Transcript Highlights:

• And yet Massachusetts, being a high-cost state—the highest cost-of-living state other than Hawaii—the
• And interestingly, of those 19 states, seven of them are so-called red states.
• of the, I mean, someone mentioned the red states.
• Nursing homes, under the federal code of federal regulations, are required to support a resident council
• I am the Massachusetts State Long-Term Care Ombudsman.

Committee: Joint Joint Committee on Health Care Financing

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing focused largely on senior long-term care issues, family caregiving, post-acute care access, and direct care workforce pay. Testimony strongly supported bills to raise the personal needs allowance for nursing home and rest home residents (including H. 1411, S. 482, and related bills), with speakers from Mass Senior Action, Dignity Alliance, nursing home residents, providers, and former state officials arguing that the current $72.80 monthly allowance has been unchanged since 2008 and is inadequate for basic items like clothing, toiletries, haircuts, and transportation. Witnesses also backed bills to increase MassHealth asset and income limits for seniors and to stop counting life insurance as cash, describing the current rules as outdated and harmful to low-income elders. The committee also heard testimony on bills allowing family members, including spouses and guardians, to be paid caregivers (H. 1394/S. 886), with supporters saying this would help families keep loved ones at home and reduce reliance on costly institutional care. Another set of bills (H. 1412/S. 903) drew support from a physician who said clearer MassHealth communication and improved post-acute care determination processes would help reduce delays and backlogs for patients awaiting skilled nursing, rehabilitation, or other post-acute placement. Several speakers emphasized that better home- and community-based care can prevent hospital readmissions and support independence. A major portion of the hearing focused on S. 877, which would establish an enhanced care worker minimum wage of $25 per hour, indexed to inflation, for certain home care and human services workers. Union representatives and direct care workers from SEIU Local 509, 1199 SEIU, and the AFL-CIO described severe staffing shortages, burnout, low wages, and high turnover across home care, mental health, disability services, and crisis response. They argued that higher pay is necessary to recruit and retain workers and to stabilize services for vulnerable residents. Committee members asked about costs, comparisons with other states, and whether non-wage incentives could help, but witnesses repeatedly said wages were the central issue. The hearing concluded after all registered testimony was heard, with the committee noting it would continue accepting written testimony and then adjourning.

Transcript Highlights:

• School funding comes from various social, federal, state, and local governments.
• , college in Pueblo or college in Oklahoma, in every state.
• If the PSFA says that your facility is older than 30 years, you can't get a building.
• If we go to ancestral practices and build our own building out of adobe and straw bale housing that's
• Not really when the reservation has no... building codes.

Committee: House House Government, Elections & Indian Affairs

Transcript Highlights:

• taxes from employers that are needed to build up a reserve so that the state can withstand a downturn
• They can either do so under the state system upfront to build a reserve, or they can do so afterward,
• This is to address the workload needs of the Judicial Council and the State Bar in support of the Eagle
• This will provide the Judicial Council with more time to build out the lactation rooms and gives us time
• “Among states that charge fees, only seven states had lower 911 state fees than California.

Summary: The Senate Budget Subcommittee No. 5 held an informational hearing on the Governor’s May Revision proposals for labor, public safety/judiciary, and transportation, and no votes were taken. In Part A on labor, the Employment Development Department described funding for EDD Next document management work, updated UI loan interest costs, disability insurance and paid family leave benefit increases, WIOA adjustments, UI and school employee benefit changes, an EMT training reappropriation, and a technical correction tied to an EDD Next reversion. PERB discussed reduced funding requests for AB 288 due to litigation and a proposal to implement AB 1 covering legislative employees. DIR presented proposals for legal unit reclassifications, two major IT modernization projects, a new Cal/OSHA emerging technologies unit, a COIA reappropriation, and trailer bill language requiring electronic payment of employer assessments and removing a salary cap for the DWC administrative director. CalHR proposed consolidating employee assistance services into a statewide contract with enhanced support for first responders, and CalPERS and CalSTRS presented budget adjustments tied to investment costs, state contributions, and benefit overpayments. Members focused heavily on the unemployment insurance debt and interest payments, asking why the administration had no concrete plan to pay down principal. Finance and LAO explained that the state’s UI tax structure has long been insufficient and that any long-term solution would need to address both the outstanding federal loan and the structural imbalance in employer taxes. Questions also centered on EDD Next costs and timelines, with the chair asking for clearer long-term project cost estimates and Finance noting that future maintenance and operations costs will continue after implementation. On DIR’s emerging technologies unit, members asked whether it would address AI-driven workplace harms; DIR said the unit would focus on physical workplace safety issues involving AI, robotics, autonomous equipment, and related guardrails, while LAO noted broader labor-practice questions would likely fall outside Cal/OSHA’s scope. In the CalPERS discussion, members raised concerns about transparency in private equity and external management fees, while CalPERS said higher fees reflect a strategy of greater private-market and active-management exposure and are offset by higher net returns. Members urged more information on specific investments and future reporting. For CalSTRS, Finance presented routine contribution and overpayment adjustments, but members also raised broader transparency concerns that CalSTRS staff said they would follow up on separately. Public comment in Part A was dominated by strong support for an immigrant worker emergency relief fund, along with support for apprenticeship and workforce proposals and PERB staffing. The chair and members said they would follow up on where the immigrant relief proposal should be considered, noting it may belong in another policy area. The hearing then moved into Part B with an overview of Judicial Branch-related May Revision items, including court interpreter funding, appellate court security, workload cap changes, lactation room implementation delays, and a reduction to the state court facility construction backfill.

Transcript Highlights:

• </c> and startup and capacity building and startup and capacity building grants.<00:10:47.040><c> Um,
• </c> they up here at the state or whatever? they up here at the state or whatever?
• </c> the state the state uh<00:29:37.960><c> providing</c><00:29:38.440><c> all</c><00:29:38.600><c>
• </c> advisory council. advisory council.
• And the other group of new proposals, which are part of federal conformity, OP-46 OP-46 code. code. code

Committee: Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• the state employee provision.
• AB 2243, Haney, State Bank Act, holding committee.
• AB 2243 Haney, State Bank Act holding committee.
• AB 2006, Michelle Rodriguez, State Office Building Daycare Centers, do pass as amended to delete the
• AB 2006, Michelle Rodriguez, State Office Building Daycare Centers, do pass as amended to delete the

Committee: House Appropriations

Keywords: 988, house, all

Transcript Highlights:

• The orphan oil issue in our state, like other states, is a potential billion-dollar issue for state taxpayers
• There are 14 demonstration state forests in the state.
• Tribal co-management on JDSF, as well as the other state forests across the demonstration state forest
• I would like to just state, right off the get-go, the bill's findings and declarations clearly state
• And the bill analysis in and of itself states that the demonstration state forest condition, which is

Summary: The committee heard a series of natural resources bills, with several measures accepted on committee amendments and moved forward on party-line or near-unanimous votes. AB 2461 on oil and gas bonding and well-closure financial assurance drew strong support from environmental groups and some legislators, while an industry representative was neutral and warned about unintended consequences and reduced transfers. Senators Laird and Cabaldon supported the bill as a clarification of AB 1167, and the committee voted do pass as amended to Appropriations, with the bill placed on call. The committee also approved a consent calendar of 10 bills, which was moved and held on call. AB 53 by Assemblymember Ramos, as amended, would expand tribal eligibility for conservation grants and loans and express legislative intent to create a process for returning ancestral lands to federally recognized tribes. Tribal and environmental supporters argued the bill recognizes tribal stewardship and helps remove barriers to conservation participation, while county, farm bureau, and habitat league witnesses raised concerns about long-term land management, public accountability, easements, and jurisdiction if lands are transferred. Committee members emphasized the importance of preserving conservation protections and continuing work on the land-return framework; the bill was moved do pass as amended to Appropriations and held on call. AB 2679 on Lake Tahoe corridor safety and access was supported by local officials and the Tahoe Regional Planning Agency, who described dangerous parking, pedestrian conflicts, and a successful shuttle pilot, and the bill was moved do pass as amended to Appropriations. AB 1666, creating biomass innovation parks and other incentives for non-combustion uses of forest and agricultural biomass, received broad support from business, conservation, and local government witnesses, with senators framing it as a way to address wildfire debris and create rural jobs; it also advanced do pass as amended to Appropriations. AB 2494, which would modernize the demonstration state forest system and elevate biodiversity, recreation, carbon storage, and tribal stewardship over maximum sustained production, drew strong support from environmental and tribal advocates but significant opposition from forest industry, county, and research witnesses who warned it could undermine research, sustainable forestry, and local economies; the author said he would continue negotiations, and the bill was moved do pass to Appropriations. The committee also heard AB 2234, which updates the definition of geothermal exploratory projects, and AB 2521, which seeks to use the California Council on Science and Technology for watershed-wide water availability analyses to help identify excess water for groundwater recharge. Both bills had support from sponsors and some stakeholders, while AB 2521 drew concerns from agricultural water interests about agency reliance, public trust considerations, and funding. Both measures were moved do pass as amended to Appropriations. Finally, AB 2410 would extend a CEQA exemption for certain fuels-reduction projects in high fire-risk areas; local government groups supported it as a wildfire-prevention tool, while environmental and other opponents argued the remaining exemption still weakens habitat protections and public review, and one witness sought to remove conventional herbicides from the exemption.

Transcript Highlights:

• We utilize our entire building, all four floors—I'm sorry, all three floors—the State Emergency Operations
• We utilize our entire building, all four floors, I'm sorry, all three floors, the state emergency response
• We utilize our entire building, all four floors, I'm sorry, all three floors, the state emergency emergency
• emergency. entire building all four floors I'm sorry all three floors the state emergency operation
• As you look literally in a 180-degree field of view out around us, the Florida building code works.

Summary: The committee first heard a presentation from Major General James Hartzell of the Florida Department of Veterans’ Affairs on the agency’s outreach, benefits assistance, and state veterans nursing homes. He highlighted Florida’s large and growing veteran population, the decline in World War II and Vietnam-era veterans, and the increase in post-9/11 veterans moving to the state. Hartzell discussed the state veterans nursing home system, including a new Collier County facility that will include skilled nursing, assisted living, adult day health care, and outpatient therapy, and he said the department is also studying future adult day health care expansion and possible additional homes in underserved areas. He also reported on the dental program funded by the Legislature, saying 245 veterans were served in the first quarter of the fiscal year, with 1,631 procedures completed and more than $525,000 in savings, and he credited the added state veterans service officer positions with helping connect more veterans to benefits. Hartzell also noted a 13% year-over-year reduction in homeless veterans, emphasized mental health outreach through SaveFLVets.org and the Overwatch program, and announced a new deputy executive director, retired Colonel D.J. Reyes. Members asked about the need for additional veterans homes in South Florida, the criteria used to site new homes, the homeless veteran reduction, and whether adult day health care could be added at existing facilities. Hartzell explained that federal criteria focus on the availability of private skilled nursing beds for veterans 65 and older, and that adult day health care is state-funded and being studied for broader deployment. He also said the department tracks where homeless veterans are concentrated and works with local partners and organizations like Tunnels to Towers to provide housing and services that reduce recidivism. The committee also discussed Florida’s national reputation for veteran support, including Veterans Month and the state’s culture of veteran awareness. The committee then received a presentation from Kevin Guthrie, Executive Director of the Florida Division of Emergency Management, on disaster response, recovery, and technology systems. Guthrie described the State Emergency Response Team, the new Florida Central Operations and Coordination Office in Auburndale, and the new State Emergency Operations Center in Tallahassee, which is expected to be fully operational by spring 2026 and will significantly expand capacity and hardening. He reviewed recovery efforts for Hurricanes Helene, Milton, Debbie, Idalia, Ian, Irma, Michael, Dorian, Sally, Nicole, and others, including sheltering, travel trailers, debris removal, and FEMA reimbursement totals. Guthrie said Florida removed more than 31.6 million cubic yards of debris from Helene and Milton in 90 days on a 24/7 basis, and he described Elevate Florida, the Florida Recovery Obligation Calculation (FROC), the DEMES platform, and WebEOC as tools to streamline recovery, mitigation, and intergovernmental coordination. Members asked about flood-response resources for cities, the state’s use of pumps and mutual aid, and lessons learned from inland flooding after Milton. Guthrie said local governments should first use county and city mutual aid, then request state assistance when needed, and he encouraged more partnerships for staging and maintaining flood equipment. He also said future flood mitigation must address outdated development patterns, watershed flow, and the need for better drainage planning, while continuing temporary fixes and homeowner assistance programs. The committee ended with no votes or formal actions beyond adjournment.

Transcript Highlights:

• Our state has many different agencies and programs that are dedicated to the state of health for children
• It tells families that the state is ready to take responsibility for building a system that supports
• I had to send him out of state to get life-saving care.
• and an executive council of five state agency directors.
• This bill contradicts best practices in state policy.

Summary: The committee began with a work session on recommendations from the Children and Youth Behavioral Health Work Group. Tisha Kirshbaum of the Health Care Authority described the Washington Thriving Strategic Plan, a prenatal-to-25 system-of-care framework meant to reduce fragmentation, improve coordination across multiple state agencies, and expand early, community-based behavioral health supports. Members asked about duplication among agencies, simplification of the system, and upstream services such as community health workers, school-based supports, and crisis access. The committee then heard House Bill 2429, which would direct the governor and state agencies to align with the Washington Thriving plan, create an executive coordination officer and leadership council, extend the work group, and require broader alignment by state, tribal, local, and nonprofit entities. The bill received strong support from the governor’s office, the Health Care Authority, parents, youth, providers, and advocates, while a few testifiers raised concerns about government overreach, cost, or the need to address non-psychiatric causes of distress. No vote was taken during the hearing. The committee then heard House Bill 2364, which renames and expands the Legislative Executive Work First Poverty Reduction Oversight Task Force into the Legislative Executive Economic Justice and Well-Being Task Force and updates the related advisory council to align with the state’s 10-year plan to dismantle poverty. Staff and the prime sponsor said the bill reflects the evolution of the poverty-reduction effort and adds agencies such as the Department of Revenue, Health Care Authority, and Workforce Training and Education Coordinating Board. Testimony from DSHS and advocates was uniformly supportive, emphasizing bipartisan collaboration and the need to update statute to match current work. Next, the committee heard House Bill 2171 on supporting foster youth. The bill would create an endangered foster youth alert system, require county rapid-response protocols, establish a foster youth empowerment account, create an oversight board through the Ombuds office, and expand training for foster parents and child welfare workers. The prime sponsor and several advocates described the bill as a response to lived experience and a way to improve accountability and long-term support. DCYF said it supports the intent but raised legal and cost concerns, and some youth advocates warned that public alerts could increase risk or trauma for youth who run away from unsafe placements. The hearing then moved to House Bill 2314, which would create a pilot allowing certain community-based clients with developmental disabilities to receive dental care at residential habilitation centers. Supporters said the bill would use existing dental capacity to address severe access gaps and long waits in the community, while opponents from disability advocacy groups argued it would pull people back into institutional settings instead of building community-based dental capacity. Testimony on the bill was mixed, and no final committee action was taken in the transcript.

Transcript Highlights:

• states in their system.
• It varies in each state.
• I think it's important for infrastructure providers in the state of Florida to live by the same code
• Florida building codes.
• As you know, we're already building to build that resiliency component in it.

Summary: The committee heard introductory remarks from Chair LaMarca and members, then received presentations on electric utility planning, transportation infrastructure, and broadband deployment. Public Service Commission staff explained how Florida’s utilities plan for reliability and cost through 10-year site plans, demand forecasting, and economic dispatch. The presentation emphasized Florida’s residential-heavy load, growing EV demand, expanding solar and battery storage, continued reliance on natural gas combined-cycle plants, and the role of nuclear power. Members asked about energy efficiency, rates, renewable options beyond solar, cybersecurity, grid resilience, data centers, and small modular nuclear reactors; the witness said efficiency programs are reviewed every five years, utilities must balance reliability and affordability, and large new loads like data centers generally must pay for their own infrastructure needs. Department of Transportation Secretary Jared Perdue described FDOT’s five-year work program, decentralized district structure, and funding mix, noting that the agency is predominantly state-funded and prioritizes maintenance and preservation before expansion. He highlighted record investment levels, major congestion-relief projects, toll-road revenues, seaport and airport partnerships, spaceport investments, workforce and equipment needs, and emerging technology such as advanced air mobility. Members asked about project timing, MPO planning, rail and ferry funding, airport governance, winter storm preparedness, and flooding/sea-level rise; Perdue said faster delivery depends on resources, local governments lead transit operations with FDOT as a capital partner, and coastal and drainage projects are designed around storm surge and resiliency. The Office of Broadband reported on six grant programs supporting infrastructure, community facilities, digital connectivity, and future digital capacity and broadband expansion. Director Leo Garcia said the office has awarded hundreds of millions of dollars across most counties, leveraged significant private investment, and focused heavily on rural areas. He noted that broadband efforts are intended to support telehealth, education, workforce development, and economic growth, and said the state has reduced the number of unserved locations from more than 400,000 to a projected 170,000 after current awards are completed. He also said the office needs additional budget authority for the upcoming digital capacity program and that the larger federal/state broadband deployment program will be used to reach remaining unserved and underserved areas.

Transcript Highlights:

• Each year, the students come to the State House.
• We also represent 150-plus organizations across the state.
• It is time for Massachusetts to join these states.
• at the same time... ...deported from the United States.
• They literally saved lives and build healthier futures.

Committee: Joint Joint Committee on Revenue

Keywords: 995, all

Summary: The Joint Committee on Revenue held a public hearing focused largely on tax-credit proposals tied to children, families, caregivers, child care, health care workforce development, and public health. A major portion of the hearing concerned bills to expand the state earned income tax credit and child and family tax credit, including H. 3073/S. 1957 and S. 1975. Testimony from advocacy groups, legal services, tax assistance organizations, and health providers supported increasing the EITC match from 40% to 50% of the federal credit, expanding eligibility to immigrant and mixed-status ITIN filers, larger families, younger and older workers, and SSI recipients, and raising the child and family tax credit to $600 per child with inflation adjustments and possible advance payments. Witnesses said these changes would reduce poverty, improve health and educational outcomes, and help families meet basic expenses; committee members asked questions about ITIN filers and expressed support for the policy goals. The committee also heard extensive testimony on S. 1938/H. 3159, An Act Supporting Family Caregivers. Speakers described the scale of unpaid caregiving in Massachusetts and supported a package that would create a refundable tax credit, respite vouchers, workplace and housing protections, unemployment insurance access for those who leave work to care for relatives, a permanent advisory council, and a provision allowing spouses to be paid caregivers under MassHealth. Several witnesses shared personal caregiving experiences, and committee members responded favorably, noting the emotional and financial strain on caregivers and the importance of supporting them as Medicaid and long-term care systems face pressure. Additional bills discussed included H. 3174 on a child and dependent care tax credit, which was presented as a way to offset the high cost of child care; H. 3197/S. 2019 to improve the financial security of family child care providers through a tax credit; H. 3218/S. 1960 to create tax credits for health care preceptors to address workforce shortages; S. 2064 to establish a living organ donor tax credit; S. 2034 to promote healthy alternatives to sugary drinks through a tiered tax; H. 3015 to create a tax-return checkoff for the YMCA Youth and Government Program; and several public testimony ideas including vaccination, literacy, and grade-improvement tax credits. No votes or formal committee actions were taken during the hearing, which ended after all testimony was heard.

Transcript Highlights:

• Florida Citizens Alliance, Ryan Kennedy, we are 300,000 people in the state of Florida.
• They fundraise dollars as well as getting state dollars to do these examinations.
• So with this bill, state champion, state basketball champion. They didn't play Dillard. Check.
• It also repeals the Council for Early Grade Success after having served its purpose.
• Specifically on the school advisory councils, Thank you for the question, Senator.

Committee: Senate Education Pre-K - 12

Summary: The Pre-K-12 Education Committee took up a series of education, school safety, health, and student access bills. SB 754 on International Baccalaureate bonus funds was amended to clarify the theory of knowledge course and then reported favorably. SB 370 would allow routine non-invasive school health screenings, such as vision, hearing, and dental checks, to proceed with written notice and an opt-out process rather than active parental consent; supporters said it would improve participation and access, while opponents argued it was too broad and weakened parental rights. After debate over scope, funding, and consent, the bill was reported favorably. The committee also advanced SB 1070, which would require ECG screenings for student athletes under a phased rollout beginning in 2026, with religious and medical opt-outs. The bill was renamed the Second Chance Act in honor of Chance Gainer. Supporters described it as a life-saving measure to detect hidden cardiac conditions, while some members raised cost and implementation concerns. SB 508, the Family Empowerment Scholarship bill, would require private schools to disclose in writing what accommodations and services they will provide to students with IEPs, 504 plans, or ELL plans before enrollment; it was supported by parents, advocacy groups, and some school representatives and was reported favorably. School safety measures were also considered. SB 1470 would refine campus locking and supervision rules, create clearer exceptions, expand training and security options for school safety personnel, and allow district-employed law enforcement officers to use canines for threat detection. Witnesses from school safety and Parkland-related advocacy groups supported the bill but urged caution on exemptions and implementation details. SB 1472 would extend a public records exemption to certified school security guards, matching the protection already given to school guardians, and it was reported favorably. Finally, SB 248 would expand participation in FHSAA sports for private school and home education students at public schools when their own schools do not offer the sport, and SB 1618 made broad changes to VPK through grade 12 policy, including reading instruction, financial literacy, school funds restrictions, teacher certification, and advisory council rules; both bills were reported favorably. Several members later recorded votes in support of specific tabs before the committee adjourned.

Transcript Highlights:

• Building codes. Representative Libum, thank you, Mr. Speaker.
• Currently, the state of Alabama utilizes the International Building Code throughout all commercial construction
• So currently, the state does mandate that even if you don't have a building official in that county,
• the State Building Code still applies to everybody, regardless of that fact.
• And even in the county like I have with Tuscaloosa, we don't have a building code.

Keywords: 1136, house, all

Transcript Highlights:

• Over the last year, the state, county, FEMA, the Red Cross, Hawaii Community Foundation, the Council
• </c> similar to what was done by the state similar to what was done by the state and<00:28:07.799><c>
• the state DNA of the state and the state legislature<01:10:53.480><c> support</c><01:10:54.280><c> and
• One is you're supposed to build a workforce for whatever industry you're building.
• </c><01:37:37.239><c> the</c> You're Building second is you build the You're Building second is you build

Keywords: 910, house, all

Transcript Highlights:

• us to build.
• Those dollars need to get to those projects so we can not only build those homes, but build them faster
• We need to get to those projects so we can not only build those homes, but build them faster and get
• Using this year's budget to build resilience would allow the state to weather this kind of shock without
• benefit that's state-funded, state-administered emergency medical health services.

Committee: House Budget

Keywords: 988, house, all

Transcript Highlights:

• This bill relates to a school psychologist licensed under the Occupations Code.
• The substitute modifies the makeup and duties of the Research Security Council and clarifies the definition
• just individual language where there's one research security officer for Texas Southern, one for council
• performance tier funding for dual credit or dual enrollment courses under the public junior college state
• Members, the bill relates to student union building fees at the University of Texas at El Paso.

Committee: Senate Education K-16

Summary: The Senate Committee on Education K-16 met with a quorum and considered a long agenda of education-related bills, mostly from the House and several taken up in lieu of Senate measures. Early action included House Bill 27 on personal financial literacy for high school students, which was reported favorably and sent to the local and uncontested calendar. The committee also advanced House Bill 4 on public school accountability and assessment, House Bill 4687 on liability and immunity for certain charter school campuses or programs, House Bill 2598 on school psychologists, House Bill 3629 barring registered sex offenders from serving on ISD boards, House Bill 824 adding civics instruction to high school government curriculum, and House Bill 4236 creating a task force to review the comptroller’s school district property value study. Most of these bills were reported out unanimously or near-unanimously and several were certified for the local and uncontested calendar. The committee also heard and advanced higher education and school governance measures, including House Bill 127 on protecting public higher education from foreign adversaries and trade secret theft; members adopted a committee substitute after explanation that it revised the Research Security Council, clarified definitions, adjusted gift restrictions, and removed redundant procurement language. House Bill 4361 on timely emergency notifications at public institutions of higher education, House Bill 1868 on studying dual credit funding and workforce capacity, House Bill 718 on restricting certain private partnerships for student housing, House Bill 4848 on competency-based/work-based/degree programs at public institutions, House Bill 2853 on student union building fees at UTEP, House Bill 100 on instructional materials adoption, and House Bill 2243 creating the Texas Commission on Teacher Job Satisfaction and Retention were also reported favorably, with House Bill 2853 drawing one no vote. One bill was held pending further clarification: House Bill 1105, concerning tuition and lab fee exemptions for certain paramedics, after a member raised questions about whether the exemption already exists and whether the bill merely clarifies coverage for EMS first responders. The committee also discussed House Bill 100 as a companion to Senate Bill 451 and noted that House Bill 27 and House Bill 127 were being used in lieu of Senate bills. Overall, the committee reported most measures favorably, often by unanimous vote, and several were placed on the local and uncontested calendar.

Transcript Highlights:

• </c> Those part D premiums are 100% state Those part D premiums are 100% state funds.<00:09:25.440><c
• </c> state funds of these of these dollars. state funds of these of these dollars. the<00:13:28.800><
• :31.679><c> state.
• The code for two PT codes used to be about $20, and for 97112 it’s now going down to $18.94.
• used</c> the code for two codes for PT, PT used the code for two codes for PT, PT used to<02:04:46.880

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:

• </c> required to do at the state level. required to do at the state level.
• The council does not have a line of sight into the current state of UKARE's finances, but I do want to
• To avoid another closure, the state must build a more sustainable Medicaid program by partnering more
• state must build<00:45:52.880><c> a</c><00:45:53.040><c> more</c><00:45:53.280><c> sustainable</c><00
• </c> the state the state &gt;&gt; indeed.

Committee: House Health Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• United States of America. To the republic.
• We want to make sure that Texas is known as the Space State.
• Undefeated state champions with a 40-0 finish.
• Welcome, welcome, welcome to your state capital.
• State affairs.

Transcript Highlights:

• The State Board for Educator Certification is established under Chapter 21 of the Texas Education Code
• state.
• So bring some more coherence to stackable credentials in the states and then pair that with the building
• of a curriculum that is, in the states, and then pair that with the building of a curriculum that is
• I mean, state law is state law.

Committee: House Public Education

Keywords: 1184, house, all

Transcript Highlights:

• State representative. Thank you.
• Some are in the United States, and some are outside the United States.
• Other machines come from outside the state, including machines that used to be legal in another state
• But for the state-licensed slot machine facilities, that comes through the state.
• State statute.

Summary: The Industries and Professional Activities Subcommittee met to hear a panel on the prosecution and enforcement of illegal gaming in Florida. The chair opened with a video showing seized machines at a Florida Gaming Control Commission warehouse and described the scale of illegal operations. Panelists included the commission’s executive director, local sheriffs and police officials, and state attorneys from several counties, who described widespread illegal slot-machine locations, often in strip malls or convenience-store-type settings, and said the machines are typically used in organized criminal activity rather than legitimate amusement gaming. Witnesses repeatedly said the current penalty structure is ineffective because possession and operation of illegal slot machines are generally second-degree misdemeanors, which they described as too minor to deter operators who can quickly reopen after paying fines or completing diversion. They said enforcement is resource-intensive, requiring undercover work, search warrants, machine seizure, storage, forensic review, and long prosecutions, often while the same operators reopen elsewhere. Several panelists cited associated crimes such as robberies, firearms offenses, prostitution, drug activity, human trafficking, and at least some homicides tied to illegal gaming locations. Members also asked about the difference between legal amusement devices and illegal slot machines, online gambling, illegal horse racing, local licensing and ordinances, and whether manufacturers or distributors could be pursued. The commission and prosecutors said legal slot machines are limited to specific regulated locations and that lawful amusement machines lack a material element of chance. They said many illegal machines are imported or reworked versions of gaming devices and that upstream accountability is difficult under current law. Panelists also discussed cooperation with licensed casinos, tribal gaming entities, and local governments, noting that some local ordinances have tried to permit or limit these businesses. The main policy takeaway from the panel was a call to increase penalties, likely to felony-level offenses, and to consider stronger forfeiture and enforcement tools. No vote or formal action was taken at the meeting, and the chair adjourned after thanking the panelists.