Video & Transcript Research : 'computed tomography'
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FL
Transcript Highlights:
- So you may see this in the legal field or information technology or computer programming.
- When we talk about the delivery, the delivery, technology or computer programming.
Summary:
The Education Postsecondary Committee met to hear an overview of Florida career and technical education (CTE) from Chancellor Kevin O’Farrell and presentations from Big Bend Technical College and Santa Fe College. O’Farrell described Florida’s CTE structure, including career clusters, postsecondary program types, enrollment and completion growth, apprenticeship expansion, and the state’s credentials review process. He said postsecondary CTE enrollment is near 480,000 students and completions reached a record 76,806, with strong growth in nursing, law enforcement, EMT, and other public-safety credentials. He also discussed the CTE audit, which uses retention/success, employment or continued education, and labor-market demand metrics; programs not meeting thresholds would eventually require phase-out plans beginning in 2026. He highlighted the workforce development capitalization grant as a major driver of program expansion and facility renovation, and answered questions about business outreach, construction trades, apprenticeships, and space-industry training.
Shelby McCall of Big Bend Technical College described how the college responded to hurricanes, mill closures, and regional economic disruption by expanding rural workforce training. She highlighted aluminum welding, millwright, welding technology, health sciences, and a new advanced manufacturing facility funded by state grants and local partnerships, along with a new LPN-to-RN bridge program. She said the college has strong placement and certification results and is working with employers such as Lippert, NAMO, and others to align training with local demand. Senator Simon praised the college’s role in Taylor County’s recovery and workforce development.
Dr. Paul Brody of Santa Fe College said state workforce grants have helped the college expand nursing, skilled trades, apprenticeship, automotive, diesel, and manufacturing programs, including partnerships with Bradford County Technical College, UF Health, Habitat for Humanity, and local employers. He reported growth in CTE enrollment, nursing credentials, apprenticeship enrollment, and job placement rates, and described new efforts in semiconductor training, CDL training, and a charter school model that combines high school, an AS degree, and industry credentials. The committee took no formal action beyond hearing the presentations and adjourned after Senator Berman moved to adjourn.
AR
Arkansas 2026 1st Special Session
PUBLIC HEALTH WELFARE AND LABOR COMMITTEE - SENATE AND HOUSE Feb 4th, 2026
Transcript Highlights:
- Members, there was a computer left on the table.
Summary:
The committee met briefly, approved the January 7 minutes, and heard several Department of Human Services rules. DHS explained a rule allowing rehabilitative hospitals to open psychiatric units, provide acute psychiatric services, and receive Medicaid reimbursement, noting the service is needed and already being provided in Jefferson County. Members also reviewed a rule allowing DHS to participate in the CMS cell and gene therapy model for value-based payment agreements to treat sickle cell disorder with CGT therapy.
A third DHS rule would exempt the state from the CMS recovery audit contractor requirement. DHS said recovery audit contractors typically work on contingency to identify fraud, waste, abuse, or overpayments, but Arkansas law prevents contingency arrangements, so the state uses other program-integrity layers instead. Those layers include internal retrospective reviews, an external payment integrity office, the Office of Medicaid Inspector General, and the Attorney General’s Medicaid Fraud Control Unit. Members asked for clarification on the contractor role, and DHS responded that the exemption has no cost and was approved by CMS.
During new business, Representative Pilkington asked about a reported increase in uninsured postpartum cases in a DHS quarterly report. DHS representatives said they were not prepared to answer at the meeting and would follow up offline. Representative Johnson also asked about a handout related to program integrity and Arkansas Medicaid. With no further business, the committee adjourned.
AR
Arkansas 2026 Regular Session
PUBLIC HEALTH WELFARE AND LABOR COMMITTEE - SENATE AND HOUSE Feb 4th, 2026
Transcript Highlights:
- Members, there was a computer left on the table in the back. It's an iPad issued by the House.
Summary:
The committee opened with prayer, approved the January 7 meeting minutes, and then reviewed several Department of Human Services rules. One rule would allow rehabilitative hospitals to open psychiatric units, provide acute psychiatric services, and receive Medicaid reimbursement, addressing a service gap, especially in Jefferson County. Another rule would let DHS participate in a CMS cell and gene therapy model to support value-based payment agreements for treating sickle cell disorder with CGT therapy.
A third DHS rule would exempt the state from the CMS recovery audit contractor requirement. DHS explained that recovery audit contractors typically work on contingency to identify fraud, waste, abuse, or overpayments, but Arkansas law prohibits contingency arrangements of that kind. DHS said the state already has multiple other program integrity layers, including internal reviews, an external payment integrity office, the Office of Medicaid Inspector General, and the Attorney General’s Medicaid Fraud Control Unit. Members asked for clarification on the role of recovery audit contractors, and DHS responded that they perform post-payment audits and recoveries.
All three DHS rules were reviewed without objection. Near the end of the meeting, Representative Pilkington asked about a reported increase in uninsured individuals in a DHS postpartum report, but DHS said it was not prepared to answer and would follow up offline. Representative Johnson also asked about a handout related to program integrity and Arkansas Medicaid. The committee then adjourned.
NH
Transcript Highlights:
- instructed by her physician that she really could only be not more than 15 minutes in front of a computer
- His proficiency with how to deal with the computer and the database and whatever is amazing, and I can't
- I think Ryan lives in my office because my computer is always breaking.
- And he either fixed it, put a new button in it, or got me a new computer.
- That whole department, computer.
MS
Mississippi 2026 Regular Session
MS Senate Floor - 5 March, 2026; 10:00 AM
Mississippi Senate Floor Meeting
Transcript Highlights:
- This is the uh My Kids bill, which again is the computer software system that uh is antiquated and has
- /c><02:39:53.480>
new language in references to the new language in references to the new computer - 39:55.880>
we <02:39:56.200>are <02:39:56.720>that <02:39:56.840>has computer - system that we are that has computer system that we are that has gone<02:39:57.280>
out <02:39 - what the to the new computer system. what the to the new computer system.
Summary:
The Senate convened with a quorum, opened with an invocation by Dr. Ryan Wade and the Pledge of Allegiance, and then handled routine business by dispensing with the reading of the journal and committee reports. Several guests were recognized, including Leadership Jackson County, Farm Bureau members, a doctor of the day, adult educators, and other visitors in the gallery. Senator Brumfield also announced support efforts for Senator Warren Barnett, asking members to contribute to him through Ms. Anita Jackson.
The chamber then considered a series of House bills, most of them taken up with strike-all amendments and passed by use of the morning roll call. Measures included HB 1390 on personal services funding allocations, HB 1571 on ARPA funds and unexpended balances, HB 1655 on the State Aid Road Construction director’s personnel status, HB 1650 on dormant state accounts and pooled investments, HB 1651 on state agencies using other agencies’ facilities and charging 50% of fair market value, HB 1345 on administrative forfeiture of illegal cigarette and vaping products, HB 1386 on allowing sidewalks as an eligible use of municipal infrastructure funds, HB 671 on alcoholic beverage delivery responsibility ending when retailers transfer possession to delivery services, and HB 1385 on eliminating paper-original homestead exemption submissions. Members asked questions on several bills, especially about whether the fairgrounds language in HB 1651 would affect youth livestock shows and whether HB 1386 or other measures would change county revenue; sponsors generally said the bills were intended to address state-agency use, municipal reporting, or administrative efficiency rather than alter those programs.
The Senate also advanced HB 898, creating a sales tax diversion study committee to review misallocated municipal sales tax revenues, assess impacts, examine technology and oversight, and recommend reforms by the 2027 session; Senator Hill questioned whether counties should be included, but the sponsor said that would be a separate policy decision. Later, the Senate reconsidered HB 1265, the Mississippi Debt Management Services Act extended repealer, adopted an amendment to remove the repealer instead of extending it, and then passed the bill. The body also took up SB 2632, the local governments disaster recovery emergency loan program, and voted not to concur and to invite conference. Finally, HB 1142 on bench warrant notices was called up; the sponsor explained a strike-all that would replace certified mail with personal service or electronic transmission and include a reverse repealer for further conference work.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Thursday, February 6, 2025)
US Federal House Floor Meeting
NY
New York 2025-2026 Regular Session
Senate Standing Committee on Consumer Protection - 01/28/2026
Consumer Protection
Transcript Highlights:
- amend the Personal Property Law in relation to providing for a cap on the credit service charge computed
Summary:
The Senate Standing Committee on Consumer Protection held its first meeting of the year on January 28, chaired by Senator Rachel May, with Ranking Member Patricia Canzoneri-Fitzpatrick and several other senators present. Chair May said the committee would focus this session on consumer protection issues such as surveillance pricing and the use of technology to target consumers unfairly. The ranking member briefly agreed on the importance of protecting vulnerable consumers and wished the committee a successful session.
The committee then considered six bills, all of which had previously passed the Senate. The measures covered school security guards (S.194B), notice to the Attorney General about arrangements that delay generic drug introductions (S.488A), warranties and protections for purchasers of new and used motor vehicles (S.5597), a cap on credit service charges in retail installment contracts (S.5600), requirements for rental helmets to address concerns about damaged helmets (S.6985), and making renewed appearance enhancement and barber licenses and certificates available online in downloadable PDF form (S.7483).
There was little discussion on most bills, though Senator May noted that the helmet bill was intended to address situations where rented helmets may have been damaged or consumers may not know their condition. Each bill was moved, seconded, and approved by the committee without opposition, with one bill reported to the Finance Committee and the others reported to first reading on the calendar. The meeting then adjourned after concluding legislative business.
FL
Florida 2025 Regular Session
Appropriations Conference Committee on Pre-K - 12 Education/PreK-12 Jun 5th, 2025
FL
Florida 2026 Regular Session
Appropriations Conference Committee on Pre-K - 12 Education/PreK-12 Jun 5th, 2025
Transcript Highlights:
- Hispanic business owners, women business owners, and I came back home, and I looked it up on the computer
Summary:
The conference committee met to discuss the Senate’s second budget offer and its first offer on SB 7030. The chair said the budget proviso and back-of-bill offers were continuing to close out remaining issues, and explained the Senate’s approach to the new academic accelerated option supplement in the FEFP as restoring about 80% of prior weighted FTE funding for acceleration options other than dual enrollment, citing existing statutory requirements and the different cost structure of dual enrollment.
Senator Gates then presented the Senate’s modified SB 7030 offer, saying the bill was intended to address problems tracking roughly 23,000 students moving among public schools, private schools, and homeschooling, and to better ensure funding follows students correctly. He said the offer would preserve key parts of SB 7030 while making changes such as extending the fall application window, delaying some spring-term documentation, modifying background screening requirements, and allowing the commissioner to extend deadlines in extenuating circumstances. The offer also kept the Family Empowerment Scholarship Program as a separate FEFP categorical, expanded the Education Stabilization Fund, created fall and spring application windows, required enrollment cross-checks and student IDs, changed scholarship payments to monthly with front-loaded options, and required scholarship funding organizations to return funds tied to Auditor General FTE audit findings.
A public commenter, a longtime teacher from Daytona Beach, urged that the financial literacy course be taught at a later grade level, such as 11th or 12th grade, and suggested a system of diverse guest speakers in classrooms to encourage more students from underrepresented groups to consider business ownership. No questions were raised from the committee after the Senate offer, and no vote was taken. The vice chair said the House would take the offer back for review, and the chair announced there would likely be one more meeting with a one-hour notice before the meeting adjourned by motion without objection.
TX
Transcript Highlights:
- You might have heard about the quantum computing risk of Bitcoin. Let me briefly address that.
- So theoretically, a quantum computer could break Bitcoin's encryption.
- You might have heard about the quantum computing risk of Bitcoin. Let me briefly address that.
- So theoretically, a quantum computer could break Bitcoin's encryption.
- Theoretically, a quantum computer could break Bitcoin's encryption.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services May 7th, 2026
Transcript Highlights:
- And the tools that they were talking about to compute the hours, they're very subjective.
- And the tools that they were talking about to compute the hours, they're very subjective.
- And the tools that they were talking about to compute the hours, they're very subjective.
- I will also say because we've been in development of the computer system to do it, I would be hesitant
- to wait too long because you don't want a computer system to get stale and then have to pay more money
Summary:
The subcommittee heard an overview of the governor’s IHSS budget proposals and then took public testimony from the administration, LAO, county representatives, labor, consumer advocates, and an aging/disability advocacy group. The administration described IHSS as a large Medi-Cal long-term services program serving more than 900,000 recipients and proposed three changes: shifting some growth costs tied to authorized hours per case to counties, eliminating the statewide backup provider system, and aligning IHSS terminations with Medi-Cal terminations. The administration also discussed the earlier CFCO reassessment penalty change for counties and said overdue reassessments had dropped significantly.
LAO said the governor’s overall IHSS cost estimates appeared reasonable, but raised concerns about the hours-per-case cost shift, including unclear root causes for growth, limited county control over statewide averages, and uncertainty about the eventual savings. County Welfare Directors Association, SEIU, and consumer/advocacy witnesses opposed the hours cost shift, arguing counties use state tools, the proposal would pressure counties to cut services, and it could harm older adults and people with disabilities by increasing institutionalization and shifting costs elsewhere. The chair and members repeatedly questioned the rationale for the proposal, the lack of a defined baseline, and whether the current assessment tools or MOE structure should instead be revisited.
On the backup provider system, the administration said the program is underused and costly to administer relative to service spending, while LAO suggested the Legislature consider whether administrative costs could be reduced instead of eliminating it. County, labor, and consumer witnesses opposed the cut, saying the system is a critical emergency safety net even if utilization is low, especially for rural areas and people with complex needs. Members also asked about data quality, county backup systems, and whether consumers know the program exists. On the Medi-Cal/IHSS alignment proposal, the administration said automation would stop General Fund-only spending when recipients lose Medi-Cal and restore IHSS automatically when Medi-Cal is regained; LAO and others noted the proposal had been rejected before and urged better notices and safeguards. Witnesses warned that automatic termination could create gaps in care and unpaid work for providers, while the department said counties already manually terminate in some cases and that automation is ready if approved. No votes were taken in the excerpt, and the chair indicated the committee would continue with public comment and later items before a hard adjournment time.
MN
Minnesota 2025-2026 Regular Session
House Workforce, Labor, and Economic Development Finance and Policy Committee 3/12/26
Workforce, Labor, and Economic Development Finance and Policy
Transcript Highlights:
- So, um, looking into, you know, foundational um digital, uh AI, you know, computer literacy is going
- <00:46:46.000>
literacy <00:46:46.480>is uh AI you know computer literacy is uh AI - you know computer literacy is going<00:46:46.880>
to <00:46:47.040>be <00:46:47.200> - workforce that starts in the K-12 level, and we think there's a need to put, you know, foundational computer
- workforce that starts in the K-12 level, and we think there's a need to put, you know, foundational computer
NH
New Hampshire 2025 Regular Session
Joint Committee on Dedicated Funds (09/24/2025)
Transcript Highlights:
- . >> So this is simple training like how to use a computer system. >> Yeah. Some of it is basic.
- maintain up to $100,000 that stays within the fund. >> So this is simple training like how to use a computer
- maintain up to $100,000 that stays within the fund. >> So this is simple training like how to use a computer
- This is, in other words, White Farm. >> So this is simple training like how to use a computer system.
- it can be done quicker. >> Okay. >> I'm also dealing with the fact that I now have a Windows 11 computer
Summary:
The meeting began with approval of partial minutes, with members noting that DHS/HHS material was not yet included and that the minutes would be finalized later. The committee then heard from the General Court about several dedicated funds. Testimony explained the Joint Legislative Historical Fund, which receives a $25,000 annual general fund appropriation and transfers from visitor center sales above a $50,000 threshold, and is used for portrait maintenance, chamber work, Hall of Flags upkeep, and other historical preservation needs. Members also discussed the preservation of the Civil War flags in the Hall of Flags, with the General Court stating the flags are monitored through annual high-definition photos and that no immediate stabilization project is planned. A question about Union cemeteries was raised but the witness said he had no knowledge of federal funding for them.
The committee also reviewed the visitor center revolving fund and noted that the accounting presentation is confusing because transfers are netted out so the fund ends each year at $50,000. Members suggested the narrative should clearly identify the transfer amounts and actual revenue, and staff agreed to note that in future reporting. The General Court then described its special legislative account as a stability reserve for capital and emergency needs, citing past uses such as the plaza ADA renovation, the legislative parking garage, and moving operations to One Granite Place. Members asked about interest earnings and were told the account is held in the treasury and any interest goes to the general fund unless statute directs otherwise; no additional funding was recommended at this time.
The Department of Administrative Services then presented the law enforcement memorial fund, explaining it is a long-standing leftover construction fund with a small balance that has not been needed because the New Hampshire Law Enforcement Memorial Officers Association privately funds memorial upkeep and plaques. Members discussed whether the state should transfer the remaining money to the nonprofit, but no decision was made; the department said it would research whether such a transfer is legally possible. The department also reviewed the former land conservation endowment fund, now moving to Fish and Game under House Bill 2, and explained that it primarily covers administrative costs, management fees, and investment losses for a long-term conservation program. Members asked about the fund’s large balance and the increase in expenses, and were told the fund is intended to last indefinitely and that future reporting will shift to Fish and Game.
NH
New Hampshire 2025 Regular Session
Senate Energy and Natural Resources (04/22/2025)
Energy and Natural Resources
Transcript Highlights:
- doesn't mean that Microsoft has access to all of your documents if you run the word processor on your computer
- doesn't mean that Microsoft has access to all of your documents if you run the word processor on your computer
- doesn't mean that Microsoft has access to all of your documents if you run the word processor on your computer
- 00:35:21.359>
processor <00:35:21.680>on <00:35:21.839>your <00:35:22.079>computer - <00:35:22.560>
So The word processor on your computer. So this would be the same thing.
MN
Minnesota 2025 1st Special Session
House State Government Finance and Policy Committee 2/20/25
State Government Finance and Policy
Transcript Highlights:
- Security logging and monitoring is a process of looking at the events that happen within the computer
- Chair, and maybe it's the question for that—so you're talking about, like, computers and office furniture
- Representative Craft: So you're talking about, like, computers and office furniture, like that kind of
- shrink the footprint that is out there for attack and to do something as simple as logging off your computer
- He said that, when he speaks publicly, he logs off his computer, uses a complex password, and uses two-factor
Keywords:
sports facilities, Minnesota, legislative commission, financial oversight, accountability, HF1062, driver and vehicle systems oversight committee, MNLARS, VTRS, vehicle title and registration system, driver's license system, Minnesota Department of Public Safety, MN.IT, legislative oversight, transportation finance, state government, committee repeal, sunset provision, information technology audit, vehicle registration
AR
Transcript Highlights:
- technology purchases, because it's important to understand this isn't simply a $1,000 limit on a computer
- This includes computers, tablets, printers, headphones, webcams, and any other tech device.
- oldest daughter is a film and media production major at Harding University, and even an entry-level computer
- to have... ...but I needed to have, like, something credentialed saying that she had to have that computer
Summary:
The Administrative Rules Subcommittee reviewed a long agenda of agency rules, with most items approved without objection after brief presentations and no public comment. Early items included Department of Energy and Environment rules on landfill post-closure trust fund spending thresholds and liquefied petroleum gas standards, DFA’s electronic odometer disclosure rule, and several Department of Health rules covering ionizing radiation, mobile home and RV parks, lead-based paint, counseling board revisions, hearing instrument dispensers, athletic training, dental examiners, nursing, pharmacy, medical board, speech-language pathology and audiology, radiologic technology, massage therapy, community health workers, doula certification, and cosmetology/body art. Most of these changes were described as updates to match recent acts, federal standards, compact participation, fee adjustments, or cleanup/clarification, and the committee repeatedly approved them without objection.
A substantial portion of the meeting focused on the Arkansas State Board of Nursing’s broad set of rule changes implementing multiple 2025 acts. Those changes included creating a dialysis patient care technician registry, updating contact information requirements, expanding APRN authority to delegate certain tasks, clarifying death certificate and pronouncement authority, allowing substitution of therapeutically equivalent medications, permitting purchase of compounded products, and updating certified medication assistant rules and training standards. Members asked detailed questions about the meaning of therapeutically equivalent substitutions, delegation limits, compounded products, and how often medication lists would be updated; the board said it would review rules annually and use future rulemaking as needed. The committee also approved new nursing rules for declaratory orders and the new dialysis registry.
The Department of Education’s rules drew the most discussion, especially the Arkansas Children’s Educational Freedom Account Program. The department said the revisions, based on Act 920 of 2025, were intended to add guardrails, clarify eligible expenses, and streamline approvals. Changes included defining core educational expenses, limiting sports-related spending, adding an intentional misuse standard, restricting certain technology purchases and requiring extra justification over $1,000, capping carryover funds at $8,500, and creating a reconsideration process for denied expenses. Members raised concerns about oversight, appeal timelines, sports equipment, provider credentialing, and whether the rules were too restrictive; department officials said the rules were meant to protect taxpayer funds while preserving flexibility, and they noted the program had received extensive public comment. The committee also approved Education rules for scholarships, residency classification, teacher programs, accelerated learning, and graduate medical education, as well as Labor and Licensing rules on wage and hour standards, boiler rules, motor vehicle commission requirements, professional wrestling regulation, appraiser qualifications, and military recruiting incentives.
AR
Transcript Highlights:
- technology purchases, because it's important to understand this isn't simply a $1,000 limit on a computer
- This includes computers, tablets, printers, headphones, webcams, and any other tech device.
- oldest daughter is a film and media production major at Harding University, and even an entry-level computer
- And they said yes, but I needed to have something credentialed saying that she had to have that computer
MS
Mississippi 2026 Regular Session
MS House Floor - 18 March, 2026; 10:00 AM
Mississippi House Floor Meeting
Transcript Highlights:
- Didn't mean a whole lot, but they went a little crazy with their computer, but nonetheless didn't do
- :11:01.839>
their they went a little crazy with their they went a little crazy with their computer nonetheless <00:11:04.000>didn't <00:11:04.240>do <00:11:04.399>any computer- , but nonetheless didn't do any computer, but nonetheless didn't do any violence<00:11:04.959>
to<
Summary:
The House convened with prayer and the Pledge of Allegiance, then moved through routine organizational business, including confirming a quorum, dispensing with the journal reading, and introducing pages and several visiting groups. Recognitions included the Calhoun City High School Wildcats for winning the 2025 Class 1A state championship, the Florence High School girls soccer team for winning the Class 5A state championship, the Mississippi Children’s Museum, a Kosciusko-Attala business delegation, an empowerment group from Oxford, a pediatrician of the day, law enforcement leaders, and other guests. The chamber also adopted House Resolution 63 honoring the House softball team for winning the Battle of the Tombigbee.
The main floor action centered on concurrence or conference motions on several bills. The House concurred in HB 1404, HB 1546, HB 1577, HB 1265, HB 895, HB 1923, HB 1937, and HB 1940, with votes ranging from near-unanimous to 99-14 and 108-8; HB 895 was amended by unanimous consent to correct a line reference. Members explained that HB 1404 added knowingly/willfully/unlawfully language, HB 1546 shortened the human-trafficking expungement period from five years to three, HB 1577 adjusted false-claims reporting language, HB 1265 removed a repealer from the Debt Management Services Act bill, HB 895 restored 12-month card validity and a two-year caregiver license period for the cannabis bill, HB 1923 funded the Athletic Commission at $174,000, HB 1937 finalized the Library Commission budget, and HB 1940 was a large deficit/appropriations bill covering settlements, public safety headquarters construction, MIMA grants, court support, DHS software, health litigation expenses, and student aid.
The House also voted to invite conference on a number of bills, including HB 1390, HB 1651, HB 1649, HB 1653, HB 1654, HB 1752, HB 1648, HB 1934, HB 1935, HB 1936, HB 1938, HB 925, HB 1640, HB 1927, HB 1928, HB 1929, HB 1930, HB 1931, and HB 1924. During debate on HB 1940, members questioned the need for outside counsel and the size of legal and settlement costs, especially for Jackson water litigation; the sponsor said the Attorney General sometimes needs specialized outside attorneys. The bill ultimately passed concurrence, and the chamber continued with additional introductions and recognitions after the major votes.
AZ
Transcript Highlights:
- guardian that was implemented, and the guardian said, well, this is the right answer because it's a computer
- But the problem with any computer system is it's controlled by humans, right?
- With any computer system, it's controlled by humans. And with humans comes human error.
- So rather than an OCWI investigator being able to go directly to their computer and find information,
Summary:
The committee met for a presentation-only hearing on the Arizona Department of Child Safety, with no bills on the agenda. Chair Blackman opened by emphasizing that the hearing was intended to be data-focused and respectful, and that personal attacks or false accusations would not be tolerated. Director Catherine Patak then presented DCS data on hotline volume, investigations, reunifications, adoptions, guardianships, foster care entries and exits, kinship placement, congregate care, missing youth, and extended foster care. She said the department investigated more than 43,000 cases in 2025, kept the out-of-home care population relatively steady, and had reunified about 3,000 children with parents, while also noting that older youth and behavioral-health-driven removals are creating a mismatch with available foster homes. She also described kinship supports, foster parent recruitment, and the impact of Family First on funding, saying DCS lost federal drawdown for congregate care while waiting on approval for prevention programs.
Members questioned the director about kinship caregivers, behavioral health access, reunification services, parental rights terminations, notice and documentation practices, and the effect of increased reimbursement rates. Patak said unlicensed kin can receive support through the kinship supports contract, that behavioral health assessments are done quickly at the welcome center or within 24 hours for kin placements, and that provider capacity remains a major constraint outside DCS control. She explained reunification conditions and services, said the department is working on documentation and notice issues flagged by the Auditor General, and noted that kinship reimbursement increases have helped some families step forward. She also said DCS procurement for group homes is handled internally through an RFP process and that about 10% of kinship caregivers become licensed.
Representative Gillette then delivered a lengthy presentation arguing that the child welfare, Medicaid, and disability systems are structurally intertwined and that procurement and funding rules create incentives for volume and congregate care use. He criticized DCS, DES, and AHCCCS/Access oversight structures, argued that the system diffuses accountability, and said the committee’s work and related materials would be referred to special counsel. He also raised concerns about documentation, placement decisions, and the cost of congregate care, while asserting that the system over-relies on large providers and that reforms should focus on structural and financial incentives. Vice Chair Fink followed with a brief slide noting that congregate care costs far more per child than foster or kinship care, reinforcing the committee’s concern about placement costs and the need to shift children toward family-based care when possible.
NH
New Hampshire 2026 Regular Session
Health and Human Services Oversight Committee (02/20/2026)
Transcript Highlights:
- And you have no concept of how difficult it is to listen, find things on the computer, and access all
- find<01:12:31.199>
things <01:12:31.440>on <01:12:31.760>the <01:12:32.000>computer - ,<01:12:32.960>
access <01:12:33.440>all find things on the computer, access all find - things on the computer, access all of<01:12:33.920>
this <01:12:34.159>stuff <01:12:34.960
Summary:
The meeting opened without a quorum, so approval of the prior draft minutes was deferred until later. The committee then heard a DHS update from Commissioner Lori Weaver and COO David Weers, who described the recent flood at the Brown building and the relocation of nearly 400 DHS staff while operations are restored. They also outlined New Hampshire Care Connections, a privacy- and consent-focused closed-loop referral platform intended to improve referrals among providers, reduce duplication, and support continuity of care, with an Upper Valley implementation partnered with Dartmouth Health and an Epic integration already underway.
Members asked whether the system would merge medical records or simply track referrals. DHS said it is not intended to store or transmit full medical records, but to integrate with providers’ electronic health record systems so referrals can be sent, received, and tracked, with consent controls limiting what information can be shared. Officials said the project will be tested over the coming months, with metrics, governance, and advisory committee oversight, and that it is tied to broader rural health transformation efforts and statewide implementation after the regional pilot.
The committee also received the annual report from the Child Care Advisory Council. Maryanne Barter and Jessica Carver said the council worked with licensing to streamline the child care licensing rules, reducing the handbook by about 30%, and is now helping develop an informal dispute resolution process, revising the Granite Steps for Quality system, and creating a clearer handbook for providers handling state scholarship audits. They reported ongoing concern about child care closures and workforce shortages, said there is currently no wait list for child care assistance, and discussed questions about federal CCDF immunization requirements, which DHS said it would follow up on with federal technical assistance partners. After quorum was established, the committee moved to approve the minutes from the prior meeting.