Video & Transcript Research : 'R.E.A.D. program'
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AL
Alabama 2026 Regular Session
Alabama Joint Mobile County Legislation Committee Feb 11th, 2026
Mobile County Legislation
Transcript Highlights:
- We have programs for kids that are going to four-year schools, two-year schools, apprenticeship programs
- They've been working hard to establish apprenticeship programs, pre-apprenticeship programs, so we can
- They have 35 career programs.
- But what you see is these programs are expensive.
- and they've been really asking for a more centralized programs the different programs and they've been
TX
Transcript Highlights:
- for this program robustly.
- Then I moved on to run our jail program, our jail mental health program.
- One of our programs that we're very proud of is our law liaison program.
- the creation of a program like that, a data sharing program.
- , and colonial programs.
AL
Alabama 2025 Regular Session
Alabama House Fiscal Responsibility Committee Mar 19th, 2025
Fiscal Responsibility
Transcript Highlights:
- They would respond, "Oh, you can't cut that; that's a good program." ...cut that; that's a good program
- Program for three or four years.
- So that affected how each community corrections program was being community corrections program was being
- That was one of the most effective programs that we kind of modeled and said other programs need to model
- How best do we improve this program or this aspect, or this component of this program?
Keywords:
business regulation, nonprofit entities, electronic filing, merger agreements, limited liability companies, partnerships, property transfer, termination fees, HB140, private sewer systems, wastewater utilities, Public Service Commission, PSC jurisdiction, utility regulation, rate setting, rate consolidation, affiliated systems, common ownership, private utilities, sewer rates
MN
Minnesota 2025 1st Special Session
Committee on Agriculture, Veterans, Broadband and Rural Development - 04/02/25
Agriculture, Veterans, Broadband, and Rural Development
Transcript Highlights:
- <00:21:35.840>
from <00:21:36.000>10 <00:21:36.240>to program from 10 to program - <00:21:52.880>
of additional spending to the program of additional spending to the program - farmer tax credit program.
- beginning farmer tax credit program. beginning farmer tax credit program.
- <01:05:58.319>
program.
FL
Florida 2026 4th Special Session
January 20, 2026 - 01:00 PM
Transcript Highlights:
- Florida's school readiness program is our state's child care program that enables parents to work and
- Florida's school readiness program is our state's child care program that enables parents to work and
- So when we say child care development fund, CCDF program, or school readiness program, SR program, that
- or on-the-job training program.
- or on-the-job training program.
Summary:
The Pre-K through 12 Budget Subcommittee met with a quorum and first heard House Bill 731, which would address coach and extracurricular sponsor compensation and change how student-athlete transfer eligibility is determined. The bill would allow local school boards to adopt policies letting booster clubs or similar associations support coaches and activity sponsors, and it would let superintendents treat certain coaches and athletic leaders as administrative personnel for compensation purposes. It would also shift eligibility decisions for transferred student-athletes to the governing athletic association and require clearer bylaws and timelines for those determinations. Members raised questions about booster club oversight, pay equity, the new athletic administrator language, and safeguards against abuse or unequal treatment, while supporters argued the bill would help retain coaches and better support student athletics. The bill was debated and then reported favorably by roll call vote.
The committee then received presentations from the Department of Education’s Division of Early Learning and the Florida Association of Early Learning Coalitions on school readiness fraud prevention and mitigation. Speakers explained that Florida’s school readiness program pays providers based on verified attendance rather than enrollment, requires daily parent sign-in/sign-out records, and uses multiple layers of oversight including coalition anti-fraud plans, annual audits, programmatic monitoring, DCF inspections, and referrals to state fraud investigators when needed. They emphasized that Florida delayed implementation of a federal rule that would have required prospective enrollment-based payments, and said the state’s current system makes fraud difficult. Members asked about military and grandparent guardianship situations, audit findings, and the number of fraud referrals; presenters said fraud cases are relatively limited and that the existing controls and public enforcement act as deterrents. The meeting ended after members thanked the presenters and the committee adjourned without further business.
AR
Arkansas 2026 Regular Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Jun 18th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- of programs that we’re talking about.
- So that was the focus of our, quote unquote, welfare programming in Utah and why the TANF program, and
- I'll always maintain this, is a critical program to be part of your workforce... ...is a critical program
- Again, what Utah did was we didn't philosophically see TANF and SNAP and these programs as welfare programs
- They're not seen as workforce programs. ...being seen as welfare programs.
Summary:
The committee met to hear consultants Mason Bishop and Cameron Christie discuss Arkansas’s “one door/no wrong door” workforce and social services modernization effort. Bishop argued that the current system is fragmented across multiple agencies, offices, and portals, making it hard for job seekers and employers to access services efficiently. He said the goal is to create a more integrated system that promotes upward mobility, longer labor force attachment, better employer access to talent, greater efficiency, and faster adaptation to changes such as AI and other economic disruptions.
Bishop repeatedly pointed to Utah as a model, describing how that state combined workforce and public assistance functions into a single agency, used statewide cost allocation to blend funding streams, and improved customer service and outcomes after reform. He said Arkansas should consider integrating governance, service delivery, and financing, including possible waivers, a statewide cost allocation plan, and a benefits-cliff pilot. He also said Arkansas’s current local workforce board structure creates duplication and weak coordination, and that Launch is a useful tool but not a full service-delivery system.
Committee members asked how the proposal would work in practice, including whether TANF could be used to cross-train DHS workers, how federal waivers might be obtained, how local boards would be affected, and how disabled clients would be handled. Bishop said TANF should be treated as part of a workforce strategy, that federal pilot authority for workforce reform nearly passed but did not, and that waivers are now the practical path. He also said Arkansas could either merge functions more fully or at minimum co-locate workforce staff in DHS offices statewide. No votes were taken; the meeting ended with plans to continue the discussion in August, including a focus on case management and whether the state is managing programs or people.
MN
Minnesota 2025-2026 Regular Session
House Fraud Prevention and State Agency Oversight Policy Committee 3/2/26
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- severe problems in this program. severe problems in this program.
- seeing in this program. seeing in this program.
- NEMT program. NEMT program.
- I mean, you're this this this program<00:48:01.160>
integrity program integrity program integrity - vulnerabilities in the programs. vulnerabilities in the programs.
Summary:
The committee met on March 2 and approved the February 23 minutes after a quorum was reached. The main presentation was from the Department of Human Services on non-emergency medical transportation (NEMT), a federally required Medicaid benefit that helps Minnesota Health Care Program enrollees get to medically necessary appointments. DHS said the program served more than 250,000 people in 2025 at a cost of $127 million, with participation up about 14% over five years, and described the seven transportation modes, provider enrollment requirements, STS certification, background checks, prior authorization rules, and planned transitions to a single administrator for parts of the program in 2026 and 2027.
DHS officials emphasized fraud prevention efforts, saying NEMT is one of the agency’s high-risk Medicaid services. They described enhanced prepayment review, provider revalidation and site visits, removal of inactive providers, and a provider moratorium in metro counties. Inspector General James Clark said the governor’s anti-fraud proposal would add pre-enrollment risk assessments, more staffing and technology, and electronic visit verification. He also noted that about 80% of NEMT spending is in managed care and that managed care organizations have their own compliance and special investigations units.
Committee members raised concerns about fraud, oversight, and privatization. Chair Robbins questioned DHS about the absence of the commissioner and the program’s use of brokers, citing past concerns and asking about the vendor MTM’s history; DHS said the RFP for the new broker had closed and the vendor selection was still underway. Representative Pinto questioned why oversight is outsourced to managed care organizations and suggested bringing more oversight back in house. MTM representative Phil Stahlberger defended the company’s record, said the Missouri dispute was about contract terms from about 15 years ago, and said MTM currently works in Minnesota counties and many other states, with on-site reviews, trip verification, and complaint review processes. No further votes or final actions on the NEMT policy were taken in the portion provided.
NH
New Hampshire 2025 Regular Session
House Finance Division III (02/21/2025)
Transcript Highlights:
- They're both Medicaid programs.
- What you're seeing here on this page is the adult dental program from the standard program.
- >
going CARE program the dish program is going CARE program the dish program is going to<02:16 - This 7948 is standard Medicaid program, and 7051 is the Children's Program.
- features of those programs.
Summary:
The House Finance Division Three work session on February 21, 2025 focused on the Division of Medicaid Services budget. The chair opened with procedural guidance, noting the division’s role is to make recommendations to the full Finance Committee, that the budget must be balanced, and that members should track possible amendments ahead of a March 26 target for House Bills 1 and 2. Members also discussed the importance of using official budget documents and online resources, and the chair said no motions would be taken at this session.
A major early topic was concern over a five-point Medicaid policy document and the timing of House Bill 2. Representative Tarki objected that the document appeared to be an unofficial draft and argued that significant Medicaid policy changes should have been transmitted by February 15 under state law. He said the lack of an official, posted document raised transparency concerns because the changes could affect tens of thousands of residents. Committee leadership responded that the five-point document was a working document, that it would be posted online within minutes, and that House Bill 2 is often delayed while the Office of Legislative Services finalizes and formats the governor’s proposed trailer bill.
DHHS Chief Financial Officer Nathan White and Medicaid Director Henry Litman then began the budget presentation. White said the committee would use the PowerPoint as the document of record, starting with the governor’s operating budget pages 885-893, and noted that Medicaid is the largest accounting area in the state budget. He said the governor’s budget reflects about $60 million in reductions within the Medicaid area, with Granite Advantage handled off-budget and another $10 million in reductions there, for roughly a $70 million difference overall. Members asked whether the comparison was being made against an efficiency budget or a prioritized-needs budget, and White said the department could look at it different ways.
The presentation then outlined Medicaid’s role in New Hampshire: it provides health coverage, serves as the state’s direct interface with the federal Centers for Medicare & Medicaid Services, and helps finance related services such as long-term supports, school-based services, adult dental coverage, and re-entry programs for people leaving correctional settings. White also reviewed enrollment and program context, saying New Hampshire has about one in seven residents enrolled in Medicaid, making it the fourth smallest Medicaid program in the country by enrollment, and described recent efforts such as youth re-entry and the Medicaid unwind after the end of the federal continuous coverage period. He said the state had to process more than 238,000 redeterminations after the public health emergency and that the department tried to avoid unnecessary coverage loss during that transition.
NH
NH
Transcript Highlights:
- So, um, are the programs—how are they distinguished in one CTE program from another program?
- Those are supplemental funds that are used to support... program by program because there are program
- . program. program.
- any CTE program. any CTE program.
- cosmetology program. cosmetology program.
FL
Transcript Highlights:
- program, licensed practical nurse, or an RN program, registered nurse.
- It also requires that programs placed on probation, the program director must submit and present a remediation
- We have 194 LPN programs in Florida.
- We also put in place various programs such as the pipeline program and the line program to make sure
- And I teach the beginning of the program in the very end.
Summary:
The Committee on Health Policy met with a quorum and considered three bills. Senate Bill 526 on nursing education programs, sponsored by Senator Harrell, would tighten oversight of nursing schools by requiring admission criteria, exit exams, remediation plans, annual reporting, on-site inspections, and stronger action against programs with poor NCLEX results or adverse actions in other jurisdictions. After testimony from the sponsor and several committee questions, a late-filed amendment restored a two-year probation period instead of one year, and the bill was reported favorably.
Senate Bill 714, also by Senator Harrell, would create a voluntary non-opioid advance directive allowing patients to document a wish not to receive opioids, including when incapacitated, with the form developed by the Department of Health and potentially included in electronic medical records. The sponsor said it would not prevent treatment discussions and would provide liability protection for providers who lack actual knowledge of the directive in emergencies. The bill drew no opposition in the meeting and was reported favorably.
Senate Bill 170, sponsored by Senator Burton, would add nursing home quality and transparency measures, including consumer satisfaction surveys, patient safety culture surveys, electronic health record requirements, reporting to the Florida Health Information Exchange, a $10,000 fine for failure to submit required financial data, and reporting on Medicaid quality payments. An amendment clarified the fine’s application to both facilities and home offices. Testimony from AARP and the Florida Health Care Association supported the bill, and it was reported favorably after discussion about implementation and costs.
AR
Arkansas 2026 Regular Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Feb 19th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- I'd like to know what those other programs are.
- There are programs through WIOA.
- There are programs through WIOA.
- work program participation in a work program or training program, educational program, or doing community
- Because you're right, people inside state government all run programs, and everybody loves their program
Summary:
The subcommittee first recognized the Arkansas Community Colleges Leadership Institute and received a brief DHS update on the Living Choices Assisted Living Waiver reimbursement process, including that the new cost-reporting period began in January and provider/contractor calls are underway. The main presentation then focused on SNAP and TANF, with DHS describing federal changes under the One Big Beautiful Bill that tighten SNAP work requirements for adults ages 18 to 64 without certain exemptions, remove some prior exemptions, and add new federal definitions for Native American populations. DHS also reviewed SNAP Employment and Training providers, their service areas, projected budgets, participant characteristics, and outcomes, noting that the program is currently voluntary but will shift toward mandatory participation for those subject to the new rules.
Members asked detailed questions about how mandatory participation will be implemented, how referrals will be made, what other training options exist, how verification of work, volunteering, disability, and exemptions will be handled, and whether DHS has enough funding and provider capacity. DHS said it will conduct verbal and written notices during eligibility interviews, make direct referrals to providers, use six-month recertifications and documentation from employers or volunteer organizations, and apply sanctions for noncompliance after determining whether a good cause exists. Members also requested additional data, including age breakdowns of at-risk SNAP recipients, provider-level outcomes and costs, and information on other training programs such as WIOA.
The committee then moved to Medicaid community engagement requirements for ARHOME, which DHS said are also required by the same federal law and must be implemented by January 1, 2027. DHS said it is preparing policy, system changes, communications, and a customer-service/outbound verification vendor, and plans a soft launch beginning in July to help clients understand what would be required if the rule were already in effect. Members raised concerns about timing, local versus central decision-making, and how clients in rural areas will be notified and assisted. The meeting concluded with broader discussion of the committee’s workforce-development goals, the recently released Alliance for Opportunity audit, and interest in continuing the contract with that group to help guide future reforms.
FL
Florida 2025 Regular Session
February 4, 2025 - 09:00 AM
Transcript Highlights:
- treatment programs.
- We will deliver programs like FFT. We will deliver programs for family counseling as well.
- We opened a program in St.
- We opened a program in St.
- programs: the Franklin Covey 7 Habits on the Inside program.
Summary:
The Justice Budget Committee heard detailed presentations from the Department of Juvenile Justice and the Department of Corrections on staffing, services, and budget needs. DJJ Secretary Hall emphasized that the agency’s main public safety strategy is education, along with prevention and recidivism reduction. He described major staffing improvements after pay increases for probation, detention, residential care, and prevention workers, and outlined DJJ’s mental health, aftercare, and education continuum, including the Florida Scholars Academy and Florida Youth College. He said the new statewide education model is showing early gains in progress monitoring, high school graduation, and postsecondary enrollment, while also noting ongoing operational issues such as IT connectivity, rural staffing gaps, and the need for geographic pay adjustments for teachers. He also discussed detention center replacement plans in Hillsborough, Broward, and Palm Beach, and said DJJ would transition the Broward JAC to a security contractor after the sheriff’s office pulls sworn officers from the site.
Members asked about campus performance differences, teacher pay, detention education quality, and concerns about the rollout and leadership of the Scholars Academy. Hall said some campuses face rural access and infrastructure problems, but the blended learning model provides continuity when internet or staffing issues arise. He defended the superintendent’s qualifications and said early problems with inappropriate online content were addressed. Representative Porras raised concerns about educational quality and the superintendent’s past disciplinary history, while Representative Barrera urged more mentorship and fatherhood-focused programming in juvenile facilities.
DOC Secretary Dixon said the prison system is under pressure from rising inmate populations, staffing shortages, and overtime costs. He argued that the system needs funded posts for every functioning housing unit, noting that the department has added housing units without enough staff and now relies heavily on overtime, mobile officer deployments, and shift conversions to keep facilities operating safely. He highlighted that many officers are new, that outside-hospital transports have risen sharply, and that mental health units require additional staffing. DOC’s mental health chief described a large and growing treatment system with outpatient, inpatient, intensive outpatient, and court-ordered services, saying about a quarter of the prison population has a diagnosed mental illness. Community corrections staff described treatment programs, employment specialists, mobile probation and reentry units, and a new mental health first aid training initiative. Reentry staff reported expanded substance abuse, education, CTE, chaplaincy, and digital learning programs, including Edovo and a forthcoming Work Bay platform. No votes were taken.
TX
Texas 89th 2nd C.S.
Appropriations - S/C on Articles I, IV, & V Feb 24th, 2025
Appropriations - S/C on Articles I, IV, & V
Transcript Highlights:
- It's an incredible program.
- So it's a grant program, it's a Texas... while it's about film, I'd characterize it as a Texas jobs program
- more than a film program.
- and mass casualty programs.
- Charles Smith: Fiscal programs. Moving on to the comptroller fiscal programs.
MN
Transcript Highlights:
- meet demand. program.
- Uh this program is our grants program.
- The program demand has been program.
- reduction to the program.
- program.
TX
Transcript Highlights:
- But grantees, FQHCs, they're really only about 20% of the program, about 80% of this program is hospitals
- Program as well.
- Every aspect of this program.
- Under this program.
- Of the program was very good.
NH
New Hampshire 2025 Regular Session
House Finance Division II (01/27/2025)
Transcript Highlights:
- Actually, it's not unusual to end a program or start a new program based on need.
- to end a program or start a new program to end a program or start a new program based<00:39:22.040
- associate degree through this program associate degree through this program that's<01:04:59.319>
- A lot of these programs, even though it's a short-term program and it's foundational, it becomes the
- We've been able to build some new programs, expand some new programs.
Summary:
The committee received an orientation from University System of New Hampshire Chancellor Katherine Preventure and Senior Director of Government Relations Lauren Banker on the system’s enrollment, finances, workforce role, and academic programs. They described the system as consisting of UNH, Keene State, and Plymouth State, with about 23,000 students, $928 million in FY24 operating expenses, a $3.7 billion economic impact, and UNH’s R1 research status. They emphasized the system’s role in graduating students into the New Hampshire workforce, its statewide Cooperative Extension and regional campus presence, and its alignment of degree offerings with top occupations identified by New Hampshire Employment Security. The presentation also highlighted partnerships with businesses, internships, and collaboration with the community college system, including 100 transfer pathways and a direct-admit program.
A substantial portion of the discussion focused on tuition, state support, and student costs. The chancellor said the state invested $95 million in FY25, with about $81 million used to reduce resident tuition and about $14 million for statutory programs such as Cooperative Extension and the Agricultural Experiment Station. She said the state subsidy is about $7,300 per New Hampshire student, and that resident net tuition averages about $7,000, while nonresident net tuition averages about $16,600. She provided published tuition figures for UNH, Plymouth State, and Keene State, and explained that resident tuition has been held flat for five years while financial aid has increased, reducing average net tuition and fees for New Hampshire students from about $10,500 in 2020 to $9,800. Members asked for clarification on how residency and workforce-retention percentages were calculated, and the chancellor said she would follow up.
Members also asked about comparisons with peer institutions, housing and meal costs, research funding, and the reasons for declining enrollment and staffing reductions. The chancellor said peer comparisons were based on flagship universities for UNH and smaller regional publics for Plymouth and Keene, and noted that out-of-state tuition has risen about 2.5% annually. She said housing for a UNH double room is $8,536 and a meal plan is $5,100, and offered to provide a consolidated cost document. On research, she said the system’s direct research spending includes federal funding and that indirect costs were about $34 million last year, with a follow-up promised on the federal/state and direct/indirect split. She attributed enrollment declines largely to demographics and said the system is responding by reducing costs, selling buildings, exiting leases, moving the system office to NHTI, and implementing Workday. She also noted that Plymouth received approval for five three-year bachelor’s degree programs and that members praised the shorter, workforce-focused pathways, especially for manufacturing and other in-demand fields.
WA
Washington 2025-2026 Regular Session
House Early Learning & Human Services Oct 14th, 2025
Transcript Highlights:
- Because we have more youth than programs can provide, there is a waitlist for some of these programs,
- I am in the urban forestry program, and I am in an apprenticeship program.
- They will get kind of like an IEP for the program. ...behavior program.
- We have an incentive program.
- Community-based program.
Summary:
The committee began with a work session on juvenile rehabilitation institution capacity, services, and staffing. DCYF Assistant Secretary Jennifer Redmond described overcrowding at Green Hill School and Echo Glen, driven by longer adult-style sentences extending past age 25, limited community placements, and small facility sizes. She said Green Hill remains above safe operating capacity, but staffing, injuries, large-scale aggression, and use-of-force incidents have improved over the past year. She also discussed Harbor Heights, a new 46-bed flex facility that had opened with 22 youth and would expand once a medical trailer arrives, as well as community transition services, vocational programming, behavior management reforms, and a request for more resources for mental health-focused facilities and staffing. Members asked about success metrics, developmental disability screening and supports, college access at Echo Glen, Mission Creek planning, and gender-responsive programming; Redmond said JR uses assessments, family involvement, and specialized living units, and that some requested funding had already been secured for returning a girls’ program at Echo Glen.
The committee then heard from Team Child and the Youth Action Coalition. Greta Schultz said youth perspectives should guide system reforms and identified key concerns: overuse of sentence extensions, underuse of community transition services, continued criminal referrals from Green Hill to Lewis County, limited family contact, inadequate mental health access, and unequal education opportunities, especially for young women at Echo Glen. Justella Gonzalez, a former system-involved youth, said her time in county and state facilities was harmful, with staff mistreatment, poor education, limited therapy access, and humiliating restraint practices; she also said girls at Echo Glen lacked the same college opportunities as boys at Green Hill. Committee members asked for follow-up on county versus state experiences and on telehealth mental health services.
The next presentation covered county-level services for youth involved or at risk of involvement with the justice system, led by juvenile court administrators Christine Simon-Smeyer and Judge Rachel Anderson. They outlined the juvenile court continuum from prevention and truancy work through diversion, detention alternatives, community supervision, and disposition alternatives, emphasizing evidence-based, trauma-informed, and restorative practices. Clark County was used as an example of a court that partners closely with schools and community providers, uses risk assessments and wraparound behavioral health probation, and offers detention alternatives without electronic home monitoring. They said most courts do not use detention for status offenses, but instead use court involvement to connect youth to services. They also described funding, noting that courts rely on a mix of state block grant and local dollars, and that recent cuts to early intervention funding reduced programming and staff hours. Members asked about detention for truancy, developmental disability identification, restorative justice practices, and the juvenile block grant.
Finally, DCYF Assistant Secretary Nicole Rose and Katie Warren of the Washington State Association of Head Start and ECAP discussed child care and early learning impacts from recent policy and budget changes. Rose said Fair Start for Kids investments had increased child care access, provider participation, and kindergarten readiness, with more than 60,000 children in Working Connections care and rising ECAP enrollment and provider capacity. She said recent reductions will raise most family copays in 2026, delay eligibility expansions, eliminate some expanded eligibility categories, reduce ECAP slots by about 3,000, delay entitlement timelines, and cut provider supports such as rate increases for centers, complex-needs grants, trauma-informed and dual-language incentives, and infant/early childhood mental health consultation. Warren emphasized ECAP’s role in family stability, workforce participation, and reducing poverty, and noted its two-generation approach to supporting both children and parents.
HI
Hawaii 2026 Regular Session
EDN Info Briefing - Thu Jan 15, 2026 @ 2:00 PM HST
Hawaii House Floor Meeting
Transcript Highlights:
- We found that the educator preparation programs, once they graduate from their program as a licensed
- increase in program attendance.
- to states program.
- So existing programs like the programs.
- <02:27:24.720>
within program within program within >> for<02:27:25.280>us.
FL
Florida 2026 5th Special Session
Appropriations Committee on Health and Human Services Jan 14th, 2026
Transcript Highlights:
- I think that the Florida Field Infusion and Resuscitation Supply program is an unbelievable program.
- a little bit about that program.
- Madam Secretary, we've dealt with the Kids Care program.
- I ran the ADAP program from 1993 to 2005 myself with the Ryan White program and an incredible team of
- I ran the ADAP program from 1993 to 2005 myself with the Ryan White program and an incredible team of
Summary:
The Appropriations Committee on Health and Human Services heard a presentation on the governor’s proposed fiscal year 2026-27 budget for the health and human services silo, which totals $48.5 billion. Agency leaders outlined major requests for AHCA, APD, DCF, DOEA, DOH, and the Department of Veterans’ Affairs, including behavioral health redesign, Medicaid rate changes, developmental disability services, child welfare and opioid programs, senior services, cancer research, public health initiatives, and veterans’ facility and technology needs. The committee also received an overview of the overall state budget, which was described as $117.4 billion, up 1.1% from the current year.
AHCA’s presentation focused on $71.6 million for a Medicaid behavioral health redesign, including funding for residential treatment, a serious mental illness waiver, and higher inpatient psychiatric rates for youth, plus $7.1 million to raise private duty nursing reimbursement in fee-for-service Medicaid, $2.5 million for the background screening clearinghouse, and $124.4 million for the Health Care Connection System (FX). APD requested funding to continue moving people off the pre-enrollment list and to support developmental disability centers, a new forensic facility, an electronic health record system, and higher operating costs. DCF highlighted $81.9 million for eligibility and system integrity, $187.5 million for opioid prevention and treatment, $35.5 million for community-based care lead agencies, and $72.7 million to expand behavioral health bed capacity, including 474 new beds at state hospitals. DOEA sought additional funding for Alzheimer’s services, home care, and community care for the elderly. DOH emphasized $278 million for cancer research and innovation, $5 million for food and product safety testing, $5 million for the Florida FIRST blood-on-ambulance initiative, and $5.7 million for a public lab feasibility study. Veterans Affairs requested funds for facility improvements, cybersecurity, and medication management equipment.
Members asked detailed questions about several items, especially the proposed changes to the AIDS Drug Assistance Program (ADAP), which would reduce eligibility and the number of people served. Senators and public witnesses criticized the lack of transparency and urged the department to pause the changes and work with stakeholders; the Surgeon General said the issue was driven by funding constraints and federal changes, not a legal barrier, and that the agency was exploring alternatives. Questions also addressed the Office of Minority Health and Health Equity, the Kids Care/CHIP expansion implementation, the cancer research funding structure, and the timeline and cost of the FX system. Public testimony focused heavily on ADAP, with speakers warning that thousands could lose medication access and calling for community involvement and a review of the program’s finances. The committee adjourned after the presentations and questions, with no votes taken on the budget items during this meeting.