Transcript Highlights:

• ad Litem program.
• overview of the guardian of item program overview of the guardian of item program<00:03:22.239> so
• guardian Lim program guardian Lim program is $4,634.00 to<00:09:46.279> fund<00:09:47.279
• The program fully supports IA as a program, and with the advancement of the IA division, the work in
• The program has been fully supportive of IA as a program, and with the advancement of the IA division

Keywords: 1183, house

Summary: The House Judiciary Finance and Civil Law Committee approved the January 21 minutes and then reviewed committee rules, emphasizing deadlines for handouts, testimony notices, and substantive amendments, along with a warning that disruptive signs, noise, or demonstrations could lead to removal from the hearing room. The chair said the rules would be shared with the full House and noted the committee would operate with quorum and not tolerate chaos. The committee then heard a presentation from Tammy Baker Olson, the state program administrator for the Guardian ad Litem Board, on the program’s structure and budget request. She explained that guardians ad litem are independent voices for children’s best interests in child protection and family court cases, not attorneys or direct service providers. She said the program operates statewide, with 243 employees, and in 2024 advocated for more than 12,000 children, attended over 30,000 court proceedings, and filed reports in over 16,000 hearings. She also described specialized Family Court and Indian Child Welfare divisions, efforts to address racial disparities, and training requirements for guardians. Members asked about mileage and travel demands, the distinction between a child’s attorney and a guardian ad litem, caseloads, re-entry outcomes, the move from contractor/volunteer models to employee-based staffing, and the role of volunteers. Olson said most guardians use personal vehicles and mileage reimbursement, average caseloads are about 24, and the program has not seen a statewide increase in cases but does face staffing vacancies and turnover in some areas. She said the board believes the employee model improved advocacy and supervision, while the program is rebuilding a modest volunteer pool. She also said the program supports Indian Family Preservation Act-related work and has a formal process for handling conflicts of interest, which should be raised immediately to a supervisor rather than waiting for a complaint process.

Transcript Highlights:

• So the program itself has two primary components.
• What is the need trajectory for this program?
• Is this program the cause of the movement in the premium, right?
• So the program is wholly outsourced, okay?
• That's an important thing to remember with this program.

Summary: The State Administration Budget Subcommittee heard presentations from the Department of Financial Services on the My Safe Florida Home program, the My Safe Florida Condominium Pilot, and the Florida PALM financial system replacement project. For My Safe Florida Home, Stephen Fielder explained the wind-mitigation grant program, including its inspection-first process, two-to-one matching grants for most homeowners, low-income exemptions from the match, and eligible improvements such as roofs, clips/straps, water barriers, and opening protection. He reported roughly 109,000 initial inspections, nearly 59,000 grants approved, 31,000 final inspections, 25,000 reimbursements, and about $240 million paid out through the end of 2024. Members asked about premium savings, contractor pricing, fraud, owner-builder eligibility, reimbursement timing, and whether the program should have a dedicated funding source; Fielder said the program is currently closed, more than 40,000 people have signed up for updates, and the office has seen some price-gouging and impersonation issues but no major fraud trend. The committee also discussed the new prioritization rules that took effect July 1, 2024, which direct grant awards by age and income. Fielder said the program used a survey of existing applicants to implement the new priority groups and that the first group was over age 60 and low-income. Members raised questions about how premium reductions are measured, whether insurance company changes or rising insured values affect the data, and whether the program can track long-term outcomes after reimbursement. Fielder said the office reports raw premium changes based on declarations pages, knows the insurer for participants, and has validated results with multiple insurers, but does not track homeowners after they leave the program or enforce continued insurance coverage. For the My Safe Florida Condo Pilot, Fielder said the program is modeled on the home program but uses association-level applications, a maximum grant of $175,000 per association, and a similar two-to-one match. He said the application window opened briefly in November and was closed quickly because available funding could be exhausted and the department is prohibited from creating a waiting list. He identified several needed statutory changes, including better distinguishing condos from single-family homes, adjusting roof requirements for flat concrete roofs, and revisiting the unanimous unit-owner vote requirement, which he said has been a major obstacle. Chair Lopez noted the pilot is intended to be a learning process and thanked DFS staff for identifying implementation issues. The final presentation covered Florida PALM, the state’s effort to replace the 40-year-old FLAIR accounting system with a PeopleSoft-based financial management system. Fielder and PALM Director Jimmy Cox said the project began in 2014, the state contracted with Accenture in 2018, cash management went live in 2021, and the project was paused in 2022 for legislative review and remediation. They said the system is expected to go live in 2026, possibly in July rather than January, and that the project has spent about $225 million to date, with a current-year budget of about $60.9 million and a projected next-year request of about $64 million. Members asked about cybersecurity, cloud hosting, project scope, and whether the system is unique to Florida; staff said the system is not Florida-specific, access is credentialed through agency identity management, and the cloud host location is confidential. After the presentations, Chair Lopez assigned members to work with specific agencies on budget review meetings, asked them to discuss agency structure, priorities, staffing, waste reduction, and other budget issues, and set a deadline to report findings in the first week of regular session. The meeting then adjourned without objection.

Transcript Highlights:

• administration program, Dre KH runs our Harper program, and Ur runs our airports program.
• Yeah, okay, so we got a page. program ID program ID please okay so program ID program ID please okay
• program for the 206 and then the program program for the 206 and then the program ID<03:11:46.080
• this program.
• this program.

Keywords: 912, senate, all

Transcript Highlights:

• So we have Medicare, which is a federal program.
• I'm contributing to society because of those programs.
• Guys are not programming.
• Guys are not programming.
• We know these programs work.

Summary: Assembly Budget Subcommittee No. 6 heard the Governor’s May Revision proposals for the judicial branch, the Board of State and Community Corrections, the Department of Justice, and the California Department of Corrections and Rehabilitation. The Legislative Analyst’s Office opened with a warning that the state budget remains structurally imbalanced and urged the Legislature to avoid new ongoing spending unless offset by reductions elsewhere. In the judicial branch discussion, the Judicial Council highlighted language access funding, appellate court security, a backfill for the state court facilities construction fund, and an extension of the lactation room mandate; Finance supported most items but suggested reporting language on interpreter costs and reducing the General Fund backfill. Members raised concerns about judicial vacancies, long-term salary freezes, remote hearings, and the lack of progress on court staffing in some counties. For the Board of State and Community Corrections, the administration proposed $10 million one-time each for the Missing and Murdered Indigenous People grant program and a human trafficking vertical prosecution grant program. The LAO said both should be weighed against other priorities and suggested the Legislature consider whether the Tribal Nations Grant Fund could support MMIP work, while Finance said it preferred General Fund support and wanted more review before any fund swap. Members strongly supported MMIP funding and asked whether ongoing support would be considered. On the human trafficking grant, Finance said BSC was a good fit because of its grant administration experience and prior vertical prosecution work, while legislators asked why the program was not placed with the Office of Emergency Services as originally contemplated in prior legislation. The Department of Justice presented antitrust litigation funding, Medi-Cal Fraud and Elder Abuse staffing, completion of organized retail criminal enterprise cases, and trailer bill language for a continuous appropriation from the Victims of Consumer Fraud Restitution Fund. The LAO supported the antitrust account use but questioned the Unfair Competition Law Fund’s ability to cover the full request without General Fund repayment, and recommended against a continuous appropriation for the restitution fund in favor of a more limited mechanism with legislative oversight. Finance said the fund would remain solvent and defended the continuous appropriation as necessary to pay victims promptly. In the CDCR portion, the largest discussion centered on the Boston Consulting Group efficiency review and sharply reduced savings estimates; LAO said the department had not fully explained the proposed position eliminations or future $100 million savings target, while Finance said the work reflected deeper analysis and ongoing efforts to find savings. Members repeatedly pressed CDCR and Finance on the gap between earlier promised savings and the revised figures. CDCR also outlined population projections showing continued declines in prison and parole populations, while LAO again urged the state to close an additional prison to save ongoing costs. The department then walked through several May Revision items, including workers’ compensation funding, a Corcoran honor housing dorm, incarcerated firefighter pay implementation, an incarcerated menopause program, mental health receiver staffing, mental health resource teams and crisis intervention teams, medical classification staffing changes, and AI note-taking for the electronic health record. LAO generally recommended limiting-term funding and more reporting for many of these proposals, while Finance defended them as necessary ongoing investments or court-ordered obligations. Members questioned the cost of workers’ compensation, the need for more prison closures, the lack of funding for women’s facility violence prevention, and the timing and transparency of the BCG savings process. No votes were taken.

Transcript Highlights:

• The State Department of Conservation has a program known as a Regional Forest and Fire Capacity Program
• You have a state park program. You have a Cal Fire program. You have a Forest Service program.
• You have an NRCS program.
• And that becomes salient to the other programs and vegetation programs that take years to accomplish.
• And that becomes salient to the other programs and vegetation programs that take years to accomplish.

Keywords: 987, senate, all

Transcript Highlights:

• Denise Mazerik, through her leadership in the Global Scholars Program at Y.
• Denise Mazerik, through her leadership in the Global Scholars Program at Y.
• million for summer school programs million for summer school programs expanding<00:52:17.040>
• including the new flag football program including the new flag football program additionally<00:
• <01:16:37.880> $15 education loan repayment program $15 education loan repayment program $15

Keywords: 910, house, all

Transcript Highlights:

• <00:08:04.200> uh household incomes and the program uh household incomes and the program uh
• being a partner with the LIHEAP program being a partner with the LIHEAP program that<00:13:54.960
• I know it's great program. investment? I know it's great program.
• care of folks utilizing this program. care of folks utilizing this program.
• used to work for the Virginia program used to work for the Virginia program for<00:53:03.480>

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:26 Approval of Minutes 00:02:27 LIHEAP Presentation and Public Hearing 00:02:42 Conservation Opportunities in Kentucky 00:29:52, 958, all

Summary: The committee first took up a public hearing and presentation on the Low Income Home Energy Assistance Program (LIHEAP). Shannon Hall of the Department for Community Based Services and Rick Baker of Community Action Kentucky explained that LIHEAP is a 100% federally funded block grant that helps low-income households pay heating and cooling bills, avoid utility disconnects, and support weatherization. They outlined the program’s components, eligibility limits, seasonal application periods, and recent participation figures, including tens of thousands of households served through the summer cooling, fall subsidy, winter crisis, and spring subsidy components. They also described weatherization priorities, the partnership with Kentucky Housing Corporation, and the role of Community Action agencies in administering the program statewide. Members asked about Assurance 16, the balance between need and available funding, summer cooling assistance, weatherization measurement, renter versus homeowner participation, and whether federal changes could affect LIHEAP. Hall and Baker said Assurance 16 supports energy-burden reduction through education, case management, and conservation strategies; that funding has generally been sufficient in recent years but crisis funds have sometimes been exhausted quickly in the past; and that summer assistance is primarily electric utility support. They also said weatherization uses return-on-investment testing and that Kentucky still has a large backlog of homes needing service. On federal funding, they said the recently passed federal bill did not directly cut LIHEAP, but future appropriations could still affect it, and any major reduction could leave a gap the state might need to consider filling. The committee approved the minutes and later approved the LIHEAP finding of fact; no members of the public signed up to testify. After concluding LIHEAP, the committee heard a presentation from Heather Jeff of The Nature Conservancy on conservation opportunities in Kentucky. She described the organization’s voluntary land-protection work and highlighted the Cumberland Forest project, a conservation easement on about 55,000 acres in Bell, Knox, and Leslie counties supported in part by a $3.875 million state appropriation. She also reported on mine-land reforestation, elk habitat work, and the rapid allocation of a $2 million appropriation for the Kentucky Heritage Land Conservation Fund. Jeff emphasized the economic value of conservation for tourism, hunting and fishing, agriculture, forestry, bourbon, and flood protection, and said the group is finalizing a Kentucky conservation needs assessment and related feasibility research.

Transcript Highlights:

• worker program. worker program. Thank<00:02:59.120> you.
• program.
• program in 2003. program in 2003.
• a wannabe program or a hopeful<00:21:43.520> program.
• program. We actually go to the school. program. We actually go to the school.

Keywords: Meeting Start: 00:00:00 Roll Call: 00:00:08 Agency Updates: 00:01:27 Truancy: 00:01:43, 958, all

Summary: The Juvenile Justice Oversight Council met on October 8, 2025, approved the minutes from the August 29 meeting, and then focused its agenda on truancy and chronic absenteeism. Chad Butler, director of pupil personnel for Meade County and president of the Kentucky Department of Pupil Personnel directors, said chronic absenteeism remains a major problem statewide, citing recent Kentucky rates around 28% to 30% and noting that schools are trying to identify best practices to get students back in class. He said causes appear to include post-COVID social-emotional distress and confusion about when students should stay home, and he described a local effort to use a Healthy Kids Clinic model to keep some students in school when possible. In response to questions, he said chronic absenteeism has only been tracked seriously in the last two to three years and that House Bill 611 appears to have increased the number of youth entering the court system for habitual truancy; AOC said it would provide county-by-county data and outcomes later in the meeting. The council then heard from John Tyson of Alabama, a former Mobile district attorney, who described the Helping Families Initiative as a school-community partnership designed to address truancy and related behavior issues without arrest. Tyson said Alabama defines chronic absence as missing 10% of the school year and emphasized that the program is preventive rather than punitive, using warning letters, family engagement, assessments, individualized intervention plans, and referrals to community services. He said the program has operated since 2003, now includes 20 district attorneys and 44 school systems, and served more than 95,000 students, 73,000 families, and 162,000 parents in the most recent year. Tyson reported that in Mobile County the program was associated with a 3.15% attendance improvement in 2023-24 and a 4% reduction in the issue in 2024-25, along with a 50% reduction in truancy and 58% reduction in chronic absenteeism, and he said the program produced a large return on investment. Tyson also stressed that student absenteeism wastes tax dollars and that better attendance improves educational outcomes and community safety. He described the program’s use of a case-management database, real-time data tracking, and more than 1,000 referral agencies, and said the model is intended to be replicated statewide. He closed with examples of students whose attendance and family circumstances required coordinated support rather than punishment, including a teen mother and a disruptive child, to illustrate his view that schools, courts, and social services should work together to address underlying needs and keep children in school.

Transcript Highlights:

• When we're talking about programs of strategic emphasis, I know the world is changing and programs change
• I know the world is changing and programs change, and we need to be really updated on what those programs
• Is there any sort of similar program or system?
• We've seen really good success because of the investment in the line program and the pipeline program
• Very important program.

Summary: The Appropriations Committee on Higher Education heard a presentation on the State University System’s new strategic plan, SUS 30, and its legislative budget request. University officials described the plan’s five priorities: One SUS collaboration, elevating student success, operational excellence, world-class talent, and innovative research and economic development. They highlighted Florida’s continued status as the top higher education system in the nation, low tuition, strong graduation outcomes, rising median wages for graduates, and expanded use of the My Florida Future website to help students and families compare degree outcomes and earnings. Members asked for follow-up information on programs of strategic emphasis, mental health and social work workforce needs, wage data over time, and how the system supports innovation moving toward commercialization. The committee also discussed campus safety, prompted in part by recent events at FSU. System officials said universities and the Florida College System recently held a safety summit to share best practices on building security, threat assessment, and coordination with law enforcement, and they agreed to provide a report back to the committee after the Board of Governors reviews recommendations in November. Senators also raised questions about Pell student support, first-generation student success, and whether liberal arts graduates’ earnings catch up over time. Officials said Pell students are tracked through performance-based funding metrics and that the system’s accountability plans will continue to emphasize access and completion. A separate update covered line funding for nursing and health care partnerships. Officials said the $6 million appropriation was fully subscribed through 24 proposals from all 10 nursing programs, supporting scholarships, faculty recruitment, internships, simulation, and licensure preparation. They reported over 1,900 new nursing graduates, more than 200 new student slots, over 300 scholarships, and a 92% NCLEX pass rate. Senators asked about expanding eligibility for the program, and staff said that issue would be revisited this year. The Board of Governors’ legislative budget request totaled $634.5 million and included $295 million for performance-based funding institutional investment, a request to restore and increase the state investment portion to $400 million, $125 million for preeminence funding, $100 million for faculty recruitment and retention, $6.4 million for UF/IFAS extension workload, and $3.1 million for State Fire Marshal inspections. The chair noted that resources are limited and that difficult budget decisions lie ahead. No votes were taken, and the meeting adjourned after the presentations and questions.

Transcript Highlights:

• First, we're adding a number of categories of professionals to the program.
• in collegiate mental health degree programs.
• infused a large amount of funding into the program.
• in the program.
• They wouldn't have to stay in the program longer to receive larger amounts.

Bills: SB1998, SB646, SB2786, SB2076, SB2615, SB1961, SB1418, SB2647, SB1322, SB2788

Keywords: pediatrics, medical education, subsidiary, preceptorship, medical training, student programs, mental health, loan repayment, education funding, mental health professionals, healthcare access, Texas Success Initiative, exemption, public officers, employees, higher education, Capitol view, Austin, urban planning, construction

Transcript Highlights:

• Program that can tell students, like, hey, college is affordable, and we have programs like the North
• figuring out what additional programming figuring out what additional programming they<01:18:27.960
• <01:20:49.560> but again can vary across the program but again can vary across the program
• losses with that program we creating losses with that program we train<01:36:21.800> dnp<01:36
• Thank you so much. state um through uh their programs um state um through uh their programs um that<01

Keywords: 1187, senate, all

Transcript Highlights:

• Art of Our Soul is a peer-led program.
• This is an incredible example of a very innovative program, a uniquely Arizona program that we're going
• I like both programs. I think both programs do... amendment to change the source of the funding.
• I like both programs. I think both programs do. Thank you, members. A couple of things here.
• I like both programs. I think both programs do a good job. Let's say that first of all.

Bills: SB1112, SB1517, SB1537, SB1584, SB1673, SB1776

Keywords: mental health, hearings, acquaintance witnesses, patient rights, treatment evaluation, barbering, cosmetology, appropriation, funding, licensing, board operations, peace officer, training, public safety, traffic offenses, judicial system, corrections, recruitment, state budget, crime victims

Transcript Highlights:

• So, members, when we took all these programs and moved them over, including some of the PEI programs,
• new people in this program, but I just really didn't see programs that had access like I said local
• Last year's pilot program for the...
• I would also like to see the program... ...for strictly abortion alternative programs.
• That $2.2 million is for Texas programs.

Bills: SB397, SB481, SB596, SB760, SB855, SB1195, SB1196, SB1233, SB1257, SB1318, SB1368, SB1388, SB1398, SB1524, SB1558, SB1589, SB1677, SB1792, SB2034

Keywords: SB 397, telemedicine, telehealth, teledentistry, remote care, virtual care, consent documentation, patient consent, data collection, data sharing, audio-only telehealth, in-person examination, irreversible medical procedure, health professional regulation, Occupations Code, Texas Health and Human Services, medical records, provider compliance, data privacy, consumer rights

Transcript Highlights:

• within these qualified programs.
• All contractors in the New Hampshire Saves program operate within these qualified programs.
• All contractors in the New Hampshire Saves program operate within these qualified programs.
• This program is also a much smaller program for investment.
• This program is also a much smaller program for investment.

Keywords: 1189, house, all

Transcript Highlights:

• to scale a program statewide. to scale a program statewide.
• Um great program.
• Program<01:29:23.360> eligi- Program eligi- Program eligi- bility<01:29:24.680> is<01:29
• in that program.
• funds in the program to meet program demand.

Keywords: 1187, senate, all

Transcript Highlights:

• government program. government program.
• this program. this program.
• reinsurance program. reinsurance program.
• a state program. a state program.
• . program. program.

Keywords: 1187, senate, all

Transcript Highlights:

• I know you just mentioned our nursing program.
• That's reason enough to be able to provide that program.
• I am familiar with the nursing program, and it's one of our largest programs in our county and in our
• So not only in our nursing program, but similarly in our teaching program, our... Thank you.
• That's similarly in our teaching program, our preschool teacher programs, degree programs, and early

Summary: The Appropriations Committee on Higher Education met to consider a slate of trustee confirmations for several Florida state colleges and universities. Chair Harrell outlined the process, including swearing in nominees, allowing brief presentations and questions, taking public comment after each nominee, and voting on the full slate at the end unless a member was pulled for separate consideration. One nominee, Edward Fleming, was not heard and was deferred to a future meeting. The committee also dealt with several technical issues for remote participants before proceeding through the agenda. Nominees and reappointees emphasized their personal ties to their institutions and focused their remarks on workforce development, affordability, and partnerships with local employers. Several highlighted nursing and allied health programs, with committee members repeatedly asking about NCLEX pass rates; reported figures included Polk State at 100%, Lake-Sumter at 97.5%, Northwest Florida State at 100%, Daytona State at 95%, Pasco-Hernando at 97% for associate degree and 100% for practical nursing, Pensacola State at 90% practical nursing and 85% RN, and Hillsborough College at 87.5%. Other priorities mentioned included construction technology, agriculture and ag technology, surveying/geodetic programs, maritime and diesel mechanics, aircraft maintenance, dual enrollment, AI, cybersecurity, and support for military and veteran transitions. After hearing from all nominees, the committee asked whether any names should be voted on separately; none were requested. Senator Bradley moved a block vote to recommend confirmation, the motion was approved by roll call, and all nominees heard that day were recommended for confirmation except Tab 10, Edward Fleming, who was postponed to a later meeting. The committee then adjourned.

Transcript Highlights:

• DIMENSION THE SIZE OF THE PROGRAM IS OKAY.
• IN THEORY ALREADY ADVANTAGE OF THE PROGRAM AND WHATNOT IS IN THEORY HAVE A LARGER PROGRAM IN FLORIDA
• ONE OTHER THING IS I JUST WANT TO ADDRESS THE PILOT PROGRAM, THE MANAGED-CARE PILOT PROGRAM AND I WOULD
• THE I CONNECT PROGRAM.
• THEN OF COURSE YOU HAVE THE OTHER PROGRAMS, THE MEDICAID PROGRAM PROVIDING SERVICES TO. >> Chair Andrade

Transcript Highlights:

• Again, we have two different programs, one a federal program, but both programs have requirements that
• reports prior to the regular sessions of 2026. program to alleviate Forge food program to alleviate
• appreciate this generous program appreciate this generous program especially<00:16:22.160> as
• Any other Bridges program was just such an amazing program.
• <00:31:21.960> in this program in this program in DOA<00:31:24.120> I<00:31:24.240>

Keywords: 912, senate, all

Summary: The committee heard testimony on HB 1294 HD2, which would create a workforce housing working group within the Department of Agriculture to address agricultural workforce housing shortages. The Department of Agriculture supported the bill’s intent but emphasized that the first step should be a study to determine actual housing demand, noting many farmers have very low incomes and may not be able to support housing costs. A DHHL representative said the department supports the measure as a first step but does not currently plan to expand housing on its agricultural lands; members also discussed the distinction between agricultural and pastoral leases and asked for follow-up information on lease numbers and ranchers growing feed. Testimony on HB 1294 was overwhelmingly supportive, with farm and farmers’ organizations saying housing is critical to sustaining agriculture and should be located near farm operations when possible. Members questioned how housing eligibility would be enforced and whether federal housing funds could be used. The committee reported 38 testimonies in support, none opposed, and two comments, then voted to pass HB 1294 HD2 with amendments, including a date defect to July 1, 2050; the motion carried with five in favor and the recommendations were adopted. The committee then took up HB 428 HD1, establishing the Hawaii Farm to Families Program to address food shortages and requiring reports before the 2026 regular session. The Department of Agriculture urged the bill’s continuation and appropriations, citing rescinded federal grant programs and a planned $1.1 million application to support food banks and kalo production. Food banks, the Hawaii Farm Bureau, the Hawaii Farmers Union, and other groups strongly supported the measure, describing rising demand for charitable food assistance, especially for fresh produce and protein, and noting that many families are struggling despite working multiple jobs. Witnesses also described school pantry and backpack programs, food rescue partnerships with retailers, and the need for more stable state support; one witness asked for at least $5 million in funding for farm families. Committee members asked about food insecurity levels, food safety, abuse of food assistance, and how the program would connect farmers with schools and food banks. Food bank representatives said they already work with DOE school pantry programs and inspect all donated food for safety, and they suggested a grant or escrow-style payment model could help farmers by reducing reimbursement delays. The transcript does not show a final vote on HB 428 before the excerpt ends.

Transcript Highlights:

• general overview of the Medicaid Program general overview of the Medicaid Program how<00:02:30.200
• <00:02:31.760> that how we are the largest program that how we are the largest program that
• <00:03:53.079> we children's health insurance program we children's health insurance program
• And as of the Medicaid program, again, the Medicaid program is going to be 60 years old this year.
• And as of the Medicaid program, again, the Medicaid program is going to be 60 years old this year.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met with a quorum still coming together and first handled roll call and minutes. The main presentation came from the Department for Medicaid Services, with Commissioner Lisa Lee and CFO Steve Beckle giving an overview of Kentucky Medicaid, its federal-state financing structure, and the department’s 1915(c) home- and community-based waiver programs. They explained FMAP funding levels for traditional Medicaid, administration, IT, expansion adults, and CHIP, and noted the size of the program, including more than 600,000 Kentucky children eligible for Medicaid or CHIP, about 485,000 expansion adults, over 69,000 enrolled providers, and $18.5 billion in 2024 expenditures. A major focus was the waiver system, including the acquired brain injury waivers, model waiver, independence waiver, Michelle P. waiver, and Supports for Community Living waiver. The department said these waivers are intended to keep people with physical or developmental disabilities in home and community settings rather than facilities, and that many services are not covered by Medicare or commercial insurance. Officials described participant-directed services, interagency administration, and eligibility rules, including that some waiver programs use the child’s income only rather than family income. They also reported an unduplicated waiver wait list of 13,930 people and said the General Assembly had added waiver slots in the last budget, including 650 ABI slots and 1,275 more to be allocated July 1, 2025. The department also discussed a waiver rate study conducted by Guidehouse, explaining that CMS requires a defensible rate methodology because there is no Medicare or commercial benchmark for many waiver services. They said the study used cost and wage surveys, provider and stakeholder input, and aimed to improve transparency, provider stability, and rate parity. Officials reviewed prior COVID-era Appendix K rate increases and budget-driven increases, and said the budget ultimately funded rates at about 70% of the benchmark study, while preserving higher existing rates where needed so no provider would be cut. They highlighted larger differences in behavioral support and case management rates, and said a public report is available. Members asked several questions about the potential impact of federal FMAP changes, especially possible reductions in the enhanced match for expansion adults and Medicaid IT/admin activities. DMS said any FMAP reduction would require more state general fund dollars, estimating about $75 million for each 1% drop in the expansion match, while impacts on administrative IT funding would depend on the systems being built or implemented in a given year. Members also pressed for clarification on waiver wait-list procedures, funded versus filled slots, and what happens when someone on the wait list is later found ineligible. DMS said people on the wait list may not yet have been assessed, can be reevaluated if conditions change, and are still eligible for regular Medicaid state-plan services if they qualify, even if they are waiting for waiver services.