Transcript Highlights:

• <00:57:49.880> But alternative dental delivery model.
• But alternative dental delivery model.
• recommendation, model, second revenue recommendation, model, second revenue recommendation, improve
• Current Medicaid delivery model in place since 2011 is not improving health outcomes.
• So, I just want to suggest... services through the CCBHC model by services through the CCBHC model by

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on January 12, 2026, to approve the December 10, 2025 minutes and continue finalizing its findings and recommendations. Members reviewed findings on administrative inefficiencies, Medicaid and workforce participation under HR 1, Medicaid budget growth, rural health transformation fund development, and provider tax/state-directed payment changes. The board approved a motion to change “pilot” to “partnership” in the workforce-related recommendation, and also adopted a technical amendment clarifying overlapping HCBS services by removing reference to adult daycare waiver services and revising the language to focus on reducing duplication, simplifying provider contracting, and standardizing processes across programs. A separate technical correction was noted to change “DMS” to “DPH” in the rural health transformation finding, to be handled in the final edits. Several findings drew discussion but no final substantive vote during the meeting. On the rural health transformation fund, Dr. Berg said Kentucky had done well in federal funding and noted limits on what could be shared publicly, while Commissioner Lee said a public website had been created and recommended the department reference be changed to the Department for Public Health. Finding five prompted extended discussion about provider taxes, state-directed payment reductions under HR 1, and whether the board should address the relationship between actuarial studies, MCO payments, and actual provider reimbursement more directly. Senator Meredith and others argued for a broader, more transparent baseline review of rates across provider groups, while Commissioner Lee said CMS will require certain fee schedule comparisons to Medicare beginning July 1, 2026, and that quarterly expenditure reports already go to LRC. The board did not finish resolving finding five during the meeting and agreed to return to it after staff prepared more explicit language. Members also discussed the possibility of an all-payers claims database as a better way to understand what is being paid across payers and services. No final vote on the full findings package was taken in the portion of the meeting provided, but the board did adopt the noted amendments and continued working through the remaining language.

Transcript Highlights:

• So that's the four bilingual models.
• Is that the immersion model? Is that available as an option for parents?
• Um, that... that isn't a model that some... ...places implement.
• It depends on the program model.
• and how kids perform in Texas and other states based on those program models.

Bills: HB295, HB824, HB1579, HB1581, HB2189, HB295

Keywords: bullying, antisemitism, school policies, school discipline, education, education policy, Texas Education Code, hate speech, student rights, civics education, high school curriculum, government, voting process, elected officials, Texas Seal of Biliteracy, biliteracy, bilingual education, multilingual, language proficiency, high school diploma

Transcript Highlights:

• I want to talk about the current funding model a little bit.
• So that's kind of where the current model is.
• If the funding model If the funding model puts in money for one-to-one computers, are we creating an
• Across the entire model, we have been limited to 2.6 FTE.
• funding model in the other categories.

Keywords: 916, all

Transcript Highlights:

• provides care for individuals who are uninsured and underinsured, Florida uses the managing entity model
• At the initiation of that development, we began by reviewing how similar models operate in different
• Treatment foster care works best when the model is clearly defined and consistently applied.
• Every model will require a little bit of that.
• The department is maintaining such a heavy hand, if you will, in the development of this model.

Summary: The subcommittee heard two Department of Children and Families implementation updates on measures passed in prior sessions. First, DCF reviewed House Bill 633, which increased oversight of behavioral health managing entities through biennial independent audits, standardized claims-based reporting, and new monthly outcome dashboards. The department said it had awarded the inaugural audit to Ernst & Young, found no significant waste, fraud, or abuse, but identified process risks involving financial controls, claims validation, data access, and system access controls. DCF also described its transition to standardized behavioral health coding and said the new public dashboard of 11 measures is posted on its website, though members asked for easier access and for hard copies of the audit report. Members asked about how the department distinguishes Medicaid-covered services from department-funded services, how duplicate payment risks are being addressed, and whether the new reporting and audit requirements would improve oversight without disrupting services. DCF said it is the payer of last resort for uninsured or underinsured individuals, that some overlap with Medicaid is expected because Medicaid does not cover all behavioral health services, and that new claims edits and cross-checks are being built into the system. The department also said it had not found significant negative feedback from providers and that the new requirements are intended to improve transparency and accountability. DCF then updated the committee on Senate Bill 7012, covering human trafficking data collection, domestic violence center certification, limited background-screening exemptions, expanded recruitment for child welfare staff, subcontractor liability protections, a four-year treatment foster care pilot, case management efficiency recommendations, and a statewide study of residential bed capacity for child victims of commercial sexual exploitation. The department said several items are already complete or underway, including limited exemptions in the screening clearinghouse, while others are in procurement or rulemaking. It identified Circuits 4 and 12 as the treatment foster care pilot sites and said the pilot will launch in January 2026. Members questioned recruitment metrics, pilot timing, and report deadlines; the department said final reports are expected by January and that some dates were flexible because of procurement and implementation timelines. The meeting ended after the presentations and questions, and the subcommittee adjourned.

Transcript Highlights:

• We use two models, a national and a state model, so that we could compare Washington with other states
• These models use demographic information, such as the percentage of foster care students, to identify
• While the model allowed us to look at overall identification rates, it did not While the model allowed
• Both the national model and the state model identified two notable variables as reducing a school district's
• other states do not effectively screen children for disabilities, then no matter how good the model

Summary: The JLARC I-900 Subcommittee heard a State Auditor’s Office performance audit on special education services, focused on comparing student needs, district identification practices, and funding. Auditors said Washington does not appear to under-identify any particular population for special education, though districts face ongoing challenges with identification, documentation, staffing shortages, and inconsistent referral tracking. They explained that their analysis used statistical models because the true prevalence of disabilities is unknown, and found Washington districts generally clustered near the national average, with little evidence that any demographic group was systematically under-identified. The audit also found that special education funding has historically been insufficient, with districts collectively covering about $500 million in costs not paid by state or federal sources, and that districts spent about 26% more per student than they received in funding. Auditors noted recent legislative changes that removed the special education enrollment cap and changed the safety net process, but said it was too soon to assess their effects. Their recommendations to OSPI included clarifying what counts as an official special education referral, requiring districts to report referral data even when no evaluation follows, and ensuring the new statewide data system is developed with district input, training, and possibly a mandate for uniform use. OSPI staff said they concurred with the report and appreciated the work of the auditor’s office and JLARC. During member questions, Representative Paulette raised concerns that the audit did not directly examine prevalence of specific disabilities, such as autism and dyslexia, in vulnerable populations or compare Washington’s identification practices to medical and peer-reviewed prevalence data. Auditors responded that medical prevalence is not known in a systematic way, that educational eligibility differs from medical diagnosis, and that the report’s conclusions should not be read as proving no populations are under- or over-identified. No public testimony was offered, and the meeting adjourned.

Transcript Highlights:

• There is the jail enforcement model. This bill specifically addresses the task force model.
• This f greater public safety models.
• And I safety with this model as well.
• that the 287g task force model that the 287g task force model essentially<01:08:29.520> evaporated
• And in that time I think the model.

Keywords: 958, all

Summary: The committee met with a quorum, approved the October 21 minutes, and then heard a KO presentation focused on county jail funding pressures. KO leaders and county judges said jail costs have become a statewide crisis, noting that county general fund contributions to jail budgets have risen sharply since 2019. They said the organization’s sole legislative priority this session is to “reshape the shared responsibility” for county jails through three main proposals: incentivizing regional jails, clarifying responsibility for pre-trial felony detainees, and changing the model for housing state inmates. On regional jails, KO proposed one-time state construction help for new or expanded regional facilities, allowing former county jails to become 96-hour holdover facilities, changing regional jail authority boards so each participating county jailer can serve, increasing the closed-jail supplement, and offering a one-time payment to counties that close a jail and join a regional plan. On pre-trial felony detainees, Judge Mosley argued counties bear the full cost for people held before trial, sometimes for years, and said counties should be reimbursed for time served credit when those inmates are later sentenced. On state inmates, KO said the current per diem of $35.34 is below the average daily county jail cost of $63.44, and proposed a new contract model requiring the Department of Corrections to pay actual housing costs while counties provide agreed programming such as substance use treatment, cognitive behavioral programming, re-entry services, workforce training, and academic programming. Members asked about the fiscal impact of the package, the feasibility of regional jail population thresholds, and whether the proposal could affect counties’ ability to house federal inmates. KO said regionalization should remain a local decision, that a bill draft and fiscal note were being developed, and that only certain jails are eligible to house federal inmates under existing agreements. Representative Maddox also asked about social media comments by Judge Mosley regarding homeschooling; Mosley said the remarks were unrelated to KO and apologized for any offense. Senator Mills asked what counties would do with savings from jail costs, and judges said the money would likely go to local services such as roads, ambulance service, senior programs, parks, economic development, infrastructure, broadband, and water projects.

Transcript Highlights:

• ,<00:24:07.920> they their local accountability model, they their local accountability model
• And I think in August, we're model.
• Let me be very accountability model.
• That model of providing support through the regional training centers is not the typical model these
• <01:30:14.240> these centers is not the typical model these centers is not the typical model

Keywords: 0:00:03 - Call to Order and Roll Call 0:00:43 - Approval of October 14, 2025 and November 4, 2025 Minutes 0:01:15 - Acceptance of Office of Education Accountability Report: Analysis Of Student Discipline Data in Kentucky Schools 0:02:10 - Implementation Update on 26 RS HB 257 0:49:38 - Career and Technical Education in the Assessment and Accountability System 1:13:50 - Office of Education Accountability Annual Report 1:47:27 – Adjournment, 958, all

Summary: The Education Assessment & Accountability Review Subcommittee approved the minutes from its October 14 and November 4 meetings and also approved the Office of Education Accountability report analyzing student discipline data in Kentucky schools. The main presentation came from KDE Commissioner Dr. Robby Fletcher on implementation of House Bill 257, which he said has two major parts: selection of a statewide college entrance exam through a new procurement process, and development of locally designed indicators of quality for accountability. On the college exam, Fletcher explained that the state had to reopen procurement after Senate Bill 197, with the RFP released May 21, vendor questions handled through the Finance and Administration Cabinet, proposals due June 22, and scoring and review expected in July and August, with a vendor decision not likely until October. He emphasized that the exam is a norm-referenced college-readiness measure, not a test of Kentucky academic standards, which are assessed by the KSA. Members asked about the science requirement in statute, the possibility of multiple vendors or district choice, and whether the CLT could participate; Fletcher said vendors must address science in the RFP, multiple vendors could be possible, and any vendor could submit a proposal if it meets the rubric. He also noted that ACT and SAT differ in structure, that either can meet college-readiness benchmarks, and that there were no major complaints about the SAT during its first year of use. The second major topic was the locally developed indicators of quality under House Bill 257. Fletcher said these are intended to let districts measure themselves against their own goals rather than compare districts statewide, while still aligning with Kentucky standards. He described examples such as achievement, growth, student well-being, safety, fiscal responsibility, civics, internships, apprenticeships, project-based learning, and defenses of learning. He said districts may use local assessments such as MAP, STAR, and I-Ready alongside state data, and that local models should be developed with families, community members, and workforce partners. He added that KDE is providing technical assistance, has applied for a federal CGSA grant, and will use a one-time $15,000 cost offset for districts implementing local accountability models, with a superintendent webcast planned for August.

Transcript Highlights:

• contributed to transforming Hawaiʻi's visitor industry to a more regenerative and culturally respectful model

Bills: SCR8, SR10, SCR90, SR85, SCR110, SR103, SCR54, SR52, SCR107, SR101, SCR178, SR173, SR76, SCR40, SR30, SCR145, SR137, SCR62, SCR95, SR90, SCR45, SR44, SCR119, SR112, SCR63, SR57, SCR21, SR18, SCR27, SR24, SCR75, SR69, SCR7, SR7, SCR149, SCR55, SR53, SCR180, SR175, SCR86, SR77, SCR59, SCR41, SR31, HB1678, HB1824, SCR177, SR172, SCR5, SCR85, SR75, SCR139, SR131, SCR146, SR138, SR84, SCR31, SR27, SCR46, SR45, SCR48, SR47, SCR9, SR11, SCR83, SR73, SCR20, SR17, SCR56, SR54, SCR87, SCR39, SR29, SCR142, SR134, SCR203, SR191, SCR200, SR188, SCR196, SR184, SCR194, SR183, SCR114, SR107, SCR166, SR157, SCR96, SR91, SCR172, SR163, SCR109, SR102, SCR50, SR49, SCR64, SR58, SCR184, SR165, SCR81, SR71, SCR19, SR16, SCR22, SR19, SCR32, SR28, SCR57, SR55, SCR58, SR56, SCR103, SR97, SCR159, SR150, SCR163, SR154, SCR169, SR160, SCR68, SR63, SCR105, SR99, SCR112, SR105, SCR198, SR186, SCR11, SR9, SCR132, SR124, SCR189, SR179, SCR26, SR23, SCR93, SR88, SCR117, SR110, SCR164, SR155, SCR165, SR156, SCR170, SR161, SCR168, SR159, SCR173, SCR197, SCR47, SR46, SCR94, SR89, SCR99, SR93, SCR100, SR94, SCR130, SR122, SCR78, SR82, SCR154, SR145, SCR195, SR192, SCR162, SR153, SCR201, SR189, SCR202, SR190

Keywords: building permits, seniors, health care, disability, safety modifications, county regulations, expedited processing, older adults, disability access, healthcare, permit processing, home modifications, kupuna, accessibility, parking, business hours, aging population, parking accessibility, private business hours, affordable housing

Transcript Highlights:

• maintain the status quo, number two being to adopt DNIP, number three being to adopt the HCBS carveout model
• It is therefore difficult to determine with certainty whether or not a managed care model for long-term
• <00:05:18.320> um HCBS carveout model um HCBS carveout model um and<00:05:20.800> number
• in the future if the managed care model in the future if the legislature<00:07:26.319> should
• But I do think that PACE, um, there are models that are out there about other than in urban areas.

Keywords: 1189, house, all

Summary: The Committee to Study Long-Term Managed Care met to approve the prior minutes and then focused on its final report. The chair reviewed the committee’s earlier options—maintaining the status quo, adopting DNIP, adopting an HCBS carveout model, or moving fully to managed care for the aging population—and noted that ABD and developmental disabilities had already been excluded from consideration. He proposed a final recommendation that New Hampshire consider adopting DNIP as a voluntary option to better coordinate Medicare and Medicaid for dual eligibles, reduce duplication, and create a possible pathway toward future managed care, while acknowledging that a majority and minority report could be issued if needed. Members generally supported the draft recommendation and asked questions about whether federal budget changes would incentivize states to move in that direction, how the proposal would align with current department efforts, and whether the program would remain voluntary. Director Henry Litman said he did not see a specific federal mandate in OB3, but noted incentives in rural health transformation funding and said the proposal aligned with existing managed care contract direction. He and others emphasized that DNIP should be voluntary and that implementation timing would need to account for federal deadlines and broader changes facing the department. Members also discussed PACE, with one member saying it appeared feasible mainly in more populous areas and expressing neutrality, while another raised concerns about county risk and the need to preserve patient choice and maintain three MCOs. After discussion, members indicated agreement with the majority report approach and no further changes were proposed. The committee then moved to accept the draft language as presented and issue it as its report; the motion was seconded and approved by voice vote. The meeting then adjourned.

Transcript Highlights:

• But my other question is about the model policy and the presumption of adoption.
• But my other question is about the model policy and the presumption of adoption.
• But my other question is about the model policy and the presumption of adoption.
• But my other question is about the model policy and the presumption of adoption.
• And we just want to be clear about what must be included in that model policy and that guidance.

Keywords: 927, senate, all

Transcript Highlights:

• moving from a census block grant model moving from a census block grant model to<00:30:54.399>
• > estimated<00:37:08.000> that Our modeling last year estimated that Our modeling last year
• Are you all able to do any type of modeling to inform?
• of modeling to inform? of modeling to inform?
• heard, we have done extensive modeling heard, we have done extensive modeling last<00:46:37.119>

Keywords: 926, house, all

Summary: The meeting was a high-level walkthrough of Act 73, with staff from Legislative Council and the Joint Fiscal Office summarizing major education policy, governance, tax, and fiscal changes. The presentation covered class-size minimums and related enforcement, creation of a state aid for school construction program, narrowed tuition eligibility for approved independent schools, changes to State Board of Education appointments, special education reporting and staffing, and a new report on standards for schools deemed small or sparse by necessity. It also noted that some provisions take effect immediately or in 2025, while the major funding and tax changes are contingent on new school districts being operational and a foundation formula report being received, with most of those changes targeted for July 1, 2028. The central fiscal change described was a move from the current locally voted budget and varying homestead tax system to a foundation formula. Under that model, districts would receive an educational opportunity payment based on a base amount per pupil, adjusted by student weights for factors such as pre-K, economic disadvantage, English learner status, and special education, with small-school and sparsity weights replaced by support grants. Districts could still seek limited supplemental district spending above the foundation amount, subject to a cap and a uniform method for raising the funds, with excess collections recaptured at the state level. The presenters also described transition mechanisms to phase in the new system over several years. The tax section explained that Act 73 would replace the current property tax credit with a homestead exemption and create a new non-homestead residential classification intended for second homes and short-term rentals, though further statutory or regulatory work would still be needed to implement it. The JFO presentation emphasized that the act also creates regional assessment districts for reappraisals and includes a transition to smooth changes in education tax rates. No committee vote or formal action was taken during the presentation; it was informational only.

Transcript Highlights:

• policy and that that model policy is really not being practiced.
• Model policy, and if that model policy is really not being practiced.
• And that was the purpose of the model policy.
• The first section of the model policy is already in state law.
• policies, and this is one of the model policies that came out of that.

Bills: SB693, SB781, SB836, SB860, SB906, SB993, SB1101, SB1321, SB1370, SB1537, SB1563, SB1610, SB1637

Keywords: notary public, notaries, acknowledgment, jurat, personal appearance, remote notarization, online notarization, e-notary, electronic notarization, fraud prevention, identity verification, real estate fraud, property transfer, state jail felony, Class A misdemeanor, secretary of state, continuing education, record retention, notarial act, Texas Government Code

Summary: The committee heard a series of criminal justice bills focused on victim protections, law enforcement tools, notary/deed fraud, sexually violent predators, veterans in jail, tribal policing authority, and peace officer records. Several bills were laid out, heard, and left pending because the committee lacked a quorum for final action on those items. Testimony was generally supportive on bills addressing interpreter appointments, fuel theft investigations, deed fraud, survivor privacy, veteran jailer training, tribal peace officer authority, and officer-record confidentiality, though some bills drew concerns about due process, scope, or drafting. Senate Bill 1537 would clean up criminal procedure language on appointing interpreters and align it with Government Code standards requiring licensed or certified interpreters; it received no public opposition and was left pending. Senate Bill 993 would let Comptroller Criminal Investigative Division officers directly seek warrants for mobile tracking devices in fuel-theft and tax-fraud investigations; it also drew support and was left pending. Senate Bill 693, as substituted, would create a criminal offense for notarizing documents without the signer personally appearing, with a higher penalty when real property is involved, and would add notary continuing education; a Dallas County prosecutor testified that notary fraud is a major driver of deed theft, and the bill was left pending. Senate Bill 1610, as substituted, would address safety, registration, and criminal penalties at the Texas Civil Commitment Office for sexually violent predators, including assaults on staff and sex-offender registration issues; agency witnesses described increased assaults and operational problems, while a public witness urged waiting for Sunset review and raised due-process concerns. Senate Bill 836 would add privacy protections for sexual assault survivors by limiting livestreaming of trials, expanding pseudonym use, and protecting forensic exam and invasive-recording evidence; survivors and advocates strongly supported it, and defense lawyers said they had no opposition to the substitute. Senate Bill 1563 would require county jailer training on interacting with veterans, with testimony from the Texas Veterans Commission and veterans’ advocates emphasizing suicide risk, PTSD, and the need for better identification and support in jails; the bill was left pending. The committee also heard Senate Bill 906, which would authorize the Ysleta del Sur Pueblo tribal police to be commissioned as Texas peace officers like two other federally recognized tribes in Texas; tribal leaders said the change would improve response times and coordination, and the bill was left pending. Senate Bill 781, as substituted, would standardize confidentiality rules for peace officer personnel and departmental files statewide, mirroring Chapter 143 civil-service practices; law enforcement witnesses supported it as a way to protect personal information and create uniform records practices, but several senators raised concerns that the bill could blur existing disclosure rules or bury misconduct complaints, and public testimony included an opposition witness describing a police shooting involving her brother.

Transcript Highlights:

• I frequently hear from small businesses that rely on price stability to source their products and predict
• This team of 10 talented and dedicated students devoted months designing, building, and launching model
• :34.400> building,<01:09:34.719> and<01:09:34.880> launching<01:09:35.359> model
• designing, building, and launching model designing, building, and launching model rockets<01:09:
• The Roseburg home would house more than 150 veterans and be a model for community-based care.

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, May 14, 2026, 1012, house, all

Transcript Highlights:

• Um, we're probably as close to the model as anywhere, the existing model.
• Our current model is evidence-based.
• So, this model is the to evidence-based.
• We have a regional cost adjustment in the current model, the current Wyoming model, where it's the highest
• current model. current model.

Keywords: 916, all

Transcript Highlights:

• AB 412 does not say whether or how models can be trained.
• AB 412 does not say whether or how models can be trained.
• I'm a freelance game developer, concept artist, and also a 3D modeler.
• There’s, I mean, there’s a big difference in my mind between asking a model, an AI model, to tell you
• We possibly catalog every single thing that the AI models have been trained on.

Keywords: 987, senate, all

Summary: The Senate Committee on Privacy, Digital Technologies, and Consumer Protection heard three Assembly bills. AB 412, the AI Copyright Transparency Act by Assembly Member Bauer-Kahan, would require developers to let copyright holders query whether their works were used to train generative AI systems. Supporters, including voice actors, artists, labor groups, and Professor Ben Zhao, argued the bill is a narrow transparency measure that helps creators protect their rights and that the underlying technology is feasible. Opponents, including business and tech groups, argued the bill goes ahead of unsettled copyright law, is technically difficult to implement at scale, and could burden startups. The author accepted committee amendments narrowing the bill, and the committee voted 6-2 to pass it as amended to the Judiciary Committee. AB 2448 by Assembly Member Berman would require electronic health record vendors to implement technical safeguards that help providers protect sensitive reproductive and gender-affirming care information. Planned Parenthood affiliates, the Attorney General’s office, and other supporters said the bill clarifies existing law and strengthens patient privacy amid threats to reproductive care access. There was no opposition testimony. The committee voted 7-1 to pass the bill to the Health Committee. AB 2561 by Assembly Member Valencia would prohibit changes to consumers’ privacy settings without their consent, aiming to prevent apps and software updates from resetting user preferences. CalChamber and TechNet representatives said they now supported the bill after the author accepted their amendments. The committee voted 8-0 to pass AB 2561. The hearing included multiple roll calls as quorum was established and bills were held on call before final votes were taken, and the committee then adjourned.

Transcript Highlights:

• We are now working to replicate this model statewide.
• The CAC model brings together law and Its conclusion, sometimes years later.
• Conduct forensic interviews, fulfilling two critical standards of the CAC model.
• So we really promote the efficacy of that model.
• So we really promote the efficacy of that model.

Summary: The Senate Committee on Children, Families, and Elder Affairs held a panel discussion on Florida’s child protection teams (CPTs), child advocacy centers (CACs), and the related roles of DCF, DOH, and law enforcement. Testimony from DCF, the Department of Health, a local CAC director, the Florida Network of Children’s Advocacy Centers, a Pinellas County CPT nurse practitioner, and a Jacksonville sheriff’s sergeant described how the system is intended to work: hotline reports are screened by DCF, mandatory referrals are sent to CPT, forensic interviews and medical exams are coordinated through CPT/CACs, and multidisciplinary teams share findings with law enforcement and prosecutors. Speakers emphasized the value of co-location, telemedicine, multidisciplinary staffings, and trauma-informed practices to reduce repeated interviews and improve child safety and case outcomes. Committee members focused heavily on communication breakdowns, staffing shortages, and delays in response times. Senators raised Jordan’s Law and asked what had been done to improve coordination among DCF, CPT, and law enforcement. Several members questioned whether the promised 24-hour response standard is being met in practice, citing reports of delayed referrals, delayed forensic interviews, and bottlenecks that can affect medical evaluations and criminal investigations. Law enforcement testimony from Jacksonville described cases where CPT interviews were scheduled one to two weeks out and reports were not received for weeks, while DCF acknowledged average CPI caseloads of about 12 investigations and turnover commonly occurring within 12 to 18 months. The panel also discussed access gaps and funding concerns. The Florida Network of CACs said Florida has 26 member centers, with some counties lacking CAC coverage and some centers having closed due to funding challenges. Speakers said CACs are voluntary but critical for integrated services, and that workforce shortages in medical and mental health providers limit expansion. DCF and DOH representatives said they would provide follow-up information on the number of CPT medical staff and other requested data. No bills were voted on; the meeting ended with committee members requesting additional information and recommendations for statutory and budgetary changes, and the committee adjourned.

Transcript Highlights:

• So our model is a shared services model.
• So our model is a shared services model.
• <00:04:34.720> Um<00:04:35.520> and model is a shared services model.
• Um and model is a shared services model.
• Um one is a a consent model. controls. Um one is a a consent model.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 CRISP Shared Services 00:01:39 Rural Health Transformation Plan 00:30:55, 958, all

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.

Transcript Highlights:

• in order to realize its full that model in order to realize its full potential<00:46:16.160> and<
• projects through a locally owned model projects through a locally owned model along<00:46:56.240
• has worked for describe how this model has worked for them<00:47:03.200> and<00:47:03.280>
• It expands a model of affordable housing that sustains itself by using market-rate rents to subsidize
• to the purchase agreement this model to the purchase agreement this model sets<01:04:14.960>

Keywords: 1183, house

Transcript Highlights:

• .<00:38:49.480> Um model.
• Um model.
• 12.080> models<01:01:12.440> would<01:01:12.640> already models, the funding models
• or is this a good model?
• or is this a well, is this a bad model or is this a good<01:08:11.960> model?

Keywords: 00:00 Call to Order 02:45 Roll Call 05:25 Cosmetologists 13:48 Barbers 01:16:06 Adjournment, 958, all

Transcript Highlights:

• versus a budget model.
• <00:15:48.040> and agency model versus a budget model and agency model versus a budget model
• The person using services in the budget model is a purely self-directed model, which means that if a
• The person using services in the budget model is a purely self-directed model, which means that if a
• The person using services in the budget model is a purely self-directed model, which means that if a

Keywords: 1187, senate, all