Transcript Highlights:

• Another feature is integrated real-time weather radar and alerts.
• I mean, is everything integrated?
• How do they integrate that? Yeah, the USGS, the U.S.
• If money is spent on structures to recharge the aquifer, who benefits?
• If money is spent on structures to recharge the aquifer, who benefits?

Summary: The House Committee on Natural Resources met to focus on flooding issues across Texas, with particular attention to South Texas and the recent catastrophic flooding in Central Texas. Chair Harris and Vice Chair Martinez emphasized that flooding is a statewide problem requiring continued legislative attention. The committee heard invited testimony from Hidalgo County Commissioner David Fuentes and Hidalgo County Drainage District No. 1 General Manager Raul Sassine, who described the March flood event in Hidalgo County, including more than 20 inches of rain, six deaths, over $100 million in local damage, widespread road flooding, and repeated shutdowns of Interstate 2 and its frontage roads. They argued that existing drainage systems are under capacity, that TxDOT projects must account for downstream drainage impacts, and that local governments have already invested heavily in mitigation through bonds and partnerships. Fuentes and Sassine also described the county’s long-term flood mitigation and water-reuse efforts, including the Delta region water management project, which would capture stormwater, runoff, and treated effluent, reduce flooding, and create potable water supply. They said the drainage district manages about 780 miles of channels and 1,100 acres of detention facilities, has used prior Flood Infrastructure Fund and GLO grants, and has ongoing applications for additional state and federal assistance. Members discussed the need for TxDOT coordination, emergency access on frontage roads, local “skin in the game,” and the possibility of combining flood control with aquifer recharge and water supply projects. Texas Water Development Board Executive Administrator Brian McMath then presented an overview of the state’s flood planning and funding framework, including the post-Harvey legislative changes that created the Flood Infrastructure Fund, the Texas Infrastructure Resiliency Fund, and the regional/state flood planning process. He summarized the first state flood plan adopted in 2024, noting that about one in six Texans live or work in known flood hazard areas and that regional plans identified 4,609 flood risk reduction solutions with an estimated cost of $54.5 billion. He also reviewed TWDB programs for flood grants, community assistance, flood insurance compliance, stream gauges, TexMesonet, flood mapping, and the TexasFlood.org viewer. Members asked about drainage fees, technical assistance, gauge placement, the relationship between flood maps and FEMA FIRMs, and whether flood mitigation funds could support aquifer storage and recovery or recharge projects; TWDB staff said such projects can be eligible if they include flood mitigation components, but direct technical assistance cannot be paid from Flood Infrastructure Fund dollars. The committee concluded by expressing interest in further study of combining flood mitigation with aquifer recharge, and then adjourned.

Transcript Highlights:

• This envisions it to integrate talent development systems, and we've heard a lot about that today, and
• <00:02:48.640> talent<00:02:49.200> development it to integrate talent development
• it to integrate talent development systems<00:02:50.160> and<00:02:50.400> we've<00:02:
• system that will really move integrated system that will really move our<00:04:18.799> students
• <00:08:26.800> to<00:08:27.039> create 3650 to provide structure to create 3650 to

Keywords: 1183, house

Transcript Highlights:

• Then we will move to the Integrated Community Supports Program.
• We are committed to program integrity, and we are committed to fighting fraud.
• We really need to modernize our program integrity technology.
• aligned with program integrity efforts.
• Program integrity is an incredibly important topic.

Transcript Highlights:

• The GUIC rider is very structured.
• The GUIC rider is very structured.
• is very structural is a very<00:03:55.760> structured<00:03:56.280> filing.
• to address safety and integrity. to address safety and integrity.
• transmission integrity management programs, distribution integrity programs, distribution integrity management

Keywords: 1187, senate, all

Transcript Highlights:

• I will now go over some key elements of the structure of today's hearing.
• It's not integrated.
• It's not integrated.
• My short answer would be it would lie in how we integrate and operationalize...
• My short answer would be it would lie in how we integrate and operationalize a revised set of targets

Summary: The Assembly Higher Education Committee met in a special hearing and took up SB 638 by Senator Padilla, a workforce development bill aimed at creating a coordinating entity called the Middle Class Pipeline Project. The bill would streamline interagency education and workforce programs, improve career technical education and career pathways, and direct resources toward high-unemployment, low-income regions through changes to the CTE incentive grant program. Supporters, including the Association of Independent California Colleges and Universities, the California Edge Coalition, National University, Long Beach City College, and United Ways of California, argued that California needs a statewide coordinating body to reduce silos, improve access to high-quality jobs, and better align education with labor market needs. Committee members focused heavily on whether the proposed entity would duplicate existing bodies such as the California Workforce Development Board and other education/workforce agencies, and whether its broad duties could be carried out with the $1.5 million budget allocation. The author said the bill is intended to move an operational coordinating entity into broader tri-party negotiations with legislative leadership and the Governor, and that the final structure and staffing would depend on those talks. Some members supported the concept but raised concerns about scope, duplication, and whether the bill should be delayed or audited; one member opposed it as too broad and underfunded. The committee ultimately voted to pass SB 638 to the Assembly Appropriations Committee on a courtesy vote. The roll call showed five ayes and three noes, with one member not voting, and the chair later allowed additional members to add on, including an additional aye from Assemblymember Haney. The hearing then adjourned with the chair noting that further conversations would continue on the coordinating entity and its responsibilities.

Transcript Highlights:

• telling an otherwise eligible voter, 'You are too late,' it gives elections officials a lawful, structured
• Of course, equipping every election-day polling place with an electronic poll book integrated with the
• Well, I mean, Real IDs are integrated into, for instance, driver's licenses.
• So all of this has to be integrated together.
• So all of this has to be integrated together.

Keywords: 995, all

Summary: The Special Joint Committee on Initiative Petitions held a hearing on Initiative Petition 25-01, H.5-001, an act relative to election day registration. The co-chairs explained the Article 48 initiative process and noted that the committee must report on the petition to the legislature. The hearing focused on how election day registration differs from same-day registration, how it is used in other states, and what implementation would require in Massachusetts. Three expert witnesses testified in support of the concept. A Northeastern University political science professor said the research shows election day registration would likely increase turnout, especially among younger voters, renters, recent movers, and other underrepresented groups, while requiring planning, training, and funding. A National Conference of State Legislatures policy analyst described how election day and same-day registration work in other states, including proof-of-residency and ID requirements, provisional ballot options in some states, and the need for updated voter systems and staffing. An MIT election administration professor said the proposal is mainstream, likely popular with Massachusetts voters, and administratively workable if the state addresses workload, wait times, and system integration. Committee members asked about costs, residency documentation, use of Real ID, provisional ballots, rural polling places, and whether election day registration could increase lines or discourage advance registration. Secretary of the Commonwealth William Galvin and volunteer proponent Norma Shulman testified in favor of the petition. They argued that election day registration would help eligible voters who miss deadlines or move before an election, reduce reliance on provisional ballots, and improve participation. Galvin said the proposal includes a 10-day reconciliation period and would likely require additional staffing and possibly technology, but he viewed the reform as worth the cost and consistent with broader election reforms. Shulman said voters she encountered during the signature drive strongly supported the measure and viewed it as common sense. In questioning, Galvin said the measure would help voters who move within a community or arrive at the polls unregistered, and he said many provisional ballots are not counted because of eligibility or registration problems. Opponents from the Massachusetts Municipal Association and the Massachusetts Town Clerks Association argued that while expanding access is important, election day registration would add to already heavy workloads for local clerks, who are managing early voting, vote-by-mail processing, and election-day operations with limited staff and resources. They said any major election change should be developed through the traditional legislative process with direct input from local officials, and they urged caution until municipalities receive more administrative and financial relief. The hearing then moved into the public testimony section, beginning with a representative from Mass for Fair Elections.

Transcript Highlights:

• So we're looking at getting a structural engineer to come take a look at that for us.
• So to maintain, not to build, but to maintain a deteriorating structure would...
• Maintaining a deteriorating structure would cost between 15 and 25% of the cost of building a new structure
• It is now fully integrated into our operating budget.
• Product that costs more money that fully integrates into everything.

Keywords: 928, house, all

Transcript Highlights:

• We're working on integrating provisions specifically for that very purpose.
• And that choice would break those boundaries and actually lead to more integration.
• Can you elaborate on how that assistance is structured and what the lasting impacts are?
• Can you elaborate on how that assistance is structured and what the lasting impacts are?
• Given this bill structure at this point in time, what do you think would happen?

Bills: SB 2

Keywords: 1185, senate, all

Transcript Highlights:

• The CMA integration would free the front-line caregivers, a meaningful next step in their careers, and
• The department absolutely has a responsibility to ensure safety and structure, and I wholeheartedly..
• They are structural, and there is...
• Residents are accepted precisely because they require assistance, supervision, and structured support
• As such, rest home responsible persons are an integral part of a rest home care model.

Keywords: 995, all

Summary: The Joint Committee on Aging and Independence held a hearing on two assisted living bills, Senate 3057 and House 5376, which would create an Assisted Living Residence Trust Fund to support certification staffing, compliance reviews, complaint investigations, ombudsman services, public reporting, appeals, and oversight. Testimony from MassALA, AARP, and the Long-Term Care Ombudsman generally supported the bills and the dedicated funding stream, but MassALA urged amendments to expand career pathways for staff through certified medication aides and to add guardrails on the use of fines as a funding source. The Ombudsman supported the fund and emphasized the need for additional staffing to better serve the state’s assisted living residents. Committee members asked for draft amendment language, and the chairs indicated they were open to further discussion, especially on fines and CMA language. The committee then heard testimony on Senate 3056 and House 5243 regarding medication administration in rest homes. Providers, including the Massachusetts Association of Residential Care Homes, LeadingAge Massachusetts, and several rest home operators, opposed proposed Department of Public Health changes that would eliminate the long-standing “responsible person” model and move rest homes toward the Medication Administration Program (MAP). Witnesses said the current model has been used for decades, is tailored to rest homes, and is essential to affordability, staffing stability, and resident continuity of care; they warned that replacing it with MAP or nurse-only administration would raise costs, worsen workforce shortages, and could force closures or resident displacement. They asked the committee to support legislation preserving responsible persons’ authority to administer medications while improving training and oversight. Committee members asked questions about the history of the responsible person model, how medication administration works day to day, whether other states use similar systems, and whether data exist comparing medication error rates under MAP and the current model. The chairs said they were still reviewing building-code-related recommendations raised in the assisted living discussion and noted that some issues might be better addressed through a task force. The hearing concluded after testimony and questions, and the committee voted to adjourn.

Transcript Highlights:

• Since I joined Secretary Knox at the Labor Agency in 2020, we've worked to better connect and integrate
• Since I joined Secretary Knox at the Labor Agency in 2020, we've worked to better connect and integrate
• The skills required in the workforce will continue to change, and so we are creating structures to be
• The workforce will continue to change, and so we are creating structures to be responsive to learners
• Things of that nature that could be more structural change to kind of implement.

Summary: The committee heard an update on the administration’s Career Education Master Plan and the new California Education Interagency Council. Administration and agency staff described efforts to better connect K-12, higher education, workforce, and data systems, including the California Cradle to Career Data System, e-Transcript California, and a proposed career passport. They emphasized regional coordination with workforce boards and community colleges, and said the new council’s immediate tasks are to hold its first meeting by the end of June, enter into a data-sharing MOU, and complete a strategic plan by the end of November. Members asked about the council’s authority, reporting requirements, and how it would relate to the broader Master Plan for Higher Education; staff said the council will make recommendations but does not have implementation authority. The committee then took up the Governor’s proposed $100 million one-time expansion of dual enrollment grants and related changes to instructional minute requirements. Finance and the Department of Education said the proposal would support middle college, early college, and CCAP programs, add technical assistance, prioritize high-need LEAs, and reduce the minimum instructional day for certain dual enrollment students from 240 to 180 minutes to ease scheduling barriers. The Chancellor’s Office strongly supported the investment, citing access, acceleration, and equity benefits, while the LAO recommended rejecting the funding, arguing the state already provides ongoing support and that the proposal does not address major barriers. Members raised questions about adult learners, A-G alignment, reporting on outcomes and expenditures, rural access, transportation, staffing, and whether the funding would create lasting program capacity. The item was left open after discussion. The committee also considered trailer bill language to align the definition of long-term English learners across data systems. Finance and CDE said the change would simplify identification by defining LTELs as students who have not attained English proficiency within seven years and RTELs as students not proficient within six years, matching the dashboard and research-based timelines. CDE said the current mismatch between dashboard and assessment definitions creates confusion and delays, while some members and advocates worried the change could reduce earlier intervention or should be handled through policy committees rather than the budget process. The committee voted to reject the proposal and refer it to policy, though the administration said it still supports the budget language. Finally, the committee heard a proposal to extend the Supporting Inclusive Practices project by one year, through June 30, 2027. CDE said the project is promising but raised concerns about the contract structure and fiscal management, while Marysville Joint Unified School District testified that SIP had helped expand inclusive preschool and district-wide practices and reduce reliance on more restrictive placements. Members questioned why funds had not been fully encumbered and whether the remaining money should be redirected to areas with greater implementation need. The item was discussed but no final action was described in the excerpt.

Transcript Highlights:

• Does it fit in integrity? What do we do? Does it fit in integrity? What do we do?
• Waiver Reimagined is anti-integration. anti-integration. anti-integration.
• integrated environment. integrated environment.
• integrity piece. integrity piece.
• in the name of program integrity." in the name of program integrity."

Keywords: 1187, senate, all

Transcript Highlights:

• They were left out of the bonus structure. Joanne Alvarez, my District 8.35.
• integrity start to decline, you really need to be able to addressing both inland and on the coast.
• integrity, it soon would be less than what the 35 story condo would be in Miami Beach.
• integrity. >> I get that and I appreciate that answer.
• But I guess structural integrity on the three-story unit, I would argue is not as a pressing issue, although

Keywords: 999, senate, all

Transcript Highlights:

• My second question is in relation to the K-3 grade span adjustment to integrate the TK funding.
• Can you tell us about what changes are needed in order to fully integrate that?
• Finance is not aware of any changes needed to integrate TK into the grade span adjustment since it's
• An advisory structure, then a lot of kids just get lost in the shuffle.
• And community schools should become integrated into the way we do business.

Summary: The committee heard presentations on the Governor’s education budget proposals for the Local Control Funding Formula (LCFF), Learning Recovery Block Grant, and Expanded Learning Opportunities Program (ELOP), followed by testimony from State Board of Education President Linda Darling-Hammond. On LCFF, Finance outlined the proposed 2.43% COLA, repayment of prior deferrals, and a trailer bill penalty for LEAs that fail to adopt Local Control Accountability Plans on time. The LAO said its COLA estimate was slightly lower and raised concerns that the Governor’s proposed TK staffing ratio increase may be more costly than estimated. Members also discussed whether the current COLA formula should better reflect California-specific or district staffing costs, and whether TK should be more clearly separated from the K-3 grade span adjustment to avoid larger K-3 class sizes. The chair asked staff to work with the LAO on both the TK/K-3 issue and alternative COLA calculations. For the Learning Recovery Block Grant, Finance proposed restoring the first of three delayed payments, $378.6 million one-time Proposition 98 General Fund, while the LAO recommended adopting the proposal but extending the expenditure deadline by at least a year. The LAO reported that districts had spent $1.6 billion of the $6.8 billion received through 2023-24 and said most districts were only now shifting from federal COVID relief to block grant spending. Members questioned whether the large state and federal investments were improving outcomes, citing declining reading and math trends, while Finance and the State Board president pointed to some signs of improvement, especially in math, attendance, and gains for some student groups. Darling-Hammond emphasized that student needs have grown, that recovery spending has gone to devices, ventilation, staffing, tutoring, summer school, and community schools, and that targeted interventions appear to be helping some districts recover faster than others. On ELOP, Finance proposed adding $435 million to expand universal access by lowering the Tier 1 threshold from 75% to 55% unduplicated pupils, bringing ongoing funding to $4.4 billion. The LAO said the estimate was reasonable but recommended delaying implementation for a year, aligning ELOP with ASES to reduce overlap, moving toward funding based on participation rather than enrollment, and considering a fixed Tier 2 rate. Members and witnesses discussed staffing challenges, the use of funds for students with disabilities, and uncertainty in Tier 2 funding caused by unspent dollars and opt-outs. Darling-Hammond supported ELOP as part of California’s broader after-school and summer learning strategy, said most districts are now offering full-day TK and expanded learning, and urged the state to reduce fragmentation across categorical programs and build more unified systems for funding, reporting, and support.

Transcript Highlights:

• The structure of today's hearing is designed The structure of today's hearing is designed to build a
• I mentioned our mental health integration program.
• Because it is an integrated model.
• We have a structural budget deficit. Yes.
• I mean, we need to integrate it in a healthy way.

Summary: The hearing focused on youth mental health and treatment access in California, with opening remarks emphasizing that youth distress, self-harm-related emergency visits, and difficulty obtaining care remain elevated, while workforce shortages and reliance on one-time funding continue to limit access. Assemblymember Lori Davies echoed concerns about unstable funding and said lawmakers need to hear directly from providers and families as they prepare for the budget and legislation. The chair framed the hearing as a chance to hear from county, school, provider, and student perspectives, especially in San Diego County, where needs are high and investments have not always matched demand. County and school officials described the current system and recent state initiatives, including the Children and Youth Behavioral Health Initiative, school-linked fee schedules, payment reform, and the Behavioral Health Services Act transition. San Diego County Behavioral Health said it serves Medi-Cal youth with specialty mental health needs through a broad continuum of care, including outpatient clinics, school-based services, crisis response, residential treatment, and new crisis and residential facilities. San Diego County Office of Education and San Marcos Unified School District described efforts to expand school-based services and reimbursement through CYBHI, but said implementation is slowed by complex billing rules, insurance-data collection concerns from families, administrative burden, and uncertainty about sustaining staff positions funded by grants or soft money. School counselor testimony highlighted reduced stigma through campus outreach and clubs, but also noted that counselor-to-student ratios remain well above national standards and that budget cuts threaten supports. Provider testimony stressed that the system remains fragmented and that youth often move between emergency rooms, inpatient care, outpatient therapy, schools, and county programs without smooth handoffs. A child psychiatrist described crisis cases in which the main choices are brief hospitalization or discharge with limited follow-up, and argued for stronger warm handoffs, more outpatient and intensive outpatient options, better school-clinic coordination, and broader use of mobile crisis and 988. Rady Children’s Hospital and Aurora Behavioral Health described large increases in behavioral health demand, expansion of integrated care, and major barriers tied to low reimbursement rates, delayed payments, and administrative complexity. Across the panel, witnesses called for more stable funding, clearer reimbursement rules, better parent education on warning signs, and stronger collaboration among schools, counties, hospitals, and community providers to reduce stigma and improve timely care for youth.

Transcript Highlights:

• And since we've had this conversation about how to increase program integrity and where we're finding
• rate structures, clearer Better rate structures, clearer documentation<00:08:54.920> standards,
• preventing irreversible structural preventing irreversible structural decisions<00:10:37.880>
• What does real program integrity look like when built correctly?
• :16.640> out<00:31:16.960> is however that structure rolls out is however that structure

Bills: HF1767, HF2068, HF4725, HF4637, HF4638

Keywords: human services, community support, integrated care, disability services, stakeholder consultation, homeless youth, grants, funding, Minnesota, mental health, substance use disorder, education, workforce development, licensure, direct care services, healthcare, long-term care, personal care assistants, employment support, medical assistance

Summary: The Human Services Finance and Policy Committee approved the April 8, 2026 minutes and then heard House File 1767, as amended by the DE4 amendment. Representative Garande explained that the bill, originally intended to codify Integrated Community Supports (ICS), was being redirected because of concerns about fraud vulnerability and program integrity. The DE4 would create a smaller legislative study group to redesign ICS, pause DHS changes for about six months while the group develops a transition plan, continue DHS fraud investigations and enforcement, and ultimately terminate ICS as currently structured. Testimony in support came from Mr. Buck and Zania Harut of the Residential Providers Association of Minnesota, both of whom argued that ICS is unstable, inconsistently implemented, and in need of a new statutory foundation. They said the current system mixes different service models under one rate framework, lacks clear codification, and has shifting policy guidance that creates compliance problems for providers and risks to people receiving services. They emphasized that the bill would preserve oversight and enforcement while allowing time to build a replacement service with clearer rules, documentation standards, and guardrails. Members asked about effects on counties, providers, data, audits, and fraud enforcement. Representative Curran and Mr. Berg said the bill would not change funding structures or DHS’s existing authority to audit, request documentation, investigate fraud, or sanction bad actors, and that the study group would use existing data to identify where problems are concentrated. Vice Chair Gillman supported the study-group approach as a bipartisan, public process and raised concerns about whether the bill would prevent DHS from acting on known fraud; Curran responded that the language was intended to preserve those enforcement actions. The discussion ended without a final vote on the bill in the portion provided, beyond adoption of the DE4 amendment.

Transcript Highlights:

• integrity reserve studies.
• integrity reserve studies.
• I know you have a listing of the structural integrity reserve studies, but it's not readily found.
• integrity reserve studies.
• I know you have a listing of the structural integrity reserve studies, but it's not readily found.

Summary: The subcommittee heard presentations from the Department of Financial Services and the Department of Business and Professional Regulation, then returned to its ongoing budget workshop with the Department of Management Services. DFS’s Division of Risk Management described its role as the state self-insurance fund, covering about 200,000 employees and 27,000 vehicles, paying roughly $150 million in claims last year, and managing a pilot ETS treatment program for veterans and first responders that had 49 patients and 804 treatments as of the latest report. The Division of State Fire Marshal outlined its fire prevention, training, emergency response, and grant programs, including hurricane deployments, the Florida State Fire College, and several capital and grant requests for roof, courtyard, memorial, and equipment needs. The Division of Rehabilitation and Liquidation explained how it handles insolvent insurers under Chapter 631, currently administering 14 estates with $1.2 billion in assets and $3.7 billion in liabilities, and said no new receiverships had been opened since February 2023. Members asked about grant backlogs, fire truck procurement delays, memorial repairs, and whether affiliate transfers were occurring in insurer liquidations. Secretary Griffin then updated the committee on DBPR’s implementation of House Bill 1021 on community associations. He said the department had used the new authority to expand education, complaint handling, and ombudsman services, including 10 free standardized courses, a new condo website, and a four-hour board certification course that had already drawn more than 12,000 attendees. He reported that outreach to condominium communities had increased by more than 60%, that complaint filings were up 39% while jurisdictional dismissals dropped to 11%, and that about 81% to 82% of the 65 new positions had been filled. Members pressed him on whether the department had enough authority and funding, how condominium counts are determined, how self-reported structural integrity reserve study data is verified, and whether more public-facing complaint tracking and better reporting from local governments or developers would improve the system. The committee then resumed questioning Secretary Allende of DMS about outstanding budget and operations issues. Members focused on the delayed People First contract extension required by statute, with the secretary saying the delay involved technical and contractual complexity in moving a legacy hard-coded system to the cloud. They also revisited the state data team and data catalog project, asking why a statutory 2022 deadline had not been met, how the four-person team and broader data staff were organized, how many applicants were considered for key positions, and what each role was doing. The secretary said the catalog work was being simplified into six metadata fields and supported by a broader community of practice, but no firm completion date was given during the exchange.

Transcript Highlights:

• people on the program integrity staff. people on the program integrity staff.
• :46:02.880> sees<00:46:03.520> licensing integrity goes out and sees licensing integrity
• <00:51:21.440> Uh program integrity and the others. Uh program integrity and the others.
• though they're not program integrity though they're not program integrity just<00:51:46.160>
• <00:56:53.760> will monitoring and program integrity will monitoring and program integrity

Keywords: 1183, house

Transcript Highlights:

• integrated in but you're able to see the integrated in but you're able to see the total<00:31:56.000>
• system the contracts inter integration system the contracts inter integration system<00:47:58.440
• <01:08:37.279> and<01:08:37.560> high program integrity and high program integrity
• <01:35:55.159> or the billing how um you structuring or the billing how um you structuring
• <01:48:13.440> in make sure we have program Integrity in make sure we have program Integrity

Keywords: 1183, house

Transcript Highlights:

• And that could help us better structure our reports moving forward.
• Senator: Thank you for clarifying the funding structure.
• Senator: Thank you for clarifying the funding structure.
• Senator: Thank you for clarifying that structure.
• The Office of Capital and Forensic Rights is the office of conviction integrity for...

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• So by design, PSNs must be nimble and integrated into the communities they serve in order to compete
• We at AdventHealth are now taking an approach to see how we can integrate and leverage technology to
• And notably, we also integrate our families' voices so that they can speak up and be part of that as
• We've also integrated behavioral health within those services so that if there is a crisis, it could
• We have the same models in integrating families into all of the decision-making along the way.

Summary: The committee held a panel discussion focused on how Florida health care organizations are working to improve access, quality, and affordability. Panelists from Florida Community Care/Independent Living Systems, Sunshine Health, AdventHealth, UF Health, and Nemours described their approaches, including Medicaid managed care, value-based contracting, community partnerships, mobile screening units, smart-room technology, telehealth, and specialized programs for maternal health, children, and complex chronic conditions. Several speakers emphasized that managed care and coordinated care can improve outcomes while reducing unnecessary utilization and costs. Members asked about the impact of Medicare’s V28 changes, mobile cancer screening, urgent care versus emergency room billing, pediatric specialty access, complaint resolution, Black maternal mortality, provider shortages, network adequacy, and the use of AI in prior authorization. Witnesses said V28 has affected providers and revenue, UF Health’s mobile screening program is expanding beyond a few cancer types, and its urgent care model bills patients at the appropriate level rather than both urgent care and ER rates. Nemours said it reduced specialty wait times through scheduling changes, telemedicine, and registry tools, while AdventHealth described postpartum coordination and maternal heart programs to reduce maternal complications and mortality. On complaints and access problems, panelists said their organizations use patient/member advocates, care managers, call centers, and escalation processes to resolve issues, and Sunshine Health specifically discussed a transportation complaint that was addressed with its vendor and the family. Sunshine Health also said it is not using AI for prior authorization, though it is exploring responsible uses elsewhere, and Florida Community Care said it is not using AI in utilization management. In closing, panelists identified workforce shortages, provider burnout, and high-cost drugs as the biggest ongoing challenges. The meeting ended with thanks to the panel and adjournment after Representative Brackett moved to rise, without objection.