Transcript Highlights:

• Companies, what local input from communities across New York State would be considered when developing that map
• President, if a local government doesn't Want to see new transmission that is then mapped and planned
• Office of Renewable Energy Siting, what can a municipality that doesn't want to see what they put on the map

Keywords: 993, senate, all

Summary: The Senate convened, approved the journal, and took up a series of motions to discharge identical Assembly bills to the Third Reading Calendar, along with committee reports and amendments. The chamber also received an introduction from Senator Gonzalez honoring Maria Raine and her advocacy for guardrails on AI chatbots after the death of her son, and later adopted a Rules Committee report sending several General Business Law bills directly to Third Reading. The resolution calendar was adopted with some exceptions, and the Senate recognized several previously adopted resolutions honoring individuals and observances, including Barnabas McHenry, Arthur Jones Jr., Floyd Todd Peterson III, the Lexington School for the Deaf, Tadeusz Kosciuszko, Apraxia Awareness Month, Fibromyalgia Awareness Day, Prevention Week, Physician Anesthesiologists Week, and Golf Day in New York. The Senate then considered and passed numerous bills, many on consumer protection and public policy topics. Measures included bills on General Business Law, Public Health Law, Correction Law, Environmental Conservation Law, Executive Law, Vehicle and Traffic Law, Public Officers Law, Not-for-Profit Corporation Law, Public Housing Law, Education Law, Labor Law, and Public Service Law. Several bills were laid aside, including a Public Health Law bill by Senator Fernandez and a Public Service Law bill by Senator Parker. The chamber also passed a concurrent constitutional resolution by Senator Stec proposing an amendment to Article 14. During floor debate, senators explained votes on several measures. Senator Ramos spoke in support of paid sick leave for domestic workers, describing the bill as a long-overdue labor protection for a workforce historically excluded from such rights. Senator Fernandez described her bill as the Manufacturer Disclosure and Transparency Act, aimed at requiring notice and public disclosure of certain pharmaceutical patent settlement agreements to improve transparency and competition in prescription drug pricing. Senator Ryan and Senator Martins supported a bill restricting hidden algorithmic price manipulation online, and Senator May supported a bill limiting excessive rental car fuel charges as part of a broader consumer protection package. The Senate also passed a memorial highway bill naming a portion of Route 19 in LeRoy for Lieutenant Gary A. Scott, with Senator Borrello explaining the veteran’s service and sacrifice.

Transcript Highlights:

• In your packet In the appendix is a map that shows the current regions that have been designated by the
• You can take a look at the map, and you can see we're well covered.
• pharmaceutical school and some legislators, and sort of hash out maybe with your guidance what Is your map

Transcript Highlights:

• So for us, and throughout our mapping, I think you might have been provided some maps.
• I've got a good map here that shows what's happened.

Bills: SB434, SB844, SB898, SB1177, SB1214, SB1454, SB1920, SB1927, SB1935, SB1965, SB2010, SB2046, SB2068, SB2073, SB2183, SB2260, SB3034, SB907

Keywords: SB 434, Harris County Hospital District, hospital district police, peace officers, commissioned officers, law enforcement authority, Health and Safety Code, Code of Criminal Procedure, public safety, hospital security, county hospital district, local government, Texas criminal procedure, district police, armed security, SB 898, low income housing tax credits, LIHTC, affordable housing, Texas Department of Housing and Community Affairs

Transcript Highlights:

• , we're looking at language to actually identify surf spots within the actual local coastal plan by map
• So we see this as complementary. ...local coastal plan by map and also by description.
• Every surf spot is defined and mapped in California, and yes, we certainly are a very good characterization

Summary: The committee heard a long agenda of natural resources and related bills, with several measures taken up as the committee reached quorum and many others moving on consent or with due-pass recommendations. Early items included AB 80 on carpet recycling, AB 452 creating a local process for state surf reserves, and AB 823 restricting microplastics in personal care and cleaning products. AB 80 drew broad support from recycling, labor, and environmental groups and was described as a follow-up to earlier carpet recycling reforms. AB 452 was backed by surf, tourism, environmental, and local government interests as a voluntary, community-driven way to recognize and protect surf breaks. AB 823 generated the most extensive debate, with supporters citing public health and environmental harms from microplastics and opponents warning the bill’s language could sweep in products such as sunscreens, cosmetics, and fragrance-encapsulation materials; the committee discussed possible ambiguity and EU comparisons before voting the bill out on a due-pass-as-amended basis to Environmental Safety and Toxic Materials. The committee also advanced AB 1046, which would create a narrow exemption from SB 1383 organic-waste requirements for certain crop preparers and tree nut processors that do not send organic waste to landfills. Agricultural witnesses said the bill would clarify that their operations already reuse byproducts and should not face duplicative reporting, and the measure passed with support from agricultural and rural county representatives. AB 252, the “Stop Laying Off Firefighters Act,” proposed year-round Cal Fire staffing; the author and Cal Fire supporters argued that wildfire conditions are now year-round and that maintaining trained crews would improve response and prevention, and the bill was sent to Appropriations. AB 571, a targeted CEQA exemption for the Southern California Veterans Cemetery in Anaheim, drew strong bipartisan and veterans’ support and also passed out. Later, the committee approved AB 1455, which would authorize emergency rulemaking and streamline future updates for ember-resistant building regulations after recent wildfire emergencies, and AB 687, which would let public agencies use forest-practice rules and timber-harvest plans for certain publicly funded fuel-reduction projects; AB 687 drew some opposition over scope and enforceability concerns but was still advanced. The committee also moved AB 652, allowing alternate members on the San Diego County Air Pollution Control District board to prevent quorum problems, and AB 317, a first-time homebuyer housing bill that would exempt certain small, lower-cost homes from CEQA and defer some property taxes; AB 317 prompted discussion about guardrails to avoid unintended use on larger subdivisions. Finally, AB 900, requiring the Natural Resources Agency to develop a stewardship plan for 30-by-30 lands, was heard with broad support from land trusts and conservation groups and advanced on a due-pass recommendation, and AB 738, a wildfire-rebuild bill easing solar requirements for certain disaster survivors, was introduced and discussed with questions about its narrow scope and the number of homes affected.

Transcript Highlights:

• that we've process how will we make sure that we've seen<00:18:27.440> these<00:18:27.720> maps
• show<00:18:28.559> these<00:18:28.919> areas<00:18:29.559> of seen these maps
• that show these areas of seen these maps that show these areas of lack<00:18:30.760> of<00:18

Bills: HF729, HF728

Keywords: human services, provider enrollment, medical assistance, healthcare, housing stabilization, substance use disorder, vulnerable adults, fraud prevention, respite care, children, licensed settings, home and community-based services, 1183, house

Transcript Highlights:

• It would be very difficult for us to put a map on the table and for anyone in this room to point to precisely
• I've also never, I've actually never seen a map of how widespread the infestation was back then.
• And so consequently, we do have these maps. They have been available to the public.
• The challenge with some of these maps is that they depict what happens if we don't do anything: no flies
• And so, and just remember, if you’ve seen some of the fly dispersal maps, they drop flies along that

Keywords: 1184, house, all

Transcript Highlights:

• And there's like<01:15:32.640> a<01:15:32.800> general<01:15:33.199> map<01:15:33.520
• that<01:15:33.760> just<01:15:33.920> shows<01:15:34.080> you Like a general map
• You can come down and start looking at maps over time, where are the hot spots of where people are reporting
• So, there's a heat map. You can also look at markers.
• There's a heat map, but then we also can look at spread over time.

Keywords: 910, house, all

Transcript Highlights:

• So the SAU map just refers to your last page in there, where some of this information came from, and
• <00:21:15.440> So<00:21:15.520> the<00:21:15.760> SAU<00:21:16.080> map
• So the SAU map just >> Good question.
• So the SAU map just refers<00:21:16.720> to<00:21:16.799> your<00:21:17.039> last
• It tends to the dynamic learning maps.

Keywords: 928, house, all

Summary: The committee first approved corrected minutes from October 6 after members noted and fixed several transcription and spelling errors, including a clarification that a comment about SAU numbers came from former Senator Jim Rubin. The vote to approve the corrected minutes was moved, seconded, and adopted with one abstention. The main presentation came from Chuck Bates of the New Hampshire Association of School Business Officials (ASBO), who described the organization, its certification program, and the role of school business administrators. He explained that ASBO members handle accounting and financial management, facilities, food service, HR, information systems, transportation, and risk management. He also outlined the certification program, which includes 21 courses, most online, plus four in-person workshops unique to New Hampshire, and noted that many members are not certified because the state licensure requirement was removed. Bates then addressed the committee’s interest in SAU consolidation and county-wide restructuring. He said business administrators often manage multiple budgets, attend school board meetings, and serve as a visible point of contact for the community. He argued that consolidation would create operational and financial challenges, including staff and facility relocation, differing accounting systems, lack of a standardized chart of accounts, and uncertain return on investment. He said the biggest obstacle would be local control, especially in small towns that do not want outside decisions affecting school closures, class sizes, or student transportation. Committee members questioned him about the distinction between administrative and academic control, the size of district offices in larger cities, and what might reduce administrative costs; Bates responded that many administrative costs stem from legislation and that consolidation would be difficult to implement without local support.

Transcript Highlights:

• for the different programs, how overlapping service areas are deconflicted, and whether there is a map
• The response was that there is a map to ensure coverage.
• > is<00:57:45.760> there<00:57:45.839> a<00:57:46.559> um<00:57:47.599> map
• or how does Is there a is there a um map or how does that<00:57:49.040> work?
• to ensure that >> Yes, there there is a map to ensure that we<00:57:51.520> have<00:57:

Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:02:10 3. Discussion of State-Based Marketplaces and the Federally-Facilitated Marketplace – 00:02:31 4. Discussion of the Role of Kynectors and Navigators – 00:27:29 5. Discussion of Presumptive Eligibility – 01:11:57 6. Discussion of Medicaid Eligibility, Enrollment, and Redeterminations – 01:20:09 7. Update on Rural Health Transformation Program Application Process – 01:47:35 8. Public Comment – 01:59:57 9. Adjournment – 02:06:10, 958, all

Summary: The Medicaid Oversight Advisory Board met for its third meeting and approved the July 30 minutes. The chair outlined a full agenda covering the state-based marketplace versus the federally facilitated marketplace, connectors and navigators, presumptive eligibility, eligibility/enrollment/redetermination, and a rural health transformation update. Commissioner Lisa Lee and Assistant Director David Barry presented first on Kentucky’s state-based exchange, Connect, explaining that it is an integrated eligibility and enrollment system for Medicaid, CHIP, SNAP, TANF, child care, and qualified health plans. They reviewed Kentucky’s move from a state-based exchange to healthcare.gov in 2017 and back to a state-based marketplace in 2021, and said the system helps route applicants to the correct program and allows families to move more easily between Medicaid and exchange coverage as circumstances change. The presenters said the exchange is funded by carrier assessments on qualified health plans rather than general fund dollars, with costs allocated across programs based on use. They said Kentucky’s exchange fees are lower than the federal platform’s and that the state-based system provides local assistance through DCBS offices, connectors, and licensed agents in every county. Members asked about startup and operating costs, fee-setting, and whether any general fund dollars are used; the department said it would follow up with the CFO on fee details and said it was not aware of general fund support for exchange operations. Members also raised concerns about Medicaid eligibility verification and improper enrollment, while the department emphasized that the state system uses different questions than healthcare.gov and is designed to identify the correct coverage based on monthly Medicaid income and annual tax-credit income. The board also discussed enrollment trends, including a COVID-era spike during the public health emergency when disenrollments were largely paused, and current qualified health plan enrollment of more than 97,000 people on Connect. Commissioner Lee explained presumptive eligibility as temporary Medicaid coverage, noting it applies to pregnant women and hospital-based cases, with hospitals able to grant it and certain providers able to grant it to pregnant women. She said full eligibility is still determined within 30 days and that presumptive eligibility ends when full Medicaid eligibility is determined or at the end of the following month. The meeting then shifted to connectors, with representatives from Community Action Kentucky and the Kentucky Primary Care Association describing their statewide outreach network, local offices, and role helping residents apply for Medicaid, renew coverage, report changes, and navigate benefits; they said connectors do not determine eligibility but assist with applications, recertifications, and outreach events across the Commonwealth.

Transcript Highlights:

• General's office, and today I'm here to testify in support of House File 34, otherwise known as the MAP
• bill uses identical language to those penalties that have already been in place for years with the MAP
• act now I lead a team in the map act now I lead a team in the Attorney<00:29:16.440> General's
• <00:29:52.120> act<00:29:52.559> we in place for years with the map act we in place
• for years with the map act we are<00:29:52.799> seeking<00:29:53.080> to<00:29:53.279>

Keywords: 1183, house

Transcript Highlights:

• And we also have, in addition to the other things that Senator Zinski mentioned, a map in your packet
• c> your<01:21:26.920> packet<01:21:27.239> that<01:21:27.360> shows have a map
• in your packet that shows have a map in your packet that shows where<01:21:27.800> those<01:21
• It also gives us a road map for how we can improve accountability and performance among entities that
• c> to<01:25:44.080> how<01:25:44.239> we<01:25:44.360> can gives us a road map

Keywords: 1187, senate, all

Transcript Highlights:

• The graphic there is kind of a map of the state, which shows locations of our veterans homes, of which
• So that's the big spots on the map. I will say we're going to go through our strategic goals.
• c> is<00:12:23.199> kind<00:12:23.320> of<00:12:23.399> a<00:12:23.680> map
• <00:12:24.000> of<00:12:24.199> the<00:12:24.440> state there is kind of a map
• that's a that's the big spots on the map that's a that's the big spots on the map I<00:13:00.440

Keywords: 1187, senate, all

Summary: The subcommittee held its first hearing of the session and began with introductions from members and staff, many of whom shared personal or family connections to military service. The chair emphasized that the committee would work respectfully and invited members to raise concerns directly. No votes or formal actions were taken during the opening portion of the meeting. The main substantive item was an overview presentation from the Minnesota Department of Veterans Affairs. Commissioner Brad Lindsay described the agency’s mission, statewide footprint, and strategic goals, noting Minnesota has more than 286,000 veterans and that MDVA serves veterans in all 87 counties. He outlined the department’s structure, including eight veterans homes, four state veterans cemeteries, tribal and campus outreach, and the agency’s focus on seamless support, awareness of programs, stewardship of resources, and workforce retention. Deputy Commissioner Ben Johnson then detailed the Programs and Services Division, including federal VA claims assistance, veterans employment and education support, state veterans cemeteries and memorial affairs, the State Soldiers Assistance Program, homelessness prevention, tribal veteran service officers, women veterans services, the Minnesota GI Bill, licensing and certification assistance, the state approving agency, veterans preference, emergency assistance, the LinkVet line, and the Minnesota Service Core partnership with Lutheran Social Services. He also noted the agency’s work on food insecurity and burial services. The presentation was informational only, with no committee action reported.

Transcript Highlights:

• I just wanted to know how do we get To get more districts, it takes the city council creating the map

Bills: HB567

Keywords: tax increment financing, economic development, municipal authority, urban revitalization, local government, 1136, house, all

Transcript Highlights:

• Last time I checked, the way you all draw these maps, I'm going to be in the minority the entire rest

Keywords: 997, house, all

Transcript Highlights:

• And in terms of how do we take what we've learned in establishing Kapolei, we also have a road map of
• These are the agencies, DBEDT, EDC, doing some of the mapping along with CTAHR, LCC, and Department of
• 25:44.520> the agencies, DBEDT EDC doing some of the agencies, DBEDT EDC doing some of the mapping
• 45.320> with<01:25:45.480> CTAHR,<01:25:46.440> LCC,<01:25:47.760> and mapping
• along with CTAHR, LCC, and mapping along with CTAHR, LCC, and Department<01:25:48.440> of<01:

Keywords: 910, house, all

Summary: The committee heard testimony on several education resolutions, beginning with HCR 11 and HR 14, which ask the Board of Education and the State Public Charter School Commission to report on improving access to stable, suitable, and affordable facilities for public charter schools. The Charter School Commission supported the measure, and OHA also supported it while noting long-standing facility challenges, the lack of a dedicated facilities appropriation, and the strain on charter schools that have had to use operating funds for buildings and temporary structures. Kealakehe Academy, Hawaii Technology Academy, and several individuals also testified in support. The committee then took up HCR 181 and HR 171, which seek a shared decision-making committee to develop an action plan for a K-12 Ka Waihona School in Kapolei. The Department of Education said it has already developed a strategic plan for Kaipuni education, has expanded immersion programs over the past decade, and is addressing growth through interim guidance and a new priority placement process. Community witnesses, including representatives of Ke Alo Ever, strongly supported the resolutions, emphasizing the need for a K-12 pathway, the importance of Hawaiian language and culture, and the role of community voice in planning. They argued that teacher shortages, especially for licensed Hawaiian immersion teachers, remain a major barrier and proposed a kumu recruitment and retention program tied to community, UH, and DOE partnerships. The committee also heard HCR 187 and HR 177, which urge the Department of Education to begin initiatives to address teacher retention statewide. DOE and the University of Hawaiʻi College of Education said teacher retention is already being addressed through the Teacher Education Coordinating Committee, a five-year plan focused on building capacity, improving satisfaction, and compensation, and a new DOE human resources plan. In response to questions, DOE said it is seeking better school-level data on why teachers leave, is preparing for contract negotiations, and is working with the standards board and DLIR on an apprenticeship-related grant. TECC representatives said the group has been working since the pandemic era, may narrow its focus to retention as the most actionable area, and expects to provide more concrete recommendations in its annual report. The transcript ends as the committee moves on to the next item, HCR 47 and HR 43, without showing any votes or final actions on the measures heard.

Transcript Highlights:

• It gives them a road map and guidance for turning their concern and voices into action.
• gives<00:43:33.440> them<00:43:33.599> a<00:43:33.760> road<00:43:34.000> map
• It gives them a road map to care about.
• It gives them a road map and<00:43:34.640> guidance<00:43:35.280> for<00:43:35.599>
• Students map the change they are passionate about that is also connected to their issue.

Keywords: 1187, senate, all

Transcript Highlights:

• Um, so at the department we've spent many, many hours going through the bill and are currently mapping
• Um, so at the department we've spent many, many hours going through the bill and are currently mapping
• Uh, the next slide just shows a map as of fiscal year 24, what percent of the population received health
• Um, the next slide just shows a map as of fiscal year 24, what percent of the population received health
• Uh, the next slide just shows a map as of fiscal year 24, what percent of the population received health

Keywords: 919, house, all

Summary: The Department of Human Services briefed the committee on how the federal HR1 law will affect Minnesota Medicaid and related programs. Budget Director Elise Bailey said the 900-page bill makes sweeping changes that will reduce coverage, increase administrative complexity for counties and tribal governments, raise uncompensated care for providers, and reduce federal funding. She reviewed current Medicaid spending and enrollment, emphasizing that the largest impacts will fall on the adult expansion group (adults ages 21-64 without children), which currently receives a 90% federal match. Bailey walked through several major provisions: work and community engagement requirements for the adult expansion group beginning January 1, 2027; six-month renewals for that same group; shorter retroactive coverage periods; new cost-sharing requirements for expansion enrollees above 100% of poverty; narrower Medicaid eligibility for certain lawful noncitizens; limits on provider taxes and state-directed payments; a reduced federal match for emergency medical assistance; and tighter federal rules on payment error penalties. She said many provisions require state law changes and additional federal guidance, and she cited research from Georgia suggesting work requirements increased administrative burden and caused coverage losses without increasing employment. The department estimated fiscal effects including reduced Medicaid spending in some areas but higher state costs in others, such as MinnesotaCare, emergency medical assistance, administrative systems, and provider uncompensated care. Bailey said the immigration-status changes would shift some people from Medical Assistance to MinnesotaCare, and that provider-tax and state-directed-payment changes could reduce future funding to hospitals and other providers. No votes or formal committee actions were taken in the portion provided; the presentation was informational and the department indicated it would return with proposed state-law language as needed.

Transcript Highlights:

• And so now is the time for the um group to kind of this is an open discussion as we move and map out
• as<00:45:33.280> we<00:45:33.440> move<00:45:33.760> and<00:45:34.079> map
• an open discussion as we move and map an open discussion as we move and map out<00:45:34.720>
• So we can expect that, I think, and we'll map this out probably for January.

Keywords: 910, house, all

Summary: The working group convened with all members present, approved the minutes from its October 16, 2025 meeting and its October 28, 2025 Halawa Correctional Facility site visit by unanimous consent, and received no public testimony on the agenda or minutes. The chair then reviewed the statutory timeline under Act 292/SB 104, noting the group continues until January 8, 2027, and discussed required reporting dates and the need to develop a work plan for the remaining meetings. The chair also said the October 16 DCR presentation would be treated as satisfying the group’s interim-report purpose, though the legal reporting obligations to the Legislature and oversight commission still needed to be sorted out. The main discussion focused on DCR’s proposed amendments to Act 292 and the department’s interim report. Director Johnson said the department’s October 16 presentation included recommended statutory amendments because the law, as written, could not be fully complied with; the proposals were described as section-by-section changes intended to address implementation problems. Members discussed several specific issues, including transfer language for higher levels of care, the 2010 MOA with the Department of Health, and replacing “physician” with “clinician” to reflect staffing realities. DCR explained that the change would allow licensed clinicians, including APRNs and doctors of osteopathy, to make decisions when physicians are not on duty, and that the MOA is being updated so transfers can occur from any DCR facility to the state hospital. An OHA staff member gave a detailed critique of the proposed amendments, saying they would weaken Act 292’s intent by reducing procedural protections, expanding exceptions, and relying on aspirational language such as “strive” and “if practicable.” OHA also raised concerns about the lack of baseline data on restrictive housing use and said the department’s report showed serious operational problems, including overcrowded and outdated facilities, limited space for private medical or mental health exams, and the use of suicide/safety cells for people who may not need mental health treatment. DCR responded that it had requested 35 new medical positions in the budget, supported by the governor, and said those positions are needed to meet basic care obligations for people in custody. The group did not take a vote on the proposed amendments. Instead, members agreed to continue the discussion, with the chair saying the reports, settlement tracker, 2010 MOA, and comparison guidelines would be distributed and used as the basis for future work. In the final discussion on work-plan priorities, members identified staffing shortages, physical plant limitations, and the need to examine humane alternatives and implementation challenges as key topics for upcoming meetings.

Transcript Highlights:

• This petition will describe the district via map. It will list the parcels included.
• c><00:04:44.800> the<00:04:45.120> district<00:04:45.680> via<00:04:46.240> map
• <00:04:46.880> It will describe the district via map.
• It will describe the district via map.
• If you're looking for potential other model language, again, this map has expanded further since this

Keywords: Meeting Start: 00:00:05 Roll Call 00:00:12 Discussion of Legislative Measures 00:03:12 Discussion of Housing and Land Use 00:21:58 Discussion of Short Term Rental Policies 01:03:17 Adjournment 01:15:38, 958, all

Summary: The committee approved the minutes from its June 4, 2025 meeting and then heard a series of presentations focused largely on housing and land-use policy. Senator Robbie Mills and Representative Josh Bray discussed two 2025 housing measures: Senate Bill 50, which would create residential infrastructure development districts to help local governments finance infrastructure for new housing developments through special assessments and local debt, and House Bill 7, which would let local governments identify development areas and rebate new property tax revenue to developers as an incentive for housing growth. They said Kentucky faces a statewide housing shortage of roughly 210,000 units, projected to grow if building patterns do not change, and argued that regulatory relief and financing tools are needed to increase supply. Representative Rebecca Rymer presented House Bill 371, which would require local permitting when an industry’s residual waste landfill is located in a different county from the industry itself. She said current law lets such landfills bypass local review, leaving host counties with no say despite road impacts and other local burdens. She said the bill would preserve the existing exemption when the landfill and industry are co-located, and noted support from KLC and KO. Representative Steve Doan also described House Bill 806, a statewide backyard chicken bill that would allow domesticated hens, prohibit roosters, set a minimum of six hens that local governments could not go below, and preserve local authority over setbacks, sanitation, maintenance standards, and egg sales. He said it would override outright local bans but not HOA restrictions, and cited a current Northern Kentucky dispute and ADA litigation as reasons for the proposal. The committee then heard a broader discussion on housing and land use from Charlie Gardner of the Mercatus Center and Nolan Gray of California YIMBY and the Bluegrass Institute. They outlined categories of land-use regulation, described the recent growth of state-level housing reforms nationwide, and cited examples such as ADU legalization, smaller lot sizes, reduced parking minimums, streamlined permitting, and single-stair or other building-code reforms. They argued that housing shortages are a statewide concern, that localities often have incentives to block growth, and that state intervention can reduce costs and uncertainty without compromising health and safety. Members asked about the housing shortage estimate, the effect of red tape on safety and local authority, and how state reforms could be phased in; the presenters said reforms often include lead time, can be targeted to larger jurisdictions, and should focus on reducing time and cost while maintaining basic standards.

Transcript Highlights:

• military term in Intel and convert it to our Medicaid and other state purchasers so that they have a road map
• military term in Intel and convert it to our Medicaid and other state purchasers so that they have a road map
• they<00:19:25.559> have<00:19:26.000> a<00:19:26.360> road<00:19:26.720> map
• <00:19:27.440> to so that they have a road map to so that they have a road map to achieving

Keywords: 928, house, all

Summary: The working session focused on the New Hampshire Prescription Drug Affordability Board’s budget request and its recent work. Early discussion centered on a technical question about a statutory dedicated fund for donations: members asked why the budget did not show a line item for accepting donations, and DHHS CFO Nathan White explained that the statute already authorizes the fund, but because no revenue has been received yet, it does not appear in the budget. He said any future donations would go through the normal process under RSA 14:30-a, with fiscal committee and Governor and Council approval and a memo to the Department of Revenue Administration. The chair clarified that the account was not a prerequisite to soliciting donations, and White said the fund would supplement, not replace, General Fund support. Kirk Williamson, the board’s executive director, then presented the board’s mission and budget. He said the governor’s budget provides about $256,500 in the first year and slightly more in the second, all General Funds, and that the board had distributed a technical amendment to continue the executive director position. He described the board’s role as analyzing prescription drug costs, identifying savings opportunities, monitoring market trends, promoting transparency, and making recommendations to the legislature and public payers. He also emphasized that the board operates publicly, with live-streamed meetings and a stakeholder advisory council that includes unions, state agencies, Medicaid, corrections, higher education, and other stakeholders. A major topic was the board’s estimate of $6 million in potential savings, based on Medicare’s newly negotiated prices for 10 drugs. Williamson explained that the board used those federal negotiated prices as a benchmark to estimate what New Hampshire public payers might be missing by not having similar leverage, and said the board is trying to build evidence for future recommendations rather than directly setting prices. Members asked how those potential savings could become actual savings, and Williamson said the board is sharing findings through its advisory council and feedback loops, though it has not yet sent a formal recommendation letter to specific purchasers. He also discussed the difference between pharmacy-benefit spending, which relies heavily on PBM-negotiated rebates, and medical-benefit spending, which is administered differently and is being added to the board’s next report. Williamson highlighted other work, including a model on Humira and a pending legislative effort to improve biosimilar competition, plus a proposed state-backed pharmacy savings card that would be no cost to the state and could save users about $240 per prescription based on Connecticut’s experience. No votes were taken during the session.