Bills: SB1265, SB1198, SB2046, SB1415, SB1714, SB1962, SB26, SB172, SB260, SB264, SB1525, SB1332, SB1998, SB1378, SB1771, SB1919, SB2018, SB1936, SB1612, SB1543, SB1260, SB1988, SB1859, SB2041, SB1257, SB1726, SB1236, SB1633, SB1413, SB1317, SB1360, SB1342, SB1477, SB1189, SB1546, SB1524, SB1338, SB1193, SB1812, SB1617, SB1638, SB504, SB2072, SB1283, SB1216, SB1655, SB2011, SB1643, SB1446, SB1256, SB1258, SB1441, SB1224, SB1448, SB1496, SB1597, SB1621, SB1827, SB2066, SB2104

Keywords: healthcare authority, property lien, county treasury, local government, Oklahoma, municipalities, campsite regulation, Department of Environmental Quality, unauthorized camps, public safety, environmental standards, nondisclosure agreements, state employment, employee rights, transparency, government accountability, employee suggestions, cost savings, state agencies, incentives

Transcript Highlights:

• establish a patient access pilot program so that veterans and others in need can receive care in a supervised
• establish a patient access pilot program so that veterans and others in need can receive care in a supervised
• establish a patient access pilot program so that veterans and others in need can receive care in a supervised
• establish a patient access pilot program so that veterans and others in need can receive care in a supervised
• establish a patient access pilot program so that veterans and others in need can receive care in a supervised

Keywords: 910, house, all

Transcript Highlights:

• kind on each island and allow children caught in abuse or conflict between their parents to have supervised
• 01:53:37.320> parents<01:53:37.719> to<01:53:37.960> have<01:53:38.159> supervised
• <01:53:39.040> visits their parents to have supervised visits their parents to have supervised
• We hire and provide the required two years of supervised direct service hours necessary for licensure
• We hire and provide the required two years of supervised direct service hours necessary for licensure

Keywords: 912, senate, all

Summary: The joint Ways and Means and Finance informational briefing on grants and aids was held February 14 and was organized as a high-volume public testimony session with strict procedures: no Q&A, one representative per applicant, one minute per testimony, in-person testimony first, and then Zoom participants. The chairs also announced a recess at 11:00 a.m. for floor sessions and a reconvening at 1:00 p.m. Testimony was heard first from neighbor island applicants, then Oʻahu applicants, with members repeatedly directing speakers to line up and keep remarks brief. Neighbor island testimony focused on a wide range of capital and operating requests. Health and community projects included Hawaii Island Community Health Center’s workforce housing in Kau, Wuli Hawaiian Homestead Association’s learning center and predevelopment work, Rescue Tube Foundation’s beach rescue tube expansion, Puna Community Medical Center’s planned hospital/ER campus, Maui Humane Society’s free veterinary care after the wildfires, Hawaiʻi Care Choices’ palliative care readiness, and the Lyman Museum’s HVAC replacement. Other requests included the Maui Advanced Manufacturing Alliance’s Pāʻia Mill redevelopment, Laua 2020’s preschool and learning lab, Mālama Aina’s USDA-compliant meat processing facility, the Hawaiian Lifeguard Association’s water safety programs, Kaha P Organization’s agriculture education support, Ohana Arts’ youth performance project, Friends of the Children’s Justice Center’s emergency closet, EOA Pacific’s Marshall Islands teacher training, and the Central Pacific Youth Athletic Club’s new facility. Oʻahu testimony included the YWCA Oʻahu/Pythink Center’s renovation of Juliet M. Atherton Hall and its community kitchen, West Oʻahu Community Health Center’s wildfire protection and security needs, the Early School’s playground improvements, Surfing the Nations’ food distribution center expansion, and Sounding Joy Music Therapy’s weekly services for people with disabilities. Speakers generally emphasized community benefit, workforce development, health access, food security, disaster recovery, and support for children, seniors, and underserved populations. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• wait the required 15 minutes under wait the required 15 minutes under medical<02:12:06.960> supervision
• <02:12:07.520> after<02:12:07.840> receiving medical supervision after receiving medical
• supervision after receiving their<02:12:08.480> vaccine.

Keywords: 1189, house, all

Transcript Highlights:

• And then following that, I got into school principalship and supervising what I saw in classes in curriculum
• c><00:05:25.520> and in into school principal ship and in into school principal ship and supervising
• 27.000> saw<00:05:27.680> in<00:05:27.960> classes<00:05:28.400> in supervising
• what I saw in classes in supervising what I saw in classes in curriculum<00:05:29.160> and<00
• as an opportunity to provide and working with, uh, I, as a prior teacher myself and as a prior supervising

Keywords: 928, house, all

Summary: The committee first heard House Bill 362, which would grant the Department of Education rulemaking authority related to educator licensure and testing requirements, including passing scores on professional education assessments. Representative Ladd said the bill is intended to preserve New Hampshire’s standards for classroom teachers and CTE instructors, while allowing DOE flexibility through rulemaking. He emphasized maintaining high standards, including for career and technical education, and said he was open to DOE clarifying the language further. Committee members raised concerns that the bill, as written, could remove language recognizing industry-recognized credentials for CTE instructors. Department of Education Director Steven Appy said DOE had drafted an amendment to clarify that the requirement applies to an initial New Hampshire license, to exempt CTE teachers from content exams, and to preserve current administrative practice allowing basic academic skills testing and industry-recognized credentials as substitutes. The committee discussed the distinction between basic academic skills tests and content assessments, and Appy said the amendment was meant to avoid conflating those requirements. The chair said the committee would take up executive session on HB 362 and related bills later. The committee then took up House Bill 90, which narrows and defines the rules for part-time teachers, especially in concurrent enrollment settings. Representative Ladd explained that the bill is meant to allow qualified college faculty or adjuncts from the University System or Community College System to teach high school concurrent-enrollment courses when local schools lack a teacher with the needed master’s-level credentials, particularly in math and STEM subjects. He said the bill is intended to expand student access to college-level coursework, save money, and preserve standards, while still requiring background checks and adherence to ethics and conduct rules. Members began asking questions about how the bill would work in practice, including certification and endorsement issues, but the hearing was not concluded in the portion provided.

Transcript Highlights:

• chose to let people apply the pesticide under that one license, they would probably be on site supervising
• If people are applying the pesticide under that one license, they would likely be on site supervising
• pesticide, and that if others were applying it under that license, they would probably be on site supervising

Keywords: 928, house, all

Summary: The Environment and Agriculture Committee held an introductory orientation for members, many of whom were new or newly assigned to the committee. Leadership emphasized that the committee is intended to operate in a nonpartisan, collaborative way, and members introduced themselves and described their backgrounds in farming, gardening, food service, environmental work, water and waste issues, veterinary work, and related fields. Several members noted personal ties to homesteading, livestock, orcharding, food security, landfill concerns, and animal welfare, while others said they were eager to learn the committee’s work. The chair then reviewed committee procedures and expectations. Members were told the committee would generally meet on Tuesdays, with hearings starting around 10 a.m. and often running until about 4:30 p.m., and that absences, substitutes for executive sessions, and email communications would be handled through House rules and the committee’s email system. The chair also covered decorum rules for live-streamed meetings, including professional dress, limiting food and drink at the table, and giving full attention to witnesses. Members were reminded that legislative emails are subject to public records laws and that the committee may soon transition to a new email domain. The chair also explained logistics such as bill folders, committee room storage, and emergency procedures for evacuation or shelter-in-place. No bills were debated or voted on in this meeting, but the chair noted that the committee already had roughly two dozen bills pending, including animal welfare, landfill, policy, and cat-and-dog related measures. Members were told to expect a broad mix of topics beyond agriculture, including solid waste and animal-related legislation.

Transcript Highlights:

• somebody's not adhering to their regulations, they can do the kind of things they do, put somebody on probation
• The previous commission looked at it very intensely. things they do put somebody on probation things
• they do put somebody on probation and<03:47:04.680> such<03:47:04.960> like<03:47:05.120

Keywords: 928, house, all

Summary: The committee first held a public hearing and then an executive session on HB 650, a housekeeping-style bill from the Joint Committee on Dedicated Funds. Testimony explained that the bill would remove references to two already-repealed dedicated funds, split the state parks dedicated fund so Cannon Mountain winter activities would be tracked separately from the rest of the parks system, and place a $1 million cap on the robotics education fund so excess money would revert to the general fund. Supporters said the changes were mainly administrative but would improve accounting and avoid timing issues; committee members asked about a typographical error in the bill text and whether the measure was more than housekeeping. The committee later voted 16-0 to recommend HB 650 ought to pass, and then placed it on the consent calendar. The committee also opened a public hearing on HB 585, which would revise the property tax exemption for religious organizations. Representative John Janigian, the sponsor, said the bill was intended to help small churches and other religious groups that own parsonages or worship buildings but no longer have a resident pastor, allowing them to rent space or use property for church purposes without losing the exemption so long as the money is used for church operations, maintenance, or outreach. He described his Salem church’s parsonage being taxed after it was no longer occupied by a pastor, and said the bill would prevent similar burdens on small congregations. Former Representative Betty Gay testified in support, describing prior assessor actions in Salem that taxed church land and buildings very aggressively, while a Municipal Association representative testified in opposition. Committee members raised questions about how terms such as “regularly recognized and constituted denomination” would be defined, whether the bill could be applied consistently to larger denominations with multiple parishes, and whether legislative research should review past treatment of similar cases.

Transcript Highlights:

• partners across Monterey County, including the Monterey County Office of Education, Monterey County Probation

Summary: The hearing focused first on behavioral health, especially serious mental illness and anosognosia, a condition described by witnesses as a neurological symptom that prevents people from recognizing they are ill. The chair framed the issue around families cycling through emergency rooms, jails, conservatorships, and short-term stabilization without lasting treatment, and warned that federal changes under H.R. 1 could reduce Medi-Cal funding and worsen access. Dawn Marie Anderson gave a personal account of her son’s long history of psychosis, homelessness, arrests, repeated jail and state hospital stays, and eventual stability when he received sustained medication and coordinated support. She argued that the system often treats the problem as criminal rather than medical and that voluntary programs and short-term services are not enough for people who lack insight into their illness. Other panelists, including representatives from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association, agreed that anosognosia is not denial or noncompliance and said the system needs long-term, coordinated care, including assertive community treatment, mobile crisis, supportive housing, medication support, and stronger handoffs between county and managed care systems. They said CalAIM and other reforms have improved some coordination, but significant gaps remain, especially for people with serious mental illness, for those in jail or locked settings, and for people with private insurance, which witnesses said often offers little meaningful coverage for early psychosis or intensive behavioral health services. Several witnesses urged the Legislature to protect Medi-Cal, shore up county safety-net services, and invest in training and family engagement. The committee then turned to the Children and Youth Behavioral Health Initiative, with a focus on the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, saying the platforms provide free, culturally responsive, early-intervention support statewide and help connect users to higher levels of care when needed. On the fee schedule, DHCS said more than 500 LEAs, colleges, universities, and school-linked providers are participating, 181 LEAs have submitted claims, and $9.6 million has been reimbursed to date, with 41,556 students represented in claims. The chair and several members criticized the pace of implementation and the amount of money spent relative to reimbursement levels, saying the Legislature had requested data earlier and that the return on investment still appeared low. DHCS responded that many claims are still being submitted, that 70% of denials are correctable, that $400 million in capacity grants has been distributed locally, and that reimbursement is increasing rapidly as more districts come online. Public comment included a rural county behavioral health director who said private insurance denials leave counties with significant uncompensated work, especially for unlicensed staff providing case management and mobile crisis services.

Transcript Highlights:

• was not afforded or offered counseling and instead was sent to Juvenile Hall, a group home, and probation

Summary: The committee heard several education-related bills, with the most extensive discussion focused on AB 2189, AB 2615, AB 2496, AB 1750, and AB 1644. AB 2189 would create an $800,000 grant program through the State Council on Developmental Disabilities to support a statewide parent network for special education advocacy and training. Supporters said families need stronger coordination and information to navigate special education, while an opponent argued the bill could duplicate existing family-led organizations. The bill passed 6-0 and was sent to Appropriations, held on call for add-on votes. AB 2615, a cleanup bill to AB 715 on antisemitism and instructional materials, drew the most controversy. The authors said it was intended to clarify prior commitments by removing references to professional responsibility standards, refining the “factually accurate” language, and clarifying how discriminatory materials are handled. Supporters said it would help protect students from discrimination, while many educators, civil rights groups, and other organizations opposed it unless amended, warning that the factual-accuracy language could chill teaching and be applied too broadly. The committee chair and members raised concerns about implementation but ultimately supported moving the bill forward; it passed 5-0 and was held on call. AB 2496 would streamline school accountability reporting by making the California School Dashboard the primary transparency tool, phasing out the School Accountability Report Card over time, and making mid-year LCAP reporting optional. Supporters said this would reduce duplication and administrative burden while preserving access to key data; opponents worried families could lose the simplicity and accessibility of the current SARC and that the mid-year update still serves an important purpose. The bill was approved 3-0 and held on call. AB 1750, which would extend full salary for an additional five months for school employees who exhaust sick leave due to illness or injury, was supported as a dignity and retention measure but opposed by administrators over staffing and cost concerns; it passed 4-0 and was held on call. AB 1644 would require a bell-to-bell smartphone ban in TK-8 and recommend it for high school, with exceptions for instructional and safety needs; supporters said phones are harming attention and learning, while opponents argued districts had just adopted local policies and needed more flexibility. The transcript ends during discussion of that bill.

Transcript Highlights:

• the pretrial release period or any post-conviction conditional release period, such as parole or probation

Keywords: 994, senate, all

Transcript Highlights:

• education teacher, because there's also a provision in IDEA that says, for every one para, you have to supervise
• education teacher, because there's also a provision in IDEA that says, for every one para, you have to supervise

Summary: The committee first approved the minutes and then received a lengthy DPI presentation from Stanley Schauer on statewide reading and math assessment data for students with and without disabilities. He explained the assessment systems used over time, the absence of 2019-20 data, and how North Dakota’s standards are set by educators. Members asked about alternate assessments, cohort trends, the apparent drop in proficiency in higher grades, and the new NDA+ assessment. Schauer emphasized that the biggest pattern in the data was the relative stability of students with disabilities, the post-pandemic drop and partial recovery, and the need to focus on reducing the novice category. He also said the state plans to revisit high school standard setting and that future data could be broken out by program, disability category, and schools using science-of-math or other initiatives. Public testimony from special education staff suggested that the flat performance of students with disabilities during COVID likely reflected continued services and intensive supports, and committee members discussed whether the current disparity goal is realistic and whether growth measures would be more useful than simple proficiency buckets. After the presentation, the committee took a short break and then moved into discussion of special education funding models. Chair Richter said members should contact Schauer directly with ideas for additional data views and noted that the committee would continue its work on funding and possible model changes. Brandon Bomback of Grand Forks Public Schools began a presentation arguing that the special education funding formula, especially the weighting factor, should be reconsidered if the committee wants a system that better reflects accountability and student needs. He said his comments were based on the perspective of a larger district and focused on the special education weighting factor rather than other parts of the formula. The remainder of his presentation was not included in the excerpt.

Transcript Highlights:

• It is important to provide immediate intensive supervision while also simultaneously drafting the long-term
• It is important to provide immediate intensive supervision while also simultaneously drafting the long-term

Keywords: 1183, house

Summary: The committee heard House File 3493, the Safe Schools Revenue Increase bill, and first adopted the DE amendment before moving the bill on for re-referral to Ways and Means. Representative Lawrence described the bill as a multi-layered school safety package for all students and schools, including public, nonpublic, charter, and tribal schools, with increased safety funding, mental health support, anonymous threat reporting, school safety plans, and student discipline changes. Several supporters emphasized the need for flexible safety funding and cited real-world safety concerns, including anonymous tip systems that had generated many reports, classroom evacuations, staff injuries, and the need for more resources for mental health and safety infrastructure. Some supporters, including charter school leaders and Catholic Conference testimony, argued the bill’s flexibility and broader safety approach were important, while others supported the K-3 suspension language as a needed tool in severe cases. Opponents focused heavily on the bill’s repeal of Minnesota’s K-3 suspension ban and non-exclusionary discipline requirements. Legal aid, disability advocates, and education groups argued that suspensions harm young children, worsen disparities, and disproportionately affect students of color and students with disabilities, and they urged the committee to keep restorative and non-exclusionary practices in place. Disability advocates also asked that any safety planning explicitly account for students with disabilities and that the bill remain aligned with IDEA protections and individualized education decisions. Several testifiers opposed using public funds for private schools, saying public money should stay in public programs. Other testimony came from school administrators and staff who supported restoring limited suspension discretion, describing serious elementary incidents, classroom evacuations, and injuries that they said required a short-term removal option to stabilize classrooms and plan for students’ return. Mental health and school support personnel witnesses stressed that safety and mental health funding should remain distinct and that more counselors, social workers, and related staff are needed to address student crises. No final vote on the bill itself was taken in the portion provided beyond adoption of the DE amendment and the motion to re-refer the bill.

Transcript Highlights:

• perhaps there it was happening in another state, you were working at a certain level or even being supervised
• perhaps there it was happening in another state, you were working at a certain level or even being supervised

Keywords: 1191, senate, all

Transcript Highlights:

• to offer you new phones and new cars, but you sign an agreement that says you will work at ICE's supervision
• to offer you new phones and new cars, but you sign an agreement that says you will work at ICE's supervision

Keywords: 1183, house

Transcript Highlights:

• Abroad, ibogaine is being used in supervised clinical settings with promising results.
• “Abroad, ibogaine is being used in supervised clinical settings with promising results.

Keywords: Public Health and Welfare - Room 216, 25 February, 2026; 3:00 PM, 925, all

Summary: The committee first handled House Bill 612, which had been laid on the table because of questions about section one. Senator Tate explained that section one would allow the state, counties, and municipalities to enter interlocal agreements to provide installation support services on military installations, mainly road and infrastructure work such as paving and dirt work, and that section two would add Coast Guard medics to an existing provision allowing trained military medics to sit for LPN certification. After questions about the breadth of “installation support services,” the committee adopted the motion for title sufficient, due pass, with opposition noted, and the bill was reported to the Veterans and Military Affairs Committee. House Bill 942 was then passed over at Senator McMahon’s request until Tuesday. The committee then took up House Bill 1034, which would allow terminally ill hospital patients to use medical cannabis gummies. The sponsor said the bill is intended to help terminally ill patients who already qualify for medical cannabis but are denied access in hospitals, and that it prohibits smoking or inhalation. Members raised concerns about whether the bill was too broad, whether it would interfere with hospital and physician judgment, possible drug interactions, federal law issues, liability for hospitals and doctors, storage and disposal requirements, and whether hospitals would incur costs or be forced to handle cannabis on their premises. The sponsor responded that the patient’s use would be logged in the chart, that the caregiver is generally responsible for the lockbox and disposal, and that the bill includes language allowing a facility to opt out if compliance would jeopardize federal funding or licensing. The bill’s author also described the measure as arising from a Coast Guard family’s experience in which a terminally ill patient was denied access to medical cannabis at one hospital but allowed at another, and said the goal is to prevent similar denials for terminally ill patients. He said he was not aware of other drugs treated this way in hospitals, but argued that terminally ill patients should have access to most anything they want. The discussion ended with Senator England asking whether changing the bill’s requirement that a facility “shall” allow medical cannabis to “may” allow it would better protect hospitals and preserve discretion, but no final action on House Bill 1034 was taken in the portion provided.

Transcript Highlights:

• For both services, we institute a new night supervision, a sleep reimbursement rate that is lower than
• the active supervision rate.

Transcript Highlights:

• They're required to pass background checks and they're required to have supervised calls so there are
• key. components to an apprenticeship program which will ensure apprentices have strong support, supervision

Keywords: 988, house, all

Transcript Highlights:

• taking Expected to provide CLS services, taking somebody out into the community in a sort of supervised

Keywords: • 0:00 - Roll Call • 0:19 - Approval of June 2026 meeting minutes • 0:36 - Fish & Wildlife (301 KAR 1:201 and 301 KAR 2:178) • 1:35 - Board of Veterinary Examiners (201 KAR 16:767) • 4:10 - State Board of Elections (31 KAR 4:240 Emergency) • 4:50 - Office of the Attorney General, Regulatory Relief (40 KAR 12:300, 12:610, 12:400, 12:420 and 12:600) • 7:03 - Department of Revenue (103 KAR 43:341 Emergency) • 8:05 - Kentucky Public Pensions Authority (105 KAR 1:001 and 1:440) • 9:19 - Finance and Administration Cabinet, Office of the Controller (200 KAR 38:080) • 10:10 - Board of Physical Therapy (201 KAR 22:010 and 22:070) • 11:06 - Kentucky Department of Education (702 KAR 3:220 and 6:110) • 12:43 - Cabinet for Health and Family Services, Department for Public Health (902 KAR 1:400) • 13:47 - Cabinet for Health and Family Services, Department for Medicaid Services (907 KAR 2:720 and 2:725) • 28:11 - Next meeting and adjournment, 958, all

Summary: The subcommittee met with a quorum present, approved the minutes without objection, and then reviewed a series of administrative regulations from multiple agencies. Most of the regulations received staff-suggested amendments and were approved without objection, including fish and wildlife rules on fishing limits and deer hunting on local government property, veterinary board changes to responsible party and veterinary manager requirements, election procedures for safe-at-home voters, attorney general regulatory relief rules, emergency gasoline tax pricing, public pensions updates, controller fraud-prevention policies, physical therapy licensure and English proficiency standards, school nutrition and fee-waiver rules, public health conference procedures, and Medicaid waiver regulations. Several agencies briefly identified themselves and answered procedural questions, but most items drew no substantive opposition. The Board of Veterinary Examiners regulation included an agency amendment that removed a proposed limit on the number of facilities a veterinary manager could oversee. The Department of Education regulations updated fee waiver and meal program procedures, while the Department of Public Health regulation clarified notification and conference-request procedures. The Department of Revenue and Kentucky Public Pensions Authority items were largely technical or conforming changes, including a special-needs trust definition added for consistency with Senate Bill 85. The most extensive discussion involved the Department for Medicaid Services’ 1915C child waiver regulations. Kentucky Protection and Advocacy testified in opposition to the waiver’s lack of participant-directed services, arguing that consumer-driven services such as respite and community living support are required and especially important in rural areas and for higher-acuity children. Cabinet representatives responded that the waiver is intended to provide wraparound services to keep children in homes and communities, that it has CMS approval, and that the program is limited to 100 slots with about 21 participants already enrolled. Members did not move a deficiency motion, and the chair indicated the regulations would continue through the process. The meeting adjourned after setting the next meeting for Tuesday, August 11 at 1:00 p.m.

Transcript Highlights:

• for electrical licensing for a reason, requiring 600 hours of classroom education, 8,000 hours of supervised

Keywords: 995, all

Summary: The Joint Committee on Labor and Workforce Development heard testimony on several workforce-related bills, with most of the hearing focused on ESOL and apprenticeship legislation, followed by testimony on a four-day workweek pilot and paid prenatal leave. On ESOL, witnesses including the Boston Foundation, Skillworks, MassINC, MIRA, JVS Boston, Eastern Bank, immigrant advocates, employers, and legislators supported H.2080/S.1326, arguing that Massachusetts has a large backlog of limited-English-proficiency residents waiting for classes, that ESOL is essential to economic mobility and immigrant integration, and that the state needs a coordinated, statewide strategy with more vocational and workplace-focused English instruction. Testifiers cited long waitlists, fragmented delivery across agencies, labor shortages, and examples of workplace English programs helping immigrants gain jobs, advance careers, and support businesses. Committee members asked questions about how vocational ESOL differs from standard classes, and witnesses explained that it focuses on job-specific language and workplace scenarios. The committee also heard strong support for H.2085/S.1303, which would require more use of registered apprentices on public construction projects over $1 million. Labor leaders from the Massachusetts AFL-CIO and Massachusetts Building Trades, along with electricians and apprentices, said the bill would help apprentices complete training by ensuring enough job-site hours, expand access to good union careers, and strengthen the construction workforce for housing, infrastructure, and clean energy work. Several witnesses defended existing apprenticeship ratios and electrical licensing standards, warning against deregulation and emphasizing safety. Committee members asked about project thresholds and apprenticeship ratios, and witnesses said the bill’s phased apprentice-hour requirement was intended to cover most public projects under current cost conditions. The committee then heard testimony on S.1330, a four-day workweek pilot program. Senator Dillon Fernandez and Representative Shirley Arriaga described the proposal as a response to burnout, affordability pressures, and changing workplace norms, arguing that a pilot would let Massachusetts study whether shorter workweeks improve productivity, retention, and worker well-being. Witnesses said the model could help families balance caregiving and commuting while maintaining or improving output. Finally, the committee took testimony on S.1361, establishing paid prenatal leave. Parents, health advocates, March of Dimes, and others said paid leave would help pregnant workers attend critical prenatal appointments, reduce missed care, and improve maternal and infant health outcomes. Several speakers shared personal stories about high-risk pregnancies, pregnancy loss, and the financial strain of taking unpaid time off. No votes were taken during the hearing; the committee primarily received testimony and asked a limited number of questions.

Transcript Highlights:

• Individuals with autism often require constant supervision, hands-on assistance, and caregivers who deeply

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing focused on two broad sets of issues: home- and community-based care, and school-based Medicaid reimbursement. In the morning session, legislators and advocates testified on bills affecting children and disabled enrollees, including proposals to clarify rate-setting for home health and home care services (H. 767/S. 870), allow family members and spouses to be paid caregivers under MassHealth (H. 1394/S. 886 and related bills), extend MassHealth coverage for applied behavior analysis and other therapies beyond age 21 for adults with autism and developmental disabilities (H. 1351/S. 871), and protect medically fragile children by improving access to continuous skilled nursing. In the later portion of the hearing, testimony shifted to a bill to improve MassHealth reimbursement for schools (S. 862), with speakers describing the school mental health crisis and the need to reinvest Medicaid funds directly into school health services. Witnesses on the home care rate-setting bill said current reimbursement methods are opaque and outdated, contributing to workforce shortages, unfilled shifts, long waitlists, and patients remaining in hospitals longer than necessary. Home care providers and trade groups argued the bill would not set rates directly but would require more transparent methodology and fuller consideration of real costs such as wages, benefits, taxes, training, and technology. On caregiver bills, many family members and provider organizations described the financial and emotional strain of caring for disabled or medically fragile relatives, especially when parents, spouses, or guardians are barred from being paid caregivers. They argued the bills would recognize existing unpaid care, help families remain at home, and reduce reliance on more expensive institutional care. Advocates for adult ABA coverage said services remain medically necessary after age 21 and that ending coverage at that age creates an inequitable “cliff” for MassHealth members compared with those with private insurance. For the PACE/community care bill, elder law attorneys and PACE advocates said current MassHealth income rules force some older adults with modestly higher incomes to spend down to $542 per month, making community living unrealistic and pushing people toward nursing homes. They supported changing the eligibility structure to a premium-based approach that would allow more people to remain in the community. On the school Medicaid bill, advocates said schools are providing effective, preventive mental health care, but reimbursement currently flows to municipalities rather than directly back to school health budgets, limiting districts’ ability to hire and retain staff. No votes were taken during the hearing; the committee heard testimony and several witnesses requested favorable reports on the bills.