Video & Transcript Research : 'contracting'
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MA
Massachusetts 2025-2026 Regular Session
Continuing Care Retirement Communities Jun 21st, 2026 at 10:00 am
Transcript Highlights:
- CCRCs must also have a life contract.
- It's a life contract, so that will be effective for the life of the individual or for a period in excess
- So the commission is charged to study and report on CCRCs, their contracts, and their impact on consumers
- , the financial viability of sales...” “...their contracts and their impact on consumers, the financial
- But looking at initially next meeting, really getting into what are CCRCs, their care contracts, consumer
Summary:
The meeting was the introductory session of the new Commission on Aging and Independence focused on continuing care retirement communities (CCRCs). Co-chairs Senator Pat Jehlen and committee staff introduced the commission’s purpose, and members and stakeholders from AARP Massachusetts, the Executive Office of Aging and Independence, LeadingAge Massachusetts, SEIU Local 1199, the Alzheimer’s Association, and the Attorney General’s office briefly introduced themselves and described their interests. Several participants emphasized the value of CCRCs for aging in place, while also noting concerns about affordability, accessibility, resident rights, dementia supports, and the need for clearer complaint and oversight processes.
The commission reviewed the basic definition of a CCRC, including the requirement for housing plus health-related services, a life contract, and an entrance fee, and discussed how Massachusetts law defines entrance fees and their return. Staff explained that the commission was created by Chapter 197 of the Acts of 2024 and is charged with studying CCRC contracts, consumer impacts, financial viability, entrance fees, oversight and enforcement, advertising practices, and procedures for closure or change of ownership. The commission also outlined its deadline to submit recommendations by August 1, 2025.
Because quorum issues and technical problems limited the session, no substantive votes were taken. Instead, the meeting focused on logistics: members will receive a survey to suggest priorities, site visits, and outside presenters; the group plans monthly meetings with two in June; and a public hearing may be held earlier in the process so feedback can shape the agenda. Staff also noted that ethics training for members was still being arranged.
FL
Florida 2026 4th Special Session
February 5, 2026 - 04:00 PM
Transcript Highlights:
- ARBITRATION AND LED TO WASTEFUL PAYMENTS ACQUIESCING CLAIMS WERE FOR SERVICES NOT EVEN COVERED UNDER CONTRACT
- WE ARE SEEING FEDERAL ARBITERS ISSUE PAYMENT THAT READS MULTIPLE TIMES HIGHER THAN MARKET CONTRACTED
- ON AVERAGE THE FEDERAL PROCESS RESULTED IN PAYMENTS 400 PERCENT ABOVE CONTRACTED RATES WITH MANY INSTANCES
- CLARIFIES GARMENTS FOR RESIDENT CONTRACTS BRENDA'S FACILITIES HOLDING THEMSELVES AS MEMORY CARE PROVIDERS
- FIRST THIS CREATES THAT CATEGORY BUT THE BILL DOES DISTINGUISH BETWEEN SERVICES CONTRACTED FOR VERSUS
KY
Kentucky 2026 Regular Session
House Budget review Sub. on Postsecondary Education. (1-29-26)
Transcript Highlights:
- Even some of the instructors are embedded in the research and development contracts that we get.
- <00:21:06.480>
Some development contracts that we get. - Some development contracts that we get.
- <00:21:39.280>
a <00:21:39.600>variety <00:21:39.919>of contracting work for - . a variety of contracting work for. a variety of different<00:21:40.480>
agencies, <00:21:41.200
Summary:
The House Budget Review Subcommittee on Postsecondary Education met to hear from Morehead State University President Jay Morgan, who outlined the university’s budget and capital priorities. He described Morehead as a Kentucky-serving, largely low-income student institution with an aging campus, and said the university’s long-term plan is to renovate existing facilities, decommission older buildings, and replace outdated space with more efficient construction. He thanked the General Assembly for prior support, especially asset preservation funding, fire and tornado insurance premium support, and a prior university inflationary adjustment.
On the operating side, Morgan asked that insurance premium support continue, that the earlier inflationary adjustment roll forward, and that the Kentucky Council on Postsecondary Education’s request for a minimum distribution in the performance funding formula be supported. He noted Morehead has received little or no performance funding in recent years and said that if no additional formula funds are added, the university would prefer a line-item appropriation. On the capital side, he requested continued asset preservation funding and outlined several construction priorities: a new applied science building, a new agriculture science building, a new space science technology building, and a cost-share replacement for the aging Maze Hall residence hall, with the state covering $10 million of a $20 million project and Morehead matching the rest.
Morgan also discussed the Craft Academy, saying the current appropriation supports 200 students and that the university would like to increase the line item to expand enrollment by about 20 students. In response to questions from Chairman Tipton, he said Morehead had previously explored but ultimately rejected a public-private partnership model for housing, preferring to own and control its residence halls to keep housing costs manageable for students. He also explained that the land surveying courses in the applied science proposal are a popular part of related programs and that Morehead’s space science program is a major research-and-contracts-driven operation with about 250 students, federal and private research ties, and graduates working both in Kentucky and elsewhere. The committee then approved the prior meeting minutes and discussed that upcoming postsecondary budget meetings would continue over the next several weeks to gather input on the new budget process.
TX
Transcript Highlights:
- Part of their contract between HPD and the City of Houston is to get protections to officers when the
- Part of their contract between HPD and the City of Houston is to get protections to officers when the
- In Harris County, because HPOU has a contract, they have an attorney within HPD who, any time one of
- And we do have a contract. We have a meet-and-confer.
- Our contract can only supersede Chapter 143 of the Local Government Code.
Keywords:
gender designation, civil penalties, private civil rights, multiple-occupancy spaces, Texas Women's Privacy Act, law enforcement, confidentiality, personnel files, employee records, misconduct
Summary:
The Committee on State Affairs took up Senate Bill 14, which would create a confidential department file for law enforcement officers and jailers and limit public access to records involving unsubstantiated misconduct, while preserving access for hiring agencies, TCOLE, and certain criminal justice uses. TCOLE’s Gretchen Grigsby explained the current rollout of law enforcement recordkeeping reforms, including the distinction between the public personnel file and the confidential G-file, and answered questions about when TCOLE would request files during investigations. Senator Perry and other members focused on how the bill would interact with existing personnel-file rules, public transparency, and criminal discovery obligations.
Public testimony was largely opposed. Critics argued the bill was drafted too broadly, could sweep in records beyond misconduct files, and would reduce transparency for the public, journalists, oversight bodies, and families seeking answers in cases such as Uvalde and jail deaths in Tarrant County. Several witnesses said the bill could allow small or single-officer agencies, including elected constables, to shield their own records, and some warned it could chill reporting and oversight. Supporters, including law enforcement representatives, said the bill would protect officers from false or unsubstantiated allegations, align agencies without civil-service protections with those that already have G-files, and preserve confidentiality for records that should not be public. Dallas County prosecutors and Harris County deputies supported the general policy but asked for clarifying amendments, especially to separate language they said could affect the Michael Morton Act and to preserve existing protections through in-camera review or protective orders.
Committee members spent significant time questioning witnesses about how substantiated versus unsubstantiated allegations would be handled, whether body camera footage and case files would remain public, and how the bill would affect discovery in criminal cases. After hearing all registered witnesses, the chair closed public testimony. Senate Bill 14 was left pending, and the committee recessed.
MN
Minnesota 2025 1st Special Session
Conference Committee on HF2130 5/15/25
Transcript Highlights:
- It keeps those companies from creating a contract like a cell phone contract, where even if you leave
- It keeps those companies from creating a contract like a cell phone contract, where even if you leave
- Johnson used a great analogy to cell phone contracts, I will move adoption of the A10 amendment.
- It keeps those companies from creating a contract like a cell phone contract, where even if you leave
- Johnson used a great analogy to cell phone contracts, I will move adoption of the A10 amendment.
TX
Transcript Highlights:
- And when factoring in hidden costs such as lawsuits, oversight, contract inefficiencies, private prisons
- In a privately owned, operated and managed facility and future contracting with private vendors, while
- We're the only private entity contracted with the TDCJ to operate these facilities.
- Today, we manage 30 contracts.
- It's basically by contract if we have to meet the department's training requirements as well as their
Bills:
HB153
TX
Transcript Highlights:
- And when factoring in hidden costs such as lawsuits, oversight, and contracting deficiencies, private
- To operate and manage facilities and future contracting with private vendors.
- We're the only private entity contracted with the TDCJ to operate these facilities.
- Today we manage 30 contracts with 42 years of experience in corrections, including 17 years.
- House Bill 1410 seeks to prohibit TDCJ from contracting with private vendors for inmate confinement.
Keywords:
education, funding, student resources, technology access, equal opportunity, veterans treatment court, mental health, criminal justice, rehabilitation, eligibility criteria, veterans, treatment court, military service, legislation, private prisons, inmate confinement, criminal justice reform, Texas Department of Criminal Justice, government contracts, inmate housing
TX
Transcript Highlights:
- In private schools, we're in contracting; we'll begin deployments in July.
- So you currently have contracts with some of the private schools? We're drafting with them.
- Are you anticipating having contracts with each school district or a master contract with the state?
- Are you anticipating having contracts with each school district or a master contract with the state?
- I mean, if you get a whole bunch of contracts, how many pilots do you actually need?
Summary:
The Senate Committee on Education K-16 met with a quorum and announced a full agenda, including combined public testimony for two bills related to student personal communication devices. The committee first took up Senate Bill 1262 by Senator Nichols, a school safety cleanup bill following House Bill 3. The bill would allow TEA to commission peace officers for school safety purposes, require annual renewal of good-cause exceptions to armed guard requirements, create a new report based on intruder detection audits and vulnerability assessments, and require behavioral threat assessment teams to include someone with specific knowledge of a special education student’s disability. Committee members asked about the difference between TCOLE licensing and TEA commissioning, the scope of the officers’ authority, and how the good-cause exception would work. The committee substitute was adopted, and public testimony included support from school safety and drone-response advocates, Disability Rights Texas in favor of the special education provisions, and a student witness raising concerns about the mental health impact of repeated lockdowns and the need for immediate, reliable school safety responses. The bill was left pending after testimony, then the committee briefly recessed and later reopened testimony to hear the student witness.
The committee then laid out Senate Bill 2252 by Senator Creighton, a major early literacy and numeracy bill for kindergarten through third grade. Creighton said the bill builds on prior literacy efforts by funding teacher stipends for literacy and math academies, providing free and clearly administered screeners and assessments, expanding screening options, clarifying how results are used, supporting high-quality pre-K, and increasing the early education allotment. He emphasized low reading performance and the need for early intervention. Members discussed how the bill differs from earlier academy models and whether the assessments are diagnostic or high-stakes; Creighton and witnesses said the tools are intended to identify students needing support, not to serve as punitive testing. The committee adopted the substitute.
Witnesses for SB 2252 largely supported the bill. A Uplift Education representative described strong gains from small-group literacy tutoring and said students receiving targeted support can make more than a year of growth in a year. An education specialist explained that the bill aligns general education screening with existing dyslexia and special education practices and helps districts identify students who need intervention before a disability evaluation is required. A Commit Partnership witness cited statewide reading data, the importance of high-quality pre-K, and the need for transparent, consistent progress monitoring and parent engagement. Members asked about the meaning of the growth data, how dyslexia screening works, and how the bill would help identify struggling students earlier. Before finishing all questions, the committee recessed subject to the call of the chair after the floor session.
TX
Transcript Highlights:
- And when they're released, they sign a contract with the Board of Pardons and Paroles where all offenders
- We've been contracted here, uh, with TDCJ to operate correctional facilities since 1995.
- Of the current seven contracts, 3 of them are set to expire in August 31st of 2025.
- The remaining four are in year two of two-year base contracts with 31-year options available.
- We have full-time contract monitors on each of those facilities that we operate for TDCJ.
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Dec 10th, 2025 at 01:45 pm
Transcript Highlights:
- But you have separate contracts for those pre-K contracts? Those are okay?
- It's a separate program, but we don't have a separate contract per se.
- If you noticed in the last column, significantly increasing grants and contracts from 2021 to 2024.
- We had a $2.8 million contract.
- What is out there in the private sector that we're contracting with? Mr.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Nov 5th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- However, we are using contracted legal counsel.
- I mean, I know we're paying more out on contracts than we are on an employee.
- Let's face it, you need somebody who's part of the machine, not someone who contracts in.
- It's the New Mexico Electronic Medical Record Act, and organizations sign contracts.
- My understanding is that you all are in contract negotiations right now.
CA
California 2025-2026 Regular Session
Assembly Select Committee on Child Care Costs Aug 20th, 2025
Transcript Highlights:
- This agreement, like two prior contracts, makes improvements and advances in improving pay, benefits,
- Centuries of unjust treatment and pay cannot be undone in a few contracts or a few years. provides the
- Centuries of unjust treatment and pay cannot be undone in a few contracts or a few years.
- Thank you so much for helping us to get our tentative contract.
- Contract, please help us follow through and ratify that because it's so important.
Summary:
The California State Assembly Select Committee on Child Care Costs held its first hearing to examine the state of child care access, affordability, and provider compensation. Chair Cecilia Aguiar-Curry and other members described child care as essential infrastructure for working families and the economy, noting that costs are unaffordable for many households and that providers are underpaid. Early testimony came from a San Francisco parent, Quinn Chung, who described the difficulty of finding safe care and the financial and career sacrifices caused by lack of child care, and from Tuolumne County provider Anita Viscini, who detailed her monthly costs, low margins, and the need to work weekends and teach CPR classes to make ends meet. Assemblymembers also emphasized the crisis in rural communities and the need for a long-term strategy.
The first policy panel featured Jennifer Troia of the California Department of Social Services, Laura Pryor of the California Budget and Policy Center, and Alexa Frankenberg of Child Care Providers United. Troia said the state has nearly doubled child care funding in five years, expanded subsidy slots, and reached a new tentative three-year agreement with providers that includes cost-of-living adjustments, stabilization payments, and continued work on an alternative rate methodology and single rate structure. Pryor argued that despite funding gains, child care remains too expensive, only a fraction of eligible children receive subsidies, and provider wages remain far below comparable jobs, worsening racial and gender inequities. Frankenberg said the tentative agreement is progress but not enough, calling for a true cost-of-care system, fair wages, paid time off, better support for emergency and nontraditional care, and stronger integration of family child care into the mixed-delivery system.
Members asked about why the crisis persists, how the alternative methodology will work, how family fees and sliding-scale help are being used, and why middle-income families still struggle. The panel said the problem reflects long-term underinvestment, a broken market, and a system that still leaves many families without access. The committee also heard an economic panel from Ashley Hoffman of the California Chamber of Commerce and Sarah Bone of the Public Policy Institute of California. Hoffman described employer child care benefits and public-private partnership models in other states, including shared-cost programs and local chamber efforts. Bone said child care costs reduce family financial security and labor force participation, especially for mothers of young children, and estimated that if mothers of young children worked at the same rate as mothers of older children, more than 80,000 additional women could be in the workforce each year. In the final panel, parent and provider advocates, including Jennifer Greppie and Black Californians United for Early Care and Education co-founder Keisha Doyle, argued for fully funding child care, ending waiting lists, protecting culturally affirming care, and addressing racial inequities and private equity’s role in the sector.
TX
Transcript Highlights:
- Fees, covenants, and rules or restrictions to real estate professionals before receiving a contract or
- As a result, buyers frequently terminate contracts upon learning these details, leading to unnecessary
- But this bill does add universities to state governmental entities that may not contract with a company
- So are you not aware of the study that was done on the rising interest costs of a contracting financial
- Making sure that folks have the freedom to contract and the government's not getting in the way, and
Summary:
The Senate convened with a quorum present, heard an invocation, adopted the prior day’s journal, received House messages, and adopted several resolutions and recognitions, including Senate Resolution 496 honoring Leadership Garland and resolutions 503 and 504. The chamber also recognized guests, including a North Dakota senator and the Doctor of the Day, and received gubernatorial nominations for the Texas Economic Development Corporation Board and the Nueces River Authority Board.
The Senate then took up and passed a series of bills, often by suspending the regular order and the constitutional three-day rule. Measures approved included SB 614 on Texas Forensic Science Commission referrals to the Office of Capital and Forensic Writs; SB 250 on municipal annexation across railroad rights-of-way; SB 1660 on toxicological evidence retention and destruction procedures; SB 2586 requiring property owners associations to file governing documents with the Texas Real Estate Commission; SB 1588 increasing penalties for certain failures to report child sexual abuse; HB 912 on compensation for distributed renewable generation outside ERCOT; SB 1957 setting eligibility standards for civilian oversight boards; HB 2525 clarifying a charitable property tax exemption; SB 1525 limiting repeated prior authorization for neurodegenerative disease drugs; SB 865 requiring CPR/AED training and cardiac emergency response planning in schools; SB 1212 elevating human trafficking penalties; SB 2690 on solicitations for Secretary of State documents; SB 1802 on landlord repair duties for ramps, elevators, and handrails; SB 905 on licensing rules for speech-language pathologists and audiologists; SB 2929 allowing removal of disruptive spectators at school athletic events; SB 2675 creating a narrow McAllen-specific parkland conveyance exception; SB 872 increasing punishment for burglary of a vehicle involving firearm theft; and SB 1113 clarifying sales rules for certain converter-license holders.
Several bills drew extended debate. SB 2487, dealing with crisis and mental health services for homelessness, was amended to make the county model permissive rather than mandatory and to remove state funding/assistance requirements before passing 28-3. SB 2138, barring higher education funds from contracting with firms that boycott fossil fuels through ESG policies, also passed after questions about fiscal effects and First Amendment concerns. SB 2615, restricting remote work at public institutions of higher education, advanced 22-9. The Senate also began consideration of SB 3016, which would expand enforcement tools against local governments that fail to comply with state law, but the transcript cuts off before action on that bill is completed.
ND
North Dakota 2026 1st Special Session
Advanced Nuclear Energy Committee Mar 24th, 2026 at 10:00 am
Advanced Nuclear Energy Committee
Transcript Highlights:
- And a schedule was established by contract with every single utility.
- Xcel has one of those contracts.
- The contracts for the new reactors will be very different than the contracts the existing ones have.
- The new contract that Vogtle 3 and 4 have, and the contract that any small reactor company would bring
- The new contract that Vogel 3 and 4 have and the contract that any small reactor company would bring
TX
Transcript Highlights:
- Do we have some sort of contract? Are there any financial costs to that contract to be supervised?
- That was on a month-to-month basis; it was not a contract.
- Do you sign a contract or an agreement with every physician that you perform...
- Patients are unable to do so because of that contract.
- That's my job as CEO to negotiate the contracts and to make those arrangements.
Bills:
HB35, HB4490, HB4454, HB2188, HB3078, HB4743, HB2556, HB46, HB5342, HB4783, HB3785, HB5278, HB1639, HB2581, HB4224, HB4070, HB4099, HB4882, HB3794, HB46
Keywords:
peer support, first responders, mental health, confidentiality, emergency services, disclosure, next of kin, public information, deceased persons, privacy rights, patient solicitation, marketing practices, healthcare regulation, task force, deceptive advertising, nurse aide, certification, Texas Board of Nursing, healthcare workforce, nursing standards
FL
Florida 2026 Regular Session
Senate in Special Session B Jan 28th, 2025
Florida Senate Floor Meeting
Transcript Highlights:
- So the 'contracted with' part, what does that mean?
- So right now, the contracted services—we have 67 counties.
- in contracting with the federal government regarding those 287G programs.
- There was a contract. There was a reliance.
- There was a contract. There was a reliance.
Summary:
The Senate opened with a prayer, the Pledge of Allegiance, and the reading of an amended joint proclamation expanding the Legislature’s immigration agenda. The proclamation added items calling for financial penalties for government officials, enhanced criminal penalties for offenses committed by illegal aliens, and programs and appropriations to support law enforcement in enforcing federal immigration law. The chamber then took up the special order calendar, beginning with Committee Substitute for Senate Bill 2B, the immigration bill.
Most of the meeting was devoted to debate and questions on the strike-all amendment to SB 2B. Sponsor Senator Gruters described the bill as a broad immigration enforcement package aligned with President Trump’s agenda. He said it would require greater cooperation with federal immigration authorities, strengthen participation in the 287(g) program, create a chief immigration officer and council, authorize financial penalties for noncompliance, provide bonuses for officers assisting ICE, and direct information-sharing with federal agencies. He also said the bill would bar DHSMV from issuing licenses or ID cards to unauthorized aliens and would end in-state tuition waivers for undocumented students. Senators Polsky, Pizzo, Smith, Jones, Berman, Osgood, and others questioned the scope of the bill, whether it would affect schools, churches, cities, nonprofits, and green-card holders, and how the 287(g) provisions would work in practice. Gruters repeatedly said the operational focus was on jails and detention facilities, not street-level enforcement.
A major point of controversy was the bill’s proposed mandatory death penalty for unauthorized aliens convicted of certain capital offenses. Senator Fine said the covered crimes were the most serious capital felonies, including murder, child sexual battery, destructive-device offenses causing death, and certain trafficking offenses, and argued the provision was intended to withstand constitutional challenge. Senator Pizzo raised Eighth Amendment concerns and questioned whether the bill could mandate death sentences. The tuition waiver provisions also drew extended debate: Fine said the state would save about $41 million by ending discounted tuition for undocumented students, while Democrats argued the savings would not return to general revenue and that the policy would harm students who are already enrolled. Fine and Gruters said green-card holders would not be affected and that the bill targeted only students in the country illegally.
The discussion also covered appropriations and implementation. Senator Smith asked about the bill’s large funding levels, and Fine broke down the spending as including $375 million for the chief immigration officer, $100 million in grants to local law enforcement, $29 million for the new Office of State Immigration Enforcement, and $10 million for an unauthorized-alien transport program. Gruters said the funds would reimburse local governments and help address staffing shortages, while critics questioned the lack of benchmarks and the fiscal impact. No final vote or disposition on the bill appears in the transcript excerpt.
MN
Minnesota 2025-2026 Regular Session
House State Government Finance and Policy Committee 2/26/26
State Government Finance and Policy
Transcript Highlights:
- , brokers, managing its own contracts, brokers, managing its own contracts, absorbing<00:26:28.320
- , and it was barely our recent contract, and it was barely enough<00:40:34.079>
to <00:40:34.240 - But whatever's in that contract, are they how are those?
- <01:23:49.920>
You contract, are they how are those? - You contract, are they how are those?
Keywords:
state grants, grant oversight, grants management, executive agencies, Minnesota Department of Administration, commissioner of administration, fraud prevention, waste prevention, grant monitoring, financial reconciliation, grant compliance, state government, public funds, grant recipients, competitive grants, grant administration, administrative oversight, monitoring visits, grant policy, legislative leave
HI
Transcript Highlights:
- just continue to get paid out for the duration of the contract.
- There are KPIs in most of or all of the marketing contracts, but there’s no consequences.
- just continue to get paid out for the duration of the contract.
- There are KPIs in most of or all of the marketing contracts, but there’s no consequences.
- It was not being able to deliver on that contract as should be.
Summary:
The Senate Committee on Economic Development and Tourism heard several governor’s message nominations to the Hawaii Tourism Authority’s advisory board. The first nominee, Daniel O’Leary, received strong support from HTA leadership and Deputy Director James Kunane Tokioka, who praised his visitor-industry knowledge and work on brand marketing and tourism planning. O’Leary said he hoped to contribute his experience and strengthen the organization’s integrity. Joel Guy was also supported by HTA, Tokioka, and several community testifiers, who highlighted his long work in Hana, his film-industry background, and his role in community-focused tourism planning. During questioning, Guy said the advisory board should still have influence, especially on strategic planning and community concerns, even though its role is advisory rather than decision-making.
The committee then considered Linda Wong’s nomination. HTA and Tokioka strongly supported her, citing her long community experience and familiarity with HTA work. Wong said the new advisory board was collaborative, had no conflicts so far, and was trying to balance resident concerns with attracting higher-value tourists. Senator Kim questioned her about the advisory structure, and Wong said she believed the Legislature had reduced HTA’s authority because of past conflicts but that the new board could help turn things around and possibly regain more authority in the future.
The committee also heard testimony on Kimberly Algos and Terry Fisher. Algos was described by HTA and Tokioka as a strong leader and solid board member; Tokioka explained that she and another co-chair were selected because of their busy schedules and that the advisory board’s committees were created so members could contribute beyond the single statutory duty of selecting the chair, president, and CEO. Fisher was supported for his tour-operator experience and strategic planning work. In questioning, he endorsed performance-based contracting and accountability for contractors, while acknowledging that external events can affect results. He also said the convention center is critical infrastructure that should be repaired and used to help fill tourism lulls and attract major conferences. The hearing included supportive testimony from industry representatives, but no votes or final actions were taken in the portion provided.
NH
NH
New Hampshire 2025 Regular Session
Health and Human Services Oversight Committee (04/25/2025)
Transcript Highlights:
- >
there <01:05:38.799>isn't in contract negotiations there isn't in contract negotiations - It's exhibit N in the contract.
- These are based on contract.
- So our bureau is responsible contract.
- And you'll see here those MCO contract.
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.