Transcript Highlights:

• George unfortunately passed away at the age of 47 in 2018.
• AGES 10 AND 7. GIVING THEM THE OPPORTUNITY TO WITNESS DEMOCRACY IN ACTION AT THAT VERY YOUNG AGE.
• Also, the services that are provided are incredibly limited.
• of services that are offered?
• >> -- of the services available to them? >> New York State victim services.

Keywords: 993, senate, all

Summary: The Senate convened, approved the prior day’s journal, and then processed a large number of motions to discharge bills from committees and substitute identical Senate or Assembly versions for third reading. The chamber also adopted the resolution calendar with exceptions and took up several resolutions and ceremonial recognitions, including a resolution mourning Hudson Talbott, a Dairy Month resolution highlighting New York’s dairy industry, and introductions honoring Niskayuna academic teams, Gabriella Scheer for receiving the Liberty Medal, the Hartstein family’s civic engagement, and Diana Cochran’s advocacy for safe firearm storage. The Senate then moved through the calendar and passed many bills on topics including insurance, public health, education, labor, social services, banking, local government, veterans, public service, consumer protection, criminal procedure, cannabis, parks, taxation, election law, and highway matters. Several members explained votes on notable measures: support for acupuncture insurance coverage, consumer protections for doorbell-camera data sharing, expanded protections in debt collection cases, trauma-informed procedures for sexual assault survivors, a Legionnaires’ disease awareness program, changes to mandatory minimum sentencing, and universal safe storage of firearms. A number of home rule and local authorization bills were also approved, including parkland alienation measures and local tax exemption authorizations. Most measures passed with broad bipartisan support, though some drew recorded opposition. Notable roll calls included the consumer debt uniformity bill, the mandatory minimum sentencing bill, the safe storage/firearms bill, and the public housing and public health measures, each with more divided votes. The chamber also accepted a lengthy Rules Committee report sending many additional bills directly to third reading, and then began the supplemental calendar, passing at least the first items before the transcript ended.

Transcript Highlights:

• In 2017 is when John Deere released Customer Service Advisor.
• In 2017 is when John Deere released Customer Service Advisor.
• I have a former employee that was a service manager at one time.
• We have six or seven locations that we offer full service parts.
• It's called an electronic service tool.

Summary: The Committee on Agriculture met with a quorum present and first heard SB 1826 by Senator Martin, which would restrict ultra-processed foods served to public school students during the school day. Senator Martin said the bill is aimed only at government-purchased food in public schools, not parents’ lunches or after-school sales, and argued it is intended to protect children’s health and school performance. Members questioned the bill’s definition of ultra-processed food, its scope during the school day, and possible cost and compliance issues. Senator Rouson offered a friendly amendment extending the compliance date from July 1, 2025 to July 1, 2026, and the committee adopted it. Several industry groups and associations spoke against the bill, citing lack of a clear definition, FDA preemption concerns, costs, and the risk of a state-by-state patchwork; Moms for Liberty waived in support. Senator Martin then temporarily postponed the bill for further work. The committee next took up CS for SB 1132 by Senator Truenow on consumers’ right to repair certain equipment, including agricultural equipment and portable digital devices. An amendment by Senator Boyd was adopted to exclude security and life-safety systems and remove automobile-related provisions. Public testimony included opposition from TechNet, which said the bill is unnecessary because repair parts, tools, and manuals are already available and asked for changes to make the bill prospective and remove the private right of action. Agricultural equipment dealers and manufacturers testified against the bill, arguing that current repair resources and a memorandum of understanding with the Farm Bureau already address repair access, while warning that the bill could undermine dealer margins, parts inventory, training programs, safety, cybersecurity, and emissions compliance. Some members supported the concept but noted the bill still needed work. The committee voted 4-0 to report CS for SB 1132 favorably. The meeting concluded with a presentation from Florida 4-H youth leaders on the organization’s impact and goals. The presenters described 4-H’s role in leadership, agriculture, STEM, and healthy living, highlighted statewide participation and camp programs, and asked for continued support for camp improvements, especially the Camp Cherry Lake revitalization effort. Senators praised the students’ presentations and the value of 4-H before the committee adjourned.

Transcript Highlights:

• Chair: The Human Services subcommittee will come to order. Sabrina, please call the roll.
• consumer experience, and identification of service system gaps.
• Next on the agenda we have PCS for HB 1121, Aging and Disability Services by Representative Rizzo.
• Thank you for your service and your commitment to the people of Florida.
• Now we will take up CS for HB 1121, relating to Aging and Disability Services.

Transcript Highlights:

• California ag can lead the way.
• And please enjoy the Ag Day crates that have been delivered to your office, that our California ag industry
• all of us, as California legislators, should brag that ag comes from California, that ag is a part of
• So when I get to brag about ag, we get to cheer it from Fresno County too.
• I rise to present AB 1607, which extends a sunset on the Maddy Emergency Medical Services Fund.

Keywords: 988, house, all

Transcript Highlights:

• this uh initiative um of verifying age this uh initiative um of verifying age not<01:23:23.239><
• Statute you can accept that as an age Statute you can accept that as an age verification<01:27:33.239
• It is age verification, as Daniel has said.
• <03:51:47.640> they<03:51:47.800> said<03:51:48.080> well age they said well age
• <04:54:31.200> and talk about hotel full service and talk about hotel full service and different

Keywords: 928, house, all

Summary: The committee opened with House Bill 242, a liquor bill concerning brew pub licenses. Testimony from the New Hampshire Beer Distributors Association, the New Hampshire Lodging and Restaurant Association, and the Liquor Commission explained that the bill is intended to correct a clerical error from the prior session and restore the agreed-upon language. The bill would allow a brew pub, within the existing 2,500-barrel limit, to self-distribute its own product to one authorized on- or off-premise license; otherwise it must use wholesale distribution. Witnesses said the measure is a narrow fix specific to brew pubs and does not affect other manufacturing licenses. No opposition was raised during the hearing, and the chair closed the hearing after no committee questions remained. The committee then heard House Bill 81, which would allow patrons to take purchased alcoholic beverages into restaurant restrooms. The sponsor argued the current prohibition is outdated and can create safety risks by forcing people to set drinks down, citing concerns about drink tampering and a personal story about a friend who was drugged and assaulted after leaving a drink unattended. Committee members and the sponsor discussed whether the bill would increase liability for restaurants, how enforcement would work, and whether the current law is aimed at preventing underage handoffs or drink spiking. The sponsor said the bill would be permissive for establishments, not mandatory, and that liability would still depend on overservice and Liquor Commission investigations. The New Hampshire Lodging and Restaurant Association testified in opposition, saying the bill could raise liability and create concerns about underage consumption in bathrooms. The hearing ended without a vote, with the chair noting the bill would move on to further committee/subcommittee consideration.

Transcript Highlights:

• So eroding that base could affect our debt service, but it would certainly affect our service levels
• because that's primarily how cities fund important vital local services.
• To me, an auction itself is a service as opposed to a vendor.
• However, reclassifying it as ag land sets us up for one huge.
• Reclassifying it as ag land sets us up for one huge thing.

Keywords: 959, house, all

Transcript Highlights:

• to crisis uh services to crisis uh services and<00:12:00.200> first<00:12:00.480> up
• important to have lesser services important to have lesser services available<00:12:45.959> for
• Aging and the Alzheimer's Association to Aging and the Alzheimer's Association to offer<00:23:07.919>
• important step as paig Office of Aging important step as paig Office of Aging and<00:25:38.640><
• environment Health Services environment Health Services Division<01:04:19.640> it's<01:04

Keywords: 910, house, all

Summary: The joint hearing opened with House Bill 1462 on crisis services. Testimony from the Department of Law Enforcement, the Community Alliance on Prisons, and the Department of Health supported expanding behavioral health crisis services as an alternative to arrest or incarceration. Witnesses said additional crisis sites would help divert people in mental health crisis to appropriate care, and the Department of Health described its current crisis center in Ewa, including the need for renovations such as a padded room and the time required to get the facility operational. In response to questions, the department estimated the Ewa center’s budgeted cost at about $4.3 million, not including rent or startup repairs, and said a second site’s cost would depend on whether it was freestanding or attached to an existing facility. The committee then heard House Bill 700 on cognitive assessments. The Executive Office on Aging supported the bill’s intent but asked that it be amended to make assessments optional rather than mandated, to pilot the program first, and to allow flexibility in handling HIPAA-protected data. SHPDA also supported the measure but said it should not be mandatory and suggested that payers reimburse for assessments when requested by patients, families, or physicians. The Alzheimer’s Association and caregivers strongly supported standardizing cognitive assessments to improve early detection and access to newer treatments, while noting the existing opt-out provision. The Hawaii State Council on Developmental Disabilities supported the bill but asked that the age 65 threshold be removed because cognitive decline can begin much earlier for people with Down syndrome, autism, traumatic brain injury, stroke, and related conditions. In response to a question, the Office on Aging said a pilot project could likely be done for about $150,000, with data security being the main added cost. The final bill discussed was House Bill 237 on peer support programs. Testimony from Family Hui Hawaii, Early Childhood Action Strategy, peer support workers, and families described peer-to-peer programs as a cost-effective way to reduce isolation, strengthen families, and provide long-term community support. Speakers said these programs help parents and caregivers navigate crises, child welfare involvement, addiction recovery, and other challenges, and can have lasting benefits for children’s development and family stability. Several witnesses tied the bill to broader state goals, including infant and early childhood mental health, trauma-informed care, and child welfare reform. Written testimony from about a dozen organizations and individuals was also noted in support.

Transcript Highlights:

• The folks that have performed these services on the ground since some of the grants have been rolled
• Each year, this sad situation is directly linked to a chronic lack of affordable spay-neuter services
• A child is abused in terms of age and is in a better position to identify the abuse.
• I mean, it seems like you don't grow up, come of age, and say I was abandoned.
• But instead, it's more of a status offense regarding the age of the victim and the age of the perpetrator

Bills: SB38, SB17, SB41, SB264

Keywords: SB38, pet food, registered pet food, registration fee, fees, sunset repeal, repeal of repeal, revenue, state fee, business regulation, animal feed, pet food registration, New Mexico, gun control, firearm safety, dealer regulation, illegal trade, background checks, sexual crimes, statute of limitations

Transcript Highlights:

• no age no age restri<00:33:25.039> or<00:33:25.880> Miss<00:33:26.440> can<
• American citizens is that this service American citizens is that this service to<00:56:56.799>
• 18 years of age or older to 21 years of age or older.
• <01:41:30.360> the<01:41:30.520> ages women and peoples between ages the ages women
• and peoples between ages the ages of<01:41:30.960> 10<01:41:31.400> and<01:41:32.119><

Keywords: 910, house, all

Summary: The joint Commerce and Consumer Protection and Judiciary and Hawaiian Affairs committees heard HB 756 HD1, a measure on flavored tobacco products. Supporters included the Attorney General, Department of Health, Hawaii State Council on Developmental Disabilities, youth advocates, public health groups, and Kaiser Permanente. They argued flavored tobacco and menthol are used to attract and addict young people, cited rising youth and young adult vaping rates, and pointed to public health harms and evidence from other states that flavor restrictions reduced e-cigarette sales. The Attorney General requested oral amendments to correct a statutory reference, repeal a county preemption provision so counties could enact stricter flavor bans, and restore appropriations, positions, and the original effective date. Opponents, including retail and wholesale businesses, argued the bill would hurt small businesses and state tax revenue, push sales to the black market, and remove a harm-reduction option for adult smokers; they urged stronger enforcement instead of a ban. After testimony, the committees took up amendments and recommendations. The chair proposed correcting the statutory citation to HRS 26-38, adopting a Department of Health amendment on disposal of electronic smoking devices and e-liquids as hazardous waste, and noting the appropriations, FTE, and effective date in the committee report. Members then voted to pass HB 756 HD1 with amendments in both committees, with the Judiciary and Hawaiian Affairs committee recording one member as supporting with reservations. The transcript then moved to HB 806, relating to fireworks, which would appropriate funds for the Department of Law Enforcement to conduct sting operations on Oʻahu to enforce fireworks laws. The Department of Law Enforcement and Honolulu Police Department supported the bill, saying undercover enforcement is costly and additional funding is needed. A community testifier also supported stronger enforcement, citing illegal aerial fireworks, noise, and impacts on pets and kupuna. No final vote on HB 806 was shown in the excerpt. The Judiciary and Hawaiian Affairs committee also heard HB 438, which would create a Due Process in Immigration Proceedings Program to provide legal representation in immigration court for income-qualified individuals. Support came from civil rights, legal aid, ACLU, and law school clinic representatives, who said counsel is needed to ensure due process and fair access to justice, especially because immigration proceedings can lead to deportation and family separation. Opposition testifiers argued taxpayer-funded counsel for people in immigration proceedings is inappropriate, unlawful, or unfair to citizens and legal residents. One law school representative suggested a technical amendment to broaden language about training and education. The excerpt ends before a final vote on HB 438 is shown.

Transcript Highlights:

• So I think it's, of course, an issue for all ages, including older adults whose... ...for all ages, including
• age-restricted industries.
• It's age restrictions and age-gating, right?
• And I came up with the age of 50.
• with certain ages?

Summary: The House Committee on Public Health heard House Bill 5, a proposal to ban THC products outside the Texas Compassionate Use Program while allowing non-intoxicating CBD and CBG products under tighter regulation. Chair Van Deaver gave a lengthy background on the 2018 federal Farm Bill and Texas’s 2019 hemp law, arguing that the lack of guardrails allowed a large, unregulated THC market to develop. HB 5 would impose licensing fees, product registration, testing and inspection requirements, and restrictions intended to keep products away from children. Invited witnesses from law enforcement strongly supported the bill. Steve Dye of the Texas Police Chiefs Association and Brian Hawthorne of the Sheriffs’ Association of Texas argued that THC consumables are widely mislabeled, often far more potent than advertised, and linked to youth access, impaired driving, and organized crime. Both said regulation would be ineffective and would amount to legalization, while a ban would be easier for officers to enforce. They also emphasized support for the Texas Compassionate Use Program and said medical THC should remain available. Dr. Peter Stout of the Texas Association of Crime Lab Directors and Alice Amelot of Texas DPS testified as resource witnesses about forensic testing. They said current lab resources are already stretched thin, that quantitative testing for THC and related cannabinoids is expensive and time-consuming, and that a ban would simplify enforcement because labs could focus on presence/absence testing rather than concentration. Amelot said DPS labs are neutral on the bill but explained that mislabeled products and inaccurate certificates of analysis are common. Committee members asked about traffic safety, impairment, youth use, and the costs of enforcement and lab testing; witnesses repeatedly said the bill would reduce complexity for law enforcement but that any approach would still require more resources for labs.

Transcript Highlights:

• health services, mental health services in general, and to address those in a developmental way that's
• Erica Bromley, Connecticut Youth Services Association.
• and Families, Department of Mental Health and Addiction Services, Department of Developmental Services
• They are not getting the services they need.
• It's going to have to be under the age of 25.

Keywords: 962, all

Summary: The Juvenile Justice Policy and Oversight Committee (JJPOC) met for administrative updates, approved the April meeting minutes, and discussed a proposed shift from monthly full committee meetings to a quarterly schedule beginning later this year. Members generally supported the change, saying it would reduce strain on agency and committee resources and allow more time for work groups to complete implementation tasks. Several members also asked for more flexible agendas and a clearer way to add issues between meetings, with staff suggesting a standardized form for submitting topics in advance. Work group updates covered cross-agency data sharing, diversion, education, incarceration, and community expertise. The data-sharing group reported continued work on the Equity Dashboard 2.0, a statewide expulsions analysis, municipal-level data collaboration with UConn’s IMRP, and a cross-system analysis of crossover youth. The diversion group described work on POST curriculum revisions for juvenile law, a youth-focused law enforcement interaction training, a community-police relationship toolkit, expansion of youth diversion teams, and pre-arrest diversion policy. The education group is reviewing implementation of the law creating educational oversight in juvenile facilities, along with a free public transportation pilot for high school students and truancy cleanup legislation. The incarceration group is tracking conditions of confinement, DOC restraint and chemical agent reports, the DOJ settlement monitoring process, the reentry success plan, and gender-responsive programming. The community expertise group emphasized elevating lived experience, youth voice, prevention, and conditions of confinement, with members urging the committee to focus on stability, infrastructure, and meaningful use of lived-experience perspectives. A major presentation from OPM outlined Connecticut’s effort to re-enter the federal Title II juvenile justice formula grant program. OPM explained the program’s core compliance requirements, including deinstitutionalization of status offenders, adult jail and lockup removal, sight-and-sound separation, and addressing racial and ethnic disparities. Staff said Connecticut is currently not fully compliant because of issues including youth being held in adult facilities and the state’s six-hour detention rule, and that Title II funding is on hold while OPM works toward compliance. OPM is developing a monitoring manual, identifying facilities to be monitored, and forming a state advisory group (SAG) to support the application and compliance process. Members questioned why a separate SAG is needed, whether JJPOC or the community expertise group could serve that role, and how lived-experience members would be selected; OPM said federal rules require the SAG to include youth or parents with lived experience and that the group cannot be composed of state or government employees in the key leadership roles. The committee agreed to circulate the federal parameters and ask members to suggest candidates for the SAG and to help move compliance work forward over the summer.

Transcript Highlights:

• I call this hearing of the Assembly Committee on Human Services to order.
• These were children ages 5 and under, most of whom were under the age of 2.
• I am a clinical social worker and the Vice President of Ombudsman Services for Wise and Healthy Aging
• of 12 months or above the age of 18 months, as do other states.
• They should be age-appropriate, with detailed steps and action plans.

Keywords: 988, house, all

Transcript Highlights:

• Her service reaches far beyond the hospital.
• WEBSITES AND AN EFFORT TO ERASE THEIR SERVICE TO OUR NATION.
• Adams passed away on January 25 at the age of 77.
• Her service goes far beyond mere numbers.
• More than 7 million Americans over the age of 65 are, for them.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, February 10, 2026, 1012, house, all

Transcript Highlights:

• practice, or create any new services. practice, or create any new services.
• one cancer killer for men under the age one cancer killer for men under the age of<00:21:18.640>
• in outpatient services and in teleaalth. in outpatient services and in teleaalth.
• We want to move upstream with services We want to move upstream with services at<00:39:51.119>
• in outpatient services in outpatient services and<00:40:11.359> so<00:40:11.599> we

Keywords: 958, all

Summary: The meeting opened with roll call, approval of the September 17 minutes, and an introduction of Sarah Rome to the committee. The chair also noted that the committee would stay on schedule and then moved to presentations. Representative Amy Neighbors and Taylor Williams of the Kentucky Pharmacists Association presented a refiled “pharmacy parity” proposal, formerly House Bill 3, to require Medicaid reimbursement for pharmacist clinical services already authorized under current scope of practice. They said the bill would not expand Medicaid or pharmacist scope, but would align Medicaid with commercial insurance, improve access and outcomes, and likely save money; they cited a Cabinet report under Senate Joint Resolution 26, which found similar laws in other states were producing savings or trending toward savings and would require only modest administrative updates. No member questions were raised after that presentation. The committee then heard an update on the Kentucky Colon Cancer Screening Program from Senator Stephen Meredith, Dr. Whitney Jones, Melissa Carrier, and Representative Neighbors. They described the program’s goals of increasing screening, reducing deaths through earlier detection, and preventing cancers by finding polyps, saying it has produced substantial savings and improved outcomes. Speakers emphasized Kentucky’s high colorectal cancer burden, especially in younger adults, and said the program helps uninsured and underinsured Kentuckians access stool-based screening and follow-up colonoscopies through a network of partners including the Department for Public Health, Kentucky Cancer Link, and university cancer programs. They requested an increase in funding from $500,000 to $1.25 million annually, or $2.5 million over the biennium, to expand services, fill geographic gaps, and support education and navigation. Members asked whether the colon cancer screening was already covered by Medicaid, and the presenters replied that Medicaid does cover it, but the program serves people who are not on Medicaid or who fall into a separate eligibility category based on income and insurance status. A member also clarified the requested funding increase. The committee then moved on to the next agenda item, an update from the Children’s Home of Northern Kentucky, where board member Sal Santoro and CHNK Behavioral Health leaders began a presentation describing the organization’s broader behavioral health work and its request, but the transcript cuts off before that presentation concludes or any action is taken.

Transcript Highlights:

• do a lot of good for the ag industry here in the state of Minnesota.
• For farmers, ranchers, and other ag workers, there are additional meat and poultry inspection. services
• I wasn't able to support the work that came out of the Ag Committee.
• More fitting to vote green on the Ag bill today.
• This extends that to children of all ages.

Transcript Highlights:

• SB 1494, Health and Human Services. SB 1511, Commerce; Judiciary. SB 1523, Judiciary.
• SB 1620, Obesity; Health and Human Services. SB 1632, Health and Human Services.
• SB 1776, Juvenile Services and Appropriations. SB 1803, Veterans; Veterans and Elections.
• In fact, 90% of our children's brain grows by age five, before they start kindergarten.
• Public Services: 1641 marijuana producers. Perth. Ways and Means: 1531 special play.

Keywords: 1182, all

Transcript Highlights:

• Indeterminate case, they're their cases end at age 18, unless they're in lockup, and then at age 19,
• We provide both pre and post adjudication services.
• Provided counseling services, social work services, his family was...
• This just says you can transfer, um, to TJJD. starting at age 15 instead of age 17.
• When Joshua was first sentenced, he was in an indeterminate youth, but later at the age age of 14, he

Bills: HB31, HB3360

Keywords: juvenile justice, community supervision, felony offenses, treatment of children, juvenile facilities, chemical dispensing device, solitary confinement, rehabilitation, criminal proceedings, delinquency, 1184, house, all

Transcript Highlights:

• services.
• These are the services that, Mr.
• One of the exemptions in the bill, Leader, is foster youth who have aged out up to the age of 22.
• Do you know how many of these would be age 22 to 26 who have aged out of foster care?
• , and cybersecurity services, and provide those services to eligible local communities.

Summary: The Appropriations Committee considered a large agenda of bills and reported several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and a trust for Leila Estrada and Sapphire Williams, and CS/CS/SB 1266, which creates a cybersecurity experiential learning and clearance-readiness program through the Department of Commerce and Cyber Florida. The committee also approved SB 532 on clerks of court funding, allowing clerks to retain all excess Article V revenue rather than returning half to the state and clarifying foreclosure sale procedures. In addition, the committee passed CS/CS/SB 1602 and CS/CS/SB 1604 to create and fund a pilot housing program for veterans through the Florida Housing Finance Corporation, and CS/SB 1110 to expand Medicaid and private insurance coverage for medically necessary orthotics and prosthetics, including testimony from affected families and advocates. The committee also adopted an amendment and then favorably reported CS/CS/SB 1012 on inmate services, removing the bill’s medical-services compensation provisions while retaining changes to the inmate welfare trust fund and related facility uses. It also adopted a delete-all amendment and then favorably reported CS/CS/CS/SB 1614, which was narrowed to remove a provision allowing local governments to use excess fees to construct new buildings. The committee spent substantial time on CS/SB 17, a Medicaid oversight and transparency bill. The sponsor said the measure would create a joint legislative Medicaid oversight committee, authorize the Legislature to retain its own actuary, modernize Medicaid statutes, strengthen managed-care performance standards, and increase accountability for pharmacy benefit managers and related entities. After amendment, the committee adopted changes removing several PBM-related provisions while retaining the broader oversight framework. Testimony from supporters emphasized transparency, fraud prevention, and cost control, while a PBM trade association asked to continue working on affiliate-manufacturer, network, and payment issues. The bill was reported favorably. The most extensive discussion centered on CS/SB 1758, which proposes major changes to Medicaid and SNAP. The sponsor described five reforms: stronger fraud and overpayment recovery authority, a Medicaid work requirement for certain able-bodied adults, expanded behavioral-health services through Medicaid waivers, pharmacy-program changes to obtain rebates and reduce institutional costs, and SNAP/EBT reforms including photo IDs and work requirements. The committee adopted two amendments: one adding a transitional “glide path” for people who gain employment but risk losing Medicaid, and another exempting hospice patients with six months or less to live. Supporters argued the bill would reduce fraud, improve accountability, and encourage work, while opponents warned it would increase administrative burdens, push eligible people off coverage, and conflict with federal law or guidance. The bill remained under debate with extensive public testimony from advocates, providers, and affected families, and the transcript ends before final disposition on the measure.

Transcript Highlights:

• , based on age.
• Um so, uh this on age based on age.
• if you're uh insured to their age 26. if you're uh insured to their age 26.
• these buckets of of income and age. these buckets of of income and age.
• services as well. services as well.

Keywords: 916, all

Transcript Highlights:

• It's really important to note that this is just the fee-for-service data.
• People like myself are aging... It's been around a long time.
• So anyway, just my quick point was... ...of them, and we age, it'll grow.
• This is just the fee-for-service folks that we had identified.
• This is just the fee-for-service folks that we had identified.

Keywords: 995, all

Summary: The subcommittee met with MassHealth LTSS Chief Leslie Darcy to review the Personal Care Attendant (PCA) program and the legislative work group focused on its long-term sustainability and cost containment. Darcy and Charlie described the work group’s five meetings and three consensus recommendations: enforce the 66-hour overtime cap, address fraudulent activity in the PCA program, and eliminate MassHealth handling of PCA paperwork/administrative work for members without a live-in exemption because those members are subject to EVV. They explained EVV as an electronic visit verification system replacing paper timesheets, and noted the rollout is expected to be completed this fall. The group estimated about $7 million in savings from the consensus recommendations and agreed to continue meeting through June to consider additional ideas. Darcy presented data showing the PCA program served about 56,000 members in state fiscal year 2024 and has grown from $1.2 billion in FY20 to $1.6 billion in FY24, with projections near $2 billion by 2027. She said much of the growth is driven by wage increases and older adults using more services, and compared PCA costs with other LTSS programs. The discussion also covered overtime spending, the role of federal financial participation, and how Massachusetts’ PCA program differs from other states because it has no hard caps on hours or activities. Several members emphasized the program’s value for independent living and community participation, while also acknowledging the need to control growth without undermining services. Members asked about undocumented immigrants and MassHealth funding, and Darcy explained that some eligibility categories are state-funded only and do not receive federal matching funds. Another member asked about workforce recruitment and wage pressures; Darcy said recent collective bargaining agreements raised PCA wages, with some workers eventually reaching $25 per hour and the entry wage reaching $20. The group also discussed whether IADL hours are disproportionately high compared with ADL needs, and reviewed data suggesting potential savings if IADL hours were limited relative to ADL hours, though no consensus recommendation was made on that point. The meeting ended with approval of the prior minutes by roll call vote, an update that the next health equity informational hearing is scheduled for May 19, and a motion to adjourn carried unanimously.