Transcript Highlights:

• There have been ongoing efforts to address this through reform efforts, but those reform efforts have
• Because of a lack of data on what those reform efforts would mean and while the fiscal note process is
• there to allow those reform efforts to go forward, fiscal note deadlines mean that a bill must be filed
• that fiscal note can get here and something as large and complicated and difficult as state benefit reform
• interim get responses back and work through Refinements is a way that the state could look at these reform

Bills: HB138, HB335, HB388, HB138

Keywords: health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers

Transcript Highlights:

• So the first step, as you heard, was the procurement of an actuarial study to model various public and

Keywords: 995, all

Summary: The Aging and Independence/Elder Affairs Committee heard testimony on several bills, with the main focus on H.769/S.468, an act to improve care and prepare for the new era of Alzheimer’s and dementia. Legislators and advocates described the bill’s provisions, including expanded dementia training for first responders, a dementia services coordinator/director in state government, improved hospital discharge and caregiver access protections, dementia care coordination benefits for certain MassHealth members, public awareness and data collection requirements, and expanded support for geriatric workforce recruitment. Representative Danielle Gregoire and Senator Gomez framed the measure as a zero-cost, bipartisan continuation of the 2018 Alzheimer’s and Dementia Act, while the Alzheimer’s Association, Boston Public Health Commission, police representatives, clinicians, and family caregivers all testified in support, emphasizing public health needs, early diagnosis, caregiver involvement, and safer emergency and hospital care. The committee also heard testimony on H.796/S.476, which would establish an Office of Older Adult Advocate and a special commission on a statewide long-term services and supports benefit program. Representative Steve Ultrino supported an independent older adult advocate to help navigate fragmented state services and improve constituent services, while committee members asked about funding and the office’s relationship to existing secretariats. On the long-term care commission bill, NAFA Massachusetts and LeadingAge Massachusetts supported creating a stakeholder commission to review actuarial findings and explore public-private financing options for long-term care, stressing that neither public nor private coverage alone is sufficient and that middle-income families need more planning tools and options. The committee also took testimony on H.786/S.466, a bill to protect vulnerable elders by expanding the Executive Office of Elder Affairs’ authority to investigate abuse or neglect in non-traditional custodial settings such as prisons, jails, shelters, group homes, and certain treatment facilities. Prisoners Legal Services said the bill would close a jurisdictional gap that leaves some older adults without an investigative agency once they age out of DPPC coverage. No votes were taken during the hearing, and the meeting ended with a motion to adjourn.

Transcript Highlights:

• Senate Bill 890, Senator Giles, insurance premium tax receipts exemption for captive insurance procured

Keywords: Senate streaming session for Wednesday, March 25, 2026, 960, senate, all

Summary: The Senate convened on March 25, 2026, with an invocation by Father Frank Crumble III, who was introduced as the guest of the Senator from the 36th District. The chamber also recognized several guests and groups, including leaders from Cherry Hill on the occasion of the community’s 80th anniversary, Doctor of the Day Maryam Diallo, the Prince George’s County Democratic Central Committee, students from Andrew Jackson Academy, and several women honored for Women’s History Month. Additional recognitions included the Greater Baltimore Committee, Boy Scouts, Tarbiyah Academy, and a Senate intern. The main floor action was a special resolution congratulating the Cherry Hill community on the 80th anniversary of Cherry Hill Homes, a purpose-built community for African Americans returning from World War II. Senators spoke about Cherry Hill’s history, resilience, and recent community investments such as new schools and a recreation center. The resolution was read in full and adopted unanimously. Senate Bill 890, concerning an insurance premium tax receipts exemption for captive insurance procured by nonprofit hospitals and health care systems, was special ordered for another day at the sponsor’s request. The Senate also took up Senate Bill 283, the Maryland Consolidated Capital Bond Loan of 2026. After brief remarks praising the committee’s work and the statewide investment program, the bill passed third reading by unanimous vote. Committee and delegation announcements followed, including Finance, Triple E, and Judicial Proceedings holding House bill hearings at 1:00 p.m., and the Prince George’s County delegation meeting later that day. The Senate then remained in session long enough to confirm a quorum and adjourned until March 26, 2026, at 10:00 a.m.

Transcript Highlights:

• fiscal bodies cannot obligate funds beyond a period of one year except for contracts executed to procure

Keywords: 994, senate, all

Transcript Highlights:

• Same recommendation for JDC on SB 2601 relating to procurement. Questions or concerns?

Keywords: 912, senate, all

Summary: The committees met in decision-making sessions and considered a long list of Senate bills, with no oral testimony taken. Several measures were advanced unamended, including SB 2178 on industrial hemp, SB 2277 on hospital price transparency, SB 2387 on digital financial asset transaction kiosks, SB 2688 on compassionate release, SB 3132 on syndromic surveillance data reporting, SB 3219 on housing infrastructure growth bonds, and others. Many bills were also advanced with technical or substantive amendments, including SB 2114 on collective bargaining grievance rights, SB 2601 on procurement penalties, SB 2698 on cruise ships/transportation, SB 2757 on digital asset charters, SB 2948 on insurance fraud, SB 2002 on water governance, SB 2022 on state water code penalties, SB 2190 on inclusionary zoning, SB 3294 on wrongful imprisonment compensation, and SB 17, SB 2407, SB 2811, SB 2907, SB 2930, SB 3084, SB 3103, and SB 2808 in the later agenda segment. The committee also discussed SB 2080, relating to the psychology interjurisdictional compact, where one senator objected to interstate compacts as opening local jobs to out-of-state professionals; despite that objection, the measure was adopted. SB 3133 on preventive medicine drew amendment discussion to remove unnecessary language about committee members not being state employees and to delete an immunity subsection, while preserving ethics-code coverage and provider immunity. SB 3000 on insurance was amended to remove a savings clause, and SB 2921 on fund transfers received extensive amendments removing or revising numerous special funds and revolving accounts across agencies. Most votes were unanimous or near-unanimous, often with members present voting aye or with reservations. A few measures drew recorded no votes or reservations, including SB 2080, SB 3133, SB 2921, and SB 2401, where one member voted with reservations and the committee report was to reflect the Attorney General’s comments. In each case, the committee adopted the recommendation and moved the bills forward.

Transcript Highlights:

• We did an emergency procurement, and we will be getting started.

Keywords: 996, all

Summary: The committee heard a District 5 New Mexico Department of Transportation presentation from Rhonda Lopez, who reviewed the district’s FY26 budget, staffing vacancies, and the status of special appropriations from 2020 through 2025. She described numerous completed and ongoing projects across the district, including roadway overlays, bridge work, intersection improvements, ADA upgrades, and maintenance projects, and also summarized STIP, TPF, LGRF, and equipment needs. Members asked about a guardrail issue near U.S. 64 in Hogback, the 5% local match for TPF projects, and the status of the New Mexico 371/U.S. 36 intersection funding agreement with the Navajo Nation; DOT said the match is secured or waived where applicable and that the Navajo agreement is nearly finalized. The committee then heard House Bill 270, which would amend the Public Works Apprentice Training Act to require contributions to apprenticeship and training programs for certain public works contracts, including highway-related work, while creating an exception where no approved apprenticeship program exists for a trade classification. The sponsor said the bill was intended to strengthen workforce development and support apprenticeship training. Contractors and asphalt industry representatives opposed the bill, arguing it would raise road project costs and duplicate existing training contributions. A motion to table failed on a tie, and a later motion to pass also failed on a tie, leaving the bill in committee. Next, the committee heard House Bill 322, which would create a transportation trust fund and transportation program fund, dedicate additional revenue sources including a portion of electricity GRT and motor vehicle excise tax, and begin annual distributions for federal matching funds in 2029. The sponsor and supporters said the bill would help address a multi-billion-dollar road funding gap, improve maintenance, and provide a stable source for matching federal dollars. Some members raised concerns about the electricity tax component, its effect on utility bills, and overlap with recently enacted transportation financing measures; others supported the concept but questioned timing and funding priorities. A motion on the bill resulted in a tie and failed, leaving the bill in committee. The meeting concluded with a District 4 NMDOT legislative presentation. The district outlined its geography, budget, staffing vacancy rate, completed special appropriations, active construction and maintenance projects, wildfire-related recovery work, local government funding allocations, and equipment replacement needs. Members asked about school district uses of local funding and the impact of aging equipment and weather on maintenance costs. The presentation ended without any formal action on District 4 items, and the committee adjourned.

Transcript Highlights:

• The third effort that is underway is we are in the middle of a procurement process with an outside firm

Keywords: 1182, all

Transcript Highlights:

• work you're doing, and especially as you just finished discussing the augmentation fund and the procurement

Keywords: 1182, all

Transcript Highlights:

• Our guests up like procurement process is understanding what's available in the market to ensure that

Transcript Highlights:

• Procurement authority, no spending authority. That where we require them to, um, To file a PFS.

Transcript Highlights:

• Lindberg will be responsible for coordinating commodity procurement among various agencies within the

Transcript Highlights:

• We’re currently working with a vendor on procuring the RFI, the request for information, and looking

Keywords: 908, all

Summary: The committee first took up Senate Bill 2399, concerning therapeutic leave days for psychiatric residential treatment facilities (PRTFs). Sarah Aker from the Department of Health and Human Services explained the current Medicaid rate-setting methodology, how occupancy affects rates, and why paying the full rate for leave days would create additional fiscal impact. Members debated whether the bill should pay the full Medicaid rate, a flat reduced rate, or a tiered rate, and discussed whether a cap or department authorization should be used to control use of leave days. The department said it was not supporting the change as it was not in the governor’s budget, though it supported family engagement in care. After discussion, the committee settled on a compromise motion to set therapeutic leave days at a $500 daily rate and require department authorization of the number of leave days. The motion passed 6-2, with Representative Anderson voting no and the rest of the recorded members voting yes. The committee then moved on to Department of Corrections and Rehabilitation budget materials, where Michelle Zander walked through detailed population and rate calculations for women’s and men’s facilities, county holds, deferred admissions, transitional facilities, work release, and proposed reentry, man camp, and Grand Forks-related costs. Members asked about the county jail reimbursement rates and the overall pool of funds, and Zander explained the calculations and noted the proposal was roughly break-even depending on assumptions. The committee also heard an overview of DOCR IT requests from Amy and NDIT staff, including data processing, medical modules, a new client management system, body scanners, data management tools, facility management software, medical software upgrades, college solutions, and body cameras/tasers. Staff explained that the new client management system would likely be a multi-phase project with a wide cost range based on vendor selection and scope, and that the current request was for phase one. Members emphasized the importance of better data tracking, staff safety tools, and information that could help explain programming and release outcomes to the public. The committee planned to continue with Veterans Affairs the next day and then return to Senate Bill 2015.

Transcript Highlights:

• The earlier project phases, such as planning, design, and procurement, which typically occur in those

Transcript Highlights:

• RESTRICT PRIVATE LABOR PRACTICES PROMOTE WORKPLACE DISCRIMINATION IN THE FAIRLY STATE OF THE NATION PROCURING

Keywords: 999, senate, all

Transcript Highlights:

• This timeline aligns with the reality that procurement processes typically involve months of internal

Summary: The Assembly Committee on Public Employment and Retirement met for its first hearing of the session, adopted committee rules, and heard several labor-related bills. The chair reviewed hearing procedures, including limits on testimony and expectations for orderly conduct. Members then took up measures affecting public employee bargaining, contracting, confidentiality, school employee benefits, pay stub information, and state correctional health staffing. AB 672 would require public employers to notify PERB when filing court actions involving statutes PERB administers and allow PERB to intervene; it drew support from SEIU, AFSCME, school employees, labor groups, and no opposition, and was passed out of committee. AB 283 would move IHSS bargaining from the county to the state level; providers and recipients testified about low wages, long delays in bargaining, and care access concerns, while counties and public authorities raised cost, scope, and implementation issues. The bill passed 7-0 after members discussed family care worker concerns and the author said he would continue working on the issue. AB 339 would require local governments to give unions 120 days’ notice before contracting out bargaining-unit work. Labor supporters said the bill would make existing meet-and-confer rights meaningful and protect jobs, while counties, cities, special districts, chambers of commerce, and staffing groups argued it would burden local agencies and interfere with existing MMBA procedures. The committee also heard AB 340, which would make communications between employees and union representatives confidential for PERB purposes; supporters said it codified existing case law, while school administrators, special districts, counties, and business groups warned it could hinder investigations. AB 378 would extend the classified school employees summer assistance program to JPA employees, and AB 374 would require more detailed pay stubs for classified school employees; both had labor support and some education-sector opposition over implementation and cost concerns, and both advanced. AB 393 would require cost analyses before contracting out physician work at CDCR and the Department of State Hospitals; supporters argued the state was overpaying contractors amid high vacancy rates, and the bill also advanced. At the end of the hearing, the committee recorded final votes showing AB 283, AB 340, AB 374, AB 378, AB 393, and AB 672 all passing out of committee, while AB 339 remained on hold with a 4-0 vote and some members not voting.

Transcript Highlights:

• WE USE FLORIDA BY AS A PARTNERSHIP AND THIS IS AN EFFECTIVE WAY OF PROCUREMENT.

Keywords: 999, senate, all

Transcript Highlights:

• That criminal justice reform changed the way we do business.
• I thank you for doing this work and for the reforms that have so far happened.
• I'm not saying it can't be reformed.
• So I'm just saying that as we're seeing a decrease, and for all good reasons, reform, failed reform,
• So I'm just saying that as we're seeing a decrease, and for all good reasons, reform, failed reform,

Keywords: 995, all

Summary: The commission on correctional consolidation and collaboration heard testimony focused on how Massachusetts uses custody levels, staffing, programming, and medical release tools, with Prisoners’ Legal Services arguing that the system is overusing expensive high-security settings and underusing step-down options. Dave Rainey said the incarcerated population has dropped substantially over the last several years, but spending and staffing have not fallen in proportion. He argued that DOC overclassifies people into medium and maximum security, relies too heavily on behavioral assessment units that function like segregation, and keeps people in restrictive settings such as Souza-Baranowski and Shattuck Hospital longer than necessary. He also said medical parole is underused and that many people with serious chronic illness or advanced age pose little public-safety risk and should be released through existing legal pathways. Sheriffs and other commission members pushed back on some of those points, emphasizing that staffing needs are driven by the acuity of the current population, that corrections is not overstaffed, and that classification decisions involve serious public-safety judgments. They also stressed that some high-cost medical placements are necessary because people remain under sentence and require care, and that furloughs and other release tools can create security risks if contraband or substance use is involved. The discussion also covered the role of county sheriffs versus DOC in reentry, with several members saying county systems tend to do more day-to-day step-down and release planning, while DOC has more difficulty moving people through lower-security settings before release. Ben Foreman of MassINC offered a more systemwide, data-focused perspective, praising the state’s transparency and arguing that Massachusetts has made major progress in reducing incarceration and increasing public safety. He said the state still has an opportunity to improve by right-sizing facilities, investing in community-based mental health treatment, and using the commission to better understand the capital and operating costs of the current system. In response to questions, he said he was aware of DOC studies on programs like furlough but had not reviewed recent ones, and he noted that total-control facilities like Souza-Baranowski have long been criticized in the research literature for poor outcomes. Nora Wassel of the Women and Incarceration Project then testified that the commission should issue an interim report and scrutinize the planned new women’s prison, which she said is not justified by current population trends or available data. She argued that women are overclassified under DOC’s own tools, that reentry beds and minimum-security placements are underused, and that the system may be failing to account for women’s distinct medical and reentry needs. The meeting ended with continued discussion of reentry, furloughs, day reporting, and whether consolidation should mean fewer facilities, better step-down pathways, or both.

Transcript Highlights:

• We need to know if there's any kind of reform or we're just rearranging the jett.
• I I don't see any real reform. I see moving around, moving around.
• But where's the reform?
• There's no reform.
• We need serious reform with DHS.

Bills: SB1778, SB1570, SB134, SB1966, SB1636, SB1725, SB1726, SB259, SB504, SB592, SB2030, SB1572, SB843, SB1242, SB1255, SB1262, SB1264, SB1286, SB1581, SB1290, SB1316, SB1319, SB1369, SB1379, SB1381, SB1400, SB1427, SB1436, SB1461, SB1496, SB1509, SB1534, SB1553, SB904, SB1592, SB1645, SB1684, SB1767, SB1772, SB1813, SB1894, SB1928, SB1946, SB1980, SB2040, SB2060, SB2061

Keywords: reading instruction, literacy, educational equity, intervention services, third grade retention, Strong Readers Act, child welfare, child safety, administrative transition, Department of Child Safety and Well-being, Oklahoma Commission on Children and Youth, juvenile justice, foster care, retirement, public employees, reemployment, benefit adjustment, Oklahoma Public Employees Retirement System, memorial highways, bridge designations

Transcript Highlights:

• This isn't just reform. This is how we do it. The focus of primary care reform is patient access.
• That had a very important and negative impact on reform.
• So we have doctors very suspicious of payment reform. At least I can...
• So we have doctors very suspicious of payment reform.
• Those things are part of the infrastructure barrier to fundamental payment reform.

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:

• And um there are significant reform.
• , across the board of different reforms, across the board of different reforms, what<00:42:42.000
• I think we do need to reform C. I do have some concerns here, too. So, I'm torn.
• I I think we do need to reform<00:48:47.359> C.
• I do have some concerns here, reform C.

Keywords: 00:00:00 - Call to Order/Roll Call 00:01:25 - Discussion of 26RS HB 689 00:15:15 - Roll Call Vote on 26RS HB 689 00:17:02 - Discussion of 26RS HB 407 00:45:40 - Roll Call Vote on 26RS HB 407 00:49:25 - Discussion of 26RS HB 713 00:55:50 - Roll Call Vote on 26RS HB 713 00:56:54 - Discussion of 26RS HB 676 01:06:42 - Roll Call Vote on 26RS HB 676 01:08:43 - Adjournment, 958, all

Summary: The committee first took up House Bill 689, which would authorize Kentucky to seek federal approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning in 2026. Rep. Amy Neighbors and witnesses from Owensboro Health and St. Elizabeth Healthcare said the bill would bring in about $29 million in new federal Medicaid dollars without using general fund money, help retain physicians, support rural and underserved access, and tie payments to quality metrics. Witnesses described staffing shortages, rising costs, and the need to sustain services such as OB care, primary care, and preventive outpatient services. After questions about how the funding would work and whether private practices were included, the committee voted on the bill and passed it with favorable expression. The committee then moved to House Bill 407, as substituted, which would streamline Kentucky’s certificate-of-need process. Rep. Marianne Proctor and supporters from the Pacific Legal Foundation and the Institute for Justice said the bill would not repeal CON but would modernize a system they described as outdated and overly restrictive, citing national trends toward reform and arguing that Kentucky’s process has changed little since the 1970s. They said the substitute added language requiring the cabinet to contact a dominant provider when needed for data to make CON determinations. Mark Gilfoil, speaking in opposition for St. Elizabeth Healthcare, argued that CON is not a barrier to care in Northern Kentucky and said the bill would weaken the process by limiting who can request hearings, present evidence, and appeal decisions, effectively giving applicants control and making approvals nearly automatic. He said St. Elizabeth serves as a safety-net hospital for low-income and publicly insured patients and warned the bill could harm that role. Members questioned both sides about the appeal process, the definition of safety-net hospitals, and whether the bill could increase facilities and create waste or abuse. The discussion was still ongoing when the transcript ended.