Transcript Highlights:

• to provide analysis of what the impact were of providing the increase to provider rates if in fact you
• Provided CMS is consistent with the technical assistance that they've provided to us.
• medicine providers or field-based providers.
• -based provider.
• -based provider.

Keywords: 987, senate, all

Transcript Highlights:

• care providers across the state.
• care providers across the state.
• care providers across the state.
• </c> private provider conducts the licensing. private provider conducts the licensing.
• </c> OMBbuds for family child care providers. OMBbuds for family child care providers.

Bills: HF2436

Keywords: child welfare, economic assistance, child care, grant program, video security cameras, 1183, house

Transcript Highlights:

• , to provide for criminal background checks, to provide for licensing fees, to provide for license validity
• to provide for firm licensing, to provide for application procedures, to provide for duties of the State
• Fire Marshal, to provide for licensing fees, to provide for prohibited acts, to provide for cease and
• , to provide for fees, to provide for penalties, to provide boiler installation procedures...” “...to
• provide for fees, to provide for penalties, to provide boiler installation procedures, to provide for

Summary: The committee met on April 7, 2026, and first handled several fire marshal-related bills. HB 917, a licensing and regulatory cleanup for life safety and property protection work, was amended with technical changes and reported favorably. HB 565 clarified that the State Fire Marshal, rather than local authorities, would handle fire safety inspections for early learning and child daycare centers; members adopted an amendment limiting the standards to state or federal codes and addressing ventilation and suppression requirements for small facilities, and the bill was reported favorably with amendments. The committee then took up HB 937, which would shift amusement ride setup inspections back to the State Fire Marshal, require licensing and insurance for rides and inspectors, and repeal provisions related to inflatable amusement devices. The author and fire marshal cited a serious festival ride accident in Pointe Coupee Parish as the impetus, and members discussed inspection timing, insurance costs, and whether background checks or public inspection certificates should be required. After technical and agreed-upon amendments, the bill was reported favorably. HB 799, a boiler inspection consolidation bill, was presented as a cleanup measure that would centralize boiler regulation under the fire marshal and rely on licensed inspectors meeting national standards. Stakeholders from industry and the fire marshal’s office described it as an efficiency and safety measure, and the committee adopted a substantive amendment on shutdown procedures and licensing details before reporting the bill favorably. HB 461, which would have allowed parishes and municipalities to adopt fortified roof standards, drew extensive testimony both for and against; supporters argued it could improve resilience and lower insurance costs, while opponents warned it would undermine Louisiana’s uniform building code, add cost, and create inconsistency. The author ultimately moved to voluntarily defer the bill. Finally, the committee began HB 977, a bill on minors’ use of applications that would require age verification, parental consent, and app store/developer safeguards. An amendment clarified definitions, consent rules, data-sharing limits, and a good-faith compliance defense. Members raised concerns about the 45-day cure period, the lack of a private right of action, and whether app stores would become gatekeepers, but the bill remained pending at the end of the excerpt.

Transcript Highlights:

• Requirement for these providers and HHSC to the local government provider with jurisdiction over the
• providing facility.
• There are dozens of Catholic service providers currently providing holistic case management services
• Thriving Texas Families Network providers are particularly strong in providing non-medical health-related
• Of the provider, um, the intent of the provider needs to make sure that they're promoting life and so

Transcript Highlights:

• </c><00:03:30.159><c> in</c> cadbi KAC and DD um and is provided in cadbi KAC and DD um and is provided
• </c><00:57:08.400><c> uh</c><00:57:09.119><c> providers</c> and then also provide uh providers and then
• </c><01:10:08.520><c> and</c> provides the ability for providers and provides the ability for providers
• Yeah, provided everybody a packet. Yeah, I got to put that—I put—I provided everybody a packet.
• Yeah, provided everybody a packet. Yeah, I got to put that—I put—I provided everybody a packet.

Keywords: 1187, senate, all

Transcript Highlights:

• the same services that they're providing today.
• Child care providers and the early learning workforce.
• AAP funding is also used for on-site security services and provider training programs that address provider
• This program provides remote education to primary care providers on how to best diagnose and treat patients
• The Public Works Board provides funding to cities, counties, and special purpose districts to provide

Bills: SB5998

Keywords: fiscal appropriations, budget, state funding, financial management, operating expenses, 904, all

Transcript Highlights:

• an emergency backup provider.
• and concerning for these providers.
• Would you be able to provide that?
• IHSS providers already give so much of themselves. I'm an IHSS provider living in Modesto.
• provider when our provider is unable to come to work due to an emergency.

Keywords: 988, house, all

Transcript Highlights:

• for action by the Attorney General, to provide for violations, to provide for defenses, to provide for
• for action by the Attorney General to provide for violations, to provide for defenses, to provide for
• exclusions from liability, to provide for interpretation. provide for violations, to provide for defenses
• , to provide for exclusions, to provide for interpretation, and to provide for exclusions, and declaring
• It'll provide some money.

Summary: The House convened with 65 members present, approved the journal, and received Senate Bill 1221, which was referred to the Commerce and Human Resources Committee. Committee reports moved several bills forward, including House Bills 502, 512, 494, 531, and 542, while House Bill 570 was re-referred to Judiciary, Rules and Administration. The House also introduced a number of new bills and resolutions, including measures on justifiable homicide, copyright/piracy repeals, court-rule review, LLC formation, short-term rentals, unauthorized workers, inspection requirements, the FAST Act, rangeland improvement, virtual education, income tax changes, the parental choice tax credit, indigent eligibility, patient immigration status, and a constitutional amendment on state-owned land. House Concurrent Resolution 26 supporting wildlife crossings was filed for printing. On the floor, House Concurrent Resolution 24 honoring the firefighters and engineer affected by the Coeur d'Alene brush fire incident passed 68-0, and House Bill 515 on school notification procedures for serious bullying incidents passed 68-0 after debate over whether it should also apply to private schools. House Bill 511, which would raise the cap on fire protection charges in the wildland-urban interface, passed 46-22. House Joint Memorial 9, urging Congress to reaffirm FLPMA for federal land exchanges, passed 69-0. House Bill 518, authorizing the Attorney General to take on human trafficking investigations and prosecutions when requested by local law enforcement, passed 68-0 with support from members who said it would strengthen anti-trafficking efforts. The House then returned House Bill 522 to committee due to a clerical error after the sponsor described it as a drone-restriction bill aimed at prison security. House Joint Memorial 10, supporting the use of natural sugar in school meal programs and aligning with the MAHA movement, passed by voice vote. House Bill 504, aimed at stopping lottery syndicates from bulk-buying tickets, passed 62-6. Announcements followed on legislative receptions, an ICAC presentation, Disability Advocacy Day, a Medicaid listening session, and committee meetings, and the House adjourned until 11 a.m. Thursday, February 5, 2026.

Transcript Highlights:

• an emergency backup provider.
• Providing care for the most vulnerable among us in the state, Providing care for the most vulnerable
• and concerning for these providers.
• Would you be able to provide that?
• provider when our provider is unable to come to work due to an emergency.

Summary: The joint informational hearing focused on the impact of H.R. 1 on older Californians and related county administration issues. Chair Jackson and Chair Addis opened by emphasizing California’s rapidly aging population and the need to protect seniors’ access to food, health care, housing, and in-home support services. Testimony from the Department of Social Services, Department of Health Care Services, and Department of Aging described how H.R. 1 would expand work and reporting requirements in CalFresh and Medi-Cal, increase redeterminations, and create new eligibility barriers. Witnesses and advocates warned that these changes could lead to large coverage losses, especially for adults ages 55 to 64, people experiencing homelessness, caregivers, and some immigrant groups, while also increasing administrative burden on counties. The LAO noted that many provisions do not directly apply to Californians 65 and older, but highlighted indirect effects and some direct impacts, including a new home equity limit for certain long-term care recipients and narrower immigration eligibility rules. Committee members pressed the administration and counties on how exemptions would be identified and implemented, whether data systems could automatically protect eligible people, and how outreach would reach older adults, women, LGBTQ seniors, and people with limited digital access. DHCS and CDSS said they are working to use existing data, cross-program information sharing, and human-centered communications to maximize exemptions and reduce churn, including text outreach, print and radio campaigns, and navigator support. Members also raised concerns about the need for legal aid and county eligibility workers to help people navigate complex rules, and requested updated analyses on the number of people likely to lose both Medi-Cal and CalFresh and the broader human and system impacts. No votes were taken. The second major topic was the administration’s proposal to shift some future IHSS costs to counties by establishing a statewide baseline for average authorized hours per case. CDSS said the proposal is intended to improve consistency in assessments and not reduce services, while counties and labor groups strongly opposed it, arguing that rising hours reflect real increases in need, an aging and higher-acuity caseload, and state-mandated assessment tools rather than county error. County representatives said the proposal would strain already limited local revenues, worsen the effects of H.R. 1, and could force cuts to other safety-net services. Committee members questioned the proposal’s timing and impact, but the hearing ended without action, with the chairs asking for continued updates, additional analysis, and more information before May Revision.

Transcript Highlights:

• So parent providers are already exempt.
• And it's recognizing that those providers, those family providers, are in it until either they or the
• And it's recognizing that those providers, those family providers, are in it until either they or the
• to keep it within the intent of the information in which they're provided to provide important financial
• The intent of the information in which they're provided is to provide important financial aid for student

Bills: HB2337, HB2311, HB2088, HB2148, HB2132

Keywords: training requirements, caregiving, family member, individual providers, home care, workforce education, investment accountability, administrative changes, oversight, education policy, nutritional health, dietetic professionals, licensure compact, interstate practice, healthcare regulation, education, pay it forward program, tuition, student loans, financial aid

Transcript Highlights:

• at not providing direction but providing<00:20:38.720><c> important</c><00:20:39.200><c> questions</
• It also provides national address.
• And that varies provider to provider as shown in the table.
• </c> providers uh as to the the percentage. providers uh as to the the percentage.
• they have to provide service.

Keywords: 1183, house

Transcript Highlights:

• to provide for renewal notifications, to provide for record keeping, to provide for exemptions, to provide
• , to provide for renewal notifications, to provide for record keeping, to provide for exemptions, to
• definition, to provide for notice, to provide for the repair of damage, to provide for the... requested
• definition, to provide for notice, to provide for the repair of damage, to provide for the.
• for permits, to provide for exceptions, to provide for definitions, and to provide for related matters

Bills: HB220, HB259, HB463, HB536, HB750, HB830, HB950

Keywords: child exploitation, online reporting, platforms, cyber crime, PROTECT Act, excavation, demolition, infrastructure repair, BEAD Program, utility damage, construction coordination, contact point, emergency services, telephone charge, wireless service, reporting requirements, communications district, wireless communication, school safety, community permits

Transcript Highlights:

• And we want to provide an incentive.
• Can't just drop them from Medicaid and then expect the providers to not provide services to them.
• provider.
• provider.
• And so the number of providers that provide ABA in Miami-Dade is quite high.

Summary: The Health Care Budget Subcommittee met to organize the new term, take roll, and hear introductory presentations from the six agencies under its jurisdiction: the Agency for Health Care Administration, Agency for Persons with Disabilities, Department of Children and Families, Department of Elder Affairs, Department of Health, and Department of Veterans’ Affairs. The chair outlined the committee process, including assigning members to review agencies and make budget recommendations. Each agency head gave a high-level overview of their budget, staffing, major programs, and priorities, with recurring themes including Medicaid, long-term care, disability services, child welfare, mental health, aging services, public health, and veterans’ health care. Several agency leaders highlighted recent initiatives and funding priorities. AHCA emphasized Medicaid managed care, provider regulation, Hope Florida, hospital-at-home, and cancer-related efforts; APD discussed iBudget services, Hope Florida, a managed-care pilot, online applications, and forensic care costs; DCF focused on child protection, foster care, adult protective services, food/cash/medical assistance, mental health, and opioid treatment; Elder Affairs highlighted Alzheimer’s services, community-based senior care, guardianship, ombudsman services, and disaster outreach; DOH covered cancer innovation, maternal telehealth, cybersecurity, HIV/hepatitis/syphilis screening, and school nursing; and Veterans Affairs described benefits and health care access for veterans, long-term care, and federal reimbursement. Several speakers also raised concerns about rising costs, provider rates, disaster response, and access to services. The committee heard two public comments from disability advocates about Medicaid redeterminations affecting iBudget waiver recipients and provider payment delays. In response, AHCA and APD said they were coordinating on data sharing, early outreach, escalation processes, and efforts to reduce disenrollments and make recertification smoother. Members then asked questions about provider rates, opioid settlement spending, managed care quality measures, pediatric rare disease grants, group home transparency, senior outreach, ABA services moving into managed care, annual Medicaid recertification, veterans’ service utilization, waiting lists for elder services, and prevention spending. No formal votes were taken during the meeting.

Transcript Highlights:

• Rates for medical providers.
• pay the providers are going up.
• with providing that service.
• to providers.
• Does it come to us and we give it to the providers, or does it go directly to providers?

Keywords: 988, house, all

Transcript Highlights:

• for liability, to provide for reporting requirements, to provide for enforcement, to provide for civil
• for administration fees, to provide for reimbursement of grantees, to provide for grants, and to provide
• provide for related matters.
• authority, to provide for requirements for permitting, and to provide for related matters.
• metal transactions, to provide for duties of operators, to provide for exemptions, to provide for definitions

Summary: The House Committee on Commerce met on May 18, 2026, with a quorum present and the chair noting it was the committee’s last meeting of the session. The committee first considered Senate Bill 254, which would prohibit certain excess debit card surcharges and authorize enforcement by the Attorney General. After adopting technical amendments and a committee amendment requiring written notice before a private right of action, the bill was reported favorably as amended. The committee then took up Senate Bill 80 on broadband administration fees and GUMBO program closeout. Members questioned the proposed increase in administrative and contractor fees, the timing of project completion, and how withheld reimbursements would work for utility damage. After adopting several amendments, including cleanup language and a provision to restore the reimbursement process, the bill was reported favorably as amended, though the Louisiana Telecommunications Association voiced concerns about the withholding language and lack of a clearer fault-determination process. The committee next considered Senate Bill 469, updating the Louisiana Underground Utilities and Facilities Damage Prevention Law. Technical amendments were adopted, along with amendments clarifying that the bill’s 30-day notice to utility owner-operators is separate from existing GUMBO notice requirements and creating a rapid dispute-resolution process involving the Office of Broadband, the utility operator, and the local governing authority. Testimony from broadband and municipal stakeholders emphasized the need for quicker responses to excavation damage and better enforcement, while some witnesses raised concerns about the late amendment and the need for clearer recourse and standards. The bill was reported favorably as amended. Senate Bill 468, dealing with fuel rewards programs and fuel discount limits, was also amended to allow such discounts while capping them at $1 below the advertised price; it was reported favorably as amended. Senate Bill 131, concerning attorney’s fees and costs in professional licensing disciplinary proceedings, drew testimony from a cosmetology board representative and the Pelican Institute. Supporters argued the bill would curb incentives for boards to generate revenue through enforcement and give licensees a fairer opportunity to resolve cases; board testimony noted that some boards already have fee caps and that enforcement actions are relatively limited. After adopting an amendment clarifying when a licensee is the prevailing party, the bill was reported favorably as amended. Senate Bill 251 on critical infrastructure protection also received technical amendments and several substantive changes, including adding ports and airports to the definition of critical infrastructure, clarifying “significant access,” adding a knowledge requirement, and adjusting exemptions and enforcement timing; it was reported favorably as amended after testimony from State Armor representatives about foreign adversary threats. Finally, House Resolution 253 was introduced to create a task force to study how post-2005 building code additions and inspection requirements affect residential construction costs, with the sponsor explaining the goal was to gather industry input and return recommendations next session.

Transcript Highlights:

• Department of Health; to provide for waivers; to provide for rulemaking; to provide for duties of the
• for penalties, to provide for rules and regulations, to provide for certain exemptions, to provide for
• for penalties, to provide for rules and regulations, to provide for certain exemptions, to provide for
• team, to provide for a multidisciplinary investigative team, to provide for forensic reviews, to provide
• to provide for implementation and provide for related matters.

Summary: The committee first heard SB 145, which would require adult residential care providers, especially assisted living centers, to have generators or other backup power arrangements and to submit preparedness plans to LDH. After technical amendments and testimony from the sponsor, LDH, and the assisted living industry clarifying the bill’s scope and cost concerns, the committee adopted the amendments and reported the bill favorably. It then took up SB 433, which would require Medicaid coverage of medically necessary FDA-approved weight loss drugs, including GLP-1 medications, subject to appropriations and fiscally sustainable coverage criteria; the bill was reported favorably after discussion of current Medicaid coverage and costs. The committee also approved SB 52, which requires better coordination between DCFS and LDH so SNAP and Medicaid benefits can follow children more quickly when they are removed from or returned to a home. Technical amendments changed reporting deadlines and required written notice, and the bill was reported favorably. SB 4 on public water fluoridation was amended to allow local governments or voters to opt out through a petition and election process, with support from the Louisiana Dental Association and others after compromise language was adopted; it was reported favorably with amendments. SB 152, which would prohibit the sale of cultured or lab-grown food products for human consumption, was also reported favorably with amendments after brief testimony in support and opposition. The committee next approved SCR 37, which asks the Surgeon General to review Louisiana’s informed consent laws and report back on any gaps, after discussion that the existing medical disclosure panel had not met since 2018. It then considered SB 194, a public assistance bill aligning Louisiana Medicaid and SNAP rules with recent federal changes on non-citizen eligibility and tightening Medicaid’s reasonable opportunity period for citizenship verification. After extensive debate over immigration, emergency care, and whether the bill could harm eligible applicants or rural hospitals, the committee adopted an amendment allowing LDH discretion for emergency health care services and reported the bill favorably by an 8-3 vote. Finally, HCR 113 created a task force to study gestational carrier agreements and assisted reproductive regulation; after debate over surrogacy, ethics, and referral to Civil Law, the committee rejected the referral motion and then reported the resolution favorably, and the meeting moved on to SB 333 on child-in-need-of-care proceedings and legal representation funding.

Transcript Highlights:

• the same services that they're providing today.
• provider shortages in rural communities.
• This program provides remote education to primary care providers on how to best diagnose and treat patients
• Providers across the state are still reeling from this, because as you know well, Providers across the
• The Public Works Board provides funding to cities, counties, and special purpose districts to provide

Summary: The Senate Ways and Means Committee heard an overview from OFM Director Katie Chapman See on Governor Ferguson’s 2026 supplemental budget proposal. She said the budget was built in response to higher caseloads and inflation, a roughly $390 million revenue forecast drop, new federal costs tied to H.R. 1, and a relatively small ending fund balance. The proposal would increase near general fund spending by about $1.1 billion and solve an estimated $2.3 billion two-year gap through about $800 million in reductions, revenue shifts and tax preference changes, use of other funds, and about $1 billion from the budget stabilization account. She also noted the budget is balanced over two years but not fully over four years under the state’s outlook rules. Chapman See highlighted reductions in Working Connections Child Care, including a soft cap on enrollment and holding subsidy rates at the 75th percentile, delays to long-term care and developmental disability-related changes, and across-the-board reductions to higher education and administrative spending. She also described investments in wildfire suppression and preparedness, affordability programs like utility rebates and home energy assistance, housing-related planning and permitting support, One Washington IT replacement, behavioral health workforce programs, and continued support for some K-12 initiatives such as ninth grade success and homeless student stability. In response to questions, she said some proposed cuts were based on the governor’s subjective judgment about what was critically necessary, that current child care enrollees would not be cut off immediately, and that the budget would maintain services for about 500 highest-acuity Medicaid clients who lost eligibility under federal changes. Public testimony was largely critical of the proposed cuts in K-12, early learning, and higher education. School officials, educators, nurses, and advocacy groups opposed reductions to Transition to Kindergarten, Local Effort Assistance, Running Start, MSOC, school leadership and support grants, and higher education funding, arguing the cuts would worsen existing funding gaps and harm student outcomes. Several witnesses supported restoring or maintaining funding for ninth grade success, Treehouse’s foster youth graduation program, homeless student stability, and Science on Wheels. In early learning, child care providers and advocates opposed the Working Connections cap and subsidy-rate reduction, warning it would reduce access and destabilize providers. In higher education, campus leaders and labor representatives opposed across-the-board cuts and fund shifts, while some institutions and advocates supported targeted investments such as behavioral health workforce programs and DigiPen aid restoration. In human services, Planned Parenthood advocates praised restored abortion access funding and Medicaid reimbursements. The committee took no votes or final action in the transcript provided.

Transcript Highlights:

• It provides relative to the Department of Children and Family Services, including provisions to provide
• It provides relative to prescriptions to provide for civil and criminal immunity for the distribution
• This bill is not about punishing good providers. Good providers are already doing the right thing.
• , to provide for an effective date, and to provide for related matters.
• So I go to a licensed provider. He... So I go to a licensed provider.

Summary: The committee met on March 25 and first took up HB 199, which would extend Louisiana’s nursing home moratorium. Chairman Miller amended the bill to shorten the extension from five years to four, moving the termination date to July 1, 2031. Rep. Barault argued the state faces a growing bed-capacity problem and proposed an amendment to exempt St. Tammany Parish; Rep. Cruz offered a substitute to reduce the extension to three years. The Nursing Home Association said it had negotiated in good faith and supported the four-year compromise, while the Pelican Institute opposed the moratorium as anti-competitive. A St. Tammany resident testified that her mother faced a long wait for placement and that more local beds are needed. The three-year substitute and the St. Tammany exemption both failed, and HB 199 was reported favorably with the four-year amendment. The committee then favorably reported HB 223 to recreate the Department of Children and Family Services for four more years, with Secretary Rebecca Harris saying the department’s recent reorganization has allowed it to focus more directly on child safety and child welfare. Members discussed planned reforms such as differentiated response, stronger community-based care, and the transfer of TANF to Louisiana Works in 2027. HB 907, which grants civil and criminal immunity for the use or distribution of expired naloxone or other opioid antagonists, also passed with technical amendments; public health officials and members emphasized that expired naloxone remains effective enough to save lives and should still be used in emergencies. HB 535, which streamlines hospital-based acknowledgements of paternity by allowing notarization without two witnesses, was reported favorably after Woman’s Hospital testified that the change would speed up paternity establishment, child support enforcement, and the addition of fathers to birth certificates. HB 554, which would increase penalties for violations at health care facilities and require LDH reporting, drew testimony from a family member describing serious care failures and from LDH, which said it already has caps on fines and that the bill would not change those caps. Rep. Jackson amended the bill to require LDH to publish fines assessed and collected and to list facilities with repeated immediate jeopardy or actual harm deficiencies, but the bill was then voluntarily deferred for a week to allow further discussion with the department. The committee also reported HB 224, a largely technical update to the Children’s Code recommended by the Louisiana State Law Institute, HB 246, which updates membership of the Children’s Cabinet Advisory Board and related bodies, and HB 405, which updates the name of the national acupuncture certifying organization. HB 222, requiring Medicaid coverage for certain dental procedures when needed to clear patients for other medically necessary treatment, was reported favorably despite a fiscal note. Finally, HB 235 on sewer systems generated extensive discussion: Rep. Fontenot described rising sewer rates, poor maintenance, and sewage overflows in his district, and argued for allowing property owners to install private sewer treatment systems in certain circumstances. Members raised concerns about local control, PSC rate-setting, and whether local governments should have more authority over sewer service decisions; the bill was still under discussion when the transcript ended.

Transcript Highlights:

• The reduced versus the free, or providing reimbursement either to provide 100% universal meals or the
• Options: providing staffing for a reimbursement approach or providing universal meals.
• If you look at that leftmost column, the fewer meals provided, the fewer meals you can provide in an
• Many meals you're providing to students. So are you providing one meal to all students?
• you're providing benefits.

Keywords: 916, all

Transcript Highlights:

• Let's recognize the care already being provided.
• financial support to families already providing unpaid care.
• Providers submit an action.
• So let me just provide that example.
• So let me just provide that example. So we have Mr.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing focused on two broad sets of issues: home- and community-based care, and school-based Medicaid reimbursement. In the morning session, legislators and advocates testified on bills affecting children and disabled enrollees, including proposals to clarify rate-setting for home health and home care services (H. 767/S. 870), allow family members and spouses to be paid caregivers under MassHealth (H. 1394/S. 886 and related bills), extend MassHealth coverage for applied behavior analysis and other therapies beyond age 21 for adults with autism and developmental disabilities (H. 1351/S. 871), and protect medically fragile children by improving access to continuous skilled nursing. In the later portion of the hearing, testimony shifted to a bill to improve MassHealth reimbursement for schools (S. 862), with speakers describing the school mental health crisis and the need to reinvest Medicaid funds directly into school health services. Witnesses on the home care rate-setting bill said current reimbursement methods are opaque and outdated, contributing to workforce shortages, unfilled shifts, long waitlists, and patients remaining in hospitals longer than necessary. Home care providers and trade groups argued the bill would not set rates directly but would require more transparent methodology and fuller consideration of real costs such as wages, benefits, taxes, training, and technology. On caregiver bills, many family members and provider organizations described the financial and emotional strain of caring for disabled or medically fragile relatives, especially when parents, spouses, or guardians are barred from being paid caregivers. They argued the bills would recognize existing unpaid care, help families remain at home, and reduce reliance on more expensive institutional care. Advocates for adult ABA coverage said services remain medically necessary after age 21 and that ending coverage at that age creates an inequitable “cliff” for MassHealth members compared with those with private insurance. For the PACE/community care bill, elder law attorneys and PACE advocates said current MassHealth income rules force some older adults with modestly higher incomes to spend down to $542 per month, making community living unrealistic and pushing people toward nursing homes. They supported changing the eligibility structure to a premium-based approach that would allow more people to remain in the community. On the school Medicaid bill, advocates said schools are providing effective, preventive mental health care, but reimbursement currently flows to municipalities rather than directly back to school health budgets, limiting districts’ ability to hire and retain staff. No votes were taken during the hearing; the committee heard testimony and several witnesses requested favorable reports on the bills.