Transcript Highlights:

• So safety and emergency events, non-stop visits, which kind of ...visit types are not covered.
• So safety and emergency events, non-stop visits, which kind of overlaps a lot with safety and emergency
• And technology, as I said, mostly folks have been around here... And technology.
• You have all helped us fund this expensive technology, and we know it's expensive.
• technology.

Summary: The committee first heard a presentation from WSDOT on balancing uncertainty in capital program estimates and cash flow management. WSDOT explained the differences between design-bid-build and design-build delivery, its tiered risk-assessment process by project size, and how it uses base estimates, inflation, and risk modeling to set budgets. Staff said design-bid-build estimates are generally accurate within about 1% across the program, while design-build projects carry much wider uncertainty and are better communicated as ranges; they cited a P85 budget approach and noted that large, complex projects can be affected by market competition and long procurement timelines. Members asked about the Columbia River Bridge cost growth and about value engineering, and WSDOT said it uses value engineering but has limited scope to cut costs because of project requirements and policy mandates. Troy Swing also discussed cash flow, noting that a few large projects can significantly affect biennial funding needs, and said a risk pool would not reduce overall program risk but could help manage timing if paired with appropriation and cash-flow controls. The committee then received the final presentation in the WSDOT Project Delivery and Innovative Practices study from HKA Global. The consultant said WSDOT’s estimating practices are generally robust and recommended improving transparency by presenting budget authorizations as ranges or estimate classes, better tracking estimate growth over time, and adjusting advertisement timing to avoid competing lettings. The report also discussed surety bonding, suggesting the legislature consider restoring authority for reduced bonding on select large design-build projects or using phased bonding and alternative securities. On indefinite delivery/indefinite quantity contracting, the consultant said current job order contract rules are restrictive and recommended legislative changes to make such tools more usable, especially for smaller tasks and to help use unspent funds more flexibly. The committee also heard a follow-up presentation on transit-oriented development policy recommendations tied to HB 1491. The Urban Institute’s Yona Freemark said Washington has been a national leader on TOD but that housing construction, especially in the Puget Sound, has slowed sharply since 2022. He said rising construction costs, high financing costs, and local tax and rent conditions are making many TOD projects infeasible, and recommended that the state fill infrastructure funding gaps around stations, revisit MFTE affordability requirements, consider minimum rather than average density requirements near transit, and create a statewide system to track TOD outcomes such as affordability, gentrification, and transit access. Members questioned the study’s developer interviews, the role of rent control and crime, property tax assumptions, and parking needs; the presenter said the study included five private developers, that rent control was not part of the study scope, and that parking was included in the model assumptions. Finally, the committee began a presentation on regulating emissions from ocean-going vessels at berth. Staff and consultants described California-style at-berth rules, which require shore power or equivalent emissions controls so ships can shut off diesel auxiliary engines while docked. The study is examining vessel traffic, emissions reductions, implementation costs, labor and operational needs, and possible effects on port competitiveness and cargo diversion. No votes or formal actions were taken during the meeting.

Transcript Highlights:

• <01:01:46.880> medical emergency medical emergency medical services<01:01:49.359> statutes.
• Members Garrett Hall, Chief of Emergency Members Garrett Hall, Chief of Emergency Medical<01:02:
• emergency room or hospital. emergency room or hospital.
• Thank you. should be taken to an emergency room. should be taken to an emergency room.
• <02:14:45.760> special relating to emergency medical special relating to emergency medical

Bills: SB2936, SB2850, SB2851, SB2521

Keywords: accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle

Summary: The committee heard testimony on several health-related bills. HB 1871, establishing a maternal health monitoring pilot program, drew support from the Department of Health, the Hawaii State Commission on Status of Women, and the Hawaii affiliate of the American College of Nurse Midwives, with testimony urging provider-neutral language so midwives and other qualified providers would not be excluded. HB 1977, requiring a maternal and infant health information mobile app, received support from ACNM and Philips, which said similar apps in other states improved awareness of services and helped families navigate care; a member asked the Department of Health about implementation time. HB 1858, relating to certificates of fetal deaths, was supported by the Department of Health and clinicians, who said the current statute is outdated and inconsistent with CDC guidance; the department and a physician testified that the bill should shift documentation responsibilities to physicians and APRNs, and members discussed optional versus mandatory issuance language and whether the bill would improve data on home births and transfers. The committee also heard HB 1591, expanding definitions for preceptor and volunteer-based clinical training to improve income tax credits. The Department of Health supported the measure but preferred a similar, broader bill; Taxation suggested clarifying terms; the University of Hawaii and the State Center for Nursing supported it. ACNM asked that midwifery preceptors and Hawaii-based students enrolled in mainland programs be included, while the Hawaii Public Health Institute supported expansion of the program as a workforce solution. HB 1574, on the health care education loan repayment program, also drew broad support, including from the governor, SHPDA, OHA, and health organizations, but ACNM raised concerns that the bill’s 30% Medicaid-client threshold could exclude many providers and limit participation. For HB 1575, creating a feasibility committee on Parkinson’s patient air transport, the Department of Health supported the intent but said transportation is more likely an insurance or benefit issue and suggested redirecting funds to Parkinson’s research; the Michael J. Fox Foundation and the Hawaii Parkinson Association supported the bill, citing inter-island travel barriers and high costs for patients and caregivers. HB 1854, establishing certification of community behavioral health clinics, was supported by the Department of Health and DHS, which said certification would help clinics qualify for enhanced Medicaid reimbursement and expand access; the Attorney General’s office raised a legal concern about the special fund language and recommended a purpose section, and the committee discussed whether the fund would be self-sustaining and noted a possible amendment to change membership language and reduce the board size if the amendment moved forward.

Transcript Highlights:

• The one I did not take was the emergency use COVID shot when it was emergency use because my base immunologist
• told me we only have the emergency use version.
• Code says that I can't be mandated to take an emergency use version.
• Every potential technology.
• And it says no emergency can suspend these protections.

Bills: HB2015, HB2060, HB2062, HB2100, HB2118, HB2165, HB2258, HB2327, HB2397, HB2445, HB2460, HB2641, HB2745, HB2876, HB2917, HB4011, HB4049, HB4056, HB4087, HCR2013, HCR2016, HCR2040, HCR2044, HCR2048, HCR2056

Keywords: budget procedures, late filing penalty, accounting standards, financial reporting, state appropriations, abortion, educational institutions, health education, state aid, public schools, Buffalo Soldiers, monument, commemoration, Arizona, public funding, Wesley Bolin Plaza, military history, historical memorial, small land subdivision, land use

Transcript Highlights:

• We have a cybersecurity task force and a technology advisory council, which Senator Koran and I are part
• cybersecurity issues along with ways to provide resources to assist our local governments to address emerging
• Data and trust are not about technology but about people, and cybersecurity is simply security for our
• <00:05:15.039> but<00:05:15.199> about<00:05:15.440> people not about technology
• but about people not about technology but about people and<00:05:16.400> cyber<00:05:16.759><

Keywords: 1187, senate, all

Transcript Highlights:

• enforcement officers and emergency enforcement officers and emergency personnel<00:36:27.599>
• Once undocumented immigrants have to seek emergency care without insurance, then costs increase for emergency
• rooms when their needs become emergency rooms when their needs become acute<00:51:10.440> once
• Care without insurance to seek Emergency Care without insurance then<00:51:15.160> costs<00:51
• then costs increase for emergency visits then costs increase for emergency visits as<00:51:18.240

Keywords: 919, house, all

Summary: The committee heard testimony on House File 16, and the chair moved the bill with a recommendation that it be re-referred to Elections Finance and Government Operations. Representative Rymer said the bill would require reporting to ICE when an illegal immigrant is arrested on suspicion of a violent crime, even if the county attorney does not prosecute, and would bar state and local entities from blocking federal immigration enforcement. He described the bill as narrowly focused on serious offenses such as murder, assault, robbery, kidnapping, and criminal sexual conduct, and said it was intended to improve communication with federal authorities about dangerous offenders. Supporters argued the bill would improve public safety and cooperation with federal law enforcement. David Zimmer, a former local law enforcement official, said cooperation with ICE is consistent with law enforcement practice and helps with information-sharing, warrants, consulate notifications, and locating individuals. Several other supporters, including a crime victim family member and a security officer, said the bill would help identify dangerous criminals and protect communities. Opponents said the bill would reduce trust in local law enforcement and discourage victims and witnesses from reporting crimes. Testifiers from the Immigrant Law Center of Minnesota, The Advocates for Human Rights, Violence Free Minnesota, the Minnesota Council on Latino Affairs, the Northstar Alliance, the City of Minneapolis, and others said mandatory ICE notification could deter domestic violence and trafficking victims from seeking help, harm due process, and undermine community safety. Some also warned it would interfere with local separation policies, burden local agencies, and have negative economic and civil rights impacts. The committee also heard emotional testimony from individuals describing domestic abuse and immigration-related fears, and from family members of a murder victim who supported the bill.

Transcript Highlights:

• There are emergencies that arise and we have to make changes to bills as they happen.
• . ...to the Senate Privacy, Digital Technologies, and Consumer Protection Committee.
• Motion is do pass to the Senate Privacy, Digital Technologies...
• Due pass to the Privacy, Digital Technologies, and Consumer Protection Committee.
• Due pass to the Privacy, Digital Technologies, and Consumer Protection Committee.

Keywords: 987, senate, all

Transcript Highlights:

• I don't see any questions, so we can move on to the Texas Emergency Services Retirement System.
• Okay, Texas Emergency Services Retirement System. This is better known as TESSORS.
• We're going to move on to the Commission on State Emergency Communications.
• This concludes my presentation on the Commission on State Emergency Communications.
• With the continued investment in Cepret, investing in new, emerging therapies Investing in new, emerging

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Summary: The committee heard budget presentations from the Legislative Budget Board and agency officials on several agencies, starting with the Texas Historical Commission. LBB described a large biennial reduction driven mainly by the removal of one-time funding and discussed capital projects, rider changes, and exceptional items including Presidio La Bahia and the National Museum of the Pacific War. Senators asked about heritage trails, courthouse grants, unexpended balance authority, and the status of historical-site funding. Historical Commission leadership emphasized preservation, courthouse restoration, heritage tourism, coordination with the Alamo and other Texas Revolution sites, and requested additional IT, staffing, and vehicle funding. No votes were taken. The committee then reviewed the Pension Review Board and the Employees Retirement System. The Pension Review Board’s budget was largely unchanged aside from IT maintenance and salary adjustments, with an exceptional item for additional IT enhancements. Members discussed the Dallas Police and Fire Pension System’s funding dispute and the need for a workable restoration plan. ERS presented a much larger budget, including funding for the retirement system, the group benefits plan, and the legacy payment intended to reduce unfunded liability. Senators focused heavily on pension investment returns, benchmark comparisons, and rising health-care costs, especially pharmacy spending driven by GLP-1 drugs; ERS said the plan covers about 540,000 lives and that premiums would rise 8% while benefits remain unchanged. ERS also said it had no exceptional items, and committee members requested more detailed benchmark information. The committee also heard from the Texas Emergency Services Retirement System and the Cancer Prevention and Research Institute of Texas. TESSORS reported an unfunded liability, an infinite amortization period, and requested additional state support, staffing, and IT funding, including a statutory change to allow a higher contribution level; the agency warned that without more funding it may have to cut benefits. CEPRIT’s presentation covered its bond-funded cancer research and prevention portfolio, revenue-sharing from funded projects, and a request to increase salary limits for its CEO and chief scientific officer. Senators questioned CEPRIT’s accomplishments and return on investment, while CEPRIT cited screening, prevention, and research outcomes, including tens of thousands of detected cancers and precursors and hundreds of thousands of first-time screenings. The meeting ended after these presentations and questions, with no recorded committee action or vote.

Transcript Highlights:

• Authority and declaring an emergency. Authority and declaring an emergency.
• It requires platforms to use the same technology that they are already using to analyze, addict, and
• technology technology that<00:32:27.920> they<00:32:28.320> are<00:32:28.720> already
• technological aspects of social<00:34:11.840> media<00:34:12.159> that<00:34:12.399>
• To Small Business and Information Technology, House Bills 809 and 810.

Keywords: 958, all

Transcript Highlights:

• <00:25:32.640> so economic impact leveraging technology so economic impact leveraging technology
• know how how to leverage technology know how how to leverage technology whether<00:27:23.559>
• <00:27:27.440> to to really leverage this technology to to really leverage this technology
• Next up, HB 448, relating to technology enablement.
• those related to the tourism sector, with technology enablement. ...technology enablement.

Keywords: 912, senate, all

Summary: The committee heard several bills, beginning with HB 934 on broadband and digital equity. Testifiers from the Lieutenant Governor’s office, the Office of Enterprise and Technology Services, DCCA, the University system, the Hawaii State Council on Developmental Disabilities, and others generally supported the measure and emphasized the need to coordinate broadband efforts, fund operations, and expand access to high-speed internet, devices, and digital navigation services. The Chamber of Commerce and West Coast Comprehensive Health Center supported the bill but objected to HD1 language excluding broadband infrastructure for retail service, warning it could create unintended consequences and limit community-led or rural projects. The Lieutenant Governor explained the state expects roughly $400 million to $500 million in federal broadband funding, described the bill as consolidating efforts under a broadband office attached to the CIO, and said the office would focus on infrastructure, devices, and training. No vote was taken on HB 934 in the portion provided. The committee then took up HB 97 on travel insurance. The Insurance Division said it had no major problem with the product but requested technical changes to align with licensing requirements and noted the bill largely codifies practices already used in the industry. Industry witnesses from Allianz and the U.S. Travel Insurance Association said the measure would create a consistent framework, add consumer protections, and align Hawaii with the NAIC model adopted in many other states. Members questioned whether there was a specific problem the bill was solving, and the division responded that it was mainly a framework and form-review measure rather than a response to a known enforcement issue. The bill was discussed but no final action was reported in the excerpt. HB 448 on technology enablement drew broad support from the Hawaii Technology Development Corporation, the Chamber of Commerce, the Food Industry Association, and other business representatives. Supporters said the measure would help businesses use technology such as digital platforms, e-commerce, robotics, and AR/VR to improve competitiveness, especially in tourism and other sectors. Committee members pressed for clearer scope, cost estimates, and assurances that local companies would be used; the agency said it would prioritize local-first contracting, use federal NIST-related support where possible, and estimated an initial request of about $200,000, though it could not give a firm total. Members expressed concern that the plan was still too undefined. The committee then began HB 455 on small business loans, where the Attorney General suggested explaining why a special fund is needed, and a witness from H Collaborative said the bill would help startup businesses that struggle most to access capital.

Transcript Highlights:

• Getting these cell phones from these young people is really difficult, but we have new technology that
• And so the technology is really the key to how we get everybody to be looking.
• So a lot of what we do, there's technology now, Cellbrite, we're able to get for us.
• This is an incredible piece of technology that helps us identify people quickly.
• So all of that technology, cell site information is huge.

Bills: S0164, S0656, S0892

Keywords: wrongful death, unborn child, civil liability, medical provider, parental rights, habitual felony offenders, violent crimes, enhanced penalties, criminal justice, recidivism

Summary: The committee heard a lengthy presentation from Miami-Dade State Attorney Catherine Fernandez-Rundle on human trafficking, describing Florida’s high victim counts, the role of online recruitment, common victim and trafficker profiles, and several case examples involving sexual exploitation, labor trafficking, and interstate trafficking. She highlighted Miami-Dade’s task force model, partnerships with law enforcement, schools, businesses, and shelters such as Camillus House’s Project Phoenix and the Thrive Clinic, and said the office relies heavily on technology, training, and victim-centered prosecution. Members asked about school-based trafficking, warning signs, social media platforms, and information-sharing about offenders across states; Fernandez-Rundle said more training and better interstate communication are still needed. The committee then took up CS for SB 656, which would codify FDLE’s Internet Crimes Against Children Task Force Funding Program and rename/expand the online sting operations grant program to better support investigations, training, technology, and personnel. The bill was supported as a timely tool to combat online child exploitation and was reported favorably on a unanimous roll call. The committee also passed SB 892, which streamlines sentencing procedures for habitual felony offenders and related violent offender designations by clarifying notice and clemency-related paperwork requirements; it too was reported favorably unanimously. The remainder of the meeting focused on SB 164, which expands Florida’s Wrongful Death Act to allow parents to recover civil damages for the death of an unborn child. The sponsor said the bill is intended to recognize unborn children in civil law and allow recovery when a pregnancy is lost due to another’s negligence. Opponents from the ACLU, reproductive rights groups, medical insurers, and domestic violence advocates argued the bill is overly broad, could function as fetal personhood legislation, and could expose doctors, friends, family members, businesses, and abusive partners to lawsuits while chilling medical care, IVF, and pregnancy-related treatment. Supporters from pro-life organizations urged broader language and stronger protections for unborn children. No vote on SB 164 was taken in the portion provided.

Transcript Highlights:

• Will they cut funding for rural hospitals and leave my community without any emergency room?
• They are vital parts of our community, and they should be able to go to the emergency room without fear
• If you have a child who is experiencing a medical emergency and has to be taken to the hospital, the
• Thank you. emergency room without fear. Thank you. Thank you.
• Speaker Pro Tem, with your permission, the Committee on Science and Technology will be meeting in 10

Keywords: 1182, all

Transcript Highlights:

• probation on governmental contracts with the Chinese companies for certain information, communications technology
• By Reynolds relates to the emergency detention of persons with a mental illness in a mental health facility
• prohibition on government contracts with Chinese companies for certain information and communication technology
• Affairs, HB 2437 by Rosenthal, relating to the adoption amendment of the annual budget by certain emergency
• HB 2473 by Simmons relating to the emergency insurance premium relief programs for certain residential

Transcript Highlights:

• Ayes 64, noes 0 on the emergency. Ayes 64, noes 0 on the measure. The measure passes.
• An act relating to emergency medical services. Assembly Member Carrillo, you are recognized.
• This bill seeks to improve emergency medical services by requiring EMS dispatchers to complete emergency
• This bill seeks to improve emergency medical services by requiring EMS dispatchers to complete emergency
• These technologies are absolutely pivotal for California.

Summary: The Assembly met after a quorum call, prayer, and Pledge of Allegiance, then moved through a long Daily File with several guest introductions and floor speeches. Members recognized visiting student leaders, championship football teams from Tuolumne County, Alpha Kappa Alpha members at their Capitol day, and later a descendant of Wong Kim Ark. The chamber also adopted a procedural motion allowing certain members to host guests in the rear of the chamber. Among the major policy items, AB 578 on food delivery platform refund practices passed 47-2, AB 344 on successor beer manufacturer definitions passed 61-0, AB 454 to make California’s migratory bird protections permanent passed 55-12 on the urgency clause, AB 482 updating the Table Grape Commission passed 64-1, AB 1237 to support transit access for 2026 FIFA World Cup ticket holders passed 56-15 on the urgency clause, AB 738 on wildfire rebuild solar exemptions passed 42-2, AB 1460 on 340B pharmacy access for clinics passed 41-5, AB 750 on homeless shelter oversight passed 49-1, AB 1061 on housing in historic districts passed 41-13, AB 1523 on expanding mandatory mediation thresholds passed 65-0, and AB 316 on AI-related civil liability passed 56-0. AB 761 authorizing the Monterey-Salinas Transit District to seek a sales tax ballot measure passed 47-12. The chamber also adopted several resolutions. AJR 3 urging protection of Social Security, Medicare, and Medicaid passed 53-2 after extensive debate that included criticism of federal cuts and counterarguments focused on state Medi-Cal policy and budget decisions. ACR 65 proclaiming California Tourism Month was adopted by voice vote after coauthors were added, and ACR 62 recognizing California Nonprofits Day was also adopted by voice vote with 65 coauthors. AJR 5 affirming birthright citizenship and opposing efforts to end it passed 58-1 after a lengthy, highly partisan debate centered on the 14th Amendment and the Wong Kim Ark precedent. The session also included passage of AB 571, a CEQA exemption for the Southern California Veterans Cemetery at Gypsum Canyon, which was presented as a long-running bipartisan effort to create a final resting place for Orange County veterans.

Transcript Highlights:

• We used multiple types of non motorized data technology counters.
• It includes urban air taxis, simplified air cargo operations and less expensive air based emergency services
• So since this emerging mode has not certain flight operations, yet in the United States, the department
• to support Bird reports and airfields for landings and takeoffs identified routes and corridors, technology
• mean, we've seen some of the pitfalls as it relates to, you know, these these steps forward and technology

Keywords: 999, senate, all

Transcript Highlights:

• Assembly Bill 459 will streamline the process by embracing modern technology.
• Assembly Bill 459 will streamline the process by embracing modern technology.
• Assembly Bill 459 will streamline the process by embracing modern technology.
• The technology does exist. And if Ms.
• The technology does exist. And if Ms.

Summary: The Assembly Elections Committee met on April 30, 2025, beginning as a subcommittee until a quorum was established. The committee first approved six bills on consent, including AB 950, AB 953, AB 1214, and three committee bills. It then heard several measures dealing with election administration, ballot transparency, and campaign finance, with most authors accepting committee amendments and several bills being held on call for absent members. AB 930 by Assembly Member Ward would extend the deadline for counting timely postmarked vote-by-mail ballots from three to seven days after Election Day and update recount procedures, including online posting of recount results and clearer rules for recount requests. The bill was supported by county election officials and passed out of committee with a due-pass recommendation, though it was initially held on call. AB 459 by Assembly Member DeMaio proposed allowing electronic signatures for initiatives, referenda, and recalls; the Secretary of State and labor groups opposed it over security, implementation, and cost concerns, and the committee ultimately rejected the bill after reconsideration. AB 699 by Assembly Member Stephanie would change how local tiered tax and bond measures are described on ballots by allowing more detail to be placed in the voter guide; housing, school, and local government groups supported it, while taxpayer and realtor groups opposed it as reducing ballot transparency. AB 1188, presented on behalf of Assembly Member Ortega, would list the top three funders supporting and opposing statewide initiatives and referenda directly on the ballot; transparency advocates and labor supported it, while county election officials and business groups raised concerns about ballot length and processing costs. Both AB 699 and AB 1188 passed out of committee with amendments and were held on call. The committee also heard AB 827 by Assembly Member Berman, which would standardize and extend the deadline for curing vote-by-mail signature problems, add a link to cure forms in ballot-tracking notifications, and make other changes to improve ballot curing. It drew no opposition in the hearing and passed with a due-pass recommendation. AB 351 by Assembly Member McKenna would raise the Levine Act contribution threshold for local officials to $1,500 and add CPI adjustments; supporters said it would reduce administrative burdens and reflect modern campaign finance realities, while good-government groups and the League of Women Voters opposed it as weakening anti-corruption protections. The committee initially failed AB 351, then granted reconsideration, but the transcript ends before a final disposition is clearly completed. Finally, AB 1079 by Assembly Member Farías would eliminate the automatic appellate stay in California Voting Rights Act and Fair Maps Act cases; it was supported as a way to prevent delayed remedies in voting rights cases, opposed by the City of Santa Monica over impacts on ongoing litigation, and passed with amendments. After taking up the held items, the committee recorded final votes on the bills, including passage of AB 930, AB 699, AB 1188, AB 827, and AB 1079, and rejection of AB 459.

Transcript Highlights:

• because they people Health Emergency because they people didn't<00:28:48.000> have<00:28:48.159
• <00:28:59.000> it<00:28:59.080> was Federal Public Health Emergency it was Federal
• <01:15:09.440> and<01:15:09.639> continuous Public Health Emergency and continuous
• think that's a A specialized technology think that's a A specialized technology area<01:44:17.679
• They maybe used the emergency room more or urgent care centers more.

Keywords: 928, house, all

Summary: The House Finance Division Three work session on February 21, 2025 focused on the Division of Medicaid Services budget. The chair opened with procedural guidance, noting the division’s role is to make recommendations to the full Finance Committee, that the budget must be balanced, and that members should track possible amendments ahead of a March 26 target for House Bills 1 and 2. Members also discussed the importance of using official budget documents and online resources, and the chair said no motions would be taken at this session. A major early topic was concern over a five-point Medicaid policy document and the timing of House Bill 2. Representative Tarki objected that the document appeared to be an unofficial draft and argued that significant Medicaid policy changes should have been transmitted by February 15 under state law. He said the lack of an official, posted document raised transparency concerns because the changes could affect tens of thousands of residents. Committee leadership responded that the five-point document was a working document, that it would be posted online within minutes, and that House Bill 2 is often delayed while the Office of Legislative Services finalizes and formats the governor’s proposed trailer bill. DHHS Chief Financial Officer Nathan White and Medicaid Director Henry Litman then began the budget presentation. White said the committee would use the PowerPoint as the document of record, starting with the governor’s operating budget pages 885-893, and noted that Medicaid is the largest accounting area in the state budget. He said the governor’s budget reflects about $60 million in reductions within the Medicaid area, with Granite Advantage handled off-budget and another $10 million in reductions there, for roughly a $70 million difference overall. Members asked whether the comparison was being made against an efficiency budget or a prioritized-needs budget, and White said the department could look at it different ways. The presentation then outlined Medicaid’s role in New Hampshire: it provides health coverage, serves as the state’s direct interface with the federal Centers for Medicare & Medicaid Services, and helps finance related services such as long-term supports, school-based services, adult dental coverage, and re-entry programs for people leaving correctional settings. White also reviewed enrollment and program context, saying New Hampshire has about one in seven residents enrolled in Medicaid, making it the fourth smallest Medicaid program in the country by enrollment, and described recent efforts such as youth re-entry and the Medicaid unwind after the end of the federal continuous coverage period. He said the state had to process more than 238,000 redeterminations after the public health emergency and that the department tried to avoid unnecessary coverage loss during that transition.

Transcript Highlights:

• . emergencies. emergencies. um<00:59:08.400> beverage<00:59:08.799> container.
• going to be seeking any emergency going to be seeking any emergency appropriations<01:09:19.920>
• >> We're not seeking emergency meeting. >> We're not seeking emergency meeting.
• <01:38:46.320> or great um language or technology or great um language or technology or something
• <01:52:04.880> departments the strain on the emergency departments the strain on the emergency

Keywords: 910, house, all

Transcript Highlights:

• The legislation also requires campgrounds to share their plans with local emergency services, emergency
• What about other emergencies such as fires and so forth?
• It adds interoperable emergency communication systems and coordinated emergency response.
• designated as an emergency manager coordinator.
• They're requiring an emergency manager to hold an emergency manager to life: basic, intermediate, advanced

Bills: HB2, HB1, HB18, HB19, HB20, HB1, HB 2, HB18, HB19, HB20

Keywords: emergency communication, interoperability, grant program, first responders, state council, disaster response, emergency management, mass fatality, justices of the peace, training programs, emergency manager license, volunteer management, justice of the peace training, criminal history checks, state health services, broadband, public safety, disaster preparedness, funding, flood disaster plan

Transcript Highlights:

• With additional funding, we would like to locate opportunities to prepare technology in our initiatives
• So we adopted emergency rules and we're still operating under those rules. Okay. Thank you. Okay.
• **Greg Owens.** We are not operating under emergency rules in HB 8.
• We adopted emergency rules for fiscal year 24 to sort of implement the program.
• I'm an emergency physician, here to testify on behalf of our 59,000 fighter and medical students.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• We are working with new technology, locating tape.
• We're also investing in cutting-edge technology. technologies, and geospatial services to ensure accurate
• So there is technologies to do that.
• So now people... seeking emergency care couldn't get emergency care because they didn't have water.
• We don't need new technology.

Keywords: 1184, house, all