Transcript Highlights:

• Uh, we support paid family and medical leave, but believe HB 2316 is premature.
• ><c> families</c> It spreads risk, supports families It spreads risk, supports families during<00:37:
• Throughout the years, we've stood in strong support of paid family leave.
• Throughout the years, we've stood in strong support of paid family leave.
• of pay family stood in strong support of pay family leave.<00:47:24.319><c> Um</c><00:47:24.560><c>

Bills: SB2198, SB2140, SB3055, SB3090, SB3091, SB3092, SB2761

Keywords: workforce development, craftspersons, skilled trades, artisan, craftsmanship, trade recognition, award program, DLIR, Department of Labor and Industrial Relations, Meilleur Ouvrier de France, vocational education, career pathways, cultural preservation, workforce excellence, apprenticeship, Hawaii trades, economic diversification, public nominations, governor awards, historically significant venue

Transcript Highlights:

• And the family also felt that they were able to support.
• I'm submitting my testimony in support of S. 242, an act to expand lactation care and services.
• lactation management, support, and care to breastfeeding families.
• lactation management, support, and care to breastfeeding families.
• And these families should be assured that our services will be covered by insurance.

Keywords: 995, all

Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure focused on health care and human services, reviewed testimony logistics, and then heard a long series of witnesses on several bills. Much of the testimony centered on interstate licensure compacts for dentistry, social work, and occupational therapy, with supporters arguing these compacts would improve workforce mobility, continuity of care, and access while preserving state oversight and public protection. Dental witnesses were split on H.455/S.257, with supporters backing the AADB dental compact for its hands-on exam, background checks, and disciplinary safeguards, while opponents argued a competing compact would better promote portability and avoid conflicts tied to proprietary testing and outside commissions. Social work witnesses strongly supported H.380/S.252, emphasizing continuity of care for clients who move across state lines, reduced costs and delays for practitioners, and the compact’s public-protection features; occupational therapy witnesses similarly supported H.427/S.256, citing access, telehealth, military families, and maintained standards. The committee also heard testimony on S.242, which would expand licensure for lactation care providers. Supporters, including lactation counselors and health center staff, said adding certified lactation counselors and related credentials would expand access, improve breastfeeding support, and allow reimbursement for services now often provided without billing. They described the training required and said the bill would help families, especially in underserved communities. Representative James O’Day also testified in support of the social work compact, and a Council of State Governments witness provided background on compact mechanics and state participation. Another major topic was H.419/S.214 on medical debt. Physicians and researchers testified that cancer patients experience long-lasting medical debt and collections burdens, and they supported limits on the sale and collection of medical debt, bans on reporting it to credit bureaus, and related consumer protections. The hearing also included H.465 on a pathway to special licensure for certain long-term limited-registration dentists serving MassHealth patients, which Representative Senna supported as a way to allow immigrant dentists to practice independently. Finally, the committee heard sharply divided testimony on H.444/S.284, which would allow trained dental hygienists to administer Botox and dermal fillers: supporters framed it as a safe, preventive, and access-expanding tool for TMJ, bruxism, and pain management, while dermatologists opposed it as outside hygienists’ training and a patient-safety risk. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• And every family on the waiver must have a support coordinator to access services.
• And every family on the waiver must have a support coordinator to access services.
• My wife and I both work hard to support our families.
• But I'm struggling right now, more than ever, to support my family.
• I ask that you support Florida workers and not make it harder for my family and other families to live

Summary: The committee took up a long agenda of bills, beginning with several measures that were amended and reported favorably, including a strike-all to SB 4 on child protective investigations and specific medical diagnoses, SB 1570 restoring a statewide missing-persons project for individuals with special needs, and SB 182 creating a teacher training and mentoring program for schools needing improvement. Members also advanced SB 794 on APD background screening and support coordination standards, SB 1168 on background screening for athletic coaches and related entities, and SB 214 to let rural special districts pay verified invoices directly for state- and federally funded work. Supporters emphasized improved child welfare investigations, help for families of vulnerable individuals, teacher retention, and better administrative efficiency; the APD bill drew especially strong testimony from waiver clients and providers about the importance of competent support coordinators and stable services. The committee also favorably reported SB 1376 on grants for genetic counseling education, SB 1574 requiring newborn screening for biliary atresia, SB 1510 as the DEP agency package with environmental, septic, water quality, solar, and permitting changes, and SB 598 updating funeral and cemetery licensing and consumer protections. SB 688, after a delete-all amendment, would create licensure for naturopathic doctors and a board of naturopathic medicine; it drew strong support from naturopathic advocates and sharp opposition from a critic who argued the bill would authorize diagnosis and treatment beyond appropriate limits. SB 1318 made a technical change to scholarship account reversion language, with senators clarifying that remaining funds would return to the scholarship funding organization for future use rather than to the state. Later, the committee approved SB 682 on domestic violence and protective injunctions, SB 130 on workforce training for current and former inmates, and SB 1548, the latest Live Local Act iteration expanding affordable housing options and limiting local barriers. It also reported favorably SB 536 on criminal gang membership criteria after extensive debate about constitutional issues and modern gang activity, SB 762 allowing cross-jurisdiction assignment of capital cases among regional conflict counsel offices, SB 1332 strengthening career offender registration requirements, SB 1742 creating a new offense for indecent exposure of sexual organs to a minor, and SB 1750 increasing penalties for serious sex offenses and child sexual abuse material crimes. The most contentious discussion came on SB 1226, which would overhaul Public Employee Relations Commission rules, require majority support for union certification, and impose new limits on union activities and dues-related practices; members debated constitutional concerns, differences between first responders and other public employees, and the bill’s impact on union representation and public-sector labor rights. Most bills were reported favorably by roll call, with SB 536 drawing several no votes and SB 1226 still under active debate at the end of the transcript.

Transcript Highlights:

• </c><00:36:08.320><c> Services</c> Cabinet for Health and Family Services Cabinet for Health and Family
• in child support services in Kitten<00:46:25.599><c> County.
• </c><00:50:27.040><c> act</c> uniform interstate family support act uniform interstate family support
• We meet approximately Family Services.
• to gather, discuss, talk about their family needs, services.

Keywords: 958, all

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

Transcript Highlights:

• I understand the importance of this work for families receiving services.
• Today, I urge you to support this bill and invest in our workforce, in the children, the families, and
• As the cost of living was lower then, I could still support my entire family on my income alone.
• To make ends meet, I have to take work at other companies and work more hours to support my family.
• And we're constantly writing grants to get emergency support services.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing focused largely on senior long-term care issues, family caregiving, post-acute care access, and direct care workforce pay. Testimony strongly supported bills to raise the personal needs allowance for nursing home and rest home residents (including H. 1411, S. 482, and related bills), with speakers from Mass Senior Action, Dignity Alliance, nursing home residents, providers, and former state officials arguing that the current $72.80 monthly allowance has been unchanged since 2008 and is inadequate for basic items like clothing, toiletries, haircuts, and transportation. Witnesses also backed bills to increase MassHealth asset and income limits for seniors and to stop counting life insurance as cash, describing the current rules as outdated and harmful to low-income elders. The committee also heard testimony on bills allowing family members, including spouses and guardians, to be paid caregivers (H. 1394/S. 886), with supporters saying this would help families keep loved ones at home and reduce reliance on costly institutional care. Another set of bills (H. 1412/S. 903) drew support from a physician who said clearer MassHealth communication and improved post-acute care determination processes would help reduce delays and backlogs for patients awaiting skilled nursing, rehabilitation, or other post-acute placement. Several speakers emphasized that better home- and community-based care can prevent hospital readmissions and support independence. A major portion of the hearing focused on S. 877, which would establish an enhanced care worker minimum wage of $25 per hour, indexed to inflation, for certain home care and human services workers. Union representatives and direct care workers from SEIU Local 509, 1199 SEIU, and the AFL-CIO described severe staffing shortages, burnout, low wages, and high turnover across home care, mental health, disability services, and crisis response. They argued that higher pay is necessary to recruit and retain workers and to stabilize services for vulnerable residents. Committee members asked about costs, comparisons with other states, and whether non-wage incentives could help, but witnesses repeatedly said wages were the central issue. The hearing concluded after all registered testimony was heard, with the committee noting it would continue accepting written testimony and then adjourning.

Transcript Highlights:

• worrying about whether their own family is supported at home.
• on their mission with full confidence that their families are supported at home.
• provided a valuable foundation of support for military families in the state.
• AB 2054 ensures that all California's military families have access to the support they need when a service
• of the California Association of County Veterans Service Officers in support of AB 2219, the Faster Services

Summary: The Military and Veterans Affairs Committee heard presentations on several bills, beginning without a quorum and later taking up the measures once a quorum was established. AB 2531 by Assemblymember Irwin would expand California’s uncompensated care grant program so veterans whose federal health coverage does not include abortion services can access abortion care, and would require CalVet to link to abortion.ca.gov. Supporters, including Planned Parenthood Affiliates of California, Equality California, and Reproductive Freedom for All California, said the bill responds to federal restrictions on VA abortion care; opposition from the California Family Council argued it used taxpayer dollars to promote abortion and raised concerns about incomplete information and fraud. Committee members also questioned the bill’s use of “self-identify” for veteran status and the funding structure, with the author indicating openness to looking at proof-of-veteran options. AB 2054 by Assemblymember Gibson would update California’s paid family leave rules so relatives of military service members can qualify when those members are activated for state emergencies, disaster response, or other domestic duties, not just overseas deployment. The Department of Defense sponsored the bill, and Navy Region Southwest testified in support, saying it would improve stability for military families and reflect modern service demands. Members praised the bill and noted recent National Guard deployments for fires as an example of the gap it addresses. AB 2219, the Faster Service for Veterans Act, by Chair Schiavo, would require county veterans service officer vacancies to be filled within 12 months, set accreditation timelines, expand training and public awareness, create a statewide work queue, improve data collection, and require periodic reporting and a unified satisfaction survey. The California Association of County Veterans Service Officers supported the bill, saying it would improve timeliness, accountability, and resource planning. After discussion, the committee voted to pass all of the bills and move them to the next committees: the consent calendar bills AB 1702, AB 1765, AB 2203, and AB 2467 were approved 8-0; AB 2054 passed 8-0 and was re-referred to Insurance; AB 2219 passed 8-0 and was re-referred to Appropriations; and AB 2531 passed 6-2 and was re-referred to Appropriations.

Transcript Highlights:

• Families have been rehoused.
• support.
• for families, individuals, and young adults experiencing homelessness who have complex service needs
• housing that supports youth aging out of foster care, families cycling in and out of homelessness, domestic
• housing and supportive services.

Keywords: 995, all

Summary: The Joint Committee on Housing held a hybrid hearing on a broad slate of housing and homelessness bills. Chairs Rich Haggerty and Julian Cyr opened by noting the committee’s focus on EOHLC programs such as RAFT, MRVP, and HomeBASE, and several members and advocates emphasized the urgency of the state’s homelessness crisis, including rising family homelessness and the need for earlier intervention, more stable subsidies, and stronger long-term housing tools. A major theme was homelessness prevention and rehousing. Multiple witnesses supported bills to codify and strengthen RAFT and HomeBASE, arguing that assistance should be available earlier in a crisis rather than only after a notice to quit or imminent loss of housing. Testimony from legal services, homelessness coalitions, social workers, municipal housing staff, and tenant advocates said the programs help families avoid eviction and shelter, but need more flexibility, higher benefit caps, and permanent statutory protection. Several speakers also urged support for codifying the Massachusetts Rental Voucher Program (MRVP), describing it as a critical long-term subsidy for low-income households and older adults, and warning that codification would protect the program from future budget or policy changes. The committee also heard testimony on housing stability for older adults, affordable homes for people with disabilities, supportive housing, housing cooperatives, home sharing, local preference, and reentry housing for returning citizens. Advocates for older adults described a Somerville bridge subsidy pilot that helped stabilize seniors while they waited for permanent housing, and urged statewide expansion. Supporters of supportive housing called for an interagency board to streamline funding and development, while cooperative housing proponents backed creation of a Massachusetts Center for Housing Cooperatives and a dedicated funding reserve. A bill to secure housing for returning citizens drew support from reentry providers and Senator Adam Gomez, who said stable housing is essential to successful reintegration. No votes were taken during the hearing; witnesses generally asked the committee to report the bills favorably, and some members asked follow-up questions on data and program details.

Transcript Highlights:

• services, as well as supportive services like transportation.
• The mission of the department is to support strong and resilient families.
• We've amplified outreach efforts to support individuals applying for these services.
• ADI delivers supportive family services and encompasses the state's 17 memory disorder clinics and the
• And beyond the ADI, we also offer our community and support services.

Summary: The Health Care Budget Subcommittee met to organize the new term, take roll, and hear introductory presentations from the six agencies under its jurisdiction: the Agency for Health Care Administration, Agency for Persons with Disabilities, Department of Children and Families, Department of Elder Affairs, Department of Health, and Department of Veterans’ Affairs. The chair outlined the committee process, including assigning members to review agencies and make budget recommendations. Each agency head gave a high-level overview of their budget, staffing, major programs, and priorities, with recurring themes including Medicaid, long-term care, disability services, child welfare, mental health, aging services, public health, and veterans’ health care. Several agency leaders highlighted recent initiatives and funding priorities. AHCA emphasized Medicaid managed care, provider regulation, Hope Florida, hospital-at-home, and cancer-related efforts; APD discussed iBudget services, Hope Florida, a managed-care pilot, online applications, and forensic care costs; DCF focused on child protection, foster care, adult protective services, food/cash/medical assistance, mental health, and opioid treatment; Elder Affairs highlighted Alzheimer’s services, community-based senior care, guardianship, ombudsman services, and disaster outreach; DOH covered cancer innovation, maternal telehealth, cybersecurity, HIV/hepatitis/syphilis screening, and school nursing; and Veterans Affairs described benefits and health care access for veterans, long-term care, and federal reimbursement. Several speakers also raised concerns about rising costs, provider rates, disaster response, and access to services. The committee heard two public comments from disability advocates about Medicaid redeterminations affecting iBudget waiver recipients and provider payment delays. In response, AHCA and APD said they were coordinating on data sharing, early outreach, escalation processes, and efforts to reduce disenrollments and make recertification smoother. Members then asked questions about provider rates, opioid settlement spending, managed care quality measures, pediatric rare disease grants, group home transparency, senior outreach, ABA services moving into managed care, annual Medicaid recertification, veterans’ service utilization, waiting lists for elder services, and prevention spending. No formal votes were taken during the meeting.

Transcript Highlights:

• So we're incredibly thankful for your support for Summer EBT, both Department of Social Services and
• They've gained mental health supports, tutoring, family engagement programs, all the things that help
• Community schools bring mental health care, family support, and real coordination onto campuses.
• We also appreciate the ongoing support for ELOP programs, which are essential for supporting families
• We also appreciate the ongoing support for ELOP programs, which are essential for supporting families

Keywords: 987, senate, all

Transcript Highlights:

• My amendment is to increase the funding support for the sexual and reproductive health services grant
• To respect freedom is to support families, to support food shelves, and to support our child protection
• It's to support good-paying wages, to support paid family medical leave, to support Earned Sick and Safe
• care and support to keep their families whole.
• We have children that need services and families.

Transcript Highlights:

• And the third area would be long-term services and supports financing.
• This is a proposal that supports the California Department of Social Services' implementation of the
• the Department of Social Services; that is, for our In-Home Supportive Services system.
• the Department of Social Services; that is, for our In-Home Supportive Services system.
• Caregiver support programs help prevent burnout and provide families with the tools and respite they

Summary: The Budget Subcommittee on Health and Human Services heard a series of budget items focused first on the California Department of Aging and then on the Department of Social Services. For Aging, the director reported the state is at the midpoint of the Master Plan for Aging, with about 300 initiatives launched and roughly three-quarters completed, nearly $1 billion invested, and expanded local planning, research, and stakeholder engagement. The committee also discussed HICAP modernization, which would add ongoing funding from the Special HICAP Fund to expand Medicare counseling capacity, and senior meal programs, including support for virtual congregate/to-go meals and the use of prior one-time nutrition investments. The chair raised concerns about federal H.R. 1 and its downstream effects on older adults, food assistance, and other safety-net programs, and the department said its direct budget was not affected but that other programs serving older adults could be under pressure. The committee then reviewed multiple CDSS proposals. These included implementing the federal Medicaid Access Rule by creating a statewide grievance process and critical incident reporting system for IHSS and other home- and community-based services; housing and homelessness programs such as CalWORKs Housing Support, Housing and Disability Advocacy, Home Safe, and Bringing Families Home, where the department described strong outcomes but warned that one-time funding is expiring and services are scaling back; and permanent position authority for the Housing and Homelessness Division. Members also heard about the facility management system modernization for Community Care Licensing, home care services branch solvency and regulation work, child care centers in multifamily housing, the Seizure Emergency Response Act, licensing during emergencies and disasters, the Family Preparedness Plan Act, and social services automation projects including CalSAWS, the enterprise data pipeline, and CalWORKs child support notices. The LAO and Department of Finance generally had no additional comments or were still reviewing several requests. A notable exchange occurred on the Community Care Licensing item, where Senator Grove pressed the department about the Autumn Oaks facility in Tulare County, citing dozens of complaints and severe conditions affecting seniors. The department said it had worked with the county and ombudsman on relocation, was reviewing what went wrong, and had authority to pursue administrative action even after a license surrender. The hearing ended with a stakeholder presentation from the California Association of Area Agencies on Aging supporting a $62.3 million Older Californians Act request, followed by public comment from advocates for housing, Meals on Wheels, HICAP, Home Safe, and H-DAP. The subcommittee adjourned without taking votes, and all items were held open.

Transcript Highlights:

• have to become licensed in order to receive services from the kinship supports contract.
• services for the parents, removing a child, provide support services for the parents of removing a child
• Providing services to the family. We have two major programs that we used for that.
• I want to talk a little bit about the Family First Prevention Services Act.
• They increased financial support, that daily rate for foster families, including kin.

Keywords: 1182, all

Transcript Highlights:

• Thank you for your testimony and how you've supported your family through that difficult time.
• Thank you for your testimony and how you've supported your family through that difficult time.
• Thank you for your testimony and how you've supported your family through that difficult time.
• Thank you for your testimony and how you've supported your family through that difficult time.
• Family Support Services, come on up. You are recognized. Thank you. Thank you so much.

Summary: The Committee on Children, Families, and Elder Affairs met with a quorum and first took up SB 398, which would create a statewide public health awareness campaign through the Department of Elder Affairs on Alzheimer’s disease and related dementias. Senator Burgess said the campaign would focus on early detection, brain health, risk reduction, clinical trial access, and community resources. The committee heard supportive testimony from a caregiver, AARP, the Alzheimer’s Association, and others, with members discussing the need for culturally responsive outreach and continued funding. SB 398 was reported favorably by roll call vote. The committee then heard SB 106, which would strengthen Florida’s exploitation injunction law for vulnerable adults by allowing service of an unascertainable exploiter through the same communication method used to contact the victim, such as text, Facebook Messenger, or WhatsApp. Senator Martin explained the bill as a way to close a loophole that lets scammers evade traditional service, and witnesses from the Florida Bankers Association and the Florida Bar’s Elder Law Section supported it, describing how the bill could stop ongoing thefts more quickly while preserving due process. Members asked about gift card scams, clerk workload, and the definition of an unascertainable respondent. SB 106 was reported favorably. The Department of Children and Families then presented an update on the Adoption Benefits for Qualifying Adoptive Employees Program, describing its expansion over time and the current one-time lump-sum benefit structure for eligible adoptive parents. The presentation covered eligibility rules, open enrollment, funding history, and the program’s impact on adoption placements, with members asking why tax collectors were included but other constitutional offices were not, and whether foster relatives could qualify. Finally, the committee considered SPB 7012, a committee bill addressing child welfare workforce shortages, treatment foster care for high-acuity children, and improved data collection on commercially sexually exploited children. The bill would direct DCF to recruit former public safety workers for CPI and case manager roles, create a treatment foster care pilot in two judicial circuits, and require more detailed, analyzable data and capacity studies. The bill drew support from child welfare advocates, with some members urging DCF to return with a more developed framework; it was adopted as a committee bill and reported favorably.

Transcript Highlights:

• with the Department of Children and Family Services.
• Charles Watkins, Assistant Secretary of Family Support. Mr.
• and Department of Children and Family Services.
• and Department of Children and Family Services.
• I am a New Orleans native graduate. support for the Department of Children and Family Services.

Summary: The committee first approved the May 20 minutes and then advanced HCR 95, which would create a more uniform tax base for future state and local tax exemptions and credits, requiring a two-thirds vote of both chambers to deviate from that uniformity. HB 648 was deferred by the author. HB 1049, dealing with public meeting procedures and notice requirements, was amended after discussion with the Police Jury Association, school boards, and local government groups; the amendments removed a requirement for a lawyer at every meeting and clarified notice and posting language, and the bill was reported with amendments despite opposition from local government associations and the City of Baker. The committee then heard HB 615, which would expand livestreaming and two-year archiving requirements to more public bodies, including non-elected boards and commissions with taxing or rulemaking authority. Supporters framed it as a transparency measure, while local government and association witnesses argued it would impose an unfunded mandate, especially on small volunteer boards, and raised concerns about costs, staffing, record retention, and reliance on social media platforms. The bill was not advanced. HB 1201, as amended, would provide legislators reimbursement for travel and limited out-of-session expenses, including housing and mileage, beginning with the next term; members discussed the need to make public service more financially feasible and to broaden who can afford to serve. The committee reported HB 1201 with amendments. The committee also considered two constitutional convention-related bills. HB 244 would set guardrails for any future convention by capping delegates at 144, specifying delegate selection, requiring a two-thirds delegate vote to send proposals to voters, and requiring both a majority of voters and approval by three-fourths of the parishes for ratification; after debate over whether the parish threshold was too high, the bill was reported favorably on a roll call vote. HB 4, as amended, was narrowed to require the Senate and House Governmental Affairs committees to meet in the off-season to discuss the mechanics of a possible convention, but members viewed it as more of a study resolution than binding legislation, and the committee voted to keep it in committee. The meeting then moved to confirmation hearings. Courtney Myers, nominated for Deputy Secretary for the Office of Juvenile Justice, and Ernest Jacob Reade Jr., nominated as Assistant Secretary, testified about their backgrounds and priorities, emphasizing juvenile rehabilitation, education and vocational programming, mental health services, credible messengers, family contact, and better communication with legislators and families. Nathan McBride, nominated as Deputy Secretary of the Department of Environmental Quality, testified about his engineering and government affairs background and said he would focus on legislative work, waste tire management, permitting modernization, and constituent service.

Transcript Highlights:

• The proposal includes $54.3 million to support coverage of residential services, also known as institutions
• both enhance the customer experience, support the workforce, while ensuring continuity of services for
• support services in community settings, and $8.4 million to support family preservation programs for
• individuals in need of services that include maternal, family, and early childhood supports.
• HCE provides direct support to families caring for seniors at home, assistance that may seem modest on

Summary: The Appropriations Committee on Health and Human Services heard a presentation on the governor’s proposed fiscal year 2026-27 budget for the health and human services silo, which totals $48.5 billion. Agency leaders outlined major requests for AHCA, APD, DCF, DOEA, DOH, and the Department of Veterans’ Affairs, including behavioral health redesign, Medicaid rate changes, developmental disability services, child welfare and opioid programs, senior services, cancer research, public health initiatives, and veterans’ facility and technology needs. The committee also received an overview of the overall state budget, which was described as $117.4 billion, up 1.1% from the current year. AHCA’s presentation focused on $71.6 million for a Medicaid behavioral health redesign, including funding for residential treatment, a serious mental illness waiver, and higher inpatient psychiatric rates for youth, plus $7.1 million to raise private duty nursing reimbursement in fee-for-service Medicaid, $2.5 million for the background screening clearinghouse, and $124.4 million for the Health Care Connection System (FX). APD requested funding to continue moving people off the pre-enrollment list and to support developmental disability centers, a new forensic facility, an electronic health record system, and higher operating costs. DCF highlighted $81.9 million for eligibility and system integrity, $187.5 million for opioid prevention and treatment, $35.5 million for community-based care lead agencies, and $72.7 million to expand behavioral health bed capacity, including 474 new beds at state hospitals. DOEA sought additional funding for Alzheimer’s services, home care, and community care for the elderly. DOH emphasized $278 million for cancer research and innovation, $5 million for food and product safety testing, $5 million for the Florida FIRST blood-on-ambulance initiative, and $5.7 million for a public lab feasibility study. Veterans Affairs requested funds for facility improvements, cybersecurity, and medication management equipment. Members asked detailed questions about several items, especially the proposed changes to the AIDS Drug Assistance Program (ADAP), which would reduce eligibility and the number of people served. Senators and public witnesses criticized the lack of transparency and urged the department to pause the changes and work with stakeholders; the Surgeon General said the issue was driven by funding constraints and federal changes, not a legal barrier, and that the agency was exploring alternatives. Questions also addressed the Office of Minority Health and Health Equity, the Kids Care/CHIP expansion implementation, the cancer research funding structure, and the timeline and cost of the FX system. Public testimony focused heavily on ADAP, with speakers warning that thousands could lose medication access and calling for community involvement and a review of the program’s finances. The committee adjourned after the presentations and questions, with no votes taken on the budget items during this meeting.

Transcript Highlights:

• The Department of Human Services supports the measures and provides comments as we also defer to HHFDC
• The Department of Human Services supports the measures and provides comments as we also defer to HHFDC
• What's important about this bill, and what we support, we support the KALIs, but we also support this
• What's important about this bill, and what we support, we support the KALIs, but we also support this
• In addition, we had testimony in support from the Hawaii Family Caregiver Coalition, written testimony

Keywords: 910, house, all

Summary: The committee heard testimony on several measures related to housing, homelessness, caregiving, and tax relief. On HB 431, which appropriates funds for the CAL initiative and HHFDC, the Department of Human Services supported the bill and noted the Governor’s request for $50 million per year for HMS, the need for more permanent supportive housing, and a technical issue with establishing a special fund in session law. The Statewide Office on Homelessness and Housing Solutions strongly supported the measure, describing it as unprecedented funding for CAL projects and linking it to goals of reducing homelessness and expanding housing inventory. Catholic Charities Hawaii, the ACLU of Hawaii, and the Reimagining Public Safety in Hawaii Coalition also supported the bill, emphasizing permanent supportive housing, diversion from jail, and public safety benefits. The chair redirected one testifier to stay on the measure when testimony drifted to another program. Written support was also noted from several organizations and agencies. The committee then heard HB 225 on squatting. DHS said it appreciated the intent and deferred to the Attorney General and task force members, while noting that outreach on public lands differs from private land, where owner consent is required. The Office of the Public Defender supported the bill and wanted a voice in finding a solution. The Statewide Office on Homelessness and Housing Solutions also said it supported the intent, while opposition from the Kingdom of the Hawaiian Islands and support from one individual were noted. For HB 280, which would make the community outreach court permanent and appropriate funds, the Judiciary strongly supported the bill, describing the court as a mobile, community-based program serving vulnerable populations and connecting participants to services. The Office of the Public Defender also supported the measure, saying the program has helped people move off the streets and into stable housing and that permanent funding would allow expansion. Written support from the Hawaii Substance Abuse Coalition was noted. The committee then moved to HB 71, creating a refundable family caregiver tax credit, where the Department of Taxation provided comments, the Executive Office on Aging and AARP Hawaii supported the measure, and the Tax Foundation of Hawaii raised concerns about duplication with an existing dependent care credit and the lack of incentives for cost control. The committee next heard HB 753, which would increase the applicable percentage for the household and dependent care services tax credit. Support came from the Executive Office on Aging, Catholic Charities Hawaii, AARP Hawaii, and Hawaii Children’s Action Network, while the Tax Foundation again raised technical concerns about complexity and administration but noted the bill adds guardrails against abuse. No votes were taken during the portion of the hearing provided.

Transcript Highlights:

• Whips talked about with Two Life is really the supportive services model for seniors that is, to me,
• in recovery from substance abuse, and others needing supportive services, and providers of housing to
• , ...of nearly 100 community organizations that operate supportive housing, shelters, health services
• So when we invest in housing solutions coupled with support services, homelessness declines, and our
• with services. $91 million of it is used that way, supporting 3,800 units.

Keywords: 995, all

Summary: The Joint Committee on Housing opened its second hearing of the session with remarks from Chairs Haggerty and Cyr emphasizing that the hearing was a broad look at Massachusetts’ housing crisis rather than a single bill. They highlighted topics including zoning, permitting, rental assistance, public housing, homelessness prevention, and housing production. The first witness, Housing and Livable Communities Secretary Augustus, reviewed implementation of the Affordable Homes Act and the state’s new housing plan, citing a 1.6% vacancy rate, a projected need for 222,000 new homes over 10 years, and ongoing efforts such as ADUs by right, fair housing enforcement, eviction record sealing, seasonal communities planning, and new funding for affordable housing, public housing, and the Momentum Fund. He also discussed infrastructure support for municipalities, technical assistance for ADUs, and concerns about possible federal funding cuts. Committee members questioned the secretary about ADU financing and technical assistance, the likely unit yield from the Affordable Homes Act, infrastructure barriers in suburban and rural communities, public housing waitlist management, supportive housing, and federal budget risks. MassNAHRO then testified that public housing authorities are facing rising operating and capital costs, a statewide waitlist nearing 300,000, and uncertainty over federal Section 8 and HUD funding. Witnesses described recent state support for operating subsidies, capital improvements, vacancy turnover teams, and resident service coordinators, while warning that proposed federal cuts could sharply affect voucher issuance and agency operations. CDAC’s executive director Roger Herzog described the agency’s role as a quasi-public source of early-stage financing and technical assistance for nonprofit housing developers, noting its loan capital, supportive housing bond programs, home modification loans, and preservation work under Chapter 40T. He said CDAC has helped produce or preserve more than 55,000 units and stressed the importance of patient capital and preservation tools. CHAPA CEO Rachel Heller urged the committee to focus on production, preservation, planning, and political will, supporting goals for affordability, supportive housing, and homeownership, and endorsing policy changes such as YIGBY, clearer site plan review rules, stronger fair housing funding, and more support for vouchers and public housing. MassHousing then outlined its financing role, including mortgage lending, down payment assistance, the Community Climate Bank, and the Momentum Fund, while noting that permitting delays, capital gaps, and possible federal changes could affect production. Members also asked about transparency, prevailing wage compliance, and a recent internal restructuring related to diversity and business engagement.

Transcript Highlights:

• We have done the work to protect those programs and services that middle-class families and working families
• We had $15 million for pretrial services to primarily support probation departments and sheriff's departments
• We had $15 million for pretrial services to primarily support probation departments and sheriff's departments
• We supported food banks, legal services, and critical safety net programs that many Californians depend
• Families need support now. Seniors need support now. People with disabilities need support now.

Summary: The Assembly convened, initially lacked a quorum, and then completed the roll call, prayer, and pledge. Members observed a moment of silence for the fatal B-52 crash at Edwards Air Force Base in Assemblymember Lackey’s district. The body then handled a series of procedural motions, including re-referrals of numerous Senate bills to different committees, suspending rules for committee notices, and taking up the budget bill, AB 109, without reference to file for concurrence in Senate amendments. Debate on AB 109, the 2026 budget act, centered on competing views of the state’s fiscal condition and policy priorities. Supporters said the budget balances the current and next year’s budget, reduces the structural deficit, builds reserves, protects health care, schools, housing, food assistance, and other safety-net programs, and responds to federal cuts under H.R. 1. Opponents argued the budget increases taxes and costs, shortchanges schools, underfunds Proposition 36, relies on gimmicks, and does not adequately address public safety, cost of living, or long-term sustainability. Several members also highlighted specific provisions such as hospital support, Medi-Cal and IHSS protections, child care, immigrant legal services, prison closure, and funding for courts and victim services. A motion by Assemblymember DeMaio to return AB 109 to the Senate failed on a roll call vote, 13 ayes to 45 noes. The Assembly then voted on concurrence in the Senate amendments to AB 109; the measure passed, and the Senate amendments were concurred in without objection, with immediate transmittal to the Governor. Afterward, the Assembly moved to the daily file and took up SCR 89, a resolution affirming diversity, equity, and inclusion. Supporters from several caucuses framed DEI as a core California value and a response to federal attacks, while opponents criticized DEI as divisive. The transcript ends during debate on SCR 89, before any final vote is shown.

Transcript Highlights:

• Um, to support families tremendously.
• We do utilize family peer support, youth peer support, as a critical component to the programs that I
• Um, we do utilize family support roles.
• </c> that those gaps, helping to support that those gaps, helping to support families,<00:51:43.040><
• </c> long-term supports and services. long-term supports and services.

Keywords: 928, house, all

Summary: The committee first approved the draft minutes from September 26. Senator Gray then raised the idea of creating a continuing subcommittee or recurring agenda item on palliative care and hospice, noting that the issues are evolving and suggesting the committee revisit the idea in coming months. The bulk of the meeting focused on Department of Health and Human Services updates. Officials described contingency planning for SNAP amid the federal shutdown, including a USDA notice that November benefits may not be fully funded, letters to participants warning of possible delays, and coordination with the New Hampshire Food Bank and local pantries. They said New Hampshire serves about 42,000 SNAP households, with average benefits around $300 a month, and that the department is also preparing to transfer funds for a special fiscal committee meeting. WIC was discussed separately: officials said WIC benefits had been extended through November 7 using additional USDA funds, but that some community agency-based WIC services may need to pause while money is redirected to food benefits. Officials also outlined New Hampshire’s rural health transformation grant application under the federal One Big Beautiful Bill, describing a potential five-year, up-to-$1 billion opportunity focused on critical access hospitals, small rural hospitals, federally qualified health centers, community mental health centers, and EMS. Members asked about transportation, workforce, and nursing retention; officials said transportation is included in the proposal, housing is not, and workforce supports may include lower tuition or awards but not loan repayment or traditional scholarships. They also said the final application would be submitted in early November and that priorities would be adjusted depending on the eventual federal award. Finally, Medicaid director Henry Lipman gave a quarterly postpartum coverage update. He said postpartum coverage is now nearly universal nationwide, and in New Hampshire 2,351 women had used the benefit through May 2025. He reported that mental health services were the most frequently used postpartum service, followed by preventive care, substance use disorder treatment, and cardiovascular-related care, and noted that Medicaid women have experienced a disproportionate share of maternal deaths. Committee members asked about rural distribution and the share of women receiving mental health services, and Lipman said the department would follow up with additional data. The meeting then moved into the annual update on New Hampshire’s 10-year mental health plan, with staff describing progress toward a more integrated continuum of care and improved data infrastructure.

Transcript Highlights:

• We rely on Title X funding to support family planning, community outreach, and our education programs
• We provide essential health services to individuals and families at clinical sites in Chico, Redding,
• We provide essential health services to individuals and families at clinical sites in Chico, Redding,
• Support for reproductive services is essential.
• These two direct CDC grants support infectious disease mitigation and laboratory services.

Summary: The subcommittee held an oversight hearing on federal actions affecting California’s public health and family planning systems, focusing first on the freeze to Title X family planning funds and then on broader CDC/public health grant terminations. Chair and members described the cuts as abrupt, harmful, and likely to create major gaps in disease surveillance, vaccination, contraception, STI testing, and other preventive services, while also criticizing the federal administration’s explanation that the actions were tied to DEI or civil-rights compliance. The chair thanked Attorney General Bonta for legal action and said the hearing was intended to document the real-world impacts and inform state budget responses. Witnesses from Essential Access Health, Planned Parenthood Affiliates of California, a Central Coast clinic, and other providers said California’s Title X network serves more than half a million low-income patients annually and relies on the funds for staffing, outreach, training, mobile and school-based clinics, and confidential care. They warned that the freeze has already forced reserve spending, delayed services, and could lead to layoffs, reduced hours, longer waits, and fewer appointments, especially for sexual and reproductive health care. Public comment included support for a proposed state backfill of Title X losses, with advocates emphasizing impacts on low-income, LGBTQ+, and communities of color. On the public health side, CDPH, county health officials, and local health officers testified that the CDC’s rescission of $11.4 billion in grants would affect California by an estimated $840 million and threaten lab capacity, immunization programs, health disparities work, and data systems such as CalConnect and vaccine registries. Sacramento County and others described how the grants supported outbreak response, sequencing, community vaccination clinics, and equity-focused partnerships, and said terminations had already led to canceled appointments, stopped contracts, and layoffs. Several speakers urged the Legislature to preserve and expand state “future of public health” funding and to backfill federal losses, while public commenters from HIV, immunization, labor, and county organizations echoed concerns about workforce losses and worsening health outcomes.