Transcript Highlights:

• Critical vacancies across the departments, including health, education, human services, corrections,
• Critical vacancies across the departments, including health, education, human services, corrections,
• Critical vacancies across the departments, including health, education, human services, corrections,
• Critical vacancies across the departments, including health, education, human services, corrections,
• This committee is adjourned.

Keywords: 910, house, all

Transcript Highlights:

• Uh, the drafting is really complicated for health and for human services.
• I call the, um, Nor Hoffman one uh, human services.
• </c> wait for the health bill and human wait for the health bill and human services<00:01:17.920><c>
• Is there something specific in the health bill and the human services bill?
• health and human services and what has been done in human services, to see the work necessary to make

Keywords: 1187, senate, all

Transcript Highlights:

• </c><00:24:55.039><c> than</c> Another driver of the change in Health and Human Services spending is
• Education, Health and Human Services, and all other.
• The question is about some changes occurring in the biennium 2024-25 in Health and Human Services.
• </c><00:50:29.359><c> Services</c> 2425 in Health and Human Services 2425 in Health and Human Services
• </c><00:50:54.240><c> Services</c><00:50:55.160><c> paid</c> Department of Human Services paid Department

Keywords: 919, house, all

Summary: Minnesota Management and Budget presented the February 2025 budget and economic forecast, with Commissioner Aon Campbell, State Economist Anthony Becker, and Budget Director Anam Mingi outlining updated revenue, spending, and long-term balance projections. The state’s FY 2026-27 general fund outlook remains positive but weaker than in November, with an ending balance of $456 million, down $160 million from the prior forecast. Looking ahead, the planning years FY 2028-29 show a projected deficit of just under $6 billion, driven largely by spending growth outpacing revenues. Officials emphasized that discretionary inflation is a major factor in the forecast, but also noted that those amounts are not automatically appropriated and would require legislative action. Becker said the national outlook has changed since November, with higher expected inflation, higher interest rates for longer, and slower growth in later years. He highlighted uncertainty around tariffs, trade policy, immigration policy, federal spending, and possible changes to tax and debt-ceiling policy, all of which could affect Minnesota’s economy and revenues. Minnesota’s labor market remains tight, with low unemployment and rising wages, and the revenue forecast was revised upward overall for FY 2026-27, including higher income and sales tax receipts, though corporate tax revenue was slightly lower than previously projected. Mingi said projected general fund spending is up $79 million in FY 2026-27 and $960 million in FY 2028-29 compared with November. The largest increases are in education and health and human services, especially due to inflation, higher pupil counts, special education costs, long-term care, and higher Medical Assistance spending. She noted that higher utilization of weight-loss drugs also raises Medicaid costs, and that a smaller assumed bonding bill helps offset some debt service costs. The commissioner and staff repeatedly warned that federal policy changes, especially possible Medicaid reductions, pose a major risk; they said Minnesota could face billions in lost federal funding, including a potential $2.4 billion hit if the enhanced Medicaid match for adults without children were eliminated. No votes or legislative actions were taken in the presentation.

Transcript Highlights:

• In response to anticipated federal actions and funding, certain one-time human service activities are
• I have a question for the administration in regard to the Health and Human Services budget.
• Is the federal government, how much are they decreasing this year in our Health and Human Services?
• Are they, how much are they decreasing this year in our Health and Human Services Department that our
• We have comments on the health and human services side. Emissions reduction goals.

Summary: The Senate Budget and Fiscal Review Committee heard AB 109, the Budget Act of 2026, as the main item. Committee leaders described the legislative budget agreement as a balanced two-year plan with about $355.9 billion in total spending, $253 billion from the General Fund, and $36.5 billion in reserves. The Legislative Analyst and Department of Finance said the package assumes about $5.5 billion in higher revenues than the May Revision and uses those resources for a mix of spending changes, including higher Proposition 98 support, additional child care slots, housing and homelessness funding, delayed Medi-Cal reductions, and added support for counties, public hospitals, and distressed hospitals. The administration said the plan resembles the May Revision’s overall structure but includes new spending and revenue assumptions, and members noted that separate revenue trailer bills would be heard later in the week. Much of the committee discussion focused on Medi-Cal, H.R. 1, and the impact on immigrants, low-income workers, counties, and hospitals. Several senators criticized the budget for locking in savings from delayed or reduced Medi-Cal coverage and for not including a mechanism to restore eligibility, while administration and LAO staff said the package delays some reductions but does not automatically reinstate coverage. Finance staff said roughly 1.5 million to 2 million people with unsatisfactory immigration status would move from managed care to fee-for-service, with coverage largely unchanged except for certain services not federally allowed. Members also discussed county administrative funding, indigent care, public hospital support, and the expected rise in uncompensated care. Other topics included In-Home Supportive Services, child care, homelessness funding, Prop. 36, courthouse construction and new judgeships, transit and cap-and-invest/GGRF funding, local journalism, and workforce or reentry programs. Committee members split along party lines in their comments. Democratic members generally supported the agreement as a difficult but responsible compromise that protects core services, preserves reserves, and makes targeted investments in education, housing, health care, and justice system capacity. Republican members argued the budget relies on unrealistic revenue assumptions, does not sufficiently reduce spending, and includes costly policy choices and tax increases. Public testimony largely came from advocates and stakeholders who supported IHSS, Medi-Cal, child care, domestic violence services, hospitals, transit, and other programs, while some business and health plan representatives raised concerns about tax proposals and the shift from managed care to fee-for-service. The chair then moved the committee to public comment and indicated that the revenue bills would return later in the week; no final vote on AB 109 is reflected in the portion provided.

Transcript Highlights:

• The Special Committee on Health and Human Services is called to order, and the Secretary will note the
• Good afternoon, Chairwoman and members of the Health and Human Services Committee.
• Good afternoon, Chairman and members of the Health and Human Services Committee.
• Madam Chair, members of the Health and Human Services Committee, Representative Pingerelli, thank you
• Good afternoon, Madam Chairman, members of the House of Health and Human Services Committee.

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to also offer them to people under 65 who qualify for Medicare because of ALS or end-stage renal disease, with enrollment periods and premium protections. Supporters, including patient advocates and an ALS patient, said the bill would improve access to needed coverage and transplant-related care and could have only a small premium impact. Opponents, including Blue Cross Blue Shield/AHIP, argued it would shift significant costs onto older seniors and shrink the Medigap risk pool. The bill was ultimately given a do-pass recommendation on a 12-0 vote. House Bill 2593 would appropriate $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps providers quickly treat pregnant and postpartum patients with depression, psychosis, OCD, and suicide risk, and also supports pediatric mental health care. Supporters said it improves outcomes and reduces emergency and referral costs. The committee approved the bill with a do-pass recommendation by a 10-1 vote, with one member present. The committee also passed House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, after emotional testimony from a woman born with spina bifida and another supporter. Several members objected that the state should focus on concrete supports such as health care and family leave, but the resolution still received a 7-5 do-pass recommendation. House Bill 4010, creating a licensing and regulatory board for genetic counselors, also advanced 11-1 after testimony from genetic counselors and a cancer survivor who said licensure would protect patients and improve access. House Bill 2196, addressing pharmacy benefit manager reimbursement and dispensing fees, passed 11-1 despite opposition from PBMs and employers who warned of higher costs; independent pharmacies argued the bill would help them cover costs and stay open. The committee then adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, which would publish aggregated information and hold a later stakeholder review. Supporters said Arizona needs state-specific transparency data, while opponents called it redundant to federal CMS reporting; the amended bill passed 12-0. House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, also passed unanimously after the board said it was already working on curriculum and implementation. The committee held House Bill 2813 and 2725, and began discussion of House Bill 2404, as the transcript ended.

Transcript Highlights:

• Act 68, through its work also with the through its work also with the Agency of Human Services has resulted
• Section 7 is a feasibility plan for the Agency of Human Services to be provided to the legislature by
• This change was requested by the Agency of Human Services.
• This change was requested by the Agency of Human Services.
• However, clinical services are now required to be carried out by the Agency of Human Services medical

Keywords: 927, senate, all

Transcript Highlights:

• </c><03:46:13.359><c> Services</c><03:46:13.720><c> and</c><03:46:13.880><c> the</c> of Health and Human
• Services and the of Health and Human Services and the Attorney<03:46:14.439><c> General</c><03:46:15.399
• Defense Service Medal, and Sea Service Deployment Ribbon.
• Defense Service Medal, and Sea Service Deployment Ribbon.
• </c> service medal and Sea Service deployment service medal and Sea Service deployment ribbon<06:57:50.120

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, February 6, 2025, 1012, house, all

Transcript Highlights:

• Members of the Minnesota Senate Human Services Committee, Wednesday, February 26th, it is a call to order
• Services Committee, Mr.
• The members of this committee would be coming from the Human Services Committee, Labor, and Housing.
• The members of this committee would be coming from the Human Services Committee, Labor, and Housing.
• </c> to Health and Human Services but I can't to Health and Human Services but I can't quite<01:29:31.800

Keywords: 1187, senate, all

Transcript Highlights:

• First, let me thank the committee for its work and I will be accepting the committee amendments today
• I'm the owner of Universal Service.
• Chairman and committee members.
• Chair, members of the committee.
• It does not bind to the human body. be found in the human body.

Keywords: 988, house, all

Transcript Highlights:

• The Senate chair of this committee, of the Joint Committee, should be coming momentarily, but we're going
• And if the, I'm happy to work with the committee, with the chairs in the committee on language, if we
• So I don't know if you want to serve in this committee when that issue is before this committee, but
• Any members of the committee? Thank you. Any questions? Any members of the committee?
• Thank you, committee members.

Keywords: 995, all

Summary: The hearing covered a wide range of bills, with substantial testimony on commemorative days and several local development measures. Early testimony focused on competing proposals about Indigenous Peoples’ Day: Senator Comerford and others supported redesignating the second Monday in October as Indigenous Peoples’ Day, while several Italian American legislators and advocates opposed changing Columbus Day and instead urged a separate Indigenous Peoples’ Day on August 9 or another date. Committee members noted the long-running debate, discussed the state flag and motto review process, and emphasized that any changes would require legislation. No votes were taken during the hearing. The committee also heard strong support for a Fred Korematsu Day bill, with testimony from advocates, legal organizations, community leaders, and Korematsu’s daughter. Witnesses described Korematsu’s resistance to Japanese American incarceration during World War II, argued that his story remains relevant amid current immigration and civil liberties concerns, and said the designation would help educate students and the public. A separate bill to designate September as PCOS Awareness Month drew testimony from Senator Miranda and health advocates, who described the disorder’s prevalence, frequent misdiagnosis, fertility and pregnancy risks, and the value of public awareness and education. Other bills discussed included a Domestic Workers’ Rights Day proposal, supported by Representative Garcia and Representative Sousa, who spoke about the invisibility and vulnerability of domestic workers and the importance of recognizing their labor. The committee also heard support for a veteran suicide awareness and remembrance day, a Boston branch library and affordable housing project in Dorchester, and a Fall River waterfront redevelopment bill transferring land to the local redevelopment authority for a major mixed-use project. In addition, Senator Miranda testified in favor of a memorial portrait for former Representative Doris Bunty, highlighting her pioneering role in the legislature and Boston public housing. The hearing was hybrid and lengthy, with the chair repeatedly asking witnesses to be concise and noting that testimony would be public record.

Transcript Highlights:

• This is the Assembly Budget Subcommittee 2 on Human Services. issues.
• Today we will be discussing the Governor's May revise proposal in child care and human services.
• I used to sit on the Human Services Committee and miss the committee and the dialogue, but thank you
• Health and Human Services. Good evening Chair and members.
• Kimberly Chen here on behalf of the California Health and Human Services Agency.

Keywords: 988, house, all

Transcript Highlights:

• Services.
• Services Department.
• But I am representing the County Neighborhood and Human Services Department.
• And what we do there, Neighborhood and Human Services, we do mainly housing, and we have nine CRAs, community
• It was thank you for your service.

Summary: The committee met to hear a panel on workforce and attainable housing, with presentations from Florida Housing Finance Corporation, Pensacola Habitat for Humanity, Wendover Housing Partners, the City of Tallahassee, and Escambia County. Speakers described how state and local tools such as SHIP, the Live Local Act, land trusts, accessory dwelling units, infill development, and public-private partnerships are being used to expand housing supply and preserve long-term affordability. Several panelists emphasized that housing demand is rising across income levels, that workforce households often need subsidy to buy or rent, and that housing location, transportation access, and proximity to jobs and services are critical. They also highlighted challenges including rising construction costs, limited land, insurance, NIMBY opposition, and the need for more flexible financing tools and employer participation. Members asked about area median income thresholds, whether current programs are reaching the households most in need, and what additional tools might help. Florida Housing said its traditional rental programs generally serve households at or below 60% AMI, while need is increasingly reaching up to 80% AMI statewide and higher in some regions; staff also provided examples of AMI levels by county. Other discussion focused on the impact of local government opt-outs, tax abatements, corporate ownership of single-family homes, insurance costs, Fortified construction standards, and whether bonuses or other income calculations can unintentionally disqualify applicants. Panelists urged more political will, more local flexibility, and additional incentives for employers and landowners to support housing near jobs. The committee also used an anonymous interactive polling exercise, and members identified partnerships, SHIP funding, local government action, cost, and insurance as key issues. In closing, the chair said the committee would continue a member-driven process and likely hold a workshop on housing-related topics. No formal votes or bills were taken up in the meeting, and the session adjourned after the discussion.

Transcript Highlights:

• , a prospective licensee must submit a proposed operational plan to the Health and Human Services Commission
• HB 541 to Health and Human Services, HB 565 to State Affairs, HB 644 to State Affairs, HB 954 to Local
• HB 3801 to Health and Human Services, HB 3815 to Transportation, HB 3909 to State Affairs, HB 4023 to
• HB 4263 to Criminal Justice, HB 4285 to State Affairs, HB 4377 to Health and Human Services, HB 4426
• to Natural Resources, HB 4486 to Finance, HB 4743 to Health and Human Services, HB 4763 to Education

Summary: The Senate opened with an invocation by Pastor Tedrick Woods, followed by routine chamber actions including excusing Senator Gutierrez and receiving House messages that the House had passed HB 21 and HB 49. Senators also recognized advocates visiting the gallery on focal segmental glomerulosclerosis awareness and introduced the Doctor of the Day. The chamber adopted several resolutions, including HCR 66, by voice vote. The Senate then took up and passed a series of measures, often by suspending the regular order and the constitutional three-day rule. Among the bills finally passed were HJR 2, which would prohibit state death taxes; HB 206, limiting counties from requiring cash bonds for pipeline construction; HB 517, barring property owners associations from fining homeowners for discolored vegetation during watering restrictions; HB 2756, requiring TDCJ correctional officers to receive de-escalation and behavioral health training; HB 451, expanding screening for commercial sexual exploitation risk among children in DFPS and TJJD custody; SB 705, cleaning up the air conditioning and refrigeration contractors advisory board; SB 2017, creating an offense for burnouts and wheelies; SB 1858, expanding body armor grant eligibility to ISDs; SB 1400, directing a study on transfer-student outcomes for community college funding; SB 2764, requiring notice to manufactured home buyers about converting homes to real property; SB 748, a licensing cleanup bill on laser hair removal; SB 2519, restricting certain ad valorem tax uses and bonds after amendment; SB 2878, the courts bill with amendments on Brazoria County courts and youth diversion provisions; SB 466, allowing families to request fetal death certificates at any gestational age; SB 1608, requiring timely physical exams for inpatient mental health admissions; SB 1730, limiting civil damages claims arising from certain uses of force or deadly force; SB 2417, clarifying Attorney General antitrust investigation work product and discovery rules; and SB 1946, creating a family violence, criminal homicide prevention task force. The Senate also passed HB 3204, renaming and updating the Polytechnic College at Sam Houston State University, and SB 1986, requiring opioid warning labels. Several bills drew brief debate or amendments. Senators discussed broader HOA reform while considering HB 517, and SB 2203 on TCEQ discovery procedures was amended to require party motions, set a 15-day expiration for certified issues, and limit hearing abatement. SB 2017 was amended to change the mens rea language from knowingly to intentional. SB 2519 was narrowed by amendment to a forward-looking policy statement separating maintenance-and-operation taxes from debt-service taxes. SB 2878 also received amendments to reduce the number of new Brazoria County courts and add youth diversion and crisis-response provisions. SB 466 prompted a floor debate over whether fetal death certificates are appropriate for pre-20-week losses, with supporters emphasizing family closure and opponents arguing the document has no estate-related purpose. SB 1730 also prompted questions about the relationship between criminal findings and civil liability in self-defense cases. The session concluded with additional House and Senate measures being signed in the presence of the Senate and continued consideration of SB 2177, a grant program to help local law enforcement solve violent and sexual offenses.

Transcript Highlights:

• jointly agreed upon amendments with the committee.
• Thank you, Madam Chair, members of the committee.
• Thank you for the analysis, and thank the committee. Thanks.
• Those are horrific events in real life, human life, but...
• Those are horrific events in world life, human life. but ...events in world life, human life.

Summary: The Assembly Privacy and Consumer Protection Committee heard SB 53 by Senator Wiener after the bill was substantially amended on the floor and referred back under Assembly Rule 77.2. The author explained that the bill, focused on AI safety and frontier models, now applies its main requirements to models trained above 10^26 FLOPs, includes broader whistleblower protections, sets different disclosure obligations based on company revenue, removes Attorney General rulemaking authority in favor of an annual Department of Technology report, and keeps a $1 million-per-violation penalty. He also highlighted CalCompute, a proposed public cloud intended to expand access to compute and support innovation. Supporters, including Encode AI and Economic Security California Action, argued the bill would hold AI developers accountable to their public safety commitments, improve transparency, protect whistleblowers, and help democratize access to AI infrastructure. They said the measure reflects extensive negotiation with the administration and stakeholders and aligns with recommendations from the governor’s frontier-model working group. Opponents, including CalChamber, TechNet, CCIA, and Chamber of Progress, remained opposed unless amended, saying they appreciated the author’s work but still had concerns outlined in their letters. Committee members questioned whether the bill could stifle innovation, how it would address worst-case AI harms, and whether it could reach actors outside California. The author responded that the bill is intended as a light-touch transparency measure, that it applies to entities doing business in California, and that California can still lead in the absence of federal action. Members also emphasized the importance of whistleblower protections and CalCompute. The committee voted 12-1 to pass the bill, with DeMaio voting no and Patterson not voting, and the bill was sent back to the floor.

Transcript Highlights:

• Referred to the Committee on Health and Human Services.
• Reports of standing committees: without objection, reports of standing committees as listed on the calendar
• Reports of standing committees: without objection, reports of standing committees listed on the calendar
• President Pro Tem, Health and Human Services will meet tomorrow morning, Thursday, February 19th, at
• President Pro Tem, Health and Human Services will meet tomorrow morning, Thursday, February 19th, at

Keywords: 1182, all

Transcript Highlights:

• It's coming to us from Human Services. And welcome, Chairman Ruby. Thank you, Mr. Chairman.
• and Human Services.
• I guess our question is probably more... to Department of Health and Human Services for administering
• I'm not sure what it was right now, but the human service zones did appear in support of the bill for
• I'm not sure what it was right now, but the human service zones did appear in support of the bill for

Keywords: 908, all

Summary: The committee first heard Senate Bill 2271, which would formally place adult residential facilities in code and rebase their Medicaid reimbursement rates. Sponsor Chairman Ruby and HHS staff explained that these facilities, often serving people with dementia or acquired brain injury, are reimbursed at a much lower rate than skilled nursing care and help reduce bottlenecks in higher-level facilities. Members questioned how the program differs from basic care and nursing facility memory care, and the bill was referred to the HR section for deeper review before possible action on Monday. The committee then took up Senate Bill 2396, as amended, which would authorize an independent third-party performance audit of the Department of Commerce and the North Dakota Development Fund, with findings shared with the state auditor. Sponsors said the proposal was prompted by concerns raised in testimony and that a private audit could begin faster than a state audit. The committee adopted an amendment adding an emergency clause and directing the report to the Legislative Audit and Fiscal Review Committee, then passed the bill 20-0 with 3 absent. Next, Representative Clemine presented Senate Bills 2226, 2036, and 2037. SB 2226 would presume an incarcerated person indigent at initial appearance so counsel can be provided at that critical stage; the commission said the appropriation would fund contract attorney hours, and the bill was sent to HR for further review. SB 2036 would create procedures for determining juvenile fitness to proceed in delinquency cases, with a $500,000 appropriation for mental health evaluations, and SB 2037 would begin a juvenile criminal code framework and include a $300,000 appropriation for fitness-to-proceed evaluations; both were also referred to HR, with some concern raised about staffing and overlapping functions. After a short break, the committee heard education-related appropriations bills. SB 2234 would replace expired ESSER funding for Choice Ready grants, but members noted the program was not included in the K-12 budget and sent it to E&E for comparison with existing appropriations. SB 2286, a University of North Dakota request for a new nursing school facility, drew extensive discussion about the age and condition of the current building and the size and scope of the project; the committee ultimately adopted a do-not-pass motion 22-0. SB 2213, the “science of mathematics” bill modeled on the science of reading initiative, would fund math professional development and implementation; it was also referred to E&E for further review. The committee then briefly passed the Racing Commission budget, SB 2023, and began discussion of the Trust Lands budget, SB 2013, including a proposed retention increase for investment-related positions.

Transcript Highlights:

• And then human-centered design.
• , but WATech also has an automation service.
• committee.
• committee.
• Committee.

Summary: The committee held a work session focused on technology in government, AI, broadband, and digital equity. Seattle CTO Rob Lloyd described the city’s AI strategy, emphasizing responsible use, privacy, security, community input, and data strategy. He said Seattle is using small pilots and partnerships to test AI for tasks such as public records processing, infrastructure inspection, and permitting, while keeping humans as the final decision-makers. Members asked about bias, liability, training on best practices, labor involvement, and public records; Lloyd said AI should remain an assistant tool, not a replacement for human judgment, and that Seattle is still testing solutions for records requests and permitting. WATech CTO Nick Stow and Deputy Director Mark Quimby discussed the state’s broader AI policy, the generative AI executive order, a sandbox with more than 15 agencies, and use cases including a resident portal, cybersecurity, and wildfire detection. They stressed consent, closed systems, human-centered design, and the need to govern all forms of AI, not just generative AI. Committee members raised concerns about federal data access, labor issues, and wildfire detection effectiveness. Spokane County IT staff described a more restrictive approach to AI, citing privacy, bias, and cyber risks. The county standardized on Microsoft Copilot as its only approved chat-style AI tool, blocked other AI chat platforms, and requires human review of all AI-generated content. They said AI is also being used by criminals for phishing and deepfakes, underscoring the need for strong policy and security controls. The committee also received an update from the Attorney General’s AI Task Force. Yuki Ishizuka said the task force has 19 members and eight subcommittees covering ethics, consumer protection, labor, health care, public safety, education, government efficiency, cybersecurity, and industry/energy. The task force is working toward an interim report due December 1, 2025 and a final report due July 1, 2026, and is reviewing recommendations through public forums and advisory committees. Ishizuka warned that a federal budget reconciliation provision could bar states from enforcing AI regulations for 10 years, and several members voiced support for state authority and asked about possible 2026 legislation. The committee then heard updates on broadband and digital equity. Commerce’s Dave Pringle said the BEAD broadband program is being reshaped by new NTIA guidance, which removed or reduced emphasis on several prior priorities, and Washington is now working under an expedited process to submit its state application by September 4. He noted that no projects have been built yet, that four counties did not receive applications in round two, and that the state is trying to keep applicants engaged through office hours and a shortened review window. The Office of Equity and the Digital Equity Forum reported increased participation, new members, and ongoing outreach to tribal, rural, and underserved communities, while previewing recommendations such as creating an interdepartmental digital equity team and improving data use. Finally, Lumen’s Robert Thoms described private-sector broadband deployment challenges, including permitting, regulation, and the economics of extending fiber, while noting continued investment in overbuild projects, a $30 low-cost service option tied to the former ACP, and work with the state, tribes, and libraries. No votes were taken; the meeting consisted of presentations and member questions.

Transcript Highlights:

• Calling the 1:00 calendar for Health and Human Services. Um, we are being streamed live on YouTube.
• Aloha, Chair, at Judy Morpis on behalf of Director Yan and the Department of Human Services, we stand
• </c> director Yan and the department in human director Yan and the department in human services<00:02
• Jore Peterson, on behalf of the Department of Human Services, we really appreciate the intent of this
• Judy, on behalf of the Department of Human Services, we appreciate the intent of this resolution, and

Keywords: 912, senate, all

Summary: The Health and Human Services committee heard several resolutions focused on health care access, Medicaid services, and regulatory reform. SR 6 urged the Director of Health to create a working group on health insurance reform to reduce prior authorization delays; testimony was generally supportive, with DHS, SHIPA, the Hawaii Association of Health Plans, the Hawaii Primary Care Association, the Hawaii Medical Association, and HMSA all offering comments or support. SHIPA said House Bill 250 would provide a better mechanism for the same goal, but the committee still moved forward with the resolution. SR 7 asked DHS Med-QUEST to cover behavioral health services for children in school-based settings, and SR 9 sought a program to incentivize community care foster family homes to accept people eligible under the Medicaid IDD waiver program. DHS supported the intent of both measures but raised concerns about regulatory limits. Testifiers on SR 9, including the Hawaii State Council on Developmental Disabilities and the Hawaii Disability Rights Center, argued the state should be more creative in expanding residential capacity, especially on the neighbor islands, while the chair questioned whether the barriers were state administrative rules or federal requirements. The committee also heard SC 14/SR 10 on a sunrise analysis for lactation consultant licensure. Supporters said lactation services can improve health outcomes and save costs, and that Medicaid coverage remains limited. After discussion, the committee adopted the chair’s recommendations: SR 6 and SC 14/SR 10 were passed with technical, non-substantive amendments; SR 7 was deferred; and SR 9 was deferred for further work. The meeting then adjourned.

Transcript Highlights:

• I accept the committee amendments.
• Thank you to the committee.
• I just want to commend the committee.
• Good morning, Lizzie Kutsona here on behalf of Humane World for Animals, formerly known as the Humane
• I thank this committee, Mr.

Keywords: 988, house, all

Transcript Highlights:

• provided under MassHealth through the Executive Office of Health and Human Services.
• Some 72% of human service providers report that they have had trouble... ...and those recovering from
• Some 72% of human service providers report that they have had trouble filling job openings over the past
• I'm on the Arkansas Government Affairs Committee, as well as the Department of Developmental Services
• Even prior to the pandemic, due to the human services workforce crisis, thousands of individuals who

Keywords: 995, all

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