Video & Transcript Research : 'case plan'
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MN
Minnesota 2025-2026 Regular Session
Committee on State and Local Government - 03/06/25
State and Local Government
Transcript Highlights:
- area architectural and planning area architectural and planning board<00:02:29.000>
all <00 - <00:03:11.239>
process result of an extensive planning process result of an extensive planning - <00:47:31.640>
this cases this cases this was<00:47:33.640>uh <00:47:34.040>was - <00:58:26.160>
case <00:58:26.400>when do I hope that is the case case when do I hope - that is the case case when they<00:58:27.000>
come <00:58:27.240>down <00:58:27.440>
NH
Transcript Highlights:
- case.
- case was filed.
- He added that it would depend on the case-by-case basis.
- <04:16:58.319>
can case to hear the civil forfeite case can case to hear the civil forfeite - <04:17:01.439>
um <04:17:01.760>cases cause a backlog in other cases. um cases cause
FL
Florida 2025 Regular Session
February 11, 2025 - 03:30 PM
Transcript Highlights:
- That's a distinction compared to a managed care approach, because in our case, it's a care plan, not
- a cost plan.
- outside the plan.
- outside the plan.
- started as a long-term care plan.
Summary:
The Health and Human Services Committee received an overview of Florida’s intellectual and developmental disabilities (IDD) managed care pilot, created by legislation in 2023 to test whether a managed care model could integrate Medicaid medical services with iBudget waiver home- and community-based services for adults in pre-enrollment categories. AHCA explained the existing system, the pilot’s scope in Regions D and I, and the rollout timeline, including federal approval, contract execution with Florida Community Care, and the October 2024 go-live. Officials reported that, as of early February, 370 individuals had been sent for onboarding and 168 more were in queue, with about $35.8 million of the appropriation remaining. APD also clarified the difference between the pre-enrollment categories and the waiver waitlist, and noted that crisis cases can be enrolled more quickly depending on eligibility and funding.
Florida Community Care described the pilot as a comprehensive managed care model offering medical, long-term care, and iBudget services, plus enhanced benefits such as bed-hold days, caregiver transportation, and help with legal guardianship costs. The plan said it uses one care coordinator, a 1:18 coordinator ratio, a face-to-face assessment within five days of enrollment, and 180 days of continuity of care for existing providers. The company emphasized that it is recruiting providers by offering higher rates than some iBudget rates, lower administrative burden, and network adequacy incentives, while APD said it continues to monitor provider supply and demand and recruit across service types and regions. Members repeatedly questioned whether the pilot’s costs, provider rates, and service levels were truly comparable to the iBudget system, and AHCA and APD said it was too early to draw firm conclusions because claims data are still lagging.
Committee members also raised concerns about communication, enrollment delays, provider shortages, and whether the pilot could scale statewide. APD said it has used letters, phone calls, texts, emails, and community meetings to reach eligible individuals, and that some delays stem from required assessments, Medicaid eligibility checks, and level-of-care determinations. Several members asked for more detailed comparisons of costs and provider reimbursement between the pilot and iBudget, and APD said it would provide additional data. Public testimony at the end was strongly critical of managed care, with a participant and his mother describing poor service, transportation failures, and loss of control under prior managed care arrangements, and urging the committee not to expand such a model without safeguards. No votes or formal committee action were taken before adjournment.
MN
CA
California 2025-2026 Regular Session
Joint Legislative Audit Committee Jun 29th, 2026
Joint Legislative Audit
Transcript Highlights:
- The audit says that may not be the case.
- Is that still the case for UC? Is that still the case for CSU? That's correct for UC.
- Is that the case? That’s correct.
- That is one of the stated goals, and that plan is a three-year plan.
- But as a campus level, we do ask in our enrollment planning consultation that they are planning to meet
MN
Minnesota 2025-2026 Regular Session
House Workforce, Labor, and Economic Development Finance and Policy Committee 2/26/25
Workforce, Labor, and Economic Development Finance and Policy
Transcript Highlights:
- entities to identify training needs plan entities to identify training needs plan for<00:10:21.320
- investigation or case classification investigation or case that<00:42:44.440>
uh <00:42:44.520> - n FY 24 processed 349 mediation cases n FY 24 367<01:36:56.920>
cases <01:36:57.920>uh - <01:37:09.880>
a mediation cases are contract cases and a mediation cases are contract cases and - ><01:39:20.080>
and <01:39:20.239>other cases and 14 ibcb cases and other cases and 14
TX
Transcript Highlights:
- Posting of the central counting station plan on the county's internet website.
- So he's already talked about some of this, but the plan will help the leadership plan in advance of when
- That's not the case. If somebody complains and actually has an issue with it.
- We're talking about over a hundred thousand cases, not just a few.
- murder victims to appeal or to ask for case reviews.
Keywords:
HB 817, Texas Election Code, majority vote, majority threshold, ranked-choice voting, preferential voting, instant runoff voting, vote reassignment, ballot ranking, election administration, public office election, Election Code Section 2.0215, runoff elections, plurality vs majority, voting systems, education reform, budget allocation, teacher retention, student performance, accountability measures
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on State Administration and Regulatory Oversight Jun 21st, 2026 at 11:00 am
Joint Committee on State Administration and Regulatory Oversight
Transcript Highlights:
- Most of the time, that's not the case. We might need to do some redacting if that's the case.
- Most of the time, that's not the case.
- We're looking at a great tragedy: the precedents set by the Korematsu case and the other two cases, the
- The precedents set by the Korematsu case and the other two cases are used as precedents, not for change
- Thus, the Trump administration, for example, is using the Korematsu case and other cases as though it
Summary:
The hearing covered a wide range of bills, with substantial testimony on commemorative days and several local development measures. Early testimony focused on competing proposals about Indigenous Peoples’ Day: Senator Comerford and others supported redesignating the second Monday in October as Indigenous Peoples’ Day, while several Italian American legislators and advocates opposed changing Columbus Day and instead urged a separate Indigenous Peoples’ Day on August 9 or another date. Committee members noted the long-running debate, discussed the state flag and motto review process, and emphasized that any changes would require legislation. No votes were taken during the hearing.
The committee also heard strong support for a Fred Korematsu Day bill, with testimony from advocates, legal organizations, community leaders, and Korematsu’s daughter. Witnesses described Korematsu’s resistance to Japanese American incarceration during World War II, argued that his story remains relevant amid current immigration and civil liberties concerns, and said the designation would help educate students and the public. A separate bill to designate September as PCOS Awareness Month drew testimony from Senator Miranda and health advocates, who described the disorder’s prevalence, frequent misdiagnosis, fertility and pregnancy risks, and the value of public awareness and education.
Other bills discussed included a Domestic Workers’ Rights Day proposal, supported by Representative Garcia and Representative Sousa, who spoke about the invisibility and vulnerability of domestic workers and the importance of recognizing their labor. The committee also heard support for a veteran suicide awareness and remembrance day, a Boston branch library and affordable housing project in Dorchester, and a Fall River waterfront redevelopment bill transferring land to the local redevelopment authority for a major mixed-use project. In addition, Senator Miranda testified in favor of a memorial portrait for former Representative Doris Bunty, highlighting her pioneering role in the legislature and Boston public housing. The hearing was hybrid and lengthy, with the chair repeatedly asking witnesses to be concise and noting that testimony would be public record.
NH
New Hampshire 2025 Regular Session
Senate Energy and Natural Resources (04/22/2025)
Energy and Natural Resources
Transcript Highlights:
- These plans must include detailed plans.
- details about the management plan details about the management plan itself.<00:07:30.080>
that - with the timing of when the leech plan with the timing of when the leech plan and<00:08:27.440><
- time they don't have any kind of plan. time they don't have any kind of plan.
- <00:09:27.200>
This regarding those lie plans. This regarding those lie plans.
MN
Minnesota 2025-2026 Regular Session
House Fraud Prevention and State Agency Oversight Policy Committee 3/2/26
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- the, uh, ending of that plan.
- . cases. cases.
- certainly all of the plans have fraud. certainly all of the plans have fraud.
- ceasing to exist as a as a health plan. ceasing to exist as a as a health plan.
- <01:03:02.400>
So, <01:03:02.760>uh, of that plan. So, uh, of that plan.
Summary:
The committee met on March 2 and approved the February 23 minutes after a quorum was reached. The main presentation was from the Department of Human Services on non-emergency medical transportation (NEMT), a federally required Medicaid benefit that helps Minnesota Health Care Program enrollees get to medically necessary appointments. DHS said the program served more than 250,000 people in 2025 at a cost of $127 million, with participation up about 14% over five years, and described the seven transportation modes, provider enrollment requirements, STS certification, background checks, prior authorization rules, and planned transitions to a single administrator for parts of the program in 2026 and 2027.
DHS officials emphasized fraud prevention efforts, saying NEMT is one of the agency’s high-risk Medicaid services. They described enhanced prepayment review, provider revalidation and site visits, removal of inactive providers, and a provider moratorium in metro counties. Inspector General James Clark said the governor’s anti-fraud proposal would add pre-enrollment risk assessments, more staffing and technology, and electronic visit verification. He also noted that about 80% of NEMT spending is in managed care and that managed care organizations have their own compliance and special investigations units.
Committee members raised concerns about fraud, oversight, and privatization. Chair Robbins questioned DHS about the absence of the commissioner and the program’s use of brokers, citing past concerns and asking about the vendor MTM’s history; DHS said the RFP for the new broker had closed and the vendor selection was still underway. Representative Pinto questioned why oversight is outsourced to managed care organizations and suggested bringing more oversight back in house. MTM representative Phil Stahlberger defended the company’s record, said the Missouri dispute was about contract terms from about 15 years ago, and said MTM currently works in Minnesota counties and many other states, with on-site reviews, trip verification, and complaint review processes. No further votes or final actions on the NEMT policy were taken in the portion provided.
HI
Hawaii 2025 Regular Session
JHA Public Hearing - Thu Feb 20, 2025 @ 2:00 PM HST
Judiciary & Hawaiian Affairs
Transcript Highlights:
- well very very Case by case basis yeah well very very generally<00:26:13.600>
I <00:26:13.679> - No cases are okay, but the amount of cases that we're seeing are very small.
- cases.
- those cases to trial.
- c><01:20:49.719>
we <01:20:50.320>issue case-by Case basis um when we issue case-by Case
Summary:
The committee heard a series of transportation and public safety bills, beginning with HB 706, which would require skateboard users under age 16 to wear helmets. The Department of Transportation supported the measure, and the chair noted written support from AAA Hawaii, Kulani Medical Center for Women and Children, and several individuals. No opposition was mentioned, and the bill appeared to draw no questions.
Members then heard HB 860, which would grant immunity to the state or county that repairs or maintains a street when ownership or jurisdiction is disputed. DOT and DLNR supported the bill, with county support from Maui and a Hawaii Island county representative, while the Hawaii Association for Justice opposed it. The committee also heard HB 1162, requiring applicants for a motorcycle instruction permit to complete an approved basic rider course, with DOT support and a recommended amendment to exempt motorcycles used for training; the Public Defender asked about the current process, and DOT explained the bill was intended to improve safety given motorcycle fatalities. HB 1259, allowing speed-limit reductions within 10 mph of the current limit without an engineering study, also drew DOT support and support from the AAHU Metropolitan Planning Organization and individuals.
The committee next considered HB 1158, a governor’s package bill limiting civil liability for people who provide firefighting services with vessels at commercial harbors or roadsteads to gross negligence or wanton conduct. DOT Harbors said the bill was prompted by lessons from the Lahaina fires and was intended to encourage privately owned firefighting-equipped vessels to assist without hesitation; the Hawaii Harbor Users Group and an individual supported it. HB 54, which would make a third or subsequent excessive speeding offense a Class C felony and allow vehicle forfeiture, drew DOT support but strong opposition from the Public Defender, who argued the bill was overly harsh, would force jury trials, and could create sentencing problems; the Public Defender also said existing penalties were already significant. The committee then heard HB 1334, which would exempt donations of wild game meat, including axis deer, to charitable and nonprofit organizations from certain meat inspection and transportation laws; DLNR and multiple community and food-related groups supported it, and no opposition was noted.
Finally, the committee took up HB 698 on animal cruelty, which would increase criminal penalties for various offenses. The Public Defender opposed the bill, arguing the cases are rare, enforcement is limited, and the proposed penalties—up to Class A felony treatment in some cases—were too severe; animal welfare advocates strongly supported the measure, saying cruelty cases are widespread, underreported, and under-enforced, and that stronger penalties are needed as a deterrent. No votes or final actions were taken on any of the bills in the portion of the hearing provided.
ND
North Dakota 2026 1st Special Session
Government Finance Committee Jun 25th, 2026
Government Finance Committee
Transcript Highlights:
- What is their plan there?
- You put a plan together.
- 2020 plan.
- And we presented a plan. They asked for a five-year plan. Well, five-year plan means two sessions.
- My plan is...
Summary:
The committee first received a general fund and revenue update from the Office of Management and Budget. Staff reported that the state started the biennium about $176 million above prior estimates, but year-to-date revenues were now running below legislative forecast, mainly due to lower individual income tax and sales tax collections. The budget stabilization fund was above its cap, the legacy fund continued to grow, and oil revenues were slightly above forecast overall. Members also asked about federal funding uncertainty and mineral leasing variability, and OMB said agencies would be asked to address potential federal reductions case by case during budget preparation.
The committee then reviewed compliance reports and trust fund analysis materials, followed by a bill draft for a fixed-route city transportation grant program. Testimony from transit officials in Fargo and Minot supported the proposal, saying state aid would help match federal transit funds and support operations, but members raised questions about the funding source, fare structures, and whether the program should be limited to the current four fixed-route cities or allow future eligible cities. Several members asked for more time to study the formula and possible funding options before moving the bill forward.
Next, the committee approved a bill draft repealing obsolete language related to a proposed North Dakota-South Dakota bi-state authority. Staff explained the provision had been unused for about 30 years and that existing law likely already allowed joint powers agreements without the specific language. The committee voted to adopt the repeal bill draft.
The Department of Commerce and the Northern Plains UAS Test Site then provided an update on uncrewed aircraft system initiatives, including the Vantis radar data enclave, the drone replacement program, and future revenue models. Officials said North Dakota had received FAA approval to operate the radar data pathfinder, had begun replacing non-compliant drones from restricted foreign sources, and was working on phased procurement and cost-recovery plans. Members asked about deadlines, funding, supply-chain issues, and how the system would be used; staff said the federal restrictions were already in effect and that Vantis was being positioned as infrastructure for future beyond-visual-line-of-sight operations.
Finally, the Department of Corrections and Rehabilitation presented on the design of a new minimum-security prison and on a reentry housing task force. The new facility is planned for the penitentiary grounds, with a reduced estimated cost of about $263 million, 600 beds initially, possible expansion to 732 beds, and completion projected around 2031 if funded in 2027. The reentry housing task force described a data-driven effort to identify housing needs for people leaving incarceration, with the goal of reducing homelessness and recidivism through targeted housing support and possible subsidies. Members asked about staffing, site selection, housing duration, and whether employment and transportation needs would be included in the assessment.
TX
Transcript Highlights:
- I chaired annexation, and I handled hundreds and hundreds of zoning cases.
- On zoning cases, you look at the merits of the zoning cases and how it affects you.
- So it's an important bill to protect property owners in those cases.
- I participated in this case, and I've been to a lot of meetings about this case, a lot of public meetings
- In this case, the city did not initiate historic designation.
Keywords:
zoning, municipality, municipal immunity, governmental immunity, local government, Chapter 211, Texas Local Government Code, land use, declaratory relief, injunctive relief, mandamus, attorney's fees, court costs, property rights, home rule city, code enforcement, planning and zoning, land development, municipal ordinance, historic landmark
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Dec 9th, 2025 at 08:40 am
Transcript Highlights:
- We are participating in every regional plan meeting.
- An employee retention plan is being finalized by Ms.
- A finalized plan for state interviews will also begin in January.
- These are also just current cases; all of these aren't just overdue.
- And our plan is to do four additional ones in FY26.
AZ
Arizona 2026 Regular Session
01/27/2026 - House Natural Resources, Energy & Water
Natural Resources, Energy & Water
Transcript Highlights:
- "Okay, in that case, yes, you'd have to ask.
- No plans to help the 840 people in the valley who depend on private wells, no plans to help mitigate
- subsidence, no plans to help the three public water systems in the heart of the valley—no plans at all
- But they have pushed hard and have plans to get this bill passed. They had plans for that.
- They lost that case. It was illegal.
Keywords:
solar radiation management, environment, prohibition, Arizona Revised Statutes, public health, complaint process, Attorney General, groundwater management, water conservation, irrigation, water supply, brackish groundwater, water supply development, desalination, water infrastructure, financial assistance, environmental reviews, brackish water, groundwater, water resources
Summary:
The committee first received an update from Arizona Department of Water Resources Director Tom Buschatzky on Colorado River negotiations and post-2026 operating rules. He described the legal framework governing Arizona’s allocation, argued that Arizona and the lower basin have already made substantial conservation cuts, and said the upper basin is pressing positions Arizona views as inconsistent with prior Supreme Court rulings. He emphasized the need to move water from upstream reservoirs to Lake Mead, warned of continued shortage risk, and said the state is seeking an equitable deal through ongoing federal and interstate negotiations. Members asked about outside water use, tourism and recreation impacts, and tribal water rights, including the Navajo-Hopi-San Juan Southern Paiute settlement. Buschatzky said the state’s delegation and bipartisan support have been helpful and urged continued public and legislative backing.
The committee then heard House Bill 2758, which would expand McMullen Valley groundwater transportation authority and add related requirements and guardrails, including an amendment increasing the La Paz County transportation cap from 10% to 50% of the annual volume and adding conditions for sales or leases from historically irrigated acres. Supporters, including bill sponsor advocates, the Arizona Municipal Water Users Association, and the Home Builders Association, said the bill would create a lawful, regulated transfer option similar to the Harquahala model, support housing growth, and include oversight through hydrologic studies, pumping limits, and monthly reporting to ADWR. Opponents, including La Paz County Supervisor Holly Irwin’s statement, local residents, Sierra Club, and rural advocates, argued the bill would accelerate aquifer depletion, harm private wells and subsidence conditions, and benefit a New York hedge fund at the expense of rural communities. After debate, the committee adopted the Griffin amendment and then passed HB 2758 as amended on a 6-4 due-pass vote.
The committee next took up House Bill 2098, which would modify bonding authority and public hearing notice requirements for county water augmentation authorities and allow local repayment agreements with WIFA. Pinal County Supervisor Stephen Miller and other supporters said the bill would clean up statutory language so the Pinal County Water Augmentation Authority can finance future water augmentation and infrastructure projects, including potential Bartlett Dam-related work, and better prepare for future Colorado River uncertainty. The Home Builders Association also supported the bill, saying it included proportionality protections for private utility water charges. The bill was moved for a due-pass recommendation and the committee proceeded to a roll call vote, with the transcript ending before the final vote result was shown.
MN
Minnesota 2025-2026 Regular Session
Cmte on Rules - Subcommittee on the Federal Impact on Minnesotans and Economic Stability - 11/24/25
Transcript Highlights:
- c> are rate cases uh we are rate cases uh we are responding<00:27:10.240>
to <00:27:10.640> - ,<00:32:26.320>
you we're paying in a lot of cases, you we're paying in a lot of cases, you - lot of wind and solar and was planning lot of wind and solar and was planning on<00:34:34.879>
touched on a lot of what I was planning touched on a lot of what I was planning to<01:13:05.120> - own or in the case of a school district. own or in the case of a school district.
MN
Minnesota 2025-2026 Regular Session
Committee on Commerce and Consumer Protection - 03/17/26
Commerce and Consumer Protection
WA
Washington 2025-2026 Regular Session
Joint Legislative and Executive Committee on Behavioral Health May 19th, 2025
Transcript Highlights:
- The planning group, just to review, is At the planning group level.
- Our plan, in terms of the full report, Our plan in terms of the full report is to really expand on each
- an aspirational plan.
- So I do believe that those. ...plan.
- So you're absolutely right: we need to make sure that there's the plan, that strategic plan and goals
Summary:
The committee met for its final session before submitting a report to the governor and legislature, with introductions from state officials, legislators, advocates, providers, and facilitators. Staff explained that the meeting would focus on finalizing the committee’s strategic priorities and recommendations for a five-year behavioral health plan centered on prevention, early intervention, and community-based services. Members reviewed the draft overarching priorities, including the need for a statewide behavioral health vision and an executive-level role to coordinate behavioral health across agencies, and discussed how those priorities should reflect people with lived experience, families, and community voice.
A substantial portion of the meeting focused on the draft recommendations and how they should be organized and worded. Members raised concerns that the document was too aspirational and not specific enough, and several suggested moving more detailed actions under the broader priorities rather than leaving them in a separate section. There was also discussion about the use of the term “evidence-based,” with tribal representatives and others asking for language that also recognizes practice-based evidence, promising practices, cultural specificity, and flexibility in funding and implementation. Members also discussed clarifying “early intervention,” adding examples such as universal screening, outpatient access, primary care integration, and home visiting, and ensuring the plan reflects accountability and community feedback.
Other edits included clarifying credentialing recommendations to distinguish between licensure and payer credentialing, adding mentorship as a workforce retention strategy, and broadening Medicaid-centric language to include carriers and insurers more generally. Staff noted the report would be revised and sent back out for review by May 22, with comments due by May 27, in order to meet the June 1 submission deadline. No public comment was offered, and the meeting ended with thanks to members and facilitators for their work.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Mental Health, Substance Use and Recovery Jun 21st, 2026 at 01:00 pm
Joint Committee on Mental Health, Substance Use and Recovery
Transcript Highlights:
- And I know that to be the case.
- But only in 25% of our cases are independent...
- those cases are resolved short of trial.
- as just a normal case.
- He has 15 cases of a salt and He has 15 cases of assault and battery on other patients and staff while
Summary:
The committee held its fourth public hearing of the 2025-2026 session on bills dealing with involuntary commitment and access to addiction treatment, especially proposals to move Section 35 civil commitments away from jails and prisons and into facilities licensed or approved by DPH or DMH. Chairs Velis and Domb framed the hearing as a discussion of how to support people in crisis with compassion, while also warning against using involuntary commitment as a way to remove unhoused people from public view. The hearing also touched on related concerns about discharge practices, treatment capacity, and the need for a broader continuum of care.
Testimony split largely along two themes. Addiction researcher Keith Humphreys argued that many people enter treatment under pressure, that involuntary treatment can be ethically justified in the face of overdose risk, but that it should not be mandated unless high-quality services exist first; he emphasized the need for inpatient care when someone is a grave danger, followed by case management and outpatient support. MAMH’s Kate Alicante supported the bill, saying Massachusetts is the only state that commits people with substance use conditions to jails or prisons and that carceral settings add trauma and stigma; she pointed to prior legislative steps, including the Section 35 commission and the planned closure of DOC’s MESAC facility, as evidence that the Commonwealth is moving toward health-based settings.
A major portion of the hearing focused on Stony Brook, a sheriff-run stabilization and treatment center in Hampden County. Boston City Councilor John Fitzgerald, several committee members, and multiple people in recovery described the facility as humane, well-run, and effective, with longer stays, medical monitoring, medication-assisted treatment, counseling, and warm handoffs to aftercare. Several witnesses said Stony Brook saved their lives or helped family members recover, and they argued that the sheriff’s office model should be expanded rather than eliminated. Others, including family members and advocates, countered that even a well-run correctional setting remains stigmatizing and that people should not be treated in facilities run by sheriffs or corrections when they have committed no crime.
No vote was taken. The hearing concluded with continued testimony, including Senator Friedman’s support for Section 35 as a civil commitment tool but not in a criminal justice setting, and her separate support for a bill to speed inpatient mental health treatment.
NH
New Hampshire 2025 Regular Session
House Finance Division III (03/12/2025)
Transcript Highlights:
- , to local plans.
- , to local plans.
- business case to show how that business case to show how that $550,000<00:46:41.240>
would <00: - <00:52:59.440>
not employee plans not employee plans not uninsured<00:53:01.400>that - <00:53:49.640>
that with high deductible health plans that with high deductible health plans
Summary:
The working session focused on the New Hampshire Prescription Drug Affordability Board’s budget request and its recent work. Early discussion centered on a technical question about a statutory dedicated fund for donations: members asked why the budget did not show a line item for accepting donations, and DHHS CFO Nathan White explained that the statute already authorizes the fund, but because no revenue has been received yet, it does not appear in the budget. He said any future donations would go through the normal process under RSA 14:30-a, with fiscal committee and Governor and Council approval and a memo to the Department of Revenue Administration. The chair clarified that the account was not a prerequisite to soliciting donations, and White said the fund would supplement, not replace, General Fund support.
Kirk Williamson, the board’s executive director, then presented the board’s mission and budget. He said the governor’s budget provides about $256,500 in the first year and slightly more in the second, all General Funds, and that the board had distributed a technical amendment to continue the executive director position. He described the board’s role as analyzing prescription drug costs, identifying savings opportunities, monitoring market trends, promoting transparency, and making recommendations to the legislature and public payers. He also emphasized that the board operates publicly, with live-streamed meetings and a stakeholder advisory council that includes unions, state agencies, Medicaid, corrections, higher education, and other stakeholders.
A major topic was the board’s estimate of $6 million in potential savings, based on Medicare’s newly negotiated prices for 10 drugs. Williamson explained that the board used those federal negotiated prices as a benchmark to estimate what New Hampshire public payers might be missing by not having similar leverage, and said the board is trying to build evidence for future recommendations rather than directly setting prices. Members asked how those potential savings could become actual savings, and Williamson said the board is sharing findings through its advisory council and feedback loops, though it has not yet sent a formal recommendation letter to specific purchasers. He also discussed the difference between pharmacy-benefit spending, which relies heavily on PBM-negotiated rebates, and medical-benefit spending, which is administered differently and is being added to the board’s next report.
Williamson highlighted other work, including a model on Humira and a pending legislative effort to improve biosimilar competition, plus a proposed state-backed pharmacy savings card that would be no cost to the state and could save users about $240 per prescription based on Connecticut’s experience. No votes were taken during the session.