Transcript Highlights:

• The court found that the support needed to access the service dog was like that of other related services
• type of service dog Ian needs support type of service dog Ian needs support with<01:17:48.920>
• to access and utilize his staff support to access and utilize his service service service dog<01:21:
• > dogs<01:21:47.239> may support children with service dogs may support children with service
• <01:48:40.080> or remove any protections services or remove any protections services or supports

Keywords: 1187, senate, all

Transcript Highlights:

• He's a certified peer support worker and a certified family peer support worker.
• Protocol Services.
• We provide support on school campuses through a wraparound service approach.
• services.
• This funding supports coordination to access critical services for our community statewide.

Transcript Highlights:

• Eduardo Martinez, on behalf of Ultimate Health Services, in strong support. Good afternoon.
• AB 1386 is intended to change that while providing the necessary resources to support these services,
• I work for Asian Health Services and am a SEIU 1021 member. I support this bill. Good afternoon.
• AB 1084 is sponsored by Equality California, Trans Family Support Services, and Trans Youth Liberation
• What is that bed that they have to offer, and what are the wraparound support services we can offer?

Summary: The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost. The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns. Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.

Transcript Highlights:

• site<00:13:11.800> of nursing services and supports on site of nursing services and supports
• many nursing services and supports how many nursing services and supports how many IC<00:13:16.920
• IC is a new service available to support participants and does not replace existing services on the BI
• IC is a new service available to support participants and does not replace existing services on the BI
• of supports and services that exist across other waiver options.

Keywords: 1187, senate, all

Transcript Highlights:

• In addition to our contracts with our support services vendor, Accenture, as well as our IV&B,...
• Contracts with our support services vendor, Accenture, as well as our IV&B.
• For APD, these services are respite, personal supports, skilled nursing, skilled respite, and private
• support services.
• In October 2021, providers of supported living services were given access to I-Connect.

Summary: The subcommittee heard updates on several state technology modernization efforts, beginning with the Florida Division of Emergency Management’s Enterprise Business Solution (DEMS). FDEM said DEMS is about 50% complete, with some grants and finance functions already live, and is intended to replace manual disaster and grants processing with a cloud-based system. Officials described faster reimbursement timelines after recent storms, major return-on-investment claims, and a planned final phase focused on design, testing, communications, data governance, and additional functionality. Members asked about the total cost, the role of Florida Digital Service, deliverables-based contracting, and how much of the system is live; FDEM said the project is expected to cost about $16 million to $16.8 million and finish by June 2027, with some follow-up information to be provided. The Department of Legal Affairs presented its Office of Attorney General Modernization Program, a follow-up to an earlier effort that failed after spending about $26 million. Acting Attorney General John Gard said the department has now moved to an off-the-shelf case management product, LawBase, and is in development and testing, with the Office of Statewide Prosecution already live and full implementation expected by the end of the fiscal year. The request includes funding for staff augmentation, cloud storage, the LawBase license, redundancy through a backup site in Orlando, and OnBase support. Members questioned the prior failure, the use of Florida Digital Service standards, data location and cloud migration, and the redundancy plan; Gard said lessons learned included better scoping and that the current effort is on track. The Department of Highway Safety and Motor Vehicles then updated the committee on Motorist Modernization, including the Orion system and the MyDMV portal. Officials said Phase 1 and Phase 2 have modernized driver license and motor vehicle services, with Phase 2 statewide rollout scheduled to begin in April 2025 and Phase 3 proposed at $16.5 million for dealer services, data warehouse improvements, and call center modernization. Members asked about payment options, organ donor questions, staffing, cybersecurity, cloud strategy, and the digital driver license program. The agency said the portal already allows some sanctions to be cleared online, an ACH option is being developed, the digital driver license vendor has changed with a fall go-live anticipated, and the department is using security testing and a managed security service provider. Officials also said the system is currently on an on-prem private cloud, with future workloads expected to move to public cloud where appropriate. Finally, Florida Commerce presented on the Reemployment Assistance modernization system, Reconnect, and the FLWINS workforce system. Commerce said Reconnect is hosted in the Azure Government Cloud, has reduced claim filing time, improved fraud detection, and increased appeals capacity, and now needs $4.9 million in recurring funding to cover ongoing operations, cloud hosting, licenses, and staff augmentation. Members asked about adjudication issues, wait times, fraud prevention, and whether the system stores caller identifiers; Commerce said the average wait to speak to a representative is about 18 minutes and claims are generally processed in four to six weeks. The committee then began hearing about FLWINS, which is intended to create a “no wrong door” workforce portal under the REACH Act, but the transcript cuts off before that presentation concluded.

Transcript Highlights:

• We also provide culturally specific recovery support services.
• Support Services to individuals recovery Support Services to individuals struggling<01:12:18.280>
• > in recovery Support Services um starting in recovery Support Services um starting in 2019<01
• <01:24:41.159> services each year to provide support services each year to provide support
• services Coalition together we support services Coalition together we support seniors<01:25:51.600

Keywords: 1187, senate, all

Transcript Highlights:

• , Housing and Community Services, and Peter Redue, the manager of neighborhood services for the City
• I'm here in support of SB 902.
• I'm here in support of SB 902.
• And so there were no services between L.A. and San Jose and no services in the Central Valley almost
• When service members leave military service, we step into a civilian job market that often does not recognize

Summary: The Assembly Committee on Human Services heard several bills focused on homelessness, child care, food security, public assistance, immigration legal services, and veterans’ benefits. SB 479 would allow city-based local health jurisdictions, including Berkeley and Oakland, to use multidisciplinary homeless response teams and share specified information across departments; supporters said the change would improve coordination and outcomes, and no opposition testified. SB 902 would allow electronic signatures for child care and development services paperwork while preserving paper options; supporters said it would reduce burdens on families and providers, and the bill passed to the Assembly Education Committee 4-0. The committee also heard SB 1025, creating an Office of Food Security and Affordability to coordinate California’s food assistance efforts, and SB 1030, repealing the CalWORKs “man-in-the-house” rule. Supporters of SB 1025 said the state’s food system is fragmented and needs a coordinated strategy; SB 1030 supporters argued the rule is outdated, redundant, and rooted in racist and sexist assumptions. Both bills received no opposition testimony and were approved on 4-0 votes, with SB 1025 sent to the Economic Development, Growth, and Household Impact Committee and SB 1030 to Appropriations. The committee then approved SB 1077, which would require CDSS to create a communications and contingency plan for CalFresh disruptions during federal government shutdowns, including a public webpage and planning for state-funded benefits; it passed 4-0 to Appropriations. SB 1194 would codify the Immigration Legal Fellowship Project to expand immigration legal services in underserved areas, and supporters emphasized the need for legal representation in rural and Central Valley communities; it passed 4-1 to Judiciary. SB 1201 would seek federal waivers to protect veterans from CalFresh time limits, require referrals to county veterans service officers, and adjust treatment of job-search expenses; it passed unanimously 6-0 to Military and Veterans Affairs. The consent calendar, including SB 557 and SB 1051, also passed unanimously. After all items were heard, the committee completed roll calls for absent members and adjourned.

Transcript Highlights:

• Kelly to come up and present the Health and Human Services budget, and she is the Health and Human Services
• The proposal includes $54.3 million to support coverage of residential services, also known as institutions
• programs; $9.7 million to support peer specialists to deliver recovery support services in community
• settings; and $8.4 million to support family preservation programs for individuals in need of services
• services.

Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed fiscal year 2026-2027 budget for the health and human services agencies. Kendall Kelly outlined the overall HHS budget at $48.5 billion, with AHCA accounting for the largest share, and agency heads then highlighted major proposals for Medicaid behavioral health redesign, APD waiver enrollment and facility needs, DCF child welfare, opioid, and mental health investments, DOEA funding for Alzheimer’s, home care, and community services, DOH funding for cancer research, public health initiatives, and lab capacity, and VA funding for facility improvements, cybersecurity, and medication management. Several members praised specific proposals, including increased reimbursement for private duty nursing, Alzheimer’s supports, and the Florida FIRST blood-in-ambulance initiative. Senators also questioned the proposed changes to the AIDS Drug Assistance Program (ADAP), with the Surgeon General explaining that the department expects a reduction in covered patients from about 30,000 to about 20,000 because of funding pressures tied to rebates, federal changes, and premium tax credit issues. Public testimony strongly criticized the ADAP changes, citing lack of transparency and warning that many patients could lose access to medications. Other questions focused on the Office of Minority Health and Health Equity, DCF’s substance abuse and mental health data dashboard, Kids Care/CHIP expansion implementation, APD bed and facility planning, and the FX Medicaid technology project. DCF said about $7 million is set aside for the dashboard system, and AHCA said the governor’s budget includes $124.4 million for FX maintenance and continued module development, with $13.5 million to begin claims processing work. The committee did not take a substantive vote on the budget presentations and adjourned after questions and public testimony.

Transcript Highlights:

• services, as well as supportive services like transportation.
• We've amplified outreach efforts to support individuals applying for these services.
• We've amplified outreach efforts to support individuals applying for these services, and I'm happy to
• We've amplified outreach efforts to support individuals applying for these services, and I'm happy to
• And beyond the ADI, we also offer our community and support services.

Summary: The Health Care Budget Subcommittee met to organize the new term, take roll, and hear introductory presentations from the six agencies under its jurisdiction: the Agency for Health Care Administration, Agency for Persons with Disabilities, Department of Children and Families, Department of Elder Affairs, Department of Health, and Department of Veterans’ Affairs. The chair outlined the committee process, including assigning members to review agencies and make budget recommendations. Each agency head gave a high-level overview of their budget, staffing, major programs, and priorities, with recurring themes including Medicaid, long-term care, disability services, child welfare, mental health, aging services, public health, and veterans’ health care. Several agency leaders highlighted recent initiatives and funding priorities. AHCA emphasized Medicaid managed care, provider regulation, Hope Florida, hospital-at-home, and cancer-related efforts; APD discussed iBudget services, Hope Florida, a managed-care pilot, online applications, and forensic care costs; DCF focused on child protection, foster care, adult protective services, food/cash/medical assistance, mental health, and opioid treatment; Elder Affairs highlighted Alzheimer’s services, community-based senior care, guardianship, ombudsman services, and disaster outreach; DOH covered cancer innovation, maternal telehealth, cybersecurity, HIV/hepatitis/syphilis screening, and school nursing; and Veterans Affairs described benefits and health care access for veterans, long-term care, and federal reimbursement. Several speakers also raised concerns about rising costs, provider rates, disaster response, and access to services. The committee heard two public comments from disability advocates about Medicaid redeterminations affecting iBudget waiver recipients and provider payment delays. In response, AHCA and APD said they were coordinating on data sharing, early outreach, escalation processes, and efforts to reduce disenrollments and make recertification smoother. Members then asked questions about provider rates, opioid settlement spending, managed care quality measures, pediatric rare disease grants, group home transparency, senior outreach, ABA services moving into managed care, annual Medicaid recertification, veterans’ service utilization, waiting lists for elder services, and prevention spending. No formal votes were taken during the meeting.

Transcript Highlights:

• I also do not support that there's a lot of services and supports in Minnesota at this point.
• supports<01:02:02.560> in lot of lot of services and supports in lot of lot of services and
• Um, so under our Medicaid funding services, day support services, pre-vocational services, and all of
• those day support services.
• those day support services.

Keywords: 1187, senate, all

Transcript Highlights:

• <00:37:55.119> services<00:37:56.079> for housing and supportive services for housing
• with support services tailored to K-12 families.
• > and and support services for survivors and and support services for survivors and their<03:53
• <05:21:52.120> ponar support to expand services at ponar support to expand services at ponar
• care coordination to help families navigate support services.

Keywords: 910, house, all

Transcript Highlights:

• services and supports population. services and supports population. um<00:30:56.399> this
• services and supports funding. services and supports funding.
• > supports The long-term services and supports The long-term services and supports program<00:
• long-term services and supports in it. long-term services and supports in it.
• <00:47:36.880> and<00:47:37.200> supports services and supports services and supports is

Keywords: 928, house, all

Summary: The committee to study long-term managed care met to approve the prior meeting minutes, with a clarification that “OB3” referred to the “one big beautiful bill.” The minutes were then approved. Chair Jim Kofalt outlined the day’s agenda, which included testimony from the Granite State Home Health and Hospice Association, the New Hampshire Association of Counties, and later DHHS. He also noted that future meetings were expected soon and that the meetings were being livestreamed on YouTube. Granite State Home Health and Hospice Association, represented by Kellyanne Totten and Amy Moore, urged inclusive planning and a cautious, phased approach if managed care is considered. They emphasized that home care providers are not uniform, with different licensing and service models, and said any pilot should include varied provider types, rural and southern regions, and agencies of different sizes. They warned that workforce shortages, inflation, and a possible 9% CMS cut to Medicare home health payments could force agencies to reduce service areas or service types. They also said the 2023 Medicaid CFI rate increase has begun to lose its effect. In response to questions, they said the rural health transformation fund may help with planning and telehealth but likely cannot be used directly for rates or recruitment/retention. They also described the New England Home Care Nurse Residency Program, a Department of Labor grant, as a way to bring new registered nurses into home care with added training and school partnerships. The New Hampshire Association of Counties, through county nursing home administrators Craig Labore and David Ross, revisited the earlier Step Two managed care discussions from 2016-2018. They said prior consultants found the long-term services and supports system was underfunded and needed investment to stabilize providers and expand community-based care. They argued the same concerns remain today and said a managed model would jeopardize the Medicaid quality incentive payment program and, for county nursing homes, the proportionate share payment program. Their testimony was generally opposed to moving forward with managed long-term services and supports without significant additional funding and safeguards.

Transcript Highlights:

• This is going to support continuous monitoring of the quality of the services provided.
• Family Support Services of North Florida and Circuit 4 was identified for the first pilot site.
• pre-service training as staff members are onboarded and ongoing in-service trainings and supports by
• It's one piece of it, but also that support ongoing, which will be going through both that pre-service
• training as staff members are onboarded and ongoing in-service trainings and supports by supervisors

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:

• and leveraging purchasing power, supporting the best team in the state to provide these services to
• community support going to be in delivering the needed prevention and early intervention services, even
• services, resources, supports, etc.
• Before we move on to child support, I just wanted to point out that in program support, support, the
• Health and Human Services was responsible for child support. Can I ask these...

Keywords: 996, all

Transcript Highlights:

• My comments focus on the advanced primary care services featured in the two bills I'm supporting.
• We offer about 80 services and 17 locations, and the vast majority of the folks we serve are supported
• We serve 40,000 people a year through a variety of services, but our mental health center services support
• services.
• Also, mental health centers are a support system for behavioral health services for uninsured people,

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket focused on primary care, workforce development, and medical debt. Chairs Cindy Friedman and John Lawn outlined hearing procedures and noted that testimony would be taken on 17 matters. The committee first heard testimony on bills to establish a community health center nurse practitioner residency program and to strengthen mental health centers. Senator Keenan, Rep. Keefe, and health center leaders described the Worcester nurse practitioner residency as a successful pipeline and retention strategy, citing workforce shortages, training needs in community health centers, and the cost of the program. Rep. O’Day also supported the mental health centers bill, saying it would raise payment rates, improve reimbursement for behavioral health services, and help clinics retain staff and expand access. The committee then took testimony on bills to address medical debt through hospital financial assistance reform. The Attorney General’s Office, Health Care for All, Health Law Advocates, the Leukemia and Lymphoma Society, and individual patients supported the measure, arguing that hospital financial assistance policies are inconsistent, hard to find, and difficult to navigate. Witnesses said the bill would standardize eligibility criteria, create a uniform application, improve notice requirements, and expand access to discounted care up to 400% of the federal poverty level. Several personal stories described medical bills being sent to collections, confusion over insurance billing, and the burden of debt on low-income and chronically ill patients. Committee members asked about hospital concerns, the role of the health safety net, and whether the bill addressed root causes of medical debt; testimony emphasized that the proposal was meant to improve transparency and access rather than replace broader insurance reforms. The hearing also focused heavily on “Primary Care for You” legislation, H. 1370 and S. 867, which would increase primary care investment and create a new payment model. Rep. Haggerty, physicians, a patient, community health center leaders, and the Massachusetts League of Community Health Centers described a primary care crisis marked by low reimbursement, staffing shortages, long waits, burnout, and difficulty recruiting clinicians. Supporters said the bills would shift spending toward preventive, team-based care, improve access and equity, and reduce long-term costs. The Massachusetts Association of Health Plans said it was directionally supportive of increased primary care investment but warned that any new spending must stay within the cost growth benchmark and preserve existing contracting structures. The hearing ended with additional testimony on a community health center workforce and loan repayment grant bill from Rep. Stanley, and with further discussion from Dr. Alan Garo about the need for payment reform in primary care.

Transcript Highlights:

• Senate Armed Services Committee.
• and in direct support of the warfighter mission and the support the guardians need.
• , across all services.
• And so we appreciate the support with being able to provide the services. bonuses and pay grade equal
• So the ability for this service that is now five years old to continue to grow with the support of this

Keywords: NDAA, military recruitment, personnel readiness, testimony, military leaders

Summary: The committee meeting focused on pressing issues related to the U.S. military's recruitment and personnel strategies, especially in light of the upcoming NDAA for fiscal year 2026. Chairperson expressed appreciation for the service of witnesses including senior military leaders from different branches, emphasizing the importance of personnel as the backbone of national defense. Discussions revealed concerns regarding the recent lowering of recruitment standards across military branches, which could potentially affect the quality of service members and long-term military readiness. Witnesses were asked to address the implications of these changes on military health and efficiency.

Transcript Highlights:

• We get a lot of NMT service feedback and support. We post this number on our website.
• services under the of child support services under the office<00:39:17.920> of<00:39:18.079><
• this Department of Child Support this Department of Child Support Services<00:40:53.760> and<
• <00:46:24.640> services<00:46:24.960> in prosecutor in child support services in prosecutor
• in child support services in Kitten<00:46:25.599> County.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the October 15 minutes, and began with a moment of silence following a Louisville UPS plane explosion that was described as a local tragedy affecting many families and first responders. The main presentation was an overview of Kentucky’s Medicaid non-emergency medical transportation (NMT) program from the Department for Medicaid Services and the Transportation Cabinet. Witnesses explained that NMT is a federally required Medicaid benefit, administered by the Transportation Cabinet under a risk-based capitated model, with eligibility limited to Medicaid members traveling to medically necessary, Medicaid-covered services and who lack access to other transportation. They also described exclusions, including certain KCHIP, QMB, and PACE members, and outlined the brokered regional structure, call center operations, scheduling rules, vehicle and driver oversight, complaint handling, and rider surveys. The presenters reported that NMT handled more than 3.1 million trips in state fiscal year 2024, with over 1.38 million trips already recorded in October, and said customer satisfaction surveys were high. They said the FY 2025-26 contract total is about $360.6 million, with monthly per-member capitation rates set by region through an actuarial process and approved by CMS. They emphasized that payments are tied to monthly Medicaid enrollment and that the state draws down federal funds for the exact amount paid, with no leftover balance. They also said most NMT use comes from adult day centers and rehabilitative care such as dialysis. Members questioned the witnesses about how quality metrics and contract standards are set, whether the state had explored alternatives such as Uber Health or other integrated models, and how utilization was calculated. The witnesses said contract requirements are developed collaboratively by Medicaid Services, the Transportation Cabinet, and other agencies, and that studies of other models generally found higher costs and lower approval ratings, with additional research on a hybrid model expected by the end of the year. They clarified that one figure reflected the share of Medicaid members with registered vehicles, while another reflected actual NMT users, and they defended the capitated structure as shifting financial risk to brokers rather than the state. Representative Fleming also raised concerns about oversight, reporting, and the apparent gap between budgeted and contracted amounts, asking whether any unused funds would return to general funds; the discussion ended before a final answer was given.

Transcript Highlights:

• 55.679> out services and supports that phase out services and supports that phase out began<00
• recovery support services, and service ongoing service coordination.
• Probably also children's therapeutic services and supports; that's a large bucket of services under MA
• 27.000> Support<00:48:27.319> Services<00:48:27.920> which Care community Support
• support services for persons housing and support services for persons in<01:04:37.279> need<01

Keywords: 1183, house

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

Transcript Highlights:

• And to support a critical... ...services and representation for immigrants.
• And to support a critical human service workforce, the FY27 recommendation is to maintain Chapter 257
• to support those services.
• And to give you a couple statistics, long-term services and supports is growing by 12% year over year
• of homemakers, and an array of other in-home services and supports.

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs. EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle. MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.

Transcript Highlights:

• This bill provides veterans and those soon to be discharged from the Armed Services with the support
• THIS BILL PROVIDES VETERANS AND THOSE SOON TO BE DISCHARGED FROM THE ARMED SERVICES WITH THE SUPPORT
• Scholten for helping me with this bill to support our service men and women.
• SCHOLTEN FOR HELPING ME WITH THIS BILL TO SUPPORT OUR SERVICE MEN AND WOMEN.
• SO, WE MUST AND WILL OPPOSE ATTEMPTS TO SLASH THOSE SERVICES AND WE WON'T STOP AND WE WON'T SUPPORT A

Keywords: U.S. House of Representatives Floor Proceedings on Monday, September 8, 2025, 1012, house, all