Video & Transcript : 'DFPS budget' :
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FL
Florida 2025 Regular Session
Appropriations Committee on Transportation, Tourism, and Economic Development Jan 15th, 2025
Transcript Highlights:
- So we're going to go centers tab number one committee jurisdiction and based budget review.
- This summary is a chart that will break down the agency's budget by budget entity and fund type whether
- The division of Emergency Management has only widened budget entity.
- budget.
- So we have 4243 fte about 600 million dollar budget.
NH
New Hampshire 2025 Regular Session
House Education Funding (02/07/2025)
Transcript Highlights:
- </c><00:14:08.519><c> and</c> absorbed in the our current budget and absorbed in the our current budget
- <03:55:40.920><c> would</c><03:55:41.040><c> be</c> budget would be budget would be $1<03:55:42.680><
- </c><03:56:44.239><c> budget</c> they would put $1 on that budget budget they would put $1 on that budget
- </c><04:51:05.480><c> um</c> and try to get the school budgets um and try to get the school budgets um
- </c> that nailed down and and get the budget that nailed down and and get the budget established<05:54
Summary:
The committee first heard HB 659, which would establish the New Hampshire College Graduate Retention Incentive Program. A Department of Revenue Administration analyst explained technical issues in the bill, focusing on whether the incentive is intended to operate as a rebate or a tax credit, how it would be administered, and how it would interact with the business enterprise tax and business profits tax. She said the bill’s language was unclear on the administering agency, effective tax years, caps, and carry-forward treatment, and noted that reducing BET can also reduce the BET credit against BPT, though not on a one-for-one basis. Committee members asked follow-up questions about the BET/BPT interaction, administrative costs, and whether the Department of Business and Economic Affairs would need additional staffing. Andrew Horn then testified in support, saying the bill is meant to address the large number of New Hampshire college graduates who leave the state after graduation by encouraging them to stay and by incentivizing businesses to hire them. The chair closed the hearing on HB 659 after no further public testimony.
The committee then took up HB 770, a bill to establish a program allowing New Hampshire high school students to earn tuition credits at state higher education institutions through community service. Representative Schultz described the bill as a “triple play” intended to increase volunteerism, expand service and internship opportunities for students, and make college more affordable. Ryan Casey, a junior at Bishop Brady High School, testified that the proposal would help students reduce future loan debt while benefiting communities and encouraging young people to attend college in New Hampshire. Committee members asked about eligibility, including why private and preparatory school students were excluded, whether public school students would qualify, whether mandatory service hours would count, and how the bill’s references to education and business eligibility should be read. Schultz said the exclusion of private and prep schools was intended because public school students are more clearly New Hampshire residents, and she noted that mandatory school service hours had been excluded in revisions. The Department of Education then testified that the program would require significant administration, estimating at least three full-time staff, software or tracking systems, and rulemaking to oversee volunteer sites, schools, student eligibility, and tuition credit distribution. No vote was taken in the excerpt, and the hearing remained in testimony phase.
ID
Transcript Highlights:
- And it allows county commissions or city councils, who are in charge of budgets and other duties that
- They authorize our budget based on what we present as our needs in our budget.
- I don't have a need to because once my budget is authorized, I operate my budget.
- They have the ability to approve a budget so that the county sheriff can operate.
- Who makes the decision about whether or not it's affecting the county or the city's budget?
Summary:
The Senate State Affairs Committee first approved minutes from March 18 and March 20, 2026. It then sent RS 33851 to print after sponsor Jim Guthrie explained it was a revised version of an earlier bill, adjusted to avoid possible free speech concerns; Senator Shippey voted no on the print motion. RS 33853, a kratom-related proposal to classify mitragynine speciosa as a Schedule I drug with a delayed effective date and stepped penalties, was introduced by Senator Burnt and Representative Bingham, but no action was taken on it.
The committee then considered Senate Bill 1441, which would require local law enforcement agencies to cooperate with ICE through 287(g) agreements unless they could show lack of resources or other exceptions. Senator Anthon said the bill was intended to create a statewide standard with local exceptions and asked that it be sent to the 14th order for possible amendment, including changes related to tort claims coverage. County and sheriff representatives testified that the bill blurred constitutional roles between sheriffs and county commissions, created an unfunded mandate, and risked federal overreach. Supporters argued it would promote cooperation on immigration enforcement. The committee voted 6-3 to send SB 1441 to the 14th order for possible amendment.
Senate Bill 1443, sponsored by Senator Den Hartog, would allow the Department of Corrections director to conditionally release certain incarcerated noncitizen offenders with final deportation orders to ICE custody before they finish their Idaho sentences, with restitution, victim notification, and a warrant process if they return. The sponsor and the DOC director said the bill was intended to reduce costs while keeping offenders in confinement under ICE custody and preserving the remainder of the sentence if they reenter the U.S. Testimony from sheriffs, county representatives, and the Idaho Fraternal Order of Police raised concerns about victim safety, lack of probation or supervision after deportation, uncertainty about how the sentence tolling would work, and the new warrant authority. The motion to send SB 1443 to the floor with a due pass recommendation failed 4-5, and the bill was held in committee.
ID
Transcript Highlights:
- And it allows county commissions or city councils, who are in charge of budgets and other duties that
- They authorize our budget based on what we present as our needs in our budget.
- I don't have a need to because once my budget is authorized, I operate my budget.
- They have the ability to approve a budget so that the county sheriff can operate.
- Who makes the decision about whether or not it's affecting the county's or the city's budget?
Summary:
The Senate State Affairs Committee first approved the March 18 and March 20, 2026 minutes. It then considered RS 33851, a proposed reconfiguration of an earlier bill that would avoid possible free-speech issues by changing language from “resident” to “qualified elector”; the committee voted to send it to print, with Senator Shippy recorded as a nay. The committee also heard RS 33853, a kratom-related proposal to classify mitragynine speciosa as a Schedule I drug with a delayed effective date and stepped penalties, but no action was taken on it.
The committee spent most of the meeting on Senate Bill 1441, which would create a statewide framework requiring local law enforcement to cooperate with ICE through 287(g) agreements, while allowing exceptions if resources are not reasonably available or if local governing bodies make written findings. Supporters, including Senator Anthon and representatives from ICRMP and the sheriffs’ association, argued the bill would standardize cooperation and address liability concerns by clarifying coverage under the Idaho Tort Claims Act. Opponents, including sheriffs and county representatives, said the bill blurred constitutional roles between sheriffs and county commissions, created an unfunded mandate, and risked federal oversight of local law enforcement. The committee voted 6-3 to send SB 1441 to the 14th order for possible amendment.
The committee then heard Senate Bill 1443, which would allow the Department of Corrections director to conditionally release certain incarcerated noncitizen offenders with final deportation orders into ICE custody before they complete their Idaho sentences, with restitution, victim notification, tolling of the remaining sentence, and an indefinite warrant if they return. Supporters said the bill could reduce costs and align with deterrence and accountability, while critics raised concerns about victim safety, unequal treatment compared with U.S. citizen offenders, and the lack of probation or ongoing supervision after release to ICE. After debate, the motion to send SB 1443 to the floor with a due pass recommendation failed 4-5, and the bill was held in committee.
MO
Missouri 2026 Regular Session
Joint Committee on Education Mar 26th, 2026 at 02:30 pm
Joint Committee on Education
Transcript Highlights:
- I wanted to talk a little bit about budget, and I'll gloss through the budget only just to remind you
- A lot of people, and she said that we have to budget.
- We know budgets are tight. So I think that switching will help.
- We're talking budget.
- So from a budget perspective, sorry, Twyla, we might have to spend...
MO
Missouri 2026 Regular Session
Special Committee on Property Tax Reform Feb 26th, 2026
Special Committee on Property Tax Reform
Transcript Highlights:
- Then the budget got tight again, and you had new people in the budget chair positions, and that got cut
- And I know I've got a couple other budget friends in here.
- It's been cut to the Tax Commission's budget.
- Dan Hutton, State and the budget and slash legislative liaison for the State Tax Commission.
- And that's in the budget as well. I'd be happy to answer any questions.
Summary:
The Special Committee on Property Tax Reform heard public testimony on House Bills 3253 and 3254, presented by Representatives Steinhoff and Jobe. The bills would expand assessor training and continuing education requirements, require physical inspections for large assessment increases on commercial property as well as residential property, allow greater use of technology and remote imagery in assessments, create optional electronic notices and communications for taxpayers, and move toward setting property tax levies by subclass with a small-parcel exception. The bill also included provisions to raise the per-parcel reimbursement floor for assessors, reimburse local governments for revenue losses tied to SB 190 and SB 3, provide payment options during appeals, and require counties to offer installment payment options for property taxes.
The sponsors said the proposal was built from bipartisan committee discussions and statewide listening sessions, and they emphasized assessor professionalism, taxpayer flexibility, and fairness in the assessment process. Committee members asked about assessor training, the fiscal note, the parcel reimbursement formula, and how the subclass levy system would work in small jurisdictions. Witnesses from the Missouri Special Districts Association and school administrators generally supported the concepts of better assessor training, more resources, and taxpayer payment flexibility, while also warning about implementation burdens and the fiscal impact of state backfill for SB 190 and SB 3.
Testimony also focused on the accuracy of ratio studies and the fairness of moving to subclass-based levies. Some members argued the current system can shift tax burdens unfairly between residential, commercial, and agricultural property owners, while others cautioned that the new structure could create winners and losers depending on local assessment practices. A representative from the State Tax Commission clarified that commissioners do receive training, corrected the parcel reimbursement discussion to note the first 20,000 parcels are treated differently under current law, and said the commission already provides assessor training. No votes were taken, and the committee adjourned after public testimony.
NM
Transcript Highlights:
- The total recurring revenue that we have available in the budget this year?
- No, I'm not saying this is the best budget that we're ever going to pass.
- The Trails Plus Grant Program, they're always recurring in the budget.
- She's told me she does, but the budgets haven't really reflected that.
- And this year's budget, it's all gone to other places.
Summary:
The committee first discussed the state budget and employee compensation, focusing on the 1% pay increase proposal and the broader cost of state employee raises and benefits. Members noted that over the past several years the state has invested heavily in payroll, pension contributions, pay studies, and band realignments, and several senators argued that the 80/20 health insurance change and other benefit improvements amount to significant compensation increases even without an additional raise. Others cautioned that recurring revenue is limited, that recent revenue collections were weaker than expected, and that the state should be careful about committing to ongoing costs given possible economic slowdown, federal uncertainty, drought, wildfire risk, and the possibility of future budget pressure.
The committee then heard extensive testimony on SB 177, a major economic development proposal centered on quantum computing, advanced energy, robotics, synthetic biology, and related technologies. Supporters described the bill as a large strategic investment intended to leverage New Mexico’s national laboratories, universities, and existing quantum workforce to attract companies, create high-wage jobs, and diversify the economy. Testimony emphasized that much of the quantum workforce would be skilled trades and technicians rather than Ph.D.-level researchers, and members asked detailed questions about whether the state would receive long-term returns, how intellectual property and clawbacks would be handled, and whether the package included recurring costs. Witnesses also explained the bill’s trade association and workforce-development components, and several senators raised concerns about energy use, water use, guardrails, and ensuring the state does not subsidize outside interests without benefits returning to New Mexico.
After debate, the committee moved to table SB 177 indefinitely, with members noting that the funding and structure were already incorporated into House Bill 2. The motion passed on an 8-0 vote, with several members excused. The meeting then adjourned.
MS
Mississippi 2026 Regular Session
MS Senate Floor - 22 January, 2026; 10:00 AM
Mississippi Senate Floor Meeting
Transcript Highlights:
- Um, that is the budget subcommittee number six. Thank you, Senator.
- /c><00:25:55.679><c> hearings</c> Tuesday, January 27th, budget hearings Tuesday, January 27th, budget
- ><c> subcommittee</c><00:26:07.039><c> number</c> is the um budget subcommittee number is the um budget
- Senator Boyd, Butler, Dri, and Frasier for budget committee number six.
- </c> Frasier for budget committee number six. Frasier for budget committee number six.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Children, Families and Persons with Disabilities Jun 21st, 2026 at 01:00 pm
Joint Committee on Children, Families and Persons with Disabilities
Transcript Highlights:
- At the time, the budget was less than $20 billion. Today we have a budget of $63... Thank you.
- Today we have a budget of $63. We probably could fit $40 million into that budget.
- We didn't budget for it, but we're stretching because that's what nonprofits do.
- You thank the legislature for preserving the grant increase in the FY26 budget.
- We always had to ask for a supplemental budget.
Summary:
The House Committee on Children and Families held a hybrid hearing on a broad set of anti-hunger, family support, and basic-needs bills. Early testimony focused on SNAP and DTA operations: Rep. DeRosa and others urged passage of H. 196/S. 167 to require DTA to identify staffing, technology, funding, and operational needs to improve timeliness and customer service, warning that unanswered calls, delayed recertifications, and federal changes could sharply raise state costs through higher SNAP administrative burdens and payment-error penalties. Speakers from Massachusetts Law Reform Institute and Project Bread said DTA is under-resourced, caseloads have grown, and families are being denied or delayed due to phone and paperwork barriers. Another major SNAP-related bill, H. 254/S. 147, would require the Commonwealth to replace stolen EBT/SNAP benefits; testimony described more than $13 million stolen from about 27,000 households since June 2022 and argued families should not bear losses from organized theft rings.
The committee also heard strong support for H. 207/S. 117, which would restore state-funded nutrition assistance for legally present immigrants excluded from federal SNAP under recent federal changes. Advocates from Project Bread, the Massachusetts Law Reform Institute, local immigrant services, and public health groups said the federal cuts would leave thousands of residents, including refugees, asylum seekers, trafficking survivors, and children, without food support, and argued Massachusetts has a history of filling this gap. Testimony also supported H. 222/S. 104 to make the Healthy Incentives Program permanent and year-round; supporters said HIP improves nutrition, boosts local farms and regional economies, and had already served more than 212,000 households in FY25. A related child-support bill, H. 201/S. 110, would increase the amount of child support passed through to TAFDC families and expand good-cause exemptions; witnesses said the change would put more money directly in families’ hands, reduce poverty, and better protect survivors of domestic violence and families with complicated co-parenting situations.
A large portion of the hearing was devoted to deep-poverty and diaper-related legislation. Supporters of H. 214/S. 118 said cash assistance grants have lost value over time and should be raised annually until they reach half of the federal poverty level; advocates from Children’s HealthWatch, Hopewell, the Lift Our Kids Coalition, and parents described the links between deep poverty, poor child health, family stress, and child welfare involvement. They argued that higher grants would help families meet basic needs, reduce hospitalizations and neglect reports, and provide stability amid federal cuts. Finally, multiple witnesses backed diaper legislation, including H. 220/S. 151 and related bills, to create a diaper benefits pilot and/or diaper allowance commission. Testimony from the National Diaper Bank Network, MassCAP, Children’s HealthWatch, local diaper banks, and parents said diaper need is widespread, affects parental employment and mental health, and can cause health problems for infants; a federally funded pilot in Massachusetts was cited as showing improved employment, financial stability, reduced stress, and fewer diaper rashes. No votes or final actions were taken during the hearing; the committee heard testimony and asked questions throughout.
CA
California 2025-2026 Regular Session
Joint Committee on the Arts May 14th, 2026
Joint Committee on the Arts
Transcript Highlights:
- Now, a couple of the budget items that we've been advocating for: funding for California Humanities,
- But this sector is not just those big-budget projects.
- And at the end of the day, this is almost a $350 billion budget.
- And the budget asks right now that we're asking for is a total of $66 million.
- Please give our budget request. ...23% completion rate.
Summary:
The Joint Committee on the Arts held an informational hearing on California’s first sector-specific creative economy strategic plan, “California’s Future Is Creative,” developed under AB 127 and related legislation. Chair Allen framed the plan as a response to California’s large but vulnerable creative economy, citing workforce losses, federal funding headwinds, and the need to support artists, cultural organizations, public media, museums, cultural districts, and film/TV production. He also highlighted budget asks including support for California Humanities, museums, public media, cultural districts, a post-production incentive proposal (AB 2319), and funding to implement the strategic plan.
California Arts Council Director Danielle Brazel, Institute for the Future’s Rachel Hatch, CDE’s Allison Frenzel, and CWDB’s Michael Weoff described the planning process, which included a 30-plus-member work group, interagency coordination, and a phased approach from framework development to implementation and evaluation. They identified major forces shaping the sector over the next decade, including AI, climate disruption, affordability, access to capital, and social cohesion, and outlined six action areas: workforce preparation, business stabilization, cultural identity/tourism, cross-sector incentives, ROI/data tracking, and state capacity/infrastructure. Members and panelists repeatedly emphasized that the plan must be resourced and integrated across agencies rather than left siloed.
A second panel of practitioners and advocates focused on workforce pathways and local implementation. Ricarlo Handy described the Handy Foundation’s registered apprenticeship pipeline into film and TV jobs and argued that current data systems undercount gig, 1099, and LLC-based creative work. Joanna Reynolds discussed Arts for LA’s Creative Jobs Collective, which aims to create 10,000 living-wage creative jobs in Los Angeles County by 2030, while Alejandro Gutierrez Chavez urged embedding artists in health, aging, and behavioral health systems as community problem-solvers. Roxanne Messina Kaptur spoke about the need to normalize arts careers and expand residency and school-based models. Senator Rubio, who joined later, shared her own arts and teaching background, supported arts access in schools and small theaters, and raised concerns about AI, asking how schools and educators can adapt.
In the final panel, Rebecca Ratzkin reported on 26 statewide town halls with more than 1,100 attendees, which confirmed support for the plan but also highlighted needs for better information access, new financial models, stronger definitions and data, and more partnerships. Julie Baker of California for the Arts and California Arts Advocates urged sustained public funding, saying the plan is actionable only if the Legislature and administration provide resources, including increased California Arts Council funding and support for implementation. No formal votes were taken; the hearing was informational and concluded with calls for continued legislative and cross-agency collaboration.
ID
Transcript Highlights:
- So instead of using the word “appropriate,” they want to use the word “budget.”
- By districts that are basically conscripting funds out of the budget.
- We don't want to balance the deficit; we want to balance the budget.
- We want to balance the budget.
- We have the ability to go and balance our own budget.
Summary:
The House convened with a quorum, approved the journal, and received messages from the Governor and Senate, including notice that the Governor signed House Bill 556 and that several enrolled House and Senate measures were transmitted for signatures or filing. The chamber also processed committee reports on a range of bills, including appropriations, agriculture, state affairs, and judiciary matters, and referred House Resolution 33 and later House Resolution 34 for printing. Several bills were returned to committee at the sponsors’ requests, including House Bills 649, 567, 627, 530, 903, 763, and 857.
A substantial portion of the meeting focused on concurrence with Senate amendments to House Bills 629, 678, 522, 684, 561, and 860. Members described the amendments as mostly friendly or technical, covering issues such as requiring a paper copy of vehicle registration, narrowing drone-related language and penalties, changing wording on sheriff recapture funding, adding the Basque Autonomous Community flag to the flag bill, and adjusting health-related provisions involving emergency treatment, drug/alcohol exposure, and rape-kit language. The House unanimously concurred in each case.
The most extended floor debate centered on House Bill 940, which revises the Idaho Digital Learning Alliance. Supporters said the bill would realign IDLA to its original purpose, curb duplicate use by districts and virtual schools, eliminate driver’s education and LaunchPad, and stop what they described as double-dipping or misuse of public funds. Opponents argued IDLA is an essential service for rural districts, homeschoolers, and students needing AP, dual credit, or courses unavailable locally, warning that the bill would cut access and harm small schools. After debate, the House suspended rules, considered the bill, and passed House Bill 940 by a vote of 48-22.
The House also debated Senate Concurrent Resolution 123, recognizing the International Year of Rangelands and Pastoralists. Supporters framed it as a tribute to Idaho ranching and rangeland heritage, while opponents objected to its connection to a United Nations initiative and raised sovereignty concerns. The resolution passed the House 39-28. Later, the House recessed and reconvened, received additional messages and committee reports, and began first reading of new bills including House Bills 944-951 and Senate Bills 1396-1398, with several measures referred to committees for further action.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Feb 23rd, 2026
Transcript Highlights:
- These would be things to explore as you're thinking about your budget priorities. Thank you.
- These would be things to explore as you're thinking about your budget priorities. Thank you.
- I don't think there's been very many allocations in the state budget.
- I don't think there's been very many allocations in the state budget.
- decisions of balancing the budget.
MD
Transcript Highlights:
- Supplemental Budget Number One affects previously estimated funds available for budget operations as
- to the Budget and Taxation Committee for incorporation into FY27 budget. the fiscal new year ending
- ><c> affects</c> Supplemental budget number one affects Supplemental budget number one affects previously
- </c> materials in the budget. materials in the budget.
- Uh Chair of Budget and Um all right. Uh Chair of Budget and Tax.
MO
Missouri 2026 Regular Session
Higher Education and Workforce Development Mar 31st, 2026
Higher Education and Workforce Development
Transcript Highlights:
- Our budget chair testified in budget.
- In the budget chair's bill, they essentially put the two-year— To inquire.
- In the budget chairs bill, they essentially put the two-year Thank you.
- Would we ever say, we promise not to cut your budget until '29? We'd never do that.
- There's still— There's still a budget year between now and then. It's not clear enough to me.
Summary:
The Committee on Higher Education and Workforce Development met in executive session and first took up House Bill 123, a higher education funding reform bill. Representative Black, the bill sponsor, explained a committee substitute that lowered the proposed scholarship benefit from full tuition to $5,000 per semester or the lesser of tuition, tied the scholarships to qualified higher education funding, and clarified that institutions must continue existing scholarship programs for top ACT/SAT students. He also said the substitute revised the performance-funding model to better reflect workforce needs, institutional outcomes, and higher education community feedback, while lowering the fiscal note.
Committee members asked about how the model would treat two-year versus four-year institutions, whether funding would be assigned individually or through a block approach, and whether the bill would prevent future funding reductions. The sponsor said the model uses different factors for two-year and four-year schools, would generally operate more like the current two-year funding approach, and would initially guarantee institutions at least the prior year’s funding unless all institutions are reduced proportionally. Some members expressed concern that this could limit legislative appropriations flexibility, while others said the proportional-reduction language preserved that power. The substitute was adopted, and House Committee Substitute for House Bill 123 was voted do pass by a roll call of 9 ayes, 0 noes, and 3 present.
The committee then voted House Bill 1627 do pass without discussion, passing it by a roll call of 12 ayes and 0 noes. The meeting then adjourned.
MN
Minnesota 2025-2026 Regular Session
House Republican Press Conference 2/12/25
Transcript Highlights:
- mechanism will be through the Minnesota Department of Health in a different allocation, and that budget
- It had, I think, a 90% increase from the 2023 budget going into 2024-2025, so this money was in the MDH
- > Health in a different allocation and Health in a different allocation and that<00:03:07.799><c> budget
- has more than doubled in the that budget has more than doubled in the last<00:03:10.040><c> two</c><
- from the 2023 budget going into 2024<00:03:15.959><c> 2025</c><00:03:16.959><c> so</c><00:03:17.280>
HI
Transcript Highlights:
- They're delayed, they're over budget, and sometimes they're terminated.
- Happy to answer questions about my office or our budget anyway. performance audits where we assess the
- </c><00:14:09.519><c> and</c><00:14:09.880><c> sometimes</c> they're over budget and sometimes they're
- over budget and sometimes they're<00:14:10.320><c> terminated</c><00:14:11.199><c> I</c><00:14:11.320
- anyway thank you very much okay budget anyway thank you very much okay thank<00:14:59.240><c> you</c
NH
Transcript Highlights:
- </c> our state's economy during the budget our state's economy during the budget process.<00:07:40.240
- </c> further strain family budgets? further strain family budgets?
- </c> for the budget that we're in. for the budget that we're in.
- It is in the budget for 2026-27.
- It is in the budget for 2627. done that. It is in the budget for 2627.
MN
Transcript Highlights:
- The topics will be very important as we get into our next budget discussions.
- budget budget implications<00:52:02.480><c> uh</c><00:52:02.760><c> uh</c><00:52:02.920><c> depending
- Our budget looks difficult to manage over the course of the next session.
- perspective but not only a a a budget perspective but not only a budget<00:53:10.720><c> perspective
- a budget that, you know, meets the needs of all of our students?
MA
Massachusetts 2025-2026 Regular Session
Status of Persons with Disabilities Jun 21st, 2026 at 11:00 am
Transcript Highlights:
- Because if we do, we continue to have an outsized impact on the budget.
- And the final thing I just want to say is that in the governor's budget, she pegged growth to what's.
- But the rest of MassHealth, we pretty much the large majority of the budget, we get FFP for all of the
- And an interesting note is in the House Ways and Means budget...
- I mean, maybe you could give us an update on what's happening in the federal budget. I'm not sure.
Summary:
The subcommittee met with MassHealth LTSS Chief Leslie Darcy to review the Personal Care Attendant (PCA) program and the legislative work group focused on its long-term sustainability and cost containment. Darcy and Charlie described the work group’s five meetings and three consensus recommendations: enforce the 66-hour overtime cap, address fraudulent activity in the PCA program, and eliminate MassHealth handling of PCA paperwork/administrative work for members without a live-in exemption because those members are subject to EVV. They explained EVV as an electronic visit verification system replacing paper timesheets, and noted the rollout is expected to be completed this fall. The group estimated about $7 million in savings from the consensus recommendations and agreed to continue meeting through June to consider additional ideas.
Darcy presented data showing the PCA program served about 56,000 members in state fiscal year 2024 and has grown from $1.2 billion in FY20 to $1.6 billion in FY24, with projections near $2 billion by 2027. She said much of the growth is driven by wage increases and older adults using more services, and compared PCA costs with other LTSS programs. The discussion also covered overtime spending, the role of federal financial participation, and how Massachusetts’ PCA program differs from other states because it has no hard caps on hours or activities. Several members emphasized the program’s value for independent living and community participation, while also acknowledging the need to control growth without undermining services.
Members asked about undocumented immigrants and MassHealth funding, and Darcy explained that some eligibility categories are state-funded only and do not receive federal matching funds. Another member asked about workforce recruitment and wage pressures; Darcy said recent collective bargaining agreements raised PCA wages, with some workers eventually reaching $25 per hour and the entry wage reaching $20. The group also discussed whether IADL hours are disproportionately high compared with ADL needs, and reviewed data suggesting potential savings if IADL hours were limited relative to ADL hours, though no consensus recommendation was made on that point. The meeting ended with approval of the prior minutes by roll call vote, an update that the next health equity informational hearing is scheduled for May 19, and a motion to adjourn carried unanimously.
MN