Transcript Highlights:

• A licensure requirement is added, whereas today in RSA 5B there is no licensure requirement.
• Number 10 where you say required.
• Not not require statuto for them.
• <01:35:28.800> I requirement. I I think you're right. I requirement.
• Happy to do that. requirement for filing tax returns. Tax requirement for filing tax returns.

Keywords: 1189, house, all

Summary: The subcommittee took up the pooled risk management program bill and reviewed a new amendment drafted with input from the Insurance Department and Legislative Services. Department witnesses explained that the proposal would move oversight of pooled risk management programs from the Secretary of State’s office to the Insurance Department, add a licensure requirement, preserve the programs’ non-insurer status, and exempt them from third-party administrator licensure. They also described a series of solvency tools in the draft, including financial reporting, risk-based capital standards, minimum capitalization, investment limits, commissioner examination and enforcement authority, rulemaking authority, merger and affiliate-transaction review, confidentiality protections, and a separability clause. A major theme of the discussion was that pooled risk management programs differ from commercial insurers because the risk remains with the member local governments rather than being backed by a state guarantee fund. Witnesses said the bill is designed to emphasize solvency over return of premium and to give the Insurance Department a regulatory “toolbox” to prevent insolvency, including a proposed $5 million excess or stop-loss coverage benchmark, optional accessible policies, and a requirement that boards vote on dividends or premium returns when capital exceeds 600% of risk-based capital. Members questioned how this approach differed from the original Secretary of State bill and whether assessments on towns would still be possible; the department responded that the new framework would allow more flexible oversight and alternatives to immediate court action. The committee also discussed why the statute should continue to say the programs are not insurers, with the department explaining that this preserves their autonomy and avoids applying unrelated insurance laws and premium taxes. Members asked about the department’s workload and were told the department believed it could absorb the new duties without additional funding. No vote or final committee action was taken in the portion provided.

Transcript Highlights:

• For example, many states require For example, many states require electronic<00:08:51.760> visit
• <00:09:09.920> for implementing these requirements for implementing these requirements for
• We will be introducing a bill to require We will be introducing a bill to require accelerated<00
• Uh and they would required to use it.
• The name is taken from that little check box that you have on a website that requires security and requires

Keywords: 918, senate, all

Summary: Senate Republican leaders held a press event to roll out a package of anti-fraud proposals focused on state welfare and human services programs. Mark Johnson opened by citing recent fraud scandals, including a shuttered housing program and reports of vulnerable adults being left without care while providers billed for full services, and said Republicans want top-down reform, stronger accountability, new technology, and tighter oversight of taxpayer dollars. Michael Kreun said Republicans support an independent Office of Inspector General and argued the Senate-passed bill should not be weakened in the House; he also said the Senate should restore its role in confirming agency commissioners, especially at DHS, which he described as central to the fraud problem. Jordan Rasmusson outlined a plan to stop “blank checks” for DHS and DCYF services by requiring legislative audit review when a program exceeds budget by 5 percent and legislative approval for additional spending at 10 percent over budget. He also said DHS should adopt basic integrity tools such as electronic visit verification and client sign-off. Steve Drazkowski described two bills: a statewide “do-not-pay” list to block payments to ineligible people or entities, and an “I’m Not a Robot” proposal for Medicaid managed care that would require enrollee verification forms, with a 2 percent payment withhold used to encourage compliance and potentially fund county system upgrades. Mark Krueger said the state should improve technology and data use for eligibility determinations, citing other states’ rapid fraud-fighting systems, and proposed penalties for false reporting to the Legislative Auditor after a DHS audit found falsified site-visit records. Steve Gruenhagen said his bill would require DHS and DCYF to resume annual fraud-prevention and oversight reports to the legislature, which he said had stopped after 2017 despite rising fraud cases. Michael Holmstrom proposed unannounced site visits for all DHS and DCYF providers before enrollment, reenrollment, and revalidation, funded through provider service fees, and cited a recent case involving a woman with autism who was billed for far more care than she received. In the Q&A, Kreun said House Democrats’ delete-everything amendment to the inspector general bill removed the law enforcement division and stripped the bill of its “teeth,” and he suggested the governor’s office may have been involved in efforts to replace the bill with a weaker coordination council model. No votes were taken in the press conference.

Transcript Highlights:

• Please make note and no action is required.
• No action is required. The secretary will read the next message. Mr.
• Members, no action is required.
• Members, no action is<00:05:45.919> required.
• We will now proceed to the is required.

Keywords: 1187, senate, all

Transcript Highlights:

• <01:26:15.679> The requirement. So, you're correct. The requirement. So, you're correct.
• That's the emergency room requirement That's the emergency room requirement and<01:47:25.440>
• <02:29:57.200> in the bill it puts in requirements in the bill it puts in requirements in
• say here's the requirement just do that. say here's the requirement just do that.
• there are already federal requirements. there are already federal requirements.

Keywords: 1191, senate, all

Transcript Highlights:

• And then we did submit, as statutorily required, legislative required, our report in December of 2024
• Delivers more than what you originally required or anticipated.
• That's the requirement.
• The pilot is voluntary, so are you opting in, are eligibility requirements?
• coverage, and the 27 home and community-based services."

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.

Transcript Highlights:

• It requires, and this is something we had at last session as we were working on, it requires them to
• Additionally, that insurance company that exists to offer coverage in our state will only offer coverage
• These include certain transparency requirements for prior authorizations as well as procedures and requirement
• with utilization review requirements.
• all the other reviews that are required by law.

Bills: HB139

Keywords: ad valorem tax, tax rates, voter-approval, taxing unit, property tax, local government

Transcript Highlights:

• these arduous eligibility requirements under the new HR1 system.
• Under 1D, that requires annual reporting to the Legislature.
• E requires DMV to adopt and maintain a monitoring plan.
• J requires DMV to notify the Legislature at least 30 days in advance.
• And that is K, which requires the State Auditor to conduct an audit of DMV's compliance with these requirements

Keywords: 987, senate, all

Transcript Highlights:

• In demography, we call this coverage, using that word to denote whether a census is complete.
• You see that I put in the coverage error in 2010, the coverage error in 2020, but the standard error,
• The PES also looked at net coverage error for housing units.
• And when you kind of dig in further, there were certainly areas of coverage that were also lagging in
• So, you do the best you can, but it does require some time.

Keywords: 995, all

Summary: The Senate Committee on the Census met on December 8 at 9:32 a.m. to examine the dynamics that drive census undercounts and overcounts, with testimony first from Joseph Salvo and then from Susan Strait of the UMass Donahue Institute. Salvo explained the Census Bureau’s two main evaluation tools: demographic analysis, which uses vital records, migration estimates, and Medicare data to produce a national benchmark, and the post-enumeration survey (PES), which compares a separate sample-based count to the census. He said the 2020 census showed a small national net undercount, but larger age- and race-based disparities, including the highest undercount among children ages 0 to 4, higher undercounts for men, substantial undercounts for Black, Hispanic, and American Indian/Alaska Native populations, and overcounts among some older and college-age groups. He also described how self-response, non-response follow-up, administrative records, proxy responses, and imputation affected data quality, arguing that proxies and imputation were especially weak and that outreach remains critical for 2030. Committee members asked Salvo to clarify the methods and error bands, the role of international migration estimates, and how the PES differs from the census address list and LUCA. He explained that PES is based on a separate sample of blocks and can add units within sampled blocks, but it does not measure units missed entirely from the original address list; LUCA matters because it improves that list before enumeration. He also discussed age heaping, duplicate responses among older adults, and why group quarters and COVID-related disruptions complicated the 2020 count. Senator Driscoll briefly interrupted to describe Randolph’s successful appeal of its 2020 count after an undercount in disability care homes, and Salvo noted that the post-census group quarters review helped correct some missed facilities. Susan Strait then focused on Massachusetts-specific results. She said Massachusetts’ 2020 count was strong overall, with population growth above the national average and a PES-based finding that the state was overcounted by 2.24 percent, though she emphasized that this did not mean all areas were accurately counted. Using demographic analysis, she said Massachusetts had an estimated 4.15 percent undercount of children ages 0 to 4, with the largest county-level undercounts in Hampden, Suffolk, and Essex, and she linked higher child undercounts to lower educational attainment and female-headed households. Strait also reviewed operational metrics showing that Massachusetts had relatively strong internet self-response, but that non-response follow-up relied heavily on household interviews, administrative records, proxies, and imputation in different counties. She highlighted higher proxy use in college-heavy counties such as Hampshire and Suffolk, and said counties with more minority residents were more likely to have population-count-only cases and other indicators of harder-to-count populations. The hearing ended with discussion of how these findings could inform outreach and census planning for 2030.

Transcript Highlights:

• of people who require those services. of people who require those services.
• Yeah, I want to make sure needed to meet a requirement or required can be two different things."
• But are these required by statute?
• are not required by statute? are not required by statute?
• <00:16:07.040> or<00:16:07.440> required needed to meet a requirement or required needed

Keywords: 958, all

Summary: The Government Contracts Committee first approved the minutes from its July 8 meeting and then moved through a large agenda of contracts and deferred items. The committee deferred a Kentucky Education Television contract because the vendor was still not registered with the Secretary of State, and also deferred a University of Louisville contract to the September meeting at the university’s request. Both motions passed by roll call. The committee then took up a contract with the Department for Behavioral Health, Developmental and Intellectual Disabilities for Seven Counties Services. Committee members questioned why the state continues funding the provider despite its ongoing bankruptcy tied to unpaid retirement contributions, how the funding split is determined, whether the state had explored other providers or direct state delivery, and whether all services in the contract are truly required by statute. Agency officials said Seven Counties is the statutorily designated community mental health center for the region, serves about 24,500 people, and provides core safety-net services that would be difficult to replace; they also said the bankruptcy dispute is still ongoing and the contested amount is about $20 million. The committee ultimately deferred the contract to the next meeting and requested additional information on the scope of services and potential offsets or recovery of unfunded liabilities. The final deferred item was a Department for Community Based Services contract with Youth Villages for the Intercept program. DCBS explained that the program is used because it is an approved evidence-based service under the Family First Prevention Services Act, that Youth Villages has Kentucky staff and offices even though it is headquartered in Tennessee, and that the contract is intended to support intensive in-home services, foster care stabilization, and family reunification. Members asked why the services could not be provided in-house, whether Medicaid should cover more of the cost, and whether the state requires the provider to bill Medicaid as a payer of last resort. DCBS said it would verify billing and funding details and provide them back to the committee. The committee then voted to defer the contract to the next meeting.

Transcript Highlights:

• One, it requires MassHealth, health insurance companies, and the GIC to cover reimbursement.
• Passage of this legislation to require insurance coverage of CHW service is key to realizing the associated
• But thriving requires more than just a physician. It requires a care team.
• These bills will require more advanced warning.
• What these bills would do would require one year's advance notice of a closure.

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:

• Please make a note, no action is required.
• a sudden this constitutional requirement a sudden this constitutional requirement has<01:18:51.320
• exactly that constitutional requirement exactly that constitutional requirement that<01:19:17.120
• $17,000 in their first dollar coverage. $17,000 in their first dollar coverage.
• :16:28.240> barriers bill does not require barriers bill does not require barriers everywhere.

Keywords: 918, senate, all

Summary: The Senate convened under a call, established a quorum, received a chaplain’s prayer and the pledge, and then proceeded through routine business. Members adopted the committee reports except those relating to Senate Concurrent Resolution 6, gave second reading to Senate File 203 and several House files, and referred Senate File 5200 to Rules and Administration. The chamber also adopted a motion to return Senate File 4390 from the general orders calendar to the Finance Committee. The main floor activity centered on a series of motions to send withdrawn executive appointments back to their originating committees under Senate Rule 8.2. Senator Putnam moved to return appointments from the Agriculture, Veterans, Broadband, and Rural Development Committee, including the Board of Animal Health, the Veterans Affairs commissioner, and the Rural Finance Authority. Senator Swadzinski moved a similar action for Education Policy appointments, and Senator Her did so for Environment, Climate, and Legacy appointments, including the DNR commissioner, the PCA commissioner, the Clean Water Council, and related boards. Senator Wicklund later moved to return Health and Human Services appointments, including the Children, Youth and Families commissioner, Health commissioner, VNSHUR Board, and EMS director. These motions prompted extended debate. Supporters of returning the appointments argued that the Senate has a constitutional advice-and-consent duty and that committee hearings should occur before floor consideration. Opponents, mainly Republicans, argued that sending the appointments back without floor action avoided accountability and transparency, especially in light of fraud concerns in state programs and agencies. Some authors said hearings had not yet been scheduled or that the committee process should come first; others noted at least one hearing had already occurred on a health nomination. The debate repeatedly focused on whether the Senate was fulfilling its constitutional role or delaying confirmation review. Roll-call votes were requested on the appointment motions. The Putnam, Swadzinski, Her, and Wicklund motions were each adopted by narrow 34-33 margins, returning the appointments to committee rather than leaving them on the confirmation calendar for floor action.

Transcript Highlights:

• To be exact, 10 million Americans will lose their coverage, according to CBO.
• We must do what is required." Mr. Speaker, I yield back. The gentleman yields back.
• It requires insurance companies to make standalone terrorism coverage available to their clients, who
• Speaker, well in advance of any loss or gap in coverage. And we know it's important.
• The bill requires that the The bill requires that the well-established energy emergency and cybersecurity

Keywords: U.S. House of Representatives Floor Proceedings on Monday, June 29, 2026, 1012, house, all

Transcript Highlights:

• I love the change that we have made here with continuity of coverage.
• This is simply an administrative change required by CMS.
• What is required is that they can go work for their parent.
• That's the only thing that's required by the EPA.
• We don't require them to have that EPA license. That's a federal requirement.

Summary: The Administrative Rules Subcommittee reviewed several agency rules and most were approved without objection. The Department of Agriculture repealed rules tied to the now-repealed Arkansas Catfish Processors Fair Practice Act. The Department of Human Services updated Medicaid policy to clarify child support enforcement treatment for pregnant women, remove the word “forcible” from rape/incest good-cause language, and eliminate a 90-day waiting period for ARKids B after loss of group coverage; members highlighted the significance of the language change and asked for a quick-reference eligibility chart. DHS Medical Services also received approval for a CMS cell and gene therapy model rule for sickle cell drugs and a technical Medicaid-assisted medication-assisted treatment update that was described as cost-neutral and non-substantive. The Department of Labor and Licensing presented several rules implementing recent acts and internal cleanup changes. These included procedures for local construction plan disputes under Act 591, Contractors Licensing Board amendments raising the restricted commercial license threshold from $750,000 to $1.5 million and allowing deferral of owner-complaint investigations during civil litigation, and a similar residential contractors change. The HVACR Licensing Board presented broader revisions under Act 746, including grammar and cleanup changes, elimination of the Class C license with transfer of existing holders to Class B, expansion of allowable work limits, a change to continuing education from four hours annually to eight hours per three-year code cycle, and clarification on training, child labor, and licensing issues. Several members questioned the practical impact of the HVAC changes, but the rule was approved. The committee also granted the Department of Inspector General’s request for exclusion from rulemaking reporting under Act 473, concluding that no rule was necessary because the act already defines the key terms and review process for foreign-adversary cultural exchange agreements. In addition, the Arkansas State Library’s report recommending continuation of its existing rules was accepted. During the status updates on outstanding 2023-session rulemaking, Education explained delays were due to overlapping 2025 amendments and the large volume of rules, while members expressed concern about the length of time since enactment; staff noted only a small number of 2023 rules remain outstanding. The meeting ended after written 2025-session updates were received with no further questions.

Transcript Highlights:

• This leads to workers having to either cancel their auto insurance coverage, forego their use of their
• with having to increase the premium that they're being asked to pay for insurance, so they're being required
• After answering several questions, they informed me that my coverage was denied because I was using my
• To be clear, AB 1048 does not require the IBR to review every contract.
• But the reality is many households and small businesses do not have sufficient coverage to fund repairs

Summary: The Assembly Committee on Insurance met as a subcommittee and heard several bills related to workers’ compensation, insurance access, climate resilience, and farmworker protections. AB 815 would prevent social service workers who use personal vehicles to transport clients from being misclassified as commercial or for-hire drivers under personal auto policies; supporters said the current practice leads to unaffordable premiums and denied claims, while no opposition testified. AB 1329 would revise the Subsequent Injury Benefit Trust Fund to reduce litigation and medical-legal costs and lower employer assessments; insurers and business groups opposed unless amended, citing concerns about eligibility standards and the QME process, but the bill advanced after amendments were discussed. AB 1048 would allow disputed unauthorized payment reductions for medical providers to be reviewed through independent bill review; supporters framed it as a transparency measure, while opposition argued IBR is the wrong forum and existing contract dispute processes should control, though the bill also passed. AB 1236 would create a Department of Insurance grant program for climate and sustainability risk-reduction projects, with broad support from the department, environmental groups, and insurers, and it passed unanimously. The committee also heard AB 1336, the Farmworker Heat Illness Prevention Act, which would create a rebuttable presumption that a heat-related injury arose out of employment when an agricultural employer fails to comply with heat illness prevention standards. Supporters, including United Farm Workers, argued the bill would help protect farmworkers amid extreme heat and enforcement gaps; opponents from the workers’ compensation and agricultural sectors said the measure improperly uses the compensation system to enforce OSHA rules and could create unclear adjudication and delay issues. Members discussed Cal/OSHA enforcement limits, undocumented workers’ reluctance to report violations, and the relationship between the bill and existing workers’ compensation procedures. Despite opposition, AB 1336 passed on a divided vote. The committee also took up a consent calendar including AB 1125, AB 1293, and AB 1398, which were approved together. Roll calls were held open and later completed, and the bills that advanced were sent to the Committee on Appropriations. The meeting concluded with the committee adjourning after final votes were recorded.

Transcript Highlights:

• debated and passed a reconciliation bill that would, in essence, defund Planned Parenthood, ban coverage
• patients and prevent plans that include abortion coverage from the Affordable Care marketplace.
• Adding this to state law would require all licensed hospitals with emergency departments or satellite
• So, right, like that's... it's not required by the federal government.
• I mean, laws require implementation, litigation, so many things.

Keywords: 995, all

Summary: The Senate Committee on Steering and Policy held a public hearing on potential updates to Massachusetts’ 2022 Shield Law to strengthen protections for reproductive and gender-affirming health care. Chair Cindy Friedman said the hearing was prompted by escalating federal and out-of-state threats, and testimony was sought on loopholes and clarifications involving emergency abortion care, limits on cooperation with outside investigations, protection of patient data, and safeguarding licenses of providers and attorneys involved in this care. The Attorney General’s Office, ACLU of Massachusetts, GLBTQ Legal Advocates and Defenders, Reproductive Equity Now, the Massachusetts Medical Society, TransHealth, and Health Imperatives all supported strengthening the law. Witnesses urged broader bans on sharing health data with hostile states, explicit AG enforcement authority, exclusion of reproductive and gender-affirming prescriptions from the prescription monitoring program, protections for electronic medical records, and allowing clinicians to use practice names on prescription labels. Several speakers also called for protections for parents of transgender youth, attorneys, and nonprofit organizations, and some raised related concerns about insurance discrimination and the burden of post-24-week abortion restrictions. Committee members asked questions about enforcement mechanisms, data privacy, patient consent, and how to balance interoperability with privacy protections in electronic records. Witnesses said the goal was to prevent immediate harm while preserving patient control and access to care. No votes were taken during the hearing, and the chair closed by inviting written testimony and then moved to adjourn the hearing.

Transcript Highlights:

• meeting that requirement so we do have meeting that requirement so we do have General<01:20:57.800>
• <01:21:01.000> um General funds we have the requirement um General funds we have the requirement
• as as maintenance of effort requirement as as maintenance of effort requirement previously<01:21
• <02:56:00.439> whatever because of insurance coverage whatever because of insurance coverage
• <04:57:11.958> um because of the Medicaid coverage um because of the Medicaid coverage um

Keywords: 928, house, all

Summary: The House Finance Committee’s Division 3 held a public work session on the Behavioral Health budget on February 27, 2025. The chair opened by explaining the schedule, materials, and deadlines for the budget process, and noted there would be no motions or votes in the division that day. Division of Behavioral Health Director Ktia Fox and DHHS CFO Nathan White then walked the committee through the division’s mission, structure, and budget materials, describing the division’s four bureaus: Mental Health Services, Children’s Behavioral Health, Drug and Alcohol Services, and Homeless Services, along with the policy unit. They emphasized the division’s role in oversight, technical assistance, quality assurance, contracting, and the continuum of care from prevention and early intervention through crisis and residential services. Much of the discussion focused on major programs and funding lines, including the 988 Lifeline contract with Headrest, a technical assistance contract with UNH, Medicaid pass-through payments to New Hampshire Hospital and Glencliff, crisis response services, cold-weather homeless responses, housing supports, and the children’s system of care. Members asked about the UNH contract, the 988 program, crisis stabilization centers, and the peer certification program; Fox explained that the peer certification is a training-and-credentialing pathway for people with lived experience to enter community-based behavioral health work, not a volunteer program. The committee also discussed the “Choose Love” program, which Fox said was created after the Sandy Hook tragedy to build resilience and strength-based emotional regulation in schools and communities. On the children’s side, Fox described the system of care account as the place where many contracted services are budgeted, including community mental health centers, care management entities, rapid response services, and residential programs. Members asked about temporary staffing, and Fox said roughly $500,000 in temporary staff costs shown in the current year would not be spent next year because the money came from a nonlapsing appropriation in HB 1573 for oversight of children’s residential services. She also said provider rate increases were a prioritized need but were not funded in the governor’s current budget, and that the Children’s Behavioral Health Resource Center was not funded, resulting in about a $1 million reduction. The session ended while the division was still moving through the children’s behavioral health slides, including questions about the Fast Forward high-fidelity wraparound program and medication management.

Transcript Highlights:

• To reduce the risk of devastating future oil spills, SB 542 establishes requirements for the restart
• This bill further requires, prior to the restart of an oil pipeline not in use for five or more years
• This bill further requires prior to the restart of an oil pipeline, not in use for five or more years
• This bill would require the commission, on or before January 1, 2027, to update a general order to require
• Have we gotten a sense of the cost associated with implementing the requirements of this bill?

Summary: The committee met to hear seven Senate bills, first approving two consent items, SB 352 and SB 804, on motions to do pass to Appropriations. SB 542 (Limón) would require public notice and comment before issuing a financial responsibility certificate for an oil pipeline and require hydrostatic testing before restarting pipelines idle for five years or more; it was supported by the Center for Biological Diversity and passed the committee on a due-pass motion to Appropriations. SB 616 (Rubio) would create an independent community hardening commission within the Department of Insurance to coordinate wildfire mitigation and insurance-related recommendations; it drew support from the Department of Insurance and several local and industry groups, while water agencies, special districts, and the building industry raised concerns about water infrastructure standards, and it passed on a due-pass motion to Insurance. SB 429 (Cortese), which would establish a public wildfire catastrophe model and related university-based research and education program, received support from the Department of Insurance and outside groups and passed as amended to Appropriations. SB 256 (Perez) would strengthen wildfire mitigation and emergency response by expanding planning, improving PSPS communication, requiring utility coordination with emergency centers, and directing removal of permanently abandoned electrical facilities; utilities and business groups were generally neutral after amendments, while the author emphasized the bill’s connection to recent wildfire losses, and it passed as amended to Appropriations. SB 509 (Caballero) would require specialized training for local law enforcement on transnational repression targeting diaspora communities; it received support from the California Police Chiefs Association and immigrant-rights advocates, but drew extensive opposition from Hindu and civil-rights organizations concerned about bias, implementation, and First Amendment issues. Committee members discussed amendments to clarify cultural competency, diversity, and constitutional protections, and the bill passed as amended to Appropriations. After the hearing, the committee took final roll-call votes on the bills, with the consent items and SB 429, SB 256, and SB 509 moving forward, while SB 542 and SB 616 were also reported out on earlier motions.

Transcript Highlights:

• 19.359> to<00:04:19.600> deliver requires a working group to deliver requires a working
• We are um able um requirements in place.
• You did not change Medicaid benefits coverage or eligibility.
• <00:49:05.359> beyond And is there any requirement beyond And is there any requirement beyond
• > be<00:49:21.520> certified the requirement you must be certified the requirement you

Keywords: 958, all

Summary: The Senate Standing Committee on Licensing and Occupations met on February 24, 2026, with a quorum present and took up one bill, House Bill 470. The bill sponsor and supporters described it as a cleanup measure to House Bill 505 that would extend the deadline for peer support specialists in the substance use field to become registered, because the earlier regulations were not promulgated in time and employers and workers were left in limbo. Supporters said the bill includes an emergency clause to stabilize the workforce and creates a working group to recommend a more effective oversight structure, possibly a new board, by November 1. They argued the extension would preserve access to services, allow providers to continue billing for peer support, and give the state time to address regulatory backlogs and workforce shortages. Several supporters emphasized that peer support is a critical part of recovery services and that the current system needs better infrastructure, accountability, and uniform standards. They said the bill would help prevent fraud and abuse by tightening guardrails while allowing qualified peers to keep working. One supporter said the bill would close the door on higher-level billing abuses and that other Medicaid-related efforts were also underway to address improper billing practices. Another witness said the bill would allow people who completed certification to continue serving and would help providers retain staff and get reimbursed. Senator McDaniel raised concerns that the bill might simply extend the period during which abuse of the peer recovery model could continue, rather than fixing the underlying problems. In response, the sponsors said House Bill 505 already imposed tighter training requirements and that this bill only extends the registration deadline while other efforts, including managed care organization limits and broader Medicaid reforms, are addressing abuse. Senator Howell asked about barriers to registration, and witnesses said the problem was a mix of supply-demand issues, workload, and some applicants’ reluctance to take the test. Senator Berg supported the bill as necessary to ensure proper billing and accountability, while Senator Meredith said the committee was missing key information from the cabinet and suggested it may be premature to act without hearing from the agency. No vote was taken in the portion of the meeting provided.

Transcript Highlights:

• The bill also removes the dealers requirement to maintain proper documentation relating to the exempt
• This amendment requires the ER the Oir to provide a consumer guide relating to homeowners insurance.
• For instance, filing requirements, transparency for consumers.
• Sb 1578 is coverage of mammograms and supplemental breast cancer screenings really excited to present
• Also the requirement in HB 399, regarding using the banking system or state chartered banks.

Keywords: 999, senate, all

Transcript Highlights:

• And so while we're going to go through some statutory requirements, federal requirements, and some of
• And so while we're going to go through some, you know, statutory requirements, federal requirements,
• Require and both.
• I had one just quick clarify. required an educational placement.
• Our providers aren't required to say no when there are referrals made to them.

Keywords: 907, all