Transcript Highlights:

• bit of income coming back in order to manage in those lean times, like when we're dealing with a budgetary
• we're<01:20:18.800><c> dealing</c><01:20:19.120><c> with</c><01:20:19.239><c> a</c><01:20:19.360><c> budgetary
• </c><01:20:19.840><c> shortfall</c> we're dealing with a budgetary shortfall we're dealing with a budgetary

Committee: House Higher Education Finance and Policy

Transcript Highlights:

• We are doing so in the context of understanding our own budgetary priorities and how we want to navigate
• understanding doing so in the context of understanding our<00:01:26.200><c> own</c><00:01:26.439><c> budgetary
• priorities</c><00:01:27.920><c> and</c><00:01:28.079><c> how</c><00:01:28.240><c> we</c> our own budgetary
• priorities and how we our own budgetary priorities and how we want<00:01:28.479><c> to</c><00:01:28.640

Committee: Senate Agriculture, Veterans, Broadband, and Rural Development

Transcript Highlights:

• We're looking forward to addressing all of the issues, especially budgetary issues this year, which is
• addressing all of the<00:01:30.119><c> issues</c><00:01:30.600><c> especially</c><00:01:31.600><c> budgetary
• </c><00:01:32.240><c> issues</c> the issues especially budgetary issues the issues especially budgetary

Committee: Senate Judiciary and Public Safety

Transcript Highlights:

• From a budgetary perspective, in state fiscal year 26, we would anticipate this change would be about
• that sure<00:33:46.320><c> U</c><00:33:46.840><c> from</c><00:33:47.000><c> a</c><00:33:47.240><c> budgetary
• </c><00:33:48.639><c> perspective</c><00:33:49.639><c> in</c> sure U from a budgetary perspective in
• sure U from a budgetary perspective in state<00:33:50.200><c> fiscal</c><00:33:50.559><c> year</c><00
• number of different areas in the state, in terms of the Glen Cliff home, New Hampshire Hospital, and reforming

Summary: The House Finance Division Three work session on February 21, 2025 focused on the Division of Medicaid Services budget. The chair opened with procedural guidance, noting the division’s role is to make recommendations to the full Finance Committee, that the budget must be balanced, and that members should track possible amendments ahead of a March 26 target for House Bills 1 and 2. Members also discussed the importance of using official budget documents and online resources, and the chair said no motions would be taken at this session. A major early topic was concern over a five-point Medicaid policy document and the timing of House Bill 2. Representative Tarki objected that the document appeared to be an unofficial draft and argued that significant Medicaid policy changes should have been transmitted by February 15 under state law. He said the lack of an official, posted document raised transparency concerns because the changes could affect tens of thousands of residents. Committee leadership responded that the five-point document was a working document, that it would be posted online within minutes, and that House Bill 2 is often delayed while the Office of Legislative Services finalizes and formats the governor’s proposed trailer bill. DHHS Chief Financial Officer Nathan White and Medicaid Director Henry Litman then began the budget presentation. White said the committee would use the PowerPoint as the document of record, starting with the governor’s operating budget pages 885-893, and noted that Medicaid is the largest accounting area in the state budget. He said the governor’s budget reflects about $60 million in reductions within the Medicaid area, with Granite Advantage handled off-budget and another $10 million in reductions there, for roughly a $70 million difference overall. Members asked whether the comparison was being made against an efficiency budget or a prioritized-needs budget, and White said the department could look at it different ways. The presentation then outlined Medicaid’s role in New Hampshire: it provides health coverage, serves as the state’s direct interface with the federal Centers for Medicare & Medicaid Services, and helps finance related services such as long-term supports, school-based services, adult dental coverage, and re-entry programs for people leaving correctional settings. White also reviewed enrollment and program context, saying New Hampshire has about one in seven residents enrolled in Medicaid, making it the fourth smallest Medicaid program in the country by enrollment, and described recent efforts such as youth re-entry and the Medicaid unwind after the end of the federal continuous coverage period. He said the state had to process more than 238,000 redeterminations after the public health emergency and that the department tried to avoid unnecessary coverage loss during that transition.

Transcript Highlights:

• respectfully request that the important work of this group not be in lieu of the judiciary's pending budgetary
• respectfully request that the important work of this group not be in lieu of the judiciary's pending budgetary
• respectfully request that the important work of this group not be in lieu of the judiciary's pending budgetary

Committee: House Judiciary & Hawaiian Affairs

Summary: The committee began with resolutions HCR 93 and HR 85, which ask the Hawaii State Commission on the Status of Women, in collaboration with the Department of the Attorney General, to form a working group and report on ways to strengthen protections for survivors of image-based sexual abuse. The Attorney General’s office said it could support the effort as legal counsel to the commission but preferred not to be an active working-group member, and suggested the Legislative Reference Bureau could instead conduct a nationwide study for stakeholders. The Commission on the Status of Women supported the resolutions but urged broader scope to include prevention and intervention, expanded stakeholder membership, keeping the Attorney General involved, and adjusting the report deadline. Testimony in support also came from the Emoa Alliance, which emphasized the prevalence and harms of image-based abuse and the need for stronger protections. Members asked questions about current criminal and civil remedies, reporting barriers, and whether the commission could administer the effort without the Attorney General; no votes were taken on the resolutions during the excerpted discussion. The committee then heard HCR 113 and HR 106, supporting the Native Hawaiian Intellectual Property Working Group’s request for more resources and a timeline extension to fiscal year 2026-2027. The Office of Hawaiian Affairs testified in support, saying Native Hawaiian culture, traditional knowledge, and cultural expressions are increasingly being commercialized and exploited without adequate protection, and that the working group needs more time, resources, and community consultation to complete its work. The committee noted six supporters and no opposition or comments. The hearing also covered HCR 193 and HR 183, which would establish a court security and Department of Law Enforcement capacity working group to address staffing shortages and the use of private security at state courts. The Judiciary supported the intent, asked that the working group supplement rather than replace its budget request, and proposed allowing the chair to add members with relevant experience. In response to questions, Judiciary said it has requested $3.25 million for armed private security, which it said would cover about 18 contracted individuals, though with significant company overhead. The committee then moved through several bills: SB 2667, which restricts certain commercial vehicles and trailers from the far-left lane on multi-lane roads, received support from the Department of Transportation; SB 2851, which allows deaf vehicle owners to register a deafness designation for law enforcement access, drew testimony in support; SB 2521, which updates emergency vehicle rules and exempts EMS personnel from CDL requirements, received testimony from Honolulu Emergency Services; and SB 2466, which would make the Chief Elections Officer terminable only for cause, drew support from the League of Women Voters and opposition from Hawaiian Islands Republican Women, who argued the change could reduce accountability and create election disruptions if litigation over termination occurs.

Transcript Highlights:

• Its duties really are to govern the programmatic and budgetary priorities for both of those agencies,
• You know, I think we're going to have to get into a longer conversation on that, especially on the budgetary

Summary: The meeting began with approval of the prior minutes and opening remarks from NDSU President David Stewart, who emphasized NDSU’s land-grant mission of statewide service through teaching, research, and extension. He highlighted the university’s role in agriculture, water, soil health, and community outreach, and pointed to examples of research commercialization such as Lilac Agriculture’s work on nitrogen-fixing microbes for crops. He also said he is still early in his tenure and intends to spend time listening and learning across the state. The committee then received a detailed presentation on a state irrigation and drainage study from Tom Bodine on behalf of Agriculture Commissioner Doug Goehring. The study estimated that North Dakota could develop about 1.3 million additional irrigated acres, with major potential in counties such as McLean, Williams, Sargent, Burleigh, Mountrail, McKenzie, McIntosh, Dunn, and Bottineau. Testimony stressed the economic benefits of irrigation for crop yields, value-added processing, dairy, and potato production, while members also discussed water availability, aquifers, downstream water use, and the need for more flexible permitting. The drainage portion of the study found significant economic benefits from legal drains, and staff explained that the impacts were calculated through increased productivity and related input purchases. Greg Lardy then gave NDSU’s required agriculture update, saying agriculture accounts for more than $41 billion in annual economic activity, one in five jobs, and about 25 percent of state GDP. He reviewed the role of SBAR, the statewide research-extension network, new crop varieties, virtual fencing, AI and weather-network tools, and Extension’s county partnerships and youth programs. He also outlined NDSU’s priorities for the next session: restoring proposed budget cuts, increasing operating support, and addressing deferred maintenance. Members asked about storage shed construction, NDSU’s relationship with Grand Farm, and whether NDSU could help with water-related research tied to drainage and aquifers. The committee also heard from the North Dakota Water Resources Research Institute and a professor on water and data centers, who described graduate fellowships, a water workforce certificate program, and research on data center cooling, water use, and “Legendary Harvest” concepts that would reuse waste heat for greenhouse or aquaculture production. Questions focused on whether the cooling systems were closed-loop, who would own any related production facilities, and whether the project was still only a feasibility study. Finally, North Dakota AgTech described its NSF-funded “engine” project, saying it has brought millions in federal investment to the state, supported startups and on-farm trials, and is focused on commercialization, workforce development, and helping producers lower input costs and improve profitability.

Transcript Highlights:

• And that is probably my biggest concern about it because we already know that we were staring at a budgetary
• So budgetary concerns, that's why we added the amendment.

Transcript Highlights:

• Those with developmental disabilities, through no fault of their own, are concerned during a time of budgetary
• Those with developmental disabilities, through no fault of their own, are concerned during a time of budgetary

Transcript Highlights:

• This creates a budgetary challenge because Prop. 56 revenues have decreased.
• This creates a budgetary challenge because Prop. 56 revenues have decreased over time, while Medi-Cal

Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.

Transcript Highlights:

• Chair, I think it's important for us to look at this from the legal standpoint, not necessarily the budgetary
• The budgetary standpoint might influence what the fiscal note says, but legally those monies cancel and

Committee: Senate Finance

Transcript Highlights:

• The program started in 2007 and has been funded $20 million for each year. more or less during the budgetary
• Thank you. their budgetary requests are met. Additionally, veterinarians.

Bills: SB1 , SB 1

Committee: Senate Finance

Transcript Highlights:

• </c><03:50:26.319><c> line</c><03:50:26.560><c> items</c> changes in budgetary line items changes in
• budgetary line items sometimes<03:50:27.439><c> require</c><03:50:27.680><c> that</c><03:50:27.920><c
• You're just saying as a budgetary matter, we can only afford this number of students or this percentage
• </c><05:20:06.638><c> saying</c><05:20:06.798><c> as</c><05:20:06.958><c> a</c><05:20:07.120><c> budgetary
• </c> You're just saying as a budgetary You're just saying as a budgetary matter,<05:20:08.080><c> we<

Committee: House Education Policy and Administration

Transcript Highlights:

• All right, these are the requests that we have submitted, budgetary changes.
• have these are the requests that we have have submitted<03:57:08.960><c> uh</c><03:57:09.199><c> budgetary
• changes all right submitted uh budgetary changes all right well<03:57:11.199><c> let's</c><03:57:11.600
• We did not initially submit these requests as budgetary requests during the agency phase or even the
• requests during the agency budgetary requests during the agency phase<03:57:42.000><c> or</c><03:57:

Summary: The committee reviewed the Department of Corrections budget, with the chair initially noting that the overall numbers looked close to fiscal year 2024 spending, except for federal funds. Department officials explained that prior ARPA expenditures and delayed revenue recognition had distorted the comparison, and that the corrected general fund spend was about $169.7 million. Members then focused on whether the budget’s staffing assumptions were realistic, especially the shift from overtime to full-time lines and the use of vacant positions to offset overtime costs. The department said it is leaning on vacancy savings, but would return for additional appropriations if unforeseen staffing problems arise. A major portion of the discussion centered on recruitment, retention, and staffing levels. Officials reported a 42% vacancy rate in enforcement ranks, down from 51% in January 2023, with 28 new officers headed to the next academy and 33 new hires already tracked. They said overtime is more expensive than regular staffing because of benefits and that it takes about 11 months for a new hire to break even. Members also asked about the split between incarcerated and supervised populations; the department said it oversees about 1,970 inmates in facilities and just over 4,000 people in the community, with 77 positions supervising the community population and the inmate population remaining the most expensive area. The committee also discussed how sentencing and statutory changes affect incarceration levels, including misdemeanor/felony thresholds and theft thresholds, with the department agreeing that such changes can significantly affect prison and jail populations. Members asked about education and recidivism, and the department said base education is the most important foundation, followed by vocational training, while noting that many incarcerated men lack a high school diploma. The department also described a $1.3 million reduction in contracted forensic evaluation services, explaining that these evaluations are court-ordered competency assessments and are not statutorily required to be provided by DOC. Finally, members reviewed victim services funding and staffing, including VOCA-supported positions, and the department explained that a new victim witness specialist would help support survivors at parole hearings and safety planning.

Transcript Highlights:

• This was in response to budgetary restrictions, so that 2% across-the-board reduction happened.

Summary: The MAPOC Women and Children’s Health Subcommittee heard a presentation from Kate Parker Riley, executive director of the Connecticut Dental Health Partnership, on the Husky Dental Program and efforts to improve oral health during pregnancy. She reviewed the structure of Connecticut’s Medicaid dental benefit, the ASO model, provider network, utilization trends, and member barriers to care. She noted that children’s dental measures remain above the national median, but adult utilization is lower and the dental provider network has been shrinking, with longer wait times in rural areas. A major focus was the state’s goal to raise the rate of oral evaluation during pregnancy from about 17.5% to 25% by 2030. Riley described planned outreach to OB/GYN practices using a draft “snapshot” report showing each practice’s pregnancy oral-health rate compared with the state average, along with education materials based on ACOG and AAP guidance. Committee members and guests discussed barriers such as lack of provider training, workflow burden, access to dentists who will see pregnant patients, and the need for stronger referral bridges. Suggestions included adding simple oral-health screening questions in OB settings, using human support to make appointments, and exploring co-located dental hygienists or other embedded models. Riley also highlighted partnerships with DSS, DCF, Head Start, WIC, Read to Grow, YMCA programs, refugee resettlement agencies, and school-based and hospital partners, as well as data-sharing and navigation efforts. She said pregnant members newly identified through HUSKY will now receive outreach and navigation support. DSS dental director Carolyn MacArthur introduced herself and said she supports the initiative, noting the literature linking untreated maternal dental disease to poor child oral-health outcomes. No votes were taken; the meeting ended with thanks and a preview of upcoming July presentations on integrated behavioral health and home visitation programs.

Transcript Highlights:

• they had it for a certain number of years or time, as they were seeing consistently in the state budgetary

Committee: House Crime and Public Safety

Transcript Highlights:

• Personally, we think it's a poor use of state funds while in a budgetary shortfall.

Committee: House Transportation

Transcript Highlights:

• I agree that we probably don't need to put that in there, given the budgetary constraints that we have

Bills: SB1165 , SB1206 , SB1212 , SB1291 , SB1347 , SB1516 , SB1554 , SB1649 , SB1689 , SB1812

Committee: Senate Finance

Transcript Highlights:

• reporting practices to allow state policymakers to identify gaps in services and make responsive budgetary

Transcript Highlights:

• I would just love to see very specific statutory changes, and I have to say budgetary issues, to really

Summary: The Children, Families, and Elder Affairs Committee held a panel discussion on Florida’s child protection teams (CPTs), child advocacy centers (CACs), and related state systems. Testimony came from the Department of Children and Families, the Department of Health, a local CAC director, the Florida Network of Children’s Advocacy Centers, a CPT medical lead, and a Jacksonville sheriff’s sergeant. Witnesses described how DCF investigations, CPT medical and forensic services, CAC multidisciplinary coordination, and law enforcement work together to assess abuse allegations, provide interviews and exams, and connect children and families to services. Several speakers highlighted telemedicine, co-location, and Jacksonville’s specialized investigative model as examples of stronger coordination. Committee members focused heavily on communication gaps, staffing shortages, and delays in forensic interviews and medical evaluations. Senators asked about implementation of Jordan’s Law, the timing of DCF and law enforcement notifications, whether law enforcement is always included in decisions about forensic interviews, and how quickly children are seen after a report. DCF and DOH representatives said referrals are generally made within 24 hours and that multidisciplinary staffings are used to share information, but law enforcement described cases where interviews were scheduled weeks out or reports arrived late, creating problems for probable cause and safety decisions. Members also raised concerns about turnover among CPIs and CPT staff, caseloads, and the need for more specialty providers. CAC representatives said the model reduces trauma by bringing services together in one place, but noted uneven access across the state, especially in rural areas and in counties without CACs. They said sustainable funding and workforce development are needed to maintain and expand services, and one speaker noted that some CACs have closed due to funding challenges. DCF said there are about 1,500 CPIs statewide and an average active caseload of about 12 per investigator, while CPTs serve roughly 22,000 to 23,000 children annually. The committee did not take any formal vote or action, but members requested follow-up information on staffing numbers, communication practices, CAC locations, and recommendations for statutory or budget changes. The meeting ended with adjournment.

Transcript Highlights:

• So I would just love to see very specific statutory changes, and I have to say budgetary changes, to

Committee: Senate Children, Families, and Elder Affairs

Summary: The Senate Committee on Children, Families, and Elder Affairs held a panel discussion on Florida’s child protection teams (CPTs), child advocacy centers (CACs), and the related roles of DCF, DOH, and law enforcement. Testimony from DCF, the Department of Health, a local CAC director, the Florida Network of Children’s Advocacy Centers, a Pinellas County CPT nurse practitioner, and a Jacksonville sheriff’s sergeant described how the system is intended to work: hotline reports are screened by DCF, mandatory referrals are sent to CPT, forensic interviews and medical exams are coordinated through CPT/CACs, and multidisciplinary teams share findings with law enforcement and prosecutors. Speakers emphasized the value of co-location, telemedicine, multidisciplinary staffings, and trauma-informed practices to reduce repeated interviews and improve child safety and case outcomes. Committee members focused heavily on communication breakdowns, staffing shortages, and delays in response times. Senators raised Jordan’s Law and asked what had been done to improve coordination among DCF, CPT, and law enforcement. Several members questioned whether the promised 24-hour response standard is being met in practice, citing reports of delayed referrals, delayed forensic interviews, and bottlenecks that can affect medical evaluations and criminal investigations. Law enforcement testimony from Jacksonville described cases where CPT interviews were scheduled one to two weeks out and reports were not received for weeks, while DCF acknowledged average CPI caseloads of about 12 investigations and turnover commonly occurring within 12 to 18 months. The panel also discussed access gaps and funding concerns. The Florida Network of CACs said Florida has 26 member centers, with some counties lacking CAC coverage and some centers having closed due to funding challenges. Speakers said CACs are voluntary but critical for integrated services, and that workforce shortages in medical and mental health providers limit expansion. DCF and DOH representatives said they would provide follow-up information on the number of CPT medical staff and other requested data. No bills were voted on; the meeting ended with committee members requesting additional information and recommendations for statutory and budgetary changes, and the committee adjourned.