Committee Summary for House Finance Division III (02/18/2025)

Bill/Time	Type	Title	Sponsor
HB71 2024-0416h 00:02:49.720 - 12:01:20 PM	General Working Session	prohibiting the use of the facilities of a public elementary school, a public secondary school, or an institution of higher education to provide shelter for aliens who have not been admitted into the United States.	Harvey-Bolia, Juliet(R)[A]2024
Unclear 01:03:47.680 - 1:02:18 PM	General Working Session	Unclear
HB71 2025-0416h 00:16:52.440 - 12:15:23 PM	General Working Session	prohibiting the use of the facilities of a public elementary school, a public secondary school, or an institution of higher education to provide shelter for aliens who have not been admitted into the United States.	Harvey-Bolia, Juliet(R)[A]2024
Unclear 01:03:47.680 - 1:02:18 PM	General Working Session	Unclear
HB71 2025-0416H 00:34:42.040 - 12:33:13 PM	General Working Session	prohibiting the use of the facilities of a public elementary school, a public secondary school, or an institution of higher education to provide shelter for aliens who have not been admitted into the United States.	Harvey-Bolia, Juliet(R)[A]2024

HB71 2024-0416h: Mr. Ripple Information Only00:02:49.720 - 12:01:20 PM; Mr. Ripple discussed the non-gerain amendment previously recommended for another bill, HB519, and expressed interest in attaching it to HB71. He noted that the amendment had minor changes to fit HB71 and mentioned having discussed it publicly before. He was unsure if the amendment could be discussed that day due to its absence from the calendar.
HB71 2024-0416h: Unnamed Representative Information Only00:03:35.879 - 12:02:06 PM; The representative expressed discomfort with voting on an amendment without a public hearing, emphasizing the importance of public input. They believed that a public hearing was necessary before any vote on the amendment could be made.
HB71 2024-0416h: Unnamed Representative Information Only00:04:21.120 - 12:02:52 PM; This representative agreed with the need for a public hearing on the amendment but suggested that the full finance committee could handle it. They proposed moving forward with a vote on HB71 with the understanding that the amendment would be discussed later.
HB71 2024-0416h: Unnamed Representative Information Only00:05:09.800 - 12:03:40 PM; The representative clarified the motion to move HB71 as OTP (Ought to Pass) with an amendment that had been previously discussed. They explained that the amendment requires contractors to comply with the patient Bill of Rights and includes a repeal date for the requirement.
HB71 2024-0416h: Representative Tersi Information Only00:07:30.919 - 12:06:01 PM; Representative Tersi confirmed that the amendment as drafted met the committee's needs but noted the requirement for a non-gerain amendment hearing before it could be attached to HB71. They expressed confusion about the purpose of the current meeting, thinking it was to discuss HB71 itself.
HB71 2024-0416h: Representative Walner Information Only00:09:03.399 - 12:07:34 PM; Representative Walner questioned the differences between the current amendment proposal and the one discussed previously for HB519. They expressed concern about the potential need for a non-gerain amendment hearing before acting on the amendment.
HB71 2024-0416h: Unnamed Representative Information Only00:11:20.160 - 12:09:51 PM; The representative expressed a desire to expedite the process of getting HB71 to the floor with the amendment attached. They proposed scheduling the non-gerain amendment hearing for the next full finance committee meeting.
HB71 2024-0416h: Representative Stringham Information Only00:13:39.360 - 12:12:10 PM; Representative Stringham suggested that HB71 could go directly to the full finance committee without a division vote, questioning the necessity of division involvement. They recommended waiting until after the non-gerain amendment hearing to decide on further actions.
HB71 2024-0416h: John Williams, Legislative Director for Health Human Services Information Only00:15:10.880 - 12:13:41 PM; John Williams introduced himself and mentioned that he brought Jenny O'Higgins, a legislative liaison for Behavioral Health at DHHS, to answer questions from the previous week's session on HB71.
HB71 2024-0416h: Jenny O'Higgins, Legislative Liaison for Behavioral Health at DHHS Information Only00:15:49.279 - 12:14:20 PM; Jenny O'Higgins clarified that she was involved in the fiscal note analysis for HB71. She explained the fiscal impact analysis was based on the term 'specified alien,' which they interpreted broadly to include all non-US citizens, potentially affecting HUD and refugee resettlement funding.
HB71 2024-0416h: Representative Priest Information Only00:16:35.360 - 12:15:06 PM; Representative Priest inquired about the potential loss of 12 to 18 million dollars per year if HB71 passed. O'Higgins confirmed the fiscal analysis included HUD and refugee resettlement funding due to the broad interpretation of 'specified alien.'
HB71 2024-0416h: Representative Daniels Information Only00:17:37.960 - 12:16:08 PM; Representative Daniels asked for clarification on the definition of 'specified alien' and how it was analyzed. O'Higgins explained the lack of a clear definition led to a broad interpretation, which could affect federal funding.
HB71 2024-0416h: Representative Seaworth Information Only00:19:57.760 - 12:18:28 PM; Representative Seaworth sought to understand the mechanism behind the potential loss of federal funding due to the bill's definition conflicts. O'Higgins explained that excluding certain groups could create disparities and put funding at risk.
HB71 2024-0416h: Unnamed Representative Information Only00:22:15.039 - 12:20:46 PM; The representative questioned if the federal government had ever directed the use of public schools for sheltering, to which O'Higgins responded they were unaware of such instances. They discussed the potential impact on federal funding if schools were excluded from emergency sheltering.
HB71 2024-0416h: Representative Stringham Information Only00:23:48.880 - 12:22:19 PM; Representative Stringham asked about the use of public schools in emergency preparedness plans and the potential cost and impact of revising these plans if schools were excluded due to the bill. O'Higgins suggested consulting public health colleagues for an accurate response.
HB71 2024-0416h: Representative Tori Information Only00:25:24.159 - 12:23:55 PM; Representative Tori inquired about the term 'institution facilities' and whether the bill's language applied to private institutions of higher learning. O'Higgins admitted she did not have an answer to these questions.
HB71 2024-0416h: Unnamed Representative Information Only00:26:57.279 - 12:25:28 PM; The representative questioned the worst-case scenario language in the fiscal note and asked about best and most likely scenarios. O'Higgins explained the analysis was based on potential impacts and not certainties.
HB71 2024-0416h: Representative Seaworth Information Only00:34:42.040 - 12:33:13 PM; Representative Seaworth questioned the use of terms not defined in the same way by federal law and whether the state could create its own definitions. O'Higgins confirmed that the state could define terms but must still comply with federal law.
HB71 2024-0416h: John Williams, Health Human Services Information Only00:15:10.880 - 12:13:41 PM; John Williams, the legislative director for Health Human Services, introduced Jenny O'Higgins, a legislative liaison for Behavioral Health at DHHS, who was present to answer questions regarding the fiscal note of the bill. Williams mentioned that O'Higgins had provided input to the LBA on the fiscal note.
HB71 2024-0416h: Jenny O'Higgins, DHHS Information Only00:15:49.279 - 12:14:20 PM; Jenny O'Higgins clarified that she was primarily responsible for providing input to the LBA on the fiscal note. She explained that the fiscal analysis was based on the term 'specified alien' used in the bill, which they interpreted broadly to include all non-US citizens, potentially affecting HUD and Office of Refugee Resettlement funding. This interpretation led to the estimated range of $12 to $18 million annual loss if the bill were passed. O'Higgins also discussed the potential impact on refugees and the need for clearer definitions to avoid conflicts with federal law and funding intent.
HB71 2024-0416h: Representative Priest Information Only00:16:35.360 - 12:15:06 PM; Representative Priest asked about the potential loss of funding, confirming the figures provided by O'Higgins. He also inquired about whether local schools were currently being used for sheltering immigrants and asylum seekers, to which O'Higgins replied that there were no known cases. Further questions revolved around the definitions used in the bill and their implications, particularly regarding the term 'specified alien' and its potential impact on refugees and legal non-citizens.
HB71 2024-0416h: Representative Daniels Information Only00:17:37.960 - 12:16:08 PM; Representative Daniels sought further clarification on the definition of 'specified alien,' particularly regarding whether it included aliens who had not been admitted into the United States. O'Higgins explained the challenges in finding a clear definition and how their analysis was based on the broader term 'alien' due to the lack of a specific definition for 'specified alien.'
HB71 2024-0416h: Representative Seaworth Information Only00:19:57.760 - 12:18:28 PM; Representative Seaworth questioned the mechanism by which the mismatch in definitions could lead to loss of funding. O'Higgins elaborated on how the broad interpretation of 'specified alien' could affect refugees and HUD funding, potentially creating disparities in treatment and risking funding. Seaworth also asked about the impact of not using schools for sheltering, to which O'Higgins responded that they did not know if it would affect funding but it could go against the intent of the funding.
HB71 2024-0416h: Representative Stringham Information Only00:23:48.880 - 12:22:19 PM; Representative Stringham asked about the potential need to revise emergency preparedness plans if schools were no longer available for sheltering due to the bill's passage. O'Higgins deferred to colleagues in public health for a more accurate response, indicating it was a reasonable question but outside her area of expertise.
HB71 2024-0416h: Representative Tori Information Only00:25:24.159 - 12:23:55 PM; Representative Tori inquired about the term 'institution facilities' and whether the bill applied to private institutions of higher learning, like St. Anselm College or Rivier College in Nashua. O'Higgins noted the broad language in the bill but indicated that it specifically mentioned public institutions, leaving the interpretation of private institutions unclear.
HB71 2024-0416h: Representative Walner Information Only00:26:57.279 - 12:25:28 PM; Representative Walner raised concerns about operating solely based on the worst-case scenario outlined in the fiscal note and inquired about potential best and most probable scenarios. O'Higgins explained that the full funding amount was used to illustrate potential impacts, not as a definite loss, and discussed the federal requirements for HUD funding and refugee resettlement funding.
HB71 2024-0416h: Representative Priest Information Only00:36:28.800 - 12:34:59 PM; Representative Priest discussed scenarios related to short-term disasters and the use of schools as shelters, which are typically used due to their facilities. He was corrected by another representative, noting that the bill excludes short-term emergency shelters, leading to confusion about the bill's intent and application.
HB71 2024-0416h: Representative Priest Information Only00:15:49.279 - 12:14:20 PM; Representative Priest discussed the potential financial impact of HB71, questioning whether the state would lose between $12 to $18 million annually if the bill were passed. The fiscal analysis was based on the term 'specified alien,' which was interpreted to include all non-US citizens, potentially affecting HUD and Office of Refugee Resettlement funding. The discussion continued about the definition's implications, with concerns raised about the bill's potential to conflict with federal law and the need for clarity on the term 'specified alien.'
HB71 2024-0416h: Unnamed Speaker Information Only00:16:35.360 - 12:15:06 PM; An unnamed speaker responded to Representative Priest's inquiry, confirming that the fiscal analysis was based on the term 'specified alien' within the bill. The definition was interpreted broadly to include all non-US citizens, impacting HUD and Office of Refugee Resettlement funding. The speaker noted that without a clearer definition, the analysis would need to be revised if misinterpreted. The discussion highlighted potential disparities in the treatment of refugees and the risk of losing federal funding due to the bill's current language.
HB71 2024-0416h: Representative Daniels Information Only00:16:52.440 - 12:15:23 PM; Representative Daniels sought further clarification on the definition of 'specified alien,' particularly questioning the difference between an alien admitted into the US and one who has not been admitted. The response indicated that the analysis used the term 'alien' due to the lack of a specific definition for 'specified alien' within the bill, leading to potential conflicts with federal law and funding.
HB71 2024-0416h: Representative Seaworth Information Only00:19:10.520 - 12:17:41 PM; Representative Seaworth expressed concerns about the bill's definition potentially conflicting with federal law, which could lead to the loss of federal funding. The speaker sought to understand the mechanism by which the state might lose money and whether it was due to a mismatch in definitions or the potential for misinterpretation. The response emphasized the need for a clearer definition to avoid including refugees in the interpretation, which could risk federal funding.
HB71 2024-0416h: Unnamed Speaker Information Only00:19:57.760 - 12:18:28 PM; The unnamed speaker addressed Representative Seaworth's concerns, noting that without a clear definition of 'specified alien,' the bill's language could potentially impact federal funding for refugees and HUD programs. The speaker highlighted that the policy might create disparities in the treatment of refugees, putting federal funding at risk.
HB71 2024-0416h: Representative Stringham Information Only00:23:48.880 - 12:22:19 PM; Representative Stringham asked about the historical precedent of using public schools for sheltering, specifically whether the federal government had ever directed such use. The response indicated no known instances, but emergency preparedness plans do include school buildings. The speaker also questioned the cost implications of revising emergency preparedness plans to exclude schools, which could impact the effectiveness of the plans in case of a natural disaster.
HB71 2024-0416h: Representative Tori Information Only00:25:24.159 - 12:23:55 PM; Representative Tori sought clarification on the term 'institution facilities' within the bill, questioning whether it applied to private institutions of higher learning like Saint Anselm College or Rivier College in Nashua. The response interpreted the language as broad, not specifically limiting it to public institutions, which could potentially include private schools.
HB71 2024-0416h: Unnamed Speaker Information Only00:26:09.480 - 12:24:40 PM; The unnamed speaker addressed Representative Tori's question, noting that the bill's language was broad and could potentially include private institutions. The speaker suggested that without specific language limiting it to public institutions, private schools and colleges could be included in the bill's provisions.
HB71 2024-0416h: Representative Walner Information Only00:26:57.279 - 12:25:28 PM; Representative Walner raised concerns about the fiscal note's 'worst case scenario' language, questioning whether there were best-case and most likely scenarios. The response indicated that the fiscal note was based on potential impacts and not definitive losses, emphasizing the need for clarity in the bill's language to refine the analysis.
HB71 2024-0416h: Unnamed Speaker Information Only00:27:44.320 - 12:26:15 PM; The unnamed speaker responded to Representative Walner, explaining that the fiscal note was based on potential impacts and not definitive losses. The speaker highlighted the need for clarity in the bill's language to refine the analysis, noting that the department could not predict the exact impact without such clarity.
HB71 2024-0416h: Representative Stringham Information Only00:31:41.159 - 12:30:12 PM; Representative Stringham questioned the potential need to revise emergency preparedness plans due to the bill's passage, which might exclude schools as shelters. The speaker asked about the cost implications and effectiveness of such revisions. The response suggested consulting with public health officials for a more accurate answer.
HB71 2024-0416h: Representative Daniels Information Only00:33:15.919 - 12:31:46 PM; Representative Daniels sought clarification on whether 'specified alien' included those unlawfully present, emphasizing the lack of a clear definition in the bill. The response reiterated that the analysis was based on the term 'alien' due to the absence of a specific definition for 'specified alien,' suggesting a need for further clarification.
HB71 2024-0416h: Representative Seaworth Information Only00:34:42.040 - 12:33:13 PM; Representative Seaworth discussed the state's ability to define terms differently from federal law, questioning the implications of such definitions on federal funding. The speaker suggested that the bill's language might be an attempt to exclude those without legal status from using schools for sheltering, recommending a discussion with the bill sponsor for clarity.
HB71 2024-0416h: Representative Priest Information Only00:36:28.800 - 12:34:59 PM; Representative Priest discussed the bill's relevance to short-term emergency shelters in cases of natural disasters, noting that schools are often used due to their facilities. The speaker questioned the bill's applicability to such scenarios, suggesting a need for further discussion with the bill sponsor to clarify its intent.
HB71 2024-0416h: Unnamed Speaker Information Only00:37:59.599 - 12:36:30 PM; The unnamed speaker clarified that the bill's language allows for emergency sheltering but prohibits the use of schools for longer-term sheltering for those without legal authorization. The speaker suggested that the bill's intent might be to prevent schools from being used as permanent shelters for migrants, similar to situations in other cities.
HB71 2024-0416h: Representative Seaworth Information Only00:40:19.839 - 12:38:50 PM; Representative Seaworth agreed with the interpretation of the bill's language, suggesting that it specifically addresses emergency shelter housing provided exclusively to specified aliens. The speaker expressed frustration over speculative interpretations that go beyond the bill's plain language.
HB71 2024-0416h: Representative N'Vono Information Only00:41:05.319 - 12:39:36 PM; Representative N'Vono discussed the risk analysis related to the bill's financial impact, questioning whether the state had ever lost complete funding for similar reasons. The response indicated that the analysis was based on potential compliance issues with federal funding objectives, not on historical precedent.
HB71 2024-0416h: Unnamed Speaker Information Only00:41:51.720 - 12:40:22 PM; The unnamed speaker responded to Representative N'Vono, explaining that the risk analysis was based on potential compliance issues with federal funding objectives. The speaker noted that without a clear definition in the bill, the analysis could not predict exact financial impacts, suggesting a need for further clarity.
Unclear: Nathan White, Chief Financial Officer, Department of Health and Human Services Information Only01:03:47.680 - 1:02:18 PM; Nathan White provided an overview of the budget complexity within the Department of Health and Human Services (DHHS). He highlighted the integration of over 100 federal funding sources, the use of cost allocation plans, and the impact of unfunded positions on federal funding. White also discussed the governor's budget recommendations, including staffing changes and the use of contracted personnel. He outlined the upcoming budget presentations and addressed specific questions about the budget, such as the use of opioid abatement trust funds and the impact of unfunded positions.
Unclear: Marissa Henn, Deputy Commissioner, Department of Health and Human Services Information Only01:06:56.079 - 1:05:27 PM; Marissa Henn introduced the DHHS budget presentation, emphasizing the department's vast scope and commitment to efficiency. She outlined the department's core divisions and the integration of services, highlighting the importance of the department's roadmap for guiding investments and ensuring service delivery. Henn also mentioned the upcoming progress report on the department's plan to demonstrate the return on investment and impact of their work.
Unclear: Nathan White, Chief Financial Officer, Department of Health and Human Services Information Only01:10:05.080 - 1:08:36 PM; Nathan White continued the budget discussion, focusing on the complexity of the DHHS budget and the use of federal funds. He explained the cost allocation plan, the impact of unfunded positions on federal funding, and the various matching funds programs. White also provided an overview of the major budget areas by division and highlighted the top 15 generally funded accounts, which represent a significant portion of the department's budget.
Unclear: Nathan White, Chief Financial Officer, Department of Health and Human Services Information Only01:21:43.040 - 1:20:14 PM; Nathan White discussed staffing changes within the DHHS budget, noting that the agency's request for new positions was based on legislative requirements. He explained that the governor's budget did not abolish positions but unfunded them, which would result in savings. White also addressed the use of contracted personnel at facilities like Glencliff and New Hampshire Hospital, noting their higher cost compared to state positions.
Unclear: Nathan White, Chief Financial Officer, Department of Health and Human Services Information Only01:45:08.239 - 1:43:39 PM; Nathan White provided an overview of the upcoming budget presentations and discussed the provisions in the draft of House Bill 2 (HB2) related to DHHS. He highlighted provisions such as the use of opioid abatement trust funds for emergency shelter services, the suspension of certain programs, and the establishment of unclassified positions. White also addressed questions about the budget's impact on various programs and the potential for moving recurring HB2 items into permanent law.
Unclear: Ann Landry, Associate Commissioner, Department of Health and Human Services Information Only02:24:57.479 - 2:23:28 PM; Ann Landry addressed concerns about the Office of Health Equity training listed on the UNH website, clarifying that the training was not a current offering of DHHS and predated the current director's tenure. She confirmed that the department was reviewing all listed trainings to ensure they were up to date and accurate, and offered to provide a list of current trainings if requested.
HB71 2025-0416h: Representative Information Only00:16:52.440 - 12:15:23 PM; The representative raised concerns about the potential impact of House Bill 71 on local communities and schools, specifically regarding the influx of immigrants and asylum seekers. They questioned whether there was a current need for such measures, to which it was clarified that there were no known cases at the time.
HB71 2025-0416h: Associate Commissioner, Department of Health and Human Services Information Only00:17:37.960 - 12:16:08 PM; The Associate Commissioner discussed the definition of 'alien' in the context of House Bill 71, explaining that the bill's language refers to any non-US citizen or national. They expressed concerns that the bill could prohibit the use of shelters for legally admitted aliens, including refugees, potentially creating disparities and risking federal funding.
HB71 2025-0416h: Representative Information Only00:19:10.520 - 12:17:41 PM; The representative sought clarification on the definition of 'specified alien' within the bill, noting that it was not clearly defined in the referenced federal statute. They discussed potential conflicts with federal law and the risk of losing federal funding due to these ambiguities.
HB71 2025-0416h: Representative Information Only00:19:57.760 - 12:18:28 PM; The representative further explored the implications of the bill's definitions, questioning whether the broad interpretation could lead to unintended consequences like the exclusion of refugees from shelter services, and how this might affect federal funding.
HB71 2025-0416h: Representative Information Only00:22:15.039 - 12:20:46 PM; The representative asked if there had been instances where the federal government directed the use of public schools or higher education institutions as shelters, to which it was noted that such instances were not known but could be possible in disaster scenarios.
HB71 2025-0416h: Representative Information Only00:26:57.279 - 12:25:28 PM; The representative questioned the fiscal note's worst-case scenario language, which suggested a potential loss of federal revenue. They inquired about the department's view on the most likely and best-case scenarios, highlighting the need for a more comprehensive analysis.
HB71 2025-0416h: Representative Information Only00:31:41.159 - 12:30:12 PM; The representative discussed the potential impact of the bill on emergency preparedness plans, suggesting that schools might no longer be suitable for emergency shelters if the bill passes. They asked about the cost and effectiveness of revising these plans.
HB71 2025-0416h: Representative Information Only00:34:42.040 - 12:33:13 PM; The representative noted the absence of a clear definition for 'specified alien' in federal statute, which led to the broad interpretation used in the fiscal analysis. They suggested consulting the bill's sponsor for clarification.
HB71 2025-0416h: Representative Information Only00:36:28.800 - 12:34:59 PM; The representative discussed the potential intent behind the bill, suggesting it might aim to prevent schools from being used for long-term sheltering of undocumented immigrants, especially in non-emergency situations. They proposed consulting the bill sponsor for further clarification.
Unclear: Nathan White, Chief Financial Officer, Department of Health and Human Services Information Only01:03:47.680 - 1:02:18 PM; Nathan White provided an overview of the Department of Health and Human Services (DHHS) budget complexity, highlighting the integration of federal and state funds, cost allocation plans, and the potential impacts of unfunded positions. He discussed the governor's budget recommendations, including staffing and personnel costs, and outlined upcoming budget presentations for various DHHS divisions.
Unclear: Marissa Hen, Deputy Commissioner, Department of Health and Human Services Information Only01:06:56.079 - 1:05:27 PM; Marissa Hen introduced the DHHS budget presentation, emphasizing the department's integrated approach and efficiency. She outlined the department's core divisions and their functions, and highlighted the importance of their business plan in guiding operations and ensuring efficiency.
Unclear: Representative Information Only01:27:54.440 - 1:26:25 PM; The representative inquired about the governor's budget impact on staffing, specifically regarding the unfunded positions and the potential effects on federal funding. They sought clarification on how these changes would be reflected in the budget documents.
Unclear: Representative Information Only01:35:03.400 - 1:33:34 PM; The representative asked about the use of contracted staff and how it affects the department's budget, particularly in relation to personnel costs. They sought an understanding of how these costs are accounted for and the potential impact of salary freezes on contractors.
Unclear: Representative Information Only01:46:43.400 - 1:45:14 PM; The representative discussed provisions in HB2 related to the DHHS, including the appropriation of funds for the state grant and aid program, the potential repeal of certain transfer procedures, and adjustments to the county cap. They sought clarification on these items and their impact on the budget.
Unclear: Ann Landry, Associate Commissioner, Department of Health and Human Services Information Only02:24:57.479 - 2:23:28 PM; Ann Landry addressed concerns about a document found on a UNH website related to the Office of Health Equity, clarifying that it was an outdated document not currently offered by the department. She assured that steps were being taken to update and remove any outdated information from vendor websites.
HB71 2025-0416H: Seaworth Information Only00:34:42.040 - 12:33:13 PM; Seaworth discussed the definition of the term 'specified alien' in the context of the bill. They expressed confusion about whether the state can define terms differently from the federal government and sought clarification on this matter. They also mentioned the need to involve the bill sponsor to better understand the intent behind specifying aliens who have not been admitted into the United States.
HB71 2025-0416H: Priest Information Only00:36:28.800 - 12:34:59 PM; Priest presented a scenario to illustrate the purpose of the bill, suggesting it relates to short-term emergency shelters during natural disasters. They noted that schools are typically used as emergency shelters due to their facilities. Priest also questioned the applicability of the bill to short-term emergency shelters, as the bill's text seemed to exclude them. They speculated that the bill aims to prevent schools from being used as long-term shelters for migrants without legal status, but emphasized the need for clarification from the bill sponsor.
HB71 2025-0416H: Walner Information Only00:40:19.839 - 12:38:50 PM; Walner clarified that the bill appears to prohibit the use of schools for long-term sheltering of individuals without legal status, but not during emergencies. They emphasized the importance of interpreting the bill's plain language and suggested consulting the bill sponsor for further clarity. Walner also expressed frustration over speculating on meanings not explicitly stated in the bill's text.
HB71 2025-0416H: N Vono Information Only00:41:05.319 - 12:39:36 PM; N Vono discussed the financial implications and risk assessment of the bill. They inquired about past instances where funding was completely lost due to similar issues and sought to understand the worst-case scenario, including potential full funding withdrawal. They noted that the risk analysis provided was indeterminable and that the bill's current wording might conflict with federal civil rights and funding obligations.
HB71 2025-0416H: Ripple Information Only00:45:45.359 - 12:44:16 PM; Ripple provided information about two accounting units related to the bill: Health and Human Services' Commissioner's Office and Behavioral Health, and the Office of the Commissioner and Homeless and Housing. They mentioned needing to research the summary of these units and that they are both General fund accounts. Ripple also confirmed that a full Finance hearing would be scheduled for the amendment number 2025-0416H and another work session for House Bill 71.
HB71 2025-0416H: Nathan White, Chief Financial Officer, Department of Health and Human Services Information Only01:03:47.680 - 1:02:18 PM; Nathan White provided an overview of the budget complexity and funding sources for the Department of Health and Human Services (DHHS). He explained the use of a cost allocation plan and random moment studies to maximize federal funds. White discussed the potential impact of unfunded positions on federal dollars and maintenance of effort requirements. He also highlighted the different Federal matching levels for various programs and the large number of accounting units managed by DHHS.
HB71 2025-0416H: Marissa Hen, Deputy Commissioner, Department of Health and Human Services Information Only01:06:08.520 - 1:04:39 PM; Marissa Hen thanked the committee for previous non-numbers conversations and emphasized the importance of the DHHS budget. She highlighted the department's integrated approach and efficiency, mentioning their commitment to serving people effectively and leanly. Hen discussed the department's core divisions and their interconnected operations, emphasizing the importance of a business plan to guide their work and demonstrate return on investment.
HB71 2025-0416H: Nathan White, Chief Financial Officer, Department of Health and Human Services Information Only01:13:10.159 - 1:11:41 PM; Nathan White continued discussing the DHHS budget, focusing on the governor's recommended budget compared to the current biennium. He detailed the general fund appropriations and reductions and provided insights into the major funding areas by division. White also explained the top generally funded accounts and the staffing changes, including the impact of legislation on new positions. He highlighted the financial implications of unfunded positions and the complexities of managing federal funding.
HB71 2025-0416H: Nathan White, Chief Financial Officer, Department of Health and Human Services Information Only01:42:00.920 - 1:40:31 PM; Nathan White provided details on the HB2 provisions related to DHHS. He discussed the appropriation for the state grant and aid program, the use of opioid abatement trust funds, and the potential repeal of certain transfer procedures. White also explained provisions regarding eligibility for services, graduate medical education payments, and catastrophic aid payments to hospitals. He highlighted the Medicaid to schools program and the need for fiscal committee approval for supplemental funding. Additionally, he discussed provisions for carrying forward Medicaid funds, the WIC Farmers Market nutrition program, and adjustments to the county cap.
HB71 2025-0416H: Ann Landry, Associate Commissioner, Department of Health and Human Services Information Only02:24:57.479 - 2:23:28 PM; Ann Landry addressed concerns about the NH Office of Health Equity and its training programs. She clarified that the document found on the UNH website was an outdated and no longer offered training. Landry emphasized that the department is reviewing all listed trainings to ensure they are current and accurate. She committed to providing a list of all current departmental trainings and confirmed that the mentioned training predates her tenure and is not currently offered or endorsed by DHHS.
HB71 2025-0416H: Priest Information Only00:36:28.800 - 12:34:59 PM; Representative Priest discussed a scenario relating to short-term disasters such as floods, fires, hurricanes, tornadoes, high water, earthquakes, and snowstorms, which have historically affected New Hampshire. He highlighted that during these events, schools are often used as emergency shelters due to their facilities and generators. Priest questioned the applicability of the bill to short-term emergency shelters, noting that the bill seems to exclude such shelters. He speculated that the bill might aim to prevent schools from being used for longer-term sheltering, particularly for unauthorized migrants, but emphasized the need for clarity from the bill's sponsor and legal advice.
HB71 2025-0416H: Walner Information Only00:39:36.359 - 12:38:07 PM; Representative Walner clarified that the bill's language suggests that emergency shelters can be used for anyone during a disaster, but there might be a prohibition on using schools for sheltering beyond emergencies, particularly for individuals not legally authorized to be in the country. He emphasized the need for the sponsor's input and legal advice to interpret the bill's intent correctly.
HB71 2025-0416H: Seaworth Information Only00:40:19.839 - 12:38:50 PM; Representative Seaworth agreed with the interpretation of the bill's language, pointing out that it specifies emergency shelter housing provided exclusively to specified aliens. He expressed frustration over potential misinterpretations of the bill's language and emphasized reading the bill's plain language for clarity.
HB71 2025-0416H: N. Vono Information Only00:41:51.720 - 12:40:22 PM; Representative N. Vono raised concerns about the financial risk analysis of the bill, questioning whether the state had ever lost complete funding for a program due to similar reasons. They discussed the possibility of a technical violation of funding contracts leading to a loss of funding and the need for a risk assessment to understand the potential impacts.
HB71 2025-0416H: Edwards Information Only00:42:37.319 - 12:41:08 PM; Representative Edwards discussed the risk analysis and the potential for losing funding due to violations of federal funding contracts. He noted that the worst-case scenario of losing all funding seemed unlikely, and the most probable scenario might involve a waiver for minor violations, emphasizing the need for a thorough risk assessment.
HB71 2025-0416H: Unnamed Speaker Information Only00:44:59.160 - 12:43:30 PM; An unnamed speaker discussed the potential federal civil rights violations if the bill is interpreted to exclude certain groups from emergency shelters. They highlighted the need for clarity in the bill's language to avoid conflicts with federal funding and grant obligations, indicating that a revised analysis would be necessary if the bill's language is clarified.
HB71 2025-0416H: Ripple Information Only00:45:45.359 - 12:44:16 PM; Mr. Ripple mentioned that he had provided the precise accounting units referenced in the bill via email. He noted that further discussion would be scheduled for a future work session, and he would need to research and provide summaries for the accounting units related to Health and Human Services, the Commissioner's Office, Behavioral Health, and the Office of the Commissioner and Homeless and Housing.
HB71 2025-0416H: Nathan White, Chief Financial Officer, Department of Health and Human Services Information Only01:03:47.680 - 1:02:18 PM; Nathan White, Chief Financial Officer, provided an overview of the department's budget complexity, emphasizing the integration of various funding sources and the importance of cost allocation and maintenance of effort to maximize federal funds. He detailed the budget's structure, including the major generally funded accounts, staffing changes, and the impact of unfunded positions. White also discussed the use of contracted personnel and the need for a crosswalk to understand budget changes.
HB71 2025-0416H: Marissa Hen, Deputy Commissioner, Department of Health and Human Services Information Only01:06:08.520 - 1:04:39 PM; Marissa Hen, Deputy Commissioner, introduced herself and highlighted the department's core divisions and the integration of services. She emphasized the department's commitment to efficiency and the importance of their business plan to guide their work. Hen also discussed the department's vast scope of work and their efforts to maintain efficiency and customer service.
HB71 2025-0416H: Unnamed Speaker Information Only01:10:05.080 - 1:08:36 PM; An unnamed speaker discussed the complexity of the DHHS budget, including the use of cost allocation plans and random moment studies to maximize federal funds. They also highlighted the risks associated with unfunded positions and the impact on maintenance of effort and federal matching funds.
HB71 2025-0416H: Unnamed Speaker Information Only01:13:56.920 - 1:12:27 PM; An unnamed speaker provided a comparison of the governor's budget to the current biennium, detailing the general fund appropriations and reductions. They discussed the major budget areas by division, including Medicaid, long-term supports, and developmental services, emphasizing the general fund and federal fund allocations.
HB71 2025-0416H: Unnamed Speaker Information Only01:19:22.639 - 1:17:53 PM; An unnamed speaker outlined the top 15 generally funded accounts within DHHS, noting that they represent about 77% of the general funds. They discussed specific accounts such as DD Services, Medicaid, and Child and Family Services, and highlighted recent changes, including the agreement with Dartmouth for Hamstead Hospital.
HB71 2025-0416H: Unnamed Speaker Information Only01:27:07.040 - 1:25:38 PM; An unnamed speaker discussed staffing changes within the department, noting the impact of unfunded positions and the need for a crosswalk to understand budget adjustments. They also mentioned the use of contracted staff at facilities like Glencliff and New Hampshire Hospital.
HB71 2025-0416H: Unnamed Speaker Information Only01:46:43.400 - 1:45:14 PM; An unnamed speaker provided an overview of the provisions in HB2 related to DHHS, including appropriations for emergency shelter services, the suspension of certain programs, and adjustments to the county cap. They also discussed the potential carry-forward of funds and the need for legislative action on certain provisions.
HB71 2025-0416H: Ann Landry, Associate Commissioner, Department of Health and Human Services Information Only02:24:57.479 - 2:23:28 PM; Ann Landry addressed concerns about the NH Office of Health Equity, stating that a document found on a UNH website was outdated and not a current offering of the department. She confirmed that the department was taking steps to ensure all listed trainings are current and up-to-date, and offered to provide a list of all trainings provided by the department.
HB71 2025-0416H: Unnamed Speaker Information Only00:40:19.839 - 12:38:50 PM; The speaker agreed with the chair's interpretation of the bill, focusing on the plain language that specifies emergency shelter housing provided exclusively to specified aliens. The speaker expressed frustration over potential misinterpretations that might suggest broader applications beyond what is written in the bill.
HB71 2025-0416H: Representative N. Vono Information Only00:41:51.720 - 12:40:22 PM; Representative Vono sought clarification on the financial risk analysis related to the bill, specifically asking if the state had ever lost complete funding for similar programs. The discussion highlighted the complexity of assessing compliance with funding objectives and the potential impacts on state funding.
HB71 2025-0416H: Unnamed Speaker Information Only00:42:37.319 - 12:41:08 PM; The speaker continued the discussion on financial risk, questioning the worst-case scenario of losing all funding due to technical violations of contracts. The conversation emphasized the unlikely nature of such a scenario and the importance of risk assessment in understanding potential impacts.
HB71 2025-0416H: Unnamed Speaker Information Only00:43:25.119 - 12:41:56 PM; The speaker discussed the indeterminable risk associated with the bill as written, noting potential conflicts with federal guidance on shelter provision and funding obligations. The analysis provided covered the full range of awards under consideration, acknowledging the speculative nature of potential impacts.
HB71 2025-0416H: Unnamed Speaker Information Only00:44:13.280 - 12:42:44 PM; The speaker addressed the possibility of a full loss of funding, contrasting it with scenarios where waivers could be granted for minor technical violations. The discussion included the potential for federal civil rights violations and the need for clarity in the bill to reassess the analysis.
HB71 2025-0416H: Unnamed Speaker Information Only00:44:59.160 - 12:43:30 PM; The speaker confirmed that no example existed of total funding withdrawal for a program, emphasizing concerns about the bill's definition potentially conflicting with federal civil rights and funding sources. The need for clarity in the bill was reiterated.
HB71 2025-0416H: Unnamed Speaker Information Only00:45:45.359 - 12:44:16 PM; The speaker announced the receipt of precise accounting units referenced in the bill via email, indicating that future work sessions would address these units in detail. The session was planned to schedule a Finance hearing on the amendment and another work session on House Bill 71.
HB71 2025-0416H: Mr. Ripple Information Only00:46:36.680 - 12:45:07 PM; Mr. Ripple indicated the need for research to provide a summary of the accounting units related to Health and Human Services and the Commissioner's Office. He mentioned that these units are funded by General funds and might have been used for reimbursement to house those without shelter.
HB71 2025-0416H: Unnamed Speaker Information Only00:48:09.599 - 12:46:40 PM; The speaker concluded the work session on House Bill 71, scheduling a reconvening at 2 PM for budget review. The session was closed with the intention to address the amendment in a future Finance hearing and work session.
HB71 2025-0416H: Unnamed Speaker Information Only01:03:01.160 - 1:01:32 PM; The speaker announced the start of a budget work session, focusing on the Department of Health and Human Services (DHHS) budget overview. The absence of the commissioner was noted, with Dr. Hanah and Mr. White set to present the overview.
HB71 2025-0416H: Mr. White Information Only01:03:47.680 - 1:02:18 PM; Mr. White, Chief Financial Officer of DHHS, introduced himself and explained that the budget presentation would cover aggregate analyses and complexities of funding. He mentioned that detailed presentations on various DHHS operations would follow the next day.
HB71 2025-0416H: Representative Walner Information Only01:05:22.119 - 1:03:53 PM; Representative Walner expressed interest in understanding the department's priority requests within the budget, asking if these could be broken down by division. Mr. White confirmed that standardized budget presentation templates include sections for prioritized needs.
HB71 2025-0416H: Dr. Hanah Information Only01:06:08.520 - 1:04:39 PM; Dr. Hanah, Deputy Commissioner, introduced herself and thanked the committee for previous non-numbers discussions. She highlighted the department's vision, mission, and the integration of services under one roof, emphasizing efficiency and the upcoming budget discussions.
HB71 2025-0416H: Unnamed Speaker Information Only01:09:18.439 - 1:07:49 PM; The speaker continued the DHHS budget discussion, focusing on the complexity and integration of the budget, and the importance of cost allocation and federal funding sources. The speaker explained the public assistance cost allocation plan and its impact on federal fund maximization.
HB71 2025-0416H: Unnamed Speaker Information Only01:10:05.080 - 1:08:36 PM; The speaker discussed the maintenance of effort required by federal grants and the potential penalties for not meeting these requirements. The conversation also covered matching funds for Medicaid and the detailed accounting units in the budget.
HB71 2025-0416H: Unnamed Speaker Information Only01:13:10.159 - 1:11:41 PM; The speaker provided a comparison of the governor's recommended budget to the current biennium, highlighting general fund appropriations and reductions. The discussion included major areas by division and the impact of budget adjustments on services.
HB71 2025-0416H: Unnamed Speaker Information Only01:19:22.639 - 1:17:53 PM; The speaker detailed the top 15 generally funded accounts within DHHS, representing about 77% of all general funds. Key accounts included DD Services, Medicaid, and Child and Family Services, with explanations on their significance and usage.
HB71 2025-0416H: Unnamed Speaker Information Only01:21:43.040 - 1:20:14 PM; The speaker discussed staffing changes and legislative impacts, including new positions established by recent legislation. The conversation also covered the operational changes at Hamstead Hospital, including the lease agreement with Dartmouth and its financial implications.
HB71 2025-0416H: Representative Walner Information Only01:23:15.159 - 1:21:46 PM; Representative Walner inquired about the impact of Hamstead Hospital's budget changes on Medicaid services, particularly for children. The discussion clarified that Medicaid-eligible children's services would continue to be covered through the Medicaid budget.
HB71 2025-0416H: Unnamed Speaker Information Only01:27:07.040 - 1:25:38 PM; The speaker addressed the agency's request for staffing and the governor's budget, explaining the positions unfunded and the need for a crosswalk to understand the budget's detailed changes. The discussion included the impact on personnel costs and the need for clarity in budget lines.
HB71 2025-0416H: Unnamed Speaker Information Only01:32:37.480 - 1:31:08 PM; The speaker provided an overview of personnel costs within the DHHS budget, highlighting the reduction in personnel costs due to unfunded positions. The discussion also touched on the use of contracted staff and the need for clarity on these costs.
HB71 2025-0416H: Unnamed Speaker Information Only01:42:00.920 - 1:40:31 PM; The speaker discussed upcoming budget presentations for various divisions within DHHS, including Medicaid services, children, youth, and families, and Behavioral Health. The schedule for these presentations was outlined.
HB71 2025-0416H: Unnamed Speaker Information Only01:43:34.280 - 1:42:05 PM; The speaker addressed the Prescription Drug Affordability Board's budget presentation, suggesting it be scheduled and coordinated with DHHS due to its administrative attachment. The Veterans Home budget presentation was also mentioned.
HB71 2025-0416H: Unnamed Speaker Information Only01:45:08.239 - 1:43:39 PM; The speaker reviewed provisions in House Bill 2 related to DHHS, including appropriations for emergency shelter services, changes in funding sources, and the suspension of certain programs. The discussion included technical cleanups and potential cost savings through changes in Medicaid drug purchasing.
HB71 2025-0416H: Unnamed Speaker Information Only02:03:02.400 - 2:01:33 PM; The speaker discussed the carry-forward of unspent funds for the WIC Farmers Market nutrition program and the adjustment of the county cap for Medicaid payments. The conversation included potential impacts on general fund contributions and the need for clarity on these provisions.
HB71 2025-0416H: Ann Landry, Associate Commissioner, Department of Health and Human Services Information Only02:24:57.479 - 2:23:28 PM; Ann Landry addressed concerns about a document related to the Office of Health Equity found on the UNH website, confirming that it was an old document not reflective of current department offerings. She assured that the department was reviewing all listed trainings to ensure accuracy and relevance.