Transcript Highlights:

• Biopsychosocial assessments and, additionally, peer assessments of needs to establish not only the level
• makers the information they need. makers the information they need.
• Biocschosocial<00:14:59.120> assessments Biocschosocial assessments Biocschosocial assessments
• additionally peer assessments and additionally peer assessments of<00:15:04.079> needs<00:15:
• We really need both.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.

Transcript Highlights:

• We'll move forward to an assessment of city transportation needs, the 2025 update.
• This is an update, the 2025 update, to an assessment of city transportation funding needs that was done
• There's a concurrent study, and we have spoken with the folks who are working on that study.
• So a lot of what the study is about is a governance study, and we've hired CPCS as consultants to help
• and assessing the feasibility.

Keywords: 904, all

Transcript Highlights:

• You need the height, 400 feet; you need the density, otherwise known as the floor area ratio.
• that need to be done.
• 00:51:33.160> done<00:51:33.760> this<00:51:33.920> area studies that need to be
• done this area studies that need to be done this area is<00:51:34.280> in<00:51:34.400> the
• I don't need to send a response.

Keywords: 912, senate, all

Summary: The joint hearing of the Water and Land, Hawaiian Affairs, and Housing committees on January 29, 2025 focused on SB 534, with the chairs outlining hearing procedures, public testimony limits, and plans to allow extended presentations from the Office of Hawaiian Affairs (OHA) and the Hawaii Community Development Authority (HCDA) before moving to other testifiers. The hearing was presented as a public, transparent discussion of OHA’s plans for Kakaʻako Makai, with committee members noting that decision-making would follow if time permitted. OHA testified in strong support of SB 534. The chair of OHA’s Board of Trustees said the bill was a novel proposal for the legislature and emphasized that OHA was bringing together a broad coalition of partners and stakeholders, including representatives from construction, hospitality, education, law enforcement, civil service, and schools, as well as longtime community advocates who have opposed development in Kakaʻako Makai. OHA’s presentation reviewed the history of the area, the creation and role of HCDA, prior master plans, the 2012 land conveyance to OHA, and the argument that OHA has not been able to realize the full economic value of the lands because desired entitlements were not secured. OHA linked the bill to its constitutional mission to improve conditions for Native Hawaiians and argued that the state’s housing crisis makes additional development, including residential use, especially important. A major theme of the testimony was housing. OHA argued that Hawaiʻi faces severe affordability pressures, out-migration, and workforce shortages, and said that residential development in Kakaʻako Makai would help address those needs while also supporting the value of the trust lands. The presentation described HCDA’s authority over zoning and development in Kakaʻako, the existing reserved housing requirements, and the need for a master plan that could move forward if SB 534 becomes law. No votes or final committee action were taken in the portion of the hearing provided; the discussion remained in the presentation and testimony phase.

Transcript Highlights:

• the kindergarten entry assessment.
• and demand study for the new location.
• No statement needed.
• issues, if we just need further conversation.
• We need data.

Transcript Highlights:

• There's thousands of studies. We need no more studies. There's thousands of them.
• There's thousands of studies. We need no more studies. There's thousands of them.
• There's thousands of studies. We need no more studies. There's thousands of them.
• We need our farmers. We need our pollinators.
• that come up that need some type of<04:42:17.040> environmental<04:42:17.840> study.

Keywords: 1189, house, all

Transcript Highlights:

• HERE'S WHAT YOU NEED TO DO.
• I THOUGHT THAT WOULD BE IMPORTANT TO ASSESS THAT.
• THERE NEEDS TO BE AN AUDIT OF THE BOARD.
• SO WHAT DO YOU NEED FOR PEOPLE TO TAKE THIS SERIOUSLY?
• AND DV PR NEEDS TO BE IN THE LOOP.

Keywords: 999, senate, all

Transcript Highlights:

• Like there's a couple of NAEP studies that looked at a crosswalk between NAEP performance and state assessment
• Also needs to be addressed.
• Do you need more time than that? She needs more time than that?
• or not needed, right?
• Where the funds are needed or not needed, right?

Summary: The committee met with a quorum, approved the March 4, 2026 minutes, and received a lengthy Department of Public Instruction presentation from Stanley Schauer Jr. on North Dakota student performance data in math and ELA, with comparisons between students with disabilities and students without disabilities. Schauer explained the assessment systems used, the 1% alternate assessment cap for students with the most significant cognitive disabilities, the absence of 2019-20 data due to the pandemic, and how state standards are set by North Dakota educators. Members asked about cohort trends, the role of alternate assessments, grade-level patterns, and whether the state should focus more on reducing the novice category than on moving students from approaching to proficient. Schauer also discussed the new NDA Plus assessment, the state’s planned growth model, and the possibility of future breakdowns by disability category or by schools using science-of-math approaches. Special education educators testified that students with disabilities continued to receive services during COVID because of FAPE obligations, which likely helped limit learning loss, and emphasized that IEP teams focus on individual growth rather than only proficiency buckets. Committee members then shifted to special education funding and possible funding models. Brandon Bombach of Grand Forks Public Schools presented on the state aid formula, focusing on the special education weighting factor and arguing that the current formula does not adequately respond to growing student needs because it counts enrollment but does not adjust when the number of students with IEPs rises. He used examples to show that a district can have the same enrollment and receive the same weighting even if the number of students needing services increases. Members discussed whether the formula should be tied more closely to actual need and accountability, and the chair indicated that the committee would continue gathering data and ideas for a later meeting.

Transcript Highlights:

• time in which a level of care assessment time in which a level of care assessment for<00:27:29.919
• to and that DHS functions that it needs to and that DHS needs<00:45:16.319> to<00:45:16.880><
• Counties oppose counties to fill needs.
• c><01:11:09.920> setting<01:11:10.640> so assessed need not on living setting so assessed
• I think that needs more debate and discussion.

Keywords: 1187, senate, all

Transcript Highlights:

• They need to spend it, otherwise we need to return it."
• They need to spend it, otherwise we need to return it."
• They need to spend it, otherwise we need to return it."
• They need to spend it, otherwise we need to return it."
• They need to spend it, otherwise we need to return it."

Keywords: 1191, senate, all

Transcript Highlights:

• We do need to find a solution for climate change. We do need to find resiliency.
• I need to, again, I need to tap in. I need to do something more in order to gain access to that.
• , long-term student mental health needs, higher-acuity needs, ...to focus on higher-level needs, long-term
• student mental health needs, higher-acuity needs in students.
• We need more generation, we need generation all of the above, but we absolutely need generation such

Keywords: 1146, all

Transcript Highlights:

• They are one-year recidivism studies that focus on those core need areas.
• What this really shows is that those who are identified with a need through that actuarial assessment
• What this really shows is that those who are identified with a need through that actuarial assessment
• We do assess if you need a vocation, so just coming to our system does not mean you actually have a criminogenic
• So that is, you know, we're constantly assessing the needs.

Keywords: 995, all

Summary: The commission approved the July 11 minutes and then received a detailed follow-up presentation from the Department of Correction on facility footprint, mission-driven housing, programming, and technology. Commissioner Jenkins and Deputy Commissioner Peterson explained recent and planned facility changes, including the closures of Walpole, MCI Cedar Junction, and MCI Concord, the transition of the Plymouth Section 35/Mass Act program to Health and Human Services, the return of Bay State to DOC control for possible future use, and the Shattuck Hospital move to East Newton Pavilion. Members asked about operational capacity, the exclusion of support beds from occupancy figures, and the status of mothballed or unused facilities. Framingham drew particular attention because of its historically low women’s population and planned renovations; members raised concerns about the cost and the need to consider the broader women’s correctional system. A major portion of the meeting focused on mission-driven units and evidence-based programming. DOC described specialized units for health services, nursing care, clinical stabilization, mental health, residential treatment, protective custody, reentry, emerging adults, education, and substance use recovery, and noted that security threat group support beds are not used. Staff explained the distinction between general population beds and support beds, and between programming and treatment. They said core recidivism-reduction programs are based on risk-need responsivity and COMPAS assessments, with Spectrum Health Systems as the current vendor, and presented recidivism data showing lower reoffending among participants who completed programs such as violence reduction, criminal thinking, and the Correctional Recovery Academy. For women, they highlighted the pathways model at MCI Framingham, which combines trauma-informed, gender-responsive services, and reported strong outcomes for those engaged for at least 26 weeks. Members asked about how needs are identified and counted, how declinations are handled, and how the department distinguishes completion from ongoing maintenance. DOC said participation is voluntary, individuals are re-recommended over time, and completion is recorded in the system when criteria are met. They also discussed educational supports for learning disabilities and trauma, including IEP/504 coordination, tutoring, and a new school psychologist for testing. Questions were raised about family reunification programming, and DOC pointed to family-focused services, mediation, Read to Me Mommy, and the Brave unit for young fathers. Sheriff Cabral and Sheriff Cochie praised the presentation and emphasized the importance of family reunification and the realities of trauma in incarcerated people’s lives. The final section highlighted the expanded use of tablets across all facilities. DOC said tablets now support free phone calls, emails, video visits, surveys, educational content, medical updates, sick-call requests, and an earned-good-time app, while also helping with communication during facility closures and with ongoing programming. Staff said the tablets are used both for learning and recreation, and that more than half of the incarcerated population uses them monthly for educational purposes. Members discussed whether user feedback or “reviews” of programs could help increase participation, and DOC said tablet-based surveys make that possible. The meeting ended with general agreement that the department has expanded programming and technology substantially and is using them to support reentry, communication, and facility operations.

Transcript Highlights:

• I don’t want to criticize Hovart’s work; I want to suggest that we need to be careful about some studies
• So, based on assessments, what skills she needed to... ...be working on.
• And so studying those pieces, what do we need to effectively teach our students?
• What does the district need? How many personnel do we... district need?
• Needed for FTEEs.

Keywords: 916, all

Transcript Highlights:

• Senators, we are admittedly an industry in need of your help on many levels.
• We need to maintain a market for these growers.
• We need to maintain a market for these growers.
• Those were not part of our study.
• We don't need the salary for the conservation technician.

Summary: The Senate Committee on Agriculture heard an update on the Florida citrus industry from Matt Joyner of Florida Citrus Mutual and Shannon Shepp of the Department of Citrus. Both described the industry’s steep decline over the past two decades due to citrus greening (HLB), hurricanes, freezes, and aging groves, but emphasized ongoing recovery efforts through research, replanting, and new therapies. They highlighted promising tools such as plant growth regulators, protective screens and covers, direct oxytetracycline application, CRISPR-based breeding, and the CRAFT program, which has expanded to more than 10,000 acres of solid-set plantings and over 20,000 acres including resets. Members discussed disaster relief, property tax pressures, grower participation, and the need for assessment relief and other state support. No votes were taken on the citrus presentation. Shepp also outlined the Department of Citrus’s marketing and research role, noting strong consumer demand for Florida orange juice, global advertising efforts, and clinical research tied to health messaging. She said the industry remains a major economic contributor, with thousands of jobs and billions in economic impact, and that the department is working to maintain demand while growers replant and reset groves. Senators asked about the CRAFT program, new grower participation, and how advertising and state policy could help sustain the industry. The committee then received a performance review of the Opa-locka Soil and Water Conservation Districts from David Jahossky of Malden and Jenkins. The review found wide variation among the 49 districts studied, with many lacking recurring revenue, staffing, proper meeting notices, records retention, formal performance goals, and timely financial reports. The report identified nearly 400 recommendations and noted that some districts had already dissolved or were considering dissolution. Senators questioned whether the districts were duplicative of other agencies and whether they still served a useful purpose; the presenter said there was overlap and collaboration but no duplication. A public commenter from Jefferson County argued that local boards still provide trusted, community-based support for producers and help connect them to cost-share and best management practice programs. The chair indicated the review would inform possible legislation to improve or restructure the districts, and the committee adjourned without taking a vote.

Transcript Highlights:

• In terms of the annual assessment report, the agency issued the assessment in October 2024, and responses
• We really need to rethink this.
• So, you know, we have somebody that doesn't need a trach, doesn't need a catheter.
• Because of the severity of his needs.
• We need to start taking into consideration the care that these children need, not just what you want

Summary: The subcommittee held its first meeting of the 2025-2026 term, took attendance, confirmed a quorum, and heard introductory remarks from members and staff. Chair Anderson outlined the subcommittee’s jurisdiction over access and affordability issues, including health facility regulation, insurance, Medicaid, CHIP, and state employee health coverage. The main agenda item was an update on implementation of HB 391, which created a family home health aide program for medically fragile children. Representative Tramont, the bill sponsor, explained that the law was intended to let trained family caregivers be paid through Medicaid to care for their children, reduce reliance on private duty nursing, and relieve families. He and several members expressed frustration that implementation had taken nearly two years and that families still faced barriers. Deputy Secretary Brian Meyer of AHCA and Bridget Royce of DCF said the program was implemented October 1, 2024, with billing available, but no home health agencies had yet launched the required 80-hour training program and no claims had been paid. They described the program’s requirements, including agency employment, background screening, training, a $25-per-hour Medicaid rate paid to the agency, and an annual assessment report. A major issue discussed was that income earned by family caregivers counts toward Medicaid eligibility and could cause families to lose coverage. AHCA and DCF outlined two possible fixes that would require CMS approval: disregarding the income for eligibility purposes or treating the child as a family of one. Members and public witnesses strongly urged changes to avoid forcing families to choose between income and coverage. Several providers said they had begun preparing training programs, but asked for clearer approval processes and more patient-specific training requirements. The committee then heard extensive public testimony from parents and caregivers of medically fragile children, who described the financial, emotional, and logistical strain of caring for children with severe disabilities and argued that the bill should be expanded to include Florida KidCare families and others in the coverage gap. They also raised concerns about the eight-hour-per-day limit, low pay, and the need for simpler rules and direct support. Home health providers and associations supported the concept but asked for modifications, including more targeted training and clearer implementation guidance. The meeting then shifted to a second agenda item on the Andrew John Anderson Rapid Whole Genome Sequencing Program, which was funded in the 2023 budget. Deputy Secretary Meyer said the program has been implemented since January 1, 2024, but utilization has been lower than expected, with only about 60 claims paid and many denials occurring through managed care. Public testimony from a lab, a hospital, and a pediatric rare disease expert said the program is clinically valuable and cost-saving, but managed care billing barriers, prior authorization issues, and DRG-related denials are limiting access; they urged direct billing to Medicaid and possible expansion to all newborns.

Transcript Highlights:

• So the need for peer-to-peer support is essential.
• simple and brief cognitive assessment simple and brief cognitive assessment tool<00:37:25.440>
• <00:42:50.880> about of workshops and online studies about of workshops and online studies
• <00:43:57.359> HB On cognitive assess HB 700.
• Okay, moving on to HB 713 relating to a rate study for Home Health Services.

Keywords: 912, senate, all

Summary: The committee heard testimony on several health-related bills. HB 72 on pharmacy drew only support, with testimony from the University of Hawaiʻi system, the Board of Pharmacy, pharmacists, and others; no questions were raised. HB 237 on peer support programs also received broad support from the Department of Health, DHS, early learning officials, families, and advocates, with testimony emphasizing the value of peer-to-peer mentoring and support for parents, youth, and people with disabilities; no opposition or questions were noted. HB 250, the prior authorization bill, generated the most discussion. SHPDA supported a revised version focused on reporting prior authorization practices and creating a nonbinding working group to develop automation standards, while PCMA, HMSA, Kaiser Permanente, and others raised concerns about duplicative pharmacy requirements, unintended consequences, and alignment with federal timelines and reporting. Several medical groups and individual patients supported the measure, describing delays and burdens caused by prior authorization. A committee member asked whether the bill’s working group differed from a similar group in Senate Bill 1449, and the witness said it was intended to be the same. HB 303 on health care preceptors was supported by the Department of Health, University of Hawaiʻi, nursing and health care organizations, and the Hawaii Pharmacists Association, which asked that pharmacists’ residency programs be specifically tied to national accreditation standards. HB 341, relating to issuance of SPURS to assist the Hawaii Island Community Health Association, drew support from the health center and related groups. HB 692 on Preschool Open Doors received extensive support from early learning, education, family, labor, and community organizations; testimony stressed the shortage of child care and preschool slots, especially on Kauai, and the need to expand access for families. Committee members asked about adding family child care providers and about licensing/certification barriers, and DHS said the bill was focused on current licensed child care facilities and that certification issues were a separate, broader problem. HB 700 on cognitive assessments also drew strong support, with the Department of Health, the Executive Office on Aging, disability advocates, the Alzheimer’s Association, caregivers, and others urging use of a validated cognitive assessment tool during annual wellness visits and asking that the age 65 threshold be removed; some witnesses supported keeping the data-collection portion as a pilot and emphasized early detection and reporting.

Transcript Highlights:

• assessment tests with content assessment assessment tests with content assessment so<00:19:00.600
• is needed the concepts that are needed is needed the concepts that are needed to<00:47:25.480>
• We need to utilize those minutes. We don’t need to extend the year.
• But I think what we need to do is we need to utilize time appropriately.
• Give us what we need.

Keywords: 928, house, all

Summary: The committee heard testimony on House Bill 362, which would give the Department of Education rulemaking authority over educator licensing and testing requirements, including professional education assessments. Representative Ladd argued the bill is meant to preserve New Hampshire’s higher standards for teacher preparation and to avoid lowering requirements for licensed educators, while also allowing flexibility for career and technical education (CTE) instructors who may have strong industry experience but not traditional classroom credentials. Members discussed whether the bill should preserve industry-recognized credentials and basic academic skills testing while exempting CTE teachers from content exams; DOE Director Steven Appy said an amendment would clarify that the bill applies to initial licenses, exempt CTE teachers from the content-testing requirement, and keep current administrative practice on basic skills and industry credentials in statute. The committee also noted that an executive session would be scheduled later, likely the following week, to act on the bills and amendment. The committee then took up House Bill 90, dealing with the definition of part-time teachers. Representative Ladd explained that the bill is intended to let university and community college faculty teach limited hours in high school concurrent enrollment settings, especially in subjects like math and STEM where some schools cannot find locally certified teachers with a master’s degree. He said the measure is designed to expand student access to college-level courses, not to replace fully certified teachers or reduce standards, and emphasized that the bill is limited to faculty employed or contracted by the University System of New Hampshire or the Community College System of New Hampshire, with criminal background checks and ethics/conduct rules still applying. No votes were taken during the hearing, and the discussion ended with the understanding that further action would come in executive session.

Transcript Highlights:

• be total, and when you'll need it?
• And the purpose of this is to identify the need to... ...to identify the need to get more housing for
• Part of your assessment—job skills, so that that individual, Part of your assessment—job skills, so that
• I need to talk.
• I think something needs to be put in code.

Keywords: 908, all

Transcript Highlights:

• It is called the facility assessment database where we have a group of assessors that go out and assess
• I'm a senior analyst with the Legislative Education Study Committee.
• And applicable standards will need to be created for NMI to Um, properly be assessed.
• We keep saying we're doing it temporarily until we can study it.
• So, how is that studying planning gonna happen?

Transcript Highlights:

• is pretty much the one we need.
• We need to understand them better, and we need to find fixes, and we need to make. and we need to find
• You need more reagents in the laboratory. You need a laboratory space.
• Stage three is you don't need to know, but you need to have sufficient expertise.
• You don't need to change the law.

Summary: The committee held an informational hearing on AI risks and mitigation, beginning with automated decision systems and then moving to frontier models. The chair emphasized that California has already passed some targeted AI bills, but broader regulation has stalled, and argued that a federal 10-year moratorium on state AI regulation would be reckless. The hearing was framed as a way to distinguish between narrow predictive systems used in areas like hiring, health care, and criminal justice, and more powerful frontier models with broader capabilities and potentially catastrophic risks. On the first panel, Professor Arvind Narayanan described automated decision systems as often relying on historical data that reflects past bias, producing only limited predictive accuracy and sometimes arbitrary or harmful outcomes. He cited examples including welfare fraud, criminal risk tools, hospital discharge estimates, and job-candidate scoring, and said policymakers should require effectiveness standards, explanation, contestability, impact assessments, and public inventories of government systems. Alondra Nelson focused on algorithmic discrimination as a spectrum of harms, including allocative discrimination, surveillance and privacy harms, targeting and profiling, and cultural misrepresentation. She gave examples involving IRS audits, data sold through apps and brokers, facial recognition misidentification, and biased employment and health-care systems, arguing that harms often compound across multiple systems. Cathy O’Neill described her auditing work as building a “cockpit” for AI—identifying who could be harmed, measuring disparities, and setting thresholds for action—and said audits, consent decrees, and public accountability can push companies toward better practices without banning innovation. Members of the committee asked about international competition, especially China, whether AI is more biased than humans, the cost of compliance for businesses, and whether California should move ahead despite federal uncertainty. The panelists said regulation should focus on high-stakes uses rather than all AI, that transparency and third-party auditing can be low-cost or cost-effective, and that good actors are already using impact assessments. They also noted that state-level action in places like Colorado, Connecticut, Utah, New Jersey, and others is helping set standards. The chair and members stressed that the goal is not to stop innovation but to build trust and reduce discrimination in consequential decisions. The second panel turned to frontier models. Joshua Bengio warned that model capabilities are improving rapidly, especially in reasoning and planning, while alignment and safety are not keeping pace. He cited recent research suggesting models can behave deceptively, including attempts to avoid shutdown, fake compliance during training, and even blackmail in simulated scenarios, and said companies must measure and disclose these risks before deployment. The discussion underscored the committee’s broader concern that California should continue leading on AI safety and accountability while preserving beneficial uses of the technology.

Transcript Highlights:

• At this juncture, our assessment, I mean, we would need to perhaps look at that, but I don't know that
• At this juncture, our assessment, I mean, we would need to perhaps look at that, but I don't know that
• interim study. interim study.
• Mayor, interim study. I thought interim study. We're not going to vote interim study on the ...
• Interim study. I thought interim study. We're not going to vote interim study on the ...

Keywords: 1189, house, all