Transcript Highlights:

• And Elizabeth Watts, People with Disabilities.
• I have dedicated my life to the field of developmental disabilities.
• I have dedicated my life to the field of developmental disabilities and currently serve as administrator
• Like anyone facing cancer, Lena is frightened, but when you add a developmental disability, the fear
• Nicholas, we work with children with autism and other developmental disabilities, and we sit with exhausted

Summary: The committee met for public testimony on the Finance budget, with the main discussion focused first on funding for disability services and then on the LA GATOR scholarship program. Several individuals testified in support of fully funding Families Helping Families and Louisiana Rehabilitation Services (LRS), describing how advocacy, transition services, and direct support workers help people with disabilities access education, employment, and independent living. Witnesses urged the committee to preserve or increase state general funds to draw down federal matching dollars, and provider groups said current reimbursement rates and staffing shortages are leaving agencies in deficit, creating waitlists, overtime costs, and difficulty retaining workers. Committee members thanked the speakers and noted that the testimony would be used to compare the governor’s, House, and remaining budget requests. The committee then heard extensive testimony in support of increasing funding for the LA GATOR scholarship program. Supporters included policy groups, school leaders, parents, and students who argued that the program expands educational choice, helps low-income and special-needs students find schools that fit their needs, and should be fully funded at the level of demonstrated demand. Speakers from Catholic and Christian schools said GATOR funding had helped students thrive academically and spiritually, but that shortfalls left many eligible students without awards, hurt kindergarten enrollment, and forced schools to raise private donations to cover gaps. Several witnesses emphasized that the program is not a zero-sum attack on public schools, but a way to let education dollars follow students. A few committee questions focused on the fiscal impact and on whether choice programs improve outcomes without harming public schools. Testimony cited enrollment growth, parent demand, and data from other states to argue that school choice can improve student and parent outcomes and may also strengthen traditional public schools through competition. No votes or formal actions were taken during the public testimony portion of the meeting.

Bills: S0050, S0054, S0176, S0178, S0198, S0290, S0420, S0502, S0538, S0706, S0834, S0936, S0962, S1004, S1080, S7022

Keywords: veterans, treatment court, nonviolent felony, probation, mental health, cognitive function, psychotropic drugs, violent offenders, autopsy procedures, medical records, school safety, campus safety, higher education, university safety, college safety, student safety, threat assessment, violence prevention, credible threat, campus security

Summary: The committee heard and advanced several bills, beginning with CS for CS for SB 54, which requires district medical examiners to perform toxicology screenings for psychotropic drugs and intoxicating substances in autopsies of violent offenders and report findings to state agencies. It was reported favorably after brief discussion about how the data would be used. CS for SB 176 also passed, requiring public postsecondary institutions to make campus safety reporting and response procedures clearer and more accessible for students, faculty, and staff who receive threats. Both bills were approved without opposition in the meeting. The committee then took up the large Florida Farm Bill, CS for CS for CS for SB 290, which drew extensive testimony and multiple amendments. The bill includes changes to fair associations, a preemption on local restrictions affecting gas- and diesel-powered farm equipment, surplus of certain state-owned lands for agricultural use, a food animal veterinary loan repayment program, permanent authorization for Farmers Feeding Florida, expanded Florida Forest Service training, a ban on signal jamming devices, tougher CDL English-proficiency penalties, protections for food safety inspectors, biosolids provisions, and contractor payment enforcement. Amendments expanded veterinary loan eligibility to equine veterinarians, merged citrus research entities, made technical corrections, and revised contractor payment language; a late-filed amendment removed the bill’s disparagement clause after significant First Amendment concerns and public testimony. A separate amendment delayed biosolids compliance deadlines. The bill was reported favorably as amended. Also approved were CS for CS for SB 834, which repeals a restriction on health care sharing ministries partnering with licensed insurance agents, while adding a disclaimer requirement; SB 936, allowing temporary door locking devices at any height above the floor and directing the Building Commission to add standards to the code; and CS for SB 50, expanding veterans’ courts statewide. Later, CS for CS for SB 1004 advanced with a strike-all regulating dog and cat sales, requiring disclosure of medical records and financing terms, a three-day waiting period for financed purchases, and consumer protections against deceptive pet sales; an amendment removed an appropriation section. The committee also approved CS for CS for SB 178, which directs the FHSAA to adopt rules allowing coaches to provide limited good-faith support to student-athletes, and CS for CS for SB 198, regulating virtual currency kiosks with registration, warnings, transaction limits, receipts, and refund protections. Each of these bills was reported favorably by recorded vote.

Transcript Highlights:

• Disabilities Group Home Monitoring Program and the stipulation that the Department of Economic Security's
• I'm the CEO for Disability Rights Arizona.
• Approximately six years ago today, a young woman with a disability was raped and became pregnant as a
• group homes was because group homes are the second largest living environment for people with disabilities
• Afterward, she no longer demonstrated age-appropriate behaviors or developmental progress.

Bills: SB1051, SB1114, SB1115, SB1122, SB1132, SB1162, SB1169, SB1171, SB1172, SB1173, SB1174, SB1175, SB1179, SB1188, SB1233, SB1236, SB1242, SB1316, SB1368

Keywords: SB1051, Arizona hospitals, immigration status, patient intake, admission forms, registration forms, health care reporting, uncompensated care, emergency department, lawfully present, undocumented immigrants, noncitizen patients, hospital funding, Arizona Department of Health Services, ADHS, border security, health care institutions, patient privacy, medical access, immigration policy

Summary: The Health and Human Services Committee approved the January 21 minutes and then heard a series of bills focused on developmental disabilities oversight, behavioral health fraud, AHCCCS operations, child safety, and state hospital capacity. SB 1179 would make the Developmental Disabilities Group Home Monitoring Program permanent and remove the appropriations contingency; Disability Rights Arizona and program managers testified that Commit had identified systemic care problems, while the sponsor said the work should continue. The bill received a 6-1 do-pass recommendation. SB 1114 would appropriate $1 million to the Maricopa County Attorney’s Office for behavioral health patient brokering investigations; Native advocates described widespread recruitment and exploitation of vulnerable people, especially Native Americans, and the bill passed 8-0. SB 1115 would prohibit AHCCCS from allowing remote work for Access employees; the sponsor argued in-person oversight was needed, while AHCCCS warned of space and staffing problems. It passed 4-3. SB 1051 would require hospitals to collect and report patients’ citizenship or immigration status for cost accounting; supporters called it a data-collection measure, while nurses and physicians said it would create fear and deter care. It passed 4-3. SB 1122, as amended, would replace prior authorization with 100% prepayment review for certain behavioral health services under the American Indian Health Plan, and passed 7-0 after AHCCCS said it had worked on the amendment. SB 1132, to appropriate unspecified funds for a new Arizona State Hospital wing, drew testimony from families and advocates describing severe shortages of state hospital beds and the need for more long-term treatment capacity; it passed 7-0. SB 1169, to fund graduate medical education and a new residency program, passed 6-0. SB 1171, requiring AHCCCS to check for dual enrollment in exchange plans and AHCCCS, passed 4-2-1 after AHCCCS said implementation would require system changes and costs. SB 1172, requiring more experienced DCS investigators for repeated abuse/neglect reports and court notification of hotline calls in dependency cases, passed 7-0. SB 1173, requiring behavioral health facility applicants, owners, and licensees to be U.S. citizens or lawfully present permanent residents with fingerprint clearance cards, passed 4-3 after an amendment clarifying the lawful-presence requirement.

Transcript Highlights:

• <00:02:14.440> and have broadband or had a disability and have broadband or had a disability
• disability services.
• <00:09:02.360> disability<00:09:03.120> services funded developmental disability services
• funded developmental disability services and<00:09:05.000> the<00:09:05.120> housing<00
• <00:09:29.800> disability Medicaid funded developmental disability Medicaid funded developmental

Keywords: 926, house, all

Summary: The House first took up S. 298, the Vermont Voting Rights Act. Members explained the Senate’s further proposal of amendment, including changes to language about how the State Ethics Commission may respond to ethics inquiries, a directive for the Secretary of State and Ethics Commission to work out a shared process for the candidate financial disclosure form by January 30, and a technical PAC-related wording change. The committee reported an 11-0-0 vote in favor, and the House concurred in the Senate proposal of amendment. The chamber then suspended rules to take up S. 328, the omnibus housing bill, and heard detailed committee reports from General and Housing, Ways and Means, and Appropriations. The bill addresses common interest community resources, a service-supported housing advisory council, expansion of the 10% for Vermont program to 12.5%, an off-site construction accelerator pilot, VHFA’s rental housing revolving loan program, special assessment districts, municipal housing planning requirements, and several reports on housing-related issues. Ways and Means described revenue impacts from the cash-balance expansion and revised the off-site construction pilot and loan program language; Appropriations removed a section already included in the budget and adjusted advisory council per diem funding. The House adopted the amendments, ordered third reading, suspended rules to place the bill in all remaining stages, passed it in concurrence with proposal of amendment, and messaged the action to the Senate forthwith. The House then suspended rules to take up S. 197, relating to payment reform for primary care. The House Health Care Committee recommended a strike-all amendment, saying the health care system is in crisis, premiums are rising, access to primary care is limited, and clinicians are burdened by documentation and administrative work. The committee vote on its amendment was 10-0-1, and the bill was also referred to Ways and Means and Appropriations because of fiscal implications. The transcript cuts off as the House was beginning consideration of the bill.

Bills: SB137, SB372, SB1209, SB1226, SB1256, SB1303, SB1595, SB1636, SB1772, SB1827, SB1876, SB1944, SB2072, SB2104, SB2180

Keywords: electronic monitoring, Department of Corrections, criminal justice, rehabilitation, public safety, SB372, firearms, gun rights, lawful carry, concealed carry, open carry, handgun license, Oklahoma Self-Defense Act, weapons policy, gun law, school safety, private school, public school, college campus, university campus

Transcript Highlights:

• achievement center called ERDAC that exists solely for the benefit of people with developmental disabilities
• They have traumatic brain injuries, other developmental disabilities.
• disability folks lose their employment. disability folks lose their employment.
• people with developmental disabilities. people with developmental disabilities.
• , other developmental injuries, other developmental disabilities.<00:44:02.079> Many<00:44:02.400

Keywords: 1183, house

Transcript Highlights:

• The total number of students with disabilities was 441,112.
• Individuals that work with our students with disabilities.
• Certain populations will not even admit that their child has a disability or suspected of a disability
• have disabilities.
• I think that lifespan disabilities, that's quite unique.

Keywords: 999, senate, all

Transcript Highlights:

• disability?
• disability.
• Lost repeatedly about how we approach individuals with developmental disabilities and some of the restrictions
• , and developmental delays. or death.
• then be decided through the disability determination if they qualify for ongoing disability services

Transcript Highlights:

• In high school, a counselor told me I shouldn't go to college because of my disability. disability, and
• A post-secondary program specifically designed for adults with intellectual disabilities. and developmental
• disabilities.
• Students with intellectual or developmental disabilities in Texas who want a college experience.
• disabilities. disabilities, IDD, and co-founder of two of these programs, I have witnessed firsthand

Keywords: 1184, house, all

Transcript Highlights:

• The Division of Developmental Disability Services requests moving almost $2.9 million to cover increased
• G5 is a Department of Disability Determination for Social Security Administration.
• This is DHS Developmental Disabilities with UA Fayetteville.
• This is DHS Developmental Disabilities with UA Fadeville.
• Number 10 is DHS with Arkansas Support Network for developmental disability services for DCFS clients

Summary: The committee considered and approved several temporary appropriation requests in Section B, including spending authority for the Court of Appeals to pay appointed counsel in criminal appeals, Commerce/Aeronautics airport and aviation grants, and Insurance Department items for workers’ compensation benefits and premium tax refunds. It also approved ARPA-related requests in Section C to return unused federal funds from DHS aging, mental health, substance abuse, and Older Americans Act grants. In Section D, the committee reviewed and approved Infrastructure Investment and Jobs Act requests, including Agriculture grants for wildfire preparedness and forestry capacity, a large Commerce broadband BEAD request, environmental recycling-related reallocations, and Oil and Gas Commission grants for facility repairs and sample preservation. Members questioned the broadband program’s audit process and performance safeguards; the State Broadband Director said the funds are federal, subject to audits, and payments are released only after engineering certification of completed work. The committee also approved DHS reallocations in Section E, including major transfers within Medical Services from hospital medical appropriations to private and public nursing home lines, as well as transfers for children and family services, developmental disabilities, and youth services. The committee then reviewed cash fund requests, miscellaneous federal grants, pay plan and performance fund transfers, methods of finance, and a large set of contracts. A Northwest Arkansas Community College official explained storm-damage repairs and insurance settlement issues, and DHS explained its hospital medical transfer was moving excess appropriation rather than cash. Members also questioned several UAPB tobacco prevention subgrants, especially arts-based outreach, and asked for more data on effectiveness; the committee later voted to expunge and re-refer the J-2 item for further review at a later ALC meeting. Additional discussion covered a DEQ grant to Free Geek of Arkansas for e-waste recycling, a UAPB tobacco program, and various contracts for universities, DHS services, corrections, and public safety. The meeting ended with reports filed for information and a brief member comment thanking others for concern after a tornado in Stone County; no one was injured.

Transcript Highlights:

• They have traumatic brain injuries, other developmental disabilities.
• They have traumatic brain injuries, other developmental disabilities.
• of people with developmental disabilities.
• They have traumatic brain injuries, other developmental disabilities.
• They have traumatic brain injuries, other developmental disabilities.

Keywords: 1183, house

Transcript Highlights:

• We did previously already agree that ABD and developmental disabilities should be excluded from any consideration
• that um we did previously already agree that um ABD<00:05:31.680> and<00:05:32.000> developmental
• <00:05:32.639> disabilities ABD and developmental disabilities ABD and developmental disabilities

Keywords: 1189, house, all

Summary: The Committee to Study Long-Term Managed Care met to approve the prior minutes and then focused on its final report. The chair reviewed the committee’s earlier options—maintaining the status quo, adopting DNIP, adopting an HCBS carveout model, or moving fully to managed care for the aging population—and noted that ABD and developmental disabilities had already been excluded from consideration. He proposed a final recommendation that New Hampshire consider adopting DNIP as a voluntary option to better coordinate Medicare and Medicaid for dual eligibles, reduce duplication, and create a possible pathway toward future managed care, while acknowledging that a majority and minority report could be issued if needed. Members generally supported the draft recommendation and asked questions about whether federal budget changes would incentivize states to move in that direction, how the proposal would align with current department efforts, and whether the program would remain voluntary. Director Henry Litman said he did not see a specific federal mandate in OB3, but noted incentives in rural health transformation funding and said the proposal aligned with existing managed care contract direction. He and others emphasized that DNIP should be voluntary and that implementation timing would need to account for federal deadlines and broader changes facing the department. Members also discussed PACE, with one member saying it appeared feasible mainly in more populous areas and expressing neutrality, while another raised concerns about county risk and the need to preserve patient choice and maintain three MCOs. After discussion, members indicated agreement with the majority report approach and no further changes were proposed. The committee then moved to accept the draft language as presented and issue it as its report; the motion was seconded and approved by voice vote. The meeting then adjourned.

Transcript Highlights:

• the Vermont Center for Independent Living, which provides meals on wheels for individuals with disabilities
• Section 83 relates to the developmental disabilities services payment reform implementation.
• Section 83 relates to the developmental Section 83 relates to the developmental disabilities<00:
• 14:38.160> services<00:14:38.720> payment<00:14:39.199> reform disabilities services
• payment reform disabilities services payment reform implementation.<00:14:41.279> The<00:14:41.440

Keywords: 926, house, all

Summary: The House began with a devotional performance by the State House Singers in honor of John Gilmour, followed by the introduction and first reading of House Bill 917 on military affairs and House Bill 918 on school district board membership. HB 917 was referred to Ways and Means because it affected municipal revenue, HB 918 was referred to Education, and HB 549, already on the notice calendar, was also referred to Ways and Means because it affected state revenue. The chamber also received HB 841 from the Committee on Government Operations and Military Affairs and referred it to Ways and Means pending notice-calendar entry. The House took up Joint Senate Resolution 42 condemning the Russian Federation’s actions in Ukraine and their impact on Ukrainian children; it was read by title only and referred to the Committee on Government Operations and Military Affairs. During announcements, members welcomed AFT Vermont guests advocating for stronger workers’ rights, including lifting the ban on striking for higher education workers, and noted an upcoming caucus on Vermont’s economy with speakers from the Vermont Small Business Development Center and the State Sustainable Jobs Fund. On the action calendar, the House postponed action for two legislative days on HB 205, relating to agreements not to compete, and HB 635, relating to eliminating Department of Correction supervisory fees. It passed HB 566, which seals post-charge court diversion records upon successful completion. The House then adopted the conference committee report on HB 790, the fiscal year 2026 budget adjustments bill. The report’s changes included increasing funding for the Vermont Center for Independent Living, revising Section 8 housing-related language to address possible federal funding changes, updating developmental disabilities services payment reform language and deadlines, and expanding allowable uses of the $50 million set aside for federal funds changes to include municipal support. The House adjourned until Friday, February 27, 2026 at 9:30 a.m.

Transcript Highlights:

• The Division of Developmental Disability Services requests moving almost $2.9 million to cover increased
• The Division of Developmental Disability Services requests moving almost $2.9 million to cover increased
• G5 is a Department of Disability federal grant.
• This is DHS Developmental Disabilities with UA Fayetteville.
• Number 10 is DHS with Arkansas Support Network for developmental disability services for DCFS clients

Keywords: 1204, all

Transcript Highlights:

• These include developmental delay, meaning you're not developing properly, autism, attention deficit
• These include developmental delay, meaning you're not developing properly, autism, attention deficit
• up in terms of developmental up in terms of developmental delay<00:40:16.160> so<00:40:16.680
• So they're central nervous system toxins. other disabilities but again we had this other disabilities
• to be connected with developmental to be connected with developmental delay<00:41:35.920> or<

Keywords: 910, house, all

Summary: This joint informational briefing of Senate and House committees focused on restricted use pesticides in Hawaiʻi, with opening remarks framing the issue as one of health, environmental impact, and state-level regulation. The briefing reviewed the history of pesticide disclosure efforts, including prior county actions, a 2016 court ruling that shifted responsibility to the state, and Act 45, which enabled disclosure of restricted use pesticide data. Speakers highlighted 2019 reporting data showing concentrated use in parts of Oʻahu and Kauaʻi, especially near schools and communities, and identified fumigants such as 1,3-dichloropropene and metam sodium as among the heaviest-used products. Concerns were raised about potential links to cancer, respiratory illness, reproductive harms, Parkinson’s disease, and developmental effects, as well as the lack of long-term mixture studies and the need for better buffer zones, reporting, and farmer transition support. The Department of Agriculture’s pesticides program manager described the state’s regulatory framework, explaining the distinction between general use and restricted use pesticides and the department’s role under FIFRA and Hawaiʻi law. He outlined the branch’s enforcement, education/certification, registration, and laboratory functions, including inspections, complaint response, market surveillance, applicator certification, product review, groundwater protection modeling, and special registrations. He also noted staffing and resource limitations, including the absence of an in-house toxicologist and long-term monitoring capacity, and compared Hawaiʻi’s resources to California’s much larger pesticide regulatory program. He said the department supports Act 231, which was passed the previous year and is moving forward this session. A pediatrician speaking for the Hawaiʻi chapter of the American Academy of Pediatrics emphasized concerns about chronic low-level pesticide exposure in children, citing AAP policy statements and technical reports that associate exposure with cancer, leukemia, birth defects, neurobehavioral issues, and asthma. Drawing on work with the Kauaʻi Joint Fact Finding Task Force, the speaker said the group found the west side of the island to be an unhealthy community but could not prove causation because of missing drift, geospatial, and biomarker data. The testimony pointed to elevated cancer mortality, pneumonia admissions, obesity, dialysis, and developmental delay indicators, and described concerns about pesticide drift near schools and homes, including reports of children becoming ill after nearby spraying and low levels of chlorpyrifos detected in dust samples. An environmental health scientist from the University of Hawaiʻi described a pilot project using restricted use pesticide data in a public health context. She said the project began after seeing maps of Central Oʻahu pesticide use and aimed to pair GIS data with health and ethnicity data, while also conducting community focus groups. Preliminary focus group themes included calls to action, voting and policymaker awareness, concern about pesticide use near homes and fields, lack of community consent, and a desire to stay engaged. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• This is why disability and real ability This is why disability and reliability of these workers is so
• I have dedicated my life to the field of developmental disabilities.
• I have dedicated my life to the field of developmental disabilities and currently serve as administrator
• Like anyone facing cancer, Lena is frightened, but when you add a developmental disability, the fear
• Nicholas, we work with children with autism and other developmental disabilities, and we sit with exhausted

Keywords: 974, senate, all

Transcript Highlights:

• Next up, we're going to have HB 591, Children with Developmental Disabilities, by Representative Maggard
• Next up, we're going to have HB 591 Children with Developmental Disabilities by Representative Maggard
• The official title is Children and Developmental Disabilities.
• When you don't recognize and identify children that have learning disabilities or they have unique abilities

Summary: The Health Professions and Program Subcommittee met and reported several bills favorably. PCS for HB 647, which allows physicians to use advanced practice registered nurses under written protocol to certify deaths and file death certificates for hospice patients, passed unanimously after brief supportive testimony from hospice, AARP, and physician assistant representatives. HB 803 on acupuncture updated outdated statutory language, clarified the definition of acupuncture, listed allowable point injection therapy items while prohibiting certain drugs, and affirmed referral authority for imaging and labs; it passed 16-1 amid support from acupuncture stakeholders and opposition from several medical groups. PCS for HB 1545 would create recurring state funding for Parkinson’s disease research at the University of South Florida and a consortium of Florida universities; it drew support from USF, the Michael J. Fox Foundation, and Mayo Clinic, with concerns raised about limiting participation to universities, and it passed unanimously. HB 901, which clarifies procedures for parents challenging court-appointed psychologists in family law cases, passed 15-1 with support from a witness and no debate. HB 591, the children with developmental disabilities/autism bill, was presented as a broad early-diagnosis and intervention measure to help children enter treatment and mainstream life sooner; it received supportive testimony from the Florida PTA and strong floor support, and passed unanimously. Finally, PCS for HB 1299, the Department of Health agency bill, made multiple changes including preventing the mRNA vaccine from sunsetting in statute, adding vaccination-status protections in the patients’ bill of rights, updating medical marijuana center screening and reporting requirements, revising nurse active-practice requirements, making technical compact changes, and extending sovereign immunity protections to dental students doing charitable clinic work. After a brief note that optician-related provisions had been removed, the bill passed unanimously. The committee adjourned after reporting all measures favorably.

Transcript Highlights:

• I work for the Developmental Disabilities Council as a family advocate.
• I worked for the Developmental Disabilities Council as a family advocate.
• The Developmental Disabilities Council (DDC) and the Office of Special Education (OSEO) urge all to support
• I'm the former Executive Director of the Developmental Disabilities Council.
• Ellen Pines, representing the Disability Coalition.

Bills: HB30, HB120, HJR1, SB210, SB306

Keywords: teacher residency, Teacher Residency Act, public schools, teacher preparation, educator pipeline, teacher recruitment, teacher retention, student teachers, apprenticeship, co-teaching, mentor teachers, residency stipend, teacher salary, level one teacher, charter schools, school districts, New Mexico education, teacher workforce, principal stipend, cohort model

Transcript Highlights:

• Behavioral health providers and providers to serve people with developmental disabilities.
• The DD folks said, "No, we only do people with developmental disabilities."
• <01:25:07.520> They<01:25:07.760> didn't developmental disabilities.
• They didn't developmental disabilities.
• people with developmental disabilities." people with developmental disabilities."

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on September 24, 2025, approved the minutes from the September 9 meeting, and then continued its discussion of Medicaid waivers with Leslie Hoffman and Carmen Hancock from the Department for Medicaid Services. Members asked for updates on the 2024 waiver waitlist management assessment recommendations, including aligning waiver policies, standardizing applications and waitlist placement, and modernizing data systems. DMS said that work is being done jointly with Aging and Independent Living and Behavioral Health/Developmental and Intellectual Disabilities through task forces, that ARPA spending delayed action, and that implementation timelines extend through March 2027. The board also reviewed per-member waiver cost averages for fiscal years 2023 through 2025 for ABI, ABI long-term care, HCBS, Model II, Michelle P, and SCL. DMS emphasized these figures were benefit-only averages based on paid claims, not full waiver costs, and explained that true budget neutrality is calculated on an aggregate basis against institutional care comparisons approved by CMS. DMS said all six waivers remain in compliance with budget neutrality and that the most recent 18-month lag review for FY 2022 and FY 2023 found costs at or below institutional care. Members also asked about unused waiver slots; DMS said slots generally cannot be reallocated mid-year if they have been used, except in cases such as death or reserved capacity, because CMS treats participants as unduplicated for the waiver year. A major portion of the meeting focused on the new child waiver created under House Bill 6. Legislators questioned whether the waiver’s design, including the exclusion of participant-directed services and the emphasis on high-acuity children with behavioral health, DCBS, or juvenile justice involvement, matched the bill’s intent to keep children at home. DMS said it used the $14.7 million appropriated for FY 2026 to develop the program, that there is no priority list, and that the waiver is intended to serve the highest-acuity children while also addressing residential needs for those sleeping in offices or placed out of state. Members also raised concerns about the rapid growth of the HCBS waiting list and asked for more detail on age and timing patterns, which DMS said it would provide later. Finally, DMS gave average processing times from application to eligibility determination and from approval to service start, and said the overall average from application to services beginning was about 80 days, while members requested follow-up information on the Carewise assessment contract and related costs.

Transcript Highlights:

• Okay, next up we have SB 850, relating to disability health disparity.
• Basically, it is a bill that requires a State Council on Developmental Disabilities to collect data and
• disabilities in the state.
• disabled here in Hawaii ever.
• developmental disabilities in the state developmental disabilities in the state in<02:12:05.679>

Keywords: 910, house, all