Transcript Highlights:

• We have operating formulas but we also have performance funding for formulas higher.
• Ed has a lot of performance formless and I can not those as we go through but you have morning K 12.
• So yeah, a lot of different performance funding models and higher.
• And again, it's just a lump sum that we give them to help meet their needs performance funds.
• And then they do an annual and final performance report.

Keywords: 999, senate, all

Transcript Highlights:

• Representative Murray has also indicated Representative Murray has also indicated there<00:12:41.560
• the supervisor of performance audits. the supervisor of performance audits.
• c> audit<00:15:38.800> and We told the performance audit and We told the performance audit
• . indicators. indicators.
• Plan Annual Performance Report.

Keywords: 1189, house, all

Summary: The commission on the costing of special education met to review several documents and updates, including draft materials on residential placements, an LBA dispute resolution report, prior minutes, rate-setting rules, and a letter involving Senator Hassan. The minutes from March 16 were approved by motion, second, and one abstention. Members also received an update that the LBA special education performance audit is still pending; the report is expected to be very large, NHED and the Board of Education must review and comment before release, and it likely will not be available until late summer or early fall. The separate EFA audit was also noted as still unreleased, and members said they may return later to issues involving EFA costing and differentiated aid. A major focus was HB 1099, which would create a committee to study the cost and liability of providing educational services to students placed in residential facilities. The chair explained that the House version had passed unanimously and the bill was headed to a committee of conference. Members discussed a proposed amendment to add the phrase “including but not limited to” so the study would cover not only court-ordered or treatment-related placements but also other residential placements, including those tied to school district decisions. Some members said this was a substantial expansion, while others said it would simply give the committee broader latitude. Jason Stock of the Winnisquam Regional School Board described how the issue arose during budget work at Winnisquam, where the district was trying to determine who should pay for educational services for students living at Spaulding Youth Center in Northfield. He said the district had 10 students attending Winnisquam, including three foster students and seven students connected to Spaulding, and that Spaulding-specific invoicing for 2024-2025 totaled $141,417.05 for eight students. Members also discussed rising private placement tuition costs and the difficulty of determining residency and fiscal responsibility for students placed in residential settings. Department counsel explained that under RSA 193:27 and 193:28, children placed in a home for children may attend the local district school, and that special education cost responsibility depends on whether the student is identified as disabled and on the nature of the placement. Spaulding representatives had not yet presented by the end of the excerpt, and the committee was still working through the residency and funding questions.

Transcript Highlights:

• And so there have been tragedies at camps because the adults don't... know how to perform CPR.
• Any physician has the ability to prescribe a medication for an FDA-indicated use.
• They also have the ability to prescribe a medication for a non-FDA indicated use. indicated use or specific
• condition or indication.
• The proof is in the performance. Well, I'm just sticking to my concept, you know, with my argument.

Bills: HB 265, HB25

Keywords: youth camp, safety regulations, advisory committee, child welfare, health standards, summer camp, camp safety, child abuse reporting, child neglect, mandatory reporting, background check, criminal history check, sex offender registry, CPR training, first aid, public health, child protection, camp operator, camp counselor, Health and Safety Code

Transcript Highlights:

• This is just an indication of some of the problems with being asked by this bill.
• of some of the and just an indication of some of the problems<00:47:00.760> with<00:47:01.000
• <00:47:08.599> is<00:47:09.280> the website is required to indicate is the website
• net costs the fiscal note indicates net costs the fiscal note indicates otherwise<01:07:44.000><
• If I concede that encouraging more students to perform community service projects would be good, and

Keywords: 1189, house, all

Transcript Highlights:

• now stuck with after performing the tow. now stuck with after performing the tow.
• In fact, we don't agree on whether they're legal or not indicates that there's a lot of confusion here
• In fact, we don't agree on whether they're legal or not indicates that there's a lot of confusion here
• We don't agree on whether they're legal or not, which indicates that there's a lot of confusion here.
• <02:28:37.760> a tough business and they are performing a tough business and they are performing

Keywords: 1189, house, all

Transcript Highlights:

• Lastly, implement a performance monitoring program using key performance indicators, or KPIs, to help
• An example of a performance indicator would be a burn rate, which measures budget spent as a percentage
• But the cost shares that... and ongoing performance monitoring.
• Everything in red indicates aquifers that are stressed at this point.
• We've performed those. We've performed one in 2018.

Summary: The Water Topics Overview Committee met with a quorum and received updates from the Department of Water Resources and the State Water Commission, followed by presentations from Deloitte on two legislative studies required by House Bill 1020. Director Reese Haas reviewed major project and budget updates, including the Northwest Area Water Supply and Southwest Pipeline projects, Resources Trust Fund balances, carryover spending, project prioritization, bid conditions, regional water system coverage, and department process improvements. Members also discussed how the commission prioritizes projects, maintenance expectations, and the impact of limited municipal water supply funding. No formal committee action was taken during the DWR update; the commission’s municipal funding decisions were described as pending its April 8 meeting. Deloitte then presented the cost-share policy study, which found that under current policy and forecasted revenues, North Dakota faces an estimated $1.3 billion shortfall over 14 years, with a near-term gap of about $1.8 billion through 2031. The firm outlined seven recommended options, including tighter definitions and a 25% cost share for eligible replacement projects, caps and financing strategies for the Mouse River and Red River Valley projects, aligning cost share with commission priority guidance, delaying lower-priority projects, using available lines of credit, and adjusting reimbursement timing for revolving loan funds. Committee members questioned inflation assumptions, affordability, user fees, and the use of legacy fund earnings for bonding, but no decisions were made. In the governance and finance study, Deloitte said final recommendations are still being refined, with a final report due May 29. The study examined the Southwest Pipeline, NAWS, and Red River Valley systems using governance and finance criteria such as decision authority, transparency, affordability, risk, and access to funding. For Southwest, Deloitte outlined options ranging from improved state-authority coordination to transferring ownership to the Southwest Water Authority; for NAWS, options focused on strengthening the authority’s role and potentially transitioning operations and maintenance; and for Red River, options ranged from enhanced facilitation to formal state oversight or state ownership. Members asked follow-up questions about ownership transfer, capital repayment streams, and why NAWS was not considered for transfer, and Deloitte said NAWS’s limited organizational maturity made that option less viable in the near term.

Transcript Highlights:

• Every day, dentists perform irreversible procedures inside a patient's body.
• And those surgical procedures are performed in one of the most delicate areas of the human body.
• are performed in one of the most delicate areas of the human body.
• Surgery was performed by leading... ...side effects, like periodic incontinence.
• In medical settings where the psychologist may have performed a fairly extensive I don't know.”

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hearing to take testimony on a wide range of bills involving professional licensure, clinical practice, and public health-related workforce issues. The chair explained that no votes would be taken at the hearing and that the purpose was to gather public input. Early testimony focused on Marnie’s Law, with supporters describing the bill as a no-cost, preventive measure to require nursing education on inflammatory breast cancer after a family tragedy and arguing it could reduce misdiagnosis and save lives. A major portion of the hearing centered on bills affecting clinical decision-making and licensure compacts. Supporters of the physician ownership/clinical autonomy bills argued they would protect independent practices from corporate interference after the Steward collapse, while supporters of EMS, dental, psychology, physical therapy, and physician assistant compacts said the measures would improve workforce mobility, reduce delays, and expand access to care, especially for rural patients, military families, and telehealth users. Several witnesses emphasized that the compacts would not reduce standards and would strengthen public protection through shared disciplinary databases and streamlined credentialing. There was also testimony on bills to ensure safe medication administration and to protect the independence of complementary and alternative health care practitioners. Nursing representatives urged that only licensed professionals administer medications in hospitals, hospices, and home care settings, warning that delegation to unlicensed staff could endanger patients and nurses’ licenses. A complementary and alternative care witness supported consumer access with mandatory disclosures and limits on reserved medical acts. On the dental compact, witnesses were split: some supported portability and workforce flexibility, while others warned the compact lacked a hands-on skills exam and could weaken Massachusetts’ regulatory authority and patient safety. The hearing concluded with continued testimony on the psychology compact, physical therapy compact, and physician assistant bills, with most speakers favoring expanded interstate practice and reduced administrative barriers.

Transcript Highlights:

• We've talked about the major economic indicators that have gone into today's forecast.
• In calendar year 2024, that is expected to level off to just 0.1% employment growth, indicating flat
• Conversely, when you have more workers looking than you have jobs, it indicates a slack market.
• That is reflected in the bar chart to your left in the blue piece of that chart, and it indicates that
• To the jobs expectations, and those downward revisions can be an indication of maybe a turning point.

Transcript Highlights:

• fiscal oversight, monitoring of academic and operational outcomes, and evaluation of executive performance
• executive performance executive performance that<00:05:14.000> aligns<00:05:14.440> governance
• <00:44:59.840> in And so it is as we as we indicated in And so it is as we as we indicated
• <00:48:42.480> across<00:48:43.480> the<00:48:43.600> Commonwealth, performance
• across the Commonwealth, performance across the Commonwealth, especially<00:48:45.040> in<00:48

Keywords: 958, all

Transcript Highlights:

• The other thing is that it does seem to indicate that there's a lot of questions about oversight from
• all funds, that it already submits all funds, investments, expenditures, contracts, investment performance
• We have not been able to confirm that, but they indicate that $1.6 million may...
• But they indicate that $1.6 million may be unspent, dating back to 2011 through 2014.
• Chairman, it would be my read that both years could be approved as the chairman indicated.

Keywords: 916, all

Transcript Highlights:

• This particular slide is an indication of the breakout of children.
• Laura, do you have any indication what folks are telling you or what you're hearing when practices are
• indicators, our contract level, service level agreements, and the work that we do.
• What explains the high performance in Mass.? Any ideas that we can replicate?
• list, do you show every doctor that said, like, CHN's directory says not taking new patients as an indicator

Keywords: 962, all

Summary: The Care Management Meeting opened with a DSS update on the PCMH program. Staff reported the program remained steady at 124 practices, 553 sites, and 2,548 providers, with some month-to-month fluctuation driven by practice consolidation, retirements, and a few practices leaving the program because NCQA requirements were burdensome. Members asked about declining provider and site counts, member attribution trends, and whether PCMH practices overlap with behavioral health homes; DSS said attribution changes are largely due to members becoming ineligible, moving, or getting other insurance, and that PCMH and behavioral health homes are separate programs that coordinate informally. The committee also discussed why some smaller practices leave the program and whether the requirements could be made easier to support retention. The committee then resumed a detailed presentation on the Husky Dental program. The presenter described the dental benefit’s history, the importance of preventive oral health, workforce and consolidation pressures in dentistry, and the lack of interoperability between dental and medical records. Network data showed year-over-year declines in enrolled dental practitioners and service locations, with access gaps concentrated in rural and eastern parts of the state. Appointment availability surveys showed average waits of 38 days for adults and 23 days for children, but much longer waits at FQHCs than private fee-for-service practices. The presenter said Connecticut remains above the national median on CMS pediatric dental quality measures, though sealant rates remain a concern, and noted that preventive care is associated with lower per-member costs. Members raised concerns about provider participation, large practices dropping Medicaid, mobile dental care, and whether the public directory accurately reflects which dentists are actually accepting new patients. The presenter said the plan uses secret-shopper calls, tracks appointment availability, and has begun using place-of-service coding to better identify school-based dental care. She also noted a new MOU with 20 Head Start programs to share data and provide oral health literacy and navigation support. The final major topic was implementation planning for HR1. DSS said CMS guidance was expected in early June and proposed using upcoming meetings to cover medical frailty, communication strategy, and data integration/ex parte verification. Committee members urged the department to create a dashboard to track disenrollments and other impacts of HR1, to build a process for complaints and problem resolution, and to think through cost-sharing, caregiver verification, exemptions, and notices. Members also asked about using existing eligibility structures such as the working-disabled program as a model. The committee agreed to move the next meeting to June 10 by Zoom, with the agenda to be circulated in advance and any PCMH Plus quality data shared if available.

Transcript Highlights:

• The purpose of the position should be establishing measurable indicators or time limits.
• The purpose of the position should be establishing measurable indicators or time limits.
• The purpose of the position should be establishing measurable indicators or time limits.
• The purpose of the position should be establishing measurable indicators or time limits.
• The purpose of the position should be establishing measurable indicators or time limits.

Bills: SF0014, SF0053

Keywords: literacy, education, reading assessment, intervention program, public school funding, department of education, amateur status, high school athletics, student eligibility, sports regulation, monetary compensation, 916, all

Transcript Highlights:

• Chair recognizes the majority whip, who indicates there are none.
• The chair recognizes the minority whip, who indicates there are none.
• Additionally, it would change the dating of the performance of...
• Additionally, it would change the dating of the performance audit, which is scheduled for July of this
• year, back to 2028, since there's no performance information that's going to be available by the end

Summary: The House convened, opened with prayer and the Pledge of Allegiance, approved several journals, and welcomed a number of guests, including Irish dignitaries, scholarship winners, interns, student pages, and members of Omega Psi Phi. After confirming a quorum, the chamber received committee reports and referred new bills and resolutions, then recessed for caucuses and committee meetings before returning to floor action. In the afternoon session, the House considered several bills and amendments. It approved amendments to House Bills 426, 1127, 2551, and Senate Bill 146, while rejecting an amendment to HB 1127 that would have tightened background-check requirements for out-of-state dentists. The chamber also agreed to HB 2234, which creates a spent grain donation tax credit and updates the malt beverage tax credit, and HB 2551, which limits text-message notices by the Turnpike Commission and other agencies about unpaid fines, fees, or tolls. Senate Bill 146, creating the Veterans Trust Fund Board, was amended to add audit-related changes and then agreed to. The House then took final passage votes on several bills. HB 133, allowing a process to petition for reinstatement of parental rights, passed 191-11; HB 138, barring parental incarceration as the sole basis for termination of parental rights, passed 200-2; HB 2207, on capital development loans, passed 202-0; and HB 2224, dealing with utility rate and tax-related changes, passed 202-0 after extensive debate over affordability, consumer protections, and tax relief. HB 2473, repealing the Flood Insurance Education Information Act of 1996, also passed unanimously, and HB 2544, addressing school administrator rights and compensation disputes, passed 141-61. The most extensive debate centered on HB 2632, which reallocates educational tax credit caps and replaces the EITC and OSTC programs with a new options tax credit framework beginning in 2027-28. Supporters said it would improve transparency, accountability, and access for the poorest students, while opponents argued it would reduce scholarship opportunities, add burdens, and harm families and schools that rely on the current programs. After lengthy debate, the House passed HB 2632 by a vote of 105-97. The chamber then announced a Finance Committee voting meeting, recommitted several bills to Appropriations, and adjourned until June 23, 2026.

Transcript Highlights:

• The darker the color indicates a true rural county or a true rural area.
• But Virginia also indicated implementation partners, meaning that these are the organizations that are
• …to monitor and continue to keep everyone here updated on are our KPOs, our key performance objectives
• And so the icons there can tell you where some of these key performance objectives will be touched by
• The icons there can tell you where some of these key performance objectives will be touched by multiple

Keywords: House Select Committee on Advancing Rural and Small Town Health Care, 976, house, all

Transcript Highlights:

• Today I present HB 831, Transparencies of Outcomes and Performance of Problem Solving Courts.
• : program completion and reasons for noncompletion, recidivism outcomes, and key life stability indicators
• but I think we need to take a step further and what we need to do is stop those companies from indicating
• to treat an infection, injury, disease, or disorder that has been caused or exacerbated by the performance
• reassignment prescription or procedure regardless of whether such prescription or procedure was performed

Transcript Highlights:

• And research indicates that, if everything else being equal, it would be better to have the instructional
• Is there anything about our past that might give you an indication as to how well this will work?
• In 2015, Oklahoma students performed near the national average in reading.
• I don't know what to say about that, but I don't think that is indicative of a failure of the program
• It may be an indication of a failure to communicate effectively the need or to convince people to invest

Keywords: 914, all

Transcript Highlights:

• you want to be on the record as being for or against an appointee or a nominee, rather, you can so indicate
• but you want to be on the record as being for or against a particular nominee, rather, you can so indicate
• you want to be on the record as being for or against an appointee or a nominee, rather, you can so indicate
• He indicated he would appear.
• publicly that he was looking forward to appearing this Tuesday, today, before this committee, and indicated

Summary: The Committee on Ethics and Elections met to consider a large slate of gubernatorial appointees, with 127 nominees on the agenda. The committee first approved the grouped nominees in Tabs 1 through 54 by unanimous roll call vote after brief public testimony in support of several appointees. The committee then took up individual University of West Florida and Pensacola State College-related nominations, including noting that Dr. Joel Rudman had resigned from the Pensacola State College board before appearing, leaving no action to take on that tab. Several UWF trustees were confirmed after testimony focused on their qualifications and priorities for the university. Paul Bailey emphasized his local ties, legal background, and interest in UWF’s military connections and pre-law program; Rebecca Matthews highlighted her education and public service background, current role as UWF board chair, enrollment growth, fundraising, and alignment with state directives; Rachel Moyah discussed her education leadership experience, finance role, and positive enrollment and fundraising trends; Ashley Ross described her fundraising and higher education background and stressed workforce, advancement, cyber, and military partnerships; and Christopher Young spoke about his Panhandle roots, business experience, audit and compliance work, and support for military and student opportunity. Each of these nominees was confirmed by roll call and forwarded to the full Senate. The most contentious nomination was Adam Kissel for the UWF Board of Trustees. Kissel described his background in higher education policy, free speech, philanthropy, and federal education work, and said he would focus on free speech, accreditation, military/veteran support, honors programming, and graduation rates. Committee members questioned him closely about prior writings on privatizing public higher education, his views on free speech versus Senate Bill 266, Project 2025, AI in administration, and his fit for UWF. Public testimony was split, with supporters praising his free-speech credentials and reform views, while opponents, including former UWF leaders, warned he was too ideological and not sufficiently grounded in the university community. After debate, the committee voted 5-4 not to confirm Kissel, so his name will not be forwarded to the full Senate.

Transcript Highlights:

• <00:21:28.679> an female it is now possible to perform an female it is now possible to perform
• <00:50:37.400> that to the original bill it indicates that to the original bill it indicates
• then can't say I'm not going to perform then can't say I'm not going to perform abortions<04:18:
• <04:18:45.159> a just you know the hospital performs a just you know the hospital performs
• conscientiously object to a performing conscientiously object to a performing of<04:21:18.080>

Keywords: 928, house, all

Summary: The House Judiciary Committee met in executive session and first took up HB 148, which would allow classification by biological sex in limited circumstances such as multi-use bathrooms, certain athletic events, and involuntary commitment facilities. Supporters argued the bill was needed to protect privacy and safety, especially for women and girls, and said it was consistent with recent federal actions and prior legislation. Opponents said the bill lacked a clear definition of biological sex, could create confusion and discrimination, and was unnecessary because existing law and sports rules already address the issues raised. After debate, the committee voted 10-8 to recommend ought to pass on HB 148. The chair asked for a majority report and noted that a minority report would likely be filed. The committee then considered HB 254, a bill related to end-of-life medical decision-making. Supporters framed it as a matter of liberty and relief from suffering for terminally ill patients, while opponents raised moral objections, concerns about suicide being normalized, and worries about deceptive wording and death-certificate reporting. HB 254 was approved on an 11-7 vote for ought to pass, with the chair indicating he would write the majority report and Representative Perez the minority report. The committee then moved to HB 611 with Amendment 2025-0638, a replace-all amendment restoring prior law on recoupment of appointed-counsel costs from indigent criminal defendants and juveniles. The chair explained the amendment as reversing 2020 changes that had limited cost recovery, and the discussion focused on financial affidavits and the Office of Cost Containment’s ability to review indigency claims. The transcript cuts off before the committee vote on HB 611.

Transcript Highlights:

• standards, certification, and performance requirements.
• <00:36:05.320> standards, they are performance standards, they are performance standards,
• performance requirements. performance requirements.
• Boyd, we would need to maybe in this appropriation section indicate that the program fees would pay for
• indicate indicate uh Um, okay.

Keywords: 1187, senate, all

Transcript Highlights:

• The only thing that you did indicate is when I was offering to drive you home, and you kept me talking
• It's as simple as that. be tied to store performance. It's a conflict of interest.
• It changes the age requirement of employees, contractors, or volunteers to perform certain duties at
• It changes the age requirement of employees, contractors, or volunteers who perform certain duties at
• Purchases, detecting firearm trafficking indicators, and recognizing signs of self-harm risk.

Keywords: 1064, all