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Senate Committee on Health and Welfare (Room 17)

The Senate Committee on Health and Welfare has jurisdiction over matters relating to the preservation of health, old age assistance, and social and economic security.

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Previous Meetings - Full Report

Summary Report
Tuesday, January 13, 2009
Meeting Details
Hearing Type
Standard
CDs
09-1, 2, 3
Meeting Record
1:30 PM

Effect of Budget Cuts on Health Programs

  • Barbara Cimaglio, Deputy Commissioner, Department of Health
  • Leo Clark, Financial Director II, Vermont Department of Health
  • Wendy Davis, Commissioner, Department of Health
  • Chris Finley, Deputy Commissioner, Department of Health
  • Kelly Stoddard, American Cancer Society
Wednesday, January 14, 2009
Meeting Details
Hearing Type
Standard
CDs
09-4,5,6
Meeting Record
1:00 PM

Report on Health Care Reform Commission

  • Jim Hester, Director, Commission on Health Care Reform
2:00 PM

Impact of Budget Cuts in Health Department

Mental Health and DAIL

  • Todd Centybear, Director, Howard Center
  • Eric Grims, Northeast Kingdom Human Services
  • Michael Hartman, Commissioner, Department of Mental Health
  • Dan Quinn, Rutland Mental Health Services
  • Capt. Michael E. Schirling, Burlington Police Department
  • Joan Senecal, Commissioner, Department of Disabilities, Aging & Independent Living
  • Julie Tessler, Director, Vermont Council of Developmental and Mental Health Services
Thursday, January 15, 2009
Meeting Details
Hearing Type
Standard
CDs
09-7,8,9,10
Meeting Record
1:00 PM

Effect of Budget Cuts on Children and Families

  • Eric Avildsen, Vermont Legal Aid
  • Lou Ann Beninati, Director, Robin's Nest Children's Center
  • Owen Bradley, Principal, Twinfield High School
  • Stephen Dale, Commissioner, Department for Children & Families
  • Sen. Bill Doyle, Washington County
  • Debbie Haskins, Executive Director, Student Assistance Program
  • Mary Beth Heiskell, Student Assistance Program, Woodstock
  • Julie Mulroy-Evans, Building Bright Futures
  • Diane Nichols Fleming, Family Center
  • Dana Peterson, Principal, Woodstock
  • Robert Phillips, Principal, Spaulding High School
  • Mark Redmond, Vermont Coalition of Residential Providers
3:00 PM

Medical Cost Trends

  • Elliott Fisher MD, Professor of Medicine, Dartmouth Medical School
Friday, January 16, 2009
Meeting Details
Hearing Type
Standard
CDs
09-11,12
Meeting Record
1:00 PM

Budget Cuts

Agency of Human Services Overview

  • Nicole Birge, Parent, Burlington
  • Christopher Curtis, Attorney, Vermont Legal Aid
  • Robert Hofmann, Secretary, Agency of Human Services
  • Karen Lafayette, Vermont Low Income Advocacy Council
  • Erhard Mahnke, Vermont Affordable Housing Coalition
  • Francie Marbury, Principal, Marlboro Elementary School
Tuesday, January 20, 2009
Meeting Details
Hearing Type
Standard
CDs
09-13,14
Meeting Record
1:30 PM

Effect of Budget Cuts on Medicaid

  • Susan Besio, Director, Office of Vermont Health Access and Health Care Reform
  • David Yacovone, Agency of Human Services
Wednesday, January 21, 2009
Meeting Details
Hearing Type
Standard
CDs
09-15,16
Meeting Record
1:30 PM

S.7 - An act to prohibit the use of lighted tobacco products in the workplace

  • Shannon Collins
  • Chris Finley, Deputy Commissioner, Department of Health
  • John Hollar, Lobbyist, Tobacco-free Vermont
  • Christy Mihaly, Attorney General's Office
  • Rebecca Ryan, American Lung Association
  • Tina Zuk, VT Cancer Society
Thursday, January 22, 2009
Meeting Details
Hearing Type
Standard
CDs
09-17,18
Meeting Record
3:00 PM

Overview of Health Policies

  • Stephanie Barrett, Associate Fiscal Officer, Joint Fiscal Office
  • Nolan Langweil, Joint Fiscal Office
  • Robin Lunge, Legislative Counsel
Friday, January 23, 2009
Meeting Details
Hearing Type
Standard
CDs
09-19
Meeting Record
1:00 PM

S.7 - An act to prohibit the use of lighted tobacco products in the workplace

  • John Hollar, Lobbyist, Tobacco-free Vermont
1:30 PM

Healthy Living Legislation

  • Wendy Davis, Commissioner, Department of Health
  • Chris Finley, Department of Health
2:30 PM

S.7 - An act to prohibit the use of lighted tobacco products in the workplace

Committee Discussion and vote

  • Meredith Sumner, Legislative Counsel, Office of Legislative Council
Tuesday, January 27, 2009
Meeting Details
Hearing Type
Standard
CDs
09-20,21
Meeting Record
1:30 PM

Proposed Legislation on Elimination of 7 Health Department Positions

  • Wendy Davis, Commissioner, Department of Health
  • Chris Finley, Deputy Commissioner, Department of Health
  • Brian Leven, Legislative Counsel
  • Robin Lunge, Legislative Counsel
3:00 PM

Proposed Legislation on Restoring Medical Coverage of Chiropractic Care

  • Anthony Otis, Lobbyist, Chiropractors
Thursday, January 29, 2009
Meeting Details
Hearing Type
Standard
CDs
09-22,23,24
Meeting Record
1:30 PM

S.37 - An act relating to billing for health services

  • Jennifer Fauntleroy, Psychiatrist
  • Robin Lunge, Office of Legislative Council
2:00 PM

VT Program for Quality in Health Care

  • Helen Riehle, Executive Director, Vermont Program for Quality in Health Care (VPQHC)
2:15 PM

Small Area Variation of Health Care in VT

Follow-up to testimony from Elliott Fisher

  • Paul Harrington, Executive Vice-President, Vermont Medical Society
  • Cy Jordan, Medical Director, Vermont Program for Quality in Health Care (VPQHC)
  • Steve Kappel, Consultant, Health Care Reform Commission
Tuesday, February 3, 2009
Meeting Details
Hearing Type
Standard
CDs
09-25,26,27
Meeting Record
1:30 PM

POC Authority/Hospital Budgets; HRAP

  • Bea Grause, President, Vermont Association of Hospitals and Health Systems
  • Paul Harrington, Executive Vice-President, Vermont Medical Society
  • Paulette Thabault, Commissioner, Department of Banking, Insurance, Securities and Health Care Administration
3:00 PM

Position Reductions

  • James Reardon, Commissioner, Department of Finance & Management
Wednesday, February 4, 2009
Meeting Details
Hearing Type
Standard
CDs
09-28,29,30
Meeting Record
1:30 PM

Variations on VT Health Data

  • Mitch Fleischer, President, Fleischer Jacobs Group
  • Jeanne Keller, Keller & Fuller
  • Tom McKeown, President, Business Resource Service
3:30 PM

Proposed Committee Legislation on Student Assistance Professionals (SAPs)

  • Stephanie Barrett, Associate Fiscal Officer, Joint Fiscal Office
  • Barbara Cimaglio, Director, Alcohol and Substance Abuse, Department of Health
  • Debbie Haskins, Executive Director, Student Assistance Program
  • Robin Lunge, Legislative Counsel
  • Stephen Morabito, Tobacco Evaluation and Review Board
Thursday, February 5, 2009
Meeting Details
Hearing Type
Standard
CDs
09-31,32
Meeting Record
1:30 PM

S.37 - An act relating to billing for health services

  • Paul Harrington, Executive Vice-President, Vermont Medical Society
  • David Jillson, Manager, Physicians' Practice
  • William Little, Vice President, MVP Healthcare
  • Christine Oliver, Deputy Commissioner, Health Care Administration, BISHCA
  • Leigh Tofferi, Director of Government Relations, Blue Cross Blue Shield
3:00 PM

Tobacco Control Program

  • Brian Flynn, M.D., Tobacco Evaluation and Review Board
  • Ted Marcy, M.D., Tobacco Evaluation and Review Board
  • Christy Mihaly, Attorney General's Office
  • Stephen Morabito, Tobacco Evaluation and Review Board
  • Tina Zuk, VT Cancer Society
Friday, February 6, 2009
Meeting Details
Hearing Type
Standard
CDs
09-33,34
Meeting Record
1:00 PM

Health Resources Allocation Plan

  • Christine Oliver, Deputy Commissioner, Health Care Administration, BISHCA
  • Paulette Thabault, Commissioner, Department of Banking, Insurance, Securities and Health Care Administration
Tuesday, February 10, 2009
Meeting Details
Hearing Type
Standard
CDs
09-35,36,37
Meeting Record
1:30 PM

Public Oversight Commission

  • Gregory Peters, Chair, Public Oversight Commission
2:30 PM

Federal Stimulus Package

  • Patrick Flood, Deputy Secretary, Agency of Human Services
  • Nolan Langweil, Fiscal Analyst, Joint Fiscal Office
  • Robin Lunge, Legislative Counsel
Wednesday, February 11, 2009
Meeting Details
Hearing Type
Standard
CDs
09-38,39
Meeting Record
1:30 PM

S.13 - An act relating to improving Vermont's sexual abuse response system

  • Sen. Dick Sears, Chair, Senate Judiciary Committee
3:15 PM

FY 10 Medicaid Budget

  • Susan Besio, Director, Office of Vermont Health Access and Health Care Reform
  • Carrie Hathaway, Office of Vermont Health Access
Thursday, February 12, 2009
Meeting Details
Hearing Type
Standard
CDs
09-40,41
Meeting Record
1:30 PM

Blueprint for Health

  • Craig Jones, Director, Department of Health
2:45 PM

Stimulus Plan

  • Hans Kastensmith, Principal, Capitol Health Associates
Friday, February 13, 2009
Meeting Details
Hearing Type
Standard
CDs
09-42
Meeting Record
1:00 PM

Proposed Health Care Legislation by Senator Sanders

  • David Reynolds, Health Policy Advisor, Senator Bernie Sanders
3:15 PM

Health IT Update

  • Hans Kastensmith, Principal, Capitol Health Associates
Tuesday, February 17, 2009
Meeting Details
Hearing Type
Standard
CDs
09-43,44,45
Meeting Record
1:30 PM

FY 10 Budget/Department of Children and Families

  • Stephen Dale, Commissioner, Department for Children & Families
  • James Reardon, Commissioner, Department of Finance & Management
Wednesday, February 18, 2009
Meeting Details
Hearing Type
Standard
CDs
09-46,47,48
Meeting Record
1:30 PM

JRS18 - Joint resolution relating to prescription drug pricing

  • Andrew MacLean, Lobbyist, Pharmaceutical Research Manufacturers of America (PhRMA)
  • Sen. Kevin Mullin, Sponsor
  • Sharon Treat, Director, National Legislative Association on Prescription Drug Prices
2:30 PM

FY 10 Medicaid Budget

Chiropractic

  • Craig Jones, Director, Department of Health
3:15 PM

FY 2010 Budget

  • James Reardon, Commissioner, Department of Finance & Management
Thursday, February 19, 2009
Meeting Details
Hearing Type
Standard
CDs
09-49,50,51
Meeting Record
1:30 PM

Medicaid budget

  • Susan Besio, Director, Office of Vermont Health Access and Health Care Reform
3:00 PM

FY 2010 Budget

Agency of Human Services

  • Robert Hofmann, Secretary, Agency of Human Services
Wednesday, February 25, 2009
Meeting Details
Hearing Type
Standard
CDs
09-52,53
Meeting Record
3:00 PM

Mental Health

Delivery issues

  • Bob Bick, Director, Mental Health & Substance Abuse Services, Howard Center
  • Michael Curtis, Director of Children Services, Washington County Mental Health
  • Margaret Joyal, Director of Outpatient Services, Washington County Mental Health
  • Ken Libertoff, Director, Vermont Association for Mental Health
  • Julie Martin, Director of Developmental Services, Washington County Mental Health
  • Julie Tessler, Director, Vermont Council of Developmental and Mental Health Services
Thursday, February 26, 2009
Meeting Details
Hearing Type
Standard
CDs
09-54,55,56
Meeting Record
1:30 PM

Shared Decision-making in Health Care

  • Harry Chen, Doctor, Rutland
  • Karen Merrikin, Executive Director, Group Health Cooperative, Seattle, Washington
  • Benjamin Moulton, Executive Director, American Society of Law, Medicine & Ethics
  • John Wennberg MD, Founding Editor, Dartmouth Atlas of Health Care
Friday, February 27, 2009
Meeting Details
Hearing Type
Standard
CDs
09-57
Meeting Record
1:00 PM

Regional Variations in Utilization

  • Harry Chen, Consultant, Health Care Reform Commission
  • Bea Grause, President, Vermont Association of Hospitals and Health Systems
  • Paul Harrington, Executive Vice-President, Vermont Medical Society
  • Craig Jones, Director, Department of Health
  • Steve Kappel, Consultant, Health Care Reform Commission
  • Helen Riehle, Executive Director, Vermont Program for Quality in Health Care (VPQHC)
Wednesday, March 18, 2009
Meeting Details
Hearing Type
Standard
CDs
09-58,59,60
Meeting Record
1:30 PM

Early Childhood Day

  • Brenda Donley, Building Bright Futures for Lamoille
  • Christina Lane, Parent, Stowe
  • Coral Ovitt, Underhill
1:40 PM

Committee Bill

Shared Decision-making/Variations in Health Care Delivery

  • Harry Chen, Consultant, Health Care Reform Commission
  • Bea Grause, President, Vermont Association of Hospitals and Health Systems
  • Paul Harrington, Executive Vice-President, Vermont Medical Society
  • Robin Lunge, Legislative Counsel
  • Christine Oliver, Deputy Commissioner, Health Care Administration, BISHCA
Thursday, March 19, 2009
Meeting Details
Hearing Type
Standard
CDs
09-61,62,63
Meeting Record
1:30 PM

S.80 - An act relating to safe patient handling

  • Bea Grause, President, Vermont Association of Hospitals and Health Systems
  • Jennifer Henry, Nurse, Fletcher Allen Health Care
  • Veronica Hychalk, VP, Professional Services, Northeastern VT Regional Hospital
  • Sen. Sara B. Kittell, Sponsor
  • Robin Lunge, Legislative Counsel
  • Jackie Majoros, Long Care Ombudsman, Vermont Legal Aid
  • Belinda Needham-Shropshire, Director of Rehabilitation, Mt. Ascutney Hospital
2:30 PM

Committee Bill

Shared Decision-making/Variations in Delivery

  • Hunt Blair, Assistant Director, Health Care Reform, Office of Vermont Health Access
  • Cy Jordan, Medical Director, Vermont Program for Quality in Health Care (VPQHC)
  • Robin Lunge, Legislative Counsel, Office of Legislative Council
  • Christine Oliver, Deputy Commissioner, Health Care Administration, BISHCA
  • Helen Riehle, Executive Director, Vermont Program for Quality in Health Care (VPQHC)
  • David Yacovone, Director of State Legislative Affairs, Vermont Association of Hospitals and Health Systems
Friday, March 20, 2009
Meeting Details
Hearing Type
Standard
CDs
09-64,65,66
Meeting Record
1:00 PM

JRS18 - Joint resolution relating to prescription drug pricing

Committee discussion and vote

  • Sen. Kevin Mullin, Sponsor
1:30 PM

Committee Bill

Shared Decision-making/Variations in Delivery

  • Harry Chen, Consultant, Health Care Reform Commission
  • Bea Grause, President, Vermont Association of Hospitals and Health Systems
  • Paul Harrington, Executive Vice-President, Vermont Medical Society
  • Robin Lunge, Legislative Counsel, Office of Legislative Council
2:00 PM

Committee Bill

  • John R Brumsted, MD, Fletcher Allen Health Care
  • Jeanne Keller, Principal, Keller and Fuller, Inc.
  • Jill Olson, VP Policy and Operations, Vermont Association of Hospitals and Health Systems
  • Paulette Thabault, Commissioner, Department of Banking, Insurance, Securities and Health Care Administration
Tuesday, March 24, 2009
Meeting Details
Hearing Type
Standard
CDs
09-67,68,69,70
Meeting Record
1:00 PM

Prescription Drug Abuse--Associated Costs

Joint Meeting with Senate Appropriations in Senate Chamber

  • Matt Birmingham, Vermont State Police
  • Robert Bllick, Howard Center
  • Dr. Phillip Brown, Central VT Emergency Room
  • Barbara Cimaglio, Deputy Commissioner, Department of Health
  • Jack Duffy, Chief Executive Director, Valley Vista, Bradford, Vermont
  • Dr. Ed Haak, NW Regional Medical Center (St. Albans)
  • Tom L'Esperance, Vermont State Police
  • Dr. Todd Mandell, Medical Director, ADAP
  • Jim Marmar, Executive Director, Vermont Pharmacists Association
  • Madeleine Mongan, Vice-President, Vermont Medical Society
  • Tom Parrus, Former Director, ADAP
  • Dr. Allen Schaffer, Howard Center/Maple Leaf Farm
  • Chief Taylor, Police Chief, Stl Albans City
  • Bill Young, Director, Maple Leaf Farm
Wednesday, March 25, 2009
Meeting Details
Hearing Type
Standard
CDs
09-71,72,73
Meeting Record
1:30 PM

FY 2010 Budget

VPharm - Part D of Medicare

  • Joyce Dorsett, COVE
  • Robin Lunge, Legislative Counsel
  • Michael Sirotkin, Lobbyist, Community of Vermont Elders
  • Brenda Viens, COVE
  • Ronald Ward, COVE
3:00 PM

Stimulus Plan

  • Robin Lunge, Legislative Counsel
Thursday, March 26, 2009
Meeting Details
Hearing Type
Standard
CDs
09-74,75,76
Meeting Record
1:30 PM

Substance Abuse, Prevention and Recovery

  • Barbara Cimaglio, Deputy Commissioner, Department of Health
  • Wendy Davis, Commissioner, Department of Health
  • Tom L'Esperance, Vermont State Police
  • Patty McCarthy, Faces & Voices of Recovery
  • Kevin Stevens, Sergeant, Rutland Police Department
  • Bill Young, Director, Maple Leaf Farm
Friday, March 27, 2009
Meeting Details
Hearing Type
Standard
CDs
09-77,78
Meeting Record
1:00 PM

Substance Abuse, Prevention and Recovery

  • Linda Carbino, White River Junction
  • Jenn Davis, Turning Point, Chittenden County
  • Margaret Drew, Kingdom Recovery
  • Dr. Tom Hoskins, Brattleboro Retreat
  • Mark Johnson, Vice President, Easter Seals Vermont
  • Pat Martin, Rutland
  • Kathy Martin, Rutland
  • Sandy Mayo, Middlebury
  • Susie Reed, St. Johnsbury, Drug Court Administration - Easter Seals
Tuesday, March 31, 2009
Meeting Details
Hearing Type
Standard
CDs
09-79,80
Meeting Record
1:30 PM

H.162 - An act relating to payment of medical benefits to health care providers

  • Paul Harrington, Executive Vice-President, Vermont Medical Society
  • Jim Hester, Director, Commission on Health Care Reform
-

H.220 - An act relating to health care contract standards

  • Jim Hester, Director, Health Care Reform Commission
  • Madeleine Mongan, Vice-President, Vermont Medical Society
Thursday, April 2, 2009
Meeting Details
Hearing Type
Standard
CDs
09-81,82,83
Meeting Record
1:30 PM

Bi-State Primary Care Association

  • Hunt Blair, Assistant Director of Health Care Reform, Office of Vermont Health Access
  • John Matthew MD, Plainfield Health Center
  • Nancy Metz, Little Rivers Health Care, Bradford
  • Kate Simmons, Budget Systems Program Manager, Bi-State Primary Care Association
  • Polly White, Northern Counties Health Care
2:30 PM

Impact of Budget Cuts in Health Department

  • Elizabeth Cote, Director, Vermont AHEC Network, UVM (Office of Primary Care)
  • Wendy Davis, Commissioner, Department of Health
  • Chris Finley, Deputy Commissioner, Department of Health
3:30 PM

Vermont State Hospital

  • Michael Hartman, Commissioner, Department of Mental Health
Friday, April 3, 2009
Meeting Details
Hearing Type
Standard
CDs
09-84,85,86
Meeting Record
1:00 PM

H.24 - An act relating to insurance coverage for colorectal cancer screening

  • Christine Oliver, Deputy Commissioner, Health Care Administration, BISHCA
  • Rep. George W. Till, Sponsor
2:15 PM

Vermont State Hospital

  • Larry Lewack, Executive Director, NAMI VERMONT
  • Ken Libertoff, Director, Vermont Association for Mental Health
  • Jack McCullough, Vermont Legal Aid's Mental Health Law Project
Tuesday, April 7, 2009
Meeting Details
Hearing Type
Standard
CDs
09-87,88,89
Meeting Record
1:30 PM

Chiropractic Coverage

  • Susan Besio, Director, Office of Vermont Health Access and Health Care Reform
  • Mary Day, Program Integrity Manager, Office of Vermont Health Access
  • Sen. Hinda Miller, Chittenden County
  • Sen. Jeanette K. White
2:30 PM

S.13 - An act relating to improving Vermont's sexual abuse response system

Meeting in Room 11 with House Human Services Committee

  • Melissa Bailey, Operations Chief, Department of Mental Health
  • Georgia Cumming, Department of Corrections
  • Stephen Dale, Commissioner, Department for Children & Families
  • Margaret Joyal, Director of Outpatient Services, Washington County Mental Health
  • Anne Liske, Co-Chair, Sexual Violence Task Force
  • Robin Lunge, Legislative Counsel, Office of Legislative Council
Wednesday, April 8, 2009
Meeting Details
Hearing Type
Standard
CDs
09-90,91
Meeting Record
1:30 PM

H.24 - An act relating to insurance coverage for colorectal cancer screening

  • Jennifer Carbee, Legislative Counsel, Office of Legislative Council
  • Michael Del Trecco, Vice President of Finance, Vermont Association of Hospitals and Health Systems
  • Chris Finley, Deputy Commissioner, Department of Health
  • Susan Gretkowski, Lobbyist, MVP Healthcare
  • Jeanne Kennedy, Lobbyist, Cigna Health Care
  • Christine Oliver, Deputy Commissioner, Health Care Administration, BISHCA
  • Dennis Sanders MD, VT Center for Cancer Medicine and Blood Disorders
  • John Shullenberger, Esquire, American Cancer Society
  • Leigh Tofferi, Director of Government Relations, Blue Cross Blue Shield
  • James Vecchio MD, UVM - Division of Gastroenterology and Hepatology
Thursday, April 9, 2009
Meeting Details
Hearing Type
Standard
CDs
09-92,93,94
Meeting Record
2:00 PM

S.118 - An act relating to improving the nutrition of low-income children

  • Douglas Davis, Food Service Director, Burlington
  • Carlen Finn, Director, Voices for Vermont's Children
  • Rep. Mitzi Johnson, Outreach Director, Vermont Campaign to End Childhood Hunger
  • Dorigen Keeney, Director, Vermont Campaign to End Childhood Hunger
  • Robin Lunge, Legislative Counsel
  • Renee Richardson, Director, Food Stamp Program
3:00 PM

H.444 - An act relating to health care reform

HIT Section

  • Hunt Blair, Assistant Director of Health Care Reform, Office of Vermont Health Access
  • Jim Hester, Director, Health Care Reform Commission
Friday, April 10, 2009
Meeting Details
Hearing Type
Standard
CDs
09-95,96
Meeting Record
2:00 PM

H.80 - An act relating to the use of chloramine as a disinfectant in public water systems

  • Michael Barsotti, Champlain Water District
  • James Fay, General Manager Champlain Water District
  • Matt Levin, Vermonters for a Clean Environment
  • Rep. Jim McCullough, Sponsor
  • Ellen Powell, Vermonters Concerned about Chloramine
  • Rebecca Reno, Vermonters Concerned about Chloramine
  • Donald Swartz, MD, Vermont Department of Health
  • Rep. Kate Webb, Reporter of the Bill
Tuesday, April 14, 2009
Meeting Details
Hearing Type
Standard
CDs
09-97,98
Meeting Record
1:30 PM

Substance Abuse

  • Howard Van Bethuysen, Judge, Caledonia County
  • Patricia Zimmerman, Judge, Chittenden County
3:00 PM

H.24 - An act relating to insurance coverage for colorectal cancer screening

  • Christine Oliver, Deputy Commissioner, Health Care Administration, BISHCA
Wednesday, April 15, 2009
Meeting Details
Hearing Type
Standard
CDs
09-99,100
Meeting Record
1:30 PM

Health Care Reorganization

  • Sen. Jane Kitchel
  • Robin Lunge, Legislative Counsel, Office of Legislative Council
2:15 PM

H.444 - An act relating to health care reform

Sections on Chlamydia, stroke and vaccines

  • Rep. George W. Till
Thursday, April 16, 2009
Meeting Details
Hearing Type
Standard
CDs
09-101,102,103
Meeting Record
1:30 PM

S.81 - An act relating to insurance coverage for oral anticancer medications

  • Jeanne Kennedy, Lobbyist, Cigna Health Care
  • Heather Kirk, Patient Advocate - Oregon
  • William Little, Vice President, MVP Healthcare
  • Sen. Kevin Mullin, Sponsor
  • George Phillips, Assistant Professor of Medicine, UVM Medical School
  • John Shullenberger, Esquire, American Cancer Society
  • Leigh Tofferi, Director of Government Relations, Blue Cross Blue Shield
3:30 PM

Health Care Reorganization

  • Patrick Flood, Deputy Secretary, Agency of Human Services
  • Robert Hofmann, Secretary, Agency of Human Services
  • Paulette Thabault, Commissioner, Department of Banking, Insurance, Securities and Health Care Administration
Friday, April 17, 2009
Meeting Details
Hearing Type
Standard
CDs
09-104,105
Meeting Record
1:00 PM

H.435 - An act relating to palliative care

  • Jennifer Carbee, Legislative Counsel
  • Mary Claire Carroll, Lobbyist, Vermont Center for Independent Living
  • Rep. Bill Frank
  • Rep. Sandy Haas, Progressive Leader
  • Trinka Kerr, Health Care Ombudsman, Vermont Legal Aid
  • Sen. Virginia "Ginny" Lyons
  • Jackie Majoros, Long Term Care Ombudsman, Vermont Legal Aid
  • Jill Olson, VP Policy and Operations, Vermont Association of Hospitals and Health Systems
  • Donald Swartz, MD, Vermont Department of Health
Tuesday, April 21, 2009
Meeting Details
Hearing Type
Standard
CDs
09-106,107
Meeting Record
1:30 PM

S.116 - An act relating to public health and preventive health services for agricultural and food service workers

  • Sen. Claire Ayer, Sponsor
  • Clarence Davis, Director of State Relations, University of Vermont
  • Jackie Folsom, President, Vermont Farm Bureau
  • Cheryl Mitchell, Addison County
3:00 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

  • Sen. Ed Flanagan, Sponsor, Sponsor
  • Sen. Dick McCormack, Sponsor
  • David Reynolds, Health Policy Advisor, Senator Bernie Sanders
  • Deborah Richter MD
Wednesday, April 22, 2009
Meeting Details
Hearing Type
Standard
CDs
09-108
Meeting Record
10:00 AM

H.444 - An act relating to health care reform

  • Stephanie Barrett, Associate Fiscal Officer, Joint Fiscal Office
  • Jennifer Carbee, Legislative Counsel
  • Rep. Steven Maier, House Committee on Health Care
Thursday, April 23, 2009
Meeting Details
Hearing Type
Standard
CDs
09-109
Meeting Record
1:00 PM

H.444 - An act relating to health care reform

  • Susan Baker, Health Care Advocate, Vermont Public Interest Research Group
  • Hunt Blair, Assistant Director of Health Care Reform, Office of Vermont Health Access
  • Wendy Davis, Commissioner, Department of Health
  • Lisa Dulsky Watkins, Assistant Director, Vermont Blueprint for Health
  • Betsy Forrest, Health Care Affordability Project Director, Office of Vermont Health Access
  • Jeanne Kennedy, Lobbyist, Cigna Health Care
  • Nolan Langweil, Fiscal Analyst, Joint Fiscal Office
  • Christine Oliver, Deputy Commissioner, Health Care Administration, BISHCA
  • Lila Richardson, Staff Attorney, Office of Vermont Health Care Ombusdman
  • Peter Sterling, Executive Director, Vermont Campaign for Health Care Security
Friday, April 24, 2009
Meeting Details
Hearing Type
Standard
CDs
09-110,111
Meeting Record
1:00 PM

H.435 - An act relating to palliative care

  • Susan Besio, Director, Office of Vermont Health Access and Health Care Reform
  • Cindy Bruzzese, Director, Vermont Ethics Network
  • Mary Claire Carroll, Lobbyist, Vermont Center for Independent Living
  • Peter Cobb, Director, Vermont Assembly of Home Health
  • Rep. Bill Frank, House Human Services Committee
  • Deacon Peter Gummere, Roman Catholic Diosese of Vermont
  • Rep. Sandy Haas, House Human Services Committee
  • Madeleine Mongan, Vice-President, Vermont Medical Society
  • Tuck Rainwater, Lobbyist
  • Virginia Renfrew, Lobbyist
  • Ann Rugg, Deputy Director, Office of Vermont Health Access
  • Donald Swartz, MD, Vermont Department of Health
  • Bill Wargo, Department of Health
Tuesday, April 28, 2009
Meeting Details
Hearing Type
Standard
Comments
Tape 114 malfunctioned
CDs
09-112,113
Meeting Record
1:30 PM

Blueprint for Health

Immunizations Funding Cuts

  • Craig Jones, Director, Blueprint for Health
  • Nolan Langweil, Fiscal Analyst, Joint Fiscal Office
  • Donald Swartz, MD, Vermont Department of Health
  • David Yacovone, Director of State Legislative Affairs, Vermont Association of Hospitals and Health Systems
2:30 PM

H.435 - An act relating to palliative care

Committee Discussion and Possible Vote

  • Cindy Bruzzese, Director, Vermont Ethics Network
  • Jennifer Carbee, Legislative Counsel, Office of Legislative Council
  • Mary Claire Carroll, Lobbyist, Vermont Center for Independent Living
  • Trinka Kerr, Health Care Ombudsman, Vermont Legal Aid
  • Jackie Majoros, Long Care Ombudsman, Vermont Legal Aid
  • Jill Olson, VP Policy and Operations, Vermont Association of Hospitals and Health Systems
Wednesday, April 29, 2009
Meeting Details
Hearing Type
Standard
CDs
09-115, 116,117
Meeting Record
1:30 PM

H.80 - An act relating to the use of chloramine as a disinfectant in public water systems

Committee Discussion and Possible Vote

  • James Fay, General Manager Champlain Water District
  • Matt Levin, Vermonters for a Clean Environment
  • Laura Pelosi, Commissioner, Vermont Health Care Association
  • Ray Solomon, Environmental Scientist, Water Supply Div., Dept. of Environmental Conservation
  • Donald Swartz, MD, Vermont Department of Health
2:30 PM

H.444 - An act relating to health care reform

Committee Discussion

  • Hunt Blair, Assistant Director of Health Care Reform, Office of Vermont Health Access
  • Kate Simmons, Budget Systems Program Manager, Bi-State Primary Care Association
3:00 PM

S.116 - An act relating to public health and preventive health services for agricultural and food service workers

  • Hunt Blair, Assistant Director of Health Care Reform, Office of Vermont Health Access
  • Jennifer Carbee, Legislative Counsel, Office of Legislative Council
  • Susan Gretkowski, Lobbyist, Vermont Healthcare Association
  • Jim Hester, Director, Commission on Health Care Reform
  • Jeanne Kennedy, Lobbyist, Cigna Health Care
  • Margaret Laggis, Lobbyist, American Association of Preferred Provider Organizations
  • Madeleine Mongan, Vice-President, Vermont Medical Society
  • Christine Oliver, Deputy Commissioner, Health Care Administration, BISHCA
  • Michael Sirotkin, Lobbyist, Sirotkin & Necrason
  • Charles Storrow, Lobbyist, America's Health Insurance Plans (AHIP)
  • Leigh Tofferi, Director of Government Relations, Blue Cross Blue Shield
  • David Yacovone, Director of State Legislative Affairs, Vermont Association of Hospitals and Health Systems
4:30 PM

H.444 - An act relating to health care reform

  • Jennifer Carbee, Legislative Counsel, Office of Legislative Council
Thursday, April 30, 2009
Meeting Details
Hearing Type
Standard
CDs
09-118,119
Meeting Record
1:30 PM

H.24 - An act relating to insurance coverage for colorectal cancer screening

Committee Discussion and Possible Vote

  • Jennifer Carbee, Legislative Counsel, Office of Legislative Council
  • Christine Oliver, Deputy Commissioner, Health Care Administration, BISHCA
3:00 PM

H.444 - An act relating to health care reform

Proposal to cap hospital budgets - Committee Discussion

  • Jennifer Carbee, Legislative Counsel, Office of Legislative Council
  • Michael Davis, Banking, Insurance, Securities & Health Care Administration
  • Bea Grause, President, Vermont Association of Hospitals and Health Systems
  • Susan Gretkowski, Lobbyist, Vermont Healthcare Association
  • Paul Harrington, Executive Vice-President, Vermont Medical Society
  • Jim Hester, Director, Commission on Health Care Reform
  • Jeanne Kennedy, Lobbyist, Cigna Health Care
  • Nolan Langweil, Fiscal Analyst, Joint Fiscal Office
  • Megan O'Donnell, Assistant General Counsel, Fletcher Allen Health Care
  • Christine Oliver, Deputy Commissioner, Health Care Administration, BISHCA
  • Paulette Thabault, Commissioner, Department of Banking, Insurance, Securities and Health Care Administration
  • Leigh Tofferi, Director of Government Relations, Blue Cross Blue Shield
Friday, May 1, 2009
Meeting Details
Hearing Type
Standard
CDs
09-120
Meeting Record
1:00 PM

S.129 - An act relating to containing health care costs

  • Jim Hester, Director, Commission on Health Care Reform
  • Robin Lunge, Legislative Counsel, Office of Legislative Council
  • Christine Oliver, Deputy Commissioner, Health Care Administration, BISHCA
Tuesday, January 5, 2010
Meeting Details
Hearing Type
Standard
Meeting Record
1:30 PM

Committee discussion; update on bills

Wednesday, January 6, 2010
Meeting Details
Hearing Type
Standard
Meeting Record
1:00 PM

Information Briefing Session

Senate Chamber

Thursday, January 7, 2010
Meeting Details
Hearing Type
Standard
CDs
10-01, 02
Meeting Record
2:00 PM

Governor's State of the State Address

House of Representatives

3:00 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

Joint Meeting with House Health Committee - Room 10

  • Susan Besio, Director, Office of Vermont Health Access and Health Care Reform
  • Craig Jones, Director, Blueprint for Health
Friday, January 8, 2010
Meeting Details
Hearing Type
Standard
CDs
10-03, 04, 05
Meeting Record
1:00 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

Joint Meeting with House Health Committee - Room 11

  • Hunt Blair, Assistant Director of Health Care Reform, Office of Vermont Health Access
  • David Cochran MD, President and CEO, Vermont Information Technology Leaders (VITL)
  • Wendy Davis, Commissioner, Department of Health
  • Jim Hester, Director, Health Care Reform Commission
  • Christine Oliver, Deputy Commissioner, Department of Banking, Insurance, Securities and Health Care Administration
Tuesday, January 12, 2010
Meeting Details
Hearing Type
Standard
CDs
10-06, 07, 08, 09, 10,11
Meeting Record
1:30 PM

Committee Bills

3:00 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

Joint Meeting with House Health Committee - Room 10

  • Jennifer Carbee, Legislative Counsel, Office of Legislative Council
  • Jim Hester, Director, Health Care Reform Commission
  • Nolan Langweil, Fiscal Analyst, Joint Fiscal Office
  • Robin Lunge, Legislative Counsel, Office of Legislative Council
  • Heidi Tringe, Secretary of Civil and Military Affairs, Governor's Office
6:00 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

Joint Public Hearing with House Health Care Committee in House Chamber

  • Martha Abbott, Underhill
  • Tristin Adie, Shelburne
  • Alexander Anderson, Jericho
  • Joan Beauchemin, Burlington
  • John Bloch, Barre, Onion River Community Access Center
  • Julie Brochu, Craftsbury
  • Amanda Calder, Shelburne
  • Peggy Carey, Colchester
  • Walter Carpenter, Vermont Workers' Center
  • Roger Carroll, Brattleboro
  • Angela Chagnon, Burlington
  • Linda Chagnon, Burlington
  • Thomas Charbonneau, Burlington
  • Jill Charbonneau, Middlebury
  • Joeie Clark, Fairfax
  • Judy Cohen, Burlington
  • Sheila Conift, Montpelier
  • Denise Connolly, Berlin
  • Bill Day, Barre Town
  • Susan Deppe MD, Vermont Psychiatric Association
  • Tracy Dorman, Bennington
  • Margaret Dunne, Rutland
  • Joan Eckley, West Haven
  • Megan Farreau, South Burlington
  • Peg Franzen, Montpelier, Vermont Workers' Center
  • Mary Gerrish, Bennington
  • Ann Gibbs, Poultney
  • Dale Hackett, Barre
  • James Haslam, Burlington, Vermont Workers' Center
  • Cindy Haviland, Wells
  • Jean Hopkins, Burlington
  • Carlton Houghton, Essex Jct.
  • Margaret Joyal, Director of Outpatient Services, Burlington
  • David Kaczynski, Montpelier
  • Richard Kemp, Burlington
  • Jamal Kheiry, Bethel
  • Jerry Kilcourse, Montpelier
  • David Kreindler, Montpelier, Vermont Workers' Center
  • Jennifer Larsen, Essex Jct.
  • Dion LeShay, Bennington
  • Amy Lester, Barre
  • Traven Leyshon, VT AFL-CIO, Middlesex
  • Tom Licata, Burlington, Vermonters for Economic Health
  • Sam Liss, Sunderland
  • Elaine Lussier, Berlin
  • Nancy Lynch, Williamstown, Vermont
  • Bekah Mandell, Burlington
  • Dr. Paul Manganiello, Norwich
  • Matt McGrath, Burlington
  • Chuck Meyers, Williston
  • Peter Moss, Fairfax
  • Charlie Murphy, Bennington
  • Hilde Ojibway, Hartford, VT
  • Cindy Perron, Barton, VT
  • Jody Pettersen, Montpelier
  • Ron Pulcer, Rutland
  • Sheryl Rapee-Adams, Rutland
  • Greg Richards, Barre Town
  • Deborah Richter MD, Family Physician
  • Peggy Sapphire, Craftsbury
  • Will Shafer, West Dover
  • Robyn Shafer, West Dover
  • Sandi Shafer, West Dover
  • Maureen Shafer, West Dover
  • Stewart Skrill, Randolph Center
  • Karen Skrill, Randolph Center
  • Holly Smith, Essex Jct.
  • Bruce Talmadge, Barre
  • Diane Tardif, Essex, VT
  • Hannah Vallerand, Berlin
  • Rachel Van Cleve, Rutland City
  • Ders Van Dyke, Waitsfield, VT
  • Deborah Wachtel, Essex, VT
  • Reed Webster, Bellows Falls
  • Sarah Weintraub, Burlington, CVOEO Mobile Home Project
  • Nancy Welch, Burlington
  • Dr. Rich White, Hartford, VT
  • Stuart Williams, Montpelier
  • Liz Zundel, Barre
Wednesday, January 13, 2010
Meeting Details
Hearing Type
Standard
CDs
10-12, 13
Meeting Record
1:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

Review of S.88; H.196; S.181; Poirier bill
Joint Meeting with the House Health Care Committee - Room 10

Thursday, January 14, 2010
Meeting Details
Hearing Type
Standard
CDs
10-14, 15, 16
Meeting Record
12:00 PM

Challenges for Change

Joint Meeting in Room 10 with House Human Services Committee

1:30 PM

H.510 - An act relating to a public health care coverage option

Joint Meeting with House Health Care Committee - Room 10

  • Robin Lunge, Legislative Counsel, Office of Legislative Council
2:00 PM

Presentation from sponsors of: H.196; S.88; H.510; H.491; H.371

Joint Meeting with House Health Committee - Room 10

  • Rep. Susan Davis
  • Rep. Michael Fisher, Lincoln
  • Sen. Dick McCormack, Windsor County
  • Rep. Francis "Topper" McFaun
  • Rep. Paul N. Poirier, Barre City
Friday, January 15, 2010
Meeting Details
Hearing Type
Standard
CDs
10-17, 18
Meeting Record
1:00 PM

Health Care Legislation

Joint Meeting with House Health Care Committee - Room 11

  • Sen. Susan Bartlett, Senate Appropriations Committee
  • John Franco, Attorney
Tuesday, January 19, 2010
Meeting Details
Hearing Type
Standard
CDs
10-19, 20
Meeting Record
2:00 PM

Governor's Budget Address

Joint Assembly

3:00 PM

S.179 - An act relating to advance directive forms during hospital admission

  • Sen. William H. Carris, Rutland County
3:15 PM

S.178 - An act relating to anatomical gift forms upon hospital admission

  • Sen. William H. Carris, Rutland County
Wednesday, January 20, 2010
Meeting Details
Hearing Type
Standard
CDs
10-21, 22
Meeting Record
1:30 PM

H.792 - An act relating to implementation of challenges for change

  • Babak Armajani, Public Strategies Group
  • Stephanie Barrett, Associate Fiscal Officer, Joint Fiscal Office
  • Sen. Diane Snelling
  • Jeff Zlonis, Public Strategies Group
3:00 PM

H.792 - An act relating to implementation of challenges for change

ROOM 10 - Joint Meeting with House Human Services

  • Stephen Dale, Commissioner, Department for Children & Families
  • Con Hogan
  • Robin Lunge, Legislative Counsel, Office of Legislative Council
  • Joan Senecal, Commissioner, Department of Disabilities, Aging & Independent Living
Thursday, January 21, 2010
Meeting Details
Hearing Type
Standard
CDs
10-23, 24, 25
Meeting Record
1:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

2:30 PM

H.491 - An act relating to a single-payer health care system

Joint Meeting with House Health Care in Room 10

  • Rep. Susan Davis, Sponsor
3:00 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

Governance, integration of funding, coordination between the Blueprint and Choices for Care, and the creation of a financing pool of public dollars

  • Jim Leddy, Former Senator
3:45 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

Introduction to global hospital budgeting

  • Jim Hester, Director, Health Care Reform Commission
4:30 AM

S.88 - An act relating to health care financing and universal access to health care in Vermont

Overview of three BISHCA reports: FY 2010 Vermont Hospital Budget Report: Three-Year Forecast of VT Health Care Expenditures: 2009-2012; Health Plan Administrative Cost Report

  • Michael Davis, Director of Cost Containment, Banking, Insurance, Securities & Health Care Administration
Friday, January 22, 2010
Meeting Details
Hearing Type
Standard
CDs
10-26, 27
Meeting Record
1:00 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

Joint Meeting with House Health Care

  • Con Hogan, Former Secretary, Agency of Human Services; co-author, Vermont Health Care at the Crossroads
  • Deborah Richter MD, Family Physician; co-author, Vermont Health Care at the Crossroads
Tuesday, January 26, 2010
Meeting Details
Hearing Type
Standard
CDs
10-28, 29, 30
Meeting Record
1:30 PM

Vermont Yankee

Radioactive Isotope Tritium Leakage

  • William Irwin, Department of Health
2:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

ROOM 10 - Joint Meeting with House Health Care Committee

Three connected reports: Recommendations to Improve Utilization and Variation in Health Care Services in Vermont; Variation in Health Services Utilization in Vermont for the Commercially Insured Population under Age 65; Recommendations to Improve Utilization and Variation in Health Care Services in Vermont. Reports are at
http://www.leg.state.vt.us/reports/2010ExternalReports/252656.pdf

  • Christine Oliver, Deputy Commissioner, Department of Banking, Insurance, Securities and Health Care Administration
4:00 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

  • Clifford Frank, President, Vermont Managed Care
Wednesday, January 27, 2010
Meeting Details
Hearing Type
Standard
CDs
10-31, 32, 33
Meeting Record
1:15 PM

Mental Health

  • Ken Libertoff, Director, Vermont Association for Mental Health
1:30 PM

Committee Discussion

Catamount and Human Services: Budget Cuts

  • Nolan Langweil, Fiscal Analyst, Joint Fiscal Office
  • Robin Lunge, Legislative Counsel, Office of Legislative Council
2:30 PM

H.792 - An act relating to implementation of challenges for change

ROOM 11 - Joint Meeting with House Human Services Committee

Thursday, January 28, 2010
Meeting Details
Hearing Type
Standard
CDs
10-34, 35, 36
Meeting Record
1:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

ROOM 10 - Joint Meeting with House Health Care Committee

  • Glen Cordner, Chief Executive Officer, Springfield Hospital
  • Bea Grause, President, Vermont Association of Hospitals and Health Systems
  • Tom Huebner, President, Rutland Regional Medical Center
  • Richard Slusky, CEO, Mt. Ascutney Hospital
  • Joe Woodin, President and CEO, Gifford Medical Center
Friday, January 29, 2010
Meeting Details
Hearing Type
Standard
CDs
10-37, 38
Meeting Record
1:00 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

ROOM 10 - Joint Meeting with House Health Care Committee

  • Susan Besio, Director, Office of Vermont Health Access and Health Care Reform
2:00 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

  • James Haslam, Vermont Workers' Center
Tuesday, February 2, 2010
Meeting Details
Hearing Type
Standard
CDs
10-39, 40
Meeting Record
1:30 PM

H.792 - An act relating to implementation of challenges for change

DAIL Budget Cuts

  • Joan Senecal, Commissioner, Department of Disabilities, Aging & Independent Living
2:30 PM

FY 2011 State Budget

Health Department Budget Cuts

  • Wendy Davis, Commissioner, Department of Health
Wednesday, February 3, 2010
Meeting Details
Hearing Type
Standard
CDs
10-41, 42, 43
Meeting Record
1:30 PM

S.176 - An act relating to establishing a statewide prescription drug formulary

  • Rich Harvie, Drug Utilization and Review Board
  • Robin Lunge, Legislative Counsel, Office of Legislative Council
  • Madeleine Mongan, Vice-President, Vermont Medical Society
  • Paul Wallace-Brodeur, Former Director, OVHA
2:30 PM

FY 2011 State Budget

DAIL Budget Cuts, Continued

  • Joan Senecal, Commissioner, Department of Disabilities, Aging & Independent Living
Thursday, February 4, 2010
Meeting Details
Hearing Type
Standard
CDs
10-44, 45, 46, 47
Meeting Record
1:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

Explanation of Massachusetts Experience
Joint Meeting with House Health Care Committee in Room 10

  • Anya Wallack, Executive Director, Massachusetts Medicaid Policy Institute
3:00 PM

FY 2011 State Budget

Medicaid Budget Cuts

  • Susan Besio, Director, Office of Vermont Health Access and Health Care Reform
Friday, February 5, 2010
Meeting Details
Hearing Type
Standard
CDs
10-48, 49
Meeting Record
1:00 PM

Committee Discussion

2:00 PM

H.792 - An act relating to implementation of challenges for change

Department of Children and Families Budget Cuts

  • Stephen Dale, Commissioner, Department for Children & Families
Tuesday, February 9, 2010
Meeting Details
Hearing Type
Standard
CDs
10-50, 51, 52
Meeting Record
1:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

Administrative Costs Associated with Hospital Billing

  • Michael Davis, Director of Cost Containment, Banking, Insurance, Securities & Health Care Administration
  • Christine Oliver, Deputy Commissioner, Health Care Administration, BISHCA
2:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

Joint Meeting with House Health Care in Room 11

  • Kenneth Thorpe, Consultant, Health Care Reform Commission and the Legislature
Wednesday, February 10, 2010
Meeting Details
Hearing Type
Standard
CDs
10-53, 54
Meeting Record
1:30 PM

S.268 - An act relating to the building bright futures council

  • Sen. Claire Ayer
  • Stephen Dale, Commissioner, Department for Children & Families
  • Barbara Postman, Voices for Vermont's Children
2:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

  • David Himmelstein, Faculty, Harvard Medical School, Primary Care Physician, Cambridge Hospital
Thursday, February 11, 2010
Meeting Details
Hearing Type
Standard
CDs
10-55, 56
Meeting Record
1:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

Health Care Legislation

2:00 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

Massachusetts - Recent Historical Perspective and Cost Containment
Joint Meeting with House Health Care Committee - Room 10

  • Dana Gelb Safran, Senior Vice President, Performance Measurement & Improvement, Blue Cross/Blue Shield of Massachusetts
3:00 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

British Columbia, Canada Experience

  • Jonathan Agnew, Assistant Director of Policy, British Columbia Medical Association
Friday, February 12, 2010
Meeting Details
Hearing Type
Standard
CDs
10-57
Meeting Record
1:00 PM

Budget Cuts

Agency of Human Services

  • Robert Hofmann, Secretary, Agency of Human Services
1:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

Costs Associated with Hospital Billing

  • James Kahn, Professor, Institute for Health Policy Studies, University of California at San Francisco
Tuesday, February 16, 2010
Meeting Details
Hearing Type
Standard
CDs
10-58, 59
Meeting Record
1:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

  • Jim Hester, Director, Commission on Health Care Reform
  • Robin Lunge, Legislative Counsel, Office of Legislative Council
  • Christine Oliver, Deputy Commissioner, Health Care Administration, BISHCA
  • Paulette Thabault, Commissioner, Department of Banking, Insurance, Securities and Health Care Administration (BISHCA)
  • David Yacovone, Director of State Legislative Affairs, Vermont Association of Hospitals and Health Systems
Wednesday, February 17, 2010
Meeting Details
Hearing Type
Standard
CDs
10-60, 61, 62
Meeting Record
1:30 PM

S.247 - An act relating to bisphenol A

  • Dr. William Bress, Toxicologist, Department of Health
  • Paul Burns, Executive Director, Vermont Public Interest Resource Group
  • Jim Harrison, President, Vermont Grocers' Association
  • Heidi Klein, Vermont Public Health Association
  • Sen. Virginia "Ginny" Lyons, Sponsor, S.247
  • Tasha Wallis, Executive Director, Vermont Retail Association, Inc
3:00 PM

S.171 - An act relating to nutritional labeling of food by chain restaurants

  • Elliot Burg, Assistant Attorney General, Attorney General's Office
  • Sylvia Geiger , Registered Dietician, President, VT Dietetic Association
  • Nicole Lukas, State Advocacy Director, American Heart Association
  • Dan Roehl, National Restaurant Association
  • Kelly Stoddard, Director of Government Relations and Advocacy, American Cancer Society
  • Vicki Tebbetts, VT. Chamber of Commerce
Thursday, February 18, 2010
Meeting Details
Hearing Type
Standard
CDs
10-63, 64, 65
Meeting Record
1:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

  • Denise Connolly
  • Peg Franzen, Vermont Workers' Center
  • Bea Grause, President, Vermont Association of Hospitals and Health Systems
3:00 PM

Vermont State Hospital

VSH Futures Project; CON Application
Joint Meeting with House & Senate Appropriations, House and Senate Institutions, and House Human Services Committees - Room 11

  • Michael Hartman, Commissioner, Department of Mental Health
Friday, February 19, 2010
Meeting Details
Hearing Type
Standard
CDs
10-66, 67
Meeting Record
1:00 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

  • Michael Davis, Director of Cost Containment, Banking, Insurance, Securities & Health Care Administration
  • Jim Hester, Director, Commission on Health Care Reform
  • Jerry Kilcourse, Montpelier
  • Deborah Richter MD, Family Physician
Tuesday, February 23, 2010
Meeting Details
Hearing Type
Standard
CDs
10-68, 69
Meeting Record
1:30 PM

Alzheimers Awareness Day

Visit by a delegation from Alzheimer's Association

  • Sen. Randy Brock
  • Maggie Lewis, Interim Director, Alzheimer's Awareness Day
  • Ashley Whitsenberger
1:45 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

  • Paul Harrington, Executive Vice-President, Vermont Medical Society
  • Con Hogan, former Secretary, Agency of Human Services
3:00 PM

S.177 - An act relating to consolidation of health care administration

  • Sen. Jane Kitchel, Senate Liaison for the Federal Stimulus Bill
  • Sen. Jeanette K. White, Senate Committee on Government Operations
Wednesday, February 24, 2010
Meeting Details
Hearing Type
Standard
CDs
10-70
Meeting Record
2:30 PM

S.177 - An act relating to consolidation of health care administration

Meeting to commence when the Senate adjourns

  • Robin Lunge, Legislative Counsel, Office of Legislative Council
  • Paulette Thabault, Commissioner, Department of Banking, Insurance, Securities and Health Care Administration (BISHCA)
Thursday, February 25, 2010
Meeting Details
Hearing Type
Standard
CDs
10-71, 72
Meeting Record
1:30 PM

H.792 - An act relating to implementation of challenges for change

  • Tom Kavet, Economist, Kavet, Rockler and Associates
2:15 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

Cost Containment Options

  • Hunt Blair, Assistant Director of Health Care Reform, Office of Vermont Health Access
  • Paulette Thabault, Commissioner, Department of Banking, Insurance, Securities and Health Care Administration (BISHCA)
3:15 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

Comments on BISHCA proposal

  • Bea Grause, President, Vermont Association of Hospitals and Health Systems
Friday, February 26, 2010
Meeting Details
Hearing Type
Standard
Meeting Record
1:00 PM

No Committee Meeting Scheduled

Tuesday, March 9, 2010
Meeting Details
Hearing Type
Standard
CDs
10-73, 74
Meeting Record
1:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

  • Robin Lunge, Legislative Counsel, Office of Legislative Council
3:00 PM

S.171 - An act relating to nutritional labeling of food by chain restaurants

Wednesday, March 10, 2010
Meeting Details
Hearing Type
Standard
CDs
10-75, 76
Meeting Record
1:30 PM

S.171 - An act relating to nutritional labeling of food by chain restaurants

  • Wendy Morgan, Assistant Attorney General
  • Sen. Kevin Mullin, Sponsor
  • Dawn Philibert, Policy Director, VT. Dept. of Health
  • Vicki Tebbetts, VT. Chamber of Commerce
  • Tasha Wallis, Executive Director, Vermont Retail Association, Inc
2:15 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

  • Stephen Kimbell, Lobbyist, Rutland Regional Medical Center
  • Robin Lunge, Legislative Counsel
Thursday, March 11, 2010
Meeting Details
Hearing Type
Standard
CDs
10-77, 78, 79, 80
Meeting Record
1:30 PM

S.247 - An act relating to bisphenol A

  • Maria Cahill, Abbott Labs
  • Greg Costa, Director, Grosery Manufacturers Asso.
  • William Driscoll, Vice President, Associated Industries of Vermont
  • Dr. Cheryl Gibson, Medical Director, Planned Parenthood of Northern New England
  • Dr. Bill Hoyle, North American Metal Packaging Association
  • Barbara Postman, Policy Coordinator, Voices for Vermont's Children
  • Steve Rosario, American Chemistry Council
2:15 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

  • Susan Besio, Director, Office of Vermont Health Access and Health Care Reform
  • Robin Lunge, Legislative Counsel
Friday, March 12, 2010
Meeting Details
Hearing Type
Standard
CDs
10-81
Meeting Record
1:00 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

Markup and Vote

  • Robin Lunge, Legislative Counsel
After S.88:

S.171 - An act relating to nutritional labeling of food by chain restaurants

Markup and Vote

After S.171:

S.247 - An act relating to bisphenol A

Markup and Vote

Tuesday, March 16, 2010
Meeting Details
Hearing Type
Standard
CDs
10-83
Meeting Record
1:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

Report on Financing of Health Study Board

  • Nolan Langweil, Fiscal Analyst, Joint Fiscal Office
2:30 PM

Committee Discussion

Meeting with Senate Appropriations to discuss S.88

Wednesday, March 17, 2010
Meeting Details
Hearing Type
Standard
CDs
10-84, 85
Meeting Record
1:00 PM

Senate in Session

2:30 PM

Early Childhood Day

  • Christina Laine, Stowe
  • Lee Lauber, Executive Director, Family Center of Washington County
  • Elizabeth Meyer, Child Care Resources
  • Judy Pransky, Cabot
  • Sonja Raymond, Apple Tree Learning Center, Stowe
3:15 PM

S.171 - An act relating to nutritional labeling of food by chain restaurants

  • Sen. Claire Ayer, Addison County
  • Morgan Wolaver, VT Brewers' Association
Thursday, March 18, 2010
Meeting Details
Hearing Type
Standard
CDs
10-86, 87, 88, 89
Meeting Record
1:30 PM

S.205 - An act relating to the Revised Uniform Anatomical Gift Act

  • Jennifer Carbee, Legislative Counsel
2:00 - 4:00 p.m.

S.88 - An act relating to health care financing and universal access to health care in Vermont

Joint Meeting with House Health Care in Room 11

  • William Hsaio, Harvard School of Public Health
Friday, March 19, 2010
Meeting Details
Hearing Type
Standard
Meeting Record
1:00 PM

No Committee Meeting Scheduled

Tuesday, March 23, 2010
Meeting Details
Hearing Type
Standard
CDs
10-90, 91, 92, 93, 94
Meeting Record
1:30 PM

H.507 - An act relating to fostering connections to success in guardianships

  • Robert Appel, Executive Director, Human Rights Commission
  • Rep. Patsy French, Reporter of the Bill
  • Robin Lunge, Legislative Counsel
  • Robert Sheil, Juvenile Defender, Defender General's Office
  • Cindy Walcott, Deputy Commissioner, Department of Children & Families
3:00 - 5:30 p.m.

S.88 - An act relating to health care financing and universal access to health care in Vermont

Joint Public Hearing with House Health; Discussion with Business Owners
Meeting in Room 11

See House Health Care Committee listing 3/23 for names of witnesses

Wednesday, March 24, 2010
Meeting Details
Hearing Type
Standard
CDs
10-95, 96
Meeting Record
1:30 PM

H.766 - An act relating to preventing duplication in certain public health records

  • Rep. Ann Pugh, Chair, House Human Services Committee
2:30 PM

Proposed Funding Cuts

Effect on Child Care Resources and Referral Agencies

  • Stephen Dale, Commissioner, Department for Children & Families
  • Lee Lauber, Executive Director, Family Center of Washington County
Thursday, March 25, 2010
Meeting Details
Hearing Type
Standard
CDs
10-97
Meeting Record
1:30 PM

H.408 - An act relating to improving nutrition programs

  • Rep. Michael Mrowicki, Reporter
  • Rep. John Zenie, Reporter
2:00 PM

After School Programs

  • Nicole Mace, Research Coordinator, Voices for Vermont's Children
  • Nicole Miller, Program Director, REACH! Afterschool Program
  • Holly Morehouse, Vermont Center for Afterschool Excellence
  • Barbara Russ, Program Director, Winooski 21st Century Community Learning Center
2:30 PM

S.226 - An act relating to medical marijuana dispensaries

  • Barbara Cimaglio, Deputy Commissioner, Department of Health
Friday, March 26, 2010
Meeting Details
Hearing Type
Standard
Comments
H.658 also includes H.752
CDs
10-98
Meeting Record
1:00 PM

H.658 - An act relating to the issuance of certificates of need for home health agencies and addressing patient transportation services in certificate of need applications

  • Jennifer Carbee, Legislative Counsel, Office of Legislative Council
  • Peter Cobb, Director, Vermont Assembly of Home Health
  • Rep. Steven Maier, Chair, House Committee on Health Care
  • Rep. Michael Marcotte, Sponsor
  • Lila Richardson, Staff Attorney, Office of Vermont Health Care Ombudsman
  • Nancy Warner, Executive Director, Orleans Essex VNA & Hospice
  • Phil White, Attorney, Vermont Assembly of Home Health Agencies
Tuesday, March 30, 2010
Meeting Details
Hearing Type
Standard
CDs
10-99, 100, 101
Meeting Record
1:30 PM

S.247 - An act relating to bisphenol A

  • Jennifer Carbee, Legislative Counsel
  • Charity Carbine, Environmental Health Advocate, Vermont Public Interest Research Group
  • Allison Crowley Demag, Lobbyist, American Chemistry Council
  • Sen. Alice W. Nitka, Senate Judiciary Committee
  • Tuck Rainwater, Lobbyist, Planned Parenthood of Northern New England
  • Sen. Dick Sears, Chair, Senate Judiciary Committee
3:00 - 5:00 p.m.

S.88 - An act relating to health care financing and universal access to health care in Vermont

Joint Meeting with House Health Care in Room 11

  • Susan Besio, Director, Office of Vermont Health Access and Health Care Reform
  • Jennifer Carbee, Legislative Counsel
  • Susan Elliot, Office of Representative Peter Welch
  • Jim Hester, Director, Commission on Health Care Reform
  • Nolan Langweil, Fiscal Analyst, Joint Fiscal Office
  • Robin Lunge, Legislative Counsel
  • Christine Oliver, Deputy Commissioner, Health Care Administration, BISHCA
  • David Reynolds, Health Policy Advisor, Senator Bernie Sanders
  • John Tracy, Field Representative, Office of Senator Patrick Leahy
  • Joy Johnson Wilson, Health Policy Director, National Conference of State Legislatures
Wednesday, March 31, 2010
Meeting Details
Hearing Type
Standard
CDs
10-102, 103, 104
Meeting Record
1:30 PM

H.766 - An act relating to preventing duplication in certain public health records

  • Kathy Kilgore, PWA Coalition
  • Donald Swartz, MD, Vermont Department of Health
2:30 PM

Department of Mental Health

Challenges for Change - Impact on DMH
Vermont State Hospital

  • Michael Hartman, Commissioner, Department of Mental Health
Thursday, April 1, 2010
Meeting Details
Hearing Type
Standard
CDs
10-105, 106
Meeting Record
1:30 PM

H.408 - An act relating to improving nutrition programs

  • Laurie Colgan, Child And Adult Care Food Program, Department of Education
  • Jeff Francis, Executive Director, Vermont Superintendents Association
  • Rep. Mitzi Johnson, Member, House Appropriations Committee
  • Dorigen Keeney, Director, Vermont Campaign to End Childhood Hunger
  • Joe Patrissi, Deputy Commissioner, Department for Children & Families
  • Renee Richardson, Director, Food Stamp Program
2:30 PM

H.792 - An act relating to implementation of challenges for change

  • Todd Centybear, Director, Howard Center
  • Eric Grims, Northeast Kingdom Human Services
  • Dan Quinn, Executive Director, Rutland Mental Health Services
  • Julie Tessler, Director, Vermont Council of Developmental and Mental Health Services
Tuesday, April 6, 2010
Meeting Details
Hearing Type
Standard
CDs
10-109, 110, 111
Meeting Record
1:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

Public input on bill as passed by the Appropriations Committee

  • Michael Del Trecco, Vice President of Finance, Vermont Association of Hospitals and Health Systems
  • Peg Franzen, Vermont Workers' Center
  • Bea Grause, President, Vermont Association of Hospitals and Health Systems
  • Stephen Kimbell, Lobbyist, Rutland Regional Medical Center
  • Robin Lunge, Legislative Counsel
  • Christine Oliver, Deputy Commissioner, Health Care Administration, BISHCA
Wednesday, April 7, 2010
Meeting Details
Hearing Type
Standard
Meeting Record
1:30 PM

No Committee Meeting Scheduled

Thursday, April 8, 2010
Meeting Details
Hearing Type
Standard
CDs
10-112, 113, 114
Meeting Record
1:30 PM

Variations on VT Health Data

S.129 - Variation Section
H.627 - Community Health Section
Joint Meeting with House Health Care Committee in Room 10

  • Elliott Fisher MD, Professor of Medicine, Dartmouth Medical School
3:30 PM

Variations on VT Health Data

Presentation from Vermont Program for Quality in Health Care

  • Monica Boyd, Research Analyst, VPQHC
  • Cy Jordan, Medical Director, VPQHC
Friday, April 9, 2010
Meeting Details
Hearing Type
Standard
CDs
10-115
Meeting Record
1:00 PM

H.408 - An act relating to improving nutrition programs

Testimony; Markup and Vote

  • Donn Marcus, Principal, Whiting School
2:00 PM

Confirmation of appointments

Tuesday, April 13, 2010
Meeting Details
Hearing Type
Standard
CDs
10-116, 117, 118
Meeting Record
1:30 PM

Challenges for Change

  • Hugh Bradshaw, Employment Services Manager, Division of Vocational Rehabilitation, Agency of Human Services
  • Jackie Majoros, Long Care Ombudsman, Vermont Legal Aid
  • Barbara Prine, Attorney, Vermont Legal Aid's Disability Law Project
  • Joan Senecal, Commissioner, Department of Disabilities, Aging & Independent Living
  • Karen Swartz, Director, Vermont Development Disability Council
  • Julie Tessler, Director, Developmental Services, Howard Center
  • Marie Zura, Development Director, Howard Center
Wednesday, April 14, 2010
Meeting Details
Hearing Type
Standard
CDs
10-119, 120
Meeting Record
1:30 PM

Prevention Coalitions

  • Mitch Dorain, Hartford High School
  • Cindy Hayford, Deerfield Valley
  • Kathrin Lawlor, Faculty Adivisor, Hartford School District
  • Xiang Wallace, Hartford High School
2:00 PM

H.507 - An act relating to fostering connections to success in guardianships

  • Robert Appel, Executive Director, Human Rights Commission
  • Robin Lunge, Legislative Counsel
3:00 PM

H.792 - An act relating to implementation of challenges for change

  • Peter Cobb, Director, Vermont Assembly of Home Health Agencies
  • Stephen Dale, Commissioner, Department for Children & Families
  • Laura Pelosi, Executive Director, Vermont Health Care Association
Thursday, April 15, 2010
Meeting Details
Hearing Type
Standard
CDs
10-121, 122
Meeting Record
1:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

  • Robin Lunge, Legislative Counsel, Office of Legislative Council
  • Rep. Steven Maier, House Committee on Health Care
Friday, April 16, 2010
Meeting Details
Hearing Type
Standard
CDs
10-123, 124, 125
Meeting Record
1:00 PM

H.507 - An act relating to fostering connections to success in guardianships

Possible Mark-up and Vote

  • Robert Appel, Executive Director, Human Rights Commission
  • Erik FitzPatrick, Legislative Counsel
  • Robin Lunge, Legislative Counsel
  • Jack McCullough, Vermont Legal Aid
  • Dena Monahan, Counsel, DAIL
1:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

Continuation of review of bill

  • Jennifer Carbee, Legislative Counsel
  • Nolan Langweil, Fiscal Analyst, Joint Fiscal Office
  • Robin Lunge, Legislative Counsel
Tuesday, April 20, 2010
Meeting Details
Hearing Type
Standard
CDs
10-126, 127, 128
Meeting Record
1:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

  • Hunt Blair, Assistant Director of Health Care Reform, Office of Vermont Health Access
  • Jennifer Carbee, Legislative Counsel
  • Susan Gretkowski, Lobbyist, MVP Healthcare
  • Nolan Langweil, Fiscal Analyst, Joint Fiscal Office
  • Robin Lunge, Legislative Counsel
  • Rebecca Ryan, Director, American Lung Association
  • Kelly Stoddard, Director of Government Relations and Advocacy, American Cancer Society
Wednesday, April 21, 2010
Meeting Details
Hearing Type
Standard
CDs
10-129, 130
Meeting Record
1:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

  • Hunt Blair, Assistant Director of Health Care Reform, Office of Vermont Health Access
  • Jim Hester, Director, Commission on Health Care Reform
  • Robin Lunge, Legislative Counsel
3:00 PM

H.507 - An act relating to fostering connections to success in guardianships

  • Robert Appel, Executive Director, Human Rights Commission
  • Erik FitzPatrick, Legislative Counsel
  • Dena Monahan, Counsel, DAIL
  • Barbara Prine, Attorney, Vermont Legal Aid's Disability Law Project
3:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

  • Susan Gretkowski, Lobbyist, MVP Healthcare
  • Jeanne Kennedy, Lobbyist, Cigna Health Care
  • Christine Oliver, Deputy Commissioner, Health Care Administration, BISHCA
Thursday, April 22, 2010
Meeting Details
Hearing Type
Standard
CDs
10-131, 132
Meeting Record
1:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

  • Hunt Blair, Assistant Director of Health Care Reform, Office of Vermont Health Access
  • David Cochran MD, President and CEO, Vermont Information Technology Leaders (VITL)
  • Bea Grause, President, Vermont Association of Hospitals and Health Systems
  • Susan Gretkowski, Lobbyist, MVP Healthcare
  • Wendy Morgan, Assistant Attorney General, Attorney General's Office
  • William Sorrell, Vermont Attorney General
  • Paulette Thabault, Commissioner, Department of Banking, Insurance, Securities and Health Care Administration (BISHCA)
Friday, April 23, 2010
Meeting Details
Hearing Type
Standard
Meeting Record
1:00 PM

To Be Announced

Tuesday, April 27, 2010
Meeting Details
Hearing Type
Standard
Meeting Record
1:30 PM

No Committee Meeting Scheduled

Wednesday, April 28, 2010
Meeting Details
Hearing Type
Standard
CDs
10-133, 134
Meeting Record
1:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

  • Julie Donohue, Assistant Professor, University of Pittsburgh Graduate School of Public Health
  • Lisa Dulsky Watkins, Public Health Physician and Assistant Dir. of VT Blueprint, Vermont Blueprint for Health
  • Don George, Chair, Blue Cross Blue Shield
  • Michael O'Connor, President, Vermont Chapter of the American Parkinson's Association
  • Marjorie Powell, Senior Assistant General Counsel, Pharmaceutical Research Manufacturers of America (PhRMA)
  • Rep. George W. Till, House Committee on Health Care
Thursday, April 29, 2010
Meeting Details
Hearing Type
Standard
CDs
10-135, 136, 137
Meeting Record
1:30 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

  • Rep. Kurt Wright, Burlington
1:45 PM

H.792 - An act relating to implementation of challenges for change

  • Jennifer Carbee, Legislative Counsel
  • Rep. Sandy Haas, House Human Services Committee
  • Lee Lauber, Executive Director, Family Center of Washington County
  • Rep. Ann Pugh, Chair, House Human Services Committee
Friday, April 30, 2010
Meeting Details
Hearing Type
Standard
CDs
10-138
Meeting Record
1:00 PM

S.88 - An act relating to health care financing and universal access to health care in Vermont

  • Robin Lunge, Legislative Counsel
  • Rep. George W. Till, House Committee on Health Care
Wednesday, May 5, 2010
Meeting Details
Hearing Type
Standard
CDs
10-142
Meeting Record
10:00 AM

No Committee Meeting Scheduled

Thursday, May 6, 2010
Meeting Details
Hearing Type
Standard
CDs
10-143,144
Meeting Record
2:00 PM

H.792 - An act relating to implementation of challenges for change

Friday, May 7, 2010
Meeting Details
Hearing Type
Standard
CDs
10-145,146,147
Meeting Record
9:30 AM

H.792 - An act relating to implementation of challenges for change

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