Transcript Highlights:

• current name in 2003 and iderrtian University offers a range of under gra du ate and graduate degree programs
• It's our countywide leadership development program dedicated to educating, connecting, and equipping
• into the coffers of individuals who flood this building with campaign contributions. infrastructure program

Bills: SB2102, SB1940, SB1625, SB1442, SB1623, SB1242, SB1949, SB1592, SB1913, SB592, SB992, SB1241, SB259, SB1928, SB1426, SB1531, SB1561, SB1122

Keywords: credit card fees, merchant discounts, payment card network, interchange fees, transparency in fees, Oklahoma law, payment card, rebate, merchant, tax compliance, health insurance, mandate, impact analysis, insurance department, public health, access to healthcare, SB1442, alcoholic beverage control, ABLE Commission, liquor license fees

Transcript Highlights:

• Over 70% of men and batterers in intervention programs report having witnessed domestic abuse as a child

Bills: SB1450, SB1458, SB1232, SB1238, SB1325, SB1209, SB1362, SB2072, SB1451, SB1540, SB1581, SB1535, SB1266, SB1927, SB1460, SB2084, SB2182

Keywords: criminal court costs, court fees, fines, assessments, waiver, ability to pay, indigent defendants, post-release relief, probation compliance, parole, deferred sentence, suspended sentence, restitution, child support, municipal court, district court, criminal justice reform, court debt, legal financial obligations, fee waiver

Bills: HB34, HM7, HM8, HM17, HM3, HM11, HM14, HM15, HM21, HM25

Keywords: HB34, school nurse, school nurses, nurse licensure, licensure, charter school, charter schools, school district, public education, Department of Health, Public Education Department, registered nurse, RN, mentorship, evaluation, competency, teacher salary parity, minimum salary, level one license, level two license

Bills: HB63, HB19, HB80, HB41, HB20, HB60, HB100, HB71, HB91, HB93, HB63, HB19, HB80, HB41, HB20, HB60, HB100, HB71, HB91, HB93

Keywords: paternity, child custody, joint custody, parental rights, family law, domestic violence, shared parenting, Ebony Alert, missing youth, public safety, law enforcement, racial equity, human trafficking, victim restitution, civil action, criminal prosecution, labor servitude, sexual servitude, class A felony, class B felony

Transcript Highlights:

• concerned about the increasing cost, cost of living, uh, and the federal budget has cut many of these programs
• increased police presence, expanded emergency services, sobering centers, and mental health diversion programs
• , homelessness programs, the kind of things that we in this chamber expect them to do, and the kind of
• have required TDCJ to adopt a gender responsive risk needs assessment. 182 would have expanded the program
• for accessibility for female inmates through redirecting TDCJ to ensure a wide variety of programming

Bills: SB 10, SB 8, SB 15, SB 12, SB 6, SB 13, SB 9, SB 7, SB 17, SB 4

Keywords: sex designation, restroom access, civil penalties, private civil right of action, women's privacy, law enforcement, department file, employee records, misconduct, confidentiality, Texas occupations code, election laws, attorney general, prosecution, criminal offenses, criminal prosecution, jurisdiction, hemp, consumable hemp, hemp-derived cannabinoids

Transcript Highlights:

• So if it's a loan program, why is your fiscal note...?
• Texas has a wonderful vaccine program for children, the Texas Vaccines for Children program.
• Charity care programs exist for this very purpose.
• in TDLR to create this program.
• The CRNA program currently lasts about 36 months.

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Keywords: NH House of Representatives Committee Streaming, https://www.youtube.com/watch?v=JHKZjSMGYKo, 2026-06-14T02:39:02+00:00, 2.2.23, Data collected via generic collector engine, http://gencourt.state.nh.us/house/calendars_journals/ 0:00 House Session – April 21, 2022 4:56 Adjourn from the Session of April 21,2022 5:10 Prayer – Reverend Bob Stewart 8:07 Pledge of Allegiance 8:31 National Anthem – Piccola Opera Youth Chorus of Manchester 10:54 Leaves of Absence 11:43 Introduction of Guests 12:57 Memorial Resolution – Rep. Katherine Rogers 26:15 House Resolution #23 27:28 Tartan Day Program 42:36 Bill removed from Consent Calendar: SB 376-FN, SB 394-FN 43:01 Consent Calendar Adopted 44:34 SB 458-FN 1:21:27 SB 291 1:33:26 SB 306-FN 1:46:54 SB 401-FN 2:02:34 SB 456-FN-A 2:03:31 SB 381-FN-A 2:04:29 SB 420-FN-A-L 2:08:51 Motion to remove HB 172 from the Table 2:14:07 Motion to remove HB 1506-FN from the Table 2:18:53 SB 242 2:29:13 SB 365 2:32:56 SB 418-FN 2:54:45 SB 425-FN 2:55:45 SB 427-FN 2:59:28 Announcements 2:59:47 Lunch Recess until 1:00 pm 4:06:56 SB 267-FN-A 4:08:28 SB 438-FN-L 4:33:38 SB 403-FN-A 4:50:38 SB 407-FN 4:58:37 SB 416-FN 5:02:55 SB 430-FN-A 5:16:11 SB 444-FN 5:17:06 SB 459-FN 5:38:12 SB 278-FN 5:39:06 SB 346-FN-A 5:42:25 SB 240 5:58:09 SB 241 6:11:29 SB 442-FN 6:26:32 Motion to Print Debate on SB 240 in the Permanent Journal 6:26:45 Motion to Print Debate on SB 241 in the Permanent Journal 6:27:20 SB 376-FN 6:36:22 SB 394-FN 6:37:11 Third Reading Motion 6:37:54 Announcements 6:39:21 Unanimous Consent – Rep. Espitia 6:40:12 Unanimous Consent – Rep. Belanger 6:41:40 Unanimous Consent – Rep. Ammon 6:52:00 Unanimous Consent – Rep. Perez 6:56:20 House in Recess until the Call of the Chair, 928, house, all, 2.2.40, 2.1.47

Transcript Highlights:

• Just like they reimburse for our ag teacher or a welding teacher, really creating a program and putting
• And so when we do CTE's budget, they request reimbursements for these things—new programs, program costs
• reimburse.
• And so when we do CTE's budget, they request, um, reimbursements for these things, you know, new programs
• , program costs, program this, they, they request that.

Summary: The committee first approved the minutes and then received a lengthy DPI presentation from Stanley Schauer on statewide reading and math assessment data for students with and without disabilities. He explained the assessment systems used over time, the absence of 2019-20 data, and how North Dakota’s standards are set by educators. Members asked about alternate assessments, cohort trends, the apparent drop in proficiency in higher grades, and the new NDA+ assessment. Schauer emphasized that the biggest pattern in the data was the relative stability of students with disabilities, the post-pandemic drop and partial recovery, and the need to focus on reducing the novice category. He also said the state plans to revisit high school standard setting and that future data could be broken out by program, disability category, and schools using science-of-math or other initiatives. Public testimony from special education staff suggested that the flat performance of students with disabilities during COVID likely reflected continued services and intensive supports, and committee members discussed whether the current disparity goal is realistic and whether growth measures would be more useful than simple proficiency buckets. After the presentation, the committee took a short break and then moved into discussion of special education funding models. Chair Richter said members should contact Schauer directly with ideas for additional data views and noted that the committee would continue its work on funding and possible model changes. Brandon Bomback of Grand Forks Public Schools began a presentation arguing that the special education funding formula, especially the weighting factor, should be reconsidered if the committee wants a system that better reflects accountability and student needs. He said his comments were based on the perspective of a larger district and focused on the special education weighting factor rather than other parts of the formula. The remainder of his presentation was not included in the excerpt.

Transcript Highlights:

• overwhelmed UNM Valencia Next Steps Adult Education Program.
• This bill does not require a specific program, curriculum, specific training.
• several programs and interventions, but this bill does not require a specific program, specific training
• , it could cause and trigger programming issues as well, Mr.
• If a student has an individual education program team, I...

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:

• an overview of that program.
• Remember, I said the program was Re re funded in May of 22.
• We've go through the program.
• So what is the program doing to mitigate?
• And this is what we're asking you to reimburse us.

Transcript Highlights:

• see in reimbursements working in a hospital.
• And a recent HPC report from January 2025 detail that they also reimburse...
• It ensures fair and sustainable reimbursement.
• Without fair and comparable reimbursement rates, they simply cannot survive.
• They must be reimbursed properly by commercial insurers here in Massachusetts.

Keywords: 995, all

Summary: The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers. On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money. A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore. The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• And there's a lot of programs, right? And I'm not the program guy.
• And I’ll go back to the parent-the-teacher program, which isn’t a perfect program.
• Just like they reimburse for our ag teacher or a welding teacher, really creating a program and putting
• And so when we do CTE's budget, they request reimbursements for these things, you know, new programs,
• program costs, program this, they request that.

Keywords: 908, all

Transcript Highlights:

• So part of our vision is to enhance the program, enhance reimbursement, but also enhance staffing requirements
• So part of our vision is to enhance the program, enhance reimbursement, but also enhance staffing requirements
• So part of our vision is to enhance the program, enhance reimbursement, but also enhance staffing requirements
• So part of our vision is to enhance the program, enhance reimbursement, but also enhance staffing requirements
• when it comes to reimbursement process. when it comes to reimbursement process.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services heard a presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses. The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness. Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.

Transcript Highlights:

• We also have an organized care model called the PASS program.
• So the UPL program, or the upper payment limit program, was established by federal statute to be used
• The upper payment limit program, or access payment program, is limited to the private hospitals currently
• The upper payment limit program, or access payment program, is limited to the private hospitals currently
• Our PAST program is a 1915(c) waiver. We have 1115 waivers for the expansion program.

Summary: The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used. The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so. Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.

Transcript Highlights:

• And there's a lot of programs, right? And I'm not the program guy.
• And I'll go back to the parent-the-teacher program, which isn't a perfect program.
• Just like they reimburse for our ag teacher or a welding teacher, really creating a program and putting
• And so when we do CTE's budget, they request reimbursements for these things, you know, new programs,
• program costs, program this, they request that.

Summary: The committee met with a quorum, approved the March 4, 2026 minutes, and received a lengthy Department of Public Instruction presentation from Stanley Schauer Jr. on North Dakota student performance data in math and ELA, with comparisons between students with disabilities and students without disabilities. Schauer explained the assessment systems used, the 1% alternate assessment cap for students with the most significant cognitive disabilities, the absence of 2019-20 data due to the pandemic, and how state standards are set by North Dakota educators. Members asked about cohort trends, the role of alternate assessments, grade-level patterns, and whether the state should focus more on reducing the novice category than on moving students from approaching to proficient. Schauer also discussed the new NDA Plus assessment, the state’s planned growth model, and the possibility of future breakdowns by disability category or by schools using science-of-math approaches. Special education educators testified that students with disabilities continued to receive services during COVID because of FAPE obligations, which likely helped limit learning loss, and emphasized that IEP teams focus on individual growth rather than only proficiency buckets. Committee members then shifted to special education funding and possible funding models. Brandon Bombach of Grand Forks Public Schools presented on the state aid formula, focusing on the special education weighting factor and arguing that the current formula does not adequately respond to growing student needs because it counts enrollment but does not adjust when the number of students with IEPs rises. He used examples to show that a district can have the same enrollment and receive the same weighting even if the number of students needing services increases. Members discussed whether the formula should be tied more closely to actual need and accountability, and the chair indicated that the committee would continue gathering data and ideas for a later meeting.

Transcript Highlights:

• of students benefiting from reimbursable services and the number of schools participating in the program
• An additional 505 LEAs and community colleges are indirectly participating in the reimbursement program
• or a TK program, or where there is a preschool program on campus, we are supporting those programs as
• So you're right, it is a majority of school-age children, but this is a school-based reimbursement program
• reimbursement under the program.

Summary: The hearing focused first on behavioral health, especially serious mental illness and anosognosia, a condition described by witnesses as a neurological symptom that prevents people from recognizing they are ill. The chair framed the issue around families cycling through emergency rooms, jails, conservatorships, and short-term stabilization without lasting treatment, and warned that federal changes under H.R. 1 could reduce Medi-Cal funding and worsen access. Dawn Marie Anderson gave a personal account of her son’s long history of psychosis, homelessness, arrests, repeated jail and state hospital stays, and eventual stability when he received sustained medication and coordinated support. She argued that the system often treats the problem as criminal rather than medical and that voluntary programs and short-term services are not enough for people who lack insight into their illness. Other panelists, including representatives from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association, agreed that anosognosia is not denial or noncompliance and said the system needs long-term, coordinated care, including assertive community treatment, mobile crisis, supportive housing, medication support, and stronger handoffs between county and managed care systems. They said CalAIM and other reforms have improved some coordination, but significant gaps remain, especially for people with serious mental illness, for those in jail or locked settings, and for people with private insurance, which witnesses said often offers little meaningful coverage for early psychosis or intensive behavioral health services. Several witnesses urged the Legislature to protect Medi-Cal, shore up county safety-net services, and invest in training and family engagement. The committee then turned to the Children and Youth Behavioral Health Initiative, with a focus on the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, saying the platforms provide free, culturally responsive, early-intervention support statewide and help connect users to higher levels of care when needed. On the fee schedule, DHCS said more than 500 LEAs, colleges, universities, and school-linked providers are participating, 181 LEAs have submitted claims, and $9.6 million has been reimbursed to date, with 41,556 students represented in claims. The chair and several members criticized the pace of implementation and the amount of money spent relative to reimbursement levels, saying the Legislature had requested data earlier and that the return on investment still appeared low. DHCS responded that many claims are still being submitted, that 70% of denials are correctable, that $400 million in capacity grants has been distributed locally, and that reimbursement is increasing rapidly as more districts come online. Public comment included a rural county behavioral health director who said private insurance denials leave counties with significant uncompensated work, especially for unlicensed staff providing case management and mobile crisis services.

Transcript Highlights:

• THE FIRST ONE IS TRAINING PROGRAMS THEY CAN RECEIVE REIMBURSEMENT FOR TRAINING WHICH WE ARE SEEING THEY
• THE REIMBURSEMENT COST OCCURRED ONE REGARDING FOR A TEMPORARY PERIOD.
• VAN AND THEN WE WILL REIMBURSE YOU FOR THE VAN.
• I AM VERY CLEAR, YOUR PROGRAM IS JUST OVER THE MONEY PORTION OF THIS.
• HOW LONG IS THIS PROGRAM SUPPOSED TO LAST?

Transcript Highlights:

• tuition reimbursement bonuses.
• So we stood up this program.
• tuition reimbursement bonuses and other tuition reimbursements<00:07:55.919> bonuses.
• . program. program.
• He said the program was originally set up for state tuition reimbursement, which has been the gold standard

Keywords: 1183, house

Transcript Highlights:

• potentially Medicaid reimburseable. potentially Medicaid reimburseable.
• for CAT uh CAT aid reimbursement. for CAT uh CAT aid reimbursement.
• program, right?
• getting reimbursement for Medicaid. getting reimbursement for Medicaid.
• program, manage that reimbursement<01:47:39.239> system.

Keywords: 1189, house, all

Summary: The subcommittee met to begin work on HB 742, which would require catastrophic special education aid to be drawn from the education trust fund, and more broadly to study special education aid/differentiated aid and related costing issues. The chair said the group was starting early because the issue has been debated for years without resolution, local districts are being forced to absorb prorated costs, and the committee wants to send the Department of Education and HHS Medicaid a clear request for data and recommendations before retained bills return in the fall. A committee clerk was also selected, with Representative Reverend volunteering to take notes for the meeting. Members reviewed background materials on special education enrollment, high-cost students, and possible funding formulas, including data on students in high-cost brackets and prior ideas such as category-based funding and caseload-based approaches. The chair also referenced research on other states, including Arkansas, which uses a different special education funding structure and audits IEPs. The committee emphasized that it was focused on the funding mechanics and costs, not on questioning whether services should be provided. Henry Lipman of HHS explained how Medicaid-to-schools currently works in New Hampshire. He said 172 school districts participate, but utilization dropped during the pandemic and remains below historical levels, in part because districts need the capacity to bill Medicaid. Under the current system, schools receive reimbursement based on half of the Medicaid fee schedule, with the school district effectively providing the state share. He said the federal government is requiring a shift by July 1, 2026, to a true certified public expenditure model based on actual costs, which should allow schools to recover 50% of their true costs and some administrative overhead. The department has received a roughly $2.5 million grant to hire a vendor and support districts through the transition, and an RFP and stakeholder meetings are underway. Committee members asked about how costs would be determined, whether the new system would use actual district-specific costs rather than averages, and how the department would support districts that do not currently participate. Lipman said the cost model would be based on each district’s own reasonable costs, subject to audit standards, and that the department expects to provide templates and technical assistance through the vendor because its staff is limited. He also said about one in four New Hampshire children are enrolled in Medicaid, that child enrollment has been relatively stable, and that continuous coverage rules should reduce churn. No votes or formal actions on HB 742 were taken during the meeting beyond organizing the subcommittee and beginning testimony and discussion.