Transcript Highlights:

• Okay, all right, perfect. Thank you. All right, well, thank you, Rep.
• What does that mean, right? I can tell you about my experiences. What does that mean, right?
• All right, I'm James Keene.
• All right, I'm James Keene.
• It's not right. We don't feel it's right.

Committee: Joint Joint Committee on Veterans and Federal Affairs

Keywords: 995, all

Summary: The Joint Committee on Veterans and Federal Affairs held its second public hearing of the 2025–26 session, with opening remarks from Chairs John Velis and Joe McGonagle outlining testimony on 20 House bills and 18 Senate bills. The hearing covered a wide range of veterans issues, including municipal veterans assistance funds, pension equity, expanding the Office of the Veterans Advocate, veterans service officer staffing, disability benefits eligibility, service dogs, POW tax relief, courtesy parking spaces, women veterans and motherhood, and workforce-related licensing and employment measures. Chairs emphasized the hybrid format, three-minute testimony limit, and written testimony process. Several bills drew support focused on expanding services and access. Representative Arena-DeRosa spoke for bills to broaden municipal veterans assistance funds to cover housing and legal expenses and to study enhanced pension equity for veterans, citing burn pit exposure and shorter life expectancy among veterans. Senator Fattman, Representative Peas, and Veterans Advocate Bob Notch supported bills expanding the Office of the Veterans Advocate to include active-duty service members and their families, arguing it would improve transition support, coordination with state agencies, and retention of military talent in Massachusetts. Representative Arriaga backed a bill to incentivize municipalities to provide full-time or regional veterans service officers and another to study the impact of combat on women veterans and motherhood. Representative Moulton/another sponsor also sought to exempt veterans’ disability payments from income calculations for other state benefits, and Representative Hong and Senator Scanlan supported a state service dog program, POW income tax relief, and courtesy retail parking spaces for veterans. Testimony also focused on workforce and claims-assistance issues. The Military Officers Association of America and James Keene urged passage of bills waiving duplicative education requirements so qualified veterans and military medics can become licensed practical nurses, arguing it would help address health care shortages and recognize military training. Brave Veterans Inc. called for a Veterans Research Trust Fund to protect data and program evaluation work during budget cuts. On claims assistance, one witness supported criminal penalties for unaccredited agents who charge veterans for VA claims help, while a private consulting firm opposed the bill, arguing it would restrict lawful speech and veterans’ choice and that existing federal and HERO Act safeguards already address abuses. The VFW strongly opposed paid claims consulting, said its accredited service officers provide free help statewide, and urged more public awareness of existing free services. No votes or final committee actions were taken during the hearing.

Transcript Highlights:

• And what you're doing is doing the right thing and making all of those veterans that are 100%... disability
• It's happening right now. And right now, Missouri is behind on the law.
• All right.
• Right.
• Right.

Summary: The House opened with prayer, the Pledge of Allegiance, approval of the prior day’s journal by a 117-0 vote, and a long series of guest introductions, including 911 officials, school groups, students shadowing legislators, international visitors from Quebec, family members, and various community advocates. The chamber then moved into floor debate on several measures, beginning with House Joint Resolution 115, which would extend personal property tax and homestead tax exemptions to 100% service-connected disabled veterans and surviving spouses. Members from both parties praised the sponsor’s eight-year effort, emphasized the financial burden on disabled veterans living on fixed incomes, and noted the measure’s broad support; the House adopted the committee substitute and ordered it perfected and printed. The House next took up House Bill 2151, a Fast Track workforce training program fix that raises household income eligibility thresholds from $40,000 to $50,000 for single filers and from $80,000 to $100,000 for joint filers without increasing the program’s overall funding cap. Supporters said the change reflects inflation and will help more adults and families access training for career changes and upskilling. The chamber then approved House Substitute for House Bill 2576, a naming bill that included several commemorative designations. Members adopted amendments designating January as Blood Donor Awareness Month, June 28 as Elliott and Muriel Battle Day, and March 26 as PANS Awareness Day; a proposed Josephine Baker Day amendment was withdrawn after concerns it could complicate the broader bill. The bill also included other memorial and honorary designations, including a highway naming for a Vietnam veteran and recognition of a former Pagedale mayor. The House also approved an amendment designating April 22 as Missouri Black Bear Awareness Day, with supporters saying it would promote public safety and education as bear populations increase. Another amendment added infertility awareness language, with members describing the issue as a disease that affects families in silence. The chamber then approved House Committee Substitute for House Bill 3175, known as Mason’s Law, which creates a system to flag certain driver records for law enforcement when a person has a condition affecting communication; an amendment expanded the notice to include driver’s licenses. Members said the bill would help officers safely interact with people who may have difficulty communicating during traffic stops. Finally, the House took up House Bill 1736, which allows local governments to use certain park-related sales tax revenues for natural disaster mitigation, including stormwater management and the purchase of repetitive-loss properties. Supporters said it would help communities address flooding without turning parks into hard infrastructure sites. The chamber then began debate on House Bill 1887 and related AI and digital-image protection provisions, including measures aimed at preventing nonconsensual deepfakes, protecting minors, and giving victims civil remedies and takedown processes. Members from both parties supported the goal of curbing AI abuse, though some raised technical drafting questions and one member suggested the legislature may eventually need a broader AI task force or sunset review. No final vote on HB 1887 was reached in the portion provided.

Transcript Highlights:

• All right.
• All right.
• All right. All right, very well.
• receiving services, their families, and those that support them, including disability rights organizations
• All right, that's it. Thank you all right.

Summary: The Assembly Human Services Committee met with quorum established after beginning as a subcommittee. The committee heard AB 790, which would require jurisdictions receiving state homelessness funds to develop systems specifically supporting women and children, especially single mothers and survivors of domestic violence. Supporters said current homelessness programs overlook this population; the bill was amended and passed unanimously on a 7-0 vote. The committee also heard ACA 4, the Housing Opportunities Made Equal Act, which would dedicate a minimum share of the state general fund to affordable housing and homelessness programs. Supporters argued more stable funding is needed to address the housing crisis, while opponents questioned whether more spending would help; the measure passed 5-2 to the Assembly Appropriations Committee. Members then heard AB 349, which would index the infant supplement for parenting foster youth to inflation. The author and sponsor described the needs of pregnant and parenting teens in foster care and rising costs for diapers and formula; the bill passed 6-0 to Appropriations. AB 779, which expands a domestic violence consultant pilot in child welfare offices statewide, also passed 6-0 after testimony that it would help keep families together safely and improve trauma-informed responses. AB 1335, which would remove a private CARF accreditation requirement for regional center employment programs and rely on state oversight instead, drew support from disability service providers but opposition from the chair over concerns about weakening quality checks; it failed on a 2-2 vote and reconsideration was denied. The committee also considered AB 1066, a bill to bar state-funded immigration legal services for people unlawfully present in the country who have certain serious felony convictions. Supporters framed it as a public-safety and fiscal-responsibility measure, while opponents said it would restrict due process and align California with mass-deportation policies. The bill failed on a 2-2 vote. Two bills, AB 277 and AB 318, were pulled by the author and not heard. After final roll calls on absent members, the committee adjourned.

Transcript Highlights:

• </c> disabilities this is what we have right disabilities this is what we have right now<00:28:06.960
• /c><00:29:03.960><c> going</c> what disability is all right so going what disability is all right so
• even though a voter right in front of me when I was helping at Town Hall was not disabled.
• and human rights of children and adults with disabilities.
• of children and adults and human rights of children and adults with with with disabilities<00:56:32.240

Committee: House Election Law

Keywords: 1189, house, all

Transcript Highlights:

• All right.
• Right? It's currently on their behalf. Right?
• All right.<00:10:14.240><c> Thank</c> All right. Thank All right.
• All right. Thank you. you. All right. Thank you.
• All right. So we are now moving bill. All right.

Committee: House Human Services & Homelessness

Keywords: 910, house, all

Summary: The committee met on March 20, 2025, to hear a series of Human Services and Health resolutions. HCR 146, which asks the Department of Human Services to apply for and implement the Elderly Simplified Application Project, drew strong support from disability, public health, and hunger advocates. Testifiers emphasized that the measure could create a more uniform benefits application, reduce repeated paperwork, extend certification periods from one year to three years, and ease burdens on both applicants and DHS staff. DHS said it stood on its written testimony and was available for questions. The committee also heard that a universal application could help people with disabilities avoid delays and denials caused by complex or duplicative forms. The committee then heard HR 170/HCR 174, which requests review of Aloha-based learning programs for youth in the juvenile legal system. Supporters from Opportunity for Youth Action Hawaii and DebtFree Justice Hawaii said the resolution would help advance restorative justice, community service, and culturally grounded rehabilitation, especially if youth fees and fines are reduced or eliminated. Testimony also supported HR 133/HCR 139, which asks the Office of Wellness and Resilience to report on the developmental needs of children born during the COVID-19 pandemic. Witnesses from the developmental disabilities council, the Office of Wellness and Resilience, the Hawaii Community Foundation, and others said the pandemic’s trauma and behavioral impacts justify a multidisciplinary, evidence-based report, and the office requested more time to complete its findings, suggesting a deadline at the end of 2026. The committee also heard HR 88/HCR 92, proposing a two-year homelessness sanctuary pilot program in Honolulu. One testifier described sleeping in a car and said the pilot could provide a safer option, while the Statewide Office on Homelessness and Housing Solutions said it supported the intent but stressed that a sanctuary is still an unsheltered situation and should lead people toward permanent housing. HCR 180, calling for collaboration among homelessness and law enforcement agencies, received comments that many of the issues are already being addressed locally. HR 103/HCR 107, which would convene a working group to strengthen Title 9 protections, received support from education, women’s, and LGBTQ advocates, who asked for student and queer representation on the working group and said federal Title 9 changes make state action important. No votes were taken during the portion of the meeting provided, and the committee moved from one resolution to the next after testimony and questions.

Transcript Highlights:

• All right. Thank you.
• Right.
• Right.
• All right, thank you. I appreciate it.
• All right, we did it.

Summary: The subcommittee heard a series of budget and trailer bill presentations focused on labor and public employment programs. The first item covered EDD Next modernization, where EDD described progress on customer service improvements, fraud prevention, language access, and the Integrated Claims Management System. The LAO urged stronger legislative oversight as the project enters its most difficult phase, and members questioned the revised schedule, total cost, change orders, stress testing, SB 1090 implementation, and how race and ethnicity data will be protected. EDD said the overall project cost remains about $1.2 billion, that the work is being phased with disability insurance and paid family leave first, and that fraud has been greatly reduced since pandemic-era programs ended. Members also asked for follow-up information on SB 590 outreach and equity impacts. The committee then reviewed the California Workforce Development Board’s request to reduce staffing as one-time grant workloads wind down, along with trailer bill language to streamline reporting requirements. The board and Department of Finance said the staffing reductions reflect the end of surge funding and that the proposal would consolidate roughly 10 to 12 reports into one annual report, with additional reporting only if new funds are appropriated for certain programs. Senator Durazo questioned the policy direction of reducing workforce staffing, while the administration said the positions were tied to temporary grant programs and that current staffing is sufficient for ongoing duties. Members also asked about the board’s role in AI-related workforce planning and the rationale for using state funds for the High Road Construction Careers Program. A major portion of the hearing focused on the Subsequent Injury Benefits Trust Fund reforms and related staffing request at DIR. The administration and LAO described rapid growth in applications, backlog, and liabilities, saying the program’s eligibility has expanded beyond its original intent and that liabilities could reach about $30 billion by 2030 without reform. The trailer bill would tighten eligibility, apply the changes to open cases, and use the QME process and contemporaneous evidence to document preexisting disabilities. Members raised concerns about fairness to pending claimants, evaluator capacity, and the relationship to other SIBTF legislation, while the LAO said the proposal largely aligns with its prior recommendations. DIR also presented a request to eliminate vacant positions under a statewide vacancy sweep, which drew criticism from members who argued the cuts could weaken enforcement and backlog reduction efforts; the committee asked DIR to return with more detail on impacts and on its use of temporary-help authority. The final items addressed a request for additional Cal/OSHA investigative staff and a trailer bill to make permanent the revised Workers’ Compensation Appeals Board petition timeline. DIR said the BOI staffing would help investigate fatalities and serious injuries more quickly, while members emphasized the importance of family contact and timely investigations. For the WCAB item, the chair explained that the 2024 change to Labor Code section 5909, which starts the 60-day decision clock when a case is transmitted rather than when a petition is filed, has reduced pending cases and should be made permanent; the remaining backlog was reported at 460 cases, down from 637 before the change.

Transcript Highlights:

• Right.
• Right.
• Go right ahead. All right. Is that better? Okay. All right.
• All right, go right ahead, ma'am.
• All right. We'll now move into the Division of Senior and Disability Services in our budget.

Committee: House Budget

Summary: The committee heard the Missouri Department of Health and Senior Services present its FY 2027 budget request, with Director Sarah Wilson and budget staff describing the department’s mission, major divisions, and the impact of federal funding shifts, especially the FMAP change that will shift costs to general revenue. Wilson emphasized prevention, public health infrastructure, workforce capacity, and data modernization, while several members praised the department’s responsiveness and cost-cutting efforts. The discussion repeatedly focused on lapses, excess authority, and the department’s stated practice of spending federal and other funds before general revenue where possible. Members asked detailed questions about local public health agency support, nutrition programs, rural health and primary care, newborn screening, the state public health lab, and the department’s use of flexibility and reallocations. There was extended discussion of substance use disorder funding: the department explained that some funding is being reduced in its own budget because transfer authority is being added for the Department of Mental Health and the Department of Corrections, while some other SUD-related lines are actual reductions. Members also questioned tobacco prevention and cessation cuts, maternal and infant health programs, fetal infant mortality review, and minority health initiatives, with staff explaining program purposes and noting that some reductions were tied to excess authority or to moving programs to other departments. The committee also reviewed specific operational items such as the Health Initiatives Fund transfer, debt offset escrow for loan repayment defaults, donated funds authority, emergency preparedness, environmental health, health informatics, HIV/STI/hepatitis services, local public health incentives, and the COVID/ARPA authority reductions. Several members requested follow-up information on vacancies, lapse trends, grant spending plans, and program details. No final vote or formal action was taken in the portion provided; the chair recessed briefly and the hearing continued with additional budget testimony.

Transcript Highlights:

• All right, well, thank you very much, Honorable Chair, and I'm here to present SB 888.
• their disability benefits as income when determining eligibility for the disabled veterans' property
• SB 888 simply extends that same principle to property tax relief for disabled veterans.
• Veterans must be disabled to qualify for the exemption, yet the very disability compensation they are
• Disability compensation is not a source of wealth.

Committee: Senate Revenue and Taxation

Summary: The committee met with a quorum and heard two main bills before taking up a consent calendar. SB 1053 by Senator Nilo would allow county boards of supervisors in counties affected by a governor-declared disaster on or after January 1, 2026, through January 1, 2031, to extend by up to three years the five-year period for transferring a property tax base-year value to replacement property. The author said the measure responds to recent wildfires and other disasters that make rebuilding within five years difficult, and committee members broadly supported local control and disaster recovery flexibility. No opposition was heard, and the bill was approved 5-0 and sent to Appropriations. The committee then heard SB 888 by Senator Seardo, as amended, which would exclude VA service-connected disability compensation from household income calculations for the low-income disabled veterans’ property tax exemption. The author argued that counting disability benefits as income creates a catch-22 for disabled veterans and can disqualify them from tax relief despite fixed incomes and high medical costs. Members described the bill as a common-sense, bipartisan fairness measure that would help veterans remain housed in California. No opposition was presented, and the bill passed 5-0 to the Committee on Military and Veterans Affairs. The committee also adopted the consent calendar, which included SB 999, SB 1073, and SB 881. After the consent items, SB 1053 was again called up and confirmed out of committee on a 5-0 vote.

Transcript Highlights:

• All right, Senator.
• , and it hardly ever is right.
• </c><00:03:30.040><c> rate</c> can read about the disability rate can read about the disability rate
• </c><00:04:28.080><c> and</c> right and it hardly ever is right and right and it hardly ever is right
• </c><00:14:50.759><c> and</c> tested positive for a disability and tested positive for a disability and

Keywords: 1187, senate, all

Transcript Highlights:

• All right. All right.
• Right.
• We do have communication, like I said, with our Disability Rights Advisory Council, and we present information
• Right? So we realized in the... Right.
• Right.

Committee: House House and Governmental Affairs

Summary: The Committee on House and Governmental Affairs met on March 18 and first adopted the minutes from its February 21 meeting. The committee then took up HB 250, which would have narrowed financial disclosure requirements for appointed, unpaid board and commission members by exempting immediate family information. Supporters said the bill would reduce burdens and help recruit volunteers, while opponents argued it would weaken ethics enforcement and create opportunities for undisclosed conflicts of interest. After debate and a roll call, the committee deadlocked and HB 250 failed to advance on a 6-6 vote with one abstention. The committee next considered HB 576, which transfers ownership and maintenance responsibility for the Old Governor’s Mansion to the Department of State and codifies its current operational role. Secretary of State Nancy Landry and mansion staff testified in support, describing expanded programming, increased visitors, and the need to align the statute with current practice. The committee adopted technical amendments and then reported HB 576 favorably without objection. The committee also heard HB 117, which recreates the Department of State and its statutory entities through July 1, 2033, and reported it favorably without objection. The major remaining item was HB 842, the annual omnibus elections bill, which makes numerous technical and substantive changes to election law, including voter assistance for people with disabilities, absentee ballot and petition procedures, inactive voter updates, and election contest deadlines. Several members and public witnesses raised concerns about disability documentation, absentee ballot curing, witness requirements, constitutional amendment challenge deadlines, and the scope of authority given to the Secretary of State, while others said the bill clarified existing practice and improved election administration. After adopting amendments and rejecting a motion to defer, the committee reported HB 842 favorably by an 8-5 vote.

Transcript Highlights:

• </c> All right, I'll close public testimony. All right, I'll close public testimony.
• </c> &gt;&gt; All right, Represent Olson. &gt;&gt; All right, Represent Olson.
• So we will move right along. All right. We will move right along with Representative Olson.
• </c> &gt;&gt; all right? &gt;&gt; all right?
• As they look at us, right?

Bills: HF3831 , HF3603 , HF1900 , HF495 , HF3750 , HF4316 , HF2136 , HF4384

Committee: House Children and Families Finance and Policy

Keywords: SNAP, income limits, asset limits, nutrition assistance, children and families, federal poverty guidelines, federal waiver, food assistance, low-income families, nutritional support, day care, tax subtraction, child care costs, licensed child care, dependent care assistance, child care, family child care, child care center, licensing, correction order

Transcript Highlights:

• Right.
• Well, I'm not sure that this bill does grant any, quote, rights to private school. students with disabilities
• All right. All right. Thank you very much.
• All right.
• I advocated with Disability Rights Texas for students who were sleeping on benches. who didn't have a

Bills: HB3 , HB3

Committee: House Public Education

Keywords: education savings account, educational expenses, certified educational assistance organization, school choice, funding, special education, tuition reimbursement, emergency communication, public safety, interoperability, Texas Interoperability Council, grant program, emergency communications, public safety radio, first responders, radio system, dispatch, 911, emergency management, Texas Division of Emergency Management

Transcript Highlights:

• Right.
• Right. I will get that for you. Thank you. Thank you. All right.
• Typically, you can go out on disability the four weeks prior to your due date, right?
• All right. Thank you.
• I think I found the right website. I think I found the right website.

Keywords: 988, house, all

Transcript Highlights:

• Oh, go ahead. >> Yeah, they're right there. Sorry. Aloha.
• right into decision<00:10:32.120><c> making.
• </c> Developmental Disabilities Developmental Disabilities uh<00:16:07.800><c> for</c><00:16:07.960><
• For a person that was born without a disability and then later on acquired a disability, so I can understand
• </c><00:19:18.480><c> Her</c> disabilities and their families. Her disabilities and their families.

Keywords: 912, senate, all

Summary: The Health and Human Services committee heard and considered several gubernatorial nominations to advisory boards and councils. Early in the meeting, members heard testimony in support of Miriam Chang for the Health Planning Council Windward O‘ahu subarea, with supporters highlighting her long medical practice on the Windward side, work at Ko‘olau Health Center, and community involvement. Chang said she wanted to help improve health, especially in rural areas. The committee also heard support for Terrilyn Luke’s nomination to the Center for Nursing Advisory Board; the Center for Nursing director and nursing organizations backed her, and Luke said she would bring a front-line nursing perspective, focus on workforce conditions, retention, and collaboration, and help address tensions between the Center and nursing labor groups. The committee then heard support for Valerie Rose’s nomination to the Language Access Advisory Council; Rose briefly noted her prior work in the Chronic Disease Branch and Bilingual Health Aide Section. The committee also took up nominations in a later agenda segment. James Montgomery was heard for the State Rehabilitation Council and described his interest in serving based on a family experience with disability and his work in talent management, saying he wanted to help people with disabilities gain opportunities. Kevin Nakamura was heard for the Board of Certification of Operating Personnel in Wastewater Treatment Plants and said his 30-plus years of wastewater experience would help ensure operators are properly trained and certified to protect resources and the environment. Pina Lemusu was heard for the State Council on Developmental Disabilities; she said her long career with the Division of Vocational Rehabilitation and personal experience with disability would help her contribute to the council. Additional testimony in support came from the State DD Council and Voc Rehab representatives. The committee voted to recommend advise and consent on the nominations it considered, including Miriam Chang, Terrilyn Luke, Valerie Rose, James Montgomery, Kevin Nakamura, and Pina Lemusu. Most recommendations were adopted without objection, though Senator Dela Cruz voted no on some of the later nominations. The meeting also briefly noted another nomination, Olivia Kim, which was recalled and advanced with an advise-and-consent recommendation before adjournment.

Transcript Highlights:

• Lewis Urch, Hawaii Disability Rights Center, in support. >> Yes. Thank you.
• Lewis Urch, Hawaii Disability Rights Center, in support. >> Yes. Thank you.
• </c> Disability Rights Center in support. Disability Rights Center in support.
• </c> Hawaii Disability Rights Center. Hawaii Disability Rights Center.
• Hawaii Disability Rights Center in support.

Bills: SB3263 , SB3261

Committee: Senate Education

Keywords: student-athletes, name image likeness, NIL, compensation, transparency, University of Hawaii, Title IX, funding, protections, athlete agents, student athletes, endorsement contracts, professional representation, registration requirements, sports law, 912, senate, all

Summary: The joint Senate Committee on Education and Committee on Health and Human Services heard testimony on several bills related to student health and safety, University of Hawaii programs, and workforce development. For SB 2969, which would appropriate funds for the University of Hawaii to expand and sustain the Maui Wildfire Exposure Study and Maui Health Registry, testimony was overwhelmingly supportive. Witnesses described the ongoing physical and mental health impacts of the August 2023 Maui fires, said the study has identified serious untreated conditions and connected participants to care, and emphasized its role in serving survivors and training students. The committee also heard support from the Department of Health, the Alzheimer’s Association, the American Lung Association, Maui residents, and study staff. No vote was taken during the hearing. The committee then heard SB 2657, which would establish an Alzheimer disease and related dementia research center at the University of Hawaii John A. Burns School of Medicine. University of Hawaii and Alzheimer’s Association representatives supported the bill, saying a local center would improve coordination of existing research, build state capacity, and help Hawaii compete for future NIH designation and federal funding. A family member affected by Alzheimer’s also testified in support, citing the disease’s impact in Hawaii. In response to questions, the university said the proposal would follow a five-year phased plan, with the first year funding used to recruit a senior neuroscientist and staff person, at an estimated cost of about $375,000, and that the effort would still strengthen Hawaii’s research infrastructure even if federal funding is not secured. For SB 2612, which clarifies immunity for Department of Education employees and agents who assist students with medication administration under certain conditions, the Department of Education said the bill is intended to protect volunteers and help ensure students can participate in school activities even when staffing is limited. The committee discussed how volunteers would be selected and whether every school would have someone available, and DOE said schools currently rely on health attendants, nurses, and trained volunteers. The committee also briefly discussed liability language and gross negligence exceptions. The hearing then moved to SB 2412, which would fund a bachelor’s degree program in sign language and sign language interpretation at UH Mānoa with a future master’s pathway. Testimony from interpreters, educators, and university officials emphasized the shortage of interpreters, the need to retain local talent, and the program’s role in building a pipeline; university representatives said the initial request would fund a faculty/staff position as a first step, with additional funding needed later. No final committee action or votes were announced in the transcript.

Transcript Highlights:

• </c> learning disabilities learning disabilities denial<00:41:18.160><c> so</c><00:41:18.599><c> what
• that</c> them the rights the human rights that them the rights the human rights that they<00:42:27.599
• as disabled because of my injury.
• All right, Senator, follow up?
• It's the right thing to do.

Committee: Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• All right.
• All right. Good afternoon, everyone.
• All right.
• All right. Thank you, Madam Chair.
• So I should complain, right? And I did.

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

Transcript Highlights:

• So we are, right now, it says 78 service providers as our member provider, So we are, right now it says
• So right now we have 80 service providers, like Leah's organization.
• IDD, intellectual and developmental disabilities.
• All right, Ms. Brzei, please proceed with your question. All right, Ms.
• You're exactly right.

Committee: All TASK FORCE ON AUTISM

Summary: The Arkansas Legislative Autism Task Force approved the April 1, 2026 meeting minutes and discussed several vacant membership slots, including positions tied to the Arkansas Psychology Board, Arkansas Blue Cross Blue Shield, UAMS, and parent or guardian appointments. Members said they would try to fill the vacancies and, if not, include the issue in the legislative report and consider statutory changes in the next General Assembly. The task force then heard from the Developmental Disabilities Provider Association and Civitan Services about DDPA’s role in supporting 80 provider organizations serving more than 13,000 children and adults with intellectual and developmental disabilities across 75 counties. They described services such as early intervention day programs, adult day programs, supported employment, intermediate care facilities, work activities, and community/residential waiver services, and said autism falls within the populations they serve. They also shared survey information on services used by older adults with IDD and offered contact information for providers. Members also heard a proposal to amend Act 656 of 2021 to add licensed psychological practitioners as qualified providers for autism waiver-related evaluations. The presenter argued this would reduce wait times, avoid duplicate assessments, and help families access services sooner, while noting that Arkansas Medicaid already pays for some of these evaluations. Task force members and Dr. Scott discussed the roles of psychologists, speech-language pathologists, and the possibility of using training or board oversight to ensure evaluators are properly qualified, with some noting that speech pathologists’ inclusion has historical and clinical roots. The task force also said it still needs a future discussion on fraud, plans to invite the Attorney General’s office, and wants to identify priorities for the 2027 session before adjourning.

Transcript Highlights:

• with a disability.
• ,</c><00:07:30.880><c> and</c> seniors, people with disabilities, and seniors, people with disabilities
• Because let's be with disabilities.
• </c> long-term care to term disability long-term care to term disability supports.<00:10:35.600><c> Cuts
• </c> we're not in that in that place right we're not in that in that place right now.<00:15:03.040><c

Keywords: 1183, house

Transcript Highlights:

• All right, Andrew, I'll pass it off to you now. All right.
• All right.
• All right.
• Right.
• All right. All right. Take care. Right now.

Keywords: 995, all

Summary: The subcommittee met to approve the April and May minutes, welcome a new member, and hear an update from Gina Frey of EOHHS on statewide health and human services workforce development efforts. Frey described cross-secretariat initiatives under the Workforce Skills Cabinet, including MA Repay loan repayment awards, expanded community college and tuition supports, ESOL/work-readiness programming for immigrants, and efforts to build career pathways and reduce attrition in nursing, behavioral health, direct care, and primary care. She also reviewed a $46 million ARPA-funded home and community-based services grant program that supported 82 grantees, led to hiring 8,752 new staff, over 1,000 interns, 2,000 new certifications, and a drop in vacancy rates from 22% to 12%. Members raised concerns about the impact of immigration policy changes on the direct care workforce, including losses of trained workers in provider agencies, and asked whether any exemption or other relief efforts were underway. Frey said EOHHS is tracking the issue closely but did not identify a specific exemption effort. The discussion also touched on Medicaid and related program changes, with Frey noting the administration is focused on understanding potential impacts to eligibility and work requirements. Rep. Howard asked about initiatives for direct support professionals and wraparound supports, and Frey said those efforts are often led by individual agencies such as MassAbility and DDS, with EOHHS coordinating across them. The latter part of the meeting shifted to planning FY26 subcommittee goals and possible events. Members discussed using the Health Policy Commission’s Behavioral Health Workforce Center and possibly asking for a study comparing compensation in DDS and related direct care roles against health care and education jobs. They also discussed a possible cross-state public event on immigration’s impact on the workforce, especially for people with disabilities and direct support services, and agreed to continue refining goals and event ideas by email and at the next meeting. Frey provided a website link and contact information for Amy Doyle at the Health Policy Commission to facilitate future presentations.