Transcript Highlights:

• Senate Bill 740 by Perry relating to certain proceedings by the Public Utility Commission of Texas regarding
• by Alvarado relating to the procedure for resolving certain customer complaints before the Public Utility
• Senate Bill 815 by Schwartner relating to the use of artificial intelligence and utilization review conducted

Transcript Highlights:

• :16:05.360> to<00:16:05.480> optimize<00:16:06.040> their<00:16:06.160> utilization
• and then to optimize their utilization. and then to optimize their utilization.
• And we know that key statistic for many of us is utilization.
• Because often we lump lack of utilization into access.
• Is there going a a utilization problem.

Keywords: 958, all

Transcript Highlights:

• So high ACE exposure shows up in our state as increased health care utilization, greater interaction
• They can utilize on their devices to mask or hide their location.
• And so from an... ...of years, we haven't really utilized it.
• So talking to those industries where labor is, you’re utilizing more labor, right?
• Whether To those industries where labor is, you’re utilizing more labor, right?

Keywords: 908, all

Transcript Highlights:

• So high ACE exposure shows up in our state as increased health care utilization, greater interaction
• They can utilize on their devices to mask or hide their location.
• So talking to those industries where labor is utilized more, right?
• So those industries that really utilize a lot of labor.
• So those industries that really utilize a lot of labor.

Summary: The committee met to approve prior minutes and then heard a presentation from Dr. Ramona Danielson on adverse childhood experiences (ACEs), focusing on the economic and public-system impacts in North Dakota. She explained that ACEs are a population-level measure, not a diagnostic tool for individuals, and said higher ACE exposure is consistently associated with more chronic illness, mental health challenges, child welfare involvement, justice-system contact, and reduced workforce participation. She emphasized that precise dollar estimates are difficult because of the many interacting factors across a person’s life course, but said the direction of the impact is clear and that evidence-based prevention and protective factors can reduce harm. Members asked about definitions of a “healthy family,” same-sex couples, divorce, substance abuse, historical trends in ACEs, and the role of positive childhood experiences and home visiting. The committee then heard from Allison Mahoney and Missy Barranco about evidence-based home visiting programs in North Dakota, including Healthy Families, Early Head Start, Nurse-Family Partnership, and Parents as Teachers. They described home visiting as voluntary, relationship-based, and tailored to family needs, with referrals coming from hospitals, WIC, human service zones, pregnancy navigators, self-referrals, and other community sources. A parent, Abby, shared that home visiting helped her family after premature births and NICU stays by providing support with postpartum mental health, breastfeeding, developmental screenings, referrals, and parenting guidance. The presenters said the programs are funded through a mix of federal MIECHV/Title IV-E dollars, Medicaid targeted case management, state and tribal funds, philanthropy, charitable gaming, and grants, and they noted that current funding is fragmented and insufficient to serve all eligible families statewide. Members discussed whether the state should expand or better fund these services and how to improve outreach and referrals. Later, the committee received a memorandum on artificial intelligence and sexual exploitation, followed by a presentation from a BCI special agent on how AI is already affecting child exploitation investigations in North Dakota. The memo and testimony described AI-generated child sexual abuse material, deepfakes, sextortion, and risks posed by chatbots, along with relevant federal and state law and recent executive orders. The agent said North Dakota saw 2,698 cyber tips in 2025, the highest on record, and that investigators are increasingly encountering AI-assisted exploitation that is harder to detect and verify. Members discussed the need for child-safety protections, the limits of executive orders, and broader concerns about AI undermining critical thinking and spreading misinformation. No votes were taken on the AI materials during the portion provided, and the committee recessed briefly after the report.

Transcript Highlights:

• So we utilize for that. The other piece of equipment on there is iPads.
• So we utilize for that. The other can. So we utilize for that.
• <01:01:33.520> for we we have iPads that are utilized for we we have iPads that are utilized
• And they’re utilized in the field. They’re utilized on campus.
• And so, those vehicles are utilized for that.

Keywords: Appropriations - Room 210; 22 January, 2026: 1:30 PM, 925, all

Summary: The meeting began with a budget presentation from the insurance commissioner’s office. The commissioner said most of the request was for personnel costs, including an increase above LBO and two additional IT positions tied to a possible conversion to a state-based system and cybersecurity needs. The office also discussed travel costs, contractual expenses, vehicle replacement, and hurricane mitigation funds, noting that some funds are in trust accounts and require legislative authority to spend. The commissioner also briefed members on possible policy changes affecting the ACA exchange and a proposed low-cost plan for the high-risk pool, warning that if coverage options are not developed, more people could shift into uncompensated care. Members asked about the budget request, the IT positions, and a constituent question about propane meter regulation, which the commissioner said falls under the Department of Agriculture and Commerce, though his office sometimes checks related issues informally. The committee then moved to the State Fire Academy hearing. The academy director described a workforce stabilization proposal focused on retaining and recruiting fire instructors, citing competition from local fire departments that pay more, a shrinking applicant pool, and a growing number of retirement-eligible staff. He said the academy’s instructors are being recruited away by municipalities, that recent applicant pools have produced very few qualified candidates, and that the academy may soon have to cut advanced courses if staffing does not improve. He referenced a State Personnel Board review that supported the need for compensation changes and said the academy is trying to remain competitive while continuing to train firefighters, hazmat responders, EMS personnel, and fire officers statewide. No formal votes or legislative actions were taken in the portion provided. Members mainly asked questions, requested written follow-up on some budget items, and indicated they would work with the agencies later in the session if pending bills or funding needs changed.

Transcript Highlights:

• The city of Eveleth has received $4 million in state bonding via the ITRB for utilities along the new
• , emergency services uh would utilize, emergency services uh would utilize, including<00:48:46.319
• The current space was vacated by the Lassour Fire Department and the Lassour Public Utilities in the
• <01:08:10.319> in<01:08:10.480> the and the Lassour Public Utilities in the and the
• Lassour Public Utilities in the early<01:08:10.960> 2000s.

Bills: HF2418, HF1666, HF232, HF344, HF402, HF431, HF468, HF547, HF583, HF1476, HF1711, HF2787, HF2788, HF3207

Keywords: capital investment, political subdivisions, state assistance, funding, project grants, child care, Slayton, state bonds, economic development, extended time revenue, school funding, state aid, career and technical education, CTE, STEM, secondary credit, after-school programs, summer school, learning year program, extended day

Transcript Highlights:

• This is what we utilize to go to work and so forth.”
• And you have to now prove that you did not know that that vehicle was utilized for reckless driving.
• utilized and providing proof that you didn't know your vehicle was utilized.
• utilized and providing proof that you didn't know your vehicle was utilized.
• , so you guys... ...using the reason, an excuse that you didn't know that your car was utilized?

Summary: The committee heard several public safety bills and took testimony on each, with members often noting amendments and continuing negotiations. SB 1009 by Senator Becker would require juvenile courts to find that less restrictive alternatives are unsuitable before ordering detention, and would require periodic review of continued detention and consideration of alternatives at disposition. Supporters argued it would reduce unnecessary youth detention and improve transparency; probation, judges, and police groups opposed it as an undue limit on judicial discretion and potentially unsafe in serious cases. The chair said he would recommend an aye with amendments, but the bill was held pending quorum and later remained on call. SB 1130 by Senator Gomez Reyes would update privacy law for wearable recording devices such as smart glasses, requiring consent before recording in places where people have a reasonable expectation of privacy and banning devices or accessories designed to defeat recording indicators. Supporters said the bill addresses secret recording and invasive surveillance; opponents from tech and hospitality groups sought clarification to avoid unintended liability for businesses and exempt workplace communication devices. Members discussed those exemptions, and the chair recommended an aye, but the measure also remained on call. Senator Blake Spear presented SB 99, which would let courts consider military protective orders in domestic violence proceedings and require better communication between civilian law enforcement and military authorities. Supporters from the Department of Defense, local officials, and military representatives said it would close protection gaps for military families; the ACLU opposed it on due process grounds because MPOs are issued without judicial process. The chair and author emphasized that the bill only allows consideration of MPOs and does not require civilian enforcement of them. The bill passed out on a vote, though it remained on call for additional members. The committee also heard SB 937 by Senator Gonzalez, restricting flashbang use for crowd control and banning flashbangs and explosive breaching charges in immigration enforcement, and SB 1022, creating a statewide anti-trafficking task force. SB 937 drew support from civil rights and community groups and opposition from police and sheriffs over the use-of-force standard and limits on tactics; it passed out on a vote but remained on call. SB 1022 was supported by survivor and faith groups and opposed by public defenders and sex worker advocates who raised concerns about racial disparities and enforcement harms; it also passed out on a vote. Later, SB 1395, extending criminal protective orders for certain felony sex offenses against minors up to 20 years, and SB 1230, increasing penalties for repeat illegal dumping, were both heard with mixed testimony and were held on call after committee votes. The committee also adopted a consent calendar and several bills were moved forward with amendments.

Transcript Highlights:

• And in that same space, we would help agencies, for example, identify utility rebates that might be relevant
• /c> know we help agencies for example know we help agencies for example identify<00:15:05.519> utility
• rebates<00:15:06.160> that<00:15:06.399> might<00:15:06.560> be identify utility
• rebates that might be identify utility rebates that might be relevant<00:15:07.040> or<00:15:
• agencies to provide services via, you know, technology and we think that's reduced, for example, fleet utilization

Keywords: 1187, senate, all

Transcript Highlights:

• This would allow public utility to recover request recovery of costs for rng infrastructure in the state
• The bill's intention is to encourage utilities to invest in advance Florida's energy resources to be
• For a limited period of time, they're going to get a whole bunch of data from from the utility company
• If you imagine every utility project, every sewer project.
• That could be better utilize programs and interventions that proven track record on crime prevention

Keywords: 999, senate, all

Transcript Highlights:

• she had an IRA and things like that that she would find out what they were paying, and she would utilize
• were paying and she would utilize were paying and she would utilize different<00:44:53.960> banks
• No, just the credit union itself. or use utilize any other their services or use utilize any other their
• had to have been a member to utilize had to have been a member to utilize those<00:46:05.440>
• There is one additional statute that we utilize to bring this regulation forward.

Keywords: 958, all

Summary: The committee met with a quorum, approved the minutes, and then reviewed a long agenda of administrative regulations, most of which were advanced with staff-suggested amendments and no objection. Early items included the Kentucky Public Pension Authority’s 105 KAR 1:451, which updates reporting language and adds the contractor wizard for certain employers, and a large package of Board of Veterinary Examiners regulations that revise fees, facility and AHP registration requirements, continuing education, liability, and practice rules. The Board of Speech-Language Pathology and Audiology’s compact-related regulation and the Board of Licensed Professional Counselors’ complaint and compact rules were also reviewed and approved with amendments, along with fish and wildlife rules affecting elk hunting, youth deer season length, bear-dog approvals, and foxhound enclosure permits. The committee also approved transportation, education, workplace standards, horse racing, and several health and human services regulations, including Medicaid waiver reimbursement updates and a child care regulation that sends certain large claims to the Office of Inspector General for review. Several agencies briefly explained their regulations when members asked questions. Fish and Wildlife said the elk population is strong and the baiting change is intended to support harvest monitoring and fair chase, while the longer youth deer season was meant to give young hunters more opportunity. The Department of Community-Based Services said the $10,000 and $5,000 claim thresholds were meant to clarify rare cases involving possible fraud or unresolved recoupment issues. The Department of Financial Institutions’ 808 KAR 5:305 drew the most discussion: it would allow certain state-chartered credit unions with a low-income designation to participate in federal programs, including limited non-member deposits and supplemental capital, but the regulation was deferred again amid continued discussions. The Kentucky Bankers Association testified against the credit union regulation, arguing that allowing non-member deposits conflicts with existing statute limiting credit union deposits to members and other credit unions, and that an administrative regulation cannot override that statutory restriction. Committee members heard the agency’s explanation that the proposal is intended to help underserved communities and that the non-member deposit authority would be limited, but no final action was taken because the item was deferred. The meeting otherwise concluded with the remaining regulations being called, discussed briefly, and approved or advanced without objection.

Transcript Highlights:

• For utility-scale projects, this does not cover utility-scale projects like what AES or Clearway or some
• For utility-scale projects, this does not cover utility-scale projects like what AES or Clearway or some
• For utility-scale projects, this does not cover utility-scale projects like what AES or Clearway or some
• or was so it's from being fully utilized or was so it's a<00:21:25.840> it's<00:21:25.960>
• So move off of fluorescents and the possible opportunity to save on energy utilization in the building

Keywords: 912, senate, all

Summary: The joint hearing began with SB 133 on energy, which drew opposition testimony from James Abraham, who said the bill was unnecessary because the Public Utilities Commission had already opened a proceeding to investigate wheeling, including intergovernmental wheeling, and should be allowed to finish its collaborative process. The committees then moved to SB 161 on county permitting and inspection, where several agencies submitted written comments or opposition, while the Grassroots Institute and HCDA-related testimony supported the measure. Members raised concerns about accountability and whether state agencies would report back on projects approved under any permitting exemption, and witnesses suggested annual reporting or amendment language to address that issue. The hearing then turned to SB 232 and SB 588, both related to renewable energy permitting. Testimony on SB 232 was largely supportive, but Rocky Mold of the Hawaii Solar Energy Association said SB 232 was an older version of a bill and that SB 588 was the preferred, updated measure. Members discussed whether the bill should be limited to residential or behind-the-meter customer-sited systems rather than utility-scale projects, and Mold clarified that the proposal was intended for customer-sited systems, not utility-scale facilities. For SB 588, the Department of Land and Natural Resources warned that state or county laws inconsistent with the National Flood Insurance Program could jeopardize flood insurance eligibility and related federal assistance, while Mold argued the bill’s FEMA floodway exemption was needed to avoid blocking solar installations on existing structures. The chair expressed concern about risking federal funding and questioned whether the exemption could be narrowed without defeating the bill’s purpose. SB 412, also on renewable energy, received supportive testimony from the State Energy Office and others. Members questioned whether a single coordinating entity should compile agency assessments, and Mark Glick said the Energy Office could take on that role if given the duty and sufficient staff. The committee then discussed SB 635 on energy efficiency, which would require state agencies to use energy-efficient lighting. Mark Glick testified that much of the work was already underway through benchmarking and related contracts, and a DAGS representative said the state was already assessing 590 buildings over 10,000 square feet, with results expected around 2027. Members suggested amending the bill to require annual status reports so the committees could track progress and avoid duplication. No votes were taken during the hearing.

Transcript Highlights:

• ,<00:24:47.480> capital<00:24:47.760> repairs, utilities, capital repairs, utilities, capital
• Who pays for maintaining the utilities that go to those stores? The people.
• <01:21:45.600> The utilities that go to those stores?
• The utilities that go to those stores? The people. people. people.
• <01:39:16.320> that choice but to go with the utility that choice but to go with the utility

Keywords: 1183, house

Keywords: 981, all

Transcript Highlights:

• It relocates this fund to the Department of Commerce and makes various alterations to the fund.

Keywords: Senate streaming session for Friday, March 20, 2026, 960, senate, all

Summary: The Senate reconvened with a quorum and quickly moved through committee reports and second-reader bills, adopting committee amendments and sending several measures to third reading without objection. Bills advanced included SB 10 on State Highway Administration approval timelines for speed monitoring systems; SB 487 on speed monitoring systems in safety corridors; SB 689 creating a task force on post-release services and re-entry; SB 811 requiring reporting of new home sale prices in multiple listing services; SB 877 authorizing a Baltimore City stop sign monitoring pilot in the 41st district; SB 937, the Maryland Fair Chance Housing Act, limiting use of criminal history in tenant screening; SB 984 barring private immigration detention facilities; SB 465 on out-of-court statements and second-degree assault; SB 187 on pre-release services for incarcerated women; SB 388, the Decade Act, revising multiple economic development and tax credit programs; and SB 844, the annual corrective bill. Most of the floor discussion focused on explaining amendments and the policy effects of the bills. Supporters described the housing bill as expanding second-chance opportunities while adding safeguards, and a senator asked detailed questions about how landlords could screen for serious offenses and sex offender registry status. SB 984 was described as an emergency measure preventing state and local approval of private detention facilities and authorizing enforcement by the Attorney General. SB 465 was presented as closing a gap in Maryland law on witness intimidation and aligning the state with broader practice. SB 187 would rename and expand the women’s pre-release facility into a re-entry facility and require progress reports. The most extended debate came on SB 165, the on-site wastewater systems bill. One amendment to exempt redevelopment properties from inspection was offered and failed by roll call with 27 votes in the negative. A second amendment to require consultation with Maryland Realtors in developing regulations was then offered; supporters argued it would help avoid delays in property settlements and bring real estate professionals into the regulatory process, while opponents said the bill concerned broader wastewater regulations, not just property transfers. The transcript cuts off during that amendment’s discussion, before the final vote is shown.

Transcript Highlights:

• On line 189, there's a cancellation of $200,000 from the Butchery Shop relocation.

Keywords: 1187, senate, all

Transcript Highlights:

• As long as their utilization warrants that vehicle being there, then they can keep that vehicle and pay
• But if their utilization goes below a break-even cost, then we could—I don't know— But if their utilization

Summary: The committee first approved the minutes and then heard audit reports from Tom Bullington. For the Department of Public Safety FY24 audit, two findings were presented: a duplicate vendor payment of nearly $3,700 that was later recouped, and a $2.5 million collateral deficiency tied to bank deposits that exceeded FDIC coverage because securities were not properly pledged to the State Police. Agency representatives from Arkansas State Police and the Department of Public Safety answered questions, and members discussed how the collateral requirement works before the report was filed without objection. The committee then reviewed the Department of Transformation and Shared Services FY24 audit, which contained five findings. These included an $800 career service overpayment caused by incorrect rehire data, delayed deactivation and inaccurate listing of fixed assets including stolen cameras, a double count of more than $940,000 in year-end cash records, $10.3 million in health claims that should have been recorded as fiscal year 2024 payables, and repeated deficiencies in vehicle mileage logs. Agency officials said the stolen cameras were recovered through restitution, and they described corrective steps for asset tracking, cash reporting, and vehicle logs. Members asked detailed questions about the vehicle log issues and the planned statewide GPS/telematics rollout. Shared Administrative Services said it is negotiating a vendor contract, expects to implement the system first in its own department, and aims to use GPS, geofencing, alerts, and WEX fuel-card data to improve oversight while preserving privacy. The committee also discussed possible future vehicle sharing across agencies, but no action was taken beyond filing the report. The meeting adjourned after announcing the next meeting date.

Transcript Highlights:

• But, yes, recognizing people need the utilities to be in place.
• But I think the primary goal ought to be to make sure that we have the capacity to build and the utilities
• know I think the primary goal ought to be to make sure that we have the capacity to build and the utilities

Keywords: 993, senate, all

Summary: The Senate Standing Committee on Housing, Construction and Community Development met to open the 2006 session and discussed the governor’s executive budget, housing affordability, housing supply, and barriers to construction. Chair Brian Kavanaugh emphasized efforts to lower barriers to building housing and expand rental assistance and SCRIE/DRIE-related eligibility, while Ranking Member Jack Martins called for rolling back regulations that impede housing production. Senator Helming stressed that, especially in upstate New York, lack of electrical capacity is a major obstacle to new housing and urged attention to utility infrastructure; the chair responded that the budget includes a $3.75 billion proposal for water and sewer capacity and noted that electrical transmission and generation issues fall outside the committee’s direct jurisdiction. The committee also noted a joint Senate-Assembly budget hearing on housing scheduled for February 25. The committee then took up a 10-bill agenda, largely consisting of measures previously reported by the committee and many of which had passed the Senate in prior sessions. Bills addressed tenant registration statements for LLCs (S.119), leasing to business and other entities (S.240), notice requirements for SCRIE/DRIE rent increase exemptions (S.561), housing production reporting to the Department of State (S.919A), creation of a New York Main Street Development Center (S.1851), retroactive benefit calculations for SCRIE/DRIE (S.2534), a common application and web portal for housing funding and incentives (S.2707), tenant access to complete rent histories (S.3569), continuation of SCRIE benefits after temporary income increases (S.4252), and eligibility requirements for disability rent increase exemptions (S.6510). Several members raised questions or comments on specific bills, including the absence of an Assembly sponsor on S.2707 and the need for technical alignment with Assembly versions. All ten bills were reported out of committee, with some advanced to the floor and others to the Finance Committee. Senator Walchick voted in the negative on several measures, while Senators Helming and Martins occasionally voted “without recommendation” on selected bills. No bill was defeated, and the meeting adjourned with notice that another housing committee meeting was expected the following week.

Transcript Highlights:

• care Like other segments of SH-130, segments 5 and 6 require veterans to pay the full toll fees for utilizing
• low-income veterans who need to make frequent trips to for medical treatment, many of whom of whom only utilize
• generated from segments five and six or first use to fund a veterans discount program for those utilizing

Bills: HB483, HB3345, HB3643, HB3821, HB3849, HB4472, HB4523, HB4524, HB5346, HB5347, HB5376

Keywords: high-speed rail, Texas Department of Transportation, TxDOT, public-private partnership, comprehensive development agreement, CDA, Interstate 35, I-35 corridor, Dallas, Waco, Austin, San Antonio, intercity passenger rail, rail infrastructure, private entity, transportation infrastructure, rail corridor, passenger rail, infrastructure finance, vehicle registration

Transcript Highlights:

• Chairman, the committee did not utilize best efforts to comply with... ...that rule because we had the
• as it sounds like you did based on something you read that some... ...staffer handed you, that we utilized
• efforts, you need to lay out and explain to the committee exactly what the best efforts this committee utilized

Summary: The House Appropriations Subcommittee on Articles 14 and 5 met first and adopted its report on budget recommendations by a 4-0 vote, with three members absent. The chair said the report finalized prior decisions and could not be changed at that stage. Notable additions discussed included increased appropriations for the Office of the Attorney General, DPS driver’s license offices in Hays and Montgomery County, TJJD facilities and programs, Texas Facilities Commission funding for SCIF projects in Lubbock and San Antonio, THC funding for the Juneteenth Museum, an alcohol tourism study, and a TDCJ statewide reentry services pilot program. Members thanked staff and the meeting adjourned after the vote. The Article 3 subcommittee then presented its report for the committee substitute for Senate Bill 1, describing it as a procedural step that incorporated prior discussions, member writers, and changes made with Chairman Bonin. The chair noted that most items had been moved to Article 11 and that rejected riders were duplicates or conflicted with general law. The report was adopted unanimously, 6-0, and the subcommittee adjourned. The Articles 6, 7, and 8 subcommittee followed with its report for Senate Bill 1. During consideration, a member raised a point of order arguing the subcommittee had violated House rules requiring audio and video recording of formal meetings and public availability online. The chair rejected the point of order and proceeded to a roll call vote. After extended debate over the recording issue and the chair’s handling of the point of order, the report was adopted, with the transcript reflecting 6 ayes, 1 nay, and 1 absent. The subcommittee then adjourned.

Transcript Highlights:

• And I think it demonstrates that if we're going to utilize urgent cares as part of the system,...
• The multimedia campaign utilized TV, social media, and radio ads, billboards, and transit placement,
• We intend to utilize the successful collaboration as we continue to engage with other communities.
• So historically, we were utilizing rental subsidy dollars in our group residential programs.
• So in that desert, much of which is in Western Massachusetts, our constituency out there is utilizing

Keywords: 995, all

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