Transcript Highlights:

• She's finally retiring after a long career in public service.
• services.
• Access to Health Care Act, allowing cosmetologists to provide aesthetic body contouring services without
• Access to Health Care Act, allowing cosmetologists to provide aesthetic body contouring services without
• and access to care with patient safety.

Keywords: 999, senate, all

Transcript Highlights:

• 14:52.880><c> basically</c><00:14:53.600><c> directed</c> Medicaid Services uh basically directed Medicaid
• And also making sure that people had continuity of care and access to service.
• And also making sure that people had continuity of care and access to service.
• care organizations, again, if we sense there’s a possibility of an interruption in service.
• </c> care, and ensure continuity of services care, and ensure continuity of services for<01:58:30.639

Committee: Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• for the Homeless, for primary care, behavioral health services, and social services.
• services, including reproductive health, gender-affirming care, and preventative services.
• would not result in direct reduction to services.
• would not result in direct reduction to services.
• Approximately 2,000 DMH clients whose health care services are paid for by MassHealth fee-for-service

Committee: Joint Joint Committee on Ways and Means

Summary: The hearing was a Joint Committee on Ways and Means budget session on health and human services, held in Clinton and opened with remarks from the House and Senate co-chairs, local officials, and committee members. The chairs emphasized the importance of hearing directly from agencies about the Commonwealth’s health care and human services budget needs, thanked Clinton for hosting, and introduced the day’s panels, beginning with the Executive Office of Health and Human Services (EOHHS) and then MassHealth. Secretary Kiame Mahania presented Governor Healey’s FY27 EOHHS budget, describing a $33.7 billion request driven largely by non-discretionary cost growth, caseload increases, and federal uncertainty. He highlighted targeted investments in foster parent reimbursement, family resource centers, maternal health, food assistance, immigrant legal services, and workforce rates, while warning that federal cuts and the Trump administration’s One Big Beautiful Bill Act could strip billions from state health funding. Members questioned him about primary care shortages, federal program integrity audits, ConnectorCare, regional health disparities, and the proposed cap on adult dental coverage; he defended the cap as a difficult but necessary cost-control measure and said the administration would continue cooperating with federal partners. Undersecretary Michael Levine then testified for MassHealth, saying the agency faces two major challenges: rapid cost growth and looming federal changes. He outlined a $22.7 billion gross MassHealth budget and proposed actions including a moratorium on new expansions, capping adult dental benefits at $1,000, ending GLP-1 coverage for weight loss only, reducing care management spending to peer-state levels, and convening work groups to slow growth in personal care attendant, adult foster care, and adult day health programs. He also warned that federal policy changes could cause about 300,000 residents to lose coverage by 2030 and reduce federal revenue by about $3.5 billion, and said MassHealth would use outreach and systems changes to help eligible members stay covered. Members raised concerns about the impact of these cuts on homeless care, preventive services, dental access, GLP-1s, and regional hospital and specialist shortages, while Levine argued the proposals were aimed at preserving core coverage and sustainability.

Transcript Highlights:

• Finally, the bill directs the Department of Health Care Services to develop a standardized referral form
• People in Care Court did not receive at least one ordered mental health service. 82.2% of people in Care
• Despite not paying for services, the cost of Care Court is astronomical.
• Despite not paying for services, the cost of Care Court is astronomical.
• , dependable emergency room care, and other vital services.

Committee: House Health

Keywords: 988, house, all

Transcript Highlights:

• service organization.
• And, you know, what I think about service is service is just love.
• You know, what I think about service is service is just love.
• care.
• Moving them to direct dispense also means they're losing access to their health care and access to their

Summary: The Senate convened with a quorum, opened with prayer and the Pledge of Allegiance, and recognized several guests, including a state champion Crossroads Academy girls basketball team and a Florida State University student intern. The chamber then turned to executive appointment confirmations reported by the Committee on Ethics and Elections and other reference committees under Rule 12.7, with Chair Don Gates explaining that the committee had reviewed the qualifications and suitability of the nominees and held public hearings where required. Members debated several confirmations at length. The report containing 186 appointments was adopted 31-0 after Senator Polsky explained her no votes on three nominees, citing concerns about past comments and ideological views. The Senate then confirmed Jeffrey Aaron to the Public Employee Relations Commission by a 26-10 vote after sharp debate over his role as counsel to the Hope Florida Foundation and allegations tied to the diversion of Medicaid settlement funds; supporters argued he was a competent lawyer and no formal action had been taken against him. Chavon Harris was confirmed as Secretary of the Agency for Health Care Administration by a 32-5 vote, with supporters praising her work on Medicaid funding and opponents criticizing her prior leadership at DCF and the Hope Florida-related issues. Taylor Hatch was confirmed as Secretary of the Department of Children and Families by a 33-4 vote, despite concerns raised about SNAP/EBT compliance, child welfare practices, audits, and DCF’s handling of Hope Florida; supporters emphasized her commitment to reform and the difficulty of the agency’s mission. After a brief recess, the Senate held a lengthy recognition of outgoing President Kathleen Passidomo. Senators from both parties offered personal tributes focused on her leadership, toughness, humor, mentorship, and support for colleagues, especially women in the chamber. Several speakers also referenced her handling of difficult bills, her post-presidency service as Rules Chair, and her resilience after personal loss. No further legislative action was taken during the recognition segment.

Transcript Highlights:

• bottlenecks in service delivery, and ensure more children receive timely, high-quality care.
• As a result, our modeling assumes that the proposed change would result in a shift in direct service
• and especially for direct care workers.
• and especially for direct care workers.
• It can also delay service access for children ready to begin care.

Committee: Joint Joint Committee on Health Care Financing

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on several health care bills focused primarily on autism services and kidney disease coverage. Committee chairs John Lawn and Cindy Friedman opened by outlining hearing procedures, testimony rules, and filing deadlines, and noted the hearing would be recorded and written testimony accepted. They said the day’s topics included affordability and access to behavioral health services, provider reimbursement, Medicare coverage for vulnerable populations, and MassHealth eligibility asset exemptions. A major portion of the hearing concerned House Bill 4623, which would add board-certified assistant behavior analysts (BCABAs) as a recognized mid-level supervisory role in the MassHealth reimbursement framework to help address long wait lists for autism spectrum disorder services. Representative Lisa Field, actuaries, clinicians, and autism service providers testified that the current two-tier model limits workforce capacity, contributes to long delays, and leaves families waiting months for care. Supporters said the bill could expand access, improve retention, and potentially reduce MassHealth costs, while also helping providers meet growing demand and new administrative requirements. The committee also heard testimony on House Bill 4425 and Senate Bill 2737, which would allow Massachusetts residents under 65 with end-stage renal disease to purchase Medigap coverage. Legislators, dialysis advocates, and patients described high out-of-pocket costs under Medicare, barriers to kidney transplant eligibility without secondary insurance, and the financial strain on patients and families. Testifiers said the change would affect about 846 residents, could modestly increase premiums, and might reduce Medicaid spending by preventing asset spend-downs. Senator Gomez and others spoke from personal experience with dialysis and transplant care. Finally, the committee heard testimony on House Bill 4353 and Senate Bill 2587, which would require regular data-driven review of MassHealth ABA reimbursement rates. Providers and association representatives argued that reimbursement has not kept pace with inflation, workforce shortages, accreditation costs, and new 2026 MassHealth policy requirements, and said the bills would improve transparency and ensure rates reflect the true cost of care. No votes were taken; the hearing concluded with the chairs thanking participants, inviting additional written testimony, and adjourning the meeting.

Transcript Highlights:

• Our home care services are not the same that I think other people think about home care.
• Our direct care team delivers 6.11 hours of care per resident day, including 0.93 RN hours, 0.8 LPN hours
• Holyoke continues to exceed national long-term care benchmarks and direct care staffing.
• Over 2,500 individuals currently self-direct their services with $70 million in approved service budgets
• And the direct support certificate program partners with community colleges to equip direct care staff

Committee: Joint Joint Committee on Ways and Means

Keywords: 1212, all

Transcript Highlights:

• This is nursing care. This is skilled care.
• You've heard already from a couple of our providers about the direct care workforce crisis that we have
• You've heard about the direct care workforce crisis and what that's meant, but what does that mean for
• For in-home care, we had over 2,000 people waiting on average per week for service.
• That means they had been authorized for the service, but there was no provider to provide the care.

Committee: Senate Senate Health and Human Services COR

Summary: The committee heard a series of bills and public testimony, beginning with introductions and then taking up several health and human services measures. A major focus was SB 1120 and SB 1121, which address radiation protection in cardiac catheterization and other ionizing-radiation procedure rooms. SB 1120 would require health care facilities to equip at least 50% of procedure rooms with radiation protection systems by July 1, 2027, while SB 1121 would prohibit requiring lead aprons in rooms with such systems and instead require real-time dosimeters for staff who opt out of lead aprons. Physicians, nurses, and a hospital executive testified that enhanced radiation protection systems can dramatically reduce occupational exposure, lower cancer and orthopedic risks, and help with workforce recruitment and retention; a hospital alliance remained neutral pending further stakeholder discussions. Both bills were amended and passed out of committee on 7-0 votes, and SB 1118, which appropriates state funds for a rural hospital grant program to install radiation protection systems, also passed 7-0. The committee also approved SB 1001, which appropriates $1 million to the Department of Economic Security for the Older Individuals Who Are Blind program, after testimony from blind and low-vision Arizonans and advocates describing long waitlists, the need for independent living training, and the program’s role in preventing unnecessary dependence. SB 1072, a major funding bill for home- and community-based services and room-and-board rate increases for individuals with intellectual and developmental disabilities, drew testimony from providers about severe staffing shortages, overtime, turnover, and underfunding; it passed 6-0 with one not voting. SB 1125, requiring DCS to pursue MOUs with tribes and improve tribal communication and access to licensing and enforcement information, also passed 6-0 with one not voting. The committee then considered SB 1123, which removes a board-certification requirement so trained forensic pathologists can supervise autopsy training for residents and fellows; Maricopa County supported it as a workforce and training fix, and it passed 6-0 with one not voting. SB 1052, allowing mild hyperbaric oxygen therapy in assisted living facilities under physician order and DHS rules, generated mixed testimony: supporters argued it could improve health and independence for residents, while opponents raised concerns about off-label treatment in nonmedical settings. The bill passed 5-2. SB 1112, which reduces the number of acquaintance witnesses required in court-ordered treatment proceedings from two to one and allows the court to waive the witness requirement under certain conditions, drew strong testimony from families and mental health advocates on both sides; it passed 5-2. The committee also began hearing SB 1113, which would allow certain service of process in court-ordered evaluation and treatment cases by evaluation-agency employees or other court-authorized persons, but the transcript cuts off before final action on that bill.

Transcript Highlights:

• It authorizes periods of time when child care centers may combine different ages of children in care,
• It directs DCYF to issue an immediate summary suspension to a child care licensee when the zero-tolerance
• The area licensed for child care and any other areas routinely accessed by staff for child care centers
• and any other areas routinely accessed by staff for child care centers.
• It directs PESB to revise standards for teacher endorsements with literacy-related competencies and direct

Committee: Senate Early Learning & K-12 Education

Keywords: 904, all

Transcript Highlights:

• This is a report-review for direct care staff costs.
• Now moving to the Department of Direct Care and Treatment.
• and clients of certain direct care facilities.
• Um so the direct care and treatment.
• </c> patients and clients of certain direct patients and clients of certain direct care<00:49:15.119>

Keywords: 1187, senate, all

Transcript Highlights:

• She's advocated for other approaches to making child care more affordable, but this will make child care
• She's advocated for other approaches to making child care more affordable, but this will make child care
• as child care costs soar.
• , and other needed services.
• HB 2186: Identity, Health and Human Services. HB 2188: Language, Health and Human Services.

Summary: The House convened, approved the journal, recognized the Doctor of the Day, and welcomed several guest groups, including JAG students and students from Heila Ben High School. The chamber then moved into Committee of the Whole to consider HB 2153, the annual tax conformity bill, which was described by supporters as aligning Arizona tax law with recent federal changes and providing relief through no tax on tips and overtime, a larger child tax credit, a new child care expense deduction, and a deduction for certain retirement income. Opponents argued the measure would primarily benefit wealthy individuals and corporations, reduce state revenue, and leave some seniors out because the retirement-income deduction is tied to retirement accounts. Members also discussed the Department of Revenue’s already-issued tax forms and the need for certainty for filers. After extended debate, the Committee of the Whole gave HB 2153 a do pass recommendation by a vote of 31-26, and the House adopted the report and sent the bill to engrossing. The House then took up the Senate mirror bill, SB 1106, substituted for HB 2153, and after floor explanations of vote, passed it 31-27 with 2 not voting. Supporters said the bill would help working families, seniors, and small businesses and prevent filing confusion, while opponents repeated concerns about cost, fairness, and impacts on public services. The bill was transmitted to the Senate. Following the tax vote, members made several announcements, including birthday wishes and a tribute to Dr. Martin Luther King Jr., and committee chairs announced upcoming cancellations. The House then recessed and reconvened for first reading and referral of a long list of new bills covering topics such as elections, health care, education, transportation, public safety, taxation, housing, and appropriations. The session ended with a motion to adjourn until the next scheduled meeting.

Transcript Highlights:

• 18.720><c> or</c> care service provider organizations or care service provider organizations or HCBS's
• for employees working in direct care HCBS roles.
• And when we pull services out of, um, managed care and put it into a fee-for-service model, we have to
• out of um, managed care we pull services out of um, managed care and<00:44:21.440><c> put</c><00:44:
• our fee for service Medicaid and Minnesota<01:29:39.360><c> Care</c> Minnesota Care Minnesota Care programs

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• many of the health care services that constituents rely on.
• for the Homeless for primary care, behavioral health services, and social services.
• services, including reproductive health, gender-affirming care, and preventive services.
• that would not result in direct reduction to services.
• would not result in direct reduction to services.

Committee: Joint Joint Committee on Ways and Means

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs. EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle. MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.

Transcript Highlights:

• And on top of the payments for medical care services, Minnesota would pay primary care providers a small
• </c><00:06:34.160><c> services,</c> the payments for medical care services, the payments for medical
• care services, Minnesota<00:06:35.440><c> would</c><00:06:36.080><c> pay</c><00:06:36.639><c> primary
• by aligning payment with better outcomes, improve service, and stronger care coordination.
• Ending managed care could also invalidate Hennepin Healthcare's directed payment program and the state's

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• Florida Foundation, which was established in 2023 as DCF's direct service organization.
• And, you know, what I think about service is service is just love.
• You know, what I think about service is service is just love.
• care.
• Moving them to direct dispense also means they're losing access to their health care and access to their

Summary: The Senate first handled a large batch of executive appointments reported by the Ethics and Elections Committee. Senators debated several nominees, with some members objecting to particular appointees over their views or past conduct. The report on the first group of appointments was adopted 31-0, and Jeffrey Aaron’s separate confirmation to the Public Employee Relations Commission was approved 26-10 after extended debate centered on his role as counsel to the Hope Florida Foundation and allegations that he helped facilitate the transfer of Medicaid settlement funds into political activity. The chamber then considered Chavon Harris as Secretary of the Agency for Health Care Administration. Supporters praised her work on Medicaid directed payments and hospital funding, while opponents criticized her prior tenure at the Department of Children and Families, citing problems with Medicaid redeterminations, postpartum coverage, Hope Florida oversight, and a women’s shelter case. The Senate adopted her confirmation report 32-5. Next, Taylor Hatch’s confirmation as Secretary of the Department of Children and Families was taken up; the committee report noted ongoing concerns about SNAP/EBT compliance, child welfare practices, audits, and Hope Florida, but recommended confirmation based on her stated commitments to reform. After debate over DCF’s performance and accountability, the Senate adopted her confirmation report 33-4. After a brief recess, the Senate held a recognition ceremony for outgoing President Kathleen Passidomo. Senators from both parties offered lengthy remarks praising her leadership, diligence, humor, and support for members, often recalling personal interactions and her role in shaping legislation and mentoring newer senators. The ceremony emphasized her service as Senate President and continued leadership as Rules Chair, and included a presentation of a handmade keepsake box filled with letters and mementos from staff and colleagues.

Transcript Highlights:

• health, family planning, and abortion care coverage, preserves direct access to hospice care, preserves
• We have to prioritize social services, health care and transit, and education, which our budget has made
• There are some people that an investment in health care, public education, even our human services program
• This revision would have had a direct and detrimental impact on the mental health services provided to
• We're here to support funding for legal direct services in our region.

Summary: The Assembly Budget Committee heard opening remarks on the 2025 Budget Act, which will be amended into AB 101 and SB 101 for floor consideration. Committee leaders described the budget as a difficult compromise shaped by a $12 billion deficit, federal funding uncertainty, wildfire impacts, and rising out-year costs, while emphasizing a balance between compassion and fiscal responsibility. Each budget subcommittee chair then summarized major actions in their areas, including health care, human services, education, climate and transportation, housing and state administration, public safety, and oversight/transparency. Key policy items included delaying or narrowing some of the Governor’s proposed cuts, especially in Medi-Cal and other safety-net programs; preserving funding for dental care, women’s health, family planning, hospice, long-term care, IHSS, and services for undocumented Californians; and maintaining or expanding child care, foster care, food banks, and CalWORKs-related supports. Education actions included additional Proposition 98 settle-up, reduced deferrals, support for TK-12, teacher recruitment, literacy, mental health, preschool slots, and restored funding for UC and CSU. Other major items included housing and homelessness investments, wildfire and disaster response funding, transit loans and greenhouse gas reduction fund support, Proposition 36 and VOCA-related public safety funding, and oversight measures on federal impacts and state efficiency. Department of Finance and Legislative Analyst staff said the package makes some of the same savings moves as the May Revision but relies more on internal borrowing and fewer reductions, leaving a smaller reserve than the administration’s plan but still maintaining roughly $11 billion in the rainy day fund. Members from both parties largely supported the package while raising concerns about long-term sustainability, Medi-Cal costs, reserve use, and the need for future revenue and program review. The committee adopted the subcommittee actions by roll call, 18-6, with the roll held open for absent members and additional comments continuing after the vote.

Transcript Highlights:

• Finally, the bill directs the Department of Health Care Services to develop a standardized referral form
• one ordered mental health service. for first responders to subject individuals to care court.
• People in Care Court did not receive at least one ordered mental health service. 82.2% of people in Care
• programs, which provide comprehensive services including housing, food, case management, medical care
• , dependable emergency room care, and other vital services.

Summary: The Assembly Health Committee heard several bills focused on mental health access, preventive care, health care costs, detention oversight, and daylight saving time. SB 989 would streamline Care Court referrals by allowing first responders to ask county behavioral health agencies to review and file petitions; supporters, especially firefighters and families, said the current process is too burdensome, while Disability Rights California and other opponents argued Care Court is coercive and unproven. SB 1089, as amended, would direct CalRx/HHS to help distribute GLP-1 medications more broadly and more affordably; the author described her own experience with the drugs, and the bill drew support from medical and life sciences groups with no opposition. SB 1309 would eliminate out-of-pocket costs for medically appropriate lung cancer screening follow-up care; cancer advocates and survivors strongly supported it, while health plans and insurers opposed it as costly and said the bigger problem is low initial screening rates. The committee also heard SB 1284, which would require DHCS to report large employers whose workers are enrolled in Medi-Cal and estimate taxpayer costs, framed by supporters as a transparency measure about corporate reliance on public coverage. SCR 7, urging permanent standard time for health reasons, passed with support from medical groups and no opposition. SB 995, the Masuma Khan Justice Act, would create statewide inspection and enforcement standards for large involuntary residential facilities, including private immigration detention centers and certain youth facilities; supporters cited unsafe and inhumane conditions, while county probation officials objected to duplicative oversight for secure youth treatment facilities. The committee took votes on each measure, and the bills and resolution advanced, with SB 1309 and SB 1284 moving on amended and the others also reported out; the consent calendar was approved as well.

Transcript Highlights:

• improving any patient outcomes or having any direct impact on health care outcomes.
• improving any patient outcomes or having any direct impact on health care outcomes.
• improving any patient outcomes or having any direct impact on health care outcomes.
• impact on health care outcomes.
• a direct benefit to the quality or value of the health care we're getting.

Summary: The committee began with a work session on aircraft fuel taxes, hearing from WSDOT Aviation about the FAA’s aviation fuel tax rules, Washington’s compliance history, and the potential consequences of noncompliance. WSDOT said the state has collected roughly $210 million in aviation fuel taxes since the federal compliance period began, and that FAA has questioned some of the state’s claimed offsets. Members asked about the federal authority behind the rules, who pays the taxes, and whether Boeing is affected. The committee then moved to public hearing on several bills tied to aviation fuel tax revenue. SB 5989 would redirect a small share of state sales and use tax on aircraft fuel to the aeronautics account and require reporting on airport project funding. Supporters, including port, airport, and pilot groups, said it was a measured step toward FAA compliance and airport investment; the bill’s staff summary said it would reduce general fund revenue and increase DOR costs. SB 5898 would redirect hazardous substance, petroleum products, and oil spill-related taxes on aircraft fuel to the aeronautics account. Supporters said it would bring Washington into compliance and help airports, while Ecology, counties, and ports warned it would significantly reduce MTCA and related environmental funding. SB 6240 would create a new noise and air quality mitigation account funded by a portion of hazardous substance tax revenue; airport and aviation groups opposed it as duplicative or noncompliant with FAA rules, while community and environmental advocates from Sea-Tac area cities supported it as a needed mitigation source. The committee also heard SB 6244, which would extend a hazardous substance tax exemption for certain pesticides used in Washington agriculture through 2038. Agricultural and logistics witnesses supported it as important for food security, storage, and competitiveness, and staff said it would have a small revenue loss and administrative cost. SB 6231, a governor-request bill, would repeal the sales tax exemption for data center refurbishments while keeping the exemption for original server equipment; OFM and local government groups supported it as a revenue-raising budget measure, while data center, labor, and business representatives opposed it, warning of lost investment, jobs, and competitiveness. SB 6228 would repeal the preferential B&O rate for prescription drug resellers; OFM supported it as an outdated preference, but pharmacies, wholesalers, and business groups argued the cost would be passed through to pharmacies, hospitals, insurers, and patients and could worsen pharmacy closures. The committee then heard SB 6220, which would narrow and clarify a property tax exemption for nonprofit low-income homeownership property by allowing temporary community use and preserving the exemption when property is transferred to another exempt nonprofit. The sponsor said the bill was intended to let a community land trust host local performances without jeopardizing affordable housing plans. Finally, the committee heard SB 5880, which would allow blood and breath toxicology results to be admissible if tested by ISO/IEC 17025-certified labs, in addition to the state toxicologist process. Seattle’s city attorney supported it as a way to reduce a long toxicology backlog and speed DUI cases, while counties raised concerns about shifting costs to local governments and creating unequal access based on local resources. No votes were taken in the transcript provided.

Transcript Highlights:

• Of this amount, $1.8 million supports base rate increases governed by the Department of Health Care Services
• We have to contract out for specialty services. So that's... ...do specialty medical care.
• We also provide medical care, but that's more like outpatient services.
• I won't sort of get into a lot of the comments that my colleague at Department of Health Care Services
• Marlene Press, Department of Health Care Services.

Summary: The subcommittee heard budget and policy updates from the Department of State Hospitals, the Commission for Behavioral Health, and the Department of Health Care Services. DSH described its proposed 2026-27 budget of $3.2 billion, including savings tied to IST solutions, higher patient-driven operating costs, and a small increase in caseload projections. Officials said the department has met court-ordered IST treatment benchmarks, with wait times reduced from a pandemic peak of 1,953 pending placements to about 250, and average treatment initiation now around five days. Members asked about the effects of Proposition 36 and SB 1323, rising outside hospitalization costs, Medicare enrollment, and whether IST solution funding was being overbudgeted; DSH said referrals are slightly down overall, aging and medically complex patients are driving outside care costs, and the IST solution savings reflect slower-than-expected program activation rather than a service gap. The department also outlined proposed funding for CONREP cost increases, a new county-by-county LPS bed allocation model, electrical infrastructure upgrades at Napa and Patton, SB 380 transitional housing feasibility work, and additional dental staffing and space at Metropolitan and Patton. The Commission for Behavioral Health reviewed its role in the Behavioral Health Services Act transition and its new Innovation Partnership Fund. Staff said the commission is shifting from county-level innovation oversight to a statewide grant strategy, with the first $20 million RFA drawing strong interest and awards expected in mid-June. Members asked how “innovation” would be defined, whether grants could be renewed after the initial three-year contracts, and how the state would ensure the money supports real service delivery rather than general outreach or training. The commission also sought a liquidation deadline extension for the Alcove youth drop-in center grants so remaining funds can be spent before they revert, allowing sites to finish implementation and support the final evaluation. DHCS provided an overview of CalAIM and BH Connect implementation, including updated specialty mental health access criteria, new ASAM-based substance use treatment standards, contingency management, traditional health care practices for tribal members, workforce investments, evidence-based practice expansion, IMD participation, and transitional rent services. The department also addressed BHSA implementation, saying it does not track specific local program cuts but will monitor county three-year plans, performance measures, and outcomes as counties shift to the new funding structure. On H.R. 1, DHCS said it is preparing outreach, eligibility simplification, and exemption strategies to reduce Medi-Cal coverage losses, including clinic navigators, a statewide outreach campaign, and possible employment supports through a future waiver. The department also reported that BH-CHIP bond funds have supported 437 infrastructure projects, creating 546 facilities and more than 9,500 residential beds, with additional outpatient capacity and tribal investments. Finally, DHCS outlined a proposed 988 trailer bill to create a statewide designation process for 988 centers and mobile crisis teams, with implementation no earlier than October 1, 2027.

Transcript Highlights:

• The first is for the Agency for Health Care Administration.
• review by the Centers for Medicare and Medicaid Services.
• That's what this program here does; it covers uncompensated care.
• outpatient services to Medicaid-managed care enrollees.
• approval from the Centers for Medicare and Medicaid Services.

Summary: The Legislative Budget Commission met with a quorum present and considered two budget amendments for the Agency for Health Care Administration. The first, EOGB 2026-0831, authorized $2.1 billion in budget authority for the Low-Income Pool to support safety-net providers for uncompensated charity care. Members asked about the timing of CMS approval and whether the program addressed hospital shortfalls for insured patients and children; AHCA said the program is for uncompensated care and would follow up on specific questions. The amendment was adopted without objection. The second amendment, EOGB 2026-0875, placed $7.9 billion in reserve for Florida’s Directed Payment Program for hospitals, pending final CMS approval. Discussion focused on hospital attestations that no hold harmless agreements were in place, the meaning of those federal requirements, and whether any agreements had to be unwound; AHCA said attestations had been received from all hospitals and submitted to CMS. Members also asked about the approval timeline and whether another amendment would be needed after final approval, and AHCA said approval was hoped for soon but could not confirm the budget process. Representative Woodson raised concerns about cancer hospitals not participating in the DPP; AHCA responded that those hospitals participate instead in a separate Florida Cancer Hospital supplemental program, which had already been approved. This amendment was also adopted without objection, and the commission then adjourned.