Transcript Highlights:

• And again, the reason I'm talking about that too is it does show the integration across all these programs
• And again, the reason I'm talking about that too is it does show the integration across all these programs
• And again, the reason I'm talking about that too is it does show the integration across all these programs
• And again, the reason I'm talking about that too is it does show the integration across all these programs
• And again, the reason I'm talking about that too is it does show the integration across all these programs

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 CRISP Shared Services 00:01:39 Rural Health Transformation Plan 00:30:55, 958, all

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.

Transcript Highlights:

• What are the two things being integrated? Or the elements being integrated? >> Thank you.
• What are the two things being integrated? Or the elements being integrated? >> Thank you.
• What are the two things being integrated? Or the elements being integrated? >> Thank you.
• What are the two things being integrated? Or the elements being integrated? >> Thank you.
• What are the two things being integrated? Or the elements being integrated? >> Thank you.

Bills: SCR180

Keywords: wildfire, fire hazard, Lahaina, West Maui, Maui wildfire, vegetation management, fuel reduction, defensible space, fuel breaks, invasive grasses, emergency access, evacuation route, fire lane, state lands, public safety, Office of the State Fire Marshal, community risk reduction, hazard mitigation, brush clearance, wildland-urban interface

Summary: The committee opened by noting it was likely its last hearing of the 2026 session, then took up several resolutions. SCR 54, on appointing a hydrogen fire safety expert and training on hydrogen-related protocols, and SCR 59, on allowing certain health care professionals to practice without a license during a state of emergency, drew no testimony. Members discussed SCR 59 as a response to past emergencies and the need for pre-approved, updated registries of professionals who could be deployed quickly in emergencies. SCR 62 SD1, which asks the 911 Board to form a working group with the disability community to address access issues in emergency and 911 responses, received testimony from disability advocates and the 911 Board. Testifiers said the measure should ensure an integrated system with EMS infrastructure, real-time access for dispatchers and field personnel, and public education about the system; they also noted that Smart911 is no longer being used on Oahu and Maui and that a statewide, integrated approach is needed. Members agreed to work the suggested language into the resolution. SCR 179, urging Maui County to enforce fire code provisions on brush clearance, fuel breaks, roadside vegetation clearing, and emergency access, was noted as having no testimony but continuing to raise important issues. SCR 74, calling for an audit of no-bid contracts issued under emergency proclamations from 2020 through 2025, drew strong support from a late testifier who tied the measure to emergency procurement concerns after the Lahaina wildfire and COVID-era contracting. The witness argued that procurement rules should not be waived in ways that compromise safety, and described concerns about unlicensed contractors and construction problems in a state housing project. Members asked about the scope of the audit and whether it would interfere with criminal investigations; the witness said the audit should cover a broad range of contracts, including nonprofit contracts, and should not be limited to the wildfire period. The committee also heard SCR 28 SD1 on creating a Hawaii Vietnam Veterans Medal, with support from the Department of Defense and veterans advocates, who said the resolution is intended to do the groundwork for a future appropriation and to determine eligibility and distribution procedures. Finally, SCR 60 SD1, requesting updates on the “Breaking Cycles” rehabilitation and restorative justice study, received support from the Department of Corrections and Rehabilitation, the Correctional System Oversight Commission, and reform advocates. The department asked that reporting be annual rather than quarterly because of the complexity of the OCCC project, and supporters said the measure would promote transparency and help ensure the study’s recommendations are implemented. No votes were taken in the portion of the hearing provided.

Transcript Highlights:

• As a program overview, the ACCESS system is the department's integrated eligibility processing system
• It supports many other programs.
• They have decided that they are going to now join and implement a CWIS program.
• And how about the integration then of their legacy systems into the new CWA system?
• One more, if I may: And how is that going to integrate with FASMS then?

Summary: The Committee on Children, Families, and Elder Affairs received a Department of Children and Families update from CIO Cole Sousa on three major technology modernization efforts: ACCESS, CWIS, and FASMS. For ACCESS, he described the six-year, $205 million project to replace the aging eligibility system used for SNAP, TANF, and Medicaid applications, noting completed releases such as the MyACCESS portal, document management, partner portal, workload management, and client registration modules. He said the system now supports mobile applications, multi-factor authentication, and bot detection, and that the next budget request is $36.625 million to continue moving workers off the mainframe, modernize notices, and complete more worker-portal functions. Members asked about performance data, interoperability with other systems, and the relationship to the FX project and APD; Sousa said API-based real-time exchanges are the goal and that current average case processing time is about 30 days, though he would provide a more exact figure later. The committee then heard about CWIS, a four-year, $75 million child welfare modernization project. Sousa said phase one is complete, including hotline intake, investigations, mandatory reporter, youth, parent, and mobile portals, along with mobile field tools, e-signatures, and customizable dashboards. Current work is focused on case management, assessment and safety planning, licensure, and placement modules, with collaboration from community-based care providers through advisory sessions. For the next fiscal year, DCF is requesting $28 million and expects to finish development by summer and launch in September, while continuing change management and training. Senators pressed on interoperability with ACCESS, FX, and FASMS, the use of a single unique identifier, and whether CBCs would be required to use the statewide system; Sousa said the department’s goal is one statewide system, with licensing costs absorbed by the state and no plan for dual systems after go-live. Finally, Sousa gave a brief update on FASMS, the financial and services accountability system used by managing entities. He said it remains in maintenance mode while DCF prioritizes ACCESS and CWIS, and that modernization of FASMS is still being planned with partner agencies. He estimated current maintenance costs at about $1.3 million and suggested a future modernization could cost roughly $5 million to $7 million, though no firm timeline has been set. The committee expressed support for using data and interoperable systems to improve decision-making, and the meeting adjourned without any votes or formal actions beyond adjournment.

Transcript Highlights:

• <00:04:55.840> integrity examined the program integrity examined the program integrity challenges
• <00:10:25.440> integrity seriousness of program integrity seriousness of program integrity
• dollars and program integrity. dollars and program integrity.
• and to strengthen program integrity. and to strengthen program integrity.
• program integrity changes. program integrity changes.

Keywords: 1187, senate, all

Transcript Highlights:

• <02:50:34.320> integrity bill as well as a program integrity bill as well as a program integrity
• we in the program integrity bill that we in the program integrity bill that we are<02:51:52.320
• That work is program integrity.
• are concerns around program integrity. are concerns around program integrity.
• <04:05:23.480> a tackle program integrity in a in a tackle program integrity in a in a bipartisan

Keywords: 1187, senate, all

Transcript Highlights:

• It was the Opioid Workforce Education Program, or OWEP, as they call it, and our goal was to try to integrate
• This program is essential.
• program, but we've tried to really focus on the programs that serve the state.
• Food programs.
• Benefits Transfer) program.

Transcript Highlights:

• Miami-Dade has had the program since the 70s, and we adopted Miami-Dade has had the program since the
• At the beginning of our program, we called it the 40-year building safety inspection program, which now
• we just go with the building safety inspection program.
• The program has, in fact, most of the—I'll be honest—most of the buildings that when this program started
• For the structural integrity reserve study, it's just for that set of structural integrity items, and

Summary: The committee on Regulated Industries convened with a quorum and began a panel discussion focused on condominium milestone inspections and structural integrity reserve studies (SIRS), with members framing the topic as part of Florida’s post-Surfside condo safety reforms. The chair and panelists reviewed how the state got here, emphasizing that the problems predated Surfside and were driven by long-term deferred maintenance, underfunded reserves, and aging buildings. Panelists included representatives from Florida Realtors, engineering and reserve-study firms, a CPA, a community association attorney, and Broward County’s building safety official, all of whom described their roles in inspections, reserve planning, and code enforcement. Testimony centered on what inspectors are finding in the field. Panelists said the most common problems are not subsidence but wear-and-tear and maintenance failures, especially in stairways, balconies, roofs, parapet walls, waterproofing, and corrosion. They described examples of buildings with hidden deterioration, hurricane-exposed damage, and associations that were underfunded despite prior inspection regimes in Miami-Dade and Broward. Dr. Barbosa explained that Miami-Dade’s recertification program began in the 1970s and Broward’s in 2005, with current timelines generally requiring notice, a first milestone review, and then time to begin substantial repairs; she said the program has improved compliance but that SIRS has added confusion. Members also raised concerns about the cost and implementation of SIRS, including whether reports are being used to generate unnecessary work, whether contractors or firms have conflicts of interest, and whether the law’s use of “fully funded” is being misunderstood. Panelists said the statutory reserve requirement is better understood as baseline funding, not having all money in the bank immediately, and suggested clearer definitions and possibly changing the terminology to “adequately funded.” They also discussed the need to separate required structural items from optional or cosmetic items in reserve reports, improve transparency for buyers and lenders, and ensure associations provide documents through websites and other portals. No votes were taken. The committee used the meeting as an information-gathering session and signaled that more panels and discussion would follow, with members and witnesses agreeing that the state may need further clarification, education, and possible statutory adjustments to reduce confusion while preserving building safety.

Transcript Highlights:

• It addresses two issues that are integral to the work of this committee: program integrity and separation
• <00:12:01.360> integrity And we still had major program integrity And we still had major program
• 33.919> integrity include robust program integrity include robust program integrity aspects.<00
• strong program integrity controls. strong program integrity controls.
• <00:58:24.000> integrity what are some of the program integrity what are some of the program

Keywords: 1187, senate, all

Transcript Highlights:

• SO FOR THE ACCESS PROJECT IT'S A PROGRAM OVERVIEW.
• SOME OF THE MAIN PROGRAMS THAT IT SUPPORTS IS FOOD ASSISTANCE ALSO KNOWN AS NOT.
• IT SUPPORTS MANY OTHER PROGRAMS.
• THAT IS THE PLAN TO THEN INTEGRATE. WE ARE ALREADY ON THEM HOW TO DO THAT.
• Harrell: HOW WILL THAT INTEGRATE WITH THEM?

Keywords: 999, senate, all

Transcript Highlights:

• This is a pilot program.
• I believe programs like this represent important steps.
• In both Oregon and Colorado, regulated psilocybin programs already exist.
• Psilocybin programs already exist.
• and 7.2, where that program evaluation is talked about.

Keywords: 1183, house

Transcript Highlights:

• DOE looks at their procedures and training and the RadCon program.
• So the regulatory development program...
• And that's where DOE's HALU Availability Program comes in.
• But it's the only one that's integrated with Microsoft Office.
• I'm just trying to show you a program called Nuclear Integrated Energy Systems.

Keywords: 908, all

Transcript Highlights:

• Many states' health plans contract with lab integrity programs which can determine which routine lab
• Current Texas insurance law, however, makes it almost impossible for lab integrity programs to provide
• for lab integrity programs.
• My company provides lab integrity programs for over 30... ...health plans across the U.S.
• The intent of this bill is to create a new process for laboratory claim integrity programs to insert

Bills: HB854, HB 1052, HB1642, HB2076, HB3042, HB3695, HB3787, HB4062, HB4092, SB213, SB493, SB896, HB5519, HB4635

Keywords: insurance, replacement cost, homeowner's policy, renter's policy, condominium insurance, property damage, claims process, telemedicine, teledentistry, telehealth, health benefit plan, insurance coverage, out-of-state services, anxiety, pain management, contraceptive devices, women's health, medical procedures, healthcare, laboratory

Transcript Highlights:

• It strengthens the program integrity. That's what it accomplishes through this bill.
• It strengthens the program integrity. That's what it accomplishes through this bill.
• It strengthens the<00:13:50.840> program<00:13:51.240> integrity.
• That's what it the program integrity.
• issues<00:15:22.480> that program integrity and fraud issues that program integrity and fraud

Keywords: 919, house, all

Summary: The committee took up House File 4808, as amended by a DE3, a human services technology modernization bill. The author described the measure as a multi-year effort to modernize outdated county systems, improve data integration, and strengthen program integrity and fraud detection. The bill would create a Human Services Modernization Fund with a $50 million cap, establish an advisory council with strong county and tribal representation, and create a legislative commission to oversee the work and receive annual reports. It also includes a $10 million county-focused grant fund and a $15 million appropriation for the Office of Inspector General’s technology needs. Testimony from the Association of Minnesota Counties and related county groups strongly supported the bill, emphasizing the need for immediate modernization, the importance of county and tribal involvement, and the value of legislative oversight. Members from both parties echoed support, saying the bill would help county workers spend less time on outdated systems and more time serving clients, and that better system integration could reduce errors and fraud issues. One member suggested that audits should be considered in the future in addition to reporting requirements. The committee adopted the DE3 amendment without opposition. After discussion, the chair renewed the motion to refer House File 4808, as amended, to the general register, and the motion passed on a voice vote.

Transcript Highlights:

• Dave is going to start off by covering our IT systems and how integral those are to the programs and
• Dave is going to start off by covering our IT systems and how integral those are to the programs and
• Dave is going to start off by covering our IT systems and how integral those are to the programs and
• quality and integrity stability program quality and integrity and<02:05:05.840> our<02:05:06.079
• > group<02:58:03.479> to program quality and integrity group to program quality and integrity

Keywords: 928, house, all

Summary: Finance Division 3 met for a work session on House Bill 519, which concerns funding for Waypoint. The chair noted general support for the organization but said the bill would likely need to be suspended and folded into the budget process because the committee did not yet know available revenues or what amount, if any, could be committed. Kya Fox, director of the Division for Behavioral Health, testified that the department supports the bill and the program, explaining that it had been funded with other available funds, including $100,000 for 2024 and $400,000 for 2025, under a contract running through June 30 of this year. She said the shelter serves a unique population of young adults and is part of the department’s children’s system of care and Mission Zero efforts to reduce barriers to psychiatric discharge and emergency department use. Members questioned Fox and Waypoint representatives about the budget placement of the request, the difference between the efficiency budget and prioritized needs, and whether state budget documents would show any internal Waypoint revenues. Fox said the request appears as a general fund item and that the state would not see Waypoint’s internal financial operations in the budget. A legislative member explained that prioritized needs are critical services already in place but not necessarily included in the efficiency budget, and another member said the distinction is not strictly applied. The committee also raised a separate question about how DHHS would handle any future state or federal restrictions on DEI practices; Fox said that was a question for department leadership and legal staff, but that the department follows state law and contract requirements. Waypoint CEO Bor Alvare and Director Mandy Lancaster then described the shelter and related services. They said the shelter serves ages 18 to 24, is a 14-bed open-room facility with half walls, and is staffed overnight by two full-time workers. They said admission is first come, first served, with some vulnerability factors considered, and that they do not discriminate by race, gender, or sexual orientation. They reported no known incidents of sexual violence, though some youth are turned away each night because the shelter is full. They also explained that Waypoint provides broader services beyond the shelter, including outreach, drop-in centers, housing support, rental assistance, and family mediation, and said they serve about 400 youth and young adults in Manchester alone. The discussion ended with questions about whether lowering the upper age limit would affect the program; Waypoint said most residents are already in the 18-to-23 range, but that housing shortages make the current age span important for helping young adults avoid chronic homelessness.

Transcript Highlights:

• The next one is the Medicaid Management Information System Modernization Program System Integrator Project
• Next up is our BEAD program. This is our broadband equity access and deployment program.
• both grant programs.
• Reduced IT integration.
• We programmed for it.

Summary: The committee received several informational reports from NDIT and DPI. Justin Data reviewed the quarterly major IT project portfolio, noting the portfolio was slightly under budget and behind schedule overall, with three red schedule items: Bed Management System and Vital Records were essentially complete and being closed out, and the Roadway Capital Planning Project was delayed by vendor bug fixes after testing. He also summarized recent project startups and closeouts, including the Victim Notification System, Medicaid data exchange, Highway Patrol’s motor carrier permit system, and several completed HHS and RIMS projects. Members asked for follow-up on ADA compliance work, the public-facing RIO website, and the state’s mainframe retirement timeline, and staff agreed to provide updates later. Craig Falkley reported on coordination of services with political subdivisions and higher education, including StageNet, cybersecurity, radio/911 services, and PeopleSoft coordination. He also explained distributed ledger technology as a tool for transparency and fraud prevention, but said it is not widely used in state government and suggested the report be modernized to focus more broadly on emerging technologies such as AI and cybersecurity. The committee generally agreed that the topic should be updated. Chris Gurgan presented the mandatory cybersecurity incident reporting program created by HB 1314, explaining how agencies and political subdivisions report incidents through NDIT’s website or service desk. He said 77 incidents had been reported since 2021, 47 met the statutory definition, and most were phishing-related; most reported incidents were resolved, with one recent ransomware matter still open. He also reviewed notable incidents since the last report, including the PowerSchool compromise, a SimpleHelp intrusion at a school district, a court intrusion, a WSUS vulnerability, a business email compromise, and a recent ransomware incident involving a non-state critical infrastructure entity. Members asked about recovery of stolen funds, early warning signs, smishing, training, MFA, conditional access, and cybersecurity maturity assessments; Gurgan said the state uses MFA and conditional access, provides awareness training to state employees, and would return with more information on maturity assessments. Tony Ambrose then updated the committee on the K-12 student information system bridge project. He said district implementation of Infinite Campus had begun statewide, but the data migration vendor originally selected was terminated for poor performance and replaced by Aurora Educational Technology, which had experience with similar statewide migrations. He also said DPI is migrating special education data from Tynet into Infinite Campus, and that some SLDS-based tools such as e-transcripts and Choice Ready may not function exactly as they do now at July 1, requiring interim or alternative solutions. Members raised concerns about summer school disruptions, the timing of the cutover, and whether the new system would support existing reporting and transcript functions; DPI said it was working on identity, authentication, data-sharing agreements, and post-go-live integrations, and would continue to refine the plan beyond June 30.

Transcript Highlights:

• In many states, health plans contract with lab integrity programs, which can determine which routine
• Lab integrity programs, Do not interfere with healthcare providers prescribing certain tests, nor do
• a regulatory scheme that does not fit for lab integrity programs.
• for lab integrity programs.
• My company provides lab integrity programs for over 30 health plans across the US, uh.

Transcript Highlights:

• WHEN THEY IMPLEMENTED THE PROGRAM WE TOOK IT ON IN WHEN THEY IMPLEMENTED THE PROGRAM WE TOOK IT ON IN
• AT THE BEGINNING OF OUR PROGRAM WE CALLED IT THE 40 YEAR BUILDING SAFETY INSPECTION PROGRAM AND NOW WE
• JUST GO WITH THE BUILDING INSPECTION PROGRAM.
• THE PROGRAM HAS IN FACT, MOST OF -I WILL BE HONEST, MOST OF THE BUILDINGS THAT WHEN THIS PROGRAM STARTED
• THE STRUCTURAL INTEGRITY FUNDS. THEY CAN ONLY BE SPENT ON STRUCTURAL INTEGRITY ITEMS.

Keywords: 999, senate, all

Transcript Highlights:

• And so this year we decided to focus entirely on the program integrity pieces that uh we could agree
• Uh so we didn't work on any different uh program or funding pieces outside of the program integrity pieces
• Uh so we didn't work on any different uh program or funding pieces outside of the program integrity pieces
• Uh so we didn't work on any different uh program or funding pieces outside of the program integrity pieces
• or funding pieces outside of the program or funding pieces outside of the program integrity<00:02

Keywords: 1183, house

Transcript Highlights:

• One is the integration of the concepts of the First Lady's Hope Florida program and attempting, where
• One is the integration of the concepts of the First Lady's Hope Florida program and attempting, where
• services. programs.
• So the direct way is that the agency has a program integrity unit that deals with fraud, waste, and abuse
• Are rates being driven up by the vertical integration of managed care programs?

Summary: The Health Care Budget Subcommittee met to organize the new term, take roll, and hear introductory presentations from the six agencies under its jurisdiction: the Agency for Health Care Administration, Agency for Persons with Disabilities, Department of Children and Families, Department of Elder Affairs, Department of Health, and Department of Veterans’ Affairs. The chair outlined the committee process, including assigning members to review agencies and make budget recommendations. Each agency head gave a high-level overview of their budget, staffing, major programs, and priorities, with recurring themes including Medicaid, long-term care, disability services, child welfare, mental health, aging services, public health, and veterans’ health care. Several agency leaders highlighted recent initiatives and funding priorities. AHCA emphasized Medicaid managed care, provider regulation, Hope Florida, hospital-at-home, and cancer-related efforts; APD discussed iBudget services, Hope Florida, a managed-care pilot, online applications, and forensic care costs; DCF focused on child protection, foster care, adult protective services, food/cash/medical assistance, mental health, and opioid treatment; Elder Affairs highlighted Alzheimer’s services, community-based senior care, guardianship, ombudsman services, and disaster outreach; DOH covered cancer innovation, maternal telehealth, cybersecurity, HIV/hepatitis/syphilis screening, and school nursing; and Veterans Affairs described benefits and health care access for veterans, long-term care, and federal reimbursement. Several speakers also raised concerns about rising costs, provider rates, disaster response, and access to services. The committee heard two public comments from disability advocates about Medicaid redeterminations affecting iBudget waiver recipients and provider payment delays. In response, AHCA and APD said they were coordinating on data sharing, early outreach, escalation processes, and efforts to reduce disenrollments and make recertification smoother. Members then asked questions about provider rates, opioid settlement spending, managed care quality measures, pediatric rare disease grants, group home transparency, senior outreach, ABA services moving into managed care, annual Medicaid recertification, veterans’ service utilization, waiting lists for elder services, and prevention spending. No formal votes were taken during the meeting.

Transcript Highlights:

• of program quality and integrity. of program quality and integrity.
• The fifth bullet is program integrity activities.
• The fifth bullet program<01:17:18.080> integrity<01:17:18.640> activities.
• <01:17:19.600> So<01:17:19.760> those program integrity activities.
• So those program integrity activities.

Keywords: 928, house, all

Summary: The committee first handled roll call and approved the prior meeting minutes. Members discussed attendance and substitutions, then moved to the DHS commissioner’s update, which focused on New Hampshire’s Medicaid 1115 waiver and the new community re-entry initiative for people leaving correctional facilities. The presenter explained that the waiver lets the state cover certain services not normally covered under Medicaid, including substance use disorder treatment, serious mental illness services, adult dental benefits, and the new community re-entry component. She also noted that a separate youth re-entry component is federally required, with youth defined up to age 21 and foster-care-related coverage extending to age 26. The update described how the adult re-entry program works for incarcerated individuals with behavioral health needs, providing up to 45 days of pre-release services, care coordination with managed care organizations and DOC staff, telemedicine assessments, discharge prescriptions, insurance cards, and connections to community mental health, primary care, and substance use providers. For youth, the program includes more intensive case management, 30 days of pre-release services, and 30 days of post-release care coordination, with a stronger emphasis on screening, diagnosis, and holistic assessment. The presenter said New Hampshire received the adult waiver in July 2024, has implemented the program in state correctional facilities, and is beginning work at the youth center. Members and the presenter discussed why the program is structured as a waiver rather than a standard Medicaid benefit, with the explanation that CMS is allowing this as a newer policy area and that states generally pursue waivers for certain services. The chair and others emphasized the need for real cost and outcome data, and the presenter said an independent evaluator and evaluation plan are required under the 1115 waiver. Early results cited included 30 adults enrolled so far, 10 released, five youth enrolled with one released, and anecdotal early successes such as housing, employment, and better continuity of medication and treatment. The committee did not take any additional votes or formal actions beyond approving the minutes.