Transcript Highlights:

• Miss Butcher is deeply passionate about helping students successfully navigate the challenges of middle
• Miss Butcher is deeply passionate about helping students successfully navigate the challenges of middle

Keywords: 910, house, all

Transcript Highlights:

• infraction resulted in a report boating crash, if you caused the crash of for a violation of the navigational
• Waterway, navigation, pontoon, operation and PWc.

Keywords: 999, senate, all

Transcript Highlights:

• NAVIGATING THE COMPLEXITIES OF COMMUNITY ASSOCIATION MANAGEMENT EFFECTIVELY.
• COMPLAINTS OR IF YOU COULD SNAP YOUR FINGERS AND WAIVE A WAND WHAT CAN WE DO FOR YOU TO HELP YOU NAVIGATE

Keywords: 999, senate, all

Transcript Highlights:

• These include leveraging technology and travel training programs that educate riders accessing and navigating
• So these are the athletes are giving like navigation, that actions for people that that is disabilities

Keywords: 999, senate, all

Transcript Highlights:

• interpreted by one individual, has made an already bleak financial outlook even more difficult to navigate
• Navigating the many licenses required to open and maintain a business in the Commonwealth can be quite
• Trucks would spend more time navigating traffic, making fewer trips to facilities, and reducing the efficiency

Keywords: 995, all

Summary: The committee opened its hearing with procedural remarks, including a strict three-minute testimony limit, livestream instructions, and a July 1 deadline for written testimony. Chairs Lewis and Rauch then heard testimony on a wide range of municipal home rule petitions and related bills, with many local officials and advocates being taken out of order because of the large turnout. A major topic was firefighter residency. Representatives of the Professional Firefighters of Massachusetts and Sen. Keenan supported H. 2260/S. 1449, which would replace the current 15-mile residency rule for non-civil-service fire departments with a negotiable standard, generally allowing residency within 15 miles and permitting expansion through collective bargaining. Supporters said the change would improve recruitment and retention amid the housing crisis and create parity with civil-service departments. Acton Fire Chief Anita Arnhum and Sen. Senna also backed H. 4168 for Acton, making similar arguments about recruitment, paramedics, and the need for local flexibility. The committee also heard strong support for charter overhaul petitions for Somerville and Lynn. Somerville officials, including Rep. Barber, Mayor Ballantyne, Councilor Jake Wilson, and charter committee member Beverly Schwartz, described a years-long public process to replace an 1890s-era charter with a modern document emphasizing transparency, public participation, clearer governance, and a possible change to the mayor’s term length. Lynn Mayor Nicholson similarly supported a charter update to modernize city operations and financial procedures. Cambridge-related charter and procurement reforms were also briefly endorsed by Rep. Cabral. Other bills discussed included a proposal by Sen. Eldridge and Rep. Scarsdale to create a state grant program for municipal sustainability directors, and regional school finance bills supported by Rep. Lanatra and Jason Frazier to expand special education reserve funds and create a regional school assessment reserve fund. Acton witnesses also supported library governance changes and a checkout bag charge proposal. The committee heard sharply divided testimony on Quincy’s H. 3897, a 50-year lease extension for Quarry Hills/Granite Links: Quincy officials and business supporters praised the public-private partnership and future investment potential, while residents argued the lease was too long, should be competitively bid, and deserved more oversight and auditing. The hearing also included testimony on Boston trash truck noise restrictions and a PEG access/cable funds bill supported by Mass Access, as well as a Southwick petition to elect part of the Conservation Commission, which one select board member opposed as contrary to current law and good governance.

Transcript Highlights:

• But that's to get folks into training, and we have our folks working as navigators to guide folks through
• And even one of our navigators, who's been helping other people, The need goes well beyond that.
• And even one of our navigators, who's been helping other people, when her refinery closed, she's been

Keywords: 987, senate, all

Transcript Highlights:

• County in the 1960s, raising Black boys in a world that has not always valued Black youth, navigating
• We are navigating through some challenges.
• We are navigating through some challenging budget circumstances that have been compounded by actions

Keywords: 988, house, all

Summary: The Assembly convened, established a quorum after a roll call, observed a moment of silence for the fatal B-52 crash at Edwards Air Force Base, and proceeded with routine procedural business, including re-referrals of numerous Senate bills to different committees and several rule suspensions to allow bills to be heard or moved. Assembly Member DeMaio attempted to amend and then return AB 109 to the Senate to add health care premium reductions, but the motions were ruled out of order and his request to suspend the rules failed on a 13-45 vote. The main floor action was on AB 109, the 2026-27 state budget. Assembly Member Gabriel presented the budget as balancing fiscal responsibility with protections for health care, schools, housing, wildfire prevention, and the safety net, while opponents argued it raised costs, underfunded education and public safety, and relied on gimmicks. Supporters emphasized investments in hospitals, Medi-Cal, IHSS, child care, food banks, housing, and reserves, and repeatedly defended the budget’s approach to Proposition 36 funding and prison closures. After extensive debate, the Assembly voted to concur in the Senate amendments to AB 109, and the bill was immediately transmitted to the Governor. Later, the Assembly took up SCR 89 on diversity, equity, and inclusion. Members from several caucuses spoke in support, arguing DEI is central to equal opportunity, civil rights, and California’s identity, and warning against federal efforts to roll back such programs. Assembly Member DeMaio spoke in opposition, saying DEI treats people differently based on immutable characteristics. The transcript ends during that debate, with the resolution still under consideration.

Transcript Highlights:

• County in the 1960s, raising Black boys in a world that has not always valued Black youth, navigating
• Recognize that we are navigating through some challenges.
• That we are navigating through some challenging budget circumstances that have been compounded by actions

Summary: The Assembly convened, initially lacked a quorum, and then completed the roll call, prayer, and pledge. Members observed a moment of silence for the fatal B-52 crash at Edwards Air Force Base in Assemblymember Lackey’s district. The body then handled a series of procedural motions, including re-referrals of numerous Senate bills to different committees, suspending rules for committee notices, and taking up the budget bill, AB 109, without reference to file for concurrence in Senate amendments. Debate on AB 109, the 2026 budget act, centered on competing views of the state’s fiscal condition and policy priorities. Supporters said the budget balances the current and next year’s budget, reduces the structural deficit, builds reserves, protects health care, schools, housing, food assistance, and other safety-net programs, and responds to federal cuts under H.R. 1. Opponents argued the budget increases taxes and costs, shortchanges schools, underfunds Proposition 36, relies on gimmicks, and does not adequately address public safety, cost of living, or long-term sustainability. Several members also highlighted specific provisions such as hospital support, Medi-Cal and IHSS protections, child care, immigrant legal services, prison closure, and funding for courts and victim services. A motion by Assemblymember DeMaio to return AB 109 to the Senate failed on a roll call vote, 13 ayes to 45 noes. The Assembly then voted on concurrence in the Senate amendments to AB 109; the measure passed, and the Senate amendments were concurred in without objection, with immediate transmittal to the Governor. Afterward, the Assembly moved to the daily file and took up SCR 89, a resolution affirming diversity, equity, and inclusion. Supporters from several caucuses framed DEI as a core California value and a response to federal attacks, while opponents criticized DEI as divisive. The transcript ends during debate on SCR 89, before any final vote is shown.

Transcript Highlights:

• Rutland High School is simpler than the unusual championship game maze, which the Cougars successfully navigated
• School is simpler than the unusual championship game maze, which the Cougars successfully navigated on
• It supports communication and can help people navigate some of life's most difficult moments.

Keywords: 926, house, all

Summary: The House opened with a devotional performance by four Vermont music therapists, followed by remarks recognizing music therapy as an evidence-based profession and welcoming the performers to the chamber. The body then handled several referral and procedural matters: Senate Bills 212 and 328, and Senate Bill 325 after an Environment Committee report, were referred to Ways and Means under House Rule 35A because of revenue impacts. The House also read HCR 263, congratulating the 2026 Mount Mansfield Union High School Division 1 championship girls basketball team, and members offered brief congratulations and announcements, including a birthday greeting for the Chief of Staff, notice of an art social, and a reminder about the House Adjournment Pool benefiting Good Samaritan Haven. The House voted to move Senate Bill 206, relating to licensure of early childhood educators, from Government Operations and Military Affairs to Human Services. It then took up House Bill 951, the state budget bill, suspended rules to consider it immediately, and voted not to concur with the Senate’s proposal of amendment. The House requested a committee of conference and appointed Representatives Shay, Feltes, and Lumley to serve on the House side, then suspended rules again to message its action to the Senate forthwith. In the orders of the day, the House passed House Bill 902 on amendments to the City of Barre charter, and passed Senate Bills 142, 179, 227, 230, and 298 in concurrence with proposals of amendment. Action on Senate Bill 223, relating to water quality, was postponed for two legislative days. The House then considered Senate Bill 327 on economic development, hearing detailed testimony from the Commerce and Economic Development, Ways and Means, and Appropriations committees. The bill would support small businesses, repeal the VEGI sunset, create hospitality and culinary workforce initiatives, revise the Rural Industrial Development Grant Program, authorize cash rounding when pennies are unavailable, and establish a C-PACE financing program. Ways and Means offered nine amendments, including changes to VEGI limits, grant language, rounding notice provisions, and C-PACE timing and tax clarifications; the House adopted the amendments and proposed the bill back to the Senate as amended.

Transcript Highlights:

• We have been in conversations with them, and right now we are navigating a contract amendment to extend
• users, integrate health program applications, add mobile-friendly features, and include effective navigation
• users integrate health programs applications, adds mobile-friendly features, and includes effective navigation

Keywords: 996, all

Summary: The meeting began as an informal education budget work group focused on reviewing a revised House Appropriations and Finance Committee scenario and flagging concerns rather than taking votes. Staff outlined the main changes from the LFC recommendation, including moving the statewide student information system appropriation, adding funding for the Black, Bilingual, Multicultural and Hispanic Education Act, universal school meals overrun costs, an evidence-based CTE pilot with a 50% local match, STEM network funding, wellness room pilots, Martinez-Yazzie action plan items, and changes to innovation zone and out-of-school time appropriations. A separate handout on the seven-year CTE pilot explained spending patterns, reversions, and possible federal maintenance-of-effort concerns if the state continues funding beyond a true pilot. Members then debated CTE extensively, with several arguing it improves attendance, graduation, and career readiness and should be sustained or expanded, especially in rural areas, while staff and others emphasized that much of the current funding has gone to general operational costs rather than intentional program design and that regional or matched funding models may be more effective. Members also discussed STEM and math initiatives, the need for more industry involvement, and whether the proposed match requirements would be too burdensome for smaller districts and BIE schools. The discussion also covered the Black, Hispanic, and Multilingual Education Acts and the Martinez-Yazzie lawsuit. Some members stressed that the acts should be explicitly named in the budget language and not merely implied, while staff said the scenario reaffirms prior commitments by building the costs into agency operating budgets. Members raised concerns about charter school hold-harmless funding, declining enrollment, and the need to align spending with the needs of at-risk students. The work group ended the education portion without any votes, with staff noting they would incorporate the feedback and return with clarifications, including on CTE funding, the educational acts, and the charter hold-harmless item. The meeting then shifted to the child well-being and early childhood work group, where staff presented a revised Early Childhood Education and Care Department scenario. The proposal moved money toward child care assistance and early pre-K, kept the FIT program funding level unchanged, and used a mix of trust fund, TANF, federal, and operating-budget adjustments to close part of the gap between the executive and LFC recommendations. Members questioned the policy direction, especially the shift toward infant and toddler care and pre-K expansion, the impact on school-age child care, and the implications for continuity of care and provider costs. Staff explained that the scenario prioritizes younger children and at-risk families, includes language for a wage and career ladder, and would require legislation to raise the early childhood trust fund distribution cap from 500 to 525. Members also discussed a separate proposed CYFD pilot bill (HB 65), which would be distinct from ECECD funding. No votes were taken, and staff said they would return with more cost information on full pre-K plus wraparound care. A final work group reviewed C2 and Department of Information Technology-related appropriations. Staff compared the LFC and executive recommendations for new funding and reauthorizations, noting that the LFC generally limited new projects while the executive funded more. Members discussed several IT modernization requests, including the Secretary of State’s voter registration and election management systems, the Spaceport Authority, Game and Fish, the State Engineer’s WATERS system, ECECD’s FitKids and EPIC replacement discovery, and Aging and Long-Term Services’ enterprise system modernization. The main themes were whether to fund planning versus full replacement, how to avoid piecemeal spending, and whether new systems should wait for incoming leadership. The Secretary of State’s office said its system is nearing end of life and the planning funds would help prepare a realistic replacement request, while other agencies described aging infrastructure, cybersecurity risks, and the need for modernization. The work group did not vote on any of the items and ended with staff noting additional follow-up on funding needs and reauthorization details.

Transcript Highlights:

• But I think it creates a complexity that is hard to navigate, especially for a small agency like ours
• It's worth taking a moment I think to congratulate you on how you navigated this very difficult moment
• I just want to say that I'm very grateful to the work of the Oklahoma Arts Council for navigating this

Keywords: 914, all

Transcript Highlights:

• Chair, members of the committee, CYFD, as well as the CARE Navigator, are working really hard to get
• There's a lot of red tape in government, and people struggle to navigate that red tape, and when someone
• I really hope that we work hard with navigators, that's a term I've been using.

Keywords: 996, all

Transcript Highlights:

• That is across all navigable waters in the state of New Mexico.
• We're going to have to navigate these regulations. We also have regulations. We didn't know that.
• For the last seven years, we've been trying to find a way to navigate those regulations.

Transcript Highlights:

• community members who have extreme allergies, especially for families with young children learning to navigate
• Aye. extreme allergies, especially for families with young children learning to navigate that health
• seems we spend more time explaining to patients why we cannot help them and trying to help them navigate

Summary: The committee heard several health-related measures. SB 27 by Senator Umberg would revise and expand California’s CARE Court by limiting the expansion to people with bipolar I disorder with psychotic features, clarifying the definition of “clinically stabilized,” and narrowing the role of nurse practitioners and physician assistants. Supporters, including behavioral health officials and family members, said the bill would reduce dismissals and better serve people with severe illness; opponents warned the expansion would strain county staffing and housing resources and could undermine voluntary engagement. The bill passed on a do pass motion to the Committee on Public Safety. SB 503 by Senator Weber Pierson would require AI tools used in health care facilities to be identified, monitored, and mitigated for bias when used in clinical decision-making or resource allocation. The author and supporters from Kaiser Permanente and the California Medical Association said the bill would help prevent discriminatory outcomes and improve trust and safety. The committee discussed the need to clarify developer and deployer responsibilities, and the bill passed as amended to Privacy and Consumer Protection. SB 68 by Senator Menjivar would require restaurants to provide written allergen information for the top nine food allergens, with tiered flexibility for smaller establishments. The bill was supported by patients, families, nurses, and allergy organizations, who described severe reactions and the difficulty of relying on verbal disclosures alone. The California Restaurant Association opposed unless amended, seeking broader use of the national model food code and additional liability language. The bill passed as amended to Appropriations. The committee also heard SB 403 by Senator Blakespear, which would remove the sunset from the End of Life Option Act; supporters described the law as a compassionate, well-functioning option for terminally ill patients, while faith-based groups opposed it. The bill passed to Judiciary. Later, SB 41 by Senator Wiener was introduced to rein in pharmacy benefit manager practices that steer patients to mail-order pharmacies and reimburse community pharmacies below cost; community pharmacists and several health organizations testified in support, describing pharmacy closures and patient access problems.

Transcript Highlights:

• But also include folks like community health care workers, peer navigators, of course, folks in the behavioral
• As I continue to navigate the GROW program, I will share what I have with you.
• Those afflicted with these disabilities often cannot navigate the system on their own.

Transcript Highlights:

• Education is the single most vital tool that we have to help our communities navigate demographic change
• they do better in school, they have better mental health, and they gain the skills that help them navigate
• involves solving complex problems under pressure, often requiring us to work together effectively and navigate
• But they also learn skills such as time and change management, cooperation, how to navigate team dynamics
• These young athletes are navigating unique challenges and stereotypes in their daily school life.

Keywords: 995, all

Summary: The Joint Committee on Education held a very full public hearing on the first Education Committee hearing of the session, with testimony taken on a large slate of bills, especially H. 650/S. 436 and related measures. The chairs explained the hearing rules, including two-minute testimony limits, live streaming, written testimony, and accommodations for interpreters and disabilities. The committee first heard extensive testimony on H. 460/S. 436 and later H. 650/S. 436, bills to affirm and maintain equal access to public education for all children, including immigrant students, English learners, and students with disabilities. Witnesses included parents, advocates, educators, attorneys, and state officials, many of whom described fears caused by federal policy changes and argued that Massachusetts should codify protections for school enrollment, special education, interpreter services, and due process in discipline cases. The Attorney General’s office, Mass Advocates for Children, Lawyers for Civil Rights, MIRA, the Children’s Law Center, the Disability Law/advocacy community, and others all urged favorable action, while committee members asked questions about Plyler v. Doe, manifestation determinations, interpreter qualifications, and how the bill would mirror or preserve existing federal protections at the state level. The committee also heard testimony on H. 702/S. 460, establishing an elementary and secondary school robotics grant program, which was supported as a way to expand STEM opportunities and help schools fund robotics programs. Representative Sweeney also testified on H. 713, a bill to support student participation in 4-H programming by allowing excused absences similar to those for athletics and other sanctioned activities; members noted bipartisan support and the bill’s long history. The hearing then moved to H. 543/S. 417, a recess bill requiring at least 30 minutes of free-play recess for K-8 students. Supporters included the Massachusetts Teachers Association, the League of Women Voters, educators, and parents, who emphasized recess as important for physical health, social-emotional development, attention, and academic performance, and noted that unequal local policies create disparities across districts. Several witnesses also tied recess to broader concerns about student well-being and screen time. No votes were taken during the hearing; the committee simply received testimony and closed testimony on the bills as it moved through the agenda.

Transcript Highlights:

• Cancer Link's is 98%, blowing the rest of the country out of the water because of the personal navigation
• Cancer Link's is 98%, blowing the rest of the country out of the water because of the personal navigation
• Cancer Link's is 98%, blowing the rest of the country out of the water because of the personal navigation
• And as far as the Colorectal completion rate, we are able to have that high success because of navigation
• And as far as the Cologuard completion rate, we are able to have that high success because of navigation

Keywords: 958, all

Summary: The meeting opened with roll call, approval of the September 17 minutes, and an introduction of Sarah Rome to the committee. The chair also noted that the committee would stay on schedule and then moved to presentations. Representative Amy Neighbors and Taylor Williams of the Kentucky Pharmacists Association presented a refiled “pharmacy parity” proposal, formerly House Bill 3, to require Medicaid reimbursement for pharmacist clinical services already authorized under current scope of practice. They said the bill would not expand Medicaid or pharmacist scope, but would align Medicaid with commercial insurance, improve access and outcomes, and likely save money; they cited a Cabinet report under Senate Joint Resolution 26, which found similar laws in other states were producing savings or trending toward savings and would require only modest administrative updates. No member questions were raised after that presentation. The committee then heard an update on the Kentucky Colon Cancer Screening Program from Senator Stephen Meredith, Dr. Whitney Jones, Melissa Carrier, and Representative Neighbors. They described the program’s goals of increasing screening, reducing deaths through earlier detection, and preventing cancers by finding polyps, saying it has produced substantial savings and improved outcomes. Speakers emphasized Kentucky’s high colorectal cancer burden, especially in younger adults, and said the program helps uninsured and underinsured Kentuckians access stool-based screening and follow-up colonoscopies through a network of partners including the Department for Public Health, Kentucky Cancer Link, and university cancer programs. They requested an increase in funding from $500,000 to $1.25 million annually, or $2.5 million over the biennium, to expand services, fill geographic gaps, and support education and navigation. Members asked whether the colon cancer screening was already covered by Medicaid, and the presenters replied that Medicaid does cover it, but the program serves people who are not on Medicaid or who fall into a separate eligibility category based on income and insurance status. A member also clarified the requested funding increase. The committee then moved on to the next agenda item, an update from the Children’s Home of Northern Kentucky, where board member Sal Santoro and CHNK Behavioral Health leaders began a presentation describing the organization’s broader behavioral health work and its request, but the transcript cuts off before that presentation concludes or any action is taken.

Transcript Highlights:

• And if we maintain those foundations strongly, then we will be able to navigate the very difficult issues
• And if we maintain those foundations strongly, then we will be able to navigate the very difficult issues
• will<00:26:59.039> be<00:26:59.200> able<00:26:59.360> to<00:26:59.600> navigate
• <00:27:00.240> the<00:27:00.559> very we will be able to navigate the very we will
• be able to navigate the very very<00:27:01.279> difficult<00:27:01.760> issues<00:27:02.159

Keywords: 912, senate, all

Summary: The Judiciary Committee held an informational briefing on the rule of law with U.S. Representative Ed Case. Chair Carl Rhodes opened by explaining the purpose of the briefing, noting it was being livestreamed and that public testimony would not be taken in the usual way. He described the rule of law as central to democracy and introduced Case, who was invited to discuss the concept and its relevance to recent federal actions affecting Hawaii. Case framed the rule of law as a durable system grounded in the Constitution, federal laws, separation of powers, and checks and balances, with each branch of government and the public itself playing a role. He emphasized that Congress makes the laws, the president executes them, and the courts decide whether the Constitution and laws are being followed. He also stressed that elected officials swear to uphold this structure and that the rule of law is distinct from ordinary policy disagreements. Case then argued that the Trump administration has undermined the rule of law through actions such as dismantling or weakening agencies created and funded by law, withholding appropriated funds, removing inspectors general and other independent officials, ignoring or challenging court orders, weakening the independence of agencies like the Department of Justice and the Federal Reserve, and intimidating dissenting voices, the press, and other opponents. He said these actions have harmed Hawaii and reflect a coordinated effort to concentrate power in the executive branch. He noted that Congress has not been serving as an effective check, while federal courts have been the main remaining check through more than 46 lawsuits, and he identified voters as the ultimate check and balance, briefly correcting the timing of the next midterm election to 2026.

Transcript Highlights:

• Navigating transfer credits from multiple institutions can be challenging.
• I've navigated pretty much every avenue of services that veterans can either provide.
• things, that maybe the website to apply for your license in the state of New Mexico is difficult to navigate
• Navigate the VA website to pull that information down, because that's just a nightmare.
• equipment to manage sonar to know exactly where you are underneath the surface of the water, radar, and navigation

Transcript Highlights:

• A lesson in adaptive leadership, uh, as we navigate a flood of information coming to us from Washington
• We are also thankful for the General Court and many of you sitting around this table as we also navigate
• table<00:16:05.920> as<00:16:06.079> we<00:16:06.440> also<00:16:06.800> navigate
• /c><00:16:07.319> lots<00:16:07.560> of<00:16:07.720> this table as we also navigate
• lots of this table as we also navigate lots of this uncertainty<00:16:08.560> we've<00:16:08.720

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.