Transcript Highlights:

• Where it is becoming more and more difficult to access primary care services, I ask you to support this
• These support services address social and medical complexity that keep patients out of emergency rooms
• These support services address social and medical complexity that keep patients out of emergency rooms
• Without reimbursement support, patients will be compelled to seek in-person services or forego necessary
• Without reimbursement support patients will be compelled to seek in-person services or forego necessary

Keywords: 995, all

Summary: The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers. On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money. A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore. The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• Into the service fund. Correct, into the service fund.
• You know, where the demand is, how people are requesting help desk support or tier two support.
• Most things are moving towards platform as a service, software as a service.
• That's ultimately what drove a lot of the support for the services that we are providing today.
• That's ultimately what drove a lot of the support for the services that we are providing today.

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

Transcript Highlights:

• next 12 months, the Florida National Guard will deploy an additional 1,100 service members in support
• 39 service members in four aircraft in support.
• Border security operations, providing 39 service members in four aircraft in support of Operation Vigilant
• The Division of Library and Information Services manages the state's library and archives, supports public
• who oftentimes support our reemployment work we are the state's agency that oversees reemployment services

Summary: The Transportation and Economic Development Budget Subcommittee met to organize for the session, take roll, and hear introductory remarks from members and agency heads. Members briefly introduced themselves and their districts, with several noting transportation, economic development, emergency response, military, and hurricane recovery issues in their areas. Chair Shove then outlined the subcommittee’s jurisdiction and current-year budget, noting a total of about $20.3 billion, with most funding coming from trust funds and only a small share from general revenue. The committee also heard that upcoming meetings would include presentations from major agencies in the subcommittee’s purview. The first agency presentation was from the Department of Military Affairs and the Florida National Guard. Major General John Haas described the Guard’s three missions—supporting national security, responding to state emergencies, and adding value to the state—and highlighted deployments for hurricanes, border security support, and ongoing support to the Department of Corrections. He emphasized that the Guard is understrength relative to Florida’s size and demand, said recruiting is strong, and identified force structure growth as the main challenge. Members asked about aircraft, funding sources, and recruiting; Haas explained the Guard’s helicopter and fixed-wing fleet, said aircraft purchases are funded through legislative appropriations, and reported strong interest in the Florida State Guard’s recruiting pipeline. Executive Director Mark Thieme then described the Florida State Guard’s expansion into air, ground, and maritime capabilities, including Black Hawks, boats, drones, canine search-and-rescue teams, and ground support units. He said the agency supported immigration enforcement and hurricane response, and asked for continued legislative support to expand aviation, maritime, and medical capabilities. Members praised the Guard’s disaster response work and asked about aircraft, funding, and staffing. Secretary Cord Byrd of the Department of State followed, focusing on election administration, election security, the SunBiz and voter registration IT systems, arts and culture, corporations, libraries, and historical resources. He said Florida’s election system remains a national model, reported two prosecutions for non-citizen voting, and discussed modernization needs for legacy IT systems. The committee also asked about voter lookup tools, password privacy for SunBiz, and arts funding vetoes. Secretary Alex Kelly of the Department of Commerce described the agency’s broad portfolio, including workforce, economic, community, and international commerce functions, plus housing recovery, broadband, small business support, rural infrastructure, defense-community grants, and law enforcement recruitment bonuses. He said access to capital is the biggest barrier for small businesses and noted ongoing work with CareerSource, the Department of Corrections, and other partners on workforce and reentry. Secretary Jared Perdue of the Department of Transportation then outlined FDOT’s record budget and five-year work program, emphasizing emergency response, preservation and maintenance, safety, and major investments in roads, ports, airports, transit, and spaceport infrastructure. He said the department has removed millions of cubic yards of storm debris, is ahead of schedule on the Moving Florida Forward initiative, and faces a large unfunded project backlog. Members asked about supply chain issues, project priorities, and workforce needs, and Perdue said FDOT is open to collaboration on recruitment and retention.

Transcript Highlights:

• We have our Indian Health Program, American Indian Maternal Support Services, and Tribal Emergency Preparedness
• Maria Kalina, here on behalf of the California Collaborative for Long-Term Services and Supports, a coalition
• Annie Thomas, on behalf of the California Alliance of Child and Family Services, we support the one-time
• That means that the state doesn't have to spend as much general fund to support those services.
• The administration plans to use all of Prop. 56 funds to support base rate increases for physician services

Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.

Transcript Highlights:

• , and accessibility of services; traits of high-quality support coordination; best practices and areas
• competencies, and standardize the assessment of support coordinator service provisions.
• , housing supports, peer supports, whatever, you know Support, housing supports, peer supports, whatever
• Next I have Victoria Zep waving in support, Family Support Services.
• Victoria Zep waving in support of Family Support Services.

Summary: The Committee on Children, Families, and Elder Affairs considered three bills and a confirmation. On SB 1600, as amended, the sponsor explained that the original child welfare language was replaced with a strike-all requiring the Office of Insurance Regulation to work with DCF and community-based care lead agencies to study liability insurance coverage and availability, report findings to the Legislature by January 1, 2027, and allow penalties for failure to provide requested information. The committee adopted the amendment and amendment to the amendment, heard supportive testimony from child welfare advocates, and reported the committee substitute favorably. The committee also heard CS/SB 556, which would allow students with disabilities to satisfy a physical education graduation requirement through participation in Special Olympics, and clarify that two years of marching band participation can satisfy PE and fine arts credit. Special Olympics Florida, parents, and other supporters testified in favor, and the bill was reported favorably. On SB 794, the sponsor described requirements for background screening of employees in residential facilities and day training programs for people with developmental disabilities, plus a review of waiver support coordination quality, workforce needs, geographic service gaps, and related recommendations due in 2027. The committee adopted a conforming amendment and reported the bill. The committee then took up the confirmation of Taylor Hatch as Secretary of the Department of Children and Families. Hatch outlined DCF’s recent work on child welfare, behavioral health, peer support, and technology improvements, and answered questions about child welfare system challenges, funding formulas, opioid settlement dollars, and interoperability of agency systems. After public comment, the committee voted to recommend her confirmation favorably, with Chair Graal voting no. The meeting ended with a request to record one senator’s vote on SB 1600 and adjournment.

Transcript Highlights:

• It explains how to use long-distance rates to support local rates, how business rates can support residential
• It supports three different priorities: access reduction support, comparable carrier support, and broadband
• like the Universal Service Fund.
• One thing that we can say for sure, based on the legislation and the support, is that OCS provides services
• So this is the portfolio of services: 534.

Transcript Highlights:

• Shchal Galara in support, Will Tanaka in support, Joanne Farnsworth in support, Ellen Aai in support,
• in support, Lilia Gber in support, Sad Kahou in support, and Davis in support, Waya Oata in support,
• Barbara Service, in support. Anybody else wishing to testify on HB 705? Members, any questions?
• Barbara Service, in support. we did also find that the proportion of we did also find that the proportion
• First up, Department of Human Services in support. Please proceed.

Keywords: 912, senate, all

Summary: The committee heard testimony on several health-related bills. HB 72 on pharmacy drew only support, with testimony from the University of Hawaiʻi system, the Board of Pharmacy, pharmacists, and others; no questions were raised. HB 237 on peer support programs also received broad support from the Department of Health, DHS, early learning officials, families, and advocates, with testimony emphasizing the value of peer-to-peer mentoring and support for parents, youth, and people with disabilities; no opposition or questions were noted. HB 250, the prior authorization bill, generated the most discussion. SHPDA supported a revised version focused on reporting prior authorization practices and creating a nonbinding working group to develop automation standards, while PCMA, HMSA, Kaiser Permanente, and others raised concerns about duplicative pharmacy requirements, unintended consequences, and alignment with federal timelines and reporting. Several medical groups and individual patients supported the measure, describing delays and burdens caused by prior authorization. A committee member asked whether the bill’s working group differed from a similar group in Senate Bill 1449, and the witness said it was intended to be the same. HB 303 on health care preceptors was supported by the Department of Health, University of Hawaiʻi, nursing and health care organizations, and the Hawaii Pharmacists Association, which asked that pharmacists’ residency programs be specifically tied to national accreditation standards. HB 341, relating to issuance of SPURS to assist the Hawaii Island Community Health Association, drew support from the health center and related groups. HB 692 on Preschool Open Doors received extensive support from early learning, education, family, labor, and community organizations; testimony stressed the shortage of child care and preschool slots, especially on Kauai, and the need to expand access for families. Committee members asked about adding family child care providers and about licensing/certification barriers, and DHS said the bill was focused on current licensed child care facilities and that certification issues were a separate, broader problem. HB 700 on cognitive assessments also drew strong support, with the Department of Health, the Executive Office on Aging, disability advocates, the Alzheimer’s Association, caregivers, and others urging use of a validated cognitive assessment tool during annual wellness visits and asking that the age 65 threshold be removed; some witnesses supported keeping the data-collection portion as a pilot and emphasized early detection and reporting.

Transcript Highlights:

• <00:25:56.080> PCA services and supports the new PCA services and supports the new PCA program
• , but they're providing supportive housing services to people in recovery, oftentimes in early recovery
• they're providing services, but they're providing supportive<00:29:41.200> housing<00:29:41.520
• housing services to people in supportive housing services to people in in<00:29:42.880> recovery<
• So those are services and room and board that are provided under housing supports.

Keywords: 1183, house

Transcript Highlights:

• For UC alone, this represents more than $12 million that would have supported services, programs, and
• So the loss of federal funds will significantly, undoubtedly, impact student support services.
• More than 50% of our students qualify for these crucial support services.
• This often means fewer resources for basic needs centers, mental health support, stability services,
• Yet these increased revenues come with no guarantee of improved student services or increased support

Summary: The Assembly Higher Education Committee held an oversight hearing on how federal actions are affecting California higher education, with opening remarks from the chair and members emphasizing the importance of state-federal shared governance and the need to protect access, affordability, and campus diversity. The first panel included leaders from the CSU, University of the Pacific, California Community Colleges, and UC, who described broad impacts from federal grant terminations, changes to student aid, loan limits, visa and immigration policy, and proposed reductions to research support. Testimony focused on the elimination of Grad PLUS loans, caps on Parent PLUS and Pell-related changes, the loss or suspension of hundreds of grants, and the resulting harm to student support services, research, workforce pipelines, food assistance, and health care training. UC and CSU representatives warned of major losses in research funding, indirect cost reimbursement, and student opportunities, while community college leaders highlighted uncertainty around federal grants and the need to maintain services for low-income, first-generation, undocumented, and other vulnerable students. Committee members asked how the state could respond, including through intersegmental partnerships, dual enrollment, transfer pathways, and support for basic needs and nutrition programs. Witnesses said California could help by sustaining financial aid, protecting minority-serving institution programs, and investing in research, housing, and workforce development. Several speakers stressed that federal changes were creating instability for students and campuses, and that the effects would likely be long-lasting, especially in health care, teaching, STEM, and social work pipelines. A second panel then focused on equitable access. The California Student Aid Commission described state efforts such as the $3.9 billion investment in aid programs, the Cal Grant system, the Dream Act, and possible reforms to better serve adult learners, foster youth, undocumented students, and students with dependents. The Los Angeles Community College District reported that federal cuts and policy shifts are discouraging students from applying for aid, threatening TRIO and MSI/HSI-funded services, and reducing support for basic needs, counseling, and workforce programs. The Association of Independent California Colleges and Universities and the CSU Academic Senate echoed concerns about FAFSA confusion, international student restrictions, grant losses, and the erosion of equity-focused programs. No formal votes or legislative actions were taken during the hearing; the committee primarily received testimony and discussed possible state responses.

Transcript Highlights:

• I urge you to support this.
• So support your favorable support on this good bill, and thank you very much.
• So I support this bill, and again... So I support this bill.
• support coordinators.
• So with that, I just ask for your favorable support, and I close on the bill. ...services already, and

Summary: The committee took up a series of health and human services bills, beginning with CS/SB 1602, which would require emergency departments to have evidence-based pediatric care protocols, training, appropriate child-sized equipment and medications, a designated care coordinator, and participation in a pediatric readiness assessment. It was reported favorably. CS/SB 1224 followed, aligning Florida law with federal requirements so paramedics may administer controlled substances in the field under physician or nurse practitioner protocols; it also passed favorably after supportive testimony from fire chiefs. The committee then adopted a strike-all for SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by creating a statewide registry, requiring screening and training in hospitals and long-term care settings, and adding assisted living facility response requirements. Assisted living representatives objected to the ALF provisions as unrealistic and potentially harmful, while supporters argued the bill would save lives; the bill was reported favorably. CS/SB 1182, requiring continuous glucose monitors to be covered as both durable medical equipment and a pharmacy benefit, also passed favorably with support from AARP. The committee next considered CS/SB 12, a claim bill for a child severely injured after a DCF home visit allegedly failed to meet standards, and it was reported favorably without opposition. CS/CS/SB 954, dealing with substance abuse treatment centers and recovery residences, drew substantial debate. The bill would limit local zoning restrictions on treatment facilities and allow larger recovery residences if staffing ratios are increased; a late-filed amendment reduced the maximum active patients from 500 to 300. Municipal and county representatives warned that the bill could override local reasonable-accommodation efforts and create institutional-scale facilities, while supporters said housing is essential to recovery and that clustering concerns are overstated. The committee ultimately reported the bill favorably. CS/SB 1050, expanding the developmental disabilities pilot program statewide and creating a statewide family care council, also passed after extensive testimony from families and advocates. Supporters emphasized the long waitlist and the need for more services, while some speakers opposed managed care and warned about provider shortages and loss of individualized supports. Later, CS/SB 614, requiring a public educational webpage about background screening clearinghouse and level two screening requirements, was reported favorably. CS/SB 1578, which would require coverage for mammograms and supplemental breast cancer screening in certain circumstances, was also reported favorably. CS/SB 1060 created a joint legislative oversight committee to review Medicaid operations and financing; members discussed the need for stronger oversight of large midyear spending adjustments, and the bill passed favorably. CS/SB 1240, a Department of Children and Families substance abuse and mental health bill, was amended to clarify Baker Act transfer timing and notification requirements after debate over whether facilities could hold patients too long; it was then reported favorably. Finally, Senator Harrell presented CS/SB 526, a major nursing education bill aimed at Florida’s low NCLEX passage rates. The bill would require nursing programs to use exit exams, remediation, reporting, and stricter oversight, and the strike-all would add graduate preceptorships for low-performing programs and temporary provisional licenses for graduates pending NCLEX passage. The transcript ended while that bill was still being explained, before final action was taken.

Transcript Highlights:

• fund by $2.3 million in federal funds by $4.6 in each fiscal year to support child support services.
• fund by $2.3 million in federal funds by $4.6 in each fiscal year to support child support services.
• year to support child support services.<00:28:54.000> We<00:28:54.200> also<00:28:54.880
• In Operations and Support Services, we amend language to remove the requirement that advanced placement
• In community services and local facilities, we increased general fund by $3 million each year to support

Keywords: 958, all

Transcript Highlights:

• The Arc also strongly supports...
• I fully am in support of this.
• other supporting agencies are able to provide that support and connection.
• other supporting agencies are able to provide that support and connection.
• and supports.

Keywords: 995, all

Summary: The Joint Committee on Children, Families and Persons with Disabilities held a hearing on a broad slate of disability-related bills. Topics included creating a permanent Acquired Brain Injury Advisory Board (H. 231/S. 134), establishing a system for compensating guardians who serve incapacitated, unbefriended individuals through MassHealth (H. 253/S. 154), expanding Nikki’s Law to require MassHealth day habilitation programs to use the abuse registry (S. 165 and related bills), modernizing and streamlining the Disabled Persons Protection Commission’s statute and procedures (H. 243/S. 139), updating the definition of developmental disability to align more closely with federal law and include people such as those with fetal alcohol spectrum disorder (H. 276/S. 150), removing outdated and offensive terminology from the General Laws (H. 232/S. 137), and an autism education reform bill (H. 286). Several bills had no sign-ups, and the committee also noted related measures on cueing and prompting in PCA programs (H. 277/S. 157).

Transcript Highlights:

• The Social Work Licensure Compact prioritizes research-supported mental health services for the residents
• I'm submitting my testimony in support of S. 242, an act to expand lactation care and services.
• I'm submitting my testimony in support of S-4-2-2, and act to expand lactation care and services.
• Even though the Ellie Fund did help me with these support services, I accrued $10,000 worth of medical
• local services and schools, and support entrepreneurs looking to turn their dreams into reality.

Keywords: 995, all

Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure focused on health care and human services, reviewed testimony logistics, and then heard a long series of witnesses on several bills. Much of the testimony centered on interstate licensure compacts for dentistry, social work, and occupational therapy, with supporters arguing these compacts would improve workforce mobility, continuity of care, and access while preserving state oversight and public protection. Dental witnesses were split on H.455/S.257, with supporters backing the AADB dental compact for its hands-on exam, background checks, and disciplinary safeguards, while opponents argued a competing compact would better promote portability and avoid conflicts tied to proprietary testing and outside commissions. Social work witnesses strongly supported H.380/S.252, emphasizing continuity of care for clients who move across state lines, reduced costs and delays for practitioners, and the compact’s public-protection features; occupational therapy witnesses similarly supported H.427/S.256, citing access, telehealth, military families, and maintained standards. The committee also heard testimony on S.242, which would expand licensure for lactation care providers. Supporters, including lactation counselors and health center staff, said adding certified lactation counselors and related credentials would expand access, improve breastfeeding support, and allow reimbursement for services now often provided without billing. They described the training required and said the bill would help families, especially in underserved communities. Representative James O’Day also testified in support of the social work compact, and a Council of State Governments witness provided background on compact mechanics and state participation. Another major topic was H.419/S.214 on medical debt. Physicians and researchers testified that cancer patients experience long-lasting medical debt and collections burdens, and they supported limits on the sale and collection of medical debt, bans on reporting it to credit bureaus, and related consumer protections. The hearing also included H.465 on a pathway to special licensure for certain long-term limited-registration dentists serving MassHealth patients, which Representative Senna supported as a way to allow immigrant dentists to practice independently. Finally, the committee heard sharply divided testimony on H.444/S.284, which would allow trained dental hygienists to administer Botox and dermal fillers: supporters framed it as a safe, preventive, and access-expanding tool for TMJ, bruxism, and pain management, while dermatologists opposed it as outside hygienists’ training and a patient-safety risk. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• They really need access to services and supports within the community as well as in residential settings
• the to services and supports within the to services and supports within the community<00:04:46.280
• we transition to different Services we transition to different Services supports<00:23:31.919>
• and treatment services with supports and treatment services that's<00:24:24.919> how<00:24:25.080
• key but those services and supports are key but those services and supports are key so<00:29:15.640

Keywords: 1183, house

Transcript Highlights:

• This is where we learn about how to improve our services and supports.
• Are those types of services and supports brought into their home? Mr.
• Jacobs said, the executive recommendation supports a $2 million increase in the personnel services.
• The executive recommendation supports a $2 million increase in the personal services and employee benefits
• So everyone's budget is also asking for support services for IT and cybersecurity?

Keywords: 996, all

Summary: The committee first heard an Aging and Long-Term Services Department budget presentation comparing the LFC and executive recommendations. The main differences were in the Aging Network, Adult Protective Services, Program Support, and Long-Term Care Division, especially the executive’s proposed $10 million infusion into the Kiki Savadra Senior Dignity Fund and $6.2 million for expanding New Mexico Care. LFC staff explained that the committee recommendation was lower in general fund and fund-balance use, while the executive emphasized rising senior population needs, meal and transportation costs, and the cost savings of keeping older adults at home. The secretary also reviewed the department’s special requests, including the conference on aging, outreach, emergency preparedness, and the Kiki fund, and described New Mexico Care’s growth, its evaluation results, and the department’s plan to separate Kiki into its own accounting fund. Members largely focused on senior services, rural meal delivery, transportation, caregiver support, and the Kiki fund. Several members urged stronger support for non-metro aging providers and for New Mexico Care, citing its role in keeping seniors out of nursing homes and the program’s reported savings and outcomes. Questions also covered eligibility, background checks for caregivers, respite care, dementia and Alzheimer’s screening, and whether Kiki funds can support home modifications such as ramps. The committee then voted to adopt the LFC recommendation with one executive language change: adding the executive’s page 14 language allowing an additional 12.5% distribution for initial payments to aging network providers at the start of FY27. Representative Dow opposed the motion. The committee then moved to the Attorney General’s budget. LFC staff explained that the office’s budget relies heavily on the Consumer Settlement Fund, with both recommendations reducing general fund revenue while increasing settlement-fund use, and that performance measures were in consensus. The Attorney General said the office was not seeking more general fund, but wanted greater ability to use funds it recovers. He highlighted major consumer and public safety work, including litigation against major social media and AI platforms, a case involving Snapchat and child exploitation/extortion, the statewide crime gun intelligence center, efforts to address oilfield theft, work on missing and murdered Indigenous persons, and efforts to protect federal funds coming into New Mexico.

Transcript Highlights:

• So we're incredibly thankful for your support for Summer EBT, both Department of Social Services and
• training for food service workers.
• Community schools help fill gaps by providing academic support, mental health services, and trusted adults
• This funding means tutoring, counseling, bilingual support, and services that can change their lives,
• I'm in strong support.

Summary: The Senate Budget Subcommittee on Education heard the Governor’s proposals for universal school meals, the Expanded Learning Opportunities Program (ELOP), and community schools. On universal meals, the Department of Education supported continued funding for the Universal School Meals Program and a fourth round of Kitchen Infrastructure and Training Grants, citing meal-count growth, improved meal service, and the need to offset federal uncertainty, inflation, and reduced direct certification tied to immigration-related policy changes. The LAO recommended rejecting another kitchen grant round, arguing prior rounds are still being spent and the state has not clearly defined unmet need. Members also raised concerns about the state’s ability to backfill federal meal funding and about how federal requirements affect programs like Summer EBT/SUN Bucks. Public commenters largely supported school meals and kitchen investments, with some urging support for plant-based milk options and continued infrastructure funding. For ELOP, the Department of Finance proposed $4.7 billion ongoing Proposition 98 funding, including $62.4 million to set a minimum Tier 2 rate of $1,800 per pupil. The LAO recommended going further and fully fixing the Tier 2 rate, saying rate uncertainty complicates district planning. CDE supported the proposal and said the program has improved attendance and academic outcomes, while noting new CalPADS reporting will provide more data soon. Senators discussed whether ELOP should remain a standalone program or be folded into LCFF, and whether the state should require stronger outcome reporting. Public testimony generally backed stabilizing Tier 2 funding, but some speakers urged more support for older youth and more timely, user-friendly reporting. On community schools, the administration proposed $1 billion ongoing Proposition 98 funding to expand the model to thousands more schools and to support existing grantees, along with stronger technical assistance, statewide alignment, and an accreditation/self-certification framework. The LAO recommended continuing the current one-time grant approach instead of creating a new ongoing categorical program, warning about reduced flexibility, administrative burden, and the state’s capacity to support a much larger cohort. CDE supported the ongoing investment but asked for additional county office and technical assistance funding. Senators and public commenters were broadly supportive of community schools, emphasizing improved attendance, graduation, and student engagement, while also debating accountability, accreditation, and whether non-classroom-based charter schools should be eligible. Public testimony strongly favored ongoing funding and highlighted community schools’ role in mental health, family engagement, and wraparound supports.

Transcript Highlights:

• be supporting it on the floor.
• Without the support, hospitals— Without the support, hospitals will be forced to stretch care within
• Senator Durazo: I support the bill.
• and services and recognizing that this is one very critical service that they are not providing, but
• I plan to support this bill today.

Keywords: 987, senate, all

Transcript Highlights:

• of services to them.
• We will see instruction, academic support, and student services negatively impacted.
• or student services.
• And support the purchase of renewable cloud-based security subscription services.
• Service.

Keywords: 988, house, all

Transcript Highlights:

• I'm in support. Good afternoon, Chair and members.
• In 2018, the electronic transmission service was narrowed into the DOD FAC service, which allowed military
• Indeed, just in the last several months, the Postal Service announced that it would terminate mail service
• Several months ago, the Postal Service announced that it would terminate mail service to several countries
• And members of the public in support? Thank you.

Summary: The Assembly Military and Veterans Affairs Committee met and considered several measures, with most of the discussion focused on veterans’ access to food assistance, overseas voting, and veteran mental health research. SB 1201, the “No Hungry Heroes Act,” would seek federal waivers to protect certain veterans from CalFresh time limits and require referrals to county veteran service officers; supporters said federal SNAP cuts are leaving vulnerable veterans at risk of hunger, while no opposition testified. Members spoke strongly in favor, emphasizing the need to support service members and their families. SB 970 addressed ballot access for military and overseas voters after the federal DOD fax service was discontinued. The bill would direct the Secretary of State to develop regulations for a secure ballot return method. County election officials and veterans groups supported the measure, while the Secretary of State’s office and Verified Voting raised concerns about cybersecurity and urged a more deliberate process, including a possible task force. After discussion, the committee voted to pass SB 970 and send it to Appropriations. SB 1224 proposed a California Emerging Therapies Research Partnership to help the state compete for federal research funding for alternative therapies, including treatments relevant to PTSD, depression, and substance use among veterans. Veterans advocates described the bill as a way to expand options for those not helped by traditional treatment, and the author noted amendments to address conflicts of interest and administrative issues. The committee approved the bill and referred it to Appropriations. The committee also approved the consent calendar, including HR 120, SB 892, SB 1188, SJR 14, and SJR 17, and later voted SB 1201 and SB 970 out of committee as well. Overall, the meeting reflected broad bipartisan support for veteran-focused measures, with the main policy debate centered on how to balance access and security in overseas voting.

Transcript Highlights:

• in support area.
• They support this bill.
• The bill requires the public Service Commission when issuing orders to provide adequate support for their
• We do support the activities and the efforts of the Public Service Commission.
• Susan Cundiff waiving in support Denise back, waiving in support and on a long waiving in support.

Keywords: 999, senate, all