Transcript Highlights:

• Services that are covered are both Medicare and Medicaid services that include acute care services, adult
• The two-party contract we're building off of is the statewide Medicaid managed care plan contract.
• services, behavioral services, therapeutic services, residential services, and medical services, including
• And so during that time period, the dental contract provided for both preventive and acute dental services
• , ...dental contract provided for both preventive and acute dental services, and the program was established

Summary: The Appropriations Committee on Health and Human Services heard a base budget overview for the 2025-26 fiscal year, which was presented as a $46.8 billion starting point for the silo. Staff explained that HHS accounts for about half of the state base budget and roughly 36% of general revenue, with AHCA and Medicaid making up the largest share. The committee then reviewed the PACE program for the elderly, including its eligibility, service model, growth in applications, slot funding and reversions, and the agency’s plan to move from the federal three-way agreement to a more detailed two-party contract to improve accountability, transparency, and reporting. Members raised concerns about unfilled slots, reversions, rural access, and the need for clearer return-on-investment data; the agency said it would follow up on some of those questions. The committee also heard from the Agency for Persons with Disabilities on its statewide dental program. APD described its history of appropriations, the failed January 2024 solicitation, and a new up-to-$11.5 million solicitation focused on preventive care, community partnerships, teledentistry, and coordination with other services. Members questioned overlap with Medicaid dental coverage, the effect of Medicaid unwinding on APD clients, and whether state dollars were duplicating federally supported services; APD said it tries to act as payer of last resort and that services would continue during procurement. Public testimony from an APD stakeholder and the Florida Dental Association emphasized Medicaid eligibility problems for waiver recipients, low reimbursement rates, limited access to anesthesia and hospital-based dental care, and concerns that proposed Medicaid changes could reduce access for special-needs patients. The Department of Veterans’ Affairs then presented on state veterans service officers and benefits assistance. FDVA highlighted its role in helping veterans access federal benefits, reporting about $27.9 billion in federal dollars flowing into Florida and a high return on state investment. The department said it has increased outreach, claims processing, and services, and has trained staff to identify mental health concerns through its Overwatch program. In response to questions, FDVA discussed plans to expand adult day health care at a new veterans nursing home and possibly at existing locations with additional state funding. At the end of the meeting, the committee completed its presentations and adjourned without objection.

Transcript Highlights:

• While the Department of General Services has determined not to approve multi-year mandatory contracts
• on these contracts.
• But we go out to a contract. It sounds like we did a contract for three years and another contract.
• And statewide contracts work a little differently than a department contract in that a statewide contract
• And statewide contracts work a little differently than a department contract in that a statewide contract

Summary: The committee held an informational hearing on the rising cost and long delivery times for fire apparatus and related equipment, with opening remarks stressing that aging fleets, supply chain problems, and delayed replacements are affecting emergency readiness across California. Cal OES and Cal Fire described statewide procurement challenges, including higher prices, multi-year delivery timelines, two-year encumbrance limits, and the strain on mutual aid when engines remain in service beyond their intended replacement cycles. Cal Fire said it operates 537 engines, with 300 meeting replacement criteria and 243 at least 16 years old, and explained the difference between mandatory contracts and one-time acquisitions. The Department of General Services said vendors have cited labor costs, chassis pricing, and the need for longer production timelines, while also noting that statewide contracts can include nominal price increases but not open-ended price hikes. Local fire chiefs from Santa Barbara County, Los Angeles County, Napa, and Fullerton testified that apparatus prices have risen sharply while delivery times have stretched from under a year to three to five years or more. They described specific examples of engines and ladder trucks costing far more than prior purchases and arriving years later, forcing departments to keep older reserve apparatus in service, spend more on maintenance, and defer other budget priorities. Several witnesses said industry consolidation has reduced competition and contributed to delays and price increases, with Los Angeles County and Fullerton noting they have pursued antitrust complaints and litigation against major manufacturers. Napa also described proprietary parts and software limiting in-house repairs, and Santa Barbara County said a vendor’s unfulfilled delivery promise caused the department to lose its place in line. Members asked about possible solutions, including whether the state should consider manufacturing apparatus itself, whether procurement rules or prototype requirements could be streamlined, whether DGS staffing or contract processes could be accelerated, and whether more stable long-term purchasing commitments would help manufacturers plan production. Witnesses said safety-driven specification changes are necessary but can add time, and that the main bottlenecks are industry capacity, consolidation, and vendor performance. The vice chair raised concerns about how grant funding windows and local matching requirements are affected by multi-year delays, especially for small and rural departments that rely on grants and on used apparatus passed down from larger agencies. No votes were taken; the hearing concluded with committee members indicating interest in possible legislative, regulatory, and antitrust follow-up.

Transcript Highlights:

• ' programs and services.
• But as I had a contract pulled and read that, this is an $8 million contract.
• Subcommittee if it elects to utilize the optional services therein, EBD contracts with U.S.
• EBD Cell and Gene Therapy Policy Update, UAMS Professional Consultants Services Contract Amendment, with
• EBD contracts with U.S.

Summary: The Arkansas Legislative Council met and first adopted the previous meeting minutes, then honored Lori McDonald of the Department of Human Services for nearly 28 years of state service. Members read a resolution recognizing her legislative, constituent, and leadership work at DHS, and the council adopted it unanimously. McDonald thanked members for their support, and the Senate also presented her with a citation, a flag flown over the Capitol, and a commemorative coin. The council then received the May 2026 revenue report, which showed gross adjusted collections of $7.76 billion year-to-date, up 4.4% from the prior year, and net available for distribution of $6.36 billion. The Bureau of Legislative Research noted collections were running above last year and that the updated forecast reflected a surplus. The Executive Subcommittee report was adopted after members were told it had approved captive insurance premiums and deductibles, a claims administration contract, emergency DHS rules, waiver requests, committee fund allocations, and the cancellation of the regular July ALC meeting in favor of only meeting for urgent matters. Several subcommittee reports were then adopted, including Administrative Rules, Game and Fish and State Police, Hospital/Medicaid/Developmental Disabilities, Lottery Oversight, Occupational Licensing Review, Peer Review, Review, State Insurance Programs Oversight, and Personnel. During the Administrative Rules discussion, members questioned the Department of Education about delays and vendor performance under the ClassWallet contract; department officials said they were meeting regularly with the vendor, keeping expense review in-house, and would consider other options if needed. In Personnel, the Department of Commerce clarified that a reallocation request was part of a broader departmental realignment and shared services move, not the Arkansas Workforce Connection waiver. The council also reviewed and took action on several communications, including filing retirement system investment summaries as reviewed, approving rural community grant funding, giving favorable advice for state park acquisitions/expansion, approving special maintenance funding for state parks, and filing proposed Office of State Technology service rates as reviewed before adjourning.

Transcript Highlights:

• This means monitoring the availability of services, ensuring compliance across hundreds of contracted
• They included collecting service population data, a thorough review of managing entity contracts to identify
• In addition, the managing entity contracts have network service provider performance measures that we've
• providers who provide services. ...administer those network service providers who provide services as
• service providers.

Summary: The subcommittee heard two Department of Children and Families implementation updates on measures passed in prior sessions. First, DCF reviewed House Bill 633, which increased oversight of behavioral health managing entities through biennial independent audits, standardized claims-based reporting, and new monthly outcome dashboards. The department said it had awarded the inaugural audit to Ernst & Young, found no significant waste, fraud, or abuse, but identified process risks involving financial controls, claims validation, data access, and system access controls. DCF also described its transition to standardized behavioral health coding and said the new public dashboard of 11 measures is posted on its website, though members asked for easier access and for hard copies of the audit report. Members asked about how the department distinguishes Medicaid-covered services from department-funded services, how duplicate payment risks are being addressed, and whether the new reporting and audit requirements would improve oversight without disrupting services. DCF said it is the payer of last resort for uninsured or underinsured individuals, that some overlap with Medicaid is expected because Medicaid does not cover all behavioral health services, and that new claims edits and cross-checks are being built into the system. The department also said it had not found significant negative feedback from providers and that the new requirements are intended to improve transparency and accountability. DCF then updated the committee on Senate Bill 7012, covering human trafficking data collection, domestic violence center certification, limited background-screening exemptions, expanded recruitment for child welfare staff, subcontractor liability protections, a four-year treatment foster care pilot, case management efficiency recommendations, and a statewide study of residential bed capacity for child victims of commercial sexual exploitation. The department said several items are already complete or underway, including limited exemptions in the screening clearinghouse, while others are in procurement or rulemaking. It identified Circuits 4 and 12 as the treatment foster care pilot sites and said the pilot will launch in January 2026. Members questioned recruitment metrics, pilot timing, and report deadlines; the department said final reports are expected by January and that some dates were flexible because of procurement and implementation timelines. The meeting ended after the presentations and questions, and the subcommittee adjourned.

Transcript Highlights:

• Next order of business is the consideration of the agenda, including the personal service contract list
• , personal service contract amendment list, memorandum of agreement list, memorandum of agreement amendment
• Help me out with that again. >> So, this particular contract is for the commissioning services for the
• is for the >> So, this particular contract is for the commissioning<00:15:59.040> services<
• . contract. contract.

Keywords: 958, all

Summary: The committee first approved the minutes from its January 13 meeting and then moved through a large agenda of contracts and agreements, with members repeatedly voting to review items without objection. The chair noted the agenda included 227 contracts totaling about $89.5 million, all with vendors registered with the Secretary of State. Most items were approved after brief discussion and roll-call votes. Several contracts drew questions. Kentucky State University explained two four-month contracts tied to its online academic program: one for continued implementation support and one for marketing. University officials said the program is in a transition year under a management improvement plan, that the university owns the intellectual property, and that the marketing effort is aimed at growing enrollment in targeted programs such as business and social work. They reported online enrollment had grown from 74 students to 612, with an overall university enrollment of 2,872, and said the goal is to reach about 1,000 online students by fall. The committee approved both items, though Senator Douglas said he would keep watching university spending. The Department of Education presented a contract cancellation for administrative reviews of the National School Lunch and School Breakfast Program. Officials said USDA changed the review requirement from every three years to every five years, making the outside contract unnecessary because internal staff can now handle the work. The committee approved the cancellation. The Transportation Cabinet also explained an increase to a professional services contract for engineering work on a section of KY 54 in Owensboro, describing it as preliminary design and commissioning work for a multi-section roadway project; the committee approved that item as well. The Kentucky Lottery Corporation sought approval for an amendment tied to its iLottery platform. Officials said the increase reflected higher sales volume, since the contract structure causes prize and platform-related expenses to rise as sales grow. The committee approved the amendment. The Department of Public Health also discussed a perinatal psychiatry consultation program funded by a five-year federal HRSA grant; members raised concerns about what would happen if federal support changes, but no action beyond discussion was noted in the excerpt.

Transcript Highlights:

• and Washington Management Service.
• the contract or changed in the contract?
• of the contract or changed in the contract?
• in the contract or out of the contract or changed in the contract.
• So as you look at these contracts, how do you look at PFML and the contracts that you're negotiating

Keywords: 904, all

Summary: The Joint Committee on Employment Relations met on May 8, 2026, to receive updates on upcoming collective bargaining for the 2027–29 biennium. OFM’s Jenny Sheehan reviewed the state workforce, noting that most employees are represented, the workforce remains constrained by hiring limits and civil service rules, and bargaining goals include financially feasible agreements, maintaining labor relations, supporting an inclusive workplace, and addressing issues such as AI use, leave, and immigration-related workplace protections. She also outlined the bargaining calendar, the role of the June revenue forecast in determining what compensation proposals can be funded, and the need to reach tentative agreements by September 2026 for October 1 submission and legislative consideration. She described recent bargaining themes from unions, including limits on AI, expanded leave, access to union members in hybrid workplaces, and classification changes, and she summarized prior-cycle costs, including about $1.2 billion in general funds and $1.7 billion in total funds for 2025–27 awards, excluding the delayed WPEA agreements that were later funded after a return to bargaining. The committee then heard from Western Washington University and the University of Washington on higher education bargaining. Western described its locally bargained contracts, the importance of re-opener clauses tied to state budget decisions, and concerns about the instability of the state “fund split,” which shifts compensation costs between state funds and tuition revenue. Western also emphasized that student employees are increasingly central to retention and urged inclusion of student compensation in the wage base. UW similarly described its large and diverse workforce, the split between RCW 41.56 and 41.80 bargaining frameworks, and the reliance on state funding, tuition, and other revenue sources to cover compensation increases. UW highlighted the financial strain of the fund split, the lack of state funding for academic student employee compensation, and the impact of rising ASE costs on class sizes and the university’s teaching and research missions. OFM also presented on Washington Management Service bargaining, explaining that only certain WMS employees are covered, that bargaining began in 2024, and that current agreements include addenda for WMS-specific provisions. The presentation noted that WMS bargaining is still limited in scope, with only a few represented units, and that compensation bargaining generally covers band minimums and maximums rather than all salary levels. Finally, OFM reviewed interest arbitration rules for certain state employee groups, explaining that arbitration is available for some essential-service and statutorily covered employees, that arbitrators decide disputed contract language based on statutory criteria, and that awards still must be found financially feasible by OFM. Committee members asked about PFML treatment, the timing of arbitration, and the budget pressures facing bargaining, and the meeting adjourned without any votes or formal actions.

Transcript Highlights:

• SERVICES THAT ARE COVERED FOR BOTH MEDICARE AND MEDICAID SERVICES INCLUDE ACUTE CARE SERVICES, ALL DAY
• ALL SERVICES ARE PROVIDED BY THE PACE SERVICE ORGANIZATION TO PROVIDE EFFECTIVE CARE COORDINATION AND
• , SOCIAL SERVICES, BEHAVIORAL SERVICES, THERAPEUTIC SERVICES, RESIDENTIAL SERVICES, AND MEDICAL SERVICES
• DURING THAT TIME, THE DENTAL CONTRACT PROVIDED FOR BOTH PREVENTATIVE AND ACUTE DENTAL SERVICES AND THE
• AND THERE IS BASICALLY NO COVERAGE FOR ADULT DENTAL SERVICES BESIDE EMERGENCY DENTAL SERVICES.

Keywords: 999, senate, all

Transcript Highlights:

• The maximum contract amount under this contract is $158,000.
• So are the deliverables that are in this contract services, are those similar to what you've done in
• The maximum contract amount under this contract is $158,000.
• So are the deliverables that are in this contract services, are those similar to what you've done in
• Yeah, I would see a need to have that in a contract. Is that normal—that's in a contract?

Summary: The committee met to review an audit and recommendations from the Alliance for Opportunity on reforming Arkansas workforce and social service delivery. Members discussed creating a more integrated, regional, “one-door” system that would combine eligibility screening, job training, and service referrals across DHS, workforce, health, and related programs, with an emphasis on reducing administrative overhead and redirecting more funds to direct services and training. Several members raised the need to include groups such as people in generational poverty, rural residents, reentry populations, and people involved in the court system, while also ensuring access for those without digital skills or technology. Artificial intelligence was a major topic. Members suggested using AI and a centralized database or virtual hub to pre-populate forms, identify program eligibility, notify workforce agencies, and improve efficiency, while still maintaining case managers and in-person support for those who need it. There was also discussion of benefit cliffs, DHS processes that may hinder employment, and the need for industry input and working groups to study AI and other issues. Members repeatedly asked for measurable outcomes, including return-on-investment estimates, cost savings, and performance metrics tied to the number of people moved into self-sufficiency and employment. The committee then reviewed a draft consultant services agreement with Work Ed Consulting LLC, represented by Mason Bishop, to assist with the study under Act 145 of 2025. The contract would run from March 20, 2025 through June 30, 2027, with a maximum amount of $158,000 plus possible additional services up to 10% if approved. Bishop said his work would include ongoing ROI updates and that his experience included helping create Utah’s workforce department and assisting Louisiana with similar reforms. After questions about oversight and deliverables, Representative Beck moved to advance the contract, Senator Sullivan seconded, and the committee approved it by voice vote before adjourning.

Transcript Highlights:

• Health Services Fund.
• Is it going to be contracted out? It will be contracted out.
• I have received services from... ...on behalf of Mass Social Services Foundation.
• that would be paid for through the contract for services through us, and that structure isn't necessarily
• that would be paid for through the contract for services through us and that structure isn't necessarily

Summary: The Assembly Budget Subcommittee on Health held an informational hearing on the Governor’s May Revision, focusing first on the Commission on Behavioral Health, then EMSA, and then the California Department of Public Health (CDPH). The Department of Finance said the state faces a third consecutive deficit and that the May Revision includes difficult trade-offs, including proposed eliminations or reversions of some behavioral health and public health funds. The LAO echoed concern about the structural deficit and said it was still awaiting some budget details before offering a full analysis. For the Commission on Behavioral Health, Finance proposed eliminating $20 million in Mental Health Wellness Act funds, arguing the money would help offset General Fund costs and noting future Proposition 1 innovation funding. The commission strongly opposed the cut, saying it would eliminate or delay launch-ready grants for early childhood supports, full-service partnerships, and peer respite, and would eventually end ongoing grant programming. Several advocates and commissioners testified that the funds support underserved communities and that Proposition 1 is not a substitute for the existing programs. The chair asked Finance to look for alternatives, but no vote was taken. EMSA presented mostly technical budget adjustments: increased authority for the California Poison Control System, a correction to EMSIS funding, and a reappropriation for enterprise services and data management. CDPH then reviewed a broader set of May Revision proposals, including reversions from the California Reducing Disparities Project, workforce development, STD prevention, hepatitis C prevention, hospice, and extreme heat funding, as well as a new generative AI pilot for health facility survey reporting. Members raised concerns about cuts to CRDP and gender health equity programs, especially because many grants are mid-contract and serve underserved communities; CDPH said the reversions were part of solving the deficit and that CRDP had been successful, while also clarifying that abortion.ca.gov would not be eliminated. Public comment was overwhelmingly opposed to the CRDP and related cuts, with many speakers describing the programs as life-saving and cost-effective. No formal votes or actions were taken during the hearing.

Transcript Highlights:

• programs and services.
• But as I had a contract pulled and read that, this is an $8 million contract.
• No, we have not altered the contract. That was decided before the contract was signed.
• So that's what I'm putting out. contract if I'm not right. No, we have not altered the contract.
• EBD Cell and Gene Therapy Policy Update, UAMS, Professional Consultants Services Contract Amendment,

Summary: The meeting began with a quorum call, prayer, and approval of the previous minutes. Members then adopted a resolution honoring Lori McDonald of the Department of Human Services for nearly 28 years of state service, with remarks praising her legislative work, constituent services, leadership, and emergency response roles. McDonald thanked the committee, and the Senate also presented her with a citation, flag, and commemorative coin. The committee received the May 2026 revenue report, which showed gross adjusted collections of $7.76 billion year-to-date, up 4.4% from the prior year, and a projected surplus of $585.8 million. The executive subcommittee report was adopted, covering emergency rules for DHS and the Department of Education, school district waiver requests, committee fund allocations, cancellation of the July ALC meeting, and authorization for subcommittees to meet in July on urgent matters. The administrative rules report was also adopted after members noted that most rules were approved, with a few pulled by agencies or held. Members then heard a lengthy exchange on the Arkansas Education Department’s ClassWallet contract and delays in expense review for education savings account payments. Department officials said they were meeting regularly with ClassWallet, enforcing contract standards, keeping some reviews in-house, and adding staff and technology improvements to speed processing while maintaining oversight. The committee also adopted reports from Game and Fish and State Police, Hospital/Medicaid/Developmental Disabilities, Lottery Oversight, Occupational Licensing Review, Peer Review, Review, State Insurance Programs Oversight, and Personnel, including a Department of Commerce reallocation tied to a broader shared-services realignment. Under review of communications, members filed several retirement system investment items as reviewed, approved rural community grant funding, gave favorable advice for state park additions, approved special maintenance funding for state parks, and filed Office of State Technology service-rate changes as reviewed. The meeting concluded with no new business and adjournment.

Transcript Highlights:

• We have CART services, captions enabled, and have shared the CART services link with attendees and viewers
• Contract dollars through their statewide contract are obligated to report this data.
• to all goods and services contracts.
• Contracts end and renew.
• Any time that's renewing, any contracts since July 1st of 2025 that renews and is goods and services,

Keywords: 995, all

Summary: The Massachusetts Permanent Commission on the Status of Persons with Disabilities met virtually and in person for its June meeting. Members approved the March meeting minutes and heard a chair’s report on recent “Meeting the Moment” community conversations, including the successful Lowell event and plans for a July 14 Northampton event and an October National Disability Employment Awareness Month celebration at the State House. The October event will include a panel with MassAbility on artificial intelligence and its impacts on people with disabilities, with discussion of both accessibility benefits and risks such as bias and discrimination. A major presentation came from the Supplier Diversity Office on its Empowering Abilities in Contracting and Employment (EAC) program. Staff described the program’s evolution from a pilot launched after 2016 legislation to a statewide policy now included in new state contracts. The program aims to increase certification of disability-owned and service-disabled veteran-owned businesses, expand workforce participation by people with disabilities, and use vendor reporting to track progress toward a 3% workforce goal. The office reported about 292 active certified businesses, roughly 40 vendors currently on EAC contracts, and expectations that the number of participating vendors will grow to about 130 by November. Commissioners praised the program and asked about its reach, data, and potential replication in other states or institutions. The advisory council update highlighted broad engagement across topics including accessibility, employment, youth transition, housing, health equity, transportation, technology, AI, and supported decision-making. Members were asked to share fact sheets and resources for posting on the commission website, and two council members will help plan the October employment event. Subcommittee reports followed: the employment subcommittee reviewed transition-to-employment barriers, the disability employment tax credit, veteran services, and a SEED policy brief; the workforce supports subcommittee discussed apprenticeships and a May webinar on addressing workforce barriers through apprenticeships; and the long-term services and supports/health equity subcommittee heard about care coordination training resources and a presentation on post-COVID health care inequities for people with disabilities. The executive director also reported on ongoing work with state agencies, MassHealth-related conversations, caregiver and aging issues, and AI planning. The meeting ended with commissioner announcements on the Paul Spooner Generational Leadership Summit and a Medicaid summit, followed by adjournment by vote.

Transcript Highlights:

• We have over 1,800 clients that we provide services to and over 400 direct service professionals, DSPs
• contract I have, or I don't recall signing a contract like that, show me the contract.
• They say, we don't recall at all signing a contract like that. Can you show us the contract?
• It does take COA... signing a contract like that, show me the contract.
• not the contract applies.

Summary: The Assembly Committee on Insurance met as a subcommittee and heard several bills related to workers’ compensation, insurance access, climate resilience, and farmworker protections. AB 815 would prevent social service workers who use personal vehicles to transport clients from being misclassified as commercial or for-hire drivers under personal auto policies; supporters said the current practice leads to unaffordable premiums and denied claims, while no opposition testified. AB 1329 would revise the Subsequent Injury Benefit Trust Fund to reduce litigation and medical-legal costs and lower employer assessments; insurers and business groups opposed unless amended, citing concerns about eligibility standards and the QME process, but the bill advanced after amendments were discussed. AB 1048 would allow disputed unauthorized payment reductions for medical providers to be reviewed through independent bill review; supporters framed it as a transparency measure, while opposition argued IBR is the wrong forum and existing contract dispute processes should control, though the bill also passed. AB 1236 would create a Department of Insurance grant program for climate and sustainability risk-reduction projects, with broad support from the department, environmental groups, and insurers, and it passed unanimously. The committee also heard AB 1336, the Farmworker Heat Illness Prevention Act, which would create a rebuttable presumption that a heat-related injury arose out of employment when an agricultural employer fails to comply with heat illness prevention standards. Supporters, including United Farm Workers, argued the bill would help protect farmworkers amid extreme heat and enforcement gaps; opponents from the workers’ compensation and agricultural sectors said the measure improperly uses the compensation system to enforce OSHA rules and could create unclear adjudication and delay issues. Members discussed Cal/OSHA enforcement limits, undocumented workers’ reluctance to report violations, and the relationship between the bill and existing workers’ compensation procedures. Despite opposition, AB 1336 passed on a divided vote. The committee also took up a consent calendar including AB 1125, AB 1293, and AB 1398, which were approved together. Roll calls were held open and later completed, and the bills that advanced were sent to the Committee on Appropriations. The meeting concluded with the committee adjourning after final votes were recorded.

Transcript Highlights:

• services that we all struggle, right, and actually going to those services.
• So in the middle of the contract now we're no longer going to be providing the service to special needs
• So health plans contract with managed service organizations are MS owes and they may have a network of
• The services provided by community-based providers that are contracted by the state's managing entities
• Services are more costly than community mental health services and substance use treatment services.

Transcript Highlights:

• <00:26:27.919> service where all of our contracted service where all of our contracted service
• Services that is um we have contracts Services that is um we have contracts for<01:37:00.679>
• deliverable contract if the services are not demonstrated and delivered.
• with treatment providers, and as part of that contract it covers non-billable Medicaid services.
• Before we paid almost all of the services through these contracts.

Keywords: 928, house, all

Summary: The House Finance Committee’s Division 3 held a public work session on the Behavioral Health budget on February 27, 2025. The chair opened by explaining the schedule, materials, and deadlines for the budget process, and noted there would be no motions or votes in the division that day. Division of Behavioral Health Director Ktia Fox and DHHS CFO Nathan White then walked the committee through the division’s mission, structure, and budget materials, describing the division’s four bureaus: Mental Health Services, Children’s Behavioral Health, Drug and Alcohol Services, and Homeless Services, along with the policy unit. They emphasized the division’s role in oversight, technical assistance, quality assurance, contracting, and the continuum of care from prevention and early intervention through crisis and residential services. Much of the discussion focused on major programs and funding lines, including the 988 Lifeline contract with Headrest, a technical assistance contract with UNH, Medicaid pass-through payments to New Hampshire Hospital and Glencliff, crisis response services, cold-weather homeless responses, housing supports, and the children’s system of care. Members asked about the UNH contract, the 988 program, crisis stabilization centers, and the peer certification program; Fox explained that the peer certification is a training-and-credentialing pathway for people with lived experience to enter community-based behavioral health work, not a volunteer program. The committee also discussed the “Choose Love” program, which Fox said was created after the Sandy Hook tragedy to build resilience and strength-based emotional regulation in schools and communities. On the children’s side, Fox described the system of care account as the place where many contracted services are budgeted, including community mental health centers, care management entities, rapid response services, and residential programs. Members asked about temporary staffing, and Fox said roughly $500,000 in temporary staff costs shown in the current year would not be spent next year because the money came from a nonlapsing appropriation in HB 1573 for oversight of children’s residential services. She also said provider rate increases were a prioritized need but were not funded in the governor’s current budget, and that the Children’s Behavioral Health Resource Center was not funded, resulting in about a $1 million reduction. The session ended while the division was still moving through the children’s behavioral health slides, including questions about the Fast Forward high-fidelity wraparound program and medication management.

Transcript Highlights:

• <00:05:02.160> optimistic<00:05:03.160> that Service Services uh I am optimistic that Service
• provided to to Citizens there's Services provided to to Citizens there's contracts<00:16:29.000>
• So good active contract management. So good active contract management.
• At the Department of Health and Human Services, we have a centralized contracts unit, and our bureau
• our contracts or our grants to deliver key critical services, and so, you know, we're partners, but

Keywords: 928, house, all

Summary: The committee convened an informational Division 3 Finance hearing focused on DHHS programmatic issues rather than budget line items. The chair emphasized that members should avoid questions requiring dollar figures and noted that the coming budget cycle would likely be difficult because revenues are expected to be tighter. Commissioner Lori Weaver said the department wanted to use the session to explain its functions at a high level, with more detailed presentations to follow, and to collect questions for later responses. Weaver outlined DHHS’s mission of supporting optimal health for state residents and described the department’s three main responsibilities: protection and prevention, client service delivery, and regulatory oversight. She said DHHS has eight divisions, a $3.6 billion total budget, about $1.217 billion in general funds, roughly a quarter of state positions, and personnel costs that are less than 11% of the budget. She also noted a recent hiring freeze, explained that the department did not request new positions except where required by law, and said vacancy rates had improved from 22% to 14% over the last two years but could rise again because of attrition and the hiring freeze. Weaver and CFO Nathan White then discussed why the DHHS budget is complex, explaining that it is built from multiple funding sources and is shaped by assumptions made months before the fiscal year begins, actual service demand, and cost allocation rules used to draw down federal funds. White highlighted maintenance-of-effort requirements, including TANF, where state spending is needed to secure federal matching funds and shortfalls can trigger penalties. At the committee’s request, DHHS agreed to provide a simplified historical accounting of TANF contributions to show how the match is assembled across positions, contracts, and other factors. The department also reviewed its roadmap, which Weaver described as a framework developed with staff and stakeholders around three themes: culture, community, and customer service. She highlighted priorities such as Mission Zero to end emergency department boarding, expanding access to community-based and residential behavioral health services, reducing reliance on institutional care, improving contract management with nonprofit and provider partners, using data dashboards to guide decisions, and investing in workforce stability and culture. No votes were taken; the main action was DHHS’s commitment to provide additional follow-up materials, including the TANF contribution breakdown.

Transcript Highlights:

• NEXT WE HAVE SERVICE AUTHORIZATION PERFORMANCE OUTCOMES.
• THESE ARE MONITORED TO REVIEW A PLAN SERVICE AUTHORIZATION PROCESSES WHICH INCLUDE SERVICE AUTHORIZATION
• THE CONTRACT OF COURSE INCLUDES LANGUAGE.
• IT WAS IMPLEMENTED FEBRUARY 1 OR WHEN THE CONTRACTS WENT LIVE IN THE CONTRACTS ARE EXECUTED LAST OCTOBER
• IN THE PAST CONTRACT.

Transcript Highlights:

• through customer service managers.
• services. efficiently.
• services efficiently.
• Slide three on your contracting.
• The more you spend on a contract... contract, the greater your odds of failure.

Transcript Highlights:

• <00:57:09.960> contracts<00:57:10.600> and for the personal service contracts and for
• personal service contracts and MOAs. personal service contracts and MOAs.
• The solicitations for personal service The solicitations for personal service contracts, contracts
• Personal service contracts are services that require professional skill and professional judgment.
• service contracts.

Keywords: 958, all

Transcript Highlights:

• They would receive a preliminary contract, which would be a one-year contract.
• So whether it be a one-year contract or whether it be the three-year contract on an advanced contract
• So whether it be a one-year contract or whether it be the three-year contract on an advanced contract
• Whether it be a one-year contract or whether it be the three-year contract on an advanced contract, if
• The advanced contract is the same as well. One-year contract. Okay.

Bills: SB209, SB248, HB122, SB99, SB209, SB248, HB122, SB99

Keywords: sales tax exemption, Consumer Price Index, local government, clothing, school supplies, emergency preparedness, Alabama Administrative Procedure Act, APA, administrative law, judicial review, agency deference, Chevron deference, de novo review, contested case, state agency, regulatory power, individual liberty, statutory interpretation, rule interpretation, license revocation

Transcript Highlights:

• We contract with local community-based care lead agencies to deliver a number of services: foster care
• , reunification, prevention, associated services, and adoption services, and they contract through the
• We contract with local community based care lead agencies to deliver a number of services, foster care
• , associated services without adoption services, and they contract through the department to do those
• services.

Summary: The Human Services Subcommittee met with a quorum present and took up a presentation from the Department of Children and Families on HB 7089, which revises how Florida’s community-based care (CBC) lead agencies for child welfare are funded. Representative McFarland described the bill’s background, arguing that the prior formula relied too heavily on outdated, static factors and produced inequities among CBCs. She emphasized that the new approach is intended to provide a more stable, transparent, and statute-based funding method that better supports prevention, case management, and family services while reducing year-to-year political uncertainty. DCF Chief of Staff Casey Penn explained that HB 7089 required an actuarially sound, reimbursement-based formula developed with CBC and provider input. The new model uses a cost-based structure with three tiers: Tier 1 for operational and administrative costs, Tier 2 for per-child/per-month service costs, and a possible Tier 3 incentive component for performance measures if the Legislature chooses to fund it. The model includes regional growth factors, inflation adjustments, a 2% risk corridor for Tier 2, a hold-harmless provision for agencies that would otherwise receive less than prior funding, and the ability for CBCs to retain some state general revenue savings. DCF said the model produced a total budget need of about $1.392 billion, roughly $28.6 million above the prior year after offsets, and that the department is also updating its child welfare case management system to improve data quality and future modeling. Members asked about whether prevention spending is captured, how Tier 3 incentives would work and how much they might cost, how the formula accounts for insurance, hurricanes, child acuity, and staffing costs, and whether CBC executives’ compensation is capped. DCF said prevention is included in the model but is not yet separately broken out due to data limitations, Tier 3 is optional and not yet costed, and the formula can incorporate additional growth factors if needed. On executive pay, DCF explained that compensation is limited by statute for CBC contracts, but multiple contracts and non-state funding sources can affect total compensation; staff later clarified that CBC CEOs with multiple contracts had been reviewed for compliance. The meeting ended after questions, and Representative Miller moved to adjourn; the subcommittee adjourned without any vote on the bill.