Bills: SB2479, SB2557, SB2861, SB3204, SB3324, SB3325

Keywords: criminal procedure, family violence, dating violence, child abuse, evidence admissibility, reduced sentencing, homelessness, reporting requirements, statewide office, housing solutions, kauhale projects, public oversight, SB2861, Hawaii, Office of Wellness and Resilience, OWR, Department of Human Services, DHS, Kakou Pilot Program, Kakou

Summary: The committee heard testimony on several measures related to criminal procedure, homelessness, family resilience, Medicaid-funded services, and school Medicaid reimbursement. On SB 2479 SD2, the Judiciary testified in neutral opposition with concerns that the bill could require imprisonment even for probation-eligible defendants, expand sentence reconsideration in ways that could undermine finality for victims, conflict with existing sentencing statutes, and require additional judicial resources. The Office of the Public Defender supported the bill’s intent but asked for language changes so people serving sentences could raise the new evidence in Rule 40 petitions and so probation would remain available in appropriate felony cases. Written testimony also included opposition from several county prosecutors and police, and support from the Office of Hawaiian Affairs. The chair later deferred SB 2479 SD2, citing unintended consequences and problems with the bill. For SB 2557 SD1, which would require annual reporting by the State Office on Homelessness and Housing Solutions, the office said it supported the intent but noted it already produces annual and quarterly reports, that some requested data is already available, and that staffing and cost constraints could make the new reporting burdensome. The State Council on Mental Health supported the measure and suggested narrowing the reporting language to data on individuals with serious mental illness or co-occurring behavioral health conditions, to the extent practicable and in collaboration with relevant agencies. A committee member asked about the availability of point-in-time count data, and the office explained that some figures may not be available every year and may need to be generated through HMIS. Dr. Jack Lewin testified in support, saying the data would be useful for understanding health care costs. The committee passed SB 2557 SD1 with amendments, including a deferral of the effective date. The committee also heard SB 2861 SD2 and SB 3204 SD1, both family resilience pilot program measures. For SB 2861 SD2, the Office of Wellness and Resilience and DHS supported the bill but requested amendments to clarify that the office’s role is planning and advisory, that DHS is a key partner, and that federal compliance safeguards are included. The chair raised concerns about overlap with DHS’s existing Ka Ohana program and asked for language to avoid redundancy while allowing the bill to cover other at-risk children; decision-making was deferred to the next hearing. For SB 3204 SD1, which would create a peer-navigator-based family resilience pilot, the Office of Wellness and Resilience and DHS supported the measure, with the office requesting a two-year pilot period, and both agencies and several advocacy groups submitted support. The committee discussed funding, the proposed five peer navigators, and whether the pilot should be limited to one or two geographic areas; no final action was taken in the portion provided. The committee also heard and supported SB 3324 SD1 on Medicaid home and community-based services, with the Department of Health emphasizing caregiver shortages and the cost-effectiveness of community care, and SB 3325 SD1 HD1 on public school Medicaid reimbursement, where DOE and the Attorney General requested clarifying amendments to reporting language and position titles.

Transcript Highlights:

• being to maintain the status quo, number two being to adopt DNIP, number three being to adopt the HCBS
• 15.520> the DNIP um number three being to adopt the DNIP um number three being to adopt the HCBS
• <00:05:16.400> carveout<00:05:16.960> model<00:05:18.320> um HCBS carveout model
• um HCBS carveout model um and<00:05:20.800> number<00:05:21.120> four<00:05:21.440>

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:

• Sections two and three correct a cross-reference to update terminology in HCBS positive supports.
• So we're just updating... terminology in HCBS positive supports. terminology in HCBS positive supports
• agency, to make sure that they've got informed choice and all the services that they're getting for HCBS
• :25:44.559> for the services that they're getting for the services that they're getting for HCBS
• And so this just codifies those HCBS.

Keywords: 1187, senate, all

Transcript Highlights:

• The department is assessing gaps in all home and community-based services, or HCBS.
• In February, we published a statewide HCBS gap analysis report that will serve as a foundation for a
• multi-year roadmap for integrating HCBS and long-term supports and services into managed care.
• To ensure that the proposed integration of select HCBS programs into managed care can support access
• Applicable HCBS waivers is something that we do regularly.

Summary: The committee heard a budget oversight hearing on the Department of Health Care Services, focusing first on the overall Medi-Cal budget and a March General Fund loan to cover a current-year shortfall. DHCS said the 2025-26 budget proposal totals $193.4 billion, with Medi-Cal projected at $188.1 billion total funds and $42.1 billion General Fund, driven by higher enrollment, pharmacy costs, managed care growth, and costs tied to eligibility expansions and the COVID-era redetermination unwinding. The department said the $3.44 billion loan was needed to manage cash flow and ensure timely payments to providers and plans, while the LAO noted Medi-Cal’s cash-basis budgeting creates volatility and that more detailed estimates would come with the May Revision. Members discussed federal Medicaid threats, the need for transparency on cost drivers, and the impact of pharmacy spending, long-term care, and immigration-related coverage expansions. The second major topic was family health programs, including California Children’s Services, the continuous coverage unwinding, and opioid settlement fund spending. DHCS described CCS funding methodology changes, ongoing county stakeholder work, and a delayed rollout of CCS monitoring and oversight until July 1, 2025, while county representatives and advocates argued the program is underfunded and asked for more technical assistance and a delay in implementation. On the unwinding, the department explained that federal redetermination flexibilities helped maintain coverage after the pandemic, but the Governor’s budget proposes ending them at the end of June 2025; advocates urged making the flexibilities permanent to avoid coverage losses. For opioid settlement funds, DHCS and Finance said the budget increases funding for naloxone distribution while reducing other harm-reduction spending based on updated settlement revenues, prompting criticism from members and public commenters who argued the change would weaken effective harm-reduction programs. The hearing also included an update on Proposition 35 implementation. DHCS said the voter-approved measure continuously appropriates MCO tax revenues beginning in 2025, with up to $4.6 billion annually available for specified Medi-Cal and provider investments in 2025 and 2026, but implementation depends on consultation with the required stakeholder advisory committee. The department and LAO noted uncertainty about future federal rules affecting the MCO tax after 2026. Public testimony largely supported maintaining Medi-Cal expansions, protecting immigrant coverage, preserving harm-reduction funding, and increasing support for community health workers, pediatric dental care, and CCS county administration. No votes were taken during the portion of the hearing provided.

Transcript Highlights:

• is reimbursed in the state plan as a personal care service, and adult residential falls under the HCBS
• So it is that HCBS difference? Yep.
• Chair, Representative Nelson, we definitely see that we have strong growth in our HCBS services and in
• Chair, Representative Nelson, we definitely see strong growth in our HCBS services and in access for
• So yes, we do anticipate continued growth in HCBS, and we have a decision package related to that in

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:

• Line 621, this is a governor's proposal to extend the HCBS employee scholarship and loan forgiveness
• governor's proposal to, um,<00:14:45.400> extend<00:14:45.959> the<00:14:46.160> HCBS
• um, extend the HCBS employee scholarship and<00:14:47.920> loan<00:14:48.079> forgiveness<
• Also note that in the repealer, there's a repeal of the HCBS innovation grants program.
• HCBS innovation grants program. HCBS innovation grants program.

Keywords: 1187, senate, all

Transcript Highlights:

• many people, as testified earlier, that have moved from the 1915(c) waiver program into the 1115(c) HCBS
• outlined in the testimony, to be eligible for the 1915(c) waiver, you can’t also be eligible for the HCBS
• Mary Brogan described, a person with a CCFH license may not be able to accept the 1915(c) ID waivers/HCBS
• Eruk responded that if you have a CCFH license, you may not be able to accept the 1915(c) ID waivers/HCBS

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:

• So this one includes the HCBS provider accountability through support documentation plans.
• Um so this one includes<00:16:20.079> the<00:16:20.399> HCBS<00:16:21.279> provider<
• /c> includes the HCBS provider includes the HCBS provider accountability<00:16:22.720> uh<00:16
• governor's proposal clarifying that HCBS governor's proposal clarifying that HCBS providers<00:24
• team to assist HCBS license applicants in understanding the licensing requirements.

Keywords: 918, senate, all

Summary: The joint hearing opened with chairs explaining that the program integrity omnibus bill is a combined draft assembled from individual member bills and governor proposals, many of which had already been heard in committee. Members emphasized the compressed end-of-session timeline, said the language was not yet ready for enactment, and invited continued revisions as the bill moves next to judiciary and finance. Several speakers stressed the need for bipartisan collaboration, while also warning that the Legislature must act this session on program integrity rather than defer reforms. The fiscal staff then walked through a spreadsheet showing the bill’s overall budget effects and major provisions. The package includes DHS proposals on transforming human services, market- and receipt-based rate reform, enhanced program and payment integrity, uniform service standards, nursing facility rate changes, ICS reforms, and a repeal/redesign of housing stabilization, along with child care assistance integrity and human services redesign items in DCYF. Staff highlighted that the bill combines multiple sources, including governor proposals and member bills, and noted several items that are also in the supplemental human services budget. Committee discussion focused heavily on prepayment review, remote supports, ICS, and provider accountability. Chairs said the bill would codify prepayment review with a 60-day notice requirement after providers were caught off guard by prior rollout, and that remote supports and ICS language were placeholders or under active debate. One member argued the system needs stronger standards but cautioned against harming compliant providers, while another urged the committee to learn from good providers and warned against repeating failed implementations. Staff also reviewed thematic indexes covering billing and service delivery oversight, EVV, administrative reform, licensing and background studies, provider enrollment, sanctions, and child care provider compliance training. No formal votes were taken in the portion provided. The hearing ended with staff beginning the index walkthrough and members indicating that posted amendments would be considered as the bill advances through the remaining committees.

Transcript Highlights:

• The bill allows HCBS to be delivered in any authorized residential setting for eligible individuals,
• and allows Access to adopt enhanced reimbursement rates for high-acuity SMI individuals receiving HCBS
• Madam Chair, the six-page Angius amendment, dated February 9th, 2026, at 6:02 p.m., modifies the HCBS
• They have HCBS programs which allow Medicaid-funded long-term care programs for SMI, and I'm happy to
• Colorado and Iowa have HCBS programs which allow Medicaid-funded long-term care programs for SMI, and

Bills: SB1086, SB1193, SB1318, SB1345, SB1346, SB1451, SB1496, SB1611, SB1630, SB1631, SB1632, SB1672

Keywords: reimbursement, healthcare, laboratory services, noncontracting providers, Arizona health care cost containment, personal identifying information, PII, privacy, confidential records, public records exemption, commercial disclosure, data privacy, licensure, certification, health professions, health care licensing, Arizona Department of Health Services, ADHS, emergency medical care technician, EMCT

Summary: The committee first approved the February 4 minutes and then heard Senate Bill 1086, which would require AHCCCS contractors to reimburse non-contracting providers for certain laboratory services when a member was referred by a contracting provider, and would bar prior authorization for diagnostic services and retaliation tied to such referrals. AHCCCS testified neutral but warned the prior-authorization ban could increase utilization and create fiscal and federal compliance concerns. The committee adopted the Warner amendment limiting non-contracting reimbursement to no more than contracting-provider rates, then passed SB 1086 as amended on a 4-2 vote. The committee next took up Senate Bill 1611, an emergency measure to require AHCCCS to contract with an administrative services organization for program integrity and case management functions for the American Indian Health Plan, while keeping AHCCCS ultimately responsible. The chair’s amendment expanded the ASO’s duties to include provider support, quality improvement, and data analytics, removed AHCCCS claims payment authority, added more tribal observers, and exempted IHS and tribal facilities. Testimony strongly supported reforming the system after fraud and overcorrection harmed Native members and providers, but AHCCCS raised concerns about the fast timeline, possible duplication of fraud-fighting functions, and the need for 45 days of tribal consultation. The committee adopted the amendment and passed SB 1611 as amended on a 5-2 vote. Senate Bill 1630 would create a Medicaid-funded home and community-based services program for adults with serious mental illness, capped initially at 250 members under the Angius amendment, with semiannual reporting and a process for future expansion only if costs are reduced or neutral. Supporters said the bill would help the sickest SMI patients avoid repeated hospitalizations, jail, and homelessness, and could save the state general fund by shifting costs to federal Medicaid funding; AHCCCS was neutral and said it was finalizing the fiscal estimate. The committee adopted the amendment and passed SB 1630 unanimously. The committee also passed SB 1193, protecting emergency medical care technician personal information from disclosure; SB 1318, repealing an outdated state dense-breast notification requirement to align with FDA language; and SB 1345, restricting anonymous complaints against health care institutions, though AHCCCS warned that federal law may still require investigation of complaints from any source and that the bill could reduce reporting and invite litigation.

Transcript Highlights:

• It is the largest of the Medicaid Home and Community-Based Services (HCBS) programs and therefore has
• I think that's a good point, and we should also consider that Medicaid HCBS programs should offer wage
• Lorino said: HCBS is an investment that serves as a cost-saving measure for the community.

Transcript Highlights:

• federal regulation that went into effect in 2024 known as the Home and Community-Based Services or HCBS
• The HCBS rule sets forth new requirements for several Medicaid-funded HCBS programs, including some of
• you first had to be compliant with electronic visit verification mandates that are federal federal HCBS
• For HCBS compliance we previously reported to the legislature earlier this year that a hundred percent
• of providers are HCBS compliant so we don't view that necessarily as a barrier. ebbs and flows, new

Keywords: 988, house, all

Transcript Highlights:

• We are recognized to explain PCB HCB 2601. Thank you very much, Chair Gonzalez-Pittman.
• PCB HCB 2601 reported favorably. Next, we'll hear from Representative Smith on HB 223. HB 223.

Transcript Highlights:

• These specify that community residential settings... supports, unlicensed HCBS organizations, supports
• , unlicensed HCBS organizations, and<00:33:03.799> consumerdirected<00:33:04.799> community
• repeal community residential setting license provider standards, and the House repeals some outdated HCBS
• /c><00:37:23.680> licensing<00:37:24.240> standards<00:37:24.560> in outdated HCBS
• licensing standards in outdated HCBS licensing standards in paragraph<00:37:25.480> B.

Keywords: 1187, senate, all

Transcript Highlights:

• And that is the result of more people receiving HCBS and long-term care, as well as some increases, big
• And that is the result of more people receiving hcbs and long-term care as well as some increases, big
• we have growing costs and the labor market is challenging for those long-term care facilities and HCBS
• we have growing costs and the labor market is challenging for those long-term care facilities and HCBS

Keywords: 1183, house

Transcript Highlights:

• The HCB requested legislative funds to support that effort. goodness and another one yeah so lots of
• uh director uh Dr David lenegar uh HCB uh director uh Dr David lenegar uh HCB by<00:04:15.280>
• <00:05:24.479> requested coming together place the HCB requested coming together place the
• HCB requested legislative<00:05:25.680> funds<00:05:26.039> to<00:05:26.240> support
• The HCB became a Governor's commissioner, state department, and now, as I shared, is called the Office

Bills: HF2090, HF982, HF2229

Keywords: higher education, scholarship, financial aid, state grant, tuition assistance, Pell grants, student retention, education equity, disabled veterans, veterans' dependents, dependent children, college affordability, books and fees, University of Minnesota, public colleges, Office of Higher Education, veterans benefits, military families, permanent disability, 100 percent disability

Transcript Highlights:

• federal regulation that went into effect in 2024, known as the Home and Community-Based Services, or HCBS
• The HCBS rule sets forth new requirements for several Medicaid-funded HCBS programs, including some of
• For HCBS compliance, we previously reported to the Legislature earlier this year that 100% of providers
• are HCBS compliant, so we don't view that necessarily as a barrier.
• and due processes that we have, and it's available to people who believe that where they live is not HCBS

Summary: The hearing began with opening remarks on the Governor’s May Revision for child care and human services, with committee members and advocates stressing that the budget should not be balanced on the backs of low-income families, children, and providers. Legislative members and public witnesses strongly opposed the proposed suspension of the child care COLA, reductions to the Emergency Child Care Bridge Program, and the lack of codified rate reform tied to the alternative methodology. Several speakers also urged more support for providers affected by the Eaton fire and other disasters, and called for child care to be funded at the true cost of care and for additional slots to be restored. Administration, LAO, and Department of Education staff described the child care proposal as maintaining existing funding levels while adding administrative resources to prepare for federally required prospective payment changes and single-rate reform. The administration said the May Revision would suspend the 2025–26 COLA and reduce Bridge Program funding to align with utilization, while the LAO raised questions about the size and purpose of the proposed rate-reform and prospective-payment funding and recommended rejecting a Department of Technology exemption. CDE supported continued early education investments but said it would need additional resources if prospective pay were extended to state preschool, and it objected to a proposed reallocation of preschool funds for inclusive education grants. The committee then moved to the IHSS portion of the May Revision. DSS outlined five major proposals: capping provider work hours at 50 per week, eliminating IHSS for undocumented adults age 19 and older, shifting certain Community First Choice reassessment penalties to counties, reinstating the Medi-Cal asset test as a conforming IHSS reduction, and automating the termination of IHSS when Medi-Cal eligibility ends. DSS also discussed funding to implement a federal HCBS access rule and a separate reassessment of IHSS administrative methodology that found counties would need additional administrative funding. Finance said the proposals were intended to slow program growth and improve sustainability, while the LAO said it was still analyzing the package and raised concerns about implementation, county workload, and the potential loss of services. Committee members and public commenters criticized the IHSS cuts, especially the overtime cap and the elimination of services for undocumented adults and people affected by the asset test. Advocates argued that IHSS workers and recipients depend on these services, that county administration is already underfunded, and that the proposals could destabilize vulnerable consumers. The chair closed by saying the committee would continue to fight for child care and would not pause on child care, and the meeting recessed before moving on to the remaining May Revision items.

Transcript Highlights:

• white, and only 11% receiving HCBS services were non-English-speaking.
• 00:28:25.919> of<00:28:26.080> those<00:28:26.519> receiving<00:28:26.840> HCBS
• 2021 63% of those receiving HCBS 2021 63% of those receiving HCBS services services services reimbursed
• <00:28:35.600> uh were white and only 11% receiving uh were white and only 11% receiving uh HCBS
• Services were non-english-speaking HCBS Services were non-english-speaking in<00:28:39.760> the

Keywords: 1187, senate, all

Transcript Highlights:

• 00:31:35.440> would<00:31:35.640> also<00:31:36.280> require<00:31:36.840> HCBS
• The proposal would also require HCBS The proposal would also require HCBS residential<00:31:38.360
• better address health equity issues in the Medicaid program across fee-for-service, managed care, and HCBS
• across fee-for-service, managed<00:47:33.480> care,<00:47:33.920> and<00:47:34.160> HCBS
• managed care, and HCBS. managed care, and HCBS.

Keywords: 1187, senate, all

Transcript Highlights:

• Howard were coming from, I'm not sure I hear, I'm hearing in that about the direct workforce in HCBS
• on the HCBS waivers, right?

Keywords: 995, all

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

Transcript Highlights:

• This amendment facilitates the sharing of Medicaid and HCBS enrollment information between ACA and DCF
• HCBS enrollment information between ACA and DCF. Thank you, Senator.

Bills: S1002, S1016, S1030, S1594, S1630

Keywords: child welfare, substance abuse, neglect, parental rights, drug exposure, Medicaid, disabilities, employment, healthcare access, income eligibility, veteran benefits, minor clients, financial assistance, education services, Department of Children and Families, Department of Health, aging services, disability assistance, long-term care, Alzheimer's support

Summary: The committee considered several bills affecting children, disability services, aging, recovery residences, and foster youth benefits. SB 1016 codified the working people with disabilities program for Medicaid waiver recipients, with amendments removing automatic enrollment and improving information sharing between agencies; advocates testified that the program helps people with developmental disabilities work while keeping needed care, though they raised implementation and training concerns. The bill was reported favorably. SB 1002, as amended, clarified that evidence of acute or chronic parental drug abuse can constitute harm or neglect in child welfare cases and allow court intervention and treatment requirements; it was also reported favorably. SB 1594 would preserve veterans’ benefits for foster youth for postsecondary education or aftercare rather than using them as reimbursement to the agency, and it passed favorably. SB 1630 modernized aging and long-term care statutes, expanded emergency service authority, updated oversight of area agencies on aging and guardianship, and permanently established the Florida Alzheimer’s Center of Excellence; after two amendments, it was reported favorably. SB 1030, on recovery residences/substance abuse services, was amended with a substitute that narrowed transfer definitions, sped licensure for existing providers adding levels of care, and limited credentialing entities’ access to resident records; members noted it remained a work in progress, but it was reported favorably. The committee also held confirmation hearings. Robert Astellos, nominated as Director of the Agency for Persons with Disabilities, described efforts to reduce the pre-enrollment list, improve transparency and customer service, expand family involvement, and streamline agency processes; multiple advocacy groups appeared in support, and the committee recommended his confirmation. The committee then unanimously recommended confirmation of the appointees on tabs 7 through 10. The meeting concluded with adjournment.