Transcript Highlights:

• FIRST I WILL PROVIDE YOU AN UPDATE ON THE RESOLUTION OF OUTSTANDING FISCAL YEAR 24-25 BUDGET ISSUES THEN
• RECEIVE AN UPDATE ON THE RELEASE OF THE SECOND QUARTER SCHOLARSHIP PAYMENT FOR FISCAL YEAR 25-26 AND
• AND IN FACT WE ARE UPDATING THE SYSTEM, UPDATING OUR DATABASE AND HOPEFULLY GOING LIVE HERE SOON, EVEN
• PLEASE KEEP ME UPDATED ON THOSE NUMBERS AND AMOUNTS AND LET'S HAVE THAT CONVERSATION.
• AND THEN UPDATE MY ORDER. I CAN DO THE SAME THING HERE.

Transcript Highlights:

• He has a very special guest and an update for us about an accident that happened in Ellino.
• Let me say a quick update about the Elgin school bus crash that happened yesterday.
• So that's the update. Thank you. Thank you, Senator Deers.
• So thank you for that update.
• So thank you for that update.

Bills: SB514, SB346, SB1593, SB1782, SB1366, SB1497, SB366, SB1895, SB2048, SB2005, SB2006, SB710, SB1480

Keywords: SB514, school choice, charter school, virtual charter school, OSSAA, extracurricular activities, interscholastic activities, athletics, homeschool, other means of education, alternative education, student eligibility, student transfer, district policy, public school district, adjacent district, blended learning, virtual learning, school sports, academic eligibility

Transcript Highlights:

• Fifth, update the statutory hold harmless to include any.
• We note that this is updating the current language requiring 2025-26 rates to be at least as high as
• those; we can update the government and let them know, "Hey, there were changes, and we are notifying
• And that's where we update to reflect data sources that reflect the most up-to-date inputs as we move
• Obviously, I want to make sure that we're clear from a legislative point of view that we need to make

Keywords: 988, house, all

Transcript Highlights:

• Chisay from the Legislative Budget Assistance Office.
• provide the updated version.
• <00:11:41.519> the committee might make I will update the committee might make I will update
• version but as well it will be updated version but as well it will be on<00:11:51.360> our<00
• Maybe there is a separate legislative special that puts the appropriation for the new prison in place

Keywords: 1189, house, all

Summary: The Public Works and Highways committee held a capital budget orientation led by Legislative Budget Assistant Office staff, who walked members through the budget materials, the capital budget process, and the committee’s compare sheet. The presentation explained that agencies begin developing capital requests nearly a year in advance, submit them by May 1, and that the governor’s recommended capital budget is a reduced version of the much larger agency wish list. Members were told the agencies initially requested about $1.1 billion in projects, the catalog was trimmed to just over $400 million in general fund projects, and the governor’s recommendation in the pink book totals about $143 million in general fund capital appropriations. The committee also reviewed the prior capital budget and related statutes and committee procedures. Several specific projects drew discussion. The Department of Education’s CTE projects were explained as having been shifted into the operating budget in the prior cycle and now returning to the capital budget recommendation; members asked whether there was a backup CTE project and whether local approval had been secured for the named project. The Cannon Mountain tramway request was highlighted as a $20 million recommendation, with the presenter explaining that an earlier $18 million appropriation would be lapsed back to the general fund to help balance the budget. The Department of Corrections’ new prison project was also discussed; members were told the state has already appropriated $50 million for planning and site evaluation, but the governor’s current capital budget does not include a new prison construction appropriation because the project is not yet ready for that phase and may need to be funded differently, possibly through a separate, staggered appropriation. State Treasurer Monica Mezzapelli then presented on debt affordability and the state’s borrowing capacity. She said the state’s credit position has improved, with the debt-to-revenue ratio falling from 8.2% in 2015 to 3.8% in 2024, and explained that RSA 6-C limits debt authorization to 10% of unrestricted prior-year revenue. She noted that the Treasury’s planning assumes $60 million in annual bond issuance, with the prison-related $40 million now expected to be issued in 2026 rather than 2025 because the project is not ready to spend the funds. She said the state can still borrow more, but additional debt service must be paid from operating funds, and recommended keeping capital bonding in the $120 million to $130 million range to preserve affordability and the state’s credit rating. Members asked for clarification on the CTE funding shift, the prison schedule, and the meaning of the large agency request totals. The chair and treasurer discussed the governor’s $143 million recommendation versus the committee’s usual target range, and the treasurer said $130 million would be more comfortable than $140 million, with $135 million described as a possible compromise. No formal votes or committee actions were taken in the portion provided; the meeting was informational and ended with the presenters offering to answer follow-up questions as agencies come before the committee.

Transcript Highlights:

• With state regulators, legislators, and advocates nationwide.
• I also would love to speak a little bit on legislative oversight recommendations.
• I also would love to speak a little bit on legislative oversight recommendations.
• I know that my legislative colleagues are fully engaged in this process.
• I know I'm not, as a legislator.

Summary: The Assembly Health Committee held an informational hearing on Kaiser Permanente’s behavioral health care system, focusing on Department of Managed Health Care enforcement actions, Kaiser’s corrective action work plan, and testimony from patients, advocates, and union representatives. DMHC officials reviewed a long history of complaints, surveys, fines, and settlements involving Kaiser’s access to behavioral health services, including deficiencies found in 2012 and 2016, a 2022 non-routine survey, and a 2023 settlement that imposed a $50 million penalty and required $150 million in community investments over five years. DMHC said it continues to monitor Kaiser through quarterly meetings, complaint review, follow-up surveys, and a reimbursement process for members who could not obtain timely in-network care. Committee members pressed DMHC on what “timely access” and continuity of care mean in practice, how virtual care and group therapy fit into the standards, and what triggers a non-routine survey. DMHC said initial behavioral health appointments generally should not take more than two weeks, urgent care should be within days, and follow-up care within 10 days, with out-of-network care required when plans cannot meet standards. Officials also said Kaiser’s initial corrective action work plan lacked detail, but the revised plan was accepted and will be tracked through quarterly reporting and possible additional enforcement if Kaiser fails to comply. The second panel featured testimony from a Kaiser enrollee, a behavioral health policy expert, a Kaiser therapist, and the NUHW president. The enrollee described serious delays and inadequate treatment for his daughter after a suicide attempt, while the therapist and union leader said Kaiser’s behavioral health system is understaffed, relies too heavily on short appointments, group therapy, and webinars, and treats behavioral health as less important than medical-surgical care. They argued Kaiser’s one-appointment-at-a-time scheduling rule and limited treatment time violate parity requirements and harm continuity of care. Several members criticized Kaiser for not appearing at the hearing and said the testimony underscored the need for stronger oversight, clearer metrics, and faster remedies for patients.

Transcript Highlights:

• House Bill 145 provides an update to our sovereign entity financial liability caps, which were last updated
• It preserves the principle, but it updates and modernizes the way citizens can seek redress when harmed
• It's a measured, responsible update to a centuries-old doctrine that strengthens fairness, consistency
• We all know that's kind of the topic of this legislative session, right?
• But I think that we should also, as legislators, have the courage to vote no on those.

Summary: The Civil Justice and Claims Subcommittee considered HB 145, by Rep. McFarland, which would raise Florida’s sovereign immunity caps from $200,000 per person and $300,000 per incident to $500,000 and $1 million, with a future inflation-based increase, extend the time to bring claims, and allow local governments to settle claims above the cap without a claims bill. McFarland argued the bill modernizes an outdated system and helps injured people obtain compensation more fairly and efficiently, while preserving sovereign immunity. Several members spoke in support during debate, saying the bill better balances government accountability and victims’ rights and that current caps have not kept pace with inflation and damages. Public testimony was largely in opposition. Local governments, counties, cities, insurance groups, and school-related organizations warned the bill would significantly increase liability exposure, insurance premiums, and taxpayer costs, especially for small and rural governments and school districts. Opponents also objected to the provision allowing settlements above the cap without legislative action, saying it would weaken the cap and increase litigation and costs. Supporters countered that injured people often wait years for claims bills and that governments should be able to resolve meritorious claims directly. After debate, the committee voted 16-1 to report HB 145 favorably, with Rep. Lopez voting no. The meeting then adjourned.

Transcript Highlights:

• The updates will enhance local oversight, foster better collaboration between the district and county
• The updates will enhance local.
• Chairman and members, I carried the legislation to create the Post Oak Savannah Groundwater District,
• They update ownership to us.
• My name is Charlie Leal, and I serve as legislative state director for Texas Farm Bureau, and we are

Bills: HB2018, HB1633, HB1689, SB612, SB3058

Keywords: agricultural conservation, land preservation, environmental protection, wildlife habitat, Texas Farm and Ranch, groundwater conservation district, Texas Water Code, water permit, permit amendment, groundwater permit, water rights, aquifer, well registration, exempt wells, beneficial use, water conservation, groundwater quality, well plugging, Hill Country Priority Groundwater Management Area, surface water resources

Summary: The Senate Water, Agriculture, Rural Affairs Committee heard several bills focused on groundwater management, water infrastructure, and agricultural land conservation. SB 612 would limit certain water districts in Hidalgo, Cameron, and Willacy counties from charging developers pipeline construction fees above actual, documented costs; the committee substitute removed a developer challenge mechanism to preserve district discretion over construction standards. HB 1633 would require groundwater conservation districts to consider registered exempt wells when reviewing or amending permits, and testimony from landowners, district representatives, and advocacy groups largely supported the bill as a way to protect domestic and livestock wells from drawdown caused by large export projects. HB 1689 would clarify that export fee revenues may be used for well operability, alternative water supplies, and aquifer monitoring, including through interlocal cooperation, and HB 3058 would give the Post Oak Savannah Groundwater Conservation District authority to use export fees for county road improvements and environmental programs tied to well inspection and groundwater management. HB 2018 would clarify that the Texas Farm and Ranchland Conservation Program is intended to purchase conservation easements only on working agricultural lands, with support from cattle raisers and Farm Bureau representatives. The committee also considered HB 29, which would require large water systems to validate water loss audits and submit mitigation plans; a committee substitute removed the water-loss threshold and adjusted the timeline for more detailed validation. Public testimony on the bills was generally supportive, with several witnesses describing declining well levels, road damage from export projects, and the need to preserve agricultural land and local water supplies. The committee adopted committee substitutes and voted favorably on HB 29, HB 1689, HB 2018, SB 612, and SB 3058, recommending several of them for the local and uncontested calendar; HB 1633 was left pending awaiting a committee substitute.

Transcript Highlights:

• I'm also the co-chair for the California Public Defenders Association Committee on Legislation.
• It does seem to me it doesn't hurt to have the legislation in place.
• Jim Lindberg, Friends Committee on Legislation of California, in support.
• In addition, mental health facilities are not required to update reports.
• It also requires facilities to update the Department of Justice when they get new information.

Keywords: 987, senate, all

Transcript Highlights:

• And we're going to have a quick update on the reimbursement rates under the Living Choices Assisted Living
• Just a quick update.
• We provided our monthly letter as an update on the assisted living cost report process.
• As that process moves through, that will bring you more updates. Thank you very much.
• Those exemptions are now removed based on the new federal law, and we have updated our policy rule to

Summary: The subcommittee first recognized the Arkansas Community Colleges Leadership Institute and received a brief DHS update on the Living Choices Assisted Living Waiver reimbursement process, including that the new cost-reporting period began in January and provider/contractor calls are underway. The main presentation then focused on SNAP and TANF, with DHS describing federal changes under the One Big Beautiful Bill that tighten SNAP work requirements for adults ages 18 to 64 without certain exemptions, remove some prior exemptions, and add new federal definitions for Native American populations. DHS also reviewed SNAP Employment and Training providers, their service areas, projected budgets, participant characteristics, and outcomes, noting that the program is currently voluntary but will shift toward mandatory participation for those subject to the new rules. Members asked detailed questions about how mandatory participation will be implemented, how referrals will be made, what other training options exist, how verification of work, volunteering, disability, and exemptions will be handled, and whether DHS has enough funding and provider capacity. DHS said it will conduct verbal and written notices during eligibility interviews, make direct referrals to providers, use six-month recertifications and documentation from employers or volunteer organizations, and apply sanctions for noncompliance after determining whether a good cause exists. Members also requested additional data, including age breakdowns of at-risk SNAP recipients, provider-level outcomes and costs, and information on other training programs such as WIOA. The committee then moved to Medicaid community engagement requirements for ARHOME, which DHS said are also required by the same federal law and must be implemented by January 1, 2027. DHS said it is preparing policy, system changes, communications, and a customer-service/outbound verification vendor, and plans a soft launch beginning in July to help clients understand what would be required if the rule were already in effect. Members raised concerns about timing, local versus central decision-making, and how clients in rural areas will be notified and assisted. The meeting concluded with broader discussion of the committee’s workforce-development goals, the recently released Alliance for Opportunity audit, and interest in continuing the contract with that group to help guide future reforms.

Transcript Highlights:

• It's very possibly one of the updated fiscal notes.
• It's very possibly one of the updated fiscal notes.
• I'd like to move in expedient to legislate. I'll second.
• I'd like to move in expedient to legislate. I'll second.
• I'd like to move in expedient to legislate. I'll second.

Keywords: 928, house, all

Summary: The committee first heard House Bill 538, a Liquor Commission cleanup bill. Chair Joseph Mica and CFO Tina Deir explained that the bill updates outdated statutory titles and positions after the commission’s 2014 restructuring, deleting references to the former commissioner and COO roles, adding a director of administration and a director of finance and audit, and keeping the new positions at the same labor grade pending review by the Joint Committee on Employee Classification (JCEC). Members discussed the proper sequence for JCEC review, but generally treated the bill as housekeeping. The committee then voted ought to pass, and the roll call was unanimous, 16-0. The committee next took up House Bill 493, which would require continuing education related to child abuse/ACE recognition for physicians and other providers. Testimony and committee discussion focused on whether the bill was too vague, whether it improperly intruded on the Board of Medicine’s authority to set professional education requirements, and whether it would effectively mandate a narrow training course that is currently voluntary and free. Supporters argued the bill addressed a real problem and cited testimony about missed abuse cases, while opponents said the board should handle the issue through its own rules and that the bill was poorly drafted. A motion of inexpedient to legislate passed 9-7, and the committee noted a minority report would be needed. The meeting ended with procedural and scheduling announcements, including that the committee would be dealing with budget hearings the following week and had a large number of Senate bills scheduled for later in the month.

Transcript Highlights:

• To respectfully urge you to support this legislation and get it to the finish line.
• Hopefully, we get legislation done this session that could make that better, but as of current right
• And so your legislation, Mr.
• Bettencourt's legislation, is critically important for re-establishing trust in our elections.
• Under current law, Texans can update their voter registration online when they update or renew their

Bills: HB311, SB447, SB505, SB2217, SB2753, HB311

Keywords: voter registration, electronic, Texas election law, Signature verification, DPS, internet application, Texas Election Code, signature verification, online application, data security, electronic application, Department of Public Safety, information security, electronic voter registration, voting technology, voter access, state election laws, digital signature, election irregularities, audit

Transcript Highlights:

• We remain concerned that this legislation will sow further confusion.
• And to make sure the website is updated. I'm pretty sure the website's updated, but...
• You're referring to Amtrak; the guy can't do a good job, and y'all can't even update your website.
• So, again, I thank you for this piece of legislation, and I support you. Thank you. Thank you.
• I would love to be able to collaborate and see that sort of legislation.

Bills: HB341, HB791, HB1564, HB1695, HB1722, HB1729, HB1772, HB2003, HB2954, HB2989, HB3084, HB3134, HB3135, HB3309, HB3611, HB3679, HB3727, HB3832

Keywords: affordable housing, zoning, development, community support, local regulations, bicycle lanes, traffic collisions, Texas Department of Transportation, study, public safety, bicycles, electric bicycles, scooters, road safety, transportation study, HB 791, Central Catholic High School, San Antonio, specialty license plate, specialty plates

Transcript Highlights:

• <00:13:52.199> improv seen so far from this legislation improv seen so far from this legislation
• <01:07:20.880> school medical leave legislation school medical leave legislation school districts
• policies after the last legislative policies after the last legislative budget<01:08:15.359>
• <01:14:43.800> began training before the legislation began training before the legislation
• There are many other hidden costs associated with new legislation.

Keywords: 1187, senate, all

Transcript Highlights:

• Today we're covering 29 legislative proposals, including constitutional amendments.
• Legislative proposals, including constitutional amendments.
• But this legislation asks... $8.60 a page. But this legislation asks only for a raise of $1.50.
• We believe that this legislation goes hand in glove with education.
• Shea continued: “As has been discussed already, this legislation updates the current statutory language

Keywords: 995, all

Summary: The Judiciary Committee held its inaugural hearing of the session, led by Chair Michael Day and co-chair Senator Lydia Edwards, and reviewed a large slate of bills and constitutional amendments. The chair laid out hearing procedures, including three-minute testimony limits, priority for in-person witnesses, and deadlines for reporting constitutional amendments and House bills. The committee heard testimony on 29 proposals, with many witnesses and advocates speaking in support of measures they said would clarify the law, improve access to justice, or address public safety and fairness concerns. Several bills drew extensive testimony. Supporters of H.1686/S.1254 urged creation of a commission to study intentional misrepresentation of service animals, citing disruptive and dangerous encounters with fake service dogs and the need to protect legitimate service-dog teams. H.1649/S.1168 on court transcriber fees received strong support from transcribers and CPCS, who said rates have been frozen at $3 per page since 1988 and should be raised to $4.50, with an automatic CPI adjustment; they also described the work as time-consuming and essential to the justice system. H.1768/S.1037 on indigency was backed by CPCS, which said the bill would update eligibility rules, reduce unnecessary six-month reassessments, and eliminate the $150 counsel fee for indigent adults. H.1723/S.1193 to remove the charitable immunity cap was supported by legislators and attorneys who argued the current $20,000/$100,000 caps leave seriously injured people undercompensated and make Massachusetts an outlier. The committee also heard testimony on S.1046 regarding adoptions, with multiple adoptive parents, attorneys, and agency representatives describing recent probate court interpretations that have disrupted out-of-state surrender and finalization practices. Witnesses said the bill would restore predictability and allow birth parents outside Massachusetts to use either their home-state law or Massachusetts law, while preserving ICPC safeguards. Senator Feingold testified on H.1748/S.1109, “Conrad’s Law,” to criminalize coercing someone into suicide, arguing Massachusetts should join most other states in creating a specific offense rather than relying on involuntary manslaughter charges. Representative Donahue supported H.66 to remove “so help me God” from the constitutional oath of office. No votes were taken during the hearing; the committee simply heard testimony and thanked witnesses, with chairs indicating they would continue reviewing the bills and written submissions.

Transcript Highlights:

• Last year legislation was passed to make a correction to that, which then it sunsets or it expires May
• processes before the 2020 change in the rate structure, and would appreciate your support in this legislation
• was passed um to make a legislation was passed um to make a correction<00:02:52.680> to<00:02
• 04:51.120> a their old rate rather than moving to a their old rate rather than moving to a updated
• updated updated rate<00:04:54.160> representative<00:04:54.639> nor<00:04:55.080> oh

Bills: HF958, HF688, HF702

Keywords: mental health, behavioral health, psychiatric care, collaborative care model, healthcare funding, service dog, service animal, service dog in training, assistance dog, guide dog, disability rights, housing accommodations, fair housing, landlord, rental housing, homeowners association, HOA, Minnesota human services, accessible housing, reasonable accommodation

Transcript Highlights:

• And it says that there was proposed in 2024 similar legislation.
• And it just says an updated estimate has been requested. I'm concerned about the loss.
• We had a senator bring a bill yesterday updating the rian Development Act.
• President, Senate Bill 2178 is an update on event bartenders.
• I think this is responsible legislation for protection on the broader level.

Bills: SB1627, SB227, SB366, SB1193, SB1433, SB1450, SB1481, SB1749, SB1810, SB1812, SB1921, SB1948, SB2044, SB2178, SB169, SB1877, HB1409, SB1266, SB1432

Keywords: criminal code cleanup, duplicate statutes, statutory consolidation, repealer bill, emergency clause, Title 21 crimes, Title 47 DUI, child abuse reporting, child neglect, child sexual abuse material, child pornography, sex offenses, rape, stalking, domestic abuse, domestic violence, human trafficking, sex trafficking, gang-related offense, eluding police

Transcript Highlights:

• Some of them are duplications, some of them no longer in the books, updating things. Thank you.
• How did you come up with a four-year time frame in this legislation? That's a question for you.
• Respectful opposition to this legislation.
• And unfortunately, they have not been updated in quite some time.
• State Representative Leo Biasucci, Legislative District 30.

Bills: HB2026, HB2027, HB2028, HB2031, HB2078, HB2094, HB2095, HB2101, HB2102, HB2103, HB2260, HB2278, HB2827, HB2932, HB2933, HB2934, HB2986, HCM2009, HCR2038

Keywords: assured water supply, groundwater, commingling, commingled water, water supply, Arizona Department of Water Resources, ADWR, active management area, AMA, subdivision plat, development approval, water rights, municipal provider, private water company, certificate of assured water supply, written commitment of water service, groundwater savings credits, gray water reuse, replenishment district, Central Arizona Project

Transcript Highlights:

• And I'll speak about this somewhat personally from the time I was a legislator.
• I was eager to write legislation and do policy.
• Are there updates that will maybe result in another 20 or 40 communities jumping in? Thank you.
• Two, updating land use and zoning practices.
• And I think we would love to work with leadership in the legislative.

Keywords: 995, all

Summary: The Joint Committee on Housing held its second introductory hearing to frame the session’s housing agenda. Chairs Cyr and Haggerty described the hearing as a chance to hear a wide range of perspectives on Massachusetts’ housing crisis, including underbuilding, zoning and permitting barriers, rising costs, and the need for both state and local action. The committee heard from court, municipal, advocacy, and regional housing leaders, with recurring themes of increasing supply, preserving existing housing, preventing displacement, and expanding resources for renters and homeowners. Chief Justice Diana Horan of the Housing Court said the court is handling more than 40,000 new filings annually with only 15 judges, and estimated the court would need about 21 judges to meet demand. She described complications from RAFT-related stays, mental health and guardianship issues, aging housing stock, and the new eviction sealing law, which she said was being implemented smoothly but may require additional resources if filings continue to rise. The Massachusetts Municipal Association and MAPC emphasized that municipalities need flexibility, funding, and better tools such as MassWorks, Housing Works, H-DIP, 40R reforms, inclusionary zoning changes, and a local option transfer fee; they also said local control concerns and long permitting timelines remain major barriers. MAPC and others stressed that supply growth alone will not solve the crisis and urged continued support for subsidized housing, access to counsel, and modular/off-site construction. Advocates and housing providers focused on displacement, preservation, and tenant protections. Homes for All Massachusetts and Mass Law Reform Institute called for rent stabilization, stronger tenant protections, foreclosure prevention, elimination of junk fees, continued funding for RAFT and HomeBASE, and expanded access to counsel. Mass Union of Public Housing Tenants said the state needs far more extremely low-income housing, more operating subsidy, and major investment to repair public housing, while also supporting tenant technical assistance during redevelopment. Franklin County’s housing authority warned that rural communities are being left out of many state programs and asked for a rural LIHTC set-aside, a permanent rural credit boost, and a review of housing choice programs. A Massachusetts Taxpayers Foundation researcher presented findings that communities that add housing generally see stronger municipal finances, and that housing growth can improve property tax and state aid outcomes. Seasonal community representatives from Cape Cod, Martha’s Vineyard, and Nantucket described extreme affordability pressures and the need for tailored tools. Nantucket’s housing trust chair said the island has made progress through local funding, inclusionary zoning, and deed-restricted units, but still needs a real estate transfer fee and faster ways to preserve year-round housing. Across the hearing, members and witnesses repeatedly returned to the need for a mix of production, preservation, tenant protections, and local flexibility, rather than relying on any single policy solution.

Transcript Highlights:

• I think last legislative session it was 1% of teachers.
• Well, yeah, because it was only last legislative session.
• This resulted in a lot of legislative attention and a lot of regulatory attention.
• So I am a state employee. nor opposed to any piece of filed legislation.
• Next on our agenda is an update on the Tri-Agency Workforce Initiative.

Keywords: 1184, house, all

Transcript Highlights:

• I know the legislative session ended last week, and so we're just catching up our breath here and getting
• Laura, are you going to give the PCMH program status update today? Yes, great.
• For the DSS PCMH program, we have some updates.
• This slide has been updated.
• So for June, PCMH update sounds good.

Keywords: 962, all

Summary: The Care Management Meeting opened with a DSS update on the PCMH program. Staff reported the program remained steady at 124 practices, 553 sites, and 2,548 providers, with some month-to-month fluctuation driven by practice consolidation, retirements, and a few practices leaving the program because NCQA requirements were burdensome. Members asked about declining provider and site counts, member attribution trends, and whether PCMH practices overlap with behavioral health homes; DSS said attribution changes are largely due to members becoming ineligible, moving, or getting other insurance, and that PCMH and behavioral health homes are separate programs that coordinate informally. The committee also discussed why some smaller practices leave the program and whether the requirements could be made easier to support retention. The committee then resumed a detailed presentation on the Husky Dental program. The presenter described the dental benefit’s history, the importance of preventive oral health, workforce and consolidation pressures in dentistry, and the lack of interoperability between dental and medical records. Network data showed year-over-year declines in enrolled dental practitioners and service locations, with access gaps concentrated in rural and eastern parts of the state. Appointment availability surveys showed average waits of 38 days for adults and 23 days for children, but much longer waits at FQHCs than private fee-for-service practices. The presenter said Connecticut remains above the national median on CMS pediatric dental quality measures, though sealant rates remain a concern, and noted that preventive care is associated with lower per-member costs. Members raised concerns about provider participation, large practices dropping Medicaid, mobile dental care, and whether the public directory accurately reflects which dentists are actually accepting new patients. The presenter said the plan uses secret-shopper calls, tracks appointment availability, and has begun using place-of-service coding to better identify school-based dental care. She also noted a new MOU with 20 Head Start programs to share data and provide oral health literacy and navigation support. The final major topic was implementation planning for HR1. DSS said CMS guidance was expected in early June and proposed using upcoming meetings to cover medical frailty, communication strategy, and data integration/ex parte verification. Committee members urged the department to create a dashboard to track disenrollments and other impacts of HR1, to build a process for complaints and problem resolution, and to think through cost-sharing, caregiver verification, exemptions, and notices. Members also asked about using existing eligibility structures such as the working-disabled program as a model. The committee agreed to move the next meeting to June 10 by Zoom, with the agenda to be circulated in advance and any PCMH Plus quality data shared if available.