Transcript Highlights:

• > DCT<00:20:53.240> has<00:20:53.400> Standalone<00:20:53.960> agencies DCF
• and uh DCT has Standalone agencies DCF and uh DCT has Standalone agencies right<00:20:54.640> below
• And this would include DCF or this would include DCT in here. I'll pause.
• would include DCF or this would<01:14:28.760> include<01:14:29.440> um<01:14:29.800>
• DCF—we moved several programs over there, such as the Child Care Program.

Keywords: 1187, senate, all

Summary: The committee convened for an opening discussion of the 2025 Human Services session, with members emphasizing bipartisan collaboration, the committee’s mission to strengthen support systems for Minnesotans, and a focus on helping vulnerable people thrive. The chair and members welcomed new and returning senators and staff, including new pages and interim committee administration, and several members briefly introduced themselves and their backgrounds in public service and human services work. Members identified the main issues they expect to address this session: workforce shortages in human services professions, long-term care, program integrity, and efforts to limit waste, fraud, and abuse so funding reaches people who need it most. The chair also previewed upcoming hearings on eligibility and redeterminations for people with disabilities, MnCHOICES reassessments, assisted living and provider payment delays, and updates on direct care and treatment, noting that more detailed discussion would come in later meetings. The committee then received a budget overview from fiscal analyst Kyle Raymond. He explained the combined Health and Human Services budget area, noted jurisdiction changes tied to the creation of the Department of Children, Youth, and Families and the planned separation of Direct Care and Treatment, and said some figures may differ from the November forecast because of those shifts. He outlined the major funding sources for the budget area, including federal funds and the general fund, and said the presentation would focus on the fiscal year 2026-2027 budget the legislature will be considering.

Transcript Highlights:

• When we're looking at kids who are DCF-involved, obviously incidental contact.
• When we're looking at kids who are DCF involved, Students of color, students with disabilities, and low-income
• When we're looking at kids who are DCF-involved, they are three and a half times more likely to be disciplined
• To add to that, DCF-involved kids, even though they make up 0.6% of the child population, make up half

Keywords: 995, all

Summary: The Joint Committee on Education held a public hearing on a large slate of bills, with much of the testimony focused on school discipline and student equity. Bills discussed included measures to address inequities in suspension and expulsion, clarify school exclusion rules, reduce discipline for dress and grooming violations, and expand protections related to fair educational practices. Committee members repeatedly reminded witnesses of the two-minute limit and asked for written testimony to supplement oral remarks. A substantial portion of the hearing centered on the RAISE Act and related school discipline bills, including H. 730/S. 376 and H. 731/S. 380. Testifiers from advocacy groups, legal services, and the legislature argued that exclusionary discipline disproportionately affects Black and Latino students, students with disabilities, low-income students, and DCF-involved youth. They said current law is overly broad or unclear in areas such as “assault on educational staff,” indefinite suspensions tied to felony complaints, and definitions of weapons, leading to unnecessary removals from school. Supporters said the bills would add due process, clearer definitions, and better accountability, while one legislator testified in support of the discipline reforms and opposed several other bills on the agenda. The committee also heard testimony on H. 576/S. 368, which would prohibit suspensions and expulsions for dress and grooming violations and require clearer, non-discriminatory dress code policies. Witnesses cited research and personal stories about disproportionate enforcement against Black girls, girls of color, non-binary students, and students wearing religious attire, and said the bill would prevent physical contact used to enforce dress codes. Another major topic was H. 641/S. 349, which would add “special medical status” protections in education; supporters said it would prevent exclusion based on medical decisions or conditions, though members questioned how it would interact with existing disability law and vaccination-related school requirements. The committee also heard testimony on H. 625, which would extend the ban on corporal punishment from public to private schools, with witnesses citing research on harm and disproportionate impact. Additional testimony covered bills on accelerated learning and gifted education, with parents, educators, and advocates saying Massachusetts under-identifies advanced learners and lacks adequate acceleration pathways. A senator also testified for S. 406 on recovery high schools, saying the funding formula should be updated to better support students in recovery. No votes were taken during the hearing; the chair closed testimony on several bill groups and noted that written testimony would remain open for a week.

Transcript Highlights:

• Currently, the DCF can use these payments in lieu of what the state would provide to support the youth
• Don't know if any of you have gone to your neighborhood access centers for DCF that I encourage
• of shelter costs, probably crying documentation, although we appreciate that the bill would require DCF

Transcript Highlights:

• Currently DCF can use these payments in lieu of what the state would provide to support the youth.
• I don't know if any of you have gone to your neighborhood Access Centers for DCF, but I encourage you
• verification of shelter costs, requiring documentation, Although we appreciate that the bill would require DCF

Transcript Highlights:

• SECURED SHELTER AND NONSECURE SHELTER ARE USED BY THE DEPARTMENT OF JUVENILE JUSTICE LICENSED BY THE DCF
• AS I CHILD CARE AGENCY, REQUIRES THE COURT TO ORDER A STAFFING TAKE PLACE WITH DCF WHEN THE FINDING
• DELINQUENCY CASE MAINTAINS CURRENT STATUTORY LANGUAGE TO REFER TO THE AGENCY FOR PERSONS WITH DISABILITY OR DCF

Keywords: 999, senate, all

Transcript Highlights:

• the bill creates a program within the Florida Institute for Child Welfare, in coordination with the DCF
• According to DCF, Florida did break our own previous record with fatal child drownings last year.

Summary: The Appropriations Committee on Health and Human Services heard public comment on several health and human services funding concerns before moving through a series of bills. Testimony at the start focused on the AIDS Drug Assistance Program, with a client warning that proposed changes to eligibility and drug access could disrupt care for thousands of people living with HIV/AIDS, and urging the Legislature to intervene. Another speaker asked for support for the iBudget waiver, saying provider costs have risen and requesting about a 7% increase for direct support professionals to help stabilize the developmental disabilities workforce. The committee then unanimously reported favorably several bills. SB 428 expanded Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7, based on drowning-prevention recommendations. SB 68 required hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligned reporting dates with the House version. SB 1718 changed the definition of when an adult visitor in an out-of-home placement becomes a non-visitor, reducing repeated background checks, made the Step Into Success pilot permanent, adjusted foster youth stipends, and created a best-practices program within the Florida Institute for Child Welfare. The committee also approved SB 606, which adds drowning-prevention and safe-bathing education to postpartum materials provided to new parents and requires hospitals and birthing centers to document compliance; members highlighted bathtub drownings as a key concern. SB 96 expanded eligibility for the Veterans Dental Care Grant Program to veterans up to 400% of the federal poverty level, while an amendment removed the bill’s specific appropriation so funding can be handled in the budget process. SB 340 required nursing students to complete a two-hour human trafficking course before taking the NCLEX. SB 1480 created a grandfathering process for certain health care providers in federally designated areas of critical need if an area is de-designated, to avoid disrupting patient-provider relationships. All bills were reported favorably, and the committee adjourned at the end of the agenda.

Transcript Highlights:

• the bill creates a program within the Florida Institute for Child Welfare, in coordination with the DCF
• According to DCF, Florida did break our own previous record with fatal child drownings last year.

Bills: S0068, S0096, S0340, S0428, S0606, S1480, S7018

Keywords: pediatric care, emergency departments, hospital regulations, patient safety, health care standards, veterans, dental care, healthcare, grant program, income assistance, human trafficking, nurse licensure, registered nurse, RN, licensed practical nurse, LPN, Florida Board of Nursing, Department of Health, licensure by examination, nursing education

Summary: The Appropriations Committee on Health and Human Services heard public comment first on the AIDS Drug Assistance Program and the iBudget waiver. Testimony on the HIV program warned that proposed Department of Health changes could disrupt care for thousands of clients, create confusion, and force people off life-saving medications; a senator suggested affected clients explore medically needy and FQHC/340B options. Testimony on iBudget urged support for a roughly 7% rate adjustment for direct support professionals, citing rising costs and the need to sustain the developmental disabilities workforce. The committee then considered several bills. SB 428 expanded Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7 and was reported favorably. SB 68 required hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligning reporting dates with the House was adopted, and the bill was reported favorably. SB 1718 lengthened the time an adult may stay in an out-of-home placement before being treated as a visitor, reduced background screening burdens for foster families, made the Step Into Success program permanent, and created a best-practices program; it was also reported favorably. The committee next approved SB 606, which adds drowning-prevention and safe-bathing education to postpartum materials and requires related compliance records, and SB 96, which expands the Veterans Dental Care Grant Program to veterans up to 400% of the federal poverty level; an amendment removed the bill’s specific $500,000 appropriation so funding can be handled in the budget process. SB 340 required nursing education to include a two-hour human trafficking course before licensure, and SB 1480 created a grandfathering process for certain area-of-critical-need health care providers if federal designations change, both of which were reported favorably. The committee adjourned after all bills passed their roll calls.

Transcript Highlights:

• DCF currently allows BIP providers to include supplemental faith-based activities. ...while in the program
• DCF currently allows BIP providers to include supplemental faith-based activities, but the faith-based
• We will be submitting that to Florida DCF in the certification process.

Summary: The committee heard and advanced several bills. SB 624, by Senator Yarborough, would allow batterers intervention programs to offer optional supplemental faith-based activities, with no participant required to take part; supporters said it would expand provider options amid a shortage of certified programs, while opponents raised concerns about government speech and mixing religion with court-ordered programming. After debate, the bill was reported favorably 7-2. The committee also considered CS/SB 834, which repeals a 2022 restriction preventing licensed insurance agents from marketing or selling health care sharing ministries; supporters framed it as restoring choice and free speech, while opponents warned about consumer confusion, commissions, and lack of insurance protections. It was reported favorably 8-2. The committee next approved CS/SB 502, via a strike-all amendment, to give Florida concurrent jurisdiction over certain juvenile offenses on military installations so juveniles can be handled in state juvenile court rather than federal court; the amendment and bill both passed unanimously. CS/SB 52 also passed unanimously after testimony from church leaders and security personnel supporting an exemption from Class D/G licensing for unpaid armed security volunteers at places of worship. Supporters said the bill would clarify legal gray areas and help churches afford security, while members noted the broader concern that houses of worship need armed protection at all. Finally, the committee reported favorably SB 840, which revises last year’s emergency/local planning law by narrowing its application after storms from 100 miles to 50 miles of the storm track and exempting certain water, flood, and state/federal planning matters; local government representatives supported the clarification, and the bill passed 9-0. CS/SB 758, as amended, updated the membership of the Justice Administration Commission to better reflect the entities it oversees, and it also passed 9-0. The meeting ended with a recorded affirmative vote from Senator DeSigley on SB 624.

Transcript Highlights:

• Republic's I've dedicated, rolled, designated qualified hospitals or other providers designated by DCF
• And typically eligibility will last for 60 days or until a full eligibility determinations made by DCF
• The DCF is the core program where we were working on the coordinated opioid response efforts and part

Keywords: 999, senate, all

Transcript Highlights:

• This is a settled claim with DCF, which the department has agreed not to oppose, to award $3.8 million
• While Layla was still in the hospital, DCF learned the mother had an extensive criminal history, including
• Despite this overwhelming evidence that the child was unsafe, DCF closed this investigation and returned
• Under the consent judgment, DCF has paid the statutory sovereign immunity limits, and the remaining $3.8
• I want to let you know that I have experience dealing with DCF and with child protective investigations

Summary: The Senate convened with prayer, the Pledge of Allegiance, and a brief introduction of the doctor of the day before moving to the special order calendar. The chamber first took up several claims bills, including SB 6/HB 6507 for relief of L.E. through the Department of Children and Families, which was described as compensation for severe injuries after DCF returned the child to unsafe parents; the House bill was substituted and passed 34-0. SB 26 for the estate of Mark Legata, involving catastrophic injuries tied to FDOT negligence, was also substituted with the House version and passed 35-0. SB 42/HB 47 on specific medical diagnoses and child protective investigations passed 34-0 after supporters said it would require child protection teams to consider certain medical conditions that can mimic abuse. Later, SB 1002 on child welfare passed 37-0 after sponsors said it clarifies that parental drug abuse can constitute harm or neglect and allow earlier court intervention and services, while not changing parental rights law. The Senate then considered education and health-related measures. SB 206/HB 851 on students with autism spectrum disorder was amended to the House bill and passed 35-0; the sponsor said it expands teacher preparation, requires autism-related training, creates a loan forgiveness program, and adds salary supplements for teachers with autism endorsements. SB 556/HB 453 on high school diploma requirements passed 36-0 and would allow students with disabilities to use Special Olympics participation to satisfy PE requirements, while also fixing a marching band credit issue. SB 688 on naturopathic medicine passed 33-3, reestablishing licensure and regulation of naturopathic doctors. SB 878/HB 1347 on clinical laboratory personnel passed 37-0 to address staffing shortages by aligning Florida more closely with federal CLIA standards. SB 914/HB 867 on dry needling by occupational therapists passed 37-0, clarifying authority for that treatment. SB 530 on state lotteries passed 36-0 with updates to operations, security, and retailer rules. SB 964/HB 6011 on financial disclosures and gifts/honoraria passed 36-0 after an amendment restored a percentage-based reporting option. The chamber also approved several government-administration and public-records measures. SB 326/HB 131 on curators of estates passed 36-0, updating probate rules for temporary court-appointed curators. SB 758/HB 625 on the Justice Administrative Commission passed 37-0 after an amendment broadened the judicial member to a judge or senior judge rather than only a circuit judge. SB 830 on public records passed 31-5, creating exemptions for the personal information of county and city managers and certain family members. The Senate also passed SB 21/HB 218 on land use regulations, which preserves hurricane-recovery restrictions in affected counties while lifting them later for unaffected counties, and the sponsor thanked colleagues for helping address unintended consequences from prior law. SB 354 on Blue Ribbon Projects was debated extensively over concerns about local control, conservation protections, and vague standards; after a late amendment excluding data centers from commercial areas, the bill was temporarily postponed rather than passed. Finally, SB 1632/HB 1471 on ideologies inconsistent with American principles and domestic terrorist designations drew significant debate over references to Sharia law, religious freedom, notice, and due process; one amendment striking Sharia references failed, and a second amendment with broader revisions was under discussion when the transcript ended.

Transcript Highlights:

• This recommendation includes two FTE in the DCF compliance office to enhance the agency's internal process
• > FTE<00:20:00.799> in<00:20:01.039> the<00:20:01.679> uh<00:20:01.799> DCF
• includes two FTE in the uh DCF includes two FTE in the uh DCF compliance<00:20:03.159> office
• <00:20:23.240> meets<00:20:23.520> its findings and ensure that DCF meets its findings
• and ensure that DCF meets its statutory<00:20:24.520> obligations<00:20:25.520> to<00:

Bills: HF1470, HF1310, HF1837

Keywords: opioids, substance use, addiction recovery, mental health, state cabinet, HF1310, Office of Cannabis Management, cannabis, marijuana, tribal consultation, government-to-government relationship, Minnesota tribes, Tribal governments, state government, consultation, rulemaking, Indian affairs, cannabis regulation, tribal sovereignty, state-tribal relations

Transcript Highlights:

• across the state, and we believe that kids going through active investigations with law enforcement and DCFS
• For the past three years, we have worked in close partnership with DCFS to vastly expand domestic violence
• For the past three years, we have worked in close partnership with DCFS to vastly expand domestic violence
• maintain all domestic violence funding that is currently in House Bill 1, which is in the base of DCFS
• It's in House Bill 1, in DCFS base funding. Okay.

Keywords: 974, senate, all

Transcript Highlights:

• this uh particular bill, House File 1112, would um establish a regional food bank grant program with DCF
• For the record, Nick Dem with DCF.
• the committee for the record Nick<00:24:44.679> Dem<00:24:44.919> with<00:24:45.120> DCF
• <00:24:46.120> representative Nick Dem with DCF representative Nick Dem with DCF representative

Keywords: 1183, house

Transcript Highlights:

• investigation of a crime committed against the minor child; if the child is in an out-of-home placement by DCF
• In addition, the police department called DCF to perform a wellness check on the child and verify the
• The DCF child protection investigator failed to conduct a home visit to the standards and administrative
• codes of DCF.
• Within hours after DCF left, L.P.'s mother attempted to kill her child.

Summary: The Judiciary Committee heard Senate Bill 1272 on guardianship, which would limit a guardian’s ability to isolate an adult ward from family and require notice of major events such as a ward’s death or relocation to a more restrictive setting. Senator Jones and supportive speakers said the bill was intended to protect wards from abuse and isolation by bad actors, while still preserving good-faith guardianship. With no opposition testimony or debate, the committee voted 8-0 to report the bill favorably. The committee then considered CS for Senate Bill 1284, which would expand Florida’s Wrongful Death Act to allow civil claims for the death of an unborn child. An amendment was adopted to define “unborn child” as a member of the species Homo sapiens carried in the womb and to state that the act does not authorize claims against the mother or against health care providers acting within the lawful standard of care. The bill drew extensive debate and testimony. Supporters argued it would give parents parity and fuller damages, including economic losses and mental anguish, when negligence causes the death of an unborn child. Opponents, including the ACLU, medical professionals, and reproductive rights advocates, warned it could be used to target abortion care, increase malpractice exposure, worsen physician shortages, and create speculative damages. The committee approved the bill 6-4. Finally, the committee took up Senate Bill 1288 on parental rights, with a strike-all amendment that would strengthen parental control over minors’ medical decisions, surveys, and biofeedback devices, while adding exceptions for emergencies, court orders, certain legal statuses, and situations involving abuse or out-of-home placement. Supporters said the measure restores parents as primary decision-makers and protects children from inappropriate questioning or treatment without consent. Opponents argued it could block minors from confidential care for STIs, mental health, or abuse-related issues, and could chill school and medical screenings. The transcript ends during testimony and debate on this bill, before any final vote is shown.

Transcript Highlights:

• DCF currently allows BIP providers to include supplemental faith-based activities. ...while in the program
• DCF currently allows BIP providers to include supplemental faith-based activities, but the faith-based
• We will be submitting that to Florida DCF in the certification process.

Bills: S0052, S0502, S0624, S0758, S0834, S0840

Keywords: places of worship, house of worship, church, mosque, synagogue, religious security, armed security, volunteer security, private security, security guard licensing, licensure exemption, Florida Statutes chapter 493, Class G license, Class C license, security services, faith-based institutions, public safety, military jurisdiction, delinquency, concurrent jurisdiction

Summary: The committee considered several bills and reported each favorably. SB 624, by Senator Yarborough, would allow batterers intervention programs to offer optional supplemental faith-based activities, with no participant required to take part. Supporters said it would expand provider options and help address a shortage of certified programs; opponents raised concerns about mixing government-ordered programming with religion and about the state’s prior rule change. The bill passed 7-2. The committee also approved CS/SB 834, which repeals a 2022 restriction barring licensed insurance agents from partnering with health care sharing ministries to market or sell their programs. The sponsor and supporters argued the bill restores free speech, consumer choice, and access to faith-based alternatives, while opponents warned about consumer confusion, higher commissions, and weak protections because these ministries are not insurance. After extended debate, the measure passed 8-2. Other measures advanced unanimously or near-unanimously. CS/SB 502, as amended, would give Florida concurrent jurisdiction over certain juvenile offenses on military installations so juveniles can be handled in the state system; it passed 9-0. CS/SB 52 would exempt volunteer armed security for houses of worship from Class D or G licensing requirements, and supporters cited rising threats to churches and the need for organized volunteer security; it passed 9-0. SB 840, a cleanup bill to narrow and clarify last year’s emergency-related land-use restrictions after hurricanes, also passed 9-0, and CS/SB 758, which updates the membership of the Justice Administration Commission, passed 9-0 after an amendment restoring two public defenders to the commission.

Transcript Highlights:

• for the purpose of sharing with some different research center or with the Department of Education or DCF
• And I also worked in the child welfare industry for years with DCF and also privately with abuse children
• It was reported to DCF many times.

Keywords: 999, senate, all

Transcript Highlights:

• departments, RIPICS, Medicaid-enrolled designated qualified hospitals, or other providers designated by DCF
• Typically, eligibility will last for 60 days or until a full eligibility determination is made by DCF
• The DCF is the core program where we were working on the coordinated opioid response efforts, and part

Summary: The Senate Health Policy Committee met to discuss maternal and infant health, beginning with a presentation from New Jersey’s Maternal and Infant Health Innovation Authority (MiHA). Pamela Taylor described New Jersey’s statewide effort to reduce maternal mortality and racial disparities through the Nurture New Jersey campaign, a strategic plan with more than 80 recommendations, universal home visiting, Medicaid-covered doula care, hospital report cards, limits on non-medically indicated early elective C-sections, and a new maternal and infant health innovation center. Senators asked about doula certification, funding, home visiting, and how New Jersey coordinates across agencies; Taylor said the authority uses quarterly stakeholder meetings, annual summits, and a tracker for recommendations, and that community input helped shape its programs. Florida Agency for Health Care Administration Deputy Secretary Brian Meyer then outlined Florida Medicaid’s maternal coverage and managed care structure. He reviewed eligibility and services for pregnant women, labor and delivery, postpartum coverage, newborn coverage, and family planning, noting 12 months of postpartum coverage, expanded benefits in managed care plans, and new contracts launching February 1 with more maternal-health-focused benefits, quality measures, and a new quality withhold incentive structure. Senators questioned doula certification and duplication with Healthy Start, provider access and network adequacy, kick payments, quality reporting, and whether Florida should consider broader eligibility standards; Meyer said many details are still plan-driven, that quality metrics are public, and that the agency is working on maternal-health work groups and incentives. Department of Health Division Director Shea Holloway followed with an overview of Florida’s maternal and child health programs and data. She cited Florida CHARTS data showing pregnancy-related deaths, severe maternal morbidity, and infant mortality trends, and described the Title V block grant, the Maternal Mortality Review Committee, the Florida Perinatal Quality Collaborative, the electronic prenatal risk screen, Healthy Babies, BH Impact for perinatal mental health, Healthy Start, WIC, family planning, telehealth maternity care, and the Pregnancy Care Network. Senators asked about delays in mortality review reporting, preterm birth, substance use disorder in pregnancy, WIC participation, cesarean rates, and the impact of the abortion ban; Holloway said the department is continuing to monitor outcomes, expand screening and telehealth, and use data and hospital partnerships to improve care. The committee then adjourned without further business.

Transcript Highlights:

• I will now call on Attorney Susan Larabby and Marie Nunan, both from DCF.
• And that is the predicate for the right to counsel was this small population of children who DCF and
• smaller population of children who DCF smaller population of children who DCF and<01:45:25.679><
• In February of 2023, five years into our retirement, DCF placed our three youngest grandchildren with
• Once that happens, DCF won't be able to pay for child care.

Keywords: 1189, house, all

Transcript Highlights:

• record, we were notified in September of 2022 that a newly enacted Kevin Trinka: administrative code by DCF
• content has shown high success rates despite low recidivism success rates and there's no reason why DCF

Transcript Highlights:

• Specifically, at DCF, we are proposing an increase in the average daily reimbursement for DCF foster
• parents, and we are maintaining... ...reimbursement for DCF foster parents.
• engagement training, which has had tremendous success with DESE since 2024 and is projected to expand to DCF
• We would be able to boister To DCF in late 2026, we would be able to bolster the Commission's GSA Student
• youth who are aging out of the child welfare system, providing clear policy recommendations to assist DCF

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs. EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle. MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.