Transcript Highlights:

• AB 2233 does not expand benefits or mandate new services.
• As a result, he will likely go without services during that week, not because funding is unavailable
• I work with a single mother raising two children, both authorized to receive ABA services.
• Thank you for your time and your service to the people of the state.
• At the Gender Health Center, we provide low-barrier services to our community.

Keywords: 987, senate, all

Summary: The Senate Committee on Health met in Room 2100 and first established a quorum, then approved a six-bill consent calendar on a 6-0 vote, placing it on call. The committee then heard AB 2233, which would ensure that once applied behavior analysis services for autistic patients are authorized, families can use those approved hours across the authorization period rather than losing them to weekly utilization caps or scheduling barriers. The author and supporters, including behavior analysts and family advocates, said the bill would not expand benefits but would improve access to already authorized care; health plan and insurance representatives initially raised fraud and utilization-management concerns but said they would remove opposition after amendments preserving those safeguards. AB 2233 passed 7-0 and was placed on call. The committee next heard AB 96, which would remove the high school diploma or equivalent requirement for certification as a Medi-Cal peer support specialist. Supporters from county behavioral health, peer services, and local governments argued that lived experience, training, and certification standards—not a diploma—should determine eligibility, and that the change would help address workforce shortages and expand culturally competent peer support. One opposition witness from the California Consortium of Addiction Programs and Professionals testified against the bill, but the measure advanced on a 7-0 vote to Appropriations and was placed on call. The final major item was AB 1876, the Fair Care for All Act, which would codify federal non-discrimination protections in state law for health care coverage and services. Supporters said it would protect transgender, gender-diverse, and intersex patients from discriminatory coverage practices and preserve access to medically necessary care; opponents argued it would force coverage of gender-affirming interventions and reduce insurer safeguards. After debate over whether the bill expanded coverage, the author said it simply mirrored existing federal non-discrimination law. AB 1876 passed 7-1 and was re-referred to Judiciary, then placed on call. The committee later opened the roll to record absent members and concluded the meeting after all items were disposed of.

Transcript Highlights:

• >> Public Service Commission.
• >> Public Service Commission. >> So the Public Service Commission every bill that your constituents and
• Public Service Commission. Correct. Public Service Commission. Correct. >> Correct.
• the current Maryland public service the current Maryland public service commission?
• > on Social Services Subcommittee on Social Services Subcommittee on Appropriations<00:28:46.399>

Keywords: House streaming session for Wednesday, February 4, 2026, 957, house, all

Summary: The House convened with 130 members present, approved the previous day’s journal, and read several groups of introductory House bills and a bond initiative, referring them to the appropriate committees. Senate bills were also introduced in the House and assigned to committees. The chamber then took up House Bill 1, concerning limits on cost recovery for investor-owned electric and gas utilities, with debate focused on whether the bill would reduce ratepayer costs or interfere with utility compensation and grid reliability. Two amendments to HB 1 were debated and both failed by roll call after floor leaders argued they would undermine the bill’s purpose of protecting ratepayers. One amendment would have allowed utilities to seek approval from the Public Service Commission to exceed pay or bonus limits for vital workers; supporters said it would preserve flexibility to retain critical employees and maintain reliability, while opponents said any extra compensation should come from shareholders, not ratepayers. A second amendment sought to exempt frontline workers involved in system reliability, emergency response, and storm restoration; supporters said it would protect the grid and allow quick response in emergencies, while opponents again said it would shift costs back onto ratepayers. The House also heard extended questioning about utility rates, PSC approval, and broader energy costs, including references to Empower charges and infrastructure expenses. After the amendment debate, the House voted to special order HB 1 for a later time, allowing additional amendment opportunities, and the bill was set aside. The session then moved to committee announcements, including briefings and bill hearings for Appropriations, Economic Matters, Environment and Transportation, Government, Labor, and Elections, Health, Judiciary, and Ways and Means, along with several subcommittee meetings later in the day.

Transcript Highlights:

• Today's meeting is the Long-Term Services and Supports and Health Equity Subcommittee.
• Thank you so much for your interpretation services, as well as Tracy.
• providers, anyone using our services, meeting them where they are.
• that usually have a monthly fee on top of the rent and other services.
• And Department of Developmental Services.

Keywords: 995, all

Summary: The Long-Term Services and Supports and Health Equity Subcommittee met with a presentation from Housing Navigator Massachusetts. Staff described the nonprofit’s mission to improve access to affordable housing through a free, 24/7 search tool and public data dashboards. They explained how the site distinguishes between rent-based-on-income units and fixed below-market rent units, how mobile vouchers such as AHVP and Section 8 interact with those listings, and what types of housing are included or excluded from the database. They also reviewed accessibility filters, supportive housing resources, and related state programs such as EOHLC resources and RAFT. Committee members asked about the organization’s funding, the availability of voucher programs, and whether the site tracks demand for accessible units or wait lists over time. Housing Navigator said it is primarily supported through the state, works closely with the Executive Office of Housing and Livable Communities, and does not collect personal application data because it is not part of the application process. Staff said accessible units appear to be in high demand, but they do not have direct data on how many people are waiting or how many applications result from site visits. They also said they are working to improve data sharing, more frequent updates, and future research tools. Members discussed ways to increase public awareness of Housing Navigator, including sharing a one-page fact sheet or infographic through disability organizations, local disability commissions, independent living centers, and the Massachusetts Office on Disability. The subcommittee also briefly discussed future goals, including inviting MassHealth to a January meeting, seeking regular updates on federal Medicare and Medicaid developments, reviewing the annual report’s recommendations, and possibly planning a future health equity event. The meeting ended with the introduction of new commission member Victoria Gill and a motion to adjourn, which was approved unanimously.

Transcript Highlights:

• Control of our PBM services.
• What's our cost to provide a rebate aggregation service or rebate administration service?
• It's around what's our cost to provide that service.
• What's our cost to provide a rebate aggregation service or rebate administration service?
• We run our rebate aggregation services through Prime, who then services under Ascent, which is part of

Summary: The Senate Insurance Committee met on May 13, 2026, adopted the May 6 minutes, and then took up several bills dealing with pharmacy benefit managers, prescription access, behavioral health coverage, and Citizens Property Insurance. HB 938, as amended, was the main PBM reform measure. After the committee adopted a large amendment set that narrowed the bill, members heard extensive testimony in support from Mark Bloom, Justin Joseph of Capital Rx, and Kathy Ue of Pontchartrain Cancer Center, all emphasizing transparency, pass-through pricing, reverse auctions, and patient access. Supporters described savings from reverse auctions and administrative models, while the cancer center testified that PBM-owned specialty pharmacy requirements can delay cancer medications and create financial hardship. The committee reported HB 938 favorably with amendments. The committee also heard HB 1154, which prohibits prior authorization for certain generic medications prescribed by qualified physicians, with a $250 cap discussed as a safeguard against higher-cost generics. The bill was supported by representatives from Ochsner Health and the Louisiana State Medical Society and was reported favorably. HB 909, which requires commercial coverage for behavioral health crisis services, was amended to clarify the insurers covered and then reported favorably with support from the Office of Behavioral Health and several outside groups. Testimony on HB 909 focused on reducing emergency room and law enforcement burdens and expanding crisis response capacity across the state. HB 1187, dealing with excess emergency assessment funds from Louisiana Citizens Property Insurance Corporation, was explained by the Insurance Commissioner as a way to transfer remaining Katrina-era assessment funds to the Fortified Roof Program. The committee reported the bill favorably. Finally, SB 511 and SB 512 were deferred and converted into a study resolution approach because there was not yet consensus on the underlying issue. The meeting then adjourned.

Transcript Highlights:

• May this ceremony honor their service, their sacrifice, and their lasting legacy. Mr.
• He was also a member of the Chester Town Volunteer Fire Company, servicing his hometown.
• <00:13:40.800> his Volunteer Fire Company servicing his Volunteer Fire Company servicing his
• in uniform and in service can exist in uniform and in community.
• > PFC<00:14:38.480> Moore Beyond his military service, PFC Moore Beyond his military service

Keywords: Senate streaming session for Monday, February 23, 2026, 960, senate, all

Summary: The Maryland Senate convened on February 23, 2026, with an invocation by Reverend David Drake of the Church of Resurrection in Timonium, introduced by the senator from District 11. The chamber also recognized Denise Henderson Hector for 50 years as a licensed mortician and director at Recent Sons Mortuary in Annapolis, honoring her as a trailblazer and community leader during Black History Month. The Senate then welcomed several student pages, a guest from District 25, and Dr. Sarah Merritt, the doctor of the day. The Senate devoted a lengthy portion of the session to honoring fallen service members. Members presented tributes to Staff Sergeant Jared Allen Fenry, Specialist Jacob Mullen, Petty Officer First Class Dakota Brown Cullison, and Private First Class Devon Moore, describing their military service, community involvement, and family lives. The chamber then observed taps and a moment of silence, and members noted that the families present were deeply appreciated. The remarks were journalized for the record. After the memorial presentations, the Senate moved to routine business. It considered the introduction of Senate Bill 984 on correctional services and private immigration detention facilities, referred to the Rules Committee, and a bond initiative for Elton Flood Mitigation Management, referred to the Capital Budget Subcommittee. House Bill 146 on on-site wastewater systems, inspection and pumping requirements, and implementation dates was also read and referred to the appropriate standing committee. The Senate left the third reading calendar for the next day, announced caucus meetings for both parties on February 24, and adjourned until Tuesday, February 24, 2026, at 10:00 a.m.

Transcript Highlights:

• But when you make the link between taxes and governmental services, answers change.
• services, investments.
• There is no cut in services based on this tax cut.
• Again, no essential services are being cut by what we're doing here today.
• But again, no cuts in the services. Any other discussion?

Summary: The Senate Revenue and Tax Committee met to consider Senate Bill 1, sponsored by Senator Jonathan Dismang, which continues the state’s long-running effort to reduce Arkansas income tax rates. Dismang said the bill would lower the personal income tax rate retroactive to January 1, 2026 and delay the corporate income tax change until the following January, bringing the rate down from 7% to 3.7%. He also said the bill would use existing surplus funds and estimated that a person making $65,000 would see their effective tax burden reduced by about 45% compared with earlier rates. The committee heard several witnesses in opposition, including a United Methodist pastor/social worker, a parent describing her son’s disability and need for supported living services, representatives from Arkansas Appleseed and Arkansas Advocates for Children and Families, and a Marshallese community advocate. They argued that Arkansas should preserve revenue for public schools, health care, food assistance, housing, rural hospitals, early childhood education, and disability services, and said the tax cuts would disproportionately benefit higher-income taxpayers while providing little relief to working families. Several speakers cited low state spending relative to national averages and warned that further cuts would worsen existing service gaps. In closing, Dismang and other supporters said the state can be both compassionate and competitive, that no essential services would be cut by the bill, and that Arkansas has continued to grow revenue despite prior tax reductions. Members emphasized balancing service funding with economic competitiveness and noted the legislature’s focus on lower-income tax brackets in earlier reforms. The committee then voted to do pass SB1, and the bill was approved.

Transcript Highlights:

• Almost every service has air traffic controllers.
• So I want to be clear: thank you for your service. Thank you for your honorable service.
• Thank you for your service.
• Minnesota, and their service is ongoing to their communities. So thank you for your service.
• for that service.

Transcript Highlights:

• during wartime or combat service.
• during wartime or combat service.
• Thank you for your service. I'm here on several bills.
• Teachers who have a minimum of 20 years of service to receive creditable service for part-time teaching
• Good afternoon, Chairman Brady, Chairman Ryan, and the Public Service Committee.

Keywords: 995, all

Summary: The committee heard testimony on a range of public retirement and municipal health insurance bills. Mass Retirees and the American Federation of Teachers supported House 2890/Senate 1848 on transparency in municipal health insurance, arguing that broker and consultant roles should be clearly defined, commissions disclosed, and dual roles prohibited to reduce conflicts of interest and costs. They also supported House 2799/Senate 1848 on protecting municipal retirees from future premium contribution increases, House 2854 on voting rights for surviving spouses in retirement board elections, and Senate 1917 on updating the definition of veteran for retirement purposes. Committee members discussed whether the veteran definition should simply conform to the federal definition going forward. Educators testified in support of House 2769/Senate 1921, which would allow teachers with at least 20 years of service to buy back creditable service for periods when they worked part-time while raising children. Multiple teachers described the financial and retirement penalties they experienced after stepping down to part-time work for child care, calling the current system inequitable and a “mom tax.” Sponsors and supporters said the bill is intended to correct that disparity and help retain teachers, while one committee member noted it appeared neutral on an actuarial basis. The committee also heard strong support for Senate 1908, which would raise the cap on outside income for public pension recipients, from retired State Police troopers who said the current limit is outdated and unfair to those forced into disability retirement after line-of-duty injuries. Another State Police representative supported House 2910 on state police pensions, citing recruitment and retention problems under current pension rules. In contrast, Hampden County Regional Retirement System officials and the Massachusetts Association of Contributory Retirement Systems opposed House 2745, a bill to restructure the Hampden County system’s governance, arguing it would weaken PERAC oversight and create an unworkable local system. They instead supported House 2813, which would extend the time to fill a vacant fifth member seat on retirement boards. At the end of the hearing, the committee voted to adjourn the hearing.

Transcript Highlights:

• to service those areas.
• So, that service um to those residents.
• > from<00:18:34.720> those removing that service from those removing that service from
• service.
• We've provided that service service.

Keywords: Call to Order 00:00 Roll Call 0:31 HB 36 Discussion 1:10 HB 36 Vote 8:20 HB 776 Discussion 9:42 HB 776 Vote 12:19 HB 236 Discussion 14:15 Adjournment 20:40, 958, all

Transcript Highlights:

• We have intensive services. This is one of our newest level of care.
• They've provided the service. It's expensive. Thank you.
• So how do we change that so that we're integrating the services?
• So how do we change that so that we're integrating the services?
• And then how do we provide services to parents so it’s on demand?

Summary: The hearing focused on youth mental health and treatment access in California, with opening remarks emphasizing that youth distress, self-harm-related emergency visits, and difficulty obtaining care remain elevated, while workforce shortages and reliance on one-time funding continue to limit access. Assemblymember Lori Davies echoed concerns about unstable funding and said lawmakers need to hear directly from providers and families as they prepare for the budget and legislation. The chair framed the hearing as a chance to hear from county, school, provider, and student perspectives, especially in San Diego County, where needs are high and investments have not always matched demand. County and school officials described the current system and recent state initiatives, including the Children and Youth Behavioral Health Initiative, school-linked fee schedules, payment reform, and the Behavioral Health Services Act transition. San Diego County Behavioral Health said it serves Medi-Cal youth with specialty mental health needs through a broad continuum of care, including outpatient clinics, school-based services, crisis response, residential treatment, and new crisis and residential facilities. San Diego County Office of Education and San Marcos Unified School District described efforts to expand school-based services and reimbursement through CYBHI, but said implementation is slowed by complex billing rules, insurance-data collection concerns from families, administrative burden, and uncertainty about sustaining staff positions funded by grants or soft money. School counselor testimony highlighted reduced stigma through campus outreach and clubs, but also noted that counselor-to-student ratios remain well above national standards and that budget cuts threaten supports. Provider testimony stressed that the system remains fragmented and that youth often move between emergency rooms, inpatient care, outpatient therapy, schools, and county programs without smooth handoffs. A child psychiatrist described crisis cases in which the main choices are brief hospitalization or discharge with limited follow-up, and argued for stronger warm handoffs, more outpatient and intensive outpatient options, better school-clinic coordination, and broader use of mobile crisis and 988. Rady Children’s Hospital and Aurora Behavioral Health described large increases in behavioral health demand, expansion of integrated care, and major barriers tied to low reimbursement rates, delayed payments, and administrative complexity. Across the panel, witnesses called for more stable funding, clearer reimbursement rules, better parent education on warning signs, and stronger collaboration among schools, counties, hospitals, and community providers to reduce stigma and improve timely care for youth.

Transcript Highlights:

• /personal care homemaker services.
• any home care services.
• She taught me the value of service, and I've carried this with me.
• Thank God, because of the services that I've been in for...
• , home health care, and other social services.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing focused largely on senior long-term care issues, family caregiving, post-acute care access, and direct care workforce pay. Testimony strongly supported bills to raise the personal needs allowance for nursing home and rest home residents (including H. 1411, S. 482, and related bills), with speakers from Mass Senior Action, Dignity Alliance, nursing home residents, providers, and former state officials arguing that the current $72.80 monthly allowance has been unchanged since 2008 and is inadequate for basic items like clothing, toiletries, haircuts, and transportation. Witnesses also backed bills to increase MassHealth asset and income limits for seniors and to stop counting life insurance as cash, describing the current rules as outdated and harmful to low-income elders. The committee also heard testimony on bills allowing family members, including spouses and guardians, to be paid caregivers (H. 1394/S. 886), with supporters saying this would help families keep loved ones at home and reduce reliance on costly institutional care. Another set of bills (H. 1412/S. 903) drew support from a physician who said clearer MassHealth communication and improved post-acute care determination processes would help reduce delays and backlogs for patients awaiting skilled nursing, rehabilitation, or other post-acute placement. Several speakers emphasized that better home- and community-based care can prevent hospital readmissions and support independence. A major portion of the hearing focused on S. 877, which would establish an enhanced care worker minimum wage of $25 per hour, indexed to inflation, for certain home care and human services workers. Union representatives and direct care workers from SEIU Local 509, 1199 SEIU, and the AFL-CIO described severe staffing shortages, burnout, low wages, and high turnover across home care, mental health, disability services, and crisis response. They argued that higher pay is necessary to recruit and retain workers and to stabilize services for vulnerable residents. Committee members asked about costs, comparisons with other states, and whether non-wage incentives could help, but witnesses repeatedly said wages were the central issue. The hearing concluded after all registered testimony was heard, with the committee noting it would continue accepting written testimony and then adjourning.

Transcript Highlights:

• And the services that they provide are invaluable.
• And the services that they provide are invaluable.
• Doulas provide essential services, and essential services must be covered, particularly if we are to
• DOULAS PROVIDE ESSENTIAL SERVICES AND ESSENTIAL SERVICES MUST BE COVERED.
• WITH A DEDICATION TO CHARITY, AND SELFLESS SERVICE.

Keywords: 993, senate, all

Summary: The Senate convened, approved the prior journal, and discharged several identical Assembly/Senate bills from committee so they could be substituted on the calendar. The chamber then took up and previously adopted two commemorative resolutions: one designating April 2026 as Sikh Heritage Month and another honoring Korean War veterans. Senators from both parties spoke in support of the Sikh resolution, emphasizing the community’s contributions, service, and the need for recognition and inclusion; the resolution was opened for co-sponsorship and the Sikh guests in the gallery were recognized. The Korean War resolution drew remarks from members recalling family service and the sacrifices of veterans, with repeated calls to preserve their stories and honor their legacy. The Senate then moved through the calendar, passing a series of bills. Among them were measures related to charter bus safety and seat belt awareness, coverage for doula services under insurance, social services/EBT-related changes, education, navigation, highway, public service, and hospital-closure reporting. Several bills passed unanimously or with only one dissenting vote; the social services bill drew the most opposition, with Senator Murray objecting that New York should first address EBT chip technology and skimming before adding new vendor requirements. One bill on the calendar was laid aside for the day. The chamber also adopted a supplemental bill authorizing the South Country Central School District to finance certain deficits, described by Senator Murray as a necessary rescue to keep the district operating and pay staff. Senators discussed the state budget impasse during debate on an extender bill, with the sponsor explaining it was a “clean extender” to keep government running through May 4 and cover payroll, health, education, and other essential payments. Senator Helming raised concerns about the lack of rural health transformation funding and the consequences of the delayed budget for schools, local governments, and hospitals. The extender passed, and the Senate adjourned until Monday, May 4, 2026.

Transcript Highlights:

• <00:21:28.720> we do when people are at intake services we do when people are at intake services
• <00:23:32.279> uh<00:23:32.440> we service and uh past her service uh we service and
• Lisa Amador, Department of Human Services administrator for Adult Protective and Community Services,
• <04:16:04.439> health<04:16:04.680> services of uh Social Services health services
• She said home care services are personal care services, such as bathing, cooking, and cleaning.

Keywords: 910, house, all

Transcript Highlights:

• The contracting out of mental health services, medical services.
• . services for children and youth on their own on the streets.
• And I'm here to talk in regards to the crime victim services.
• service providers funded by Cal OES.
• I am the executive director of Project Sister Family Service.

Keywords: 988, house, all

Transcript Highlights:

• Mitzie oversees some of our critical areas for re-entry, programmatic services, as well as clinical services
• For re-entry, programmatic services, as well as clinical services.
• The services that they need and the services that they should be provided are vastly different than most
• on the transition of MassHealth to health and human services.
• Because of the services that they need to provide, they are different.

Keywords: 995, all

Summary: The commission met with a new member from Prisoners’ Legal Services and approved the July 11 minutes. The main presentation came from Department of Correction Commissioner Sean Jenkins and Deputy Commissioner Mitzie Peterson, who gave an overview of DOC facilities, population trends, and the department’s broad mission, including sentenced prisoners, pretrial detainees, civil commitments, Bridgewater State Hospital, and the Section 35 program. They noted the custody population has fallen from about 10,000 in 2016 to roughly 6,000–6,600, while the share serving first- or second-degree sentences has increased. They also reviewed the department’s facility footprint, including Souza-Baranowski, MCI Norfolk, MCI Framingham, Bridgewater, and the planned transfer of the Section 35 program to Health and Human Services by the end of 2026. A large portion of the discussion focused on programming, education, health care, and reentry. DOC described tablet access for all incarcerated people, free phone calls, email, and more than 330,000 hours of educational, vocational, and reentry use. They highlighted partnerships with colleges and universities such as Tufts, Boston College, Emerson, and others, along with HiSET completion, vocational training, and programs like The Last Mile and Persevere. Health care spending was discussed in detail, including a total annual health-related contract cost of about $300 million, with separate contracts for prison health care, Bridgewater State Hospital, MassAQC, and MAT services. DOC said it has nearly eradicated Hep C and MRSA and now offers all three FDA-approved MAT medications, including long-acting injectables when clinically indicated. Commissioners also asked about specialized programming, language and disability access on tablets, and how programming is distributed across facilities. DOC explained that nothing is mandatory, but program participation is encouraged and can affect parole consideration. Staff described assessments using COMPAS, criminal thinking interventions, trauma-related treatment, and specialized units for emerging adults, mental health, and substance use. The department said programming costs were about $101 million in fiscal year 2025, or roughly 12% of the operating budget, excluding health care. Members praised the elimination of restrictive housing and the rollout of body-worn cameras, while DOC said the cameras required new policy and union negotiations but are now used for training, accountability, and de-escalation. The meeting ended with a plan for DOC to return in September with more detailed information on SAUs, programming statistics, and facility structure, and the commission voted to adjourn.

Transcript Highlights:

• It's just you're not the service charge.
• I want to say it was $80,000 of service I want to say it was $80,000 of service fees<00:17:56.120
• It was just a service provided by us.
• but we appreciate appreciate her service but we appreciate appreciate her service very<00:25:04.960
• We stand your service so much. We stand adjourned.

Bills: SB59, SB221

Keywords: military families, immunization, education, public health, school enrollment, Mobile County, judge of probate, compensation, salary, expense allowance, 1136, house, all

Transcript Highlights:

• for that primary services, really.
• for that primary services really.
• Again, HIE is just one service, an avenue that hospitals...
• So CHRIS Shared Services is our new HIE.
• Twenty-five hours of volunteer service is now required for FRAM participants, and our volunteer service

Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.

Transcript Highlights:

• >> Um it came via guardianship services. >> Um it came via guardianship services.
• Medicaid Services. Medicaid Services.
• for 25% of our budget on services.
• is spent in that setting on services. is spent in that setting on services.
• for Medicaid services. for Medicaid services.

Keywords: 958, all

Summary: The Health and Family Services committee heard an informational presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults, often with serious mental illness, who do not meet nursing home criteria but need structured supervision, medication assistance, meals, and daily support. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and are supported largely through state supplementation payments and residents’ SSI income. The presenters argued that the current reimbursement rate of about $50.70 per day is no longer sufficient to cover staffing, food, insurance, utilities, maintenance, and other costs, and said the sector has shrunk significantly over time. They cited figures showing a decline from 64 to 34 homes serving the seriously mentally ill since 2002, with 30 closures over 23 years, and said the loss of beds contributes to homelessness, hospital overcrowding, and longer psychiatric stays. They also gave examples of residents who had spent many months in hospitals before being successfully placed in personal care homes, which they said can prevent more costly institutional care. Committee members asked about staffing credentials, fraud controls, referral processes, and how reimbursement works in other states. The presenters said Kentucky does not require licensed or certified staff in these facilities, though some homes use certified medication technicians or an LPN, and they described a county case-manager-based assessment process used to set individualized rates in other states such as Minnesota. Members expressed support for the work but emphasized the need for documentation of savings and budget offsets. The presenters said they are seeking an incremental reimbursement increase over two years, roughly 25% to 50% in the first year and another 50% after that, and urged the committee to support the homes to prevent further closures.

Transcript Highlights:

• services are not covered?
• human services budget. human services budget.
• health services? Commissioner? health services? Commissioner?
• It lists private duty nursing as completely different services than home health care services.
• different services than home health<00:19:07.840> care<00:19:08.240> services.

Keywords: 919, house, all

Summary: The conference committee on House File 4188 met on May 16, 2026, with a quorum present and indicated it was intended to be the final meeting. The main issue discussed was an amendment to the 62J language concerning home care nursing services for children with complex medical needs. Chair O'Driscoll said the amendment would direct the Departments of Commerce and Health and Human Services to review the fiscal impact on the state, families, and health plans, and to develop possible legislation for 2027. Supporters described the proposal as a pause to allow more review, while also acknowledging it was not a complete solution. Senator Bolden and others testified strongly against allowing the coverage changes to stand, saying the issue affects roughly 200 to 250 families statewide, many of them children who need hospital-level care at home. They warned that capping or denying private coverage would shift costs to Medicaid waivers, strain family waiver budgets, increase state costs, and potentially force more children into hospitals, reducing critical care capacity. Committee members also questioned Commerce Commissioner Grace Arnold and department staff about the distinction between home care nursing and home health services, statutory definitions, billing units, essential health benefits, waiver budgets, and the effect of enforcement actions involving HealthPartners. The committee adopted the A30 amendment by voice vote, and the motion prevailed. Members then took up another provision, described by staff as the meat raffle/paddle wheel language, and adopted an amendment to add the game of Haus und Pfeffer before approving the provision as amended. In final remarks, members from both chambers praised the committee’s work and professionalism, but several expressed regret that the home care nursing issue was not resolved in the conference report and said it would need further work next session. They also noted other items that did not make it into the bill, including reinsurance and certain other policy provisions.

Transcript Highlights:

• Julia Hannigan, Dependency Legal Services, proud co-sponsor.
• First Prevention Services Program.
• County's Department of Children and Family Services.
• There's no services to offer.
• Public benefit programs provide life-saving health care services and supportive services that keep older

Summary: The Assembly Committee on Human Services heard a long agenda of bills focused largely on child welfare, foster care, child care, CalWORKs, mandated reporting, and public benefits. Early items included AB 890, which would ease county transfer rules for nonminor dependents in extended foster care; AB 461, which would replace punitive truancy-related penalties with supportive services for families; and AB 753, which would create an interim associate teacher pathway to help address the child care workforce shortage. Testimony on these bills emphasized barriers faced by foster youth, low-income families, and child care providers, and members expressed support for the general policy direction. The committee also heard AB 926 on foster care visitation, AB 563 on early childhood planning and reporting, AB 601 on standardized mandated reporter training, AB 1074 on CalWORKs reunification aid, AB 822 extending the Commission on the State of Hate, AB 970 creating a Los Angeles County mandated reporter pilot, AB 1161 protecting public benefits during disasters, AB 1172 allowing trained staff to administer emergency seizure medication in community care settings, and AB 363 expanding CalWORKs student supports and work-study. Witnesses generally supported these measures as ways to reduce trauma, improve reunification, modernize reporting and training, and expand access to services. County welfare and child welfare groups, advocacy organizations, and providers largely testified in support, while some bills drew concerns from county representatives about implementation or needed amendments. Several bills were voted out of committee, often unanimously and sometimes as amended, including AB 926, AB 563, AB 601, AB 1074, AB 822, AB 970, AB 1161, and AB 1172; AB 1172 was reported on call. The committee also took up consent items and later voted on subcommittee-held bills AB 461, AB 753, and AB 890, leaving them on call. At the end of the hearing, the committee heard AB 1211, which would protect CalFresh benefits from federal cuts and require a feasibility study on increasing benefits and eligibility; testimony stressed rising food insecurity and the economic importance of food assistance, but the transcript ends before a final vote on that bill.