Transcript Highlights:

• toxicologists to perform the important primary functions with less burden, reduced delays associated with scheduling
• I've had the pleasure of working, managing, and supervising those folks, and the schedule whiteboard
• Furthermore, it ensures that every New Mexican, regardless of their zip code or work schedule, has a
• Madam Chair, I just get used to the schedule. Madam Chair, I just get used to the schedule.

Keywords: 996, all

Transcript Highlights:

• Now you're going to have to schedule a surgery in order to get that done. I don't know.
• And then as soon as that's done, if he gets them read, the appointment's scheduled.
• They schedule us within 24 to 48 hours.
• to even mention the practice that I go to, but if it's outside of that practice and there's got a schedule
• Scheduled it, got it over with, great care. And I don't know how you replicate the Mayo Clinic.

Bills: SB37, SB29

Keywords: high-quality literacy instruction, science of reading, structured literacy, reading instruction, literacy assessment, dyslexia screening, phonics, phonemic awareness, fluency, vocabulary, comprehension, biliteracy, English language learner, ELL, bilingual education, dual language program, reading intervention, reading difficulty, reading improvement plan, literacy coach

Transcript Highlights:

• all know, there are a couple of bills at least before us today that are a priority, and so we've scheduled
• or me know of an expectation to speak so we can allocate time and try and keep the committee on schedule
• And so, to try and keep us on a reasonable schedule and not exhaust the agenda, I can set the agenda,
• Chairman, for scheduling it so quickly on the second day of the session. 42 states, including our neighboring
• So thank you again for scheduling this bill so quickly, Mr.

Bills: SB1, SB3

Keywords: interstate medical licensure compact, physician licensure, medical license reciprocity, expedited licensure, medical practice act, New Mexico medical board, compact commission, physician mobility, telemedicine, license portability, background check, disciplinary action, joint investigation, reproductive health care, gender-affirming care, scope of practice, medical board transparency, multistate compact, licensure renewal, health care workforce

Transcript Highlights:

• all know, there are a couple of bills at least before us today that are a priority, and so we've scheduled
• or me know of an expectation to speak so we can allocate time and try and keep the committee on schedule
• And so to try and keep us on a reasonable schedule and not exhaust the agenda, in other words, so I can
• Chairman, for scheduling it so quickly on the second day of the session.
• Thank you again for scheduling this bill so quickly, Mr.

Bills: SB1, SB3

Keywords: interstate medical licensure compact, physician licensure, medical license reciprocity, expedited licensure, medical practice act, New Mexico medical board, compact commission, physician mobility, telemedicine, license portability, background check, disciplinary action, joint investigation, reproductive health care, gender-affirming care, scope of practice, medical board transparency, multistate compact, licensure renewal, health care workforce

Transcript Highlights:

• That is something we have a call scheduled with CMS to discuss the viability of that option.
• That is something we have a call scheduled with CMS to discuss the viability of that option.
• And if CMS doesn't have an issue with us creating a different fee schedule around sedation dentistry,
• it feels like there's a way to create a separate fee schedule, right?
• If they met, you know, you—” “A separate fee schedule, right, that would be fine for adults.

Summary: The Administrative Rules Subcommittee of the Arkansas Legislative Council reviewed several agency rules and requests. It approved without objection an Insurance Department amendment implementing Act 261’s holding company system requirements, two State Board of Election Commissioners rules on poll watchers/provisional voting and certified election monitors, and a Treasurer of State rule removing DEI-related membership requirements to comply with Act 938. The committee also held over for a month a Department of Education request related to excluding a rule from reporting requirements so it could be discussed further with the Department of Commerce. A major portion of the meeting focused on the Department of Human Services’ request to be excluded from rulemaking for Acts 567, 568, 967, and 1025. DHS said federal CMS guidance created comparability and other issues for the Medicaid-related dental and diagnostic lab provisions, making it difficult to implement the acts as written by their effective dates. DHS outlined possible paths, including broader adult dental coverage, waivers, or splitting the dental rate increase from the special-needs cap increase. The Arkansas State Dental Association disputed DHS’s approach, arguing Act 1025 is workable, that the pediatric rate increase should move forward separately, and that DHS should continue pursuing the law rather than stop rulemaking. Committee members questioned both sides extensively about CMS correspondence, waiver timelines, fiscal impact, and whether the acts could be severed. After testimony from DHS, the Dental Association, and a public commenter, the committee adopted a motion not to exclude DHS from reporting requirements for Acts 567, 568, 967, and 1025, meaning DHS must continue the normal rulemaking/reporting process. The committee then accepted the Division of Higher Education’s report, which recommended repealing three of its 32 rules and keeping the remaining 29 in effect. It also received routine written updates on older and newer rulemaking items and filed the monthly updates without further action.

Transcript Highlights:

• We had less—about half our kids their senior year had a full schedule.
• And they were coming, trying to go to college without a full schedule, not taking a math class their
• We had less, about half our kids their senior year had a full schedule.
• And they were coming, trying to go to college without a full schedule, not taking a math class or senior
• Ward mentioned some students not having a full schedule their senior year.

Summary: The committee first approved the November 3 minutes, then received an extensive update from Arkansas Division of Higher Education and Division of Career and Technical Education officials on LEARNS and ACCESS implementation. Witnesses said the state’s goal is for students to graduate employed, enrolled, or enlisted, and described expanded career pathways, student success plans, merit and distinction diplomas, and school accountability measures tied to pathway completion and tangible credentials. They reported increases in K-12 CTE enrollment and concurrent enrollment, and explained that some secondary career center programs were reduced or eliminated because they no longer aligned with state workforce demand. Members asked detailed questions about how merit/distinction affects school letter grades, how AP, concurrent credit, CTE completers, apprenticeships, and work-based learning fit into the system, and whether homeschool and private school students can access the same opportunities. Officials said multiple pathways can satisfy the requirements, including AP Scholar, concurrent credit, technical certificates, and apprenticeships, and that counselors are being trained to advise students. They also discussed scholarship changes: ACCESS broadened eligibility for the Arkansas Academic Challenge and Governor’s Scholar awards, with diploma of merit or distinction now qualifying students for additional aid, while the Governor’s Distinguished Scholarship itself remained unchanged. Questions were raised about whether homeschool and private school students can meet the new diploma-of-distinction criteria; officials said the intent is to make them eligible if they meet the same standards, and that guidance is being finalized. The discussion also covered workforce scholarships and grants. Officials said the Workforce Challenge was expanded to include vocational-technical schools and increased funding, and that the Division is reworking policy around “professional skills training” to support shorter-term, stackable programs. They reviewed the new federal Workforce Pell Grant, noting its narrow hour and duration limits and the need for programs to meet completion, placement, and earnings thresholds. Members also asked about the state lottery scholarship fund balance and whether more aid should be directed to students; officials said the fund remains healthy and that ACCESS has already increased awards and expanded eligibility, with more implementation data still to come. The final presentation came from the Director of Workforce Connections on a $35.8 million U.S. Department of Labor cooperative agreement for the American Manufacturing Apprenticeship Incentive Fund. Arkansas will administer the national fund, which is aimed at expanding advanced manufacturing registered apprenticeships across the country through a pay-for-performance model. Officials said the program will support occupations in aerospace, automotive, biotech, maritime, nuclear, semiconductors, supply chain, and automation, and that applications will open soon. Members asked who can apply and how the money will be distributed; the answer was that registered apprenticeship sponsors—sometimes companies, sometimes colleges, sometimes intermediaries—will apply, with Arkansas setting eligibility criteria, vendor requirements, and outreach efforts.

Transcript Highlights:

• go out to lunch and a one hour lunch always turned into a two hour lunch, and then we were behind schedule
• OK, um, so I guess we will jump into, um, LHHS work plan and meeting schedule.
• those of you who don't know this, and you could imagine legislative council trying to put together a schedule
• Chair, I know that we suggested this last year and because, probably because the Riodosa fires, the schedule
• Are you scheduled for anything for today to discuss the issues that these letters are addressing?

Transcript Highlights:

• adds new requirements for public notice, including publishing categorization policies and penalty schedules
• Both Senator Schwertner and I have chaired it, and I know the difficult scheduling and all that, so thank
• to talk about those things, and in case there's any doubt, for months we worked with them about scheduling
• that litigation has been pending or what it is, but we know that for months we worked with them on scheduling
• We worked with them on scheduling, and they have agreed to testify before this committee.

Bills: SB312, SB945, SB946, SB1367, SB1861, SB2044, SB2337, SB2403, SB2819, SJR54

Keywords: public school funding, education, budget allocation, financial transparency, state law, local control, fiduciary responsibility, public retirement systems, investment management, proxy voting, financial factors, insurance, political shareholder proposals, fossil fuels, greenhouse gas emissions, environmental regulation, discrimination, credit extension, social credit, value-based standards

Transcript Highlights:

• federal level in terms of those changes so that we can build out our state income tax return forms and schedules
• And so we had to stop, and we had to modify our Schedule CA, which is kind of the main schedule that
• And so we had to stop and we had to modify our schedule CA, which is kind of the main schedule that you'll

Summary: The Assembly Budget Subcommittee on Accountability and Transparency held a hearing focused on three issues: federal funding cuts and delays, possible state revenue impacts from reduced IRS enforcement, and the fiscal effects of AB 218 on local governments. The Franchise Tax Board described how state and federal tax systems are closely linked, how most returns are filed electronically through software, and how FTB relies on IRS information sharing for compliance, fraud prevention, offsets, and nonfiler work. Members raised concerns that federal staffing cuts at the IRS could weaken audits of large corporations and reduce California revenue, and asked about VITA and ITIN filers; FTB said it was not aware of VITA reductions, noted ITIN returns are processed the same as other returns, and said ITIN filing appeared slightly down this year. The Department of Finance said it is monitoring federal developments, summarized the continuing resolution and reconciliation process, and noted that California lost nearly $940 million in earmarked federal projects under the CR, while major federal budget decisions remain uncertain until the President’s budget and later congressional action. The University of California reported substantial federal pressure on research, student aid, and health care. UC said hundreds of millions of dollars in federal awards have already been canceled, with additional threats to NIH and DOE facilities-and-administration rates, graduate fellowships, student loan repayment plans, international student visas, Pell Grants, and Medicaid/Medi-Cal funding. Committee members pressed UC on the effects of DEIA-related federal restrictions, the loss of clinical trials and research staff, and the impact on low-income students and patients. UC said it is pursuing litigation with the Attorney General and other institutions, but emphasized that court action is only a temporary solution and that sustained state and private support may be needed. The second panel addressed the fiscal consequences of AB 218, which extended the statute of limitations for childhood sexual abuse claims against public agencies. FCMAT presented a report with 22 recommendations, including better statewide data collection, financing mechanisms, a possible victims compensation fund, and prevention measures. Los Angeles County described a tentative $4 billion settlement tied to AB 218 claims, saying it will require reserves, borrowing, and long-term annual payments through 2050, while also forcing curtailments and cuts to vacant positions to preserve services. Members discussed insurance pools, retroactive premiums, unidentified future claims, and the need for a compensation fund or other financing tools. No formal votes were taken; the hearing concluded with public comment, including testimony from local health officials about nearly $400 million in terminated federal public health grants and the resulting layoffs and service impacts.

Transcript Highlights:

• It'll incorporate that 10-1 fee schedule.
• Those federal authorities are on different timelines and schedules, each with their own round of back-and-forth
• substantial rulemaking by the boards of medicine, osteopathic medicine, and nursing, and so the boards scheduled
• substantial rulemaking by the boards of medicine, osteopathic medicine, and nursing, and so the board scheduled
• Upon passage, MQA developed a schedule for each board to meet and begin implementation, and we also built

Summary: The Senate Health Policy Committee received updates from the Agency for Health Care Administration and the Department of Health on implementation of 2024 health care laws. AHCA reviewed progress on workforce and reimbursement measures in Senate Bill 7016 and related bills, including FRAME and TEACH funding, graduate medical education reporting, behavioral health teaching hospitals, acute hospital care at home, advanced birth centers, non-emergent care access plans, and rural emergency hospitals. Agency officials said several programs are already operational or have begun payments, while others are still in rulemaking, federal approval, or report-preparation stages. Senators asked about timing, funding reversion concerns, and whether appropriated dollars would be spent on schedule, especially for behavioral health teaching hospitals and the new birth center category. The Department of Health then reported on practitioner licensure and public health programs. MQA described implementation of the Interstate Medical Licensure Compact, the Mobile Act licensure pathway, massage therapy enforcement changes, background screening expansion, liposuction safety requirements, pharmacist HIV post-exposure prophylaxis authority, and chiropractic dry needling. Public health staff updated the committee on FRAME and dental loan repayment, the Sinati screening grant program, the cancer research and innovation changes, the health care innovation council and loan program, the pediatric rare disease grant program, telehealth maternity care expansion, newborn screening for congenital CMV, the sickle cell registry and grants, and the swimming lesson voucher program. Members focused questions on how practitioners were being recruited to underserved areas, the pace of licensure approvals, and whether new programs were on track to use appropriated funds. The committee also heard a lengthy update from the Office of Medical Marijuana Use. The director reported more than 900,000 qualified patients, real-time seed-to-sale tracking now integrated across most dispensaries and labs, and ongoing compliance work on product testing, advertising, diversion, and patient safety. Senators questioned the decline in qualified physicians, how THC potency is labeled and verified, and what the agency can do about diversion to non-patients. The director said the office relies on complaints, inspections, lab audits, and coordination with law enforcement, and that patients can be suspended if violations are confirmed.

Transcript Highlights:

• With that, we'll get back on schedule and bring up our wiz, Ms.
• And so, there's a schedule that kind of in tandem moves them forward.
• And so, there's a schedule that forward.
• it, but sometimes we hear, well, it's just easier to keep our bell schedule the same.
• <01:03:53.040> the easier to keep our bell schedule the easier to keep our bell schedule the

Keywords: 916, all

Transcript Highlights:

• saw my schedule for next week. week. week.
• Um, and uh the schedule that I Monday.
• Um and then um schedule things.
• But if you know, if you really need to schedule things, we all need to schedule things, but probably
• <05:50:58.958> for<05:51:00.000> the scheduled the executive session for the scheduled

Keywords: 1189, house, all

Transcript Highlights:

• considering additional agenda items that require actuarial support, we'd be grateful if those could be scheduled
• I think it might be beneficial to move the update for OSA to July from a scheduling standpoint.
• And if so, what would you recommend as far as scheduling for looking at that issue? Thank you.

Keywords: 904, all

Summary: The Executive Committee approved the April minutes by roll call vote, with members present voting aye and the minutes adopted. Staff then provided an Attorney General update on pension-related litigation, including the newly filed Dawson class action challenging Gross Second Substitute House Bill 2034, the concluded Dolan case, and the Fowler case, where the trial court orally ruled for plaintiffs on interest calculations and potential disgorgement of state gains, with a written ruling still pending. Committee members emphasized the need for ongoing monitoring and regular reporting on the Dawson case because of its potential impact on the committee and retirement systems. An actuarial update followed, noting that June will include the preliminary 2025 valuation results and contribution-rate information, along with commentary on the demographic experience study. Staff said actuarial resources are limited and asked that any additional actuarial agenda items be scheduled for July or later. The committee also discussed the draft interim work plan and agreed to move the OSA annual update to July. A substantial portion of the meeting focused on Plan 1 COLA policy. Retiree representatives urged the committee to keep working on both immediate ad hoc COLA relief and a longer-term ongoing COLA solution. Members discussed a possible budget proviso requiring legislators to consider a COLA each budget cycle, and staff was asked to develop proposals for further discussion. The committee also agreed to add a June briefing on the PERS/PEACERS request involving animal control technicians, and to include an introductory Plan 3 briefing, with possible comparison to Plan 2, on the June agenda. Staff also explained changes to correspondence handling, including removing letters from the public website to better protect privacy while still making records available upon request. The committee approved the revised June agenda and adjourned.

Transcript Highlights:

• considering additional agenda items that require actuarial support, we'd be grateful if those could be scheduled
• I think it might be beneficial to move the update for OSA to July from a scheduling standpoint.
• And if so, what would you recommend as far as scheduling for looking at that issue? Thank you.

Summary: The Executive Committee approved the April minutes by roll call vote, with members present voting aye and the minutes adopted. The committee then received an Attorney General update on several pension-related cases. Counsel discussed the newly filed Dawson class action, which seeks to invalidate Gross Second Substitute House Bill 2034 on federal and state constitutional grounds; she said the pleadings were unclear, the committee’s involvement was uncertain, and the case would need monitoring. She also reported that the Dolan case appears concluded after the Court of Appeals upheld the trial court’s ruling on constructive payment of attorney fees, and that the Fowler case remains pending after an oral ruling for plaintiffs on retroactive interest and possible disgorgement of state gains, with a written ruling still awaited. The actuarial update said June would include the preliminary 2025 valuation results and contribution-rate discussion, along with commentary on the demographic experience study, and staff noted actuarial resources were limited for additional items until later in the summer or fall. The committee then discussed the interim work plan and correspondence, including letters supporting a Plan 1 COLA recommendation, retiree organization comments, and a request from Senator Robinson to study whether certain animal control technicians should be included in PERS. Members emphasized the need to keep working on an ad hoc COLA for Plan 1 retirees while also exploring a longer-term COLA mechanism, including possible budget proviso language to require COLA consideration each budget cycle. Staff also explained changes to correspondence handling: materials will no longer be posted publicly on the website, but will still be available through public records requests and distributed securely to members by email or form submission. The committee agreed to add a June briefing on the PERS animal control technician issue and an introductory discussion of Plan 3, and to bring back COLA proposals in July for further executive committee review. The agenda was approved as amended, and the meeting adjourned.

Transcript Highlights:

• Yes, this bill simply aligns Arizona's controlled substance schedules with the federal scheduling, thereby
• streamlining the scheduling or rescheduling of approved medications.

Keywords: 1182, all

Summary: The House opened with prayer, the Pledge of Allegiance, approval of the journal, and a proclamation sponsored by Representative Tony Rivero supporting stronger Arizona-Taiwan relations. Rivero introduced guests from the Taipei Economic and Cultural Office in Los Angeles and said a bipartisan Arizona-Taiwan caucus would be created, noting plans for a Taiwan consulate in Phoenix. The chamber then moved into Committee of the Whole to consider Senate bills on two calendars. On the first calendar, the House advanced SB 1004, SB 1012, SB 1040, SB 1049, SB 1168, and SB 1326, while retaining SB 1538. SB 1004 received a Judiciary amendment described as helping law enforcement track homeless sex offenders. SB 1049 drew criticism from Representative Gutierrez, who said it would harm spouses seeking maintenance after divorce. SB 1168 received and adopted Appropriations amendments, and SB 1021 on the second calendar was amended and advanced despite concerns from Representative Liguori about legislative involvement in criminal matters. Other bills debated included SB 1052 on mild hyperbaric oxygen therapy in assisted living, SB 1172 on re-credentialing timelines, SB 1188 on aligning controlled substance schedules with federal law, SB 1212, SB 1346 on claims notification and fraud prevention, SB 1452, and SB 1494 on preventing patient-brokering fraud; several drew opposition over cost, necessity, or policy concerns, but all were advanced. After the Committee of the Whole report was adopted, the House placed several bills on third reading and took final votes. SB 1164, SB 1174, SB 1189, and SB 1754 passed unanimously or nearly unanimously. SB 1413, concerning restitution and a moving-violation-related offense, failed after Representative Cullin warned it could impose uncapped restitution in multi-car collisions; the final vote was 2 ayes and 48 nays. The House then reconsidered that action on motion of Representative Martinez, restoring SB 1413 to third reading, and adjourned until Monday, April 20, 2026.

Transcript Highlights:

• the code was amended to allow municipalities to hold their elections concurrently with regularly scheduled
• terms of elected municipal officers when the changes are being made to conform to the election scheduling
• The deletion will allow the DNR to adjust its fee schedules to take into account inflation.

Keywords: 994, senate, all

Summary: The Committee on Government Organization met with a quorum present, approved the minutes, and then considered a series of House bills, most of them related to licensing, local government administration, and agency operations. House Bill 5063 would let county commissions appoint a county commissioner as a voting member of a convention and visitors bureau board, including for multi-county CVBs; it was reported to the full Senate. House Bill 5087 would join the interstate cosmetology licensure compact, allowing licensed cosmetologists to obtain multi-state practice privileges in compact states, and it was also reported. The committee then took up a strike-and-insert amendment for House Bill 4793, which combined provisions affecting barbering/cosmetology apprenticeships and lowered certain age and education requirements; after adopting a Jefferson amendment clarifying the salon training language, the bill was reported as amended. Members next approved a strike-and-insert for House Bill 5638, which clarifies the State Chief Information Security Officer’s duties, changes cyber risk review procedures, and updates references to the Office of Technology head as the chief information officer; it was reported as amended. House Bill 4483, dealing with the Board of Funeral Examiners, was amended to change the effective date for licensee-in-charge requirements and make technical corrections, then reported as amended. House Bill 5653, requested by the Department of Revenue, would expand confidentiality protections to cover audit manuals, guidelines, procedures, algorithms, and related materials to prevent taxpayers from gaming audit selection, and it was reported. House Bill 4452 repeals acreage limits on church property ownership, and House Bill 4801 expands permissible uses of hotel occupancy tax funds to include demolition of unsafe structures and planning or improvement of public property; both were reported. The committee also advanced House Bill 5622, which creates an expedited process for municipalities to conform local election terms and procedures to the state requirement that municipal elections be held with statewide primaries or general elections, and recognizes the Secretary of State as keeper of municipal charter rolls. House Bill 4546 would allow business entities to file reports biennially instead of annually, with higher biennial fees and updated enforcement provisions; its strike-and-insert amendment was adopted and the bill was reported as amended. House Bill 5613 would define and regulate telematics for state fleet vehicles, require reporting on unsafe driving and corrective actions, and include cost-benefit information in annual reports; it was reported. House Bill 5323 would let the Division of Natural Resources adjust license and stamp fees for inflation by removing a prior CPI-based restriction, and House Bill 4819 would revise criminal-record standards for certain non-Chapter 30 occupational licenses, shifting to a direct-relationship standard while preserving existing exclusions for violent sexual offenses; both were reported. The committee then adjourned after closing remarks from the chair and vice chair.

Transcript Highlights:

• I know that they do have maintenance schedules for them by district.
• Chair, Representative, HAAFC is scheduled to take up the Department of Transportation on Thursday.
• Chair, Representative, HAAFC is scheduled to take up the Department of Transportation on Thursday.

Keywords: 996, all

Summary: The committee met with quorum and took up only HB 3, the Department of Transportation Appropriation Act of 2026 for FY27. The bill was presented as an amended budget that would increase NMDOT’s operating budget by about $132.6 million, or 10.2%, using available cash balances, additional projected revenue, and contingent revenue tied to Senate Bill 2, the highway bond bill. Staff walked through the amendment section by section, explaining changes to project design and construction, highway operations, program support, modal programs, federal and interagency transfer lines, corrected performance-measure language, and added budget adjustment authority for the current and next fiscal years. Several members raised concerns about the late circulation of a revised amendment and the appearance of multiple bill versions, arguing the committee had not had enough time to review the changes and that the process may have violated the 24-hour rule. Others asked for clarification on how the budget distinguished between rehabilitation and maintenance, and DOT staff explained that major rehabilitation is generally tied to STIP projects while maintenance is handled through district-level plans and contracts. Members also discussed the use of cash balances for non-recurring spending, the impact of electric vehicles on road revenue, and the need for more maintenance, litter cleanup, fencing, and beautification funding. DOT and executive representatives noted the amendment includes a significant maintenance increase and said additional non-recurring funding could also come through House Bill 2 and the capital bill. The committee first rejected a substitute motion to delay action, then adopted the amendment and later voted due pass on HB 3 as amended. Public comment was opened, but no one spoke in support or opposition. After passage, members explained their votes, with some supporting the bill as a needed transportation investment and others objecting to the process and the compressed review timeline.

Transcript Highlights:

• Thank you for scheduling this bill. Um, this is so important.
• Um, this you for scheduling this bill.
• Uh, while the president has indicated a desire to move cannabis from Schedule I to Schedule III, which
• Uh, while the president has indicated a desire to move cannabis from Schedule I to Schedule III, which
• Changing Schedule I to Schedule III is not going to fix this problem.

Keywords: 910, house, all

Summary: The joint hearing opened with House Bill 1969, which would provide state funding for colorectal cancer screenings for uninsured and underinsured residents. The Department of Human Services said it supports the goal of early screening but would need new administrative capacity, including a program manager and claim pre-screening, to run the program. The Department of Health supported the measure and cited low screening rates in Hawaii, noting an educational campaign to encourage screening. The Insurance Division raised concerns about reliance on federal FAQs, warning that guidance can change and may create state cost exposure. Supporters including the American Cancer Society Cancer Action Network and the Hawaii Medical Association argued the bill would close a preventive-care gap, reduce late-stage diagnoses, and save long-term costs; the committee also discussed implementation costs, estimated by DHS at roughly $1.4 million to $2 million annually plus administrative expenses, and a 6-month to 1-year timeline to establish the program. The committee then took up House Bill 1965, which would require health carriers to spend at least 6% of total medical expenditures on primary care providers. The Insurance Division said several provisions raise technical and legal concerns, including the premium freeze, the medical loss ratio language, the lack of an existing external review process for downcoding claims, and a new mandate for medically necessary inter-island transportation that could trigger an ACA defrayal. The Department of Human Services supported the intent but suggested broader language to include primary care supports and services, and noted that QUEST integration plans already invested at least 9% of total medical expenditures in primary care in 2024, with additional spending on supports and low-value care reductions. State health planning officials strongly supported the bill as an investment in primary care, saying it could improve outcomes and lower long-term costs, though they acknowledged a possible temporary premium increase during the transition. Testimony in support emphasized Hawaii’s physician shortage, especially on Maui, the Big Island, and other neighbor islands, and warned that clinics are under financial strain and may close without higher primary care reimbursement. The Hawaii Healthcare Task Force, AARP Hawaii, and other supporters said the bill would help retain providers, improve access for Medicare and Medicaid patients, and prevent downstream costs from emergency room use and avoidable hospitalizations. No votes or final committee action were taken in the portion of the hearing provided.

Transcript Highlights:

• The Committee on Steering, Policy and Scheduling reports that the matter be scheduled for consideration

Keywords: 995, all

Summary: The House convened, recited the Pledge of Allegiance, and briefly recessed. During the session, the Chair introduced a guest of Representative Davis, a writer from Boston. The Committee on Ways and Means reported favorably on House No. 4237, a fiscal year 2026 supplemental appropriations bill submitted by the Governor, totaling $7.436 billion, and the Committee on Steering, Policy and Scheduling placed it on the House calendar. The House suspended the rules, gave House No. 4237 a second reading, and ordered it to a third reading. The chamber then took up House No. 4230, an act establishing a sick leave bank for James Caruso, an employee of the Massachusetts Department of Transportation; the bill was read a third time and passed to be engrossed. The House also adopted an order to adjourn and reconvene later the same day at 1 p.m. in formal session. No recorded opposition or roll call votes were taken; actions were approved by voice vote.

Transcript Highlights:

• As you know, we have several hearings scheduled for today.
• Our next hearing is scheduled for 10:00 a.m. on HB 1773 FN, and we will be in recess until then.
• Our next hearing is scheduled for 1:00 p.m. at which time we will hear 1706 FN.
• <02:19:59.439> at hearing is scheduled for 100 p.m. at hearing is scheduled for 100 p.m. at
• So, Ibo gains a Schedule I status. I know this committee is familiar with that type of thing.

Keywords: 928, house, all

Summary: The House Committee on Health, Human Services, and Elderly Affairs heard HB 1790-FN, which would address involuntary admissions for certain individuals with a substance use disorder. Representative Lucy Weber introduced the bill for Representative Long, and the committee heard extensive testimony both in support of and in opposition to the proposal. Opponents, including John Burns of SOS Recovery and Jake Barry of New Futures, argued that involuntary commitment is not well supported by research, can retraumatize people, may increase overdose risk after release, and could undermine New Hampshire’s existing recovery and harm-reduction efforts. They emphasized that treatment should be voluntary, trauma-informed, and paired with housing, recovery supports, and other community-based services. Representative Long said he was willing to accept DHHS’s request to amend the bill into a study commission, though he expressed concern that a prior state study had not led to action. He said the commission should focus on implementation details, including where people would be placed, staffing, withdrawal management, elopement prevention, length of commitment, and aftercare. He described involuntary commitment as one tool for people with severe dangerous addictions, distinct from drug court, and said it could help avoid criminal records. Committee members asked about capacity at New Hampshire Hospital and how the proposal would work in practice. DHHS officials Katya Fox and Cynthia Pabonis testified that the bill raises major policy and fiscal concerns. They said New Hampshire’s current system has benefited from investments in naloxone, medication-assisted treatment, recovery centers, and community-based services, and that those investments have helped reduce overdose deaths. They estimated the bill would require a new 70-bed facility costing about $40 million to build and about $33.3 million annually to operate, with only a small portion offset by insurance, plus more than $600,000 in annual legal costs and additional staffing and system changes. They also said New Hampshire Hospital has 185 beds, with about 100 patients typically ready for less restrictive settings, and that housing shortages are a major bottleneck. NAMI New Hampshire also testified in opposition, saying families often want any possible treatment for loved ones but still opposed the bill. No vote or final action was taken in the hearing.