Transcript Highlights:

• So I want to add... convene community-led events, connect people to services, and provide direct feedback
• In Riverside County, they're leveraging community health workers to direct people to services who are
• There’s the community health improvement plan and the community health assessment.
• Community Voices alive.
• The community.

Keywords: 987, senate, all

Transcript Highlights:

• The department works in coordination with the lead agencies, community alliances, and other various community-based
• The first thing is community-based care.
• And what I quickly learned is that the people who are working with the communities around community-based
• And what I quickly learned is that the people who are working with the communities around community-based
• community needs in mind.

Summary: The Human Services Subcommittee held its first meeting of the term and heard introductory remarks from the chair, vice chair, ranking member, and members, who broadly described their interest in child welfare, mental health, aging services, homelessness, and agency accountability. The chair then outlined the subcommittee’s jurisdiction, including child welfare, mental health and substance abuse safety net services, domestic violence, developmental disabilities, elder services, and child support, and introduced the Department of Children and Families (DCF) as the first agency panel for the term. DCF presented an implementation update on HB 7089, a 2024 law aimed at increasing accountability and transparency for community-based care (CBC) lead agencies that deliver most child welfare services under contract. The department said the bill was prompted by forensic examinations that found problems such as noncompetitive procurement, related-party transactions, excessive executive compensation, and weak financial oversight. DCF described new contract requirements and monitoring tools covering board governance and annual training, conflict-of-interest disclosures, financial penalties for noncompliance, fidelity bond requirements, limits on direct service provision by lead agencies, related-party procurement rules, procurement thresholds, real-property approvals, compensation caps, expanded public reporting, and a new Future of Child Protection and Funding Work Group. DCF reported that some lead agencies had completed required board training, others were still on schedule, and two agencies exceeding the direct-service threshold had been referred to the Auditor General. Members asked DCF about the reasons for the bill, the impact on children, the work group’s regional representation, aging-out youth, the Embrace Families transition, board training requirements, and whether enforcement actions had been taken. DCF said the bill was intended to protect funds for children and families and improve oversight, and clarified that the Central Florida lead agency contract was awarded through competitive procurement rather than an absorption. DCF also said the board training was designed to be meaningful but not overly burdensome, with timing left partly to lead agencies as they implement the new requirements. The committee then heard from two CBC leaders, who generally supported the accountability goals of HB 7089 and said their agencies had already addressed most of the new governance and disclosure requirements. They reported that board training had been completed or was being scheduled, but both agencies said the fidelity bond requirement has been difficult or impossible to obtain in the market as written, though they were able to secure the separate performance bond. The CBC witnesses also warned that recruiting providers is increasingly difficult, especially for higher-acuity children and group-home placements, due to limited provider supply, regulatory burden, insurance costs, and rising risk. They said these pressures are contributing to budget deficits in some areas and urged lawmakers to consider the funding model, insurance and indemnification issues, and the risk of overregulation reducing provider participation.

Transcript Highlights:

• But we're also looking into a direct admit program between the community college system and the university
• The community college system and the university system are also looking into a direct admit program.
• admission already to the direct admission already to the community<00:29:56.840> college<00:29
• If Keene or UNH is saying we’re going to go this direction, is there any kind of communication with the
• with direction there's a communication with direction there's a communication with the<00:56:

Keywords: 1189, house, all

Summary: The Public Higher Education Study Committee held an organizational meeting and received an update from the university and community college systems on implementation of recommendations from the governor’s higher education task force. The systems said the task force report contained about 40 recommendations, and they have focused first on operational items while continuing to work on larger policy issues, including better alignment of public higher education with workforce and economic development needs. The committee also discussed reporting requirements under the amended law and whether quarterly reports are required or whether annual updates are sufficient unless the committee requests more. A major topic was expanding Early College and dual-enrollment opportunities. The chancellors reported strong growth in Early College participation, significant student and family savings, and state scholarship support that they described as producing a strong return on investment. They said the goal is to build clearer pathways so students can earn college credit, reduce debt, and stay in New Hampshire for postsecondary education. They also noted ongoing work to simplify admissions and transfer processes, including about 100 transfer pathways between the systems, direct-admit efforts for community college and university students, and continued development of transfer equivalency tools. Members pressed the systems and the Department of Education on direct outreach to high school students, especially juniors, so students would know they are eligible for direct admission and other opportunities. The main obstacle discussed was access to student contact information, with officials saying the issue may involve contract limits with the College Board and possibly statutory constraints on sharing data. Department of Education staff said they are meeting with the systems and vendors to determine what changes are needed. Committee members urged faster action so students and families can receive letters or other notices about in-state options, affordability programs such as Granite Guarantee, and pathways to community college and university enrollment.

Transcript Highlights:

• We've expanded directed payments.
• We've expanded directed payments.
• We've expanded directed payments.
• We've expanded directed payments.
• We've expanded directed payments.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services heard a 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 with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses. The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness. Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.

Transcript Highlights:

• University system the community college University system the community college system<00:22:52.159><
• <00:25:10.320> community<00:25:10.840> service<00:25:11.640> Mr through community
• community service Mr through community community service Mr chair<00:25:12.399> yes<00:25:12.760
• <00:34:11.879> certification and the Medicaid direct certification and the Medicaid direct
• you serve and the communities you serve and the communities<00:35:12.079> all<00:35:12.240>

Keywords: 928, house, all

Summary: The committee first took up HB 112, which would require students in the University and Community College systems to pass the U.S. citizenship civics naturalization test. A motion was made to retain the bill, and the committee voted unanimously to retain it, resulting in no report. HB 510, dealing with due process rights for students, student organizations, and faculty in higher education disciplinary proceedings, was passed over for a later meeting so the University and Community College systems could meet with the committee. The committee then discussed HB 659, creating a college graduate retention incentive program, but retained it without further debate after noting the prime sponsor was unavailable. HB 770, concerning tuition credits for community service, was also held for later in the day because an amendment was expected. The most extensive discussion centered on HB 583, which would have the state participate in Medicaid direct certification for free and reduced-price school meals. Supporters argued it would identify more eligible students, reduce paperwork, improve accuracy in school funding formulas, and bring in additional federal child care scholarship money; opponents argued it would significantly affect school funding calculations and should be delayed. The committee rejected the amendment by a 10-8 vote and then voted 10-8 to retain the bill, with a majority report and minority report to follow. HB 646, requiring school districts to establish an online application for free and reduced-price meal participation, was also debated. One member said many districts already do this voluntarily and that the bill was unnecessary; another proposed an amendment to convert the mandate into a grant program to offset startup costs, but the committee proceeded on the underlying motion and voted 10-8 to retain the bill, with a majority report and a minority OTP report. HB 665, concerning eligibility for the free school meals program, was then retained by an 11-3 vote. Finally, the committee began work on HB 703, which would prohibit school districts from denying meals to students with unpaid balances and appropriate funds for that purpose. An amendment was explained that would remove state payment of district meal debt and instead require district policies against shaming or bullying students and allow voluntary donations to reduce debt. After discussion, a motion was made to ITL the bill, with the sponsor saying constituents opposed subsidizing the program and wanted districts to retain collection tools; further debate was underway when the transcript ended.

Transcript Highlights:

• It's a directive, and it's just something that goes in as a communication tool into the electronic health
• The directive promotes transparency and communication, supporting a safer and more personalized approach
• <00:01:55.840> form establishes a non-opioid directive form establishes a non-opioid directive
• <00:02:49.800> can your with your provider a directive can your with your provider a directive
• <00:03:08.680> and<00:03:09.319> communication transparency and communication transparency

Keywords: 1183, house

Transcript Highlights:

• Community Action Agency and also the representative of the New Mexico Association of Community Partners
• through the Community Eligibility Provision, or CEP.
• Sort of like bars that communities have to clear.
• It takes a very long time in rural communities.
• That's not very easily communicated in the rural communities because they're used to getting something

Transcript Highlights:

• In 2021, the department—and I think this really came from the advocacy community in large part—was directed
• In 2021, the department—and I think this really came from the advocacy community in large part—was directed
• In 2021, the department—and I think this really came from the advocacy community in large part—was directed
• In 2021, the department—and I think this really came from the advocacy community in large part—was directed
• <00:36:17.000> supports<00:36:17.599> Community integrated community supports Community

Bills: HF1662, HF2115, HF2159, HF1095, HF2160

Keywords: veterans, veterans affairs, State Soldiers Assistance Program, Veterans Stable Housing Initiative, MAXIS, human services data, data sharing, eligibility verification, informed consent, private data, benefits coordination, veteran housing, veteran assistance, Department of Human Services, Children Youth and Families, state benefits, federal benefits, privacy, public assistance, human services

Transcript Highlights:

• and community-centered effort.
• communities, cultural, disability-specific, and issue-specific communities.
• as well as the broader community, knows what direction we're trying to head in.
• It's a very small community.
• in those communities?

Summary: The Assembly Budget Subcommittee on Human Services held a hearing on developmental services, rehabilitation, and related supports, with no votes taken. The first major topic was the Master Plan for Developmental Services. Administration officials described a year-long, community-driven process that included a steering committee, work groups, and statewide engagement sessions, and said the final draft would be released that Friday with about 170 recommendations. The Department of Developmental Services said the plan would inform future work, but did not offer a detailed implementation roadmap. The LAO said the plan contains significant policy and budget implications, may require statutory changes, and needs further analysis to turn recommendations into actionable proposals. Advocates and regional center representatives urged the Legislature and administration to avoid letting the plan sit on a shelf, called for prioritization and ongoing stakeholder oversight, and emphasized the need to address equity, workforce, service coordination, and cross-system collaboration. The chair said he wanted to work with the LAO on trailer bill language and future reporting to create a clearer path forward. The second topic was the Office of Employment First and competitive integrated employment. Administration witnesses said California has ended subminimum wage under SB 639, but that moving people into competitive integrated employment remains a major priority. They described existing efforts such as DDS’s coordinated career pathways pilot, paid internships, job development services, benefits counseling, and DOR’s career counseling and referral services, along with pilot projects in San Diego and Orange County. The State Council on Developmental Disabilities and advocates argued that employment outcomes have remained stuck at roughly 15% and that a dedicated Employment First Office is needed to coordinate across agencies, align goals, and improve outcomes. The LAO recommended regular legislative oversight on people transitioning out of subminimum wage and asked for technical assistance on coordinated career pathways. The chair criticized the administration’s decision to effectively eliminate funding for the office, requested a detailed implementation timeline and quarterly transition reports, and said the committee would continue pressing for the office to be implemented. The final issue was respite services, utilization trends, and access. DDS reported that in-home respite use and spending have risen sharply over several years, with about 150,000 people using respite in 2023-24 and expenditures reaching about $1 billion. Officials said access depends on families knowing the service exists, service coordinators identifying need, and having enough providers, especially in rural and linguistically diverse communities. The San Diego Regional Center said utilization generally mirrors statewide trends, but access is stronger in some areas, such as Imperial County, where families often prefer family-directed or agency-supported models that allow them to hire trusted workers. Committee members emphasized the importance of respite for family health and caregiver well-being, asked whether service coordinators are asking practical questions about sleep and stress, and discussed the need for better identification of complex behavioral and medical needs. DDS said a standardized family support tool and updated IPP process are intended to improve consistency, transparency, and person-centered assessment for respite and related services.

Transcript Highlights:

• is Rachel Johnson, Veterans Community is Rachel Johnson, Veterans Community Health<00:00:41.520>
• Behind every number is a family, a community, and a life of service.
• ,<00:03:31.440> gather, communities where veterans live, gather, communities where veterans
• <00:05:12.080> connection,<00:05:12.720> economic community connection, economic community
• I'm the communications >> I'm Tim Angstrom.

Keywords: 1183, house

Transcript Highlights:

• I'm the director of Home and Community Services.
• first choice, or a community option program entry system or a COPS waiver, most people refer Or a Community
• So we see a high, high turnover rate with our direct care workers.
• the supply of direct-care workers.
• Living at manufactured home communities.

Summary: The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population. On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications. The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.

Transcript Highlights:

• And I'm going to begin with direct care and the home and community-based services grant program.
• There were 82 grantees, 60 were direct service providers, and the population served... ...were direct
• Perhaps you already may have touched on it, about the direct support professionals, our direct support
• What are some of the initiatives particular to direct service professionals and direct support services
• What are some of the initiatives particular to direct service professionals and direct support services

Keywords: 995, all

Summary: The subcommittee met to approve the April and May minutes, welcome a new member, and hear an update from Gina Frey of EOHHS on statewide health and human services workforce development efforts. Frey described cross-secretariat initiatives under the Workforce Skills Cabinet, including MA Repay loan repayment awards, expanded community college and tuition supports, ESOL/work-readiness programming for immigrants, and efforts to build career pathways and reduce attrition in nursing, behavioral health, direct care, and primary care. She also reviewed a $46 million ARPA-funded home and community-based services grant program that supported 82 grantees, led to hiring 8,752 new staff, over 1,000 interns, 2,000 new certifications, and a drop in vacancy rates from 22% to 12%. Members raised concerns about the impact of immigration policy changes on the direct care workforce, including losses of trained workers in provider agencies, and asked whether any exemption or other relief efforts were underway. Frey said EOHHS is tracking the issue closely but did not identify a specific exemption effort. The discussion also touched on Medicaid and related program changes, with Frey noting the administration is focused on understanding potential impacts to eligibility and work requirements. Rep. Howard asked about initiatives for direct support professionals and wraparound supports, and Frey said those efforts are often led by individual agencies such as MassAbility and DDS, with EOHHS coordinating across them. The latter part of the meeting shifted to planning FY26 subcommittee goals and possible events. Members discussed using the Health Policy Commission’s Behavioral Health Workforce Center and possibly asking for a study comparing compensation in DDS and related direct care roles against health care and education jobs. They also discussed a possible cross-state public event on immigration’s impact on the workforce, especially for people with disabilities and direct support services, and agreed to continue refining goals and event ideas by email and at the next meeting. Frey provided a website link and contact information for Amy Doyle at the Health Policy Commission to facilitate future presentations.

Transcript Highlights:

• Baum and the next item on our agenda is a directed community supports fund for the labor agreement between
• This section requires direct payments to tribal nations and urban Indian communities for traditional
• All of these are critical in our community.
• On the disability community.
• It's community inclusion.

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding

Transcript Highlights:

• In many cases, the right place is the community and home.
• I'm also an active community volunteer and serve on the state's DDS Self-Direction Advisory Board.
• In Latino, Black, and immigrant communities, cultural norms...
• The direct care workforce is incredibly fragmented; turnover rates for the direct care workforce are
• In my communities, the towns put significant amount of money into the schools. communities, the towns

Keywords: 995, all

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

Transcript Highlights:

• able to do afterwards so the direct able to do afterwards so the direct admission<00:47:27.079><
• get in or can I afford this direct get in or can I afford this direct admissions<00:52:27.160>
• from tribal colleges and community from tribal colleges and community colleges<00:52:40.880>
• For many families in our community, especially first-generation college students, the direct admission
• aligns communities so direct admissions aligns communities so direct admissions aligns perfectly

Keywords: 1183, house

Transcript Highlights:

• in the communities.
• in the communities.
• direction.
• direction.
• direction.

Keywords: 1187, senate, all

Summary: The Human Services Committee received an informational overview from Direct Care and Treatment (DCT) staff on the agency’s role and current operations as it transitions from DHS. DCT described itself as Minnesota’s unique state behavioral health system, serving about 12,000 people annually through treatment facilities, residential group homes, and vocational sites, with about 5,000 staff and five major service lines including forensic services and the Minnesota Sex Offender Program. The presentation also reviewed the new executive board required by statute and the 47 work groups created to support DCT’s move to separate-agency status, with staff saying the board is in place, has met, and the work groups are on track for the July 1 deadline. Committee discussion focused heavily on system capacity, staffing shortages, and discharge bottlenecks. DCT said recruiting and retaining staff remains its top pressure, with many vacancies and overtime contributing to burnout. Members also raised concerns about long waits for admission, lack of step-down and community-based placements, and the effect on county jails and hospitals. DCT said it has expanded some capacity, including increasing beds in Willmar, reopening the Ironwood unit in St. Peter, and repurposing the CARE program site to add 16 forensic beds, but emphasized that the broader problem is the lack of community-based options rather than just DCT beds. Members also discussed priority admissions and a prior task force process for handling jail referrals. DCT said the priority admissions framework began July 1 of the previous year, uses factors such as medical acuity and impact on referring facilities, and is intended to help with backflow, though it does not solve the underlying bed shortage. Staff said the priority admissions review panel’s report is due February 15. In response to questions about a high-cost one-to-one care placement, DCT said it had found a less costly alternative and that each case has unique needs. DCT also reported progress on an electronic health record rollout and said a substance use disorder report requested by the Legislature is nearing completion.

Transcript Highlights:

• And it requires existing state-directed payments.
• So community health centers would also be a part of this conversation.
• They invested $9 million in a direct retrofit of a clinic.
• , rooted in advocacy and community care.
• rooted in advocacy and community care.

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.

Transcript Highlights:

• That is due to directed payments, the growth in state-directed payments, the additional directed payments
• Um which is legislative directives.
• We've expanded directed payments.
• , we've added new directed payments, we've added new directed payments.<00:57:55.119> We've<00
• We've expanded directed payments.

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:

• Communications and reports from state officers. Motions and resolutions.
• In our communities.
• So this is a step in the right direction. I would love, Mr.
• SO THIS IS A STEP IN THE RIGHT DIRECTION. I WOULD LOVE, Mr.
• We all have zombie buildings in our communities that become a blight on the community.

Keywords: 993, senate, all

Summary: The Senate opened with routine formalities, approved the journal, welcomed a SkillsUSA student delegation, and then moved into budget and policy business. The chamber accepted a Rules Committee report and took up a supplemental budget extender, Senate Print 9963, which would extend state operations through April 22 and authorize $12.7 billion, including about $5.1 billion in new funding for Medicaid, payroll, and school aid. Senator O’Mara questioned the delay in the budget, the lack of public detail, and unresolved issues such as CLCPA changes, auto insurance, and SEQR reforms; the sponsor said negotiations were ongoing and that school aid would likely build on the executive budget. The extender passed 57-1, with Senator Weik voting no. The Senate then adopted Senate Resolution 1887, sponsored by Senator Brisport, memorializing the Governor to proclaim April 2026 as Arab American Heritage Month. Senators Brisport, Fahy, Salazar, and Gounardes spoke in support, emphasizing Arab Americans’ cultural, civic, and economic contributions in New York and condemning anti-Arab and anti-Muslim bias. The resolution was adopted by voice vote and opened for co-sponsorship. The chamber next considered several bills on the calendar, including a bill by Senator Cleare to prohibit state-chartered financial institutions from investing in private correctional facilities. Supporters framed it as a moral response to private prisons and rising federal use of detention facilities, while opponents argued it would overregulate state-chartered banks and affect private investment decisions. The bill passed 36-22. The Senate also passed a bill by Senator Krueger raising the nonprofit lobbying disclosure threshold from $5,000 to $10,000, after debate over transparency and whether the change would reduce oversight; it passed 35-23. Finally, the Senate passed Senator May’s bill on advanced transmission technologies and utility planning, after extensive debate over ratepayer costs, battery storage, and data center growth; supporters said it could lower energy costs through more efficient grid use, while opponents said it would raise rates and duplicate existing studies. The bill passed after being restored to the non-controversial calendar.

Transcript Highlights:

• I am the Community Corrections Director for Dakota County.
• Clean fit for my community won't be a clean fit for many of our communities.
• They're unable to walk or communicate. The oldest is tube-fed.
• in their community, and we want that to happen statewide.
• Our age-friendly grants have benefited communities from across the country.