Transcript Highlights:

• Last but not least, from the Department of Financial Services, Mr.
• Last but not least, from the Department of Financial Services, Mr.
• The consulting services that are listed, are those consulting services, do we look at whether it is a
• We talked about consulting services and subcategorizing consulting services, and I don't know if Mr.
• Started the digital service.

Summary: The subcommittee heard a panel on Florida’s IT procurement process from the Florida Digital Service, the Department of Management Services, and the Department of Financial Services. Witnesses walked through the procurement lifecycle, including planning, market research, solicitation, evaluation, award, implementation, and closeout, and emphasized the role of budget timing, contract managers, and subject matter experts. DMS described the state’s enterprise contracting system, noting more than 1,100 active vendor agreements, over 800 involving IT services, and the statutory requirement to request 25 quotes for certain IT purchases. DFS demonstrated the Florida Accountability Contract Tracking System (FACS), explaining how agencies upload contract and payment data and how the public can search contracts and related documents online. Members focused on accountability, transparency, and whether the state is getting the best products and vendors. Questions addressed how contracts are vetted, how technical evaluations are performed, how financial consequences are used for missed deliverables, how public records and confidential information are handled, and how the state screens vendors for foreign-concern or bad-actor issues. Witnesses said agencies rely on technical experts for evaluations, that contract terms should include measurable deliverables and meaningful financial consequences, and that agencies—not procurement staff—generally manage performance, though Florida Digital Service oversees large IT projects of $10 million or more. The committee then shifted to broader policy discussion, including Senate Bill 7026 and proposals to reorganize state IT governance. Several members argued for stronger centralization under a state CIO or similar enterprise authority, while others cautioned against abrupt restructuring and stressed the need for a transition plan. Members also raised concerns about workforce retention, consulting services, recurring project overruns, and the need for better planning and periodic monitoring. No votes were taken; the meeting ended with the chair thanking members and staff and adjourning the subcommittee.

Transcript Highlights:

• Special services consist of the members who provide specialized services to achieve specific goals within
• FHP Administrative Services provides the administrative services necessary to support the operations
• FHP Administrative Services provides the administrative services necessary to support the operations
• FHP Administrative Services provides the administrative services necessary to support the operations
• And then we have our motor services support.

Summary: The committee met to review agency program funding as it prepared to build the budget, hearing brief presentations from six agencies and then taking member questions. Florida Division of Emergency Management highlighted its role in response, preparedness, recovery, and mitigation, describing a largely federal pass-through budget, major technology investments, and large disaster and preparedness grant activity. The Department of Commerce, Department of State, Florida Housing Finance Corporation, Department of Transportation, Department of Military Affairs, Florida State Guard, and Department of Highway Safety and Motor Vehicles also summarized their budgets, staffing, and major programs, including workforce and economic development, elections and arts funding, housing assistance, transportation work programs, military readiness, state guard expansion, and highway safety and motorist services. Members focused questions on several issues: arts and library grant funding and whether award criteria had changed; Commerce’s rural infrastructure and job growth grants and why funds were not being disbursed faster; Florida Housing’s use of SAIL, Live Local, Hometown Heroes, and SHIP funds and how smaller agencies learn about and access funding; and DOT’s work program gap between agency and governor proposals. The most extensive questioning was directed to Highway Safety and Motor Vehicles about long DMV lines, vacancies, overtime, staffing shortages, and the ability to shift funds between divisions. The department said staffing and pay constraints, especially in South Florida, were driving service delays and vacancy rates, and that overtime was being used because troopers were leaving for better-paying jobs. The Florida State Guard was also questioned about its spending and procurement pace, including aircraft purchases and facilities. Its director said long procurement timelines explained the low initial spending and that obligations had risen sharply as contracts matured. Members also asked about the department’s public opposition to Amendment 3 and whether agency resources were used in that effort; the director said no contracts or purchases were made to influence the vote and said the colonel’s comments were made off the clock. The meeting ended with the chair asking agencies to respond promptly to unanswered questions, and the committee adjourned without any recorded votes or formal actions beyond receiving the presentations and questions.

Transcript Highlights:

• you have medical services and Mental Health<00:38:22.319><c> Services</c><00:38:23.200><c> allinone</
• who is providing those services.
• We provide primary care, dental services, behavioral health services, and substance abuse services for
• </c><03:38:33.120><c> Services</c><03:38:33.720><c> which</c> Emergency Medical Service Services which
• c> other</c> and services Adult Services and other and services Adult Services and other critical<04:

Keywords: 928, house, all

Summary: The House Finance Committee opened a public hearing on House Bills 1 and 2, which concern the governor’s proposed FY 2026-2027 budget. The chair explained that the committee must fit the budget to House Ways and Means revenue, which is about $800 million below the governor’s estimate in an almost $16 billion budget. He also noted a projected current-budget overspend, the impact of recently passed legislation, possible fee updates, no new tax proposals at that time, and the importance of federal funding and Medicaid stability. Testimony was limited to three minutes, with the chair asking speakers to avoid duplication. Much of the testimony focused on Medicaid, disability services, and home- and community-based care. Speakers urged the committee to restore or protect funding for transportation, Medicaid, day programs, in-home supports, and behavioral health services. Several individuals and providers described how cuts would affect people with disabilities, medically fragile children, and families who rely on services to remain employed and avoid institutional care. A home care provider argued that a proposed 3% Medicaid cut would increase hospitalizations and costs, while a behavioral health representative asked for sustainable Medicaid rates, uncompensated care support, housing resources, and continued funding for community behavioral health clinics. Another major topic was the Group II retirement provisions in HB 2 for public safety workers. Representatives from police, fire, corrections, probation/parole, and related associations testified in support, saying prior pension changes hurt recruitment and retention, pushed experienced workers to neighboring states, and should be reversed to restore promised benefits. They argued the provisions would help keep public safety careers viable and honor commitments made to first responders. An executive counselor also warned that when the state shifts costs away from itself, local property taxpayers bear the burden, and she opposed cost shifts such as Medicaid premiums and universal vouchers. A separate speaker urged funding public schools rather than universal vouchers, arguing vouchers can leave other students behind as resources are diverted.

Transcript Highlights:

• services.
• services.
• And so we paid for those services through fee for service pending that.
• And so we paid for those services through fee for service pending that.
• However, Division of Youth Services... ...services, not the other settings.

Keywords: 1204, all

Transcript Highlights:

• </c> accessing this accessing the services accessing this accessing the services and<00:10:06.880><c>
• </c><00:10:17.880><c> can</c> and direction of what the service can and direction of what the service
• </c><00:12:41.120><c> utilization</c><00:12:41.880><c> or</c> and service utilization or and service
• IC is a new service available to support participants and does not replace existing services on the BI
• </c> January 1st of 2021 IC is a new service January 1st of 2021 IC is a new service available<00:26:

Keywords: 1187, senate, all

Transcript Highlights:

• Sorry, I'm just going to— president and CEO of BAMSI, a full-service human services organization... .
• These are essential and legally required services, not luxuries.
• These are essential and legally required services, not luxuries.
• These are essential and legally required services, not luxuries.
• These are essential and legally required services, not luxuries.

Keywords: 995, all

Summary: The Joint Committee on Children, Families, and Persons with Disabilities held a hearing focused on accessibility-related legislation, with the chairs emphasizing ASL and CART accessibility and asking testifiers to speak slowly and clearly. The committee heard testimony first on H.223/S.130, a bill to establish a livable wage for community-based human service workers by reducing the pay gap with state employees. Providers’ Council, Communities for People, the Key Program, and BAMSI all supported the bill, describing persistent wage disparities, high vacancy and turnover rates, and the impact on continuity of care for children, youth, and families. Witnesses said the bill would help recruitment and retention and stabilize services across the Commonwealth. The committee then heard extensive testimony on H.224/S.160, the ACE Act, which would create a dedicated funding source to improve accessibility in the creative economy. Arts organizations and advocates, including Community Access to the Arts, Abilities Dance Boston, Jacob’s Pillow, the Multicultural Arts Center, Northampton Community Music Center, Mass Creative, Open Door Arts, and Monkey House, described barriers such as inaccessible buildings, lack of ASL interpretation and captioning, inadequate lifts and backstage access, and the high cost of renovations. Testifiers said the bill would help smaller and historic institutions make physical and programmatic improvements and allow people with disabilities to participate as artists, workers, and audiences. The committee also heard testimony on H.4180, which would require DDS to consider neuropsychological evaluations when determining eligibility for intellectual disability services. Parents and advocates argued that IQ cutoffs alone can miss significant functional needs, especially for autistic adults and others with complex developmental profiles, and urged broader access to DDS supports. Additional testimony supported S.101 on closed captioning and telecommunications in public areas, and S.158 on requiring restaurants to have some chairs with arms to better accommodate physically disabled and older patrons. No votes were taken during the hearing, and the chair adjourned after hearing from the scheduled witnesses and noting a few signups that were not present.

Transcript Highlights:

• this service free of charge.”
• As Department Service Officer, I am in charge of 15 accredited service officers.”
• As Department Service Officer, I am in charge of 15 accredited service officers working to serve the
• As Department Service Officer in charge of 15 accredited service officers here in Missouri, I see firsthand
• I appreciate your service.”

Summary: The committee met with a quorum and first went into executive session, where it adopted a House Committee substitute combining House Bills 3078 and 2672 and voted the substitute do pass, with one no vote. It then separately voted House Bill 2362 and House Bill 2588 do pass, each by 16 ayes and one no. During the executive session, one member objected to the combined bill on constitutional equal-protection grounds, while another supported it as a benefit for veterans. In public hearing, Representative Stephanie Boykin presented House Bill 3280, which would create a Missouri specialty license plate for the surviving spouse of a disabled veteran who previously qualified for a disabled veteran plate. She described it as a low-cost way to continue honoring a veteran’s service and family sacrifice. Committee members and a surviving spouse testified in strong support, emphasizing the recognition of spouses’ sacrifices and noting that similar plates exist in other states. No opposition was offered. The committee then heard House Bill 3029, sponsored by Representative Schulte, which would require disclosures and prohibit compensation for referrals in the business of advising or assisting with veterans’ benefits, with penalties for violations. Supporters, including a Missouri veterans service officer, argued the bill was needed to stop unaccredited “claim shark” companies from charging veterans for initial claims and using misleading social media advertising. Opponents, including a representative of Veterans Guardian and a VA-accredited attorney, argued the bill would restrict lawful private-sector assistance, reduce veterans’ choice, and should be narrowed to target bad actors while exempting accredited attorneys and referral arrangements. The hearing also included a presentation on the Missouri Veterans Recognition Program, which provides medals and certificates for veterans of major conflicts, and a presentation on MU Extension’s Veteran REEDS program, which uses literature and discussion to support veterans and first responders through community-based resilience work.

Transcript Highlights:

• stabilization services is a Medicaid<00:10:23.680><c> service.
• actually you provided a less expensive service like a transition service.
• </c> to support services that were provided. to support services that were provided.
• like a transi transition service like a transi transition service. service. service.
• case management services?

Keywords: 1183, house

Transcript Highlights:

• For developing the app to be able to access the services that, again, the services are all already existent
• Number nine is DHS, Division of Aging, Adults, and Behavioral Health Services, with SHC Services.
• and Family Services clients.
• This contract is for EBT services.
• They provide reentry services.

Keywords: 1204, all

Transcript Highlights:

• they could be reimbursed for those services.
• If those services are contracted to provide services for said high school or school, or you're employed
• If those services are contracted to provide services for said high school or school or you're employed
• I do not personally bill for services. I do not intend to bill for services.
• I do not personally bill for services. I do not intend to bill for services.

Summary: The committee first heard House Bills 2365, 2490, and 2249, a bipartisan version of Elijah’s Law, which would require child care facilities to receive training and guidance on recognizing and responding to food allergies and anaphylaxis. Sponsors described the bill as a response to the death of Elijah, whose daycare did not administer epinephrine quickly enough after a food exposure. Witnesses in support, including a parent and food allergy advocate, said the measure would improve preparedness and save lives. Committee members asked about whether the bill should use broader epinephrine terminology, whether the requirements could also be handled through child care licensing rules, and whether the bill was already included in a larger measure. No opposition was presented, and the hearing on those bills was closed. The committee then heard House Bill 1965, which would require insurers to reimburse athletic trainers for covered services and add athletic trainers to the practitioner definition for billing purposes. The sponsor and athletic training witnesses said the bill would recognize athletic trainers as licensed health care providers, improve access in rural and underserved areas, and allow reimbursement when trainers work in clinics, hospitals, or other non-school settings. Committee members raised repeated questions about the difference between athletic trainers and physical therapists, whether school-based services were already paid through contracts, whether the bill would increase costs or create double payment, and how diagnosis and billing would work under the current scope of practice. Opponents from Blue Cross and Blue Shield of Kansas City and the Missouri Insurance Coalition argued the bill would create a mandate, increase costs, and expand billing before clarifying the underlying scope of practice. No vote was taken in public hearing. The committee then moved into executive session and voted several bills do pass. A substitute was adopted for House Bill 1826 and the committee substitute for House Bills 1826, 2560, 2349, and 2194 passed 17-0. House Bill 1783 also passed 17-0. House Bill 2372, which incorporated multiple related provisions including changes to epinephrine terminology and other committee items, passed 17-1 after a substitute and amendment were adopted. House Bill 1827, the occupational therapy bill related to disabled placards and license plates, passed 18-0. The committee then returned to public hearing and heard House Bills 1941 and 2279, which would prohibit copay accumulator programs for fully insured plans so that third-party assistance counts toward a patient’s deductible and out-of-pocket maximum. Sponsors and a rheumatologist testified that the bills would prevent patients with serious illnesses from being forced to pay the same deductible twice and said similar laws have been enacted in many other states. Opponents from America’s Health Insurance Plans argued the measure would affect only a minority of plans, raise costs in the individual and small-group market, and could worsen affordability for remaining enrollees. The hearing ended without a vote on those bills.

Transcript Highlights:

• Services. Services.
• Services.
• Services.
• Services.
• Services.

Keywords: 1187, senate, all

Transcript Highlights:

• This isn't for every single service.
• There are services that you want to be sure everybody gets, and those can be paid on a fee-for-service
• services.
• medical and surgical services.
• They need a lot of services.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket focused on primary care, workforce development, and medical debt. Chairs Cindy Friedman and John Lawn outlined hearing procedures and noted that testimony would be taken on 17 matters. The committee first heard testimony on bills to establish a community health center nurse practitioner residency program and to strengthen mental health centers. Senator Keenan, Rep. Keefe, and health center leaders described the Worcester nurse practitioner residency as a successful pipeline and retention strategy, citing workforce shortages, training needs in community health centers, and the cost of the program. Rep. O’Day also supported the mental health centers bill, saying it would raise payment rates, improve reimbursement for behavioral health services, and help clinics retain staff and expand access. The committee then took testimony on bills to address medical debt through hospital financial assistance reform. The Attorney General’s Office, Health Care for All, Health Law Advocates, the Leukemia and Lymphoma Society, and individual patients supported the measure, arguing that hospital financial assistance policies are inconsistent, hard to find, and difficult to navigate. Witnesses said the bill would standardize eligibility criteria, create a uniform application, improve notice requirements, and expand access to discounted care up to 400% of the federal poverty level. Several personal stories described medical bills being sent to collections, confusion over insurance billing, and the burden of debt on low-income and chronically ill patients. Committee members asked about hospital concerns, the role of the health safety net, and whether the bill addressed root causes of medical debt; testimony emphasized that the proposal was meant to improve transparency and access rather than replace broader insurance reforms. The hearing also focused heavily on “Primary Care for You” legislation, H. 1370 and S. 867, which would increase primary care investment and create a new payment model. Rep. Haggerty, physicians, a patient, community health center leaders, and the Massachusetts League of Community Health Centers described a primary care crisis marked by low reimbursement, staffing shortages, long waits, burnout, and difficulty recruiting clinicians. Supporters said the bills would shift spending toward preventive, team-based care, improve access and equity, and reduce long-term costs. The Massachusetts Association of Health Plans said it was directionally supportive of increased primary care investment but warned that any new spending must stay within the cost growth benchmark and preserve existing contracting structures. The hearing ended with additional testimony on a community health center workforce and loan repayment grant bill from Rep. Stanley, and with further discussion from Dr. Alan Garo about the need for payment reform in primary care.

Transcript Highlights:

• </c> ear, a permanent scar of his service. ear, a permanent scar of his service.
• Uh, sir, regardless of the yoke of this bill, I appreciate your service and the service of everybody
• </c> these services still and for a lifetime? these services still and for a lifetime?
• </c> Lutheran Social Service of Minnesota. Lutheran Social Service of Minnesota.
• and department of youth and services and department of youth and family<01:17:12.640><c> services.

Keywords: 1187, senate, all

Transcript Highlights:

• I forget that I said 1.8 because I was just looking at the raw services.
• So the services that are considered... ...it away and then come back.
• mean, from coupon service or whatever you call it—to basic services at that point.
• This is for our third-party administrative services. We issued an RFP.
• Okay, this is the Sedgwick claims management service.

Summary: The State Insurance Programs Oversight Subcommittee met on June 17 and reviewed a series of Employee Benefits Division and Office of Property Risk items. The committee approved formulary changes for March and April that favored lower-cost generics, removed some new-to-market drugs from coverage pending more evidence, and made maintenance changes to migraine and diabetes medications. Members also approved a cell and gene therapy policy that would route those therapies through prior authorization rather than automatic coverage; officials said the process should not delay urgent cases and that no current members would be affected. The committee then reviewed a UAMS pharmacy benefit consultant contract amendment, but after extended discussion about the written scope and dollar amounts, the motion was approved with the understanding that any use of optional services would return to the committee for further review. The committee also reviewed the U.S. Able Mutual/Blue Advantage third-party administration contract and the CompSack employee assistance program contract, which officials said would reduce per-member costs and add services. The subcommittee approved proposed 2027 rates for state employees and public employees, with a 9.8% increase for state employees and a 4.9% increase for public school employees. Officials also reported that the UnitedHealthcare rebid was in its final negotiation stage and would return in August, with medical and pharmacy coverage split as previously recommended. In response to questions, the director said the division was considering broader preventive-care offerings, including weight-loss drug coverage, but would proceed cautiously and with strong utilization controls and holistic support if such a program were adopted. On the property risk side, the committee reviewed permanent rules making prior temporary rules permanent, a contingency-fee subrogation contract, and renewals for claims management, actuarial services, and investment management. Members raised concerns about Sedgwick’s claim-adjustment timeliness and communication with school districts after severe weather events; officials said performance guarantees and communication expectations had been strengthened, but the renewal was kept at three years for continuity. Finally, the committee approved 2026-27 captive insurance program rates, which included no change to minimum deductibles, a 10% overall rate reduction, and bucketed rate changes by entity type. Officials said the captive program was working as intended, with improved actuarial support and claims experience, and the meeting adjourned after the approvals.

Transcript Highlights:

• <00:05:02.160><c> optimistic</c><00:05:03.160><c> that</c> Service Services uh I am optimistic that Service
• This is about client services, the right service at the right time for the right individual.
• </c> residential Behavioral Health Services residential Behavioral Health Services so<00:23:05.799><c
• :34.160><c> there's</c><00:49:34.400><c> better</c> Services under one agency there's better Services
• department also require services in the department also require services in another<00:50:04.599><c>

Keywords: 928, house, all

Summary: The committee convened an informational Division 3 Finance hearing focused on DHHS programmatic issues rather than budget line items. The chair emphasized that members should avoid questions requiring dollar figures and noted that the coming budget cycle would likely be difficult because revenues are expected to be tighter. Commissioner Lori Weaver said the department wanted to use the session to explain its functions at a high level, with more detailed presentations to follow, and to collect questions for later responses. Weaver outlined DHHS’s mission of supporting optimal health for state residents and described the department’s three main responsibilities: protection and prevention, client service delivery, and regulatory oversight. She said DHHS has eight divisions, a $3.6 billion total budget, about $1.217 billion in general funds, roughly a quarter of state positions, and personnel costs that are less than 11% of the budget. She also noted a recent hiring freeze, explained that the department did not request new positions except where required by law, and said vacancy rates had improved from 22% to 14% over the last two years but could rise again because of attrition and the hiring freeze. Weaver and CFO Nathan White then discussed why the DHHS budget is complex, explaining that it is built from multiple funding sources and is shaped by assumptions made months before the fiscal year begins, actual service demand, and cost allocation rules used to draw down federal funds. White highlighted maintenance-of-effort requirements, including TANF, where state spending is needed to secure federal matching funds and shortfalls can trigger penalties. At the committee’s request, DHHS agreed to provide a simplified historical accounting of TANF contributions to show how the match is assembled across positions, contracts, and other factors. The department also reviewed its roadmap, which Weaver described as a framework developed with staff and stakeholders around three themes: culture, community, and customer service. She highlighted priorities such as Mission Zero to end emergency department boarding, expanding access to community-based and residential behavioral health services, reducing reliance on institutional care, improving contract management with nonprofit and provider partners, using data dashboards to guide decisions, and investing in workforce stability and culture. No votes were taken; the main action was DHHS’s commitment to provide additional follow-up materials, including the TANF contribution breakdown.

Transcript Highlights:

• I received an honorable discharge from active-duty service. I am still...
• somebody from active service because that's a standard across all boards.
• Honestly, in the military service, you know, we have men, women.
• If it's different, can we get them to have these other services, these other pieces?
• It's important for us to, of course, recognize the service, but also the impact.

Summary: The Assembly Military and Veterans Affairs Committee heard four bills, with AB 1616 (Davies) and AB 1638 (Ta) placed on consent and later approved unanimously. The committee then heard AB 1775 (Ward), which would provide state support for veterans affected by the federal executive order targeting transgender service members, including prioritizing them for discharge-upgrade assistance, housing support, and expedited professional licensing. Supporters described the bill as a response to abrupt separations, loss of benefits, housing instability, and employment harm; there was no formal opposition. Members raised questions about how the state would verify eligibility and avoid unintended coverage of discharges based on other reasons, and the author said applicants would need a DD-214 and supplemental documentation showing the discharge was solely due to the executive order. AB 1775 was passed on a due-pass motion and referred to the Committee on Business and Professions. The committee also heard AB 2022 (Gonzalez), which would provide a full property tax exemption for the primary residences of veterans who are 100% service-connected disabled, and extend the exemption to unmarried surviving spouses. The author and supporters said the bill is intended to prevent homelessness and help severely disabled veterans remain in their homes amid California’s high housing costs. Committee discussion focused on the size of the eligible population and the fiscal impact, with the author noting the measure applies to a much smaller group than all disabled veterans and that he would provide more cost information later. AB 2022 was approved as amended and referred to the Committee on Revenue and Taxation. By the end of the hearing, all bills on the agenda were reported out 8-0.

Transcript Highlights:

• We need more services available. We need a bigger workforce.
• In all, we now offer Tier 1 and Tier 3 services to 318 school sites, Tier 2 services to 76 school sites
• Act, and the Behavioral Health Services Act as well.
• Finally, investments in crisis services literally save lives.
• And I've used those services numerous times this year.

Summary: The Select Committee on Youth Mental Health and Treatment Access held its third hearing to review the state of youth mental health, progress under the Children and Youth Behavioral Health Initiative (CYBHI), and remaining implementation and funding challenges. The chair emphasized that schools are often the main point where education, health care, and social services intersect for students, and that the committee’s goal is to ensure public investments translate into better access and outcomes. The hearing featured testimony from researchers, a youth advocate, state officials, and local practitioners. PPIC researcher Shalini Mostala reported that teen mental health remains a serious concern, with high rates of chronic sadness, hopelessness, and suicidal thoughts, though recent California data show some improvement since the pandemic. She noted persistent disparities by gender, race, and rural status, and said school-based health centers, wellness centers, and community schools are associated with lower suicidal thoughts. Youth advocate Ella Cruz, speaking for NAMI California, described her own mental health struggles and argued that youth voice, peer-to-peer support, and reducing stigma are essential; she also said technology and AI cannot replace trusted adults or trained professionals. Committee members asked about phone use, stigma, cultural barriers, and how to make supports more accessible and relatable to students. Dr. Sohill Sood of the California Health and Human Services Agency said statewide survey data show declining stigma, increased counseling use, and lower suicide ideation among students, and he highlighted CYBHI’s certified wellness coaches, digital tools, awareness campaigns, and the first-in-the-nation fee schedule that allows schools and colleges to bill health plans for behavioral health services. He said the program is growing quickly, with more than 230,000 claims and over $11 million in new revenue to date, while acknowledging that billing systems and coordination are still being built. Trina Frazier of Fresno County described a multi-tiered system of care supported by CYBHI, CalAIM, and other grants, serving thousands of students through school-based services, wellness centers, and mobile therapy units; she said ongoing funding and flexibility are critical. Rachel Kroberniski of El Segundo High School’s James Morehouse Project described a long-running wellness center and peer mentorship model that supports students in multiple languages, and said peer programs help students feel seen, connected, and more willing to seek help. Members broadly praised the flexibility, collaboration, and peer-based approaches described by the witnesses. Questions focused on sustaining funding after one-time grants expire, improving coordination among schools, counties, and providers, expanding the fee schedule to higher education, and ensuring continuity of care for students after high school. Officials said county offices of education, DHCS, and other partners are using communities of practice and technical assistance to spread best practices, and that CYBHI services can follow some young adults through age 25, with additional supports through community-based programs and digital platforms.

Transcript Highlights:

• So that would still be able to get the services.
• to service along with them.
• to service outside, along with them.
• of the California Association of County Veterans Service Officers in support of AB 2219, the Faster Services
• Faster Services for Veterans Act.

Keywords: 988, house, all

Transcript Highlights:

• . services. services.
• are services that services which uh uh are services that uh<00:07:06.800><c> exclude</c><00:07:07.199
• </c> safe, and timely service. safe, and timely service.
• for direct services, $147 million of that went to direct services.
• do get the service and and so we service do get the service and and so we verify<00:25:15.279><c> and

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the October 15 minutes, and began with a moment of silence following a Louisville UPS plane explosion that was described as a local tragedy affecting many families and first responders. The main presentation was an overview of Kentucky’s Medicaid non-emergency medical transportation (NMT) program from the Department for Medicaid Services and the Transportation Cabinet. Witnesses explained that NMT is a federally required Medicaid benefit, administered by the Transportation Cabinet under a risk-based capitated model, with eligibility limited to Medicaid members traveling to medically necessary, Medicaid-covered services and who lack access to other transportation. They also described exclusions, including certain KCHIP, QMB, and PACE members, and outlined the brokered regional structure, call center operations, scheduling rules, vehicle and driver oversight, complaint handling, and rider surveys. The presenters reported that NMT handled more than 3.1 million trips in state fiscal year 2024, with over 1.38 million trips already recorded in October, and said customer satisfaction surveys were high. They said the FY 2025-26 contract total is about $360.6 million, with monthly per-member capitation rates set by region through an actuarial process and approved by CMS. They emphasized that payments are tied to monthly Medicaid enrollment and that the state draws down federal funds for the exact amount paid, with no leftover balance. They also said most NMT use comes from adult day centers and rehabilitative care such as dialysis. Members questioned the witnesses about how quality metrics and contract standards are set, whether the state had explored alternatives such as Uber Health or other integrated models, and how utilization was calculated. The witnesses said contract requirements are developed collaboratively by Medicaid Services, the Transportation Cabinet, and other agencies, and that studies of other models generally found higher costs and lower approval ratings, with additional research on a hybrid model expected by the end of the year. They clarified that one figure reflected the share of Medicaid members with registered vehicles, while another reflected actual NMT users, and they defended the capitated structure as shifting financial risk to brokers rather than the state. Representative Fleming also raised concerns about oversight, reporting, and the apparent gap between budgeted and contracted amounts, asking whether any unused funds would return to general funds; the discussion ended before a final answer was given.

Transcript Highlights:

• Into the service fund. Correct, into the service fund.
• That would also have been an hourly service.
• Most things are moving toward platform as a service, software as a service.
• An additional $1 million of dedicated emergency communication service revenue for prepaid wireless service
• We needed some help with service desk.

Keywords: 908, all