Transcript Highlights:

• health and disability.
• We have a lot of private health, protected health information that we manage, so we need to make sure
• Rural health clinics, very similar. Tribal health clinics, that is all federal funds.
• So we're paying them operating.
• So we need the operating to do so.

Summary: The House Health and Welfare Committee approved the February 5, 2026 minutes and then heard a lengthy budget presentation from Department of Health and Welfare Director Juliet Sharon and Medicaid Director Sasha O’Connell. The department outlined numerous supplemental and line-item requests across Medicaid, child and family services, welfare/self-reliance, and support functions, including funding for state hospital billing authority, Medicaid caseload and cost growth, rural health transformation staffing and program funds, child care capacity and program integrity work, kinship navigation, home visiting, and IT and procurement modernization. The committee also discussed the department’s reorganization and the need for additional procurement support for large Medicaid contracts. Much of the discussion focused on Medicaid spending growth, especially in disability services and behavioral health. Sharon said higher utilization and more intensive services, including residential habilitation, youth residential treatment, and substance use services, were driving costs. Members asked about safeguards against provider overuse or steerage; the director said the department uses annual assessments, internal reviews, data mining, and referrals to program integrity, and that some provider behavior had already prompted a proposed rate reduction for residential habilitation. She also explained that the department is seeking to maintain contractor support for disability assessments rather than absorb the work in-house. The committee also reviewed the department’s response to budget reductions and federal changes. Sharon explained the 4% provider rate reduction, the resulting savings, and the need for an additional $22 million in general funds to balance Medicaid, with options for further cuts still before the legislature. Other topics included the state’s Medicaid estate recovery and program integrity contractors, the impact of new SNAP administrative cost-sharing rules, Medicaid work requirements and more frequent eligibility reviews under state and federal law, and a request for three dedicated procurement staff in the Department of Administration to speed Medicaid contracting. No further votes were taken beyond approval of the minutes, and the committee adjourned to attend the floor session.

Transcript Highlights:

• It varies from mental health court to mental health court.
• </c> health record for our mental health health record for our mental health court<00:47:48.960><c> program
• We see that in the mental health court cohorts that are currently operating around the state.
• Are your health records your insurer's health records?
• Are they your health systems' health records?

Committee: House Judiciary

Keywords: 928, house, all

Summary: The Judiciary Committee opened a hearing on House Bill 1067-FN, which would formalize and expand mental health courts in New Hampshire and create a grant-based funding structure for them. Representative Mark Pearson, the prime sponsor, described the bill as a bipartisan, compassionate, and cost-effective approach that would connect people with mental illness to treatment and supervision instead of incarceration, while still holding them accountable. He said the proposal was developed with input from the judicial branch, law enforcement, corrections, mental health organizations, and others, and emphasized that local courts could tailor programs to their needs. Committee members questioned the bill’s fiscal note, whether the legislature had previously studied the issue, how the program would be funded, and whether the bill should more explicitly address treatment, prevention, and data collection. Representative Buzz Sher, who helped develop the bill, explained how mental health courts work, including referral, clinical and public-safety assessments, case management, goal-setting, and graduation from the program. He said existing New Hampshire mental health courts are mostly partial and county-funded, and that the bill would formalize them, set standards, and allow grant funding. He also cited data from Georgia and New Hampshire suggesting significant savings from reduced incarceration and related costs. Members also raised concerns about due process, whether people not formally charged could be swept into the system, and whether individuals with violent offenses or domestic violence histories could be diverted inappropriately. Sher responded that only people already in the criminal justice process are eligible and that courts use safety assessments to screen out most violent cases. The committee requested that Sher file supporting financial data from other jurisdictions, and he agreed to do so. No vote or final action was taken during the hearing.

Transcript Highlights:

• Health. Health.
• ><c> typical</c> They operate differently from typical They operate differently from typical rental<00
• </c> clarity they need to operate clarity they need to operate effectively. effectively. effectively.
• </c><00:23:04.960><c> or</c> of violence that threaten the health or of violence that threaten the health
• </c> that works in children's mental health that works in children's mental health appointed<00:36:36.520

Keywords: 926, house, all

Transcript Highlights:

• operation of the department.
• But it does mean that every area of our operations is affected. Wonderful.
• Is it going to impact public health or safety?
• So how do we operate reservoirs better when we see these big storms coming in?
• So how do we operate reservoirs better when we see these big storms coming in?

Summary: The subcommittee met to discuss budget issues related to vacant positions across several natural resources and environmental departments, with no votes taken and all items held open for a future hearing. The Legislative Analyst’s Office and the Department of Finance explained the administration’s proposal to eliminate about 6,000 vacant positions statewide, including roughly 293 positions in the departments before the committee, as a way to capture salary savings and reduce flexible funding tied up in vacancies. The LAO recommended retaining special-funded positions, while noting that eliminating General Fund positions would reduce savings. Finance argued that vacancy levels have remained steady statewide, that departments need flexibility to manage operations and hard-to-fill jobs, and that some vacant positions can be reclassified to higher-priority work. Members raised concerns that many of the proposed eliminations would affect core public-safety, permitting, and environmental-protection functions. The Department of Fish and Wildlife said the cuts would affect permitting, environmental protection, and law enforcement, while State Parks said its proposed ranger reductions were chosen from historically vacant, hard-to-fill positions and would still leave many vacancies to fill through the academy. The Coastal Commission said its positions supported sea-level rise planning under SB 272. The Department of Pesticide Regulation and DTSC said the reductions would affect multiple program areas, though Finance said the special funds involved were not in structural deficit and the cuts could help avoid future fee increases. The State Water Resources Control Board said its proposed reductions were spread across programs, with public-health functions protected as much as possible. The committee then heard an overview from the State Water Resources Control Board on its responsibilities for water quality, water rights, drinking water, and funding for water infrastructure. Chair Joaquin Esquivel described ongoing work on the Bay-Delta Plan update, the Healthy Rivers and Landscapes voluntary agreements, and the need to actively administer water rights. Members also discussed the board’s response to the U.S. Supreme Court’s Sackett decision, which narrowed federal Clean Water Act jurisdiction. The board requested $2.6 million and 12 permanent positions to address resulting permitting and enforcement gaps; the LAO said the request met its high bar for new proposals and was supported by the board’s data and reporting.

Transcript Highlights:

• By Health and Human Services Committee, Health Care Budget Subcommittee, Health Professions and Programs
• By Health and Human Services Committee, Health Care Budget Subcommittee, Health Professions and Program
• By Health and Human Services Committee, Health Care Budget Subcommittee, Health Professions and Program
• , or health screening.
• get to operate.

Summary: The House opened with prayer, a moment of silence for fallen Oviedo Officer Jimmy Serrano-Torres, the Pledge of Allegiance, and recognition of Chief Joseph Tuminelli as law enforcement officer of the day. The chamber approved the journal and adopted the special order report, and the Speaker announced a schedule change canceling the floor on Monday and starting Tuesday at 10:30 a.m. The main business was CS for HB 7033, the House tax package, presented by Rep. Duggan. He described a broad set of tax changes, including the previously passed sales tax rate reduction from 6% to 5.25%, exemptions for certain bullion sales, changes to tourist development tax (TDT) use, property tax administration updates, affordable housing-related exemptions, repeal of the aviation fuel tax, delayed natural gas fuel tax implementation, corporate income tax changes, and other provisions. Debate focused heavily on the TDT section and the bill’s property tax relief structure. Amendments to preserve local flexibility or remove the TDT restrictions were offered and debated; one Duggan amendment was adopted to allow local governments to keep 25% of TDT revenues for general use while directing 75% to property tax relief, and another amendment requiring audit certification of compliance was also adopted. A combined reporting amendment offered by Rep. Eskamani to close corporate tax loopholes was debated at length but failed. On final passage, supporters argued the bill provides immediate, permanent tax relief and affordability help, while opponents said it diverts tourism dollars away from local needs and could harm tourism-dependent counties and services. CS for HB 7033 passed the House 78-29. The chamber then took up CS for CS for HB 1221 on local option taxes, which would give local governments more control over certain local taxes and, as presented, redirect TDT revenues toward property tax relief with some local flexibility. After questions and amendments, including a Miller amendment allowing 25% of TDT revenue for general purposes and another accountability amendment, the bill moved to final debate. Members split sharply: supporters framed it as immediate tax relief and local accountability, while opponents warned it would undermine tourism marketing, infrastructure, and county budgets. The transcript ends during closing debate on HB 1221, before final passage is recorded.

Transcript Highlights:

• , rural health care, We are not spending on emergency rental assistance, rural health care, or child
• We protected state employees from increased health costs.
• We protected health care. We invested in education.
• So I'm glad that mental health services is being funded.
• House Bill 416, amending section 36-79-51, relating to health care.

Keywords: 1182, all

Transcript Highlights:

• Human health is consistent with public health and safety.
• public health and safety, sometimes it's public health and safety, sometimes it's health, but there's
• </c> health and safety there inserted, fine. health and safety there inserted, fine.
• </c> public health is important? public health is important?
• Health at HHS.

Committee: Senate Finance

Keywords: 1191, senate, all

Transcript Highlights:

• So we closed ours down and sent that operation there.
• So anyway, back to the Health and Welfare discussions.
• I think the health program is in pretty good shape.
• I would say that the size of our health care plan was able to absorb that one misstep.
• We watch that very closely, and I look at the numbers for our health care plan.

Keywords: 989, all

Summary: The committee heard budget presentations for the Department of Administration and the Permanent Building Fund. For Administration, analysts reviewed the agency’s divisions, staffing, dedicated-fund structure, recent budget growth, and the governor’s and JFAC’s recommended changes. The department requested shifts of utility costs from the general fund to dedicated funds, three new positions and funding for Medicaid procurement and contract management, transfers of some positions between divisions, and one-time IT replacement funding. Members also discussed office-space utilization, vacant buildings and land at Chinden and elsewhere, and the department’s efforts to consolidate space and reduce general fund reliance. Director Bailey said the department has reduced or repurposed positions, closed duplicate printing operations, is exploring digital workflows and AI tools, and is trying to move toward a fully dedicated-fund model. He also explained the decision to remove GLP-1 weight-loss coverage from the state health plan due to rapidly rising costs, while noting diabetes coverage remains in place. Committee members questioned the need for higher-level procurement staff for Medicaid contracts, the role of Deloitte and the Department of Health and Welfare in the process, and the status of the MMIS procurement, which Bailey said is currently stayed by the courts after a legal challenge from the second-place vendor. He said the delay will affect MMIS implementation and, in turn, the timing of the broader managed care rollout. Members also asked about vacant state office space, the possible sale of older buildings, and whether agencies such as ITD and Health and Welfare could be moved into state-owned space to reduce lease costs. Bailey said the department is actively working on those facility-planning questions and that agencies at Chinden are paying rent for occupied space. The committee then reviewed the Permanent Building Fund budget, which finances state construction, repairs, and deferred maintenance through dedicated revenue sources and interest earnings. Analysts highlighted the fund’s multi-year project structure, the large deferred maintenance program funded in prior years, and a proposed one-time transfer of $33.75 million in canceled capital project balances to the general fund. They also described a possible redirection of fiscal year 2027 interest earnings to the general fund and a recommended new capital project for an Idaho National Guard readiness center. Administrator Barard reported that the Division of Public Works is managing 595 active projects, with most FY 2025 projects under construction, in design, or complete, and said the division continues to face labor shortages and rising construction costs. Members asked about canceled projects, including the North Idaho reentry center, the Carnegie Library purchase, the ISU pedestrian crossing, the Idaho State Police Lewiston facility, and other projects; staff said some are unlikely to return soon, while others may come back once land or other prerequisites are secured. The committee concluded the hearing and announced it would meet the next day for the Department of Parks and Recreation and the Office of the State Public Defender.

Transcript Highlights:

• result is that our evidence-based model that we operate our mental health courts on can no longer be
• Our mental health courts, people are put into our... ...mental health courts when they are both high
• They're coming in with higher mental health needs.
• We get them involved in mental health court, one of them.
• We get them involved in mental health court, one of them.

Summary: The Senate Finance and House Appropriations committee reviewed the Judicial Branch budget, beginning with the Court Operations division. Legislative staff outlined the branch’s structure, recent spending trends, technology upgrades funded with ARPA dollars, and FY26/FY27 budget changes, including judicial compensation increases, added judges in several districts, and a late request for $800,700 from a dedicated fund to cover senior magistrate retirement and purchase-of-service costs. Court officials explained that the retirement request was driven by an unusual number of magistrate retirements announced too late to include in the original budget, and they also described the impact of declining federal support and the need to shift some treatment-court and technology costs to other funding sources. Members asked about the holdback, the court’s cloud and network modernization, the purpose of senior judge purchase-of-service payments, and the effect of treatment courts on public safety and incarceration; no vote was taken. The committee then heard the Second Judicial District CASA/Guardian ad Litem request for $77,900 in general funds. The program said the money would support a trainer/recruiter/data supervisor position, required office and record space, annual financial review, and liability insurance, citing rural service needs, declining VOCA and grant funding, and the need to recruit and support volunteers across a large district. The executive director described the program’s statutory role in child protection cases and said fundraising now covers about 30% of the budget, taking time away from direct services. Members asked about the decline in VOCA funds, the number of children served, and examples of the program’s impact; the director gave a detailed success story about helping a family reunify. The hearing ended with no recorded appropriation action, and the chair adjourned the meeting until the next day.

Transcript Highlights:

• Today we are going to be starting with the Court Operations Division of the judicial branch. Ms.
• result is that our evidence-based model that we operate our mental health courts on can no longer be
• So to be clear, we're talking about our mental health courts.
• Our mental health courts, people are put into our... ...mental health courts when they are both high
• We get them involved in mental health court, one of them.

Keywords: 989, all

Summary: A joint Senate Finance and House Appropriations committee heard presentations on the Idaho judicial branch budget, beginning with court operations. Legislative staff reviewed the branch’s structure, staffing, recent technology upgrades funded with ARPA dollars, and prior budget enhancements, including support for court technology, judicial compensation, and additional judges in several districts. Court officials explained a late budget request for an additional $800,700 from a dedicated magistrate retirement fund to cover unexpected retirement bonuses and purchase-of-service costs for seven magistrates, as well as the impact of a governor holdback and reduced federal support for some treatment and domestic violence court-related services. Committee members asked about the timing of the revised retirement request, the purpose and success of the magistrate retirement bonus program, the court’s technology modernization, and the effect of losing federal and other outside funding. Court officials said the retirement timing could not be known earlier because magistrates had until January to notify the court, and they described the bonus as helping judges complete their terms. They also said the court had moved case management and recording systems to the cloud and built a statewide network, and that cuts to treatment court and peer support funding would likely force reductions in non-constitutional services. The committee then heard the Guardian ad litem division request, including a $77,900 general fund enhancement for the Second Judicial District CASA program. The CASA director said the money would support a recruiter/trainer/data supervisor position and required compliance costs such as financial review, office space, and liability insurance. She described volunteer shortages across a large rural district, declining VOCA and grant funding, and the need to spend more time fundraising instead of serving children. Members asked about the decline in VOCA funds, the share of funding coming from donations and fundraising, the number of children served, and the role of CASA for older youth. The director said about 30% of the program’s funding comes from fundraising, that the district serves children over age 12 and some older youth, and she gave an example of a case where CASA helped stabilize a family and reunify children with their parents. No votes were taken, and the committee adjourned until the next day.

Transcript Highlights:

• I even got to sit on the bench with Judge Lifman and watch how he operated mental health court, and I
• We have those in health care.
• But also, you know, how can we make sure that health care, specifically mental health care, is being
• We have those in health care.
• But also, you know, how can we make sure that health care, specifically mental health care, is being

Committee: Senate Children, Families, and Elder Affairs

Summary: The Committee on Children, Families, and Elder Affairs met to consider several bills and the confirmation of Taylor Hatch as Secretary of the Department of Children and Families. SB 1310, relating to reporting of student mental health outcomes, was temporarily postponed. The committee then took up SB 1354 on behavioral health managing entities, adopted a delete-all amendment, and heard support for the bill’s focus on transparency, accountability, audits, referral patterns, and a DCF report due by December 1. Members discussed the capacity of the current reporting system and the need for coordination with school districts. The committee voted the bill favorably. The committee next considered SB 1620 on mental health and substance abuse disorders, which implements selected recommendations from the 2025 Commission on Mental Health and Substance Use Disorders. The bill, as amended, includes reforms on dignity and patient-centered care, crisis response, individualized treatment plans, use of the DLA-20 assessment tool, data analysis by the Louis de la Parte Florida Mental Health Institute, and creation of a research center. Amendments removed a direct medication-provision requirement in favor of a review and report on discharge procedures, medication adherence, and long-acting injectables, and clarified licensure priorities for short-term residential treatment programs. Testimony and debate emphasized the need for action, better data, and efficient use of public funds. The committee reported the bill favorably. Finally, the committee heard from Taylor Hatch, the Governor’s appointee to lead DCF. Hatch described her background in state government and her priorities for DCF, including coordination, transparency, prevention, permanency, and responsiveness to vulnerable Floridians. Several members spoke in support, citing her experience at APD and familiarity with the agency’s work. The committee voted unanimously to recommend her confirmation, and then adjourned.

Transcript Highlights:

• They will support flood response and general emergency operations.
• They will support flood response and general emergency operations.
• Staff receive the support needed for sustainable operations.
• So I can't talk to the operational impact overall.
• may want to operate.

Summary: The subcommittee met to discuss several California Conservation Corps (CCC) and Cal Fire budget proposals, with no votes taken and all items held open for a future hearing. The CCC overview highlighted the program’s 50th anniversary, its statewide conservation, disaster response, education, and workforce development work, and its funding mix of General Fund and fee-for-service reimbursements. Members praised the program’s impact on young adults and communities, and asked about revenue sources, partnerships, recruitment, and outcomes for Corps members after service. A major CCC item was reopening and staffing the Greenwood Residential Center in El Dorado County. The department said the center is needed to restore local wildfire and fuel-break capacity, especially when winter road closures limit access to other facilities. The LAO said the proposal has merit but suggested the Legislature consider lower-cost alternatives, such as using fewer new Corps members or delaying opening, given the budget condition. The committee also discussed a proposal to move CCC hand crews to a seven-day wildfire readiness schedule; the department argued this is needed to match Cal Fire’s year-round operations and reduce chronic staffing gaps, while the LAO recommended considering partial funding or other cost-saving options. Cal Fire’s department overview focused on year-round wildfire response, vegetation management, community preparedness, and the 66-hour workweek rollout. Members asked about contract counties, federal partnerships, reforestation capacity, and the use of cap-and-invest and General Fund dollars amid structural deficits. Cal Fire said its nursery capacity is far below reforestation needs and relies on public-private partnerships, and it described reimbursements for work on federal lands. The committee also discussed defensible space inspections, with Cal Fire seeking permanent staffing to replace temporary positions and maintain its goal of 250,000 inspections annually; the LAO suggested alternatives such as different funding mixes, a reinstated SRA fee, or one-time funding. Finally, the committee heard a request to increase Cal Fire’s fixed-wing pilot and mechanic contract. Cal Fire said the larger, more complex aircraft fleet and year-round fire season require more pilots and maintainers, and that contracting provides flexibility and avoids some benefit costs. The LAO said the proposal addresses significant health and safety concerns and merits consideration, while members questioned whether in-house staffing or longer contract terms might be more cost-effective. Throughout the hearing, members emphasized wildfire risk, budget pressures, and the need to balance public safety with fiscal discipline.

Transcript Highlights:

• Here we'll take a look at FY26 existing operating budget.
• The state has always prided itself in the way it's delivered that health care.
• The change in the existing operating budget shows the FY26 to FY27 change.
• As operational requirements decrease, force levels are being responsibly reduced.
• expenses of the facilities operated by LSD.

Committee: House Appropriations

Keywords: 965, house, all

Transcript Highlights:

• operating purposes.
• Page 10 contains charts of the sources of operating and non-operating revenue for fiscal year 25 and
• Page 11 is a more detailed table of our operating and non-operating expenses comparing fiscal year 25
• health transformation.
• Are we done with Health and Human Services?” “Are we done with Health and Human Services?”

Committee: Joint Legislative Audit and Fiscal Review Committee

Keywords: 908, all

Transcript Highlights:

• Take us through the state operating budget.
• of Mental Health.
• The Department of Health obviously has the health lab here in Jefferson City.
• Yeah, the local public health authority—those public health departments in your counties.
• So we've got the Department of Health. We've got the Department of Mental Health.

Keywords: 959, house, all

Summary: The House convened with prayer, the Pledge of Allegiance, approval of the prior day’s journal by roll call, and a long series of special guest introductions recognizing family members, interns, public servants, nonprofit leaders, students, and a park ranger honored for life-saving actions. Committee reports and Senate messages followed, including Senate nonconcurrence on numerous amendments to Senate Bill 1421 and the appointment of a conference committee on another bill. The main floor action centered on budget conference committee reports, especially House Bill 2002 on public education. Members debated whether the conference version fully funded the foundation formula, with supporters arguing it maintained record-level funding and opponents saying it left schools about $190 million short and relied on uncertain funding sources such as blind pension, lottery, and possible ARPA dollars. After a substitute motion to send the bill back to conference was defeated, the House adopted the conference report 83-68 and then third-read and passed House Bill 2002 by the same margin. The House then took up House Bill 2003 on higher education, where members discussed a move toward a future performance-based funding model while keeping current funding flat; the conference report passed 119-28 and the bill was third-read and passed 109-32. The chamber next considered House Bill 2004, covering the Departments of Revenue and Transportation. Debate focused on transportation funding, rural roads, and a small local safety project in Lebanon that had already been addressed by MoDOT. The conference report was adopted 128-21 and the bill was third-read and passed 127-27. Finally, the House began debate on House Bill 2005 for the Office of Administration and IT-related functions, with the sponsor and supporters emphasizing IT accountability, the Movers project, and the transfer of some staff to DSS; the transcript ends during discussion of that bill.

Transcript Highlights:

• </c> lot of them are operating adjustments. lot of them are operating adjustments.
• </c> Lines 16 and 17 are operating Lines 16 and 17 are operating adjustments<00:04:55.440><c> from</c
• </c> governor had um for the operating governor had um for the operating adjustments.<00:05:03.040><c
• Uh, a number of operating items.
• </c> as a power plant that is operating 24/7. as a power plant that is operating 24/7.

Committee: Senate Environment, Climate, and Legacy

Keywords: 1187, senate, all

Transcript Highlights:

• Harris Health was told it needed 7 additional operating rooms that would cost $70 million in order to
• These protections create a baseline for operations in the state of Texas and for virtual currency operators
• to, to, uh, operate responsibly within the state.
• of a loss for any virtual currency kiosk operator.
• And a license is issued to one operator.

Committee: House Pensions, Investments & Financial Services

Transcript Highlights:

• And of course, health care.
• If people cannot get health care, they'd simply die faster than others who have health care.
• I want to talk a little bit about health care as Assembly Health Chair.
• and mental health.
• and health access.

Committee: House Budget

Keywords: 988, house, all

Transcript Highlights:

• It is now fully integrated into our operating budget.
• This one is for population and public health modernization.
• Operations.
• operations, emergency response resources, and...
• Maintenance, equipment distribution, and operational functions.

Keywords: 928, house, all

Transcript Highlights:

• So some of that direction went into health, for example.
• and culture bearers embedded alongside health care, behavioral health systems, and aging services?
• and culture barriers embedded alongside health care, behavioral health systems, the aging services,
• health care, behavioral health systems, the aging services, senior centers to support healing, connection
• We've been in operation for over 40 years.

Committee: Senate Joint Committee on the Arts

Keywords: 987, senate, all