Transcript Highlights:

• And that can be used for after school programming, before school programming, and summer programming.
• If you refer to row 129, the 18 million dollars for CTE, the pilot program—the new pilot program—that's
• , the types of those programs, the providers of those programs, and evaluate the student outcomes within
• those programs.
• It's not just about training because you all have increased the amount of training that school boards

Transcript Highlights:

• At this time, there is not funding associated in the budget with this program.
• It revises the training requirements, as I said, specifying training for the various skills specific
• The whole program is geared to taking care of the individual child.
• Every other managed care program is under AHCA.
• AHCA is handling the whole program now.

Summary: The Appropriations Committee on Health and Human Services met to consider a full agenda of bills, moving quickly through 20 measures and several amendments. Early bills reported favorably included SB 976 on procedures for challenging court-appointed psychologists in family law cases, SB 306 on Medicaid managed care provider access outside regular business hours, and SB 584 on housing supports for foster youth and college students, which drew supportive testimony from former foster youth and was backed by members as a way to improve stability and educational opportunity. The committee also approved SB 1412 to modernize home health regulations and SB 1800 to create a Parkinson’s research consortium at USF, with members citing the need for more research and future funding opportunities. The committee adopted amendments on several bills, including technical and conforming changes to the Parkinson’s bill and other measures. The committee then advanced a series of health care and child welfare bills. SB 524 added Duchenne muscular dystrophy to newborn screening; SB 1156 revised the Home Health Aide Program for medically fragile children, including training, reimbursement, and work-hour flexibility; and SB 1490 reorganized services for medically fragile children by shifting program administration to AHCA and requiring a redesign plan for the Medicaid waiver. SB 1174 allowed foster home and child-caring agency licenses to be amended when a foster parent relocates, and SB 1620 implemented selected recommendations from the Commission on Mental Health and Substance Use Disorders, including a new research center at USF and school-based behavioral health review requirements. SB 1568 revised e-prescribing exemptions, and SB 78 authorized certain veterans’ nursing home beds and related certificate-of-need transfers. All of these measures were reported favorably after brief debate or supportive testimony. Several bills prompted more extensive discussion and some opposition. CS for CS SB 1270, the Department of Health agency package, included provisions on vaccination-related patient rights, medical marijuana reporting, background screening, temporary licensure, compact participation, and sovereign immunity for volunteer dentists; it passed despite concerns from Senators Berman, Brodeur, and Harrell about vaccination language and board/voting-power provisions. CS for SB 1606 on patient access to records drew strong opposition from physicians and health information professionals over privacy, security, fines, and portal access; it was initially reported unfavorably, then reconsidered and ultimately reported favorably as a committee bill. CS for SB 1736, allowing insulin administration by direct support professionals and relatives for individuals with developmental disabilities, and SB 1808, requiring timely refunds to patients, both passed. CS for SB 1842, requiring referring providers to help patients determine whether referred providers are in-network, also passed over concerns about burden on small practices. The committee also advanced SB 1354, a behavioral health oversight bill requiring audits, performance reporting, and system transparency measures for managing entities, and SB 1768, which authorizes physicians to perform certain stem cell therapies using specified products and requires informed consent; both drew supportive comments but also concerns about patient understanding and oversight. Finally, the committee approved SPB 7032 as a committee bill to create presumptive Medicaid eligibility for permanently disabled individuals during redetermination, and after reconsideration it reported SB 1606 favorably as a committee bill. The meeting ended with members noting their recorded votes on select tabs and adjourning after completing the agenda.

Transcript Highlights:

• She said that studying disability disparities can help with workforce development training, including
• building out programs such as the Blind Services Branch for blind vendors and training for business
• She added that the training can help others with disabilities, support marginalized communities, help
• support research professional training support research professional training and<00:43:14.599><
• I'm Kevin Ramirez, a program manager for the Coalition for Tobacco-Free Hawaii, a program of the Hawaii

Keywords: 912, senate, all

Summary: The Health and Human Services Committee heard testimony on several measures related to child welfare, health care access, overdose response, disability services, and waste management. For SB 710 on child welfare, the Department of Human Services, the Office of Wellness and Resilience, the Attorney General’s office, and multiple advocacy groups testified in support, with the Governor’s office noting support but deferring to the Attorney General on implementation because of separation-of-powers concerns. For SB 952 on child welfare services, DHS, the Governor’s office, and child- and trauma-informed care advocates supported the bill, saying it would help families access services, provide basic material support, and reduce strain on the child welfare system. SB 954 on a home health services rate study also drew support, including from DHS, the Hawaii Healthcare Association, and a public testifier who said the study would help ensure funds reach low-income, disabled, and kupuna recipients. SB 957 on overdose prevention received support from the Department of Health and the Attorney General, who said overdose prevention centers are evidence-based but raised federal-law concerns and recommended amendments; the Hawaii Health and Harm Reduction Center and others also testified in support. The committee then moved to the 1:00 regular calendar and heard SB 850 on disability health disparity, which was supported by the Executive Office on Aging, the Hawaii State Council on Developmental Disabilities, the Hawaii Disability Rights Center, self-advocates, and others. Testimony emphasized that a disparity study could improve workforce development, training, and services for people with disabilities. SB 838 on continuous glucose monitoring drew support from health agencies and advocates, with testimony stressing that monitors can be critical for some diabetes patients. SB 829 on health care was supported by the Department of Health and health care stakeholders, who said it would help rotating physicians serve neighbor islands without local hospital privileges and align with CMS rules. SB 446 on waste management drew mixed testimony: the Department of Health and several public entities provided comments, the County of Maui opposed, and environmental advocates urged stronger aquifer protections and limits on ash reuse. During decision making, the committee adopted recommendations to pass SB 298, SB 322, SB 299, SB 450, SB 451, SB 949, SB 710, SB 957, SB 69, and SD 952 with various amendments, including technical changes, blank appropriations, and defective dates. SB 323, SB 324, SB 712, SB 950, SB 954, and SB 959 were deferred, largely because companion House measures were moving or similar Senate measures had already passed. The chair also announced recesses to find quorum and noted that some bills from the earlier Monday calendar were being deferred to avoid duplication.

Transcript Highlights:

• And with the mandatory park manager training program that's currently being implemented, we believe the
• And with the mandatory park manager training program that's currently being implemented, we believe the
• essentially the program again.
• into this program before it starts.
• Judges need training.

Summary: The committee heard testimony on several bills related to reproductive access, child safety online, immigration enforcement in schools, health privacy, location data, digital provenance, reparations, and age assurance. AB 54 would protect the medication abortion supply chain and shield providers and others from liability; AB 1137 would strengthen reporting and enforcement tools for child sexual abuse material on social media; AB 49 would limit ICE activity at California public schools; AB 82 would expand privacy and safety protections for gender-affirming care patients and providers; AB 1355 would restrict the collection, use, and sale of precise location data; AB 853 would expand provenance requirements for AI-generated and authentic content; AB 62 would create a pathway for restitution for racially biased eminent domain takings; and AB 1043 would create a device-based age assurance framework for online services. Supporters generally framed the bills as necessary responses to current harms: reproductive rights advocates emphasized California’s role as a safe haven; child safety witnesses described the persistence and re-victimization caused by CSAM online; immigrant rights and education advocates said schools should remain safe from immigration enforcement; health and LGBTQ+ advocates stressed privacy and safety risks tied to tracking and harassment; privacy and consumer groups backed limits on location data and stronger provenance tools; and reparations advocates said AB 62 would help address historic injustices. Opposition came from family policy, tech, business, law enforcement, and industry groups, who raised concerns about safety claims, constitutional issues, implementation burdens, transparency, law enforcement access, and the need to preserve existing privacy frameworks and voluntary standards. The committee members largely expressed support for the policy goals while noting implementation concerns on some measures. Several members asked for or were offered coauthor status on bills. AB 1137, AB 54, AB 49, AB 82, AB 1355, AB 853, and AB 62 all received do-pass votes to Appropriations, with some members voting no or not voting on certain bills. AB 1355 and AB 853 were advanced with amendments or ongoing work promised with opponents, and AB 1043 was presented with discussion of possible amendments on parental consent and age assurance details, though the transcript cuts off before final action on that bill.

Transcript Highlights:

• Subdivision 113C6 made changes to the training program requirements, and this was also in response to
• It will assist the programs to be able to have more time to establish their programs.
• It will assist the programs to be able to have more time to establish their programs.
• And it is modifying an existing program, the joint enlistment enhancement program.
• EFA program.

Keywords: 1204, all

Transcript Highlights:

• Sometimes it's just training on the court process and just giving them that training so they know how
• Program that we utilize. OK.
• program.
• been a pro-life program.
• That wasn't the original program, program intent. And so just clarifying that in statute.

Transcript Highlights:

• Person program.
• cost savings of the program, and how Congress was really ruining the program because they weren't providing
• a long-term extension of that program.
• Joe referenced the Money Follows the Person program.
• So that's a very important program. It's now called, in Massachusetts, the Moving Forward program.

Keywords: 995, all

Summary: The Massachusetts Commission on the Status of Persons with Disabilities’ Long-Term Services and Supports and Health Equity Subcommittee met to hear a presentation from the Lurie Institute for Disability Policy at Brandeis University. Monica Mitra introduced the institute’s work on disability health equity and long-term services and supports, and staff described several research centers focused on community living policy, disability and pregnancy, and parents with disabilities. The presentation emphasized participatory research, accessible dissemination, and the connection between health equity and access to home- and community-based services. Joe Caldwell discussed the Community Living Policy Center’s work on Medicaid HCBS, the direct care workforce crisis, housing, and policy advocacy, including efforts related to the Money Follows the Person program and the Medicaid access rule’s interested parties advisory group. Sid Pickern highlighted a workforce study interviewing direct care workers, a forthcoming policy brief on the access rule, and housing research including Massachusetts’ Alternative Housing Voucher Program. Teresa Nguyen described the Community Living Equity Center’s focus on disparities in community living for people of color, especially a study on self-direction and community living outcomes, and asked for help recruiting participants. Lauren Bixby demonstrated the community living data dashboard, which compares adults who need LTSS with those receiving Medicaid LTSS using ACS and TMSIS data. She explained that the dashboard can be filtered by state and demographics, but noted major race and ethnicity data gaps for Massachusetts and other states. Commissioners praised the dashboard and the institute’s work, asked questions about data sources and the 1115 waiver, and discussed possible connections to the Health Equity Compact. No votes were taken; the meeting ended with an invitation for follow-up, including a forthcoming direct care workforce brief and the institute’s October 28 lecture.

Transcript Highlights:

• Really just make a program that was a serious program with clear, clear deliverables, clear, measurable
• And we have this game, a grant program and that program has so far been appropriate, 60 million dollars
• So another well-known program.
• I bite anybody to join the program.
• Another great program.

Keywords: 999, senate, all

Transcript Highlights:

• Not long after I created this program, I read about the creation of the Mass office...
• Not long after I created this program, I read about the creation of the mass office.
• These two new programs raised more questions, however, than they answered.
• We've added more testing sites, and we're initiating a new hotspot investigation program.
• The pilots are a group of eight highly trained and experienced captains.

Keywords: 995, all

Summary: The committee hearing covered several bills related to environmental, natural resources, and maritime issues. Representative Markey testified in support of H. 1000, which would create a commission to study financing wastewater infrastructure, especially in southeastern Massachusetts and the South Shore, citing combined sewer overflows and impacts on aquaculture. Members agreed the core challenge is finding long-term financing for wastewater solutions. The committee also heard testimony on H. 902 to establish an Office of Outdoor Recreation, with supporters describing its role in expanding access, supporting underrepresented communities, and helping grow the outdoor economy. Related testimony also supported H. 986, which would codify the Division of Ecological Restoration and the Office of Fishing and Boating Access within the Department of Fish and Game, with witnesses emphasizing habitat restoration, flood reduction, public access, and boating/fishing opportunities. A major portion of the hearing focused on H. 901/S. 597, “An Act Providing Nature for All,” which would dedicate existing sporting goods sales tax revenue to a new conservation fund. Supporters from Mass Audubon, Environmental League of Massachusetts, Appalachian Mountain Club, Trust for Public Land, Massachusetts Rivers Alliance, and conservation groups argued the bill would provide a sustainable revenue stream for land conservation, parks, trails, wetlands, water protection, and climate resilience, while also advancing environmental justice and outdoor recreation. They said the state needs roughly $300 million more per year to meet land conservation goals and that the bill could generate about $100 million annually without raising taxes. Committee members asked about balancing conservation with housing and development, and witnesses said the goals are compatible and that the bill includes safeguards. Witnesses also noted similar funding models in other states. The hearing also included H. 1053, a bill to create a Merrimack River Collaborative. Regional planning and watershed advocates said the river faces bacterial contamination, heavy metals, combined sewer overflows, and other pollution, and that a formal collaborative would help coordinate municipalities, state agencies, and nonprofits across the watershed and possibly across state lines. Another bill, H. 4109, would relocate harbor lines in New Bedford Harbor to allow reconstruction of deteriorating bulkheads at a waterfront industrial site; the New Bedford Port Authority, engineers, and the property owner said the change is needed for permitting and would support port modernization and jobs. Finally, the committee heard extensive testimony on S. 641 regarding marine pilotage in New Bedford. Supporters argued the bill would remove a District 3 pilotage restriction and improve port flexibility and offshore wind operations, while opponents warned it would undermine the state’s compulsory pilotage system, weaken safety, and allow ship owners to shop for pilots. No votes or final actions were taken during the hearing.

Transcript Highlights:

• For Florida's VPK program, the bill provides greater flexibility for parents to withdraw their child
• from a VPK program for good cause and re-enroll in another VPK program.
• from a VPK program for good cause and re-enroll in another VPK program.
• The bill aligns school security guard training with guardian program requirements, ensuring all personnel
• This amendment caps the guardian training fees at the actual cost to the sheriff.

Summary: The Appropriations Committee on Pre-K through 12 Education met with a quorum present and took up three bills. SB 1618, by Senator Calatayud, was presented as a broad education package affecting VPK through grade 12. It included changes to VPK enrollment flexibility, repeal of the Council for Early Grade Success, agriculture and financial literacy curriculum updates, reading intervention requirements, limits on certain public-school spending, corporal punishment consent, educator certification and screening provisions, and changes to the school recognition program. A late-filed technical amendment clarifying prior legislation for certain private schools in Brevard, Clay, Sarasota, and Bradford counties was adopted. Senator Osgood raised concerns about the bill’s school recognition provisions and the impact on paraprofessionals and other support staff, and the sponsor said she would continue those discussions. SB 1618, as amended, was reported favorably. The committee then considered CS for SB 1058, which would update Florida references from the Gulf of Mexico to the Gulf of America in state, district, and charter school materials beginning after July 1, 2025, without requiring existing materials to be changed. The bill was presented by Senator Calatayud on behalf of Senator Gruters and was reported favorably without amendment or opposition. Next, the committee heard CS for SB 1470 on school safety, which would align school security guard training with guardian program requirements, refine locked campus and classroom rules, and improve panic alert and digital map coordination. Several amendments were adopted, including a late-filed amendment capping guardian training fees, creating a stakeholder work group for a Florida Institute of School Safety, adjusting locked-zone requirements and exceptions, requiring substitute teachers to receive safety protocol training, and a funding amendment providing $450,000 in recurring funds for a centralized panic alert and digital map system. Support was voiced by school district, sheriff, and safety representatives, and Senator Osgood praised the recurring funding as avoiding an unfunded mandate. The committee also passed SB 1472, linked to SB 1470, extending a public records exemption to school security guards’ records held by FDLE, with the exemption set to sunset in 2030 unless renewed. President Gaetz questioned the need for the exemption, and Senator Burgess responded that it was intended to protect school safety personnel from exposure of personal information after an incident. All three bills were reported favorably, and the committee adjourned.

Transcript Highlights:

• Are we looking to do the same for the math program?
• So there are proper teacher preparation programs in colleges and universities as well that train educators
• I'm worried that this bill may be pushed to use English-only books and programs.
• It's been said that if we don't introduce robust programs and... ...if we don't introduce robust programs
• So I really would love to talk with you more about that program. Communities.

Keywords: 996, all

Transcript Highlights:

• However, when the program is offered, Programs are very limited.
• program.
• program.
• They're out doing programming all day. The guards supervise those programs.
• I meant regular programming, kind of clinical programming. They did offer that.

Keywords: 995, all

Summary: The hearing before the Joint Committee on Public Safety and Homeland Security focused on several correction-related bills, including visitation reform, elder and medical parole, incarcerated persons’ human rights, and creation of an independent correctional oversight office. Vice Chair Christopher Worrell chaired the hearing in place of Chair Dan Cahill for much of the session and explained that the committee would first hear from incarcerated individuals remotely, then move to public testimony. The committee repeatedly enforced three-minute limits and accepted written testimony as well. Much of the testimony from incarcerated people emphasized that visitation is central to rehabilitation, family stability, and reentry, and that current DOC policies—visitor caps, pre-approval requirements, scheduling rules, dress-code enforcement, and restrictions on contact—have reduced family contact and caused harm. Several speakers argued that elderly and medically frail prisoners should be released through parole because incarceration is costly, ineffective, and inhumane for people who pose little public-safety risk. Others described poor prison conditions, limited programming, inadequate healthcare, segregation-like housing, and the impact of K2 use, suicides, and self-harm. Supporters of the oversight bill said an independent office is needed to address racial disparities, grievance failures, and lack of accountability within the DOC. A number of speakers tied their support to personal experiences, including alleged racial discrimination, denial of programs, and barriers to family visits. Some testified that rehabilitative programming, education, and restorative justice reduce violence and improve outcomes, while others said the DOC spends too little on programming and too much on punishment. Committee members asked a few follow-up questions, including about K2 contraband and how to reduce drugs in facilities, and one member asked about typical visitation lengths. No votes were taken during the hearing; the committee heard testimony on the bills and several witnesses urged favorable reports.

Transcript Highlights:

• And um I think so this is very important, and I think so is the training, especially the training for
• It could be a supported employment program. It could be some other kind of program or activities.
• also receive services in day programs also receive services in day programs that<01:27:49.360>
• Doesn't seem to be an awful lot of training. There should be more training.
• Um, there is much less oversight of that program than there would be in the CASA program.

Keywords: 1189, house, all

Transcript Highlights:

• ><00:10:32.000> training.
• Uh so workforce development training.
• So, we can provide the training.
• Association can provide the training Association can provide the training virtually.<00:18:49.280>
• <00:18:51.919> depending can also tailor the training depending can also tailor the training

Keywords: 912, senate, all

Summary: The Senate Committee on Economic Development and Tourism heard seven bills on consumer protection, DBEDT-related matters, and tourism/creative industry issues. On SB 2031, DCCA supported aligning state law with the FTC’s 2025 rule on hidden fees and pricing misrepresentations in live event ticketing and short-term lodging; hotel and financial industry witnesses also testified, and senators asked for complaint and enforcement data. On SB 2129, DBEDT and business groups supported a study of minimum wage impacts, with testimony emphasizing effects on hours, employment, prices, and business viability; a senator asked whether the study could also examine the gig economy and business closures, and DBEDT said that may be possible but would require more research and data access. On SB 2259, which would promote dementia-friendly businesses, DBEDT said the measure fit better with another agency and lacked the department’s expertise, while the Executive Office on Aging and the Alzheimer’s Association supported the intent and offered to help with curriculum, branding, and training. Testifiers described dementia as a spectrum and said businesses should be trained to communicate effectively with customers and employees living with the disease; suggested amendments included changing the branding language and requiring at least 85% of employees to complete training rather than all employees. A senator also raised concerns about stigma and whether early-stage dementia should affect a person’s ability to function, and the witness responded that people can often function well in early stages. The committee also heard SB 2577 on sports tourism, which DBEDT and the Retail Merchants of Hawaii supported as a way to better understand which events draw visitors and economic benefits. SB 2578, creating a film commission, drew broad support from DBEDT, Creative Industries, SAG-AFTRA, the Hawaii Film Alliance, the Hawaii Film Office, and others, but several witnesses urged changes to the commission’s composition and authority, including more labor representation and limits on the commission’s ability to adjust the production cap. Senators questioned staffing, costs, and whether current film office employees should transfer to the new commission, and one senator proposed a friendly amendment to add musicians, SAG, IATSE, and Teamsters, though the department cautioned that too many members could make the commission difficult to manage. The transcript ends during discussion of the film bill, with no final votes or committee actions stated for the measures heard.

Transcript Highlights:

• And if so, is there some type of ethics training that you all go through there?
• that goes all the way from preschool through graduate programs.
• I'm not sure about mandating it because I have had 40 years of federally mandated training.
• it and ensure that everyone is trained and receives the right kind of training.
• One of the bills we will see here is about mandatory training requirements for regents.

Transcript Highlights:

• the state grant program. uh we were not the state grant program. uh we were not able<00:06:34.080>
• of the victim services programs of the victim services programs throughout<01:33:48.400> this
• :12.719> will<01:54:13.040> be these funds and programs will be these funds and programs
• <02:07:05.920> uh implement evidence-based programs. uh implement evidence-based programs.
• . program. program.

Keywords: 919, house, all

Summary: The House began with a resolution recognizing May 15, 2026, as Peace Officer Memorial Day and the week of May 10-16 as Police Week in Minnesota. Members read a series of “whereas” clauses honoring fallen peace officers, including three names added to the memorial this year, and thanking the thousands of officers serving across the state. The resolution was adopted without objection, and the chamber also received a Rules and Legislative Administration report placing several bills on the calendar for the day. The main floor action was on House File 4252, the higher education finance and policy conference committee report. Supporters said the bill includes funding for identification verification systems in the MNSCU system to combat enrollment fraud, money to cover a shortfall in Fostering Independence grants for foster youth, and a small appropriation for trees at Bemidji State University. Several members praised the public conference committee process and the bipartisan work behind the bill. Others criticized the bill for not addressing the larger state grant shortfall and raised concerns about how grant dollars are allocated. The House adopted the conference report and repassed the bill 101-33. The House then concurred in Senate amendments to House File 3825, a public safety vehicle bill that also carried a package of scope-of-practice and licensing changes. Members described provisions affecting acupuncture, athletic trainers, massage therapy, mortuary science, music therapy, social work title protection, pharmacist prescribing, physical therapy, and advanced practice nursing. Supporters argued the changes improve access, affordability, workforce flexibility, and patient care, while one member warned that some scope expansions were insufficiently scrutinized and could harm the health care system. After debate, the House agreed to the Senate amendments and moved the bill forward.

Transcript Highlights:

• is our nursing program.
• our nursing program.
• programs.
• We have a welding program, an unmanned vehicle program.
• What we're doing through our police training programs, our fire training programs, our health profession

Bills: S0720, S1246

Keywords: tuition, resident status, incarceration, education, equal access, nursing shortage, health care, education funding, workforce development, LINE Fund, monetary contributions, nonmonetary contributions

Summary: The Appropriations Committee on Higher Education met to consider one bill, a postponed bill, and a slate of trustee confirmations. The committee first took up CS/SB 1246, which expands the Linking Industry to Nursing Education (LINE) fund to support health science workforce shortages beyond nursing, including allied health programs. The bill also broadens eligible uses of funds, revises matching requirements and grant criteria, and updates reporting requirements. A strike-all amendment was adopted without objection, and the committee then reported the bill favorably after supportive testimony from Florida State College at Jacksonville, the Florida Hospital Association, the College of Central Florida, and the Florida Chamber of Commerce. Senator Davis also noted a favorable vote on the bill for the record. The committee then temporarily postponed SB 720 at the sponsor’s request. Chair Harrell explained that the bill had been incorporated into a larger committee measure and would likely be heard later in another form. Public witnesses who had come to speak on the bill were not heard because of the postponement. The remainder of the meeting focused on confirmations for trustees at several state colleges, including Chipola College, Tallahassee State College, Pensacola State College, Palm Beach State College, Pasco-Hernando State College, and St. Petersburg College. The appointees emphasized themes of affordability, workforce training, nursing and allied health success, dual enrollment, community partnerships, and local economic development. After hearing from the appointees, the committee approved a block motion to recommend confirmation of all appointees on tabs 2 through 25. The meeting then adjourned.

Transcript Highlights:

• general overview of the Medicaid Program general overview of the Medicaid Program how<00:02:30.200
• <00:02:31.760> that how we are the largest program that how we are the largest program that
• <00:03:53.079> we children's health insurance program we children's health insurance program
• And as of the Medicaid program, again, the Medicaid program is going to be 60 years old this year.
• And as of the Medicaid program, again, the Medicaid program is going to be 60 years old this year.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met with a quorum still coming together and first handled roll call and minutes. The main presentation came from the Department for Medicaid Services, with Commissioner Lisa Lee and CFO Steve Beckle giving an overview of Kentucky Medicaid, its federal-state financing structure, and the department’s 1915(c) home- and community-based waiver programs. They explained FMAP funding levels for traditional Medicaid, administration, IT, expansion adults, and CHIP, and noted the size of the program, including more than 600,000 Kentucky children eligible for Medicaid or CHIP, about 485,000 expansion adults, over 69,000 enrolled providers, and $18.5 billion in 2024 expenditures. A major focus was the waiver system, including the acquired brain injury waivers, model waiver, independence waiver, Michelle P. waiver, and Supports for Community Living waiver. The department said these waivers are intended to keep people with physical or developmental disabilities in home and community settings rather than facilities, and that many services are not covered by Medicare or commercial insurance. Officials described participant-directed services, interagency administration, and eligibility rules, including that some waiver programs use the child’s income only rather than family income. They also reported an unduplicated waiver wait list of 13,930 people and said the General Assembly had added waiver slots in the last budget, including 650 ABI slots and 1,275 more to be allocated July 1, 2025. The department also discussed a waiver rate study conducted by Guidehouse, explaining that CMS requires a defensible rate methodology because there is no Medicare or commercial benchmark for many waiver services. They said the study used cost and wage surveys, provider and stakeholder input, and aimed to improve transparency, provider stability, and rate parity. Officials reviewed prior COVID-era Appendix K rate increases and budget-driven increases, and said the budget ultimately funded rates at about 70% of the benchmark study, while preserving higher existing rates where needed so no provider would be cut. They highlighted larger differences in behavioral support and case management rates, and said a public report is available. Members asked several questions about the potential impact of federal FMAP changes, especially possible reductions in the enhanced match for expansion adults and Medicaid IT/admin activities. DMS said any FMAP reduction would require more state general fund dollars, estimating about $75 million for each 1% drop in the expansion match, while impacts on administrative IT funding would depend on the systems being built or implemented in a given year. Members also pressed for clarification on waiver wait-list procedures, funded versus filled slots, and what happens when someone on the wait list is later found ineligible. DMS said people on the wait list may not yet have been assessed, can be reevaluated if conditions change, and are still eligible for regular Medicaid state-plan services if they qualify, even if they are waiting for waiver services.

Transcript Highlights:

• planning<00:21:32.800> and Uh within the program planning and Uh within the program planning
• Voluntary incentive-based programs, grant programs in coordination with federal partners, are recommended
• programs, Voluntary incentive-based programs, grant<01:15:52.160> programs<01:15:52.760> in
• c> that<01:18:59.400> corridor Trains will travel over that corridor Trains will travel over
• They're given notification of defects in their trains without any kind of formal training.

Keywords: 1187, senate, all

Transcript Highlights:

• of this program. of this program.
• uh program. That was one aspect of it. uh program. That was one aspect of it.
• They've got 50 programs to oversee, and perhaps it's the training. Perhaps it's something else.
• that that program continues. Thank you. that that program continues. Thank you.
• perhaps got 50 programs to oversee and perhaps it's<00:49:58.880> the<00:49:59.119> training

Keywords: 1189, house, all