Transcript Highlights:

• I also came of age and came out on social media and in the age of social media.
• eligibility, an age ban, or an age block.
• An age ban, an age block. That is very much a place we are concerned about.
• From our perspective, as a PIP body, we’re not a service provider; our member organizations provide services
• Well, in the context of the services that they provide, so many of those services—one service, for example

Keywords: 988, house, all

Transcript Highlights:

• Developmental stages up to the age of 18.
• That age signal is set up when the phone is set up.
• When I set up that phone, I put in the age.
• So that age is now set there.
• First, the age-appropriate design code protects youth up until age 18 rather than 13 or 16, and it is

Keywords: 987, senate, all

Transcript Highlights:

• I'm the researcher for the Joint Committee on Aging and Independence.
• Operating skilled services right now is extremely difficult.
• Most likely it would be private pay on most of the services.
• Well, isn't that protective services? Are you talking about protective services?
• This is not protective services.

Keywords: 995, all

Summary: The Special Commission on Continuing Care Retirement Communities met for its third meeting, focused on regulations, oversight, and enforcement. Staff and agency presenters reviewed the current framework: the Executive Office of Aging and Independence explained that assisted living regulations generally do not apply to CCRCs unless an assisted living component markets itself separately, and that CCRCs must submit marketing materials, contracts, and disclosure statements for public posting. The Attorney General’s office described Chapter 93A consumer protection standards and noted it is working on draft assisted living-specific regulations. DPH outlined its oversight of licensed nursing facilities associated with some CCRCs, including routine surveys, complaint investigations, and enforcement tools such as admissions freezes, fines, receivership, and license actions, along with federal CMS sanctions for certified facilities. Commission members and presenters then discussed gaps and ambiguities in how CCRCs are defined and regulated, especially whether communities without on-site skilled nursing should still be treated as CCRCs, how assisted living-like services within CCRCs are classified, and whether residents have enough clarity about the services they are buying. A major theme was disclosure: members raised concerns about entrance fees, refund timing and conditions, whether skilled nursing is on-site or provided by contract, and how residents can compare communities. Several participants suggested more standardized disclosure and possibly broader consumer protection rules, while others cautioned that overly rigid requirements could affect community finances and development. The commission also explored enforcement and resident protections. Some members argued that independent living residents are already covered by landlord-tenant law and that existing complaint systems and community education may be sufficient, while others said residents in supported or assisted settings within CCRCs should have clearer access to ombudsman services and oversight. The discussion turned to closure and ownership transfer, with members citing recent national examples of sales and bankruptcies that changed resident terms. DPH explained its closure process for licensed nursing facilities, and members noted that Chapter 197 of 2024 adds oversight for facility transfers and financial disclosures. The meeting ended with logistics for the next session at Brookhaven at Lexington on June 2, a public hearing on June 16, and a request to circulate the hearing notice broadly to residents and stakeholder organizations.

Transcript Highlights:

• for healthy aging. for healthy aging.
• It hits all ages. This aneurysm, etc. It hits all ages.
• plan for aging an age well<00:23:56.159> and<00:23:56.320> age<00:23:56.559> plan
• <00:27:43.840> to Services and the Commission on Aging to Services and the Commission on Aging
• But I can have feelings for those of my age, though some I may have served in the service with, but you

Keywords: 1191, senate, all

Transcript Highlights:

• But I also want to highlight that there are many people aging and aging healthfully and well.
• and we have a median age of 43.
• , those services specified by the Centers for Medicare and Medicaid Services.
• Those services specified by the Centers for Medicare and Medicaid Services.
• care claims for dental services.

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• When your child goes to download an app, it'll have age notices to inform you about the appropriate age
• age.
• They're going to think, "Oh well, the government is requiring age..." requiring age verification, but
• age verification.
• You will also hear advocates of online age verification say... online age verification advocates say

Bills: HB285, HB317

Keywords: HB285, TJ's Law, traffic infraction, traffic ticket, uniform traffic ticket and complaint, minor driver, juvenile driver, parent notification, guardian notification, emergency contact, law enforcement, citing agency, traffic citation, driver safety, youth safety, Alabama traffic law, Section 12-12-56, Children and Senior Advocacy, House Judiciary, reasonable effort

Transcript Highlights:

• FOLLOWING CHANGES MADE TO THE SERVICE OF PROCESS.
• MINIMUM AGE OF 21 IS CONSTITUTIONAL.
• No one under the age of 21 needs a gun for self-defense.
• In America, if you are a man, you must sign up for selective service at the age of 18.
• THE LEGAL PART IS THE AGE OF MAJORITY BEGINS AT 18.

Keywords: sales tax reduction, budget cuts, boating safety, water treatment, municipal utilities, school safety, medical malpractice, firearm purchase age, cursive writing instruction, first responder support, veto overrides, veterans funding, infrastructure projects

Summary: The Florida House convened for regular business, with Speaker Perez announcing historic budget plans including the largest state tax cut in Florida history - a permanent 0.75% sales tax reduction from 6% to 5.25%, saving Floridians nearly $5 billion annually. The House will propose a budget lower than both the Governor's proposal and last year's budget. Several bills passed including Lucy's Law (boating safety), water access facilities funding, municipal utility rate corrections, hazardous walking conditions for schools, and medical malpractice 'Free Kill Law' repeal. The controversial firearm purchase age bill (HB 759) passed 78-34, lowering the minimum age from 21 to 18, despite emotional opposition citing the Parkland shooting. Other bills addressed cursive writing instruction, peer support for first responders, and government sunset reviews. Multiple veto override motions were approved unanimously, reinstating funding for veterans programs and infrastructure projects.

Transcript Highlights:

• I also came of age and came out on social media and in the age of social media.
• eligibility, an age ban, an age block.
• An age ban, an age block. That is very much a place we are concerned about.
• services.
• Well, in the context of the services that they provide, so many of those services, one service, for example

Summary: The Assembly Privacy and Consumer Protection Committee held an informational hearing on the impact of social media on LGBTQ+ youth, focusing on benefits, risks, and possible safeguards. Chair members framed the discussion around the tension between protecting young people from addictive design, harassment, hate speech, exploitation, and mental health harms while preserving access to affirming resources, community, and crisis support that many LGBTQ+ youth rely on online. Members emphasized that the hearing was meant to inform future policy rather than relitigate prior bills, and several members of the LGBTQ+ Caucus attended or participated. The first panel featured lived experience and advocacy testimony from Madi Roby of Alliance for Trans Youth Rights, Shea Gardner of LGBT Tech, and Casey Pick of the Trevor Project. Roby described social media as essential to exploring identity, finding trans language and safety information, and connecting to Trevor Project resources during a family crisis, while also acknowledging online hate and bullying. Gardner argued that lawmakers should regulate harms more precisely rather than impose broad age-based exclusions, warning that account bans and age-gating could cut off access to community, privacy-protective pseudonymity, and crisis resources. Pick testified that LGBTQ+ youth are more likely than peers to attempt suicide, that social media can be both a lifeline and a risk, and that Trevor Space and other moderated online spaces can improve mental health and reduce isolation; she also cautioned against policies that would push youth into less visible, less moderated spaces. Committee members questioned the witnesses about algorithmic feeds, addictive design, age verification, and whether platforms should be required to do more to protect youth. Several lawmakers distinguished between personalized feeds and addictive features such as infinite scroll and autoplay, and asked for more targeted prescriptions. Witnesses generally supported stronger privacy protections, limits on data collection and use, better reporting and moderation tools, digital literacy, and design changes that reduce harmful engagement patterns without eliminating access to community. The discussion also touched on the loss of LGBTQ-specific 988 services at the national level and the importance of maintaining alternative support pathways. The second panel presented research from Common Sense Media, UC Irvine, Hope Lab, and LGBTQ+ Health Australia. Researchers reported that LGBTQ+ youth often arrive online with higher depressive symptoms and limited in-person support, encounter homophobic and transphobic content at high rates, and may self-censor because of fear of harassment. At the same time, many said social media helps them feel less alone and find affirmation. Dr. Sean Young emphasized a harm-reduction approach, noting that online environments can be designed to support health and that policymakers should measure whether restrictions actually reduce harm or simply displace it. Dr. Amy Green echoed that social media is both harmful and supportive for LGBTQ+ youth, underscoring that the policy goal should be to make youth safer rather than less visible online.

Transcript Highlights:

• <00:38:13.359> and<00:38:13.599> the AG turned 18 years of age and the AG turned 18
• past the age of 18. past the age of 18.
• I'm general counsel for the Bureau of Adult and Aging Services and the Bureau of Child Development and
• I am the Bureau Chief of the Bureau of Adult and Aging Services. >> And uh, Jonathan Freeman, administrative
• Chief of the Bureau of Adult and Aging Chief of the Bureau of Adult and Aging Services.

Keywords: 1189, house, all

Transcript Highlights:

• We believe in aging in community.
• We believe that is the path to optimal aging.
• Our model doesn't require discrete facilities or services to address the needs of people as they age,
• So I understand people want to age in place and age in their apartment and they can get access to health
• or Age has: should the CCRC Commission recommend changes to the CCRC Consumer Guide maintained by Age

Keywords: 995, all

Summary: The commission meeting focused on continuing care retirement communities (CCRCs), beginning with a presentation from Two Life Communities on its Opus Newton model, which is opening in the fall. Two Life described Opus as a middle-income, modern CCRC built around affordability, care coordination in residents’ apartments rather than separate care buildings, and resident-driven community life. Commissioners asked about financing, home care arrangements, affordability, Medicaid/MassHealth access, and the role of resident councils versus board representation. Two Life said it wants to remain within the CCRC framework, but expressed concern about proposals that would require multiple discrete care levels, impose deadlines on entrance-fee refunds, or require resident board seats. The commission then discussed possible recommendations. There was broad support for Senate Bill 478, which would require clearer disclosure of entrance-fee refund terms in a separate document for prospective residents. On refund timing, members were divided: some favored a one-year deadline or a deadline with waivers, while others opposed a fixed deadline because of financing risks and the potential impact on new development and current residents. Several members suggested keeping the status quo but adding better data collection and reporting on refund timing. On the CCRC definition and marketing, members debated whether the current statutory definition is too vague and whether the commission should recommend clearer standards or a certification-like process, while also noting resource limits for state oversight. Members also discussed the Age CCRC Consumer Guide, with general agreement that it should be updated and made more useful to consumers, possibly with clearer questions to ask and more information about facilities, though some cautioned against adding subjective financial-risk statements that would be hard to administer. On resident representation, several commissioners strongly supported requiring resident voting members on boards, while providers argued that strong resident associations and regular meetings with boards may be preferable and that communities should retain flexibility. The meeting ended with a request for written comments by July 11, draft recommendations to be circulated July 18, and a possible final meeting on July 21, with the commission aiming to finish by August 1.

Transcript Highlights:

• But in terms of paid services, we have about 44,000 individuals that receive a paid service.
• Because it's a state plan service, you also can't limit eligibility based on age or disability types.
• The rest are receiving services under home and community services.
• It cuts pediatric therapy services and visiting nurse services. Complex kids.
• Now they only get that exemption until age 14. The kids are age 14.

Summary: The committee heard testimony on the effects of H.R. 1 on Washington’s Medicaid, developmental disability, long-term care, and food assistance systems, followed by a separate discussion of juvenile rehabilitation caseloads and placement capacity. DSHS officials said HR1 could affect home equity rules, immigration-related eligibility, work requirements for some expansion-population enrollees, and provider taxes, while also creating a future opportunity for a new 1915(c) waiver. Advocates and providers warned that any state response that cuts home and community-based services would worsen already thin provider networks, increase waiting lists, push more people into hospitals or out-of-state placements, and strain families and workers. A pediatric behavioral health expert and a supported living provider said Medicaid reimbursement is already too low and further reductions would threaten outpatient, residential, and inpatient services for people with intellectual and developmental disabilities and severe behavioral needs. The committee then turned to SNAP and the state food assistance program. DSHS said HR1 would tighten work requirements and exemptions, end some immigrant eligibility for the federal program, eliminate the SNAP education program, raise state administrative costs, and eventually require Washington to share in benefit costs based on its error rate. Officials estimated large numbers of residents could lose or see reduced benefits, with significant added state costs. Anti-hunger advocates, a food bank director, and a SNAP recipient described the program as essential for low-income families, seniors, and people with disabilities, and said the changes would increase paperwork, reduce benefits, and worsen food insecurity while also harming local food economies. Testimony emphasized that food banks cannot replace SNAP and that work requirements may be difficult to meet for caregivers, people with disabilities, and those facing child care or transportation barriers. In the juvenile justice portion, the Caseload Forecast Council presented the JR forecast, which is currently mostly flat through the end of the biennium but expected to grow modestly over the longer term. Members discussed how policy choices, including the 2019 JR-25 law, have increased lengths of stay for adult-sentenced youth in JR, while diversion and other reforms have affected regular JR trends. A court researcher explained the data available to help forecast admissions and noted ongoing efforts to improve data sharing with JR, AOC, and county systems, though staffing and system-lag issues limit how quickly data can be produced. Juvenile court administrators and DCYF officials described the community-based juvenile justice continuum, rising complexity in the JR population, overcrowding at Green Hill and placement constraints at Echo Glen and Harbor Heights, and the need for more flexible community transition and mental health capacity. No votes were taken.

Transcript Highlights:

• Joe's fortunate to have ABA services, but I always worry about the individuals not getting ABA services
• , ABA services, communication and assistive device tech services?
• We needed better services.
• approved to receive services but are waiting for services.
• and home care services.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing focused on two broad sets of issues: home- and community-based care, and school-based Medicaid reimbursement. In the morning session, legislators and advocates testified on bills affecting children and disabled enrollees, including proposals to clarify rate-setting for home health and home care services (H. 767/S. 870), allow family members and spouses to be paid caregivers under MassHealth (H. 1394/S. 886 and related bills), extend MassHealth coverage for applied behavior analysis and other therapies beyond age 21 for adults with autism and developmental disabilities (H. 1351/S. 871), and protect medically fragile children by improving access to continuous skilled nursing. In the later portion of the hearing, testimony shifted to a bill to improve MassHealth reimbursement for schools (S. 862), with speakers describing the school mental health crisis and the need to reinvest Medicaid funds directly into school health services. Witnesses on the home care rate-setting bill said current reimbursement methods are opaque and outdated, contributing to workforce shortages, unfilled shifts, long waitlists, and patients remaining in hospitals longer than necessary. Home care providers and trade groups argued the bill would not set rates directly but would require more transparent methodology and fuller consideration of real costs such as wages, benefits, taxes, training, and technology. On caregiver bills, many family members and provider organizations described the financial and emotional strain of caring for disabled or medically fragile relatives, especially when parents, spouses, or guardians are barred from being paid caregivers. They argued the bills would recognize existing unpaid care, help families remain at home, and reduce reliance on more expensive institutional care. Advocates for adult ABA coverage said services remain medically necessary after age 21 and that ending coverage at that age creates an inequitable “cliff” for MassHealth members compared with those with private insurance. For the PACE/community care bill, elder law attorneys and PACE advocates said current MassHealth income rules force some older adults with modestly higher incomes to spend down to $542 per month, making community living unrealistic and pushing people toward nursing homes. They supported changing the eligibility structure to a premium-based approach that would allow more people to remain in the community. On the school Medicaid bill, advocates said schools are providing effective, preventive mental health care, but reimbursement currently flows to municipalities rather than directly back to school health budgets, limiting districts’ ability to hire and retain staff. No votes were taken during the hearing; the committee heard testimony and several witnesses requested favorable reports on the bills.

Transcript Highlights:

• for prescribed age restriction requirements.
• covered company for age re-verification.
• prescribed age restriction requirements.
• company for age re-verification.
• Interfering with religious services.

Summary: The Senate opened with prayer and the Pledge of Allegiance, recorded attendance, welcomed former Senator Limpancrazi, and recognized page Owen Washburn and his family. The chamber then moved through messages and second-reading listings, and the Committee of the Whole considered several House bills. HB 2398, dealing with watercraft operation and peer-to-peer watercraft sharing insurance, received a floor amendment clarifying the types of insurers that may provide primary commercial boat liability coverage and was reported do pass as amended. HB 2477, relating to the Arizona Education Savings Plan, was amended to add investment guardrails, conflict-of-interest protections, an advisory team, limits on land investments, and statutory treatment of the local government investment pool, then reported do pass as amended. The Committee of the Whole also considered HB 2251 on midwifery, which was amended to transfer oversight of licensed midwives from the Department of Health Services to the Naturopathic Physicians Medical Board, add a licensed midwife to the board, separate midwife and naturopathic funds, apply investigative and disciplinary procedures, and make conforming changes; it was reported do pass as amended. HB 2991, concerning minors’ access to technology content and social media, drew extensive debate. A floor amendment revised age-signal and parental-consent procedures, changed default settings language, removed a private right of action, and made other technical changes. Senators Tise, Epstein, and others argued the bill still raised serious First Amendment and censorship concerns, while Senator Bullock defended it as a child-safety measure that did not require uploading ID. The bill was ultimately reported do pass as amended. In third reading, the Senate adopted the Committee of the Whole report, retained HB 2397 on the calendar, and voted on several bills. HB 2104, HB 2105, HB 2763, HB 2786, HB 2771, HB 2782, and HB 4117 passed; HB 2457, HB 2494, and HB 2696 failed. HB 2457 and HB 2494 drew opposition over local control and land-use concerns, while HB 2696, aimed at fuel and gas prices, drew criticism that the Commerce Authority was not the right vehicle and that the issue was driven by federal policy. HB 4117, relating to offenses against public order and religious services, passed after sharp debate over whether it would protect worship or chill protest and free speech, with opponents warning of vague language and potential political prosecutions. The Senate also voted to reconsider its prior action on HB 2311 and HB 2601, requested the House return HB 2995 for reconsideration, and adjourned until Thursday, June 11, at 10:00 a.m.

Transcript Highlights:

• I'm Emily Kaltenbach, Secretary of Aging and Long-Term Services.
• For the Aging Network, again, these are our Older American Act services and our volunteer and senior
• So those stay at Aging and long-term services, but they support the seniors in the non-metro region.
• to help the aging adult who is needing services?
• That's something that Aging and Long-Term Services has the funding to help them with. So, Mr.

Transcript Highlights:

• annual gains uh in the school age annual gains uh in the school age population<00:17:25.240>
• This is showing you the number of people of school-age children ages 5 to 17 living in the district,
• under the age of 18.
• looking just at the school age looking just at the school age population<00:24:10.960> but
• <00:29:57.600> children School AG children School AG children uh<00:29:59.919> in<00

Keywords: 1187, senate, all

Summary: The Senate Education Finance Committee met on January 21 with a quorum present for the first meeting of the 2025 biennium. The co-chairs described the temporary power-sharing arrangement in the tied Senate, introduced committee staff and pages, and had members briefly introduce themselves and share what subject they would teach. After the introductions, the committee moved to a presentation from State Demographer Susan Brower. Brower reviewed Minnesota’s school-age population trends and projections, noting that the state had just under 1 million children ages 5 to 17 in 2023 and that, for the first time, the older adult population exceeded the school-age population. She said the school-age population is concentrated in the Twin Cities metro and other regional centers, and projected an overall decline of about 5% over the next 15 to 20 years, driven mainly by declining birth rates and long-running net outmigration of young adults. She also explained that growth is expected in some areas, especially along the I-94 corridor north of the metro, while northern regions are projected to see the largest declines. She clarified for members that her figures measure resident children, not school enrollment, and that boundary changes are not reflected in the district-level data. The presentation also covered demographic change among students. Brower said about 35% of Minnesota children ages 5 to 17 are children of color, with growing multiracial populations and increasing linguistic diversity. She reported that about 20% of school-age children have at least one foreign-born parent, and about 18% of enrolled students speak a language other than English at home, with Spanish, Somali, and Hmong the largest home languages. She also discussed child poverty, saying Minnesota’s rate is just under 10%, below the national rate of about 15%, and that poverty is concentrated in Minneapolis-St. Paul, some first-ring suburbs, and parts of northern Minnesota, including districts with larger Native populations. Members asked questions about whether the projections accounted for migration and whether open enrollment affected the figures; Brower said the data reflect where children live, not where they attend school, and that the projections are based on recent migration and birth patterns, with future changes more likely to come from international immigration than from domestic migration.

Transcript Highlights:

• Programs and services and analyzing gaps.
• the Senior Meals and Services Coalition.
• The funding we request would be integrated into the current aging network of the Area Agencies on Aging
• and local service providers.
• Of our homes are age-friendly.

Transcript Highlights:

• <00:09:08.440> through provide those in Home Services through provide those in Home Services
• of school age care uh the majority of school age care really<00:09:31.079> comes<00:09:31.279
• of the unmet demand for a Services of the unmet demand for a Services Statewide<00:37:22.000>
• agency we provide immigration services agency we provide immigration services for<00:46:12.160><
• our community for our full service our community for our full service Community<01:09:21.080>

Keywords: 1187, senate, all

Transcript Highlights:

• , and formally recognizing aging itself, and innovations for healthy aging, and formally recognizing
• aging itself as a major driver of chronic disease.
• Aging is a significant yet often misunderstood issue in medicine.
• And let's not forget that not everyone ages equally.
• This makes healthy aging a public health and equity issue.

Keywords: 987, senate, all

Transcript Highlights:

• is<00:25:09.159> if Services forensic Services which is if Services forensic Services
• services.
• services.
• recovery support services, and service ongoing service coordination.
• and vocational services, rehabilitation services, and then forensic services.

Keywords: 1183, house

Summary: The committee met for an introductory overview of its jurisdiction and staff roles. Nonpartisan House Research and House Fiscal staff explained that they draft bills and amendments, prepare bill summaries and background research, answer legal and fiscal questions, and help track revenue and budget effects. They also distributed a Budget Overview Brief intended to condense the larger budget materials into a more usable format for members. Staff then walked through the Human Services budget and the committee’s areas of responsibility. They described the department structure, noting that DHS oversees administration, compliance, rulemaking, and county support, and that the overall Human Services budget is large, with medical assistance as the dominant program. They also explained recent and upcoming reorganizations: many children and family-related functions are moving to the new Department of Children, Youth, and Families, Direct Care and Treatment is becoming its own agency, and some homelessness-related functions remain at DHS. Staff reviewed how the budget is organized by program and budget activity, the difference between direct appropriations and standing appropriations, and how forecasted programs and “tails” work in the budget process. The presentation also covered Medicaid financing and long-term care. Staff explained the federal-state FMAP match, including Minnesota’s current 51.16% federal match for most Medicaid spending, the CHIP match, and the 90% federal share for the expansion population. For long-term care, they outlined Medical Assistance services for elderly and disabled people, state-funded long-term care supports, and Board on Aging programs. They highlighted the personal care assistance program’s phaseout and replacement by Community First Services and Supports, and reviewed the five home- and community-based waivers. Members asked one question about refugee resettlement funding, specifically whether it covers flights; staff said they would need to follow up on the exact use of the federal funds. No bills were heard, and no formal votes or other committee actions were taken during this meeting.

Transcript Highlights:

• I'm joined by Secretary Emily Kultenbach of the Aging and Long-Term Services Department and Lori Seacca
• Emily Kaltenbach, Secretary of Aging and Long-Term Services.
• Nursing services and more enhanced services.
• And without aging and long-term services providing some support in that arena, I don't think we could
• And without aging and long-term services, providing some support in that arena, I don't think we could

Keywords: 996, all