Transcript Highlights:

• The Medicaid program supports services that help people stay at home with personal care services, developmental
• The Medicaid program supports services that help people stay at home with personal care services, developmental
• I believe there were about 28 positions that were moved from developmental disability services over to
• We also see that developmental disability services are and hospital services are.
• We also see that developmental disability services are and hospital services are.

Summary: The committee heard a budget presentation on the Division of Medicaid within the Department of Health and Welfare, including an overview of the division’s five programs, staffing, spending trends, and the large share of the budget that goes to trust and benefit payments. Ms. Williamson explained the difference between ongoing and one-time enhancements, the role of population forecast adjustments, and why the fiscal year 2026 and 2027 numbers change significantly. Members asked about the growth in the budget, the FMAP match rate, the impact of provider rate changes, and the shift of some positions into Medicaid from other divisions after last year’s reorganization. A major topic was House Bill 345 and related budget changes, including the hospital assessment fund alignment, the 4% provider rate reduction, and the effect on Medicaid expansion and other populations. The committee discussed the decline in expansion enrollment, rising costs in traditional Medicaid populations, and the governor’s recommendation to offset part of the 2027 increase with additional reductions. Members raised concerns about access to care, especially for dental, behavioral health, developmental disability, and home- and community-based services, while the deputy director said the department is trying to contain costs through prior authorization, fraud and abuse work, and policy changes. The committee also focused on the MMIS replacement project, which is in year four of a five-year procurement and is funded through dedicated and federal dollars tied to milestones. Another significant item was estate recovery, where the department requested funding to replace an outdated case management system and add contractor support to address a backlog of roughly 20,000 cases; members questioned the return on investment and asked for more detail on the software and staffing split. The deputy director also explained the federally qualified health center reconciliation issue, saying the state had not been properly paying change-in-scope amounts and is now using a new process with interim payments and later reconciliation. In addition, lawmakers asked about program integrity staffing, the use of AI, and whether the department could better target fraud, waste, and abuse investigations. The deputy director said the department is reviewing AI use cautiously and sees opportunities for it in claims review and anomaly detection, but emphasized that the current request is for dedicated receipt authority rather than general funds. No formal votes were taken in the excerpt, but the committee received the presentation, asked extensive questions, and was told that some follow-up information would be provided later.

Transcript Highlights:

• </c> access services. access services.
• </c> intellectual and developmental intellectual and developmental developmental<01:13:36.240><c> disabilities
• protective services.
• </c> child protective services. child protective services.
• </c> services block grant, social services services block grant, social services block<01:56:53.800><

Committee: Joint Families & Children

Transcript Highlights:

• They provide services, paid services to about 83,000 clients.
• So in order for clients to receive services in long-term care and developmental disabilities, they must
• or developmental disability services, that that won't affect them?
• things like respite, meals, information and assistance, and developmental services for children under
• If they receive developmental disability or long-term care services through the ACA, which personal care

Committee: Senate Ways & Means

Summary: The committee held a work session to review how H.R. 1 would affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on state budget impacts and implementation challenges. Staff and agency officials explained Washington’s Medicaid financing, eligibility categories, caseload trends, and the role of managed care, then outlined H.R. 1 provisions affecting the expansion population, including work requirements, six-month redeterminations, changes to immigrant eligibility, reduced retroactive coverage, cost sharing, provider tax and state-directed payment limits, and penalties tied to eligibility error rates. Officials also described the need for major IT and systems changes across agencies, including the state’s existing CMS corrective action plan for automated renewals and the difficulty of implementing new federal requirements before guidance is finalized. Health Care Authority and DSHS witnesses said the expansion population would be most affected, with potential coverage losses for about 620,000 Apple Health expansion enrollees and additional impacts for some lawfully present immigrants and a smaller number of long-term care and developmental disability clients. They said many current enrollees already work, but the new requirements would create administrative barriers and could increase uninsured rates, emergency room use, and uncompensated care. Agency leaders also discussed the immediate prohibition on Medicaid funding for Planned Parenthood services, with the state planning to backfill about $11 million so clients can continue care. Members asked about FMAP comparisons, work requirement experiences in other states, waiver possibilities, definitions of exemptions, and whether the changes would affect COFA communities, rural areas, and behavioral health services. The committee then heard a separate presentation on H.R. 1’s food assistance provisions. DSHS said the bill would broaden SNAP work requirements, end certain immigrant eligibility for federal SNAP, eliminate SNAP-Ed, increase the state administrative match from 50% to 75%, and create a future state cost share for SNAP benefits based on payment error rates. Officials estimated a four-year fiscal impact of about $750 million, with significant costs tied to the immigrant eligibility shift, administrative match changes, and possible benefit cost sharing. DSHS also described the state’s integrated eligibility system and the large amount of work needed to update it across multiple quarterly releases while coordinating with other agencies. No votes or formal actions were taken.

Transcript Highlights:

• outpatient mental health services and substance use disorder services.
• So in order for clients to receive services in long-term care and developmental disabilities, they must
• or developmental disability services, that that won't affect them?
• things like respite, meals, information and assistance, and developmental services for children under
• If they receive developmental disability or long-term care services through the ACA, which personal care

Summary: The Ways and Means Committee held a work session to review how H.R. 1 (the One Big Beautiful Bill Act) could affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on implementation challenges, fiscal impacts, and likely coverage losses. Staff and agency officials explained Washington’s Medicaid financing structure, eligibility categories, caseload trends, and the role of the Health Care Authority and DSHS in administering Apple Health and related services. They also described how Medicaid expansion increased access to behavioral health services and how H.R. 1’s provisions are expected to affect the expansion population most directly. Health Care Authority and DSHS officials outlined several major H.R. 1 changes: new work and community engagement requirements for the Medicaid expansion population, six-month redeterminations instead of annual renewals, changes to immigrant eligibility, limits on provider taxes and state-directed payments, new cost-sharing requirements, reduced retroactive coverage, and changes affecting long-term care eligibility. They said Washington is still awaiting federal guidance on many details, but estimated that about 620,000 Apple Health expansion enrollees could be subject to work requirements, that roughly 30,000 immigrants could lose Medicaid eligibility under the new definition of qualified alien, and that some long-term care and developmental disability clients could be indirectly affected. Officials also said the state is working with other agencies to build shared verification systems and may seek a delay waiver, though they do not expect broad federal flexibility. The committee also heard that H.R. 1 immediately blocks Medicaid reimbursement for Planned Parenthood services for one year, with the state planning to backfill about $11 million to preserve access. In addition, officials warned that the law could reduce federal Medicaid revenue by billions over time and strain hospitals and emergency rooms as more people become uninsured. They noted that Washington’s rural health transformation grant application is due November 5 and could bring some funding, but not to offset coverage losses. No votes were taken; the session was informational only. The committee then heard a separate presentation on food assistance, where staff and DSHS described H.R. 1’s SNAP changes, including expanded work requirements, immigrant eligibility restrictions, higher state administrative costs, and a possible future state share of benefit costs tied to payment error rates. DSHS estimated a four-year fiscal impact of about $750 million for food assistance changes and said the state is working on system and policy changes across agencies before the new requirements take effect.

Transcript Highlights:

• The Appropriations Committee on Health and Human Services will now come to order.
• the focus from Chapter 751 to Chapter 39 to deal with substance misuse and to provide potential services
• definition of harm and neglect so that more children can be protected sooner with safety plans, services
• the focus from Chapter 751 to Chapter 39 to deal with substance misuse and to provide potential services
• , and housing services for children in these areas.

Bills: S0006 , S0036 , S0560 , S0778 , S0844 , S0864 , S1002 , S1016 , S1022 , S1030 , S1630

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services heard and advanced a series of health, child welfare, aging, disability, and public records bills. CS/SB 1002, on child welfare and parental substance abuse, was described as clarifying that acute or chronic parental drug abuse can constitute harm or neglect when it creates an ongoing risk to a child; it passed after limited questions and supportive testimony from Florida Smart Justice Alliance. CS/SB 1630, a broad aging and long-term care modernization bill, would streamline eligibility screenings, allow temporary DOEA services during emergencies or lead agency failures, tighten oversight of area agencies on aging, permanently establish the Florida Alzheimer’s Care Center of Excellence, and expand guardianship training and enforcement tools; it drew support from AARP, area agencies, and the Alzheimer’s Association and was reported favorably. The committee also approved SB 1022 to add Bay County and Pompano to the Florida Children’s Initiatives, and CS/SB 1030, via strike-all amendment, to streamline regulation of substance abuse and behavioral health providers and clarify background screening and privacy rules. Several bills focused on health care practice and patient access. CS/SB 36, with an amendment, allows nurses with doctoral degrees to use appropriate titles while requiring clear identification as nurses and making misuse grounds for discipline; nursing organizations supported it and it passed. CS/SB 844 requires physicians and nurses to complete a one-time, board-approved continuing education course on sickle cell disease care management, with multiple patients and advocates testifying about delayed care, bias, and the need for better provider education; the bill was reported favorably after an amendment aligning it with the House version. CS/SB 560 streamlines procedures for psychotropic medication for children in DCF custody by reducing duplicative reports, clarifying evaluator qualifications, limiting repeated background checks, and simplifying consent documentation; an amendment removed postsecondary education language, and the bill passed. The committee also approved a public records exemption bill for a uterine fibroids research database (CS/SB 864). The committee also advanced measures affecting disability services and forensic care. SB 6, a claims bill, would pay $3.8 million to a trust for a child who suffered severe abuse-related injuries after DCF involvement; it passed without opposition. SB 778 updates the definition of forensic clients so certain individuals with intellectual disabilities or autism found incompetent to proceed can be housed in the same secure forensic setting, reducing duplicative staffing and space needs; it was reported favorably. CS/SB 1016 codifies the Working People with Disabilities Program, allowing eligible developmentally disabled adults to work while retaining Medicaid waiver benefits and requiring notice to enrollees; advocates described the bill as essential to employment and independence, and it passed. Throughout the meeting, most bills received supportive public testimony, few questions, and unanimous or near-unanimous favorable votes.

Transcript Highlights:

• </c><00:13:00.480><c> That</c><00:13:00.720><c> was</c> Developmental Services as well?
• That was Developmental Services as well?
• Developmental Services.
• </c><00:17:00.240><c> services</c><00:17:00.959><c> work</c> bureau of developmental services work bureau
• of developmental services work group<00:17:02.399><c> and</c><00:17:02.639><c> there's</c><00:17:03.120

Summary: The Legislative Performance Audit and Oversight Committee met to accept prior minutes and receive updates on ongoing audits. Audit staff reported progress on three education-related reviews: special education (34 of 71 observations completed, draft expected in the second quarter and final in the summer), education freedom accounts (22 of 41 observations completed, draft expected in the second quarter and final in the summer), and the doorway program (5 of 13 observations completed, draft expected by the end of February and final by April or May). No committee questions were raised on the audit status update. The committee then discussed possible future oversight topics, beginning with SNAP and concerns about fraud and work requirements. Members suggested inviting DHS officials and contract administrators to explain program operations and compliance, and also discussed whether the Department of Justice Medicaid fraud unit or other experienced officials could provide useful context. Members noted New Hampshire’s existing oversight layers, including the Executive Council and the joint HHS oversight committee, while also expressing interest in hearing more directly from department staff about staffing and contract management capacity. A substantial portion of the meeting focused on whether to pursue an audit of special education at the local school level. Members debated whether to wait for the ongoing statewide special education review and a legislative study commission report, or to begin scoping a local audit now so work could start sooner. Supporters argued that local-level spending, identification rates, and effectiveness vary widely by district and that an audit should examine both costs and outcomes; others cautioned that the scope would need to be manageable given limited audit staff and that the statewide report may help narrow the focus. The committee also briefly discussed a potential audit of the Bureau of Elderly and Adult Services, but no decision was made on that item.

Transcript Highlights:

• Did you want to discuss the Bureau of Developmental Services as well?
• That was Developmental Services as well?
• </c><00:15:12.480><c> Melissa</c><00:15:12.880><c> Hardy</c> Developmental Services.
• Melissa Hardy Developmental Services.
• </c><00:17:00.240><c> services</c><00:17:00.959><c> work</c> bureau of developmental services work bureau

Summary: The Legislative Performance Audit and Oversight Committee approved the November 7 minutes with three abstentions and then received status updates on several ongoing audits. Audit staff reported that the special education oversight audit was in report-writing, with 34 of 71 observations completed and a draft expected in the second quarter and a final report in the summer. The education freedom accounts audit had 22 of 41 observations completed, with a draft also expected in the second quarter and a final report in the summer. The Doorway program audit had 5 of 13 observations completed, with a draft expected by the end of February and a final report by April or May. The committee then discussed possible new oversight topics, prompted by concerns about fraud in other states and the need to ensure New Hampshire programs are not vulnerable. Members suggested hearing from DHS officials, contract administrators, and possibly the Department of Justice Medicaid fraud unit about SNAP and other programs, as well as reviewing staffing levels in HHS contract management. There was also discussion of whether to revisit the Bureau of Elderly and Adult Services, though members noted that prior work on that area had been suspended because of litigation. A representative from HHS, Teresa Narrow, briefed the committee on the Bureau of Developmental Services. She said the state had been in compliance with CMS since July 1, 2023 after resolving issues tied to a system redesign and billing changes, and that provider-side billing problems had also been fixed. She also described three existing bodies involved in developmental disability housing oversight, including the Council on Housing Stability, the ABLE Housing Task Force, and a legislative study committee created by HB 168 in 2024. Committee members asked for her notes to be shared. The committee spent substantial time debating whether to pursue a new special education audit at the school-district level. Members discussed the need to examine why some districts have much higher special education rates and costs than others, and whether a statistically selected sample of schools could be used. Audit staff said no new audits could begin until about May or June and that only a couple of auditors would then be available. Members also noted that a legislative study committee is already working on special education and may issue a report later this year, and the committee appeared to leave the school-level audit idea as a potential future item rather than taking immediate action.

Transcript Highlights:

• Our program does provide both voucher-based services as well as state-contracted direct service programs
• run 12 California state-funded Referral services through alternative payment programs.
• protective services children.
• Basically, we would get paid for 246 days of service.
• We learn about how to observe developmental differences in young children.

Summary: The hearing was a joint budget discussion focused first on California preschool and child care, then on universal transitional kindergarten (TK), with later movement toward a reading-difficulties screener item. Members emphasized the need for a coordinated early childhood system that better serves families’ real schedules and needs, rather than forcing families to fit existing program structures. The preschool panel reviewed access, quality, workforce, facilities, and information systems, with repeated concern about whether current funding and program design are sufficient for infants, toddlers, three-year-olds, and full-day/full-year care. Witnesses from the Learning Policy Institute, CDSS, CDE, and community providers described major growth in preschool and child care enrollment, especially for two- and three-year-olds, but also noted persistent gaps, waitlists, workforce shortages, low reimbursement rates, and the need for more stable funding. Several witnesses urged expansion or permanence of two-year-old eligibility in CSPP, more support for mixed-delivery systems, facility conversion and renovation grants, better statewide enrollment and referral systems, and continued funding for one-time grants such as UPK coordinators and planning/implementation supports. Provider and parent testimony stressed that rate reform, enrollment-based reimbursement, and continued hold-harmless protections are needed to keep programs open and accessible. The TK panel reviewed the Governor’s budget proposal for full implementation of universal TK, including Proposition 98 funding for expansion and lower adult-to-child ratios, plus a multilingual learner screening implementation budget change proposal. LPI and CDE reported that TK enrollment has grown rapidly but uptake is now a little over half of eligible four-year-olds, with families citing lack of awareness, preference for other care, and logistical barriers such as location and hours. CDE and providers said the UPK planning and implementation grant, mixed-delivery planning grants, and UPK coordinators have been critical, but these one-time funds are set to sunset. Members pressed for more information on eligible population projections, full-day/full-year demand, teacher credential data, and how administrative credential programs are preparing leaders for early childhood settings. The committee held the issues open and requested follow-up data from the departments.

Transcript Highlights:

• Honor and service.
• They are leaders in science, JROTC, music, service, and much, much more.
• and ordered inpatient and extended mental health services.
• by internet service providers weren't bought into this.
• That service provided by internet service providers wasn't bought into this, and we need to ensure that

Bills: SB15 , SB646 , SB800 , SB790 , SB748 , SB571 , SB1957 , SB1923 , SB1896 , SB1760 , SB1335 , SB2368 , SB2477 , SB2587 , SB2986 , SB2965 , SB1563 , SB1467 , SB1164 , SB1137 , SB614 , SB705 , SB918 , SB955 , SB869 , SB850 , SB863 , SB1055 , SB2206 , SB457 , SB2337 , SB1610 , SB1362 , SB926 , SB1494 , SB251 , SB456 , SB500 , SB1307 , SB2615 , SB2995 , SB2321 , SB2972 , SB973 , SB865 , SB506 , SB1522 , SB1558 , SB510 , SB667 , SB763 , SB2073 , SB1858 , SB1660 , SB2900 , SB1433 , SB1540 , SB1964 , SB1300 , SB1644 , SB2217 , SB2373 , SB2431 , SB1758 , SB974 , SB2480 , SB3039 , SB3047 , SB2781 , SB826 , SB766 , SB527 , SB1946 , SB2885 , SB1243 , SB2610 , SB857 , SB2501 , SB66 , SB268 , SB331 , SB1302 , SB519 , SB2807 , SB13 , SB7 , SB1718 , SB1567 , SB1233 , SB413 , SB2177 , SB30 , SB2024 , SJR1 , SCR27 , SB2018 , SB1580 , SB2121 , SB1049 , SB1266 , SB1400 , SB1596 , SB2753 , SB2221 , SB1719 , SCR9 , SB204 , SB437 , SB568 , SB612 , SB672 , SB710 , SB823 , SB876 , SB904 , SB905 , SB968 , SB1084 , SB1207 , SB1230 , SB1313 , SB1504 , SB1790 , SB2232 , SB2366 , SB2367 , SB2398 , SB2515 , SB2520 , SB2589 , SB2786 , SB2790 , SB3048 , SB3050 , SB3052 , SB3053 , SB3056 , SB3029 , SCR3 , SCR18 , SCR30 , HCR146 , HCR148 , HCR149 , HCR153 , HCR155 , HCR157 , HB5560 , HB762 , HB1584 , HB 107 , HB 114 , HB138 , HB4386 , HB2495 , HB581 , HB3348 , HB5323 , HB4341 , HB6 , HB2712 , HB171 , HB3153 , HB143 , HB2688 , HB3464 , HB449 , HB3486 , HB4263 , HB2 , HB1522 , HB24 , HB 1237 , HB2637 , HB3126 , HB3233 , HB4310 , HB3487 , HCR9 , HB5331 , HB1397 , HB163 , HB3250 , HB3071 , HB3463 , HB5033 , HB35 , HB3824 , HB216 , HB4226 , HB3512 , HB18 , HB5154 , HB 103 , HB851 , HB647 , HB4520 , HB3016 , HB2313 , HB2818 , HB2851 , HB4486 , HB4264 , HB1500 , HB5081 , HB2974 , HB2080 , HB4384 , HB5659 , HB493 , HB4903 , HB2516 , HB4488 , HB4530 , HB3689 , HB145 , HB43 , HB5247 , HB2221 , HB5671 , HB700 , HB3711 , HB 120 , SB17 , SB1637 , SB1833 , SB2155 , SB21 , SB2778 , SB379

Keywords: SB 15, Texas Local Government Code, zoning preemption, housing affordability, small lots, lot size, lot density, single-family zoning, residential subdivision, municipal land use, local control, state preemption, parking requirements, setbacks, infill development, missing middle housing, lot width, lot depth, homebuilders, housing supply

Transcript Highlights:

• Bureau of Developmental<00:34:04.320><c> services</c><00:34:05.320><c> and</c><00:34:05.600><c> other
• </c> Developmental services and other Developmental services and other disability<00:34:07.080><c> related
• Do you see where it says Debt Service? So for the most part, debt service declines.
• We have to pay that service.
• to pay that service.

Summary: The committee first heard from the Personnel Appeals Board, which explained that it became an independent state agency after Senate Bill 487 and was presenting its first standalone operating budget. The board described its quasi-judicial role in hearing appeals from classified state employees over disciplinary actions such as warnings, suspensions, and terminations, and said it handles about 25 to 35 cases a year, with some cases lasting longer because of their complexity. Members also outlined the need for a chair and vice chair who are attorneys, the board’s current staffing and space needs, and its plan to move away from reliance on Administrative Services for office support and website functions. The board requested about $353,500 for fiscal year 2026, including startup costs, routine operating expenses, and two new part-time positions: a program director and a paralegal. Members said the budget reflects the new independent status, includes funding for only four board members rather than the authorized five, and is designed to avoid full-time staffing costs and benefits. Legislators asked about the cost per case, the board’s relationship to DAS, whether appeals must go through the board before court, and how often cases are appealed further. The board said appeals must first go through it, that court appeals are infrequent but have increased recently, and that the board’s process is intended to resolve disputes more quickly and less expensively than court litigation. Committee members also asked about the board’s caseload, outcomes, and staffing. The board said that in the prior year there were 22 cases, with four decisions overturned in favor of employees, nine dismissals, and nine settlements, and that many disputes are resolved before reaching the board through a multi-step internal process. A member noted the governor and council had recently approved a new board member and were expected to approve a fifth soon. The discussion ended with questions about the board’s website and records access, which members said would need to be moved from Administrative Services as part of the agency’s transition. The committee then moved to the New Hampshire Council on Developmental Disabilities. The executive director explained that the council is 100 percent federally funded under the Developmental Disabilities Assistance and Bill of Rights Act and develops a five-year plan to address the needs of people with intellectual and developmental disabilities. She said the council works with state agencies and advocacy organizations on quality-of-life issues, accessibility, voter rights training, and plain-language or easy-to-read materials, and that 60 percent of its membership must be individuals with disabilities or family members/guardians. She also described the council’s funding structure, including reimbursement to the state for operating costs, and noted that it currently has three full-time and three part-time positions, with no new positions requested but one full-time position being eliminated and replaced after a pandemic-era staffing change did not work out as planned.

Transcript Highlights:

• What is the cost for the in-jail service? The jail-based restoration service? Yeah.
• So this is crisis residential services. So the department requested 250. services.
• support services.
• The division provides support coordination and services to individuals with intellectual and developmental
• services.

Committee: House Budget

Transcript Highlights:

• And, you know, developmental disability services are encouraging providers to have a plan for transition
• And, you know, developmental disability services are encouraging providers to have a plan for transition
• Some of them went into, you know, different services throughout their service system.
• services.
• And all of the services, VR, DDS, well, their version of DDS, all of those services are available through

Summary: The meeting was a 14(c) Task Force hearing focused on employment experiences of Oklahomans with disabilities and the state’s use of subminimum wage. Numerous self-advocates and workers testified about their jobs, accommodations, pay, transportation barriers, and the importance of community integration. Several speakers described positive experiences in competitive or community jobs, while others recounted being underused, fired without explanation, or paid by piece rate or minimum wage in sheltered or enclave settings. Many emphasized that fair pay, independence, ABLE accounts, and supportive employers matter to them, and several said they want future careers, promotions, or even to own businesses and help others with disabilities find work. Task force members discussed recurring themes from the testimony: transportation as a major barrier, the importance of community and self-advocacy, employer misconceptions and stigma, the need for better transition services from school to work, and the difficulty families face navigating benefits and employment systems. Members also raised concerns about people being fired without explanation and about the need for meaningful options for those not ready for competitive employment. Suggestions included more employer education, reverse job fairs, job coaching, benefits planning, better coordination between DDS and DRS, and stronger transition supports in schools and through programs like Project SEARCH. Staff then presented research on how other states have phased out or eliminated 14(c) certificates. Examples included Kansas, Illinois, Indiana, Oregon, Pennsylvania, and Washington, with common approaches such as phase-out timelines, technical assistance, provider transition plans, and support for competitive integrated employment. The presenters noted that Oklahoma still has 40 entities using 14(c), most of them DDS providers, but many providers are already moving away from it. Members discussed potential unintended consequences, the need for a clear timeline, the possibility of blending or braiding services, and whether Oklahoma should create a more one-stop, employer-friendly system. No votes were taken, and the group agreed to continue gathering information and return in June to begin shaping priorities and possible policy directions.

Transcript Highlights:

• Phase one will include all services except for developmental ...of 2029.
• Phase one will include all services except for developmental disability services, and phase two will
• go live January 2031 with developmental disability services.
• The reason for that decision is because many states do not carve in developmental disability services
• A lot of questions about behavioral health and developmental disability and waiver services, concerns

Committee: Senate Health and Welfare

Transcript Highlights:

• school, I plan to do four years in the United States Air Force and then pursue a career in the fire service
• Health and Human Services will meet exactly 30 minutes after session adjournment in room 535.

Bills: HB3767 , HB3934 , HB4199 , HB4336 , HB2947 , HB3834 , HB4302 , HB4095 , HB3287 , HB3649 , HB4430 , HB4431 , HB2059 , HB3647 , HB3986 , HB3548 , HB3661 , HB4346 , HB3075 , HB4273 , HB3391 , HB4128 , HB3557 , HB3239 , HB3982 , HB2123 , HB2979 , HB2997 , HB3148 , HB4108 , HB4143 , HB4266 , HB2053 , HB4058 , SR30

Keywords: controlled dangerous substances, controlled substances, drug scheduling, Schedule I, Schedule IV, anti-drug diversion, drug diversion, synthetic opioids, fentanyl analogs, designer drugs, synthetic cannabinoids, benzodiazepines, benzodiazepine analogs, opioids, hallucinogens, depressants, pharmacy regulation, narcotics control, Oklahoma State Bureau of Narcotics and Dangerous Drugs Control, DEA scheduling

Transcript Highlights:

• I'm just services. So, why why cap it at two? I services. So, why why cap it at two?
• all developmental developmental developmental uh<00:18:08.919><c> individuals.
• We have both levels of developmental disability that we consider in terms of a service mix for the children
• </c> Department of Health and Human Services. Department of Health and Human Services.
• </c> clinical contractor providing services. clinical contractor providing services.

Committee: House Health, Human Services & Elderly Affairs

Transcript Highlights:

• , meaning more costly services.
• So these could be higher-level, more costly services, or greater intensity of services, particularly
• Also, higher-intensity or higher-level services, so hospitalizations, youth in residential services or
• services.
• I may also offer that the Council for Developmental Disability Services, I think, can be a resource to

Committee: House Health and Welfare

Transcript Highlights:

• <00:03:12.280><c> and</c><00:03:12.440><c> intellectual</c> Developmental and intellectual Developmental
• she was offered. intellectual and developmental work intellectual and developmental work group<00:04
• A similar case in T.C. versus Cabinet for Health and Family Services...
• </c><00:10:29.519><c> to</c> Cabinet for Health and Family Service to Cabinet for Health and Family Service
• It's all about the Cabinet for Health Services.

Summary: The committee first took up Senate Bill 26, presented by Senator Brandon Storm, Family Court Judge Marcus Vanover, and Crystal Adams on behalf of the Kentucky Judicial Commission on Mental Health. The bill would ensure Kentucky complies with the ADA by prohibiting disability alone from being used to terminate adoption petitions, parental rights, or child-placement petitions. Testimony cited Kentucky Supreme Court and Court of Appeals cases involving parents with intellectual or developmental disabilities and national data showing high removal rates for parents with psychiatric, intellectual, or physical disabilities. The committee approved the bill 15-0 with favorable expression. The committee then heard Senate Bill 85 from Senator Steve Meredith and State Auditor Allison Ball, which continues the transition of the Office of the Ombudsman from the Cabinet for Health and Family Services to the Auditor’s office. Testimony focused on completing the transfer by clarifying access to the ITWIST database, ensuring complaints go directly to the Ombudsman, adding whistleblower protections, and making the office a separate office within the Auditor’s office for efficiency. Members asked about the prior conflict of interest when the Ombudsman was housed within CHFS, the database access dispute and lawsuit, and whether the office still remained independent. The bill passed with favorable expression after some members voted pass. Finally, the committee considered House Bill 805, with Representative Nick Wilson and Representative Sarah Stalker explaining a committee substitute and amendment. The bill would set timelines for the Cabinet to physically locate children reported at immediate safety risk and require annual kinship-care reporting to be automatically provided to the legislature and posted publicly. Wilson said the bill also cleans up language from last year’s House Bill 271, including changing “threats” to “risks” in the safety-plan definition and other terminology fixes. The committee adopted the substitute and amendment and advanced the bill with favorable expression.

Transcript Highlights:

• Services are going up.
• Services are going up.
• Services are going up. If we business. Services are going up.
• </c> services of which we provide gratus. services of which we provide gratus.
• </c> welfare services. That's page five. welfare services. That's page five.

Transcript Highlights:

• Services for individuals with developmental disabilities, you are recognized. Thank you, Mr. Chair.
• the intellectual and developmental disability... ...services and address the persistent backlog by expanding
• for people with developmental disabilities... ...decided that services for people with developmental
• for people with developmental disabilities decided that services for people with developmental disabilities
• I received services from the waiver. To say that these services are critical is an understatement.

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The committee took up a series of health and human services bills, beginning with CS/SB 1602, which would require emergency departments to have evidence-based pediatric care protocols, training, appropriate child-sized equipment and medications, a designated care coordinator, and participation in a pediatric readiness assessment. It was reported favorably. CS/SB 1224 followed, aligning Florida law with federal requirements so paramedics may administer controlled substances in the field under physician or nurse practitioner protocols; it also passed favorably after supportive testimony from fire chiefs. The committee then adopted a strike-all for SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by creating a statewide registry, requiring screening and training in hospitals and long-term care settings, and adding assisted living facility response requirements. Assisted living representatives objected to the ALF provisions as unrealistic and potentially harmful, while supporters argued the bill would save lives; the bill was reported favorably. CS/SB 1182, requiring continuous glucose monitors to be covered as both durable medical equipment and a pharmacy benefit, also passed favorably with support from AARP. The committee next considered CS/SB 12, a claim bill for a child severely injured after a DCF home visit allegedly failed to meet standards, and it was reported favorably without opposition. CS/CS/SB 954, dealing with substance abuse treatment centers and recovery residences, drew substantial debate. The bill would limit local zoning restrictions on treatment facilities and allow larger recovery residences if staffing ratios are increased; a late-filed amendment reduced the maximum active patients from 500 to 300. Municipal and county representatives warned that the bill could override local reasonable-accommodation efforts and create institutional-scale facilities, while supporters said housing is essential to recovery and that clustering concerns are overstated. The committee ultimately reported the bill favorably. CS/SB 1050, expanding the developmental disabilities pilot program statewide and creating a statewide family care council, also passed after extensive testimony from families and advocates. Supporters emphasized the long waitlist and the need for more services, while some speakers opposed managed care and warned about provider shortages and loss of individualized supports. Later, CS/SB 614, requiring a public educational webpage about background screening clearinghouse and level two screening requirements, was reported favorably. CS/SB 1578, which would require coverage for mammograms and supplemental breast cancer screening in certain circumstances, was also reported favorably. CS/SB 1060 created a joint legislative oversight committee to review Medicaid operations and financing; members discussed the need for stronger oversight of large midyear spending adjustments, and the bill passed favorably. CS/SB 1240, a Department of Children and Families substance abuse and mental health bill, was amended to clarify Baker Act transfer timing and notification requirements after debate over whether facilities could hold patients too long; it was then reported favorably. Finally, Senator Harrell presented CS/SB 526, a major nursing education bill aimed at Florida’s low NCLEX passage rates. The bill would require nursing programs to use exit exams, remediation, reporting, and stricter oversight, and the strike-all would add graduate preceptorships for low-performing programs and temporary provisional licenses for graduates pending NCLEX passage. The transcript ended while that bill was still being explained, before final action was taken.

Transcript Highlights:

• And while we call it a developmental disability, ...learning ability.
• And while we call it a developmental disability, I call it different abilities.
• are hiring the direct support professionals that are needed to provide services right now.
• Families who needed services that were denied them.
• Families who needed services that were denied them.

Summary: The Assembly convened after a quorum call, heard a prayer and Pledge of Allegiance, and then moved through a largely ceremonial and procedural floor session. Speaker Revis delivered remarks condemning the sexual abuse allegations involving Cesar Chavez and said he would work with Senate leadership on legislation to rename Cesar Chavez Day as Farm Worker Day. The body also handled several procedural motions, including re-referrals of bills to committees and guest introductions for visiting students, advocacy groups, and university representatives. The main substantive actions were on a series of resolutions. H.R. 83, recognizing Developmental Disabilities Awareness Month, drew extensive personal testimony from Assemblymembers about family members and constituents with disabilities, the need for inclusion, and the importance of state funding and direct support services; it was adopted by voice vote after 70 co-authors were added. ACR 154, recognizing California Down Syndrome Awareness Week and Day, was similarly supported with personal stories about family members with Down syndrome and the need for continued awareness and services; it was adopted after 67 co-authors were added. ACR 148, designating Family Physician Week, highlighted the shortage of primary care doctors and the importance of investment in family medicine; it was adopted after 60 co-authors were added. ACR 156, recognizing National Day of Play, emphasized social connection, reduced screen time, and community engagement; it also passed with 60 co-authors added. The Assembly also adopted the consent calendar, which included Senate Concurrent Resolution 125 related to Ramadan, by a 60-0 vote. Later, members gave an adjournment in memory for Raymond Martin Melgoza, a union laborer and community member from the Central Valley. The session ended with announcements about the schedule, including no floor session on March 20 and a mandatory joint convention on March 23 for the State of the Judiciary address, followed by adjournment until March 23 at 1 p.m.