Transcript Highlights:

• permanent or long-term. permanent or long-term.
• <00:48:51.040> of more I'm more concerned in terms of more I'm more concerned in terms of
• Uh quali stands for a quality term.
• We're only, unless that long-term means they're on it long term, meaning they're on Medicaid long term
• Is it time limited? is that forever? Is it time limited?

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone. The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months. Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value. After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.

Transcript Highlights:

• be written and if we can agree to terms. be written and if we can agree to terms.
• We have testifiers here to speak... does uh limit it. It really belongs on a does uh limit it.
• cost to Minnesota taxpayers uh in terms cost to Minnesota taxpayers uh in terms of<01:21:46.719>
• <01:35:37.760> Medicaid to continue to serve long-term Medicaid to continue to serve long-term
• removing a sunset is a long-term removing a sunset is a long-term strategy<02:04:56.000> for<

Keywords: 1187, senate, all

Transcript Highlights:

• were even more harmful to my long-term were even more harmful to my long-term health<00:07:35.200
• /c><00:18:38.520> officers, Um in terms of sworn officers, Um in terms of sworn officers, let<
• That’s not good for their long-term health.
• So there's a limited set of benefits here.
• there's a limited set of benefits here. there's a limited set of benefits here.

Bills: HF3489, HF3393, HF3785, SF856, HF4006, HF4615, HF3919, HF4591, HF3682, HF4240

Keywords: grooming, child protection, student safety, sexual exploitation, educator licensing, teacher discipline, mandatory reporting, mandated reporter training, school misconduct, predatory offender, child abuse, sexual abuse, sex trafficking, child sexual abuse material, child pornography, position of authority, school employee, school administrator, license revocation, license suspension

Transcript Highlights:

• debed<00:25:34.679> said<00:25:34.960> but<00:25:35.200> in<00:25:35.320> terms
• of uh just the debed said but in terms of uh just the Irish<00:25:37.360> I<00:25:37.399>
• He said that in terms of controlling this mechanism of a gambling facility, it has to be under state
• <00:40:36.160> opportunities<00:40:37.160> Hawaii living and limited opportunities
• Hawaii living and limited opportunities Hawaii residents<00:40:38.000> seeking<00:40:38.440>

Keywords: 910, house, all

Summary: The House Committee on Economic Development and Technology heard testimony on several measures, including HB 671 on Native Hawaiian data tabulation, HB 639 on AI chatbot disclosures and consumer protection, HB 1391 on a proposed Hawaii/Irish trade commission, HB 1361, HB 1384 on an AI advisory council, HB 1292, and HB 1308 on online sports wagering. Testimony on HB 671 focused on clarifying how Native Hawaiian categories should be defined for data purposes, with Eugene Tian noting Census data can tabulate Native Hawaiians alone but not those in combination with other races without special tabulation. HB 639 drew support from DCCA’s Office of Consumer Protection, which said the bill should advance but may need amendments to align with existing consumer protection law and preserve OCP enforcement authority. HB 1384 received support from ETS, which said an AI advisory council would help establish governance and standards for state AI use. HB 1391 drew comments in support from DBEDT and one testifier who urged a broader U.S./Hawaii/EU framing rather than a bill focused on Ireland. HB 1361 was heard with no testimony in the excerpt, and HB 1292 received support from the Hawaii Community Development Authority and opposition from HGA, which warned the measure could open the door to privatizing or outsourcing government services. HB 1308 drew extensive testimony both for and against, with supporters arguing legalized online sports betting could generate revenue for education, housing, health care, child care, and problem gambling treatment, while opponents raised concerns about regulation, oversight, and the social impacts of gambling. Supporters included BetMGM, DraftKings, and the Iron Workers Stabilization Fund, while the Department of Taxation and Office of Information Practices also provided comments. The committee then moved into decision-making and adopted the chair’s recommendations to pass HB 671, HB 639, HB 1391, and HB 1384 with amendments, while HB 1361 and HB 1292 were deferred. For HB 1308, the chair outlined a substantial HD1 with changes including limiting the bill to internet-connected mobile or digital wagering platforms, shifting regulatory responsibility from DBED to DCCA, adding confidentiality language tied to UIPA, and using committee notes to reference other states’ tax percentages and agency testimony; members discussed the need for guardrails, and one member changed from a no vote to reservations, but the excerpt ends before the final vote is shown.

Transcript Highlights:

• This is not just an investment in affordable housing; it's an investment in long-term stability for our
• From now on, we will limit each testifier to 2 minutes so that we can get through all our work.
• At least, or worse, being pressured or bullied to agree to leave earlier than their lease term.
• These communities face financial challenges that limit their long-term stability.
• Lastly, it ensures long-term affordability. Community stability.

Bills: HF1143, HF1548, HF1340, HF2549, HF2559, HF1673, HF2740, HF2507, HF2461, HF2381, HF2695

Keywords: education funding, unemployment aid, special education, Minnesota statutes, appropriations, housing, redevelopment, local government, trust funds, community development, HF1340, housing infrastructure bonds, Minnesota Housing Finance Agency, MHFA, affordable housing, supportive housing, permanent housing, adaptive reuse, area median income, AMI

Transcript Highlights:

• Because if you look, there's no limit.
• Because if you look, there's no limit.
• This is my third term on the Athletic Commission.
• I did not know really what that term even meant.
• I did not know really what that term even meant.

Bills: HB2933, HB3041, HB3048, HB3081, HB3297, HB3338, HB3673, HB3790, HB3983, HB4105, HB4139, HB4203, HJR1023

Keywords: insurance regulation, homeowner claims, premium discounts, catastrophe mitigation, civil penalties, credit card transactions, payment methods, service charge, consumer rights, financial regulation, insurance, nonadmitted insurers, surplus lines, Oklahoma, fire extinguisher, licensing, public safety, age qualification, State Fire Marshal, towing services

Summary: The Business and Insurance Committee considered a long agenda of bills and executive nominations. Among the bills, it advanced measures to update fire extinguisher industry age restrictions and application rules (HB 381), create a five-day cancellation right for homeowners after severe storm-related contracts (HB 3790), require a biennial workers’ compensation medical fee schedule update (HJR 1023), create the Oklahoma Home Services Act to standardize home service contract disclosures (HB 4139, amended to correct a wording error), cap surcharge fees and add a career tech exemption (HB 3041), create the Oklahoma Tolling and Recovery Board (HB 3297), allow expired electrical contractor licenses to be reinstated without re-examination (HB 3673), clarify who is not a security guard for licensing purposes (HB 4105), create a licensing framework for in-ground pool contractors effective November 1, 2027 (HB 3338), and streamline surplus lines insurance procedures and premium tax enforcement (HB 3048). One bill on smokeless tobacco taxation (HB 3983) drew extended debate over whether a weight-based tax would be fairer and revenue-neutral; after questions about health impacts, reporting, fraud concerns, and inflation, the bill failed to receive a second and was left in committee. HB 3041 also drew significant debate over whether it would effectively allow higher credit card surcharges, but it ultimately passed 5-4. The committee also heard numerous executive nominations, all of which were approved and sent to the full Senate. Those included Michael Stop and Michael Bauer to the Oklahoma State Athletic Commission, Michael Cantrell and Burrell Sears to the Oklahoma Abstractors Board, Richard Willoughby to the State Board of Licensure for Professional Engineers and Land Surveyors, E. Keith Mitchell and Andrew Revelis to the ABLE Commission, Jackie Ward to the alarm, locksmith, and fire sprinkler industry board, Terence Shreve to the Used Motor Vehicle Dismantler and Manufacturer Board, and Adra Berry as Cabinet Secretary of Licensing and Regulation. Nominees generally described their professional backgrounds and commitment to public safety, regulation, or industry expertise, and several senators spoke in support of their service. Most nominations passed unanimously or near-unanimously.

Transcript Highlights:

• >> in terms of a policy, what are the big >> in terms of a policy, what are the big uh<00
• of working out some more information on this. in terms of uh work teasing out some in terms of uh work
• Uh, as opposed to the current limit of 30. I'm not sure that 30 is the correct limit.
• describing what term is in in terms of describing what parts<04:40:26.240> of<04:40:26.400>
• didn't see the term egg washing in here. didn't see the term egg washing in here.

Keywords: 1189, house, all

Transcript Highlights:

• I'm trying not to limit some of that.
• maintenance and even with limited maintenance and even with limited service<00:38:22.520> that's
• So maybe the solution does involve bus replacement in the short term, but that doesn't mean we ought
• So maybe the solution does involve bus replacement in the short term, but that doesn't mean we ought
• So maybe the solution does involve bus replacement in the short term, but that doesn't mean we ought

Keywords: 1183, house

Transcript Highlights:

• of income limits or measure of need. of income limits or measure of need.
• <00:37:53.840> of will present um in terms of will present um in terms of administration.
• That was about our limit.
• Um so if of That was about our limit.
• > stewardship, encourage long-term forest stewardship, encourage long-term forest stewardship,

Bills: HF4906, HF3971, HF4777, HF2109, HF2988

Keywords: property tax, tax refund, taxpayer relief, Minnesota taxation, one-time payment, taxation, property valuation, Tax Court, evidentiary standards, Minnesota Statutes, disparity reduction, aid payments, local government, funding, Fillmore County, education funding, managed forest land, classification, forest management plan, agricultural land

Summary: The committee first approved the April 9 minutes, then took up House File 2988, which would extend for eight more years a sales tax exemption tied to Minnesota State High School League tournament ticket revenue that is funneled into the league’s foundation and returned to schools as grants. Chair Youakim and Executive Director Eric Martins said the program sends more than $1.1 million annually back to schools for activity fee reductions, scholarships, coaching and training, AEDs, late buses, and other school needs, with over 98% of funds going directly to schools. Representative Huot and others spoke in support, while Representative Robinson questioned the structure and suggested the state could instead simply reduce ticket prices and not tax the tickets. The committee laid HF 2988 over for possible inclusion in the omnibus tax bill. The committee then heard House File 4906, as amended, which would create a one-time property tax refund in calendar year 2026 for owners of residential homesteads and the homestead portion of agricultural property, funded by a $4 billion appropriation in fiscal year 2027. The bill includes a clawback for delinquent taxpayers and offsets to ensure no one receives more in property tax refunds than they paid. A House Research staffer said the Department of Revenue viewed the refund as potentially taxable, while House Research said it likely should be treated as a recovery of prior taxes, and the two would follow up. The bill was introduced with testimony from Eric Bernstein of We Make Minnesota and Nan Madden of the Minnesota Budget Project, both of whom opposed it, arguing it would create a large budget hole, force future cuts, and disproportionately benefit homeowners while excluding renters and lower-income Minnesotans. Several members also raised concerns. Representative Hewitt said the state should prioritize public safety, rural EMS, and safety-net hospitals rather than a large rebate, and Representative Youakim argued the money would be better spent on longer-term property tax relief and education funding. Representative Hollins said the proposal would worsen racial and wealth inequities because homeownership is lower among communities of color and renters would get nothing. In response, the author and supporters said the bill is meant to put money back into people’s budgets and that individuals should be able to decide how to use their own money. The discussion continued with questions about the bill’s size and fiscal impact, but no final action on HF 4906 was taken in the portion provided.

Transcript Highlights:

• ><01:26:43.280> very<01:26:43.600> modest the limit of savings very modest the limit of
• You know, we're very different from MVTA in terms of our customer service ratings, in terms of what we've
• > we've<01:29:21.280> been ratings, in terms of um, what we've been ratings, in terms of
• 57.600> various<01:42:57.840> terms.
• There are defining the various terms.

Bills: HF3676, HF3593, HF3785, HF3774, HF4111, HF3513

Keywords: Safe at Home, address confidentiality, domestic violence, sexual assault, stalking, harassment, victim privacy, survivor protection, confidential address, protected address, secret address, identity protection, residential confidentiality, program participant, nondiscrimination, court disclosure, protective order, service of process, driver's license, state ID

Transcript Highlights:

• For the first time in history, we have a long-term ...and delivering it to us.
• and trying to get to a point towards long-term services for those that are out there.
• Longstanding data limitations make it difficult to know the true impact.
• That's actually really limited.
• We're fighting for one-time funding and for long-term ongoing funding to combat these problems.

Summary: The joint Assembly Health and Select Committee on Native American Affairs held an oversight hearing on AB 988, California’s 988 crisis line and mobile crisis response system, followed by a discussion of suicide prevention and intervention in California Indian communities. Members and witnesses repeatedly emphasized that AB 988 was intended to create a true alternative to 911 for behavioral health crises, with “someone to call, someone to come, and somewhere to go,” and that Native communities continue to face disproportionately high suicide rates and barriers to culturally responsive care. The first panel of call center and stakeholder witnesses largely argued that implementation is falling short of the law’s intent. They said 988 call centers are underfunded, text/chat answer rates remain far below call answer rates, staffing is strained, and the system still lacks meaningful statewide interoperability between 988 and 911. Several witnesses said mobile crisis teams are not being dispatched through 988 as envisioned, and that funding formulas and governance are too opaque. San Joaquin County was presented as a local success story, with integrated 988, access lines, and mobile crisis handoffs that have reduced reliance on emergency departments and involuntary holds. Witnesses also discussed the need for better tribal outreach, the role of CCBHCs, and the importance of culturally competent services. State officials from CalHHS and DHCS described the five-year 988 implementation plan, the current governance structure across multiple agencies, and efforts to support training, public awareness, and referral tools. They reported growth in 988 contacts, ongoing training with the Trevor Project, a statewide resource directory, and a tribal awareness campaign. DHCS also outlined proposed trailer bill language that would create a formal designation process for 988 centers, set statewide standards, and require existing centers to obtain designation by 2029. Officials said current funding includes SAMHSA grants, block grant dollars, and an expected $67.3 million from the 988 fund in the next budget year, with a large share earmarked for Medi-Cal mobile crisis services. No formal vote or committee action was taken in the portion of the hearing provided.

Transcript Highlights:

• , you're going to need some shorter term, you're going to need some some<00:40:47.760> short-term<
• And we have a limited research infrastructure already.
• <00:45:37.599> uh that as well and we have a limited uh that as well and we have a limited
• take care of these patients long term. take care of these patients long term.
• outcomes uh long term after surgery. outcomes uh long term after surgery.

Keywords: 1187, senate, all

Transcript Highlights:

• <00:27:49.640> of difficult prioritization in terms of difficult prioritization in terms of
• well let's sa that we we have limited well let's sa that we we have limited time<01:21:56.159>
• and years of service limits, right.
• And 40... and that's why you hear their age limits and that's why you hear their age limits and<01:44
• The response was that, in terms of expenses, these cases may be cheap per case in terms of not having

Keywords: 928, house, all

Summary: The committee held a work session on the Department of Business and Economic Affairs’ budget, with testimony from division leadership on staffing, funding sources, and program changes. Early discussion focused on vacant positions in the agency, including a senior planner tied to FEMA requirements, a federally funded program assistant, a program specialist to be reclassified during a planning reorganization, and two Housing Champions positions that were authorized but not funded in the current biennium and are requested for 2026-27. The witnesses also explained that temporary welcome center positions are filled as funds allow, and that the agency’s requested general fund increase is driven largely by the Division of Travel and Tourism Development and its formula-based funding. Members then reviewed rest areas, welcome centers, outdoor recreation, economic development, procurement, and workforce opportunity lines. The department said there are 12 rest areas, with 5.8 million foot counts in FY 24, and that welcome centers are generally open year-round, though Sutton is currently closed and staffing relies on a mix of full-time and temporary employees. The outdoor recreation position is federally funded through USDA and supports business outreach, trade shows, and industry promotion. In economic development, the agency said increased dues reflect participation in the Northern Borders Regional Commission, and that a marketing line item is intended to support recruitment and promotion of growth industries such as advanced manufacturing and life sciences. The Apex Accelerator Program was described as a state-federal partnership requiring a state match and providing government contracting assistance to businesses, while the Office of Workforce Opportunity was explained as a federally funded WIOA-related effort administered through multiple agencies and subrecipients. A major point of discussion was the proposed reduction to the Small Business Development Center, which members said had generated significant public concern. The department described SBDC as a highly effective technical assistance program for new and small businesses, but said the cut was one of the few places it felt it had room to reduce funding. Members asked about federal support and matching requirements for various programs, and the department said less than half of its overall budget is generally funded by the state and that some programs require state match. The committee also discussed travel and tourism marketing and the Joint Promotional Program, with the department saying those funds support broader advertising campaigns and grants to chambers and trade associations for events such as Bike Week, Restaurant Week, and the Seafood Festival. No votes were taken during the work session.

Transcript Highlights:

• For further legal clarity, it also reinstates the ability to collect loss of use coverage in very limited
• This bill would allow the common law practice of collecting in those very limited circumstances for the
• This bill would allow the common law practice of collecting in those very limited circumstances for the
• They pose very limited risk, if any, at all, to the water system by backflow, first, by limited volume
• In fact, today’s laboratory detection limits can analyze to one part per billion.

Summary: The committee met in hybrid format, approved the minutes from June 24 and June 25, 2026, and then heard several bills and a resolution. On House Bill 382 with House Amendment 2, sponsored by Rep. Lynn and Sen. Hocker, the sponsor said the bill makes technical corrections to Delaware’s rental car and peer-to-peer car sharing laws after concerns raised following HB 209, clarifies when loss-of-use damages may be recovered, and preserves recovery for intentional, willful, or criminal conduct. Avis Budget Group and Enterprise Mobility supported the bill, while Allstate Insurance and Toro opposed it, arguing the measure could reintroduce unfair fees and leave too much discretion to rental companies; Sen. Townsend also said he wanted more clarity on how the bill would operate. No vote was taken in the transcript. The committee then considered House Bill 476, a Frederica charter change sponsored by Rep. Postals and Sen. Buckson. The bill would reduce town council meetings from twice monthly to once monthly and make ordinances effective immediately unless otherwise stated. Members asked why the Senate sponsor was absent and noted the bill requires a two-thirds vote, but no public comment was offered and no action was recorded. The committee also heard House Joint Resolution 13, sponsored by Sen. Sturgeon and Rep. Barry, which directs the Department of Labor to study a Delaware health care apprenticeship degree program to help address workforce shortages. The Delaware Health Care Association supported the resolution and urged coordination with existing workforce efforts; no opposition was presented and no vote was recorded. Finally, the committee heard House Bill 458 with House Amendment 1, sponsored by Rep. Lynn and Sen. Pardee, concerning backflow devices in low-hazard buildings. Sen. Pardee said the bill would exempt residences and office-type buildings from costly retrofits, while DHSS said the current regulation does not clearly define low-risk buildings and the bill’s list would not create immediate public health concerns until regulations are updated. The Delaware Association of Realtors supported the bill, saying the regulation is overly broad and expensive, while the Delaware Rural Water Association opposed it, warning that backflow prevention is important to protect aquifers and drinking water. The meeting ended with adjournment after public comment and no recorded votes in the transcript.

Transcript Highlights:

• It caps the home equity limit for MA eligibility for long-term care at $1 million starting in 2028.
• :26.320> long-term<00:16:26.800> care<00:16:27.120> at um MA eligibility for long-term
• <00:21:22.799> the confusion um, by not limiting the confusion um, by not limiting the exemptions
• <00:38:09.839> only service population or is it limited only service population or is it limited
• It's a best will be limited to that.

Keywords: 919, house, all

Summary: The committee took up House File 4466, the sub health supplemental budget bill, and moved it to the Ways and Means Committee after a walkthrough of the fiscal spreadsheet and the DE1 amendment. Nonpartisan staff explained that the bill produces general fund savings of about $2.4 million in FY27 for the 2026-27 biennium and about $97.7 million in the next biennium, with most savings tied to HR1-related Medical Assistance changes affecting adults without children. The Department of Health provisions were described as largely cost-neutral, with some increases for implementation, data, and IT work. Staff then reviewed the DE1, which combines several bills into four articles. The bill includes health licensing board changes, Department of Health provisions such as all-payer claims database fees, newborn screening fee exceptions, loan forgiveness and scholarship program extensions, workforce shortage grant changes, and reciprocal licensure and mortuary science provisions. The federal conformity article makes changes related to MA work and community engagement requirements, six-month renewals, retroactive eligibility limits, contact information updates, cost sharing for MA expansion enrollees, and related provider tax and disability-notice provisions. Article 4 and Article 5 were described as forecast adjustments for DHS and the Department of Children, Youth, and Families. Public testimony focused largely on the federal conformity and eligibility provisions. Legal aid testified that the work requirements and retroactive eligibility changes would be confusing, could expand requirements beyond intended groups, and would increase uncompensated care. The Minnesota Hospital Association said shortening retroactive eligibility would increase uncompensated care and strain hospital finances, and Unidos Minnesota criticized the immigrant eligibility changes as harmful to lawfully present immigrants and Native communities. Blood Cancer United supported the all-payer claims database provisions and urged attention to fertility coverage. Representative Elkins offered an amendment to add $55,000 for the Department of Health to include denied-claims data in the all-payer claims database; Department of Health staff said the idea was useful and provided a one-time setup cost, but the amendment was not acted on in the portion of the transcript provided.

Transcript Highlights:

• We had many businesses that were shut down, not only for the interim but for long term.
• The chair reminded everyone that discussion was limited to the military aspects of the bill and asked
• Last term, I was really excited about this and really excited about the project that you're doing.
• <01:11:04.440> psychological led to long-term psychological led to long-term psychological
• harming to their career in the long term harming to their career in the long term it's<01:15:38.440

Keywords: 1183, house

Transcript Highlights:

• It would improve early detection of celiac disease, reduce long-term health consequences, and support
• Is there some of that happening here over the years or in terms of trying to get things.
• The first was the term “wasting thighs.”
• He used this term to describe the thinning, weakening, and loss of muscle mass on her legs.
• It can result in long-term health problems.

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on four bills: H. 5013 and S. 2928, which would establish a three-year celiac disease screening pilot program for children during routine cholesterol/lipid screening at ages 8 to 12; H. 5087, regulating medical spas; and H. 5115, establishing statewide food truck regulations, though the transcript focused almost entirely on the celiac and medical spa bills. For the celiac proposal, Rep. Badger and Sen. Lovely described long diagnostic delays, the lack of a cure, and the potential for a simple blood test to identify children earlier and reduce long-term harm. Multiple patients, clinicians, and researchers supported the pilot, saying celiac is frequently missed because symptoms vary widely or are absent, and that early detection could prevent malnutrition, growth problems, osteoporosis, and other complications. Testifiers also emphasized that the bill would study feasibility, accuracy, cost, and acceptability, and would include family education and support resources if diagnoses are made through the program. Several experts and advocates backed the celiac screening pilot, including a pediatric gastroenterologist from Italy who described successful national screening efforts there, a Celiac Disease Foundation representative, pediatric gastroenterologists from Massachusetts and Colorado, a pediatric dietitian, and a parent whose child was diagnosed after severe malnutrition. They argued that routine screening alongside existing pediatric bloodwork could identify many undiagnosed children and improve health equity, since celiac disease is often overlooked in people of color and lower-income patients. Committee members asked about how the screening would work, and witnesses explained it could begin with a blood test, followed by confirmatory endoscopy if needed. No vote was taken in the hearing. On H. 5087, witnesses from the medical aesthetics industry largely opposed the bill as written, saying it was outdated, redundant with existing Massachusetts licensing and board oversight, and too restrictive for nurse practitioners, physician assistants, and other licensed providers. Testifiers, including a retired lobbyist, a nurse practitioner, a PA, a plastic surgeon, and a clinic owner, said the bill could reduce access, raise costs, and push care into less regulated settings, while not addressing the real issues of training, compliance, and patient safety. Committee members pressed for more specific feedback on what provisions were unnecessary or duplicative, and witnesses said they had submitted position papers and written testimony identifying conflicts with current law. The hearing ended with the chair noting that all oral and written testimony would be reviewed before any decisions are made.

Transcript Highlights:

• And today we are hosting the Long-Term Services and Supports and Health Equity Subcommittee.
• The group recommended creating a seven-hour upper limit for meal prep support.
• That's a weekly limit, so an hour a day. That will save $28 million.
• So are you saying that this does not apply to people with disabilities in terms of redetermination for
• Does not require us to cover sits in long-term services and supports.

Keywords: 995, all

Summary: The subcommittee opened with roll call and approved the November 2025 minutes. Commissioner Charlie Carr then introduced Leslie Darcy, chief of LTSS at MassHealth, who provided an update on the PCA working group and on federal and state budget pressures affecting MassHealth and long-term services and supports. Darcy said the PCA working group had completed its work and submitted recommendations, including reinstating the 66-hour overtime cap, strengthening program integrity, and ending paid paperwork time for EVV users; she said those changes were implemented on 11/26 and were expected to save $7.4 million. She also described additional consensus recommendations to lower the overtime cap from 66 to 60 hours, create a seven-hour weekly meal-prep support limit, and continue exploring benchmarks, though the group could not reach consensus on a benchmark standard. Darcy warned that a federal bill enacted about six months earlier would significantly affect MassHealth, with an estimated $3.5 billion loss to the Commonwealth by 2028. She outlined upcoming changes including revised immigrant eligibility rules in October 2026, work requirements for certain non-disabled adults beginning in January 2027, six-month redeterminations for some adults, and shorter retroactive coverage periods. In response to questions, she said people with disabilities and Medicare beneficiaries would be exempt from the work and six-month redetermination requirements. She also explained that reduced federal ACA subsidies were being offset in Massachusetts by state spending, including $250 million in additional state support to keep premiums lower for middle-income families. Members raised concerns about community hospitals, the health safety net, and the impact of federal funding changes on provider rates and uncompensated care. Darcy said restrictions on provider taxes would limit MassHealth’s ability to use those revenues to support rates, and she noted a current $300 million shortfall in the health safety net. She said FY27 would likely include a rate freeze, targeted reductions, one-time budget measures, and further work groups to examine programs such as adult foster care, which she said had grown 40% in two years. Carr emphasized that the situation was serious but potentially fluid, and the meeting ended with no further business; the subcommittee agreed to adjourn before the next meeting and noted an upcoming February presentation from the Department of Public Health.

Transcript Highlights:

• HAVE YOU DONE ANY ANALYSIS IN TERMS OF WHAT ECONOMIC BURDEN THIS WOULD BRING IN BUSINESS IS SMALLER.
• IT IS A SHORT-TERM GAIN FOR A LONG-TERM PROBLEM I'M SURE YOU CAN SEE.
• >> I DIDN'T KNOW THERE WAS A TIME LIMIT. THIS PROBABLY WASN'T CAUSED BY MOST OF US.
• TYPICALLY WHAT I WILL DO IS HISTORY BECAUSE OF TERM LIMITS MANY ARE NOT HERE.
• BUT CAN'T SPEND, DEPRESSION, WHATEVER ECONOMIC TERM YOU WANT TO USE.

Transcript Highlights:

• We'll look in there, and my term for it is we treat it like it's a dirty diaper.
• Another issue was the Secretary of State's on the limited-term driver's license.
• Then when it came to the limited-term driver's license, last year that advisory saying that pretty much
• They said Advisory 20-2430 pretty much said that you needed to remind a voter with a limited-term driver's
• I don't see any parameters that would limit the complaints that an individual can make or limit the topics

Summary: The committee heard House Bill 3709, which would change the partial manual audit process so early voting could be audited by voting location rather than by randomly selected precincts. The author and several supporters said the current precinct-based process is antiquated, labor-intensive, and especially difficult in countywide voting systems and large counties. Opponents and some neutral witnesses raised concerns about whether the change would still allow an apples-to-apples audit against official precinct results, whether random selection procedures should be more clearly defined, and how ballot secrecy and mail ballots would be handled. The Secretary of State’s office said counties already use random selection methods and that the bill would largely standardize early voting audits with election-day procedures, while also noting ballot privacy issues can arise in public records requests. After testimony, the bill was left pending. The committee then took up House Bill 766, as substituted, which would require precinct chair applicants to provide an email address, phone number, or both, while making that contact information confidential. Supporters said the change would help parties and local officials contact applicants more efficiently. Opponents argued it could expose personal contact information to public records requests and harassment, and some suggested the information should instead be handled through party rules. The bill was left pending after the committee substitute was withdrawn. House Bill 3775 followed and would set clearer timelines for when early voting ballot boards may begin opening carrier envelopes, with different start times based on county size. Supporters said the bill would address counties opening ballots too early and improve ballot security, while opponents warned it could delay defect notices and cure opportunities for mail voters and create problems in large counties that process high volumes of ballots. Testimony also focused on whether the bill referred to carrier envelopes or secrecy envelopes and on how counties like Harris County currently image and secure ballot materials. The bill was left pending. Finally, the committee heard House Bill 4275, which would require countywide polling systems to have polling places in each election precinct, intended to address uneven distribution of polling locations across county commissioner precincts. Supporters said the bill would make polling place distribution fairer and more consistent, especially in Harris County, while opponents said it would undermine countywide voting, increase costs, require more equipment and staff, and reduce local flexibility. Several witnesses also raised concerns about ballot secrecy and the practical burden on large and rural counties. The bill remained under discussion as testimony continued.