Transcript Highlights:

• Some people have to read the books, and all the books out there ain't accurate.
• I just read about it. They've had to live with this their whole lives.
• I just read about it in the paper three weeks ago. Their whole lives.
• I'm going to read into the record.
• I know you all love reading a report as much as I do, but we don't want them to become stale.

Bills: S0330, S0474, S0694, S1120, S1216, S1366, S1442, S7018

Keywords: firefighter disability, law enforcement disability, correctional officer disability, correctional probation officer, presumptive disability, workers' compensation, line of duty presumption, heart disease presumption, hypertension presumption, tuberculosis presumption, public safety employees, first responders, physical examination, preemployment exam, medical specialist, Medicare reimbursement, employing agency, Florida Statutes 112.18, Florida Statutes 943.13, occupational disease

Summary: The committee heard and advanced several bills, beginning with SB 694 on compensation for the descendants of the Groveland Four. Senator Bracey Davis described the wrongful accusations, convictions, deaths, and long-term harm to the families, and an amendment added a $4 million appropriation and updated the recipient for Ernest Thomas’s family. Multiple family members, advocates, clergy, and supporters testified in favor, emphasizing the decades-long delay in justice and the need for accountability and repair. Senators from both parties spoke in support, and the committee reported the bill favorably after a roll call vote. The committee then approved SB 330 on disability provisions for firefighters, law enforcement, and correctional officers; SB 474 on military affairs leave and related benefits; and SB 96 on the Veterans Dental Care Grant Program. SB 96 drew the most discussion, with Senator Sharief explaining that the bill raises eligibility to 400% of the federal poverty level and moves $500,000 in recurring funding to the General Appropriations Act. Senator Wright and Senator Harrell raised concerns about whether expanding eligibility could worsen the existing waitlist, while supporters argued the change would help more veterans access needed dental care. The bill was ultimately reported favorably. The committee also passed SB 7018 on child welfare, making the Step Into Success pilot program permanent and statewide, adjusting visitor/background-check rules for foster homes, and creating a best-practices program through the Florida Institute for Child Welfare. SB 480 on information technology was reported favorably after amendments creating a central IT governance structure under the Governor’s office, adding vendor performance metrics and a preferred vendor list, and restoring criminal justice information security provisions. SB 1066 on the Ocklawaha River and Rodman Dam also advanced after extensive testimony from supporters and historians about partial restoration, recreation, and economic benefits; the sponsor said he would continue working through permitting questions before floor consideration. Later, the committee approved SB 1216 on educator compensation, which gives districts more flexibility on cost-of-living adjustments, advanced degrees, and performance pay caps, and SB 1120 on water management district oversight and reporting. The committee also reported favorably SB 1366 on sovereign immunity and claims against government, which would raise damages caps, index them to CPI, shorten claim deadlines, and cap attorney fees at 25%. That bill drew testimony from hospitals, cities, counties, school districts, and others, with some supporting the Senate’s compromise approach and others raising concerns about impacts on self-insured law enforcement agencies and attorney incentives. The meeting concluded with the favorable report on the bill after debate continued over those issues.

Transcript Highlights:

• So nothing to read into negative.
• So nothing to read into decisions.
• <00:03:51.440> This actually money for the read act.
• This actually money for the read act.
• And one of the areas I'm screenings.

Keywords: 1187, senate, all

Transcript Highlights:

• What percentage of your kids are proficient in math and reading? Mr.
• And now, with the science of reading, of course, a lot of our time is allocated to supporting reading
• We're getting it up on the screen. Apologies. Excellent! All right, thank you. Well, hello Simon.
• On the right side of the screen, we have our programmatic expenditures by evidence category, and then
• Over here on the left side of the screen, it will tell you how long we've been collecting data for.

Keywords: 996, all

Transcript Highlights:

• Um, our families say that they Like the lowered screen time, it's not the case that they're going the
• whole day without screens.
• We do have a 1 to 1 Chromebook program and in, in this world, you really can't do a screen less education
• , but we do try to minimize screen use to situations where there's a benefit that cannot be achieved
• So I thought I'd just read the newsletter to you. Mr.

Transcript Highlights:

• Would you read the next name, please?
• Would you read the next name, please? Would you read the next name, please?
• Um, it is very difficult screens.
• Um, it's control, cancer screenings.
• A minimus is read potential audits?

Keywords: 1191, senate, all

Transcript Highlights:

• Moving to the 14th order of business, second reading of House bills and resolutions, the first bill under
• This morning, one of the lobbying groups sent out an email, if you had a chance to read it or not.
• Senator Lee: Madam President, you will see an error actually on your screen.
• You will see an error, actually, on your screen.
• So please disregard what was put on your screens. And we would hope that you would approve it.

Keywords: 908, all

Summary: The Senate reconvened and handled several House messages and conference committee appointments before taking up a series of bills. It appointed conference committees on Senate Bill 2265 and House Bills 1454, 1448, and 1524. The chamber also adopted a Senate amendment to House Bill 1216, delaying its effective date for the copay accumulator prescription drug bill to January 1, 2026, with later renewal timing for non-PERS plans. House Bill 1216 then came up for final passage. Senators debated whether allowing copay accumulator programs to count manufacturer coupons toward deductibles would help patients with expensive drugs or unfairly shift costs to insurers and other policyholders. Supporters said it would help people afford life-saving medications and that the coupon payments go to pharmacies, not insurers; opponents argued it could raise premiums and create perverse incentives for drug pricing. The bill passed 29-18. The Senate also concurred in House amendments to Senate Bill 2160, which changes health insurance benefits under the Uniform Group Insurance Program to move from a grandfathered to a non-grandfathered plan, with supporters emphasizing added benefits and flexibility and opponents warning of higher costs and irreversible changes. That bill passed concurrence 33-14 and final passage 39-8. The Senate next concurred in House amendments to Senate Bill 2339, the wildfire mitigation bill, which requires utility mitigation plans to be updated every two years, incorporate national electric standards, and creates a rebuttable presumption of reasonable care if the plan is followed. The bill then passed final passage 46-1. The chamber also adopted conference committee reports and passed House Bill 1460 on adult foster care and monitoring devices, House Bill 1440 on cigar lounge tobacco use, and Senate Bill 2374 on insurance-related provisions including property insurance arbitration, managed repair programs, and surplus lines issues; SB 2374 also added a study on towing and recovery coverage. The session ended with announcements of upcoming conference committee meetings and adjournment until April 22, 2025.

Transcript Highlights:

• If you move to the next slide, you will see pre-employment screening.
• I don’t want to read them all to you, but we have been involved in advertising to bring mental health
• So in reading, that is how we anticipated it would work. I'll give you our experience. We had.
• They may be civil commitment, but their reading of HB 8 and their obligation under HB 8, as they read
• We read about that last week. That's why you're here.

Transcript Highlights:

• I forgot about the screen. I apologize. The lobbying program also has the gift prohibition.
• You can read them on your own, but I don't think many of them will be surprising.
• You can read them on your own, but I don't think many of them will be surprising.
• Work or child protection or family services to sit in front of a screen.
• services to sit in front of a screen services to sit in front of a screen they<01:27:47.560>

Keywords: 1183, house

Summary: The committee heard testimony from Jeff Sigerson, executive director of the Minnesota Campaign Finance and Public Disclosure Board, who outlined the board’s mission and core programs: campaign finance disclosure, economic interest statements, and lobbying registration/reporting. He described the board as an independent agency with six members, noted current vacancies and confirmation requirements, and said the board’s budget request was essentially flat, with a base budget of about $1.793 million and most costs tied to salaries, office space, and other fixed expenses. He also reviewed the board’s enforcement structure, emphasizing civil-only penalties, a complaint-driven process, and the availability of reports, enforcement actions, and advisory opinions on the board’s website. Sigerson highlighted several recent and upcoming changes. Local ballot question committees for city, school district, levy, and bond issues now must register with the board if they exceed $750 in activity, and the board is preparing outreach and online registration tools to help local committees comply. He also discussed the public subsidy and political contribution refund programs, saying the board paid out about $2.12 million to 230 House candidates in 2024, that 93% of candidates signed the subsidy agreement, and that 2023 PCR refunds totaled about $447,000 for candidates and $1.616 million for party donors. He noted that the PCR maximum refund was recently increased from $50 to $75 per donation, and that payments could drop significantly in 2026 if the one-time supplement is not renewed. A major focus of the presentation was the board’s lobbying report and related legislative recommendations. Sigerson said the board is moving from tracking marginal expenses to tracking the subjects and entities being lobbied, and that lobbying will be expanded from certain metro-area governmental units to all cities, counties, school districts, townships, and other political subdivisions, potentially adding thousands of lobbyists. He said the board held two public hearings and received 23 written comments on proposed changes. The board’s main recommendations were to broaden the expert-testimony exception so that certain paid experts at local hearings would not need to register as lobbyists, while still requiring disclosure of who testified, before whom, and on what subject, and to adjust the current lobbying definition for local government employees and officials who spend more than 50 hours a month on intergovernmental lobbying work.

Transcript Highlights:

• Um, I didn't read them all in detail, but hopefully folks had a chance to review.
• It's near the end about the pre-release screening and assessment.
• This includes conducting pre-release screening to better... ...doing pre-release screening to better
• document, but if... ...recommendations in there, but if folks have had a chance to go through them or read

Keywords: 924, joint, all

Transcript Highlights:

• Sometimes a kid who can’t read on grade level or do math on grade level, they’re not going to want to
• raise their hand and have to do an out-loud reading because they’re afraid how everybody else is going
• last several years was based on a pre-test and a post-test and looking at only academic gains in reading
• So I would tell you that I think the screen time is managed very tightly because the laptops are checked
• Have we heard back from where they're matching up grade level-wise, reading or math, when they hopefully

Summary: The committee heard a presentation from Department of Juvenile Justice Secretary Eric Hall on the Florida Scholars Academy, a new unified education model for youth in residential commitment programs. He explained that the academy replaced the prior decentralized district-run system with a contracted model through Florida Virtual School, allowing individualized blended learning, real-time progress monitoring, expanded special education services, and a broader course catalog including dual enrollment, CTE, GED testing, and postsecondary pathways through the Florida Youth College partnership with Tallahassee State College. Hall said the department is using data to focus on academic achievement, workforce credentials, and peer-group change as strategies to reduce recidivism, and reported early results including 60 diplomas or GEDs, a 5.5% teacher vacancy rate, and progress-monitoring gains for most students. Hall also reviewed implementation of House Bill 1181 on swift accountability and juvenile justice reforms. He said the law strengthened pre-arrest delinquency citation use, raised the target for eligible citations to 70%, required written justification for releasing youth charged with certain felony firearm offenses, and directed the department to develop a firearm-offending curriculum focused on avoidance and consequences. He described a new statewide graduated sanctions matrix for probation technical violations, intended to provide quicker and more consistent responses without overburdening courts. He said early data showed reductions in weapons/firearm offenses and auto theft, and that the department had conducted circuit-level outreach to law enforcement, courts, and providers to support implementation. Members asked about the number of unauthorized alien children in detention or residential care, teacher vacancies and whether instruction continues when staff are absent, screen-time and supervision concerns with laptops, and whether students are reentering local schools with improved academic performance. Hall said he did not have data on immigration status, that FLVS and classroom staff provide continuity when teachers are absent, that devices are checked in and out and security has been tightened, and that the department is still early in implementation but is hearing positive anecdotal feedback from parents. Vice Chair Smith asked for more detail on the firearm curriculum, and Hall offered to provide it. The committee took no formal votes and adjourned after no public testimony was offered.

Transcript Highlights:

• You're reading the full terms.
• by Texas Public School Reading Association assessments.
• Let me read you some of those passages now.
• They'll love to read when they choose what they read, and as a result, they will live healthy, safer,
• When I read this bill, I don't see policy, I see people.

Bills: HB186, HB201, HB229, HB796, HB1506, HB2702, HB2885, HB3225, HB3909, HB4285, HB5138

Keywords: social media, children, account verification, data privacy, parental control, financial crime, card fraud, motor fuel theft, law enforcement, criminal activity, skimmers, prevention, training, biological sex, government information, definitions, sex-based distinctions, public health, federal directives, state authority

Transcript Highlights:

• Um, so I'm sharing on my screen a short presentation that we put together, and I just wanted to start
• /c><00:10:25.040> sharing<00:10:25.519> on<00:10:25.760> my<00:10:26.000> screen
• Um so I'm sharing on my screen regrets.
• Uh, let me do the screen sharing. Okay. Um, well, aloha, good morning.
• Your slide— You read my mind. Yes. Why did it go from $4 million down to zero?

Keywords: 912, senate, all

Summary: The Senate Committee on Health and Human Services held an informational briefing on the federal shutdown’s impact on state benefits, with the main focus on SNAP. DHS Benefit, Employment and Support Services Division Administrator Scott Morish explained that SNAP serves about 86,229 households statewide, or 168,947 individuals, and averages roughly $58–60 million in monthly federal benefits. He said USDA directed states to suspend November SNAP benefits effective November 1 if the shutdown continues, while existing October balances on EBT cards remain usable and cash benefits such as TANF, General Assistance, and AABD are not affected. DHS said it has continued processing applications, recertifications, interviews, and required reporting, and has posted public guidance on its website. Morish also reviewed other SNAP-related changes taking effect November 1 under the One Big Beautiful Bill Act, including expanded able-bodied adult work requirements and tighter non-citizen eligibility rules. He said the work requirements now extend from ages 18–54 to 18–64 and apply to additional groups previously exempt, while only lawful permanent residents, COFA residents, and Cuban or Haitian entrants will remain eligible among non-citizens. He also noted Hawaii’s ongoing SNAP benefit reduction tied to a federal calculation error in the thrifty food plan, which has lowered benefits by about $8 per person per month for the past three years. On the state response, DHS said it is working with the Hawaii Food Bank and seeking $2 million in state funding to support it, and is also developing a Hawaii Relief Program using TANF reserve funds. The program is intended as a short-term housing and utility assistance program for families with dependent children under 300% of the federal poverty level, with up to four months of assistance. Senators questioned why rainy day funds were not being used and whether the state could directly fund EBT cards; DHS responded that the TANF approach was the fastest available option, that EBT delivery involves significant technical and administrative mechanics, and that the department is still in discussions with the vendor and other stakeholders about additional options.

Transcript Highlights:

• Some great information there if you'd like to read some more about Shaka and the successes that they
• Some great information there if you'd like to read some more about Shaka and the successes that they
• instructors right there on your screen instructors right there on your screen and<00:25:46.360><
• with students to help develop literacy skills, provide mentorships, and foster a love of reading.
• <01:24:12.320> and Content expert in math or reading and Content expert in math or reading

Keywords: 1187, senate, all

Transcript Highlights:

• I had the review of your proposal and also I read it.
• How do we invest in more dyslexia screening programs?
• We can all read it. His, we don't know.
• from reading guidance.
• I hope you don't mind if I read my statement today.

Keywords: 987, senate, all

Summary: The joint Senate Education and Budget Committee hearing focused on Governor Newsom’s education governance proposal, which would reorganize state K-12 education leadership by shifting day-to-day management of the Department of Education from the elected Superintendent of Public Instruction to a governor-appointed education commissioner, while giving the superintendent a more policy-focused role and voting seats on the State Board of Education and the California Community Colleges Board of Governors. Brooks Allen, for the State Board of Education and Governor’s office, argued the change would reduce fragmented authority, improve accountability, and align California with other states that use appointed chief education officials. Amber Alexander of the Department of Finance outlined the budget-neutral staffing transfers and transition timeline, and LAO analyst Sarah Cortez said the LAO supports the shift to an appointed commissioner but recommends Senate confirmation, clearer statutory duties, preserved legislative oversight, and a cost-neutral fiscal plan. Committee members raised substantial concerns about timing, constitutionality, voter expectations, and whether the proposal would actually improve student outcomes. Senator Cabaldon argued the change would effectively alter the meaning of the constitutionally created superintendent office during an election year without voter approval, and questioned whether governance restructuring has evidence of improving achievement or should instead yield savings. Other senators asked how the new structure would work in practice, who would be accountable if it failed, whether a governor-appointed commissioner was the best model, and whether local districts would truly see clearer lines of authority. Allen responded that the Legislature retains plenary authority over education, that the transition would be minimally disruptive, and that the proposal was designed to create a single line of management and clearer communication for local districts. The discussion also covered the Legislature’s role in curriculum and education policy. LAO staff explained that the Legislature has broad authority over education and can direct curriculum-related policy, though it has generally delegated detailed curriculum work to the State Board and the Instructional Quality Commission. Several senators said the current system already creates confusion for voters and local educators, while others argued the proposal adds another layer of bureaucracy and overpromises on results. No vote was taken at this hearing; members continued questioning witnesses and indicated the proposal would be examined further in later panels, including testimony from local education leaders.

Transcript Highlights:

• Um, I'm going to try to also share my screen here. Can you see what I'm sharing there?
• So, um there's what's called uh let me see if I can share my screen again.
• to expand coverage for cancer screening to expand coverage for cancer screening and<00:51:44.720
• let me see if I can share my screen let me see if I can share my screen again.<00:54:27.359>
• Cancer screenings, 30 cents per member per month.

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:23 Kentucky Bankers Association 00:02:32 How to Read and Understand KRS 6.948 Health Mandate and Federal Cost Defrayal Impact Statements 00:25:40 Proposed Amendments to Kentucky's Essential Health Benefit-Benchmark Plan 00:50:18 Proposed Health Insurance Legislation for the 2026 Session 01:04:22 Reimbursement for Covered Benefits Delivered Through the Psychiatric Collaborative Care Model 01:01:46 Coverage of Eating or Feeding Disorders 01:18:47 Coverage of Hearing Loss 01:25:31, 958, all

Summary: The Interim Joint Committee on Banking and Insurance met for its first interim meeting, established a quorum, approved routine opening items, and welcomed a new committee assistant and a legislative intern. The committee first heard a Kentucky Bankers Association presentation from Tim Shank and John Cooper focused on the state’s housing shortage, which they described as affecting all 120 counties and especially low- and moderate-income and workforce housing. They urged support for a proposed $20 million banker-backed revolving fund, paired with tax credits, to finance new housing construction; they said the program would be flexible, could support alternatives such as manufactured housing, and would use below-market loans with tax credits vesting over five years only after units are completed. They also asked for extension of the historical tax credit carryforward from five to seven years and for continued support of new market tax credits, arguing that supply-chain delays make the longer period necessary for historic rehabilitation projects. The bankers also raised concerns about credit unions, arguing that because credit unions do not pay the same taxes as banks, they should not be allowed to acquire healthy state-chartered banks or hold state and local deposits. They cited the recent purchase of First State Bank of Middlesborough as an example, saying the transaction would reduce state, county, and city tax revenue and weaken local tax bases. In response to committee questions, the presenters said local regulations, zoning, parking, sidewalk, and utility easement issues can significantly delay housing projects, and they emphasized that state policy and infrastructure support are needed to help address affordability and development barriers. The committee then shifted to a Department of Insurance presentation by Commissioner Sharon Clark on how to read KRS 6.948 health mandate and federal cost defrayal impact statements. Clark explained that the mandate statements were created in 1998 so legislators would have actuarial estimates of how proposed health insurance mandates would affect administrative costs, premiums, and total costs, and she noted that later legislation added federal cost-defrayal analysis. She also reviewed the background of the Affordable Care Act’s essential health benefits framework and said the department’s statements are intended to help lawmakers make informed decisions on proposed health coverage mandates. No votes or formal actions were taken during the portion of the meeting provided.

Transcript Highlights:

• <00:53:43.040> MCA the read act.
• With the new reading MCA the read act.
• <01:47:27.040> the<01:47:27.360> legislature the READ Act and the legislature the READ
• If the READ Act as an example of that.
• We behind it like we did with the read.

Keywords: 1187, senate, all

Transcript Highlights:

• We've read it, but you know how that goes. But that would be great, sir. Thank you.
• We've read it, but you know how here. We've read it, but you know how that<00:20:19.640> goes.
• Thank It's not your only bill to read,<00:20:22.960> so read, so read, so >> [laughter]
• And I'm going to read these examples to you.
• these examples to And I'm going to read these examples to you. you. you.

Bills: HB0098, HB0075, HB0041, HB0101

Keywords: gun control, Second Amendment, constitutional rights, misdemeanor, law enforcement, virtual currency, kiosk, financial institutions, regulation, Wyoming Money Transmitters Act, penalties, death benefits, retirement, survivor support, public safety, guardianship, monitoring, ward protection, financial independence, case management

Transcript Highlights:

• Read the next committee report.
• Reading of the report, Mr. Speaker.
• Reading of the report, Mr. Speaker.
• Read the conference committee report on HB 5403E. Read the conference committee report on HB 5403E.
• Read the conference committee report on HB 5601E. Read the conference committee report on HB 5601E.

Summary: The House convened with prayer, a moment of silence for former Senator Donnell C. Childers, the Pledge of Allegiance, and recognition of Officer Antonio Richardson as law enforcement officer of the day. A quorum was announced, the journal was approved, and the Speaker said the chamber would take up 11 budget conference reports, with debate and final votes on each report. The first report considered was HB 7031E, the tax package, followed by HB 501E, the state budget appropriations bill. On HB 7031E, Chair Duggan explained that the conference report included a range of tax reductions and tax-related changes, including sales tax holidays, property tax and homestead-related provisions, reductions in certain taxes and fees, and new exemptions or administrative clarifications. He said the package also added items such as sales tax relief for certain university construction projects, a tennis admissions exemption, and changes to agricultural property tax treatment, and that the amendment reduced state and local tax revenues by $272.2 million. Members questioned the bill about the child care tax credit reduction from three years to one, the homestead exemption provision for certain diplomats and foreign service personnel, the absence of gas tax relief and combined reporting, and the inclusion of firearm accessories and tennis tickets in sales tax holidays. After structured debate, the House adopted the conference report and passed HB 7031E by a vote of 88-11. The House then began the conference report on HB 501E, the $114.5 billion budget for fiscal year 2026-2027, which was described as below the prior year’s spending level and leaving more than $14 billion in reserves. Subcommittee chairs outlined major allocations across education, higher education, IT, health care, transportation and economic development, justice, state administration, and agriculture/natural resources. Highlights included increased FEFP funding and veteran teacher raises, full funding for Bright Futures, major IT modernization projects, Medicaid and behavioral health funding, transportation and local infrastructure spending, correctional and law enforcement investments, fire station and emergency response funding, and large environmental and water-quality appropriations. Members asked detailed questions about school voucher fraud oversight, scholarship funding, teacher raises, preeminence funding, ADAP changes, SNAP data tools and error rates, Medicaid rate changes, prison wastewater monitoring, and other budget items, but the transcript ends during the budget questions before final action on HB 501E is shown.

Transcript Highlights:

• also see a lot of urine drug screening also see a lot of urine drug screening issues<00:10:41.360
• And we do have a few notes on that, but I would like to read a few things into the record, and that is
• a few things into the like to read a few things into the record<00:31:36.960> and<00:31:37.200
• But, you know, when I read those articles and we're trying to help out Medicaid recipients and getting
• in a row. that our cancer screening in a row. that our cancer screening rates<01:40:54.400> have

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board reconvened and heard a presentation from the Attorney General’s Office Medicaid Fraud and Abuse Control unit. AG staff described the unit’s structure and work: it investigates and prosecutes Medicaid provider fraud, and also handles abuse, neglect, and exploitation cases involving vulnerable adults in facility settings when asked to assist. They said the office has prosecutors, detectives, auditors, and support staff, works with federal partners, Commonwealth’s attorneys, CHFS, DMS, OIG, and MCOs, and uses a hotline and referral line for complaints. They also explained the MCO referral process, including monthly meetings, stand-down lists, and review of referrals for a “credible allegation of fraud” before the AG office decides whether to open a criminal or civil investigation. The presentation focused heavily on current fraud trends. Staff said behavioral health is a major concern, along with participant-directed waiver services, medically assisted treatment, cash billing for services, controlled-substance billing, and vision and dental fraud. They gave examples such as duplicate time sheets for family caregivers, questionable Suboxone counseling and urine drug screening practices, and a prior optometry case involving false claims for children’s glasses. They also discussed CMS’s estimate that about 5% of Medicaid payments are improper, noted that most improper payments are at the fee-for-service level, and said there is no reliable overall fraud-rate estimate. They highlighted a sharp shift in behavioral health billing after the cabinet’s November 1, 2024 policy changes, saying individual psychotherapy spending dropped while group billing increased, suggesting providers may have moved billing to different codes. Members asked about the scale and timing of cases, how MCO referrals are screened, and whether the data reflected more people being served or just higher spending. The AG office said investigations can take years, with some federal cases still awaiting sentencing from 2018 and 2019 matters, and that they currently had nine individuals awaiting sentencing in federal court. They also reported 58 hotline reports during the referenced period, six cases opened from MCO referrals, and four additional MCO referrals not accepted for active cases. Several members raised concerns about home-based services and the risk of abuse or fraud when family members are reimbursed, and asked whether the process could be streamlined; the AG office said it had no immediate recommendations but would be willing to return with suggestions after further review.

Transcript Highlights:

• you can't really read and we just<00:08:21.039> put<00:08:21.199> in<00:08:21.360>
• Some of these required patient notification and screening.
• do that screening.
• So, um, I'm not going to read the whole report to you.
• So, um, I'm not going to read the whole report to you.

Keywords: 928, house, all

Summary: The committee first handled organizational business, electing Representative Mark Pearson as chair for the coming term, appointing Representative Lucy Weber as clerk, and approving the November 22 minutes with abstentions from members who were absent. Members also noted excused absences for Senator Avard and Representative Jessica Lontine. After the vote, the committee moved to the DHHS commissioners’ update. DHHS associate commissioners Patricia Tilly and Chris Santinello described a process-improvement effort to improve transitions for youth moving from DCF care into adult developmental services and Medicaid. They said the old process was fragmented, dependent on personal relationships, and not sustainable, so staff from DCF, the Bureau of Family Assistance, Developmental Services, and public health used a Kaizen/Lean event to map the workflow, identify bottlenecks, clarify roles, and create a more consistent playbook. Members asked about IT support and whether the process would create new bureaucracy; DHHS said current systems are antiquated, especially DCF’s CWIS, but the goal is to streamline coordination, not add bureaucracy, and future systems like Granite Families may help with reminders and age-based ticklers. Several members praised the work, including a CASA volunteer who said the added attention has improved services for vulnerable youth. The committee then received the annual healthcare-associated infections update from Ctin Hansen of the Division of Public Health Services. Hansen reported that New Hampshire’s HAI program, created by statute, tracks infections in hospitals, ambulatory surgery centers, dialysis centers, and long-term care facilities. For 2023, hospitals reported fewer infections than predicted nationally, with 135 infections statewide and 174 C. diff infections also below national rates; hospital influenza vaccination was 89.9%. Ambulatory surgery centers reported low infection counts and an 80.1% staff flu vaccination rate; dialysis centers reported fewer infections overall than the prior year but higher local access-site infections, with staff vaccination at 52.6%; and long-term care facilities reported a 50.1% flu vaccination rate, up from 37.8%. Hansen also said the program conducted over 100 investigations, handled 84 antibiotic-resistant organism reports, completed 20 infection-prevention assessments, and operated on a budget of about $348,000 plus grant funding, including an Epidemiology Laboratory Capacity Grant that was later reduced.