osgood voting no and Senator Harrell expressing a weak yes. At the end of the meeting, senators recorded their votes on selected tabs, and the committee adjourned.

Transcript Highlights:

• state Council on developmental state Council on developmental disabilities<00:34:33.159> and<
• <00:48:01.800> dis Council and developmental dis Council and developmental dis disabilities
• disabilities we stand on developmental disabilities we stand in<00:48:14.800> strong<00:48:14.920
• Next, we have Balus Hawaii State Council on Developmental Disabilities in support.
• this with the Council of Developmental this with the Council of Developmental disability<00:59:26.160

Keywords: 912, senate, all

Summary: The committee heard testimony on several health-related bills. HB 72 on pharmacy drew only support, with testimony from the University of Hawaiʻi system, the Board of Pharmacy, pharmacists, and others; no questions were raised. HB 237 on peer support programs also received broad support from the Department of Health, DHS, early learning officials, families, and advocates, with testimony emphasizing the value of peer-to-peer mentoring and support for parents, youth, and people with disabilities; no opposition or questions were noted. HB 250, the prior authorization bill, generated the most discussion. SHPDA supported a revised version focused on reporting prior authorization practices and creating a nonbinding working group to develop automation standards, while PCMA, HMSA, Kaiser Permanente, and others raised concerns about duplicative pharmacy requirements, unintended consequences, and alignment with federal timelines and reporting. Several medical groups and individual patients supported the measure, describing delays and burdens caused by prior authorization. A committee member asked whether the bill’s working group differed from a similar group in Senate Bill 1449, and the witness said it was intended to be the same. HB 303 on health care preceptors was supported by the Department of Health, University of Hawaiʻi, nursing and health care organizations, and the Hawaii Pharmacists Association, which asked that pharmacists’ residency programs be specifically tied to national accreditation standards. HB 341, relating to issuance of SPURS to assist the Hawaii Island Community Health Association, drew support from the health center and related groups. HB 692 on Preschool Open Doors received extensive support from early learning, education, family, labor, and community organizations; testimony stressed the shortage of child care and preschool slots, especially on Kauai, and the need to expand access for families. Committee members asked about adding family child care providers and about licensing/certification barriers, and DHS said the bill was focused on current licensed child care facilities and that certification issues were a separate, broader problem. HB 700 on cognitive assessments also drew strong support, with the Department of Health, the Executive Office on Aging, disability advocates, the Alzheimer’s Association, caregivers, and others urging use of a validated cognitive assessment tool during annual wellness visits and asking that the age 65 threshold be removed; some witnesses supported keeping the data-collection portion as a pilot and emphasized early detection and reporting.

Transcript Highlights:

• <01:04:10.960> that division and um this is a division that division and um this is a division
• and uh food and feed safety division and uh food and feed safety division<01:04:56.160> work<
• disability, security disability, they Anybody that knows the Social Security disability system knows
• A judge did fully disable me. Okay. A judge did fully disable me. Okay.
• the judge did fully disable me. So the judge did fully disable me.

Keywords: 1187, senate, all

Transcript Highlights:

• The Developmental Disabilities Council may request program transfers up to $200,000 between programs
• Disabilities Council.
• , say that they needed additional funding from the resource management division.
• Staffing in the Income Support Division was one issue.
• Seniors, disabled people lose in-home care.

Keywords: 996, all

Transcript Highlights:

• Item 25, 1280, requiring DHS to report on allocated but unused funds for the developmentally disabled
• <01:04:16.400> disabled the developmentally disabled the developmentally disabled recipients
• Uh, I—we are on 1249, developmental disabilities funding for recreational services and socialization
• We are on 1249, developmental disabilities funding for recreational services and socialization services
• Then we have the developmental disability community, where we spend a tremendous amount of money—about

Keywords: 928, house, all

Summary: The committee met in Division 3 work session on HB 2 and began by noting a delayed start to allow the Legislative Budget Assistant to finish a large packet of updated amendments and revisions. The chair said the goal for the day was to move as many items as possible, with any cleanup deferred to a Friday follow-up. Members also discussed the process for handling public and department testimony on selected items before votes. Several early amendments were taken up and voted on. The committee unanimously recommended items dealing with repealing the liquor transfer to the alcohol fund and redirecting liquor-related revenue to the general fund, and it also approved an amendment revising Granite Advantage funding so there would be no automatic transfer from the liquor fund, instead using a general fund appropriation. Members then approved repealing the foster grandparent program by a 5-4 vote, and later approved an amendment requiring DHS contractors to comply with the patients’ bill of rights by a 9-0 vote. The committee also approved incorporating House Bill 94 on Medicaid coverage of circumcision by a 5-4 vote, while deferring the Wick Farmers Market Nutrition Program repeal for more discussion. The committee spent substantial time on the youth risk behavior survey amendment. Supporters said the change was intended to clarify opt-out procedures and ensure parents, guardians, and students are clearly notified that they may opt out without negative consequences. Some members raised privacy concerns and said the language could add administrative burden, but the amendment was ultimately recommended to Finance by a recorded vote of 8-1. Another amendment on civil rights and contractor standards for DHHS was discussed but not voted on after concerns were raised about vague enforcement language and possible penalties. The committee also struck amendment 1026 as redundant, with members noting related work in existing law and Senate Bill 134, and then moved on to other items, including a revised equity/access-related amendment that was postponed for later discussion.

Transcript Highlights:

• Chairman, if I could just add one more point, and that is those in the division that opposed the bill
• disabilities.
• Let the divisions go to work. Thank you, everybody, for attending today.
• We will stop here and let the divisions go to work.
• Chairman, I'd just like to mention the HR division will start in about 15 minutes.

Bills: HB1603

Keywords: Native American, grave protection, repatriation, cultural heritage, tribal compliance, 908, all

Summary: The Appropriations Committee met with a quorum and announced it would begin meeting at 8 a.m. for the rest of the week to work through a growing bill list. The committee first approved House Bill 1603, a companion to the Historical Society budget dealing with NAGPRA, including a $500,000 matching grant to be divided among North Dakota’s five tribes and a committee to address repatriation of human remains and cultural items. The vote was unanimous, 15-0. The committee then considered House Bill 1225, which would increase penalties for reckless endangerment involving a firearm and create a mandatory prison term. After debate over public safety concerns versus the bill’s fiscal note and prison costs, the committee adopted a do not pass recommendation by a 9-6-1 vote. Members also discussed House Bill 1018, the State Historical Society budget, and approved an amendment that adjusted one-time funding items, including NAGPRA compliance, museum exhibits, military gallery funding, local historic grants, and line-of-credit repayment. The amended bill then received a due pass recommendation by a 14-2 vote. The committee next approved House Bill 1468, a behavioral health facility grant for St. Hayes, which supporters said would expand in-state access to acute and adolescent behavioral health care and reduce the need to send patients out of state. The bill passed 14-1. It then amended and passed House Bill 1485, increasing the personal needs allowance for certain Medicaid recipients by $15 and indexing it to inflation; the amendment and the bill as amended both passed 14-2. Finally, the committee approved House Bill 1016, the Adjutant General/National Guard budget, after adopting an amendment that funded disaster relief, response equipment, IT and website costs, and staffing changes for the watch center; the amended bill passed 14-2. The committee adjourned after completing six bills and planned to resume the next morning at 8 a.m.