Transcript Highlights:

• So, we have kind of a similar program to most Medicaid programs.
• Hasn't this program been flagged nationally for abuse? Mr.
• Is the treatment less effective? What is that a result of?
• They have a really amazing street medicine program.
• Hard for you to see how that program is doing.

Transcript Highlights:

• are programs are um programs that are programs are um programs that are provided<00:11:01.680>
• A certified program is actually a program that meets a license exemption.
• programs there.
• programs there.
• > and assistance program that CCAP program and assistance program that CCAP program and created<00

Keywords: 1183, house

Transcript Highlights:

• residential treatment, transitional housing, outpatient treatment, and recovery support services.
• our managed care program.
• or the type of treatment that you need.
• or the type of treatment that you need.
• We create programs.

Summary: The Health Care Budget Subcommittee held a panel discussion on Florida’s mental health and substance abuse system, with representatives from DCF, AHCA, two managing entities, and two providers describing how the state’s behavioral health network is funded and operated. Members focused on the implementation of prior legislative investments, especially the $50 million in recurring funding from Representative Maney’s bill and the earlier $126 million community behavioral health appropriation. Witnesses said the newer funds were used mainly for crisis beds, discharge planning, outpatient services, regional collaboratives, and a USF Marchman Act report, while the larger behavioral health appropriation supported CAT, FACT, FIT, forensic teams, residential and outpatient services, and crisis care, with most dollars going directly to services and only a small share to administration. A major theme was access to crisis care and the role of mobile response teams, 988, and central receiving facilities in diverting people from Baker Act admissions and reducing readmissions. DCF and providers said mobile response teams have expanded, are being used to de-escalate crises and connect people to care, and have shown strong diversion results and reductions in Baker Acts in some regions. Members also asked about waitlists, children in crisis, and how to handle people without housing or support; providers said discharge planning is individualized but often constrained by homelessness, transportation, and a lack of safe placements, and several witnesses identified housing as one of the biggest barriers to recovery and stability. The committee also examined provider sustainability, reimbursement, and funding gaps. Witnesses described delays caused by contract timing, cost allocation rules, and Medicaid reimbursement rates that do not always keep pace with labor and operating costs, especially for smaller providers and rural networks. DCF and AHCA said managing entities can provide advances, retroactive rate adjustments, and technical assistance, and that Medicaid managed care plans have network standards and complaint/dispute processes. Members raised concerns about a reported $7 million loss in federal non-sustainable funds, provider closures, and whether there is a formal ombudsman process for disputes; DCF said the federal reductions were known and tied to one-time funds, and that the department generally handles provider issues informally while working with managing entities to preserve continuity of care.

Transcript Highlights:

• So two complementary programs.
• program.
• Many of which are in New Hampshire programs, New Hampshire contracted programs, certified programs.
• Very few are in national<00:48:10.319> programs. national programs. national programs.
• health programs. health programs.

Keywords: 928, house, all

Summary: The committee first approved the draft minutes from September 26. Senator Gray then raised the idea of creating a continuing subcommittee or recurring agenda item on palliative care and hospice, noting that the issues are evolving and suggesting the committee revisit the idea in coming months. The bulk of the meeting focused on Department of Health and Human Services updates. Officials described contingency planning for SNAP amid the federal shutdown, including a USDA notice that November benefits may not be fully funded, letters to participants warning of possible delays, and coordination with the New Hampshire Food Bank and local pantries. They said New Hampshire serves about 42,000 SNAP households, with average benefits around $300 a month, and that the department is also preparing to transfer funds for a special fiscal committee meeting. WIC was discussed separately: officials said WIC benefits had been extended through November 7 using additional USDA funds, but that some community agency-based WIC services may need to pause while money is redirected to food benefits. Officials also outlined New Hampshire’s rural health transformation grant application under the federal One Big Beautiful Bill, describing a potential five-year, up-to-$1 billion opportunity focused on critical access hospitals, small rural hospitals, federally qualified health centers, community mental health centers, and EMS. Members asked about transportation, workforce, and nursing retention; officials said transportation is included in the proposal, housing is not, and workforce supports may include lower tuition or awards but not loan repayment or traditional scholarships. They also said the final application would be submitted in early November and that priorities would be adjusted depending on the eventual federal award. Finally, Medicaid director Henry Lipman gave a quarterly postpartum coverage update. He said postpartum coverage is now nearly universal nationwide, and in New Hampshire 2,351 women had used the benefit through May 2025. He reported that mental health services were the most frequently used postpartum service, followed by preventive care, substance use disorder treatment, and cardiovascular-related care, and noted that Medicaid women have experienced a disproportionate share of maternal deaths. Committee members asked about rural distribution and the share of women receiving mental health services, and Lipman said the department would follow up with additional data. The meeting then moved into the annual update on New Hampshire’s 10-year mental health plan, with staff describing progress toward a more integrated continuum of care and improved data infrastructure.

Transcript Highlights:

• many recovery centers, drug court programs, and treatment providers themselves.
• of substance use disorder treatment of substance use disorder treatment programs<05:12:17.600>
• <05:12:42.160> This outpatient treatment programs. This outpatient treatment programs.
• :34.000> outpatient<05:13:34.560> treatment<05:13:34.958> programs for the outpatient
• treatment programs for the outpatient treatment programs has<05:13:35.680> left<05:13:35.920>

Keywords: 1191, senate, all

Transcript Highlights:

• These programs, this Israeli program, Okay, and which one do you want me to start with, sir?
• program to help detect screw worm injuries in cattle.
• The treatment may not have been effective as possible.
• We have about a hundred full-time staff in that program.
• Thank you. with the treatment from what you're proposing?

Keywords: 1184, house, all

Transcript Highlights:

• We question the benefit of the statutory change without first expanding community treatment programs
• <00:50:41.520> programs<00:50:42.080> and community treatment programs and community
• treatment programs and stabilization<00:50:43.040> facilities,<00:50:44.040> and<00:50
• efforts to build our community treatment efforts to build our community treatment programs<00:56
• and expanding our community treatment and expanding our community treatment programs<00:56:47.880

Keywords: 910, house, all

Summary: The committee heard testimony on Senate Bill 3123, which would treat free tuition or school-conditioned enrollment at private educational institutions as a conditional gift rather than a contractual obligation unless otherwise agreed in writing. The Office of the Governor supported the bill, and Kamehameha Schools and the Hawaii Association of Independent Schools strongly backed it, saying it would protect donor intent, preserve school-ohana relationships, and help maintain tuition assistance and educational access for families. A committee member commented favorably on the unity among school organizations, and there were no objections raised before the committee moved on. The committee then took up Senate Bill 2438, which creates a civil cause of action for interference with constitutional and statutory rights through threats, intimidation, or coercion, with private and government enforcement options and protections for constitutionally protected speech. Testifiers from the Community Alliance on Prisons and a know-your-rights educator supported the measure as a civil rights protection grounded in the Hawaii Constitution. No opposition testimony was presented during the hearing, and the measure appeared to receive general support from those who testified. Finally, the committee heard Senate Bill 3142, which establishes offenses for dangerous and habitual dangerous intoxication and allows civil protective custody and emergency examination in lieu of arrest in certain cases. The Attorney General, Department of Corrections and Rehabilitation, Department of Health, and Department of Human Services supported the bill as a treatment-oriented diversion tool for people who are dangerously intoxicated and at risk to themselves or the public. The Office of the Public Defender opposed the measure, warning it could expand police discretion, burden emergency rooms, and function as a loss of liberty without sufficient treatment resources, while committee members questioned whether the bill would simply cycle people through emergency rooms and back onto the street. No vote or final action was taken in the portion provided; the chair said decision-making would occur at the end of the agenda.

Transcript Highlights:

• Program.
• And so we've begun these programs, and now we're not going to be able to continue those programs until
• Underutilization of treatment. and our treatment court programs have begun a full-scale review of all
• of the treatment courts.
• I've got a call from a constituent at home who's desperate to put this young woman into a treatment program

Transcript Highlights:

• for an additional type of treatment for an additional type of treatment we're<00:24:14.720> actually
• , and adds two treatments.
• , and adds two treatments.
• , uh, actual treatments are covered.
• of the new ongoing, uh, actual treatments are covered.

Keywords: 1187, senate, all

Transcript Highlights:

• states to run the Medicaid program. states to run the Medicaid program.
• health treatment.
• without improving program accuracy. without improving program accuracy.
• multiple programs.
• present eligibility pilot program. present eligibility pilot program.

Keywords: 1189, house, all

Transcript Highlights:

• We can do a treatment.
• The biggest hit has been to our training programs.
• Does UNM Cancer help veterans if they've been denied treatment through the Veterans Program?
• cessation programs.
• And on all the other programs, Anthony, the new PAC programs, I don't see much in terms of evaluation

Transcript Highlights:

• hope of being admitted to a DCT program hope of being admitted to a DCT program and<00:17:52.919
• coming into Direct Care and treatment coming into Direct Care and treatment who<00:41:41.040>
• <01:02:37.240> they to the court-ordered treatment they to the court-ordered treatment they
• for an early bipolar disorder program for an early bipolar disorder program but<01:10:20.159>
• So there are two different programs.

Keywords: 1187, senate, all

Transcript Highlights:

• So we are focused on implementation and trying to make this program work.
• Care Court is an unproven, costly, and coercive program.
• Care court is an unproven, costly, and coercive program.
• Is there an age limit for who would be eligible for these treatments?
• Because my cancer was caught early, I had treatment options.

Summary: The Assembly Health Committee heard several bills focused on mental health access, preventive care, health care costs, detention oversight, and daylight saving time. SB 989 would streamline Care Court referrals by allowing first responders to ask county behavioral health agencies to review and file petitions; supporters, especially firefighters and families, said the current process is too burdensome, while Disability Rights California and other opponents argued Care Court is coercive and unproven. SB 1089, as amended, would direct CalRx/HHS to help distribute GLP-1 medications more broadly and more affordably; the author described her own experience with the drugs, and the bill drew support from medical and life sciences groups with no opposition. SB 1309 would eliminate out-of-pocket costs for medically appropriate lung cancer screening follow-up care; cancer advocates and survivors strongly supported it, while health plans and insurers opposed it as costly and said the bigger problem is low initial screening rates. The committee also heard SB 1284, which would require DHCS to report large employers whose workers are enrolled in Medi-Cal and estimate taxpayer costs, framed by supporters as a transparency measure about corporate reliance on public coverage. SCR 7, urging permanent standard time for health reasons, passed with support from medical groups and no opposition. SB 995, the Masuma Khan Justice Act, would create statewide inspection and enforcement standards for large involuntary residential facilities, including private immigration detention centers and certain youth facilities; supporters cited unsafe and inhumane conditions, while county probation officials objected to duplicative oversight for secure youth treatment facilities. The committee took votes on each measure, and the bills and resolution advanced, with SB 1309 and SB 1284 moving on amended and the others also reported out; the consent calendar was approved as well.

Transcript Highlights:

• Under Article 6, program integrity, we create a program integrity surcharge for all DHS providers.
• FTEES to be able to provide program FTEES to be able to provide program integrity<00:09:21.200><
• <00:19:48.440> facilities,<00:19:49.440> the<00:19:49.760> programs our treatment
• facilities, the programs our treatment facilities, the programs around<00:19:50.720> that,<00
• What we're creating is uh program.

Bills: HF2433, HF2434

Keywords: education funding, children with disabilities, transition aid, special education, school district consolidation, healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• Uh what it is is the Mississippi Length of Service Award Program, the LOSAP.
• It can make the difference in treatment.
• :02:24.360> that radiation and go to the treatments that radiation and go to the treatments that
• Service Award Program, the LOSAP. Service Award Program, the LOSAP.
• . insurance programs.

Keywords: Insurance - Room 210, 26 February, 2026; 9:00 A.M., 925, all

Summary: The committee considered several House bills, most of them already passed by the Senate or previously vetted in other committees. House Bill 1075 would expand access for low-income housing authorities and related entities to participate in insurance pooling arrangements, with the sponsor explaining it would help lower insurance costs as housing funding structures shift toward public-private partnerships. House Bill 565, renamed “Jill’s Law,” would advance biomarker testing and related Medicaid/prior authorization conforming changes; House Bill 856 would remove a repealer from the state’s anti-step-therapy law after hearings found the cost impact negligible; and House Bill 939 would extend the repealer on the volunteer firefighters’ Length of Service Award Program, which was described as needing ongoing funding to retain and recruit volunteers. The committee also heard House Bill 1019, which would expand health coverage options for small businesses, professionals, and self-employed people through access to regulated trade association self-funded group health plans. House Bill 1117 would create a transparency requirement for dental insurance by reporting premium-to-services information to the insurance commissioner and making it available in a portal; the sponsor said the Dental Association supports it. House Bill 1332 would require insurance examinations to meet National Association of Insurance Commissioners standards and best practices, and a member said he would vote present but the bill was said not to affect existing continuing education rules. Finally, House Bill 1713 would codify Mississippi Military Department authority to oversee state-sponsored life insurance for National Guard members, with the Adjutant General designated as state sponsor; it was described as voluntary, already operating since 1962, and without a fiscal note because it is paid for by guardsmen. Each bill received a motion to do pass or title sufficient to pass, was approved without opposition or with only a present vote noted on one bill, and the committee then voted to rise and report.

Transcript Highlights:

• Care Waiver Program as an individual with IDD. Leroy Paz. July 30th 2018.
• This includes decisions related to psychological... psychiatric, and any medical treatment.
• Some examples could be natural supplements for ADHD or depression. program, diet adjustments, equine
• Adults can refuse treatment, yet parents aren't giving the same luxury. This is not neglect.
• CPS removed her from my care and forced her to undergo treatment.

Bills: HB451, HB645, HB 1041, HB 1151, HB 1155, HB1536, HCR12, HCR12

Keywords: commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

Transcript Highlights:

• Programs.
• We piloted a program, and that program actually became official through policy on March 23, 2016.
• That $50 million program was through the Flood Mitigation Assistance Program that FEMA has.
• We applied for this project through both the BRIC program as well as the FMA program, and thankfully
• was funded through the FMA program, which is a program that still exists within FEMA's programs.

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:

• It contains some provisions that tweak the medical program.
• ; $5 million from a wetland restoration program at DNR.
• We implement an early and ongoing training program.
• Half of substance use disorder treatment in Minnesota is covered by Medicaid. 20% of mental health treatment
• Articles 6 to 8 address community treatment and assertive community treatment, intensive residential

Transcript Highlights:

• And then 71 have their own source, whether a water treatment complex, water treatment plant, or maybe
• How our program looks at affordability.
• the drinking water program.
• We are affiliated with two cities in our county as far as our raw water treatment goes and our treatment
• through their cost share program.

Summary: The Water Topics Overview Committee met to review several interim studies and receive updates from the Department of Water Resources. The committee approved the March 26, 2026 minutes, observed a moment of silence for the late Representative Conmy, and welcomed Representative Hansen to the committee. Staff then reported that the watershed management study and the stormwater/wastewater study had both satisfied the presentation requirements in their study directives, with no further required testimony unless members wanted additional information. The department’s main presentation focused on major water projects and agency operations. Reese Haas and staff updated members on the NAWS project, the Southwest Pipeline Project, Devils Lake outlet operations, low-head dam safety work, floodplain management repository implementation, data center water use, and the 2027 Water Development Plan. Members asked detailed questions about NAWS funding sources, remaining project costs, capacity concerns for All Seasons and other users, and whether current construction is being designed for future demand. The department said NAWS remains on track for substantial completion by October, that remaining NAWS funding will come from a mix of federal, state, and local sources, and that current construction is designed for ultimate capacity while some future components will be adjusted for increased demand. A large portion of the meeting was devoted to the department’s cash management, Resources Trust Fund revenues, carryover balances, and the State Water Commission’s cost-share program. The department reported $340.6 million in carryover remaining, explained that much of it is already obligated to long-term projects, and noted that oil price forecasts and stripper-well exemptions will affect future revenues. Members raised concerns about large carryovers, affordability for local sponsors, and whether the state should continue obligating money multiple bienniums ahead. The department said it is working with the commission on a revised prioritization framework, including high/moderate/low project categories and a two-tier pre-construction/construction approach, to better manage obligations and affordability. The committee also reviewed Deloitte’s finalized studies on regional governance/finance and cost-share policy. Deloitte presented options for Southwest, NAWS, and Red River governance, with stakeholders generally favoring keeping NAWS largely as is, using the current Southwest model with improvements, and pursuing a more structured governance option for Red River. On cost share, the department said Deloitte’s recommended package would cover projected needs through the 2030s, but would require policy changes such as lower percentages for some project types, a 25% replacement-project rate with a cap, and possible bonding or delayed reimbursement strategies. No votes were taken on these policy questions, and the chair indicated the committee would continue the discussion at future basin meetings and the September Water Topics meeting.

Transcript Highlights:

• treats treatment resistant depression. treats treatment resistant depression.
• Traditional treatment for addiction typically starts as an inpatient program and then transitions to
• an outpatient program.
• And these numbers are for treatment attempts per person, not for treatment successes.
• <01:40:10.080> Abigain's care and treatment. Abigain's care and treatment.

Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:01:32 3. Getting to Know the Foundation for a Healthy Kentucky – 00:02:26 4. Healthy Kids Clinic – 00:26:58 5. Pharmacy Payment Parity – 00:56:36 6. Ibogaine – 01:17:37 7. Consideration of Referred Administrative Regulations – 01:53:05 8. Adjournment – 01:53:19, 958, all

Summary: The committee first approved the prior meeting minutes and recognized Eric Clark for his service, noting this may be his last meeting before he leaves state government. The main presentation was from Allison Adams, president and CEO of the Foundation for a Healthy Kentucky, who described the organization’s history, nonpartisan mission, and focus on health equity, prevention, and upstream policy solutions. She said Kentucky’s poor rankings in chronic disease, preventable hospitalizations, and life expectancy show the need to shift resources toward prevention and community-driven strategies rather than relying mainly on treatment after people become sick. Adams emphasized leading health indicators, arguing that lawmakers should track actionable measures such as quit attempts and smoke-free policies instead of only lagging indicators like disease rates and mortality. In response to questions, she said accountability should be shared across communities and systems, with possible incentives and disincentives tied to outcomes, and she supported creating a public data utility or dashboard, ideally with university partners, to help legislators and communities monitor progress. She also cited examples of accountable health community models and said Kentucky could adapt similar approaches. The committee then heard from Meade County Schools Superintendent Mark Martin and district health coordinator Karen Kotche about the Healthy Kids Clinic partnership with Cumberland Health. They described a seven-year effort that led to full implementation in the district, which now has a nurse in every school and a nurse practitioner, allowing services such as sports physicals and other clinic functions to be provided on campus. They said the program has been a strong investment for students and the community and began explaining how the district built the partnership after earlier efforts and delays, including the pandemic.