Transcript Highlights:

• It's past time for us to support public transportation in this state.
• I welcome the opportunity to support your bill. Thank you.
• Persons that are disabled are a significant part of this discussion.
• Disability from birth to age 26.
• But this allows them to establish a disabled account.

Bills: HB52 , HB89 , HB141 , HB52 , HB89 , HB141

Committee: Senate Finance and Taxation General Fund

Keywords: income tax, CHOOSE Act, education funding, ABLE account, tax credits, poverty threshold, legislative funding, HB89, Medicaid, pregnant women, pregnancy, prenatal care, ambulatory prenatal care, presumptive eligibility, temporary Medicaid coverage, Alabama Medicaid Agency, maternal health, low-income women, health coverage, eligibility determination

Transcript Highlights:

• We provide supports through our adoption support program, and we also provide supports for youth and
• We also provide supports for families in conflict.
• . receive some sort of federal benefit primarily because they have a disability and receive disability
• The other thing Team Child does is we support a youth.
• I am testifying in support of Senate Bill 5911. I am.

Summary: The Senate Human Services Committee held a work session focused on housing and services for youth and young adults, especially those exiting public systems of care. DCYF Assistant Secretary Vicki Ibarra described existing supports, including family reconciliation services and the youth and young adult housing response team, which coordinates with other agencies to help young people ages 12 to 24 avoid homelessness. Office of Homeless Youth Director Casey Hannawer Sutton outlined the office’s role in reducing youth homelessness, citing a 40% reduction since 2016, expansion of services to 37 counties, and ongoing work on prevention and “functional zero” efforts. Treehouse and the Mockingbird Society testified about education, transition, and housing barriers for foster youth and young adults, including funding cuts to Treehouse’s Graduation Success program, eligibility gaps, and the need for peer supports, financial literacy, and housing stability. A health impact review from the State Board of Health on a prior version of the extended foster care housing proposal found the bill would likely improve housing stability, health outcomes, and equity for some young adults in extended foster care. The committee then heard public testimony on Senate Bill 5911, which would stop DCYF from using Social Security benefits of young adults in extended foster care to reimburse the state for care costs. Sponsor Sen. Emily Alvarado said the bill would protect federal benefits that belong to the young person and help them meet basic needs; supporters from Partners for Our Children, TeamChild, Mockingbird Society, and a former foster youth testified that the current practice harms housing, education, and stability and urged the state to end it. Members discussed the need for financial literacy and the federal government’s recent direction discouraging the practice. The committee also heard Senate Bill 5940, a two-year extended foster care housing pilot that would provide rental assistance for up to 50 eligible youth in extended foster care who are homeless or at risk of homelessness, with transition planning required before age 21. Sen. Wilson said the bill is intended to keep young people in care from having to choose between foster care support and housing assistance. Testimony from Mockingbird Society, current and former foster youth, and Communities in Schools supported the bill as a way to reduce homelessness and improve educational and health outcomes. The committee briefly heard Senate Bill 5942, which would rename the DCYF Oversight Board as the DCYF Accountability Board and shift its reporting structure while keeping its oversight role, and Senate Bill 5957, which would expand the Office of Homeless Youth Advisory Committee to include additional members with lived experience and representation from disproportionately affected communities.

Transcript Highlights:

• by supporting AJR 7.
• Support, support bills. Let's keep our comments as short as possible.
• This is a support support and I respectfully ask for your aye vote.
• This program was established to provide much needed financial support for the family members of disabled
• support this.

Transcript Highlights:

• We are supported by this President and this Congress.
• They need support. I get that. I understand. Well, it's not even the support.
• anything that applied to past-due support.
• We support the State Council on Developmental Disabilities request for administrative support, as stable
• We urge you to support this important investment. Thank you.

Summary: The hearing began with an overview of the California Health and Human Services Agency, which described its 2026-27 budget, major departments, and strategic priorities, including behavioral health, housing and human services integration, children and youth, and aging/disability services. The agency also explained a technical CalHHS/CalHires budget adjustment tied to HR1 compliance and eligibility system work. No LAO concerns were raised on that item. The committee then heard from the Office of Youth and Community Restoration on its budget, its SB 823 realignment report, and related issues. OYCR said county-based realignment has generally succeeded but outcomes and readiness vary widely, and it recommended more climate surveys, youth advisory councils, stronger behavioral management, better programming, improved transition planning, and integrated longitudinal data systems. Members pressed OYCR on “net widening,” county-by-county trends, and the gap between the detailed recommendations discussed in hearing and the more general recommendations in the public report. OYCR also described problems with federal Title II grant timing and a pending $14 million administrative funding adjustment, and discussed implementation of the juvenile justice realignment block grant formula. The Ombudsperson division separately requested two new positions due to rising complaints, site visits, and records-access disputes with counties; LAO noted the proposal would create ongoing General Fund costs. Several other departments presented budget change proposals. The State Council on Developmental Disabilities requested $730,000 General Fund ongoing to cover an interagency administrative support gap with DSS; LAO had no concerns. EMSA presented its department overview, said its AB 716 ambulance-rate report has been delayed after resources were reduced, and requested funding for disaster-response vehicle replacement, IT security assessment work, and additional HR/legal staff; members questioned delays, compliance, and the ongoing General Fund impact. The Department of Community Services and Development sought reappropriation of LIWIP funds and explained a new Proposition 4 process for continuing the farmworker housing component. The Department of Rehabilitation requested authority for $60 million in additional federal funds and 54 positions to meet growing vocational rehabilitation demand, with no General Fund impact. The Department of Child Support Services presented its budget and a supplemental report on full pass-through of child support collections. Members questioned why local agency funding was being restored despite declining caseloads, and staff explained that staffing costs have risen faster than caseload declines and that additional funding is needed to maintain service levels. The supplemental report estimated full pass-through would cost about $150 million General Fund annually, or about $80 million for a state-and-county portion, with $3 million to $5 million in automation costs. Finally, the Department of Public Health gave a broad overview of its $5.1 billion budget and its State of Public Health report, highlighting improved mortality and life expectancy, declining overdose deaths and STI rates, persistent racial and regional disparities, and increasing public health emergency demands. CDPH also warned that federal funding threats and policy changes are creating major uncertainty for state and local public health systems.

Transcript Highlights:

• Speaker, I rise in support of this rule and in support of the underlying legislation.
• They support family-sustaining energy jobs.
• I rise today in strong support...
• I urge my colleagues to support the D.C.
• I SUPPORT H.R. 5140, TO LOWER I support H.R. 5140, to lower the age at which a minor may be tried as

Bills: HB1670 , HR493 , HR492 , HR491 , HB5140 , HB4922 , HR713 , HR721 , HB2721 , HR707

Keywords: fertility, health benefits, family planning, assisted reproductive technology, employees, fertility treatment, ART, in vitro fertilization, IVF, infertility, family building, reproductive health, oocyte preservation, sperm preservation, embryo preservation, artificial insemination, gamete donation, embryo genetic testing, federal employee health benefits, FEHB

Transcript Highlights:

• Why do you want us to support H. 228?
• I'm here to support Bill H. 2240. My name is Bill Bernerberg. I don't know. Support Bill H. 2240.
• A lot of the people that we support as a peer support community in Western Massachusetts are people who
• I encourage you to read that, so we definitely encourage you to support this bill... ...support this
• By the way, I'm a peer supporter and was working in a peer supporter role.

Committee: Joint Joint Committee on Mental Health, Substance Use and Recovery

Summary: The committee held a public hearing on a broad set of mental health, substance use, recovery, and patients’ rights bills. Early testimony focused on H. 2227, which would replace stigmatizing substance use terminology in the General Laws, and H. 3950, which would support parents in recovery involved with DCF by requiring more individualized recovery plans, clearer benchmarks for parenting time, access to recovery coaches or counselors, family counseling after sustained recovery, and staff training on addiction and lived experience. Speakers described the bills as ways to reduce stigma, increase accountability, and improve reunification outcomes for families. A major portion of the hearing centered on S. 1386, which would transfer Bridgewater State Hospital from the Department of Correction to the Department of Mental Health. Advocates, family members, and disability groups testified that Bridgewater functions like a prison rather than a hospital, with excessive restraint, seclusion, involuntary medication, poor conditions, and racial disparities, and argued DMH should oversee a treatment setting. One DMH occupational therapist and MNA member opposed the transfer, saying the real issue is mixing forensic and continuing-care patients and that DMH should instead create designated forensic units under bills H. 228/S. 1408. Committee members asked about Bridgewater’s population, the history of DOC control, capacity, staffing, and how a transfer might be implemented. The committee also heard testimony on modernizing the six fundamental rights for psychiatric inpatients, including expanding communication options, clarifying visitation and advocacy definitions, and improving access to gender-appropriate and culturally relevant items. Another bill, H. 2216, would require stronger oversight before antipsychotic medication is prescribed in nursing homes, prompted by concerns about inappropriate use. Finally, testimony supported H. 2240 and H. 2239 on sober homes, with supporters saying discharge and relocation policies are needed when a resident returns to active use or becomes unsafe, while preserving the recovery environment and resident rights. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• Is any support contemplated? down the road in the future?
• , also known as the IDD, the intellectual developmental disabilities pilot program.
• like we're supporting it with these dollars and cents.
• You've supported us. You've helped us.
• which was originally designed to reduce tax-supported debt.

Summary: The Senate took up the conference report on House Bill 501E, the General Appropriations Act for fiscal year 2026-27, with Chair Hooper and the appropriations chairs walking through the $114.5 billion budget. Major highlights included pay increases for state law enforcement, firefighters, park rangers, and correctional officers; funding for teacher salary increases and K-12 enrollment stabilization; workforce and university funding in higher education; major Medicaid, nursing home, waiver, and opioid-related investments in health and human services; corrections and prison-capacity funding; transportation, housing, and emergency management spending; and large environmental appropriations for Florida Forever, Everglades restoration, and water quality projects. Members then asked detailed questions about specific items. Senators pressed on the Hamilton Center at UF, the difference between assistant state attorney and public defender pay, declining student enrollment funding, private school scholarship vouchers, mental health funding in schools, the lack of preeminence funding, APD’s iBudget waiver wait list and provider rates, ADAP premium assistance and the return of Biktarvy to the formulary, prison staffing and air conditioning, Florida Forever land-buying versus easements, SNAP and Sun Bucks funding, Hope Florida, election audit funding, and the IDD managed care program. Chairs generally explained the negotiated compromises, noted where funding was flat or omitted, and in several cases said items would be revisited next year or depended on agency implementation. Several senators used debate to praise the budget while also criticizing major policy choices. Leader Berman argued the state should have expanded Medicaid, invested more in public schools instead of vouchers, and accepted federal summer EBT funds. Other senators highlighted local wins such as Biscayne Bay restoration, Tri-Rail, housing assistance, ADAP funding, and declining enrollment support. The transcript ends with debate remarks thanking Chair Hooper for his work on the budget; no final vote is shown in the excerpt.

Transcript Highlights:

• , and we strongly support that.
• </c> disabilities, and we strongly support disabilities, and we strongly support that.<00:39:19.040><
• Thank you for the opportunity to testify in support of Senate File 2384 today, particularly in support
• </c><00:46:04.720><c> of</c> the opportunity to testify in support of the opportunity to testify in support
• Voters with disabilities uh provision.

Committee: Senate Elections

Transcript Highlights:

• Commission on the Status of Persons with Disabilities.
• And today we are hosting the Long-Term Services and Supports and Health Equity Subcommittee.
• The group recommended creating a seven-hour upper limit for meal prep support.
• The first is work requirements for certain non-disabled adults, ages 19 to 64.
• Non-disabled adults ages 19 to 64 who are not pregnant and not parents or the caretaker of a disabled

Summary: The Long-Term Services and Supports and Health Equity Subcommittee met with roll call, approval of prior minutes, and a presentation from Leslie Darcy, chief of LTSS at MassHealth. The main discussion focused on the Personal Care Attendant (PCA) working group, which had completed its legislatively mandated review and submitted recommendations. Darcy said several earlier recommendations were already implemented, including reinstating the 66-hour overtime cap, strengthening program integrity efforts, and removing paperwork-related authorized hours for EVV users. The group then reached consensus on additional recommendations to reduce the overtime cap from 66 to 60 hours, set a seven-hour weekly meal-prep support limit, and continue work on benchmarks, though no consensus was reached on a benchmark standard. Darcy said the proposed changes were intended to preserve program integrity while addressing rapid cost growth in PCA services. Darcy also reviewed the expected effects of a recent federal Medicaid-related bill, estimating that Massachusetts could lose about $3.5 billion by January 2028. She described upcoming changes affecting Medicaid eligibility for certain immigrant groups in October 2026, work requirements for some non-disabled adults beginning in January 2027, six-month redeterminations for certain adults, and shorter retroactive coverage periods. She emphasized that people with disabilities and people on Medicare would be exempt from the new work requirements and six-month redeterminations. Members asked about the impact on community hospitals, the health safety net, and ACA premium subsidies; Darcy said federal changes could worsen uncompensated care pressures, but Massachusetts used state funds to offset the loss of enhanced ACA premium tax credits, helping keep premiums lower for middle-income families. In response to questions about the FY27 budget, Darcy said MassHealth expected targeted reductions, some one-time measures, and likely a rate freeze rather than large base cuts, with further cost-containment work to follow in FY28. She noted that LTSS is a major share of MassHealth spending and that programs such as PCA, adult foster care, and adult day services are state-plan entitlements once adopted by the state, even though the federal government does not require them. Charlie Carr and other members stressed that the PCA work group had been difficult but collaborative, and Carr said the recommendations were modest compared with other options considered. The meeting ended with a brief planning discussion about a February guest presentation from the Department of Public Health and a motion to adjourn, which was approved.

Transcript Highlights:

• oversees Texas mental health programs for veterans, while the Texas Veterans Commission... plays a supporting
• We very much support the bill and appreciate bringing it forward.
• Even if they're not disabled or deemed disabled, they still face that discrimination due to the fear
• that they are having a disability.
• I'm here to support Senate Bill 2104 and I think Senator Eckhardt's questions.

Bills: SB2007 , SB2104 , SB2543 , SB2545 , SB2926 , SB2938

Committee: Senate Veteran Affairs

Transcript Highlights:

• And so I want to thank them for their support.
• I'm going to read the green cards and support.
• that doesn’t have aerial support.
• stating that it's a mental disability.
• They would be able to see the disabilities.

Bills: HB506 , HB590 , HB647 , HB685 , HB692 , HB839 , HB860 , HB873 , HB887 , HB965 , HB972 , HB982 , HB1072 , HB1157

Committee: House Transportation, Highways & Public Works

Summary: The committee first heard House Bill 1157, which would create a Louisiana State Infrastructure Bank to provide a new funding mechanism for transportation projects, including roads, bridges, rail, ports, and airports. The chairman and DOTD Secretary Glenn LaDoux said the bank would help leverage state, federal, local, and private dollars, modelled in part on programs in Florida and other states, and would be used for gap funding and faster project delivery. Members asked extensive questions about board makeup, oversight, seed funding, application priorities, and how the program would differ from capital outlay and other existing funding tools. Support testimony came from Greater New Orleans, Inc. and other groups, and the bill was reported favorably without objection. The committee then approved several mostly technical or local bills, including HB 860 allowing fillable electronic public bid forms; HB 972 naming a portion of Highway 93 in Lafayette Parish the Desert Shield Desert Storm Memorial Highway; HB 965 naming a portion of Highway 163 for Sergeant William Billy Earl Collins Jr.; HB 692 allowing local governments to use group purchasing organizations, as amended; HB 685 allowing cooperative procurement for public motor vehicles and rolling stock under FAST Act procedures, which passed after a roll call vote with one no vote; HB 982 designating portions of highways in Morehouse Parish, as amended; HB 506 creating specialty license plates, as amended; HB 839 lowering the CMAR threshold for hospital service districts from $2 million to $1 million via substitute bill; HB 647 revising the waterway assistance program and application timelines via substitute bill; and HB 887 revising construction management-at-risk procedures, as amended. Most of these measures were reported favorably or favorably as amended, with little or no opposition. The committee also received an update on the Office of Louisiana Highway Construction from Representative Chesson, who said the office will assume control of about 4,000 miles of roadway and 2,000 bridges and has been moving projects quickly using internal procurement procedures. HB 1072, which reforms the office’s powers and emergency authority, was amended to narrow emergency provisions and clarify funding and reporting language, then reported favorably as amended. The final major item was HB 873, which would fund pursuit-intervention technology and training for law enforcement through a $2 fee on driver’s licenses; the bill was presented alongside emotional testimony from the widow and daughter of Sergeant Grant Candies and from a St. John the Baptist Parish captain, who argued the fee would help agencies buy safer equipment and obtain grant support. The transcript ends during questioning on HB 873, before any final committee action on that bill is shown.

Transcript Highlights:

• Kayla Farrell, waving in support. Jorge Font, waving in support. Danny Klein, waving in support.
• Sean Moreau, waving in support. Kayla Farrell, waving in support. Jorge Font, waving in support.
• Danny Klein, waving in support. And Amanda Hayes, waving in support.
• , housing supports, peer supports, whatever, you know Support, housing supports, peer supports, whatever
• Victoria Zep waving in support of Family Support Services.

Summary: The Committee on Children, Families, and Elder Affairs considered three bills and a confirmation. On SB 1600, as amended, the sponsor explained that the original child welfare language was replaced with a strike-all requiring the Office of Insurance Regulation to work with DCF and community-based care lead agencies to study liability insurance coverage and availability, report findings to the Legislature by January 1, 2027, and allow penalties for failure to provide requested information. The committee adopted the amendment and amendment to the amendment, heard supportive testimony from child welfare advocates, and reported the committee substitute favorably. The committee also heard CS/SB 556, which would allow students with disabilities to satisfy a physical education graduation requirement through participation in Special Olympics, and clarify that two years of marching band participation can satisfy PE and fine arts credit. Special Olympics Florida, parents, and other supporters testified in favor, and the bill was reported favorably. On SB 794, the sponsor described requirements for background screening of employees in residential facilities and day training programs for people with developmental disabilities, plus a review of waiver support coordination quality, workforce needs, geographic service gaps, and related recommendations due in 2027. The committee adopted a conforming amendment and reported the bill. The committee then took up the confirmation of Taylor Hatch as Secretary of the Department of Children and Families. Hatch outlined DCF’s recent work on child welfare, behavioral health, peer support, and technology improvements, and answered questions about child welfare system challenges, funding formulas, opioid settlement dollars, and interoperability of agency systems. After public comment, the committee voted to recommend her confirmation favorably, with Chair Graal voting no. The meeting ended with a request to record one senator’s vote on SB 1600 and adjournment.

Transcript Highlights:

• </c><00:05:16.479><c> these</c> thinking about how we can support these thinking about how we can support
• </c> state so increasing funding and support state so increasing funding and support to<00:14:01.120>
• </c> seniors or individuals with disability seniors or individuals with disability this<00:26:12.600>
• We’ve been supporting 1,000 families a month who have come in for food support.
• We’ve been supporting 1,000 families a month who have come in for food support.

Committee: Senate Health and Human Services

Transcript Highlights:

• Representing over 870,000 students with disabilities in California, I respectfully urge your support,
• As costs for delivering the specific supports and services for our students with disabilities shift and
• CDE is definitely in support of continuing funding for supportive inclusive practices.
• In support of continuing funding for supportive inclusive practices, but we also feel that it is critical
• We are supportive of the administration's proposal to equalize funding across SELPAs and support the

Transcript Highlights:

• Sean Morrill waiving in support. Kayla Farrell waiving in support. Jorge Font waiving in support.
• Danny Klein waiving in support. And Amanda Hayes waiving in support.
• , housing supports, peer supports, whatever, you know ...support, housing supports, peer supports, whatever
• Next I have Victoria Zep waving in support, Family Support Services.
• Victoria Zep waving in support, Family Support Services.

Bills: S0556 , S0794 , S1600

Committee: Senate Children, Families, and Elder Affairs

Summary: The Committee on Children, Families, and Elder Affairs considered three bills and a confirmation. On SB 1600, the committee adopted a strike-all amendment and a technical amendment that shifted the bill from creating an accreditation process to requiring the Office of Insurance Regulation, DCF, and community-based care lead agencies to study liability insurance coverage and availability in the child welfare sector and report findings to the legislature by January 1, 2027; the bill also included enforcement provisions for failure to provide requested information. Support was noted from child and family advocacy groups, and the committee reported the bill favorably. The committee also heard CS for SB 556, which would allow students with disabilities to satisfy a physical education graduation requirement through participation in Special Olympics, if included in the student’s IEP, and would clarify that two years of marching band participation can satisfy both PE and fine arts credit. Special Olympics Florida, families, and other supporters testified in favor, emphasizing flexibility, access, and recognition of rigorous activity. The bill was reported favorably. The committee then considered CS for SB 794, which requires background screening for employees of residential facilities and day training programs serving people with developmental disabilities and directs a review of waiver support coordination, including quality, consistency, access, competencies, recruitment and retention, caseloads, and geographic gaps in services. An amendment to conform to the House version was adopted, and the bill was reported favorably. Members then questioned Secretary Taylor Hatch regarding her confirmation as Secretary of the Department of Children and Families. Senators raised concerns about child welfare system performance, parent notification and rights, CBC funding formulas, managing entities, opioid settlement spending, peer support expansion, and technology/interoperability improvements. Hatch described DCF’s recent data and initiatives, including reductions in out-of-home care entries, youth advisory efforts, missing children recovery operations, expanded behavioral health capacity, and technology upgrades for benefits processing. Public comment included support from family and provider organizations and concerns from a former foster care worker about medical misdiagnosis cases. The committee voted to recommend Hatch’s confirmation favorably, with Chair Grall voting no, and adjourned after allowing Senator Sharief to be recorded as voting in favor of SB 1600.

Transcript Highlights:

• We're not trying to say that either you support education savings accounts or you support public schools
• That's not why I'm supporting this bill.
• We support that and we support many of the efforts going on in our great Texas public schools today.
• I did register in support last week of House Bill 2, and we are registering in support of several other
• where any child with a disability must receive all needed educational services regardless of their disability

Bills: HB3 , HB3

Committee: House Public Education

Keywords: education savings account, educational expenses, certified educational assistance organization, school choice, funding, special education, tuition reimbursement, emergency communication, public safety, interoperability, Texas Interoperability Council, grant program, emergency communications, public safety radio, first responders, radio system, dispatch, emergency management, Texas Division of Emergency Management, public safety infrastructure

Transcript Highlights:

• the support they deserve.
• the support they deserve.
• the support they deserve.
• Investing in the case management workforce will stabilize services, support people with disabilities
• Services support people with disabilities<01:25:13.440><c> in</c><01:25:13.560><c> meaningful</c><01

Committee: Senate Human Services

Transcript Highlights:

• Thank you for the opportunity today to testify in support of this bill.
• , with the support of home care services through Good Samaritan Society.
• , with the support of home care services through Good Samaritan Society.
• </c> support of her family with the support support of her family with the support of<00:09:56.240><c
• Respite is a vital service that supports families throughout the state.

Bills: HF729 , HF728

Committee: House Human Services Finance and Policy

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

Transcript Highlights:

• <00:34:07.080><c> related</c> disability related disability related organizations<00:34:09.800><c> um
• </c><00:34:13.520><c> it's</c> governor's Council on disability it's governor's Council on disability
• </c> disabilities and those are disabilities disabilities and those are disabilities identified<00:34
• </c><00:34:59.800><c> and</c> not depend on lifelong supports and not depend on lifelong supports and
• for people with disabilities.

Summary: The committee first heard from the Personnel Appeals Board, which explained that it became an independent state agency after Senate Bill 487 and was presenting its first standalone operating budget. The board described its quasi-judicial role in hearing appeals from classified state employees over disciplinary actions such as warnings, suspensions, and terminations, and said it handles about 25 to 35 cases a year, with some cases lasting longer because of their complexity. Members also outlined the need for a chair and vice chair who are attorneys, the board’s current staffing and space needs, and its plan to move away from reliance on Administrative Services for office support and website functions. The board requested about $353,500 for fiscal year 2026, including startup costs, routine operating expenses, and two new part-time positions: a program director and a paralegal. Members said the budget reflects the new independent status, includes funding for only four board members rather than the authorized five, and is designed to avoid full-time staffing costs and benefits. Legislators asked about the cost per case, the board’s relationship to DAS, whether appeals must go through the board before court, and how often cases are appealed further. The board said appeals must first go through it, that court appeals are infrequent but have increased recently, and that the board’s process is intended to resolve disputes more quickly and less expensively than court litigation. Committee members also asked about the board’s caseload, outcomes, and staffing. The board said that in the prior year there were 22 cases, with four decisions overturned in favor of employees, nine dismissals, and nine settlements, and that many disputes are resolved before reaching the board through a multi-step internal process. A member noted the governor and council had recently approved a new board member and were expected to approve a fifth soon. The discussion ended with questions about the board’s website and records access, which members said would need to be moved from Administrative Services as part of the agency’s transition. The committee then moved to the New Hampshire Council on Developmental Disabilities. The executive director explained that the council is 100 percent federally funded under the Developmental Disabilities Assistance and Bill of Rights Act and develops a five-year plan to address the needs of people with intellectual and developmental disabilities. She said the council works with state agencies and advocacy organizations on quality-of-life issues, accessibility, voter rights training, and plain-language or easy-to-read materials, and that 60 percent of its membership must be individuals with disabilities or family members/guardians. She also described the council’s funding structure, including reimbursement to the state for operating costs, and noted that it currently has three full-time and three part-time positions, with no new positions requested but one full-time position being eliminated and replaced after a pandemic-era staffing change did not work out as planned.

Transcript Highlights:

• Next up in support? Anyone else to testify in support? Okay. My name is Allison Gordon.
• We support transparency 100%. We support disclosures.
• Anyone else here in support?
• I am here in support of House Bill 2072, and I respectfully ask for your support. All right.
• Next up in support.

Committee: House Health and Mental Health

Summary: The House Committee on Health and Mental Health met in executive session and advanced several bills. HB 1881 was voted do pass without discussion. HB 3010 was amended with a committee substitute that removed a subsection allowing payers to remove “gold carding” based on procedure volume changes, then passed 10-0. HB 2355, the “Food is Medicine” bill, received a committee amendment to align terminology with other partnerships and then passed 11-0. HB 1855, dealing with alpha-gal reporting, was substantially revised: the substitute narrowed the bill to alpha-gal, removed Lyme disease, changed a department duty from mandatory to discretionary in one section, and delayed reporting implementation; it then passed 14-0 after members discussed the need for better disease tracking and the department’s workload. The committee then heard testimony on HB 2034, which would require insurance coverage for activity-based prostheses, orthotics, and high-performance or mobility-supportive wheelchairs. Sponsor Representative Carolyn Caton said the bill is intended to cover devices that help people live, exercise, and avoid secondary health problems, while preserving prior authorization and medical-necessity review. Supporters included clinicians, parents, amputees, and athletes who described being denied running blades, water-safe prostheses, or durable wheelchairs and said the devices are essential for health, independence, mental well-being, and participation in school, work, and sports. Several witnesses said the bill would reduce long-term costs and reliance on charity. Opponents, including the Missouri Insurance Coalition and America’s Health Insurance Plans, argued the bill is an expansion of coverage with unclear definitions and potentially significant costs, especially for Medicaid and other state-regulated plans. They cited the fiscal note, warned about possible federal ACA rule changes that could shift costs to states, and questioned whether the bill’s language on Medicare supplemental coverage and “perceived disability” was workable or preempted. Committee members pressed both sides on cost savings, definitions of “normal” activity, and whether the bill could be narrowed or otherwise revised, and several said they were willing to keep working on the issue. The hearing on HB 2034 was left open and then recessed after testimony, with no vote taken in the portion provided.