Transcript Highlights:

• The Department of Child Support Services.
• So when we go out to contract for those types of services, we go out to contract as a services vendor
• Long-term services and supports, including home and community-based services, are not impacted.
• There are General Fund savings of lower utilization of other services in the fee-for-service delivery
• fee-for-service delivery system.

Summary: The committee first heard May Revision child care and human services items. The Department of Child Support Services described two technical adjustments, which the analyst supported. The Department of Social Services then walked through child care proposals, including a reduction in federal and Proposition 64 funding absorbed through a shift from General Child Care to the Alternative Payment program, a 2.01% child care COLA, disaster-related infrastructure grants, a new administrative support cost structure for Alternative Payment agencies, the removal of prospective pay funding after a federal rule change, a reappropriation for existing infrastructure grants, and estimates of unspent child care funds. The Legislative Analyst’s Office recommended asking for more justification for shifting reductions to CAP, supported the COLA reduction but wanted consistency across programs, recommended removing prospective pay funding, opposed the administrative cost shift, and suggested further review of disaster grant alignment. Members pressed the administration on why more slots would be cut for the same savings, why the COLA was reduced, and whether the administrative percentage would grow over time. The administration said the changes were intended to avoid disrupting currently enrolled families, reflect point-in-time relinquishments and unspent funds, and stabilize contractor operations. Public commenters, including providers, advocates, and county representatives, urged full COLA funding, rejection of child care slot reductions, preservation of prospective pay, and continued investment in child care infrastructure and access. The subcommittee then recessed before moving to health items. In Part B, the Department of State Hospitals presented its May Revision proposals, including a central utility plant replacement project at Metropolitan State Hospital, funding for a continuum electronic health record system, reduced county bed billing authority to reflect phase-in of additional LPS beds, limited contract exemption authority for online clinical subscription services, reversion of prior-year unspent operating funds, and a workforce development proposal to use Behavioral Health Services Act funds instead of General Fund for training programs. The department said the EHR would modernize records and improve continuity of care, and that the contract exemption would prevent delays in essential clinical information services. No votes were taken in the excerpt provided.

Transcript Highlights:

• We are in public service. Everything starts with the social worker who provides the services.
• As far as services, services would be outsourced.
• services.
• So to the extent that they were to cover services that aren't typical state plan services...
• a service authorization.

Summary: The Health Care Budget Subcommittee took up two bills and then continued oversight discussions with APD and AHCA. CS/HB 27, the Social Work Licensure Interstate Compact, was presented as a way to let Florida social workers practice in other compact states and vice versa; AARP, the Florida Chamber, and NASW Florida supported it, and the bill passed favorably. HB 1127, a child welfare bill, would create a treatment foster care pilot for children with high behavioral needs, improve DCF data collection on commercially sexually exploited children, and expand recruitment for protective investigators and case managers; the bill also passed favorably after brief supportive testimony. The committee then questioned APD at length about the iBudget waiver waitlist, enrollment pace, spending projections, and provider capacity. APD said it had sent more than 1,100 interest letters in categories 3, 4, and 5, enrolled 1,124 people so far this year, and expects to spend about 96.4% of its waiver appropriation, leaving roughly $82 million unspent. Members pressed APD on why prior discussions suggested more reserve was needed, how long the SANS process takes, whether category 6 could be expanded, and whether the agency has enough waiver support coordinators and direct support providers. APD said it has about 1,061 waiver support coordinators statewide, adequate capacity for current enrollees, but would need further analysis if the legislature directed a much larger enrollment increase. Members also asked about outreach, annual maintenance of the waitlist, portability for military families, and whether communication efforts should be privatized. Finally, AHCA walked the committee through the 2023 Achieved Savings Rebate (ASR) report for Aetna and explained how the report is used for financial monitoring, rebate calculations, and transparency. AHCA said the ASR is separate from the medical loss ratio (MLR) calculation, though both are reviewed, and that Florida uses the ASR mechanism rather than an MLR remittance requirement to recover funds from plans. Members asked about related-party disclosures, CVS/Caremark relationships, expanded benefits, encounter data, network adequacy penalties, denials and appeals reporting, interest earned on capitation payments, and whether rate increases were reaching providers. AHCA and the outside auditors said they review the plans’ reported data, reconcile it to underlying records, and can assess liquidated damages for network adequacy violations; several members requested follow-up data on rebates, interest, provider capacity, and related-party reporting.

Transcript Highlights:

• , mental health services, parenting support, services for children with special needs.
• So now she needs that service.
• So now she needs that service.
• Whether it's medical services, food services, support services, grants are being cut regularly.
• Thank your husband for his service. And thank you for your service as a military spouse.

Keywords: 998, house, all

Transcript Highlights:

• </c> disability waiver residential service disability waiver residential service providers<00:03:08.599
• </c><00:04:14.959><c> outlined</c> to disability waiver Services outlined to disability waiver Services
• </c> fragile service fragile service system<00:04:49.320><c> the</c><00:04:49.440><c> administration<
• In terms of Human Services then, MSOP is run by Human Services.
• </c> Human Services or or Not Human Services Human Services or or Not Human Services I'm<00:25:21.200

Keywords: 1183, house

Transcript Highlights:

• Department of Health Care Services, the Governor's Office of Emergency Services, and the 988 California
• of Managed Health Care Services, and the Emergency Medical Services Authority.
• , child welfare services, adult protective services, and our local hospitals.
• The other piece is services.
• Services themselves.

Summary: The hearing focused on California’s 988 suicide and crisis lifeline and the broader crisis response system, with members and witnesses emphasizing both the system’s life-saving role and the risks posed by funding gaps, rising demand, and uneven local implementation. Opening remarks highlighted the personal impact of suicide and the need to strengthen crisis response so calls are answered quickly and linked to appropriate care rather than defaulting to 911, emergency rooms, or law enforcement. State officials described the AB 988 five-year implementation plan, which sets goals around public awareness, equitable access, high-quality call/chat/text response, and better integration with ongoing behavioral health services. State agencies reported progress on infrastructure, coordination, and related behavioral health investments. CalHHS said California has expanded mobile crisis teams, crisis stabilization units, and youth behavioral health supports, and is preparing additional public awareness and grant programs tied to Proposition 1. DHCS explained that 988 is funded through a federal SAMHSA grant and the AB 988 surcharge, while Medi-Cal separately funds mobile crisis services; officials said the mobile crisis benefit is active in 53 counties and that statewide expansion remains a work in progress. Cal OES described the statewide technical buildout, including network infrastructure in all 11 crisis centers, interoperability with 911, and a pilot of next-generation routing and call-handling tools. The 988 California Consortium said call volume continues to rise sharply, missed calls remain a major concern, text/chat capacity is limited, and centers need more stable funding, better reimbursement, and stronger feedback loops with the state. County and community witnesses stressed that local systems need more flexible, sustained support to match the demand. Lake County described a peer-led rural mobile crisis model that has reduced law enforcement holds and increased housing placements, but said county-run mobile crisis teams still cannot reliably access 988 surcharge dollars and face reimbursement problems from Medi-Cal and commercial plans. Santa Clara County reported strong performance metrics, rapid call answer times, and a broad continuum of mobile crisis services, but said staffing and funding are strained and commercial reimbursement remains slow. The Mental Health Association of San Francisco said the peer-run warm line complements 988 by offering non-emergency support and warm handoffs, but recent budget changes forced cuts to Spanish-language service, federation support, and hours. No formal votes or legislative actions were taken during the hearing; members mainly asked questions about surcharge levels, budget timing, coordination among agencies, data collection, and how to improve collaboration with frontline crisis centers.

Transcript Highlights:

• services.
• that direct service... ...to state what exactly direct services entails, including that direct service
• in certain types of services.
• ways in certain types of services.
• Is it based on services, the quantity of services done last year historically?

Summary: The committee held a panel discussion on Florida’s domestic violence system, focusing on how state and federally funded services are coordinated, the role of the Florida Partnership to End Domestic Violence (FPEDV), the Florida Domestic Violence Collaborative, DCF, and certified domestic violence centers. Members reviewed the post-2020 restructuring after the dissolution of FCADV, the current hotline, legal services, training, and technical assistance contracts, and the Legislature’s recent work on lethality assessments under SB 1224. Panelists also described prevention, shelter, counseling, child advocacy, and legal support services, along with the statewide network of 41 certified centers serving all 67 counties. Testimony highlighted both collaboration and tension. FPEDV and Women in Distress described overlapping training and technical assistance roles, but FPEDV said its relationship with DCF has been difficult and at times obstructive, while DCF said communication and coordination are ongoing. Women in Distress and other providers emphasized the importance of direct services, the statewide hotline, injunction assistance, child welfare co-located advocates, and prevention programs. Several members asked about funding flows, certification, and whether the current structure is sufficient for rural counties; witnesses said federal FVPSA funds are formula-based, DCF contracts directly with centers, and rural programs face staffing and fundraising challenges that limit beds and services. A major portion of the discussion centered on the lethality assessment work group and implementation of the new statewide tool. FDLE explained that the work group concluded the Maryland model was copyrighted and costly to replicate exactly, so Florida adopted a statutory assessment that is not evidence-based in the same way, with training available online and 46 of about 400 law enforcement agencies having completed it so far. Senators raised concerns about multiple assessments, redacted police reports, and whether the tool will be useful without better coordination and data collection. Witnesses also discussed rising domestic violence, teen dating violence, and strangulation cases, with providers reporting increased demand, full shelters, and greater use of hotels and mobile crisis responses. No formal votes or actions were taken.

Transcript Highlights:

• how many adults need the services.
• Thus far, 177, or 8.8 percent, of the inmates in need of MAT services have received services.
• So, we have been providing billable services, but we haven't yet billed any services. one, because of
• of service.
• The number of people we've provided services to, what services they provided, for how long they provided

Transcript Highlights:

• services.
• services.
• cover or should cover these services on equal footing with in-person services.
• housing services.
• There's a number of services.

Keywords: 908, all

Transcript Highlights:

• </c> service.
• So that continuity of service service.
• </c> best services possible. best services possible.
• </c> these services. these services.
• services you can provide? services you can provide?

Keywords: 1189, house, all

Summary: The meeting opened without a quorum, so approval of the prior draft minutes was deferred until later. The committee then heard a DHS update from Commissioner Lori Weaver and COO David Weers, who described the recent flood at the Brown building and the relocation of nearly 400 DHS staff while operations are restored. They also outlined New Hampshire Care Connections, a privacy- and consent-focused closed-loop referral platform intended to improve referrals among providers, reduce duplication, and support continuity of care, with an Upper Valley implementation partnered with Dartmouth Health and an Epic integration already underway. Members asked whether the system would merge medical records or simply track referrals. DHS said it is not intended to store or transmit full medical records, but to integrate with providers’ electronic health record systems so referrals can be sent, received, and tracked, with consent controls limiting what information can be shared. Officials said the project will be tested over the coming months, with metrics, governance, and advisory committee oversight, and that it is tied to broader rural health transformation efforts and statewide implementation after the regional pilot. The committee also received the annual report from the Child Care Advisory Council. Maryanne Barter and Jessica Carver said the council worked with licensing to streamline the child care licensing rules, reducing the handbook by about 30%, and is now helping develop an informal dispute resolution process, revising the Granite Steps for Quality system, and creating a clearer handbook for providers handling state scholarship audits. They reported ongoing concern about child care closures and workforce shortages, said there is currently no wait list for child care assistance, and discussed questions about federal CCDF immunization requirements, which DHS said it would follow up on with federal technical assistance partners. After quorum was established, the committee moved to approve the minutes from the prior meeting.

Transcript Highlights:

• We advance service expansion and restoration, including a full return to pre-pandemic service levels
• But we can take those projects, we can then put in a service model and say, look at the service plan
• We were able to double our weekend service, and we doubled our peak service to 15-minute intervals at
• key stations, and the baseline service all day, seven days a week, is half-hour or hourly service.
• I remain concerned that without action, these rail services will not meet services.

Summary: The Senate Subcommittee on LOSSAN Rail Corridor Resiliency held an informational hearing focused on the corridor’s financial stability, service reliability, governance, capital planning, and long-term resiliency. Chair Lackey opened by criticizing the unfinished SB 1098 report and the underwhelming Transit Transformation Task Force work, arguing that the corridor remains at a crossroads with weak ridership recovery, poor on-time performance, and major capital projects that are not moving quickly enough. Senator Archuleta emphasized safety, maintenance, and the need to avoid state subsidy if ridership and revenues can support service. CalSTA and Caltrans described major state investments and ongoing planning efforts, including $125 million for San Clemente resiliency work, additional leveraged federal and state funds, more than $25 billion in funded projects in the pipeline, and the development of a corridor project database and service-planning tool under SB 1098. Caltrans also reported restoring Surfliner service to 13 weekday round trips between Los Angeles and San Diego, piloting expanded service to Santa Barbara and San Luis Obispo, and reorganizing internally to elevate transit and rail oversight. On zero-emission strategy, officials said hydrogen fuel-cell trains are being procured for longer-distance service while electrification remains the long-term ideal and battery-electric options are being explored for shorter routes. The committee then heard from Metrolink CEO Darren Kettle and Caltrain representative Jason Baker. Metrolink described its shift to “regional passenger rail,” with schedule changes aimed at all-day service, better transfers, and growth in student and weekend ridership, but warned of a fiscal cliff because member agencies now cover most operating costs while fare revenue remains low. Kettle said the agency has not reached consensus among its five county partners on a dedicated revenue solution and warned that service cuts may be unavoidable without new funding. Caltrain reported strong post-electrification ridership gains, improved customer satisfaction, and expanded service, but also warned of a large annual operating deficit that could force reductions in frequency, weekend service, stations, and evening operations if stable funding is not found. Members also discussed public safety, marketing, station placemaking, parking and concession revenue, and hydrogen fuel-cell technology. Senators urged stronger promotion of rail service, safer and cleaner stations, and more ambitious planning to match the state’s investments. No votes or formal actions were taken; the hearing was informational, with officials asked to continue reporting back on SB 1098, San Clemente planning, service performance, and funding solutions.

Transcript Highlights:

• there, no in-person services.
• But sales tax on services, our office had to pay for because we do a lot of services, right?
• But sales tax on services, our office had to pay for because we do a lot of services, right?
• and loss of vital services.
• community services will cause... ...for waiver services through developmental disability community services

Bills: SB5998

Keywords: fiscal appropriations, budget, state funding, financial management, operating expenses, 904, all

Transcript Highlights:

• ASU requests ratification of services valued at $37,500 for services rendered prior to proper review.
• Department of Human Services? All right, Department of Human Services, please.
• Is to make sure that a student that has been identified for needing services is getting those services
• This is the new services; the ratification in M-1 was for services that were already rendered.
• This is the new services, the ratification in M1 was for services that were already rendered.

Summary: The PEER Review Subcommittee met to consider a large agenda of budget, appropriation, transfer, and contract items. Members approved temporary appropriation requests for several agencies, including the Auditor of State, Department of Education, and Labor and Licensing; ARPA return requests from Workforce Services; Infrastructure Investment and Jobs Act requests for State Police and Agriculture; restricted reserve transfers for teacher scholarships, school facilities, and economic stimulus; a Commerce reallocation of positions and spending authority; cash fund, budget classification, overtime, and pay plan requests; and 17 methods of finance items for universities and other agencies. Most items were approved without objection after brief explanations from staff and agencies. Several items drew questions and were held or discussed further. A Department of Human Services discretionary grant package for the RSVP program was held over after Senator Irvin raised concerns about whether the grants were an effective use of state general revenue and asked for more information on administration costs and program operations. In the contracts section, Representative Richardson questioned a DHS sole-source contract with EMS Link for document management software and a DHS contract with Presidio; the EMS Link item was held for additional answers, while the Presidio item was clarified as not sole-source and was allowed to proceed. Members also asked for more information on a Department of Education mental health referral contract with Care Solace, which officials said is a statewide concierge/referral service connecting students to Arkansas providers and telehealth options. The committee also reviewed monthly reports, including the Medicaid Trust Fund. DHS and DFA officials said the fund was currently sufficient to finish the fiscal year, though it was being drawn down and would likely require a $100 million transfer from restricted reserves in FY27, with another $100 million set aside in the governor’s budget as a backstop. Members discussed the need to define a minimum reserve level and to better account for ongoing Medicaid costs in the budget. The meeting ended with no further business and adjournment.

Transcript Highlights:

• critical care services.
• services.
• critical care services.
• services.
• services.

Keywords: 1187, senate, all

Transcript Highlights:

• the Missouri Tobacco Quit Services.
• the Missouri Tobacco Quit Services.
• , such as in-home services.
• , such as in-home service or services.
• Between home and community-based services and meal services, that was granted last year. All right.

Keywords: 959, house, all

Transcript Highlights:

• </c> long-term services and supports. long-term services and supports.
• </c> service programs that they offer. service programs that they offer.
• </c> services in the developmental service services in the developmental service system<00:55:56.960>
• </c> services was at 87%. services was at 87%.
• Services and support services and support versus the provision of those same services without managed

Keywords: 928, house, all

Summary: The Committee to Study Long-Term Managed Care met to approve prior minutes and outline its schedule, with meetings set for September 24 and September 29 ahead of an October 1 report deadline. The chair said the committee would use the first two meetings to digest testimony, likely ask follow-up questions of DHS, and then work toward conclusions and a report format. The minutes from the previous meeting were approved unanimously. The main testimony came from Sharon Alexander of Amera Health, who argued in favor of moving from fee-for-service Medicaid long-term services and supports to a managed LTSS model. She described managed LTSS as a capitated, quality-driven system used in about 26 states, and said it can improve care coordination, accountability, access to home- and community-based services, and budget predictability. She cited Amera Health’s experience in Pennsylvania and Delaware, including care coordination, housing and transportation support, caregiver programs, and quality benchmarks tied to state oversight. She also said nursing facilities would remain an important option for people who need that level of care. Committee members asked about how the programs are administered, how rates are set, how care managers work, and how quality is measured. Alexander said states contract with managed care organizations at actuarially sound capitated rates, with annual contracts, reporting, and oversight. She explained that care managers typically conduct quarterly assessments and follow up after trigger events such as hospitalization, and that housing coordinators may assist with transitions to the community. On quality, she said states use CMS-related and HCBS benchmark measures covering service timeliness, care planning, transitions, and other outcomes, and that New Hampshire could build on existing metrics rather than starting from scratch. She also noted that rural areas face workforce and transportation challenges, which managed care plans try to address through technology and self-direction options.

Transcript Highlights:

• services and HIV supports.
• waiver service more than before.
• And then about 21% receive their services through fee-for-service.
• </c><00:59:49.160><c> so</c> services through fee for service so services through fee for service so
• There are services, one example being services delivered by an Indian Health Service, where the federal

Keywords: 1187, senate, all

Transcript Highlights:

• of providing those services.
• of providing those services.
• Actually providing the services to individuals who are wanting those services.
• actually providing the services to individuals who are wanting those services.
• these services.

Keywords: 988, house, all

Transcript Highlights:

• My name is Dan Ryan, Chair of the Public Service Committee.
• In today's hearing, we will take up individual and credible service bills.
• We transitioned through an act of 2008 directly from federal service to state service.
• retirement credit for their prior military service.
• Thank you for your service.

Keywords: 995, all

Summary: The Joint Committee on Public Service held a hearing on a wide range of credible service and retirement-related bills, with testimony largely focused on allowing public employees to buy back prior service time or receive more appropriate retirement classifications. Bills discussed included retirement buyback for Joint Base Cape Cod firefighters (H. 4317), clarification of call firefighter buyback rights (H. 2883/S. 1915), veterans’ buyback (H. 2957), a Bridgewater State University police death-benefit/heart-law issue (filed by Rep. Gallagher), unpaid parental leave buyback for municipal employees (H. 2946), school nurse creditable service (H. 2887/S. 1787), former private/parochial school teacher buyback (S. 1900/H. 2873), Massport police retirement classification (S. 1888), contract employee buyback (H. 2795), Retirement Plus late entry (H. 2792), CVTE/teacher-related buyback issues (H. 2762), Peace Corps/AmeriCorps creditable service (H. 2927), and institutional school teacher retirement fairness (H. 2757). Several speakers also referenced related bills for teachers and nurses that had been heard previously or were filed in parallel in the other branch. Testimony was overwhelmingly in support of the bills. Speakers argued that the measures would correct inequities, recognize prior public service, and help recruit and retain workers in hard-to-fill public jobs. Firefighters described the unique federal-to-state transition at Joint Base Cape Cod and said some members were left out of earlier buyback opportunities. Veterans, teachers, school nurses, correctional educators, and Massport police all described service requirements, administrative gaps, or outdated statutory language that they said unfairly limited retirement credit or placed them in the wrong retirement group. Several witnesses emphasized that the proposals were fiscally responsible because employees would pay the cost of the buybacks, and some noted that similar bills had been filed repeatedly in prior sessions. Committee members asked a few clarifying questions, mostly about why certain employees had been excluded under current law or how the retirement provisions would work. No opposition testimony was presented. The hearing concluded after all scheduled witnesses testified, with the chairs thanking participants for their service and the committee voting to adjourn.

Transcript Highlights:

• Department of Health and Human Services.
• services.
• Number two is Commerce Workforce Services. temporary staffing services for ASU.
• Number eight, DFA Revenue Services with Veteran Cleaning Service for janitorial services in the Ragland
• And number 22 is UAPB janitorial services for commercial cleaning services for dormitories. Mr.

Summary: The committee considered and approved several temporary appropriation requests in Section B, including spending authority for the Court of Appeals to pay appointed counsel in criminal appeals, Commerce/Aeronautics airport and aviation grants, and Insurance Department items for workers’ compensation benefits and premium tax refunds. It also approved ARPA-related requests in Section C to return unused federal funds from DHS aging, mental health, substance abuse, and Older Americans Act grants. In Section D, the committee reviewed and approved Infrastructure Investment and Jobs Act requests, including Agriculture grants for wildfire preparedness and forestry capacity, a large Commerce broadband BEAD request, environmental recycling-related reallocations, and Oil and Gas Commission grants for facility repairs and sample preservation. Members questioned the broadband program’s audit process and performance safeguards; the State Broadband Director said the funds are federal, subject to audits, and payments are released only after engineering certification of completed work. The committee also approved DHS reallocations in Section E, including major transfers within Medical Services from hospital medical appropriations to private and public nursing home lines, as well as transfers for children and family services, developmental disabilities, and youth services. The committee then reviewed cash fund requests, miscellaneous federal grants, pay plan and performance fund transfers, methods of finance, and a large set of contracts. A Northwest Arkansas Community College official explained storm-damage repairs and insurance settlement issues, and DHS explained its hospital medical transfer was moving excess appropriation rather than cash. Members also questioned several UAPB tobacco prevention subgrants, especially arts-based outreach, and asked for more data on effectiveness; the committee later voted to expunge and re-refer the J-2 item for further review at a later ALC meeting. Additional discussion covered a DEQ grant to Free Geek of Arkansas for e-waste recycling, a UAPB tobacco program, and various contracts for universities, DHS services, corrections, and public safety. The meeting ended with reports filed for information and a brief member comment thanking others for concern after a tornado in Stone County; no one was injured.

Transcript Highlights:

• </c> behavioral health services. behavioral health services.
• delivery oversight, residential service delivery oversight, residential service<00:09:44.000><c> uh<
• Now moving to the human services.
• It expands the service subjects the services subject to electronic visit verification.
• </c> and billing of HCBS services. and billing of HCBS services.

Keywords: 1187, senate, all