Transcript Highlights:

• So, may I continue? Continue. The follow-up is... So, may I continue? Continue.
• And if I could continue? Continue. That's helpful, I think, to know what was my next question?
• As cases continue to cycle through their certification periods, we'll continue to see that decline.
• We'll continue to see that decline.
• Dementia care services program.

Keywords: 908, all

Summary: The committee was called to order, the roll was taken, and the March 18 minutes were approved. Members then received several project and program updates, beginning with CHI St. Alexius’s behavioral health buildouts in Bismarck, Williston, and Grand Forks. St. Alexius reported that the Bismarck project remains on track for June 2027 completion, with demolition underway and final design work nearing completion. Williston reported construction is progressing, staffing recruitment is underway for psychiatrists and other staff, and an air handler replacement is creating a roughly $750,000 unbudgeted barrier that will slightly delay the timeline. Grand Forks reported its expansion is about 30% complete, with no major barriers beyond weather, and leaders said the project should be substantially complete in the first quarter of 2027. The Department of Health and Human Services then presented a series of budget and program updates. Donna Ockland explained several recent line-item transfers as technical corrections that net to zero and do not require new spending, then reviewed salaries, wages, and FTE counts, noting the department remains within its authorized staffing levels. Pat Rainer followed with an update on the Rural Health Transformation Program, saying 12 opportunities have been posted, 422 applications received, and $8.4 million obligated so far, with a goal of obligating the full $199 million by September. He described grants for workforce retention, rural rotations and housing, community gardens, school wellness, behavioral health promotion, safety net services, equipment, technology, EMS, and other initiatives, emphasizing that the program is intended to be transformational and tied to metrics. Members asked extensive questions about how rural eligibility is defined, how grants will support both rural facilities and hub hospitals, and how future years of funding will build on current awards. The committee also heard an update on certified community behavioral health clinics from Elena Zeller, who said North Dakota has been accepted as a demonstration state, implementation is underway in Williston, North Central/Minot, Fargo, and Dickinson, and care coordination and service counts are increasing. Rebecca Askins then reviewed SNAP payment error rates, saying the 2025 rate was finalized at 9.89%, with the state aiming to get below 6% through policy updates, training, data tools, and a quality assurance team. Members pressed her on the causes of the error rate, the role of the SPACES software system, and the need for accountability and improvements. Finally, Dirk Wilkie reported the state laboratory project reached substantial completion on June 12 and is on budget at about $69.95 million, though a service elevator had to be redesigned because it was too small for equipment.

Transcript Highlights:

• Please continue to stand.
• This bill also continues state support for a number of vital housing and homelessness programs, and I
• And it continues a sick cycle. welfare programs.
• The federal government funds welfare programs largely.
• net from a survival program into a thriving program, where we do not take the ideological approach.

Summary: The Assembly convened without a quorum, completed the roll call, and then proceeded with the day’s business after a prayer, pledge, and a moment of silence for victims of the Texas flooding. Procedural motions suspended several rules to allow committee notices, guest seating, and the withdrawal of AB 898 back to the Senate. Members also made several guest introductions, including family members, interns, and scouting troop visitors. On the floor, AB 1416 by Assembly Member Ta, a taxation bill, was concurred in with Senate technical amendments by a 60-0 vote. ACR 1, designating October 23 as Korean Ginseng Day, was adopted by voice vote after supportive remarks highlighting Korean culture and the health benefits of ginseng; 62 coauthors were added without objection. The Assembly also heard SB 119, the budget-related human services trailer bill, with extensive debate over CalWORKs, CalFresh, child welfare reporting, and housing/homelessness programs. Supporters framed it as a needed anti-poverty and safety-net measure, while opponents criticized it as expanding dependency and failing to address fraud and work requirements. SB 119 passed on a 54-11 vote. The second-day consent calendar, including AJR 16 on the Tijuana River, was adopted 71-0, and the remaining consent items AJR 15 and SB 765 were also adopted 71-0. The session concluded with adjournments in memory of Contra Costa County Supervisor Federal Glover, followed by announcements of upcoming committee hearings and the next floor session before adjournment until July 10 at 9 a.m.

Transcript Highlights:

• on the best programs, the most efficacious programs.
• We've met a couple of times, but we need to continue. Continue, please.
• We continue to prioritize programs that help us build our. educator workforce.
• Program evaluation for Ed Fellows and our other programs is really important.
• You gotta start building some of those programs, but that'll continue to be an important focus as we

Transcript Highlights:

• programs are transformative, life-saving, and vital, and should be continued.
• I’m very adept in our CHW program.
• , the initial TORCH program.
• They identified about 83 different programs. We reviewed the financials of those programs.
• It saves us in other social services programs. It saves us money in other programs.

Summary: The meeting focused on Missouri’s substance use prevention and treatment system, with repeated emphasis on recovery support services, peer support, recovery housing, transportation, and harm reduction. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he urged greater investment in recovery housing, peer support, employment, and community-based supports that help people stay sober and avoid relapse. Members asked about funding sources, program capacity, referrals, treatment court, transportation, and how Into Action supports people on medication-assisted treatment (MAT). Haniken said the organization is funded through a mix of federal, state, county, city, foundation, and private donations, and that housing and transportation remain major barriers, especially because support is often funded for too short a period compared with the longer time people need to stabilize. Matt Cushman of the Raytown Fire Protection District gave a strong endorsement of harm reduction, including naloxone distribution, syringe service programs, and broader decriminalization of harm reduction tools. He argued that stigma is a major barrier to care and that Missouri should expand access to clean needles, test strips, and other services, while also improving access to MAT in jails and communities. Committee members questioned the evidence base, the role of faith-based providers, and whether safe consumption sites should be pursued; Cushman said syringe exchange decriminalization should be the immediate priority, while safe consumption sites are a longer-term issue. He also described community paramedicine and mobile integrated health as valuable but funding-dependent, and said naloxone distribution is improving but still uneven, especially in rural and minority communities. Representatives from Central Ozarks Medical Center and Four Rivers Community Health Center highlighted the importance of peer support specialists, community health workers, care coordinators, and wraparound services in rural health centers. COMC’s Morgan McClure and Monet Lehman described a jail reentry program in Pulaski County, with Lehman sharing her trauma and recovery story and explaining how she helps incarcerated people prepare for release with housing, employment, benefits, transportation, and treatment connections. Four Rivers’ Devon Polarys and Cassandra Trout said their CEO would change Missouri policy to allow FQHCs to receive reimbursement for peer support and community health worker services similar to CCBHCs, arguing that these roles are essential for addressing barriers like transportation, housing, food insecurity, and insurance. Members discussed confusion over reimbursement rules, the differences between FQHCs and CCBHCs, and the need for better funding and clearer policy for peer and community health worker services. No votes were taken; the discussion ended with a suggestion to bring in a subject matter expert on community health workers for a future session.

Transcript Highlights:

• <00:20:32.400> So program or another community program.
• So program or another community program.
• where needs continue to exceed capacity. where needs continue to exceed capacity.
• that we have to have for that program? that we have to have for that program?
• Um the um program.

Bills: HF4438, HF4467, HF4379, SF3402, HF4349, HF4064, HF84, HF85, HF3804

Keywords: healthcare, WIC, community health, licensing, speech-language pathology, audiology, contract term limits, healthcare services, provider enrollment, disenrollment, premium payments, medical assistance, substance use disorders, mental health, children's mental health, early childhood, early intervention, consultation grants, Head Start, child care

Transcript Highlights:

• yourself and please continue. Thank you. yourself and please continue. Thank you.
• I supported the state-administered universal program and continue to do so now precisely because it's
• I supported the state-administered universal program and continue to do so now precisely because it's
• . program. program.
• regard to understanding the program. regard to understanding the program.

Keywords: 1183, house

Transcript Highlights:

• Amazon's career choice program. Amazon's career choice program.
• And again, we will continue to promote the use of the grant program to those facilities across the state
• standard program and the enhanced program.
• accommodate an ATC program. accommodate an ATC program.
• continuing um across states. continuing um across states.

Keywords: 958, all

Summary: The task force met on November 4, 2025, approved the prior minutes without objection, and then heard a presentation from Amazon on its Kentucky aviation and logistics operations. Amazon described its statewide footprint, including its Boone County air hub at KCVG, its investment of more than $60 billion in Kentucky since 2010, about 20,000 jobs in the state, and its use of Amazon Air as a middle-mile network supported by third-party carriers. The company also highlighted small-business support, community relief efforts, and workforce development through Career Choice, including partnerships with Kentucky schools and aviation maintenance training. Members asked about Amazon’s most in-demand workforce needs, future operational challenges, and whether autonomous vehicles are used on the KCVG ramp. Amazon said it would follow up on workforce-demand details, identified customer-driven innovation and culture as ongoing challenges, and said autonomous vehicles are in testing but are not part of regular KCVG operations. Amazon also emphasized sustainability efforts, including alternative aviation fuel, and said it wants to work with the legislature to expand AAF production and supply in Kentucky. The task force then heard from Secretary Jeff Noel of the Kentucky Cabinet for Economic Development and Matt Wingate on the state’s aviation economic development strategy. They said aviation and aerospace are central to Kentucky’s logistics and economic-development goals, with aerospace identified as the state’s top export and air cargo as a major strength. They discussed outreach to general aviation airports, support for local grant matching, airport funding projects, workforce and education partnerships, and efforts to market Kentucky at aviation trade shows such as Paris Air Show and MRO America. No formal votes or other actions were taken beyond approving the minutes.

Transcript Highlights:

• If one program is not proven effective, then we'll try to develop a new program.
• access to programs.
• Then in 2012, we started a program called the Alternative Sanctioning Program.
• The program we started was modeled after a program called the Hawaii HOPE Model.
• Since that time, we've continued to use the Alternative Sanctioning Program, and we've reduced the number

Summary: The Criminal Justice Subcommittee heard an informational presentation from the Florida Department of Corrections on how the prison and community supervision systems operate after sentencing. Assistant Deputy Secretary Hope Gartman described the reception process for new inmates, including intake, medical and mental health screening, classification, custody and housing levels, gain time, and the department’s academic, vocational, substance abuse, chaplaincy, visitation, and communication programs. She emphasized that reentry begins on day one and that program placement is driven by risk and needs assessments, with facilities matched to inmates’ medical, mental health, and security requirements. Members also asked about family contact, visitor applications, inmate welfare trust funds, tablet access, private prison placement, staffing shortages, overtime, contraband interdiction, and waiting lists for programs; several follow-up materials were requested for distribution to all members. Mr. Winkler then outlined community corrections, explaining the different supervision types under Florida law, including probation, drug offender probation, community control, sex offender supervision, conditional release, and addiction recovery supervision. He described the department’s monitoring tools, such as office and field visits, warrantless searches, alternative sanctioning for technical violations, telephone reporting for low-risk offenders, employment assistance, and mobile probation and reentry units. He said the department’s supervision success rate is about 62%, with more than 91% of successful completers not returning to custody within three years. Members questioned officer workloads, the use of radios and GPS check-ins, the rollout of uniforms and firearms, how violations are handled, and whether all circuits participate in alternative sanctioning; Winkler said the program is statewide and that the department is seeking funding for radios. During public comment, Florida Cares Charity urged the committee to consider evidence on deterrence, parole, and recidivism, arguing that community supervision is less costly than incarceration and can be effective. James Beardy of the Florida PBA emphasized the dangers faced by correctional and probation officers, including long shifts, field searches, and working alone, and argued for higher pay and better support comparable to other law enforcement. The meeting concluded with the chair thanking the presenters and public speakers, and the subcommittee adjourned without taking any legislative votes or formal actions.

Transcript Highlights:

• The program uh continuously receives a consistent stream of inquiries um and it's known as a valuable
• The program<00:30:06.559> uh<00:30:06.720> continuously<00:30:07.760> receives<00
• :30:08.240> a program uh continuously receives a program uh continuously receives a consist<00
• continuing to grow it. continuing to grow it.
• Have maintained safety and continue to provide the transformative programs key to rehabilitation and

Keywords: 1183, house

Transcript Highlights:

• And then the apprenticeship programs in Texas continue to grow, and they're growing into fields that
• or a building trades program or some other type of program that fits the job market there.
• And so these are parts of our sort of ongoing continuous effort, continuous improvement efforts. as an
• New fellowship programs, scholarship programs.
• If you can't get it in this program, what about this program?

Keywords: 1184, house, all

Transcript Highlights:

• One such program that CFILC is a holder on is the Disability Disaster Access and Resources Program, which
• with the education programs, so they are fine.
• We'll get there, and we need this program.
• it continued, and how this population ages.
• This bill does not create a new program.

Summary: The Assembly Committee on Aging and Long-Term Care met without an initial quorum and heard four Senate bills focused on older adults and people with disabilities. SB 837 by Senator Reyes would require Aging and Disability Resource Connection programs to provide disaster and emergency preparedness education tailored to older adults and people with disabilities. Supporters, including the California Foundation for Independent Living Centers and the California Commission on Aging, cited recent wildfire deaths and the need for better evacuation planning and preparedness. The bill passed on a due pass motion and was re-referred to the Committee on Emergency Management. SB 971 by Senator Choi would create a Healthy Aging Community Partnerships Program to encourage voluntary local partnerships, including with community colleges and other entities, to support social connection, technology help, caregiver resources, and other healthy aging activities. Supporters said it would promote independence and prevent isolation at no mandated cost, while one member questioned whether the bill addressed a current legal gap and whether public health departments should be involved. The committee approved the bill on a due pass motion and re-referred it to the Committee on Health. SB 1261 by Senator Laird would allow Aging and Disability Resource Connections to continue operating for one to two years during transitions when an area agency on aging or independent living center operator changes, preventing service disruptions. Testimony from Access Central Coast and the California Association of Area Agencies on Aging emphasized the importance of continuity for thousands of clients. The committee passed the bill and re-referred it to the Committee on Appropriations. SB 991 by Senator Menjivar, presented by Assemblymember Gonzalez, would require the Department of Social Services to classify substantiated abuse in residential care facilities for the elderly by specific abuse type rather than a broad residents’ rights category. Ombudsman advocates argued this would improve transparency and accountability; members also discussed whether similar protections should extend to younger adults in other licensed settings. The bill passed on a due pass motion and was re-referred to the Committee on Human Services.

Transcript Highlights:

• And also the things that we continue to do today.
• So I just wanted to say it is a continuing harm.
• Now, that's for every single program.
• using to determine the eligibility for the program?
• Our state continues to advocate for our DACA and undocumented students.

Summary: The committee heard several higher education bills. It first approved the consent calendar, which included SB 67 and SB 619. The main discussion centered on SB 437, which would direct the CSU system to develop a fair, evidence-based process for verifying whether someone is a descendant of a person enslaved in the United States, as part of the state’s reparations work. Supporters said the bill fills a gap left by the Reparations Task Force and would create a transparent, credible lineage-verification process; opponents argued genealogy methods already exist, the bill would waste money and delay action, and some raised constitutional concerns. The committee took a vote on SB 437, but the roll was left open after the initial tally showed three ayes and three noes. The committee then heard SB 790, which would allow California to join the interstate reciprocity agreement for online postsecondary education. The author and supporters said the bill would improve consumer protections for California students taking out-of-state online courses and help California institutions compete more effectively by reducing the burden of seeking separate state approvals. Opponents, including University of Phoenix and other groups, argued the bill conflicted with the existing reciprocity framework, could exclude some institutions, and might not actually secure California’s entry into the agreement. The committee voted 3-1 to pass SB 790 as amended to the Business and Professions Committee, with the roll left open. The committee also heard SB 391, which would authorize the Community College Chancellor’s Office to charge fees for research partners seeking access to data. Supporters said the office is absorbing significant unfunded workload from data requests and that fees would help recover costs; opponents, including the California Teachers Association community college association, warned the fees could create barriers for faculty and smaller researchers. Members discussed possible exemptions and implementation details. The committee voted 5-1 to pass SB 391 as amended to the Appropriations Committee, with the roll left open. Finally, the committee heard SB 685, a pilot program to provide cost-of-attendance assistance at four CSU campuses for students who experienced homelessness in high school. Supporters said it would help students cover housing, food, and transportation costs and reduce dropout risk; members asked about eligibility and implementation, and the author explained the bill would use McKinney-Vento homelessness designations and target students at risk of “summer melt” and college homelessness.

Transcript Highlights:

• budget but also support program integrity.
• integrity across DHS programs.
• But there's other programs too.
• than it is in managed care programs.
• are. outdated programs are.

Transcript Highlights:

• versus our RN programs.
• When we look at our RN programs, I'm going to present the RN programs divided by program type.
• , the ADN programs, and the BSN programs, statewide BSN programs have a higher faculty vacancy rate.
• approved programs.
• We had some test takers that were from closed programs or non-active programs.

Summary: The Appropriations Committee on Higher Education met to focus on nursing education funding, workforce supply, and Florida’s low NCLEX pass rates. The chair emphasized that Florida ranks last nationally in nursing exam pass rates and said the committee wants to use budget decisions and a forthcoming nursing bill to improve outcomes. The Florida Center for Nursing at USF presented preliminary workforce and education data showing RN supply is moving toward equilibrium with demand through 2037, while LPN shortages are projected to worsen, especially in some regions. The center also reported on enrollment, retention, faculty vacancies, and NCLEX trends, noting Florida still underperforms the national average but has shown some recent improvement, including higher RN pass rates in 2024 despite fewer test takers. The center highlighted that students who test sooner after graduation tend to pass at higher rates. A panel of nursing education leaders from public universities, state colleges, technical colleges, and private institutions described how prior state pipeline and line-item funding helped expand enrollment, simulation labs, faculty hiring, student support services, and partnerships with hospitals. UNF, Galen College, College of Central Florida, Keiser University, and Lorenzo Walker Technical College each reported strategies such as expanded simulation, mental health and social work support, test-prep and remediation, and efforts to grow faculty pipelines. Several speakers said faculty recruitment and retention remain major barriers because of salary competition with hospitals, faculty debt, and aging faculty. Technical college representatives also stressed the need to strengthen LPN pathways, English-language support, and LPN-to-RN bridge programs. Members asked for ideas to improve NCLEX outcomes and discussed possible policy options, including student loan forgiveness, critical shortage supplements for faculty, incentives for students to test soon after graduation, and possible changes to timing or regulation around NCLEX eligibility. Several witnesses supported more flexible or recurring funding, while noting that one-time line funding has been useful for simulation, scholarships, and faculty support but is harder to sustain. The committee adjourned after the discussion, with the chair saying the ideas would be considered in future funding and policy decisions.

Transcript Highlights:

• on this program.
• on this program.
• The broadband program.
• The NG-9-1-1 JPA, the program I manage at NDACO, was 2%, The NG-9-1-1 JPA, the program I manage at NDACO
• May I continue? So now we're probably... May I continue?

Summary: The committee approved the March 26 minutes and then received a quarterly update on major IT projects from NDIT. Staff reported the portfolio included 116 major projects totaling about $546 million, with the overall portfolio under budget but slightly behind schedule. They reviewed projects over the 20% variance threshold, including an Industrial Commission grants management system and DOT’s roadway pre-construction replacement, and then heard startup and closeout reports from HHS, OMB, DPI, and DOT. Several previously troubled projects were closed, including HHS bed management, vital records modernization, and DOT roadway capital planning; some projects finished under budget and ahead of schedule, while others were significantly behind schedule or over budget but were now closed or being remediated. The committee also reviewed NDIT’s annual report, including service-fund financials, peer-state rate comparisons, records management, and customer satisfaction efforts. Members asked about how service-fund revenue and grant administrative charges are accounted for, how chargebacks work, and whether NDIT tracks customer satisfaction scores. NDIT said it does track CSAT-type measures in some service areas and has survey data, but it is not planning another customer survey this summer. Members encouraged more regular reporting of customer satisfaction, service-level metrics, and performance data to help guide future improvements. A major portion of the meeting focused on the state’s mainframe modernization effort. NDIT said the overall effort is still targeting about 2030, with multiple HHS and DOT projects underway and a $15 million tech-debt appropriation already removing some components. Staff described the main obstacles as data cleanup, complex integrations, limited staff capacity, retirements, and vendor constraints, and said they are seeking a vendor with modernization support in the next contract cycle. Members pressed for clearer accountability and faster progress, and NDIT and HHS emphasized that they are working jointly but need continued support and better tools. The committee then heard a cybersecurity update on NDIT’s statewide services and maturity assessments. NDIT explained that it provides vulnerability scanning, endpoint protection, security awareness training, threat briefings, and penetration testing, and that these services are tied to a cybersecurity maturity assessment based on CIS controls. Members questioned the sharp drop in participation since 2020 and whether the self-assessment should be mandatory or tied more strongly to StageNet access or insurance incentives. NDIT said participation is voluntary, but Enderf is now requiring annual assessments to keep a 4% insurance discount, and members discussed whether stronger requirements or audit authority may be needed. The meeting ended as the committee began a follow-up discussion on BEAD broadband connection costs and why some locations are much more expensive to connect than others.

Transcript Highlights:

• Educators like them, and then continuing to support the university programs as they work to meet our
• Our families continue to want to have more CTE programs available, and so much so that during the last
• Finally, governors continue to emphasize alternative programs to increase the number of high-quality
• Governors continue to emphasize alternative programs to increase the number of high-quality teachers
• Our summer program is the ADZEPEP program, which is an additional four-year grant program that offers

Keywords: 1184, house, all

Transcript Highlights:

• These programs work.
• to parent support programs and therapeutic programs.
• successfully, and so it hasn't needed to continue.
• In the absence of that, Leon and Sana continue to go back and forth, they continue to send messages on
• With your continued support, we want to continue serving as the bridge to successful adulthood during

Keywords: 995, all

Summary: The Senate Committee on Juvenile and Emerging Adult Justice held an informational hearing focused on diversion programs and services for high-risk youth, with no bills before the committee and no votes taken. The chair and members emphasized that the session was intended to hear from invited testimony and discuss how to strengthen diversion, reduce court involvement, and improve outcomes for youth. The committee heard first from the Office of the Child Advocate and diversion providers, who described the Massachusetts Youth Diversion Program, its statewide expansion to 10 of 11 court counties, and its reported success rate of about 80% completion without reoffending. Testimony highlighted that diversion keeps youth out of court, connects them more quickly to community-based services, and can address needs such as mental health, education, and substance use. Witnesses also pointed to racial and ethnic disparities in arrests versus summonses, regional variation in diversion access, and the need for clearer statutory authority, more funding, and broader use of pre-arrest diversion. Committee members asked about the difference between arrest and summons, who can initiate diversion, why arrest rates have increased relative to summonses, and how diversion might prevent harmful downstream consequences such as detention or immigration enforcement involvement. Witnesses said police, clerk magistrates, district attorneys, and judges can refer youth to diversion, and argued that local policy, training, and legislative changes could expand use. They also discussed the impact of detention on youth, including stigma, lost school time, and the lack of credit for time served in the juvenile system. Testimony from Citizens for Juvenile Justice focused on prevention, school discipline, and the school-to-prison pipeline, arguing for more restorative practices, better data, and legislation to limit suspensions and expulsions, especially for younger students and nonviolent conduct. They also raised concerns about DCF-involved and foster youth, who are disproportionately represented in the juvenile system. The final panel, the Children's League of Massachusetts and transition-age youth providers, shifted to child welfare and young adult supports. They supported reducing court involvement in child requiring assistance cases, expanding family resource centers, and strengthening services for transition-age youth leaving DCF or DYS custody. Providers described housing instability, homelessness, and the need for education, employment, behavioral health, and supportive housing services for young adults ages 18 to 23. Across the hearing, witnesses consistently argued that early intervention, community-based supports, and diversion are more effective than court processing or detention for most youth, and that the legislature can help through funding, statutory clarity, expanded eligibility, and stronger data collection.

Transcript Highlights:

• These programs are now paused or terminated.
• If I am confirmed, I will certainly look into those programs, and I'd like to continue to discuss those
• These programs now are on hold and our farmers are going to suffer as a result of ending the USAID. programs
• Let me understand, in your view, are programs that counter human trafficking, programs that help families
• effective programs to limit migration.

Transcript Highlights:

• Can you speak to what the Hike Safe program is? Is that still like a $35 program?
• Representative: Continue.
• The speaker continued that the program is extensive and successful, but demand is rising and the department
• Funds in that account are strictly used to fund that program, the wildlife habitat program.
• We're continuing to look at...

Keywords: 928, house, all

Summary: The Division 2 Finance Committee heard an overview and budget presentation from New Hampshire Fish and Game, led by new Executive Director Stephanie Simi and Business Division Chief Kathy Leonti. The agency described its mission to conserve and manage fish, wildlife, and marine resources, and emphasized growing pressures from disease, climate impacts, habitat change, and increased public demand. Simi said the department is largely funded by hunting and fishing license revenue and federal grants, is reviewing staffing and internal processes, and faces critical needs including permanent funding for environmental review staff, infrastructure and IT modernization, and possible service reductions if additional support is not found. Members asked about specific program and policy issues, including chronic wasting disease in deer, hemorrhagic disease in rabbits and hares, moose population decline, and a proposed bait-disease bill. The department said it is actively monitoring diseases and did not see a need for the bait bill at this time. Legislators also discussed the Hike Safe program, which the department said has grown from an expected $100,000 annually to more than $300,000, and a possible boating version of that program, which the department said remains under consideration but would involve complex logistics and multiple agencies. Questions were also raised about rescue costs, out-of-state hikers, and whether boat registrations could be used as a revenue source; Fish and Game said boat registration is handled by the Department of Safety, though the department receives $5 per registered boat for the public boat access program. The budget discussion focused on revenue projections, use of unrestricted Fish and Game funds, and dependence on federal reimbursements. Leonti said the department met the governor’s general fund target but not the Fish and Game fund target without using surplus unrestricted funds, leaving only about $100,000 in the fund by the end of the biennium. She said the budget uses more than $18 million in Fish and Game funds annually against about $14 million in unrestricted revenue, and that five of 193 full-time positions remain unfunded. The department warned that if federal grants were halted, it could cost about $5 million over five months and force the Fish and Game fund to cover the gap. Committee members also requested that future presentations be sent electronically in advance, and the department agreed to do so.

Transcript Highlights:

• It was very sad not to be able to continue with this program, as it was a great support in every way.
• program since 2013.
• Gertin continue. The gateway effect is undeniable, and I'll let Dr. Gertin continue. Thank you.
• Gertin continue.
• Gertin continue. The gateway effect is undeniable, and I'll let Dr. Gertin continue. Thank you.

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on a wide range of bills focused on children’s health, tobacco control, newborn screening, pediatric cancer, palliative care, and professional licensure. Early testimony highlighted Senate bills to expand newborn screening for pyruvate dehydrogenase complex deficiency, lysosomal storage disorders, and congenital CMV, with families and clinicians describing severe diagnostic delays, missed treatment windows, and the benefits of early detection. Speakers also supported a bill to improve pediatric cancer research through a dedicated trust fund, and a bill to extend pediatric palliative care services to age 22, with parents and providers emphasizing continuity of care for seriously ill young people. Several witnesses gave personal accounts in support of the newborn screening measures. Families described children who endured years of misdiagnosis before receiving diagnoses such as Gaucher disease, Fabry disease, Pompe disease, Niemann-Pick disease, and CMV, often after irreversible damage had already occurred. Medical and advocacy witnesses said Massachusetts already collects some of the relevant screening data and argued that results should be reported to families, while others urged the committee to add conditions to the state panel because effective treatments already exist. The committee also heard support for a bill to establish a fetal alcohol spectrum disorder program and training for providers. On tobacco and youth health, testimony supported bills to ban internet tobacco sales, strengthen youth protections, and reduce lung cancer deaths through point-of-sale information and quit-line access. A student testified about easily purchasing flavored nicotine products online without meaningful age verification, and public health advocates backed measures to keep tobacco out of children’s environments. The committee also heard testimony on a bill to ensure parents have access to their children’s medical records through age 16, with exceptions for sensitive services already protected by law. The committee additionally took testimony on an optometry licensure bill, where ophthalmologists opposed language they said could broaden scope of practice and allow optometrists to use the title “optometric physician,” while optometry educators and students supported the bill as a modernization measure with no scope expansion. No votes were taken during the hearing; the chair repeatedly reminded speakers of time limits and noted that written testimony could be submitted for additional comments.