Transcript Highlights:

• Today we will hear testimony on 15 bills related to treatment settings.
• that provide both the set and setting for safe treatment, as well as the medical environment to support
• The only problem is that it's set to sunset on December 31, 2026.
• The rate, the bundled rate paid by MassHealth and only a few commercial payers, is necessary to cover
• We've heard a lot today about different types of treatment settings.

Keywords: 995, all

Summary: The hearing opened with remarks from House Chair Mindy Domb and Senate Vice Chair Robyn Kennedy, who outlined procedures for the hybrid public hearing, noted the committee would hear testimony on 15 bills related to treatment settings, and recognized members present. The first major bill discussed was H. 4200, authorizing a pilot program for psychedelic-assisted treatment in licensed facilities. Representative Jim O’Day and witnesses from Control Z supported the bill, describing it as a tightly controlled, medically supervised pilot with DPH oversight, limited sites, and screening requirements. Committee members asked about the number of sites and whether Column Health still existed; witnesses said the bill contemplated three separate pilot programs and that Column Health no longer existed after being purchased by another company. The committee also heard testimony on S. 1405 to make the drug stewardship program permanent by removing its 2026 sunset date. Senator John Keenan and others said the program helps collect and safely dispose of unused medications, reduces diversion, and should remain in place because manufacturers should bear disposal costs. A member from Boston added support based on local concerns about people searching through bags for drugs, and Keenan explained the original sunset reflected pilot status and industry pushback. A large portion of the hearing focused on S. 1394 and H. 2193, which would strengthen implementation of the 2023 Roadmap for Behavioral Health Reform. The Children’s Mental Health Campaign, Parent/Professional Advocacy League, Massachusetts Association for Mental Health, and Elliott Community Human Services testified that the roadmap’s helpline, community behavioral health centers, and crisis services are important but unevenly implemented. They urged a single point of accountability within EOHHS, regular strategic planning, a public data dashboard, and financial analysis of the behavioral health system and the access and crisis intervention trust fund. Witnesses said commercial insurance often does not fully reimburse community behavioral health center services, making sustainability difficult, and asked for better coordination across agencies and crisis response systems. Committee members asked whether the roadmap includes substance use disorder; witnesses said it is intended to cover behavioral health broadly, including mental health and substance use. The committee also heard testimony on bills to ban aversives and on suicide prevention signage. Lisa Jean Graff testified in support of S. 1394 by urging a statewide ban on aversive practices, including electric shock, withholding food or bathroom access, and other painful interventions, arguing disabled people deserve the same protections from harm as others. Fonda Bryant and Carol McLean supported a bill requiring suicide prevention signs on tall parking garages, describing personal experiences and saying the signs could create a brief pause and connect people to 988 or other help. McLean said her son died by suicide from a parking garage and that signage might have made a difference. The committee also heard strong testimony in support of creating intensive stabilization and treatment units within DMH facilities (S. 1398/H. 2204), with the Massachusetts Nurses Association and a DMH nurse arguing that highly assaultive patients need specialized, more secure units to protect staff and other patients and to improve care. Additional testimony supported creating a dedicated board for licensed mental health counselors (H. 4696/S. 1382), with Rep. John Badger, the Mass Mental Health Counselors Association, and others saying LMHCs are a large and growing workforce that needs its own licensing board, clearer standards, and faster implementation of existing licensure reforms. The committee also heard extensive testimony on H. 2223 regarding benzodiazepines and non-benzodiazepine hypnotics. Survivors and advocates described severe withdrawal, lack of informed consent, cognitive harms, and long-term disability, while a physician supported the bill as a way to improve disclosure of risks. Finally, the committee heard multiple witnesses in favor of H. 2231/S. 1383 to establish peer-run respite centers statewide. Advocates and people with lived experience said peer respites provide non-coercive, home-like alternatives to hospitalization, can reduce trauma and repeated admissions, and may be especially important for marginalized communities; they also cited cost savings and existing positive outcomes from current respite programs. No votes or final committee actions were taken during the hearing portion reflected in the transcript.

Transcript Highlights:

• will be set.
• It creates a clear, accountable process for setting fair, up-to-date reimbursement rates that actually
• Everything has gone up except for our rates.
• AB 1981 establishes a clear, accountable, and transparent process to set fair, up-to-date subsidy rates
• They have reduced high school graduation rates and decreased college attendance rates compared to their

Keywords: 987, senate, all

Transcript Highlights:

• contribution rates the contribution contribution rates the contribution rates<02:13:23.079> has
• Well, right now it's the board that's responsible for setting the actuarial rate of return.
• There are some states that do set the actuarial rate of return, but that's an experiment that I would
• some states that do set the Actuarial some states that do set the Actuarial rate<02:52:15.680> of
• <04:54:16.718> of have a set of rules they have a set of have a set of rules they have a set

Keywords: 928, house, all

Summary: The Department of Administrative Services presented an overview of its budget and operations, emphasizing that it is the lowest-spending agency in state government and that its general fund allocation has declined since 2019. Commissioner Arling House explained that DAS also handles back-office functions for several administratively attached boards, which has affected staffing and spending comparisons. He said the department’s current general fund spending is roughly split between retiree health and other operations, and that the presentation was based on adjusted authorized spending rather than the original budget figures. A major portion of the meeting focused on retiree health benefits and the long-term effort to control costs. Deputy Commissioner Cassie Keane described how the state moved from a projected deficit in retiree health to savings through a series of changes, including higher premium contributions, co-pay adjustments, and shifting Medicare retirees into Medicare Advantage arrangements to capture federal reimbursement. She said the state has about 12,500 retirees and spouses on the plan, with roughly 10,906 Medicare retirees and 1,580 non-Medicare retirees, and that the savings have depended heavily on federal funding and procurement decisions. She also noted that Medicare retirees pay Part B premiums and that the state has grandfathered older retirees from some premium contributions. Members asked about what the expenditures cover, why the state offers retiree health instead of simply giving retirees a payment to buy coverage themselves, and whether out-of-pocket costs changed under Medicare Advantage. Keane said the plan covers actual health claims or insurance premiums, that co-pays and maximum out-of-pocket limits remain in place, and that the state has no authority to change benefit details without legislative action. She explained that retiree health is a long-standing employee benefit that wraps around Medicare and is not collectively bargained in the usual sense, though its eligibility rules and cost-sharing have been tightened over time to better target the benefit to long-term state service. The discussion also covered vendor performance problems. Keane said Anthem recently won the contract back from Aetna, but its pharmacy subsidiary, Caroline, caused serious service disruptions. DAS responded by withholding payments, assessing more than $2 million in performance guarantees, and hiring a third-party auditor to review the pharmacy processes. The current contract runs through the end of calendar year 2026, and officials said they are watching federal Medicare Advantage reimbursement changes closely because future savings are uncertain.

Transcript Highlights:

• Under prior rate methodologies, administrative and compliance costs were recognized within rate calculations
• Under prior rate methodologies, administrative and compliance costs were recognized within rate calculations
• Under prior rate methodologies, administrative and compliance costs were recognized within rate calculations
• Under a flat red rate system, scale.
• kind of EVV in a residential setting kind of EVV in a residential setting doesn't<01:32:01.520><

Bills: HF3423, HF2354, HF3634

Keywords: healthcare, provider enrollment, medical assistance, legislation, state funds, fraud prevention, subpoena authority, criminal penalties, consumer protection, service verification, Medicaid, human services, electronic documentation, 1183, house

Transcript Highlights:

• So what we want to also think about then is cure rates.
• And they have set up extensive... ...extensively about it, and they have set up extensive get-out-the-vote
• So those Small Works contracts are set aside for small business.
• Or we can set a rising small business... On our projects. Or we can set a rising small business.
• So we can either set an emerging goal, we can set a rising goal, or we can set a small business goal,

Summary: The committee heard a work session on voting access on tribal lands, beginning with a presentation from Dr. Chelsea Jones of the Brennan Center. She described barriers affecting Native voters and voters on tribal lands, including long travel distances to polling places and drop boxes, nontraditional addresses, unreliable postal service, language access, and limited broadband. Citing research, she said turnout on tribal lands trails turnout off tribal lands by about 10 percentage points nationally and about 10% in Washington, with larger gaps in some convenience voting measures. Members asked about the meaning of “lost votes,” the role of tribal leadership and community trust, and whether outreach by election officials and candidates could help; Dr. Jones emphasized that the study measured missed voting opportunities, not missing ballots, and that partnerships with trusted community leaders are important. The University of Washington Elections Database then presented data on voter registration, turnout, signature challenges, curing, and ballot rejection for voters whose addresses fall within tribal reservation boundaries. The presenters said registration on reservations increased from about 107,000 in 2010 to 137,000 in 2024, turnout on reservations remained about 8 to 9 percentage points lower than outside reservations in recent general elections, and signature-challenge and rejection rates were generally low but somewhat higher in off-year elections. They reported that about 60% to two-thirds of signature-challenged ballots are cured, with cure rates similar inside and outside reservations, and that late return is the most common reason for primary ballot rejection while signature mismatch is the leading cause in general elections. A question was raised about USPS postmarking issues and how those might affect future data; the presenters said they plan to track return method and cure timing more closely. The committee also received an overview of the Governor’s Office of Indian Affairs. Staff reviewed the office’s history, the Centennial Accord, the Millennium Agreement, and related state-tribal frameworks, and GOIA Director Tim Rainan described the office’s role as a bridge between the state and tribal governments, including consultation, policy coordination, training, and convening work groups. He said GOIA now has six positions, is part of the governor’s executive cabinet, and is working on a statewide tribal relations training module and consultation handbook. In response to a question, he said tribal voting is not a major topic at the Centennial Accord but is discussed more extensively through ATNI. The committee then shifted to contracting equity, hearing from WSDOT, DES, OMWBE, and the Office of Equity. WSDOT described its race-neutral small business and veteran goals, mentorship and support programs, and its response to the federal suspension of the DBE program; DES discussed statewide contracting spend, the EDGE pilot for small construction firms, and efforts to improve procurement access; OMWBE reported growth in certified firms and about $371 million in state spend with certified firms in the most recent year, while noting ongoing impacts from federal DBE changes; and the Office of Equity outlined its broader work on agency consultation, dashboards, and systems change. No votes were taken.

Transcript Highlights:

• It's just a floating rate. There is no set rates that anybody actually has.
• /c><00:15:43.519> rates a floating rate.
• There is no set rates a floating rate.
• There is no set rates that<00:15:44.079> anybody<00:15:44.480> actually<00:15:44.800>
• We all set? Uh okay represent right. We all set?

Keywords: 928, house, all

Summary: The committee first discussed a budget-related issue involving liquor commission enforcement staff and tobacco enforcement funding. A member explained that proposed cuts to “group two” enforcement positions at the liquor commission could jeopardize the tobacco enforcement money that flows to Health and Human Services, and expressed confidence that the enforcement division would ultimately be preserved. The main hearing was on Senate Bill 19, which would modernize hotel and motel statutes by repealing outdated requirements. The sponsor and the New Hampshire Lodging and Restaurant Association said the bill would remove obsolete rules such as the old guest book/card system and antiquated posting requirements for room rates and motel signs. Members questioned whether the bill would eliminate the requirement to record guest departure dates or affect inspection rights, and the witnesses said the intent was only to remove the book-and-card reference while leaving the rest of the recordkeeping requirement in place. Supporters argued the rate-posting rules are widely ignored, hard to enforce, and outdated in an era of digital reservations and variable pricing; the committee also discussed whether any consumer-protection purpose remained. The public hearing on SB 19 was then closed. The committee then heard Senate Bill 280FN, which would require food delivery services to have an agreement with a restaurant or food retail store before offering delivery from that business. The sponsor said the bill restores a prior law that had sunset and was intended to prevent third-party platforms from listing restaurants without consent. Restaurant industry testimony strongly supported the bill, describing problems with unauthorized listings, delayed deliveries, and reimbursement disputes, and saying the agreement requirement protects restaurant brands and consumer expectations. Members shared examples of delivery problems and voiced support for reinstating the safeguard.

Transcript Highlights:

• The SNAP rates, too: in Minnesota, in terms of a SNAP error rate, we are kind of right in the middle
• Somebody will going to pay higher rates.
• The SNAP rates too, we have in we can.
• , Minnesota in terms of a SNAP error rate, Minnesota in terms of a SNAP error rate, we<00:13:00.960
• So we're going rates, they get a pass.

Keywords: 918, senate, all

Summary: Senate DFL senators discussed the Health and Human Services supplemental budget on the floor, framing it as a response to federal HR 1 and related Trump administration policies that they said shift costs to states, counties, hospitals, and families. Senators Liz Bolden, Lindsey Port, Erin Murphy, Alice Mann, and Rob Kupec argued the bill is needed to backfill cuts to Medicaid and SNAP, stabilize hospitals, and prevent property tax increases and service disruptions. They said the package totals about $700 million, with more than $250 million aimed at hospital support and roughly $300 million to help counties absorb food-support cost shifts. Members described the federal changes as adding red tape and work-reporting requirements that would cause eligible people to lose coverage, with estimates cited of more than 150,000 Minnesotans losing Medicaid and about 62,000 losing individual-market coverage due to higher premiums. They also said counties would face new administrative burdens and hiring needs, and that rural hospitals, safety-net providers, and EMS systems would see more uncompensated care. One senator noted Dakota County could face an additional $11 million next year and property tax increases, while another said Minnesota hospitals could see charity care rise by more than $269 million next year. The discussion also covered specific funding in the bill, including $300 million for hospital stabilization, with $150 million for HCMC, nearly $115 million for other hospital stabilization grants, almost $18 million for community safety-net providers, and $15 million for rural EMS uncompensated care. Senators said these funds are short-term measures, not long-term fixes, and that if the state did nothing, the health care system and SNAP administration could collapse. They said they do not expect Republican support in the Senate and suggested longer-term options could include federal changes after the next election or state-level tax changes on the ultra-wealthy. No vote outcome was stated in the excerpt, but the senators indicated the bill would move forward with DFL support.

Transcript Highlights:

• The rate structure for the contract is set on a per-offender, per-day amount.
• As the population goes up in increments, the rate goes down—not the total rate, but the rate per offender
• As the population drops, the rate goes up per offender per day.
• At different rates. So it was heavily front-loaded.
• It goes up, but maybe not at a higher rate. Okay.

Keywords: 959, house, all

Transcript Highlights:

• Like there are states whose error rate is below 6%, and there are states whose rates are much higher
• of spending line item with a very significant rate of growth.
• The subsidy rate that we pay on average per lease went from...
• While we're setting up the presentation, you guys all...
• This has really been a lovely setting to spend the day.

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs. EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle. MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.

Transcript Highlights:

• They indicate that they don't understand how the uniform rates called for by this bill would be set.
• Is that the type of scenario that you're describing where the rate is set at a rate and then the charter
• is set<03:36:04.960> at<03:36:05.120> a<03:36:05.279> rate<03:36:05.439> and
• then the charter set at a rate and then the charter manages<03:36:07.200> to<03:36:07.359>
• Thank you. setting when you have a shared rate does setting when you have a shared rate does that<03:

Keywords: 1189, house, all

Transcript Highlights:

• Getting myself situated here, and sure, we're all set.
• Getting myself situated here and sure, we're all set.
• Yes, at the rate...
• than most other states, but the rate is abysmal.
• or a transition to independent living setting.

Keywords: 995, all

Summary: The hearing was a FY27 budget session on Health and Human Services held in Mattapan, hosted by the Joint Committee on Ways and Means. Opening remarks from Senator Lydia Edwards, Representative Brandy Fluker-Reed, Representative Russell Holmes, and Boston Public Library President David Leonard emphasized the significance of holding the first Ways and Means hearing in Mattapan, the importance of community access, and the role of libraries as human services institutions. Committee members and attendees introduced themselves before agency testimony began. MassAbility testified first, describing its mission to support people with disabilities through employment, independent living, and disability determination services. The agency highlighted federal funding uncertainty, a modest FY27 budget reduction, and a proposed reworking of its home care program, which it said is outdated and should better target those most in need. Members questioned the home care cut, staffing reductions, and federal coordination. MassAbility also shared a participant story about recovery and community support to illustrate the impact of its services. The Massachusetts Commission for the Deaf and Hard of Hearing then presented its FY27 request, focusing on interpreter and captioning access, workforce development, emergency communication, aging-related hearing loss, and transition services for deaf and hard-of-hearing youth. Members asked about interpreter shortages, after-hours emergency coverage, ASL education, and community training; the commission said it is expanding mentorship and referral systems but still faces staffing and vendor challenges. The Massachusetts Commission for the Blind followed with a $30.8 million request, describing services for nearly 9,000 consumers, peer support groups, vocational rehabilitation, and Turning 22 services, while noting federal funding uncertainty and a 7% budget cut. Members raised concerns about maintaining services with fewer resources, and the commissioner said the agency had trimmed overhead and could manage the proposal. The Office for Refugees and Immigrants closed the segment, outlining expanded legal, housing, workforce, citizenship, and financial literacy supports for immigrants and refugees, including Know Your Rights trainings, legal defense initiatives, and the Massachusetts Access to Counsel Initiative. Members discussed the effects of federal policy changes, the loss of refugee resettlement funding, and the need for state support to fill gaps. No votes were taken in the portion provided; the hearing consisted of agency presentations and committee questioning.

Transcript Highlights:

• And the same is true with Iowa's 89% rate, Hawaii's 89% rate, and Arkansas's 92.5% rate.
• Some carry 100% hospitalization rates, 23% mortality rate, and they only seem benign because herd immunity
• Some carry 100% hospitalization rates, 23% mortality rate, and they only seem benign because herd immunity
• When vaccination rates drop, outbreaks follow.
• When vaccination rates drop, outbreaks follow.

Summary: The committee heard several health-related bills. SB 1082 would let providers or insurers in state-regulated commercial plans opt into the federal independent dispute resolution process for emergency out-of-network claims, with a late-filed amendment clarifying access to the state program in certain circumstances. The bill sponsor and emergency physicians said the measure would reduce litigation and improve payment resolution; the committee adopted the amendment and reported the bill favorably as a committee substitute. SB 1168 would centralize background screening work for the care provider clearinghouse at the Agency for Health Care Administration and update related screening rules, including sealed and expunged records for qualified entities. The sponsor said the change would speed turnaround and reduce duplication; an amendment was adopted, and the bill was reported favorably as a committee substitute. SB 1156 would move ambulatory surgical center regulation out of Chapter 395 into a standalone section of law, and it was reported favorably without amendment. SB 1480, as amended by a strike-all, would grandfather certain temporary certificate holders practicing in areas of critical need if federal designations change, allowing them to continue seeing current patients and potentially new patients in their existing area subject to board oversight. The committee heard support from health system representatives and reported the bill favorably. The final and most debated measure, SB 1756 on medical freedom, would require vaccine education materials and alternative schedules, expand school immunization exemptions to conscience-based objections, clarify limits on emergency vaccination orders, and allow pharmacists to dispense ivermectin behind the counter with written information. The sponsor and supporters framed it as parental choice and access, while physicians, public health advocates, cancer advocates, and parents of immunocompromised children warned it would lower vaccination rates and increase disease risk. The committee adopted a liability-related amendment, rejected a substitute amendment that would have required consultation for exemptions, and continued hearing public testimony opposing the bill; the transcript ends before final action on SB 1756.

Transcript Highlights:

• pandemic, they jack up rates, restrict sales, and like...
• And this, of course, leads to exorbitant costs. ... rates, insurance rates, for not only businesses in
• If the plaintiff does not have private insurance, it is set at 120% of the Medicare rate, and most recently
• Medicare sets rates for public programs, but this bill extends that control into the private sector.
• rates, and they said it would be...

Bills: HB4806

Keywords: civil action, damages, health care services, noneconomic damages, negligence, legal standards, 1184, house, all

Transcript Highlights:

• But, you know, as a per capita rate, we were really, really good.
• or the clinic setting...
• rate from?
• Dementia rates. That was where we saw the problem and the pain.
• Who else does all this care for a set number of dollars a day?”

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee heard House Bill 1623, the appropriations bill tied to North Dakota’s Rural Health Transformation Program, which is funded through a new federal rural health care grant. Senator Bekkedahl explained the bill’s background, the interim committee process that developed it, and the federal conditions attached to the award, including spending deadlines, administrative cost limits, and restrictions on uses such as new construction, supplanting existing funding, and certain other costs. Legislative staff then walked through the seven sections of the bill, including appropriation authority, transfer authority, contingent appropriations for pass-through grants, procurement and public improvement exemptions, recipient reporting, legislative reporting, and immediate effective date. Commissioner Traynor and HHS staff described how the department plans to implement the program, emphasizing that the funding is intended to improve rural access, workforce recruitment and retention, technology and data connectivity, and community health initiatives. They said the department will rely on local applications, technical assistance, templates, listening sessions, and partnerships with providers, schools, public health units, tribal entities, and other community groups. Members asked about reimbursement timing, upfront costs, administrative expenses, sustainability after the five-year grant period, and whether CTE centers, public health units, gyms, grocery stores, and other community partners could participate; the department said yes, within program rules and with a focus on measurable outcomes and sustainability. Several supporters testified in favor. Mental Health America of North Dakota and the Mental Health Advocacy Network supported the bill and urged investment in community-based mental health, crisis response, children’s services, peer support, and mobile crisis teams. HIA Health described the grant as a chance to expand home-based and hospice care, noting that rural providers already have workable models but need funding to scale them. A cybersecurity representative also supported the bill, warning that the large amount of health data and AI-related tools will require strong data protection and professional support. The hearing was closed with no opposition testimony, and the committee announced it would return later in the day for further work on the bill and other measures.

Transcript Highlights:

• First set, the next set of amendments are offered by Representative Lecombe, set number 5166. Rep.
• set 5174.
• First set of amendments are set offered by Representative Schlegel, set number 4381. Rep. Schlegel?
• No, that's the wrong set. You have two sets. Any objections to the amendment?
• Set number 5077.

Bills: HR244, HR245, HR246, HR247, HR248, HR249, HR250, HR251, HCR101, HCR102, HR223, HR224, HR225, HR226, HR227, HR229, HR230, HR231, HR232, HR234, HR235, HR236, HR237, HR238, HR239, HR240, HR241, HR242, HR243, HCR94, HCR95, HCR96, HCR97, HCR98, HCR99, HCR100, SCR31, SCR33, SCR35, SCR37, SCR56, SCR57, SB171, SB251, SB252, SB353, SB367, SB433, SB461, HR170, HR191, HR206, HR207, HR208, HR217, HCR11, HCR53, HCR60, HCR66, HCR68, HB66, HB153, HB165, HB326, HB387, HB454, HB455, HB484, HB513, HB603, HB660, HB719, HB762, HB766, HB793, HB802, HB816, HB833, HB940, HB947, HB950, HB975, HB1028, HB1039, HB1051, HB1053, HB1080, HB1201, HB1215, HB1228, HB1251, HB1252, SCR2, SB26, SB28, SB29, SB30, SB41, SB44, SB64, SB84, SB87, SB93, SB98, SB107, SB118, SB142, SB192, SB195, SB199, SB219, SB222, SB234, SB241, SB255, SB275, SB277, SB292, SB294, SB306, SB314, SB482, SB233, SB326, HR171, HCR49, HCR65, HCR72, HR37, HCR64, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, HB64, HB68, HB92, HB130, HB258, HB633, HB801, HB89, HB341, HB451, HB456, HB579, HB595, HB621, HB818, HB841, HB1064, HB1101, HB1191, SB47, SB82, SB106, SB206, SB210, SB248, SB305, SB376, SB397, SB441, SB2, SB19, SB24, SB50, SB70, SB96, SB101, SB103, SB104, SB114, SB122, SB159, SB160, SB173, SB180, SB182, SB260, SB412, SB418, SB424, SB442, SB460, SB476, SB1, SB23, SB32, SB42, SB43, SB46, SB51, SB110, SB113, SB150, SB154, SB161, SB218, SB220, SB221, SB253, SB289, SB310, SB351, SB399, SB404, SB502, HCR32, HB955, HB284, HB617, HB730, HB926, HB1125, HB1194, HB1203, HB798, HB998, HB1084, HB1223, HB646, HB824, HB901, HB79, HR20, HR74, HB59, HB306, HB366, HB393, HB458, HB577, HB582, HB605, HB614, HB682, HB733, HB752, HB773, HB911, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1234, HB1240, SB89, SB68, SB149

Keywords: disclosure, local law, public notice, legislative transparency, Artists at the Capitol Day, art education, Louisiana Art Education Association, recognition, community engagement, House Resolution 247, HR247, Laura Lewis, birthday commendation, 104th birthday, centenarian, longevity, St. James Parish, Louisiana House of Representatives, Mount Calvary Baptist Church, ceremonial resolution

Transcript Highlights:

• <00:41:33.000> up if the programs that we're setting up if the programs that we're setting
• and the rates for foster care are far less than the rates for residential care.
• and the rates for foster care are far less than the rates for residential care.
• and the rates for foster care are far less than the rates for residential care.
• <01:00:32.440> for an intensive um foster care rate for an intensive um foster care rate for

Keywords: 928, house, all

Summary: House Finance Division III held an informational hearing with the Department of Health and Human Services focused on child and family services, children’s behavioral health, DCF, juvenile justice, and adult mental health. Before the presentation, members discussed scheduling a future site visit to Waypoint, including possible dates, mileage reimbursement logistics, and whether to reschedule the department’s developmental disabilities and healthy aging presentation because the associate commissioner was out sick. The department then outlined that it would concentrate on children’s behavioral health, DCF residential care and the Sununu Youth Services Center/YDC new build, and adult mental health, while noting the broader DHHS structure and the value of keeping related services under one leadership. The department emphasized an integrated “system of care” approach and said it was trying to shift resources toward earlier, lower-intensity interventions rather than relying mainly on high-cost residential and acute services. It cited youth risk data showing roughly four in ten New Hampshire high school students feeling sad or hopeless and about one in five considering suicide in the past year, and said these trends worsened during the pandemic, peaking in 2021 and easing somewhat by 2023. Members asked how New Hampshire compared with neighboring states and about pre-COVID trends; the department said it would follow up with more exact data. The presentation also described a long-term policy effort beginning with federal funding in 2012, the state’s 10-year mental health plan, and later legislation aimed at strengthening children’s behavioral health and transforming juvenile justice so that youth with behavioral health needs are not routed into punitive systems first. Members raised questions about out-of-state residential placement oversight and the statutory basis for inspections and follow-up. The department said the General Court had funded more “boots on the ground” oversight, in coordination with the Office of the Child Advocate, and agreed to provide a longer follow-up presentation on that topic after the governor’s budget is released. The department also described evidence-based prevention efforts, including home visiting programs such as Healthy Families America and a DCF-connected home visiting cohort for families already touching the child welfare system, as examples of trying to keep children out of deeper system involvement.

Transcript Highlights:

• The flat SIT rate was changed to variable rates over three brackets.
• PIT brackets were reduced from 19 to 7 rates and the rates were modified.
• gross receipts tax rate.
• This bill didn't just reduce the PIT rates.
• From that session, SB 10 increased the gross receipts tax rate by one-eighth and the compensating rate

Keywords: 996, all

Transcript Highlights:

• Then reality sets in.
• It's a set of buildings near the entrance of the pueblo.
• Our rate stays the same till 2040. So our rate is not going to move on that until 2040.
• And so then what is the lost evaporation rate?
• The rates go up about 8%.

Transcript Highlights:

• Growing kids usually have to have a totally new set between every six months and a year.
• It is the essential step toward setting a clear statewide standard for safety.
• In 2024, Florida's passage rate was 84.9% with a national average of 91.2%.
• But our ranking, our percentage of passage rate, actually fell.
• We really, that shows when you do that, your NCLEX passage rate increases tremendously.

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110, covering Medicaid and insurance coverage for medically necessary orthotics and prosthetics, including activity-specific devices without lifetime or continuous-use caps, received emotional testimony from families and athletes describing high costs and the importance of access for children and adults with disabilities. Members voiced strong support, and the bill was reported favorably. The committee also heard SB 1574, which would add biliary atresia screening to the newborn screening program using the existing birth blood specimen. The sponsor and a parent testified that earlier detection could prevent severe liver damage, transplants, and deaths, and the bill was reported favorably. CS/SB 794, dealing with background screening for employees at residential facilities and day training programs for people with developmental disabilities and a review of waiver support coordination, was amended to align with the House companion and then reported favorably after testimony emphasizing the importance of strong support coordinators for APD waiver families. Members then considered SB 162, requiring hospitals and ambulatory surgical centers to adopt policies for smoke evacuation systems during procedures that generate surgical smoke. Nurses and other supporters described surgical smoke as a serious occupational hazard, while the Florida Hospital Association said hospitals are already regulated in this area and the bill was somewhat prescriptive; an amendment was adopted and the bill was reported favorably. CS/SB 254, which tightens oversight of nursing education programs, adds preceptorship and provisional licensure pathways for graduates awaiting NCLEX results, and increases transparency and accountability for low-performing programs, drew support from nursing advocates and opposition from private nursing schools concerned about workforce impacts; after amendment, it was reported favorably. Finally, SB 688 to reestablish licensure and regulation of naturopathic doctors in Florida was heard with testimony both supporting expanded health care choices and opposing the bill over safety and scope concerns, and it too was reported favorably. The committee then adjourned.

Transcript Highlights:

• In the bill, it was 150% of the workers' comp rate.
• And so 300% I thought was a very fair rate to treat.
• When you bill other insurances, you're going to get the contract rates.
• Rate, which was often a little higher.
• rate, we should look at actual examples.

Bills: SB1540, SB2225, SB2284, SB2382, SB2487, SB2514, SB2595, SB2876, SB2877, SB3031, SB2753, HB45

Keywords: election officials, confidentiality, personal information, government transparency, public safety, spirit beverages, alcoholic beverages, Texas Alcoholic Beverage Code, distribution, taxation, firearms, local regulation, archery equipment, weapons, voter registration, statewide list, county requirements, election integrity, computer services contracts, mental health