Transcript Highlights:

• They need to have constant oversight and supervision.

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• It means that proceedings affecting custody, visitation, safety, and fundamental parental rights are
• ex-husband child support, and I have not been able to see my children in five years outside of a supervision

Bills: HCR11, HB153, HB278, HB424, HB454, HB455, HB687, HB816, HB833, HB942, HB1053, HB1097, HB1147, HB1148, HB1190, SB75, SB85, SB197, SB200, SB217

Keywords: Camp Beauregard, Louisiana National Guard, Youth Challenge Program, military affairs, Pineville, National Guard training, emergency response, youth development, alternative education, high school equivalency, GED, at-risk youth, leadership training, job skills, citizenship, veterans, state military operations, mobilization, logistics staging area, public service

Summary: The committee first adopted a three-minute rule for the rest of the meeting by a 9-3 vote. It then took up SB 217, which would reorganize Orleans Parish courts by reducing judgeships in criminal, juvenile, traffic, and municipal courts and, through an adopted amendment, creating one civil district court with 13 judges and allowing hearing officers. Senator Morris argued the changes were based on caseload comparisons and population data; opponents from the Urban League and ACLU said the bill was driven by power rather than efficiency, relied on incomplete or inconsistent data, would strain the courts, and would reduce minority representation on the bench. The committee reported the bill favorably as amended by an 11-4 vote. The committee next considered SB 197, which would reduce the number of judges on the Fourth Circuit Court of Appeal by two. Senator Morris again cited filings and caseload comparisons, while opponents argued the bill ignored the intensity and complexity of appellate work, could increase backlog and costs, and would disproportionately affect Black women judges. The bill was reported favorably by an 11-4 vote. The committee also adopted HCR 11, expressing support for the Louisiana National Guard at Camp Beauregard and the Youth Challenge Program, and reported favorably SB 85, creating an insurance fund for retired St. Charles Parish sheriff’s employees. Several other measures were advanced with little or no opposition. HB 833 created the Sexual Assault Survivor Empowerment Task Force and was amended to add representatives from the coroners’ association, a survivor appointed by STAR, and a licensed clinical social worker; it was reported favorably. HB 816, with a technical correction, prohibited foreign adversaries from acquiring property near military installations and was reported favorably. HB 1053, dealing with definitions for dealers and retail dealers and allowing certain businesses to serve complimentary alcoholic beverages under agreed-upon floor amendments, was reported favorably. HB 153, as amended, removed the Office of Debt Recovery from the bill and limited it to prohibiting reporting certain criminal fines and fees to credit bureaus; it was reported favorably. SB 75, on cybersecurity reimbursement and baseline standards for local governments after cyber incidents, was reported favorably after testimony from GOSEP and others. SB 200, allowing expropriation of land near military bases owned by foreign adversaries when a court finds a threat to public health and safety, was also reported favorably after extensive testimony and discussion. Finally, HB 454, the Gracie Claire Rushing Act on chain of custody for human remains and internal organs, was converted into a substitute bill, adopted, and then introduced for further discussion, with the sponsor describing it as a transparency and accountability measure for grieving families.

Transcript Highlights:

• I'm a supervising environmentalist testifying on behalf of Hennepin County in support of House File 3420
• I think we need to sit down, and I think the biggest thing will be to visit about who’s on the task force

Bills: HF2715, HF2499, HF3420, HF3657, HF2303

Keywords: HF2715, homestead credit refund, property tax refund, property tax relief, homeowner tax relief, homestead credit, co-pay reduction, Minnesota property taxes, tax rebate, state refund, income thresholds, inflation adjustment, property tax circuit breaker, housing affordability, elderly homeowners, fixed income, taxation, Minnesota Statutes 290A.04, renters credit, income tax

Transcript Highlights:

• mothers in particular who were young, poor, and unmarried, had the public health nurse visitation on
• mothers in particular who were young, poor, and unmarried, had the public health nurse visitation on
• mothers in particular who were young, poor, and unmarried, had the public health nurse visitation on
• were young, poor, and unmarried, had the public health nurse visitation on a particular protocol.
• Had the public health nurse visitation on a particular protocol.

Keywords: 916, all

Transcript Highlights:

• And visits to a naturopathic doctor range anywhere from $150 to $400 per visit.
• . visit. visit.
• So we bill for office visits. providers. So we bill for office visits.
• Um some professions, so I'm visit.
• We basically, the only thing that we can bill insurance for are office visits, levels of office visits

Keywords: 928, house, all

Summary: The committee held a public hearing on Senate Bill 562, which would create a home damage mitigation and resilience grant program aimed at helping homeowners make property improvements that could reduce insurance costs and non-renewals. Commissioner DJ Bettencourt of the New Hampshire Insurance Department explained that the program is modeled in part on Alabama’s safer homes program, but tailored for New Hampshire hazards such as floods, microbursts, heavy snow, ice, and falling trees. He said the grants would be limited to primary residences, subject to a means test, capped at $10,000, and intended to help homeowners make targeted improvements such as roof fortification or tree removal that could improve underwriting outcomes and lead to premium discounts. Bettencourt said the program would not use state taxpayer funds and would instead rely on philanthropic donations, possible federal or regional housing-bank funding, and other outside sources. He said the department would not need new staff, and that a current position could be reconfigured to help administer the program part-time. Committee members asked about the funding language, the meaning of “loans” in the bill, whether there were any other states using a similar no-state-funds model, and how many homeowners could be helped. Bettencourt said Rhode Island and Connecticut were moving forward in a similar way, and that the number of beneficiaries would depend on how much money is raised. Members also questioned how the grant program would actually lower premiums, whether savings would apply only to participants or more broadly, and how the IBHS evaluation process would work. Bettencourt and department staff said the direct benefit would be to the homeowner whose property is improved, though neighbors could also benefit in some cases. They explained that IBHS is a building-safety organization that certifies contractors and inspectors and that its standards can qualify homes for insurer discounts. Questions were also raised about confidentiality provisions, first-come-first-served grant awards, rollover of unused applications, and possible tax treatment of donations. The sponsor said those details would be addressed through rulemaking or existing tax rules, and no vote was taken during the hearing.

Transcript Highlights:

• hip school and they have one visited hip school and they have one person<00:47:31.599> for<00
• In reality, there's not much supervision.
• They can do it by visiting.
• They can do it by visiting.
• They can do it by visiting.

Keywords: 1189, house, all

Transcript Highlights:

• Who are they supervising? They have no staff underneath them.
• Who are they supervising? They have no staff underneath them.
• Did they go out and visit their larger employers? Did they talk to community leaders?
• <02:13:02.639> their<02:13:02.800> larger Did they go out and visit their larger Did
• they go out and visit their larger employers?

Keywords: 1191, senate, all

Transcript Highlights:

• It lives with the courts, it lives with the jails and the DOC, it lives with probation and supervision
• It lives with the courts, it lives with the jails and the DOC, it lives with probation and supervision
• It lives with probation and supervision.

Bills: HF3771, HF3658, HF3453, HF3358, HF1775

Keywords: disaster assistance, contingency account, Minnesota emergency management, public safety, state disaster aid, FEMA, federal cost-share, emergency relief, natural disaster, budget report, appropriations report, management and budget, local governments, utility cooperatives, public works, infrastructure repair, chapter 12B, chapter 12A, emergency management, disaster recovery

Transcript Highlights:

• psychologists, And so we had school psychologists, speech professionals, the dispensing of medication, and supervision
• change that we made, was consistent with law that the medication administration that the nurse could supervise
• change that we made, was consistent with law that the medication administration that the nurse could supervise

Keywords: 1189, house, all

Summary: The commission to study special education costs under SB 57 met for its second meeting, with members introducing themselves and reviewing background materials on New Hampshire special education identification rates, NAEP results, and a Wall Street Journal article about the rise in autism diagnoses. The chair explained that the commission is examining special education aid formulas, including how New Hampshire’s current catastrophic aid threshold works and how changes to that threshold might affect school districts, but noted that the needed data on how many students would shift into the aid system at lower thresholds is not yet available. The main testimony came from Henry Litman of HHS on Medicaid reimbursement in schools. He explained that school-based Medicaid funding is tied to health-related services, not all special education services, and that federal rules are changing in state fiscal year 2027. Under the new approach, schools will move away from an in-kind methodology to a certified public expenditure model that may also allow recovery of some overhead costs, such as support staff time. He said the state won a federal grant to help build the new system, hired a vendor, and is setting up training and a help center for districts. Members asked about why Medicaid claims have declined and whether districts are leaving money on the table. Litman said claims are down about 25% from pre-pandemic levels, with declines tied to federal and state rule changes, documentation requirements, provider qualification rules, and the end of temporary pandemic flexibilities. He said some districts adapted better than others depending on local medical-provider access and administrative capacity. He also said the new federal legislation does not directly affect schools, while New Hampshire’s return to pre-pandemic eligibility rules has reduced enrollment somewhat. No votes were taken, and the discussion ended with agreement that the commission needs better data to determine how much special education spending is truly Medicaid-eligible and whether additional legislation is needed.

Transcript Highlights:

• 59.199> 5:1 The ratio of 8 to 1, or dental hygiene 5:1, radiologic programs—again, the close supervision
• technology; it is healthcare, and that's for a reason, because that's how you get the clinical supervision
• technology; it is healthcare, and that's for a reason, because that's how you get the clinical supervision

Keywords: 928, house, all

Summary: The meeting was the first session of a newly created House Education Funding Committee, which also handles career technical education and higher education legislation. The chair explained that the committee was split off from the larger education committee because of the high volume of bills in the prior biennium, and said its focus would be on education funding policy and related fiscal issues. He noted that the committee had already reviewed major topics with the Department of Education, including the foundation formula, building aid, career technical education, special education aid, catastrophic aid, and higher education funding, and that chancellors from the university and community college systems were scheduled to appear later that morning. The bulk of the meeting was an orientation on committee procedures and decorum. The chair reviewed attendance and replacement rules, hearing procedures, time limits for testimony, and how the committee would handle crowded hearings, early bills, and fiscal notes. He emphasized that hearings are not debates, that sponsors and co-sponsors may present but should not use their position to dominate questioning, and that the chair controls whether additional technical questions are asked of witnesses. He also stressed neutrality, saying members should not display buttons or placards or engage in running debates with testifiers, and that the committee should treat all testimony respectfully regardless of party or viewpoint. Additional housekeeping guidance covered security procedures, use of cell phones and computers during hearings, breaks and hydration in the dry hearing rooms, and courtesy toward the clerk and other staff. The chair also asked members to notify leadership in advance of absences and explained that some bills may require larger rooms or overflow arrangements. No votes were taken and no bills were acted on during this portion of the meeting.

Transcript Highlights:

• protections for religious, traditional, cultural practitioners and birth attendants who do attend, supervise
• attendants<00:11:55.440> who<00:11:55.639> do<00:11:56.040> attend<00:11:56.600> supervise
• <00:11:57.279> and attendants who do attend supervise and attendants who do attend supervise
• but further requires mandatory data collection and an excess amount of additional restrictions on supervision

Keywords: 910, house, all

Summary: The joint House Committee on Health and Committee on Consumer Protection and Commerce heard two midwifery bills, with testimony focused primarily on HB 1194. Committee chairs opened the hearing with rules for Zoom testimony and noted the bills relate to midwives. The Department of Commerce and Consumer Affairs said it supported the intent of HB 1194 and offered comments. Supporters of the bill, including the Midwives Alliance of Hawaii, argued that midwifery should remain subject to mandatory licensure to protect consumer safety, citing the state’s regulatory licensing standards and a 2025 state auditor sunset analysis. They said the bill would strengthen educational standards and public protection, and some offered clarifying amendments. Opponents argued HB 1194 would restrict access to care and fail to protect traditional, cultural, and community-based birth practices. Testifiers from the Hawaii Home Birth Task Force, the Hawaii Home Birth Collective, the Libertarian Party of Hawaii, the Center for Reproductive Rights, Pacific Birth Collective, and Papa Ola Lōkahi said the bill would limit licensure pathways, reduce access in rural and underserved areas, and burden Native Hawaiian and traditional practitioners. Several speakers said the measure could worsen Hawaii’s maternal health shortages, especially on Maui, and urged lawmakers to defer HB 1194 or instead advance HB 1328, which they said better protects practitioner access and cultural practices. The Hawaii affiliate of the American College of Nurse-Midwives said it opposed HB 1194 because it did not align with national or state standards for certified midwives and could create conflicts with Medicaid reimbursement and prescriptive authority. The ACLU also opposed the measure, emphasizing reproductive rights, privacy, and the need to preserve apprenticeship pathways to licensure. No vote or final committee action was taken during the portion of the hearing reflected in the transcript.

Transcript Highlights:

• And then following that, I got into school principalship and supervising what I saw in classes in curriculum
• c><00:05:25.520> and in into school principal ship and in into school principal ship and supervising
• 27.000> saw<00:05:27.680> in<00:05:27.960> classes<00:05:28.400> in supervising
• what I saw in classes in supervising what I saw in classes in curriculum<00:05:29.160> and<00
• as an opportunity to provide and working with, uh, I, as a prior teacher myself and as a prior supervising

Keywords: 928, house, all

Summary: The committee first heard House Bill 362, which would grant the Department of Education rulemaking authority related to educator licensure and testing requirements, including passing scores on professional education assessments. Representative Ladd said the bill is intended to preserve New Hampshire’s standards for classroom teachers and CTE instructors, while allowing DOE flexibility through rulemaking. He emphasized maintaining high standards, including for career and technical education, and said he was open to DOE clarifying the language further. Committee members raised concerns that the bill, as written, could remove language recognizing industry-recognized credentials for CTE instructors. Department of Education Director Steven Appy said DOE had drafted an amendment to clarify that the requirement applies to an initial New Hampshire license, to exempt CTE teachers from content exams, and to preserve current administrative practice allowing basic academic skills testing and industry-recognized credentials as substitutes. The committee discussed the distinction between basic academic skills tests and content assessments, and Appy said the amendment was meant to avoid conflating those requirements. The chair said the committee would take up executive session on HB 362 and related bills later. The committee then took up House Bill 90, which narrows and defines the rules for part-time teachers, especially in concurrent enrollment settings. Representative Ladd explained that the bill is meant to allow qualified college faculty or adjuncts from the University System or Community College System to teach high school concurrent-enrollment courses when local schools lack a teacher with the needed master’s-level credentials, particularly in math and STEM subjects. He said the bill is intended to expand student access to college-level coursework, save money, and preserve standards, while still requiring background checks and adherence to ethics and conduct rules. Members began asking questions about how the bill would work in practice, including certification and endorsement issues, but the hearing was not concluded in the portion provided.

Transcript Highlights:

• Speaker, as part of my statewide End Hunger Now tour, I recently visited Growing Places in Gardner, Massachusetts
• commissioner may not engage in a sexual relationship with any employee of the House who works under the supervision
• commissioner may not engage in a sexual relationship with any employee of the House who works under the supervision

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, March 3, 2026, 1012, house, all

Transcript Highlights:

• It is important to provide immediate intensive supervision while also simultaneously drafting the long-term
• It is important to provide immediate intensive supervision while also simultaneously drafting the long-term

Keywords: 1183, house

Summary: The committee heard House File 3493, the Safe Schools Revenue Increase bill, and first adopted the DE amendment before moving the bill on for re-referral to Ways and Means. Representative Lawrence described the bill as a multi-layered school safety package for all students and schools, including public, nonpublic, charter, and tribal schools, with increased safety funding, mental health support, anonymous threat reporting, school safety plans, and student discipline changes. Several supporters emphasized the need for flexible safety funding and cited real-world safety concerns, including anonymous tip systems that had generated many reports, classroom evacuations, staff injuries, and the need for more resources for mental health and safety infrastructure. Some supporters, including charter school leaders and Catholic Conference testimony, argued the bill’s flexibility and broader safety approach were important, while others supported the K-3 suspension language as a needed tool in severe cases. Opponents focused heavily on the bill’s repeal of Minnesota’s K-3 suspension ban and non-exclusionary discipline requirements. Legal aid, disability advocates, and education groups argued that suspensions harm young children, worsen disparities, and disproportionately affect students of color and students with disabilities, and they urged the committee to keep restorative and non-exclusionary practices in place. Disability advocates also asked that any safety planning explicitly account for students with disabilities and that the bill remain aligned with IDEA protections and individualized education decisions. Several testifiers opposed using public funds for private schools, saying public money should stay in public programs. Other testimony came from school administrators and staff who supported restoring limited suspension discretion, describing serious elementary incidents, classroom evacuations, and injuries that they said required a short-term removal option to stabilize classrooms and plan for students’ return. Mental health and school support personnel witnesses stressed that safety and mental health funding should remain distinct and that more counselors, social workers, and related staff are needed to address student crises. No final vote on the bill itself was taken in the portion provided beyond adoption of the DE amendment and the motion to re-refer the bill.

Transcript Highlights:

• perhaps there it was happening in another state, you were working at a certain level or even being supervised
• perhaps there it was happening in another state, you were working at a certain level or even being supervised

Keywords: 1191, senate, all

Transcript Highlights:

• to offer you new phones and new cars, but you sign an agreement that says you will work at ICE's supervision
• to offer you new phones and new cars, but you sign an agreement that says you will work at ICE's supervision

Keywords: 1183, house

Transcript Highlights:

• Abroad, ibogaine is being used in supervised clinical settings with promising results.
• “Abroad, ibogaine is being used in supervised clinical settings with promising results.

Keywords: Public Health and Welfare - Room 216, 25 February, 2026; 3:00 PM, 925, all

Summary: The committee first handled House Bill 612, which had been laid on the table because of questions about section one. Senator Tate explained that section one would allow the state, counties, and municipalities to enter interlocal agreements to provide installation support services on military installations, mainly road and infrastructure work such as paving and dirt work, and that section two would add Coast Guard medics to an existing provision allowing trained military medics to sit for LPN certification. After questions about the breadth of “installation support services,” the committee adopted the motion for title sufficient, due pass, with opposition noted, and the bill was reported to the Veterans and Military Affairs Committee. House Bill 942 was then passed over at Senator McMahon’s request until Tuesday. The committee then took up House Bill 1034, which would allow terminally ill hospital patients to use medical cannabis gummies. The sponsor said the bill is intended to help terminally ill patients who already qualify for medical cannabis but are denied access in hospitals, and that it prohibits smoking or inhalation. Members raised concerns about whether the bill was too broad, whether it would interfere with hospital and physician judgment, possible drug interactions, federal law issues, liability for hospitals and doctors, storage and disposal requirements, and whether hospitals would incur costs or be forced to handle cannabis on their premises. The sponsor responded that the patient’s use would be logged in the chart, that the caregiver is generally responsible for the lockbox and disposal, and that the bill includes language allowing a facility to opt out if compliance would jeopardize federal funding or licensing. The bill’s author also described the measure as arising from a Coast Guard family’s experience in which a terminally ill patient was denied access to medical cannabis at one hospital but allowed at another, and said the goal is to prevent similar denials for terminally ill patients. He said he was not aware of other drugs treated this way in hospitals, but argued that terminally ill patients should have access to most anything they want. The discussion ended with Senator England asking whether changing the bill’s requirement that a facility “shall” allow medical cannabis to “may” allow it would better protect hospitals and preserve discretion, but no final action on House Bill 1034 was taken in the portion provided.

Transcript Highlights:

• Speaker, what this does, it defines supervision standards for student involvement, which was a recommendation
• Speaker, what this does, it defines supervision standards for student involvement, which was a recommendation

Keywords: Convene 00:00:00 Senate Message 00:04:53 Calendar/2nd Readings 00:05:27 Report of Committees 00:06:16 Orders of the Day 00:08:42 SB 172 00:08:54 HB 392 00:11:47 HB 529 00:16:02 HB 456 00:22:04 HB 424 00:25:27 HJR 50 00:30:04 HB 577 00:32:29 HB 213 00:36:10 HB 58 00:40:22 HB 10 00:45:23 Motions, Petitions, and Communications 01:04:32 Introduction of New Bills and Resolutions 01:17:33 Recess for ConC/Rules Meeting 01:20:15 ConC/Rules Report 01:25:00 Floor Amendments 01:26:56 Adjournment 01:27:21, 958, all

Summary: The House convened with an invocation and Pledge of Allegiance, established a quorum of 96 members, excused absent members, and approved the prior journal. The chamber also received Senate messages transmitting Senate Bills 969 and 141. Several bills were reported from committee and placed on the calendar, including measures on on-farm animal health, insurance regulation, crimes and punishments, employment, artificial intelligence, utility fuel adjustments, education, and addictive online platforms. The House then took up and passed Senate Bill 172, which allows the Public Service Commission to spread sudden fuel cost spikes over several months to reduce consumer bill shock. It passed 95-0. House Bill 392, dealing with local public agency transactions and procurement, was amended by committee substitute to remove disputed best-value procurement and residential bidder preference provisions, lower the small purchase threshold increase to $50,000, and add indexing and other local purchasing changes; it passed 97-0. House Bill 529, concerning the parole board, was amended to stagger board terms, allow limited term extensions, authorize panel hearings, and adjust parole review timing; it passed 99-0. House Bill 456, relating to unclaimed property and the state treasurer, was passed 100-0 after adding an unclaimed property awareness week, removing a residency requirement for the treasurer, clarifying mineral royalty reporting, and tightening reporting requirements. The House also passed House Bill 424 on social work licensure, which exempts student interns and trainees, sets supervision standards, updates licensure rules including multi-state licensure, background checks, and telehealth, and requires board representation from social work education; it passed 94-0. House Joint Resolution 50, directing a study of child care regulations and processes by the Auditor of Public Accounts, was adopted 98-0. House Bill 577, modernizing economic development statutes by renaming and updating innovation programs, expanding the Kentucky Enterprise Fund, allowing certain out-of-state companies to qualify if they relocate within 180 days, and broadening angel investor participation, passed 98-0. House Bill 213, reducing the service requirement for rehiring retired police officers from 20 to 15 years and allowing local employers to offer health benefits, passed 98-0. House Bill 58, on privacy protection and automated license plate reader data, was taken up with a committee substitute and floor amendment allowing limited data retention and training use under redactions; the transcript cuts off during explanation of the bill after the amendment was adopted.

Transcript Highlights:

• taking Expected to provide CLS services, taking somebody out into the community in a sort of supervised

Keywords: • 0:00 - Roll Call • 0:19 - Approval of June 2026 meeting minutes • 0:36 - Fish & Wildlife (301 KAR 1:201 and 301 KAR 2:178) • 1:35 - Board of Veterinary Examiners (201 KAR 16:767) • 4:10 - State Board of Elections (31 KAR 4:240 Emergency) • 4:50 - Office of the Attorney General, Regulatory Relief (40 KAR 12:300, 12:610, 12:400, 12:420 and 12:600) • 7:03 - Department of Revenue (103 KAR 43:341 Emergency) • 8:05 - Kentucky Public Pensions Authority (105 KAR 1:001 and 1:440) • 9:19 - Finance and Administration Cabinet, Office of the Controller (200 KAR 38:080) • 10:10 - Board of Physical Therapy (201 KAR 22:010 and 22:070) • 11:06 - Kentucky Department of Education (702 KAR 3:220 and 6:110) • 12:43 - Cabinet for Health and Family Services, Department for Public Health (902 KAR 1:400) • 13:47 - Cabinet for Health and Family Services, Department for Medicaid Services (907 KAR 2:720 and 2:725) • 28:11 - Next meeting and adjournment, 958, all

Summary: The subcommittee met with a quorum present, approved the minutes without objection, and then reviewed a series of administrative regulations from multiple agencies. Most of the regulations received staff-suggested amendments and were approved without objection, including fish and wildlife rules on fishing limits and deer hunting on local government property, veterinary board changes to responsible party and veterinary manager requirements, election procedures for safe-at-home voters, attorney general regulatory relief rules, emergency gasoline tax pricing, public pensions updates, controller fraud-prevention policies, physical therapy licensure and English proficiency standards, school nutrition and fee-waiver rules, public health conference procedures, and Medicaid waiver regulations. Several agencies briefly identified themselves and answered procedural questions, but most items drew no substantive opposition. The Board of Veterinary Examiners regulation included an agency amendment that removed a proposed limit on the number of facilities a veterinary manager could oversee. The Department of Education regulations updated fee waiver and meal program procedures, while the Department of Public Health regulation clarified notification and conference-request procedures. The Department of Revenue and Kentucky Public Pensions Authority items were largely technical or conforming changes, including a special-needs trust definition added for consistency with Senate Bill 85. The most extensive discussion involved the Department for Medicaid Services’ 1915C child waiver regulations. Kentucky Protection and Advocacy testified in opposition to the waiver’s lack of participant-directed services, arguing that consumer-driven services such as respite and community living support are required and especially important in rural areas and for higher-acuity children. Cabinet representatives responded that the waiver is intended to provide wraparound services to keep children in homes and communities, that it has CMS approval, and that the program is limited to 100 slots with about 21 participants already enrolled. Members did not move a deficiency motion, and the chair indicated the regulations would continue through the process. The meeting adjourned after setting the next meeting for Tuesday, August 11 at 1:00 p.m.

Transcript Highlights:

• Individuals with autism often require constant supervision, hands-on assistance, and caregivers who deeply

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing focused on two broad sets of issues: home- and community-based care, and school-based Medicaid reimbursement. In the morning session, legislators and advocates testified on bills affecting children and disabled enrollees, including proposals to clarify rate-setting for home health and home care services (H. 767/S. 870), allow family members and spouses to be paid caregivers under MassHealth (H. 1394/S. 886 and related bills), extend MassHealth coverage for applied behavior analysis and other therapies beyond age 21 for adults with autism and developmental disabilities (H. 1351/S. 871), and protect medically fragile children by improving access to continuous skilled nursing. In the later portion of the hearing, testimony shifted to a bill to improve MassHealth reimbursement for schools (S. 862), with speakers describing the school mental health crisis and the need to reinvest Medicaid funds directly into school health services. Witnesses on the home care rate-setting bill said current reimbursement methods are opaque and outdated, contributing to workforce shortages, unfilled shifts, long waitlists, and patients remaining in hospitals longer than necessary. Home care providers and trade groups argued the bill would not set rates directly but would require more transparent methodology and fuller consideration of real costs such as wages, benefits, taxes, training, and technology. On caregiver bills, many family members and provider organizations described the financial and emotional strain of caring for disabled or medically fragile relatives, especially when parents, spouses, or guardians are barred from being paid caregivers. They argued the bills would recognize existing unpaid care, help families remain at home, and reduce reliance on more expensive institutional care. Advocates for adult ABA coverage said services remain medically necessary after age 21 and that ending coverage at that age creates an inequitable “cliff” for MassHealth members compared with those with private insurance. For the PACE/community care bill, elder law attorneys and PACE advocates said current MassHealth income rules force some older adults with modestly higher incomes to spend down to $542 per month, making community living unrealistic and pushing people toward nursing homes. They supported changing the eligibility structure to a premium-based approach that would allow more people to remain in the community. On the school Medicaid bill, advocates said schools are providing effective, preventive mental health care, but reimbursement currently flows to municipalities rather than directly back to school health budgets, limiting districts’ ability to hire and retain staff. No votes were taken during the hearing; the committee heard testimony and several witnesses requested favorable reports on the bills.