Transcript Highlights:

• We know that not only is that part of the education day, but it's also part of child care for so many
• Beyond direct care, we manage Child Care Circuit, one of the state's regional child care resource and
• As we move forward, we are doing this work at a time when the need for high-quality, full-day child care
• Your child is two days with the aunt, two days with the neighbor.
• Your child is two days with the aunt, two days, the neighbor.

Committee: Joint Joint Committee on Ways and Means

Keywords: 995, all

Summary: The hearing was a Joint Committee on Ways and Means budget session held in Lawrence focused on the governor’s proposed FY27 education and local aid budget, with remarks from legislative co-chairs, local officials, and education agency leaders. Acting Mayor Giovanni Rodriguez and Superintendent Ralph Carrero emphasized Lawrence’s high-need student population, the importance of Chapter 70 and Student Opportunity Act funding, and the impact of state aid on schools serving many English learners and low-income families. Carrero highlighted Lawrence High School programs such as early college, dual degrees, career pathways, and early childhood classrooms embedded in the high school, while lawmakers introduced themselves and noted the importance of the hearing to their districts. Acting Secretary of Education Amy Kershaw, Commissioner of Higher Education Noi Ortega, Commissioner of Elementary and Secondary Education Pedro Martinez, and Commissioner of Early Education and Care Amy Kershaw outlined the administration’s FY27 priorities. They described investments in literacy initiatives, universal school meals, student mental health, early college and career pathways, higher education affordability, community college and university student-success supports, preschool expansion, child care subsidies, and workforce supports for early educators. The commissioners also discussed federal funding threats, equity gaps, and the administration’s efforts to improve outcomes for Black and brown students, multilingual learners, students with disabilities, and low-income students. Members questioned the panel about the local contribution formula study, the final year of Student Opportunity Act implementation, and the need to revisit Chapter 70 funding to better address rising costs such as special education, transportation, and health care. Officials said the local contribution study report is expected by the end of June, with a draft to be shared after data analysis and public comment. Commissioner Martinez said the Student Opportunity Act narrowed funding gaps but more work is needed, and he pointed to a proposed Accelerating Achievement Initiative to support the highest-need schools. Senator Oliveira also raised concerns about Chapter 70 disparities and asked about partnerships with libraries to support literacy, prompting discussion of broader early literacy collaboration.

Transcript Highlights:

• Together, the changes would prevent health care plans and providers from denying care or coverage to
• They happen every single day.
• I mean, I agree that 30 days is likely to put these medical care providers in a fair number of cases
• Word of the day, I'm a tweener.
• Word of the day, I'm a tweener.

Committee: Senate Judiciary

Keywords: 987, senate, all

Transcript Highlights:

• The original bill, CS for HB 743, is health care practitioner to health care practitioner.”
• It punishes professionals who care and educate them.
• And the fact that, you know, gender-affirming care is care that's centered on treating dysphoria, improving
• Care, you are recognized. Thank you. Good morning.
• I was suspended for three days without pay.

Summary: The Judiciary Committee heard and voted on a series of bills covering child abuse reporting, firearms products liability, crime victim records, guardianship eligibility, historic monuments, animal welfare, juvenile justice, and restrictions on sex reassignment care for minors. HB 373, on the statute of limitations for violations involving required child abuse reports, passed unanimously. HB 1551, as amended, clarified that a firearm is not defective merely because it lacks optional safety features and preserved design-defect claims and nonretroactivity; after substantial testimony and debate, it passed 13-5. CS/HB 1113, expanding public-records protections for crime victims and briefly exempting law enforcement victims, passed unanimously. CS/HB 737, allowing courts more discretion in appointing guardians with prior felony convictions and adding a narrow exception for certain older convictions, also passed unanimously as amended.

Transcript Highlights:

• I do care.
• I do care. But I also care in at all. I do care.
• It's 90 days almost. Well, be about 75 days. We're talking less than $2 a day.
• </c> days. We're talking less than $2 a day. days.
• Kids every single day.

Keywords: 916, all

Transcript Highlights:

• </c> continuous care, the delivery of care. continuous care, the delivery of care.
• </c> permanent care. permanent care.
• But if we have something that's gone 90 days, 120 days, 180 days without any verification to the department
• ><c> without</c> gone 90 days, 120 days, 180 days without gone 90 days, 120 days, 180 days without any
• </c> 60 days in advance. 60 days in advance.

Keywords: 1189, house, all

Summary: The committee first handled routine business, approving the minutes and consent calendar, then moved to the regular calendar of administrative rules. Department of Energy rule 25-220 was postponed until June at the sponsor’s request so stakeholders would have more time to review revised language. Several Department of Health and Human Services Medicaid-related rules were then considered, including 25-240, 25-265, and 26-33, each of which drew staff comments mainly about expired rule provisions and the agencies’ reliance on federal law, the Medicaid state plan, or other manuals. The committee approved those rules after brief questions, with the agencies stating they were already operating under the relevant federal or state-plan authority and, in one case, that rulemaking was underway to update an expired citation. The most extended discussion was on HHS Bureau of Aging rule 25-304, which had an amended conditional approval request. Staff explained the amendments clarified how case management agencies accept or deny cases, how telehealth participation is evaluated, and that the department sets the timing for accepting or denying cases under its existing authority. Staff also noted a separate issue about whether reimbursement rates must be in rule, but said the agency had long interpreted the statute to allow its approach and that any change would likely require legislation rather than committee objection. A provider representative testified against parts of the rule, arguing the case management agencies should not be required to accept referrals before contacting the participant, that telehealth decisions for other providers should remain with those providers, and that the quality-management section was duplicative and burdensome. Committee members questioned whether the telehealth language merely allowed case managers to say a service fit the client’s plan or instead gave them authority over another provider’s delivery method. The agency responded that case managers may determine what services an individual needs, but should not control how another licensed provider delivers those services. The discussion continued with no final action shown in the excerpt.

Transcript Highlights:

• As diversion coordinators, we see these stories day to day unfolding before us.
• As diversion coordinators, we see these stories day to day unfolding before us.
• So you have days of lost instruction alone just from the two-day suspension, the five-day suspension,
• the three-day suspension, the ten-day suspension, repeatedly over and over and over again.
• So you have days of lost instruction alone just from the two-day suspension, the five-day suspension,

Committee: Senate Senate Committee on Juvenile and Emerging Adult Justice

Keywords: 995, all

Summary: The Senate Committee on Juvenile and Emerging Adult Justice held an informational hearing focused on diversion programs and services for high-risk youth, with no bills before the committee and no votes taken. The chair and members emphasized that the session was intended to hear from invited testimony and discuss how to strengthen diversion, reduce court involvement, and improve outcomes for youth. The committee heard first from the Office of the Child Advocate and diversion providers, who described the Massachusetts Youth Diversion Program, its statewide expansion to 10 of 11 court counties, and its reported success rate of about 80% completion without reoffending. Testimony highlighted that diversion keeps youth out of court, connects them more quickly to community-based services, and can address needs such as mental health, education, and substance use. Witnesses also pointed to racial and ethnic disparities in arrests versus summonses, regional variation in diversion access, and the need for clearer statutory authority, more funding, and broader use of pre-arrest diversion. Committee members asked about the difference between arrest and summons, who can initiate diversion, why arrest rates have increased relative to summonses, and how diversion might prevent harmful downstream consequences such as detention or immigration enforcement involvement. Witnesses said police, clerk magistrates, district attorneys, and judges can refer youth to diversion, and argued that local policy, training, and legislative changes could expand use. They also discussed the impact of detention on youth, including stigma, lost school time, and the lack of credit for time served in the juvenile system. Testimony from Citizens for Juvenile Justice focused on prevention, school discipline, and the school-to-prison pipeline, arguing for more restorative practices, better data, and legislation to limit suspensions and expulsions, especially for younger students and nonviolent conduct. They also raised concerns about DCF-involved and foster youth, who are disproportionately represented in the juvenile system. The final panel, the Children's League of Massachusetts and transition-age youth providers, shifted to child welfare and young adult supports. They supported reducing court involvement in child requiring assistance cases, expanding family resource centers, and strengthening services for transition-age youth leaving DCF or DYS custody. Providers described housing instability, homelessness, and the need for education, employment, behavioral health, and supportive housing services for young adults ages 18 to 23. Across the hearing, witnesses consistently argued that early intervention, community-based supports, and diversion are more effective than court processing or detention for most youth, and that the legislature can help through funding, statutory clarity, expanded eligibility, and stronger data collection.

Transcript Highlights:

• </c> living and caring for their loved ones. living and caring for their loved ones.
• </c> ensuring their loved ones are cared for. ensuring their loved ones are cared for.
• Because we are faced every day.
• So on day 365, the following next day they go into a waiver slot.
• </c> the level of care. the level of care.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.

Transcript Highlights:

• access to fresh, affordable, healthy food, people are not healthy, and they cannot contend with the very day-to-day
• When I was transitioning out of care, I was worried about day-to-day self-care.
• When I was transitioning out of care, I was worried about day-to-day self-care, access to nutritious
• life skills such as opening a bank account, managing savings, and learning taxes and budgeting for day-to-day
• Every day, our members work alongside children, youth, and families experiencing poverty, Every day,

Bills: H5085 , H5286

Committee: Joint Joint Committee on Children, Families and Persons with Disabilities

Keywords: poverty alleviation, family support, economic mobility, youth transition, financial education, matched savings, community programs, Department of Children and Families, DCF, child abuse investigation, child neglect, pediatrician, advanced practice registered nurse, medical misdiagnosis, rickets, Ehlers-Danlos syndrome, osteogenesis imperfecta, vitamin D deficiency, bone fragility, child welfare

Summary: The Joint Committee on Children, Families, and Persons with Disabilities held a hybrid hearing on miscellaneous bills, including H. 5286, which would require DCF to consult a medical professional when a parent presents evidence of a pre-existing diagnosis that could explain symptoms mistaken for abuse or neglect. Representative Brian Mario said the bill would give DCF another tool in difficult cases. Jennifer Fernandes testified about her family’s experience with her grandson being removed after doctors initially suspected a skull fracture that later proved unfounded, saying the bill could help prevent similar outcomes. Committee members expressed sympathy and indicated interest in further discussion. The committee then heard extensive testimony on H. 5085/S. 3095, the omnibus “An Act Significantly Alleviating Poverty.” Supporters described the bill as a comprehensive anti-poverty package built from the Poverty Commission’s work, combining higher cash assistance grants, matched savings, baby bonds, a guaranteed stipend for youth aging out of foster care, expanded tax credits, language access, clean slate record sealing, and worker protections. Senator Eldridge, Senator Miranda, Representative Decker, and many advocates argued that poverty is tied to housing instability, child welfare involvement, health harms, and racial and gender inequities, and that the bill would help families meet basic needs, build wealth, and reduce the benefits cliff. Witnesses from social service, legal aid, labor, immigrant advocacy, and public health groups strongly supported the bill’s provisions. Several focused on specific sections: child support pass-through and a broader good-cause exception for TAFDC recipients; extending the state EITC to ITIN filers; creating baby bonds and matched savings programs; automating criminal record sealing; improving language access at state agencies; and ending the subminimum wage for farm workers. Former foster youth and service providers said the guaranteed stipend would help young adults avoid homelessness and transition more safely into adulthood. No votes were taken during the hearing, and the chairs repeatedly noted the limited time and encouraged written testimony and follow-up conversations.

Transcript Highlights:

• Today is National Health Care Fraud Takedown Day. It's a coordinated...
• It is National Health Care Fraud Takedown Day.
• Again, today on National Health Care Fraud Takedown Day, we are announcing filing criminal charges in
• Day in and day out, they're doing work to protect vulnerable patients, recover stolen funds, safeguard
• I don't care whether you're a Republican or Democrat.

Summary: Oregon Attorney General Dan Rayfield held a press event marking National Health Care Fraud Takedown Day to highlight the state’s Medicaid fraud enforcement work and announce four new criminal filings. He said the Oregon Department of Justice’s Medicaid Fraud Unit, which includes investigators, auditors, attorneys, data analysts, and a nurse investigator, has secured hundreds of convictions and settlements since 2010 and recently received additional staffing from the legislature. He framed the work as bipartisan and aimed at protecting vulnerable Oregonians, recovering taxpayer dollars, and deterring fraud. The announced cases involved alleged provider or vendor fraud rather than Medicaid recipients: Ed Morgan of Beaverton was charged in connection with housing assistance funds tied to a health-related social needs program; Linda Thomas and her company, Gateway of Willamette Valley, were charged with billing Medicaid for day support services not provided; and Amanda Thorne, a former Lane County employee, was charged with using a government credit card for personal purchases. Rayfield also noted recent progress in other cases, including a nurse who pleaded no contest to false billing and theft and was sentenced to jail, probation, and restitution, and a medical transportation company owner recently charged with billing for services not provided. In response to questions, Rayfield said Oregon staff attended a federal meeting on Medicaid fraud despite late notice and political tensions, emphasizing that fraud enforcement should remain bipartisan. He said the federal landscape is complicated by cuts to enforcement staff even as there is talk of increased enforcement, and that states have had to step up. He also said Oregon’s managed care system has not been a major barrier to investigations, which typically begin with complaints and are developed with partner agencies. No votes or formal legislative actions were taken at the event.

Transcript Highlights:

• It even potentially gets at access to care: not saying that I need care, but if I did, would I have concerns
• We are integrating education, behavioral health, and health care into one coordinated system of care
• Students are happy to walk into those days.
• And we will connect them to care.
• I care about all of them and want to make sure that they have access to the supports and care that they

Keywords: 988, house, all

Transcript Highlights:

• A couple of days later, she goes, highlight of my day. Thanks for visiting.
• And I miss him every single day.” “He did leave me Tucker to care for and cherish.
• And each day she's here with me every day that I'm here.
• care.
• So one day I had a real rough day.

Keywords: 998, house, all

Transcript Highlights:

• And so, because, as you know, it's been a long day.
• Or associations of health care practitioners.
• But they're coming every day.
• That's what Kit Carson has during the day.
• Every day, I look at the Sandia.

Summary: The committee first took up the proposed 2026 tax package, Senate Bill 151, and adopted a committee substitute after discussion of the package’s funding capacity and included measures. The substitute bundled five bills: a physician tax credit, a quantum facility infrastructure tax credit, a construction materials gross receipts deduction for affordable multifamily housing, a local journalist employment tax credit, and a health equipment gross receipts deduction. Members discussed amendments that raised the physician credit from $4,000 to $10,000, narrowed the housing deduction to project-based certification, and reduced the journalist credit threshold from four stories to three. Concerns were raised about the fiscal impact on municipalities, especially Albuquerque, and about the funding mechanism, but the committee voted 6-4 to give the substitute a do pass recommendation. Senator Sanchez explained his vote, saying he wished more could have been included in the package. The committee then heard Senate Bill 18, the Clear Horizons Act, which would codify statewide greenhouse gas reduction targets and direct the Environment Department and Environmental Improvement Board to develop plans and rules for emissions reductions. The sponsors said the bill builds on the governor’s 2019 executive order, includes a 10,000-metric-ton threshold for covered emitters, allows certified offsets, and is intended to protect public health, reduce climate-related costs, and provide regulatory certainty. Supporters argued the bill would help communities facing wildfire, drought, health harms, and rising insurance and utility costs, and that it would encourage clean-energy investment and long-term economic stability. Opposition testimony came from mining, oil and gas, rural electric cooperatives, construction, agriculture, auto dealers, chambers of commerce, banks, water recycling companies, and realtors. They argued the bill functions like a carbon tax or broad regulatory mandate, would raise energy and compliance costs, could reduce investment and jobs, and would disproportionately affect rural, tribal, agricultural, and low-income communities. Several witnesses warned of higher electricity and fuel bills, revenue losses for local governments, and uncertainty from delegating major policy decisions to rulemaking. Supporters included public health advocates, educators, local officials, clean-energy businesses, tribal and environmental advocates, and residents affected by wildfire and drought, who said the bill is necessary to address climate harms and protect public health and the economy. No final committee vote on SB 18 was reached in the portion provided.

Transcript Highlights:

• We're hearing it every day.
• to day.
• to day.
• , and our health care, and more.
• Care is essential.

Bills: HB2334 , HB2140 , HB2326 , HB2100

Committee: House Finance

Keywords: cash transactions, pennies, currency adjustment, economic impact, consumer protection, tax exemption, governmental transfer, agriculture, land use, property tax, emergency medical services, levies, healthcare funding, local government, taxation, excise tax, large companies, payroll expenses, minimum wage, Well Washington fund

Transcript Highlights:

• I am concerned that we are 200—and I don't have my glasses on—96 days away from the day, from the day
• , from the day, from the day away from the date of this hearing where these requirements go into place
• recently at the Sacramento County offices speaking to eligibility workers, sort of learning about their day-to-day
• Counties are required to provide health care to individuals, but it is subsistence-level care.
• So have a great day. Thank you.

Keywords: 988, house, all

Transcript Highlights:

• We continue to work every day.
• </c> okay February 17th yeah President's Day okay February 17th yeah President's Day all<01:21:14.080
• care after care that of psychological care after care that type<02:03:40.239><c> of</c><02:03:40.400>
• </c> suicide as care that is not medical care suicide as care that is not medical care that<04:38:47.520
• and hospice care.

Keywords: 928, house, all

Summary: The committee first heard House Bill 199, which would extend the statute of limitations for civil actions seeking damages from PFAS contamination from six years to 20 years. The prime sponsor and other supporters argued that PFAS contamination in southern New Hampshire has long-term and often delayed health and property impacts, making the current six-year period too short for victims to discover harm, connect it to exposure, and seek relief. Supporters described contamination in places such as Merrimack and surrounding communities, cited health concerns including cancer, developmental issues, and other illnesses, and said a longer period would better preserve legal rights while still requiring proof of causation. The Department of Environmental Services said it was not taking a position but acknowledged the contamination and ongoing work to address it. The Business and Industry Association opposed the bill, arguing that evidence becomes stale over time, memories and documents fade, and a longer window would make it harder to determine causation when other exposures or intervening factors may be involved. Committee members questioned both sides about causation, the difficulty of proving PFAS-related illness, and whether a 20-year period was necessary if a plaintiff already knows of the injury and its source. Supporters responded that PFAS effects can emerge slowly, that scientific understanding continues to develop, and that current knowledge is still incomplete. Opponents said the existing discovery rule already starts the clock when harm and causal connection are known, and that extending the period would reduce clarity and fairness in litigation. After testimony and questions, the chair closed the hearing on HB 199. The committee then opened House Bill 268 FN, which was described as a technical measure to confirm that the Board of Tax and Land Appeals may hold hearings in its Concord hearing rooms. The sponsor indicated the bill reflects current practice and does not require additional facilities. With only one witness listed and no apparent opposition, the discussion was brief and focused on why the authorization should be placed in statute rather than left to practice.

Transcript Highlights:

• And then there's various kinds of, whether the primary care or acute care, delineations between that.
• And then there's various kinds of, whether the primary care or acute care, delineations between that.
• Without the clarity of care, care would be delayed or services may not be offered at all.
• or 12 visits or 45 days...
• For that direct access, past that 12 days or 12 visits or 45 days, the patient would have to have an

Keywords: 988, house, all

Transcript Highlights:

• It's urgent care urgently needed to make sure care is appropriate and aligned with the individual child's
• Well, it's a care plan, right?
• So the STARS program is a care plan that is sent out to EMS workers to make sure that they have the care
• So that's built into the care plan.
• for Missourians every day while strengthening the health care system as a whole.

Committee: House Health and Mental Health

Summary: The committee first met in executive session and adopted a substitute for House Bill 1962, then voted House Committee Substitute for HB 1962 do pass by 16-0. The substitute was described as making changes related to an epinephrine-related database and pricing. The committee then adopted a substitute for House Bill 2371 and voted House Committee Substitute for HB 2371 do pass by 16-0; the sponsor said the bill would codify existing Medicaid/state-plan coverage for a blood pressure-related issue and make the private insurance language consistent. House Concurrent Resolution 28 was also voted do pass by 16-0. The committee then heard House Bill 3457, “Maddie’s Law,” which would create an electronic medical-record alert for medically complex children so hospitals can quickly access individualized emergency care plans. Representative Burns presented the bill as a response to the death of a child named Maddie, and multiple family members and advocates testified in support, describing repeated emergency-room delays, the burden of carrying binders of records, and the need for one-click access to care plans. Questions focused on how the alert would work with existing systems, whether QR codes or bracelets might help, whether the bill should also apply to adults, and how the voluntary language fits with the goal of ensuring the information is available. An SSM Health lobbyist testified for information purposes, explaining that the STARS program is a voluntary EMS care-plan system started in 2014 and now includes about 1,800 children in Missouri and Illinois; he said the sponsor was willing to work on the language. Finally, the committee heard House Bill 3401, which would require hospitals to develop workplace violence prevention plans, multidisciplinary committees, risk assessments, training, reporting, and incident review processes, while keeping the bill flexible for different facilities. The sponsor and several health care groups cited high rates of threats and assaults against emergency and hospital staff and argued that violence is a preventable workplace risk that contributes to burnout and staffing shortages. Witnesses from emergency physicians, nurses, the Missouri Hospital Association, and other medical groups supported the bill, with some suggesting the signage language be broadened or simplified. No votes were taken on HB 3457 or HB 3401 before the committee adjourned.

Transcript Highlights:

• care eligibility screenings used by Aging and Disability Resource Centers.
• This just honors and says we change the day to Civic Engagement Political Violence Awareness Day across
• Made it so that my daughter thinks of her birthday as a day of hate.
• It's a day of remembrance. It is a day of remembrance because of the Charlie Kirk assassination.
• We have many in the state and many of them advertise memory care or they say they have a memory care

Committee: Senate Fiscal Policy

Keywords: 999, senate, all

Transcript Highlights:

• Patrick's Day.
• Our providers operate 24 hours a day, 7 days a week, caring for vulnerable adults who rely on us for
• </c> interrupt your day. interrupt your day.
• </c> come in and impact the day-to-day come in and impact the day-to-day operations<00:46:56.800><c>
• </c> statutorily, not in day-to-day statutorily, not in day-to-day operation.<00:48:16.160><c> And</c

Bills: HF4110 , HF4101 , HF4144 , HF3546

Committee: House Human Services Finance and Policy

Keywords: workplace regulations, employee rights, meal breaks, rest breaks, exemptions, medical assistance, data matching, eligibility, reporting, human services, assisted living, health regulations, inspection authority, vulnerable adults, local government, program integrity, high-risk providers, enrollment requirements, fraud prevention, compliance

Transcript Highlights:

• are able to have a year less payment for that child care.
• Yesterday I had to go to an urgent care, and today Dr.
• And please take care of your arm, Isaac.
• We will never forget those stories, but day in and day out, we come to this legislature to making sure
• She pays attention, and she cares deeply about people.

Keywords: 988, house, all