Transcript Highlights:

• We verify if someone is disabled.
• We verify if someone is disabled.
• We verify if someone is disabled.
• We verify if someone is disabled.
• They may not be permanently disabled, but they're going through chemotherapy.

Summary: The subcommittee first recognized the Arkansas Community Colleges Leadership Institute and received a brief DHS update on the Living Choices Assisted Living Waiver reimbursement process, including that the new cost-reporting period began in January and provider/contractor calls are underway. The main presentation then focused on SNAP and TANF, with DHS describing federal changes under the One Big Beautiful Bill that tighten SNAP work requirements for adults ages 18 to 64 without certain exemptions, remove some prior exemptions, and add new federal definitions for Native American populations. DHS also reviewed SNAP Employment and Training providers, their service areas, projected budgets, participant characteristics, and outcomes, noting that the program is currently voluntary but will shift toward mandatory participation for those subject to the new rules. Members asked detailed questions about how mandatory participation will be implemented, how referrals will be made, what other training options exist, how verification of work, volunteering, disability, and exemptions will be handled, and whether DHS has enough funding and provider capacity. DHS said it will conduct verbal and written notices during eligibility interviews, make direct referrals to providers, use six-month recertifications and documentation from employers or volunteer organizations, and apply sanctions for noncompliance after determining whether a good cause exists. Members also requested additional data, including age breakdowns of at-risk SNAP recipients, provider-level outcomes and costs, and information on other training programs such as WIOA. The committee then moved to Medicaid community engagement requirements for ARHOME, which DHS said are also required by the same federal law and must be implemented by January 1, 2027. DHS said it is preparing policy, system changes, communications, and a customer-service/outbound verification vendor, and plans a soft launch beginning in July to help clients understand what would be required if the rule were already in effect. Members raised concerns about timing, local versus central decision-making, and how clients in rural areas will be notified and assisted. The meeting concluded with broader discussion of the committee’s workforce-development goals, the recently released Alliance for Opportunity audit, and interest in continuing the contract with that group to help guide future reforms.

Transcript Highlights:

• Students with disabilities: 1,008.
• it's, well, educational disability.
• We'll stay with that: educational disabilities. Section 504 students: 219.
• I'm just asking on disabilities: when we talk about disabilities, usually physically challenged or mentally
• So it gets into the mental health side of things or the disabilities.

Summary: The committee heard budget presentations from the Florida Department of Law Enforcement, the Department of Juvenile Justice, and the clerks of court. FDLE outlined 28 legislative budget requests for fiscal year 2026-27, including funding for a new Fort Myers regional operations center lease, technology and data system upgrades, moving several programs off uncertain federal grants, expanding the wellness office, cryptocurrency seizure efforts, cybersecurity, forensic equipment, digital forensics, criminal history modernization, training, and the SAFE fentanyl enforcement program. Members asked about the reported 79% increase in officer misconduct cases, the role of body cameras and masking, public records request burdens on local agencies, and the status of Fibers and the Uniform Arrest Affidavit systems. FDLE said the misconduct data covers all sworn officers and corrections personnel, that many cases would not be affected by body cameras because they involve off-duty conduct or internal matters, and that it is working with agencies and vendors to improve participation in reporting systems. DJJ Secretary Matt Walsh updated the committee on the Florida Scholars Academy, describing the new unified education system across 39 residential facilities. He reported first-year enrollment, course completions, graduations, and compliance results, and said the program now provides in-person and blended instruction, individualized support, mental health services, and career and technical education. He also discussed staffing shortages in some detention facilities, the need for more residential beds, and the importance of recognizing and supporting staff. In response to questions, he explained how the program addresses students with disabilities and behavioral needs through one-on-one instruction, paraprofessionals, and immediate mental health support. The clerks of court presented a budget request centered on funding shortfalls and rising costs. Clerk and Comptroller Stacey Butterfield said clerks are operating with outdated funding levels despite increased statutory duties, higher postage and staffing costs, and growing workloads in priority case types such as injunctions for protection and other high-risk matters. The clerks requested $22 million in direct appropriations, including support for due process costs, jury management, and staffing for 37 new judges approved last session. Members also asked about Senate Bill 532, which Butterfield described as a CPI-based measure to update court fines and fees that have remained unchanged since 2008. The committee took no votes on the presentations and adjourned after discussion.

Transcript Highlights:

• It relates to the provision of information regarding a local intellectual and developmental disability
• require school districts to provide parents or legal guardians of students with an intellectual disability
• and developmental disability authority at the first Admission, Review, and Dismissal (ARD) committee
• We serve families statewide who have children and adults with every type of disability.
• What about our kids with disabilities? We didn't touch any of the SPED laws or our programs.

Bills: HB1022, HB2856, HB3114, HJR5, HB6, HB120, HB210, HB1458, HB1188, HB3126

Keywords: HB 1022, Sul Ross State University, Rio Grande College, Texas State University System, Education Code, higher education, course levels, upper-level college, lower-division courses, community college-style courses, Del Rio, Eagle Pass, Uvalde, Board of Regents, academic programs, university expansion, HB 2856, Texas Higher Education Coordinating Board, clinical training placements, clinical rotations

Transcript Highlights:

• to vital services to Florida's most vulnerable populations there over 22,000 individuals with disabilities
• The bill requires APD to participate with DCF to ensure young adults with developmental disabilities,
• There's SB 7032, Medicaid enrollment for permanently disabled individuals.
• The bill determines or defines permanently disabled as someone determined disabled under current Medicaid
• Vice chair, our grid S Hooper, Florida Disability Council wave speaking in support.

Keywords: 999, senate, all

Transcript Highlights:

• I have Hawaii State Council on Developmental Disabilities, Dantry. Hi.
• Dana Bartalis, executive director for the Hawaii State Council on Developmental Disabilities.
• Developmental Disabilities, Dantry. Developmental Disabilities, Dantry.
• Council on Development of Disabilities. Council on Development of Disabilities.
• Disabilities or Council Hawaii<00:15:30.320> State<00:15:30.480> Council.

Keywords: 910, house, all

Summary: The Committee on Health met on April 2, 2025, and heard several resolutions focused on student mental health, autism data collection, school heat exposure, and climate change as a public health issue. Testimony on HCR 96/HR 92 supported encouraging the University of Hawaii to evaluate and expand student mental health services; the University of Hawaii testified in support, and a student speaker said expanded services would make students more likely to seek help. The committee also heard HCR 145/HR 139, which urges state agencies to collaborate on planning for Hawaii’s participation in CDC autism prevalence surveillance; supporters included the Hawaii State Council on Developmental Disabilities and an autism advocate who said Hawaii needs better local representation in the data. The committee then heard HCR 186/HR 179, requesting a study of heat exposure management in Department of Education and charter schools. The Department of Health and the climate change and health working group supported the measure, citing rising temperatures, heat-related illness risks during outdoor activities, and the value of wet bulb globe temperature standards. Finally, the committee heard HCR 188/HR 182, declaring climate change a public health emergency and calling for statewide coordination on cross-sector solutions. Supporters from the Hawaii Public Health Institute, the climate change and health working group, and a Native Hawaiian physician emphasized climate-related health harms such as heat illness, wildfire impacts, chronic disease, and inequities; one member opposed the measure as politicized and said it could dilute attention from other urgent problems. In decision-making, the committee adopted recommendations to pass HCR 96/HR 92, HCR 145/HR 139, and HCR 186/HR 179 as is. For HCR 188/HR 182, the committee recommended passage with amendments, specifically a House draft one for technical clarity, consistency, and style. During the vote on the climate emergency resolution, Representatives Elos and Garcia voted no, while the rest of the members present supported the recommendation. The meeting then adjourned.

Transcript Highlights:

• seniors, 56,000 adults with disabilities seniors, 56,000 adults with disabilities in<00:03:48.159
• short-term disability insurance policy. short-term disability insurance policy.
• . disability. disability.
• <00:53:39.920> and site, a veteran who became disabled and site, a veteran who became disabled
• ><01:00:13.760> don't<01:00:13.920> have not disabled and they don't have not disabled

Bills: HF45, HF1148, HF3624, HF3586, HF777

Keywords: HF45, Lake Benton, capital investment, bonding bill, state bonds, bond proceeds fund, Public Facilities Authority, public infrastructure, sanitary sewer, water main, storm sewer, utility replacement, U.S. Highway 75, road reconstruction, municipal infrastructure, local government grant, Minnesota bonding, capital appropriation, food insecurity, prepared meals

Transcript Highlights:

• <00:12:49.760> This disability waiver rate changes. This disability waiver rate changes.
• :48.960> with<00:20:49.200> disabilities CFSs for individuals with disabilities CFSs for
• the same dis day disability the same dis day disability determinations.<00:28:49.520> Uh<
• Um it is the governor's disability.
• uh receiving disability waiver services. uh receiving disability waiver services.

Keywords: 1187, senate, all

Summary: Members met to review a budget bill agreement using a nonpartisan spreadsheet and summary materials. Chairs and members thanked fiscal, research, revisers, and agency staff for the collaborative process, noting the bill had been difficult and that the final product reflected compromise. The chair also said only minor technical changes were expected before final enactment, and the spreadsheet walkthrough was then turned over to fiscal staff. Fiscal staff explained that the agreement met the overall budget target and walked through major human services provisions. Key items included nursing facility payment changes, including a phased PDPM change, APS inflation, modified single-bed incentives, and a CPI-U capped payment cap; a nursing facility surcharge; workforce standards board rule costs; continuation of certain nursing facility property tax rates; regulation of for-profit acquisitions of nursing homes and assisted living facilities; repurposing assisted living special project funds; funding the SEIU self-directed worker agreement; CFSS reimbursement in acute care hospital settings; and multiple disability waiver rate and authorization changes, including CPI-U inflation caps, waiver authorization reforms, and a waiver reimagined advisory task force. The agreement also included family residential service rate increases, a temporary extension of customized living disproportionate share payments, tribal eligibility for targeted case management, positive supports training changes, out-of-home respite modifications, swimming lessons as an allowable service for certain children with disabilities, a provisional EID provider license, and program integrity services funded by licensing fee increases. Additional provisions covered MinnChoices studies and assumed savings, behavioral health fund changes, substance use disorder treatment billing and rate changes, supportive recovery housing, housing support supplemental rates for specific providers, disability determinations, enteral nutrition payment timing, temporary funding for Boundary Waters Care Center, several one-time human services grants, senior nutrition funding, and grant reductions and extensions. No formal vote was described in the transcript; the discussion focused on explaining the agreement and its fiscal effects.

Transcript Highlights:

• AAAs and ADRCs provide countless services to older adults and people with disabilities to allow them
• , as part of disaster planning and response, that an area agency on aging (AAA) or an Aging and Disability
• Laura Trejo, Director of the Los Angeles County Department of Aging and Disabilities, to speak and share
• For nearly 40 years, I have served older adults, older persons living with disabilities, and their family
• The majority of the lives lost were older adults and people living with disabilities.

Summary: The Assembly Aging and Long-Term Care Committee met on April 22, established a quorum, and adopted its 2023-24 committee rules. The hearing then considered five bills focused on aging, long-term care, immigrant seniors, nutrition, and emergency preparedness. AB 450 would create a task force to study the needs of undocumented Californians age 55 and older; supporters from CHIRLA and other advocates described barriers to housing, health care, retirement, and digital access, while members raised questions about eligibility and process. The bill was approved on a due pass motion and re-referred to the Committee on Human Services. AB 508 would require residential care facilities for the elderly to disclose staffing information upon request at admission and when rates increase. The author and supporters argued that staffing levels are closely tied to quality of care and that families need transparency to make informed choices; a witness described her father’s death in an understaffed facility. Assisted living industry representatives opposed the bill as burdensome but said they were continuing discussions with the author. The committee adopted amendments and passed the bill to Appropriations. AB 1476 would allow senior congregate meal programs to continue offering to-go meals, a practice expanded during the pandemic. Supporters said the option improved access for homebound and food-insecure seniors and helped bring people into senior centers; there was no opposition, and the bill passed to Appropriations. AB 1068 would create a working group on evacuation and sheltering needs for older adults and people with disabilities in long-term care during disasters, and AB 1069 would ensure area agencies on aging and aging/disability resource programs have access to emergency shelters to provide services. Both measures drew broad support from aging, disability, and advocacy groups, with testimony citing recent fires and evacuations, and both were approved and re-referred to the Committee on Emergency Management. The committee also left rolls open for additional members to add votes before adjournment.

Transcript Highlights:

• The disability committees on LEOFF 1 is one of the major study issues. I think that we...
• But I don't know what the look is in terms of study of the number of disability boards we have.
• who are being, who get their benefits through the disability board, and what is the cost?
• Your question was about things like, you know, how many disability boards are there out there?
• Your question was about things like, you know, how many disability boards are there out there?

Keywords: 904, all

Summary: The committee began by approving the November minutes on a roll-call vote, with a majority of members voting aye and the minutes adopted. Staff then provided updates on pending pension-related litigation, including Fowler et al. v. Leathers, where cross-motions for summary judgment were scheduled for May 1, and Dolan v. King County, where the court ruled against the state’s position on reimbursement of attorney’s fees but did not award fees against the state. The actuary also previewed upcoming presentations on OSA’s annual update and the June actuarial valuation and contribution rates, which will reflect updated demographic assumptions. A substantial portion of the meeting focused on the interim work plan and possible study topics. Members discussed a potential study of Plan 3, including how it compares with Plan 2, retirement ages, benefit adequacy, and whether the plan is meeting its original purpose. Staff agreed to work with DRS on a study outline and bring back a proposal. Members also raised the ongoing COLA issue, noting interest from retiree groups and the need to develop a recommendation for the next budget cycle, likely by October or November. Another major topic was LEOFF 1 disability/medical boards; staff said they are still gathering basic information on how many boards exist, who administers them, and what they cost, and suggested separate briefings on House Bill 2034, LEOFF 1 governance, and the medical study. The committee also reviewed constituent correspondence, which included requests related to Plan 1 COLAs, a Plan 3 study, teacher retirement age, and a missed early retirement factor. Staff explained that correspondence procedures are being revised for cybersecurity and privacy reasons, and future public correspondence may be handled differently. The committee approved the draft May agenda, which will include the OPMA refresher, OSA’s annual update, the LEOFF 1 medical board study update, a Plan 2/Plan 3 study outline, an overview of House Bill 2034, and a correspondence update. The meeting then adjourned without further business.

Transcript Highlights:

• So people with disabilities, I believe, have enough support.
• Sure that we're being ADA, Americans with Disabilities, compliant 100%.
• This building is shameful, that it is not accessible to people with disabilities.
• They have all their faculties and they forget the people with disabilities need that extra effort and
• If the next time you would like to testify that people with disabilities have enough support at home,

Keywords: 959, house, all

Transcript Highlights:

• It requires that one credit of disability training must include autism and other neurodevelopmental disabilities
• If you look at line 316, beginning August 1, 2027, instruction for teaching students with disabilities
• or behavioral disabilities.
• It empowers our students with disabilities and promotes a more inclusive, efficient education system
• with disabilities, and wanted to say how much we are very excited about this opportunity.

Summary: The Senate Education Pre-K-12 Committee met with a quorum and took up several bills. SB 420, by Senator Burgess, would require George Washington and Abraham Lincoln portraits to be prominently displayed in social studies classrooms and K-5 classrooms, with the Department of Education selecting the portraits. Supporters framed the bill as a patriotic and educational measure tied to the nation’s 250th anniversary, while senators raised concerns about exclusivity, precedent, local control, and whether the measure could be expanded politically. Burgess said the bill was intended to be nonpartisan, historically rooted, and not to affect curriculum, and he committed to seeking funding so it would not be an unfunded mandate. The committee reported SB 420 favorably. The committee then considered CS for SB 206, by Senator Harrell, which revises teacher preparation and training related to autism spectrum disorder. The strike-all amendment requires teacher preparation programs to include autism and other neurodevelopmental disabilities, requires ESE-certified teachers to complete an autism microcredential by August 1, 2027, creates an Autism Education Loan Forgiveness Program, authorizes salary supplements and stipends, and requires district professional development to include autism-specific training with local CARD centers. Senators asked about implementation timelines, grandfathering current teachers, and whether the endorsement requirement should include a grace period; Harrell said she was open to further discussion and wanted to make the bill workable. Public testimony was largely supportive, including from an Orange County Public Schools representative and a parent of a child with autism. The committee adopted the amendments and reported the bill favorably. Finally, the committee considered CS for SB 556, by Senator Berman, which allows students with disabilities to satisfy the high school physical education requirement by participating in Special Olympics for one year if included in the student’s IEP. An amendment also clarified that two years of marching band participation satisfies both PE and fine/performing arts credit requirements. Testimony supported the bill as an inclusive option that could reduce administrative burdens and give students more flexibility. The committee reported the bill favorably. The committee also voted to recommend confirmation of appointees in tabs 4 through 7, and then adjourned.

Transcript Highlights:

• Representative Hicks said the same reason applies: people with disabilities and seniors, and Medicaid
• <00:12:39.480> and employeed persons with disabilities and employeed persons with disabilities
• <00:13:10.320> and<00:13:10.480> seniors people with disabilities and seniors people
• and seniors Medicaid is disabilities and seniors Medicaid is very<00:13:41.199> confusing<00:
• But given that these are for people with disabilities and seniors, I believe that this is the correct

Keywords: 1183, house

Transcript Highlights:

• or the child has a disability.
• or the child has a disability.
• <01:04:44.680> or has is deceased or has a disability or has is deceased or has a disability
• of their own disability, it's really difficult to qualify for disability benefits as a child, and Megan
• their own disability, it's really difficult to qualify for disability benefits as a child, and Megan

Keywords: 928, house, all

Summary: Division 3 Finance held a work session to move through five bills before noon, noting one member’s early departure and adjusting the order of bills accordingly. The first item, HB 54, would allow some alternative treatment centers in the medical cannabis system to operate for profit. Members discussed a fiscal note showing a one-time $133,000 cost, which was described as a Division 1 budget item to be handled through HB 2 rather than directly in Division 3. After discussion about keeping Division 1 informed and the distinction between retaining a bill versus funding it, the committee voted unanimously to retain HB 54 for further finance work and conversion into HB 2. The committee then took up HB 547, concerning reimbursement to counties for enhanced FMAP funds during the COVID period. The chair summarized the issue as federal enhanced Medicaid matching funds that were received by the state before authority existed to pass them through to counties, creating a disputed amount owed to counties. County representatives said the money should have gone to counties and clarified the relevant time period, while the department did not take a position. The chair proposed retaining the bill and moving it into HB 2, with discussion of a possible four-year repayment structure in equal annual installments. The committee agreed to retain the bill for continued work in the budget process. During the HB 547 discussion, members also clarified the fiscal and accounting details, including that the fiscal note had not been widely available and that some figures in the note should be treated as county revenue rather than county expenditure. Testimony explained that the enhanced FMAP increased from 50 percent to 56.2 percent, and that the state’s and counties’ shares of claims were affected by the timing of the federal change and the later state authorization. The committee emphasized that the issue was complex and budget-dependent, and that retaining the bill would allow further negotiation and incorporation into HB 2 rather than immediate final action.

Transcript Highlights:

• on a special education student to include a person who has specific knowledge of that student's disability
• My name is Maya Volk, and I'm testifying on behalf of Disability Rights Texas on SB 1262.
• The assessment team include a professional with specific knowledge of that child's disability and would
• So by including disability specialists, schools can respond to reported threats...
• So by including disability specialists, schools can respond to reported threats with appropriate and

Summary: The Senate Committee on Education K-16 met with a quorum and announced a full agenda, including combined public testimony for two bills related to student personal communication devices. The committee first took up Senate Bill 1262 by Senator Nichols, a school safety cleanup bill following House Bill 3. The bill would allow TEA to commission peace officers for school safety purposes, require annual renewal of good-cause exceptions to armed guard requirements, create a new report based on intruder detection audits and vulnerability assessments, and require behavioral threat assessment teams to include someone with specific knowledge of a special education student’s disability. Committee members asked about the difference between TCOLE licensing and TEA commissioning, the scope of the officers’ authority, and how the good-cause exception would work. The committee substitute was adopted, and public testimony included support from school safety and drone-response advocates, Disability Rights Texas in favor of the special education provisions, and a student witness raising concerns about the mental health impact of repeated lockdowns and the need for immediate, reliable school safety responses. The bill was left pending after testimony, then the committee briefly recessed and later reopened testimony to hear the student witness. The committee then laid out Senate Bill 2252 by Senator Creighton, a major early literacy and numeracy bill for kindergarten through third grade. Creighton said the bill builds on prior literacy efforts by funding teacher stipends for literacy and math academies, providing free and clearly administered screeners and assessments, expanding screening options, clarifying how results are used, supporting high-quality pre-K, and increasing the early education allotment. He emphasized low reading performance and the need for early intervention. Members discussed how the bill differs from earlier academy models and whether the assessments are diagnostic or high-stakes; Creighton and witnesses said the tools are intended to identify students needing support, not to serve as punitive testing. The committee adopted the substitute. Witnesses for SB 2252 largely supported the bill. A Uplift Education representative described strong gains from small-group literacy tutoring and said students receiving targeted support can make more than a year of growth in a year. An education specialist explained that the bill aligns general education screening with existing dyslexia and special education practices and helps districts identify students who need intervention before a disability evaluation is required. A Commit Partnership witness cited statewide reading data, the importance of high-quality pre-K, and the need for transparent, consistent progress monitoring and parent engagement. Members asked about the meaning of the growth data, how dyslexia screening works, and how the bill would help identify struggling students earlier. Before finishing all questions, the committee recessed subject to the call of the chair after the floor session.

Transcript Highlights:

• House Resolution 24 by Assembly Member Winn, relative to developmental disabilities awareness month.
• March as Developmental Disabilities Awareness Month.
• here in California to have developmental disability services, which are providing services to 500,000
• As a parent to a child with developmental disabilities, we know our kid is going to get bullied.
• Red states, blue states, all families, all kids with disabilities are beautiful children.

Summary: The Assembly met on March 6, 2025, established a quorum, and opened with prayer, the Pledge of Allegiance, and routine procedural motions, including unanimous consent requests and a re-referral of AB 506. The chamber then moved through a series of guest introductions and second-reading items before taking up several resolutions recognizing awareness days and cultural observances. Members adopted ACR 41 on Down Syndrome Awareness Week/Day and HR 24 on Developmental Disabilities Awareness Month after extensive bipartisan remarks focused on family experiences, inclusion, bullying, funding for services, and support for people with disabilities. The Assembly also adopted ACR 48 recognizing Women in STEM Day, ACR 49 recognizing California STEM Robotics Day, HR 18 celebrating Nauruze, and ACR 2 marking the International Day for the Elimination of Racial Discrimination. Each resolution drew co-authors and supportive comments from members across the aisle. The body then debated and passed AB 248, which would remove the state wage cap on county jail inmate labor and allow counties more discretion; supporters framed it as local control and rehabilitation, while opponents argued it would raise costs and conflict with voter sentiment. The Assembly also passed AB 100, a budget-process measure moving a large package of bills to the Senate, and used a substituted roll call for the remaining related bills. Consent calendar items were approved, and the chamber concluded with multiple adjournments in memory, including tributes to Eric Lopez, Johnny D. Giles, and Roger Diamond, before adjourning until March 24, 2025.

Transcript Highlights:

• Yes, 50 million for the disabled exemptions. Yes.
• Senator Perry: ... disabled exemptions? Yes, sir.
• Which focuses on the Disabled Veteran Assistance Payments Program.
• Oh, it's the one in addition to funding ProRata Share Disabled Veterans Assistance Program.
• So the feds have changed what it means to be 100 percent disabled as a veteran.

Bills: SB 1, SB1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, appropriations, budget, state funding, education, healthcare, infrastructure, 1185, senate, all

Transcript Highlights:

• living facility lensure and disability living facility lensure and disability um<00:12:03.839>
• 486 is the um reduction of disability 486 is the um reduction of disability waiver<00:15:25.600>
• individuals uh receiving disability individuals uh receiving disability waiver<00:32:02.000>
• funding for same day disability funding for same day disability determinations.<00:38:17.280>
• Um uh the developmental disabilities.

Keywords: 1187, senate, all

Transcript Highlights:

• c><01:08:42.000> has developmental disabilities and he has developmental disabilities and he has
• disabilities are expendable. disabilities are expendable.
• This is when we were told of her intellectual disability.
• ,<01:47:50.560> high with intellectual disabilities, high with intellectual disabilities,
• with disabilities with disabilities who<01:58:36.800> allow<01:58:37.119> our<01:58

Keywords: During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used. The lost footage was recovered from backup, and the other issues corrected in post production editing. 1. 00:00:41 Call to Order 2. 00:01:02 Roll Call 3. 00:02:54 Approval of Minutes 4. 00:05:06 Statutory Reports and Data Requests 5. 00:35:14 2025 and 2026 Session Update 6. 01:03:10 Board Structure Updates and Subcommittees 7. 01:05:20 Public Comment 8. 02:23:14 Adjournment, 958, all

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• My name is Josh Gladstone and I’m the Disability Policy Specialist at the Massachusetts Developmental
• Disability Council, where our mission is to provide opportunities for individuals with developmental
• disabilities to live throughout the community.
• I'm the chairperson of the Council of the Massachusetts Developmental Disability Council.
• was sexually assaulted while caring for an individual with disabilities.

Keywords: 995, all

Summary: The Joint Committee on Labor and Workforce Development held a hybrid public hearing with testimony on a wide range of labor, workforce, unemployment insurance, apprenticeship, disability services, farm labor, hospital staffing, and workplace harassment bills. Chairs Jake Oliveira and Paul McMurtry outlined hearing procedures, limited testimony to two minutes, and noted written testimony would be accepted after the hearing. Committee members and staff were introduced throughout the session as witnesses arrived in person or remotely. A major portion of the hearing focused on unemployment insurance legislation. Greater Boston Legal Services, the AFL-CIO, and Rep. Joan Meschino supported bills to adjust UI eligibility for workers with fluctuating schedules and to streamline waivers and write-offs for non-fault overpayments, arguing the current system unfairly denies benefits or burdens workers who were not at fault. They also backed bills calling for more oversight and resources for the Division of Unemployment Assistance, citing persistent delays in benefit payments. NFIB opposed the UI changes, warning that the trust fund is headed toward insolvency and arguing the bills would worsen the system’s finances. Rep. Meschino and committee members emphasized that the proposals were meant to protect good-faith claimants and did not apply to fraud. Another large set of bills addressed wages, workforce development, and working conditions. Testimony supported raising and modernizing direct care wages to address severe staffing shortages in human services and disability services, with advocates from the Massachusetts Developmental Disability Council, The Arc of Massachusetts, parents of adults with disabilities, and a direct care worker describing how low pay and turnover harm people needing support. The committee also heard support for apprenticeship-related bills from the AFL-CIO and the Carpenters, while Associated Builders and Contractors opposed mandatory apprenticeship ratios and urged changes to align them with licensing laws. Farm worker advocates supported a bill to raise farm labor standards, including minimum wage, paid breaks, and paid time off, while the Farm Bureau opposed parts of it beyond the minimum wage increase. The hearing also featured testimony on workplace harassment training, overtime protections, hospital mandatory overtime, suicide prevention signage on construction sites, and a proposal to update the Massachusetts Medical Society’s mission language from “citizens” to “people.” Labor groups, educators, and compliance trainers strongly supported mandatory annual sexual harassment training, saying it would improve workplace culture and reduce harm. SEIU 1199 supported extending the hospital nurse mandatory overtime ban to the broader hospital workforce. Witnesses on the suicide prevention bill described personal losses in construction and recovery work and urged posting 988 information on job sites. The committee took no votes during the hearing; witnesses repeatedly asked for favorable reports, and members asked follow-up questions on UI calculations, apprenticeship ratios, small-business impacts, and emergency exceptions for hospital staffing.

Transcript Highlights:

• House resolution 24 by Assemblymember Nguyen relative to developmental disabilities.
• we are fortunate here in California to have have developmental disability services who is providing
• As a parent to a child with developmental disabilities, we know our kid is going to get bullied.
• We not only accept, not only embrace, but we support individuals with disabilities.
• Proposed $300 million budget cut to preschool programs for kids with developmental disabilities.

Keywords: 988, house, all