Transcript Highlights:

• Out of practice. Any other questions for Michael? Yes, Senator. Mr. Chair.
• Out of practice on the committee now. Thanks, Mr. Chair. Thank you, Mr. Cravens.
• There's a lot more veterinary practices that are now corporately owned.
• And when it was more independent practices, the veterinarian was responsible, really the buck stopped
• northern Arizona, so I got to interact with producers in that capacity as well at a large animal practice

Keywords: 1182, all

Transcript Highlights:

• We're just matching statute up with the practice of the state, and I'll turn it over to Sheriff Cobb
• And then there's actually what's happening in practice.
• So in practice, the current fee schedule is as follows.
• So current practice is $6.50 for the original, $2 for certified.
• I mean, it sounds like if the statute says it's $1.50 and you're currently in practice charging $6.50

Bills: HB27, HB143, HB205, HB308, HB311, HB417, HB430, HB562, HB812, HB1129

Keywords: inmates, department of public safety, per diem, local correctional facilities, jail funding, insurance premiums, Municipal Fire and Police, dedicated fund, assessments, Louisiana legislation, hazardous waste, cleanup fund, environmental protection, state treasury, Consumer Price Index, law enforcement, firefighters, health insurance, survivors benefits, Lafayette

Transcript Highlights:

• We're just matching statute up with the practice of the state, and I'll turn it over to Sheriff Cobb
• And then there's actually what's happening in practice.
• So in practice, the current fee schedule is as follows: for an original request, it's going to be $6.50
• So current practice is $6.50 for the original, $2 for certified.
• Well, it sounds like if the statute says it's $1.50 and you're currently in practice charging $6.50,

Summary: The Senate Finance Committee met on May 13, 2026, and reported several bills favorable. HB 27 was approved after testimony that it would delete a constitutional sentence requiring debt payments to be applied to the oldest outstanding amortization, giving retirement boards more flexibility to pay off the most advantageous debt. HB 143 was supported by the Louisiana Sheriffs’ Association and local law enforcement representatives to raise the statutory per diem for housing state inmates in local facilities from $26.39 to match the current $29.39 rate already being paid in practice. HB 205 drew extensive testimony from clerks of court and election officials who said election commissioners have not had a pay increase in 19 years and are struggling to staff precincts, especially under the new closed party primary system; the bill would let local governing bodies enhance commissioner pay as a stopgap, and it was reported favorable despite concerns that it does not fully solve the staffing problem. The committee also approved HB 308, which would require state stadium and arena facilities to accept cash for smaller transactions or provide a kiosk to convert cash to a prepaid card without extra fee. HB 417 was reported favorable to increase the cap on the hazardous waste site cleanup fund from $6 million to $8 million and tie it to inflation; DEQ staff explained the fund helps pay for Superfund matches and cleanup of abandoned or bankrupt hazardous waste sites, and the increase would not affect the state general fund. HB 12, supported by the Louisiana Assessor Association, would provide 5% annual salary equalization increases for assessors through 2029, with local opt-in and no state general fund impact; members discussed the recurring pay parity issue with clerks of court and the possibility of a study resolution to address future adjustments more systematically, and the bill was reported favorable. Representative Kerner announced HB 311 would be deferred after concerns it could amount to a tax increase. HB 1129, supported by the Louisiana Auctioneers Association, was amended to clarify that the state’s movable-property auctions include internet auctions and to give Louisiana auctioneers preference to bid on those contracts; it was then reported favorable. HB 562, which would update transcript fees for the 19th Judicial District Court, prompted concerns about higher costs for litigants and due process implications, and the committee agreed to defer it to the next meeting for further discussion. The meeting ended with adjournment after brief recognition of visiting cattle industry representatives.

Transcript Highlights:

• I've practiced civil engineering for over 45 years.
• I've never practiced law a day of my life. Me neither. I don't want to. And I don't want to.
• “I feel like this is where my practical experience is most valuable to the board.
• I’m a lawyer in private practice, a lifelong resident of New Orleans, with an office in downtown New
• in another discipline, which is to say I’m not an engineer, although my law practice often involves

Summary: The Senate and Governmental Affairs Committee met on May 6, 2026, approved the April 28 minutes, and heard several bills before moving into confirmation hearings. HB 205, by Rep. Bacala, would allow local governing authorities to supplement election commissioners’ pay by up to $100 per day; supporters from clerks of court and the Secretary of State’s office said the increase is needed to recruit and retain qualified commissioners amid longer days, training demands, and election security changes. The committee also reported HB 210, a cleanup bill clarifying retroactive application of a prior ethics law, and HB 228, which recreates the Department of State Civil Service and related entities through 2033. It likewise reported SR 86, which bars eyeglasses with audio/video recording capability in the Senate chamber without the Senate President’s permission, and HB 1177, which protects the identities of lottery hunt winners until after the drawing. HB 1045, limited to Pointe Coupee Parish, raises an audit threshold for certain water districts from $500,000 to $600,000 to reduce audit costs, and HB 813 would move Orleans Parish sheriff terms so the sheriff takes office in January instead of waiting until May; all were reported favorably. Senator Miller also announced that SB 491 would not be taken up that day. The committee then questioned nominees to the Southeast Louisiana Flood Protection Authority East. The first group, including Peter Vicari and Ronald Schumann, was asked extensively about recent personnel actions, an internal investigation, and the authority’s handling of a report that members said would likely be released after a board vote. Senators focused on the firing of the chief of police/operations personnel, allegations of payroll fraud, and whether the authority had improperly combined the chief of police role with compliance duties in a way that may conflict with statute and Civil Service guidance. Committee members also raised concerns about the chief’s contract, whether it had board approval, and whether the authority’s bylaws and salary practices complied with law. The nominees and counsel said some matters were still under review and that a separate compliance position was being considered. The committee later heard from additional nominees, including David Martin, Gregory Marsiglia, and Elton Jude Myers, who described backgrounds in engineering, law, procurement, and governmental contracts. Senators again pressed them on the need to separate compliance/auditing duties from the chief of police role, and the nominees generally agreed that those functions should be distinct and that the authority should have qualified auditing expertise. The meeting ended with no public comment and adjournment after the confirmation discussion.

Transcript Highlights:

• 00:15:29.920> been<00:15:30.600> the<00:15:30.720> standard<00:15:31.200> practice
• ,<00:15:32.000> the has been the standard practice, the has been the standard practice, the
• expected<00:15:32.800> practice,<00:15:33.640> and<00:15:33.880> only<00:15:34.160
• > under<00:15:34.400> this expected practice, and only under this expected practice, and

Keywords: 918, senate, all

Summary: A Senate DFL leader discussed the upcoming supplemental budget and said nearly half of it is being shaped by the federal budget bill passed last July, which he argued is driving hospital distress, higher county costs, and pressure on family budgets. He said the budget will focus on affordability, health care, and responding to federal actions, including an uncompensated care fund for hospitals in distress and possible one-time county technology upgrades to handle new Medicaid-related requirements. He estimated Senator Wiklund’s health and human services proposal includes about $50 million for those upgrades and said that item would likely be handled in an appropriation bill rather than a bonding bill. The leader also said bonding is a top priority this year and that public asset maintenance remains important, including projects tied to sports and civic facilities. On HCMC and broader hospital funding, he said he is confident the Legislature will act, but wants to address the hospital within the context of the statewide hospital delivery system. He also said the Senate has not yet taken a position on a proposed tax related to fraud restitution, but emphasized support for fraud prevention, an independent inspector general, and more resources for the Attorney General. School safety was another major topic. He said Senate Democrats plan to bring a comprehensive package to the floor that includes school safety funding, mental health care, and measures addressing weapons of war, and he expressed hope that some Republicans will support it. He said the Senate education finance bill already includes more school safety funding than the House GOP version, less funding for private school safety, and no weapons-of-war language, but that a broader package will come through the Finance Committee soon. He also said the Senate expects to take up a stand-alone building security package to cover ongoing screening and staffing costs, and he supported creating a special security response unit for threats against lawmakers. Other issues mentioned included support for banning NDAs for local governments, continued attention to public safety and accountability in response to federal immigration enforcement actions, and interest in a bill affecting Minneapolis sports-related taxes and PGA funding, though he said those proposals are still being worked on and may not pass this year.

Transcript Highlights:

• So I wonder if it’s too loose of a definition, because in my mind, in my financial practice, if you’re
• >> It says retail establishments only. >> So my optometry practice would not be...
• I would think... >> And anybody with this condition could come into my practice anytime.
• >> It says retail establishments only. >> So my optometry practice would not be...
• I would think... >> And anybody with this condition could come into my practice anytime.

Bills: SB279, HB478, SB279, HB478

Keywords: Alabama State House, Montgomery, Legislative Council, demolition, state capitol, state capitol building, historic preservation, state property, inventory removal, fixtures, furnishings, reuse, recycling, upcycling, surplus property, public assets, legislative chambers, desk sale, chair sale, state auditor

Transcript Highlights:

• stuff like this in and actively working toward getting quality accreditors that don't include these practices
• so that there will be... ...accreditors that don't include these practices so that there will be options
• Yet your bill would bar an institution from using an accrediting agency that used DEI practices in the
• Under this current administration, it’s swinging toward getting away from those practices.
• I understand the birth certificate, but I’m wondering about the practical application of looking at everybody

Bills: HB2950, HB2978, HB3132, HB3242, HB3467, HB3700, HB3701, HB4115, HB4274

Keywords: postsecondary education, standardized test scores, educational equity, higher learning access, Oklahoma Higher Learning Access Program, HB2978, school libraries, library media center, library media program, community standards, sexually explicit conduct, obscene material, age-appropriate materials, school curriculum, book challenges, book banning, censorship, public schools, school board, education committee

Transcript Highlights:

• But most of us on the team would then go and practice with our private tennis coaches that we could afford
• And during the school practice hours, that was just a time we got together and played.
• But most of us on the team would then go and practice with our private tennis coaches that we could afford
• And during the school practice hours, that was just a time we got together and played.
• And so in terms of sharing those best practices, we're constantly reviewing and approving those plans

Summary: The Pre-K through 12 Budget Subcommittee met with a quorum and first heard House Bill 731, which would address coach and extracurricular sponsor compensation and change how student-athlete transfer eligibility is determined. The bill would allow local school boards to adopt policies letting booster clubs or similar associations support coaches and activity sponsors, and it would let superintendents treat certain coaches and athletic leaders as administrative personnel for compensation purposes. It would also shift eligibility decisions for transferred student-athletes to the governing athletic association and require clearer bylaws and timelines for those determinations. Members raised questions about booster club oversight, pay equity, the new athletic administrator language, and safeguards against abuse or unequal treatment, while supporters argued the bill would help retain coaches and better support student athletics. The bill was debated and then reported favorably by roll call vote. The committee then received presentations from the Department of Education’s Division of Early Learning and the Florida Association of Early Learning Coalitions on school readiness fraud prevention and mitigation. Speakers explained that Florida’s school readiness program pays providers based on verified attendance rather than enrollment, requires daily parent sign-in/sign-out records, and uses multiple layers of oversight including coalition anti-fraud plans, annual audits, programmatic monitoring, DCF inspections, and referrals to state fraud investigators when needed. They emphasized that Florida delayed implementation of a federal rule that would have required prospective enrollment-based payments, and said the state’s current system makes fraud difficult. Members asked about military and grandparent guardianship situations, audit findings, and the number of fraud referrals; presenters said fraud cases are relatively limited and that the existing controls and public enforcement act as deterrents. The meeting ended after members thanked the presenters and the committee adjourned without further business.

Transcript Highlights:

• We will take up House Bill 879, by boils relating to professional licensors reciprocity in practices
• This bill simply allows for experienced and licensed surveyors who have been practicing another state
• to come to Florida, passed the relevant state licensure testing Florida and then be admitted to practice
• So I'll too college degrees at the end of the day for me in the different industries, I practice in my
• And then pursuant to this bill, another 5 years of actual practice in charge of that practice before

Transcript Highlights:

• So again, this is already the law, but clearly there is some uncertainty. because this practice, which
• What this does, and why this is such a problematic practice for our voters, is that it allows people
• The problem, Representative McDonald, I'm trying to stop a practice that we have actually only seen one
• So we're getting in front of that practice or innovation.
• It's not a practice I am familiar with. It's not dealt with in this bill. But I'm happy to.

Transcript Highlights:

• the approaches proposed, House Bill 621 is an approach we believe to be consistent with the best practice
• sales in Texas was enacted. in 1973, long before internet and phone-based transactions became common practice
• Section 601.204 establishes the violation as a false or misleading practice under the Deceptive Trade
• Practices Act, and 601.205 permits the AG to bring an action to stop a merchant violating the chapter
• keeping consumers protected under the FTC's cooling-off rule, Texas's Unfair and Deceptive Trade Practices

Bills: HB 112, HB199, HB621, HB1349, HB2214, HB3466, HB3698, HB3699, HCR9, HB112, HB199, HCR9

Keywords: science park district, economic development, technology innovation, higher education collaboration, infrastructure development, Texas Economic Development Office, workforce development, unemployment benefits, state average unemployment rate, benefit year, economic support, Texas Workforce Commission, property owners' association, free speech, assembly rights, government officials, political candidates, floodplain, landlord, tenant

Transcript Highlights:

• This approach is consistent with some of the best practices adopted in other states and is already in
• local governments for how long they need to approve and get housing built, but we haven’t been practicing
• This is an opportunity for us to not only practice what we preach, but be able to tell local governments
• There is a common practice in the banking industry where certain escrow funds, like property tax, actually
• It will do important things like making sure that we are banning predatory solicitation practices.

Summary: The Assembly convened after a quorum call, prayer, and pledge, then took up a series of procedural motions and a large third-reading file focused heavily on housing, wildfire recovery, insurance, and related regulatory changes. Early actions included a successful motion to place Senate Concurrent Resolution 1 on the third-reading file, followed by a unanimous vote on SB 26, a cleanup measure related to lemon-law civil discovery procedures and automaker opt-outs from the AB 1755 framework. The chamber then moved through a package of urgency bills tied to the January 2025 Los Angeles-area wildfires and broader housing affordability concerns. Measures approved included AB 311 allowing displaced tenants to temporarily house wildfire victims and pets, AB 299 extending hotel/motel/short-term rental stays beyond 30 days for disaster-displaced families, AB 226 giving the California Fair Plan access to bond financing in catastrophic-loss scenarios, AB 253 allowing third-party plan checks when local review exceeds 30 days, AB 301 aligning state permitting timelines with local deadlines, AB 306 imposing a six-year pause on new residential building-code updates, AB 462 exempting certain ADUs in Los Angeles County coastal zones from coastal development permits, AB 493 requiring interest to be paid to homeowners on insurance proceeds held by lenders, and AB 597 tightening rules on public adjuster solicitation, fees, and contract transparency. Each of these urgency bills passed, generally with strong bipartisan support and mostly unanimous or near-unanimous votes. The Assembly also approved several non-urgency measures, including AB 293 on groundwater transparency and board disclosure, AB 251 on elder abuse litigation standards when evidence is intentionally destroyed, AB 59 removing a sunset on Reclamation District 108’s hydropower authority, AB 417 streamlining EIFD and CRIA financing tools, and AB 312 updating procedures for agricultural theft proceeds. In addition, ACR 6 was adopted by voice vote, recognizing Black April Memorial Month and the 50th anniversary of the fall of Saigon, with extensive remarks from Assembly Member Ta and support from other members. The consent calendar was adopted, and the body later heard adjournment-in-memory tributes for David Myers and Olivia Guerrero before adjourning to April 3, 2025. Several vote changes were announced after adjournment, including changes on AB 251 and AB 417.

Transcript Highlights:

• , with associated metrics to objectively And best practices with associated metrics to objectively measure
• But we will have policies, standards, and best practices that measure objective.
• Policies, standards, and best practices that measure objectively, and they will be reporting back to
• I'm just wondering, practically. The accountability ultimately sits with the legislature.
• I'm just wondering, practically.

Summary: The Appropriations Committee met with a quorum present and considered three items. First, it heard and passed SB 158, which eliminates cost-sharing for diagnostic and supplemental breast examinations under the state employee health plan. Senator Berman described the bill as a way to remove financial barriers to early breast cancer detection, and several senators spoke in strong support, emphasizing the importance of follow-up screening and the life- and cost-saving value of early diagnosis. The bill was reported favorably by roll call vote. The committee then took up SPB 7024, a committee bill on state planning and budgeting. Senator Brodeur explained that the proposal modernizes and simplifies the state agency long-range planning process by focusing on key data points, removing stale measures, and improving how plans are presented to the Legislature. Senator Berman supported the bill, highlighting new provisions on implementation status and budget consequences if enacted laws are not carried out. The committee voted to submit the proposal as a committee bill and reported it favorably. Finally, the committee considered SPB 7026, a major overhaul of state information technology governance. Senator Harrell described a transition from the current Florida Digital Service structure to a new cabinet-level Agency for State Systems and Enterprise Technology (ASSET), with enterprise-wide standards, interoperability, procurement oversight, cybersecurity coordination, technical debt tracking, a testing laboratory, workforce development, and annual IT expenditure reporting. Members raised questions about procurement authority, judicial branch inclusion, existing contracts, cybersecurity, and staffing; Harrell said agencies would retain final procurement decisions but would have to follow enterprise standards, the courts were not included, existing contracts would continue, and the bill would add significant state IT staffing. Several amendments were adopted, including changes on CIO selection conflicts, removal of the Northwest Regional Data Center from a definition, reporting on deviations from standards, and technical updates related to the data center and workforce positions. Public testimony strongly supported the bill as a needed modernization of Florida’s fragmented IT system. The committee then reported SPB 7026 favorably as a committee bill. The meeting adjourned after members recorded their votes on the three items.

Transcript Highlights:

• make sure that we're clear: we have abandoned the Lemon test, and now we're looking at historical practices
• make sure that we're clear: we have abandoned the Lemon test, and now we're looking at historical practices
• make sure that we're clear: we have abandoned the Lemon test, and now we're looking at historical practices
• make sure that we're clear: we have abandoned the Lemon test, and now we're looking at historical practices
• make sure that we're clear: we have abandoned the Lemon test, and now we're looking at historical practices

Keywords: Meeting Start: 00:25 Attendance Roll Call: 00:31 HJR 15 (Rep. Baker): 01:15 HB 462 (Sen. Nemes for Rep. Dietz): 09:01 HB 6 (Rep. Williams): 10:18 HB 73 (Rep. Johnson): 15:21 Adjournment: 18:48, 958, all

Summary: The Senate Standing Committee on State and Local Government first considered HJR 15, a resolution to return a Ten Commandments monument to the new state Capitol grounds. Representative Shane Baker described the monument’s history, its removal to storage in the 1980s, and a prior 2000 effort that was blocked by the courts. He argued recent Supreme Court decisions, including Van Orden and Kennedy, support a history-and-tradition approach and said the resolution would direct the Historic Properties Advisory Commission to retrieve and reinstall the monument in Monument Park. Senator Herron raised concerns about religious neutrality and whether other faiths would also be represented at the Capitol. Baker and Chair Petrie responded that the resolution was limited to restoring a specific historical monument and did not bar future proposals for other displays. Senator Armstrong voted no, saying the legal landscape remained uncertain and the state could face costly litigation. The committee approved HJR 15 on an 8-1 vote. The committee then took up House Bill 6, which would limit administrative agencies from issuing regulations with an economic impact of more than $500,000 over two years, with exceptions for imminent public health or safety threats, protection of federal or state funds, and compliance with certain court orders. Representative Wade Williams said the bill would rein in costly agency rulemaking and cited LRC data showing only about a dozen regulations in 2024 would have met the threshold, with roughly six after closer review. Senator Chambers Armstrong expressed concern that the bill could tie the government’s hands in emergencies, but the bill passed 8-1. Finally, the committee considered House Bill 73, which had a committee substitute. Representatives Johnson and Tipton explained that one part would add We Lead CS to the list of educational service providers allowed to administer their own retirement program participation, and the other would require the Teachers’ Retirement System actuary to provide additional information on each employer’s share of unfunded liability. The committee approved HB 73 unanimously, 10-0, and then adjourned.

Transcript Highlights:

• EVIDENCE-BASED PRACTICES SPECIFIC TO CSE YOUTH CONTINUE TO BE LACKING. NATIONALLY.
• THIS ALLOWS THEM TO PUT THE TRAINING INTO PRACTICE WHILE GAINING MEANINGFUL EXPOSURE TO THE WORKFORCE
• SUCCESS AND FUELING FUTURES LAID THE GROUNDWORK FOR STEP INTO SUCCESS SHAPING THE DESIGN BASED ON BEST PRACTICES
• RECOGNIZE THE IMPORTANCE OF PREPARATION WE HAVE A PRACTICAL SKILLS AND PROFESSIONAL DEVELOPMENT TOPICS
• THIS INTERNSHIP EXPERIENCE PROVIDES INVALUABLE HANDS-ON EXPOSURE TO INDUSTRY-SPECIFIC PRACTICES AND STANDARDS

Keywords: 999, senate, all

Transcript Highlights:

• But the group meets monthly to focus on practicing reflective and pbl exercises, explore new cases and
• And then they also meet live with the coach who helps them to apply that knowledge in a practical way
• welfare is aimed at supporting workers by enhancing their skills and personal development and their practice
• And what that means is that we implement flexible and dynamic evidence-based practices as it relates
• This ongoing collaboration continues to strengthen the system, aligning policies and practice across

Keywords: 999, senate, all

Transcript Highlights:

• What's going to create the growth of the future of the production practices of the future that are gonna
• with fdacs with the nrcs and what these cost share programs to ensure that these best management practices
• And if we can help our community in our AG implement these best management practices to the best of their
• We try to do those test plots to help get education and and best management practices out there.
• That puts our best management practices at risk.

Keywords: 999, senate, all

Transcript Highlights:

• mentioned, these single-stair proposals in House Bills 5570 and 5571 are consistent with the best practices
• These bills represent a practical and targeted reform to help address that gap.
• Michigan has an opportunity to follow best practices and remove unnecessary barriers to housing production
• These bills represent a practical and targeted reform to help address that gap.
• Michigan has an opportunity to follow best practices and remove unnecessary barriers to housing production

Summary: The Senate Committee on Housing and Human Services met with a quorum, adopted the June 16, 2026 minutes, and then unanimously adopted S-1 substitutes for House Bills 5570 and 5571. The chair said the committee would take testimony and likely not move to final passage that day, in order to allow more discussion and questions. The bills, as substituted, would allow local governments to permit certain multifamily buildings up to four stories to be built or converted with a single staircase, subject to conditions such as limits on units per floor, floor size, and existing fire safety requirements. A sunset provision was described as ending the statute once LARA adopts corresponding building code rules. Representatives Fairbairn and Wooden testified in support, saying the bills are intended to address Michigan’s housing shortage by making smaller infill and “missing middle” projects more feasible and less costly. They argued the current two-stair requirement drives up costs, makes land assembly harder, and limits development on narrow or irregular lots. Senators asked about stair width, emergency safety, the choice of four stories instead of six, and why the American Institute of Architects opposed the approach; the sponsors said the 48-inch stair width was intended to allow two-way movement, four stories was a compromise aligned with expected code changes, and the architects preferred rulemaking over statutory change. Supportive testimony came from Pew Charitable Trusts, which said research from New York City, Seattle, and other places found fire death rates in modern single-stair buildings to be indistinguishable from other multifamily buildings, and that modern safety features such as sprinklers, alarms, and fire-rated construction make these buildings safe. A developer from Ann Arbor and the Michigan Home Builders Association said the reform would improve floor-plan efficiency, reduce wasted circulation space, lower construction costs, and help smaller projects pencil out. Abundant Housing Michigan also supported the bills, estimating they could reduce apartment construction costs by nearly 13%. The clerk read in numerous written cards in support from business, housing, municipal, and advocacy groups, while the Michigan Association of Fire Chiefs and the Michigan Professional Firefighters Union were listed as neutral. The committee adjourned without further business.

Transcript Highlights:

• keep more folks who are clinical providers in community settings as opposed to going into private practice
• increasing the number of physicians with disabilities... ...and thinking about how to implement better practice
• The slides reference physicians, but for primary care, are you including advanced practice nursing that
• exist and some recommended strategies for increasing the pipeline and the sustainability of advanced practice
• clinicians, mostly nurse practitioners. ...the sustainability of advanced practice clinicians, mostly

Keywords: 995, all

Summary: The Massachusetts Commission on the Status of Persons with Disabilities subcommittee on workforce supports met with Chair Andrew Lerault presiding. Members completed roll call, approved the August 2025 minutes, and then heard a presentation from Amy Doyle, director of the Behavioral Health Workforce Center at the Massachusetts Health Policy Commission. Doyle described the center’s launch in September 2024 and its legislative mandate to study behavioral health payment rates, workforce needs, and licensure/certification barriers, with an emphasis on recruitment, retention, capacity building, diversity/equity, and sustainability. She also shared data on unmet behavioral health needs, ED boarding, workforce shortages, aging and turnover in nursing and direct care, and the need to improve data collection on non-licensed workers and populations such as people with developmental disabilities and autism. Committee members asked questions about what provider types were included in the workforce data and whether DDS-related residential and direct support roles were captured. Doyle said the center is still working to define and measure the full behavioral health workforce, including non-licensed roles, and welcomed follow-up on missing data sources. Members suggested additional sources such as CHIA and the Association of Developmental Disability Providers’ workforce survey. Doyle noted that the center is working with CHIA and that new licensure renewal surveys for behavioral health and allied mental health professionals will begin in 2025, which should improve future workforce data. The discussion also touched on the Health Policy Commission’s broader workforce findings, including nurse attrition, burnout, low wages, and the importance of career ladders and advanced training. Doyle said the center’s first policy recommendations will come from its rate study, expected in the next one to two months, and will likely focus on capacity building and sustainability. After the presentation, members thanked Doyle and discussed subcommittee leadership. Chair Lerault announced he was stepping down, and Chris White volunteered to serve as co-chair; the committee agreed to move forward with that arrangement and to revisit FY26 goals once new leadership is in place. The meeting then adjourned by motion and second.

Transcript Highlights:

• What should be done, or what can be done, or even what happens in practice?
• know when the numbers are not good what should be done or what can be done or even what happens in practice
• would be where the community would receive an entrance fee but not pay it, because that's not the practice
• comes up pretty naturally within our other discussions, but more explicitly, as well as advertising practices
• comes up pretty naturally within our other discussions, but more explicitly, as well as advertising practices

Keywords: 995, all

Summary: The commission met at Brookhaven at Lexington to continue discussing continuing care retirement communities (CCRCs), with a focus on financial viability, entrance fees, refund policies, and how the industry is evolving. Speakers explained that nonprofit CCRCs have shifted away from building entirely new campuses since the 2008 financial crisis, and now more often grow through expansions, affiliations, mergers, or added home- and community-based services. They also noted that many newer CCRCs, especially nationwide, are being built without on-campus skilled nursing, relying instead on assisted living, memory care, or off-site arrangements, and that zoning and local approval can affect expansion plans. A substantial portion of the discussion centered on financial health and consumer protection. Panelists said the most important indicators of a strong CCRC are high occupancy, strong liquidity, and reinvestment in the property, with low occupancy and declining days cash on hand cited as warning signs. They described how actuarial reviews are used to estimate health care utilization and set pricing, and said staffing shortages are often a bigger financial pressure than resident care utilization itself. On refunds, speakers said entrance-fee refunds are generally paid when a unit is resold and the new entrance fee is received, and that resident refunds are usually protected even in bankruptcy, though residents are unsecured creditors. Massachusetts examples such as Reed’s Landing and the Groves were cited as cases where residents remained in place and refunds were ultimately protected. The group also discussed a pending disclosure bill on Beacon Hill related to entrance fees and refund transparency. LeadingAge Massachusetts said it supports clearer disclosure so residents understand refund provisions, and reported that among surveyed member CCRCs, the average time to provide an entrance-fee refund over the past two years was about 117 days. Participants emphasized the need to balance consumer protection with preserving the financial stability of the communities. The commission also reviewed upcoming dates: a virtual public hearing/listening session on June 16, the next commission meeting on June 23, and a later discussion planned on consumer rights, protections, and advertising practices. The meeting concluded with introductions of commission members and an invitation for attendees to tour the Brookhaven campus.