Transcript Highlights:

• significant</c> Support Services uh leaving significant Support Services uh leaving significant gaps<
• > both</c><01:30:10.920><c> Metro</c> support staff families across both Metro support staff families
• of</c> positive Support Services um part of positive Support Services um part of this<01:36:31.040><
• Families willing to recommend it to others is 95%, and in order to support a variety of services and
• Families willing to recommend it to others is 95%, and in order to support a variety of services and

Keywords: 1187, senate, all

Transcript Highlights:

• We do a lot of direct service work in our community support line and our care coordination program.
• We do a lot of direct service work in our community support line in our care coordination program.
• coordination program and enabling services, some of the community support line work.
• an assessment, how to create goals within the shared plan, supporting families in navigating social
• service systems, supporting shared plan of care, and supporting the enhanced care coordination model.

Keywords: 995, all

Summary: The Permanent Commission on the Status of Persons with Disabilities equity subcommittee met, approved the prior minutes, and heard a presentation from the Massachusetts Department of Public Health’s Cater Center (Care Coordination Assistance, Training, Education, and Resources for Kids). Presenters Toria Haffey and Patty Loza explained that Cater provides training and technical assistance to MassHealth’s Cares for Kids providers serving children with medical complexity, with a focus on enhanced care coordination, family partnership, racial/cultural/linguistic equity, community resources, education systems, shared plans of care, and transition support. They described five e-learning modules, flexible one-on-one and group technical assistance, case review support, and informal virtual “cafes” for providers. They also noted the program has been operating for about two to three years and currently works with five hospital-based providers, including Boston Children’s, BMC, Tufts, NeighborHealth, and Baystate. Committee members asked about the number of families served, the relationship to MassHealth, and whether the model could be expanded beyond Boston-area providers. The presenters said Cater does not track enrollment numbers because that is handled by providers and MassHealth, and they agreed there is room to broaden reach and improve data collection. Members suggested connecting Cater with regional disability and case management networks, the Health Equity Compact, ACOs, and DDS-related contacts. Questions also focused on funding stability amid federal Medicaid cuts and workforce shortages in family engagement roles; Cater said the work remains a priority for MassHealth, though funding is a concern, and acknowledged staffing gaps, especially for family partners with lived experience. After the presentation, the committee discussed a NIH strategic plan for disability health research that had been circulated for future review. Because members had not yet read it, they agreed to place it on the agenda for the next meeting. The meeting then adjourned with no further business.

Transcript Highlights:

• , a starting family, that would not... ...minimum wage, I would imagine a young family, a starting family
• those in support.
• those in support.
• those in support.
• These services support individuals undergoing treatment for a wide range of cancers and help ensure continuity

Keywords: 996, all

Transcript Highlights:

• We do a lot of direct service work in our community support line and in our care coordination program
• We do a lot of direct service work in our community support line in our care coordination program.
• You know, our care coordination program and enabling services, some of the community support line work
• an assessment, how to create goals within the shared plan, supporting families on navigating social
• service systems, supporting shared plan of care, supporting the enhanced care coordination model.

Keywords: 1212, all

Summary: The Equity Committee meeting of the Permanent Commission on the Status of Persons with Disabilities began with roll call, approval of the prior minutes, and a presentation from the Massachusetts Department of Public Health’s CATER Center (Care Coordination, Assistance, Training, Education, and Resource Center). Staff described CATER’s role in providing training and technical assistance to MassHealth Cares for Kids providers serving children with medical complexity, including e-learning modules, coaching, case review support, and informal virtual drop-in sessions. They emphasized a family-centered, racially and culturally equitable approach, and noted that the program is funded through a MassHealth contract and has been operating for about two to three years. Committee members asked about which providers participate, how many families are served, how CATER coordinates with other regional or grassroots programs, and whether the model could be expanded beyond Boston-based hospitals. The presenters said they currently work with five providers, including Boston Children’s, BMC, Tufts, NeighborHealth, and Baystate, but do not track enrollment numbers because that is handled by providers and MassHealth. Members also raised concerns about workforce shortages, funding stability amid federal Medicaid cuts, and the need to share the curriculum and connect with other networks such as ACOs, DDS contacts, case management organizations, and the Health Equity Compact. The presenters said the work remains a priority and that they are open to growth and broader partnerships. After the presentation, the committee agreed to have the CATER slides and curriculum circulated to members. The only other agenda item was a lengthy NIH strategic plan for disability health research, which members had not yet reviewed; they agreed to defer discussion to a future meeting and add it to next month’s agenda. No votes beyond approving the minutes were taken, and the meeting adjourned after thanking the presenters and attendees.

Transcript Highlights:

• So this bill really supports those focuses and aims to make certain that individuals and families in
• So this bill really supports those focuses and aims to make certain that individuals and families supports
• those focuses and aims to make certain that individuals and families in our state can access the services
• I urge you to support Senate Bill 5967. Thank you. I urge you to support Senate Bill 5967.
• Academy of Family Physicians.

Summary: The Senate Health and Long-Term Care Committee opened its 2026 session with a work session focused on the committee’s priorities of access, quality, and affordability. Health Care Authority staff Michelle Needham and Ross Florey reviewed the Health Care Cost Transparency Board’s work, noting Washington’s uninsured rate has fallen from 15% in 2010 to 5%, but health care spending growth remains above the benchmark. They said 2023 spending grew 6.2% versus a 3.2% target, with prescription drugs, hospital outpatient care, professional services, and non-claims spending driving growth. They highlighted ongoing work on market transparency, hospital spending, primary care, and federal policy changes that could reduce coverage and increase uncompensated care. Dr. Drew Oliva of the Washington Health Alliance added quality and safety data, saying many measures remain below top national performance, primary care attachment is weak, hospital pricing varies widely, and behavioral health data are limited. He urged stronger primary care investment, more transparency, and better patient safety oversight. Committee members then introduced themselves and staff before moving to public hearings. The committee first heard Senate Bill 5877, a technical fix expanding the physician health program surcharge to certified anesthesiologist assistants so they can participate in the Washington Physicians Health Program and related educational resources. The bill sponsor and witnesses from the Washington Medical Commission, the Washington Academy of Anesthesiologist Assistants, and the Washington Physicians Health Program all supported the measure, describing it as a consistency and access fix for a newly licensed profession. The bill drew 12 pro, 2 con, and 0 other sign-ins. The committee then heard Senate Bill 5967, which would preserve access to preventive services by allowing the Department of Health to issue immunization recommendations based on multiple expert sources and by freezing state insurance coverage protections for preventive services and vaccines as of mid-2025, with OIC rulemaking authority to keep coverage at least as favorable. The sponsor, Insurance Commissioner Patty Kuderer, Secretary of Health Dennis Worsham, and Governor’s office staff said the bill is intended to protect existing coverage, not create new vaccine mandates, and to keep recommendations grounded in science amid federal uncertainty. Supporters included Dr. Helen Chu, Dr. Beth Harvey, Dr. Maria Huang, Dr. J. Miller, and Dr. Matt LaGalbo, who emphasized vaccine safety, rising vaccine-preventable diseases, and the importance of no-cost preventive care. Opponents, including Bob Runnels and Natalie Chavez, argued the bill politicizes vaccines, reduces transparency, and expands state authority without adequate fiscal detail. The hearing continued with additional testimony after the excerpt ended.

Transcript Highlights:

• The Early Childhood Education and Assistance Program, ECEAP, is a no-cost preschool and family support
• , the early support for infants and toddlers program, or receive Class C developmental services, has
• services to support that family.
• to support that family.
• They needed the wraparound family support that ECEAP services provide in addition to great classroom

Summary: The committee held a public hearing and briefing on several bills, with House Bill 2441, House Bill 2159, House Bill 2521, House Bill 2531, House Bill 2543, and House Bill 1607 discussed in that order after agenda changes. HB 2441 would expand reimbursement from the LEO retirement fund for survivors of law enforcement officers killed in the line of duty, covering Medicare Parts A and B premiums and retroactive health insurance premiums during the period before a death is officially determined to be work-related. Staff described a relatively small number of affected survivors and modest actuarial impacts, and the prime sponsor spoke emotionally in support. A representative from the L&I Board also testified that the board had studied the issue and endorsed the bill. HB 2159 would create the Pre-K Promise Account to receive philanthropic funds for ECEAP expansion. Staff explained ECEAP eligibility and the proposed non-appropriated account structure, noting Governor Ferguson’s budget included $34.5 million in non-appropriated authority for about 2,000 new school-day slots. Testimony was strongly supportive from Ballmer Group, DCYF, Head Start/ECEAP advocates, a Yakima provider, and the governor’s office, all emphasizing the public-private partnership, expanded access, and support for children furthest from opportunity. HB 2521 would remove the $18 cap on the State Patrol’s firearm background check fee and allow the fee to be set to cover total program costs. Staff said the fee could rise to about $33 per check based on current costs, and the State Patrol testified that the cap no longer matches actual expenses and threatens staffing and service levels. One member of the public opposed the bill, arguing the state system should be scrapped or capped and that consumers would face higher costs. HB 2531 would freeze the ambulance quality assurance fee at its July 4, 2025 level to comply with federal law and adjust Medicaid add-on payments accordingly; the Washington Ambulance Association strongly supported it as essential to preserving federal matching funds and improving wages and benefits. HB 2543 would update county clerk fees and modernize outdated references, with county officials supporting the changes as necessary to reflect current electronic-record practices. HB 1607, the Recycling Refund Act, drew the most extensive testimony. Staff described a 10-cent refund system for covered beverage containers, a producer responsibility organization, Ecology oversight, and fiscal impacts tied to program administration and lost tax revenue. Supporters, including environmental groups, youth advocates, Seattle Public Utilities, and some industry voices, argued the bill would reduce litter, increase recycling rates, support reuse systems, and complement the existing recycling reform law. Opponents from recycling haulers, grocers, beverage interests, counties, and solid waste providers argued it would function like a tax, raise consumer and retailer costs, duplicate or undermine curbside recycling and EPR, and create siting and implementation problems. No votes were taken on the bills in this transcript; the hearing concluded with public testimony and adjournment.

Transcript Highlights:

• This would be a transitional assessment that includes supportive and rehabilitative services needed in
• This would be a transitional assessment that includes supportive and rehabilitative services needed in
• Staff at the Department of Social Services are technically doing work to support the State Council.
• Moving on to the next department, Child Support Services, issue 11. Good morning.
• As you heard, there are no new major proposals in the Department of Child Support Services.

Keywords: 987, senate, all

Transcript Highlights:

• I am blessed to have the support of my family.
• I am blessed to have the support of<00:21:59.120><c> my</c><00:21:59.400><c> family.
• </c><00:52:50.319><c> I</c><00:52:50.480><c> think</c> supports for family court.
• I think supports for family court. I think that's<00:52:50.880><c> great.
• I have a family. I'm rooted on Maui, and I hope for your support. Thank you for your time.

Keywords: 912, senate, all

Summary: The Judiciary Committee heard testimony on Governor’s Message 767, the nomination of Kanoi AD Jackson to serve as circuit court judge for the Third Circuit. The chair announced that the committee would not vote on the governor’s message or two judge nominations until Tuesday, April 15, but planned to vote that day on two Defender Council items. Testimony on Jackson’s nomination was limited to two minutes per speaker, and the hearing was conducted partly by Zoom. Supporters emphasized Jackson’s qualifications, work ethic, judicial temperament, and community ties. Testifiers included the West Hawaii Bar Association, family members, a retired teacher, retired Judge Robert Kim, and the Hawaii State Bar Association. The West Hawaii Bar Association said Jackson received high marks from its review process and that the Third Circuit needed a permanent judge for stability. Judge Kim and others praised her preparation, intelligence, humility, and experience as a prosecutor and litigator. Jackson also spoke in her own behalf, acknowledging that her background is primarily criminal rather than civil, but saying she is committed to learning the civil docket and serving the community if confirmed. Members questioned the Hawaii State Bar Association about the basis for its support, including how many members responded and whether concerns were raised about Jackson’s lack of civil experience. HSBA said it uses a confidential review process, receives both positive and negative comments, and does not track votes or percentages, but its board voted to support her. Judge Kim responded that judges can learn new areas of law, that civil dockets can be managed with benchbooks and help from other judges, and that Jackson’s trial experience would serve her well. No vote was taken on Jackson’s nomination during this hearing.

Transcript Highlights:

• This is far more difficult in the adult system, where access to education, health services, and support
• and supports, and allow for essential connection to family and community, a system that can help launch
• The resources the juvenile probation does all the way through, the great resources and services and supports
• and approach, including family engagement, that the Department of Youth Services provide, all of that
• and approach, including family engagement, that the Department of Youth Services provide, all of that

Keywords: 995, all

Summary: The hearing opened with procedural remarks and acknowledgments of Rosh Hashanah, followed by testimony on several criminal justice bills before the Joint Committee on the Judiciary. A major focus was S. 1061, the “Raise the Age” bill, which would gradually move 18- to 20-year-olds into the juvenile justice system. Supporters included youth and young adult advocates, former juvenile court Judge Jay Blitzman, ACLU and CPCS representatives, Roca, United Way, Citizens for Juvenile Justice, and Senator Brendan Crichton. They argued that young adults are still developmentally immature, that juvenile court services improve education and rehabilitation, and that adult-system involvement leads to higher recidivism and racial disparities. Committee members asked practical questions about how the bill would work, and witnesses explained that it would expand access to juvenile court diversion, probation, and DYS services for the covered age group. The chairs also noted a notice issue, clarifying that the hearing had been posted seven days in advance rather than the usual ten. The committee also heard testimony on a bill to revise accomplice and joint venture murder liability and sentencing. Representative Sam Montaño and Senator Liz Miranda supported the reform, arguing that current law can impose life sentences on people with limited or no knowledge of a killing and that the doctrine contributes to racial bias and disproportionate punishment. A law professor, a former defendant, and advocates from the National Council for Incarcerated and Formerly Incarcerated Women and Girls described cases where people were punished far beyond their actual role and said the bill would better align charges and sentences with individual culpability. Related testimony also supported a proportionality-focused reform to reduce the harshness of joint venture sentencing. Several other public safety and criminal justice bills drew testimony. Senator Robin Kennedy supported a bill redefining strangulation in domestic violence law, saying the current “substantial pressure” standard is too vague and that strangulation is often lethal without visible injury. District Attorney Ryan and a retail business executive backed a bill on organized retail theft, saying it would give prosecutors more flexible charging options and better address coordinated theft rings. Representative Vieira and the family of Kiana Barros urged action on Kiana’s Law, which would improve restraining-order notification and enforcement after Barros’s daughter was killed after an order was not served. The hearing also included support for the HALO Act, which would create a 25-foot safety zone around first responders and penalize harassment or obstruction, and for a bill to enhance courthouse security by creating specific protections for judges and their families. No votes were taken during the hearing."} 0}]}

Transcript Highlights:

• resource centers, supporting more than 100,000 families statewide.
• children and families.
• over the last number of decades, working with children and families at the community level to help support
• by providing wraparound supports and services through a variety of different means, as well as connectivity
• support services, clarifying that they're provided at no cost or low cost to participants, culturally

Keywords: 987, senate, all

Transcript Highlights:

• community residential services, day support, family residential services, and ICS.
• ,<00:30:59.160><c> day</c><00:30:59.320><c> support,</c><00:30:59.880><c> family</c> services, day support
• , family services, day support, family residential<00:31:00.720><c> services,</c><00:31:01.440><c> and
• ><c> and</c><00:59:03.160><c> support</c> In the long-term services and support In the long-term services
• </c> and support services. and support services.

Keywords: 1187, senate, all

Transcript Highlights:

• So thank you for your time, consideration, and the continued support for the fire service.
• His family has suffered unimaginable loss.
• The Town Board of Selectmen has supported it, the Finance Committee has supported it, the town manager
• Spinelli deserved our support and deserves our support today.
• Spinelli deserved our support and deserves our support today.

Summary: The Joint Committee on Public Service held its 21st hearing of the 194th General Court to consider late-filed bills, with testimony focused mainly on three measures. The largest portion of the hearing concerned H. 5429/H. 6138, Governor Healey’s bill to ensure Chelmsford firefighter Nicholas Spinelli receives full injured-on-duty pay and benefits after being seriously injured while instructing at the Massachusetts Firefighting Academy. Legislators, the Professional Firefighters of Massachusetts, Chelmsford Fire officials, and family members described the injury, the gap in coverage created by his dual status as a Chelmsford firefighter and academy staff member, and the need for a broader statewide fix for similar situations. Committee members expressed support and noted the bill should be treated like existing protections for police officers injured while working outside their home municipality. The committee also heard testimony on a Topsfield home rule petition, H. 545, allowing Police Chief Neil Hovey to remain in service until age 68 or until relieved by the select board. Supporters said Hovey is a strong regional leader, has helped prepare for major public safety events like the Topsfield Fair, and should be retained because of his experience and fitness. Members and local officials urged favorable passage, and no opposition was raised. A third bill, S. 3051, would provide certain retirement benefits to the surviving spouse of Uxbridge Police Officer Stephen LaPorta, who died while assisting a stranded motorist during a winter storm. Senator Ryan Fattman, Representative Joe McKenna, the Massachusetts Coalition of Police, and others spoke in support, emphasizing the officer’s service and the impact on his family. The town of Uxbridge was said to support the measure. At the end of the hearing, no additional testimony was offered and the committee voted to adjourn.

Transcript Highlights:

• </c><00:12:14.639><c> is</c><00:12:14.760><c> a</c> supporting our moms and families is a supporting
• </c><00:18:06.919><c> me</c> families I hope you'll support me families I hope you'll support me support
• </c><00:48:47.800><c> of</c> family peer support to parents of family peer support to parents of children
• If we want to attract young families, supporting young families with a bill like this is really crucial
• If we want to attract young families, supporting young families with a bill like this is really crucial

Keywords: 1191, senate, all

Transcript Highlights:

• The reality is that DUA is there to support and stabilize our workers and their families.
• The reality is that DUA is there to support and stabilize our workers and their families.
• So I'm here with Lee to provide testimony in support of Bill S. 1325, which is to meet human service
• We ask for your support.
• to all other families in the state.

Keywords: 995, all

Summary: The Joint Committee on Labor and Workforce Development held a hybrid public hearing with testimony on a wide range of labor, workforce, unemployment insurance, apprenticeship, disability services, farm labor, hospital staffing, and workplace harassment bills. Chairs Jake Oliveira and Paul McMurtry outlined hearing procedures, limited testimony to two minutes, and noted written testimony would be accepted after the hearing. Committee members and staff were introduced throughout the session as witnesses arrived in person or remotely. A major portion of the hearing focused on unemployment insurance legislation. Greater Boston Legal Services, the AFL-CIO, and Rep. Joan Meschino supported bills to adjust UI eligibility for workers with fluctuating schedules and to streamline waivers and write-offs for non-fault overpayments, arguing the current system unfairly denies benefits or burdens workers who were not at fault. They also backed bills calling for more oversight and resources for the Division of Unemployment Assistance, citing persistent delays in benefit payments. NFIB opposed the UI changes, warning that the trust fund is headed toward insolvency and arguing the bills would worsen the system’s finances. Rep. Meschino and committee members emphasized that the proposals were meant to protect good-faith claimants and did not apply to fraud. Another large set of bills addressed wages, workforce development, and working conditions. Testimony supported raising and modernizing direct care wages to address severe staffing shortages in human services and disability services, with advocates from the Massachusetts Developmental Disability Council, The Arc of Massachusetts, parents of adults with disabilities, and a direct care worker describing how low pay and turnover harm people needing support. The committee also heard support for apprenticeship-related bills from the AFL-CIO and the Carpenters, while Associated Builders and Contractors opposed mandatory apprenticeship ratios and urged changes to align them with licensing laws. Farm worker advocates supported a bill to raise farm labor standards, including minimum wage, paid breaks, and paid time off, while the Farm Bureau opposed parts of it beyond the minimum wage increase. The hearing also featured testimony on workplace harassment training, overtime protections, hospital mandatory overtime, suicide prevention signage on construction sites, and a proposal to update the Massachusetts Medical Society’s mission language from “citizens” to “people.” Labor groups, educators, and compliance trainers strongly supported mandatory annual sexual harassment training, saying it would improve workplace culture and reduce harm. SEIU 1199 supported extending the hospital nurse mandatory overtime ban to the broader hospital workforce. Witnesses on the suicide prevention bill described personal losses in construction and recovery work and urged posting 988 information on job sites. The committee took no votes during the hearing; witnesses repeatedly asked for favorable reports, and members asked follow-up questions on UI calculations, apprenticeship ratios, small-business impacts, and emergency exceptions for hospital staffing.

Transcript Highlights:

• Folks where I'm from live by faith, family, hard work, personal responsibility, and service to their
• I'm proud to represent a community of families, friends, teachers, service members, veterans, and small
• And most importantly, I want to thank my family whose love, support, and faith carried... ...me through
• Kar Carte devoted his life to his family and helping others, supporting hospitals, schools, churches,
• Families seeking care and support are not political pawns.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, June 30, 2026, 1012, house, all

Transcript Highlights:

• reducing the tax burden on working families, but I would prefer those to be New Mexican families.
• services.
• services.
• services.
• services.

Bills: HB70, HB93, HB95, HB139, HB140, HJR4

Keywords: Public Regulation Commission, PRC, utility oversight fund, public utilities, utility regulation, commissioners, commission staff, chief of staff, ethics, Gift Act, revolving door, post-employment restrictions, consumer complaints, telecommunications, pipeline safety, natural gas pipelines, oil pipelines, license fees, regulatory oversight, administrative cleanup

Transcript Highlights:

• At our Goddard School, the Department of Family and Protective Services swoops in at least twice a year
• Early learning also supports our working families, as 2/3 of families with young children have all available
• A more efficient system would better support families and boost economic output.
• And academic, we are able to provide much more holistic development for the child and support families
• It is actually much more cost efficient for families to go to a childcare center and receive services

Bills: HB117

Keywords: county regulation, impervious cover, land use, unincorporated areas, environmental management

Transcript Highlights:

• Working hard, going to their barbecues, family parties, the whole nine yards, and have done their service
• As our population ages and care needs become more demanding, our families deserve to know how much support
• Family Services Association, our senior services provider, instituted a grab-and-go meal program where
• Services can include medically tailored nutrition, legal services, critical ombudsman services, access
• and necessary support.

Summary: The Assembly Aging and Long-Term Care Committee met on April 22, established a quorum, and adopted its 2023-24 committee rules. The hearing then considered five bills focused on aging, long-term care, immigrant seniors, nutrition, and emergency preparedness. AB 450 would create a task force to study the needs of undocumented Californians age 55 and older; supporters from CHIRLA and other advocates described barriers to housing, health care, retirement, and digital access, while members raised questions about eligibility and process. The bill was approved on a due pass motion and re-referred to the Committee on Human Services. AB 508 would require residential care facilities for the elderly to disclose staffing information upon request at admission and when rates increase. The author and supporters argued that staffing levels are closely tied to quality of care and that families need transparency to make informed choices; a witness described her father’s death in an understaffed facility. Assisted living industry representatives opposed the bill as burdensome but said they were continuing discussions with the author. The committee adopted amendments and passed the bill to Appropriations. AB 1476 would allow senior congregate meal programs to continue offering to-go meals, a practice expanded during the pandemic. Supporters said the option improved access for homebound and food-insecure seniors and helped bring people into senior centers; there was no opposition, and the bill passed to Appropriations. AB 1068 would create a working group on evacuation and sheltering needs for older adults and people with disabilities in long-term care during disasters, and AB 1069 would ensure area agencies on aging and aging/disability resource programs have access to emergency shelters to provide services. Both measures drew broad support from aging, disability, and advocacy groups, with testimony citing recent fires and evacuations, and both were approved and re-referred to the Committee on Emergency Management. The committee also left rolls open for additional members to add votes before adjournment.

Transcript Highlights:

• letters to families receiving private duty nursing services to inform them of this new program and that
• But without formal recognition or support for these family caregivers, we are left with the tools to
• By excluding family caregivers from accessing home health aid services under Florida Kid Care or who
• Allowing families with children on Florida Kid Care to qualify for family home health services will help
• However, the Family Home Health Aid is not included in the PDN services, only an RN and the LPN are.

Summary: The subcommittee held its first meeting of the 2025-2026 term, took attendance, confirmed a quorum, and heard introductory remarks from members and staff. Chair Anderson outlined the subcommittee’s jurisdiction over access and affordability issues, including health facility regulation, insurance, Medicaid, CHIP, and state employee health coverage. The main agenda item was an update on implementation of HB 391, which created a family home health aide program for medically fragile children. Representative Tramont, the bill sponsor, explained that the law was intended to let trained family caregivers be paid through Medicaid to care for their children, reduce reliance on private duty nursing, and relieve families. He and several members expressed frustration that implementation had taken nearly two years and that families still faced barriers. Deputy Secretary Brian Meyer of AHCA and Bridget Royce of DCF said the program was implemented October 1, 2024, with billing available, but no home health agencies had yet launched the required 80-hour training program and no claims had been paid. They described the program’s requirements, including agency employment, background screening, training, a $25-per-hour Medicaid rate paid to the agency, and an annual assessment report. A major issue discussed was that income earned by family caregivers counts toward Medicaid eligibility and could cause families to lose coverage. AHCA and DCF outlined two possible fixes that would require CMS approval: disregarding the income for eligibility purposes or treating the child as a family of one. Members and public witnesses strongly urged changes to avoid forcing families to choose between income and coverage. Several providers said they had begun preparing training programs, but asked for clearer approval processes and more patient-specific training requirements. The committee then heard extensive public testimony from parents and caregivers of medically fragile children, who described the financial, emotional, and logistical strain of caring for children with severe disabilities and argued that the bill should be expanded to include Florida KidCare families and others in the coverage gap. They also raised concerns about the eight-hour-per-day limit, low pay, and the need for simpler rules and direct support. Home health providers and associations supported the concept but asked for modifications, including more targeted training and clearer implementation guidance. The meeting then shifted to a second agenda item on the Andrew John Anderson Rapid Whole Genome Sequencing Program, which was funded in the 2023 budget. Deputy Secretary Meyer said the program has been implemented since January 1, 2024, but utilization has been lower than expected, with only about 60 claims paid and many denials occurring through managed care. Public testimony from a lab, a hospital, and a pediatric rare disease expert said the program is clinically valuable and cost-saving, but managed care billing barriers, prior authorization issues, and DRG-related denials are limiting access; they urged direct billing to Medicaid and possible expansion to all newborns.

Transcript Highlights:

• At MICC, we take our responsibility to our students, families, and supporters seriously.
• At MICC, we take our responsibility to our students, families, and supporters seriously.
• It represents lives transformed, families supported, and a workforce strengthened.
• I am supported by my family and my dog and my loved ones.
• </c><00:48:27.319><c> are</c> Services because if those services are Services because if those services

Keywords: 1183, house