Transcript Highlights:

• . aid. aid.
• aid, closed PNS.
• $33.9 million for special education aid. $33.9 million for special education aid.
• where they're going to pay aid out of. where they're going to pay aid out of.
• <00:51:14.079> Rebecca, differentiated aid. Rebecca, differentiated aid.

Keywords: 928, house, all

Summary: The commission met to review and amend the minutes from its previous meeting, correcting the date, several spelling and wording errors, and clarifying references to a scholarship fund and a member’s title. The minutes were then approved as amended, with some members abstaining because they were not present at the prior meeting. The chair then turned to the commission’s work plan under SB 57, emphasizing the need to prioritize the statutory topics and identify which issues require additional research, documentation, and possible spreadsheets. Members discussed a broad range of special education cost drivers and policy questions, including student referral rates, why students are classified as other health impaired, whether referrals increased after COVID school closures, intervention processes before referral, the cost of services required under IEPs and 504 plans, differences between federal law, state law, and DOE rules, reporting of special education costs, out-of-district and residential placements, district sharing of resources, dispute resolution, graduation rates, and adult learning outcomes. Several members raised concerns that school environments, mental health, bullying, and possible overidentification may be contributing to rising special education numbers and costs, while others cautioned that some reported district percentages may be inflated or unclear because of how the data are counted. A major portion of the meeting focused on HB 742, which would eliminate prorated special education aid when state appropriations are insufficient and require the governor to draw a warrant to cover shortfalls. Representative Ames explained that the bill had been recommended for interim study because the commission is already examining special education costing, and he highlighted the gap between FY24 special education costs of about $977.1 million and state aid of $33.9 million for catastrophic aid, $67.4 million for differentiated aid, and $50.8 million in federal IDEA funds, leaving local districts to cover about $825.1 million. He argued the commission should ultimately make clear that both the federal government and the state should contribute more. The Department of Education, through Melissa White, answered questions about data and oversight. She said special education counts come from IEPs entered into the state system using SASIDs, that DOE monitors districts through both desk audits and on-site visits, and that billing is checked against the services listed in each student’s IEP. She also said DOE’s special education work is largely federally funded, with roughly $56.7 million received through IDEA this year and about $49.1 million flowing through to LEAs, while the department retains a small amount for administration and statewide support activities. Members also discussed how adequacy calculations use special education counts from the state system and how those figures are reported.

Transcript Highlights:

• special education aid.
• And I education aid over the years.
• catastrophic aid was provided this much. catastrophic aid was provided this much.
• education aid back to 2007208. education aid back to 2007208.
• differentiated aid through EFA or not? differentiated aid through EFA or not?

Keywords: 1189, house, all

Summary: The commission meeting focused on reviewing and correcting draft minutes and then working through a draft report on the cost of special education. Members made mostly clerical corrections, including clarifying references to Spalding, fixing acronyms such as LETRS, and cleaning up membership titles and appointee roles to match SB 57. The minutes were approved as amended, with some members abstaining because they were not present at the prior meeting. The chair also noted the commission’s deadline to complete findings and recommendations by July 1 and said the final report must be delivered to legislative leaders, the governor, the state librarian, and others. The main substantive discussion centered on the report’s findings about special education funding. Members agreed the report should emphasize that the commission was created to study the cost of special education and reduce reliance on local property taxes. One draft section described FY24 special education funding as coming from three primary state and federal sources totaling about $152 million, or roughly 15% of annual costs, with the remaining 85% paid by local school districts through property tax revenue, estimated at about $825 million. Members discussed adding historical or longitudinal data to show trends over time, and some suggested attaching charts or tables showing funding over the last 20 to 30 years. A second major topic was demographic data. The draft noted that statewide K-12 enrollment has declined since 2003 while the number and share of students with IEPs has increased. Members questioned whether the data compared like with like, especially given the growth of Education Freedom Accounts and charter school enrollment, and whether the figures included or excluded those students. Several members asked for clearer sourcing from the Department of Education and suggested keeping a list of unresolved questions, including the impact of the shift from ADMA to ADMR and the effect of the EFA program. The discussion ended with agreement to continue refining the report and to gather additional attachments and clarifications before finalizing recommendations.

Transcript Highlights:

• local aid program.
• By investing fifth, As UGA, our key local aid program.
• This budget funds Chapter 70 school aid at $7.66 billion.
• This budget funds Chapter 70 school aid at $7.66 billion and increases minimum aid for school districts
• and a $160 per student increase. ...rural aid and a $160 per student increase to minimum aid, record

Keywords: 995, all

Summary: The Senate opened with the Pledge of Allegiance, adopted two commendatory resolutions honoring the Plimpton Historical Society’s Deborah Sampson Day recognition and Megan’s Light’s Cystic Fibrosis Awareness Month observance, and suspended Joint Rule 12 to refer several House petitions to committee. The chamber also briefly recognized Diane Talk of the South Shore Regional Emergency Communication Center on her retirement after 30 years of dispatch service. Later, the Senate passed two local bills to enactment: House No. 4006, authorizing Dartmouth to grant an additional all-alcoholic beverages license, and House No. 473, relating to the charter of Westwood. The main business was the Senate Ways and Means presentation of the fiscal year 2027 budget, totaling about $63.3 billion. The chair described the budget as balanced, with no new taxes or tax cuts, based on a consensus revenue estimate of $986 million in growth over FY26 (2.4%), and including about $15.8 billion in federal financial participation and roughly $2.7 billion from the Fair Share surtax. The budget emphasized record local aid, including $1.376 billion in unrestricted general government aid, $7.66 billion for Chapter 70 education aid, increased minimum school aid, higher regional school transportation reimbursement, rural aid, and the revival of the Foundation Budget Review Commission. It also highlighted major investments in MassEducate free community college, food security, housing, and support for vulnerable residents. Members then engaged in extended colloquy on the budget’s major cost drivers and policy choices. Questions focused on debt service, pension and OPEB liabilities, MassHealth caseload and rising per-enrollee costs, child care funding, and program integrity in DTA and other benefit programs. The chair said debt service would be about $2.67 billion, pension payments would be $5.1 billion, OPEB would receive a $150 million payment, and MassHealth enrollment was projected at about 2 million with costs driven by acuity and medical inflation. He also said the budget includes no collective bargaining agreements and no state tax changes. Senators supporting the budget praised its investments in education, local aid, homelessness prevention, public health, libraries, and housing, while minority leaders and others stressed the need for fiscal discipline, transparency, and further work on affordability and municipal support. The Senate also received a House message on House No. 5316, which the House had nonconcurred in, and a conference committee was appointed on the disagreement.

Transcript Highlights:

• and county program aid.
• and county program aid.
• and county program aid.
• and county program aid.
• ><00:03:41.200> aid.

Keywords: 1183, house

Transcript Highlights:

• . aid. aid.
• aid?
• aid, closed PNS.
• aid, closed PNS.
• PNS catastrophic aid education aid PNS catastrophic aid closed<00:22:27.200> PNS.

Keywords: 928, house, all

Summary: The commission met to approve the November 21, 2025 minutes, making several clerical corrections before adopting them as amended. The edits included adding the date, correcting a misspelled name, clarifying references to a scholarship fund representative’s title, removing an incorrect “DOE” reference, and fixing a few wording errors. The minutes were approved with one abstention from members who were absent. The bulk of the meeting focused on organizing the commission’s work under SB 57 and identifying which special education cost issues should be prioritized for research and reporting. Members discussed a long list of topics, including student referral rates, why students are classified as other health impaired, increases in referrals since school closures, interventions before referral, costs of non-medically necessary services in IEPs and 504 plans, differences between federal and state requirements, reporting of special education costs, out-of-district and residential placements, dispute resolution, Medicaid and insurance use, graduation rates, and adult learning participation. Several members emphasized the need to combine or narrow topics and to gather better data before the report due July 1, 2026. Representative Ames highlighted HB 742, which would eliminate prorated special education aid payments when state appropriations fall short, and explained that the Education Funding Committee recommended interim study. He argued that local districts are bearing too much of the cost and that the state and federal governments should provide more support. Other members raised concerns about rising special education identification rates, possible overidentification, school climate and mental health factors, bullying, staffing, speech therapy access, and residential placements. One member cautioned that DOE website numbers may be inflated or at least difficult to interpret because of how students are counted. Department of Education staff then explained how special education data and costs are monitored. They said student counts are tied to IEPs and SASIDs in the state system, districts are checked through both desk audits and on-site monitoring, and billed services are compared against IEP requirements. They also described IDEA funding, noting that most DOE special education staffing is federally funded, with a large share of federal money flowing through to local education agencies and the remainder supporting administration, monitoring, and training initiatives. Members discussed whether more staff and more robust oversight would improve accuracy and accountability.

Transcript Highlights:

• No, an applicant has to obtain their education commission for the worldwide part, the foreign medical
• No, an applicant has to obtain their education commission for the worldwide part, the foreign medical

Keywords: 987, senate, all

Transcript Highlights:

• ourselves into our partisan and ideological tribes, I don't know how we could view the world as better if foreign
• But the internet is also filled with noise from bots, foreign bots, and conspiracy theorists meant to

Keywords: 908, all

Transcript Highlights:

• America's national security because by ensuring that we can feed ourselves and not be reliant on foreign
• America's national security because by ensuring that we can feed ourselves and not be reliant on foreign

Summary: The committee held a study on the potential effects of living wage or minimum wage laws in Oklahoma, with the chair emphasizing that the discussion was not intended to advocate for or against State Question 832. The first panel focused on economic and workforce impacts. An Oklahoma Department of Commerce representative argued that living wage calculations vary by region and household type, that Oklahoma’s average wages are already near or above many living-wage estimates, and that higher mandated wages could lead employers to cut hours, reduce hiring, automate, or avoid expansion, especially in rural areas where childcare, healthcare, broadband, and infrastructure constraints also affect labor participation. Committee members asked about wage distributions, rural cost differences, training pathways, and whether higher wages might draw workers or businesses out of state; the witness said many low-wage workers move up over time and that Oklahoma has seen net in-migration. A State Chamber Research Foundation witness then testified that a $15 statewide wage floor would raise payroll costs substantially, especially for small rural employers, and cited examples from California and Seattle to argue that higher wages can reduce hours, jobs, and benefits while increasing consumer prices. She suggested alternatives such as expanding the state earned income tax credit and promoting upskilling through existing education and training programs. A Missouri Chamber of Commerce and Industry representative described Missouri’s recent voter-approved minimum wage increase to $13.75, rising to $15, along with paid sick leave provisions. She said the chamber opposed the measure because it would raise business costs, hurt rural communities and youth employment, and force some employers to cut hours, reduce hiring, or close. She cited examples from Missouri businesses facing significant added costs and warned that a future ballot initiative could create a patchwork of local minimum wages. In response to questions, she said Missouri’s law did not distinguish by age or industry, that businesses had raised concerns about union contracts and compliance, and that the chamber viewed the measure as harmful to competitiveness. Peter Hansen of NFIB presented the final major testimony, summarizing an NFIB study projecting that a higher Oklahoma minimum wage would produce some short-term GDP gains but longer-term losses, with GDP turning negative by the early 2030s and job losses growing over time. He said businesses respond to higher wage mandates by raising prices, trimming jobs, converting full-time positions to part-time, reducing benefits, and shifting investment toward automation or other capital. He argued that the burden falls most heavily on vulnerable workers such as young or marginal employees, who are less likely to be hired when labor costs rise. In questioning, he acknowledged that higher wages can improve pay for some workers and may have some short-term positive effects, but maintained that the long-term employment and investment effects are negative. No votes or formal actions were taken in the meeting.

Transcript Highlights:

• , a bill to be entitled an act relating to controlling business interests by persons with ties to foreign
• , a bill to be entitled an act relating to controlling business interests by persons with ties to foreign

Summary: The House took up a series of Senate messages and concurred in several amendments before passing multiple bills. Early actions included unanimous passage of CS/CS/HB 1299 on Department of Health matters, CS/HB 1549 on financial institutions after removing a Senate-added trust-account provision, and CS/CS/SB 768 on foreign ties in business ownership after trimming registration requirements. The chamber also insisted on its housing amendment to CS/CS/CS/SB 184 after the Senate refused to concur. A major portion of the meeting focused on CS/CS/HB 875 on educator preparation. The House adopted an amendment restoring two teacher-prep courses, preserving the Florida Center for Teaching Excellence at Miami-Dade College in partnership with USF, and modifying the teacher candidate testing framework and mentor qualifications. Supporters said it reduced barriers while keeping standards; opponents raised concerns about the remaining “identity politics” language and other provisions. The bill then passed 91-22. The House also passed HB 1101 on out-of-network providers after adopting a House amendment that kept the original bill’s notice and referral provisions with a good-cause exemption, despite objections that it placed too much responsibility on doctors. Later, the chamber approved CS/CS/SB 180 on emergency preparedness and response, with members highlighting debris management, emergency planning, crane safety, and hurricane recovery provisions; it passed unanimously. The House then rejected concurrence in a Senate amendment to HB 1609 on waste incineration, and later spent substantial time debating CS/CS/HB 1115 on education, especially Schools of Hope, expanded co-location authority, funding, transportation, and school-district agreement terms. Critics argued the language was added late and could disadvantage traditional public schools, while supporters said it would expand options for students; the debate continued with the bill still under consideration at the end of the excerpt.

Transcript Highlights:

• , a bill to be entitled an act relating to controlling business interests by persons with ties to foreign
• , a bill to be entitled an act relating to controlling business interests by persons with ties to foreign

Summary: The House convened with prayer, the Pledge of Allegiance, quorum established, and several recognitions, including a legislative intern, a guest in the gallery, and Representative Bruce Antone’s upcoming induction into the Tuskegee Athletic Hall of Fame. The Speaker also gave brief remarks about the end of session and the freshman class. The chamber then took up a series of Senate-returned messages and concurred or insisted on several amendments while moving bills toward final passage. The House unanimously approved CS/CS/HB 1299 on Department of Health matters, CS/HB 1549 on financial institutions after adopting a House amendment to remove the IOTA-related provision, and CS/CS/SB 768 on foreign ties and business interests after a House concurrence motion. It also insisted on its amendment to CS/CS/CS/SB 184 on housing. CS/CS/HB 875 on educator preparation was amended to restore House provisions on teacher-prep courses, the Florida Center for Teaching Excellence at Miami-Dade College, and related testing and mentor-qualification changes; it passed 91-22 after debate over teacher certification, testing, and “identity politics” language. HB 1101 on out-of-network providers was amended to keep the House’s original notice and referral framework with a good-cause exemption; it passed 87-27 despite objections that it placed too much responsibility on doctors. After recess, the House took up CS/CS/SB 180 on emergency preparedness and response. Members described changes including removal of some homestead-assessment and debris-removal provisions, a study requirement for a post-hurricane county restriction concept, and a Florida Keys evacuation-time change paired with a 10-year cap of 900 permit allocations; the bill passed 116-0. The House also refused to concur in a Senate amendment to HB 1609 on waste incineration and requested the Senate recede. Later, the House returned to HB 1101 and insisted on its amendment after the Senate refused to concur. The longest debate came on CS/CS/HB 1115 on education, where the House amendment replaced the Senate version with the substance of HB 1267, including Schools of Hope, higher education governance, and course transparency. Members questioned provisions expanding Schools of Hope co-location and sponsorship authority beyond traditional opportunity zones, the role of the Department of Education versus school districts, transportation and facility-cost issues, and performance-based agreements. Supporters said the changes would expand options for students and use vacant or underutilized facilities; opponents argued the language was added late, lacked transportation funding, and could allow charter operators to enter high-performing schools. The bill remained under debate at the end of the transcript, with no final vote shown.

Transcript Highlights:

• STR 199 and SR79, urging increased caution concerning foreign infrastructure up first.
• STR 199 and SR79 urge increased caution concerning foreign infrastructure.

Keywords: 912, senate, all

Summary: The joint committees heard three resolutions first. STR 32/SR 18 asked the Department of Corrections and Rehabilitation to work with the Department of Transportation to use inmate work furlough programs for state roadway and highway maintenance. Testimony was generally supportive of the intent, but the Correctional System Oversight Commission raised concerns about using work furlough for maintenance and emphasized that participants should be paid at least minimum wage, be able to meet restitution and support obligations, and not have their release timing affected. The measures were later recommended and adopted by both committees with no amendments in the joint portion. STR 199/SR 179 concerned increased caution regarding foreign infrastructure. There was no public testimony. In decision-making, the committees split the measures: STR 199 was deferred because of a similar measure, while SR 179 was passed with amendments. The amendments were described as clarifying Hawaii’s goals of self-sufficiency, local self-reliance, and self-determination, and encouraging scrutiny by departments and agencies to reduce dependence on imports. STR 231/SR 207, which would direct DOT to install electronic equipment at state airports and harbors to scan for illegal fireworks, drew mixed testimony, including support from the Oahu Filipino Community Council and comments from Matson Navigation. DOT said it supported the intent. The committees adopted amendments to address Matson’s concerns by moving inspections to a place outside the immediate loading and unloading area, and both committees passed the measures as amended. The Public Safety and Military Affairs committee then took up additional resolutions. STR 113/SR 94, designating Hawaii as a Purple Heart state on August 7, 2025, received no testimony and was not discussed further. STR 204/SR 164, asking the Department of Law Enforcement for information on disposal, detonation, and destruction of explosive fireworks and similar hazardous materials, also drew no testimony in the excerpt. STR 107/SR 88, urging military branches in Hawaii to provide hurricane-resistant shelters for active and retired personnel and families, likewise received no testimony. STR 148/SR 119, supporting construction of a floating dry dock at Pearl Harbor, drew broad support from industry, military, and state economic development representatives. STR 149/SR 120, creating a vegetation management working group to address wildfire risk, received extensive testimony in support and comments, with speakers from DCCA, PUC, Hawaiian Electric, IBW 1260, Hawaiʻi Telecom, and Kamehameha Schools discussing wildfire hazards, responsibility for vegetation near utility infrastructure, and the need to include workers and landowners in the process. STR 126/SR 105, calling for an incremental reduction in the number of inmates housed in private out-of-state facilities, prompted a lengthy discussion with DCR. The director said Hawaii’s out-of-state incarceration is driven by overcrowding and security needs, not a quota, described the per-person-per-day cost of CoreCivic housing, noted that Hawaii pays about $96 per inmate per day out of state versus about $37 in-state, and said the department is working on a master plan and future facility needs. The committee also discussed the need for a new prison and possibly a new jail. The excerpt ends with the committee still in discussion, without showing a final vote on STR 126/SR 105.

Transcript Highlights:

• We are having more individuals who speak foreign languages living now in Minnesota.
• That’s why those interpreter events are going up, and those are not only foreign languages but sign language

Keywords: 1183, house

Summary: The House Judiciary Finance and Civil Law Committee heard a presentation from State Court Administrator Jeff Shorba on the Minnesota judicial branch’s 2026-27 budget request. He outlined the courts’ structure and workload, noting 322 judges, about 2,800 staff, roughly 1 million district court cases annually, and a current budget of about $479 million. Shorba emphasized the courts’ constitutional role, the fact that court fines and fees are deposited into the general fund rather than retained by the branch, and recent legislative investments that helped reduce pandemic-era backlogs, improve technology, sustain treatment courts, and raise interpreter and examiner pay. The budget request focused on several areas: a 6% judicial salary increase to address recruitment and retention problems, including a 15% rise in turnover and a 27% drop in applicants since 2020; funding for health care and office lease cost increases; digital accessibility compliance work required by new federal ADA rules; a modernized justice partner access system for court records; higher pay for forensic psychological examiners, whose workload has risen sharply; increased juror compensation from $20 to $100 per day and mileage adjustments; and ongoing funding for interpreters, jury services, and cybersecurity. Shorba said the total request would be a 12% increase over the FY 2026-27 base budget. Members asked follow-up questions about funding for newly launched treatment courts and how those courts are financed after federal grants expire. Shorba said he would provide more detail later and noted the branch generally starts treatment courts with federal funding before seeking state support. Representative Ric also asked about labor negotiations, and Shorba explained that the judicial branch negotiates its own contracts rather than using the executive branch, with three unions involved and many unrepresented employees. No votes or formal actions were taken during the discussion.

Transcript Highlights:

• aid, and then Senate file 4368. aid, and then Senate file 4368.
• As long as I've support personnel aid.
• <00:30:32.320> from presentation on compensatory aid from presentation on compensatory aid
• <01:04:39.320> fix adds the cost of compensatory aid fix adds the cost of compensatory aid
• formula uh aid the compensatory aid formula uh aid amounts<01:39:15.800> are<01:39:15.880>

Keywords: 1187, senate, all

Transcript Highlights:

• We administer state aid, state grants, and federal aid to libraries.
• The next slide is just a breakdown of our state aid and grant programs.
• Regional Library Telecom Aid our support Regional Library Telecom Aid our support for<00:08:31.319>
• automatic distribution of state aid automatic distribution of state aid calculated<00:40:05.720>
• realize the full benefits of Aid realize the full benefits of Aid provided<00:43:51.960> by

Keywords: 1187, senate, all

Transcript Highlights:

• which we used to call education aid which we used to call catastrophic<00:10:13.120> aid<00:10
• Instead with catastrophic aid support.
• special education aid money.
• special education aid. special education aid. >> Thank<01:13:24.640> you.
• special ed aid catastrophic aid, special ed aid >> um<01:31:53.760> annually<01:31:54.320

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:

• My name is Megan Flores, and I serve as the manager of State Financial Aid programs.
• either completion of the FAFSA or the State financial aid application.
• coordinating our State financial aid coordinating our State financial aid program<01:06:49.880><
• the FAFSA or the State financial aid the FAFSA or the State financial aid application<01:08:09.160
• state aid.

Keywords: 1183, house

Transcript Highlights:

• Minnesota's largest financial aid Minnesota's largest financial aid program<00:35:42.320> both
• in January to our financial aid in January to our financial aid partners.<00:39:25.760> The
• This change reduces state grant aid.
• until the fall when enrollment begins. aid community, uh, financial aid aid community, uh, financial
• the director of state financial aid the director of state financial aid programs.<00:51:11.359><

Keywords: 1187, senate, all

Transcript Highlights:

• LET'S TURN TO TAB ON SENATE BILL 126 ON PRESCRIPTION HEARING AIDS BY SENATOR BRADLEY.
• THE MAJORITY HAVE NEVER USED A HEARING AID.
• FLORIDA LAW PROHIBITS THE SALE OR DISTRIBUTION OF PRESCRIPTION HEARING AIDS THROUGH THE MAIL.
• MINOR PATIENTS WILL CONTINUE TO VISIT AN IDEOLOGIST OR HEARING AID SPECIALIST IN PERSON.
• LICENSE HEARING AID SPECIALIST OR IDEOLOGIST DETERMINES THE PATIENT NEED PRESCRIPTIONS HEARING AIDS

Keywords: 999, senate, all

Transcript Highlights:

• uh benefit pension plans Legal Aid uh benefit pension plans Legal Aid Services<00:31:32.720>
• aid out of the aid so if you take legal aid out of the mix<00:32:48.240> and<00:32:48.519>
• Next, repeal local government cannabis aid.
• I'm here today to talk about two things: AIS prevention funding and also touch on cannabis aid.
• <00:54:33.720> is<00:54:33.839> the<00:54:33.960> most aid is the most aid is the

Keywords: 1187, senate, all

Transcript Highlights:

• In effect, they are allowed to have not just private duty nursing but offer an array of home health aides
• This is already common practice and part of the requirements for the aide and delegation of tasks.
• This is already common practice and part of the requirements for the aide and delegation of tasks.
• This training is not part of the 76 hours of training, but it is required for home health aides.
• 890 Do you know what the reimbursement rate is for the CNA home health aide employed by the agency?

Summary: The Health Facilities Subcommittee met to receive implementation updates from the Agency for Health Care Administration on three bills passed in prior sessions. First, Deputy Secretary Brian Meyer reported on the transfer of the Children’s Medical Services managed care plan from the Department of Health to AHCA under HB 1085. He said the move was administrative only, with no change to enrollment, providers, services, or clinical eligibility functions, and that it was intended to create efficiencies by aligning procurement and shifting staff resources between agencies. Members then questioned AHCA about reports of reductions in private duty nursing and therapy services for medically fragile children, including concerns about appeals, provider credentialing, and whether families were losing services or being transitioned appropriately. AHCA said it was reviewing denials, monitoring the plan, and using contractual remedies while focusing on maintaining access for members. The committee also reviewed implementation of a bill creating permanent Medicaid eligibility for individuals with permanent disabilities. AHCA staff explained that the agency had submitted a federal 1115 waiver request after public comment and stakeholder meetings, but CMS had indicated it did not anticipate approving the requested authority. Members pressed AHCA on why the waiver was submitted later than the bill’s directive date and on whether the delay was avoidable. AHCA said the waiver was complex and required review, drafting, and public input, and noted that DCF already has a specialized unit to help with redeterminations while the agencies work on operational changes. The committee discussed the practical impact on families who struggle with annual eligibility renewals and the need for clearer communication and faster follow-up from the agency. Finally, AHCA presented on the home health aide program for medically fragile children and related Medicaid eligibility changes. The agency described the 2023 law that created a family caregiver provider type and the 2025 changes that increased the hourly rate, expanded hours, reduced training requirements, and removed caregiver earnings from Medicaid eligibility calculations, subject to federal approval. AHCA said it had completed state public comment, submitted the waiver amendment to CMS, and was awaiting federal action. Members raised concerns that some families may have enrolled or begun work before the eligibility fix was in place and may have lost benefits, especially in Broward County. AHCA said it would work with affected families and plans, review outreach through DCF and the health plans, and continue rulemaking, system updates, and provider training. The meeting ended with the chair noting that the committee had received the updates and adjourned without objection.