Transcript Highlights:

• as those in managed care, especially those requiring 24-7 nursing. ...can get the same level of care
• care support, helping Florida's families care for their loved ones at home for as long as possible.
• For years, I owned a home health care agency; that's how we met.
• that some of the managed care patients had.
• Madam Secretary, we've dealt with the Kids Care program.

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed fiscal year 2026-2027 budget for the health and human services agencies. Kendall Kelly outlined the overall HHS budget at $48.5 billion, with AHCA accounting for the largest share, and agency heads then highlighted major proposals for Medicaid behavioral health redesign, APD waiver enrollment and facility needs, DCF child welfare, opioid, and mental health investments, DOEA funding for Alzheimer’s, home care, and community services, DOH funding for cancer research, public health initiatives, and lab capacity, and VA funding for facility improvements, cybersecurity, and medication management. Several members praised specific proposals, including increased reimbursement for private duty nursing, Alzheimer’s supports, and the Florida FIRST blood-in-ambulance initiative. Senators also questioned the proposed changes to the AIDS Drug Assistance Program (ADAP), with the Surgeon General explaining that the department expects a reduction in covered patients from about 30,000 to about 20,000 because of funding pressures tied to rebates, federal changes, and premium tax credit issues. Public testimony strongly criticized the ADAP changes, citing lack of transparency and warning that many patients could lose access to medications. Other questions focused on the Office of Minority Health and Health Equity, DCF’s substance abuse and mental health data dashboard, Kids Care/CHIP expansion implementation, APD bed and facility planning, and the FX Medicaid technology project. DCF said about $7 million is set aside for the dashboard system, and AHCA said the governor’s budget includes $124.4 million for FX maintenance and continued module development, with $13.5 million to begin claims processing work. The committee did not take a substantive vote on the budget presentations and adjourned after questions and public testimony.

Transcript Highlights:

• </c> and family and friends who provide care and family and friends who provide care to<00:15:10.399>
• </c><00:15:28.600><c> Ka</c> skills and find time for self-care Ka skills and find time for self-care
• </c> people with dementia and their Care people with dementia and their Care Partners<00:15:33.240><c
• Self-care is vital.
• Self-care is essential for caregivers, yet the time for caring for oneself is usually unavailable.

Committee: Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• But with the help of the APAL line and several months of care, we got this woman confident caring for
• standard of care.
• They delay care and cause harm.
• part of patient care.
• to timely care.

Keywords: 1182, all

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to people 65 and older to also offer them to Medicare beneficiaries under 65 with ALS or end-stage renal disease, with enrollment periods and premium protections tied to 65-year-old rates. Supporters, including dialysis and ALS advocates, said the bill would help a small population facing high out-of-pocket costs and could improve access to transplants and care; opponents argued it would shift costs onto older seniors and raise Medigap premiums. The committee recommended the bill do pass on a 12-0 vote. The committee also heard House Bill 2593, appropriating $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps obstetric and pediatric providers quickly consult on perinatal depression, postpartum psychosis, suicidality, and other mental health crises, improving outcomes for mothers, children, and families and reducing costly emergency and crisis care. The bill received a do pass recommendation on a 10-1 vote. House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, drew emotional testimony from a young woman with spina bifida and another speaker supporting the sanctity of life. Some members objected that the state should focus on practical supports such as paid leave, child care, and health care access, while others supported the resolution as a statement of human dignity. The resolution passed the committee 7-5. The committee then approved House Bill 4010, creating a Board of Genetic Counselors and licensure standards, after testimony from genetic counselors and a patient advocate about the need for qualified counseling and better access; it passed 11-1. Later, the committee approved House Bill 2196, which would require pharmacy benefit managers to reimburse non-affiliated pharmacies at least their acquisition cost and pay a dispensing fee, and establish an appeals process. Independent pharmacists and their coalition said PBM practices are driving closures and unfairly favor affiliated pharmacies, while PBM and employer representatives warned of major cost increases and said the bill would interfere with private contracts; the bill passed 11-1. The committee also adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, and then gave the amended bill a 12-0 do pass recommendation. Finally, the committee approved House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, with the sponsor and board staff saying it would help implement routine ventilator care in the home; it passed 12-0. The committee then began hearing House Bill 2404, a strike-everything amendment on inter-facility transports for behavioral health patients, but the transcript cuts off before action on that bill.

Transcript Highlights:

• And in the end, child care is a business. Thank you.
• And the child care providers all said when this piece of legislation...
• I think we're going to have more expensive health care or child care in our state.
• I think it's important that we take care of our child care workers and see what they're faced with.
• We take care of our child care workers and see what they're faced with.

Bills: HB2720 , HB2073 , SB5816 , SB5919 , SB5831 , SB6244 , SB6044 , SB5109 , SB5877 , SB6258

Keywords: behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, juice grapes, agriculture, commerce, state regulation, market access, fire safety, insurance incentives, best practices, community protection, voluntary measures, mortgage modification

Transcript Highlights:

• For decades, child care has been a critical part of ECAP.
• We have reached out to Child Care Aware.
• care, and have an average length of stay of 96 hours or less.
• by making health care less affordable.
• And as we talk about access to health care and all those things, making health care more expensive doesn

Summary: The Ways and Means Committee held a public hearing on nine bills. Senate Bill 5872 would create the Pre-K Promise Account to receive philanthropic donations for ECAP preschool slots; supporters, including DCYF, the governor’s office, and early learning advocates, said it would help expand access to high-quality pre-K with a 10-year Ballmer Group commitment for up to 10,000 new seats annually. Senators asked how the money would flow, and staff and witnesses explained it would be governed by an MOU and deposited annually; no vote was taken. Senate Bill 5879 would eliminate two JLARC studies, one on lodging tax reporting and one on training benefits; supporters said the reports were duplicative and burdensome, while the hospitality industry warned against losing transparency, and no action was taken. Senate Bill 6047 would permanently codify various capital budget administration rules, including minor works flexibility and early learning grant changes; testimony focused on technical cleanup and on provisions affecting co-located child care and community projects, with no vote taken. Senate Bill 5988 would authorize the Department of Health to charge fees for accrediting opioid treatment programs, with support from DOH and tribal/nontribal providers who want the state to continue providing the service; no vote was taken. Senate Bill 5923 would allow Island Hospital in Skagit County to qualify as a critical access hospital, with local hospital leaders and residents supporting the measure to improve reimbursement and sustain rural care; no vote was taken. Senate Bill 5832 would raise the Lemon Law arbitration fee from $3 to $6 to fund the Attorney General’s consumer protection work, and the AG’s office, dealers, and the sponsor said the program is effective and underfunded; no vote was taken. Senate Bill 5970 would make permanent the property tax exemption for multipurpose senior citizen centers, with AARP supporting the bill as a benefit to seniors and caregivers; no vote was taken. Senate Bill 5994 would preserve timber tax distributions for school districts that recently had qualifying levies, and forest industry witnesses supported the bill while suggesting a possible amendment for state forest transfer lands; no vote was taken. Senate Bill 5949 would narrow the B&O tax exemption for insurance-related businesses so it applies only to the entity paying the insurance premiums tax, retroactive to 2019; the Department of Revenue and bill supporters argued it restores tax equity, while insurers, health plans, and business groups opposed it as retroactive, ambiguous, and likely to raise premiums. The committee heard extensive testimony on that bill, but the transcript ends with adjournment and no recorded vote or executive action.

Transcript Highlights:

• I would like to call the meeting to order of the Committee to Study Long-Term Managed Care.
• </c> prohibited by CMS under managed care prohibited by CMS under managed care medical<00:12:40.240><
• ><c> Medicaid</c> medical s under managed care Medicaid medical s under managed care Medicaid systems
• And that that has managed care system?
• </c><00:31:18.080><c> Um</c> to the right level of care. Um to the right level of care.

Keywords: 928, house, all

Summary: The Committee to Study Long-Term Managed Care approved the prior meeting minutes as amended after correcting the first paragraph. The chair then outlined the committee’s plan to produce a preliminary report by October 1, with additional meetings to follow, since some questions remain about the federal One Big Beautiful Bill (OB3) and its effects on Medicaid financing and managed care. The main discussion focused on New Hampshire nursing home funding and how ProShare and MQUIP work. Members reviewed Medicaid rates, supplemental payments, intergovernmental transfers, and the role of federal matching funds. The chair and Mr. Litman concluded that OB3’s phase-down of payments above the Medicare rate likely would not directly eliminate ProShare or MQUIP in New Hampshire, but uncertainty remains about intergovernmental transfers and about how these payments would function if the state moved nursing facilities into managed care. Mr. Litman said managed care would likely require waivers for supplemental payments, and Texas was cited as an example of a state operating under such waivers. The committee also discussed dual eligibles, DNIP, PACE, and the possibility of carving out HCBS from nursing facility services. DHS said its managed care contract would allow the state to use MCOs for DNIP, with the goal of better coordination between Medicaid and Medicare, while PACE would likely require more study and might be more feasible in populated counties. Members also reviewed OB3’s new presumptive eligibility provisions and a state waiver request modeled on Washington’s approach, plus a separate grant for transitioning people from facilities back to the community. The rural health transformation fund was discussed as a possible source for workforce, telehealth, mobile integrated health, and other support investments, but not for direct construction or major building renovation. County representatives emphasized that any county role in PACE or DNIP would require significant vetting, infrastructure, capital investment, and a realistic timeline. The meeting ended with the chair saying the draft report would outline issues and possible alternatives, but not recommendations yet, and the committee adjourned without taking further action.

Transcript Highlights:

• care and bonding time.
• This bill changes comfort care to life-preserving care for any baby that is born, like what I provided
• , such as abortion care.
• We're asking them for health care advice. And when you're asking somebody for health care advice...
• Spreading the gospel is not providing pregnancy care. care.

Transcript Highlights:

• care for a more mobile society.
• Folks, if we do this, cost of care, total average cost of care and quality—cost of care goes down, quality
• care or specialty care.
• The only way you fix health care... The only way you fix health care is not by one big bill.
• now have nothing to do with health care, quality care, or patient care.

Committee: House Health and Welfare

Summary: The committee first adopted the minutes from several prior 2025 meetings, then took up HB 574 by Rep. Spell, which updates the names of two organizations on the Mental Health Advocacy Service Board of Trustees. Rep. Spell explained it as a technical cleanup bill to correct the names of the Louisiana Mental Health Association and the Louisiana State Medical Society so the board’s membership records match current organization names. With no objections, HB 574 was reported favorably. The committee then heard HB 486, also by Rep. Spell, to join the Psychology Interjurisdictional Compact (PsyPact) and allow Louisiana psychologists to provide telepsychology and temporary in-person services across state lines. Rep. Spell and PsyPact representatives said the compact would expand access to mental health care, especially in rural areas, while maintaining standards and disciplinary oversight. The committee adopted amendments on fees and the effective date, and HB 486 was reported favorably with amendments. HB 198 by Rep. Eccles proposed a Medicaid reimbursement methodology for ambulatory surgical centers, using a Medicare-based rate to improve access for Medicaid patients needing specialty procedures. Amendments were adopted to add ophthalmology-related services and to cap reimbursement at the lesser of the outpatient hospital rate or 100% of the Medicaid rate, along with a technical amendment to address the fiscal note. Supporters from GI and ASC groups said the bill would improve access and lower long-term costs, and the bill was reported favorably with amendments. The committee spent the most time on HB 182 by Rep. Travis Johnson, which would require hospitals to ensure access to sexual assault forensic exams and related training. Johnson, law enforcement witnesses, and the Attorney General’s office emphasized the need for timely evidence collection, especially in rural areas, and said the current system leaves victims traveling long distances or losing evidence. Hospital and coroner witnesses supported the goal but opposed the bill as written, arguing it could impose duties on hospitals without enough trained personnel, funding, or a workable statewide training and coordination system; they urged a statewide coordinator, mobile SANE units, and clearer implementation. The bill was not finally disposed of in the portion of the meeting provided, and members discussed continuing to work on amendments and timing before floor consideration.

Transcript Highlights:

• THE PROGRAM OF ALL BECAUSE CARE FOR THE ELDERLY.
• PACE IS ALL INCLUSIVE CARE FOR THE ELDERLY AND THE PACE ORGANIZATION PROVIDES PRIMARY CARE, SOCIAL, RESTORATIVE
• HEALTHCARE CARE, HOSPITAL CARE, AND REALLY A BROAD PACKAGE OF SERVICES.
• AND SERVICES AND DELIVER CONFERENCE OF CARE.
• IT SOUNDS LIKE YOU'RE ASKING ABOUT THE LONG TERM CARE THE STATEWIDE MANAGED CARE PROGRAM.

Keywords: 999, senate, all

Transcript Highlights:

• Upon discharge, Ryan's relationship with that care team ended with a plan for continued care by an assigned
• Upon discharge, Ryan's relationship with that care team ended with a plan for continued care by an assigned
• We have access to all the medical care.
• When they cannot, invoking the health care proxy ensures their care reflects their documented wishes,
• When they cannot, invoking the health care proxy ensures their care reflects their documented wishes.

Committee: Joint Joint Committee on the Judiciary

Keywords: 995, all

Summary: The Joint Committee on the Judiciary held a lengthy hearing on several juvenile justice and parole-related bills, with much of the testimony focused on H. 2051/S. 1087 to end lifetime parole for juveniles and emerging adults, and H. 1923 to raise the age of juvenile court jurisdiction to include 18-, 19-, and 20-year-olds. Chairs Brandy Fluker-Reid and Lydia Edwards opened the hearing by noting the large number of bills and witnesses, the need to keep testimony moving, and special procedures for incarcerated witnesses and sensitive testimony. They also acknowledged the historic nature of the hearing being chaired by two Black women attorneys. No votes were taken during the hearing itself. Many incarcerated speakers and advocates supported ending lifetime parole, arguing that young people can change, that lifetime supervision creates constant fear of technical violations, and that it undermines rehabilitation, family stability, employment, and reintegration. Several testified about their own trauma, youth, and growth in prison programs, while others emphasized the costs of decades of supervision and the racial disparities in the system. Support also came from elected officials, UTEC, the Transformational Prison Project, United Way, CPCS’s Youth Advocacy Division, the Massachusetts Coalition to Prevent Gun Violence, and others, who said juvenile systems are better suited to developmentally appropriate treatment and that the bills would improve public safety and reduce recidivism. There was also opposition, including testimony from family members of a murder victim who argued that lifetime parole should remain for serious violent crimes and that some offenders are not sufficiently rehabilitated. One virtual witness described a family tragedy involving the kidnapping and murder of her infant nephew and warned that ending lifetime parole could remove needed long-term supervision for dangerous offenders. In addition to the juvenile justice bills, the committee heard testimony on H. 1867, a bill related to continuing care for severe mental illness, and H. 2063, which would increase penalties for assaults on correction officers and other prison staff; the correction officers’ union supported H. 2063 and related safety bills. The hearing continued with many more witnesses and bill topics, but no final committee action was announced in the portion provided.

Transcript Highlights:

• Same thing for child care.
• In the 2023-2024 program year, we had approximately 6,900 child care providers caring for roughly 212,000
• It includes data on the current fiscal year rates, provider county, provider type, unit of care and care
• We saw it in child care, right?
• We saw it in child care, right?

Summary: The Pre-K through 12 Budget Subcommittee met with a quorum and focused on School Readiness, specifically the new provider reimbursement rates and the School Readiness Plus program. The chair gave an overview of how School Readiness is funded and administered, noting that the Legislature now sets county-based reimbursement rates using market and cost data, and that School Readiness Plus was created to help families who would otherwise fall off the subsidy “cliff” at 85% of state median income by extending assistance up to 100% of state median income. Panelists from the Children’s Forum, the Association of Early Learning Coalitions, and the Division of Early Learning described the programs as major workforce and family-support tools that help parents stay employed and help providers recruit and retain qualified staff. Testimony emphasized that higher reimbursement rates increase parental choice, help providers cover rising child care costs, and support better staffing and lower turnover. The panel also said School Readiness Plus is easing the pressure on families to turn down raises or promotions for fear of losing child care assistance, though uptake is still early because the program only began in late 2024 and is only available to current School Readiness families at redetermination. The Division of Early Learning reported about 275 children enrolled in School Readiness Plus as of March 10, with expenditures of about $161,420 through January 2025, and said participation is increasing. Members asked about the federal-state funding split, wait lists, reverted funds, coalition accountability, county-based rate differences, and whether the entrance eligibility threshold should be raised or shifted to state median income. The panel said roughly 70% of School Readiness funding is federal, about 4% has typically reverted in recent years, and the wait list is around 12,000 children, with reasons including income ineligibility, lack of available seats, and funding limits. They argued that raising the entrance threshold would expand access but would require additional funding, and they also discussed the need to reduce workforce barriers such as in-person testing and training requirements. The meeting ended with no formal action beyond the presentation and member discussion, and the subcommittee adjourned.

Transcript Highlights:

• . care. care.
• In Minnesota, Learning Care today.
• care.
• care? care? &gt;&gt; Chair<01:29:44.480><c> West.</c> &gt;&gt; Chair West. &gt;&gt; Chair West.
• </c> to take care of our little ones. to take care of our little ones.

Committee: House Children and Families Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• It preserves current child care slots and adds 22,770 new child care slots in 2026-27.
• got child care slots.
• Seniors wouldn't be able to pay for their care, won't care whether it be any kind of care for them.
• are taken care of.
• help to the counties to try to keep those people on health care and medical care.

Summary: The Senate convened with a quorum, approved the June 8–11, 2026 journals, and adopted floor amendments. It also referred several bills to Rules and approved motions affecting Budget and Fiscal Review Committee procedure, including second-reading treatment for budget measures and suspension of Joint Rule 62A to allow budget hearings on short notice. Both motions passed on roll call after some protest votes. The chamber then considered several appointments to the Delta Stewardship Council and the Board of State and Community Corrections. Senators discussed the Delta, water policy, and the proposed Delta Tunnel, but the confirmations of Julie Lee, Ann Patterson, and Sheriff Christopher Clark all passed. The Senate also adopted Senate Joint Resolution 17, authored by Senator Choi, honoring Republic of Korea veterans who served alongside U.S. troops in Vietnam and urging Congress and the President to clarify that states may extend burial and memorial benefits in state veterans’ cemeteries. The main floor debate centered on Assembly Bill 109, the 2026 Budget Act. Supporters highlighted a $355.9 billion budget with $253 billion General Fund spending, $36.5 billion in reserves, a reduced structural deficit, and investments in child care, Medi-Cal, hospitals, housing, IHSS, education, transit, and other services. Opponents criticized the budget as relying on future tax increases, leaving a structural deficit, and failing to do enough on affordability, public safety, Prop. 36, unemployment insurance debt, and gas prices. After extensive debate, AB 109 passed 28–9, and the Senate later approved a consent calendar of six Assembly bills. The session ended with adjournments in memory of Hajan Lee, Doris Fisher, and James Leslie Barbie, and the Senate adjourned until June 18, 2026.

Transcript Highlights:

• It preserves current child care slots and adds 22,770 new child care slots in 2026-27.
• got child care slots.
• They got 22,770 child care slots because it's so expensive to put kids in child care.
• Seniors wouldn't be able to pay for their care, won't care whether it be any kind of care for them.
• are taking care of.

Keywords: 987, senate, all

Transcript Highlights:

• Again, a willingness to redesign care models.
• Again, a willingness to redesign care models.
• We're not health care policy experts.
• We're not the health care policy experts.
• And if they are in foster care, the former foster care category, they are eligible from 18 to 26 years

Summary: The committee first heard extensive public testimony from youth and advocates urging stronger restrictions on vaping. Speakers described vaping as a youth-targeted public health problem, citing flavored products, social media marketing, nicotine addiction, brain development concerns, school disruption, and exposure to harmful aerosol. They recommended prohibiting vaping in public indoor spaces and aligning vape rules with smoke-free laws. Committee members praised the speakers and encouraged them to continue building support for future legislation. The main presentation was on Arkansas’s Rural Health Transformation Program, administered through DFA. Secretary Jim Hudson and program director Brad Andi explained that Arkansas received about $209 million in the first year under the federal program, with potential for roughly $1 billion over five years if performance is strong. They emphasized that the program is meant for long-term rural health transformation, not general operating support, debt relief, or new construction. The state’s plan centers on four initiatives: HEART for prevention and community health, PACT for access and provider collaboration, RISE for workforce development, and THRIVE for technology and telehealth. Officials said applications will be handled through upcoming notices of funding opportunity, with a focus on local, shovel-ready projects, regional collaboration, and transparency. Committee members asked how the program would work for hospitals, clinics, nonprofits, schools, faith groups, and urban providers serving rural patients. Officials said eligibility is broad if applicants can show a connection to rural health, and that targeted renovations, mobile units, school-based clinics, farm-to-school or garden projects, EMS equipment, residency expansion, and behavioral health initiatives may fit if they align with the plan. They stressed that the program cannot fund working capital, routine maintenance, or new buildings, but can support repurposing space and collaborative networks. Members also raised concerns about protecting existing rural providers from being displaced, and officials said applications would be reviewed by a state committee with technical assistance and a reimbursement-based process. The committee then reviewed and took no objection to several DHS and Health Department rules. DHS presented a Medicaid/CHIP rule implementing federal requirements for incarcerated youth, including pre- and post-release coverage, care coordination, targeted case management, and screening services, with no public comments received. The Health Department also presented a licensing rule for audiology and speech pathology that implements recent acts and changes the renewal deadline; that rule was likewise reviewed without objection. The meeting adjourned after no further business.

Transcript Highlights:

• by their moral code, they take care of people.
• In and getting care, and we're generous.
• And so they're waiting longer and longer to get care.
• We deal with the issues of how and where people get care and when they get it, like primary care or the
• system, our health care delivery, our health care providers, and we have to keep our eye on this very

Keywords: 995, all

Summary: The Senate took up a series of resolutions and bills, beginning with unanimous adoption of resolutions congratulating two Eagle Scouts. It then advanced several local and special acts, including measures on Machado-Joseph disease awareness day, the Ipswich senior tax referral program, Swampscott conservation commission appointments, protections for individuals with disabilities in MassHealth day habilitation programs, continued employment in Brookfield, Marblehead parking fines, Natick’s home rule charter, and Boston affordable housing/branch library space. The chamber also suspended Joint Rule 12 to refer several House petitions to committees. The Senate enacted House bills authorizing additional wine and malt beverage licenses in Lexington and a means-tested senior property tax exemption in Melrose. It also passed Senate Bill 2603 on affordable car rentals after adopting an amendment; supporters said the bill would reduce rental costs by changing Massachusetts’ rental car insurance rules to align with most other states. Senate Bill 1057 on fentanyl test strips was also passed to be engrossed after Senator Creem argued the bill would expand access to a low-cost overdose prevention tool and save lives. Senator Moore then spoke in support of expanding Nikki’s Law to cover MassHealth day habilitation programs, describing the bill as a needed protection for people with autism and intellectual and developmental disabilities. A major portion of the meeting focused on House 4530, a FY2025 supplemental appropriations bill providing $234 million for hospitals and community health centers. Senators discussed the Health Safety Net shortfall, rising health care costs, underinsurance, and federal reimbursement; Ways and Means explained that about $93 million was expected back in federal financial participation, making the net state cost about $140 million. The Senate also took up House 4531 on the 2026 state primary election date, rejecting an amendment before passing the bill to engrossment. The chamber later adopted emergency preambles for House 4530 and House 4531, and all three final bills—Machado-Joseph Disease Awareness Day, the supplemental budget, and the primary election date bill—were enacted and sent to the Governor. The Senate adjourned in memory of Ricardo Barbosa after a memorial statement by Senator Miranda.

Transcript Highlights:

• Welcome to the Joint Committee on Health Care Financing hearing.
• We have this public hearing of the Joint Committee on Health Care Financing.
• for our residents so that they receive the care that they need.
• and especially for direct care workers.
• and especially for direct care workers.

Committee: Joint Joint Committee on Health Care Financing

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on several health care bills focused primarily on autism services and kidney disease coverage. Committee chairs John Lawn and Cindy Friedman opened by outlining hearing procedures, testimony rules, and filing deadlines, and noted the hearing would be recorded and written testimony accepted. They said the day’s topics included affordability and access to behavioral health services, provider reimbursement, Medicare coverage for vulnerable populations, and MassHealth eligibility asset exemptions. A major portion of the hearing concerned House Bill 4623, which would add board-certified assistant behavior analysts (BCABAs) as a recognized mid-level supervisory role in the MassHealth reimbursement framework to help address long wait lists for autism spectrum disorder services. Representative Lisa Field, actuaries, clinicians, and autism service providers testified that the current two-tier model limits workforce capacity, contributes to long delays, and leaves families waiting months for care. Supporters said the bill could expand access, improve retention, and potentially reduce MassHealth costs, while also helping providers meet growing demand and new administrative requirements. The committee also heard testimony on House Bill 4425 and Senate Bill 2737, which would allow Massachusetts residents under 65 with end-stage renal disease to purchase Medigap coverage. Legislators, dialysis advocates, and patients described high out-of-pocket costs under Medicare, barriers to kidney transplant eligibility without secondary insurance, and the financial strain on patients and families. Testifiers said the change would affect about 846 residents, could modestly increase premiums, and might reduce Medicaid spending by preventing asset spend-downs. Senator Gomez and others spoke from personal experience with dialysis and transplant care. Finally, the committee heard testimony on House Bill 4353 and Senate Bill 2587, which would require regular data-driven review of MassHealth ABA reimbursement rates. Providers and association representatives argued that reimbursement has not kept pace with inflation, workforce shortages, accreditation costs, and new 2026 MassHealth policy requirements, and said the bills would improve transparency and ensure rates reflect the true cost of care. No votes were taken; the hearing concluded with the chairs thanking participants, inviting additional written testimony, and adjourning the meeting.

Transcript Highlights:

• So coordinating care for those kids is extremely important.
• Oftentimes, patients move from the hospital to an off-site clinic for further care or follow-up care
• It's not considered the normal course of care.
• It protects continuity of care. Of care where access is most fragile.
• When patients lose access to doctors, care is delayed.

Transcript Highlights:

• That can lead to fragmented care.
• Most of our recipients are receiving care through a managed care plan.
• There is no... anytime I get a complaint or a concern that someone is delayed care, not getting care,
• Most of our recipients are receiving care through a managed care plan.
• There is no... anytime I get a complaint or a concern that someone is delayed care, not getting care,

Committee: Senate Ethics and Elections

Summary: The committee met to consider a large slate of appointments, with the main discussion centered on the confirmation of Chavon Harris as Secretary of the Agency for Health Care Administration (AHCA). Harris testified about her background in state service and outlined agency priorities including Medicaid financial accountability, transparency, managed care oversight, behavioral health redesign, rural health access, workforce recruitment, and use of technology and AI. Senators questioned her extensively about the Hope Florida/Medicaid settlement controversy, opioid settlement-funded advertising campaigns tied to marijuana prevention and the 2024 Amendment 3 election, public records compliance, abortion reporting and enforcement under the Heartbeat Protection Act, managed care denials, value-based purchasing, and Medicaid funding pressures. After debate, the committee voted to recommend her confirmation, with Senator Polsky voting no. The committee then considered Anna Ortega and Robert Payne for the Florida Public Service Commission. Ortega, a current PSC commissioner and former staff advisor, discussed utility regulation, data center load issues, ratepayer protections, transparency in PSC decisions, and lessons from other states. Payne, a former legislator and longtime utility co-op employee, emphasized his technical background and the need to balance utility returns with consumer affordability. Both nominees were confirmed by unanimous or near-unanimous votes and recommended favorably to the full Senate. Next, the committee heard from Jeffrey Aaron for reappointment to the Public Employees Relations Commission. Aaron described PERC’s role in public-sector labor disputes and said his work had been upheld in appellate courts without reversal. Senators questioned him about his law firm’s state contracts, his role as chairman of Attorney General James Uthmeier’s PAC, and his connection to the Hope Florida Foundation matter; he declined to discuss the pending investigation. Public testimony included opposition from Florida Voice for the Unborn. The committee nevertheless recommended his confirmation, with several no votes. Finally, the committee approved the remaining appointees on tabs 5 through 46 in a single vote, postponing Dr. John Littell and DCF Secretary Hatch, and then adjourned.

Transcript Highlights:

• </c> care um over cost. care um over cost. &gt;&gt; Okay. &gt;&gt; Okay. &gt;&gt; Okay.
• </c> discussions about acute care. discussions about acute care.
• . care. care.
• </c> people with specialized care? people with specialized care?
• </c> tide in those needing that acute care. tide in those needing that acute care.

Committee: Joint Veterans, Military Affairs, & Public Protection

Keywords: 958, all