Transcript Highlights:

• And with the big beautiful bill that happened at the federal level, we know that those Medicaid cuts
• It is meant to help serve the places that serve a disproportion amount of Medicare and Medicaid patients
• And with the big beautiful bill that happened at the federal level, we know that those Medicaid cuts
• It is meant to help serve the places that serve a disproportion amount of Medicare and Medicaid patients
• And with the big beautiful bill that happened at the federal level, we know that those Medicaid cuts

Summary: The meeting focused on a Minnesota Senate floor debate over a bipartisan 340B enforcement bill, with supporters arguing that the measure would require pharmaceutical companies to comply with federal and state law and continue providing discounted drugs to safety-net and rural hospitals. Senators and other speakers said the program is essential to hospital finances, especially for facilities facing operating losses and federal Medicaid cuts, and warned that without enforcement language hospitals such as Hennepin County Medical Center and rural hospitals could face severe financial harm or closure. Supporters also said pharmaceutical companies had spent heavily on media and lobbying to oppose the bill and that the Senate’s bipartisan vote showed the issue had broad support. Several speakers described how 340B revenue is used to sustain hospital services, including addiction treatment, trauma care, and other essential care in vulnerable communities. They said the program was designed to let hospitals buy drugs at low cost and bill insurers at standard rates, using the difference as a funding stream. When asked about claims that hospitals made large sums from the program, supporters said that was consistent with the program’s purpose. They also said some drug companies were not complying with 340B obligations, particularly around contract pharmacies, and that enforcement language was needed to ensure compliance. The discussion also addressed HCMC’s financial situation, with speakers saying 340B funding is not a full solution but is an important support and should not be reduced further. They rejected a proposed transparency/reporting amendment as too burdensome, while noting that federal authorities already have audit power over 340B dollars. The speakers urged the House to pass the same language, said eight Republicans joined the Senate vote, and expressed hope that the bill would advance despite concerns about House support and ongoing pharmaceutical industry opposition.

Transcript Highlights:

• </c><00:19:10.000><c> fraud,</c> combat Medicaid fraud, combat Medicaid fraud, additional<00:19:11.680
• </c><04:00:56.440><c> fraud,</c> con- what constitutes Medicaid fraud, con- what constitutes Medicaid
• Minnesota's Medicaid Fraud Control Unit Minnesota's Medicaid Fraud Control Unit has<04:07:01.880><c>
• Our MAFOCU unit more Medicaid fraud.
• </c> Medicaid have been incorporated. Medicaid have been incorporated.

Transcript Highlights:

• For you receive the reimbursement from Medicaid.
• I know the Medicaid billing was...
• Medicaid being the majority of that, there are some other insurances that could be kicking in, but Medicaid
• But Medicaid is the primary one there.
• That could be Medicaid billing. We have outside agencies that do that too.

Committee: Joint Special Education Funding Committee

Transcript Highlights:

• Does Odyssey House take Medicaid? Yes, sir. That is our primary funding mechanism: Medicaid.
• And he just asked, like, it's a Medicaid issue, it's a funding issue, and everyone always wants to talk
• as a Medicaid application site, knowing that because they presented to treatment with just the clothes
• But they don't qualify for Medicaid anymore.
• But they don't qualify for Medicaid anymore. And that disparity is growing.

Bills: HB29 , HB39 , HB77 , HB153 , HB183 , HB211 , HB263 , HB299 , HB324 , HB519 , HB520 , HB533 , HB538 , HB559 , HB562 , HB805 , HB823 , HB1004 , HB1011 , HB1018

Committee: House Judiciary

Keywords: insurance fund, retired employees, Ascension Parish, court clerks, premium costs, investment advisory board, HB 39, Act 283, peace officer, law enforcement officer, police certification, citizenship requirement, U.S. citizen, United States citizen, naturalization, lawful permanent resident, green card holder, immigration, public safety, law enforcement hiring

Transcript Highlights:

• We're trying to find money for Medicaid to keep people into houses to fight this drug crisis.
• Right now, our assisted living facilities are being reimbursed for Medicaid on rates that were based
• Assisted living is one of the only long-term care settings where Medicaid rates have been cut rather
• or 200-plus million dollars in Medicaid cuts.
• Our legislature has cut, if we pass this budget, a billion dollars from Medicaid.

Bills: HB2289

Committee: House Appropriations

Keywords: appropriations, budget, fiscal matters, state spending, general fund, supplemental budget, biennial budget, substitute bill, public defense, civil legal aid, courts, judicial branch, homelessness, supportive housing, affordable housing, behavioral health, juvenile rehabilitation, youth services, child welfare, foster care

Transcript Highlights:

• And we're making cuts across the board to Medicaid, transportation, public education.
• Medicaid, transportation, public education. So that's really top of mind for me and this.
• If Medicaid expansion... See the attached reports.
• If Medicaid expansion is greatly reduced or eliminated, we will need to go back to the Idaho Catastrophic
• If you cut Medicaid expansion budgets, the working poor will still get sick or injured.

Committee: Senate Local Government and Taxation

Transcript Highlights:

• Most dentists won't even accept Medicaid patients because Medicaid reimbursements are typically too low
• Most dentists won't even accept Medicaid patients because Medicaid reimbursements are typically too low
• Most dentists won't even accept Medicaid patients because Medicaid reimbursements are typically too low
• Most dentists won't even accept Medicaid patients because Medicaid reimbursements are typically too low
• Most dentists won't even accept Medicaid patients because Medicaid reimbursements are typically too low

Summary: The committee took up several bills in executive session, beginning with HB 568 on subdivision regulations concerning water supply. Representative Donnelly moved ITL, arguing the bill would create costly studies, that towns already have jurisdiction over needed studies, and that the issue was not widespread. The committee voted ITL 9-7. HB 582, dealing with safety requirements for personal watercraft, was also moved ITL on the grounds that existing law already covers the issue and the bill was unnecessary after recent action on personal flotation devices. Representative Derby opposed the ITL, saying the bill was a common-sense safety measure and would restore a misdemeanor penalty, but the committee voted ITL 9-7. The committee then retained HB 595, relative to coastal resilience zones, after members said the bill was important but needed more work and time because of its complexity. Members noted it should be revisited later, and the motion to retain passed 16-0. HB 607, funding the Hampton Beach Area Commission and making appropriations, received an ought-to-pass recommendation 15-1, with support from members who described Hampton Beach as an important economic driver and one dissenting member saying the state should not bear the full cost. The committee also adopted Amendment 2025-3 on HB 624, establishing a local river management advisory committee grant program, by a 16-0 vote; the amendment shifted funding decisions to the Department of Environmental Services based on demonstrated need and a first-come, first-served process. The bill as amended then received an ought-to-pass recommendation 16-0 and was placed on consent. Later, the committee retained HB 629, funding the operation, maintenance, and repair of state dams, after members said the dams need attention but the bill required more work because suggested amendments had just been received. That motion passed 16-0. HB 644, concerning drones in state parks, was ITL’d because the Department of Parks and Recreation is already working through rulemaking on UAS use in remote areas, and the committee voted 16-0 for ITL. HB 657, the short notice booking act access for New Hampshire residents to state parks, was also ITL’d at the request of the prime sponsor, passing 16-0. The committee then adjourned and announced a later hearing on HB 663, which would allow the Division of Historical Resources to use a portion of Moose plate funds for administering its grant program; testimony from the sponsor and the division supported the bill as clarifying existing authority, and no final vote on HB 663 was included in the transcript excerpt.

Transcript Highlights:

• </c><01:12:48.080><c> to</c> million less annually in Medicaid to million less annually in Medicaid to
• </c> enough so that you qualify for Medicaid enough so that you qualify for Medicaid to<01:27:03.600>
• </c><01:29:31.520><c> to</c> differentiate between Medicaid to differentiate between Medicaid to schools
• Um but like Medicaid as well.
• We have people putting things in under Medicaid to schools.

Summary: The commission to study the cost of special education met, confirmed a quorum, introduced members and guests, and approved the minutes from the October 29 meeting. Members noted the commission’s mandate under Senate Bill 57 and emphasized the need to focus on recommendations and findings by July 1, 2026. The chair also distributed additional handouts, including materials related to the Education Freedom Account (EFA) program and administrative rules tied to differentiated aid and disability determinations. The main discussion centered on how students qualify for differentiated aid under the EFA program. Matt Sutherton of the Children’s Scholarship Fund explained that the organization, which contracts with the state to administer EFAs, accepts either school-district/IEP documentation or a medical certification of disability (MCD) from a licensed medical professional. Members questioned how this process relates to the state’s special education rules and whether the school-district examiner standards in ED 107/1107.04 apply to EFAs. Sutherton said the MCD form, created with the department, requires the medical professional to sign that they are qualified to make the determination and to identify the disability. Several members expressed concern that the EFA process is less rigorous than the school-district IEP process and may be inflating disability counts. One member argued that the administrative rules cited are primarily for school districts, not EFAs, and said the Department of Education may not know how many of the roughly 890 EFA students receiving differentiated aid came through school-district documentation versus the MCD pathway. Another member said the EFA system appears more generous than the school system and raised concerns about oversight, auditing, and whether the program’s data are accurate. Sutherton said the organization reviews signed documentation, credentials, and diagnosis information, and may request additional records to help adjudicate expenses. No votes or formal actions were taken beyond approving the prior minutes.

Transcript Highlights:

• SB 1411, relating to Medicaid third-party liabilities, Department of Human Services.
• </c> on. um SP1 1411 relating to Medicaid on. um SP1 1411 relating to Medicaid third<00:55:02.880><c>
• And Medicaid has such a low rate of reimbursement that these care homes are struggling, sir.
• </c> individuals who are covered by Medicaid. individuals who are covered by Medicaid.
• </c> federal Medicaid federal Medicaid um<01:44:33.280><c> law</c><01:44:33.760><c> and</c><01:44:34.320

Summary: The joint hearing opened with SB 1442, which would update the statute governing the Child and Adolescent Mental Health Division and clarify its role as the state Medicaid provider of intensive mental health services for children and adolescents with serious emotional disturbance. The Department of Health testified in strong support, saying the current statute is outdated and warning against any unfunded mandate because the division relies on federal funding and faces uncertainty about future resources. Written testimony from several organizations also supported the bill. The committees took no immediate action and said they would hold decision-making until later. The hearing then moved to SB 479 on ABLE savings accounts. The Hawaii State Council on Developmental Disabilities and the Hawaii Disability Rights Center supported the measure, arguing that ABLE accounts help people with disabilities save money without losing benefits and that the state needs more outreach and staffing to expand participation. A testifier with a disability said the bill would help people keep Social Security and housing stability. The chair indicated an intention to move the bill forward, and asked about funding; the discussion settled on a requested appropriation of about $75,000 for incentives. Next, SB 1245 on reimbursement of pharmacists drew broad support from the Hawaii Pharmacists Association, rural pharmacies, the Hawaii Primary Care Association, and others, who said the bill would improve access to care, especially on neighbor islands and in rural communities, and help pharmacies participate in 340B-related services. The Insurance Division and HMSA raised concerns about bill language, saying it could be read to cover pharmacists outside an insurer’s network and that the scope of reimbursable services needed clarification; the pharmacists’ association said the bill is intended to apply only to in-network pharmacists and should continue to reference existing scope-of-practice law. The hearing also took up SB 1279, which would allow pharmacists to authorize medications via telehealth under certain circumstances. The State Board of Pharmacy opposed the bill, citing patient safety, a pilot project with reported errors, concerns about controlled substances and unregulated technicians, and the view that in-person pharmacist services are safer and already available on the affected islands. Several pharmacies and health care groups supported the measure as a way to preserve 340B access and improve service on Lānaʻi and Molokaʻi, while some local pharmacies said they already provide in-person service and opposed remote dispensing. No votes were taken in the portion of the hearing provided.

Transcript Highlights:

• Policy Advisor and cover public health, health care, and behavioral health, and all that includes Medicaid
• You know, what things are more important now that we know that Medicaid is going to be cut?
• So I think Plan for the whole state, not just for Medicaid.
• Otherwise, I think it is too Medicaid-centric.
• Medicaid is super important, but half the people in the state Medicaid is super important, but half the

Summary: The committee met for its final session before the report is delivered to the governor and legislature, with introductions and reminders that the meeting was public and recorded. Facilitators explained that the group was reviewing the final draft of the committee’s strategic priorities and recommendations for a five-year behavioral health plan focused on prevention, early intervention, and community-based services. They also noted that the recommendations were drawn from subcommittee work, a survey, and prior committee discussion, and that similar work is occurring in other groups such as Washington Thriving and the Children and Youth Behavioral Health Work Group. Most of the discussion centered on the first two overarching priorities and how to frame them. Members raised concerns that the draft did not sufficiently center people with lived experience, families, and communities, and suggested revising the vision language to reflect that. Several participants also emphasized the need for an executive-level role to coordinate behavioral health across state agencies and improve accountability. The group discussed the timing of related planning efforts, including Washington Thriving and the Children and Youth Behavioral Health Work Group, and agreed the report should acknowledge those efforts without duplicating them. The committee then turned to the high-priority recommendations and the structure of the report. Members asked for more specific action steps under the broader recommendations, rather than leaving them as aspirational statements, and suggested moving some of the lower-priority recommendations into the main sections as examples or sub-actions. There was also substantial discussion about terminology: participants recommended using language such as evidence-informed, promising practices, best practices, and practice-based evidence, especially to better reflect tribal and community-based approaches. Other edits included clarifying early intervention language, adding flexibility, addressing credentialing and carrier/MCO requirements in phases, and considering mentorship as a workforce retention strategy. The committee also discussed accountability and public engagement, with members suggesting the report include stronger references to community voice and oversight. Facilitators said they would revise the draft, circulate it by May 22, and seek comments by May 27 so the report can be finalized and submitted by the June 1 deadline. Several members offered to help with the final drafting and reorganization of the report.

Transcript Highlights:

• A total of $33.6 million was provided for rate increases for Medicaid, home- and community-based services
• through the end of the fiscal year, including over $30 million in state general fund savings in the Medicaid
• through the end of the fiscal year, including over $30 million in state general fund savings in the Medicaid
• State general fund savings in the Medicaid program.
• This is an annual resolution used to help fund hospital reimbursements in Medicaid.

Committee: Senate Finance

Summary: Senate Finance met on May 21, 2026, with nine members present. The committee first recognized Mother Pearl Porter during a personal privilege presentation by Senator Boudreaux. It then took up the major budget measures for fiscal year 2026-27, beginning with HB 1, the general appropriation bill. The committee heard that the state budget was about $46.6 billion and that recent Revenue Estimating Conference revisions required reductions in recurring spending. Amendments removed new funding for GATOR and increased MFP amounts, while also directing Revenue Stabilization Fund dollars toward infrastructure, economic development, and local government needs. The committee adopted amendment set 4238 and reported HB 1 as amended, with authority for technical changes. The committee next considered HB 312, the supplemental appropriations bill for the current fiscal year. Members were told the amendments balanced the budget to the May REC forecast through a net reduction in state general fund spending, including savings in Medicaid and other agencies, while covering updated costs such as medical vendor administration, DCFS operations, DOC offender medical expenses, and disaster-related costs. Amendment set 4239 was adopted, and HB 312 was reported favorably as amended. HB 2, the capital outlay/infrastructure bill, was then amended with set 4230 and reported as amended. HB 3, the omnibus bond act authorizing bond usage for HB 2, had no amendments and was reported favorably. The committee also advanced HB 313, the funds bill, which includes the constitutionally required deposit of $144.3 million of FY 2025 surplus into the Budget Stabilization Fund and various transfers and fund adjustments. Amendments expanded or created several funds and mechanisms, including infrastructure and economic development-related funds, and HB 313 was reported favorably as amended. HB 314, the revenue sharing bill distributing the constitutionally mandated $90 million to local governments, was reported favorably without amendment. HB 383, the ancillary appropriations bill for fee-supported agencies, received amendment 3138 and was reported favorably as amended. HB 983, funding the judiciary, was amended to remove judicial pay adjustments and instead fund a possible transfer of the integrated criminal justice information system to the Supreme Court if SB 141 becomes law; it was reported favorably as amended. HB 1126, the legislative branch appropriations bill, was amended and reported favorably as amended. Finally, HCR 3, the hospital stabilization resolution used to support Medicaid hospital reimbursements, was amended to give LDH more flexibility on the timing of directed payments and preprint submissions, then reported as amended. The committee adjourned after a motion to do so.

Transcript Highlights:

• Rate increases totaling $33.6 million were provided for Medicaid, home and community-based services for
• through the end of the fiscal year, including over $30 million in state general fund savings in the Medicaid
• State general fund savings in the Medicaid program.
• This is an annual resolution that is used to help fund the hospital reimbursements in Medicaid.
• This is an annual resolution that is used to help fund the hospital reimbursements in Medicaid.

Bills: HB1 , HB2 , HB3 , HB312 , HB313 , HB314 , HB383 , HB983 , HB1126 , HCR3

Committee: Senate Finance

Keywords: bond authorization, capital improvement, general obligation bonds, financial management, state treasury, revenue sharing, fund distribution, homestead exemption, state funding, local government

Transcript Highlights:

• One of 10 states who refused to expand Medicaid, leaving millions of low-income Texans without access
• to Medicaid. to affordable health care, we have to realize that state leaders want to keep Planned Parenthood
• out of Medicaid no matter what the cost is to Texans health.
• Blocking funding for Title X family planning. blocking access to Medicaid funding.
• In fact, 23% of all uninsured children in America are Texans. expand Medicaid.

Keywords: Texas, healthcare, reproductive health, Care No Matter What Act, Planned Parenthood, maternal mortality, teen pregnancy, funding cuts, community health

Summary: The meeting addressed critical health care concerns in Texas, highlighting the consequences of funding cuts on access to reproductive health services. Key speakers emphasized the urgent need for the Care No Matter What Act, which aims to restore funding to healthcare providers like Planned Parenthood. They underscored the alarming statistics of maternal mortality and the rising rates of teen pregnancies, particularly in Black and Latina communities. Testimonies shared during the meeting illustrated the real-life impacts of healthcare access issues on individuals and families across the state, illustrating the necessity for legislative action to ensure comprehensive reproductive health services.

Transcript Highlights:

• As chair of the transportation committee for four years previously, I tried to get reforms to this system
• for four years previously, I tried to for four years previously, I tried to get<00:48:43.839><c> reforms
• </c> get reforms to this system and failed. get reforms to this system and failed.
• Union Leader said deep cuts affecting Medicaid and disabled services.
• </c> Medicaid and disabled services. Medicaid and disabled services.

Committee: Senate Commerce

Transcript Highlights:

• This is for Medicaid. This is for Medicaid. Obesity drugs for OGB. This is for Medicaid.
• the direct payment arrangement for fiscal year 26-27 be submitted to the Centers for Medicare and Medicaid
• House Bill 222 by Representative Berault, Medicaid coverage for dental procedures in certain circumstances
• Medicaid coverage for dental procedures in certain circumstances, Department of Health taking certain
• House Bill 971 by Representative Stagney, Rural Health Clinics, Medicaid reimbursement rates, with Senate

Bills: HR310 , HR314 , HR316 , HR317 , HR321 , HR275 , HR276 , HR279 , HR282 , HR286 , HR289 , HR292 , HR295 , HR302 , HR319 , HCR112 , HR307 , SCR59 , SCR61 , SCR62 , SCR68 , SCR69 , SCR70 , SCR54 , SCR55 , SCR64 , SCR75 , HCR3 , HCR49 , HCR66 , HCR67 , HB1 , HB2 , HB42 , HB45 , HB66 , HB71 , HB79 , HB126 , HB133 , HB145 , HB159 , HB167 , HB213 , HB218 , HB222 , HB289 , HB291 , HB312 , HB313 , HB316 , HB324 , HB352 , HB383 , HB398 , HB403 , HB429 , HB457 , HB459 , HB511 , HB549 , HB571 , HB579 , HB591 , HB608 , HB616 , HB624 , HB766 , HB769 , HB783 , HB799 , HB804 , HB864 , HB874 , HB909 , HB951 , HB971 , HB983 , HB1005 , HB1017 , HB1051 , HB1056 , HB1095 , HB1126 , HB1129 , HB1186 , HB1193 , HB1223 , HB1224 , HB1230 , HB1235 , HB1249 , HB723 , HB36 , HB140 , HB181 , HB198 , HB205 , HB211 , HB226 , HB259 , HB271 , HB302 , HB335 , HB342 , HB487 , HB513 , HB623 , HB682 , HB730 , HB740 , HB761 , HB775 , HB797 , HB812 , HB816 , HB940 , HB968 , HB979 , HB1028 , HB1029 , HB1038 , HB1049 , HB1084 , HB1161 , HB1194 , HB1199 , HB1201 , HB1203 , HB1247 , HB1256 , SB25 , SB132 , SB155 , SB157 , SB202 , SB228 , SB237 , SB250 , SB405 , SB406 , SB414 , SB433 , SB480 , SB513 , SB149 , HB359 , SB29 , SB43 , SB78 , HB210 , HB258 , HB468 , HB784 , HB134 , HB1117 , SB42 , SB274 , SB382 , SB449 , SB300 , HR74 , HB463 , HB715 , HB998 , SB80 , SB268 , SB444 , SB479 , HB901 , HR20 , HCR65 , HCR71 , HCR98 , HB284 , HB306 , HB341 , HB366 , HB393 , HB458 , HB577 , HB603 , HB605 , HB614 , HB625 , HB646 , HB733 , HB752 , HB773 , HB798 , HB911 , HB955 , HB996 , HB1035 , HB1069 , HB1113 , HB1140 , HB1180 , HB1191 , HB1240 , HB1255 , SB82 , SB89 , SB97 , SB123 , HB74 , HB119 , HB368 , HB414 , HB552 , HB732 , HB776 , HB848 , HB870 , HB953 , HB956 , HB1236 , SB208 , SB217 , SB283 , SB387 , SB389 , SB401 , SB408 , SB469

Summary: The House met with a quorum, opened with prayer and the Pledge of Allegiance, and then received Senate messages, committee enrollment reports, and a series of House resolutions. Members adopted or advanced numerous resolutions recognizing individuals and institutions, expressing condolences, and creating or continuing study task forces on topics including homeownership assistance, speech-language pathology assistant licensure, clean water, Medicaid reporting, voter accessibility, air monitoring, fire chief operations, maternal health, and other issues. Several Senate resolutions were also concurred in, and personal privileges were used to recognize the family of Susan Ann Taylor Bidding and to commend Anita Whitaker LaFontaine and her father, Green Whitaker, Sr. The House then moved through Senate bills on final passage. Bills approved included measures on registrar of voters compensation, dental coverage related to cancer treatment, paid parental leave planning for educators, election supervisor compensation days, weight management services, nursing facility quality oversight, a Slidell hotel occupancy tax subject to voter approval, medical debt interest-rate limits, Medicaid coverage for weight-loss medications, a shrimping-related butterfly net exception, public works design-build contracting, and a municipal lead-service-line replacement measure. Some bills were temporarily returned to the calendar, including measures on water utility service lines and registrar compensation, while others passed with strong bipartisan margins. The chamber also considered Senate amendments to many House bills and concurrent resolutions. Members concurred in amendments on topics such as hospital stabilization, student loan access for certain professional degrees, rural economic development, behavioral health and school policies, retirement and compensation provisions, food labeling, climate-change litigation, school emergency plans, anti-cancer medication coverage, domestic abuse procedures, and several infrastructure and workforce measures. A few bills were rejected for further conference, including some retirement, alternative power, and AI-related provisions. The session ended with the House taking a one-hour recess for lunch, with instructions to return by 12:45.

Transcript Highlights:

• Chair, you know better than most what came out of 2018 when the legislature did the criminal justice reform
• They have access to Medicaid data of Medicaid enrollees through data-sharing agreements.

Committee: Senate Senate Committee on the Census

Summary: The Senate Committee on the Census held an early planning hearing on how Massachusetts can maximize participation in the 2030 census, with Chair Will Brownsberger and Vice Chair Rebecca Rausch emphasizing the need to start well in advance. The first panel, made up of leaders from the Massachusetts Voter Table, MassVOTE, MIRA, and MESA, stressed that grassroots community organizations are trusted messengers and should be funded early to do multilingual outreach, training, and direct assistance in hard-to-count communities. They described lessons from 2020, including the shift to internet response, reduced federal census infrastructure, the importance of coordinated statewide networks, and the need to begin messaging several years before Census Day because building trust and staffing outreach takes time. Panelists repeatedly warned that immigrant communities are facing heightened fear because of federal immigration enforcement and the possibility of a citizenship question or other federal changes, making census participation more difficult. They said 2020 funding arrived too late to fully staff and train outreach teams before the pandemic, and argued that future resources should be deployed earlier and more flexibly. In response to committee questions, they estimated Massachusetts should invest roughly $8 million to $10 million or more in state census outreach, with one proposed model of about $3 million to $5 million at the start, additional funding in the middle years, and a larger final push closer to 2030. They also suggested that funding should support communications infrastructure, translation, social media and ethnic media outreach, and possibly a permanent complete count structure or trust fund to preserve institutional knowledge. A second panel from Common Cause Massachusetts and the ACLU of Massachusetts echoed the call for stronger, earlier investment and stronger privacy protections. They urged the legislature to expand existing census line items, consider a trust fund or other dedicated funding stream, and coordinate census outreach with other state programs that already work through trusted community messengers. The ACLU testimony focused on racial inequities in census counts and warned that federal efforts to exclude non-citizens or add a citizenship question would deepen distrust and undercount immigrant communities. Committee members asked about the 2020 overcount/undercount results, funding levels, timing of grant distribution, and whether census outreach should be routed through the Secretary of the Commonwealth or other state mechanisms; no votes were taken, and the hearing moved on to a later panel on immigrant-community outreach.

Transcript Highlights:

• And that was speaking to the Medicaid.
• Concerns that some of the providers have, and that was speaking to the Medicaid and the Medicaid managed
• One of the practitioners made it clear that many of these who are on Medicaid, once they are assigned
• to the Medicaid managed care plan, each of them have their contract with ACCA, and they're obligated
• Medicaid will provide this.

Summary: The Senate opened with prayer, the pledge, doctor-of-the-day recognition, and a series of introductions honoring visitors and groups in the galleries, including Moffitt Cancer Center, students from Lakeland Christian School, space industry guests, Kappa Alpha Psi, the Florida Association of Licensed Investigators, and others. Senators also made announcements about local delegations visiting the Capitol and a session wellness competition. The chamber then took up CS/CS/SB 112, relating to children with developmental disabilities. Senator Harrell presented the bill as a major autism-focused measure that would expand screening and referral grants, extend Early Steps services through age four with a federal waiver, designate the University of Florida Center for Autism and Neurodevelopment as a statewide hub for research and coordination, create grants for autism-focused summer programs and charter school models, and establish a microcredential for workers who serve children with autism. Senators Davis, Jones, Osgood, Duma, Wright, and others supported the bill while raising concerns about provider shortages, Medicaid managed care coverage, the need for better recruitment incentives, and the importance of research into causes and treatments. Harrell responded that services would be covered under new contracts, Medicaid would provide coverage, the University of Florida would develop the online credential with a stipend incentive, and the bill was a first step in a broader effort that should also address adults on the spectrum. The Senate passed CS/CS/SB 112 unanimously, 38-0, and then adopted a motion to immediately certify the bill to the House. The chamber also adopted Senate Resolution 1856 by publication, honoring the life and legacy of Senator Geraldine Thompson, with 38 co-introducers recorded. In addition, SB 1324 by Senator Simon was withdrawn from further consideration, and the Senate adjourned until the next scheduled meeting.

Transcript Highlights:

• rules and and500 conform to Medicaid rules and also the prior authorization laws.
• rules and and500 conform to Medicaid rules and also the prior authorization laws.
• rules and and500 conform to Medicaid rules and also the prior authorization laws.
• rules and and500 conform to Medicaid rules and also the prior authorization laws.
• rules and and500 conform to Medicaid rules and also the prior authorization laws.

Committee: Joint Insurance

Transcript Highlights:

• </c><00:28:45.200><c> Fraud</c><00:28:45.640><c> and</c><00:28:45.760><c> Abuse</c> Office of Medicaid
• Fraud and Abuse Office of Medicaid Fraud and Abuse Control,<00:28:47.040><c> increase</c><00:28:47.480
• We also increase restricted funds by $56 million in fiscal 26 for Medicaid Benefits Program Support.
• We add language to require that in the event of a reduction in Medicaid services is deemed necessary,
• We also add language to require the Department of Medicaid Services or the Finance Cabinet to effectuate

Transcript Highlights:

• I asked for three, you know, a 50% reduction in bureaucracy for Medicaid patients.
• We got a big problem in trying to address the Medicaid budget right now.
• </c> address the Medicaid budget right now. address the Medicaid budget right now.
• </c> how do we improve the Medicaid program? how do we improve the Medicaid program?
• </c> jobs, get people off of Medicaid. jobs, get people off of Medicaid.