Transcript Highlights:

• And that includes the uncompensated care, the wave of uncompensated care that we're expecting, reduced
• So primary care is the foundation of a functional health care system.
• babies to caring for seniors.
• have better health outcomes, lower health care costs, and reduced health care disparities.
• health care system.

Keywords: 988, house, all

Transcript Highlights:

• We care about people. We truly care about people.
• It puts our health care system in disarray. It makes our health care system weaker.
• We care Democrats, we have this problem. We care about<00:02:55.000><c> people.
• </c> We truly care about people. We truly care about people.
• </c> same kind of care and human decency. same kind of care and human decency.

Keywords: 919, house, all

Summary: House and Senate DFL lawmakers, joined by Unidos Minnesota and other allies, held a press event responding to a budget deal they said would end MinnesotaCare coverage for roughly 20,000 undocumented adults at the end of the year while preserving coverage for children. Speakers, including Rep. Cedrick Frazier, Sen. Sandy Leafman, and Emilia Gonzalez Davalos, argued the agreement was cruel, would harm vulnerable families and essential workers, and was being justified under a false claim of fiscal responsibility. They said the affected people are Minnesota residents who work, pay taxes, and contribute to the state, and they rejected the idea that private insurance markets are a viable substitute. The speakers emphasized that many enrollees are receiving ongoing care such as cancer treatment, dialysis, insulin, and asthma medication, and warned that losing coverage would push people into emergency rooms and increase costs for hospitals and communities. They also said the deal set a dangerous precedent by using mixed-status families and undocumented workers as bargaining chips in negotiations. Several speakers framed the issue as part of broader attacks on immigrant communities at the federal and state levels. In response to questions, the lawmakers said they had not been given meaningful input on the agreement, that the DFL leadership had tried to make the “least harm” choice, and that the members speaking would vote no on the provision. They said their focus was on this specific health-care agreement rather than other budget bills, and they indicated the program’s cost was within projections, citing about 20,000 enrollees, roughly 17,000 adults, and spending under $4 million so far. The event ended with a call to continue fighting the deal and to pursue a Minnesota public option and broader long-term coverage solutions.

Transcript Highlights:

• and Advancing Health Care Affordability.
• health care affordability.
• Because primary care is where you take care of basic problems.
• the primary care clinic.
• One, increasing primary care expenditures, which means more access to care.

Keywords: 1212, all

Transcript Highlights:

• Every child in care deserves and is entitled to the same care that we provide our own children, and it
• This information into their daily care and daily care for the purpose of ensuring their protection and
• in health care settings.
• beyond pediatric care.
• , including a long-term acute care hospital, a skilled nursing facility, or home care services.

Committee: Joint Joint Committee on Children, Families and Persons with Disabilities

Keywords: 995, all

Summary: The Joint Committee on Children, Families and Persons with Disabilities held a hybrid hearing focused largely on DDS-related bills, with chairs Kennedy and Livingstone outlining strict time limits, accessibility procedures, and a 5 p.m. stop to preserve ASL and CART services. The committee heard testimony on several measures, including a bill from Sen. Mike Moore to create a centralized electronic education records system for students in out-of-home placements, which supporters said would improve communication, preserve IEP continuity, and reduce missed services. Paul DePaulo also testified in support, describing the educational and justice-system harms that can follow when foster youth do not receive coordinated records and supports. A major portion of the hearing centered on H. 242/S. 149, a bill to enhance standards of care for people with autism and intellectual and developmental disabilities. Rep. Garballey and many advocates, parents, clinicians, and disability leaders supported the bill, saying it would require provider training, statewide standards, and better emergency department practices to reduce misdiagnosis, trauma, and unnecessary ER boarding. Testimony described sensory and communication barriers in medical settings, lack of provider training, and the need for continuing education and license-related requirements. Related testimony also supported H. 213/S. 111, which would improve access to behavioral health services for children involved with state agencies by requiring better discharge planning, coordination with hospitals and agencies, and more appropriate post-hospital placements. The committee also heard strong support for H. 256/S. 102, requiring universal changing stations in public buildings, from parents, advocates, and the Massachusetts Developmental Disabilities Council. Witnesses said current restroom accommodations often force unsafe or undignified changes on floors, in cars, or in inaccessible spaces, and argued the cost of adding changing stations to new or renovated buildings would be modest compared with the benefits to dignity, safety, and community access. Another major topic was H. 261/S. 155 on supported decision-making agreements for certain adults, which supporters described as a less restrictive alternative to guardianship that preserves autonomy while providing trusted support. Finally, testimony on Tommy’s bill (S. 168/H. 282) described a preventable death after a hospital discharge and urged clearer communication and training requirements for residential staff handling life-sustaining equipment; the bill was presented as a safeguard for people with disabilities relying on such equipment.

Transcript Highlights:

• care.
• care.
• Now, that's just for congregate care, but extended foster care, extended foster care service model fund
• deposit, the foster care placement, foster care recruitment study supervision, and kinship care are
• I don't care.

Committee: House House Government Committee of Reference

Summary: The Committee on Government met for a presentation-only hearing focused on the Arizona Department of Child Safety (DCS) and related child welfare system issues; no bills were heard or voted on. Chair Blackman opened by stressing that the hearing was for fact-finding and data, not personal attacks, and Director Catherine Patak then presented DCS data on hotline volume, investigations, reunifications, adoptions, guardianships, extended foster care, and placement patterns. She said DCS investigated more than 43,000 cases in 2025, kept the out-of-home population relatively steady, and emphasized that Arizona places a high share of children with kin. She also highlighted a mismatch between the age of children entering care and the availability of foster homes willing to take older youth, and said behavioral health capacity, not DCS alone, is a major constraint. Patak discussed kinship supports, foster care reimbursement increases, the Family First Prevention Services Act, missing youth, congregate care reduction, and the department’s procurement process for group home beds. Members asked about kinship caregiver support, behavioral health access, reunification services, parental-rights terminations, Auditor General findings on notices and documentation, licensing and reimbursement rates, and why some relatives are not approved as placements. Patak said DCS is working on policy guidance, supervisor training, and improved supports, but that provider capacity and other system partners limit what DCS can do. Representative Gillette then gave a lengthy presentation focused on system design, procurement, funding flows, and congregate care. He argued that DCS, DES, and Access are structurally intertwined, that DCS’s procurement carve-out and capitated funding model create incentives tied to bed space and volume, and that fragmented oversight diffuses accountability. He cited budget figures, contract amendments, and audit concerns to argue that the system is overreliant on congregate care and that decision-making, medical referrals, and placement processes are too vague or too centralized in ways that can harm children and families. Gillette said his findings were based on contracts, interviews, and public records, and he indicated some material would be referred to special counsel. He also raised concerns about placement decisions, due process, and demographic disparities in congregate care outcomes. The chair cut off further questioning of Gillette for time and announced the committee would move on to the next presenter, Vice Chair Fink, with attorneys and other speakers to follow.

Transcript Highlights:

• require that care?
• care. ...independent as needed or in assisted living, assisted care, enhanced care.
• Yeah, and just rest home level of care is long-term care level.
• level of care.
• Rest-home level of care, and then rest-home level of care.

Keywords: 995, all

Summary: The Special Commission on Continuing Care Retirement Communities met for its third meeting, focused on regulations, oversight, and enforcement. Staff and agency presenters reviewed the current framework: the Executive Office of Aging and Independence explained that assisted living regulations generally do not apply to CCRCs unless an assisted living component markets itself separately, and that CCRCs must submit marketing materials, contracts, and disclosure statements for public posting. The Attorney General’s office described Chapter 93A consumer protection standards and noted it is working on draft assisted living-specific regulations. DPH outlined its oversight of licensed nursing facilities associated with some CCRCs, including routine surveys, complaint investigations, and enforcement tools such as admissions freezes, fines, receivership, and license actions, along with federal CMS sanctions for certified facilities. Commission members and presenters then discussed gaps and ambiguities in how CCRCs are defined and regulated, especially whether communities without on-site skilled nursing should still be treated as CCRCs, how assisted living-like services within CCRCs are classified, and whether residents have enough clarity about the services they are buying. A major theme was disclosure: members raised concerns about entrance fees, refund timing and conditions, whether skilled nursing is on-site or provided by contract, and how residents can compare communities. Several participants suggested more standardized disclosure and possibly broader consumer protection rules, while others cautioned that overly rigid requirements could affect community finances and development. The commission also explored enforcement and resident protections. Some members argued that independent living residents are already covered by landlord-tenant law and that existing complaint systems and community education may be sufficient, while others said residents in supported or assisted settings within CCRCs should have clearer access to ombudsman services and oversight. The discussion turned to closure and ownership transfer, with members citing recent national examples of sales and bankruptcies that changed resident terms. DPH explained its closure process for licensed nursing facilities, and members noted that Chapter 197 of 2024 adds oversight for facility transfers and financial disclosures. The meeting ended with logistics for the next session at Brookhaven at Lexington on June 2, a public hearing on June 16, and a request to circulate the hearing notice broadly to residents and stakeholder organizations.

Transcript Highlights:

• and care, among other things.
• care delivery system.
• At Unity Care Northwest, 340B savings allow us to stretch limited resources and provide discounted care
• We operate an emergency department, EMS program, primary urgent care, acute care, and labor and delivery
• overall, charity care for uninsured, nor do they take care of unreimbursed... ...uninsured patients

Bills: SB5877 , SB5904 , SB5988

Committee: House Health Care & Wellness

Keywords: anesthesiology, medical personnel, surcharges, licensing, healthcare regulations, nursing titles, licensure, healthcare professionals, patient safety, professional standards, opioid treatment, accreditation, health department, fee authority, substance abuse, 904, all

Transcript Highlights:

• a safe and reliable child care provider.
• </c><00:03:37.519><c> supply</c> physically need more child care supply physically need more child care
• We turned it the Great Start Child Care tax credit and dependent care credit because the dependent care
• We turned it the Great Start Child Care tax credit and dependent care credit because the dependent care
• um or rated child care expenses um or dependent<00:10:05.600><c> care</c><00:10:05.800><c> expenses<

Keywords: 919, house, all

Summary: The committee heard House File 1384, which would create the “Great Start Child Care Tax Credit” by expanding the existing dependent care credit for families with children under age six. The bill would raise the qualifying expense limits for young children, allow more children to qualify, and phase the credit down starting at $125,000 of earned household income until it reaches zero above roughly $400,000. The author said the proposal is intended to better address the high cost of child care, especially for middle-income families who may not qualify for other assistance programs. Claire Sanford of the Minnesota Child Care Association testified in support. She said child care providers across Minnesota have unused capacity because many families cannot afford services, and argued that making care cheaper for families is important for workforce participation and child development. She also supported the bill’s focus on children under five and its expansion of help up the income scale, saying middle-class families have received little assistance with child care costs. Members asked about how the bill differs from current law, the cap for a family with one child age five, and the fiscal impact. The author explained that a family with one child under age six would have a $10,000 cap under the proposal and said a prior fiscal note estimated the bill at about $200 million per year. The author also noted the proposal had been introduced previously and said the Department of Revenue’s new ability to make advance payments could be relevant as the bill moves forward. The author renewed the motion to re-refer HF 1384 to the Committee on Taxes. The committee approved the motion by voice vote, and the bill was sent to Taxes.

Transcript Highlights:

• Health Care Authority, come on up.
• So, a system of care.
• A true system of care coordinates across different programs in areas of the care continuum.
• A true system of care coordinates across different programs and areas of the care continuum, offers help
• dental clinics for their care.

Summary: The committee began with a work session on recommendations from the Children and Youth Behavioral Health Work Group. Tisha Kirshbaum of the Health Care Authority described the Washington Thriving Strategic Plan, a prenatal-to-25 system-of-care framework meant to reduce fragmentation, improve coordination across multiple state agencies, and expand early, community-based behavioral health supports. Members asked about duplication among agencies, simplification of the system, and upstream services such as community health workers, school-based supports, and crisis access. The committee then heard House Bill 2429, which would direct the governor and state agencies to align with the Washington Thriving plan, create an executive coordination officer and leadership council, extend the work group, and require broader alignment by state, tribal, local, and nonprofit entities. The bill received strong support from the governor’s office, the Health Care Authority, parents, youth, providers, and advocates, while a few testifiers raised concerns about government overreach, cost, or the need to address non-psychiatric causes of distress. No vote was taken during the hearing. The committee then heard House Bill 2364, which renames and expands the Legislative Executive Work First Poverty Reduction Oversight Task Force into the Legislative Executive Economic Justice and Well-Being Task Force and updates the related advisory council to align with the state’s 10-year plan to dismantle poverty. Staff and the prime sponsor said the bill reflects the evolution of the poverty-reduction effort and adds agencies such as the Department of Revenue, Health Care Authority, and Workforce Training and Education Coordinating Board. Testimony from DSHS and advocates was uniformly supportive, emphasizing bipartisan collaboration and the need to update statute to match current work. Next, the committee heard House Bill 2171 on supporting foster youth. The bill would create an endangered foster youth alert system, require county rapid-response protocols, establish a foster youth empowerment account, create an oversight board through the Ombuds office, and expand training for foster parents and child welfare workers. The prime sponsor and several advocates described the bill as a response to lived experience and a way to improve accountability and long-term support. DCYF said it supports the intent but raised legal and cost concerns, and some youth advocates warned that public alerts could increase risk or trauma for youth who run away from unsafe placements. The hearing then moved to House Bill 2314, which would create a pilot allowing certain community-based clients with developmental disabilities to receive dental care at residential habilitation centers. Supporters said the bill would use existing dental capacity to address severe access gaps and long waits in the community, while opponents from disability advocacy groups argued it would pull people back into institutional settings instead of building community-based dental capacity. Testimony on the bill was mixed, and no final committee action was taken in the transcript.

Transcript Highlights:

• Once again, we do care about the care and well-being of our veterans.
• But we also care that they get the proper care in a timely manner that they deserve.
• We certainly do care about ensuring our veterans get the care that they need, when they need it, and
• and the care and well-being.
• in essence is VA care.

Committee: Senate Senate Veterans' Affairs

Keywords: veteran services, homelessness, unemployment, VA funding, mental health, congressional oversight, testimonies, American Legion, Dole Act, suicide prevention

Summary: This meeting focused on veteran services, emphasizing the urgent need to address the alarming rate of unemployment and homelessness among veterans. Numerous testimonies were presented detailing the impact of mass furloughs and cutbacks at the VA on personnel, notably veterans who were serving as employees. Various representatives expressed deep concern over how these firings could drastically affect the quality of care available to those who have served the nation. There was a strong call for Congress to bolster funding for existing programs aimed at alleviating veteran homelessness and improving overall care quality, especially in mental health services.

Transcript Highlights:

• </c><00:33:12.720><c> I</c> care. Those are leaving anything out. I care.
• from that child care provider.
• from that child care provider.
• from that child care provider.
• </c> have an elderly parent to take care of. have an elderly parent to take care of.

Committee: Joint Public Health and Welfare

Keywords: Public Health and Welfare - Room 216, 21 January, 2026; 3:30 PM, 925, all

Transcript Highlights:

• We're seeing increases in specific sectors of that care, such as outpatient care and pharmacy care, and
• We're seeing increases in specific sectors of that care, such as outpatient care and pharmacy care, and
• Health care system.
• And, of course, we provide the whole gamut of primary care: pediatrics, prenatal care, postpartum care
• that primary care.

Committee: House Insurance

Keywords: 1184, house, all

Transcript Highlights:

• Child Care.
• So it's important that we take care of them and take care of them because they take care of our loved
• I also oppose any care cover. challenges, including changes into long-term care.
• IHSS care provider. I've been providing care for over 50 years.
• and reliable care.

Keywords: 988, house, all

Transcript Highlights:

• delivery of care.
• health care system at present?
• Um, and in the long-term care space, we do know that Genesis Health Care operates in the long-term care
• and lowers long-term health wound care and lowers long-term health care<01:52:52.240><c> costs.
• </c> care costs. care costs.

Keywords: 926, house, all

Transcript Highlights:

• health. health, integration of mental health care within our PACT or primary care teams through the PHMI
• services as health care would require?
• That's not appropriate care.
• And absolutely, community care. care provided in settings that are not VA for our veterans is very much
• was taken care of as a veteran.

Committee: Senate Senate Veterans' Affairs

Keywords: veterans, mental health, suicide prevention, Staff Sergeant Parker Gordon Fox Grant Program, HOPE Act, BRAVE Act, Every State Counts for Vets Mental Health Act, advocacy, legislation, mental health resources

Summary: The committee meeting focused primarily on the critical issues surrounding veterans' mental health and suicide prevention. Discussions centered on the reauthorization of essential programs aimed at providing non-clinical support services to veterans, particularly the Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program. Senators emphasized the urgent need for adequate mental health resources as the suicide rate among veterans remains alarmingly high. Key testimonies were provided by various advocates and officials, illustrating both successful implementations of these programs and areas needing improvement.

Transcript Highlights:

• most long-term care services, such as custodial care provided in nursing homes.
• Yet many do need long-term care, home care, adult day health care, and assisted living at some point
• After all, providers' care is how IHSS's goal of avoiding institutional care is met.
• care facilities.
• care facilities.

Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.

Transcript Highlights:

• These are much lower care settings. They don't require intensive care.
• Um, personal care homes are of care.
• for</c><00:09:42.640><c> the</c> personal care homes that cared for the personal care homes that cared
• </c> care for.
• As owners of 16 personal care care for.

Keywords: 958, all

Summary: The Health and Family Services committee heard an informational presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults, often with serious mental illness, who do not meet nursing home criteria but need structured supervision, medication assistance, meals, and daily support. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and are supported largely through state supplementation payments and residents’ SSI income. The presenters argued that the current reimbursement rate of about $50.70 per day is no longer sufficient to cover staffing, food, insurance, utilities, maintenance, and other costs, and said the sector has shrunk significantly over time. They cited figures showing a decline from 64 to 34 homes serving the seriously mentally ill since 2002, with 30 closures over 23 years, and said the loss of beds contributes to homelessness, hospital overcrowding, and longer psychiatric stays. They also gave examples of residents who had spent many months in hospitals before being successfully placed in personal care homes, which they said can prevent more costly institutional care. Committee members asked about staffing credentials, fraud controls, referral processes, and how reimbursement works in other states. The presenters said Kentucky does not require licensed or certified staff in these facilities, though some homes use certified medication technicians or an LPN, and they described a county case-manager-based assessment process used to set individualized rates in other states such as Minnesota. Members expressed support for the work but emphasized the need for documentation of savings and budget offsets. The presenters said they are seeking an incremental reimbursement increase over two years, roughly 25% to 50% in the first year and another 50% after that, and urged the committee to support the homes to prevent further closures.

Transcript Highlights:

• of respiratory care practitioners.
• Respiratory care practitioners provide highly specialized, often life-sustaining care under physician
• My colleagues and I are frontline health care workers.
• It's going to hurt health care workers and our patients.
• Good morning, Respiratory Care Board.

Keywords: 988, house, all

Transcript Highlights:

• I know we have like Cares in the middle, but like, you know, those are the Cares for Kids providers that
• And care coordination program provides, like, the enhanced care coordination for families and children
• And care coordination program provides, like, the enhanced care coordination for families and children
• We are immersed in our DPH care coordination, enhanced care coordination.
• DPH care coordination, enhanced care coordination.

Keywords: 995, all

Summary: The Permanent Commission on the Status of Persons with Disabilities equity subcommittee met, approved the prior minutes, and heard a presentation from the Massachusetts Department of Public Health’s Cater Center (Care Coordination Assistance, Training, Education, and Resources for Kids). Presenters Toria Haffey and Patty Loza explained that Cater provides training and technical assistance to MassHealth’s Cares for Kids providers serving children with medical complexity, with a focus on enhanced care coordination, family partnership, racial/cultural/linguistic equity, community resources, education systems, shared plans of care, and transition support. They described five e-learning modules, flexible one-on-one and group technical assistance, case review support, and informal virtual “cafes” for providers. They also noted the program has been operating for about two to three years and currently works with five hospital-based providers, including Boston Children’s, BMC, Tufts, NeighborHealth, and Baystate. Committee members asked about the number of families served, the relationship to MassHealth, and whether the model could be expanded beyond Boston-area providers. The presenters said Cater does not track enrollment numbers because that is handled by providers and MassHealth, and they agreed there is room to broaden reach and improve data collection. Members suggested connecting Cater with regional disability and case management networks, the Health Equity Compact, ACOs, and DDS-related contacts. Questions also focused on funding stability amid federal Medicaid cuts and workforce shortages in family engagement roles; Cater said the work remains a priority for MassHealth, though funding is a concern, and acknowledged staffing gaps, especially for family partners with lived experience. After the presentation, the committee discussed a NIH strategic plan for disability health research that had been circulated for future review. Because members had not yet read it, they agreed to place it on the agenda for the next meeting. The meeting then adjourned with no further business.

Transcript Highlights:

• That is expensive care and care members.
• care or emergency<01:08:27.199><c> care.
• We are trying to pit health care against child care.
• </c> healthy and cared for. healthy and cared for.
• </c> healthc care. healthc care.

Keywords: 1187, senate, all