Transcript Highlights:

• And then the Fort Sumner Public Library integrated financial literacy into their summer reading program
• A lot of libraries also integrate STEM into their programming, everything from TinkerCAD to building
• And then the Fort Sumner Public Library integrated financial literacy into their summer reading program
• If you want these two things, you know, and so on and so forth, they've integrated that into their programming
• A lot of libraries also integrate STEM into their programming, everything from TinkerCAD to building

Summary: The committee heard a lengthy presentation from the New Mexico Rural Library Initiative in support of fully funding the rural library endowment with an additional $29.5 million. The presenters described rural libraries as essential community infrastructure that provide not only books and internet access, but also early childhood programs, adult education, workforce support, telehealth, disaster response, and civic meeting space. They argued that the endowment would provide stable annual support for staffing and operations, help sustain libraries in very small towns and tribal communities, and support new or developing libraries. Members asked about eligibility, county coverage, how funds are distributed, and whether the state tracks broader outcomes such as job placements or certifications; the presenters said the State Library administers the funds and that the initiative itself is a nonprofit capacity-building organization, not the fund manager. Some members raised concerns about whether an endowment is the best long-term model versus recurring annual appropriations, and about the need for better reporting and state-library involvement. The committee then heard from food bank leaders Jill Dixon and Katie Anderson about food security and its economic impact. They said New Mexico’s five food banks and more than 500 partner agencies serve all 33 counties, distribute over 45 million meals, and rely mostly on philanthropy, with some state and local support. They emphasized that SNAP is a major economic driver, supporting grocery access, jobs, and local spending, and that recent legislative growth funding helped food banks respond to a surge in demand during a SNAP disruption. They also highlighted food banks as community hubs that can connect people to health care, job training, and other services, including through clinic referrals and closed-loop systems. In response to questions, they said food access gaps remain in some rural areas, that clients can generally seek food at other distribution sites without barriers, and that longer-term solutions should include more grocery access, healthy corner stores, and stronger broadband and health care infrastructure. The final presentations came from the Gallup-McKinley County Chamber of Commerce and the Artesia Chamber of Commerce. Gallup-McKinley described a shrinking workforce, youth outmigration, crime, health care shortages, malpractice costs, and gross receipts tax burdens as major barriers to rural economic growth, and urged action on workforce pipelines, housing, public safety, malpractice reform, and tax/regulatory changes. Artesia highlighted its murals, library, sports tradition, oil and gas, agriculture, federal training center, and refinery, while also noting workforce shortages, health care recruitment challenges, housing constraints, and the need for quality-of-life investments and more flexible regulation. The committee also briefly heard a bill presentation proposing a New Mexico-Ireland Trade Commission to promote bilateral trade and investment, especially in technology, agriculture, and energy sectors. No votes were taken because quorum was not reached, and the endorsement item was not acted on.

Transcript Highlights:

• I did include a slide on program integrity, but others are going to speak in detail on that, so I will
• Initially, and Secretary Mann had referenced the program integrity function, there's a federal requirement
• that Medicaid maintains a program integrity function just for accountability purposes.
• And then I did include a slide on program integrity, but others are going to speak in detail on that.
• Initially, and Secretary Mann had referenced the program integrity function.

Summary: The Medicaid Subcommittee of the Legislative Joint Auditing Committee met to adopt the November 2018 minutes and receive a primer on the subcommittee’s role and Medicaid oversight in Arkansas. Legislative audit staff reviewed the subcommittee’s history and explained that Medicaid is audited annually through the statewide single audit because it is a high-risk federal program. Staff summarized recent audit findings, including weaknesses in eligibility and data-matching controls, improper use of Medicaid funds for partially non-Medicaid work, issues with incarcerated juveniles’ coverage, the absence of a Medicaid recovery audit contractor program exception request, reporting problems involving MFCU recoveries, and provider eligibility documentation concerns. Staff also noted a DHS departmental audit finding involving employees who improperly received benefits, which was referred for further action. The Department of Human Services gave an overview of Medicaid’s structure, eligibility, delivery systems, and budget. DHS described Arkansas Medicaid as covering about 850,000 people through fee-for-service, managed care, and premium assistance for the expansion population, and outlined major spending categories such as institutional care, long-term services, pharmacy, capitated payments, and supplemental payments. DHS also explained the difference between state plan amendments and waivers, and said it has a beneficiary-fraud unit that refers cases to local prosecutors. The Office of Medicaid Inspector General described its role in detecting and preventing fraud, waste, and abuse, distinguishing between suspensions for credible allegations of fraud and recovery actions for mistakes or overpayments. OMIG said it works with DHS and law enforcement, issues quarterly and annual reports, and has increased recoveries in recent years. The Attorney General’s Medicaid Fraud Control Unit explained that it prosecutes provider fraud criminally and civilly, can also handle long-term care neglect, abuse, and exploitation cases, and works with local prosecutors as special deputies. Committee members asked about court venue, provider suspensions, beneficiary fraud, education of providers, and the status of Medicaid expansion work requirements; DHS said it is preparing to implement community engagement requirements under HR 1 and will begin with a soft launch before full enforcement. No formal votes were taken beyond adoption of the minutes, and the meeting adjourned after questions were answered.

Transcript Highlights:

• and other through the DARE program and other programs<00:16:01.839> that<00:16:02.240> the
• There was no consideration for integrity seals.
• There was no consideration for integrity seals.
• And and it just wasn't integrity of it.
• At that time we had uh 39 program.

Keywords: 1191, senate, all

Transcript Highlights:

• for our program areas with the<00:18:58.080> program<00:18:58.480> integrity<00:18:59.120
• > legal<00:18:59.840> legal the program integrity legal legal the program integrity legal
• programs.
• <00:27:00.000> or<00:27:00.320> SMK program, the special milk program or SMK program
• data integrates programs, people and data integrates programs, people and data into<00:36:55.920

Keywords: 1183, house

Summary: The Education Finance Committee met on March 3, 2026, approved the minutes from February 26, and then held a lengthy informational hearing on the Minnesota Department of Education’s funding and internal allocation of resources. House fiscal staff walked members through several spreadsheets showing federal, non-general fund, and general fund administrative spending, noting the data was filtered from SWIFT and was not exact. The chair said the discussion was intended to help members understand how MDE is funded and how those funds are used internally, in advance of later budget decisions and a separate upcoming hearing on the Perpich Center. Commissioner Willie Jett opened by describing MDE’s mission, statewide reach, and FY 2026 budget of about $14.1 billion, most of which flows directly to districts and charter schools for instruction, special education, transportation, nutrition, and operations. He emphasized transparency, accountability, and the department’s role in implementing laws, distributing aid, and supporting schools and students across urban, suburban, and rural communities. He also noted the department serves more than 873,000 pre-K through 12 students in 2,264 schools. Deputy Commissioner Maren Holden outlined the Office of American Indian Education, the Office of General Counsel, and the Office of Inspector General, highlighting support for American Indian students, legal and rulemaking work, special education dispute resolution, fraud prevention, and student maltreatment investigations. Assistant Commissioner Dr. McCari Traum described the Office of Equity and Engagement, including equity and inclusion training, safe and supportive schools work, public engagement, family outreach, and fraud-prevention coordination. Assistant Commissioner Darren Cordy reviewed nutrition programs, special education services, and the charter center, including free school meals, commodity food distribution, IDEA compliance, and charter school support. Assistant Commissioner Bobby Bernham then described the Office of Teaching and Learning, including early education, academic standards, instruction and assessment, state library services, expanded learning, and literacy work. He highlighted early childhood alignment efforts, standards development across core subjects, professional learning, and library grants. No votes were taken beyond approval of the prior minutes, and the meeting remained informational, with members expected to ask questions after the presentations.

Transcript Highlights:

• Council members strive to support program integrity and efficiency in serving this population.
• Thank you for the time today, and we look forward to working with the author to support program integrity
• It describes the goals of the program.
• delivering related programs to address the needs of these citizens.
• This targeted pharmacy lifeline program is similar to programs that have been done in other states across

Transcript Highlights:

• All program income received by the VR program is to report it as federal program income earned.
• We have a pre-EDS program.
• integrity through program evaluation and quality assurance.
• Field operations ensures alignment with the agency's mission and program integrity, drives implementation
• We use the integrated service model. We use the integrated service model.

Keywords: 977, all

Summary: The committee met to receive a detailed financial operations presentation from the South Carolina Vocational Rehabilitation (VR) agency, with staff walking members through funding sources, budgeting, accounts receivable, accounts payable, and grants management. Sabrina Walker explained VR’s blended funding structure, including federal grants, state appropriations, program income, and interagency contracts, and emphasized that state funds are essential to meeting the federal match and maintenance-of-effort requirements. Members asked repeatedly about transparency, audit controls, and the risk that state cuts could reduce federal drawdowns; staff responded that all reports reconcile back to the SCEIS accounting system, are subject to state audits and internal reviews, and that even modest state reductions could significantly reduce total available funding. The committee also discussed pre-employment transition services for students with disabilities, with staff confirming services are offered through school districts, charters, and private schools, and that contracts are monitored for performance and compliance. The presentation then shifted to budgeting and internal controls. Walker described a zero-based departmental budgeting process, monthly monitoring reports, contingency reserves for unexpected expenses, and a formal annual cycle that culminates in board approval. Members asked about facilities tracking, culture, and how the agency maintains accountability; staff said facilities staff inspect buildings and equipment, supervisors justify line-item requests, and the process has become smoother over time as departments learned the system. Cynthia Johnson followed with an accounts receivable overview, describing invoicing, receipting, aging, customer verification, year-end reporting, and the use of cross-training, shared email inboxes, and spreadsheets as checks and balances. She also explained work training center billing, interdepartmental transfers, and the revolving fund used to issue consumer checks more quickly than standard vendor payments. Olivia Perez presented accounts payable operations, including invoice processing through SCEIS and OnBase, the three-way match, travel reimbursements, revolving fund checks, State Treasury Office interactions, and handling of reversals, rejections, and levy notices. She reported that AP processed 67,723 SCEIS payments, 13,670 case management system invoices, 3,379 travel reimbursements, and 15,693 revolving fund checks in fiscal year 2025, with only 70 payment rejections. The final portion of the meeting covered Grants and Funds Management, where Walker explained federal reporting, drawdowns, payroll allocation, asset tracking, lease and IT contract reviews, cost allocation, and closing packages. She noted upcoming system changes such as S/4HANA, Workiva, and SC Pro, but said the agency is receiving training and feedback opportunities. No formal votes or legislative actions were taken during the presentation portion beyond approval of the prior minutes and a brief recess.

Transcript Highlights:

• This bill also encourages any state entity that funds ESVM programs to consider prioritizing practices
• It allows agencies that want to put together special programs to undertake projects to do vegetation
• The district is not opposed to creation of a pilot program with 250 of these repurposed idle oil and
• energy storage well until that mechanical integrity is restored.
• energy storage well until that mechanical integrity is restored.

Summary: The Assembly Natural Resources Committee met with some initial delay while waiting for quorum, then approved the consent calendar items SB 234, SB 484, and SB 839. The committee heard several bills focused on wildfire mitigation, biomass use, climate resilience, and geologic hazard mapping. Members and witnesses repeatedly emphasized the need to balance climate, air quality, public health, and land management goals, with testimony both supporting and opposing biomass-related proposals. SB 88 (Caballero) would direct state agencies to support beneficial uses of forest and agricultural biomass, including biochar and low-carbon energy. Supporters argued it would reduce open burning, improve air quality, and create rural economic opportunities; opponents, including environmental groups, argued woody biomass energy is costly, polluting, and harmful to forests and communities. The bill passed as amended to Appropriations. SB 653 (Cortese) defining environmentally sensitive vegetation management also passed, with supporters describing it as a voluntary framework to align wildfire fuel reduction with biodiversity and habitat restoration; no opposition was heard, and a member requested to be added as a coauthor. The committee also approved SCR 50 (Stern), which urges state climate agencies to define maladaptation and develop criteria for reviewing climate-related policies and investments, and SB 567 (Limón), a pilot program to study converting idle oil wells into gravity energy storage wells. SB 567 drew support from the sponsor and labor/local government witnesses, while the Water Replenishment District opposed unless amended, citing groundwater protection concerns in key basins and asking for additional safeguards. Finally, SB 831 (Limón) passed, clarifying the scope of geologic hazards to include conditions tied to climate change and natural disasters such as post-fire debris flows, subsidence, and coastal erosion. All measures were reported out of committee, with several absent-member votes later added to complete the roll.

Transcript Highlights:

• PROGRAM COMPLETELY VOLUNTARY.
• THROUGH THE PARTICIPANT DIRECTED OPTION PROGRAM UNDER THAT PROGRAM.
• BUT NEVER ENROLLED IN THE PROGRAM.
• JOIN THE PROGRAM BECAUSE HE GOT TO START GOING TO AN ADULT DAY TRAINING PROGRAM.
• BUT IT IS NOT FULLY INTEGRATED.

Transcript Highlights:

• Additionally, if you are growing, the way the funding formula integrates that growth, it integrates it
• The seven programs that Mr.
• to support their program.
• more investment into the programs.
• , student support programs.

Summary: The Assembly Budget Subcommittee on Education Finance held a hearing focused on California Community College budget proposals. Chair Alvarez opened by emphasizing the system’s role in access, transfer, workforce training, and serving more than 2 million students, while also noting persistent challenges in enrollment, persistence, transfer, and graduation. Public commenters and system representatives broadly supported COLA, enrollment growth funding, deferred maintenance, student support block grants, and additional flexibility for districts facing uncertainty. The first major panel covered the student-centered funding formula, COLA, and enrollment growth. The Department of Finance said the Governor proposes a 2.43% COLA ($230.4 million) and 0.5% enrollment growth funding ($30.4 million). The LAO said the COLA was reasonable and recommended funding at least the proposed growth amount, citing uneven enrollment recovery and regional differences. The Chancellor’s Office supported both proposals and asked for additional changes, including using the greater of current-year or three-year average for apportionments and lifting the 10% local enrollment cap, arguing these would better fund growing districts. Members questioned how the formula works, whether SCFF is improving outcomes, and how much additional funding would be needed under different growth scenarios. The committee then reviewed categorical program COLAs, Rising Scholars, career education proposals, IT proposals, and student housing. The Governor proposed a 2.43% COLA for selected categorical programs ($31.9 million). For Rising Scholars, the Governor proposed $30 million ongoing and removal of the cap on participating colleges; the LAO urged waiting for outcome data before doubling funding, while the Chancellor’s Office said the program is serving more students and supports equity for justice-impacted students. On career education, the Governor proposed $50 million for credit for prior learning and $50 million for a career passport; the LAO supported more reporting on credit for prior learning but recommended rejecting the career passport as too undefined, while the Chancellor’s Office supported both. On technology, the Governor proposed $162.5 million for a common cloud data platform and $168 million for a common ERP system; the LAO said both were premature or lacked sufficient planning and recommended rejection, while the Chancellor’s Office argued they would improve real-time data, security, and systemwide efficiency. The committee also heard an update on student housing: the administration said the 2024 shift to a lease-revenue bond model remains in progress for 13 approved projects, with 11 still active, and members asked about withdrawn projects and possible use of any returned funds. No votes were taken, and several items were held open for further discussion and May Revision updates.

Transcript Highlights:

• As a Vietnamese American doula and a graduate of our workforce development program, she...
• As a Vietnamese American doula and a graduate of our workforce development program, she...
• On outreach, CHWs connect people to detox programs and distribute Narcan that saves lives.
• These new technologies and practices should be integrated Currently performed by cemeteries.
• I know what it's like to be helping and praying they get into an inpatient program in time.

Keywords: 995, all

Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.

Transcript Highlights:

• <00:03:49.360> management by federal integrity management by federal integrity management
• to address safety and integrity. to address safety and integrity.
• You hear quite a bit when you talk about pipeline-related code, about integrity management programs,
• transmission integrity management programs, distribution integrity programs, distribution integrity management
• programs.

Keywords: 1187, senate, all

Transcript Highlights:

• programs, and nutrition assistance.
• In a program with so many outstanding participants, it seems difficult to choose the best.
• programs, and nutrition assistance.
• programs, and nutrition assistance.
• Have demonstrated strong integrity Okay.

Bills: HR209, SB3131, SB2494, SB2447, SB2727, SB2145, SB2143, HR22, HCR22, HR97, HCR105, HR138, HCR146, HCR16, HCR35, HCR40, HR3, HCR4, HR161, HCR171, HR109, HCR117, HR33, HCR33, HR141, HCR149, HR190, HCR200, HR193, HCR203, HR194, HCR204, HR196, HCR206, HR197, HCR207, HR191, HCR201, HR12, HCR10, HR148, HCR157, HR184, HCR194, HR195, HCR205, HR192, HCR202, HR173, HCR183, HR179, HCR189, HR181, HCR191, HR21, HCR21, HR23, HCR24, HR60, HCR66, HR113, HCR121, HR145, HCR153, HR74, HCR82, HR77, HCR85, HR90, HCR98, HR27, HCR36, HR165, HCR175, HR187, HCR197, HR5, HCR6, SB2054

Keywords: entertainment, comedy, youth wellness, cultural identity, Hawaiian culture, mental health, public service, job title, administrative assistant, executive assistant, state personnel, civil service, modernization, employment standards, bribery, corruption, statute of limitations, public servant, criminal justice, campaign finance

Transcript Highlights:

• or the programs.
• There's no one silver bullet or one program that's going to solve it all.
• But I think part of the program also ought to be that with the AI group... ...program also ought to be
• services programs...
• services programs.

Keywords: 1204, all

Transcript Highlights:

• <00:11:57.680> is not going to affect that program is not going to affect that program is
• This is necessary to see those programs.
• program like this? program like this?
• , um, or mobile integrated health, is what I'm trying to do.
• , um, or mobile integrated health, is what I'm trying to do.

Keywords: 928, house, all

Summary: The Committee to Study Long-Term Managed Care approved the prior meeting minutes as amended after correcting the first paragraph. The chair then outlined the committee’s plan to produce a preliminary report by October 1, with additional meetings to follow, since some questions remain about the federal One Big Beautiful Bill (OB3) and its effects on Medicaid financing and managed care. The main discussion focused on New Hampshire nursing home funding and how ProShare and MQUIP work. Members reviewed Medicaid rates, supplemental payments, intergovernmental transfers, and the role of federal matching funds. The chair and Mr. Litman concluded that OB3’s phase-down of payments above the Medicare rate likely would not directly eliminate ProShare or MQUIP in New Hampshire, but uncertainty remains about intergovernmental transfers and about how these payments would function if the state moved nursing facilities into managed care. Mr. Litman said managed care would likely require waivers for supplemental payments, and Texas was cited as an example of a state operating under such waivers. The committee also discussed dual eligibles, DNIP, PACE, and the possibility of carving out HCBS from nursing facility services. DHS said its managed care contract would allow the state to use MCOs for DNIP, with the goal of better coordination between Medicaid and Medicare, while PACE would likely require more study and might be more feasible in populated counties. Members also reviewed OB3’s new presumptive eligibility provisions and a state waiver request modeled on Washington’s approach, plus a separate grant for transitioning people from facilities back to the community. The rural health transformation fund was discussed as a possible source for workforce, telehealth, mobile integrated health, and other support investments, but not for direct construction or major building renovation. County representatives emphasized that any county role in PACE or DNIP would require significant vetting, infrastructure, capital investment, and a realistic timeline. The meeting ended with the chair saying the draft report would outline issues and possible alternatives, but not recommendations yet, and the committee adjourned without taking further action.

Transcript Highlights:

• sales, and leasing program.
• the integrity of CETA.
• The solid waste management program at Ecology supports local moderate risk waste programs, which include
• Finally, programs need to be simple.
• And so for me, what I want to see in an EPR program, in any EPR program, regardless of the product that

Keywords: 904, all

Summary: The committee’s interim work session focused first on carbon capture, utilization, and sequestration (CCUS), with presenters from industry, nonprofits, and state agencies describing Washington’s geologic potential, the role of basalt formations, and the difference between point-source capture, direct air capture, utilization, and permanent storage. Industry and project developers emphasized that Washington has major opportunities to reduce industrial emissions, create jobs, and support hard-to-electrify sectors, while state agencies explained current policy touchpoints in the Cap and Invest Program, emissions exemptions for permanently stored CO2, and the Clean Energy Transformation Act. Several presenters urged clearer statutory and regulatory pathways, including rules for pore space, subsurface rights, pipeline siting, and long-term liability; others cautioned that CCUS should be limited to real emissions reductions and not treated as a substitute for broader clean energy measures. Committee members asked about public comment opportunities, whether mineralized carbon would qualify for exemption under the Climate Commitment Act, the energy intensity of capture systems, aquifer protection, and liability if storage later proves problematic. Ecology said it is developing guidance through a public engagement process running through late June and that mineralized or otherwise permanently stored CO2 would likely qualify if it meets the 1,000-year permanence standard. DNR and outside experts also discussed trust lands, water rights, and the need for additional geophysical surveys and test wells. The panel did not take any votes or formal actions. The second half of the meeting turned to hazardous waste and extended producer responsibility. Ecology reviewed existing product stewardship programs for electronics, paint, batteries, and mercury lights, and described how moderate risk waste and household hazardous waste are currently collected through county facilities and events. Ecology said the electronics program is its best model, while the mercury lamp program is currently in transition after the prior stewardship organization exited and a new organization is seeking approval. Ecology recommended that future EPR programs have clear producer and product definitions, full producer funding, convenience standards, annual reporting, and strong enforcement authority. Local government witnesses from King County and Douglas County described rising costs, access barriers in rural areas, and the need for stable funding and flexible local delivery models. King County said it collected over 3 million pounds of hazardous products in 2025 and argued that EPR could reduce costs for ratepayers and improve equity. Douglas County stressed that rural residents are willing to participate when services are available, but travel distance and operating costs make access difficult. An industry representative supported narrowly scoped stewardship programs like PaintCare but warned that broad household hazardous waste EPR systems can become difficult to administer and may require legislative revisions if responsibilities are not clearly defined. No votes were taken on the hazardous waste topic either.

Transcript Highlights:

• Finally, numerous changes in Medicare, Medicaid, SNAP, and other federally funded programs will require
• > can<00:06:50.960> reduce By integrating benefits MCOs can reduce By integrating benefits
• One of my concerns is, you know, I wanted to make sure the program is voluntary.
• One of my concerns is, you know, I wanted to make sure the program is voluntary.
• One of my concerns is, you know, I wanted to make sure the program is voluntary.

Keywords: 1189, house, all

Summary: The Committee to Study Long-Term Managed Care met to approve the prior minutes and then focused on its final report. The chair reviewed the committee’s earlier options—maintaining the status quo, adopting DNIP, adopting an HCBS carveout model, or moving fully to managed care for the aging population—and noted that ABD and developmental disabilities had already been excluded from consideration. He proposed a final recommendation that New Hampshire consider adopting DNIP as a voluntary option to better coordinate Medicare and Medicaid for dual eligibles, reduce duplication, and create a possible pathway toward future managed care, while acknowledging that a majority and minority report could be issued if needed. Members generally supported the draft recommendation and asked questions about whether federal budget changes would incentivize states to move in that direction, how the proposal would align with current department efforts, and whether the program would remain voluntary. Director Henry Litman said he did not see a specific federal mandate in OB3, but noted incentives in rural health transformation funding and said the proposal aligned with existing managed care contract direction. He and others emphasized that DNIP should be voluntary and that implementation timing would need to account for federal deadlines and broader changes facing the department. Members also discussed PACE, with one member saying it appeared feasible mainly in more populous areas and expressing neutrality, while another raised concerns about county risk and the need to preserve patient choice and maintain three MCOs. After discussion, members indicated agreement with the majority report approach and no further changes were proposed. The committee then moved to accept the draft language as presented and issue it as its report; the motion was seconded and approved by voice vote. The meeting then adjourned.

Transcript Highlights:

• I think there are other state programs that are growing based on that.
• Districts are receiving funding from both of those programs.
• and ACES. programs together.
• programs, were districts who did not have an ownership or priority for expanded learning programs.
• to cover high school programs?

Keywords: 988, house, all

Transcript Highlights:

• We're going to look at some of the requests from APD and DFS with the Palm Program.
• this program insurance, which is completely separate from that singular event.
• The program lead is still the same and he's he's a valuable resource for us.
• We started integrates integration testing with state agencies. In October.
• We're there will be more can't integration testing going on.

Transcript Highlights:

• We have the 90-day transition program. We have a mental health transition program.
• Election integrity is extremely important. Thank you. Election integrity is extremely important.
• I believe in integrity of elections.
• Election integrity and confidence.
• And that just shows the integrity that he has and the integrity of our system.

Keywords: 1182, all

Transcript Highlights:

• other kinds of pathway programs, we have about 12 different pathway programs that we're participating
• What they're doing is they're really integrating training programs, introductory programs with their
• How are you integrating here in the city, in the urban areas, and really integrating with the Boys and
• We just are curious: are we talking about integration with health, or are we talking about integration
• I'm talking about the integration with health and health programs, mentoring programs that really grow