Transcript Highlights:

• We have tried to schedule this meeting for quite some time.
• You're the interim committee weeks, but due to changes in the schedule.
• We have tried to schedule this meeting for quite some time.

Summary: The subcommittee met to receive an informational presentation from CareerSource Florida President and CEO Adrian Johnson, joined by Anthony Gagliano of CareerSource Suncoast, on the structure, funding, and services of Florida’s workforce development system. Johnson explained that CareerSource serves job seekers and businesses through 21 local workforce development boards and nearly 100 career centers, using federal and state funding streams such as WIOA, Wagner-Peyser, SNAP Employment and Training, and TANF. She described services including case management, training, wraparound supports, job matching, rapid response for layoffs and disasters, and business services such as recruitment, customized training, and on-the-job training. She also highlighted the REACH Act’s role in consolidating local boards from 24 to 21, creating the Master Credential List and Credential Review Committee, and implementing performance-based letter grades for local boards. Members asked detailed questions about funding formulas, letter grade metrics, apprenticeships, youth services, small business access, and the demand occupation list. Johnson said federal allocations are driven largely by unemployment and poverty formulas, which has reduced Florida’s WIOA funding by about $27 million over four years because of the state’s low unemployment rate. She explained the letter grades measure outcomes such as increased earnings, reduced public assistance, employment and training outcomes, work-based learning, business engagement, and service to individuals in certain programs, and said the system is being reviewed for possible changes, including removing extra credit and adjusting weights. On youth services, she said Florida has a waiver allowing a 50/50 split between in-school and out-of-school youth funding, and that local partnerships drive outreach. On the demand occupation list, she said it is based on state labor market data and projections, but local boards can submit evidence of local demand when data does not reflect conditions in their area. A substantial portion of the discussion focused on apprenticeships and workforce training grants. Johnson and Gagliano described apprenticeship navigators funded by the $7.75 million apprenticeship expansion allocation, which help employers navigate registration and expand apprenticeships into nontraditional fields such as IT, health care, education, and hospitality. Gagliano gave examples from CareerSource Suncoast and said navigators helped employers move faster through registration and develop programs with local education providers. Johnson also discussed Incumbent Worker Training Grants and Quick Response Training Grants, noting recent awards of nearly $3 million to 69 businesses and $6.5 million to 24 businesses, respectively, and said these programs are targeted toward high-skill, high-wage occupations and priority industries. The meeting ended with no votes or formal action; the chair thanked the presenters, invited follow-up questions, and adjourned the meeting without objection.

Transcript Highlights:

• The elimination of the… I really think that really we should take on permanently scheduling xylazine.
• It's mixed in substances and a growing problem across this country, but yet still is not, you know, scheduled
• But, you know, one last thing is kind of looking at that scheduling of that.

Keywords: opioid crisis, overdose, naloxone, drug trafficking, law enforcement, treatment, prevention, older adults, Medicaid expansion

Summary: The meeting convened to address the dire opioid crisis affecting communities nationwide, with a particular focus on the alarming rise of opioid use disorder among older adults. Key testimonies highlighted the critical need for a comprehensive approach that encompasses prevention, treatment, and strict law enforcement actions against drug traffickers. Sheriff Dennis Lima from Seminole County outlined successful strategies implemented in Florida, including increased access to naloxone and legislative changes to hold drug dealers accountable for overdoses. Various members expressed a united front on tackling this multifaceted issue, advocating for the expansion of Medicaid and better access to treatment as essential steps to curbing the epidemic.

Transcript Highlights:

• I can't get an appointment scheduled.
• A rating schedule aligns benefits to your disability. Okay, there's an ongoing review.
• But any change to the rating schedule.

Keywords: veterans affairs, VA modernization, employee layoffs, mental health, suicide prevention, transparency, senate committee, bipartisan support, oversight

Summary: The meeting involved detailed discussions on various veterans' issues, particularly focusing on the challenges faced by the Department of Veterans Affairs (VA) amidst a backdrop of significant staffing changes. Members expressed deep concerns over the recent layoffs of over 1,000 VA employees, emphasizing the crucial nature of these positions in the context of mental health support for veterans, particularly amid rising suicide rates. Senators articulated the need for transparency and effective communication between the VA and Congress to avoid further breakdowns in services. The session also spotlighted the ongoing modernization of VA systems and the urgent need to streamline processes to benefit veterans effectively.

Transcript Highlights:

• New York Times, and many credible news sources that the current administration was in support of scheduling
• New York Times, and many credible news sources that the current administration was in support of scheduling
• this bill, and I'm afraid that it will open up potentially mayhem if the current administration... schedules

Keywords: 910, house, all

Transcript Highlights:

• We've got a pretty packed schedule for him, but I know he's got time.
• , the state board has raised the cut score for this year, a year ahead of our expert recommended schedule
• Our expert recommended schedule, so the cut score this spring, which they'll test in March very soon,

Keywords: 924, joint, all

Transcript Highlights:

• So we look forward to a vibrant schedule.
• So we look forward to a vibrant schedule.
• So with that, once again, panelists, thank you very. a vibrant schedule.

Summary: The Intergovernmental Affairs Subcommittee met to review how county budgets are developed and how constitutional officers fit into that process. Davin Suggs of the Florida Association of Counties gave an overview of county budgeting, explaining the statutory framework, the role of property taxes and TRIM notices, the fiscal-year timeline, fund balances and reserves, and the Department of Revenue’s oversight. He emphasized that county budgets include the board’s budget plus the budgets of constitutional officers, and that relationships and communication are critical to resolving budget issues. A panel of constitutional officers then described their offices’ budget processes and responsibilities: Escambia County Sheriff Chip Simmons discussed law enforcement budgeting and the importance of negotiated agreements with county commissions; Alachua County Property Appraiser Aisha Solomon explained the June 1 budget deadline, valuation methods, and the appeal process for property assessments; Manatee County Clerk and Comptroller Angelina Coleniso outlined the clerk’s court and finance duties, the county-side budget process, and the clerk’s personal liability under section 129.09 for unlawful expenditures; Leon County Supervisor of Elections Mark Early described the cyclical nature of election costs, staffing, equipment, and the impact of turnout and election law changes; and Columbia County Tax Collector Kyle Keene explained that tax collectors’ budgets are reviewed by the Department of Revenue, with fee offices funding themselves through service charges and budget offices relying on county support. Members asked about personal liability for unlawful spending, conflicts between clerks and county commissions, property valuation and storm damage adjustments, reserve levels, and whether tax collectors can retain excess fees. Responses noted that clerks must refuse illegal expenditures, property appraisers use market-based assessments with VAB and court review available, counties should maintain healthy fund balances for cash flow and emergencies, and tax collectors generally must zero out year-end balances and distribute excess revenues to taxing authorities. The committee took no votes and adjourned after thanking the panelists for their testimony.

Transcript Highlights:

• noting that salaries cannot simply be increased because they are based on a civil service salary schedule
• on every classification of work with 20% or higher vacancies to help address the problem. salary schedule
• set with civil service salary schedule set with civil service what<00:13:15.680> I<00:13:15.800

Keywords: 912, senate, all

Summary: The Senate Committee on Public Safety and Military Affairs heard several bills on January 27, 2025. SB 24, relating to identification, would require the Department of Corrections and Rehabilitation to help inmates obtain civil ID cards and other vital documents for reentry. Testimony was overwhelmingly in support from DCR, the Hawaiʻi Correctional System Oversight Commission, DHS, the Hawaiʻi Disability Rights Center, health and youth advocates, and others, with comments emphasizing that reentry should begin on day one and that lack of identification is a major barrier to housing and employment. A senator asked about the low number of IDs issued in 2022 and DCR said it already has a satellite ID card machine at Hālawa and plans to procure more for other facilities. The committee recommended passage of SB 24 as is. SB 474, relating to psychologists, would require DCR clinical psychologists to obtain licensure within 10 years of employment and would sunset in 2035. DCR strongly supported the bill, citing a severe staffing shortage, low exam passage rates, and many vacant positions, while the Hawaiʻi Psychological Association expressed concerns and one testifier argued psychologists serving incarcerated people should be licensed before employment. Committee members questioned whether the 10-year period was too long and discussed alternative solutions such as pay incentives and shortage differentials. The committee ultimately recommended passage with amendments, shortening the licensure period to 5 years, moving the sunset to July 1, 2030, and making other technical changes. SB 353, relating to emergency management, would clarify emergency authority, bar suspension of public records or vital statistics requests during emergencies, define “severe warning,” and allow the legislature or city councils to terminate a state of emergency. DHS and HMA opposed the bill, arguing it could limit executive flexibility and cut off access to the major disaster fund, while supporters included public-interest and good-government groups. The committee discussed whether legislative termination authority could interfere with ongoing emergency response and recovery, with the bill’s sponsor explaining it was aimed more at situations where emergency conditions have ended, such as prolonged COVID-era proclamations. The committee recommended passage with amendments, including a delayed effective date and committee report notes referencing DHS request data and HMA’s opposition. The committee also heard SB 259, relating to recordkeeping for secondhand dealers and pawn brokers, and SB 37, relating to recordings of law enforcement activities. SB 259 was set for amendment and deferred decision-making to January 29, 2025, so the committee could seek input from HPD. SB 37 drew support from the Legal Clinic and other advocates, with a clarifying question about civil enforcement actions, and the committee recommended passage with amendments and a delayed effective date. The meeting concluded with the committee adopting its recommendations and adjourning.

Transcript Highlights:

• HOUSING AND EVEN BEFORE I GET TO THE COUPLING SECTION WITH THAT, WHAT HAS BEEN THE REIMBURSEMENT SCHEDULE
• AND ADDITIONAL SERVICES OUT TO THE SHERIFF'S DEPARTMENTS TO BE FAIR, WHAT KIND OF REIMBURSEMENT SCHEDULE
• HAVE THE OPPORTUNITY TO SPEAK WITH THEIR DELEGATION AS THEY LOOK FORWARD TO EVERY YEAR, THAT WAS SCHEDULED

Keywords: 999, senate, all

Transcript Highlights:

• I can do my own scheduling. So we took that position and converted it...
• I can do my own scheduling. So we took that position and converted it...
• I can do my own scheduling.
• <00:11:50.600> um assistant I can do my own scheduling um assistant I can do my own scheduling
• you can find some room on the schedule you can find some room on the schedule sometime<04:43:10.878

Keywords: 928, house, all

Summary: The committee first heard the Banking Department’s fiscal year 2026-2027 budget presentation from Commissioner Amelia Galeri. She described the department as a self-funded consumer protection regulator overseeing two main areas: the Banking Trust Division, which supervises state-chartered banks, credit unions, and trust companies, and the Consumer Credit Division, which oversees more than 7,000 licensees including mortgage and money transmitter businesses. She said the department’s budget is about 86% salaries and benefits, with 53 positions all filled, and explained that the agency funds itself through fees, fines, and end-of-year assessments on regulated entities. Galeri said the department is facing workload growth from several directions: continued growth in the trust industry, increased fintech supervision, and a new requirement to regularly examine auto dealers that take finance applications, which adds about 300 exams over two fiscal years. She said the department was directed to flat-fund its budget based on 2025 levels but was allowed to increase travel and training. To stay within that limit, she said the department reduced office space, went paperless, converted administrative and licensing positions into examiner positions, and expects to defund an embedded DOJ database administrator position once a new SharePoint system is fully implemented. Members asked about how the department’s revenue and assessments work, including whether fees were increasing and how much existing banks would pay. Galeri said fees are not being raised, most banks pay little or no fines, and assessments are based largely on asset size, with trust companies paying the bulk. She also explained that fines are set by statute, generally capped at $2,500 per violation for consumer credit entities, and said she would not recommend increasing that cap. The committee then voted to accept the Banking Department’s budget proposal as presented in HQ1, with a motion and second and no discussion. The transcript then moved to the Department of Energy budget. Commissioner Jared Chakin and Chief of Operations Lenny Radio discussed federal program funding, including LIHEAP fuel assistance and weatherization. They said the apparent drop in fuel assistance funding from FY 2024 actuals to the budgeted amount is due to the loss of ARPA and CARES Act supplemental funds, while weatherization remains a federally constrained program with a waiting list and limited flexibility. Members also asked about a proposed transfer from the renewable energy fund; staff said the transfer would still allow the department to carry out its statutory duties for the year, though the committee deferred deeper discussion until House Bill 2.

Transcript Highlights:

• , mainly the ambulance services schedule.
• relating to things various fee schedules relating to things like<00:56:16.359> Physician<00:56
• We don't want to use your fee schedule, and they often ask for waivers.
• We don't want to use your fee schedule, and they often ask for waivers.
• <01:03:07.000> and don't want to use your fee schedule and don't want to use your fee schedule

Keywords: 928, house, all

Summary: The committee took up HB 297 with a non-germane amendment proposed by the Insurance Department to create the Granite State Home Mitigation and Resiliency Program. Commissioner DJ Beton explained that the program is intended to help homeowners reduce rising insurance premiums and avoid surplus lines coverage by funding proactive home and property improvements such as roof fortification, exterior and foundation work, flood protection, and tree removal. He said the proposal was developed after leadership asked for more statutory detail and for the idea to be vetted through policy committees rather than handled only in the budget process. Beton said the program would be funded by the first $1 million collected annually from the insurance premium tax, with grants of up to $10,000 awarded on a first-come, first-served basis. He described the program as modeled on similar efforts in other states, with means testing tied to the Department of Energy’s weatherization/home heating assistance criteria. He also said the department would administer the program using one existing staff position, with coordination through Treasury, and that unspent funds would roll over for several years before reverting to the general fund. Members asked about the unusual use of a non-germane amendment and how the bill would be handled procedurally, since the underlying bill and the new insurance proposal were unrelated. The chair explained that the amendment was being used as a vehicle to move the department’s proposal through the committee process and that the committee could later accept one part, both parts, or neither. No vote was taken in the portion of the meeting shown; the discussion ended with questions about administration, staffing, and the relationship between the underlying bill and the amendment.

Transcript Highlights:

• We may end up providing it on a lengthened repayment schedule, or we may choose to pay it just as it
• providing it on a lengthened uh uh providing it on a lengthened uh uh repayment<00:30:52.559> schedule
• or we may choose to repayment schedule or we may choose to pay<00:30:55.799> it<00:30:56.000>
• <02:23:32.680> for<02:23:32.840> the 1 and I have nothing scheduled for the 1 and I
• have nothing scheduled for the morning<02:23:34.800> okay<02:23:35.399> so<02:23:35.600

Keywords: 928, house, all

Summary: Division 3 Finance held a work session to move through five bills before noon, noting one member’s early departure and adjusting the order of bills accordingly. The first item, HB 54, would allow some alternative treatment centers in the medical cannabis system to operate for profit. Members discussed a fiscal note showing a one-time $133,000 cost, which was described as a Division 1 budget item to be handled through HB 2 rather than directly in Division 3. After discussion about keeping Division 1 informed and the distinction between retaining a bill versus funding it, the committee voted unanimously to retain HB 54 for further finance work and conversion into HB 2. The committee then took up HB 547, concerning reimbursement to counties for enhanced FMAP funds during the COVID period. The chair summarized the issue as federal enhanced Medicaid matching funds that were received by the state before authority existed to pass them through to counties, creating a disputed amount owed to counties. County representatives said the money should have gone to counties and clarified the relevant time period, while the department did not take a position. The chair proposed retaining the bill and moving it into HB 2, with discussion of a possible four-year repayment structure in equal annual installments. The committee agreed to retain the bill for continued work in the budget process. During the HB 547 discussion, members also clarified the fiscal and accounting details, including that the fiscal note had not been widely available and that some figures in the note should be treated as county revenue rather than county expenditure. Testimony explained that the enhanced FMAP increased from 50 percent to 56.2 percent, and that the state’s and counties’ shares of claims were affected by the timing of the federal change and the later state authorization. The committee emphasized that the issue was complex and budget-dependent, and that retaining the bill would allow further negotiation and incorporation into HB 2 rather than immediate final action.

Transcript Highlights:

• I did schedule a whole half hour on this. I don't know what I was thinking.
• I guess I didn't read the bill when I scheduled it.
• <00:05:03.039> a uh to the next one I did schedule a uh to the next one I did schedule a whole
• I think I've got all of the early bills already scheduled.
• I think I've got all of the early bills already scheduled.

Keywords: 928, house, all

Summary: The committee held a public hearing on House Bill 552, which would remove the “full-time student” requirement for children ages 19 to 25 covered under the state retiree health insurance plan. The prime sponsor said the change would align retiree coverage with state employee and ACA plans, would not cost taxpayers because retirees pay the premiums, and could even reduce administrative burden and possibly state costs. The chair noted the bill simply removes the words “if full-time student” from statute and said the proposal affects very few retirees and has no cost to the state. No opposition was presented, and the chair closed the hearing on HB 552 after no further testimony. The committee then opened a public hearing on House Bill 648, which would require commercial insurance coverage for glucose monitoring devices and supplies for people with diabetes. The prime sponsor, a retired dietitian and diabetes educator, gave extensive testimony describing diabetes as common, costly, and serious, and argued that continuous glucose monitoring is important for managing type 2 and gestational diabetes, preventing hypoglycemia, and improving safety and decision-making. She said CGMs can alert users to dangerous blood sugar changes, help people understand how food, activity, and medication affect glucose, and save lives while offering a strong return on investment. During questions, a committee member asked whether the bill should specify that the monitoring be tied to prescribed treatment, and the sponsor agreed that adding “prescribed” would be appropriate. The member also asked about the proper threshold for coverage and whether the bill should be tied to fasting-test diagnosis; the sponsor responded that A1C is only one measure of control and does not show daily fluctuations, and said she was not prepared to recommend a specific threshold but could provide clinical guidelines later. No vote was taken during the hearing, and the sponsor indicated support for the bill’s general approach to broader CGM access.

Transcript Highlights:

• unmet needs, deferred maintenance issues such as bus replacement, Chromebook replacement, salary schedule
• improvements to fix issues we've had with our steps and grades within our salary schedule so that we
• <01:09:49.440> improvements<01:09:50.160> to<01:09:50.319> fix salary schedule
• improvements to fix salary schedule improvements to fix issues<01:09:51.520> we've<01:09:51.759
• <01:09:55.360> so grades within our salary schedule so grades within our salary schedule so

Keywords: 0:00:01 Call to Order and Roll Call 0:00:28 Approval of Minutes 0:00:40 Information Items 0:01:13 Rpt from Postsecondary Institutions 0:26:46 Project Rpt from Finance and Admin Cabinet 0:30:53 Lease Rpt from Finance and Admin Cabinet 0:39:20 Rpt from OFM – KIA 0:52:42 Econ Development – EDF Grants 0:55:15 OFM Debt Issues 0:58:43 Informational Discussion 1:44:36 Adjournment, 958, all

Summary: The committee first handled routine business, including a quorum call, approval of minutes, and informational items on school district financing and KCTCS equipment purchases. It then considered two KCTCS capital projects after initially rolling them together and later unrolling them: a Fire Commission Fire Academy maintenance building project that had grown from an original $2 million authorization to $4.7 million because of design changes, soil issues, and higher mechanical costs, and a $1.5 million renovation of the Blake Lee building at Somerset Community College for a health science simulation lab. Members questioned the large cost increase on the fire academy project and the adequacy of front-end due diligence, while KCTCS said the project was bid and ready to proceed and that a 15% contingency had been included. Both projects were approved by roll call vote, with the Blake Lee project ultimately approved after the committee unrolled the items and took them separately. The committee next heard and approved a University of Kentucky public-private partnership for the Hamburg East Medical Office Building, a five-story, 220,000-square-foot facility with a not-to-exceed budget of $275 million. UK said the project is intended to expand outpatient access, consolidate some services, and support projected growth in patient volume; the building will house multiple specialties, urgent care, therapy, imaging, and a retail pharmacy. Members asked about possible community uses, consolidation of services, and whether the project would free up other space, and UK said it hopes to consolidate some services and free campus space. The project was approved by roll call vote. The committee then approved three UK lease renegotiations: a specialty pharmacy and infusion services lease at Wellington Way in Lexington, a Department of Ophthalmology and Visual Sciences lease at Conte Terrace, and a College of Social Work lease at McGrath Park Way. Members asked about rising lease rates, occupancy, and whether space needs should be reduced; UK and the lessor’s representative said the pharmacy space remains busy, the ophthalmology lease was lower than before, and the social work lease had been negotiated down from a higher request. The committee also approved a Department of Military Affairs project amendment for a Mutual Field Maintenance Shop Restoration project, increasing federal funding by $1 million to $4.5 million because of higher construction costs, and approved a Kentucky State University Shanty Hall renovation project funded by bond and HBCU Title III funds. Finally, it approved a new lease for the Office of Mines and Minerals in Pike County, a new lease for the Cabinet for Health and Family Services in Pulaski County, and a lease renewal for the Cabinet for Health and Family Services in Kenton County after questions about rent increases and office utilization; the cabinet said the Kenton County space still has limited vacancy and remains in use by field staff. The meeting ended as the Kentucky Infrastructure Authority began presenting six sewer and water loans and six cleaner water program grant reallocations, with members agreeing to roll those items for later consideration.

Transcript Highlights:

• number of factors like children's characteristics, type of care provided, enrollment patterns, family schedule
• This schedule mirrors the initial apportionment schedule for in-contract funds, where providing funds
• But we do think, from the state's schedule in terms of making an appropriation, this is different than
• We do have a Medi-Cal fee-for-service fee schedule for payment rates in the fee-for-service delivery
• their managed care plan, the rates that they’re receiving may be similar or equivalent to our fee schedule

Keywords: 987, senate, all

Transcript Highlights:

• Only one other state, I can't remember which one, also does a regularly scheduled tax incidence study
• <00:26:23.200> tax<00:26:23.480> incidence does a regularly scheduled tax incidence
• does a regularly scheduled tax incidence study<00:26:24.440> of<00:26:24.720> of<00:26
• ,<01:15:55.080> which<01:15:55.320> will middle school schedules, which will middle
• school schedules, which will eliminate<01:15:56.080> many<01:15:56.360> of<01:15:56.480

Keywords: 1187, senate, all

Transcript Highlights:

• Believe me, we have left no stone unturned, and the project is actually scheduled to go online in June
• Believe me, we have left no stone unturned, and the project is actually scheduled to go online in June
• to go online in June scheduled to go online in June and<00:51:43.240> we<00:51:43.480> are
• It is a coal-fired power plant that has been in operation since 1958 and is scheduled for retirement
• Supervisors to kind of engage with your employees to see: are there scheduling changes that we can do

Keywords: 1187, senate, all

Transcript Highlights:

• They adjusted their schedules and they're working together on new approaches.
• /c><00:31:30.000> working their schedules and they're working their schedules and they're working
• Why are you behind schedule? What are the obstacles?
• Why are you<00:53:45.040> behind<00:53:45.359> schedule?
• What are the you behind schedule? What are the obstacles?

Keywords: 1183, house

Summary: Judge Tim O’Malley, Minnesota’s director of program integrity, presented a roadmap to program integrity and fraud prevention built around nine areas for improvement, including leadership and culture, stronger program controls, better coordination among agencies and prosecutors, training, technology modernization, independent oversight, stakeholder engagement, and expanded resources. He said long-standing vulnerabilities in state programs have been exploited by organized criminals, and argued the state must shift from reactive enforcement to front-end prevention, faster detection, and recovery of improper payments. He emphasized that modern data sharing and analytics are especially urgent, and said oversight and accountability are essential for lasting change. Fay Bernstein, a long-time DHS employee, testified that she experienced retaliation after raising contract compliance concerns years ago. She said she was removed from the building, barred from DHS property, investigated for months, and accused of racism and threatening leadership, which she denied. Bernstein argued DHS leadership lacks a fraud-prevention mindset and said the department’s culture punishes employees who speak up, while serious program failures have harmed vulnerable Minnesotans. She called for major leadership changes and firings at DHS. Members questioned O’Malley about whether fraud was driven more by sophisticated criminals or by weaknesses in state systems. He said the vulnerabilities have existed for a long time and organized criminal groups are taking advantage of them, especially where data sharing is weak. Members also pressed him on whistleblower protections and retaliation; O’Malley said he should have included the legislature among places employees can report concerns, and said complaints should be thoroughly investigated with accurate information and appropriate consequences for supervisors who fail to act, ranging from coaching to termination depending on the case. No votes or formal actions were taken in this portion of the meeting.

Transcript Highlights:

• And I want to remind everyone, this is a Schedule I drug. This is a hallucinogen.
• <01:07:07.480> one schedule one schedule one drug. drug. drug.
• It's Schedule I for a reason.
• So we need to look at them individually, not just bring up the Schedule I designation, because frankly
• That is all 14 bills we had on the schedule for executive session this morning. >> Mr. Chair.

Keywords: 1189, house, all

Transcript Highlights:

• A worker who receives Schedule II opioids is six times more likely to experience chronic work loss than
• A worker<00:42:15.200> who<00:42:15.440> receives<00:42:15.760> schedule<00:42:16.160
• > 2<00:42:16.400> opioids worker who receives schedule 2 opioids worker who receives schedule
• Um what we have scheduled is to Okay.
• Um what we have scheduled is to break<01:25:47.920> for<01:25:48.159> lunch.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.

Transcript Highlights:

• We all were hoping that the shutdown would end by now, and that's the reason why we have scheduled it
• <00:08:42.560> it<00:08:42.719> for<00:08:42.959> as reason why we have scheduled
• it for as reason why we have scheduled it for as late<00:08:43.360> as<00:08:43.519> it
• <00:46:45.680> this<00:46:46.240> um reason we had scheduled this um reason we had
• scheduled this um informational<00:46:47.760> briefing<00:46:48.319> as<00:46:48.640>

Keywords: 912, senate, all

Summary: The Senate Committee on Health and Human Services held an informational briefing on the federal shutdown’s impact on state benefits, with the main focus on SNAP. DHS Benefit, Employment and Support Services Division Administrator Scott Morish explained that SNAP serves about 86,229 households statewide, or 168,947 individuals, and averages roughly $58–60 million in monthly federal benefits. He said USDA directed states to suspend November SNAP benefits effective November 1 if the shutdown continues, while existing October balances on EBT cards remain usable and cash benefits such as TANF, General Assistance, and AABD are not affected. DHS said it has continued processing applications, recertifications, interviews, and required reporting, and has posted public guidance on its website. Morish also reviewed other SNAP-related changes taking effect November 1 under the One Big Beautiful Bill Act, including expanded able-bodied adult work requirements and tighter non-citizen eligibility rules. He said the work requirements now extend from ages 18–54 to 18–64 and apply to additional groups previously exempt, while only lawful permanent residents, COFA residents, and Cuban or Haitian entrants will remain eligible among non-citizens. He also noted Hawaii’s ongoing SNAP benefit reduction tied to a federal calculation error in the thrifty food plan, which has lowered benefits by about $8 per person per month for the past three years. On the state response, DHS said it is working with the Hawaii Food Bank and seeking $2 million in state funding to support it, and is also developing a Hawaii Relief Program using TANF reserve funds. The program is intended as a short-term housing and utility assistance program for families with dependent children under 300% of the federal poverty level, with up to four months of assistance. Senators questioned why rainy day funds were not being used and whether the state could directly fund EBT cards; DHS responded that the TANF approach was the fastest available option, that EBT delivery involves significant technical and administrative mechanics, and that the department is still in discussions with the vendor and other stakeholders about additional options.