Committee Summary for House Finance Division III (03/24/2025)

Bill/Time	Type	Title	Sponsor
HB2 00:01:28.920 - 9:00:09 AM	General Working Session	relative to state fees, funds, revenues, and expenditures.	Weyler, Kenneth(R)[B+]2024

HB2: Unnamed Speaker Information Only00:01:28.920 - 9:00:09 AM; The speaker opened the morning's hearing on Division 3, discussing the plan to review the Governor's HB2 items to identify those that can be approved without controversy and those needing further discussion. They mentioned losing a list over the weekend and planned to distribute new lists related to House Bills 1 and 2. They introduced Paige Loren from the LBA audit division, who will assist with the House budget. The session was described as an introduction day for new Republican and Democratic proposals related to HB2, with discussions and debates to follow on subsequent days.
HB2: Unnamed Speaker Information Only00:03:47.920 - 9:02:28 AM; The speaker continued discussing the day's agenda, emphasizing that it was an introduction day for new proposals from both Republicans and Democrats related to HB2. They mentioned a change document showing proposed adjustments from the Governor's budget and planned to take questions but not engage in debates. They also planned to allocate time for Democrats to introduce their proposals related to HB1 and HB2.
HB2: Unnamed Speaker Information Only00:05:04.000 - 9:03:45 AM; The speaker discussed the schedule for the next few days, including the introduction of proposals and the plan to vote on them the following day. They mentioned that some items might remain open-ended and would be revisited on Friday to finalize details for the LBA to input into the Budget Engine.
HB2: Representative Priest Information Only00:06:27.759 - 9:05:08 AM; Representative Priest asked about the timing for the session on Friday, noting that there was no set time on the calendar yet. The speaker suggested recessing until a certain time on Friday, pending the availability of the fiscal committee and other commitments.
HB2: Representative Tersi Information Only00:07:23.240 - 9:06:04 AM; Representative Tersi reviewed the status of various HB2 items from the Governor's list, discussing which sections were agreed upon and which required further discussion or amendments. They referenced specific sections and amendments, indicating ongoing work and adjustments to the proposed budget items.
HB2: Representative Mooney Information Only00:09:26.079 - 9:08:07 AM; Representative Mooney clarified that an amendment related to one of the HB2 items was distributed last Friday and mentioned that there were tweaks to the language. They offered to distribute a new amendment for review.
HB2: Unnamed Speaker Information Only00:11:48.560 - 9:10:29 AM; The speaker discussed items 112 and 185 from the budget, which relate to fiscal approval of additional child care scholarship funding and a county cap for long-term services. They confirmed these items originated from the governor and noted that the Democrats had a position on these items, deferring to Representative Wner for further details. The speaker also mentioned an amendment related to the county cap and planned to discuss it further. They counted seven items for further discussion and noted that a formal vote would be taken the next day on other items.
HB2: Unnamed Speaker Information Only00:13:13.399 - 9:11:54 AM; The speaker corrected the count of items to be discussed to eight, mentioning item 96 which was not closed. They discussed a new amendment that appeared on their desk, which involved unrestricted gifts distribution based on departmental needs. They suggested setting this aside for overnight consideration.
HB2: Unnamed Speaker Information Only00:14:13.040 - 9:12:54 AM; The speaker clarified that the sheet handed out was an illustration of major changes to the budget, specifically related to developmental disabilities. They noted that the sheet was not complete and mentioned ongoing updates and adjustments to the governor's recommended budget, focusing on general funds.
HB2: Unnamed Speaker Information Only00:15:20.639 - 9:14:01 AM; The speaker discussed the budget sheet, indicating it was a 90% product and would be further refined. They mentioned new items 26 and 27, including public health marketing collateral and a UNH epidemiology contract. They also discussed the need to balance the budget within expected revenues, using the back of the budget as a shock absorber for any remaining gaps.
HB2: Unnamed Speaker Information Only00:16:34.600 - 9:15:15 AM; The speaker explained that the Finance Committee had less resources than projected in the governor's budget and needed to adjust 27 line items to balance the budget. They noted that three items would increase revenue, while the rest would not, and the back of the budget would absorb any remaining gaps.
HB2: Representative Priest Information Only00:18:03.159 - 9:16:44 AM; Representative Priest noted that their sheet only had 26 items, with the 27th being pending contracts. They mentioned two additional line items discussed in a recent budget meeting that were not on the sheet and requested a preview of these items.
HB2: Unnamed Speaker Information Only00:19:19.440 - 9:18:00 AM; The speaker clarified that the budget adjustments were not in numerical order and discussed the community mental health program. They noted that the budget would stick to the highest historical spending amount rather than the governor's proposed increase. They also discussed Medicaid enhancement tax revenue and drug rebate revenue adjustments.
HB2: Unnamed Speaker Information Only00:20:43.400 - 9:19:24 AM; The speaker discussed the Medicaid enhancement tax revenue, noting an expected increase over the governor's budget. They clarified that the budget sheet was a change document reflecting incremental changes to the governor's budget. They also corrected a typo in the fiscal year 27 figures.
HB2: Unnamed Speaker Information Only00:22:03.320 - 9:20:44 AM; The speaker explained the reallocation of funds from the liquor fund to the general revenues, which would leave the governor's Commission on Alcohol and Drug Abuse unfunded. They proposed transferring an equivalent amount from the opioid abatement settlement fund to keep the commission fully funded. They discussed the current balance and commitments of the opioid abatement fund.
HB2: Nathan White, Chief Financial Officer, Department of Health and Human Services Information Only00:28:34.559 - 9:27:15 AM; Nathan White provided details on the opioid abatement fund, noting that approximately $2.98 million was currently not obligated. He explained the status of contracts and grants, including those in process and those in the RFP stage. He suggested pausing new agreements until the budget process was complete and promised to provide a summary of the fund's status.
HB2: Unnamed Speaker Information Only00:32:13.720 - 9:30:54 AM; The speaker discussed the rationale for redirecting funds from the liquor fund to the general treasury, emphasizing the need for legislative oversight of the power of the purse. They noted that the governor's commission had been functioning well but stressed the importance of legislative control over fund disbursement. They also discussed savings from the governor's Grant Advantage cost sharing, noting a $12 million surplus in FY 27.
HB2: Unnamed Speaker Information Only00:38:32.680 - 9:37:13 AM; The speaker discussed adjustments to the governor's budget, proposing a reduction from 18.7 million to around 16.9 million in general funds for fiscal year 26, which is still higher than the 14.9 million spent in fiscal year 24. They highlighted a planned reduction of 2.85 million in FY 27, aiming for savings through shared services in the replacement center. The discussion aimed to balance fiscal responsibility with necessary spending increases.
HB2: Unnamed Speaker Information Only00:40:00.000 - 9:38:41 AM; The speaker addressed the handling of enhanced FMAP funds received during a six-month period due to the federal government's COVID response. These funds, initially unallocated, were directed to counties starting July 1. The counties have requested repayment of the funds, totaling approximately 22.5 million, and have agreed to receive this in four equal payments over two budget years, totaling 5.625 million annually.
HB2: Unnamed Speaker Information Only00:41:18.880 - 9:39:59 AM; The speaker clarified that the agreement with counties on the FMAP funds was based on informal discussions with county representatives, including David Ross from Hillsborough and Chuck Nickerson from Rockingham. They noted a lack of formal county votes but felt there was sufficient consensus to proceed without anticipated opposition.
HB2: Unnamed Speaker Information Only00:44:55.680 - 9:43:36 AM; The speaker discussed the decision to split the repayment of FMAP funds into four payments for better cash flow management. They explained that although the funds were initially placed in the rainy day fund, they would be paid out from general funds, as all funds would eventually net to the same budget reconciliation.
HB2: Unnamed Speaker Information Only00:46:03.280 - 9:44:44 AM; The speaker noted that counties have not yet reflected the FMAP funds in their current budgets due to the timing of the state's budget process. They anticipated that counties would show the funds as a surplus in their budgets over the next four years.
HB2: Unnamed Speaker Information Only00:47:08.480 - 9:45:49 AM; The speaker discussed a proposed 1% premium added to the 2% county cap due to exigent circumstances. This would result in a 3% annual increase for the next two years. The decision was made to keep the cap temporary to address concerns that a permanent change might not be reversed.
HB2: Unnamed Speaker Information Only00:50:35.040 - 9:49:16 AM; The speaker clarified that the exigent circumstances for adding the 1% premium to the county cap included the previous budget cycle's decision to freeze the cap at a time of high inflation, which provided significant relief to counties. They are now seeking county support in return.
HB2: Unnamed Speaker Information Only00:51:51.520 - 9:50:32 AM; The speaker proposed eliminating general fund allocations for the tobacco prevention and cessation program, citing declining tobacco use and the program's societal success. They noted that federal funding might still be available, but the state's general fund contribution would be zeroed out.
HB2: Unnamed Speaker Information Only00:54:22.079 - 9:53:03 AM; The speaker discussed their involvement with the prescription drug affordability board (PDAB), mentioning recent developments in business case justifications for continued funding. They highlighted three business cases that justified spending with significant returns on investment.
HB2: Unnamed Speaker Information Only00:55:49.240 - 9:54:30 AM; The speaker, referred to as Representative Stringham, provided an independent analysis of the PDAB's business cases, supporting the continuation of funding based on the projected savings from Medicare reference pricing, biosimilar usage, and the RX card program.
HB2: Unnamed Speaker Information Only00:58:18.160 - 9:56:59 AM; The speaker discussed adjustments to the PDAB's budget, including a decrease in funding for the first two years and the ability to carry non-lapsing funds between fiscal years. They also mentioned a potential contract worth $660,000 that the board was close to signing.
HB2: Unnamed Speaker Information Only01:00:52.839 - 9:59:33 AM; The speaker addressed a tabled bill related to the PDAB that would limit its data collection and analysis functions, suggesting it be sent to the Senate for amendment. They also discussed the status of the PDAB's business plan and implementation strategy.
HB2: Unnamed Speaker Information Only01:04:36.799 - 10:03:17 AM; The speaker proposed recognizing a 2.5 million savings target for the PDAB in FY 27, with the next fiscal year used to develop an implementation plan. They also suggested eliminating the SNAP incentive program and accelerating the implementation of home dialysis to save costs.
HB2: Unnamed Speaker Information Only01:07:09.599 - 10:05:50 AM; The speaker proposed a reduction in public health emergency preparedness funding, which would impact 23 positions, including toxicologists and public health nurses. They noted the necessity of these cuts due to budget constraints.
HB2: Patricia Tilly, Associate Commissioner at DHHS Information Only01:08:15.920 - 10:06:56 AM; Patricia Tilly responded to a question about the impact of reducing public health emergency preparedness funding, stating it would affect 23 positions, including toxicologists and public health nurses, potentially leaving the department decimated.
HB2: Unnamed Speaker Information Only01:09:01.560 - 10:07:42 AM; The speaker proposed a 25% reduction in the budget for child care licensing, shifting towards an education and self-attestation model. They also discussed prohibiting Medicaid funds for elective circumcisions and deleting the Family Planning account, impacting both general and federal funds.
HB2: Unnamed Speaker Information Only01:10:31.120 - 10:09:12 AM; The speaker discusses the budget's basis on historical spend and includes a $39 million buffer in account 710000. The budget funds all priorities and room and board, though early intervention was cut by $4 million. Despite this cut, the budget still leaves an additional $500k for early intervention. The speaker mentions a $2.1 million buffer whose location is unclear. The proposal tightens authorized spending but allows room for increased spending.
HB2: Unnamed Speaker Information Only01:11:39.679 - 10:10:20 AM; The speaker inquires about the time for further discussion on the budget proposal, suggesting a fact-finding session on the impact of cuts. They mention that the department might need more time to respond to specific questions about the budget due to the novelty of the presented numbers. The speaker suggests pushing detailed discussions to the next day to allow for better preparation.
HB2: Unnamed Speaker Information Only01:12:51.639 - 10:11:32 AM; The speaker seeks clarification on the historical spend referenced in the budget, questioning whether it pertains to fiscal year 2024. They note potential issues with billing systems during that year and suggest verifying with finance to ensure accuracy of the data used in the budget.
HB2: Unnamed Speaker Information Only01:14:02.080 - 10:12:43 AM; The speaker emphasizes the intent to protect direct care and support in the DD budget and explore savings from indirect spend. They mention that this approach could impact 20% of the general funds budget and stress the need for the department's review of the proposal.
HB2: Unnamed Speaker Information Only01:15:18.760 - 10:13:59 AM; The speaker mentions that some contract dollars are for direct services for individuals not eligible for Medicaid but under RSA 1701a. They suggest an analysis is needed to understand the full impact of the budget proposals.
HB2: Unnamed Speaker Information Only01:16:30.040 - 10:15:11 AM; The speaker addresses concerns about potential impacts on waitlists and service rates due to budget reductions. They clarify that the budget aims to meet legal obligations for waitlists and does not project rate increases or decreases.
HB2: Unnamed Speaker Information Only01:17:52.560 - 10:16:33 AM; The speaker discusses the state loan repayment program, indicating that it would freeze new applicants but continue commitments for those already accepted. They also mention a previous discussion about funding DocuSign and request a business case justification for a $344,000 spend.
HB2: Ernie Gillan, Director of Information Services Information Only01:18:40.440 - 10:17:21 AM; Ernie Gillan explains the use of DocuSign across the department, highlighting its cost-saving benefits by eliminating the need for wet signatures and paper processes. He mentions that DocuSign is used in contract execution and other areas within the department.
HB2: Unnamed Speaker Information Only01:20:01.719 - 10:18:42 AM; The speaker questions the justification for the $344,000 investment in DocuSign, calculating the man-hours needed to justify the cost. They are provided with context on how DocuSign saves time and resources, particularly in contract processing and AG approval.
HB2: Unnamed Speaker Information Only01:21:04.000 - 10:19:45 AM; The speaker discusses potential savings from implementing DocuSign, referencing a document that outlines these savings. They suggest that these savings could be reflected elsewhere in the budget to make the DocuSign line item cost-neutral.
HB2: Unnamed Speaker Information Only01:23:25.840 - 10:22:06 AM; The speaker discusses Medicaid recoveries, mentioning that adding three staff members could recover an additional $350,000, justifying the $82,000 cost. They confirm this information with the legal services team.
HB2: Unnamed Speaker Information Only01:24:46.639 - 10:23:27 AM; The speaker seeks clarification on the MLADC program, which would terminate contracts for master licensed alcohol and drug counselors in the division for children, youth, and families. They confirm this with Trisha, who explains the program's role in substance misuse and recovery.
HB2: Unnamed Speaker Information Only01:25:42.440 - 10:24:23 AM; The speaker discusses budget reductions, including a $100,000 reduction in a contract with the Department of Corrections for parental educational programs and the elimination of the Friends of Annie peer-to-peer grief support program, which would save $200,000.
HB2: Unnamed Speaker Information Only01:27:06.679 - 10:25:47 AM; The speaker mentions a new budget item, number 26, which involves identifying specific contracts for elimination. They note that the financial impact of these eliminations needs further analysis.
HB2: Unnamed Speaker Information Only01:28:21.080 - 10:27:02 AM; The speaker discusses a request for feedback on the Title 5 maternal and child health block grant, mentioning the use of gift cards for focus group participants. They clarify that these funds were 100% federal and already spent.
HB2: Unnamed Speaker Information Only01:29:37.320 - 10:28:18 AM; The speaker addresses a concern raised by a member of the public about the use of the term 'birthing people' in marketing material, finding it offensive. They suggest the department should avoid politically charged language and seek clarification on the approval process for the material.
HB2: Unnamed Speaker Information Only01:30:41.199 - 10:29:22 AM; The speaker confirms that all items on the change document have been introduced and inquires about any additional items. They mention a pending item related to the WIC Farmers Market nutrition program, which would be a complete strike-through of the program.
HB2: Unnamed Speaker Information Only01:31:35.400 - 10:30:16 AM; The speaker discusses the need for the Democratic caucus to review their amendments and suggests a recess for lunch and further discussion. They propose reconvening at 1:05 PM.
HB2: Unnamed Speaker Information Only03:05:46.640 - 12:04:27 PM; The speaker notes the continuation of the recess due to the absence of necessary participants and suggests reconvening at 1:10 or 1:12 PM.
HB2: Unnamed Speaker Information Only03:12:16.160 - 12:10:57 PM; The speaker mentioned that they were running six minutes behind schedule but still aimed to finish by 4:00 PM. They discussed the need to review Republican HB2 items and hear Democratic proposals for HB1 and HB2. The speaker felt talked out but was ready to proceed with discussions on either bill.
HB2: Unnamed Speaker Information Only03:13:08.200 - 12:11:49 PM; The speaker questioned the origin of numbers on a document with green lines, noting it did not resemble typical LBA documents. They were informed that the data was from a confidential source and was a supplement to official documents, translated by Mr. Ripple into a readable format.
HB2: Unnamed Speaker Information Only03:15:39.760 - 12:14:20 PM; The speaker discussed the continuation of the meeting, mentioning a lunch meeting with Mr. Ripple and outstanding questions. They noted that tentative talking points were distributed and discussed a document labeled as Democratic recommendations for HB2 amendments, which included eight items.
HB2: Representative Walner Information Only03:18:11.720 - 12:16:52 PM; Representative Walner discussed the first item on the Democratic HB2 amendment sheet, which was to remove Medicaid premiums and copays by deleting sections 107, 109, and 110. They mentioned awaiting a second draft of the amendment.
HB2: Representative Walner Information Only03:19:27.600 - 12:18:08 PM; Representative Walner explained the second item on the amendment sheet, which related to court-appointed counsel for children. This was linked to Senate Bill 463 from the previous year, which provided lawyers for children in residential care. The amendment appropriated funding for up to four positions to implement this, using money from the residential line, aiming to be cost-neutral.
HB2: Unnamed Speaker Information Only03:20:58.479 - 12:19:39 PM; The speaker clarified that the funding for the court-appointed counsel amendment was proposed to be cost-neutral. They also asked about the cost implications of the Medicaid premiums amendment, noting it was not cost-neutral and might need tweaking.
HB2: Unnamed Speaker Information Only03:22:30.000 - 12:21:11 PM; The speaker discussed the third item on the amendment sheet, which was to repeal the Granite Advantage trigger law. They noted that a similar amendment was proposed in the Senate but was ruled non-germane. The cost of this amendment was difficult to calculate due to uncertainties in federal policy.
HB2: Unnamed Speaker Information Only03:23:49.199 - 12:22:30 PM; The speaker provided details on the Senate's handling of the amendment to repeal the Granite Advantage trigger law, noting it was ruled non-germane and did not pass with the amendment. They discussed the potential financial impact, which was hard to predict due to federal policy uncertainties.
HB2: Representative Stringham Information Only03:25:09.319 - 12:23:50 PM; Representative Stringham discussed the fourth item on the amendment sheet, which proposed a Medicaid rate increase funded by a 42-cent increase in the tobacco tax. This was intended to be cost-neutral and aimed to address shortages and access problems in Medicaid services.
HB2: Representative Walner Information Only03:27:36.399 - 12:26:17 PM; Representative Walner discussed the fifth item, which related to a bill on Social Security funds for foster kids. The amendment directed the Department of Health and Human Services to seek additional federal funds, potentially increasing funding without additional state costs.
HB2: Unnamed Speaker Information Only03:29:01.920 - 12:27:42 PM; The speaker discussed the sixth item, which was about recreational resources. This amendment allowed unused funds to be non-lapsing and created a special fund for donations, potentially participating in charitable gaming to fund the program without new appropriations.
HB2: Unnamed Speaker Information Only03:33:59.680 - 12:32:40 PM; The speaker discussed the seventh item, which pertained to licensing substance use treatment centers. The amendment included policy changes but did not request new funding, aiming to address substandard care issues without immediate financial implications.
HB2: Representative Stringham Information Only03:35:10.960 - 12:33:51 PM; Representative Stringham discussed the eighth item, which proposed freezing the county cap at the previous level, effectively keeping it flat for two budgets. This was estimated to cost about $6 million in total over the biennium, aimed at improving enrollment at county nursing homes.
HB2: Unnamed Speaker Information Only03:38:36.279 - 12:37:17 PM; The speaker concluded the discussion on the eight Democratic HB2 amendment items, noting that further discussion and decisions would be made the following day. They mentioned potential additional tweaks but no major surprises expected.
HB2: Unnamed Speaker Information Only03:39:48.960 - 12:38:29 PM; The speaker discussed additional items on the landscape spreadsheet, including funding for Glencliff and New Hampshire Hospital, and a clarification on funding for the Waypoint homeless shelter. They also mentioned a childcare workforce fund from the previous biennium's budget.
HB2: Unnamed Speaker Information Only03:41:19.680 - 12:40:00 PM; The speaker discussed the challenges in the child care sector in New Hampshire, attributing the difficulties to low wages which make it hard to attract and retain professionals. They mentioned that $15 million in grants was distributed to child care providers to help with various needs such as bonuses, wage increases, education, and health insurance. This initiative, although delayed, has reportedly made a significant difference in retaining staff. The speaker also expressed a belief that these funds could be eligible for the TANF Reserve funds, suggesting a direct relationship between child care support and reducing TANF expenditures.
HB2: Unnamed Speaker Information Only03:42:46.520 - 12:41:27 PM; The speaker discussed the potential use of TANF Reserve funds for child care, noting that there is $57 million available in the reserve. They highlighted the importance of child care in supporting workforce participation, which could reduce TANF spending. There was some confusion about whether the funds should be classified as general funds or TANF Reserve funds, and the speaker mentioned a need for clarification on this matter.
HB2: Unnamed Speaker Information Only03:43:59.279 - 12:42:40 PM; The speaker corrected a previous statement, clarifying that the $15 million mentioned earlier was actually $7.5 million per year for a total of $15 million. They also discussed the Department of Economic Stability's needs, particularly the call center, which is essential for client eligibility and matching. The speaker questioned whether there could be trade-offs to fund these needs.
HB2: Unnamed Speaker Information Only03:46:45.479 - 12:45:26 PM; The speaker discussed operational inefficiencies at Glen Cliff and New Hampshire Hospital due to reliance on contract workers. They suggested that funding full-time positions could save money, as seen in Grafton County Nursing Home where switching from contract to full-time staff saved $50,000 per person. The speaker noted that the budget for Glen Cliff did not fund either full-time or contract positions adequately, which could lead to reduced services.
HB2: Unnamed Speaker Information Only03:47:57.520 - 12:46:38 PM; The speaker continued discussing the budget issues at Glen Cliff and New Hampshire Hospital, emphasizing the need for financial flexibility to switch from contract to full-time staff. They mentioned that the governor's budget did not adequately fund either option, which limits the facilities' ability to make cost-effective staffing decisions.
HB2: Unnamed Speaker Information Only03:48:46.520 - 12:47:27 PM; The speaker proposed adding $2.6 million in general funds to the Glen Cliff budget to provide the necessary financial flexibility to switch from contract to full-time staff. They noted that the current budget does not fund either option adequately, which hampers the facility's ability to make cost-effective staffing decisions.
HB2: Unnamed Speaker Information Only03:49:32.600 - 12:48:13 PM; The speaker discussed the possibility of providing more flexibility in the budget to allow Glen Cliff and New Hampshire Hospital to move funds from contract to payroll without necessarily increasing the budget. They noted that Glen Cliff's situation requires new general funds due to the lack of funding in either category in the current budget.
HB2: Nathan White, Chief Financial Officer of Department of Health and Human Services Information Only03:51:58.479 - 12:50:39 PM; Nathan White clarified that positions are budgeted with a mix of general and other funds, and reductions were made proportionally during the governor's phase. He explained that Glen Cliff's budget is different as contract nursing staff dollars are not explicitly budgeted but are paid via vacancies. He emphasized that the issue is not flexibility but a lack of funds, and that the budget is based on certain assumptions which can vary year to year.
HB2: Nathan White, Chief Financial Officer of Department of Health and Human Services Information Only03:55:10.199 - 12:53:51 PM; Nathan White further explained the budgeting process, noting that different positions and class lines are budgeted at different allocations based on assumptions. He clarified that census drives revenue but budgeting is more complex. He also discussed the New Hampshire Hospital's situation, where unfunded positions and monitoring of staffing needs would determine adjustments in spending between contract and full-time staff.
HB2: Unnamed Speaker Information Only03:56:23.720 - 12:55:04 PM; The speaker discussed the budget for the new forensic unit at the New Hampshire Hospital, which was not funded in the governor's budget. They mentioned that the funds were intended for the second state fiscal year but were shifted to the third year due to construction delays. This shift was cost-neutral with a slight savings due to the removal of staffing money from the third year.
HB2: Unnamed Speaker Information Only03:58:44.680 - 12:57:25 PM; The speaker discusses the addition of $93,000 to the budget under F7, intended as an insurance policy to maintain a building currently under construction, ensuring it does not suffer from mold or pipe bursts before patients move in. This is new money not previously accounted for in the general funds.
HB2: Unnamed Speaker Information Only03:59:46.439 - 12:58:27 PM; The speaker addresses the impact of an amendment to HB2 that would remove cost-sharing and co-pays on Medicaid, linking it to another amendment (1233). They also discuss the concept of a 'back of the budget cut', which gives the commissioner discretion to find operational efficiencies. The speaker questions the Democratic view on including such a cut in the upcoming budget, suggesting it's seen as a Republican initiative.
HB2: Unnamed Speaker Information Only04:01:13.960 - 12:59:54 PM; The speaker clarifies that while there might be a need for a 'back of the budget cut', the Democrats do not agree on the amount or the necessity of such a cut, viewing it as a Republican-driven measure. They emphasize the need to stay within the Ways and Means revenue estimate and discuss the implications of previous tax policy decisions.
HB2: Representative Walner Information Only04:02:30.920 - 1:01:11 PM; Representative Walner expresses the view that putting together the budget is the responsibility of the legislators, not the departments. They argue against large 'back of the budget' cuts being made by departments, suggesting that such significant decisions should be made by elected officials who are accountable to the public.
HB2: Unnamed Speaker Information Only04:03:51.520 - 1:02:32 PM; The speaker acknowledges the complexity of the Department of Health and Human Services (DHS) budget, noting the challenges in making deep cuts due to the integrated nature of the department's operations and the reliance on matching funds. They express concern about the safety of making deeper program cuts than proposed, suggesting it could do more harm than good.
HB2: Unnamed Speaker Information Only04:05:10.319 - 1:03:51 PM; The speaker discusses the concept of 'back of the budget' in relation to unfilled positions and the fiscal prudence of not appropriating funds for positions that may not be filled. They note that the current budget starts with unfunded unfilled positions, making 'back of the budget' cuts more challenging to manage.
HB2: Unnamed Speaker Information Only04:06:28.920 - 1:05:09 PM; The speaker acknowledges the difficulty in managing the current 'back of the budget' due to the budget's starting point with unfunded positions. They emphasize the need to work within the limited resources available, highlighting the challenge of unlimited wants versus limited resources.
HB2: Unnamed Speaker Information Only04:07:45.239 - 1:06:26 PM; The speaker mentions the upcoming discussion of 33 amendments to HB2, indicating a structured approach to reviewing each amendment with a time limit of 3 minutes per amendment.
HB2: Unnamed Speaker Information Only04:09:13.680 - 1:07:54 PM; The speaker lists several amendments to HB2, including changes to county caps, reimbursement for overpayments, repealing the liquor transfer to the alcohol fund, appropriating opioid abatement funds, revising the Granted Advantage language, repealing the Foster Grandparent program, requiring DHH contractors to comply with the Patients Bill of Rights, and incorporating a house position around circumcision.
HB2: Unnamed Speaker Information Only04:11:55.399 - 1:10:36 PM; The speaker concluded their discussion on a previous topic and was finishing their remarks. They mentioned that the language for revising the statute related to the prescription drug affordability board was not ready for review, and they inquired about the availability of HB1279 for review. They also discussed the distribution of amendments and the need for them to be ready by the end of the day.
HB2: Unnamed Speaker Information Only04:13:08.760 - 1:11:49 PM; The speaker introduced HB1279, which revises parts of House Bill 570. The revisions include changes to the chair's term, making the executive director position a regular state employee position, and adjusting the contract bidding process so that it does not need to go through the fiscal committee. They also mentioned adjustments to the lapses to allow for carrying over unspent balances and discussed a $60,000 contract concern.
HB2: Unnamed Speaker Information Only04:16:31.000 - 1:15:12 PM; The speaker discussed the youth risk behavior survey, stating a preference for it to remain an opt-out program. They clarified that there should be clear communication about opting out without repercussions, and they humorously noted the ethical concerns around the opt-out versus opt-in process.
HB2: Unnamed Speaker Information Only04:17:36.279 - 1:16:17 PM; The speaker proposed changing the name of the Office of Health Equity to the Office of Health Access and discussed maintaining the governor's hiring freeze except for the banum. They also addressed questions about the department's staffing and the implications of the hiring freeze.
HB2: Unnamed Speaker Information Only04:20:53.720 - 1:19:34 PM; The speaker introduced HB1277, which aims to clarify and refine language related to DEI (Diversity, Equity, and Inclusion). They discussed the need to comply with civil rights laws and treat everyone with dignity and respect. They also mentioned an amendment for the department to seek a waiver for Medicaid work requirements.
HB2: Unnamed Speaker Information Only04:22:23.279 - 1:21:04 PM; The speaker discussed the history and current status of Medicaid work requirement language in statute, mentioning a Senate bill (SB134) that aims to reinsert this language. They expressed concerns about implementation costs and the need for further analysis before making decisions.
HB2: Henry Litman, State Medicaid Director Information Only04:23:37.239 - 1:22:18 PM; Henry Litman discussed the potential costs of implementing the work requirement, including software modifications and the need for multidisciplinary analysis. He mentioned the fiscal note from Senate Bill 134 and the potential for savings if enrollment decreases.
HB2: Unnamed Speaker Information Only04:26:21.960 - 1:25:02 PM; The speaker suggested possibly removing the work requirement language from HB2 and letting the Senate bill proceed separately. They emphasized the need for a thorough analysis, which might not be ready by the next day.
HB2: Unnamed Speaker Information Only04:30:23.680 - 1:29:04 PM; The speaker discussed the state loan repayment program and the integration of long-term care services into managed care. They proposed that integrating these services could lead to higher rates of CFI and lower overall costs but noted that it would require coordination with counties.
HB2: Unnamed Speaker Information Only04:31:42.800 - 1:30:23 PM; The speaker discussed the potential savings from integrating long-term care services into managed care, acknowledging that it would be cost-neutral in the first budget cycle but could lead to long-term gains. They highlighted the complexity and the need for coordination with counties.
HB2: Unnamed Speaker Information Only04:33:56.561 - 1:32:37 PM; The speaker discussed the costs to the department of implementing the integration of long-term care services into managed care, including actuarial rates, waiver costs, and the need for an implementation plan. They emphasized the time-consuming nature of the process.
HB2: Henry Litman, State Medicaid Director Information Only04:35:11.879 - 1:33:52 PM; Henry Litman elaborated on the costs and time required for implementing the integration of long-term care services into managed care. He mentioned the need for actuarial rates, a waiver, and an implementation plan, emphasizing the labor-intensive nature of the process.
HB2: Unnamed Speaker Information Only04:37:28.160 - 1:36:09 PM; The speaker suggested that the integration of long-term care services into managed care might be better suited as a standalone bill due to its complexity and the need for stakeholder input. They emphasized the time constraints and the importance of thorough discussion.
HB2: Unnamed Speaker Information Only04:38:33.118 - 1:37:14 PM; The speaker introduced a proposal for Medicaid cost sharing for outpatient procedures, aiming to encourage recipients to seek lower-cost providers. They mentioned that this concept is already being piloted and requested feedback on the compatibility of the proposed language with current practices.
HB2: Unnamed Speaker Information Only04:40:00.958 - 1:38:41 PM; The speaker discussed accelerating the implementation of home dialysis within the State Medicaid Program, reiterating previous discussions on the topic.
HB2: Unnamed Speaker Information Only04:41:17.760 - 1:39:58 PM; The speaker discussed the adult dental program, emphasizing the need for a justification of its continuation using general funds. They requested that by January 1 of the next budget cycle, the department should provide clinical success and financial results.
HB2: Unnamed Speaker Information Only04:42:41.560 - 1:41:22 PM; The speaker introduced adding HB73 on harm reduction into HB2, noting its progress in the Senate. They also mentioned eliminating the SNAP incentive program and allowing the commissioner to accept gifts up to $250,000.
HB2: Unnamed Speaker Information Only04:43:55.560 - 1:42:36 PM; The speaker discussed allowing the use of general funds to support activities and infrastructure at the Sununu Youth Center and the potential for building a corridor between Hamstead and the new center. They also mentioned pursuing donations for this project.
HB2: Unnamed Speaker Information Only04:46:16.240 - 1:44:57 PM; The speaker introduced a requirement for DHHS to report on allocated but unused funds for DD recipients over a three-year period. They clarified the intent to identify overfunded areas and requested feedback on whether this data is already being collected.
HB2: Unnamed Speaker Information Only04:50:42.920 - 1:49:23 PM; The speaker discussed deleting a section from HB2 that would allow the fiscal committee to approve general funds for child care shortfalls. They requested a review of this decision and mentioned a potential alternative to be discussed the next day.
HB2: Unnamed Speaker Information Only04:51:54.360 - 1:50:35 PM; The speaker introduced incorporating HB223 and HB228 into HB2, both related to the licensing of health care facilities and certificate of need issues. They noted that both bills had already passed the House but with partisan votes.
HB2: Unnamed Speaker Information Only04:53:22.360 - 1:52:03 PM; The speaker discussed the Medicaid to schools program, emphasizing the importance of maintaining parental consent. They mentioned that if parental consent policies are changed, HB2 would serve as an exit plan similar to the granted Advantage Exit Plan, which would terminate the program if the federal medical assistance percentage (FMAP) falls below 90%. The speaker also referenced HB17, which deals with the substitution of biological products, noting its relevance to the PDAB business case and potential savings reflected in the budget.
HB2: Unnamed Speaker Information Only04:55:24.798 - 1:54:05 PM; The speaker responded to a question about guiding people towards generic medications, specifically mentioning Humera in the context of biologics. They also discussed HP4 480, which relates to the restoration of competency to stand trial, noting it was a leadership request and had passed the House on a voice vote, now in the Senate. They mentioned the need to review it further.
HB2: Unnamed Speaker Information Only04:56:46.480 - 1:55:27 PM; The speaker discussed extending the lapse date for the recovery friendly workplace program appropriation from June 30, 2025, to 2027. They clarified that this was the first extension, contrary to their initial belief that it was the second.
HB2: Unnamed Speaker Information Only04:57:50.360 - 1:56:31 PM; The speaker talked about requiring the governor's commission to itemize funds spent on certain programs. They mentioned the commission's four pillars and the need for historical data to be provided to Division 3 for future budget cycles.
HB2: Unnamed Speaker Information Only04:58:37.600 - 1:57:18 PM; The speaker, who is on the commission and budget task force, emphasized the availability of data and the need to connect it with Division 3 for future budget planning. They also mentioned the busy schedule for the next day and suggested going through the Democrats' list of proposed amendments to the government recommended budget.
HB2: Unnamed Speaker Information Only04:59:52.440 - 1:58:33 PM; The speaker discussed the Democratic recommendations for HB2, starting with funding the children's behavioral Resource Centers. They expressed concern about finding an additional million dollars to fund what the governor had defunded. They also discussed the use of TANIF funds and the need for validation on whether it would be a pure TANIF spend without general fund implications.
HB2: Unnamed Speaker Information Only05:00:26.718 - 1:59:07 PM; The speaker discussed the proposed amendments, including funding unfunded positions at Glen Cliffe and the New Hampshire Hospital. They highlighted the challenge of finding the money for these initiatives without cutting other programs or increasing the back of the budget, which was not favored by Representative Walner. They also mentioned the issue of mold and the need for a philosophical agreement on budget adjustments.
HB2: Unnamed Speaker Information Only05:02:23.360 - 2:01:04 PM; The speaker expressed concerns about removing Medicaid premiums and co-pays, noting the expected revenue from these and the challenge of finding replacement funds. They also mentioned the need to discuss this further the next day.
HB2: Unnamed Speaker Information Only05:05:28.558 - 2:04:09 PM; The speaker discusses various budgetary items related to HB2, including delaying implementation of section 106 as cost neutral, increasing tobacco tax for specific causes, and funding for developmental disabilities. The speaker also mentions the need to discuss funding and policy changes the following day.
HB2: Representative Walner Information Only05:08:14.160 - 2:06:55 PM; Representative Walner inquires about Mr. White's change requests and expresses interest in understanding the details. The change requests are discussed as not having a negative general fund impact and involving the acceptance of additional federal funds and correcting budget class lines.
HB2: Mr. White Information Only05:09:24.320 - 2:08:05 PM; Mr. White elaborates on the change requests, explaining that they involve technical corrections and adjustments to budget class lines to better align with federal funds and other revenue sources. He assures that these changes do not negatively impact the general fund and are intended to make the budget process more efficient.
HB2: Jackie Cowell, Early Learning New Hampshire Support05:22:49.520 - 2:21:30 PM; Jackie Cowell from Early Learning New Hampshire supports the continuation of the Child Care Workforce Grant using TANF funds. She emphasizes the economic impact of childcare shortages and the need for flexible funding to help employers retain and hire staff.
HB2: Representative Priest Information Only05:24:00.000 - 2:22:41 PM; Representative Priest asks about the indirect costs of the childcare program and requests data on similar programs in neighboring states. Jackie Cowell agrees to provide the requested information, noting that states like Maine, Massachusetts, and Vermont have implemented similar initiatives.
HB2: Unnamed Representative Information Only05:25:44.638 - 2:24:25 PM; An unnamed representative inquires about the management and auditing of the childcare workforce grants. Jackie Cowell explains the reporting requirements and the timeline for spending and auditing the funds.
HB2: Unnamed Speaker Information Only05:26:44.878 - 2:25:25 PM; The speaker discusses the upcoming voting day and the need to finalize positions on various bills, including the P-DAB repeal bill (HB 570). There is a suggestion to retain the P-DAB bill for further review in the fall. The speaker also outlines the schedule for the full Finance Committee meetings the following week.