Transcript Highlights:

• The funds were used for various programs, one of which was a respite care program that provided direct
• There's also a program, the New Mexico Health Service Corps, which is a stipend program.
• on board with the J-1 visa program.
• program.
• They've adapted well with the forest programs and the allied health programs.

Transcript Highlights:

• The second part creates a program that Chair Petrie-Norris has done a tremendous amount of work on: public
• Again, happy to go through this, but including having the CEC create a set of program, environmental
• The transmission of the accelerator program is something that Chair Petrie-Norris has been working on
• A few months ago, speaking to Jigar Shah, some of you know from the DOE Loan Program, he thought that
• I'm really proud of the incredibly diverse coalition supporting this bill.

Summary: The Assembly Committee on Utilities and Energy convened with a quorum and first heard SB 254, a major utility affordability and wildfire package authored by Senator Becker and coauthored by Assemblymember Petrie-Norris. The bill was described as combining wildfire mitigation reforms, $6 billion in securitized financing for future fire-mitigation capital spending, a public ownership/transmission financing program, tighter scrutiny of utility profits, clean energy permitting streamlining, stronger customer connection timelines, and a successor wildfire fund/continuation account to replace the current fund. Supporters, including the Governor’s office, TURN, labor, clean energy groups, utilities, and public advocates, said the measure would lower bills, stabilize utilities, protect fire victims, and reduce wildfire-related bankruptcy risk. Opponents and some local government groups raised concerns about affordability impacts, the volumetric wildfire fee, strict liability, and provisions they said could affect local control. After discussion, the committee approved SB 254 on a 16-0 vote and sent it to the floor. The committee then held an informational hearing on AB 825, which would enable California to participate in a West-wide electricity market. The authors said the proposal could save ratepayers up to $1 billion annually, improve reliability by allowing California to draw on a larger regional supply, reduce curtailment of renewable power, and lower greenhouse gas emissions. Support came from environmental organizations, labor, utilities, community choice aggregators, large energy users, and the Public Advocates Office, all emphasizing cost savings, reliability, and cleaner energy integration. TURN opposed the measure, warning that last-minute amendments removed safeguards against subsidizing out-of-state fossil generation and could expose California ratepayers to unwanted costs. Members questioned governance, exit rights, CPUC oversight, and local control, and the authors responded that the bill includes multiple safeguards, legislative reporting, the ability to exit without penalty, and continued local consultation. No vote was taken because the hearing was informational only.

Transcript Highlights:

• Bot technology, which is defined as a program designed to mimic human behavior and content, presents
• I have not paid $10,000 in order to take a diversity course, and because I would not, in good faith,
• I also found a program, a mental health program created by Lady Gaga, the music singer.
• It's a mental health program in which a child who is a female basically said she was a boy and said,
• This mental health program.

Bills: SB2101, SB2334, SB2633, SB2637, SB2713, SB2781, SB2782, SB3059, HB1130, HB256, HCR19

Keywords: minors, sexually explicit materials, public libraries, age verification, civil penalties, library collection review, alcohol storage, airline permits, beverage regulations, airport, commercial flights, alcoholic beverages, local option election, zoning regulations, municipality control, land use, state law, social media, bot accounts, misinformation

Transcript Highlights:

• program.
• I had heard that Program.
• Program.
• and our familial search program.
• the National UCR program.

Summary: The Appropriations Committee on Criminal and Civil Justice met to continue its review of performance measurement in the criminal justice system. The first presentation, from State Courts Administrator Eric McClure, described how the court system uses multiple data sources to track filings, dispositions, clearance rates, workload, and support services, and how those data inform judge need, budget requests, resource allocation, and court administration. He also discussed ongoing efforts to improve case-level reporting, the use of case management systems in trial and appellate courts, and performance efforts in problem-solving courts and civil case management. McClure noted that the legislature provides dedicated funding for problem-solving courts and for medication-assisted treatment, and that the courts are required to report outcomes and monitor compliance with contract requirements. Melanie Brown-Whor of the Florida Behavioral Health Association then reviewed the medication-assisted treatment program funded through the courts budget. She said the program combines medication with counseling and behavioral supports, serves people involved in or at risk of criminal justice involvement, and has expanded over time to include additional medications and more counties. She reported improved engagement and retention, with more than 10,000 people screened over five years, about 9,200 receiving medication, and over 6,600 successfully discharged. Senators asked about racial and ethnic demographics, hospital referrals, and how services are delivered; Brown-Whor explained that local community providers deliver treatment under contract and that the program is working to improve data reporting and consistency. The Department of Law Enforcement then presented on investigations, forensics, and criminal justice information services. Deputy Commissioner Vaden Pollard outlined FDLE’s strategic plan and major investigative priorities, including cybercrime, targeted violence, crimes against children, mutual aid, and the SAFE fentanyl eradication program. He said SAFE has led to major seizures, arrests, and a reported decline in fentanyl deaths. Director Jason Bundy described FDLE’s forensic laboratory operations, DNA and rapid DNA capabilities, cold case and missing persons work, and the staffing and turnaround-time challenges tied to complex evidence testing. Director Lucy Saunders reviewed FDLE’s criminal history, biometric, incident-based crime reporting, and criminal justice transparency systems, noting that Florida is still transitioning agencies from summary reporting to incident-based reporting. The committee raised questions about Rapid DNA deployment, cold case coordination, and the slow pace of NIBRS/FIBRS adoption. No votes were taken, and the meeting adjourned after the presentations and questions.

Transcript Highlights:

• service and this commitment to diversity service and this commitment to diversity and<01:00:08.960
• I yield myself the balance of my time. homeland security program grants are homeland security program
• , investing in diversion and community-based programs that help people who are hurting and living on
• , and addiction recovery programs, and addiction recovery programs, investing<04:20:35.840> in
• diversion and community-based<04:20:38.080> programs<04:20:38.720> that<04:20:39.040>

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, November 19, 2025, 1012, house, all

Transcript Highlights:

• :21.199> the the program administrator for the the program administrator for the Competency<00
• program was certified by the board. program was certified by the board.
• <00:09:48.320> The uh, where is that program based? The uh, where is that program based?
• I'm the interim program administrator of the Guardian ad Litem program.
• on the part of the program. on the part of the program.

Bills: HF2825

Keywords: expungement, criminal justice, background check, security industry, private detective, 1183, house

Transcript Highlights:

• And further, participating in government lending programs like the 7(a) program naturally involves complying
• Participating in government lending programs like the 7(a) program naturally involves complying with
• gun violence prevention programs. Mr. gun violence prevention programs. Mr.
• c><03:15:40.960> nearly<03:15:41.279> all program is evident as nearly all program is evident
• They expected us to actually program."

Keywords: U.S. House of Representatives Floor Proceedings on Friday, June 6, 2025, 1012, house, all

Transcript Highlights:

• Next, we have the modal program. Programs, David Harris. Go ahead and proceed. Good afternoon, Mr.
• We're a diverse and impactful system.
• The program was enacted in 2021 as a supplement to communities to be able, beyond the federal programs
• I have a motorcycle program as well.
• Congestion mitigation, air quality improvement program, or the carbon reduction program are the best

Transcript Highlights:

• and needed and diverse and multi-layered that<00:26:30.880> this<00:26:31.200> topic<00
• <00:30:50.960> and backfill and backfilling programs and backfill and backfilling programs
• and administrate<00:30:52.159> these<00:30:52.559> programs<00:30:53.120> if<00
• :30:53.360> it<00:30:53.520> was administrate these programs if it was administrate these
• programs if it was totally<00:30:54.080> done<00:30:54.320> away<00:30:54.559> with

Keywords: 958, all

Summary: The Disaster Prevention and Resiliency Task Force opened its sixth meeting by approving the minutes and then taking up a presentation from University of Pikeville representatives and local leaders on an Eastern Kentucky Disaster Relief Center at Bear Mountain in Pike County. Speakers included Greg May, Rep. Ashley Tacket Laferty, Lori Worth, and Laura Damron. They described repeated flooding and other disasters in eastern Kentucky, the lack of a single prepared relief location, and the need for a centralized, elevated site that could serve as a flood and broader natural-disaster hub. The presenters said the Bear Mountain property, about 530 acres and well above flood levels, could support a multi-use facility combining disaster response functions with university and community uses. Proposed features included a command and communications center, distribution space, emergency shelter, medical and clinic support, food service, restroom facilities, RV hookups, and an indoor track/distribution building. They emphasized that the project would help avoid disrupting existing venues such as the Pikeville Expo Center and Jenny Wiley State Resort Park, while also supporting tourism and economic recovery. Committee members asked about community and emergency-management support, annual operating costs, and resilience standards such as tornado-related building codes. In response, the presenters said local stakeholders, including Appalachian Wireless, Pikeville Medical Center, Community Trust Bank, the city of Pikeville, and emergency management officials, had expressed support. They said the university planned to absorb some operating costs through multiple uses of the facility, community camps, and budgeted maintenance, and that construction documents were nearly complete with plans to begin building within months. After the presentation, the chair thanked the presenters and moved the committee into its recommendations discussion, noting the broader fiscal and humanitarian importance of disaster preparedness and resiliency and indicating that future legislation would likely follow from the task force’s work.

Transcript Highlights:

• <00:02:07.119> is 1969 um and the goal of the program is 1969 um and the goal of the program
• to other programs or vice versa.
• > or<00:15:56.360> vice grant program to other programs or vice grant program to other programs
• > we this program receiving the program we this program receiving the program we have have have
• Promise program.

Keywords: 1187, senate, all

Summary: The committee received an informational presentation from the Minnesota Office of Higher Education on the State Grant program and governor-recommended changes, with some discussion of North Star Promise. Staff explained that State Grant is the state’s largest financial aid program, intended to promote college access and choice for students with the highest financial need, and that it works alongside Pell Grants. They reviewed program eligibility, award calculation, and participation rules, and noted that the program serves a large share of low- and middle-income students, including many dependent students, student parents, BIPOC students, and adult learners. They also described how awards and spending are distributed across public and private institutions and how the agency projects spending using enrollment, tuition, and FAFSA data. A major focus was the current fiscal-year deficit in State Grant. Staff said the program is experiencing a shortfall driven by higher-than-expected enrollment, more students with greater financial need, and major FAFSA formula changes that increased the number of applicants with zero or negative student aid index values. They said the office has already rationed awards where allowed and imposed a FAFSA deadline for spring awards, and does not expect to fund some awards. Officials explained that if the program projects a surplus, they typically adjust the living and miscellaneous expense allowance to spend down funds; if it projects a deficit, they can increase student and family responsibility to reduce award sizes, but the program must stay within its appropriation. Senator Duckworth asked several questions about whether unused funds could be transferred between State Grant and North Star Promise, and how the two programs are treated. Staff said State Grant funds revert to the general fund at the end of the biennium, while North Star Promise uses a special revenue account, and that transfers may be possible but would need clarification under current authority. They referenced a prior legislative transfer from North Star Promise funds to cover a shortfall in the Fostering Independence Grant and said they would follow up on the exact transfer authority. No votes or formal actions were taken during the presentation and discussion.

Transcript Highlights:

• zealously represented the diverse zealously represented the diverse constituencies<00:15:20.560>
• flexibility in federal highway programs. flexibility in federal highway programs.
• bill to prohibit VA's fiduciary program bill to prohibit VA's fiduciary program from<02:23:48.560
• They canceled the program. They cheerleaded for the secretary to cancel the program.
• They canled the program. after VASP. They canled the program.

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, May 21, 2026, 1012, house, all

Transcript Highlights:

• In opposition, also asked to register for the Center for Biological Diversity. Thank you.
• California enacted the cap-and-trade program with AB 32 in 2006.
• Although the program has not been perfect, it's been a flagship program for reducing greenhouse gases
• SB 840 only deals with one small part of the cap-and-trade program.
• like the safer water program, EBD, TCC, and CRC programs.

Summary: The committee first established a quorum, adopted the consent calendar for SB 423 and SB 581, and then heard a series of bills, most of which were presented as streamlining or safety measures tied to transportation, climate, public lands, health care, and higher education. SB 71 by Senator Wiener would extend and expand a CEQA exemption for sustainable transportation projects, adding modes such as microtransit, paratransit, shuttles, and ferries, while also accepting committee amendments that narrowed a Tier 4 diesel rail provision, restored existing right-of-way language with utility protections, and set a new sunset date. Support came from transit agencies, local governments, and advocacy groups; some members raised concerns about the diesel rail language and possible interactions with housing-related legislation, but the bill advanced on a due pass vote as amended. The committee then heard SB 614 by Senator Stern on carbon dioxide pipeline safety. The bill would direct the State Fire Marshal to adopt safety standards for intrastate CO2 pipelines, building from federal draft rules and adding state discretion and possible enhanced protections such as planning zones and more detailed exposure modeling. Supporters argued California needs to fill a federal regulatory gap to advance carbon capture and climate goals, while environmental justice and conservation groups opposed unless amended, citing risks from CO2 leaks and asking for stronger siting restrictions and more specificity. The bill passed on a due pass vote to Appropriations, with members noting the need for continued work on the safety provisions. Senator Arreguín also presented SB 304, which would temporarily lift public trust use restrictions on specific land at Jack London Square to allow the Port of Oakland more leasing flexibility under conditions and annual reporting. The measure was described as a limited, time-bound effort to address high vacancy and revitalize the waterfront, and it drew support from Oakland city and county representatives with no opposition in the room. The committee then approved SB 304 on a due pass vote. Arreguín’s SB 830 followed, creating CEQA streamlining for Sutter Health’s new Emeryville hospital campus and designating the City of Emeryville as lead agency; supporters said it would preserve East Bay hospital access before seismic deadlines, and the bill passed with broad support and no opposition. Finally, Senator Caballero presented SB 486, a higher education planning bill intended to align UC and CSU enrollment growth with regional sustainable communities plans and to remove the need to analyze a no-project alternative in certain long-range development plans. Supporters said the bill would better integrate university enrollment forecasting into regional planning, while opponents warned that eliminating the no-project analysis could weaken accountability for housing and infrastructure impacts around campuses. Committee members expressed mixed views and asked for further clarification, but the bill was moved out on a due pass as amended vote to Appropriations. The transcript then shifted to SB 629, a fire response and rebuilding bill, with the author describing amendments to apply fire safety requirements in wildfire-burned areas, update fire mapping, and require annual defensible space inspections, though the discussion was cut off before any final action was shown.

Transcript Highlights:

• And we've implemented a diversion program for less serious offenses.
• We've tried to put in place a diversion program to try and deal with some of the less serious offenses
• implemented enhanced review processes for repeat public offenders and established a diversionary program
• for somebody that had a willingness to look under the hood and examine our practices, examine our programs

Summary: The Senate Committee on Rules first took up several governor’s appointments not required to appear, including Rick Simpson to the Commission on Teacher Credentialing and Trinidad Solis, M.D., and Gerald Talbert, M.D., to the Medical Board of California. The committee also approved reference of bills to committees and floor acknowledgments, with roll calls on each item showing unanimous support from members present and the items left open for additional votes before final tallying. The main public business was the confirmation hearing for George Cardona, J.D., for a second term as Chief Trial Counsel of the State Bar of California. Cardona described reforms made since taking office, including new conflict-of-interest and gift rules, stronger investigative requirements, efforts to reduce backlog and improve efficiency, and monitoring of discipline disparities identified in prior studies. Senators questioned him about safeguards after the Girardi matter, the John Eastman discipline case, racial and ethnic disparities in attorney discipline, unauthorized practice of law by notarios, staffing shortages, and the use of AI in filings. Public witnesses from the State Bar, SEIU Local 1000, and others spoke in support. The committee voted 3-0 to advance Cardona’s appointment to the full Senate. The committee then heard Laura Enderton Speed, J.D., for Executive Director of the State Bar. She said her priorities would be restoring public trust, improving the discipline system, addressing the February 2025 bar exam problems, and strengthening fiscal stability and internal controls. Members asked about the State Bar’s structural budget deficit, the remote administration failures in the February exam, safeguards against undisclosed gifts and conflicts, and the status of audits and investigations. Supporters from the State Bar, the civil defense bar, SEIU Local 1000, and a longtime colleague testified in favor. The committee approved her appointment 5-0 to move to the full Senate. At the end of the meeting, members also approved the remaining governor’s appointments and procedural items, and the chair thanked Senator Jones for his service on the committee before adjourning the public portion.

Transcript Highlights:

• specific data tracking of dispositions for cases that exceed 750 days in age, and we've implemented a diversion
• program for less serious offenses.
• We've tried to put in place a diversion program to try and deal with some of the less serious offenses
• implemented enhanced review processes for repeat public offenders, and established a diversionary program
• for somebody that had a willingness to look under the hood and examine our practices, examine our programs

Summary: The Senate Committee on Rules established a quorum and first approved several items without required appearances, including the appointments of Rick Simpson to the Commission on Teacher Credentialing and Trinidad Solis, M.D., and Gerald Talbert, M.D., to the Medical Board of California, along with references of bills to committees and floor acknowledgments. The committee then heard testimony on two State Bar of California appointments requiring appearance: George Cardona, J.D., for Chief Trial Counsel, and Laura Enderton Speed, J.D., for Executive Director. Cardona described his first four years as chief trial counsel, emphasizing reforms after the Girardi matter, including stronger conflict-of-interest and gift rules, tighter trust-account investigations, more data tracking, and efforts to reduce case backlogs and discipline disparities. Senators questioned him about the John Eastman disbarment case, the office’s role and jurisdiction, racial and Latino discipline disparities, unauthorized practice of law by notarios, staffing vacancies, and the use of AI in pleadings and internal work. Public witnesses from the State Bar, SEIU Local 1000, and others supported his confirmation, and the committee voted 3-0 to advance his appointment to the full Senate. Enderton Speed said she sought the executive director role to help restore public trust, strengthen discipline and admissions, and address the February 2025 bar exam problems. Senators asked about the State Bar’s budget deficit, hiring freeze, long-term fiscal stability, the bar exam audit and litigation, safeguards against conflicts and gifts, and the decision to move the February exam largely remote before returning to in-person administration for July. Public witnesses also supported her confirmation, citing leadership, accessibility, and a focus on core functions. The committee voted 5-0 to advance her appointment to the full Senate. The meeting ended with remarks honoring Senator Jones on his final day on the committee and a cake presentation before adjournment to executive session.

Transcript Highlights:

• some folks in our bicycle community about the way that this bill would impact the complete streets programs
• This bill does not impact those programs.
• You can't use height only when you have so many diverse vehicle seats.
• And I will say many counties, including Sacramento, have a diversion program where if families do get

Summary: The Assembly Transportation Committee met and began without a quorum, first hearing AB 612 by Assembly Member Rogers and later AB 435 by Assembly Member Wilson. AB 612 would direct Caltrans to update the highway design manual so local jurisdictions consult with fire departments on major road improvements. Supporters, including the California Professional Firefighters and labor representatives, said the bill would improve emergency response and prevent road designs from hindering fire apparatus. County representatives said they were not opposed but wanted the bill narrowed to avoid mandatory consultation on minor maintenance projects or in areas without a local fire district. Several members praised the bill as common-sense safety legislation, and it was moved forward to Appropriations. The committee then adopted its rules and approved a seven-bill consent calendar. AB 435 would update California child passenger safety law to require children under 10 to be properly restrained in the back seat, require children ages 10 to 13 to remain in the back seat unless they pass the five-step seat belt fit test, and require the five-step test before a child may ride in the front seat. The author and supporters, including Safe Kids Greater Sacramento, Safety Belt Safe USA, AAA, the Automobile Club, and hospitals, argued the bill would align state law with national best practices and improve child safety. Committee members raised concerns about enforceability, implementation timing, pickup trucks, large families, and low-speed vehicles, and the author said he was open to amendments and additional data, including California-specific information. AB 435 was advanced to the Committee on Appropriations after discussion. AB 612 also received a due pass recommendation to Appropriations. The committee held rolls open to allow additional members to add on, then later confirmed the votes and adjourned.

Transcript Highlights:

• no matter where it comes from, and being a child in America where I myself know so many people of diverse
• no matter where it comes from, and being a child in America where I myself know so many people of diverse
• so many people where I myself know so many people people<00:16:29.120> of<00:16:29.319> diverse
• cultures and histories people of diverse cultures and histories to<00:16:31.319> be<00:16:31.440
• aspects that our Asian Community diverse aspects that our Asian Community brings<00:26:33.159> to

Keywords: 910, house, all

Summary: The committee heard several measures related to cultural recognition and arts policy. HB 531 would authorize special license plates recognizing the University of Hawaiʻi Cancer Center, and HB 458 would designate Brother Joseph Dutton Day; both received support testimony, including from the Department of Accounting and General Services and the Joseph Dutton Guild, and both were advanced. HB 345 would establish ʻōpae ula as the state shrimp to help protect alkaline pool systems, with support from DLNR and multiple community and environmental groups, and it was also advanced. HB 194, relating to Maritime Day, received limited testimony and was moved forward with amendments to align the observance with National Maritime Day on May 22. The committee also heard HB 554, which originally would have established Lunar New Year as a state holiday. Testimony in support emphasized cultural recognition and community benefits, but the chair explained that creating a new state holiday would cost about $9 million, so the bill was amended to make Lunar New Year a day of recognition rather than a state holiday. The committee noted several supporters, including youth testimony, and advanced the measure with amendments. HB 957, relating to Lāʻau Day, similarly drew broad written support; the committee amended it to designate the first Friday of May rather than May 1 and advanced it. In each case, the committee adopted the chair’s recommendations without opposition or reservations. The hearing concluded with HB 925, a short-form bill that would allow the state to levy a 1% tax on concert ticket sales to support arts access statewide; the committee recommended passing the bill with amendments and recommitting it for future public hearings, and that recommendation was adopted.

Transcript Highlights:

• We're also seeing increases in racial diversity in the long-term care programs under the waiver services
• We're also seeing increases in racial diversity in the long-term care programs under the waiver services
• We're also seeing increases in racial diversity in the long-term care programs under the waiver services
• We're also seeing increases in racial diversity in the long-term care programs under the waiver services
• I do We're also seeing increases in racial diversity in the long-term care programs under the waiver

Keywords: 1187, senate, all

Transcript Highlights:

• program.
• program.
• program.
• program.
• program.

Keywords: 919, house, all

Summary: The Higher Education Conference Committee reviewed differences among the Governor’s, House, and Senate proposals for state grant parameter changes and their effects on state grant spending, North Star Promise spending, and average student awards. Nonpartisan staff explained that the proposals use different combinations of parameter changes, with the Governor’s and Senate plans modeled to avoid or minimize rationing, while the House plan would require rationing to balance the program. Staff reported projected biennium balances of a positive $29.836 million for the Governor’s proposal, a negative $60.758 million for the House proposal without rationing, a positive $994,000 for the House proposal with rationing, and a positive $3.623 million for the Senate proposal; North Star Promise balances also varied, with the Senate showing a positive balance and the Governor and House with rationing showing negative balances. Staff also said the Senate proposal would extend availability of the state grant appropriation and suspend surplus procedures through fiscal year 2029, allowing the balance to carry forward. The committee then focused on the House-only tuition and fee cap provision, which would limit the tuition recognized for state grant purposes for four-year programs to the University of Minnesota Twin Cities level, with 1% annual increases in fiscal years 2026 and 2027. House members said the cap was intended to address rising tuition, especially at the University of Minnesota, and to produce savings in the state grant program. The governor’s office confirmed the provision was not included in the Governor’s bill. Representatives from the University of Minnesota and the Minnesota Private College Council opposed the cap, arguing it would reduce awards for low-income students and shift costs to students rather than address underlying tuition pressures; they also said it could discourage enrollment at higher-cost institutions. Supporters from Minnesota State argued the cap would improve fairness because students at lower-tuition institutions are effectively capped lower, while students at more expensive institutions receive larger awards, and they said the legislature should intervene in a variable that has grown substantially over time. Committee members questioned how the cap would work and whether it was tied to the Twin Cities campus rate. Testifiers clarified that the state grant formula is tied to the University of Minnesota level, but because Minnesota State institutions are below that level, the cap effectively limits their students to their own lower tuition while allowing higher awards at the University of Minnesota and private colleges. No formal vote or final action was taken in the portion of the meeting provided; the chair indicated the committee would continue with item-by-item review of the remaining parameter changes and hear additional testimony from agencies and institutions.

Transcript Highlights:

• Rental Assistance Program to allow the agency to distribute funds by formula to program administrators
• Rental Assistance Program to allow the agency to distribute funds by formula to program administrators
• development program development program Awards<00:46:43.640> then<00:46:43.800> in
• money has to go back into the program money has to go back into the program and<00:46:59.960>
• are um available for that grant program are um available for that grant program also<00:48:17.960

Keywords: 1183, house

Transcript Highlights:

• PCMH program currently, we have 124 practices.
• PCMH program member attribution.
• As part of the DSS PCMH program, As part of the DSS PCMH program, we encourage the practices to work
• That is a separate program from PCMH. It is a DSS program, and it is managed by Carolan.
• And if they qualify for the program, to come into the program, to see if they're ready, whether they

Keywords: 962, all

Summary: The Care Management Meeting opened with a DSS update on the PCMH program. Staff reported the program remained steady at 124 practices, 553 sites, and 2,548 providers, with some month-to-month fluctuation driven by practice consolidation, retirements, and a few practices leaving the program because NCQA requirements were burdensome. Members asked about declining provider and site counts, member attribution trends, and whether PCMH practices overlap with behavioral health homes; DSS said attribution changes are largely due to members becoming ineligible, moving, or getting other insurance, and that PCMH and behavioral health homes are separate programs that coordinate informally. The committee also discussed why some smaller practices leave the program and whether the requirements could be made easier to support retention. The committee then resumed a detailed presentation on the Husky Dental program. The presenter described the dental benefit’s history, the importance of preventive oral health, workforce and consolidation pressures in dentistry, and the lack of interoperability between dental and medical records. Network data showed year-over-year declines in enrolled dental practitioners and service locations, with access gaps concentrated in rural and eastern parts of the state. Appointment availability surveys showed average waits of 38 days for adults and 23 days for children, but much longer waits at FQHCs than private fee-for-service practices. The presenter said Connecticut remains above the national median on CMS pediatric dental quality measures, though sealant rates remain a concern, and noted that preventive care is associated with lower per-member costs. Members raised concerns about provider participation, large practices dropping Medicaid, mobile dental care, and whether the public directory accurately reflects which dentists are actually accepting new patients. The presenter said the plan uses secret-shopper calls, tracks appointment availability, and has begun using place-of-service coding to better identify school-based dental care. She also noted a new MOU with 20 Head Start programs to share data and provide oral health literacy and navigation support. The final major topic was implementation planning for HR1. DSS said CMS guidance was expected in early June and proposed using upcoming meetings to cover medical frailty, communication strategy, and data integration/ex parte verification. Committee members urged the department to create a dashboard to track disenrollments and other impacts of HR1, to build a process for complaints and problem resolution, and to think through cost-sharing, caregiver verification, exemptions, and notices. Members also asked about using existing eligibility structures such as the working-disabled program as a model. The committee agreed to move the next meeting to June 10 by Zoom, with the agenda to be circulated in advance and any PCMH Plus quality data shared if available.