Transcript Highlights:

• : the Department of Commerce, the Department of Revenue, the Department of Labor and Industry, the Department
• : the Department of Commerce, the Department of Revenue, the Department of Labor and Industry, the Department
• of the Department of Revenue Department of Labor<00:03:53.400><c> and</c><00:03:53.879><c> Industry<
• of</c> Labor and Industry uh the Department of Labor and Industry uh the Department of Employment<00
• Department of Revenue.

Committee: Senate Labor

Keywords: 1187, senate, all

Transcript Highlights:

• I think one of the advantages I really haven't mentioned much is, you know, in the insurance companies
• In the normal circumstance, outside of workers' comp, each insurance company has their own protocol.
• ; Gary Paderoa, Louisiana Association of Self-Insured.
• And the Louisiana Department of Insurance has issued a bulletin.
• of Insurance news release that verifies what Mr.

Summary: The House Labor and Industrial Relations Committee met on May 7, 2026, and first deferred several measures, including House Bill 460, Senate Bill 322, Senate Bill 32, Senate Bill 22, and House Bill 561. The committee then took up House Bill 819 by Chairman Cruz, which would replace Louisiana’s current workers’ compensation medical treatment schedule with the Official Disability Guidelines (ODG) by MCG as the primary guideline, while keeping the existing variance and appeal process. Cruz and MCG representative Troy Prevo argued that ODG is more comprehensive, updated more frequently, and used in many states, and said it could reduce delays, disability duration, and costs. Dr. Jason Picard, the state medical director, testified that Louisiana already uses ODG as a secondary reference in many cases because the state schedule lacks coverage for some body parts and treatments, and said the bill would not otherwise change the appeals process or care delivery. Committee members focused heavily on whether the bill would delay care or improve it. Several members questioned the private-company nature of ODG, the $400 annual subscription cost, and whether Louisiana doctors would be forced to rely on an out-of-state guideline. Rep. Glorioso and others raised concerns about preauthorization delays and proposed amendments to create tacit approval when treatment follows the schedule, require payment within 30 days, and make the carrier prove by clear and convincing evidence that care was not medically necessary to challenge it. Chairman Cruz said he was willing to work with those ideas, and the committee also discussed adding an on-ramp or legacy language so current patients would not be disrupted. Opposition testimony came from injured-worker advocates and representatives of medical and labor groups, including Joseph Jola St. and Robin Krumholt. They argued that Louisiana’s current guidelines are already working, that rates have fallen over time, and that the real problem is delay in approval rather than the content of the schedule. They said ODG is overly rigid, cost-driven, and can lead to denials that shift costs to workers, Medicaid, or private health insurance. They urged the committee to keep Louisiana’s existing system and instead adopt tacit approval under current law. The bill was still under discussion at the close of the transcript, with amendments being read and no final vote shown.

Transcript Highlights:

• We're going to start off with Secretary of the Taxation and Revenue Department, Stephanie Chardon-Clark
• This is administered by the Department of Finance and Administration (DFA) and granted out to counties
• The distributions are different depending on which type of line of insurance it is.
• Okay, so then on top of the 3% premium tax, There is a surtax that is only on health insurance.
• For example, the Department of Corrections is a beneficiary. That makes no sense.

Committee: House Revenue Stabilization & Tax Policy Committee

Transcript Highlights:

• So in the case of veteran services, Department, you'll see 670.
• within the New Mexico Department of Justice.
• So what do you call him under the Department of Justice?
• Forest Service, and the New Mexico Department of Forestry.
• the Children, Youth, and Families Department and the duties of the Office of Family Representation and

Transcript Highlights:

• Insurance Commissioner: On our written testimony, providing comments from the Department of Education
• > Labor</c> David rodri's of the Department of Labor David rodri's of the Department of Labor and<01:
• like Department of Transportation or Department of Public Works to provide some of the equipment and
• </c><02:15:48.119><c> of</c> representative PO for Department of representative PO for Department of
• and state agencies like Department of Transportation or Department of Public Works to provide some of

Committee: House Public Safety

Keywords: 910, house, all

Summary: The committee held its first hearing of the 2025 session and began with housekeeping on testimony deadlines, hybrid participation rules, time management, and expectations for civility. The chair said testimony posted at least 24 hours in advance would be available to members and the public at the same time, late testimony would still be processed, and decision-making would generally be deferred to later in the day so morning hearings could adjourn before the noon floor session. The first bill heard was HB 673 on emergency management. Hawaii Emergency Management Agency administrator James Barros testified in opposition, saying the bill could undermine the executive’s unity of command during emergencies and objecting to provisions allowing the legislature to terminate a state of emergency by a two-thirds vote. Members asked about the difference between an emergency order and a state of emergency, whether other states use legislative checks and balances, and whether long-running emergencies such as COVID-19 or homelessness should have clearer end conditions. Barros said the agency, along with the Attorney General’s office and the governor’s office, would review the language and that the issue is setting conditions for when an emergency ends. The committee then heard HB 596, also on emergency management, which would clarify types of events that count as dangers and emergencies. Barros opposed the bill, saying the current list covers known hazards but should remain open-ended for future threats; he cited COVID-19 as an example of an unforeseen event and said the bill could limit flexibility. Members asked whether the list could be expanded, and Barros said the agency would look at that possibility. Testimony included support from the Grassroots Institute of Hawaii and concerns from the Tax Foundation of Hawaii about the bill’s special fund provisions; the committee also corrected testimony that had been submitted for the wrong bill. The final measure discussed was HB 1060 on emergency preparedness and the Community Readiness Center Program. Barros explained the proposal as part of HEMA’s effort to build local readiness centers and community hubs, with an initial target of 10 communities through a federal grant and a longer-term concept of roughly 100 statewide. The Climate Advisory Team supported the bill’s intent but urged that centers be developed with strong community and nonprofit involvement through the HARRP program. The Department of Taxation offered comments on the special fund, and members raised questions about cost, size, use of existing school facilities, public messaging, and equity across communities. Barros said the centers would provide backup communications, power, water, and food for a community group, would not function as general shelters, and would be designed to help communities hunker down and recover after a disaster.

Transcript Highlights:

• We'll take a look at duties for the Department of Retirement Systems, the Office of the State Actuary
• the implementation of this plan, including but not limited to the Department of Retirement Systems,
• And then they're also paid through a portion of the fire insurance premium tax.
• Director Leathers, this idea of evaluation and look at Plan 3 came from the frame of the DRS department
• Yeah, so they have to get private insurance. Of course, they go on Medicare. That's correct.

Committee: Joint Select Committee on Pension Policy

Keywords: 904, all

Transcript Highlights:

• amount of coordination between the Department of Labor and Industry, the Minnesota Department of Education
• amount of coordination between the Department of Labor and Industry, the Minnesota Department of Education
• We are at the Department of Labor and Industry.
• We are at the Department of Labor and Industry.
• </c> Department of Labor and industry's Department of Labor and industry's budget<00:51:50.680><c> proposal

Committee: Senate Labor

Keywords: 1187, senate, all

Transcript Highlights:

• Uh, I have sent it over to the Insurance Department.
• </c> get it back from the Insurance get it back from the Insurance Department.
• Services, the Department of Insurance, and our stakeholders, and they're making some progress.
• Services, the Department of Insurance, and our stakeholders, and they're making some progress.
• , the Department of Insurance, and our stakeholders, and they're making some progress.

Committee: Senate Finance

Keywords: 1191, senate, all

Transcript Highlights:

• the State Department of Health, local public health, tribal health, and our State Board of Health.
• Also, coming back to the Department of Health, we have two pillars of our mission of who we are, and
• loss of funding in our federal funds coming into the department.
• with our partners at the Department of Health.
• and Department of Social and Health Services.

Committee: Joint Joint Select Committee on Health Care and Behavioral Health Oversight

Summary: The committee met to hear introductory briefings from the Department of Health and the Health Care Authority on agency priorities, federal changes, and implementation challenges. Secretary of Health Dennis Worsham said his department’s listening tour is focused on strengthening governmental public health, improving health care quality and access, and responding to federal funding disruptions and the shutdown’s effects on programs such as WIC. HCA Director Ryan Moran said the agency is prioritizing coverage preservation, oversight of major contracts, affordability, behavioral health integration, rural health transformation, and internal agency operations. Members asked about licensure delays; Worsham said the backlog had been reduced from about four months to six weeks and should be caught up by January 1, with possible further process changes if needed. A major portion of the meeting focused on H.R. 1 and its Medicaid-related implementation. Governor’s health policy advisor Caitlin Stafford, HCA staff, and interim Medicaid Director Trinity Wilson said the state is working with DSHS, the Health Benefit Exchange, tribes, and other partners to prepare for eligibility changes, work requirements, and six-month redeterminations. They said the state expects up to 30,000 Apple Health enrollees could lose coverage under the law’s non-citizen eligibility changes, and that the work requirement/redetermination provisions could affect about 620,000 adults, with roughly 80,000 also enrolled in SNAP. HCA said it hopes to automate most verification, but about 15% to 20% of cases may require manual review, with technology costs estimated at up to $30 million. Staff also said they are trying to keep H.R. 1 implementation mostly in budget language rather than statute, and that communication and navigator support will be important to minimize confusion and coverage loss. The committee also received an update on the Rural Health Transformation Program created in H.R. 1. HCA said Washington submitted its application to CMS on November 5 after extensive stakeholder engagement, including more than 310 written comments, webinars, and tribal consultation. The application centers on six initiatives: rural hospital innovation, community care and prevention, tribal investments, technology and data, workforce development, and rural behavioral health. HCA said the state is likely to receive less than the full $200 million annual amount assumed in the federal program, and that an advisory committee may be created to help guide spending over the five-year program. Members asked about palliative care, small business impacts, and communication with enrollees; HCA said it expects to share outreach toolkits and that no 2026 statutory changes are currently anticipated, though that could change. The final panels covered organ donation and transplant services. Department of Health staff explained the 2023 “Lights and Sirens” law for organ transport vehicles, including licensing, driver qualifications, insurance requirements, and use of emergency lanes and traffic preemption; the department said one company is currently licensed and there have been no complaints. LifeCenter Northwest described the organ procurement process, the legal framework under the Uniform Anatomical Gift Act, and the rarity and complexity of deceased donation, noting Washington has seen strong growth in donation and transplants over the past decade. University of Washington Medical Center staff then outlined its transplant programs for kidney, liver, heart, lung, pancreas, and multi-organ transplants, describing the multidisciplinary evaluation and waitlist process and the coordination required with donor organizations and hospitals.

Transcript Highlights:

• of Human Services for the Department of Human Services I've<00:04:42.680><c> served</c><00:04:43.080
• served the Department of Human I've served the Department of Human Services<00:04:44.800><c> since</c
• Minnesota Department of Health—there's no cuts there, right?
• </c> department of children youth and department of children youth and families<00:43:14.520><c> there's
• </c><00:43:18.319><c> Cuts</c> Department of Health there's no Cuts Department of Health there's no Cuts

Committee: Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• You see the Department of Correction at $5 million across the board. That has not been changed.
• And then you would see the divisions under the Department of Health and Welfare and the divisions under
• the Department of Corrections.
• a range of employer-paid benefits for state and school district employees, such as health insurance,
• Senator Furniss could weigh in on this as far as insurance side of things.

Summary: The committee met to review materials in preparation for Friday votes on the 2026 Budget Rescission Act, related cash transfers, and statewide budget decisions. Keith Bybee of budget policy analysis walked members through packets showing the governor’s recommended 3% holdback rescissions, plus additional 1% and 2% reduction scenarios. He explained that the governor’s recommendation included general fund, dedicated fund, and federal fund reductions tied to agency holdbacks, long-term vacant positions, unallocated CEC, and school funding adjustments, and that the committee would be voting on which level of rescissions to adopt. He also identified agencies exempted or largely held harmless in the additional reduction scenarios, including public schools, Medicaid, corrections, and Idaho State Police, while noting the Secretary of State’s request to return $850,000 one-time through contract renegotiation. Members discussed why the committee was considering additional cuts despite revenue assumptions and a possible tax conformity bill, with co-chairs and others emphasizing uncertainty around conformity, revenue, and policy bills, and the need to right-size the budget with ongoing reductions rather than one-time fixes. Some members supported the process as a way to set clearer targets for work groups, while others expressed concern that broad cuts before agency hearings could create uncertainty and whipsaw agencies. Bybee also clarified that the Friday votes would include rescissions, cash transfers, and statewide decisions that would shape maintenance budgets and 2027 budget structure. The committee then reviewed a separate package of recommended cash transfers totaling about $106.7 million to help balance fiscal year 2026, including transfers from the In-Demand Careers Fund, Water Pollution Control Fund, Strategic Initiatives Fund, Idaho Opportunity Scholarship Fund, and Permanent Building Fund. Bybee said the transfers would be voted on individually and that the legislature has authority to move cash in the treasury for these purposes. Finally, the committee reviewed statewide decisions affecting all budgets, including personnel benefit cost increases, contract inflation, statewide cost allocation, military compensation CEC, and base budget reduction options. Members discussed options to fund health insurance increases at reduced levels based on fill rates, and Bybee explained that the Friday vote would set the base for maintenance budgets, with any later changes handled through supplements or enhancements. The meeting ended with plans to continue work group discussions and reconvene the next morning for additional agency presentations.

Transcript Highlights:

• And then in the future insurance is kind of on the horizon.
• millions of people who are going to be losing health insurance and health care because of this.
• Health insurance and health care because of this.
• the instability of the insurance markets we are facing.
• insurance status and regardless of their ability to pay.

Summary: The joint informational hearing of the Senate and Assembly Health Committees focused on the “cost of uncertainty” in health coverage, access, and affordability amid federal policy changes. Opening remarks from committee leaders and members emphasized that California’s gains under the Affordable Care Act and Health for All policies—high coverage rates, consumer protections, and lower uninsured rates—are now threatened by federal rollbacks, including the expiration of enhanced premium tax credits and H.R. 1. Members repeatedly cited rising premiums, skipped care, medical debt, and the risk of coverage losses, especially for low-income Californians, workers, seniors, and immigrant communities. The first panel featured federal policy and state implementation experts, including Don Joyce, Jessica Altman of Covered California, and Elizabeth Lansberg of HCAI’s Office of Health Care Affordability. Testimony described the ACA’s coverage expansions and the current federal threats: shorter open enrollment, more verification requirements, loss of enhanced subsidies, and changes affecting immigrants and preventive coverage. Covered California reported that average monthly premiums could nearly double without the subsidies, new enrollment is down sharply, and more consumers are shifting into bronze plans with higher deductibles. HCAI explained its affordability strategy through spending targets, consolidation review, and primary care investment, while members asked about the impact of federal cuts on provider taxes, uncompensated care, and whether California can sustain coverage without new revenue. The second panel, with UC Berkeley Labor Center’s Miranda Dietz and California Health Care Foundation’s Christoph Stremikis, broadened the discussion to statewide cost drivers and consumer impacts. They highlighted that more than half of Californians under 65 rely on job-based coverage, yet premiums, deductibles, and out-of-pocket costs have risen faster than wages. They also pointed to medical debt, administrative waste, market consolidation, and underinvestment in primary care as major drivers of unaffordability. Members asked about the 25% of health spending that does not improve patient care, the role of fraud versus administrative friction, the effect of cost growth targets on workers, and the need for preventive care and possible revenue solutions. The hearing then moved to a third panel on human impacts, beginning with testimony from a Central Valley promotora describing how families are choosing lower-tier coverage, struggling with diabetes care, and facing higher premiums after subsidy losses.

Transcript Highlights:

• This bill also directs the Department of Health and Welfare to create a simple written notice of these
• This was a bill that was encouraged to me to carry forward by our former director of the Department of
• This bill also directs the Department of Health and Welfare to create a simple written notice of these
• This was a bill that was encouraged to me to carry forward by our former director of the Department of
• the director of the Department of Lands to initiate legal action; amending Section 47-13-17, Idaho Code

Keywords: 989, all

Transcript Highlights:

• And the Department of Corrections said, we don't need a new prison.
• people to the Department of Corrections for.
• All at the same time while we have 960 vacancies in the Department of Corrections.
• The emergency department should not be a catch-all for failures of a health system.
• State statute 217.265 gives us the ability to go inside all of the Department of Correctional Facilities

Keywords: 959, house, all

Transcript Highlights:

• We have the department chair for OB/GYN from the University of North Dakota School of Medicine and Health
• Sciences, eight members from the University of North Dakota, Department of Health and Human Services
• And the majority of insurance companies, to the best of my knowledge, are— you know, I could get more
• We were part of a competitive bid process with the Department of Health and Human Services.
• the lack of 340B reimbursement from their department, too.

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• One of my very good friends is one of the foremost insurance billers in the country.
• And typically 90% of the billing diagnoses that go to the insurance fall within five categories, of which
• Recently, I've worked with Idaho Department of Corrections.
• They do not reflect the official policy or position of the Idaho Air National Guard, the Department of
• The insurance is a form of... And they got that license. They get the insurance.

Summary: The Senate Commerce Committee approved the March 3 and March 5, 2026 minutes, then heard House Bill 750 as amended on programmable money protections. Representative Heather Scott described the bill as a Consumer Payment Rights and Transparency Act intended to prevent programmable money from being used to discriminate, require use without a non-programmable alternative, or deny transactions based on protected characteristics. Testimony included support from David Lichty, who said similar legislation had passed in Utah, and questions from senators about whether the technology is already operational. Opponents raised concerns about the bill’s interaction with the Uniform Commercial Code and whether it would create legal confusion. The committee voted 5-3 against the motion to send HB 750 to the floor, so the bill was held in committee. The committee then advanced HB 585, which would extend the 48-hour inspection refund/private inspector option to mechanical, electrical, and plumbing inspections; it passed on a due-pass recommendation. HB 562, which increases notice periods for nonrenewal of homeowners’ and fire loss insurance policies to 60 days, also passed to the floor with a due-pass recommendation. The committee then took up House Bill 545, dealing with military chaplains and counselor licensure. Representative Barbara Ehardt and Senator Ben Adams argued the bill would recognize military chaplains’ counseling experience and allow them to apply that experience toward civilian licensure, while noting Idaho law already says licensing authorities may not require certain exams for military applicants. Supporters, including chaplains Jared Gifford and Robert Morris, said military chaplains receive extensive counseling training, work with trauma, suicide, and moral injury, and could help address Idaho’s mental health and veteran care shortages. They said the bill would help chaplains bill insurance and expand access to trusted care. Opponents, including licensed counselors Monique Barber, Kelly Loy, Christy Weissman, Carmen French, Susan Reading, and others, argued chaplain counseling is not equivalent to clinical mental health counseling, that the bill could lower licensure standards, and that it should require the National Counselor Exam and supervised clinical hours under licensed counselors. Senators also questioned whether chaplains could diagnose, whether insurance would reimburse them, and whether the bill should be limited to military settings. After extensive debate, Senator Lenney moved to send HB 545 to the floor with a due-pass recommendation, but Senator Guthrie offered a substitute motion to hold the bill in committee. Several senators said they respected military chaplains but were concerned about blending pastoral counseling with clinical licensure and about the bill’s broader application beyond the military. The transcript ends during the roll call on the substitute motion, before the final vote is announced.

Transcript Highlights:

• It says reappointment, but it's an appointment of Juliet Sharon as the director of the Department of
• my gubernatorial appointment as director of the Department of Health and Welfare.
• Juliet Sharon, Director of the Idaho Department of Health and Welfare.
• So we've had Department of Administration, Division of Purchasing, kind of on us to get these done.
• procurement process at the Department of Admin.

Summary: The Senate Health and Welfare Committee approved the January 26 and January 27, 2026 minutes, then took up the gubernatorial appointment of Juliet Sharon as director of the Idaho Department of Health and Welfare. Sharon described her background in public health and Medicaid administration in Arizona, Texas, and Idaho, and outlined her priorities if confirmed: program integrity, efficient operations, clearer outcome measures, child welfare, disability services, and resolving long-running class action lawsuits. Senators asked about measurable goals, balancing compassion with fiscal responsibility, audit findings, and collaboration with the disability community. Sharon said she expects to more than double program integrity recoveries, that audit findings are being addressed through corrective action plans rather than firings, and that disability collaboration should be embedded in daily operations. Committee members also discussed Idaho’s influence on federal policy and Medicaid administration. No vote on the appointment was taken in the portion provided. The committee then heard a lengthy Medicaid budget presentation focused on the Department’s supplemental request for state fiscal year 2026 and line-item requests for 2027. Sharon and Deputy Director/State Medicaid Director Sasha O’Connell explained that the supplemental request was driven by caseload growth, especially in traditional Medicaid, adult disability services, and youth/adult behavioral health, along with federally required rate and system changes. They also reviewed the impact of the governor-directed 4% provider rate reduction and the ending of some adult behavioral health services, saying the department had already been tracking budget sustainability before the executive order. O’Connell said the rate cuts drew the most public comment the agency has ever received, especially from home- and community-based providers, and that access monitoring is being developed to track whether services remain available. For 2027, the department requested funding for MMIS procurement, estate recovery, additional procurement staff, Medicaid admin reductions, and population forecast adjustments. Sharon said the MMIS modernization is on pause because of litigation over a major contract award, but other modules are moving forward. She also said estate recovery is underperforming and could bring in more general funds with contractor support. The committee discussed pharmacy costs and a possible Medicaid copay under House Bill 345, with Sharon saying implementation is underway and O’Connell noting savings estimates are still being developed. Senators also asked about expansion Medicaid growth and whether it affects other eligibility groups; Sharon said expansion growth is leveling off and that recovery rules apply to any Medicaid member receiving long-term care services. The meeting ended without any budget votes in the excerpt provided.

Transcript Highlights:

• /c><00:05:43.840><c> Services</c> Department of Health and Human Services Department of Health and Human
• c><00:10:28.839><c> department</c> there are other areas of the department there are other areas of the
• </c><03:27:47.160><c> of</c> where we go to the Department of where we go to the Department of administrative
• </c><04:48:55.000><c> of</c> a report from the um Department of a report from the um Department of Safety
• </c><04:50:37.120><c> of</c> closely with the Department of closely with the Department of Safety<04:

Keywords: 928, house, all

Summary: The House Finance Committee’s Division 3 held a public work session on the Behavioral Health budget on February 27, 2025. The chair opened by explaining the schedule, materials, and deadlines for the budget process, and noted there would be no motions or votes in the division that day. Division of Behavioral Health Director Ktia Fox and DHHS CFO Nathan White then walked the committee through the division’s mission, structure, and budget materials, describing the division’s four bureaus: Mental Health Services, Children’s Behavioral Health, Drug and Alcohol Services, and Homeless Services, along with the policy unit. They emphasized the division’s role in oversight, technical assistance, quality assurance, contracting, and the continuum of care from prevention and early intervention through crisis and residential services. Much of the discussion focused on major programs and funding lines, including the 988 Lifeline contract with Headrest, a technical assistance contract with UNH, Medicaid pass-through payments to New Hampshire Hospital and Glencliff, crisis response services, cold-weather homeless responses, housing supports, and the children’s system of care. Members asked about the UNH contract, the 988 program, crisis stabilization centers, and the peer certification program; Fox explained that the peer certification is a training-and-credentialing pathway for people with lived experience to enter community-based behavioral health work, not a volunteer program. The committee also discussed the “Choose Love” program, which Fox said was created after the Sandy Hook tragedy to build resilience and strength-based emotional regulation in schools and communities. On the children’s side, Fox described the system of care account as the place where many contracted services are budgeted, including community mental health centers, care management entities, rapid response services, and residential programs. Members asked about temporary staffing, and Fox said roughly $500,000 in temporary staff costs shown in the current year would not be spent next year because the money came from a nonlapsing appropriation in HB 1573 for oversight of children’s residential services. She also said provider rate increases were a prioritized need but were not funded in the governor’s current budget, and that the Children’s Behavioral Health Resource Center was not funded, resulting in about a $1 million reduction. The session ended while the division was still moving through the children’s behavioral health slides, including questions about the Fast Forward high-fidelity wraparound program and medication management.

Transcript Highlights:

• ><c> a</c> uh in terms of insurance insurance is a uh in terms of insurance insurance is a great<01:33
• </c><01:39:07.560><c> of</c> New Hampshire Department of New Hampshire Department of Environmental<01
• </c><03:35:23.120><c> of</c> New Hampshire Department of New Hampshire Department of Transportation<03
• and the depart New of of and Salsbury and the depart New Hampshire<03:40:47.880><c> Department</c><03
• </c> um health insurance right and a lot of um health insurance right and a lot of times<04:45:17.400

Keywords: 928, house, all

Summary: The committee heard testimony on HB 105, which would create a new conservation license plate and direct the added fee to the cyanobacteria mitigation loan and grant fund. The sponsor, Rep. Rosemarie Rung, said the bill would create a non-tax revenue source to help address toxic cyanobacteria blooms in New Hampshire lakes, ponds, and rivers. She described the public health, environmental, and economic harms from blooms, the high cost of watershed management plans and mitigation projects, and the limited current funding available through state and federal sources. She argued that a voluntary plate program could provide sustainable support and raise awareness. Supporters, including Reps. Katie Pell and McDonald, said the bill would help affected lake communities and tourism-dependent areas. New Hampshire DES testified neutrally but confirmed that blooms have increased sharply, that the agency has issued more than 120 warnings in the past two years, and that the existing mitigation fund is nearly depleted after one-time appropriations. DES said the proposed plate would not solve the entire funding need but could provide dedicated revenue for studies and implementation projects. DMV testified that the operational impact of adding a new plate would be minimal. New Hampshire Lakes also supported the bill and said survey results suggested some current Moose plate holders and new registrants would likely choose the Loon plate. Committee members asked about the health effects of cyanobacteria, the expected revenue from the plate, and whether the problem is natural or human-driven. Testimony said exposure can cause skin irritation, gastrointestinal illness, and more serious liver or neurological effects, with pets and children at higher risk; one witness also cited research suggesting aerosolized toxins may affect people several kilometers from a bloom. DES explained that while lake sediments can release nutrients, the underlying problem is largely driven by watershed inputs and worsened over time. No vote was taken during the portion of the meeting provided, and the chair invited written testimony and additional questions.

Transcript Highlights:

• The expense of that adds up, even though your primary pair of prosthetics is covered under insurance.
• So I have added it up, and just paying the 20% co-insurance over Ansel's 10 years of life so far, we've
• This bill requires the Department of Health to incorporate screening for biliary atresia into the existing
• The bill creates a board of naturopathic medicine to assist the Department of Health with the regulation
• By April 2019, we received a letter from the Florida Department of Health that we were under active and

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110, covering Medicaid and insurance coverage for medically necessary orthotics and prosthetics, including activity-specific devices without lifetime or continuous-use caps, received emotional testimony from families and athletes describing high costs and the importance of access for children and adults with disabilities. Members voiced strong support, and the bill was reported favorably. The committee also heard SB 1574, which would add biliary atresia screening to the newborn screening program using the existing birth blood specimen. The sponsor and a parent testified that earlier detection could prevent severe liver damage, transplants, and deaths, and the bill was reported favorably. CS/SB 794, dealing with background screening for employees at residential facilities and day training programs for people with developmental disabilities and a review of waiver support coordination, was amended to align with the House companion and then reported favorably after testimony emphasizing the importance of strong support coordinators for APD waiver families. Members then considered SB 162, requiring hospitals and ambulatory surgical centers to adopt policies for smoke evacuation systems during procedures that generate surgical smoke. Nurses and other supporters described surgical smoke as a serious occupational hazard, while the Florida Hospital Association said hospitals are already regulated in this area and the bill was somewhat prescriptive; an amendment was adopted and the bill was reported favorably. CS/SB 254, which tightens oversight of nursing education programs, adds preceptorship and provisional licensure pathways for graduates awaiting NCLEX results, and increases transparency and accountability for low-performing programs, drew support from nursing advocates and opposition from private nursing schools concerned about workforce impacts; after amendment, it was reported favorably. Finally, SB 688 to reestablish licensure and regulation of naturopathic doctors in Florida was heard with testimony both supporting expanded health care choices and opposing the bill over safety and scope concerns, and it too was reported favorably. The committee then adjourned.