Transcript Highlights:

• us, which would allow more awareness of restraint use and reasons for the restraints.
• a fall risk this is a physical restraint a fall risk this is a physical restraint that<00:37:11.839
• to prevent the use of restraints.
• and not use those restraints. and not use those restraints.
• notifying any facility on restraints notifying any facility on restraints that<00:41:27.359>

Keywords: 1187, senate, all

Transcript Highlights:

• Restraint. And we're talking about the unclear definitions.
• If a restraint has to be according to whatever it shows in the physical restraint and all this here,
• Physical restraint or seclusion, lines 14 through 17. Mr.
• What we are saying here is in the parts where students have restraint, physical restraint, it has a definition
• This is maybe at the more severe end of student restraint.

Bills: HB111, HB103, HB60, HB108, HB120, HB145, HB154, HB164, HB291, HJR6, HR1, HJM2, HJM3, HJM1, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM32, HM13, HM47, HM11, HM14, HM21, HM34, HM50, HB38, HB47, HB63, HB64, HB127, HB165, HB184, HB200, HM20, HM51

Keywords: water law, state engineer, civil penalty, compliance order, water rights, overdiversion, illegal diversion, groundwater storage and recovery, well license, permit violation, water enforcement, New Mexico water code, irrigation district, conservancy district, water diversion, unauthorized water sales, measuring device, district court appeal, water resources, water compliance

Transcript Highlights:

• <00:09:00.160> and<00:09:00.399> where source of restraint and where source of restraint
• So that that would be an restraint.
• requires a a physical form of restraint. requires a a physical form of restraint.
• ,<01:05:14.400> but things like seclusion, restraint, but things like seclusion, restraint
• restraints and I'm looking at student A. restraints and I'm looking at student A.

Keywords: 1187, senate, all

Transcript Highlights:

• If not, just know that we're going to have time restraints when we get to that part.
• And in a lot of cases that just involves different firefighting techniques to put those fires out.

Keywords: 985, all

Transcript Highlights:

• <00:17:31.919> and reducing the need for restraint and reducing the need for restraint and
• > and<00:19:42.559> seclusion this issue of restraints and seclusion this issue of restraints
• current statute only covers restraints current statute only covers restraints and<00:19:51.559><
• and seclusions, but we do restraints and seclusions, but we do review<00:20:06.240> restraint
• <00:22:27.760> I<00:22:28.000> know restraint law. I know restraint law.

Keywords: 1191, senate, all

Transcript Highlights:

• <00:16:20.720> and collection on the use of restraint and collection on the use of restraint
• But we're not talking about banning physical restraint.
• <00:31:24.960> from there's an uptick in restraints from there's an uptick in restraints from
• <00:43:32.240> For reduce restraint and seclusion. For reduce restraint and seclusion.
• <01:00:09.760> Nobody restraints, more law enforcement.

Keywords: 919, house, all

Summary: The Seclusion Working Group approved the minutes from its November 5, 2025 meeting and then heard presentations from Jessica Heiser and Aaron Sansmark of Solutions Not Suspensions and the Minnesota Disability Law Center on the misuse and illegal use of seclusion in schools. They described illegal seclusion as including use outside emergencies, for discipline or noncompliance, beyond the emergency period, in unregistered rooms, without parent notice, without required observation or documentation, for students outside the grade-limit rules, when meals/restroom/water are withheld, or when staff are not properly trained. They emphasized that Minnesota lacks a single reliable data source for identifying illegal seclusion and that families often learn about incidents late, if at all, making complaints and legal action difficult because of barriers such as time, cost, language, and access to advocates. The presenters summarized Minnesota Disability Law Center records, saying they receive about one seclusion-related case per month during the school year, statewide, and that in the cases reviewed over the last year the children were all boys with disabilities, including autism, ADHD, developmental delay, or emotional disabilities; three were white and two were children of color, and four of the five were age 10 or younger. They said all of those families pulled their children from school afterward, and that five of five cases potentially had valid illegal-seclusion claims, though only three pursued legal action. They also noted PACER reports many discipline and behavior calls involving seclusion but does not keep hard records. The presenters proposed better statewide data collection, including identifying school buildings, staff, or students involved, reporting incident duration, and adding a checkbox on MDE complaints to flag restraint/seclusion allegations. A substantial portion of the discussion focused on disproportionality. The presenters cited national research showing students with disabilities and students of color, especially Black boys, are disproportionately restrained or secluded, while acknowledging Minnesota does not have a single statewide racial aggregate for seclusion. Members discussed whether banning seclusion would reduce misuse and disproportionality, whether it could increase physical holds or injuries, and whether the issue should be viewed in the broader context of emergency interventions. Heiser argued Minnesota is moving in the same direction as federal actions and other states that have restricted or banned seclusion, and noted that the current birth-through-third-grade ban has reportedly reduced seclusion by 40%. Other members agreed disproportionality is a serious systemwide problem, but emphasized the need to keep the conversation focused on seclusion and emergency use. No additional votes or formal actions were taken beyond approval of the minutes.

Transcript Highlights:

• The second piece of the project is around monitoring and random audits of restraint and seclusion.
• And the second kind of chunk of it is around restraint and seclusion.
• there's been some changes to law over the last number of years, changing definitions and such on restraint
• Great lit review on restraint exclusion laws, looking at other states, policy guidance, monitoring and
• And that's actually some of the conversations we're having with other states, like... ...reduce restraint

Keywords: 962, all

Summary: The meeting began with approval of the May minutes and then moved into administrative updates on several 2025 legislative workstreams. Staff reported progress on two marketing efforts tied to the youth mental health crisis: one focused on increasing awareness and use of urgent crisis centers, and another broader crisis-continuum campaign led by United Way. Both projects are refining materials based on working-group feedback and aim to have materials ready before the start of the school year. Updates were also given on the UCC private insurance review and the crisis continuum review, both of which are gathering data and reconvening working groups over the summer. The main discussion centered on a Civic Solutions Group update on Medicaid school billing. The contractor explained that the project is examining why Connecticut schools are not billing for behavioral health and related services, with the goal of maximizing federal reimbursement. Members clarified that the study is about schools billing for services, not private providers billing in schools. Questions focused on whether Medicaid has caps or authorization issues when students receive services both in school and in the community, and whether recent federal or state changes affect billing. The contractor said the work is still in data collection and analysis, and that some issues, such as reauthorization procedures, were outside his scope. Participants also raised concerns about perceived barriers, fee-for-service limitations, and the need to distinguish school-based billing from provider billing. A second major presentation came from Disability Rights Connecticut on a separate legislative study concerning behavioral health issues affecting students receiving special education. The subgroup is examining the feasibility and impact of requiring evidence-based interventions, especially for challenging behaviors that can lead to restraint and seclusion, and is also looking at monitoring and random audits of restraint and seclusion practices. The team described its project plan, including literature reviews, interviews, focus groups, surveys, and data requests from the State Department of Education and other stakeholders. Members emphasized that the work is aimed primarily at private providers under the statute, but may have broader relevance. Questions from the group focused on whether the study would include public schools, how evidence-based practices apply to students with intellectual disabilities and autism, and whether caregivers or parents would be interviewed; the presenters said caregiver input is not currently part of the charge. The meeting ended with reminders about the July 15 meeting, which will include a Solnit briefing, and a note that August TCB meetings will not be held, though a workshop on the Connecticut Children’s Behavioral Health Provider Survey is being planned for late July or early August.

Transcript Highlights:

• we've made recently related to seclusion and restraint, we did implement a seclusion-restraint consult
• So we've... ...one-to-ones with patients in seclusion and restraint.
• We've made this mandatory reporting leadership reviews, seclusion and restraint data every day.
• Any inpatient psychiatric facility uses seclusion or restraint as a means to preserve or protect the
• And again, like I said, ...patients that utilize restraint or seclusion.

Keywords: 907, all

Summary: The joint Senate and House Behavioral Health committee met for informational presentations on the Oregon State Hospital and civil commitment, followed by a planned tour of the hospital. Oregon Health Authority and Oregon State Hospital leaders reported that Sean Murphy will become the next permanent superintendent on July 13, with Sarah Castle to follow as permanent chief nursing officer on July 20. They described recent leadership turnover, a major organizational restructure, and efforts to build a culture of safety, transparency, and accountability. Officials said the hospital regained Joint Commission accreditation and CMS compliance, and they highlighted daily safety huddles, incident review processes, stronger escalation procedures, and improved management of seclusion and restraint. Committee members pressed hospital leaders on past prolonged seclusion practices, falls, staffing, and the need for better public reporting; OHA said it is building a public dashboard of key safety and workforce metrics. The committee then heard a civil commitment overview from the Oregon Judicial Department. The presenter explained that civil commitment is a separate legal process from criminal cases, usually beginning with a hospital hold, investigation, court review, appointed counsel, and a hearing within five days. She summarized changes made in House Bill 2005, including revised standards for danger to self, danger to others, and basic-needs commitments, plus a second 14-day diversion option. She cautioned that the new law has only been in effect since January and that it is too early to draw firm conclusions from the data, though there has been a recent uptick in commitments and a decrease in diversions. Testimony from NAMI Oregon and a forensic psychiatrist emphasized that Oregon still relies too heavily on jails and state hospitals because community services, housing, and outpatient supports are insufficient. They argued that the state needs more less-restrictive alternatives, including better use of assisted outpatient treatment or outpatient civil commitment, and more supported housing so people do not cycle between homelessness, incarceration, and hospitalization. A family member described a relative remaining psychotic in jail for more than 120 days before ending up back at the state hospital, urging faster intervention and better collaboration among courts, counties, hospitals, and state agencies. Committee members and witnesses also discussed workforce shortages, the expansion of secure residential treatment beds, and the need for broader system reforms beyond the hospital itself.

Transcript Highlights:

• The training will touch on effective communication, alternatives to physical restraints, techniques to
• limit force, proper lighting, safety techniques during cell extractions, and fundamental life-saving

Summary: The Senate opened with an invocation by Pastor Tedrick Woods, followed by routine chamber actions including excusing Senator Gutierrez and receiving House messages that the House had passed HB 21 and HB 49. Senators also recognized advocates visiting the gallery on focal segmental glomerulosclerosis awareness and introduced the Doctor of the Day. The chamber adopted several resolutions, including HCR 66, by voice vote. The Senate then took up and passed a series of measures, often by suspending the regular order and the constitutional three-day rule. Among the bills finally passed were HJR 2, which would prohibit state death taxes; HB 206, limiting counties from requiring cash bonds for pipeline construction; HB 517, barring property owners associations from fining homeowners for discolored vegetation during watering restrictions; HB 2756, requiring TDCJ correctional officers to receive de-escalation and behavioral health training; HB 451, expanding screening for commercial sexual exploitation risk among children in DFPS and TJJD custody; SB 705, cleaning up the air conditioning and refrigeration contractors advisory board; SB 2017, creating an offense for burnouts and wheelies; SB 1858, expanding body armor grant eligibility to ISDs; SB 1400, directing a study on transfer-student outcomes for community college funding; SB 2764, requiring notice to manufactured home buyers about converting homes to real property; SB 748, a licensing cleanup bill on laser hair removal; SB 2519, restricting certain ad valorem tax uses and bonds after amendment; SB 2878, the courts bill with amendments on Brazoria County courts and youth diversion provisions; SB 466, allowing families to request fetal death certificates at any gestational age; SB 1608, requiring timely physical exams for inpatient mental health admissions; SB 1730, limiting civil damages claims arising from certain uses of force or deadly force; SB 2417, clarifying Attorney General antitrust investigation work product and discovery rules; and SB 1946, creating a family violence, criminal homicide prevention task force. The Senate also passed HB 3204, renaming and updating the Polytechnic College at Sam Houston State University, and SB 1986, requiring opioid warning labels. Several bills drew brief debate or amendments. Senators discussed broader HOA reform while considering HB 517, and SB 2203 on TCEQ discovery procedures was amended to require party motions, set a 15-day expiration for certified issues, and limit hearing abatement. SB 2017 was amended to change the mens rea language from knowingly to intentional. SB 2519 was narrowed by amendment to a forward-looking policy statement separating maintenance-and-operation taxes from debt-service taxes. SB 2878 also received amendments to reduce the number of new Brazoria County courts and add youth diversion and crisis-response provisions. SB 466 prompted a floor debate over whether fetal death certificates are appropriate for pre-20-week losses, with supporters emphasizing family closure and opponents arguing the document has no estate-related purpose. SB 1730 also prompted questions about the relationship between criminal findings and civil liability in self-defense cases. The session concluded with additional House and Senate measures being signed in the presence of the Senate and continued consideration of SB 2177, a grant program to help local law enforcement solve violent and sexual offenses.

Transcript Highlights:

• <00:35:25.160> in different in terms of restraints in different in terms of restraints in
• > is<00:36:02.440> actually So, the restraints language is actually So, the restraints
• current statute is silent on restraints. current statute is silent on restraints.
• both um the reasons for when a restraint both um the reasons for when a restraint might<00:36:15.640
• restraint on to the state? Ms. Timian. restraint on to the state? Ms. Timian.

Keywords: 1187, senate, all

Transcript Highlights:

• its own sudden descent into brutality, transgressing the constitutional commitment to decency and restraint
• serving in a nursing home to receive training on recognizing the signs and symptoms of VTE and techniques
• CNAs in the nursing homes would have to be trained for recognizing signs and symptoms of VTE and techniques
• We want people to know the prevention techniques related to blood clots.

Summary: The committee met and first reported favorably CS for SB 1782, which creates a new offense for dangerous excessive speeding, with support noted from the Orange County Sheriff’s Office and the Florida PBA. It also reported favorably CS for SB 306, which addresses Medicaid managed care provider network access by requiring after-hours and holiday appointment availability and a minimum level of primary care participation. CS for SB 716, imposing mandatory minimum sentences for certain sexual offenses committed by registered sex offenders or predators, and CS for SB 1084, expanding protections against non-consensual dissemination of intimate images and digitally forged intimate images, were also approved. The committee then approved CS for CS for SB 1604, a corrections package that would require prepayment of court costs for certain inmate lawsuits, shorten the limitations period for confinement-condition claims, allow consecutive sentencing in some cases, and revise mental health treatment procedures in correctional settings. Members discussed constitutional concerns and access-to-courts issues, but the bill was reported favorably. CS for CS for SB 1804, which creates a capital offense for trafficking a child 12 or younger or a mentally incapacitated person for sexual exploitation, drew extensive debate and opposition from the Florida Conference of Catholic Bishops, the Florida Association of Criminal Defense Lawyers, and Floridaans for Alternatives to the Death Penalty; despite objections about constitutionality and ethics, it was reported favorably. The committee also approved CS for SB 1838, expanding protections for court officials against tampering, harassment, and retaliation, and CS for CS for SB 890, the Emily Adkins Family Protection Act, which creates a statewide VTE registry and requires blood clot screening and training in hospitals and care facilities. Members and public witnesses spoke in strong support of the blood clot bill, including family members and survivors. Finally, the committee reported favorably CS for SB 1252, directing FDLE to study a statewide pawn data database, CS for SB 468, increasing penalties for fleeing or eluding law enforcement and allowing vehicle impoundment, CS for SB 490, expanding off-duty concealed carry eligibility for correctional officers and correctional probation officers, and CS for SB 572, the Pam Rock Act on dangerous dogs, which was amended to refine enclosure, confiscation, euthanasia, and insurance requirements.

Transcript Highlights:

• its own sudden descent into brutality, transgressing the constitutional commitment to decency and restraint
• CNAs in the nursing homes would have to be trained for recognizing signs and symptoms of VTE and techniques
• CNAs in the nursing homes would have to be trained for recognizing signs and symptoms of VTE and techniques
• We want people to know the prevention techniques related to blood clots, because, as I said before, the

Summary: The committee took up a series of criminal justice, health, and public safety bills, with several measures reported favorably after brief sponsor presentations and mostly no opposition. CS for SB 1782 on dangerous excessive speeding, CS for SB 306 on Medicaid provider network access, CS for SB 716 on mandatory minimums for certain sexual offenses by registered offenders, CS for SB 1084 on intimate image dissemination and digitally forged images, and CS for CS for SB 1604 on corrections-related litigation and sentencing changes all passed the committee. Members also approved CS for SB 1838, which increases protections for court officials from tampering, harassment, and retaliation, and CS for SB 1252, which directs FDLE to study a statewide pawn data database. CS for SB 468 on fleeing or eluding, CS for SB 490 on off-duty concealed carry for certain officers, and CS for SB 890 on blood clot screening and treatment also received favorable votes, with SB 890 drawing supportive testimony from the bill sponsor, medical and patient advocates, and family members affected by blood clots. The most extensive debate centered on CS for CS for SB 1804, which would create a capital offense for adults trafficking children under 12 or mentally incapacitated persons for sexual exploitation. Senator Martin defended the bill as a response to especially heinous crimes and argued it fit within constitutional punishment principles, while several members raised concerns about the Eighth Amendment, the risk of lengthy and costly litigation, and the possibility of retraumatizing victims. The Florida Conference of Catholic Bishops and the Florida Association of Criminal Defense Lawyers testified in opposition, citing moral objections, due process concerns, and constitutional precedent; the bill nevertheless was reported favorably. The committee also approved CS for CS for SB 572, the “Pam Rock Act,” which tightens dangerous-dog rules, adds enclosure, microchip, insurance, and penalty requirements, and allows stronger enforcement actions after serious attacks. The Rock family and animal control supporters testified in favor, describing the bill as a response to fatal dog attacks and urging stronger accountability for owners. For SB 572, members discussed insurance requirements, the role of local authorities in classifying dangerous dogs, and whether the bill would affect ordinary pet insurance or only liability coverage after a serious attack. The sponsor said the measure is not breed-specific and is aimed at dogs that have already caused significant harm. The committee also heard testimony from family members of Pam Rock and other victims, along with supporters from animal control and sheriff’s offices. All of the bills taken up in the meeting that were voted on were reported favorably, and no roll-call votes failed.

Transcript Highlights:

• , 51% with restraints applied before transport, less than 1% with restraints applied at the beginning
• , 51 with restraints without restraints, 51 with restraints applied<00:45:10.000> before<00:45
• transfer um of unknown restraint status. transfer um of unknown restraint status. 40%<00:45:23.599
• outlines that most of the restraints outlines that most of the restraints happen<00:45:43.760>
• . restraint. restraint.

Keywords: 928, house, all

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

Transcript Highlights:

• This is essentially amending some issues as it relates to restraint and seclusion.
• , mechanical restraint, prone restraint, and seclusion without continuous line of sight supervision.
• This clearly says that's not restraint.
• Individuals who are trained in restraint.
• There have actually, unfortunately, been a lot of deaths because of restraint and improper use of restraint

Transcript Highlights:

• As far as key changes that we've made recently related to seclusion and restraint, As key changes that
• we've made recently related to seclusion and restraint, we did implement a seclusion-restraint consult
• So we've... ...one-to-ones with patients in seclusion and restraint.
• We've made this mandatory reporting leadership reviews, seclusion and restraint data every day.
• Any inpatient psychiatric facility uses seclusion or restraint as a means to preserve or protect the

Keywords: 907, all

Summary: The joint Senate and House Behavioral Health committees held an informational meeting focused first on the Oregon State Hospital (OSH). OHA Director Sajal Hathi introduced the hospital’s incoming permanent superintendent, Sean Murphy, and praised interim superintendent Jim Deagle for stabilizing operations, restoring CMS compliance, and helping drive a culture change centered on safety, accountability, and transparency. Deagle and Chief Medical Officer Dr. Amit Bavon described OSH’s role as the state’s highest-level forensic psychiatric hospital, the patient populations it serves, its partnerships with courts, counties, jails, hospitals, and advocates, and recent leadership changes across the hospital. They also reported improved accreditation and regulatory status, including Joint Commission accreditation and CMS compliance, and said the hospital is now using daily safety huddles, incident review meetings, stronger escalation procedures, and revised seclusion/restraint practices to reduce risk and improve oversight. Members pressed hospital leaders on past seclusion practices, asking how prolonged seclusions could have occurred under federal standards. Leaders said they could not explain past decisions but emphasized that current leadership has changed processes, training, reporting, and oversight so that seclusion and restraint are reviewed in real time and cannot be normalized. Questions also covered staffing, falls, and future planning. OSH said it is generally staffed to budget, though it still has RN and mental health technician vacancies and is working on recruitment, training, and better staffing distribution. Hathi said the hospital is building a public dashboard with key performance and safety metrics, including workforce data, and described the long-term goal as a consistently safe, disciplined, high-functioning institution that responds quickly to mistakes and remains accountable to the public. The committee then shifted to an informational overview of civil commitment. Oregon Judicial Department representative Chanah Newell explained the civil commitment process, including who can initiate it, the role of community mental health providers and courts, the five-day timeline to hearing, and the standards for danger to self, danger to others, and inability to meet basic needs. She summarized changes made in House Bill 2005, including revised statutory language and new provisions allowing a second diversion period, but cautioned that the data are too early to show clear trends. Testimony from NAMI Oregon’s Chris Bonif and psychiatrist Dr. Stephanie Lopez argued that Oregon still relies too heavily on jails and state hospital commitments because the broader community system lacks enough treatment, housing, and less restrictive alternatives. They urged the legislature to focus on upstream services, supported housing, and possible outpatient commitment tools so people can receive treatment before reaching crisis. The meeting ended with acknowledgment that additional reports and follow-up discussions are expected, including on residential treatment capacity and related behavioral health system reforms.

Transcript Highlights:

• present the transportation and restraint present the transportation and restraint data<00:44:06.880
• , 51% with restraints applied before transport, less than 1% with restraints applied at the beginning
• ,<00:45:07.599> 51<00:45:08.640> with<00:45:09.040> restraints without restraints
• , 51 with restraints without restraints, 51 with restraints applied<00:45:10.000> before<00:45
• outlines that most of the restraints outlines that most of the restraints happen<00:45:43.760>

Keywords: 928, house, all

Summary: The committee first handled routine business, approving the prior meeting minutes with one abstention from a member who had been absent. It then received an update from DHHS Commissioner Lori Weaver on the department’s rural health transformation grant submission. Weaver said the grant was submitted ahead of the deadline, reflected input from communities and providers statewide, and would now enter a CMS review and negotiation phase. She explained that the governor’s office will oversee the grant with DHHS, that some proposals may be limited by federal parameters, and that the department may need to hire some staff to administer the grant, within the grant’s administrative cap. Members also discussed DHHS budget pressures and staffing. The department’s CFO, Nathan White, reviewed the agency’s budget mix, noting that DHHS accounts for a large share of the state’s operating and general fund budgets, and explained projected general fund lapse estimates, which he said are currently just under $20 million for the department. He also described why lapse projections are difficult to predict in DHHS because many costs are driven by utilization and because some funds are statutorily non-lapsing. White reported that vacancy rates have risen, citing about 400 unfunded positions in the current biennium and the department’s hiring freeze, while emphasizing that direct-care positions are being prioritized. Committee members raised concerns that back-of-the-budget cuts and weak revenue collections could affect the department’s ability to manage lapse projections. The committee then heard from Division of Public Health Director Ian Watt on vaccine policy and federal changes. Watt said New Hampshire continues to support access to safe and effective vaccines, including through the universal purchase program and seasonal respiratory virus guidance. He explained a recent CDC change regarding the MMRV vaccine, which now discourages the combined shot for the first dose in children under four because of febrile seizure risk, while still allowing it for the second dose. Watt said New Hampshire’s school and child care vaccine mandates remain stable, with nine vaccines required for schoolchildren and 10 for child care, and that the state continues to review federal recommendations cautiously. He also said there have been no supply or funding disruptions affecting vaccine access, and that childhood vaccine funding through commercial insurers remains intact. Finally, the Permanent Subcommittee on Alzheimer’s Disease and Other Related Dementias presented its annual report. The subcommittee said it met about six times, heard presentations on state services, silver alerts, brain health awareness, and palliative/hospice care, and began work on updating the state’s Alzheimer’s plan, which had last been updated in 2015-2016. To gather more direct input, the subcommittee formed a needs-assessment work group to develop a survey for people living with dementia, caregivers, and service providers. It recommended integrating Alzheimer’s and dementia materials into chronic disease, aging, and public health outreach; embedding cognitive health into systems of care and the state health improvement plan; adding cognitive health measures to BRFSS; and continuing partnerships with aging and advocacy organizations. Members praised the report and suggested it should clearly identify the subcommittee and include page numbers in future versions.

Transcript Highlights:

• The right to worship in a manner consistent with the dictates of one's own conscience without restraint
• It's alarming to hear lawmakers like Senator Roush use well-known propaganda techniques to attempt to
• preemptively discredit the... ...well-known propaganda techniques to attempt to preemptively discredit
• I ask you not to pass these bills from the committee and exercise restraint. Thank you very much.

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hearing on several vaccination-related bills, including proposals to eliminate non-medical or religious exemptions for school immunizations (notably H. 2554 and S. 1557), a bill to require or improve reporting and administration of immunization data and exemptions (described as the Community Immunity Act, S. 1618), and H. 2431, which would prohibit COVID-19, mRNA, or gene-altering vaccine requirements. The committee also heard testimony on H. 2463, which would classify funeral directors as public health workers for vaccine-priority purposes during emergencies. The chair reviewed testimony rules and repeatedly asked speakers to keep comments orderly and brief so the committee could hear as many people as possible. No votes were taken during the hearing. Testimony on H. 2554 and S. 1557 was sharply divided. Pediatricians, infectious disease specialists, public health advocates, and groups such as the Massachusetts Chapter of the American Academy of Pediatrics, Massachusetts Medical Society, March of Dimes, Massachusetts Families for Vaccines, and several parents supported eliminating religious exemptions, arguing that vaccination protects medically vulnerable children and adults, improves herd immunity, and helps prevent outbreaks of measles, pertussis, and other diseases. They cited local school data showing pockets of lower coverage and incomplete reporting, and several speakers referenced outbreaks in other states and the need for stronger, more consistent reporting and exemption management. Opponents argued the bills would infringe on religious freedom and parental rights, force families to choose between faith and education, and unfairly target a small number of families; some also said Massachusetts already has high vaccination rates and that the real issue is incomplete data or the gap population rather than religious exemptions. H. 2431 drew testimony from supporters who said COVID-era mandates caused job losses, privacy concerns, and harm, and that the bill would prevent future requirements for COVID, mRNA, or gene-altering vaccines in schools, workplaces, and public settings. Supporters described personal experiences with alleged vaccine injury or mandate-related hardship. H. 2463 was supported by the Massachusetts Funeral Directors Association, which argued funeral directors work in infection-facing settings and should be eligible for vaccine priority during public health emergencies. The hearing featured extensive public testimony but no committee action beyond hearing the bills and taking questions from members.

Transcript Highlights:

• We're not comfortable with allowing all these other people to authorize restraint.
• <01:42:41.800> It<01:42:41.920> is use seclusion and restraint.
• It is use seclusion and restraint.
• Um, what we've moved towards is proper restraint and seclusion, safer practices for patients.
• :47:42.280> used<01:47:42.680> when restraints and seclusion are used when restraints and

Keywords: 1189, house, all

Summary: The meeting began as a Committee of Conference on House Bill 194, but the discussion quickly centered on whether to remove an attached bill, 504, because of concerns about a possible fee or tax and a House rule issue. Members debated the procedural posture of the bill, whether the House version had been non-concurred, and whether the conference committee could still resolve the issue by adopting the House amendment or reconsidering the non-concur. The exchange became tense, with one side warning that failing to pass the measure could jeopardize a linked rural health transformation grant worth about $20 million. The committee ultimately recessed without resolving the 194/504 dispute and planned to return the next day. The committee then opened conference on House Bill 609, which dealt with use-of-force/self-defense language and restraint/seclusion authority in health care settings. On the self-defense portion, House members argued strongly for restoring vehicle language, saying people should be able to defend themselves in a car the same way they can in a home, especially in carjacking or assault situations where no weapon is displayed. Senate members expressed concern about expanding deadly-force protections too broadly and suggested narrowing the language to focus on imminent harm to the person, not property, while also questioning where the provision should be placed in statute. The second major topic in HB 609 was who may order restraint or seclusion in clinical settings. House members argued that physicians are not always immediately available, especially in hospitals and emergency settings, and that APRNs and physician associates should be able to act in crises if properly trained and credentialed. Senate members raised concerns about scope of practice and asked whether the language implied patient consent was required; the Senate side explained that consent language was intended to address capacity and informed decision-making, not to require voluntary consent to restraint. The discussion ended with the sides still apart, though the Senate floated a compromise allowing physician associates to order restraint when no doctor is physically on the premises, while not yet extending that authority to APRNs. The committee took a short break to continue negotiations on the firearm/self-defense piece.

Transcript Highlights:

• It's the city or the municipality may adopt ordinances for the control or restraint or management of
• It's the city or the municipality may adopt ordinances for the control or restraint or management of
• I like restraint, management of dogs deemed vicious or nuisance under RSA citation.
• So you can leave the restraint in.
• So, well, the restraint... the existing language in terms of restraint can be... and that's been there

Keywords: 928, house, all

Summary: The committee worked through a draft bill amending animal cruelty and protective custody provisions, focusing on how animals may be seized, cared for, and returned, and on what rights owners have when animals are taken. Members discussed adding language requiring officers to inform a charged person in writing of the right to petition for a veterinarian of their choice, clarifying that any documents presented for signature must be fully and honestly explained, and revising language so confiscated animals cannot be altered without notarized owner authorization. They also considered a new prohibition on using confiscated animals for fundraising or donations, ultimately preferring the term “financial gain” over “profiteering.” The discussion also covered protective custody procedures, including adding “municipal animal control officer” to the list of officers involved, allowing return of animals to the owner or caretaker if no charges have been filed or no warrant establishing probable cause has been sought or issued, and clarifying the distinction between criminal seizure and temporary protective custody. The commissioner’s comments led to several proposed deletions or revisions, including removing language viewed as redundant or inconsistent with protective custody, and striking references to live racing provisions that are no longer relevant. Members further addressed lactating animals, agreeing to add language that confiscated lactating animals should not be separated from their nonweaned offspring. They also discussed a proposed confidentiality provision requiring people assisting in investigations or taking possession of seized animals to sign a binding nondisclosure agreement, though members noted similar protections may need to be duplicated in the temporary custody section as well. The conversation was largely about drafting and legal clarity, with no final vote or formal action recorded in the excerpt.

Transcript Highlights:

• response was that immunity can apply immediately, with no need for discovery or other litigation techniques
• Court have repeatedly ruled that the constitutional guarantee of freedom of expression forbids prior restraint
• of freedom of expression<00:38:12.320> forbids<00:38:12.880> prior<00:38:13.280> restraint
• <00:38:13.680> of expression forbids prior restraint of expression forbids prior restraint

Bills: HB0103, HB0070, HB0091

Keywords: First Amendment, free speech, lawsuits, immunity, public participation, strategic lawsuits, foreign censorship, digital innovation, constitutional rights, Wyoming GRANITE Act, extraterritorial laws, civil actions, speech protection, legal jurisdiction, joint liability, artificial intelligence, social scoring, biometric data, privacy rights, government regulation