Transcript Highlights:

• care, and in-jail care.
• Was that the direction from the governor's office or the direction of the Department of Mental Health
• This is for ongoing inflationary costs for medical care and food in our 24-7 care.
• This is for training needed for direct care staff and to provide maintenance costs for our learning management
• That act requires states to implement EVV for all personal care services and home health care services

Summary: The Budget Committee heard the Department of Mental Health’s FY 2027 budget presentation, with Director Valerie Hoon outlining a $4.4 billion department budget, including $1.7 billion in general revenue, and describing the department’s roles in substance use, behavioral health, and developmental disabilities services. Early questioning focused on marijuana-related mental health impacts, but the main discussion centered on the department’s new decision items, funding sources, and expected wait lists. The director explained several increases tied to Medicaid growth, mental health youth services, outpatient competency restoration, crisis residential services, developmental disability waivers, and provider tax adjustments, along with offsets such as reduced wraparound funding at the Kansas City Assessment and Triage Center and cuts to some youth and self-directed DD services. A major portion of the hearing focused on competency restoration for people found unfit to stand trial and currently held in county jails. Members pressed the department on the cost, effectiveness, and legal implications of keeping people in jail while awaiting services, noting a reported wait list of roughly 524 to 538 individuals and average holds of about 14 months. The department said it currently has eight outpatient competency restoration beds in the community, is seeking funding for 50 additional outpatient slots, and also operates jail-based restoration for about 40 people at a time. Members repeatedly asked for breakdowns of violent versus nonviolent cases, success rates, cost per person, and the split between state and federal funding, while the department explained that Medicaid can cover only the treatment portion, not residential housing or other non-billable costs. The committee also discussed broader capacity constraints in state hospitals and developmental disability services. Hoon said Fulton, Center for Behavioral Medicine, and FTC North are full, with 183 vacancies across the department, and that the department is working on a new Kansas City hospital that would add 150 beds, though completion is now expected closer to 2029 or 2030. In the developmental disabilities section, the department warned that the governor’s recommendation would create wait lists for in-home waiver services and crisis residential services, and members questioned proposed reductions to self-directed services rates and other provider payments. No votes were taken, and the committee recessed before finishing the presentation.

Transcript Highlights:

• These changes may put millions of Californians at risk of losing health care coverage and the care that
• So we're not, you know, a heavy private care provider. We're a heavy public care provider.
• We're a heavy public care provider.
• You want an unequal health care system. You want people to be excluded.
• We must meet it head on with care, courage, and clarity.

Summary: The Assembly Budget Subcommittee on Accountability and Transparency held a hearing focused on three issues: federal funding cuts and delays, possible state revenue impacts from reduced IRS enforcement, and the fiscal effects of AB 218 on local governments. The Franchise Tax Board described how state and federal tax systems are closely linked, how most returns are filed electronically through software, and how FTB relies on IRS information sharing for compliance, fraud prevention, offsets, and nonfiler work. Members raised concerns that federal staffing cuts at the IRS could weaken audits of large corporations and reduce California revenue, and asked about VITA and ITIN filers; FTB said it was not aware of VITA reductions, noted ITIN returns are processed the same as other returns, and said ITIN filing appeared slightly down this year. The Department of Finance said it is monitoring federal developments, summarized the continuing resolution and reconciliation process, and noted that California lost nearly $940 million in earmarked federal projects under the CR, while major federal budget decisions remain uncertain until the President’s budget and later congressional action. The University of California reported substantial federal pressure on research, student aid, and health care. UC said hundreds of millions of dollars in federal awards have already been canceled, with additional threats to NIH and DOE facilities-and-administration rates, graduate fellowships, student loan repayment plans, international student visas, Pell Grants, and Medicaid/Medi-Cal funding. Committee members pressed UC on the effects of DEIA-related federal restrictions, the loss of clinical trials and research staff, and the impact on low-income students and patients. UC said it is pursuing litigation with the Attorney General and other institutions, but emphasized that court action is only a temporary solution and that sustained state and private support may be needed. The second panel addressed the fiscal consequences of AB 218, which extended the statute of limitations for childhood sexual abuse claims against public agencies. FCMAT presented a report with 22 recommendations, including better statewide data collection, financing mechanisms, a possible victims compensation fund, and prevention measures. Los Angeles County described a tentative $4 billion settlement tied to AB 218 claims, saying it will require reserves, borrowing, and long-term annual payments through 2050, while also forcing curtailments and cuts to vacant positions to preserve services. Members discussed insurance pools, retroactive premiums, unidentified future claims, and the need for a compensation fund or other financing tools. No formal votes were taken; the hearing concluded with public comment, including testimony from local health officials about nearly $400 million in terminated federal public health grants and the resulting layoffs and service impacts.

Transcript Highlights:

• consent and health care decisions.
• </c><00:03:40.840><c> the</c> broad parental rights to direct the broad parental rights to direct the
• </c> education Additionally the bill directs education Additionally the bill directs the<00:04:20.600
• The right of parents to care for and direct the upbringing of their children in every aspect is a sacred
• </c><00:52:48.280><c> for</c> direct a certain course of care for direct a certain course of care for

Keywords: 1183, house

Transcript Highlights:

• directing 1% of the six and a half sales tax. to an WASHDOTA aeronautics account directing 1% of the
• improving any patient outcomes or having any direct impact on health care outcomes.
• a direct benefit to the quality or value of the health care we're getting.
• impact on health care outcomes.
• a direct benefit to the quality or value of the health care we're getting.

Bills: SB5989, SB5898, SB6240, SB6244, SB6231, SB6228, SB6220

Keywords: aircraft fuel tax, tax revenue distribution, aviation funding, transportation, state revenue, aeronautics, taxation, aircraft fuel, state funding, aviation fuel, hazardous substance tax, air quality, noise mitigation, environmental impact, tax exemption, agriculture, hazardous substances, crop protection, warehousing, data center

Transcript Highlights:

• The child care center had to relocate.
• Uh, child care facilities are facing major challenges.
• </c> that exist in running a Child Care that exist in running a Child Care Program<00:03:09.519><c> we
• How will we know this will lower child care costs?
• House File 633 is moving through about home child care centers.

Keywords: 1183, house

Transcript Highlights:

• to primary care.
• care.
• Recent immigrants here working legally make up a substantial portion of the direct care workforce in
• our health care system.
• reform I believe Mariano Care. original Massachusetts health care reform.

Keywords: 995, all

Summary: The Joint Committee on Public Health held an introductory informational hearing for the new session, with Chairs Marjorie Decker and Senator Michael Driscoll outlining the committee’s scope and emphasizing the impact of the federal landscape on Massachusetts public health. They noted the hearing would focus on testimony from agencies and advocates, with short testimony limits due to the hybrid format. No votes were taken; the meeting was for briefing and discussion of priorities. Commissioner Robbie Goldstein of the Department of Public Health described the department’s budget and federal funding, warning that recent CDC grant terminations could cut nearly $100 million and affect lab testing, surveillance, vaccines, and community engagement. He highlighted DPH priorities including racial equity, maternal health, substance use and child welfare coordination, emergency preparedness, data transparency, and public hospital quality. MassHealth Assistant Secretary Michael Levine discussed MassHealth’s role covering about 2 million residents and its priorities in health equity, behavioral health, primary care, member independence, and customer service, while noting the agency relies heavily on federal Medicaid dollars and would face major strain from federal cuts. Several advocacy and provider groups focused on reproductive health and maternal health. Planned Parenthood warned of threats to Title X, 340B savings, and other federal funding, and supported a bill to eliminate parental consent and judicial bypass for abortion care for young people. Reproductive Equity Now urged stronger shield-law protections and changes to Massachusetts’ later-abortion framework. Dr. Indyamaka Anugaka called for full implementation of the maternal health law, better reimbursement for doulas and midwives, stronger data collection, and support for full-spectrum pregnancy care coverage. The Health Policy Commission said new maternal health and primary care task forces would begin work soon. Mental health and health system access were also major themes. The Mass Medical Society urged action on vaccine hesitancy, removal of non-medical school vaccine exemptions, and primary care reform. The Massachusetts Association for Mental Health and the Children’s Mental Health Campaign opposed proposed cuts to DMH and substance use services, called for more school-based supports, and raised concerns about inpatient capacity, including a unit serving LGBTQ youth. The Massachusetts Nurses Association and 1199 SEIU warned that staffing shortages, low wages, workplace violence, hospital closures, and possible Medicaid cuts threaten patient care and the health care workforce. The Betsy Lehman Center also urged investment in automated patient-safety monitoring to reduce harm and costs.

Transcript Highlights:

• and fortifies access to care.
• and fortifies access to care.
• and fortifies access to care.
• and fortifies access to care.
• and fortifies access to care.

Keywords: 1187, senate, all

Transcript Highlights:

• House Bill 321, an act relating to child care. Representative Gracel.
• House Bill 321, an act relating to child care. Representative Gracel.
• Representative Karnney. care providers on a military a military care providers on a military a military
• </c><00:14:52.880><c> the</c> concurrent resolution directing the concurrent resolution directing the
• </c><00:15:22.160><c> state</c> medicine state and directing state medicine state and directing state

Keywords: Convene 00:00 Motions, Petitions, and Communications 05:54 Introduction of New Bills and Resolutions 12:03 Recess for ConC and Rules Meeting 16:14 CoC and Rules Report 18:21 Adjournment 18:57, 958, all

Transcript Highlights:

• As a highly specialized health care system, direct care and treatment cannot operate programs without
• > direct</c><00:08:10.240><c> care</c><00:08:10.400><c> and</c> health care system, direct care and health
• care system, direct care and treatment<00:08:11.199><c> cannot</c><00:08:11.680><c> operate</c><00:08
• at home to use the nursing assessment equivalent to self-direct care.
• records</c><02:14:13.679><c> or</c> direct care wages, payment records or direct care wages, payment

Keywords: 1187, senate, all

Transcript Highlights:

• That's sort of a managed-care model.
• Next, Senator Chair Trumbull, health care. Chair Trumbull, health care.
• Next, Senator Chair Trumbull, Health Care. Chair Trumbull, health care.
• Senator Trombo, health care?
• The Community Care for the Elderly serves 637 new folks, and then the Home Care for the Elderly, $3.5

Keywords: 998, house, all

Transcript Highlights:

• are spent on direct care.
• care.
• are spent on direct care.
• and specialty care for example the the the dollar For primary care and specialty care, for example,
• Under the managed care delivery system, we would direct managed care plans to make that uniform dollar

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:

• level of care.
• level of care. individual's health care needs and their level of care.
• care.
• Care.
• Care Plus program.

Summary: The Health and Human Services Committee received an overview of Florida’s intellectual and developmental disabilities (IDD) managed care pilot, created by legislation in 2023 to test whether a managed care model could integrate Medicaid medical services with iBudget waiver home- and community-based services for adults in pre-enrollment categories. AHCA explained the existing system, the pilot’s scope in Regions D and I, and the rollout timeline, including federal approval, contract execution with Florida Community Care, and the October 2024 go-live. Officials reported that, as of early February, 370 individuals had been sent for onboarding and 168 more were in queue, with about $35.8 million of the appropriation remaining. APD also clarified the difference between the pre-enrollment categories and the waiver waitlist, and noted that crisis cases can be enrolled more quickly depending on eligibility and funding. Florida Community Care described the pilot as a comprehensive managed care model offering medical, long-term care, and iBudget services, plus enhanced benefits such as bed-hold days, caregiver transportation, and help with legal guardianship costs. The plan said it uses one care coordinator, a 1:18 coordinator ratio, a face-to-face assessment within five days of enrollment, and 180 days of continuity of care for existing providers. The company emphasized that it is recruiting providers by offering higher rates than some iBudget rates, lower administrative burden, and network adequacy incentives, while APD said it continues to monitor provider supply and demand and recruit across service types and regions. Members repeatedly questioned whether the pilot’s costs, provider rates, and service levels were truly comparable to the iBudget system, and AHCA and APD said it was too early to draw firm conclusions because claims data are still lagging. Committee members also raised concerns about communication, enrollment delays, provider shortages, and whether the pilot could scale statewide. APD said it has used letters, phone calls, texts, emails, and community meetings to reach eligible individuals, and that some delays stem from required assessments, Medicaid eligibility checks, and level-of-care determinations. Several members asked for more detailed comparisons of costs and provider reimbursement between the pilot and iBudget, and APD said it would provide additional data. Public testimony at the end was strongly critical of managed care, with a participant and his mother describing poor service, transportation failures, and loss of control under prior managed care arrangements, and urging the committee not to expand such a model without safeguards. No votes or formal committee action were taken before adjournment.

Transcript Highlights:

• AB 1113 would require clinics to dedicate at least 90% of their revenue to direct patient care.
• of care, those sites of care would be incorporated in this definition of mission-directed expenses,
• of care, those sites of care would be incorporated in this definition of mission directed expenses,
• patient care?
• is free care, or for discount care, which of course is a discount.

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:

• But this bill creates and codifies a new prohibition on directing care or in any way inducing a worker
• to see... ...on directing care or in any way inducing a worker to see a provider, and then it includes
• I'm going to read a direct quote from this.
• There's a whole review process and a whole standard of care and a whole quality of care.
• There's a whole review process and a whole standard of care and a whole quality of care that physicians

Summary: The committee first took up House Bill 2091, a collective bargaining measure that would require state agencies and other employers covered by the Personnel System Reform Act to provide unions with employee contact and job information similar to what other public employers already must share. The sponsor and union witnesses said the bill would close a gap left by prior legislation and improve communication with represented employees; no one testified in opposition during the hearing portion shown. Action on the bill was deferred. The committee then moved to House Bill 2264, which would allow workers who voluntarily participate in an employer-initiated layoff or reduction-in-force plan to qualify for unemployment insurance if the separation results from that plan. The sponsor and a member described it as a narrow fix to clarify eligibility and reduce disputes. After brief supportive testimony, the committee voted 9-0 to report the bill out with a due pass recommendation. A lengthy hearing followed on House Bill 2218, a workers’ compensation bill that would expand provider choice, require notice to injured workers of their right to choose a provider, limit employer steering, speed utilization review, allow more flexibility from treatment guidelines, and change rules for reopening or continuing treatment on certain claims. Supporters, including injured workers, unions, attorneys, firefighters, and a psychiatrist, argued the current system delays care and over-relies on rigid guidelines; opponents from business groups and the Department of Labor and Industries said the bill would weaken evidence-based standards, raise costs, and create uncertainty. No final action was taken in the portion shown. The committee also heard House Bill 2105, as a proposed substitute, which would require employers to notify workers after an ICE Form I-9 inspection notice or results, limit voluntary access to certain records without a subpoena or warrant, require workplace postings, and create enforcement by the Attorney General and private lawsuits. Supporters said the bill would provide due process, transparency, and protection for immigrant workers; opponents, especially small business and agricultural groups, warned of conflicts with federal law, burdensome notice requirements, and severe penalties. The hearing continued with additional testimony, and no vote was taken in the excerpt provided.

Transcript Highlights:

• The staff who make up the direct care workforce, the workers who provide direct support, have a high
• This bill will help ensure this by supporting the wages of the direct care workforce.
• We're going to be... ...help ensure this by supporting the wages of the direct care workforce in Massachusetts
• Which is to meet human service demand through the direct care workforce.
• But like you guys know, the direct care workforce is responsible for more than health care.

Keywords: 995, all

Summary: The Joint Committee on Labor and Workforce Development held a hybrid public hearing with testimony on a wide range of labor, workforce, unemployment insurance, apprenticeship, disability services, farm labor, hospital staffing, and workplace harassment bills. Chairs Jake Oliveira and Paul McMurtry outlined hearing procedures, limited testimony to two minutes, and noted written testimony would be accepted after the hearing. Committee members and staff were introduced throughout the session as witnesses arrived in person or remotely. A major portion of the hearing focused on unemployment insurance legislation. Greater Boston Legal Services, the AFL-CIO, and Rep. Joan Meschino supported bills to adjust UI eligibility for workers with fluctuating schedules and to streamline waivers and write-offs for non-fault overpayments, arguing the current system unfairly denies benefits or burdens workers who were not at fault. They also backed bills calling for more oversight and resources for the Division of Unemployment Assistance, citing persistent delays in benefit payments. NFIB opposed the UI changes, warning that the trust fund is headed toward insolvency and arguing the bills would worsen the system’s finances. Rep. Meschino and committee members emphasized that the proposals were meant to protect good-faith claimants and did not apply to fraud. Another large set of bills addressed wages, workforce development, and working conditions. Testimony supported raising and modernizing direct care wages to address severe staffing shortages in human services and disability services, with advocates from the Massachusetts Developmental Disability Council, The Arc of Massachusetts, parents of adults with disabilities, and a direct care worker describing how low pay and turnover harm people needing support. The committee also heard support for apprenticeship-related bills from the AFL-CIO and the Carpenters, while Associated Builders and Contractors opposed mandatory apprenticeship ratios and urged changes to align them with licensing laws. Farm worker advocates supported a bill to raise farm labor standards, including minimum wage, paid breaks, and paid time off, while the Farm Bureau opposed parts of it beyond the minimum wage increase. The hearing also featured testimony on workplace harassment training, overtime protections, hospital mandatory overtime, suicide prevention signage on construction sites, and a proposal to update the Massachusetts Medical Society’s mission language from “citizens” to “people.” Labor groups, educators, and compliance trainers strongly supported mandatory annual sexual harassment training, saying it would improve workplace culture and reduce harm. SEIU 1199 supported extending the hospital nurse mandatory overtime ban to the broader hospital workforce. Witnesses on the suicide prevention bill described personal losses in construction and recovery work and urged posting 988 information on job sites. The committee took no votes during the hearing; witnesses repeatedly asked for favorable reports, and members asked follow-up questions on UI calculations, apprenticeship ratios, small-business impacts, and emergency exceptions for hospital staffing.

Transcript Highlights:

• We've worked on intermediate care facilities.
• Intermediate care facilities.
• Chair, there's not been legislative direction on a withhold.
• The other amendment is actually regarding basic care and nursing home care.
• patient care to individuals residing in nursing homes or basic care facilities with a medically based

Bills: SB2015

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The Senate Appropriations Human Resources division met with a quorum and spent much of the meeting on a proposed “medical home” concept for people with significant disabilities and medical needs. Matt Schwartz described the need for small, community-based homes so adults like his daughter could live in a least-restrictive setting without losing housing if service providers change. Architect Jeff Eubel presented a conceptual budget for one roughly 5,000-square-foot facility for four residents, explaining that the design would likely include four large sleeping units, common space, support areas, and medical infrastructure such as emergency power, oxygen, sprinklers, and accessibility features. Committee members and George Sink, joining by phone, raised questions about layout, zoning, ownership, staffing, and whether families would actually move loved ones into such facilities if they were far from home. The department said the concept was not in the governor’s budget and identified staff who could continue discussions; the committee did not take final action and instead discussed refining the language with interested members. The committee then turned to amendments related to long-term care and behavioral health funding. One amendment would reduce a planned $4 million general fund incentive payment and instead create a withhold-based quality program for nursing facilities, to be developed collaboratively by the department and providers and reported to Legislative Management by September 2026. The department said it could live with the language but preferred the governor’s timing; several senators questioned whether the committee should be directing an operational policy change and whether the study would simply delay implementation. No vote was taken, and the amendment was set aside for later consideration. A second amendment would clarify use of an existing $2 million general fund item for behavioral health services in nursing homes and basic care facilities, directing it toward training, technical assistance, consultation, and direct patient care for residents with medically based behavioral health disorders. Members noted the funding was already in the bill and discussed it in the context of other budget items, but again deferred action. The committee also clarified that a separate $750,000 juvenile justice diversion appropriation in House Bill 1425 was distinct from a similar amount in the budget and should likely remain in that separate bill. The chair indicated a goal of having amendments ready by the end of the week, and the committee recessed without final votes on the discussed items.

Transcript Highlights:

• provider or any independent practitioner or other entity that provides direct patient care abortion clinical
• practitioner or staff who provide direct patient clinical care services for an eligible organization
• provider or any independent practitioner or other entity that provides direct patient care, abortion
• practitioner or staff who provide direct patient clinical care services for an eligible organization
• patient abortion clinical care services for the eligible organization under the program. clinical care

Summary: The Ways and Means Committee met in executive session on February 9, 2026, first hearing a staff briefing on Senate Bill 6346, which would impose a tax on individuals earning over $1 million. Staff described the bill’s revenue and spending impacts and reviewed a proposed substitute and 11 amendments addressing items such as public defense funding, charitable deductions, out-of-state tax credits, small business credits, diapers, constitutional issues, and a contingent constitutional amendment. The committee later took up the bill and rejected all of the offered amendments, then advanced the substitute bill with a due pass recommendation to the Rules Committee. Members supporting the bill argued it would help address tax fairness and fund public services, while opponents raised concerns about constitutionality, economic harm, and the effect on businesses and charitable giving. The committee also acted on a series of policy bills. It advanced a substitute bill on grocery store closures in food deserts after adopting a narrower substitute, despite concerns from some members about burdening grocers. It approved a substitute bill expanding voting access for military, overseas, Native American, and disabled voters, adopting a second substitute that removed a cybersecurity review requirement. The committee also advanced bills on tort claim arbitration against governments, victim and witness protections in sexual assault and domestic violence cases, JLARC review of student aid fraud, agricultural collective bargaining, labor relations if federal preemption ends, a cost-of-living adjustment for Plan 1 retirees, workers’ compensation and medical care access, line-of-duty death reimbursements, law enforcement background checks and eligibility, veterans’ discharge definitions, and extraordinary medical placement. Several of these bills had amendments adopted, including changes to tort claim oversight, victim-requested standby counsel, agricultural labor definitions, workers’ compensation penalties, law enforcement volunteer support, and extraordinary medical placement criteria. In the second group of bills, staff briefed measures affecting property taxes, housing, cannabis, disaster-related tax relief, technical tax code changes, aircraft fuel tax revenues, the estate tax, and a pesticide tax exemption. The committee heard that a substitute for the fire protection district bill would alter how city or town levy capacity is reduced and include consultation requirements and board-creation provisions. It also heard that the property tax relief expansion for seniors and disabled retirees needed a substitute to make the consolidated school levy revenue-neutral. Other bills would expand tax exemptions for low-income housing and nonprofit homeownership, authorize local cannabis excise taxes, extend disaster repair tax relief, expand housing-related local sales tax uses, make technical tax code changes, redirect aircraft fuel tax revenues to aeronautics, reduce the estate tax rate, and extend a pesticide tax exemption. The transcript ends during the committee’s consideration of Senate Bill 6346, with the committee debating and rejecting amendments before moving the bill forward.

Transcript Highlights:

• The reason for that was there was a concern expressed that direct care and treatment is the arm of the
• And we want to make sure when it comes to providing those direct services, that health care, that we
• c> is</c><00:01:08.000><c> the</c> that direct care and treatment is the that direct care and treatment
• The CEO then runs all of direct care and treatment, which is a billion-dollar agency.
• </c><00:02:43.519><c> care</c><00:02:43.680><c> and</c> CEO then runs all of direct care and CEO then

Keywords: 919, house, all

Summary: The committee took up House File 2037, which would replace the current executive board model for Direct Care and Treatment with a commissioner-led structure. Representative Frederick moved the DE1 amendment, which was adopted, to conform the bill with Senate language and place the CEO under the commissioner. Frederick said the change was intended to preserve some continuity while increasing accountability and insulating direct health care services from politics. Frederick argued that the existing executive board, which meets only a few times a year and hires the CEO, would leave the legislature and governor with limited ability to respond quickly to serious problems in a billion-dollar agency. He said the bill is about accountability to Minnesota taxpayers and creating a structure more like other state agencies. Public testimony was closed without any outside witnesses. Members discussed the tradeoffs between board governance and a commissioner model. Chair Schumacher noted Frederick would become chief author of the bill, and several members said they appreciated the effort to balance accountability, continuity of care, and operational expertise. Questions focused on the role of the advisory council; Frederick said it would remain in place so stakeholders could advise the commissioner and CEO, and that legislators are included among its members. The committee then laid over House File 2037, as amended, for possible inclusion in a later bill.

Transcript Highlights:

• care.
• I'm the owner of a direct primary care practice in Auburn, Massachusetts, and I've practiced primary
• As a result, many patients are turning to other options, such as direct primary care, because that offers
• Under the current laws, direct primary care physicians cannot issue an insurance referral for someone
• Last year, I switched to direct primary care, which is a membership-based model where patients pay a

Summary: The Senate Committee on Financial Services held a public hearing on late-filed matters, chaired by Senator Paul Feeney and Representative Jamie Murphy. The committee heard testimony on several bills, including S. 2738 on rising insurance costs for manufactured home residents, S. 2739 on creating a fire cistern program, and S. 2732 on direct primary care. Members were reminded to keep testimony brief, and several legislators and local officials testified out of turn as they arrived. The hearing ended with a motion to adjourn, which passed unanimously. On S. 2738, Senator Kelly Dooner, Representative Lisa Field, Taunton Mayor Sean O’Connell, Taunton City Council President Barry Sanders, and several residents and local officials described sharp premium increases, limited carrier options, and confusion over coverage for manufactured home communities. Testifiers said many residents are seniors, veterans, or low-income households on fixed incomes, and urged creation of a special commission to study the market and recommend solutions. Some asked that residents themselves be included on the commission and suggested more immediate relief if possible. On S. 2739, fire chiefs from Hopkinton and East Hampton supported a state fund for fire cisterns, saying many communities lack municipal water or hydrants and need reliable year-round water sources for structure fires, wildfires, and newer hazards such as lithium-ion battery fires. They said cisterns improve response and can affect insurance ratings, but maintenance and installation costs are difficult for local departments to cover. The Massachusetts Insurance Federation opposed the funding mechanism, arguing that insurance assessments are being used as revenue generators and warning that the proposal would add to policy costs and trigger retaliatory taxes. The committee also heard strong support for S. 2732 from physicians and specialty groups, including Dr. Jenny Labonte, Dr. Wendy Cohen, Dr. Rica Nair, and the Massachusetts GI Association. They said the bill would allow direct primary care physicians to make referrals for HMO patients and permit in-office dispensing of medications, which they argued would improve access, continuity of care, medication adherence, and affordability. No votes were taken on the bills during the hearing.

Transcript Highlights:

• One option that is a combination of directed and agency participant-directed services is utilized by
• of the people that That they care about.
• You have to make sure that you have care lined up.
• If we implement Direct Support Professional University, that equals pay for the Direct Support Professionals
• Preventative health care: we have got to figure out how we are coordinating with the health care systems

Keywords: 988, house, all