Transcript Highlights:

• discount programs.
• . and I funding within our health care space, within our Medicaid program.
• And so we spent a lot of time organizing a distressed hospital loan program.
• , and the fact that there is really the... ...indigent care program.
• for this program, it was dismantled back before ACA.

Summary: The joint informational hearing of the Senate and Assembly Health Committees focused on the cost of federal instability for California health coverage, access, and affordability. Opening remarks from members of both houses emphasized that California’s coverage gains under the Affordable Care Act are now threatened by federal policy changes, including the expiration of enhanced premium tax credits, H.R. 1, and new federal regulatory actions. Members repeatedly cited rising premiums, skipped care, medical debt, and the risk that low-income, immigrant, and working Californians could lose coverage or be pushed into less comprehensive plans. The first panel reviewed the federal landscape and state response. Don Joyce described the ACA’s coverage expansions and warned that H.R. 1, regulatory changes, and broader federal retrenchment could reduce coverage and weaken meaningful benefits. Covered California Executive Director Jessica Altman said the loss of enhanced premium tax credits is driving major affordability problems, with average monthly premiums projected to rise sharply and enrollment already down, especially among middle-income consumers. HCAI’s Elizabeth Lansberg explained the Office of Health Care Affordability’s role in slowing spending growth, monitoring consolidation, and setting spending targets, including lower targets for high-cost hospitals and new primary care investment goals. Members asked about bronze plans, high-cost hospitals, administrative burdens, provider taxes, and whether federal advisory changes could affect required benefits such as immunizations. The second panel examined population impacts and cost drivers. UC Berkeley Labor Center’s Miranda Dietz said most Californians get coverage through employers, Medi-Cal, or Covered California, and that affordability problems are widespread across all groups. She projected that California could have up to 2 million more uninsured residents by 2030, largely from Medi-Cal losses, and said higher premiums reduce wages and increase medical debt. Christoph Stremakis of the California Health Care Foundation highlighted survey data showing widespread concern about medical bills, skipped care, and medical debt, and argued that a large share of spending is wasted through administrative complexity, inflated prices, and underinvestment in prevention. Committee members pressed the panel on whether California can sustain coverage without new revenue, how cost-growth targets affect workers and families, how medical debt relief programs like Los Angeles County’s could be expanded, and how OCA can address uncompensated care, consolidation, and prior authorization burdens.

Transcript Highlights:

• How is your program being funded?
• Our program right now is a private-pay, tuition-based program.
• And if there are those programs, then can you share some of that?
• We've recruited a few students from their program.
• We're really excited and hopeful for the outcomes in our program.

Keywords: 995, all

Summary: The meeting began with a presentation from Run the Gamut, a new two-year transition program for young adults with autism ages 18 to 24. Staff described the program’s focus on person-centered planning, independent living skills, social connection, and experiential learning, including a teaching kitchen, laundry room, community-based instruction, and job shadowing. They said the program is intended to complement existing Massachusetts services and partnerships rather than duplicate them, and that it is inspired by the founders’ experience helping their daughter transition to adulthood and employment. Committee members asked about employment outcomes, employer readiness, funding, eligibility, and whether students with intellectual disabilities could participate. Run the Gamut said the program is currently private-pay tuition-based, but a grant is covering tuition for the first cohort while they explore additional funding sources, including possible school-district or insurance pathways. They said students with intellectual disabilities would not be automatically excluded if they meet admissions criteria. Staff also emphasized building employer relationships in advance, using job shadowing and industry partnerships to improve hiring practices and create real opportunities for students. They noted partnerships with programs such as PYD, JBS, Aspire, and Boston University, and said the program is opening soon with about eight students enrolled and an open house planned for September 18. After the presentation, the committee shifted to planning its proposed workshop for the Massachusetts APSE conference, “Employment Matters,” themed “Partners in Progress.” Members discussed submitting the application by the August 31 deadline, selecting a second presenter, and shaping interactive questions for attendees using a live polling tool. Suggested audience questions focused on the benefits of hiring people with disabilities and the barriers or challenges employers and employment advocates face, with an emphasis on connecting responses back to commission resources and partnerships. The committee also approved the minutes from the prior meeting unanimously and ended with a discussion of future fiscal year goals, including interest in a possible veterans-and-disability-focused event or resource effort.

Transcript Highlights:

• services, and research programs.
• We have accreditation for all our programs, with no restrictions.
• Leave for fellowship programs.
• So, does OSU have an ER residency program?
• But we're able to look at a new program, for instance, our ABA program.

Committee: House A&B Health Subcommittee

Keywords: 914, all

Transcript Highlights:

• </c><00:11:13.040><c> um</c> And it's just a wonderful program um And it's just a wonderful program um
• It is a loan forgiveness program.
• So, the nice thing is we're not program.
• <00:19:09.280><c> which</c><00:19:09.600><c> is</c> program which is program which is &gt;&gt; 83%<00
• They got both programs district.

Committee: House Education Policy

Keywords: 1136, house, all

Transcript Highlights:

• It is a very good program, though. Thank you all for your testimony.
• This bill would not increase state spending or create new aid programs.
• Our School of Nursing paused expansion of its BSN program.
• , expanded programs, student support services.
• Programs were cut, and graduate enrollment fully halted in other programs.

Bills: HB2070 , HB2671 , HB2617 , SB6258

Committee: House Postsecondary Education & Workforce

Keywords: funding, education, higher education, Western Washington University, state funding parity, financial aid, state funding, student support, educational reform, university procedures, academic policy, student success, Washington Medical Commission, medical license, license relinquishment, voluntary surrender, nondisciplinary pathway, physician regulation, health professional licensing, disciplinary database

Transcript Highlights:

• in the state of Florida are involved in those programs.
• I checked out there ESE program. I think I'm going to try them.
• We're in the scholarship program.
• Now she may have definitions about it that lead to, you know, structural programs are building programs
• When we have it, does it open in voucher program that we have?

Keywords: 999, senate, all

Transcript Highlights:

• In Indiana, this means a program where the median earnings of graduates In Indiana, this means a program
• What does a low-earning program mean?
• program is, we are showing the value in that program.
• But we can't do that if we risk eliminating these programs.
• program and still continue it, so the university's and move it to under another program and still continue

Keywords: 964, all

Transcript Highlights:

• However, efficiencies alone cannot resolve a structurally underfunded program.
• To ensure stability, program.
• We appreciate this committee's program.
• DCI also operates the body armor grant program.
• We issued the NextG 911 mapping program.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:10 Office of the Attorney General 00:00:58 Office of Homeland Security 00:17:39, 958, all

Summary: The House Budget Review Subcommittee on General Government heard presentations on several Attorney General and Homeland Security budget items. Amy Burke of the Department of Child Support Services said the program inherited a structural shortfall of more than $13 million after the transition from CHFS, including about $14 million in federal child support incentive funds that had been used to cover core operating costs and county attorney contracts. She explained that federal law requires incentive funds to supplement, not supplant, baseline services, and said the Attorney General’s budget request seeks general fund support to replace that gap and help balance the program going forward. Members asked for clarification on the misuse of the funds, the size of the shortfall, and whether the requested money would be unrestricted; staff said the intent is to use it as a contract offset for core services. Commissioner Rich Ferretti then presented the Department of Criminal Investigations’ request for additional staffing and a Western Kentucky Digital Forensics Lab. He said DCI wants one additional special victims unit investigator and one digital forensic examiner to handle increasingly digital cases involving child exploitation, sexual assault, human trafficking, and technology-facilitated abuse. He also described plans for a lab in Mayfield, co-located with the new Mayfield Police Department facility, to reduce travel time, speed forensic processing, and improve access for rural communities. Committee members responded positively and asked no substantive questions. Finally, the Office of Homeland Security outlined Kentucky’s Next Generation 911 project. Officials said the current 911 system was built for landlines, while most calls now come from mobile devices, and the upgrade will add precise location routing plus text, photo, and video capability. Shelley Clark described the funding model, including wireless subscriber fees and a dedicated tech fund, and reviewed progress on mapping, vendor selection, and migration to the new platform, with completion expected by July 2027. Members asked about local maintenance costs and the impact on rural areas; officials said maintenance is local but supported in part by collected funds, and implementation will not be delayed for rural localities. The meeting concluded with no votes or formal actions taken.

Transcript Highlights:

• education program.
• Does anybody have a program like that? Mr.
• And I do want to reaffirm with this program.
• And so we're also looking at braiding the programs that already exist.
• And so we're also looking at braiding the programs that already exist.

Summary: The committee began with a presentation on the 520 Native American Language and Culture certificate, created to let proficient tribal language and culture speakers teach in K-12 schools without a bachelor’s degree. LESC staff, PED, and HED described the certificate’s statutory basis, the role of tribes and pueblos in setting proficiency standards, and ongoing challenges such as uneven MOAs, limited professional development, rural access barriers, data gaps, and retention concerns. PED said oversight of 520 is moving from the licensure bureau to the Indian Education Division, and HED reported that the tribal education technical assistance centers authorized in 2023 are still in procurement but are expected to be awarded in early 2026. A student, Alonzo Hughes, testified about how learning Tewa from 520-certified teachers helped him understand his culture and speak with elders, and members praised the program’s role in language revitalization and asked about funding, teacher pathways, and whether similar models exist in other states. Committee members then discussed several PED rule updates. Staff reviewed an adopted rule implementing HB 54 on AEDs and cardiac emergency response plans, including staff training requirements and staggered compliance dates, and a proposed rule for school nurse licensure under HB 195 that would create a three-tier system and align nurse pay with teacher pay. They also reviewed proposed changes to the Community Schools Act rule, including a full-time community school coordinator requirement, updated grant language, and broader coalition membership criteria; PED said the broader language would not conflict with the Martinez-Yazzie work. A proposed bilingual teacher rule would standardize coursework requirements, add trans-languaging and culturally relevant curriculum competencies, and allow Native American language certification applicants to demonstrate proficiency using tribal standards. In questions, members raised concerns about AEDs being present at athletic events, the need for the amended school nurse bill to move experienced nurses directly into higher levels, and whether the community schools rule’s broader coalition language could affect current education litigation. Members also asked about funding for 520 programs, teacher residency or cohort models, and how to support advanced language instruction and sustainability. PED said the Indian Education Fund and school budgets can support some of the work, but additional strategic funding and cross-training are needed. The committee also heard that New Mexico’s 520 system is unusually robust compared with other states, and members encouraged staff to present the model at national conferences. The meeting ended with the director’s report, which noted a flat budget request of $2,024,300, staff turnover including Natasha Davalos’s departure, and appreciation for the committee’s work before adjournment for the holidays.

Transcript Highlights:

• So that division helps oversee that program.
• programs.
• I think the Guardian program is a fantastic tool.
• So we are diligent with after-school programs, before-school programs for parents to drop their kids.
• And so it's an important part of that program.

Summary: The subcommittee first heard an overview from Department of Education Chancellor Paul Burns on Florida’s K-12 governance structure and major divisions, including early learning, public schools, safe schools, school choice, and accountability. He highlighted school readiness and VPK, teacher preparation and licensure, school safety functions, scholarship and virtual/home education programs, and FAST progress monitoring. Burns also cited statewide gains such as higher mid-year reading performance, a record graduation rate of 89.7%, and record CTE enrollment, while members questioned the meaning of Florida’s “number one” education rankings, teacher pay, post-COVID learning loss, vacancies, and chronic absenteeism. St. Lucie County Superintendent John Prince then described the scale and responsibilities of a mid-sized district, emphasizing student safety, transportation, meals, hurricane shelter operations, career and technical education, teacher recruitment and retention, progress monitoring, remediation, and mental health supports. Members asked about school shelter construction standards, remediation funding, late school start times, attendance, and concordance scores; Prince argued for more flexibility for CTE pathways and noted that local districts use a mix of state and federal funds to support remediation and staffing. The committee then moved to an early warning systems panel. Burns explained that Florida law requires districts to use attendance, behavior/suspensions, course performance, FAST results, and other academic indicators to identify students needing support, with districts and families developing intervention plans. Superintendents from Putnam, St. Johns, and St. Lucie counties said chronic absenteeism is tied to achievement and NAEP decline, but causes vary by district, including poverty, transportation, daycare, family instability, travel, and student athletics. They described MTSS, PBIS, home visits, attendance letters, and community partnerships as responses. Members also discussed VPK access, full-day VPK funding, excused versus unexcused absences, and the need for earlier intervention in pre-K and K-2. Finally, Vice Chancellor Darren Norris outlined Florida’s post-Parkland school safety measures, including armed school officers, anonymous reporting, behavioral threat assessment teams, mental health training, panic alert systems, emergency drills, active assailant response policies, and firearm detection canines. Superintendents said compliance is costly and often requires shifting local funds, but they praised state grants for mental health, hardening, and mapping. They noted ongoing challenges with new mandates, capital costs, manual reporting burdens, and the need to balance safety requirements with classroom resources.

Transcript Highlights:

• </c><00:15:34.079><c> the</c> Training uh restoration programs the Training uh restoration programs the
• The rural physician associate program, designated with the acronym RPAP, and the MetroPAP program.
• </c><00:38:06.839><c> about</c> veterinary medicine programming about veterinary medicine programming
• </c> medicine program medicine program and<00:41:28.160><c> our</c><00:41:28.359><c> office</c><00:41
• </c><00:41:34.839><c> dollars</c> programs Grant programs so those dollars programs Grant programs so

Committee: House Higher Education Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• This is the case where the paid family leave program was completely manual, and we modified that program
• Again, with the larger of the two programs under the SDI umbrella being the DI program, I mean, it's.
• The larger of the two programs under the SDI umbrella being the DI program, it's really event-driven,
• This program is sometimes referred to as COYA. This program is sometimes referred to as COYA.
• I don't have any questions, but just wanted to comment that I think the drop program is a great program

Keywords: 988, house, all

Transcript Highlights:

• Had one other question: we're talking about programming. Who determines what programming?
• or what program is accepted?
• Program.
• We have a very strong two-year program at OSU-OKC, which is really the only surveying program we have
• It's a computer process program.

Committee: House Administrative Rules

Keywords: 914, all

Transcript Highlights:

• So, relatively flat on the program side.
• Over whether or not to turn in our audits of the program.
• I would be interested to know also for some of the programs and sort of new program expansions if the
• These stay interviews will lead to a program for CYFD.
• To expand programming for adolescent substance use and to expand programming for infant mental health

Keywords: 996, all

Transcript Highlights:

• In addition, it revamps the KBI program, Kentucky Business Incentive Investment Program, to allow them
• Senate participate in these programs.
• </c> programs. Senator Chambers-Armstrong. programs. Senator Chambers-Armstrong.
• ,</c> be in different benefits programs, be in different benefits programs, whether<01:29:00.680><c>
• What are they doing with the program?

Keywords: 958, all

Transcript Highlights:

• The Livable Communities program is a competitive grant program that operates in the seven-county metro
• </c> place for 30 years um or this program place for 30 years um or this program has<00:02:06.719><c>
• livable communities program, our livable communities program.<00:07:05.039><c> Sorry,</c><00:07:05.440
• :07:21.039><c> is</c> community tree planting program is community tree planting program is relatively
• </c> available in the statewide DNR program. available in the statewide DNR program.

Bills: HF3884 , HF3881 , HF3882 , HF3883 , HF3363 , HF3362

Committee: House Elections Finance and Government Operations

Keywords: tribal governments, Metropolitan Council, grant programs, funding, local government, small business, contracting, veteran-owned businesses, compliance, government contracts, housing finance, reporting requirements, regional development, city programs, elected officials, campaign access, multiple unit dwellings, residential access, voter registration, 1183

Transcript Highlights:

• youth programs.
• :18:00.440><c> program,</c> &gt;&gt; media program, social media program, &gt;&gt; media program, social
• Relations on two topics, Hale'i Imua program and summer youth programs. Um.
• How much is this program? director. How much is this program?
• for joining the program?

Keywords: 912, senate, all

Transcript Highlights:

• , so whether that's the gas affordability program, Xcel's Power On program, the other many different
• , so whether that's the gas affordability program, Xcel's Power On program, the other many different
• , so whether that's the gas affordability program, Xcel's Power On program, the other many different
• We oversee programs like Power on the Gas Affordability Program.
• </c><00:40:03.839><c> like</c> programs um we oversee programs like programs um we oversee programs like

Committee: Senate Energy, Utilities, Environment, and Climate

Keywords: 1187, senate, all

Transcript Highlights:

• Again, our program engages the...
• So that's been a success within the TA program.
• I had no idea that MassHealth had a Cares for Kids program, nor did I realize that this program existed
• And we definitely, like, you know, could grow a lot more in the program.
• I had no idea that DPH had this program.

Keywords: 995, all

Summary: The Permanent Commission on the Status of Persons with Disabilities equity subcommittee met, approved the prior minutes, and heard a presentation from the Massachusetts Department of Public Health’s Cater Center (Care Coordination Assistance, Training, Education, and Resources for Kids). Presenters Toria Haffey and Patty Loza explained that Cater provides training and technical assistance to MassHealth’s Cares for Kids providers serving children with medical complexity, with a focus on enhanced care coordination, family partnership, racial/cultural/linguistic equity, community resources, education systems, shared plans of care, and transition support. They described five e-learning modules, flexible one-on-one and group technical assistance, case review support, and informal virtual “cafes” for providers. They also noted the program has been operating for about two to three years and currently works with five hospital-based providers, including Boston Children’s, BMC, Tufts, NeighborHealth, and Baystate. Committee members asked about the number of families served, the relationship to MassHealth, and whether the model could be expanded beyond Boston-area providers. The presenters said Cater does not track enrollment numbers because that is handled by providers and MassHealth, and they agreed there is room to broaden reach and improve data collection. Members suggested connecting Cater with regional disability and case management networks, the Health Equity Compact, ACOs, and DDS-related contacts. Questions also focused on funding stability amid federal Medicaid cuts and workforce shortages in family engagement roles; Cater said the work remains a priority for MassHealth, though funding is a concern, and acknowledged staffing gaps, especially for family partners with lived experience. After the presentation, the committee discussed a NIH strategic plan for disability health research that had been circulated for future review. Because members had not yet read it, they agreed to place it on the agenda for the next meeting. The meeting then adjourned with no further business.

Transcript Highlights:

• </c> the program. the program.
• program.
• ,</c><01:11:02.640><c> a</c> program, a temporary federal program, a program, a temporary federal program
• Well, program.
• program and it's a and a necessary program and it's a program<02:43:11.680><c> that</c><02:43:11.920

Keywords: 1183, house