Transcript Highlights:

• to be in the system.
• Then the UT system itself has another set of trustees.
• Then the UT system itself has another set of trustees.
• Are we going to do it through the UT system?
• How easy it was to attack these systems and attack two other water systems during that same week.

Bills: HB146, HB150, HB1500, HB1545, HB1562, HB2067, HB2520, HB2818, HB3214, HB3250, HB3466, HB3512, HB3623, HB4063, HB4395, HB4464, HB4668, HB4690, HB5331, HB3833

Keywords: HB 146, Texas Capitol, State Capitol, State Preservation Board, Congress Avenue, Travis County, traffic lanes, lane closure, road closure, municipal authority, local control, Capitol area, downtown Austin, special events, construction traffic plan, pedestrian safety, public works, transportation policy, government code chapter 443, cybersecurity

Summary: The committee took up several pending business items and reported a series of House bills out of committee, including HB 2467, HB 2468, HB 2518, HB 4310, HB 4386, HB 4490, HB 5323, and HB 149. Most of these were advanced on committee substitute motions and sent to the local and uncontested calendar or reported favorably to the full Senate. HB 2467 drew one nay vote, while the others were approved without opposition. HB 4310 and HB 4386 were described as committee-substitute versions with changes narrowing disclosure requirements and preserving attorney-client privilege in certain circumstances. A major portion of the meeting focused on HB 149, an AI governance bill. The substitute was explained as addressing biometric identifier capture and storage, exempting certain AI uses for security and fraud prevention, clarifying definitions, restricting AI systems that simulate explicit child sexual content, adjusting Attorney General investigative authority, refining sandbox program waivers, reducing Texas AI Council powers and membership, and adding DIR coordination provisions. The committee adopted the substitute and reported the bill favorably. The committee then heard extensive testimony on HB 1500, the DIR sunset bill. The author said the bill would continue DIR for 12 years, restructure its board, update advisory committees, require regular cybersecurity assessments and penetration testing for state agencies, improve IT procurement training, and transfer the e-grants program to the Comptroller. A Texas 2036 witness supported the bill as a way to strengthen governance, procurement, and cybersecurity. Members asked detailed questions about the bill’s structure and then left HB 1500 pending. The committee also heard a lengthy presentation on HB 150, which would create the Texas Cyber Command as a component of the University of Texas System, administratively attached to UTSA and located in San Antonio. The author argued the command would centralize cyber threat intelligence, incident response, and digital forensics, and would be able to support state and local entities, with optional services for local governments. Members raised concerns about university mission drift, governance, security, chain of command, procurement authority, gifts and donations, and civil liberties implications of proactive cyber monitoring. Witnesses from UTSA/NSCC and SecurityScorecard testified in support, emphasizing the security of the downtown San Antonio facility, the existing cyber ecosystem there, and the need for a dedicated cyber capability. The bill remained under discussion with no final committee action announced in the excerpt.

Transcript Highlights:

• That process, again, you'll alert security or staff that you have a permit.
• screening starts uh that process<00:10:25.600> again<00:10:26.240> you'll<00:10:26.560> alert
• <00:10:26.959> security<00:10:27.680> or process again you'll alert security or process
• again you'll alert security or staff<00:10:28.399> that<00:10:28.640> you<00:10:28.800

Keywords: 918, senate, all

Summary: Minnesota Department of Public Safety Commissioner Bob Jacobson and State Patrol Colonel Christina Bogoich announced that weapon screening will begin Tuesday at the Minnesota State Capitol, at the start of the 2026 legislative session. They said the change is based on an independent security assessment and the Axtell report’s top recommendation, and is intended as an added layer of protection rather than a weapons ban or a change in state law. Both officials emphasized that the Capitol should remain open, accessible, and welcoming while reducing preventable risks, citing increased threats nationwide and the recent murders of Speaker Emerita Melissa Hortman and Mark Hortman and the shootings of Senator John Hoffman and Yvette Hoffman. Officials said visitors will enter through four public access points, with all other exterior doors closed to public entry. The primary entrance will be the south ground-level entrance, with additional access through tunnels connecting to the Senate building, State Office Building, Parking Lot C, and the Judicial Center. They said the screening process should take only seconds for most people, with bags scanned separately and additional checks only if needed. Prohibited items will not be stored by the Capitol, and the public was told to plan ahead, carry fewer items, and follow staff instructions. The Capitol will close to the general public at 4:30 p.m. on weekdays unless legislative business is still underway, in which case accommodations will be made. In questions, officials said people with valid permit-to-carry authorization may still bring a firearm if it is otherwise legal, but they must declare the permit, show government ID, and go through screening. Elected officials are exempt and will have a separate lane, while staff will be screened. They also said the tunnels will be locked with restricted key-card access, and that the Senate is implementing its own screening, with questions about Senate doors referred there. Jacobson said the State Patrol will cover the costs within its existing budget, and that the process will be evaluated and adjusted as needed to keep it efficient and not a deterrent to visitors.

Transcript Highlights:

• seems extremely ill-advised, as does allowing people to dispose of what might be sick birds without alerting
• :06:27.480> sick<00:06:27.760> birds<00:06:28.120> without<00:06:28.480> alerting
• <00:06:28.960> anyone<00:06:30.040> in be sick birds without alerting anyone in be
• sick birds without alerting anyone in public<00:06:30.600> authority.

Keywords: 912, senate, all

Summary: The AEN hearing on March 14, 2025 reviewed several agriculture, biosecurity, animal, and climate-related measures, but the chair announced at the outset that the committee would not have decision-making that day because quorum was not expected. Decision-making for the full agenda was rescheduled to Monday, March 17, 2025 at 1:02 p.m. in room 224. Testimony was limited to one minute per speaker. Measures heard included HB 48 HD2 on coffee labeling and regional origin, HB 782 HD1 creating a Department of Agriculture working group to review obsolete agricultural laws, HB 980 HD1 on mongoose and feral chicken control, and HB 1237 HD1 appropriating funds for agricultural biosecurity and invasive species work in Maui County. The Department of Agriculture supported HB 48, HB 782, and HB 1237, and several industry and conservation groups testified in support of the first two. HB 980 drew strong opposition from Pono Advocacy and the Hawaiian Humane Society, who argued it raised animal cruelty and public health concerns, especially during H5N1 risks; the measure also had support from agriculture-related groups. HB 1237 received broad support, with witnesses asking for language changes to broaden coverage to additional invasive species and to better support Maui Invasive Species Committee work on little fire ants and other pests. The committee also heard SCR 88/SR 71 on a microbial algae soil products pilot program, SCR 91/SR 74 on self-defense law changes for agricultural communities, SCR 93/SR 76 on integrating indigenous knowledge into climate policy, SCR 94/SR 77 on Maui axis deer control and venison, and SCR 103/SR 84 on a PFAS working group. Testimony on SCR 91/SR 74 came largely from ranching and agricultural interests in support, citing trespass, poaching, and safety concerns. SCR 93/SR 76 drew support from a Native Hawaiian testifier and others who emphasized stewardship, intergenerational planning, and climate resilience. SCR 94/SR 77 and SCR 103/SR 84 also received support, including from the Department of Agriculture and the Honolulu Board of Water Supply on the PFAS measure. No votes were taken.

Transcript Highlights:

• The bill our parks and trails system.
• <02:17:31.319> better, can make our immigration system better, can make our immigration system
• So, that's that use their own system.
• public such as Silver Alerts and Amber Alerts.
• public such as Silver Alerts and Amber Alerts.

Keywords: 1183, house

Transcript Highlights:

• There will be radio transmission to alert people.
• We're alerted to every truck.
• And the third is the DP 1843 Shumway recovery system, which you heard. Talked about earlier on.
• right in front of me, but with an NGO years ago, one of the requirements was the Shumway Recovery System
• One is that there is no further flow into that system, all right? So it's dry.

Transcript Highlights:

• which could come from the deliberate or unintended tampering with sophisticated emissions control systems
• which could come from the deliberate or unintended tampering with sophisticated emissions control systems
• Without a similar exemption in the telematics law, the ability to have single open diagnostic systems
• You've got the lane change alerts, all of those things that are part of the car.
• You've got the lane change alerts, all of those things that are part of the car.

Keywords: 995, all

Summary: The Joint Committee on Consumer Protection and Professional Licensure heard testimony on a wide range of bills involving consumer protection, auto regulation, alcohol licenses, and professional licensure. A major focus was legislation to require a one-hour domestic violence awareness training for salon and cosmetology licensees (H.323/S.200), supported by District Attorney Marion Ryan, law enforcement, and a salon industry witness who described the program’s value in identifying and helping victims. The committee also heard strong support from the Attorney General’s office for auto consumer protection legislation (S.228/H.379) that would expand used-car warranty protections, extend the Lemon Law return period to seven days after receipt of the vehicle, raise the mileage cap to 200,000 miles, and increase dealer surety bonds to $50,000. Independent dealers opposed those changes, arguing they would burden small businesses and that dealer education, not expanded liability, was the better solution. The committee also took testimony on bills related to vehicle financial products and repair information. A trade association supported GAP waiver legislation (H.4188/S.281), saying it would create clear consumer protections and standard disclosures. On right-to-repair and heavy-duty vehicle service information (S.266), engine and truck manufacturers supported an exemption for commercial vehicles, while others argued that releasing service data to the general public could create safety, cybersecurity, and emissions risks. The committee then heard extensive testimony on auto dealer franchise and warranty reimbursement legislation (S.201/H.406), with dealer groups supporting changes to warranty labor reimbursement and manufacturer groups opposing them as costly and unnecessary. Manufacturers from GM, Volvo, Toyota, Hyundai, Mazda, and others said their current time-study and appeals processes already compensate dealers fairly and that the bill would raise costs for consumers. In addition, the committee heard testimony on H.333, which would move auto damage appraiser licensing from the Division of Insurance to the Division of Occupational Licensure. Collision repair advocates supported the change, saying the current board structure leads to repeated dismissals of complaints and lacks accountability, while emphasizing that the bill is intended to protect consumers and ensure proper repair reimbursement. The hearing also included testimony in support of a local alcohol license petition for Westwood and a separate local alcohol measure for a town grant license. At the end of the hearing, the chairs announced that all docketed bills had been heard, noted that a joint poll would be held on H.4184, and the committee voted to adjourn by voice vote.

Transcript Highlights:

• I was not discharged from the hospital system until early May.
• to be, from what we're hearing from the state side, is that they can't work it through their SHARE system
• , which is their payroll system, and that's why they can't bring these people onto full-time permanent
• you're in the process of collecting cards and unionizing, that automatically sends — should send — an alert
• It should send an alert to the employer that you do not take action that could be retaliatory in nature

Keywords: 996, all

Summary: The House Labor, Veterans and Military Affairs Committee met and first heard House Memorial 7, which asks Legislative Council Service, the State Personnel Office, DFA, and GSD to study the use of temporary, term, seasonal, casual, on-call, and other non-regular classifications in state government. The memorial was presented as a response to concerns that some workers are repeatedly terminated and rehired, sometimes after a one-day break, to avoid regular status and associated benefits. Testimony from CWA and AFSCME described long-term temporary workers at the National Hispanic Cultural Center and other agencies who allegedly do full-time work without health insurance, retirement, leave, or consistent pay progression, and who in some cases were denied union coverage. Committee members questioned the scope, definitions of temporary employment, and whether the issue should instead be referred to the state auditor; the sponsor said the study would gather data and recommendations first. The committee voted due pass, and House Memorial 7 passed unanimously. The committee then heard House Bill 177, which appropriates funds to the Veterans Services Department to contract for shelter and care of service and companion animals so veterans can access housing, medical care, and other services without fearing separation from their pets. Support came from the Veterans Services Department, Animal Protection New Mexico, and the Veterans and Military Families Caucus/Veterans Integration Center, all of whom said pets are often a barrier to veterans seeking care and that existing community-based animal boarding models could be used. The bill received no opposition, and the committee voted due pass with no opposition. Finally, the committee heard House Bill 43, a PERA cleanup bill intended to update and clarify the Public Employees Retirement Act and align it with administrative practice. Testimony focused on a provision allowing PERA to use licensed physicians, including out-of-state physicians who can be licensed in New Mexico, to serve on the disability review process when needed so disability cases are not delayed. Committee members raised concerns about ensuring medical expertise and avoiding abuse of the licensing flexibility, but PERA explained the change was meant to address recruitment difficulties and maintain timely review. The committee voted due pass on House Bill 43.

Transcript Highlights:

• The bottom line is that we oppose a system that will discourage people from using curbside voting or
• We have not seen widespread abuse of the curbside voting system.
• Arlington, Texas is the largest city without a mass public Emily French: transit system in the United
• I do not see a problem with the current system, and I urge you not to pass this bill.
• This bill would allow for these voters to use Veronica Warms: the existing curbside voting system to

Transcript Highlights:

• I was the sponsor of the Purple Alert, which is for when individuals who are between the ages of 18 and
• The purple alert was done because there was an individual who left and wandered into a body of water

Summary: The committee met with a quorum present and first took up SB 1376, a bill by Senator Burgess to create an education grant program to help address Florida’s shortage of genetic counselors. Burgess explained that the program would support students pursuing genetics-related careers at state universities, noting the growing need in clinical areas such as oncology, prenatal care, and rare diseases. An amendment was adopted requiring graduate genetic counseling programs to be accredited by the Accreditation Council for Genetic Counseling and to show sufficient clinical training capacity. Members speaking in support said genetic counseling is an important and underrecognized field and that the bill would help expand access to services in Florida. After the amendment, CS for SB 1376 was reported favorably by roll call vote. The committee then took up SB 1570 by President Gates, which would restore a previously sunsetted statewide program, Project Leo, to help locate missing persons with special needs who are at high risk of wandering, using voluntary tracking devices through CARD centers and local sheriff’s offices, with $1 million in nonrecurring funding. Senators Berman and Harrell strongly supported the bill, citing the dangers of wandering, especially for individuals with autism or developmental disabilities, and the potential for the program to save lives. SB 1570 was also reported favorably by roll call vote. No other business was raised, and the committee adjourned.

Transcript Highlights:

• I was the sponsor of the Purple Alert, which is for when individuals who are between the ages of 18 and
• The Purple Alert was done because there was an individual who left and wandered into a body of water

Bills: S1376, S1570

Keywords: genetic counseling, education grants, state universities, faculty recruitment, student financial assistance, missing persons, special needs, autism, search-and-rescue, Florida, voluntary program, funding

Summary: The committee met with a quorum present and first considered SB 1376, which would create an education grant program to help address Florida’s shortage of genetic counselors by supporting students in genetics programs at state universities. Senator Burgess described genetic counselors’ roles in oncology, prenatal care, rare diseases, and other clinical settings, and noted Florida’s limited number of licensed counselors. The committee adopted an amendment requiring graduate programs to be accredited by the Accreditation Council for Genetic Counseling and to show sufficient clinical training capacity. Members spoke in support, and CS/SB 1376 was reported favorably by roll call vote. After a brief recess, the committee took up SB 1570, which would revive Project Leo, a prior Florida program that helped locate missing persons with special needs who are at high risk of wandering or elopement. President Gates explained that the bill would allow participating CARD centers to work with local sheriff’s offices to provide voluntary tracking devices and included $1 million in nonrecurring funding. Senators Berman and Harrell supported the measure, citing the dangers of wandering, especially for individuals with developmental disabilities or autism, and the importance of preventing drownings and other tragedies. The bill was reported favorably by roll call vote. No other business was raised, no senators requested to be recorded on the bills, and the committee adjourned without objection.

Transcript Highlights:

• of care for strengthening systems of care for healthy<01:11:13.280> aging.
• So, a system of care is healthy aging.
• <01:12:21.199> I strengthening our systems of care. I strengthening our systems of care.
• <01:12:33.040> And some goals for the system of care.
• And some goals for the system of care.

Keywords: 928, house, all

Summary: The committee first handled routine business, including roll call and approval of the prior meeting minutes, with one member abstaining because of absence and one member opposing. The main informational items were a Department of Health and Human Services update on the rural health transformation grant and a public health briefing on vaccines, followed by a quarterly budget and staffing update and an annual report from the Permanent Subcommittee on Alzheimer’s Disease and Other Related Dementias. Commissioner Lori Weaver reported that the department submitted the rural health transformation grant application on November 4, described it as reflecting input from communities and providers statewide, and said CMS review and budget negotiations would follow before final approval on December 31. She said the grant could support hiring as long as administrative costs stay within the 10% cap, and that the governor’s office will oversee administration with HHS. Ian Watt then testified that New Hampshire remains committed to vaccine access, including through the universal purchase program and annual respiratory virus guidance for flu, RSV, and COVID-19. He said the state continues to use evidence-based review for vaccine policy, noted the CDC’s change regarding the combined MMRV vaccine for the first dose in young children, and said New Hampshire’s school vaccine mandates remain at nine for schoolchildren and 10 for child care, with statutory exemptions still in place. Department staff also said there have been no supply or funding problems affecting childhood vaccine access. Nathan White, the department’s CFO, reviewed the DHHS budget and vacancy trends. He said DHHS makes up a large share of the state budget, that about 31% of its budget is general funds subject to lapse, and that lapse projections are difficult because much of the budget is driven by utilization rather than personnel. He reported current projected general fund lapse of just under $20 million, compared with about $39 million in the statewide surplus statement, and explained that only about a third of DHHS general funds can actually lapse because of statutory restrictions. He also said the department has about 400 unfunded positions, contributing to roughly a $30 million general fund reduction across the biennium, and that the hiring freeze has pushed vacancy trends upward while critical direct-care positions are being prioritized. The Alzheimer’s subcommittee reported six meetings this year, presentations on state services, silver alerts, brain health awareness, and palliative/hospice care, and work toward a new state Alzheimer’s plan. The subcommittee is developing a needs-assessment survey for people living with dementia, caregivers, and service providers, with the goal of using the results and other data sources to inform the plan. Its recommendations focus on integrating Alzheimer’s and dementia materials into chronic disease and aging outreach, embedding brain health into systems of care, adding cognitive health measures to BRFSS, and continuing partnerships with statewide organizations. Members also discussed recent research and prevention efforts, and the committee noted that a separate bill is being pursued to include Alzheimer’s and dementia in existing public health awareness campaigns.

Transcript Highlights:

• , for the insurance system, and everybody else.
• and the utility system.
• One is employee reporting systems.
• How does prudency work within the regulatory system?
• And I heard Australia that they have a good insurance system that works.

Keywords: 987, senate, all

Transcript Highlights:

• First off, I will say most of these systems in North Dakota are a closed-loop system.
• in North Dakota are a closed-loop system.
• And then we have space for another system.
• Enhanced oil recovery projects, consider them like a closed-loop system.
• The CO2 is recompressed and re-injected in a closed-loop system.

Summary: The committee met in Grand Forks, approved the February 26 minutes by voice vote, and recessed for a tour of the Mincota Power Cooperative headquarters before returning for presentations on large energy consumers, especially data centers. The first presentations focused on how North Dakota should respond to rapid growth in energy-intensive projects, with speakers emphasizing the need for reliable transmission, local decision-making tools, and factual information for county and township officials who are being asked to weigh major projects with limited staff and technical support. The North Dakota Transmission Authority director said local governments are being asked to make high-impact decisions on pipelines, transmission lines, large agriculture, wind, solar, carbon dioxide pipelines, direct-air capture, and data centers, and urged development of simple statewide decision tools and support from the League of Cities and Association of Counties. The Department of Environmental Quality’s air division director said North Dakota’s air remains among the cleanest in the nation, but large data centers can create air-quality concerns because of diesel backup generation; he said the department is requiring air monitors at some facilities and expects grid power and, potentially, cleaner natural gas backup to reduce emissions. Members asked about emissions standards, misinformation, monitoring costs, and staffing succession at DEQ. The Department of Water Resources director said North Dakota’s water law is based on common ownership and prior appropriation, and that data centers generally use relatively small amounts of water, often in closed-loop systems. He said the Missouri River and groundwater supplies are ample for projected needs, that the department’s permitting process protects senior water rights, and that even a worst-case data center scenario would use a very small share of Missouri River flow. Members asked about downstream impacts and compared data center water use with fracking. Later, McLean County State’s Attorney Ladd Erickson urged the committee to study how other states regulate data centers, warned against litigation-driven delays and overly broad local ordinances, argued reclamation bonding should be handled at the state level if at all, and said data centers can bring jobs and tax base but should remain subject to local zoning. The committee ended the morning session for lunch and later heard an EERC update from CEO Charles Gorecki on the center’s 75 years of work in energy and environmental technologies, especially oil and gas development and related research.

Transcript Highlights:

• These are critical IT systems, ensuring reliable communication and reporting.
• All of our law enforcement partners rely on our systems to work.
• I'll tell you, we have a criminal justice information system.
• And so since DoIT can't scan our systems is why we're getting this finding.
• So I would also like to go back to the missing persons alert, with all of the recent alerts that have

Summary: The Department of Public Safety presented its FY27 budget request, emphasizing three priorities: improving community engagement through a redesigned website and outreach, expanding statewide data and intelligence integration through intelligence-led policing, and improving emergency response and officer safety through fleet replacement, a driving track, and a requested helicopter. DPS said much of its increase is driven by rising health care premiums, and it is also seeking special appropriations for fleet replacement, the website rebuild, and an Honor Guard program created after the 2022 helicopter crash that killed four public servants. Members asked about vacancies, fleet costs, cybersecurity compliance, the real-time crime center, EV fleet participation, and the Metro DPS facility. DPS said its vacancy rate is about 9%, its fleet replacement needs are driven by mileage and condition, it is compliant with federal CJIS standards even though DoIT has raised concerns, the real-time crime center would be built as a regional model to complement Albuquerque’s center, and the Metro facility is moving toward a January groundbreaking. Committee members also discussed several DPS-related capital and IT requests, including the intelligence-led policing data lake, recurring maintenance for critical systems, and a $5.6 million reauthorization for state crime lab DNA backlog work and a $900,000 reauthorization for fingerprinting equipment. DPS explained that the website request is high because the current site must be rebuilt from scratch to support missing-person alerts, memorial updates, ADA compliance, and better communication with law enforcement and the public. Members also raised concerns about speed enforcement, construction-zone cameras, and whether EVs are practical for patrol use; DPS said it is not pursuing speed cameras and is only partially participating in the state EV initiative because patrol needs make full electrification difficult. The committee then received an LFC quarterly update on non-recurring appropriations from the 2025 General Appropriation Act. LFC reported that of the $1.4 billion appropriated in Section 5, $164 million had been expended and $333 million encumbered, leaving $897.4 million unspent, which is a slower pace than the prior year. Staff highlighted a number of reauthorization requests and slow-moving projects across agencies, including AOC cybersecurity funding, DFA housing and public safety grants, DoIT cybersecurity and higher education funds, EDD economic development and energy programs, OSI mitigation and malpractice funds, EMNRD energy and geothermal grants, Health Care Authority behavioral health-related appropriations, DPS crime lab and fingerprinting funds, PED career technical education and special education initiatives, and higher education loan repayment and technology funds. Members questioned why some large appropriations had little or no spending, discussed the need to monitor reauthorizations more closely, and asked for follow-up on several specific line items and project balances.

Transcript Highlights:

• When you have those systemic manifestations, next slide, you can now have non-compartmental... ...systemic
• We heard about the many systemic health effects.
• While disasters do not discriminate, our systems do.
• We must push for systemic change.
• In my community, the alert also did not go out.

Summary: The Assembly Health Committee held an informational hearing on the health impacts of wildfires and the effects on health care systems and access to care. The first panel focused on public health consequences, with testimony from UCLA and UCSF physicians, a community organizer, and an Altadena recovery leader. Witnesses described acute and long-term physical harms from wildfire smoke and ash, including asthma and COPD exacerbations, cardiovascular and stroke risks, pregnancy impacts, infection risk, and possible added hazards from lithium-ion battery fires. They also emphasized mental health effects such as anxiety, depression, PTSD, “firebrain,” and the need for psychological first aid, trauma-informed community networks, and youth-focused resilience programs. Community advocates stressed that Latine, Indigenous, undocumented, and Black communities face disproportionate harm because of language barriers, unsafe work conditions, lack of insurance, and exclusion from disaster aid, and they called for stronger language access, worker protections, permanent disaster relief, and better outreach. Committee members asked about air monitoring, masks, wind events, lithium-ion batteries, and how to reach communities with translation and emergency information. Panelists said AQI is useful but incomplete, that N95s help for smoke but P100 masks are needed for ash/asbestos exposure, and that communities should be warned to stay indoors and avoid windy dust-ups after fires. They also discussed the importance of building relationships during non-emergency periods, using text alerts and trusted community organizations, and providing culturally and linguistically appropriate information. Several members and witnesses highlighted the need for more research on long-term health effects, especially for people with chronic lung disease, workers who cannot stay indoors, and residents exposed to repeated disasters. The second panel addressed health care system response and access to care. DHCS and DMHC described emergency flexibilities used during the Southern California fires, including federal waivers, extended Medi-Cal renewal deadlines, reinstated coverage for some disenrolled members, suspension of prior authorization and prescription refill barriers, out-of-network access at in-network cost-sharing, and communication through websites, toll-free numbers, and social media. Hospital and community health center leaders described major operational strain: emergency room surges, canceled surgeries, dialysis disruptions, staff displacement, temporary housing needs, and financial losses. Huntington Health and AltaMed reported using incident command systems, temporary care spaces, bilingual and culturally tailored services, mobile clinics, infection control measures, and community health workers to keep care going. Members and witnesses also discussed the need for better disaster staffing pools, more flexible facility rules, stronger mental health coverage, child care planning, and statewide coordination for future emergencies; no formal votes were taken.

Transcript Highlights:

• We have a very diverse rural routing system within our county.
• We have a very diverse rural routing system within our county.
• system, to provide additional testimony.
• So the transit system is really important for our regional economy.
• And again, the highest ridership of our trolley system, which is our light rail system, runs and begins

Keywords: 987, senate, all

Transcript Highlights:

• , HHS, Medicaid, the Department of Corrections, CCSNH, the community colleges, and the university system
• them to what we have them by alerting them to what we have found<00:20:43.880> uh<00:20:44.000
• <00:21:01.919> so<00:21:02.240> we colleges and the university system so we colleges
• We regularly engage stakeholders across the health care system.
• um the PAB is comprised of system um the PAB is comprised of legislators<00:28:15.679> Health

Keywords: 928, house, all

Summary: The working session focused on the New Hampshire Prescription Drug Affordability Board’s budget request and its recent work. Early discussion centered on a technical question about a statutory dedicated fund for donations: members asked why the budget did not show a line item for accepting donations, and DHHS CFO Nathan White explained that the statute already authorizes the fund, but because no revenue has been received yet, it does not appear in the budget. He said any future donations would go through the normal process under RSA 14:30-a, with fiscal committee and Governor and Council approval and a memo to the Department of Revenue Administration. The chair clarified that the account was not a prerequisite to soliciting donations, and White said the fund would supplement, not replace, General Fund support. Kirk Williamson, the board’s executive director, then presented the board’s mission and budget. He said the governor’s budget provides about $256,500 in the first year and slightly more in the second, all General Funds, and that the board had distributed a technical amendment to continue the executive director position. He described the board’s role as analyzing prescription drug costs, identifying savings opportunities, monitoring market trends, promoting transparency, and making recommendations to the legislature and public payers. He also emphasized that the board operates publicly, with live-streamed meetings and a stakeholder advisory council that includes unions, state agencies, Medicaid, corrections, higher education, and other stakeholders. A major topic was the board’s estimate of $6 million in potential savings, based on Medicare’s newly negotiated prices for 10 drugs. Williamson explained that the board used those federal negotiated prices as a benchmark to estimate what New Hampshire public payers might be missing by not having similar leverage, and said the board is trying to build evidence for future recommendations rather than directly setting prices. Members asked how those potential savings could become actual savings, and Williamson said the board is sharing findings through its advisory council and feedback loops, though it has not yet sent a formal recommendation letter to specific purchasers. He also discussed the difference between pharmacy-benefit spending, which relies heavily on PBM-negotiated rebates, and medical-benefit spending, which is administered differently and is being added to the board’s next report. Williamson highlighted other work, including a model on Humira and a pending legislative effort to improve biosimilar competition, plus a proposed state-backed pharmacy savings card that would be no cost to the state and could save users about $240 per prescription based on Connecticut’s experience. No votes were taken during the session.

Transcript Highlights:

• systems that we set up for 400 years in this country.
• systems that we set up for 400 years in this country.
• systems that we set up for 400 years in this country.
• the duties of the IG include alerting the duties of the IG include alerting relevant<01:37:00.400
• We've created a tracking system, a temporary system recording complaints and their associated information

Keywords: 1187, senate, all

Transcript Highlights:

• And this is all in the surveillance system that we would have access to.
• . them through the feather alert.
• Essentially, there's a system in place that maintains itself."
• There's a system in place that maintains itself, and that's the status quo.
• It is often blamed for problems with behavioral health systems that may not have a lot to do with the

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• This is a good system for keeping the risk out of public money, and we are not paying out those public
• And I feel pretty comfortable that we have good systems in place to deter, detect, and prevent fraud.
• in check to deter you have good systems in check to deter you know<00:26:23.919> to<00:26:24.159
• scale of the issue, I would also alert scale of the issue, I would also alert and<00:27:10.080><
• Um, I also just want to say that um I think we do have a pretty good system as I've said. those to the

Bills: HF3426, HF3428

Keywords: natural resources, environment, sustainability, conservation, outdoor recreation, land acquisition, real property, trust fund, commissioner approval, Department of Natural Resources, DNR, conservation easement, land purchase, state land, public lands, property acquisition, value assessment, tax assessed value, Metropolitan Council, Board of Water and Soil Resources