Transcript Highlights:

• and $49.7 million from charters.
• Chair, it just brings the members appointed by the Speaker from three to one and from the President from
• And we are hearing that from parents, and especially from personal experience.
• Thank you, Miss Andrews.
• Thank you, Miss Andrews.

Keywords: 1182, all

Summary: The committee first heard House Bill 4043, which would require each school district and charter school to ensure that at least one employee at each school is trained in CPR, first aid, and AED use by August 1, 2027. The sponsor said he would consider floor amendments to clarify that a trained person should be available at all times and to tie the requirement to schools that actually have AEDs. Supporters, including a constituent who lost a child, said the bill could help save lives; opponents and some members raised concerns about cost, staffing, and whether one trained employee is enough. The bill received a due pass recommendation on a 7-1 vote with several members voting present. The committee then took up House Concurrent Resolution 2015, as amended by a strike-everything amendment supporting at least 60 minutes of daily physical activity for students and prominent display of the federal Dietary Guidelines for Americans. A public health advocate testified in favor, emphasizing chronic disease prevention in children. The committee adopted the strike-everything amendment and then gave the resolution a due pass recommendation on a 12-0 vote. House Bill 2621, as amended, addressed enrollment and special education access for pupils in unorganized territory, tribal land, and certain military-connected students, including changes to certificates of educational convenience and timelines for district and county action. The sponsor and stakeholders described it as a technical fix to reduce enrollment delays and improve access to services. After adopting both the strike-everything amendment and a Garcia amendment, the committee passed the bill 11-0. The committee also advanced House Bill 2385, which limits superintendent contracts to one-year terms during the first three years of employment and allows longer terms only after three consecutive years. The sponsor framed it as a way to reduce costly buyouts and give school boards more flexibility; there was no public testimony, and the bill passed 7-4. House Bill 4106, creating the One Arizona Service Fellowship Program, also passed after amendment. Supporters said it would build service opportunities and workforce experience, while some members objected to creating and funding a new state program; it passed 8-2 with one present. Later, House Bill 2992, as amended, established a pilot program in schools for child sexual abuse and assault awareness and prevention, expanded to K-12 in the amendment and funded from the Victim Compensation and Assistance Fund. A survivor and anti-trafficking advocate strongly supported teaching children and training staff, while some members objected to the funding source and possible unintended consequences. The bill passed 6-5 with one present. House Bill 2370, concerning who may modify weapons detection systems and requiring superintendent notification to governing boards within 24 hours, passed 8-3 after a debate over school safety, accountability, and whether the bill was too vague or too narrow. House Bill 4056, as amended, would bar fees for legislators making public records requests in their official capacity and require electronic delivery; the sponsor cited large fees charged by school districts, while opponents warned against broad fee exemptions. It passed 8-3. Finally, the committee began House Bill 2478, which would create the Arizona Commission on Student Outcomes to study K-12 performance, accountability, graduation requirements, finance, and related issues, with a proposed amendment to add early childhood analysis. The sponsor said the commission would help drive a statewide conversation and that the Classroom Site Fund had sufficient unused balances to support it. Testimony from early learning and advocacy groups was generally neutral but supportive of including early childhood in the study, and the discussion was still underway when the transcript ended.

Transcript Highlights:

• You get credit for being from Victoria, but my research says you were You get credit for being from Victoria
• And then TJ's there from Louisville. Great.
• And then TJ's there from Louisville. Great.
• Rights do not come from the government. Rights do not come from the government.
• Senate Bill 2658 by Perry, relating to an exemption from the requirement to obtain a permit from a groundwater

Bills: SJR12, SCR39, SB27, SB29, SB241, SB406, SB414, SB464, SB568, SB578, SB609, SB660, SB689, SB693, SB785, SB857, SB879, SB921, SB922, SB955, SB985, SB993, SB996, SB1008, SB1035, SB1036, SB1059, SB1098, SB1120, SB1122, SB1147, SB1188, SB1197, SB1209, SB1227, SB1245, SB1267, SB1307, SB1321, SB1332, SB1386, SB1396, SB1453, SB1484, SB1494, SB1536, SB1537, SB1596, SB1610, SB1664, SB1741, SB1814, SB1822, SB1841, SB1948, SB2065, SB2155, SB2188, SB2230, SB2406, SB2407

Keywords: parental rights, education, constitutional amendment, school choice, child education, border security, southern border, federal immigration policy, illegal immigration, cartels, transnational cartels, fentanyl, drug trafficking, human trafficking, Operation Lone Star, Texas border, National Guard, state guard, border wall, border barriers

Summary: The Senate convened with a quorum present, heard an invocation, and approved the previous day’s journal. The chamber then adopted Senate Resolution 358 honoring the University of Texas Rio Grande Valley on its 10th anniversary, with senators highlighting the university’s growth, medical school, research expansion, and role in serving South Texas. The Senate also adopted Senate Resolution 368 honoring outgoing Texas A&M University System Chancellor John Sharp, with numerous senators praising his long public career, leadership in higher education, and statewide impact. Senate Resolution 361 recognizing Texas HBCU Day and Senate Resolution 362 recognizing Denton County Days at the Capitol were also adopted, along with other routine recognitions and gubernatorial appointments being read into the record. The Senate then took up several bills. Committee Substitute Senate Bill 27, relating to rights and support for public school educators, was debated and amended to shorten vacancy posting requirements, allow bilingual certification candidates to retake only failed test sections, give teachers more flexibility with paid leave, clarify classroom removal procedures, and ensure parents are informed of appeal rights. The bill passed to engrossment, the three-day rule was suspended, and it was finally passed unanimously. Senate Joint Resolution 12, proposing a constitutional amendment to establish a parent’s right to direct a child’s education, was also brought up and passed to engrossment after a contested suspension vote. The Senate next passed Committee Substitute Senate Bill 1741, which would require reporting of foreign funding at public universities, bar gifts from adversarial governments, and require training and reporting systems to prevent foreign influence and intellectual property theft in higher education. Committee Substitute Senate Bill 29, the so-called “Dexit” bill, was debated at length for its corporate governance changes, including codifying the business judgment rule and altering internal corporate litigation and records rules; it passed to engrossment, the three-day rule was suspended, and it was finally passed by a 30-1 vote. Senate Bill 857, allowing law enforcement discretion to tow vehicles driven by unlicensed or uninsured drivers, passed after discussion of towing abuses during flooding and disaster conditions. Committee Substitute Senate Bill 1536, requiring dementia and Alzheimer’s training for certain guardians, passed with broad support, and Senate Bill 922, addressing delayed electronic disclosure of sensitive medical test results so physicians can discuss them first, was taken up and passed to engrossment as the chamber continued through its calendar.

Transcript Highlights:

• addition, there is the amendment from addition, there is the amendment from the<00:07:32.479>
• Let's do having received prior concurrence from the previous committee on page seven, from lines 5 to
• Recommendation adopted. >> Uh, recess. language from DHS to clarify the language from DHS to clarify
• <00:15:57.600> from<00:15:58.079> TND.
• separation of power um from from TND. separation of power um from from TND.

Bills: SB99, SB585, SB2060, SB2069, SB2110, SB2115, SB2152, SB2211, SB2259, SB2315, SB2342, SB2382, SB2442, SB2446, SB2485, SB2544, SB2577, SB2580, SB2861, SB2919, SB3326

Keywords: SB99, Hawaii, Employees' Retirement System, ERS, retirant, retiree rehiring, reemployment after retirement, retirement benefits, benefit suspension, school resource officer, SRO, public school safety, Department of Law Enforcement, DLE, labor shortage, difficult-to-fill position, teacher shortage, charter school, mentor teacher, vacancy rate

Summary: The Committee on Ways and Means met for decision-making only and adopted recommendations on a long list of Senate bills, with no oral testimony taken. Early actions included SB 99 to pass unamended, SB 585 to pass with a date correction to 2015, SB 2060 to pass with amendments involving public project lists, legislative approval for fund transfers, and removal of certain appropriations, and SB 2069 to pass with amendments extending a sunset date and requiring transit-oriented development zoning. The committee also advanced several other measures, including SB 2110, SB 215, SB 2259, SB 2382, SB 2442, and SB 2485 unamended, while SB 2152, SB 2315, SB 2446, SB 2919, SB 2577, SB 2580, and SB 2861 were moved with various amendments, mostly date changes, appropriation blanks, or technical clarifications. A substantial portion of the meeting focused on SB 2211, where Department of Human Services officials explained how the department was covering costs by using restricted funds and shifting Med-QUEST funding, and noted a need for $14 million plus support for $16.5 million in ACA enhanced tax credit subsidies. The chair indicated the bill would move forward with amendments, including blanking the appropriation pending more information on lapses, and the recommendation was adopted. SB 2544 was also amended to remove a specific appropriation and replace it with a blank cap on funds from DUR, and SB 2342 was amended to require projects to be in transit-oriented development zones and to reflect prior committee concurrence. The most extended debate was on SB 3326, which would address utility restructuring. One senator opposed the bill, arguing it could raise rates, worsen reliability issues, and disrupt an existing utility without a clear plan, especially given island-specific conditions. Supporters argued the bill would separate generation from transmission and distribution, create competition, protect union jobs, and respond to aging infrastructure and financial weakness in the utility sector. After recesses and discussion of the Public Utilities Commission’s role, the chair changed the recommendation from pass unamended to pass with amendments requiring the PUC to conduct a study, provide an interim report before the next session, and a final report the following session. That amended recommendation was adopted, and the meeting then adjourned with no further business.

Transcript Highlights:

• Help us to humble ourselves and pray, seek Your face and turn from our ways.
• You've said You will hear from heaven and forgive us. You will heal our land.
• A 9% deduction on an annual basis from the general revenue.
• From our teachers, from our parents, from our school board members.
• As you notice, we take bills here from one day to the next.

Bills: SB 10, SB 8, SB 15, SB 12, SB 6, SB 13, SB 9, SB 7, SB 17, SB 4, SB10, SB8, SB15, SB12, SB6, SB13, SB9, SB7, SB17, SB4

Keywords: sex designation, restroom access, civil penalties, private civil right of action, women's privacy, law enforcement, department file, employee records, misconduct, confidentiality, Texas occupations code, election laws, attorney general, prosecution, criminal offenses, criminal prosecution, jurisdiction, hemp, consumable hemp, hemp-derived cannabinoids

Transcript Highlights:

• from 50% of your retired pay up to 65%. from 50% of your retired pay up to 65%.
• <00:10:40.959> the and lower, we've gotten away from the and lower, we've gotten away from
• 3,00 3,815 is the total from MDE. 3,00 3,815 is the total from MDE.
• it's my understanding that anywhere from it's my understanding that anywhere from 75<00:21:22.480
• <00:37:55.520> next they're not guaranteed placement next they're not guaranteed placement

Keywords: Education - Room 216, January 6, 2026; 12:45 PM, 925, all

Summary: The committee welcomed three new members and elected Senator Brian Rhodes as committee secretary by acclamation. It then took up three education bills. Senate Bill 2001, a $2,000 across-the-board pay raise for teachers, teacher assistants, and certain higher education instructors, was explained as a partial step that could be increased later if more funds become available. The bill also included language to prevent school districts from offsetting state raises for teacher assistants by reducing local supplements. After no questions, the committee adopted a motion that the bill be reported. Senate Bill 2003, which expands the program allowing retired individuals to return to teach, drew the most discussion. The bill broadens eligibility beyond retired educators, raises the retirement-pay percentage from 50% to 65%, shortens the required break in service from 90 days to 45 days in most cases, removes the critical-shortage-area limitation, and allows retirees to teach in any district. Senator Hill offered and the committee adopted an amendment to clarify that the retiree must be receiving a PERS retirement allowance. Members debated possible effects on the retirement system, but the bill was ultimately reported. Senate Bill 2002, dealing with public school district transfers, would remove the sending district’s ability to veto a student’s transfer to another public district. Senator Hopson offered a single amendment, adopted by the committee, to allow receiving districts to charge a reasonable fee, require transfer notice by March 15 absent good cause, and preserve MHSAA’s authority over extracurricular eligibility. Members discussed transportation, equity, and athletic recruiting concerns, and the amendment was clarified to leave the fee amount to the receiving district’s board. After the amendment, the bill was reported.

Transcript Highlights:

• If they're working five years from the inception of their placement... I see.
• the Inception of their years um from the Inception of their placement<00:39:08.839> I<00:39:09.040
• get help from the feds from that's get help from the feds from that's correct<00:45:39.000> so
• Did I miss that?
• they reimbursement from from Medicare so they reimbursement from from Medicare so they in<05:45:

Keywords: 910, house, all

Summary: The Committee on Finance held an informational briefing with the Department of Labor and Industrial Relations on its budget, staffing, and operations. The director reviewed department leadership and reported on recruitment and retention efforts, including a 14% vacancy rate, a 10.5% workforce increase from filling 189 positions, and the Hela Imua internship program, which has placed 516 interns since inception and led to 62 permanent hires. The department also described modernization efforts, including the UI Huakai project and the Disability Compensation Division’s electronic case management system, and said the unemployment compensation trust fund exceeded $71.5 million, triggering Schedule C for calendar year 2025. The department’s main budget requests included $2.9 million for fiscal year 2026 to support maintenance and operations of the electronic case management system, plus restoration of two enforcement specialist positions. Officials said those positions are needed to address a decline in investigators from 11 to six since 2009, improve compliance, and handle Hawaii Compliance Express certificate work. Additional requests included two human resources specialists to address recruitment backlogs, two labor enforcement specialists to reduce a backlog of Chapter 104 prevailing wage and wage cases, and two positions for the Office of Community Services to expand immigrant services and access centers. The department also discussed federal funding for unemployment insurance and workforce programs, including National Dislocated Worker Grants and Workforce Innovation and Opportunity Act funds, and said some funding is received in increments and may require extensions. Members asked about Kauai inspection coverage, federal funding uncertainty, the size of the special unemployment insurance fund, and whether the department could ramp up staffing during a future crisis. Officials said Kauai is currently served by inspectors from Honolulu and there are no plans to open a permanent island position because of staffing constraints. They said the department is meeting federal guidelines and is not in jeopardy, and that the special unemployment insurance fund has about $10 million, with current UI operations funded at a little over $15 million, meaning the fund may need to cover roughly $5 million if federal support declines. The director said the department would use the special fund to supplement shortfalls, but noted that federal funding cuts and the loss of ARPA support have already affected operations.

Transcript Highlights:

• Prior, Miss Smith, Miss Willis, Co-chair Maize Bledsoe, and Coach Jackson.
• Prior, Miss Smith, Miss Willis, Co-chair Maize Bledsoe, and Coach Jackson.
• Spalding and Miss Marinelli would come. Mr. Spalding came from Warren County Public Schools.
• Spalding and Miss Marinelli would come. Mr. Spalding came from Warren County Public Schools.
• It's from this big long acronym. It's the ASP report from HHS.

Keywords: 958, all

Summary: The Commission on Race and Access to Opportunity met in September 2025, established a quorum, introduced new member Larry Forester, and approved the minutes from the August 26 meeting. The main presentation came from Warren County Public Schools Superintendent Rob Clayton and Assistant Superintendent Sarah Johnson, who discussed the district’s work serving English language learners and multilingual students, including immigrant and refugee families. They said Warren County now serves roughly 5,500 multilingual students out of about 19,000 total, representing about 92 languages and 90 countries, with 57 certified multilingual teachers, a GO Center, migrant and refugee advocates, and the state’s first international high school. The presenters emphasized that the district welcomes immigrant families and that students and parents generally value public education, but they described major challenges tied to accountability and funding. They explained that multilingual students are tested after one year in the system, even though many need more time to become proficient in English and grade-level standards, and they argued that current graduation-rate rules can unfairly penalize schools when transient students enroll briefly and then leave. They also said the cost of serving this population has risen sharply, with special revenue and especially general-fund spending increasing substantially over the past decade, prompting the district to reallocate resources from EL teacher assistants toward translation technology and additional certified staff. Committee members asked questions about how long-term multilingual students compare with the general student body and whether the district’s data show similar graduation outcomes. Clayton said he did not have the specific comparison data at hand but believed students who stay K-12 generally reach proficiency. He and Johnson asked legislators to consider giving students more time before accountability measures apply and to shift some graduation accountability from individual schools to the district level for highly transient populations, while still maintaining accountability. No formal votes or legislative actions were taken beyond approval of the minutes.

Transcript Highlights:

• So I've stayed away from criminal law.
• Due pass from the chair on the amendment.
• And so we actually heard from the representatives from both those fire departments in Oklahoma City and
• We just heard from a lot of other fire chiefs from some of these rural districts that this could potentially
• I appreciate it, and you will be missed. I will miss you dearly up here.

Bills: HB3045

Keywords: accident response, motor vehicle, law enforcement, fire department, fee prohibition, 914, all

Transcript Highlights:

• It replaces references to placements for children contracted with the department with placements in New
• I don't have a list but I someone from I don't have a list but I someone from the<00:21:03.360><
• placement for that specific child—before that child enters any residential treatment placement.
• placement for that specific child—before that child enters any residential treatment placement.
• way look at it from uh any type of from way look at it from uh any type of claim<00:42:23.440> against

Keywords: 1191, senate, all

Transcript Highlights:

• We do have a resource witness here from the Texas Alcoholic Beverage Commission.
• This was missed. It does not limit it to only manufacturing purposes for the wine.
• The S permit, you are prohibited from importing wine for resale.
• Texas-owned wineries from doing? From doing the same thing if they get bought out by somebody else.
• It begs the question: how many other jobs are we missing out on?

Bills: SB8, SB650, SB667, SB779, SB1349, SB1355, SB1378, SB1585, SB1721, SB2312

Keywords: immigration enforcement, ICE agreements, sheriff grants, law enforcement, county jail, federal immigration law, China, Chinese-affiliated entities, Chinese military companies, People's Republic of China, Chinese Communist Party, divestment, state pension funds, public retirement systems, Teacher Retirement System, Employees Retirement System, Permanent School Fund, Texas Comptroller, foreign investment, national security

Summary: The Senate Committee on State Affairs resumed consideration of several pending bills, first taking up Senate Bills 667, 1349, 1585, and 2312. After inviting testimony had already been heard, no members of the public came forward to testify on any of those measures, and the committee closed public testimony and left all four bills pending. The committee then heard Senate Bill 1355, which Senator Parker explained as a committee substitute aimed at helping Texas distillers recover unpaid invoices from wholesalers. The substitute would require distillers to invoice at the time of purchase, send a demand letter if payment terms are violated, and allow complaints to be filed with the Texas Alcoholic Beverage Commission, which could determine an appropriate penalty based on the facts. Natasha Dehart of Bent Distilling Company testified in support, describing serious cash-flow problems and unpaid invoices from a Texas wholesaler that had forced layoffs, late vendor payments, and operational strain. No one testified against the bill, and it was left pending. The committee also heard Senate Bill 1378, a narrowly tailored local bill for a Carrollton facility recently acquired by Sazerac that employs more than 1,000 Texans. Senator Parker said the bill would create a limited exemption to avoid forcing the company to shut down or move because of current permit restrictions, while preserving the three-tier system and preventing the company from selling wine to itself. A Texas Alcoholic Beverage Commission resource witness said the bill was drafted so it would not open the door to broader industry changes. Mason Moreland testified against the bill as filed, arguing it gave special treatment to one company and failed to address broader problems in the wine industry, including direct-to-consumer sales and permit issues. After questions from senators, public testimony closed and SB 1378 was left pending. The committee then recessed subject to the call of the chair.

Transcript Highlights:

• All those in favor of approving the minutes from the last meeting signify by saying aye. Aye.
• First with House File or Senate File 305, I chair moves that Senate File 3045 be recommended for placement
• 00:01:41.200> for Senate file 3045 be recommended for Senate file 3045 be recommended for placement
• <00:01:43.360> All placement on the general register.
• All placement on the general register. All those<00:01:43.680> in<00:01:43.960> favor?

Bills: SF3045, HF2783, HF1943

Keywords: omnibus, state government, local government, elections, campaign finance, voter registration, absentee voting, election administration, electronic rosters, lobbying, lobbyist disclosure, state budget, appropriations, biennial budget, Minnesota Secretary of State, Minnesota Management and Budget, state personnel, civil service, affirmative action, disability employment

Transcript Highlights:

• I think this is a missed opportunity.
• It's a common practice in the social work field to understand and come from issues from an ecological
• You heard from county directors, you heard from eligibility workers this year, and this budget reflects
• A letter from us will come in soon on that.
• A letter from us will come in soon on that.

Keywords: 988, house, all

Transcript Highlights:

• So I won't repeat. ...what the previous speaker said about the 10-mile placement, but arbitrary placement
• From happening.
• We know now that it's not going to come from management; it can only come from you.
• Where are the nurses going to come from?
• So it's not just one instance, like we miss a ratio.

Transcript Highlights:

• transition from care, and what you often see is... ...care to more of the rehab-to-home transition from
• People should be free from a threat.
• They need short-term placement.
• don't need long-term placement.
• Senator from Summers, thank you, Mr. Chairman.

Keywords: 994, senate, all

Summary: The committee met with a quorum present and heard a presentation from Marty Wright, CEO of the West Virginia Healthcare Association, on the state’s long-term care system. He described the continuum from home care to assisted living to skilled nursing facilities, emphasizing that these settings increasingly serve short-term rehab-to-home patients as well as older adults needing round-the-clock care. He also outlined the number of facilities in West Virginia, the predominance of Medicaid as the payer for long-term nursing home care, the private-pay nature of assisted living, and the role of OFAC/CMS in regulation. A major focus of the presentation was workforce shortages and turnover, especially for CNAs, LPNs, and RNs, along with declining interest in nursing careers and the impact of regulatory burden and burnout. Wright said the system is also struggling to serve younger patients with substance use disorder, mental illness, or other behavioral needs, who are often not well suited for traditional nursing home placement but have limited alternatives. Senators raised concerns about where such patients are being housed, the long-term effects of opioid and behavioral health issues, and the gap between school-age special needs populations and adult care needs. Wright said Medicaid can cover long-term nursing home care for those who meet financial and medical eligibility requirements, but affordability and spend-down requirements remain major barriers. He also warned that Medicare Advantage can create confusion and shorter covered stays for rehab patients, and he urged early planning around long-term care insurance and estate planning. No votes were taken on the presentation, and the committee adjourned after questions and discussion.

Transcript Highlights:

• they buy it from. they buy it from.
• <00:25:24.480> this that's necessary to move it from this that's necessary to move it from
• ethical and responsible pet placement. ethical and responsible pet placement.
• from if they're sold online. from if they're sold online.
• And presentation<01:22:56.960> from presentation from presentation from the<01:22:58.200> insurance

Bills: HF1606, HF3733, HF743, HF2627, HF4071

Keywords: nudification technology, image rights, privacy protection, sexual exploitation, cybersecurity, recreational camping, utility fees, electricity charges, consumer protection, energy policy, health insurance, insulin, step therapy, diabetes, patient care, prescription drugs, pet shops, animal welfare, dog sales, cat sales

Transcript Highlights:

• But SB 23 reflects what we are learning from those experiences.
• that takes away from instructional time.
• That's missing.
• As I said, I would have to pick up a child from the South Valley and bring them up, or from Los Lunas
• A child could come in from Pajarito to Mesa, and then Edgewood could be the only placement.

Bills: SB23, SB73, SB210, SB234, SB243, SB244, SM16

Keywords: student use, wireless devices, public schools, policy implementation, education technology funding, driver education, driver's ed, driving school, motorcycle safety, traffic safety, vulnerable road users, pedestrian safety, bicycle safety, cyclist, bike lane, micromobility, scooter, moped, motorcycle training, DWI prevention

Transcript Highlights:

• Thank you. >> Thank you, Miss Bailey. Miss Aho, you're first.
• Thank you. >> Thank you, Miss Bailey. Miss Aho, you're first.
• >> Thank you, Miss Bailey. Miss Aho, you're >> Thank you, Miss Bailey.
• that from the and I feel that from that from the experience<01:19:10.640> of<01:19:10.760>
• master's from Bethel University. master's from Bethel University.

Keywords: 1187, senate, all

Transcript Highlights:

• So I hadn't seen specific language from Miss Tilly. So this does not include any suggestion.
• So I hadn't seen specific language from So I hadn't seen specific language from Miss<01:29:28.320
• Uh, Miss Stoddard and<02:18:24.479> Lamprey from<02:18:35.840> Lamprey.
• , from local from the federal government, from local resources,<02:19:13.679> from<02:19:13.920
• White, Miss Hardy question, but if we've got money from this current year that we think we're going to

Keywords: 928, house, all

Summary: The Division 3 work session focused largely on amendment 1176 to HB 2, which would have incorporated the substance of HB 548FN, a House-passed bill creating a direct-pay or membership-based model for health care facilities. Representative Mlan described the proposal as a way to increase competition in health care by extending the direct-care model used in primary care to facilities, arguing it could encourage innovation and that concerns about widespread harm to critical access hospitals were overstated. He pointed to Oklahoma’s long-standing Surgical Center model as evidence that the approach had not spread broadly or displaced hospitals there. Several members and witnesses raised concerns. Representative Stringham questioned whether the model would shift profitable services and patients away from existing hospitals, potentially worsening their finances and affecting Medicaid-related funding. David Ross, speaking for county nursing homes, opposed the language because it also removed moratoriums on nursing home, skilled nursing, inpatient rehabilitation, and self-pay beds, warning that it could increase pressure on Medicaid rates and undermine community-based care. Ben Bradley of the New Hampshire Hospital Association said the proposal appeared to create a separate regulatory framework for direct-pay facilities and raised concerns about patient safety, CMS participation rules, and a separate patient bill of rights. The chair concluded that, because HB 548 was already moving through the Senate, the HB 2 process was not the best vehicle for the policy and that the issue should be left to the Senate’s more deliberative committee process. Representative Ferski moved to not accept or remove amendment 1176 from the agenda, and the committee approved the motion by roll call, 9-0, withdrawing the item from HB 2.

Transcript Highlights:

• what their criteria is, their placement what their criteria is, their placement methods. methods
• <00:05:20.200> of may not necessarily be the placement of may not necessarily be the placement
• And so, with that as the backdrop, we're now seeing there's tremendous opportunities for monies from
• And they've pulled down these federal funds, these pathways from the Department of Energy.
• And they've pulled down these federal funds, these pathways from the Department of Energy.

Keywords: 958, all

Transcript Highlights:

• Trying to play nurse from a distance.
• I, too, was disappointed I missed the walk.
• There is a lot to learn from other countries.
• Management that they hoped for from the MCO.
• ...from a vendor.