Video & Transcript : 'first contract' :
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FL
Florida 2025 Regular Session
Appropriations Committee on Health and Human Services Jan 15th, 2025
Transcript Highlights:
- SOME BACKGROUND, 1990 CMS AUTHORIZE THE FIRST PACE PROGRAM AND IN 1998 THE FIRST FLORIDA PACE PROGRAM
- FAR AS WE CONTRACT WITH PACE ORGANIZATIONS.
- MANAGED CARE CONTRACT AND WE WILL BE USING A LOT OF THE REQUIREMENTS THAT ARE INCLUDED IN THAT CONTRACT
- THIS WAS DONE THROUGH A CONTRACT WITH APD.
- FIRST YOU CAN SEE A COMMUNITY DRIVEN APPROACH.
MA
Massachusetts 2025-2026 Regular Session
Status of Persons with Disabilities Jun 3rd, 2026
Transcript Highlights:
- Contractors who earn contract dollars through their statewide contract are obligated to report this.
- So the folks who do earn contract dollars, they have to.
- So our first three contracts in the pilot sense were janitorial, paper goods, office supplies, and then
- So when all these statewide contracts end and renew, any time that's renewing, any contract sent...
- Contracts end and renew.
Summary:
The Massachusetts Permanent Commission on the Status of Persons with Disabilities opened its June virtual meeting with roll call and approval of the March minutes. The chair reported on recent “Meeting the Moment” community conversations, noting strong attendance and positive feedback from the Lowell event, and announced the next community conversation will be held July 14 in Northampton. The commission also previewed its National Disability Employment Awareness Month event for October 7 at the State House, which will include a panel on artificial intelligence and its impact on people with disabilities.
A major presentation came from the Supplier Diversity Office on its Empowering Abilities in Contracting and Employment (EAC) program. The coordinator described the program’s history from a 2016 law and 2018 pilot to its statewide launch on July 1, 2025, and said it now applies to new statewide contracts. She reported about 292 active disability-owned and service-disabled veteran-owned businesses certified, about 40 vendors currently on EAC contracts, and growth expected to about 80 by July and more than 130 by November. The program’s goals include increasing certification and contracting opportunities, improving workforce participation, and reaching a 3% disability workforce goal among vendors. Members praised the program and asked about the mix of disability-owned and veteran-owned businesses, geographic reach, and how the model might be replicated elsewhere.
The advisory council update highlighted ongoing collaboration across access, employment, youth transition, housing, health equity, transportation, technology, and AI, with members sharing resources and planning to support the October employment event. Subcommittees then reported on recent work: the disability employment subcommittee heard about transition-to-employment barriers, the disability employment tax credit, veteran services, and a State Exchange policy brief on disability employment; the workforce supports subcommittee hosted a webinar on apprenticeships as a response to workforce shortages in disability services; and the long-term services and supports/health equity subcommittee heard presentations on care coordination resources and on health care inequities for people with disabilities during and after COVID. The executive director also reported on ongoing meetings with state agencies and advocacy groups about MassHealth, caregiving, aging, AI, and employment barriers such as the benefit cliff. The meeting ended with commissioner announcements on the Paul Spooner Generational Leadership Summit and a Medicaid summit, discussion of housing and transportation as employment-related issues, and a motion to adjourn, which passed unanimously.
KY
Kentucky 2025 Regular Session
Budget Review Subcommittee on Justice and Judiciary (6-4-25) Reupload
Transcript Highlights:
- </c> considered for that contract purpose. considered for that contract purpose. Correct. Correct.
- </c> the tenants of their contracts fully. the tenants of their contracts fully.
- </c> it'll be a goods and services contract. it'll be a goods and services contract.
- . contract. contract.
- We went through their contract.
Summary:
The committee met to hear updates from the Department of Juvenile Justice and the Department of Corrections on two related issues: a proposed high-acuity juvenile mental health treatment facility and medical services contracts, including the impact of Wellpath’s bankruptcy proceedings. At the start, the chair agreed to hear the Department of Corrections first so members could get context on the medical contract before turning to DJJ’s proposal.
DOC officials said Wellpath, the department’s comprehensive medical and mental health provider since 2013, was awarded its current contract through a 2021 procurement process. They reported that Wellpath’s Chapter 11 reorganization plan had been confirmed and that the company had transitioned ownership to lenders, but had not yet fully completed the bankruptcy process. DOC said there had been no service lapses, no reduction in care, and no known impact on Kentucky vendors or hospitals, and that DOC staff meet with Wellpath almost weekly. Members asked whether the committee had been kept informed and whether the bankruptcy could affect future services or subcontractors.
DJJ then presented its concept for a high-acuity facility, explaining that the project is still in the preliminary programming and conceptual stage and has not yet entered the formal design phase with DECA. Officials said the proposal in the capital plan would create a 24-bed facility, with 16 clinical beds and 8 assessment/stabilization beds, to serve justice-involved youth with serious mental health needs. They said the facility would need to separate males and females and high- and low-risk youth, and that current placements often require sending youth out of state to places such as Pennsylvania, Michigan, Georgia, Arkansas, and Texas. Staff said the goal is to centralize treatment, improve safety, and reduce the need for fragmented or out-of-state placements.
Committee members questioned the cost estimates, staffing needs, and whether the facility was justified given the small number of youth currently placed out of state. DJJ said the operational estimate includes an unknown medical-contract component and that the number of youth needing the facility can fluctuate because of surges in the juvenile population. Officials also said they had consulted with South Carolina, which is developing a similar facility, and noted that renovating existing facilities was considered but could be more expensive or impractical than building a separate site. No votes or formal actions were taken during the discussion.
NM
New Mexico 2025 Regular Session
IC - Science, Technology and Telecommunications Nov 12th, 2025
Science, Technology & Telecommunications Committee
Transcript Highlights:
- You know, you go out and you contract with a lot of the folks that we contract with to do these projects
- Slide three on your contracting.
- Are you contracting with all those New Mexico companies, or are some of those contracts out of state?
- So when you see these really huge contracts, these $30 million, $50 million... million dollar contracts
- The more you spend on a contract... contract, the greater your odds of failure.
FL
Florida 2025 Regular Session
Appropriations Committee on Health and Human Services Jan 15th, 2025
Appropriations Committee on Health and Human Services
Transcript Highlights:
- the future in terms of contracting with our PACE organizations.
- The two-party contract we're building off of is the statewide Medicaid managed care plan contract.
- So they would have to go there first.
- So they would have to go there first.
- So we don't want to; our Medicaid dollars should pay for that first.
Summary:
The Appropriations Committee on Health and Human Services heard a base budget overview for the 2025-26 fiscal year, which was presented as a $46.8 billion starting point for the silo. Staff explained that HHS accounts for about half of the state base budget and roughly 36% of general revenue, with AHCA and Medicaid making up the largest share. The committee then reviewed the PACE program for the elderly, including its eligibility, service model, growth in applications, slot funding and reversions, and the agency’s plan to move from the federal three-way agreement to a more detailed two-party contract to improve accountability, transparency, and reporting. Members raised concerns about unfilled slots, reversions, rural access, and the need for clearer return-on-investment data; the agency said it would follow up on some of those questions.
The committee also heard from the Agency for Persons with Disabilities on its statewide dental program. APD described its history of appropriations, the failed January 2024 solicitation, and a new up-to-$11.5 million solicitation focused on preventive care, community partnerships, teledentistry, and coordination with other services. Members questioned overlap with Medicaid dental coverage, the effect of Medicaid unwinding on APD clients, and whether state dollars were duplicating federally supported services; APD said it tries to act as payer of last resort and that services would continue during procurement. Public testimony from an APD stakeholder and the Florida Dental Association emphasized Medicaid eligibility problems for waiver recipients, low reimbursement rates, limited access to anesthesia and hospital-based dental care, and concerns that proposed Medicaid changes could reduce access for special-needs patients.
The Department of Veterans’ Affairs then presented on state veterans service officers and benefits assistance. FDVA highlighted its role in helping veterans access federal benefits, reporting about $27.9 billion in federal dollars flowing into Florida and a high return on state investment. The department said it has increased outreach, claims processing, and services, and has trained staff to identify mental health concerns through its Overwatch program. In response to questions, FDVA discussed plans to expand adult day health care at a new veterans nursing home and possibly at existing locations with additional state funding. At the end of the meeting, the committee completed its presentations and adjourned without objection.
WA
Washington 2025-2026 Regular Session
House Capital Budget Feb 26th, 2026
Transcript Highlights:
- wage that's set in the contract.
- Can we call up the first testifiers? Yes, Madam Vice Chair.
- Right now, when a contract is bid, depending...
- When a contract is bid, depending on the type of contract, the prevailing wage rates are frozen either
- But for these contracts, this bill proposes to adjust that wage rate on the anniversary of the contract
Summary:
The committee first heard Substitute Senate Bill 5901, which would change the School Construction Assistance Program formula for school facilities on military bases. Staff explained that the bill would exclude instructional space on military bases from a district’s available inventory and add an extra 15% to the state funding assistance percentage for projects located on a military base. Senator Leonard Christian said the bill was intended to help districts such as Clover Park and Medical Lake, where base facilities reduce eligibility for off-base school construction funding. Testimony was strongly supportive from OSPI, Clover Park, and Medical Lake, while one citizen raised broader concerns about school funding and common school trust lands. The hearing on the bill was then closed.
The committee then heard Engrossed Second Substitute Senate Bill 5061, which would require annual adjustments to prevailing wage rates in most public works contracts, with exemptions for small works, residential construction, and certain other projects. Staff described the bill’s delayed effective date of July 1, 2028 and reviewed fiscal impacts, including significant L&I operating costs and an indeterminate but potentially substantial capital cost impact. Senator Steve Conway said the bill was a technical fix to align contract wages with regularly updated prevailing wage rates and noted that the bill had been amended to exempt small works and low-income housing projects. Proponents from labor and mechanical contractors said annual updates would better reflect negotiated wage schedules and help retain skilled workers, while opponents from contractor groups warned of unpredictability, higher project costs, and the need for a change-order safeguard if wage increases exceed 5%. L&I testified that the fiscal note reflected the need to rework its IT system to track annual adjustments. The hearing was then closed.
The committee also received a briefing on a proposed substitute to House Bill 2295, which would add funding for several new projects and make technical and language changes. Staff said the substitute would increase spending by $611,000 in bonds and $3 million from the Waste Tire Removal Account. The committee then moved into executive session and, by a vote of 18-0 with one excused, reported proposed substitute House Bill 2295 out of committee with a do-pass recommendation. The chair also announced plans for future executive sessions, including one on Substitute Senate Bill 5901, and adjourned the meeting.
AZ
Transcript Highlights:
- Let's start with our first speaker against. First speaker we have against is Jenny and Castine.
- My oldest is in first grade.
- My oldest is in first grade.
- Who's our first speaker? First speaker, Mr. Chairman, is Ashley Smith.
- Who's our first speaker? Mr. Richard Chenick. Who's our first speaker? Mr. Richard Chenick.
Committee:
House House Education Committee of Reference
Summary:
The committee first heard House Bill 2266, which would change school release-time policy for religious instruction from permissive to mandatory for school districts and charter governing bodies. The sponsor and supporters said the bill protects parental choice, religious liberty, and constitutional release-time programs, while opponents argued it would reduce local control, pull students from instructional time, and expose schools to constitutional and social harms. After public testimony and debate over liability, indoctrination, and academic impact, the committee voted 7-5 to give HB 2266 a due pass recommendation.
The committee then took up House Bill 2193, a cleanup measure related to student directory information and parent organizations. The bill would allow parents of enrolled students or representatives of nonprofit organizations supporting a school to receive directory information unless a parent or eligible student opts out. Supporters from PTO/PTA groups said the change is needed so parent organizations can continue communicating with families and building school community, while members raised concerns about whether the language should be narrowed to avoid political or other misuse of student data. The sponsor said he was open to an amendment, and the committee approved HB 2193 on a 10-1 vote, with one member present.
Finally, the committee heard House Bill 2075, which would require public school districts to submit superintendent and other top administrator contracts or attestations to ADE and create a searchable online database of compensation details, including salary, benefits, and car allowances. The sponsor described it as a transparency measure, and the committee discussed an amendment to add more specific filing deadlines and the online database requirement. Opponents from school administrators and rural districts argued that superintendent salaries are already public, that the bill should also apply to charter and private schools receiving public funds, and that it could add burdens or distort comparisons across different public-sector labor markets. Supporters said the bill would make total compensation easier to access and reduce public records requests. The sponsor closed by saying the bill would centralize compensation information and simplify disclosure for districts.
WA
Washington 2025-2026 Regular Session
House Labor & Workplace Standards Feb 18th, 2026
Transcript Highlights:
- Vice Chair Scott, to call up our first panel on deck.
- contractor's bid due date or the date the contract is awarded if the contract is not awarded within
- So you're getting a contract to, let's say, build a school.
- I checked in with all their executive directors first.
- So I used to work like union contracts, BAEW contracts, and they were like three-year contracts, and
Summary:
The committee heard public testimony on several labor-related bills. On Substitute Senate Bill 5874, staff and Senator McEwen described a proposal to let the Employment Security Department waive penalties for minor quarterly reporting errors by employers, especially inadvertent electronic filing issues involving occupational codes and job titles. No one testified in opposition, and the public hearing was closed.
The committee then heard extensive testimony on Engrossed Second Substitute Senate Bill 5847, which would expand injured workers’ access to medical providers, allow medically appropriate departures from L&I treatment rules, prohibit employers from requiring treatment from a specific provider, and set timelines for utilization review. Supporters, including workers’ advocates and union representatives, said the bill would improve access to care and reduce delays, while business groups opposed it as weakening the provider network and raised concerns about costs and claim duration. L&I said it could implement the bill with a technical fix and noted that the fiscal note was still being updated. A previously adopted claims-manager staffing amendment was discussed but not included in the version heard.
On Engrossed Second Substitute Senate Bill 5061, the committee heard testimony on requiring public works contracts to update prevailing wage rates annually rather than freezing them at bid time. Labor groups supported the bill as protecting workers from wage erosion on long projects, while contractor groups opposed it unless amended to allow change orders for wage increases above 5 percent, citing unpredictable jumps in prevailing wage rates and added risk for small contractors. L&I requested a delayed effective date to July 1, 2028 because of IT changes. The committee also heard testimony on Senate Bill 5944, which would make missed or canceled appointment payments bargained economic compensation for language access providers, and on Substitute Senate Bill 5972, which would extend interest arbitration rights to correctional employees in city and county jails regardless of county population. Labor groups supported both bills; counties and a city representative opposed 5972 over cost concerns and asked for fiscal safeguards.
Finally, the committee heard Engrossed Substitute Senate Bill 6302, which would require L&I to investigate possible misclassification when three or more independent contractors are used for the same type of finishing work on a public works project. Labor and contractor groups both supported the amended version, saying it targets misclassification without banning legitimate independent contractors. The hearing ended after testimony, with no votes or final committee actions taken during the meeting.
AZ
Arizona 2026 Regular Session
04/16/2026 - Joint Legislative Audit Committee
Joint Legislative Audit Committee
Transcript Highlights:
- The first agenda, first and only agenda item, pertains to JLAC-directed Arizona school safety special
- to be identified first.
- be identified first.
- Let's talk about those first.
- This is the first time ever.
Committee:
Joint Joint Legislative Audit Committee
AZ
Arizona 2026 Regular Session
02/18/2026 - House Federalism, Military Affairs & Elections
House Federalism, Military Affairs & Elections Committee of Reference
Transcript Highlights:
- But the first is that this bill...
- The first one is Courtney Coolidge. Mr.
- or Medicaid contracts.
- , are they capable of bidding on any contract?
- contracted rates are set up.
Summary:
The committee met with all members present, temporarily replacing Vice Chair Keshel with Representative Taylor, and held HB 4014 at the sponsor’s request. It then heard HB 415, which would extend existing state rules on paid petition circulators and initiative/referendum disclosures to municipal and county measures, require paid circulators to display identifying information, and require local measures to disclose expenditures and revenue sources. The sponsor and supporters, including the Arizona Chamber of Commerce, argued the bill would improve transparency and keep initiatives driven by Arizona residents; the bill passed 5-2. The committee also heard the mirror resolution, HCR 2051, which passed 4-3.
The committee next considered HCM 2010, urging Congress to propose a constitutional amendment repealing the Seventeenth Amendment and returning selection of U.S. senators to state legislatures. The sponsor argued it would restore state sovereignty and accountability, while opponents raised concerns about direct democracy and the practical problems that led to the Seventeenth Amendment. The motion initially appeared to pass 4-3, but after a vote correction and a present vote, the measure ultimately failed. The committee then took up HB 2940, a complex AHCCCS/DES bill aimed at tightening eligibility verification, expanding competition in managed care contracting, and creating a unified eligibility rules engine. The sponsor said it would improve fiscal discipline and competition; AHCCCS and health plan representatives said many verification steps already exist, some provisions would add cost or duplicate federal/state processes, and the bill would significantly alter the managed care model. Despite those concerns, HB 2940 passed 4-3.
Later, HB 2874 passed unanimously 7-0. That bill would ease termination requirements and penalties for candidate committees, PACs, or parties that never received contributions and later file termination statements. The committee then heard HB 467, which would require county recorders to display certain voter status information in precinct registers, signature rosters, or electronic poll books; after testimony from county officials and the Association of Counties, the committee adopted a verbal amendment changing “shall” to “may” and passed the bill 5-2. Finally, HB 2775, as amended, passed 4-3. The bill would bar state and local governments from using state resources to implement or enforce rules or policies of international organizations, and the amendment added restrictions on Arizona public universities’ dealings with certain foreign entities, with ABOR given review authority. Supporters framed it as a sovereignty and anti-foreign-influence measure, while the amendment’s removal of rulemaking authority was cited as important to the vote in favor.
FL
Florida 2025 Regular Session
November 18, 2025 - 03:30 PM
Transcript Highlights:
- We are also first or second rate within Florida.
- Humana began the new statewide contract.
- Reports required is contract deliverables, annual Emmy monitoring by the department's contract oversight
- network by 5% in the first contract year and 2% each year thereafter, this expansion increases access
- The first question slide 3 looking at the slight.
WA
Washington 2025-2026 Regular Session
Joint Oregon-Washington Legislative Action Committee Jun 12th, 2026 at 01:00 pm
Joint Oregon-Washington Legislative Action Committee
Transcript Highlights:
- That's how we issue contracts.
- contract.
- and the new bridges contract.
- So that's the first thing.
- So that's the first thing.
ND
North Dakota 2026 1st Special Session
Legislative Task Force on Government Efficiency Jun 30th, 2026
Legislative Task Force on Government Efficiency
Transcript Highlights:
- First order of business is minutes from the March 25, 2026 meeting. Mr.
- I think we were going to toss it over to Levi first, correct? Yeah, Mr.
- It's an adhesive contract.
- It's an adhesive contract, but it's still a contract.
- And I think cost-benefit analysis is first and foremost.
Summary:
The task force first approved the March 25, 2026 minutes as amended, including a correction removing language that suggested the auditor’s office would contract with a security vendor. Members then moved to a bill draft on concessions (LC 27.0161.00000), which would raise the competitive solicitation threshold from $25,000 to $50,000, allow requests for proposals in addition to bids, clarify that proceeds go to the entity’s operating fund or general fund, and make other technical updates. OMB explained the draft and answered questions about scope, fragmentation, vendor restrictions, school districts, and whether concession proceeds could be directed to nonprofits; OMB said the draft could be refined further, including clarifying covered entities and contract length. No vote was taken on the draft during the discussion.
OMB also reported on other survey items. It said a proposal to broadly allow agencies to create pre-qualified architect/engineering/land surveying vendor pools would not move forward, because the existing authority is working well for the agencies that already have it. On legal notices, OMB said it has been working with the North Dakota Newspaper Association on modernization, including an ADA-compliant online notice system and possible statutory updates to reflect changing technology and notice definitions. On click-through agreements for routine IT purchases, OMB and the Attorney General’s office said policy clarification—not statutory change—was enough, and the $20,000 threshold was intended to distinguish low-dollar adhesive contracts from purchases where terms can be negotiated.
The committee also heard that OMB and the Center for Distance Education had resolved questions about alternate procurements and food/beverage expenditures through existing policy, so no statutory changes were needed there. North Dakota University System representatives gave a brief update on ongoing collaboration with OMB on statutory efficiency ideas, including concessions and surplus property. Finally, the task force discussed a draft on requirements for new or expanded spending programs, which would require agencies to identify purpose, expected benefits, alternatives, success measures, and full implementation costs, and would require reporting on outcomes over time. Members debated whether OMB or Legislative Council should collect and report the information, how to use the new program evaluators, whether real-time dashboards should be used, and how to choose which programs to evaluate; staff from Legislative Council said they would work with OMB and the auditor’s office to revise the draft and process.
WA
Washington 2025-2026 Regular Session
Legislative Ethics Board Jun 9th, 2026 at 09:00 am
Transcript Highlights:
- And was there a formal written contract for that? There was a formal written contract.
- I got A chance to read the contract. I'm really uncomfortable with what the contract now says.
- There's an employment contract.
- -E.C. contract dispute.
- -E.C. contract dispute.
Summary:
The hearing resumed on day two of the Legislative Ethics Board fact-finding matter involving Representative Tara Simmons. After opening remarks and confirmation that board members had not engaged in outside research or ex parte communications, Simmons’s counsel moved to dismiss two allegations at the close of the board staff’s case: that Simmons pressured the Administrative Office of the Courts to alter a contract in favor of her employer, and that she improperly combined a legislative proviso for AEJG with a personal donation to the organization. Board staff opposed the motion, arguing the evidence showed Simmons’s legislative and private conduct were intertwined and that the board had enough evidence to require a defense. After deliberation, the board denied the motion to dismiss and proceeded to hear defense testimony.
The first defense witness, Sharon Navas, testified that she met Simmons through advocacy work, later hired her at the Equity and Education Coalition (EEC), and maintained written employment policies intended to separate Simmons’s legislative role from her work for EEC. Navas said Simmons was never compensated for lobbying or legislative acts, that EEC paid her from unrestricted funds, and that Simmons did not work on the AEJG dashboard project or participate in the contract dispute with Anthony Powers and Chris Stanley. Navas described the proviso request and later contract issues as separate from Simmons’s legislative duties, and said she continued to pay invoices while the project was being completed.
Simmons then testified about her background, legislative career, disability accommodations, and extensive efforts to seek ethics advice before taking outside employment or pursuing provisos. She said she repeatedly consulted House ethics counsel and reviewed prior board decisions to ensure her outside work and legislative actions were separated. Simmons described her relationship with Anthony Powers, the dashboard project, the proviso process, and her understanding that the work was distinct from her legislative role. The hearing paused for lunch after part of Simmons’s direct examination, with testimony set to continue after the break.
ID
Transcript Highlights:
- We did our first-ever procurement for our duals contracts.
- But that was the first big... ...milestones that are outlined in their contract with us.
- But that was the first big contract that we awarded.
- or DEQ contracts or, you know, what have you, corrections contracts.
- We contract with a third-party entity that does a very We contract with a third-party entity that does
Committee:
Senate Health and Welfare
AZ
Arizona 2026 Regular Session
02/18/2026 - House Federalism, Military Affairs & Elections
Federalism, Military Affairs & Elections
Transcript Highlights:
- The first one is Courtney Coolidge. Mr.
- The contracts that drive some of this go all the way back to 2016 and have been... ...contracts that
- contracts.
- , are they capable of bidding on any contract?
- plan contracted rates are set up.
Committees:
House Federalism, Military Affairs & Elections , House House Federalism, Military Affairs & Elections Committee of Reference
Keywords:
international organizations, government resources, public institutions, Arizona Board of Regents, foreign adversaries, campaign finance, contributions, termination statements, reporting, penalties, electoral processes, healthcare, public benefits, eligibility verification, fraud prevention, Medicaid, SNAP, transparency, accountability, state land
MA
Massachusetts 2025-2026 Regular Session
Continuing Care Retirement Communities Jun 21st, 2026 at 10:00 am
Transcript Highlights:
- And then a Type C contract is what's really referred to as a fee-for-service contract.
- So the contracts and what's spelled out in the contracts, what needs to be included in the contracts,
- So the contracts and what's spelled out in the contracts, what needs to be included in the contracts,
- That would be part of their contract. It's, that would be part of their contract.
- So Brookhaven is a Type A contract. That is a contract that our consumer wants, our residents want.
Summary:
The Joint Committee on Aging and Independence commission meeting focused on continuing care retirement communities (CCRCs), with members and presenters discussing how the model works, consumer protections, and areas for future review. After member introductions, Jennifer Fuller summarized survey results showing the top priorities as financial viability and affordability, consumer protections and rights, and regulation/monitoring standards. The commission said those issues would guide its work plan, while also keeping staffing, definitions, and federal support on the radar.
Alyssa Sherman of LeadingAge Massachusetts and Jim Freiling of Brookhaven at Lexington gave a detailed overview of CCRCs, explaining that they combine housing with health-related services under long-term contracts and typically require entrance fees plus monthly fees. They described the three common contract types: Type A/life care, where costs stay relatively stable if residents need more care; Type B, which offers some included or discounted care with higher costs later; and Type C, fee-for-service, with lower entrance fees but higher costs if care needs increase. They also discussed nonprofit governance, resident involvement, and the role of state and Attorney General disclosure requirements. Several members raised concerns about affordability, refund timing, and the need to distinguish true CCRCs from other senior housing marketed similarly; presenters said refunds are often tied to reoccupancy and that their organizations are collecting data on refund timelines and contract terms.
The discussion also covered resident rights and governance, including whether residents should have seats on nonprofit boards. Christine Griffin said her community lacks resident board representation and urged the commission to consider a state requirement, while others said resident associations and direct engagement with boards can be more effective than mandatory board seats. Members also discussed transparency around monthly fee increases, financial screening before admission, and the importance of clear marketing so consumers understand what they are buying. No votes were taken. The meeting ended with logistical updates, including a tentative public hearing date of June 3, 2025, a note that the next meeting would focus on regulation and monitoring standards, and a reminder that the commission would continue refining its work plan based on survey feedback.
ID
Transcript Highlights:
- You know, you typically see an independent contractor contract or contract they're saying, you're not
- Chairman, if we do this to some degree in other aspects of our contract, contract employer, contract
- Chairman, if we do this to some degree in other aspects of our contract, contract employer, contract
- employers, or employers, contract employers, employees, contract employees.
- They're not the one contracting to obtain the service; the one contracting is not selecting the benefit
Committee:
Senate Commerce and Human Resources
NH
New Hampshire 2026 Regular Session
Joint Legislative Performance Audit Oversight Committee (03/06/2026)
Transcript Highlights:
- Contract management, the contract quality management.
- contract management, the contract contract management, the contract quality<01:03:11.280><c> management
- to 1,000 contracts a year.
- We have many contracts every year.
- </c><01:20:19.199><c> contract</c><01:20:19.679><c> management</c> integrity contracts contract management
Summary:
The committee chair opened by explaining that the committee has expanded from a traditional audit-follow-up role into an oversight role focused on whether audit recommendations are implemented and whether controls are in place to detect fraud. He said the committee was concerned about fraud uncovered in social service programs in other states and wanted to understand New Hampshire’s safeguards, especially around major contracts and program performance.
Charles Buchanan, director of the New Hampshire Medicaid Fraud Control Unit, and investigator Tim Brackett described the unit’s structure and mission. Buchanan said the unit, housed in the Attorney General’s Criminal Justice Bureau, investigates and prosecutes fraud by health care providers serving Medicaid beneficiaries, as well as abuse, neglect, and financial exploitation of residents in health care facilities. He outlined common Medicaid fraud schemes such as billing for services not rendered, upcoding, using unqualified staff, drug substitution, kickbacks, supplemental charges, and inflated customary charges. He also described resident abuse/neglect and drug diversion in hospitals, nursing homes, and assisted living settings. Brackett said his role is financial investigator/auditor and noted the unit is grant-funded and must include a prosecutor, investigator, and auditor.
The witnesses then explained how cases reach the unit and how they are handled. Most referrals come from the state Department of Health and Human Services’ program integrity unit and from managed care organizations’ special investigations units, which look for fraud, waste, and abuse and refer credible allegations. Other sources include qui tam whistleblower actions, the national Medicaid Fraud Control Units association, citizen complaints, provider referrals, adult protective services law-enforcement referrals, local law enforcement, and federal agencies. Once a referral is received, the unit can accept or deny it; accepted matters may be investigated criminally or civilly, while nonviable matters can be referred back to HHS or other agencies for administrative action, including repayment demands and reimbursement offsets. No votes or formal committee actions were taken in the portion provided.
HI
Hawaii 2026 Regular Session
HSH Public Hearing - Tue Feb 3, 2026 @ 9:00 AM HST
Human Services & Homelessness
Transcript Highlights:
- And<00:29:01.000><c> first</c><00:29:01.480><c> up,</c><00:29:02.120><c> we</c> And first up, we And
- /c> First of all, um the first one on the First of all, um the first one on the term<01:01:43.600><c>
- Current contracts shift the them.
- </c> in the in the state contracts. in the in the state contracts.
- . contracts. contracts.
Committee:
House Human Services & Homelessness
Summary:
The committee opened its first meeting of the 2020 session and heard testimony on several measures, beginning with HB 1518, which would allow people incarcerated and nearing release to apply for SNAP benefits before release. The Department of Corrections and Rehabilitation and the Department of Human Services said they support the bill and are already piloting a pre-release application process at two facilities, with plans to expand it. The Attorney General’s Office supported the intent but noted a technical issue: one section of the bill appears to affect TANF as well as SNAP, while the title refers only to SNAP. A wide range of advocates, including Catholic Charities, the Hawaii Public Health Institute, Hawaii Hunger Action Network, Drug Policy Forum of Hawaii, Hawaii Children’s Action Network, ACLU of Hawaii, and others, testified in strong support, emphasizing food insecurity after release, reentry stability, and reduced recidivism. The committee did not take a vote during the hearing.
The committee then heard HB 1747, which would direct the Department of Human Services to seek federal waivers or extensions related to restricting certain SNAP purchases, including sugary drinks. DHS said it had already been approved for a narrow demonstration waiver and was working with retailers on implementation, with a target date of August 1. Supporters of the measure argued it would promote healthier choices, while opponents, including Hawaii Appleseed, the Hawaii Public Health Institute, Hawaii Children’s Action Network, and the Hawaii Food Industry Association, said such restrictions are ineffective, stigmatize low-income residents, create burdens for retailers and DHS, and may be difficult to implement. Members asked DHS to clarify the scope of the waiver and confirmed it applies to sugary drinks and beverages containing more than 10 grams of sugar.
Finally, the committee took up HB 1705, which would allow licensed mental health counselors to serve as child custody evaluators, but there was no testimony from the relevant agencies and the item was quickly set aside. The committee also heard HB 1565, which would establish a judiciary working group to improve family court processes and legal representation for youth in the child welfare system. The Attorney General’s Office offered minor technical amendments, and supporters from the Office of Wellness and Resilience, High Hopes Hawaii, Hawaii Children’s Action Network, and a social work student described the need for legal representation, citing better reunification and stability outcomes and the importance of youth voice in court proceedings. No votes or final actions were taken in the portion of the meeting provided.