Transcript Highlights:

• And out and about, when I say that, I mean both internally into the agency, very deep into the agency
• Internally into the agency, very deep into the agency, but also externally listening and forming and
• So we are driving that harder internally to the agency.
• So we are driving that harder internally to the agency. Great. Thank you.
• The rule, however, is not expected until June of 2026.

Summary: The committee met to hear introductory briefings from the Department of Health and the Health Care Authority on agency priorities, federal changes, and implementation challenges. Secretary of Health Dennis Worsham said his department’s listening tour is focused on strengthening governmental public health, improving health care quality and access, and responding to federal funding disruptions and the shutdown’s effects on programs such as WIC. HCA Director Ryan Moran said the agency is prioritizing coverage preservation, oversight of major contracts, affordability, behavioral health integration, rural health transformation, and internal agency operations. Members asked about licensure delays; Worsham said the backlog had been reduced from about four months to six weeks and should be caught up by January 1, with possible further process changes if needed. A major portion of the meeting focused on H.R. 1 and its Medicaid-related implementation. Governor’s health policy advisor Caitlin Stafford, HCA staff, and interim Medicaid Director Trinity Wilson said the state is working with DSHS, the Health Benefit Exchange, tribes, and other partners to prepare for eligibility changes, work requirements, and six-month redeterminations. They said the state expects up to 30,000 Apple Health enrollees could lose coverage under the law’s non-citizen eligibility changes, and that the work requirement/redetermination provisions could affect about 620,000 adults, with roughly 80,000 also enrolled in SNAP. HCA said it hopes to automate most verification, but about 15% to 20% of cases may require manual review, with technology costs estimated at up to $30 million. Staff also said they are trying to keep H.R. 1 implementation mostly in budget language rather than statute, and that communication and navigator support will be important to minimize confusion and coverage loss. The committee also received an update on the Rural Health Transformation Program created in H.R. 1. HCA said Washington submitted its application to CMS on November 5 after extensive stakeholder engagement, including more than 310 written comments, webinars, and tribal consultation. The application centers on six initiatives: rural hospital innovation, community care and prevention, tribal investments, technology and data, workforce development, and rural behavioral health. HCA said the state is likely to receive less than the full $200 million annual amount assumed in the federal program, and that an advisory committee may be created to help guide spending over the five-year program. Members asked about palliative care, small business impacts, and communication with enrollees; HCA said it expects to share outreach toolkits and that no 2026 statutory changes are currently anticipated, though that could change. The final panels covered organ donation and transplant services. Department of Health staff explained the 2023 “Lights and Sirens” law for organ transport vehicles, including licensing, driver qualifications, insurance requirements, and use of emergency lanes and traffic preemption; the department said one company is currently licensed and there have been no complaints. LifeCenter Northwest described the organ procurement process, the legal framework under the Uniform Anatomical Gift Act, and the rarity and complexity of deceased donation, noting Washington has seen strong growth in donation and transplants over the past decade. University of Washington Medical Center staff then outlined its transplant programs for kidney, liver, heart, lung, pancreas, and multi-organ transplants, describing the multidisciplinary evaluation and waitlist process and the coordination required with donor organizations and hospitals.

Transcript Highlights:

• Then we go through a process that's identified in statute and rule to determine a final budget amount
• This is an internal agency-developed report. It's called the Achieved Savings Rebate Report.
• This is an internal agency developed report. It's called the Achieve Savings Rebate Report.
• We have internal staff that perform quarterly and annual reviews of various schedules.
• We're provided schedules that they have developed internally of related party transactions that summarize

Summary: The Health Care Budget Subcommittee took up two bills and then continued oversight discussions with APD and AHCA. CS/HB 27, the Social Work Licensure Interstate Compact, was presented as a way to let Florida social workers practice in other compact states and vice versa; AARP, the Florida Chamber, and NASW Florida supported it, and the bill passed favorably. HB 1127, a child welfare bill, would create a treatment foster care pilot for children with high behavioral needs, improve DCF data collection on commercially sexually exploited children, and expand recruitment for protective investigators and case managers; the bill also passed favorably after brief supportive testimony. The committee then questioned APD at length about the iBudget waiver waitlist, enrollment pace, spending projections, and provider capacity. APD said it had sent more than 1,100 interest letters in categories 3, 4, and 5, enrolled 1,124 people so far this year, and expects to spend about 96.4% of its waiver appropriation, leaving roughly $82 million unspent. Members pressed APD on why prior discussions suggested more reserve was needed, how long the SANS process takes, whether category 6 could be expanded, and whether the agency has enough waiver support coordinators and direct support providers. APD said it has about 1,061 waiver support coordinators statewide, adequate capacity for current enrollees, but would need further analysis if the legislature directed a much larger enrollment increase. Members also asked about outreach, annual maintenance of the waitlist, portability for military families, and whether communication efforts should be privatized. Finally, AHCA walked the committee through the 2023 Achieved Savings Rebate (ASR) report for Aetna and explained how the report is used for financial monitoring, rebate calculations, and transparency. AHCA said the ASR is separate from the medical loss ratio (MLR) calculation, though both are reviewed, and that Florida uses the ASR mechanism rather than an MLR remittance requirement to recover funds from plans. Members asked about related-party disclosures, CVS/Caremark relationships, expanded benefits, encounter data, network adequacy penalties, denials and appeals reporting, interest earned on capitation payments, and whether rate increases were reaching providers. AHCA and the outside auditors said they review the plans’ reported data, reconcile it to underlying records, and can assess liquidated damages for network adequacy violations; several members requested follow-up data on rebates, interest, provider capacity, and related-party reporting.

Transcript Highlights:

• As with every rule, there are good reasons for exceptions.
• I'm going to need a little bit of clarification on whether you want the internal agency IT systems looked
• I'm going to need a little bit of clarification on whether you want the internal agency IT systems looked
• And so we are minimizing the amount of internal revisions to that system right now so that we’re not
• It's something that we actually met about again Friday afternoon internally, and we're continuing to

Summary: The subcommittee met to review agency travel, budget reduction exercises, and member reports from agency meetings. Early discussion focused on the Department of Management Services (DMS), where members questioned the cost of travel for four out-of-state data/cyber staff and the secretary’s absence. DMS defended the hires as highly specialized enterprise cybersecurity and data personnel, said the positions were lawfully paid and posted, and explained that the staff work on statewide data cataloging and cyber risk reduction rather than agency-by-agency systems. Members also raised concerns about fleet inventory discrepancies and requested follow-up information on hiring, travel, and data inventory timelines. The chair said she would consider travel guardrails and possible reductions, and noted that DMS, the Lottery, and the Florida Commission on Human Relations did not meet the requested reduction target, while the Public Employee Relations Commission did not submit reductions. The committee then heard from the Florida Lottery about the secretary’s trip to Paris for the World Lottery Convention. Lottery staff said the trip was reimbursed through the multi-state lottery organization and was intended to share best practices and improve operations, though members questioned the value of the travel and requested reimbursement records and the trip agenda. The subcommittee also reviewed agency reduction exercises from several agencies. The Department of Revenue exceeded its target and was praised for frugality; DFS, the Florida Gaming Control Commission, the Office of Financial Regulation, the Office of Insurance Regulation, the Public Service Commission, the Division of Administrative Hearings, and the Department of Business and Professional Regulation each described how they met or approached their reduction goals, often through vacancies, reversions, or expense cuts. OIR warned that further reductions could hurt insurance regulation capacity, while OFR and PSC said their reductions were based on historical reversions and lower post-COVID travel or vacancy levels. Members then reported back on agency meetings. DMS members raised fleet tracking, real property audits, salary studies, and health plan savings ideas, and asked for follow-up on the Florida PALM project, cybersecurity grants, and state IT modernization. DFS members said the agency was efficient and that its Palm-related work and insurance consumer programs were important. Lottery members emphasized the agency’s revenue generation for education and its low administrative overhead. Gaming Control members highlighted storage costs for seized gaming equipment and suggested technology-based alternatives. PERC members said a union-related law had doubled their workload and asked for more staffing and possible AI assistance. OIR members stressed the need for a Tampa satellite office and more resources to recruit and retain specialized staff. The chair closed by saying the committee would continue reviewing travel, staffing, and reductions with an eye toward taxpayer value and transparency.

Transcript Highlights:

• been on the forefront of defending our nation's critical infrastructure, designing national and international
• been on the forefront of defending our nation's critical infrastructure, designing national and international
• We work with Florida International University almost on a daily basis, as well as the University of South
• the PMI standard, the PMBOK, I can't remember what the acronym is, I apologize, but the standard PMI rules
• So the process that we use internally is once we do a contract of this magnitude, the vendors will give

Summary: The subcommittee held its first meeting to examine Florida’s information technology governance, budgeting, cybersecurity, data management, and telecommunications operations. Chair Schneider and other members framed the panel as a new joint policy-and-budget forum focused on reducing jargon, improving accountability, and asking whether technology investments are feasible, aligned with state goals, cost-controlled, and secure. State Affairs Chairman Will Robinson and members emphasized that the committee should avoid buying “shiny new objects” without clear business cases and should focus on long-term value, cybersecurity, and operational efficiency. Florida Digital Service and Department of Management Services leaders provided an overview of the state IT enterprise. Secretary Pedro Allende described DMS as the state’s business, workforce, and technology service provider, while State CIO Warren Spanholz outlined Florida Digital Service’s four core areas: cybersecurity, project success, data interoperability, and enterprise architecture. Chief Data Officer Ed Ryan said the state data catalog is about 400,000 elements and roughly half of agencies are participating, and he described efforts to identify authoritative data sources and improve interoperability. Chief Information Security Officer Jeremy Rogers discussed the state cybersecurity operations center, enterprise risk management, incident response exercises, and a recurring $35 million cybersecurity resiliency budget. Chief Technology Officer Leo Schoonover described oversight of major IT projects over $10 million, updated project management standards, and a shift toward smaller phased implementations and more flexible methodologies to reduce delays and overruns. Other presenters covered telecommunications, data center operations, and cybersecurity workforce development. Director Denise Atkins said the Division of Telecommunications manages Suncom and MyFloridaNet, with nearly $336.9 million appropriated for fiscal year 2024-25, and is procuring the next network contract while emphasizing security controls and vendor flexibility. Tim Brown said the Northwest Regional Data Center operates on a chargeback basis, serves state and local customers, and returned surpluses to customers in recent years. Cyber Florida Director Ernie Ferraroso described training, workforce pipelines, K-12 outreach, a cyber range, and research programs aimed at building Florida’s cyber workforce and improving public-sector readiness. Members asked about budget setting, project delays, change orders, cybersecurity reporting, data catalog participation, interoperability, and expanding cybersecurity operations centers. Officials said chargeback rates are based on actual direct and indirect costs, project delays often stem from unclear scope and insufficient upfront planning, and cybersecurity success is measured by mean time to detect, respond, and recover. They also said the state is moving toward more modular project delivery, broader agency participation in shared cybersecurity services, and expanded CSOC locations within existing staff and budget where feasible.

Transcript Highlights:

• It would make Job Club an optional program component and simplify its rules and exceptions.
• They're not always clear on the rules.
• We've already done internal to the department that kind of assessment.
• And that would be a big stakeholder engagement to comply with this rule. On 55, I just meant.
• Going back to 54 federal access this rule. Yeah.

Keywords: 988, house, all

Transcript Highlights:

• It's already in the DEQ rules that you can spread it on crops for hay, but a cow can eat it.
• And so through that Interim study outside of rule structures, one thing that became pretty apparent is
• intended to take away from what is currently being done, just like the stabilization fund that is done internally

Bills: HB3126, HB3177, HB3311, HB3465, HB3786, HB3915, HB4333, HB4476, HB3403

Keywords: education funding, concurrent enrollment, school aid, Oklahoma State Regents, permanent school funds, higher education, revolving fund, court reporters, salaries, legislation, employment compensation, state administration, Oklahoma, community development, infrastructure, economic development, local government, financing, pooled finance, Oklahoma Emission Reduction

Transcript Highlights:

• Higher Ed Department, as also detailed in the rest of that section E, the department shall promulgate rules
• Million is earmarked for student life and housing projects statewide through the program that the rules
• It looks to me like more of an internal legislative decision than it would be if it's a bill it goes

Keywords: 996, all

Transcript Highlights:

• software will automatically alert the appropriate division and the Division of Administration if any rules
• Highway safety complies with the established laws and rules that govern fleet operations.
• What are the expectations internally if, in fact, that is allocated in the budget?

Summary: The Committee on Government Oversight and Accountability met with a quorum and heard several presentations on state fleet management. The Department of Agriculture and Consumer Services described its new fleet tracking rollout using AT&T/GeoTab devices, funded with $804,000, to monitor vehicle location, fuel use, idle time, driver behavior, and maintenance needs in real time. Members asked about whether the system was unique to FDACS and whether it duplicated reporting to the Department of Management Services; the agency said it was still implementing the system and would follow up on those questions. The Florida Fish and Wildlife Conservation Commission presented on its large and diverse fleet, including more than 4,000 assets, and explained that it uses both the statewide FleetWave system and the Samsara telematics platform. FWC said FleetWave is used for monthly reporting and replacement tracking, while Samsara provides real-time location and diagnostics, reducing administrative burden and improving accountability. The Florida Department of Highway Safety and Motor Vehicles and Florida Highway Patrol then outlined their fleet operations, emphasizing that most assets support law enforcement, that multiple manual systems create data inaccuracies, and that they are seeking a $750,000 increase to modernize fleet management with telematics, automated receipt processing, and a centralized database to improve safety and efficiency. The committee also considered SPB 7010, which would authorize the Department of Financial Services and local governmental entities to allow post-tax Roth contributions in deferred compensation plans, in addition to existing pre-tax contributions. After a brief explanation, there was no debate or public testimony, and the committee voted to submit the bill as a committee bill. The roll call showed the measure was favorably reported, and the meeting then adjourned.

Transcript Highlights:

• Currently, our department relies on Triad Rescue International for this type of training.
• And part of our problem was waiting for the Feds to publish the rules in the Federal Register.
• remember that, but it was literally— Like a year and a half or almost two years before some of those rules

Bills: SB3, SB 3

Keywords: disaster relief, emergency funding, flood management, Meteorological forecasting, local government assistance, training facilities, flash flood, flood warning, outdoor warning siren, emergency alert, disaster preparedness, flood mitigation, Hill Country floods, Texas Water Development Board, municipalities, counties, local government mandate, public safety, grant program, backup power

Transcript Highlights:

• I request unanimous consent to suspend Assembly Rule 45.5 to allow Assembly Members Carrillo and DeMayo
• I request unanimous consent to suspend Assembly Rule 118A to allow Assembly Member Wallace to have a
• an inside wireman and ultimately serving as Executive Director of Business Development for the International

Transcript Highlights:

• Senate Bill 1578, relating to international affairs, is next.
• International International Affairs<00:04:24.400> uh<00:04:24.520> testifying<00:04:25.120
• Moving on to Senate Bill 1578, relating to International Affairs.
• <00:08:52.000> partners earlier about um International partners earlier about um International
• I'm Scanlan, president of IATSE 665, international trustee. Support. Questions? Thank you.

Keywords: 912, senate, all

Summary: The joint hearing covered three measures on the 1 p.m. agenda. SB 817, relating to out-of-state offices, drew support from DBEDT and several community groups, with questions focused on the requested funding, staffing level, whether the office would expand broadly, and whether the Philippines was being singled out. SB 1578, relating to international affairs, received support from DBEDT and the Attorney General, with the chair noting the bill was intended to help DBEDT analyze Hawaii’s international partnerships and plan next steps. SB 1639, establishing Hawaii Beach Day, had limited testimony and was moved along without substantive debate. SB 582, relating to DBEDT, was also heard with support from state agencies and a few individuals, and was described as a vehicle for organizational and funding changes affecting the State Foundation on Culture and the Arts, including moving some positions and programming to general funds and narrowing the works-of-art special fund's uses. The committees then took up recommendations. All three measures were advanced with amendments: SB 817 was amended to include technical changes and a defective effective date of July 1, 2025; SB 1578 was amended to address the Attorney General’s concerns, make the commission subject to Senate confirmation, and add technical changes and a defective date; and SB 582 was amended to incorporate provisions from SB 1577, clarify SFCA authority over performing arts, shift SFCA positions and programming to general funds, restrict the works-of-art special fund, and add a defective date. Each committee voted to adopt the chair’s recommendations, with no reservations or no votes noted in the Transportation and Culture and the Arts committee and only Senator Dela Cruz voting no on SB 817 there; in the Economic Development and Tourism committee, SB 817 passed with Senator Kim in reservation and Senator Awa voting no, while SB 1578 and SB 582 passed with Senator Awa voting no. The later 10:00 a.m. agenda hearing focused on SB 1589, relating to the stadium development special fund, and SB 1629, relating to taxation. On SB 1589, the Attorney General asked for clarification of section 3, particularly the proviso about remaining monies lapsing to the general fund if the New Aloha Stadium Entertainment District is terminated before completion; the interim stadium manager explained the bill would allow spending of $49.5 million already in the special fund for consultant, construction management, quality assurance, and contingency costs. On SB 1629, testimony was sharply divided: supporters, including film industry and business representatives, said the measure would support local film production, restore prior GET treatment, and help attract studio development; opponents argued the bill was vague, overly favorable to a specific project, and lacked oversight and accountability. The hearing ended with extensive questioning about whether the bill was effectively tailored to a particular studio project and how it related to other film tax credit measures, but no final committee action on SB 1589 or SB 1629 was included in the transcript excerpt.

Transcript Highlights:

• Okay, with that, do we have a motion on the rules for 25-26? Second.
• Okay, committee rules. Papan? Aye. Papan, aye. Jeff Gonzalez? Aye. Jeff Gonzalez, aye. Aye.
• Committee rules. Alvarez, Baines, aye. Bennett, aye. Bernett, aye. Burner, aye. Turner, aye.
• And this international treaty was abided by.
• Committee rules, Alvarez, aye. Item number two, AB 293, motion is do pass. Alvarez, aye.

Summary: The committee heard several water, parks, and wildlife bills. AB 764 would expand the list of exotic non-game birds that can be managed in California to better control mute swan populations; the author and California Waterfowl said swans are invasive, aggressive, and rapidly increasing, while no opposition testified. The bill passed to Appropriations. AB 616 would make the State Library Parks Pass program permanent by allowing state parks to transfer annual day-use passes to the State Library free of charge; supporters said it improves equitable access to parks, especially for low-income families, and the bill passed unanimously to Appropriations. AB 293 would require groundwater sustainability agencies to post board membership and a link to Form 700 filings online. Supporters, including the Community Alliance with Family Farmers, argued it would improve transparency and public trust, while opponents said the requirement was redundant and could discourage service on GSA boards. The bill passed, but with some no votes. AB 639 would narrow the definition of dams so certain weirs used for irrigation would not be subject to dam regulations; the author and technical witnesses said the structures pose no safety risk and are already closely managed, while members urged the bill be narrowed further to the Kings River area. It passed as amended to Appropriations. AB 679 would streamline land transfers for Big Basin Redwoods, Año Nuevo, and Butano State Parks by exempting those acquisitions from the Public Works Board process. Supporters said it would speed conservation and park rebuilding after the CZU fire, while one member opposed it over cost and broader state land-management concerns; it passed as amended. AB 454 would remove the sunset on the California Migratory Bird Protection Act, making state protections for migratory birds permanent after federal rollback concerns; it passed as amended to Appropriations. The committee also adopted its 2025-26 rules and approved the consent calendar, and the meeting adjourned after add-on votes were taken for absent members.

Transcript Highlights:

• But anything under the home rule amendment, the state can decide where that line is drawn.
• The majority of the 19 communities I represent have all passed home rule petitions.
• And the difficulty is we have this deep ingrained home rule mentality that we absolutely adopted and
• So our big land use issue is how do we balance this home rule with the idea of more development, and
• and the difficulty is we have this deep ingrained home rule mentality that we absolutely we adopted

Keywords: 995, all

Summary: The Joint Committee on Housing opened its second hearing of the session with remarks from Chairs Haggerty and Cyr emphasizing that the hearing was a broad look at Massachusetts’ housing crisis rather than a single bill. They highlighted topics including zoning, permitting, rental assistance, public housing, homelessness prevention, and housing production. The first witness, Housing and Livable Communities Secretary Augustus, reviewed implementation of the Affordable Homes Act and the state’s new housing plan, citing a 1.6% vacancy rate, a projected need for 222,000 new homes over 10 years, and ongoing efforts such as ADUs by right, fair housing enforcement, eviction record sealing, seasonal communities planning, and new funding for affordable housing, public housing, and the Momentum Fund. He also discussed infrastructure support for municipalities, technical assistance for ADUs, and concerns about possible federal funding cuts. Committee members questioned the secretary about ADU financing and technical assistance, the likely unit yield from the Affordable Homes Act, infrastructure barriers in suburban and rural communities, public housing waitlist management, supportive housing, and federal budget risks. MassNAHRO then testified that public housing authorities are facing rising operating and capital costs, a statewide waitlist nearing 300,000, and uncertainty over federal Section 8 and HUD funding. Witnesses described recent state support for operating subsidies, capital improvements, vacancy turnover teams, and resident service coordinators, while warning that proposed federal cuts could sharply affect voucher issuance and agency operations. CDAC’s executive director Roger Herzog described the agency’s role as a quasi-public source of early-stage financing and technical assistance for nonprofit housing developers, noting its loan capital, supportive housing bond programs, home modification loans, and preservation work under Chapter 40T. He said CDAC has helped produce or preserve more than 55,000 units and stressed the importance of patient capital and preservation tools. CHAPA CEO Rachel Heller urged the committee to focus on production, preservation, planning, and political will, supporting goals for affordability, supportive housing, and homeownership, and endorsing policy changes such as YIGBY, clearer site plan review rules, stronger fair housing funding, and more support for vouchers and public housing. MassHousing then outlined its financing role, including mortgage lending, down payment assistance, the Community Climate Bank, and the Momentum Fund, while noting that permitting delays, capital gaps, and possible federal changes could affect production. Members also asked about transparency, prevailing wage compliance, and a recent internal restructuring related to diversity and business engagement.

Transcript Highlights:

• Maypole, pediatrician at Boston Medical Center; Kimberly Daly, a member of the Service Employees International
• Those rules require that individuals who are admitted to a hospital, which is what Pappas is designated
• Department of Public Health while I've had oversight of the Pappas Hospital we have adhered to the rules
• I came to the United States from the Philippines as an international student at the University of Rhode
• I just want to be clear: we should look at the admissions policy internally.

Keywords: 995, all

Summary: The special legislative commission on the future of Pappas Rehabilitation Hospital for Children held a hybrid public hearing focused on the hospital’s future, admissions, staffing, infrastructure, and whether the facility should be preserved, expanded, or reimagined. Opening remarks from legislators, commissioners, parents, and union representatives emphasized that Pappas provides a unique combination of medical, rehabilitative, educational, and residential services for children with complex needs, and several speakers argued that the hospital is effectively being depopulated through reduced admissions and ongoing discharges despite public assurances that it remains open. Multiple speakers urged the commission to extend its authorization and continue its work before any closure or major change can occur. Testimony from labor leaders, including AFSCME, SEIU Local 509, and the Massachusetts Nurses Association, described a “silent closure” in practice, with staff reporting confusion about the hospital’s status, declining census numbers, blocked admissions, and uncertainty about the workforce’s future. They called for immediate action to stop admission denials and unnecessary discharges, and some proposed short-term solutions such as temporary modular structures to address infrastructure barriers and allow admissions to resume. Parents and former patients testified that Pappas provided life-changing independence, specialized therapy, and campus-based supports that they said could not be replicated elsewhere, and they criticized alternative placements as inadequate. Commissioner Robert Goldstein of the Department of Public Health said the administration supports keeping Pappas open and funded while the commission works, but he argued that admissions must comply with hospital-level-of-care rules and that the campus’s deteriorating infrastructure limits the kinds of children who can safely be served there. He said the department is continuing admissions for appropriate patients, working to expand outreach and services, and exploring long-term options, including broader statewide models of care. Commissioners pressed him on whether discharge status or lack of a clear discharge plan had been used as a barrier to admission, and requested de-identified data on patients recommended for admission but denied. No formal votes were taken during the hearing.

Transcript Highlights:

• <00:15:05.440> I'm<00:15:05.519> the<00:15:05.680> internal<00:15:06.000>
• I'm the internal auditor Teresa Narrow.
• I'm the internal auditor for<00:15:06.560> Health<00:15:06.800> and<00:15:06.959> Human
• questions of developing rules questions of developing rules implementing<00:49:33.119> the
• utilizing what rules they're following and<00:51:32.000> and<00:51:32.400> that<00:51:

Keywords: 1189, house, all

Summary: The Legislative Performance Audit and Oversight Committee approved the November 7 minutes with three abstentions and then received status updates on several ongoing audits. Audit staff reported that the special education oversight audit was in report-writing, with 34 of 71 observations completed and a draft expected in the second quarter and a final report in the summer. The education freedom accounts audit had 22 of 41 observations completed, with a draft also expected in the second quarter and a final report in the summer. The Doorway program audit had 5 of 13 observations completed, with a draft expected by the end of February and a final report by April or May. The committee then discussed possible new oversight topics, prompted by concerns about fraud in other states and the need to ensure New Hampshire programs are not vulnerable. Members suggested hearing from DHS officials, contract administrators, and possibly the Department of Justice Medicaid fraud unit about SNAP and other programs, as well as reviewing staffing levels in HHS contract management. There was also discussion of whether to revisit the Bureau of Elderly and Adult Services, though members noted that prior work on that area had been suspended because of litigation. A representative from HHS, Teresa Narrow, briefed the committee on the Bureau of Developmental Services. She said the state had been in compliance with CMS since July 1, 2023 after resolving issues tied to a system redesign and billing changes, and that provider-side billing problems had also been fixed. She also described three existing bodies involved in developmental disability housing oversight, including the Council on Housing Stability, the ABLE Housing Task Force, and a legislative study committee created by HB 168 in 2024. Committee members asked for her notes to be shared. The committee spent substantial time debating whether to pursue a new special education audit at the school-district level. Members discussed the need to examine why some districts have much higher special education rates and costs than others, and whether a statistically selected sample of schools could be used. Audit staff said no new audits could begin until about May or June and that only a couple of auditors would then be available. Members also noted that a legislative study committee is already working on special education and may issue a report later this year, and the committee appeared to leave the school-level audit idea as a potential future item rather than taking immediate action.

Transcript Highlights:

• We've performed an internal evaluation of the enforcement processes through the Department of Consumer
• We also, one of the best ways, is to make sure that our licensing processing timeframes internally are
• So we're very familiar with what was on the books before, which were rules and regulations that really
• They have even ignored a judge's ruling multiple times, and they are not even following their own rules
• They were making up rules as they went along.

Summary: The joint sunset oversight hearing reviewed five regulatory entities: the Board of Behavioral Sciences, the Board of Psychology, the Physician Assistant Board, the Podiatric Medical Board, and the California Massage Therapy Council. Across the hearing, each entity described recent accomplishments, licensing and enforcement workload, workforce shortages, and efforts to modernize processes. Common themes included streamlining licensure, expanding access to care, addressing telehealth or emerging technology, and balancing consumer protection with workforce needs. For the Board of Behavioral Sciences, members discussed workforce shortages in mental health, supervision barriers, telehealth confidentiality, AI in therapy, interstate compacts, school-based services, and military spouse licensure. The board said it has expanded outreach, improved licensing processes, and created temporary practice authority tracking, while also expressing concern about counseling compacts and emphasizing California-specific law, ethics, and cultural competency. Public commenters supported the board’s work and the possible move to a national MFT exam, while also urging more resources. The Board of Psychology highlighted fee adjustments, streamlined licensure pathways, enforcement process improvements, new CPD requirements, and proposed changes including a psychotherapist-client privilege exception for investigations. Committee members and public witnesses focused heavily on that privilege proposal, with some members opposing it as too broad and privacy-invasive, while the board argued it is needed to obtain records in bias and sexual misconduct cases. The board also discussed workforce shortages, processing improvements, and the use of inactive status for psychological associates. The Physician Assistant Board reported growth in the PA workforce and education programs, SB 697 implementation, and financial pressure from rising enforcement costs. The main policy debate centered on physician-to-PA ratios and practice agreements, with board representatives and many public commenters arguing that current restrictions limit access to care, especially in rural areas, while the California Medical Association defended the need for explicit ratios and agreements. The board also discussed AI, fee increases, and tracking temporary practice authority. The Podiatric Medical Board described licensing and renewal reforms, residency expansion, enforcement support, and budget constraints, while public testimony raised concerns about a proposed fee increase and about reimbursement parity and practice recognition for podiatrists. Finally, the California Massage Therapy Council defended the certification model over licensure, citing lower costs, local government collaboration, anti-trafficking work, and its role in vetting applications and disciplining bad actors; no formal votes or final actions were taken during this portion of the hearing.

Transcript Highlights:

• They do so through the rule others.
• <01:05:17.359> They set rules, people make choices. They set rules, people make choices.
• hour and change all the rules. hour and change all the rules.
• After reading the rules and talking through the rules, the point of order is well taken. >> Mr.
• the rules and talking through the rules. the rules and talking through the rules.

Keywords: 1187, senate, all

Transcript Highlights:

• I was a lowly intern.
• Let's utilize this new 72-hour rule.
• Let's utilize this new 72-hour rule in hospitals that allow hospitals to give people three days' worth
• I am a primary care doctor, trained in internal medicine.
• There's actually an International Street Medicine Institute.

Summary: The task force meeting opened with new leadership announcements, including Senator Nick Schroer thanking outgoing chair Representative John Black and naming Representative Del Taylor as vice chair. After some initial technical difficulties with audio and Zoom, members reviewed the task force’s statutory charge under Missouri law: to hold hearings on substance use, explore solutions, draft or modify legislation, and produce recommendations for prevention and treatment. The chair said the goal for this year is to develop concrete legislative ideas for the next session, with hearings focused first on field experts and later on alternative therapies and the Department of Mental Health. Dr. Rachel Winograd gave the first major presentation, describing Missouri’s overdose crisis as increasingly complex and driven primarily by fentanyl, now compounded by xylazine and metatomidine. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, and attributed the decline to a smaller fentanyl supply, wider naloxone availability, and fewer young people entering use. Her main recommendations were to focus on reducing harm rather than trying to eliminate drug use, expand evidence-based medications for opioid use disorder—especially methadone and buprenorphine—improve access to naloxone, and loosen methadone regulations, including take-home doses, the federal 72-hour rule, and broader methadone units. She also emphasized that peer support, housing, transportation, and other practical supports matter, and noted that naloxone can still reverse fentanyl overdoses even when tranquilizers are present. Dr. Heidi Miller, the state medical director, followed with two recommendations: integrate substance use disorder care into whole-person health care and follow the science when considering substance-related legislation. She argued that primary care, maternal health, workforce training, EMS, public health, and methadone access should all be part of a coordinated model, and said reimbursement should support teams rather than isolated providers. She also urged stronger enforcement of parity between behavioral health/SUD and physical health coverage, and highlighted tobacco and alcohol as major, under-addressed causes of death in Missouri. Dr. Doug Burgess then reinforced the need for a coordinated continuum of care, comparing substance use treatment to the seamless system used for heart attacks, and said patients should have standardized assessment, discharge planning from day one, transition coordinators, peer recovery coaches, and better information-sharing between levels of care. Members asked questions about relapse, treatment court, EMS referral barriers, reimbursement, and whether buprenorphine can be started in the field; no votes were taken, and the meeting ended with plans to continue hearing testimony and use it to shape future policy recommendations.

Transcript Highlights:

• I remember there is a census equity fund grantee gathering in early 2019 before the Supreme Court ruling
• And I would remind everyone that in 2019, the Supreme Court ruled against the inclusion of the citizenship
• That's kind of some of our internal plans here as I'm mapping out what get-out-the-count efforts for
• Some of our teenage interns who previously used their iTunes to receive stipends from us are no longer
• Did you do all that internally within Mira?

Keywords: 995, all

Summary: The Senate Committee on the Census held an early planning hearing on how Massachusetts can maximize participation in the 2030 census, with Chair Will Brownsberger and Vice Chair Rebecca Rausch emphasizing the need to start well in advance. The first panel, made up of leaders from the Massachusetts Voter Table, MassVOTE, MIRA, and MESA, stressed that grassroots community organizations are trusted messengers and should be funded early to do multilingual outreach, training, and direct assistance in hard-to-count communities. They described lessons from 2020, including the shift to internet response, reduced federal census infrastructure, the importance of coordinated statewide networks, and the need to begin messaging several years before Census Day because building trust and staffing outreach takes time. Panelists repeatedly warned that immigrant communities are facing heightened fear because of federal immigration enforcement and the possibility of a citizenship question or other federal changes, making census participation more difficult. They said 2020 funding arrived too late to fully staff and train outreach teams before the pandemic, and argued that future resources should be deployed earlier and more flexibly. In response to committee questions, they estimated Massachusetts should invest roughly $8 million to $10 million or more in state census outreach, with one proposed model of about $3 million to $5 million at the start, additional funding in the middle years, and a larger final push closer to 2030. They also suggested that funding should support communications infrastructure, translation, social media and ethnic media outreach, and possibly a permanent complete count structure or trust fund to preserve institutional knowledge. A second panel from Common Cause Massachusetts and the ACLU of Massachusetts echoed the call for stronger, earlier investment and stronger privacy protections. They urged the legislature to expand existing census line items, consider a trust fund or other dedicated funding stream, and coordinate census outreach with other state programs that already work through trusted community messengers. The ACLU testimony focused on racial inequities in census counts and warned that federal efforts to exclude non-citizens or add a citizenship question would deepen distrust and undercount immigrant communities. Committee members asked about the 2020 overcount/undercount results, funding levels, timing of grant distribution, and whether census outreach should be routed through the Secretary of the Commonwealth or other state mechanisms; no votes were taken, and the hearing moved on to a later panel on immigrant-community outreach.

Transcript Highlights:

• The committee will come to order, and the coat rule is relaxed except for Senator Bridges.
• The committee will come to order, and the coat rule is relaxed.
• committee will come to order and the The committee will come to order and the court<00:50:51.760> rule
• comprehensive strategies and procedures, risk assessment, employee training, operational controls, internal
• operational controls, internal operational controls, internal inspections<01:03:32.880> and

Keywords: 981, all