Video & Transcript : 'postnatal care' :

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WA

Washington 2025-2026 Regular Session

House Appropriations Jan 15th, 2026 at 04:00 pm

Appropriations

Transcript Highlights:
  • We need health care.
  • Most years, I substituted 175 days, and now is before there was health care.
  • In our state, and they still deserve health care. Thank you. Good afternoon, Mr.
  • They need to have a job where the health care is provided.
  • This health care drives me nuts, let's face it. We need health care. Everybody needs health care.
Bills: HB2124 , HB2125 , HB2160 , HB2179
CA

California 2025-2026 Regular Session

Assembly Floor Session May 4th, 2026

California House Floor Meeting

Transcript Highlights:
  • care for all Californians.
  • We have to be careful with our words.
  • Because health care is not a privilege, it is a basic human right.
  • All Californians have a right to receive the health care they need.
  • All Californians have a right to receive the health care they need.
ND

North Dakota 2026 1st Special Session

House Floor Session Jan 22nd, 2026 at 08:30 am

North Dakota House Floor Meeting

Transcript Highlights:
  • And what voters care about is affordability.
  • Well, then what about child care?
  • , to stabilize the workforce in child care.
  • They're going to ask, what about health care?
  • We've also taken care of your income taxes.
Summary: The House convened in special session, opened with prayer and the Pledge, confirmed a quorum, and recognized visiting students from Shiloh High School. Members also observed a moment of silence for former Representative Cindy Shriver Beck, and the House adopted the Employment Committee report approving special-session staff appointments. The chamber then considered House Bill 1621, which would require the presidential physical fitness test in K-12 physical education courses with exemptions for students with disabilities and an effective date of August 1, 2027. Supporters framed it as a return to a historic fitness standard and a response to federal direction; the bill passed 90-0. The House next took up House Bill 1624, a universal school meals bill that would place the program in statute rather than the Constitution, start it a year earlier than the initiated measure, and appropriate $65 million for the first year. Debate centered on whether universal meals were needed, whether the bill would preserve legislative flexibility and property-tax relief, and whether it would help families or subsidize those who could pay. The bill passed 55-38. Finally, the House began debate on House Bill 1623, the rural health transformation package tied to federal grant funds and a Bank of North Dakota loan program to support rural health projects, EMS, behavioral health, and related infrastructure. The sponsor and supporters emphasized North Dakota’s strong grant award, the need to move quickly, and the bill’s role in filling rural health gaps statewide. Some members raised concerns about federal spending, inflation, and telehealth, while others stressed the need to address EMS and workforce shortages. The transcript ends during debate on HB 1623, before any final vote is shown.
KY
Transcript Highlights:
  • very deeply about rural health care for our Commonwealth.
  • where a healthc care provider uh the<00:20:32.280><c> healthc</c><00:20:32.559><c> care</c><00:20:32.679
  • And I think that this transparency will allow for better health care outcomes.
  • And I think that this transparency will allow for better health care outcomes.
  • </c> involved okay medic the Medicaid Care involved okay medic the Medicaid Care organizations<00:31:
Summary: The committee first took up Senate Bill 27, as amended by committee substitute, which would create a Kentucky Parkinson’s disease research registry. The sponsor said the substitute was developed with UK, U of L, the Michael J. Fox Foundation, and Parkinson’s in Motion to better define a movement disorder center, add Parkinson’s experts from both universities to the advisory committee, require automated reporting, and delay implementation until 2027. Testimony emphasized the need to track diagnoses and testing while protecting confidentiality and allowing people to opt out. The committee adopted the substitute and then voted unanimously to pass SB 27 with a favorable expression. The committee then heard Senate Bill 93, dealing with hearing aid coverage for children. A parent described the high cost of hearing aids for her son and the financial burden created by insurance limits, while a pediatric audiologist explained that early identification and treatment improve language outcomes and that families can spend about $30,000 on hearing aids from birth to age 18. The committee substitute removed adults from the bill and added an in-network requirement for pediatric audiologists, along with a replacement interval consistent with Medicaid guidelines and repair/loss coverage provisions. After questions about costs, replacement timing, and insurer practices, the committee voted unanimously to pass SB 93 with a favorable expression. Finally, the committee considered Senate Bill 153, a transparency and due-process bill concerning Medicaid prepayment review. The sponsor and witnesses from Addiction Recovery Care and Frontier Behavioral Health said prepayment reviews can be imposed with little notice or explanation, disrupt cash flow, and burden rural and smaller providers; they argued the bill would require clearer notice, reasons, and timelines without stopping legitimate reviews. Members asked about managed care organizations, contract issues, and whether the bill would conflict with existing agreements, and the sponsor said it would not. After discussion and an explanation of vote from Senator Douglas, the committee voted to pass SB 153 with a favorable expression.
KY
Transcript Highlights:
  • So Senate Bill 13 is a bill to repr... procure managed care organizations.
  • Our managed care contract, or managed care RFP, is probably the largest RFP that we have.
  • contract or manag RFP um our manag care contract or manag care<00:19:49.679><c> RFP</c><00:19:50.280
  • the MCO for a foster care program.
  • care care program<00:23:12.640><c> that'd</c><00:23:12.799><c> be</c> [Music] [Music] [Music] helpful
Summary: The committee first took up Senate Bill 61, relating to swimming pools, but initially had no representative from the governor’s office or cabinet available to explain the fiscal estimate. Senators questioned why the executive branch’s estimate was $4.25 million to $8.5 million while the committee’s internal fiscal note showed little or no impact. When Department for Public Health staff later joined, they explained their estimate was based on a roughly $85,000 cost for a large outbreak investigation, using a 2014 outbreak as a benchmark, and said the bill could increase workload and outside laboratory costs if private swimming pools became more common as rental properties. They reported 822 waterborne cases in 2024, with 8 tied to private swimming pools, and later corrected an earlier figure to 14 private-pool-related investigations over five years. Senators pressed on the discrepancy between those numbers and the projected 50 to 100 incidents, and staff said the higher figure was a ballpark estimate. The discussion also clarified that private pools are generally excluded by definition, while pools held out for rent may be treated as public pools under current definitions. No vote on SB 61 was taken in the portion provided. The committee then heard Senate Bill 13, concerning the reprocurement of managed care organizations for Medicaid. Department for Medicaid Services officials said the bill would require work on a new RFP, system changes, and oversight improvements, and estimated the cost at $2.8 million based on prior procurement spending of about $2.5 million in 2018-2019, with a 10% growth adjustment. They explained that the work is administrative and therefore matched at 50/50 federal-state funding, not the 80/20 rate used for benefits, and said the expense would be incurred whether the bill passed or not if the state proceeded with an RFP. Senators discussed possible savings from reducing the number of MCOs from five to three, but agency staff said those savings were hard to quantify and that provider and member disruption could create offsetting costs. The committee later moved on to Senate Joint Resolution 25, which would ask the Revenue Department to report on the cost of issuing farmers a wallet-sized tax-exempt card instead of a paper certificate. The resolution was adopted by roll call, with all members present voting aye, and it was reported favorably to the floor.
NH

New Hampshire 2026 Regular Session

House Finance (02/20/2026)

Finance

Transcript Highlights:
  • </c> precludes anyone who is in foster care precludes anyone who is in foster care prior<00:07:02.160
  • foster care.
  • </c> of foster care. of foster care.
  • </c><00:11:45.519><c> Um,</c> they leave foster care. Um, they leave foster care.
  • care workforce program.
Committee: House Finance
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Wednesday, February 26, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • care for our most vulnerable.
  • care for our most vulnerable.
  • care for our most vulnerable.
  • health care not to take<02:15:31.239><c> Health</c><02:15:31.559><c> Care</c> take Health Care take
  • We have access to great hospital care there; however, we still have health care deserts.
Bills: HJR35 , HR695 , HR469 , HR250
VT

Vermont 2025-2026 Regular Session

House Session - 2026-04-29 - 1:10PM

Vermont House Floor Meeting

Transcript Highlights:
  • ,</c> take unpaid leave to seek medical care, take unpaid leave to seek medical care, counseling,<00:
  • Member from Georgia, Care.
  • </c> require medical care on many levels. require medical care on many levels.
  • </c> when an acute care is needed. when an acute care is needed.
  • </c> be used for child care expenses. be used for child care expenses.
CA

California 2025-2026 Regular Session

Assembly Floor Session Sep 9th, 2025

California House Floor Meeting

Transcript Highlights:
  • , or go without care altogether.
  • medically necessary health care that is legal here in California.
  • This bill is a modest step in efforts to expand access to care.
  • that patients skip or delay getting the care that they need.
  • Now, why should we all care about this?
Summary: The Assembly convened, established a quorum after a roll call, observed a moment of silence for John Burton, and proceeded with the Pledge of Allegiance and routine procedural motions. Members approved a rule suspension to allow floor amendments on SB 271 and SB 67, and several committee notices and bill referrals were handled. The chamber then moved through a long third-reading file, with many bills passed and a number of items temporarily passed or retained on file. Among the major measures approved were bills on civil rights and public safety (SB 477, SB 19, SB 36, SB 571, SB 580), health care and coverage (SB 257 on pregnancy as a qualifying life event, SB 530 on Medi-Cal access standards, SB 660 on health data exchange, SB 754 on menstrual product contaminant disclosure), housing and disaster recovery (SB 610, SB 655), transportation and climate (SB 533 on EV charging payments, SB 30 on diesel locomotives, SB 71 on CEQA exemptions for transit, SB 263 on tariff impacts), and natural resources/energy (SB 283 on battery storage safety, SB 88 on biomass emissions, SB 427 extending the Habitat Conservation Fund). The Assembly also passed urgency measures including SB 864 on tribal gaming compacts, SB 663 on wildfire-related property tax relief, SB 471 expanding DDS ombudsman authority, and SB 497 on privacy protections for legally protected health services. Several bills drew notable debate. SB 41 on pharmacy benefit managers saw opposition over concerns about moving ahead before broader PBM data and licensing reforms take effect, but it still passed. AB 1340, a concurrence item on gig worker collective bargaining rights, prompted extended debate over labor rights, consumer costs, and union influence. Other concurrence items included AB 671 on restaurant permitting, which passed without opposition. The Assembly also took up SB 640 on direct admission to CSU, SB 702 on demographic reporting for appointees, SB 710 preserving a solar property tax exclusion, and SB 793 on counterfeit lighter safety, all of which passed. The session ended with the Assembly continuing through the file, including concurrence votes and additional bill actions, with most measures approved by substantial margins.
TX

Texas 89th Regular

Delivery of Government Efficiency Mar 19th, 2025

Delivery of Government Efficiency

Transcript Highlights:
  • We license and regulate. almost 40 different provider types across child care, long-term care, and acute
  • care.
  • So, for long-term care and acute care, when we started working on this in September� October we already
  • And then as we're doing the non-relative care foster care rules, we're starting with the 56. and determining
  • So the foster care kids, kids who are coming into care, they have some initiatives. about behavioral
Bills: HB150 , HB869 , HB876 , HB 1043 , HB1494 , HB1522 , HB150
MN

Minnesota 2025-2026 Regular Session

House Workforce, Labor, and Economic Development Finance and Policy Committee 3/12/25

Workforce, Labor, and Economic Development Finance and Policy

Transcript Highlights:
  • </c> time a lot of these Farmers uh take care time a lot of these Farmers uh take care of<00:02:35.959
  • </c> that I've talked with say they take care that I've talked with say they take care of<00:19:54.679
  • </c><00:29:12.080><c> of</c> people out there Farmers take care of people out there Farmers take care
  • </c> their farm for 15 years they take care their farm for 15 years they take care of<00:29:23.679><c
  • He said the law provides health care workers flexibility while caring for their communities.
WA

Washington 2025-2026 Regular Session

Joint Committee on Employment Relations May 8th, 2026

Joint Committee on Employment Relations

Transcript Highlights:
  • We also bargain two health care agreements: the state employee health care agreement, PEBB, and the K
  • care benefit.
  • care benefit.
  • And, just noting, as with many health care rates, the cost of graduate student health care has gone up
  • I do have a caveat here that for non-state employees, so those child care, adult home care providers,
Summary: The Joint Committee on Employment Relations met on May 8, 2026, to review goals and objectives for the 2027–2029 master collective bargaining cycle and to hear updates on higher education and Washington Management Service bargaining. OFM’s Jenny Sheehan outlined the state workforce, noting that most employees are represented, the workforce remains heavily governed by civil service rules and CBAs, and the state is entering bargaining under a constrained hiring and budget environment. She described the bargaining timeline, the role of the June revenue forecasts in determining whether targeted compensation increases can be funded, and the state’s goals of affordability, maintaining labor relations, supporting equity, and addressing non-economic issues such as AI use, leave, immigration-related workplace concerns, and union access in a hybrid work environment. Sheehan also reviewed the 2025–2027 bargaining cycle, including the prior WPEA ratification issue and the requirement that tentative agreements be submitted by October 1 for financial feasibility review and possible legislative funding. She said the 2025–27 agreements cost about $1.2 billion in general funds and $1.7 billion total, excluding the later-funded WPEA agreements. In response to a question, she explained that paid family and medical leave is not bargained over directly because it is governed by statute and ESD rules. She then presented on Washington Management Service bargaining, explaining that only certain WMS employees are eligible to bargain, that representation remains small, and that current WMS contracts are handled through addenda to existing agreements. She also described interest arbitration for certain groups, including ferries and public safety-related employees, and said arbitration awards still must be financially feasible and submitted by October 1. The committee also heard from Western Washington University and the University of Washington on higher education bargaining. Western described its locally bargained contracts, the importance of local bargaining for workload, tenure, grievance, and safety issues, and the impact of the state fund split on budget planning. Western said it has no state funding for student compensation and has requested inclusion of student employees in the wage base. UW outlined its large workforce and the different bargaining frameworks under RCW 41.56 and 41.80, emphasizing that state funding and tuition make up only a portion of its budget and that the fund split and health care cost increases significantly affect compensation planning. UW also highlighted its request for state funding for academic student employee compensation, saying rising costs are reducing the number of positions and affecting class sizes and the academic pipeline. No votes were taken, and the meeting adjourned after members discussed the upcoming bargaining and arbitration timelines.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Wednesday, June 24, 2026)

US Federal House Floor Meeting

Transcript Highlights:
  • Many of us have had the personal experience of caring for a parent or... experience of caring for a parent
  • They took care of us when we needed it most.
  • after the devastating Dobbs decision unleashed abortion care bans across our unleashed abortion care
  • Fortunate to have amazing health care in Utah.
  • Let's provide real American health care freedom.
Bills: HR915 , HB7401 , HB2478 , HR1381
ID

Idaho 2026 Regular Session

Jan 28th, 2026

Health and Welfare

Transcript Highlights:
  • Facility Administrators... ...and the Board of Examiners of Residential Care Facility Administrators
  • This docket contains the current administrative rules for the Board of Examiners of Residential Care
  • The Board of Examiners of Nursing Home Administrators and the Board of Examiners of Residential Care
  • By 2025, merging the two boards into the Idaho Board of Long-Term Care Administrators.
  • The executive director of the Idaho Health Care Association... ...meeting and one public hearing.
MA

Massachusetts 2025-2026 Regular Session

House Committee on Federal Funding, Policy and Accountability Jun 21st, 2026 at 01:00 pm

House Committee on Federal Funding, Policy and Accountability

Transcript Highlights:
  • And we're talking about health care.
  • And yesterday, we talked about our lack of primary care physicians.
  • Medicaid cuts will result in increased health care costs for employers.
  • Medicaid cuts will result in increased health care costs for employers.
  • More likely to delay care, which results in worsening health outcomes for everyone.
Summary: The inaugural hearing of the newly named House Committee on Federal Funding, Policy and Accountability focused on how federal policy changes could affect Massachusetts, especially in education, health care, research, infrastructure, climate, and business conditions. Chair LaNatra said the committee was created to monitor federal funding decisions and their impacts on state programs and services. Members introduced themselves, then heard testimony from Doug Howgate of the Massachusetts Taxpayers Foundation, Sarah Mills of Associated Industries of Massachusetts, and Quentin Palfrey, the governor’s Director of Federal Funds and Infrastructure. Howgate argued that the Trump administration and new Congress pose ideological, practical, and process-related risks to Massachusetts, citing proposed cuts to Medicaid, education, research, and other domestic programs. He said federal dollars make up about a quarter of the state operating budget and capital plan, warned against using one-time reserves to backfill ongoing federal cuts, and urged the state to prioritize core services while protecting areas where Massachusetts is especially strong, such as higher education and research. In response to committee questions, he said the House Medicaid proposal would still cost Massachusetts hundreds of millions and that international student and NIH-related changes could harm the state’s labor force and innovation economy. He also advised that the state communicate clearly without overreacting to daily federal developments. Mills testified that AIM members are most concerned about uncertainty, tariffs, Medicaid cuts, and NIH reductions. She said tariffs are raising costs, disrupting supply chains, and hurting small and medium-sized businesses, housing construction, and exporters, with AIM’s business confidence index falling to its lowest level since the pandemic. She said Medicaid cuts would raise employer health costs, reduce productivity, and strain the health care system, while NIH cuts would threaten Massachusetts’ life sciences and academic research ecosystem. In questions, she said AIM has increased federal outreach, is coordinating with the U.S. Chamber and the Massachusetts delegation, and is hearing concerns from employers about immigration compliance and workforce disruptions. Palfrey described the Healey-Driscoll administration’s efforts to maximize federal funding, including a biweekly interagency council, a municipal partnership effort, and a statewide roadshow. He said Massachusetts has secured nearly $9 billion from major federal laws for projects such as the Cape Cod bridges, Allston Multimodal, grid modernization, clean-energy school buses, and broadband. He also said the administration launched a public website to track federal impacts and is working with municipalities, nonprofits, and the Attorney General on grant changes, legal issues, and litigation. In response to questions, he warned that cuts to NOAA, NSF, Medicaid, SNAP, and other programs could affect services and the state budget, and said the administration is tracking changes to federal grant applications and conditions. No votes were taken; the hearing was informational only.
WA

Washington 2025-2026 Regular Session

Senate Labor & Commerce Jan 19th, 2026

Transcript Highlights:
  • An injured worker is entitled to proper and necessary care from specified health care providers of the
  • We care about access. Retail is the second largest private employer in the state.
  • We care about access to care for our employees, but we also care about quality of care and throughout
  • “Our commitment to manage Medicaid and full access to women's health care is strong.
  • They do not understand our work or the people we care for.
Summary: The Senate Labor and Commerce Committee heard testimony on several bills. SB 6152 would add physical and occupational therapists as attending providers in workers’ compensation claims. Supporters said it would reduce delays, improve access to care, and speed return to work; opponents, including the Washington State Medical Association, retail and business groups, and L&I, raised concerns about diagnosis, scope of practice, network enrollment, implementation time, and the $1.9 million fiscal note from accident and medical aid accounts. The committee also heard SB 5437, which would prohibit non-compete agreements and clarify non-solicitation rules. The sponsor and labor and physician groups supported ending non-competes as anti-competitive and harmful to worker mobility, while business, banking, and clinic representatives argued non-competes protect investments, confidential information, and patient/customer relationships and asked for narrower changes. The committee then heard SB 6058, which would give L&I discretion over whether to investigate wage complaints and would toll civil statutes of limitation when a complaint is filed. The sponsor said it would better match agency resources, and testimony was entirely supportive. SB 5944 would require language access provider compensation bargaining to include missed or canceled appointments and make CBAs prevail over conflicting agency policies; the sponsor and union representatives said it would create consistency across agencies, with no opposition testimony. SB 6039 would modernize L&I communications by allowing electronic notices while preserving a non-electronic option; supporters called it a permissive modernization, while worker advocates warned email could be missed and could burden vulnerable workers, though L&I said the bill preserves choice and has no fiscal impact. Finally, the committee heard SB 6117, which would place workers and employers not covered by the NLRA under PERC jurisdiction if federal law no longer applies, with card-check and secret-ballot procedures and interest arbitration provisions. Supporters said it would create a state backstop if federal labor enforcement fails and protect workers’ organizing rights; opponents from agriculture, business, and small business groups warned it was too broad, could sweep in agriculture and small businesses, and could weaken secret-ballot protections and disrupt harvest operations. The sponsor closed by saying the bill is intended to create a clear framework where federal jurisdiction is absent. No votes or executive actions were taken in the hearing.
CA

California 2025-2026 Regular Session

Assembly Public Employment and Retirement Committee Apr 23rd, 2025

Public Employment and Retirement

Transcript Highlights:
  • The health care provided under Medicare makes sure that the population with the highest health care costs
  • are provided care at a fraction of the administrative costs of private health care plans.
  • , providing primary care services, dental and vision care, mental health care, substance use disorder
  • I have cared for approximately 15 people as an IHSS care provider.
  • So, cutting this bill at $880 billion in Medicare and reducing access to care would take care away from
Summary: The Assembly Committee on Public Employment and Retirement heard several bills dealing with pensions, holidays, public employee accountability, and first responder retirement. AB 912 was taken up on the consent calendar and passed. AB 569, as amended, would allow local public employers and unions to negotiate contributions to supplemental defined benefit pension plans; the author and Teamsters said it would clarify existing PEPRA grandfathering rules, while labor supported it, and the bill passed to Appropriations. AB 989 would make California Native American Day a paid state holiday, with strong support from Native organizations and tribes and no opposition; the committee members spoke in favor and the bill passed. AB 268 would recognize Diwali as an official state holiday, also with broad support and no opposition, and it passed. AJR 3 urged protection of Social Security, Medicare, and Medi-Cal from federal cuts; retirees, caregivers, and health advocates testified in support, and the resolution passed. AB 1067 would require public employers to complete misconduct investigations even if an employee retires during the process; the author said it closes an accountability loophole, while opposition raised due process and family-retirement concerns, and the bill passed as amended. AB 1510 was presented as a cleanup bill making technical changes to state employee pay and benefits and Santa Clara Valley Transportation Authority labor law; it passed with support from AFSCME. The committee then heard AB 1233, which would create a statewide database of classified school employee positions and certain egregious misconduct records to help school employers screen applicants. School administrators and county school officials supported the bill as a student-safety tool, while classified employee groups raised concerns about fairness, due process, and the scope of misconduct covered; the author said the bill already focuses on serious sex and drug offenses involving children and was open to narrowing language. The bill passed to the Committee on Education. Finally, AB 1383, a major first responder retirement bill, drew extensive testimony. The author and firefighters argued that lowering the normal retirement age for public safety employees from 57 to 55 and restoring some bargaining flexibility would help recruitment, retention, and health, citing cancer and other job-related risks. Cities, counties, and local government associations opposed it, warning it would roll back PEPRA reforms, increase pension costs, and strain local budgets. Despite the opposition, committee members spoke strongly in favor of first responders and the bill passed to Appropriations. The committee then adjourned after all items were voted out.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Wednesday, April 15, 2026)

US Federal House Floor Meeting

Transcript Highlights:
  • </c> floor to address rising health care floor to address rising health care costs,<00:45:50.880><c>
  • </c><04:23:09.840><c> costs</c> sicker and increase health care costs sicker and increase health care
  • Pfluger. are on health care when in fact it was are on health care when in fact it was Republicans<04
  • </c><04:30:18.080><c> about</c> the communities that we care about the communities that we care about
  • </c> to try to improve health care to try to improve health care opportunities<04:48:27.360><c> for</
Bills: HR1156 , HB6398 , HB6409 , HR965 , HR1174 , HR1176 , HCR40
CA

California 2025-2026 Regular Session

Assembly Judiciary Committee Jun 23rd, 2026

Judiciary

Transcript Highlights:
  • Through June 30, 2024, there were 557 petitions filed to Care Court statewide.
  • we're trying to make sure that Care Court is a helpful tool.
  • This bill would create a streamlined referral process for Care Court. Care Court is our...
  • This bill would create a streamlined referral process for Care Court.
  • And so this simply just says, let's take care of our human beings.
Committee: House Judiciary
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Children, Families and Persons with Disabilities Jun 21st, 2026 at 01:00 pm

Joint Committee on Children, Families and Persons with Disabilities

Transcript Highlights:
  • And with the Department of Early Education and Care, we provide clinical consultation for child care
  • With MassHealth, we help pediatric practices integrate care coordination.
  • Oversight of midwifery care through a new Board of Midwifery.
  • We want to take care of those right away.
  • other congregate care setting.
Summary: The hearing was an informational and oversight session of the Joint Committee on Children, Families, and Persons with Disabilities, with chairs and members hearing agency updates from several commissioners. The Department of Public Health’s Bureau of Family Health and Nutrition described its maternal and child health work, including home visiting, early intervention, WIC, newborn hearing screening, and cross-agency efforts on prenatal substance exposure, respite care, children’s vision, and maternal health initiatives. DPH emphasized that federal grant cuts, layoffs, and the loss of data systems such as PRAMS would weaken services and planning, and members asked about Title V funding and the impact of federal uncertainty. The Massachusetts Commission on the Deaf and Hard of Hearing highlighted communication access services, interpreter and CART referrals, emergency after-hours support, family navigation, and independent living services. Commissioners and members discussed the shortage of ASL interpreters and the need to expand training pipelines, including partnerships with colleges and possible ASL programming for younger students. The Department of Developmental Services reported serving nearly 50,000 people and focused on youth and adult services, transition-age supports, autism services, self-direction, respite, and new high-acuity residential models. Members asked about respite availability, self-direction outcomes, and workforce shortages; DDS said it was expanding clinical capacity and provider rates while monitoring possible federal Medicaid, SNAP, and immigration-related impacts. The Commission for the Blind described services for about 28,000 legally blind residents, most of whom are older adults, including social rehabilitation, orientation and mobility training, children’s services, assistive technology, vocational rehabilitation, and Turning 22 supports. The commissioner discussed a UMass-based effort to build the workforce pipeline for blindness services and said the agency was watching federal restructuring but had not yet seen direct cuts. MassAbility’s leadership then warned about major federal changes affecting Social Security disability determinations, including staff restructuring, office closures, and a new overpayment repayment policy, and said the agency was preparing for possible increases in claims and uncertainty around reallotment dollars that help fund services. The Disabled Persons Protection Commission closed the hearing with an update on its abuse investigations and protective services for adults with disabilities. DPPC reported rising hotline calls and investigations, a growing caseload, its sexual assault response team, the abuser registry, and a new interagency protective services integration system funded by ARPA dollars through 2027. The agency also flagged new federal rules that could affect funding eligibility and said it may need statutory changes to comply. Members asked about funding, reporting pathways, and how complaints reach DPPC, and the commissioner said the agency uses both mandated reporting and proactive outreach to identify and respond to abuse.