Transcript Highlights:

• A little bit about our work group process.
• It contains health care claims data.
• care claims for dental services.
• It contains health care claims data.
• care claims for dental services, how it's made available.

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• Senate Bill 96, the Jacob Rogers local claims bill, is a local settled claims bill on behalf of the victim
• Senate Bill 96, the Jacob Rogers local claims bill, is a local settled claims bill on behalf of the victim
• Can you explain what happens if it's a contested claim?
• This is a settled claims bill for $4.1 million.
• This claims bill is in the amount of $2.2 million.

Summary: The committee first took up CS for Senate Bill 304, which would address child protective investigations involving children with certain pre-existing genetic or medical conditions. Senator Sharif said the bill is intended to prevent children from being wrongly removed from their families when symptoms of conditions such as Ehlers-Danlos syndrome, osteogenesis imperfecta, rickets, or vitamin deficiencies are mistaken for abuse. Several parents and advocates testified in support, describing long dependency cases and removals they said were caused by misdiagnosis. The committee adopted a substitute amendment that removed language requiring certain medical personnel to provide differential-diagnosis analysis, and the bill then passed favorably with unanimous support. The committee then heard SB 1430 on post-judgment execution proceedings relating to terrorism, sponsored by Senator Collins, who described the long effort by U.S. victims of the FARC to enforce a federal judgment and recover assets. The bill would clarify procedures for terrorism-related judgments, modernize intangible asset law, and help prevent terrorists from hiding assets or blocking wire transfers. After one supportive appearance form and no debate, the bill passed favorably. The committee also approved SB 96, a local claims bill for Jacob Rogers, and SB 382, an affordable housing rent bill that was amended to define base rent and apply to certain shorter-term rental agreements entered after July 1, 2026; SB 382 drew support from housing advocates and some opposition, but passed unanimously. Several claims bills were also approved: SB 4 for Patricia Armini, SB 6 for Jose Correa, SB 28 for Darlene Engerville and J.R., SB 30 for the estate of M.N., and SB 24 for Mandy Penny Lemon, each involving injuries or damages caused by local government or hospital district negligence and each reported favorably after brief testimony and roll calls. The committee also passed SB 658 on waiver or release of liens after discussion about form language and enforceability. SB 72, which would allow campaign funds to pay certain child care expenses incurred while a candidate is actively campaigning, prompted questions about definitions and safeguards; the sponsor said the bill would require the expense to exist only because of campaign activity, and the bill was reported favorably. Finally, the committee approved SB 1142 on release of conservation easements, which would create a statewide process for releasing certain small, low-value parcels from conservation easements if mitigation credits are secured elsewhere. The bill drew support from the sponsor and a property representative, but environmental advocates and President Passidomo raised concerns about flood control, wildlife corridors, and whether the bill was too property-specific; the sponsor said he would continue working on the language. The committee also heard extensive testimony on SB 1622, which would repeal the 2018 customary use law and restore local authority over public beach access. Supporters argued the current law has privatized beaches, hurt tourism, and led to harassment and conflict, while opponents defended private property rights and warned against taking away owners’ ability to exclude others. The transcript ends during testimony on SB 1622, before a final vote is shown.

Transcript Highlights:

• That protects the integrity of this very, very important process.
• And I think it would be great for them to be in that process, to see the political process in action
• They often claim the second-largest fortress capital.
• Very well may be a legitimate claim.
• This is a settled claim bill for $2.3 million.

Summary: The Committee on Rules met and first approved several open-government sunset repeal bills and related measures. SB 7024 and SB 7026, both sponsored by Senator Mayfield, were explained as consolidating and extending public records/public meetings exemptions for cybersecurity information and trade secrets held by agencies; both were reported favorably. SB 7020, sponsored by Senator Trumbull, reenacted an aquaculture records exemption for records held by the Department of Agriculture and Consumer Services and was also reported favorably. Later, the committee approved SB 14 and SB 24, claims bills for relief involving Miami-Dade County, and SB 16, a claims bill for Heriberto Sanchez Mayan against the City of St. Petersburg; all were reported favorably without opposition. The committee also approved CS for SB 806, a consumer right-to-repair bill creating portable wireless device and agricultural equipment repair acts, despite opposition from several industry groups, and reported it favorably.

Transcript Highlights:

• need to be paid through the claims bill in order to accomplish it.
• This is a claims bill. 2025, I believe. This is a claims bill.
• claims bill in order to accomplish it. claims bill in order to accomplish it.
• certain claims that were in the claims certain claims that were in the claims bill,<00:50:05.040
• About 61 of those 91 claims.

Keywords: An issue was found with the live stream of this meeting. This version was uploaded as a complete version and should contain the entirety of the meeting. Meeting Start 00:00:00 Roll Call 00:00:15 HB 647 Discussion 00:02:00 HB 647 Vote 00:05:47 HB 501 Discussion 00:07:40 HB 501 Vote 00:09:53 HB 502 Discussion 00:11:20 HB 502 Vote 00:14:48 HJR 75 Discussion 00:16:53 HJR 75 Vote 00:17:35 HJR 76 Discussion 00:19:00 HJR 76 Vote 00:19:43 HB 869 Discussion 00:21:22 HB 869 Vote 00:30:00 HB 619 Discussion 00:31:39 HB 619 Vote 00:34:33 HB 356 Discussion 00:36:22 HB 356 Vote 00:40:19 HB 900 Discussion 00:43:17 HB 900 Vote 00:46:21 HB 816 Discussion 00:48:02 HB 816 Vote 00:53:47 HB 9 Discussion 00:55:05 HB 9 Vote 01:18:25 HB 757 Discussion 01:21:04 HB 757 Vote 01:35:55, 958, all

Transcript Highlights:

• Tackett, your audio is in the process of connecting.
• Tackett, your audio is in the process of connecting.
• Here in Texas, where we claim to be strong and independent.
• I mean, should I mention that this process is rushed?
• So this process feels rushed, closed, and unfair.

Keywords: 1185, senate, all

Transcript Highlights:

• So with the online process, where is that part of the process take place? If you're filling out...
• and it would go through that process.
• Well, that's the civil process in Louisiana.
• Please tell me he didn't file a claim on them. No, I didn't file a claim.
• No, I didn't file a claim.

Bills: HR245, SCR30, SCR40, SB259

Keywords: transparency, justice, Epstein, Maxwell, investigation, human trafficking, government accountability, domestic violence, protective orders, online application, judicial administration, Louisiana, 965, house, all

Transcript Highlights:

• We got back $3.2 million in claims on the spot, either initial claims or full claim payments right there
• We got back $3.2 million in claims on the spot, either initial claims or full claim payments right there
• The Commission is the entry point into the administrative and civil process for those claims.
• The Commission is the entry point into the administrative and civil process for those claims.
• The Commission is the entry point into the administrative and civil process for those claims.

Summary: The State Administration Budget Subcommittee met for an introductory overview of the agencies under its jurisdiction and their current-year budgets. Chair Vicki Lopez welcomed members and staff, and each member briefly introduced themselves and identified areas of interest, with recurring themes including fiscal restraint, insurance regulation, revenue administration, condominium issues, and government efficiency. The chair then outlined the subcommittee’s overall budget, about $3.1 billion, and noted major recent policy areas affecting the budget such as condominium legislation and emergency communications funding. Agency heads then presented high-level summaries of their missions and budgets. The Department of Revenue described property tax oversight, tax administration, and child support enforcement; the Department of Management Services reviewed state purchasing, telecommunications, fleet, state insurance, retirement, and digital services; DBPR highlighted licensing, enforcement, condominiums, and building code work; DFS covered insurance consumer services, risk management, unclaimed property, fire marshal functions, and criminal investigations; the Gaming Control Commission discussed pari-mutuel and tribal gaming oversight and enforcement; OIR explained insurer solvency and rate review; the Lottery emphasized education funding and record sales; OFR described regulation of banking, securities, lending, and money services; DOAH outlined administrative and workers’ compensation adjudication; PSC covered utility rate regulation and consumer complaints; PERC described labor relations and career service appeals; and FCHR summarized discrimination complaint investigations and outreach. Several members asked questions about utility returns, insurance regulation staffing, DMS’s state employee health plan deficit and prescription drug formulary management, agency recommendations for reducing regulatory burden, and state facilities usage. Responses generally emphasized that utility rates and insurer filings are determined through evidentiary and actuarial processes, that OIR has reduced vacancies but still seeks specialized staff and a Tampa office expansion, and that DMS acknowledged rising health plan costs and said the issue likely requires broader budget-level discussion. The chair also pressed multiple presenters to stay focused on agency operations and budgets rather than broader policy issues. No votes or formal actions were taken in the meeting.

Transcript Highlights:

• With that, uh, legislative process.
• the impending claims bill as well. the impending claims bill as well.
• subcommittee on on claims. subcommittee on on claims.
• Uh so the claims subcommittee uh is purpose is to oversee any tort claims against the state.
• be smaller property claims. be smaller property claims.

Transcript Highlights:

• process.
• <00:02:48.000> process.
• <00:02:49.200> What<00:02:49.519> should<00:02:49.680> be during the claim process
• What should be during the claim process.
• <00:15:36.800> I insurance claims handling. I insurance claims handling.

Keywords: 1187, senate, all

Transcript Highlights:

• new claims. new claims.
• <00:17:49.280> that working on um getting any claims that working on um getting any claims
• <00:29:44.240> of 12 are still in the process of 12 are still in the process of remediation
• We're documenting a monthly process.
• <00:33:38.080> that there is something in the process that there is something in the process

Keywords: 1189, house, all

Summary: The Joint Fiscal Committee met on March 20, 2026, approved the minutes, and adopted the consent calendar after removing two items for separate discussion: FIS 26048 from the Department of Safety and FIS 26053 from the Department of Environmental Services. The committee then adopted both of those items after brief questioning. Safety explained that a $2 million transfer would reduce its lapse, though it still expected a lapse of just under $4 million. Members, especially Senator Gray, emphasized concern about lapses and the need to track them closely given prior-year shortfalls. On the Environmental Services item, members discussed the Heavy Falls dam removal. The commissioner said the dam is old, not grounded in bedrock, and does not meet current safety standards, so removal was the practical option because replacement funding was unavailable. He said the aquatic resource mitigation fund and Army Corps of Engineers support made the removal feasible, and that the town had been involved in discussions for years. The committee adopted the item. The committee also adopted a Department of Transportation item, with staff noting high snowfall and a roughly 25% vacancy rate but saying contractors and bonus incentives had allowed plowing operations to continue. A Judicial Council item was then adopted, with the director saying it would likely be his last appearance this fiscal year. The committee next reviewed information materials on YDC claims administration, where DOJ staff said current spending would leave about a $10 million buffer into the next fiscal year and described reduced staffing and ongoing claims work; no action was taken. The committee then heard audit presentations for the Liquor Commission and Lottery Commission. The Liquor Commission audit reported seven findings, including a material weakness on reconciliations, issues with NextGen data/reporting, gift and promotional card controls, procurement and leasing practices, and one nonconcurrence on whether certain purchases were exempt from bidding requirements; members discussed whether attorney general review or legislation might be needed. The commission said it had completed a year-end reconciliation and was about 70% reconciled through February. The Lottery Commission audit reported three internal control comments, all concurred with by the lottery, focused on written procedures, filling the controller position, annual risk assessments, disaster recovery testing, user access controls, and training compliance; the lottery said it was hiring to reduce reliance on one employee and had no unresolved findings. The committee took no vote on the audit materials and adjourned after setting the next meeting for April 17 at 11:00 a.m.

Transcript Highlights:

• Mister Chair Senate Bill 96, the Jacob Rogers local claims Bill, it is a local settled claims Bill on
• when the Legislature approves the claims bill.
• Can you explain what what happens if it's a contested claim?
• This claims bill in the amount of 2.2 million dollars.
• It just sets up a judicial process.

Keywords: 999, senate, all

Transcript Highlights:

• is foreclosing, have a process to make a claim.
• a process for the sheriff to initiate a court proceeding. claim so they have to make a claim to claim
• entitled to the money there's a process entitled to the money there's a process for<00:07:30.479
• completely stop the foreclosure process completely stop the foreclosure process or<00:09:03.120>
• > lenders<00:12:16.560> can a more fair process so that lenders can a more fair process

Bills: HF1027, HF101, HF1021

Keywords: mortgage foreclosure, redemption, foreclosure surplus, sheriff's sale, junior lienholder, mortgagor, homeowner protections, loss mitigation, dual tracking, foreclosure redemption period, certificate of redemption, certificate of sale, sheriff, county recorder, registrar of titles, homeownership center, lien priority, real property, foreclosure by advertisement, surplus funds

Transcript Highlights:

• through to all the way to that process through to all the way to that process without<00:16:02.880
• that claims makes any claims,<00:16:06.240> the<00:16:06.399> treasur<00:16:06.720>
• of the bank and point the the process of the bank and the<00:18:04.720> process<00:18:05.039>
• ,<00:26:32.480> I while we should address the process, I while we should address the process
• One for existing different processes.

Keywords: Business and Financial Institutions - Room 409, 2 February, 2026; 2:00 P.M., 925, all

Summary: The committee first took up Senate Bill 2725, which would shorten the required hold period for pawn brokers on precious metal coins and bullion from 21 days to 3 days, change fingerprinting renewal from annually to every three years to match FBI requirements, and make a technical address update. The sponsor and a Mississippi Pawn Brokers Association representative said the change was needed because gold and silver prices are volatile and pawn brokers are disadvantaged compared with jewelry stores. After questions about whether the bill affected pawn loans, the committee adopted a do pass motion and passed the committee substitute. Next, Senate Bill 2530 on perpetual care cemeteries would raise the trust-fund threshold from $50,000 to $75,000 and allow longer-term CDs so cemetery funds can earn more interest. Members discussed Secretary of State oversight, annual reporting, and the fact that only interest, not principal, may be used for cemetery care. The committee then moved the bill out with a title sufficient do pass recommendation. The committee also considered Senate Bill 2712, which would allow small lenders to charge up to a $10 fee for insurance in lieu of filing a UCC on certain collateralized loans. It was described as a way to reduce costs and follow guidance from the Department of Banking and Consumer Finance, and it was passed out on a do pass motion. Senate Bill 2714, a major unclaimed property bill, drew extended discussion about creating a legal process for abandoned safe deposit boxes: banks would inventory contents with a notary and two officers, notify owners and heirs, transfer contents to the Treasurer after notice periods, and allow the Treasurer to auction items while preserving proceeds for claimants. Members raised concerns about notice methods, privacy, wills and other documents, and whether first-class mail should be changed to registered mail; the committee adopted a conceptual amendment to use registered mail and added a reverse repealer, then passed the bill out. Finally, Senate Bill 2732 was introduced to combat identity theft by allowing a child’s credit to be frozen at birth through a form provided with the birth certificate. The sponsor said the bill is aimed at protecting minors from fraud and noted that credit freezes and unfreezes are free. The discussion was brief, and the bill was presented as a consumer protection measure for children.

Transcript Highlights:

• It was a meaty process, but we're proud to carve out a It was a meaty process, but we're proud to carve
• This is information based on insurance claims. Insurance claims database. We're familiar with that.
• Other than that, the parents could bring that wrongful death claim, not unlike a wrongful death claim
• Other than that, the parents could bring that wrongful death claim, not unlike a wrongful death claim
• Once the claim is brought, the court has jurisdiction over the claims.

Summary: The Senate began with a quorum call, prayer, approval of the previous journal, and messages from the House, then moved through several recognitions and resolutions honoring visiting groups. Members adopted resolutions recognizing the Texas chapters of Blue Star Mothers of America, Fine Arts Education Day, Donate Life Texas Day, Baha’i Capitol Day, County Government Day, Jack County Day, Crockett County Day, and a recognition of Navy Petty Officer Simon Urbanik for service during the Cuban Missile Crisis. The chamber also heard remarks from visiting doctors, students, county officials, and community groups, with multiple senators speaking in support of military families, arts education, organ donation, and local government service. The Senate then took up Committee Substitute Senate Bill 2779, relating to the allocation and use of certain hotel occupancy tax revenues. Senator Birdwell said the bill would stop local governments from conditioning HOT funds on race- or class-based priorities and would require Galveston to transfer the full state rebate for beach cleaning and maintenance to its park board. After questions, the Senate suspended the rules, passed the bill to engrossment, suspended the three-day rule, and finally passed it, though the final vote showed significant opposition. The chamber also passed Committee Substitute Senate Bill 2322, described as a cleanup bill removing the compelling-factor test for dispatchable generation from the Texas Jobs, Energy, Technology, and Innovation Act. A major debate centered on Committee Substitute Senate Bill 2253, which would phase out uncertified teachers in core classrooms and strengthen educator certification requirements. Senator Creighton argued the bill responds to a teacher pipeline crisis, adds parent notification, creates multiple preparation pathways, and provides financial incentives for certification; Senator West and Senator Sparks pressed for rural flexibility and implementation details. An amendment from Senator Gutierrez to add a teacher student-loan repayment program failed on a 11-17 vote, while other technical and fiscal amendments were adopted. The bill then passed to engrossment, the three-day rule was suspended, and it was finally passed. The Senate also passed Committee Substitute Senate Bill 2371, updating skimmer-reporting rules to cover electronic terminals beyond fuel pumps, and Committee Substitute Senate Bill 2351, relating to the construction of certain concrete plants under a standard permit. Senate Bill 619, a conscience-protection bill for health care workers, drew extended questioning from Senators Cook, Eckhardt, and Menendez about patient abandonment, scope, and whether it could allow refusals of legal services such as vaccines, antibiotics, contraception, or personal care; despite those concerns, the Senate suspended the rules and passed the bill to engrossment. Finally, the chamber began consideration of Committee Substitute Senate Bill 1169, which would allow public entities to form public utility agencies to cooperate on water and wastewater projects without eminent domain or cross-collateralization, with Senator Hinojosa explaining it as a tool for small and rural communities facing utility infrastructure problems.

Transcript Highlights:

• Second, claim costs have gone up.
• it would be a hybrid process.
• Our actual loss, the claims payout. Our actual loss, the claims payout, for 2025 was $8.7 billion.
• And it's a competitive bidding process, or what's that process look like? It was.
• There should be a scoring process.

Keywords: 1185, senate, all

Transcript Highlights:

• The money passes through health plans because we're the ones processing the medical claims.
• The money passes through health plans because we're the ones processing the medical claims.
• The money passes through health plans because we're the ones processing the medical claims.
• The money passes through health plans because we're the ones processing the medical claims.
• The money passes through health plans because we're the ones processing the medical claims.

Keywords: 1183, house

Transcript Highlights:

• Senate Bill 284— Senate Bill 2084 limits the amount paid by an institution for a wrongful termination claim
• Senate Bill 1224 amends the notification process to victims by the Pardon and Parole Board.

Bills: SB137, SB504, SB1213, SB1216, SB1221, SB1224, SB1232, SB1238, SB1255, SB1256, SB1258, SB1264, SB1266, SB1325, SB1441, SB1448, SB1450, SB1460, SB1496, SB1543, SB1589, SB1597, SB1621, SB1655, SB1679, SB1687, SB1716, SB1730, SB1733, SB1769, SB1921, SB1932, SB1936, SB1980, SB2011, SB2030, SB2084, SB2112, SB2170, SB2182

Keywords: electronic monitoring, Department of Corrections, criminal justice, rehabilitation, public safety, SB1213, earned credits, inmate credits, good time, sentence reduction, DOC, prison reform, corrections policy, inmate classification, class levels, rehabilitation credits, achievement credits, vocational training, educational credits, prison programs

Transcript Highlights:

• And it is through that process of opening doors, and it is through that process of mentorship, and it
• mentor and a coach in that process, but I know that he probably had influence over those selection processes
• again through this committee process, Mr.
• outlay process does require waivers as a process for that.
• Speaker, gentlemen, the reauthorization process right now, The reauthorization process right now doesn't

Bills: HB111, HJR1, HB61, HB8, HB30, HB43, HB156, HJM2, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM11, HM14, HM21, HM34, HM50, HB70, SB3, HJM3

Keywords: water law, state engineer, civil penalty, compliance order, water rights, overdiversion, illegal diversion, groundwater storage and recovery, well license, permit violation, water enforcement, New Mexico water code, irrigation district, conservancy district, water diversion, unauthorized water sales, measuring device, district court appeal, water resources, water compliance

Transcript Highlights:

• Similarly, CHIS is based on claims data. One diagnosis often has many multiple claims.
• Similarly, CHIS is based on claims data. One diagnosis often has many multiple claims.
• there's a 90-day lag for us to have a complete claims history.
• We examined the claims of services delivered for these women.
• <00:47:13.440> of cohort uh we uh examined the claims of cohort uh we uh examined the claims

Keywords: 928, house, all

Summary: The Health and Human Services Oversight Committee met on February 2 and first approved the draft minutes from the prior meeting, with minor corrections to the meeting date and attendance notation. DHHS Associate Commissioner Patricia Tilly then gave a department update, describing the current uncertainty around federal priorities and funding, and provided two substantive reports: progress on the new Hampstead Youth Development Center and an update on the department’s review of an ALS registry proposal. She said the YDC project is underway with tree clearing, fencing, stormwater and site-prep work, and remains on track for completion by June 30, 2026 and operation by August 30, 2026. The center currently has 12 youth, and the new design is intended to provide flexibility for fluctuating census levels. On ALS, Tilly explained that HB 576 had prompted the department to examine whether a registry could be built, but the estimated cost of a HIPAA-compliant system was about $750,000. She said DHHS is reviewing whether existing data sources, such as hospital discharge data and CHIS claims data, could provide useful information, but noted both are incomplete for registry purposes. Committee members discussed whether the Rare Disease Advisory Council, Dartmouth, or existing cancer registry infrastructure could help reduce costs. DHHS said it is neutral and willing to continue exploring alternatives, while members emphasized the value of a registry and the need to consider shared infrastructure and funding. The committee also heard from Jenny Horan of the Alzheimer’s Association, who presented the subcommittee’s report on Alzheimer’s disease and related dementias. She said the subcommittee spent the past year gathering information on dementia care, abuse and exploitation issues, caregiver strain, and available services, and is now moving into a second phase focused on identifying gaps and developing a state plan. Members asked about geriatric psychiatric capacity and long-term care availability; Horan said the state has limited capacity and that the plan will help clarify where needs are greatest. She offered to return for follow-up questions at a later meeting. Finally, Olivia May of DHHS presented the quarterly report on the 12-month postpartum Medicaid coverage extension. She said New Hampshire implemented the extension after federal and state action, and the first claims data are still emerging because of reporting lags. In the initial cohort studied, 95% received some medical services during the extended period, 52.4% received mental health or substance use disorder treatment, 26.7% received preventive visits, and 3.2% received heart or hypertension services. Members asked about return on investment and whether higher federal matching rates are being used appropriately; DHHS said it claims the highest possible match based on eligibility group and will return with more data over time. The committee then heard the annual therapeutic cannabis program report from Michael Holt, who said the program had 1,475 registered patients as of June 30, 2024 and that growth has slowed, with New Hampshire having the lowest per-capita medical cannabis enrollment nationally.

Transcript Highlights:

• by which we process data.
• We're also focused on improving business processes as well.
• We've got to process it to approve it.
• The reemployment assistance eligibility determination process is a multi-step and very complex process
• We have, we say on average about four to six weeks to process a reemployment assistance claim, provided

Summary: The subcommittee heard updates on several state technology modernization efforts, beginning with the Florida Division of Emergency Management’s Enterprise Business Solution (DEMS). FDEM said DEMS is about 50% complete, with some grants and finance functions already live, and is intended to replace manual disaster and grants processing with a cloud-based system. Officials described faster reimbursement timelines after recent storms, major return-on-investment claims, and a planned final phase focused on design, testing, communications, data governance, and additional functionality. Members asked about the total cost, the role of Florida Digital Service, deliverables-based contracting, and how much of the system is live; FDEM said the project is expected to cost about $16 million to $16.8 million and finish by June 2027, with some follow-up information to be provided. The Department of Legal Affairs presented its Office of Attorney General Modernization Program, a follow-up to an earlier effort that failed after spending about $26 million. Acting Attorney General John Gard said the department has now moved to an off-the-shelf case management product, LawBase, and is in development and testing, with the Office of Statewide Prosecution already live and full implementation expected by the end of the fiscal year. The request includes funding for staff augmentation, cloud storage, the LawBase license, redundancy through a backup site in Orlando, and OnBase support. Members questioned the prior failure, the use of Florida Digital Service standards, data location and cloud migration, and the redundancy plan; Gard said lessons learned included better scoping and that the current effort is on track. The Department of Highway Safety and Motor Vehicles then updated the committee on Motorist Modernization, including the Orion system and the MyDMV portal. Officials said Phase 1 and Phase 2 have modernized driver license and motor vehicle services, with Phase 2 statewide rollout scheduled to begin in April 2025 and Phase 3 proposed at $16.5 million for dealer services, data warehouse improvements, and call center modernization. Members asked about payment options, organ donor questions, staffing, cybersecurity, cloud strategy, and the digital driver license program. The agency said the portal already allows some sanctions to be cleared online, an ACH option is being developed, the digital driver license vendor has changed with a fall go-live anticipated, and the department is using security testing and a managed security service provider. Officials also said the system is currently on an on-prem private cloud, with future workloads expected to move to public cloud where appropriate. Finally, Florida Commerce presented on the Reemployment Assistance modernization system, Reconnect, and the FLWINS workforce system. Commerce said Reconnect is hosted in the Azure Government Cloud, has reduced claim filing time, improved fraud detection, and increased appeals capacity, and now needs $4.9 million in recurring funding to cover ongoing operations, cloud hosting, licenses, and staff augmentation. Members asked about adjudication issues, wait times, fraud prevention, and whether the system stores caller identifiers; Commerce said the average wait to speak to a representative is about 18 minutes and claims are generally processed in four to six weeks. The committee then began hearing about FLWINS, which is intended to create a “no wrong door” workforce portal under the REACH Act, but the transcript cuts off before that presentation concluded.