Transcript Highlights:

• So with an additional level of training and skills advancement, CNAs can work across home and community-based
• So this... ...initiative will include the creation of a state-sponsored online training program for CNAs
• And then back to her point, you talked about CNAs, right?

Keywords: 995, all

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

Transcript Highlights:

• It's in, especially CNAs and nurses.
• In April, I am anticipating to get my CNA license in the test.
• We help the CNAs and nurses go through with care in ways such as bed baths, taking vital signs, feeding

Summary: The Joint Committee on Education held an informational hearing at Quincy Public Schools focused on career and technical education (CTE) and related legislation. Committee members said the visit was intended to gather input for ongoing statewide efforts to expand awareness and access to CTE, especially in middle school, improve equipment and facilities, and strengthen coordination with workforce partners. Quincy administrators described the district’s CTE system, including 15 Chapter 74 programs at Quincy High School and four at North Quincy High School, enrollment of about 1,360 students, updated DESE-aligned frameworks, safety practices, business electives, and funding supported by the district budget plus state, federal, and local grants. Presenters highlighted work-based learning, industry credentials, and partnerships with employers, unions, Quincy College, MassHire, and advisory committees. Examples included co-op placements, internships, clinical placements, Military Mondays, Credit for Life, Skills Capital and Perkins-funded equipment upgrades, and a planned engineering Chapter 74 application at North Quincy. Assistant Superintendent Aaron Perkins also outlined the district’s MyCAP college-and-career planning initiative and its goal of creating a vertically aligned readiness model beginning in the middle grades. Students Ellie Crump, Emily Infantino, and Alexander Liu testified about their pathways in welding, early education and care, and healthcare technology, describing hands-on learning, certifications, clinical or shop experiences, and postsecondary plans. Committee members praised Quincy as a model for integrating CTE with general education and said the testimony would inform future legislation. No votes were taken; the hearing concluded with a motion to adjourn and unanimous agreement.

Transcript Highlights:

• It's in, especially CNAs and nurses.
• In April, I am anticipating getting my CNA license in the test.
• We help the CNAs and nurses go through with care in ways such as bed baths, taking vital signs, feeding

Keywords: 1212, all

Transcript Highlights:

• I learned that being a CNA is more than a job.
• And today, I'm proud to say that because of HAP, I am now working as a CNA.
• </c> that being a CNA is more than a job. that being a CNA is more than a job.
• I am deeply now working as a CNA.
• So CNA would be scrubs uh for clothing.

Keywords: 1187, senate, all

Transcript Highlights:

• So with nursing here, we have this example starting with the CNA program.
• So with nursing here, we have this example starting with the CNA program.
• , in this example, we have someone, let's say, at a community center, and they're working through a CNA
• They'll get that CNA training certificate, and then the pre-apprenticeship would help place them into

Summary: The Workforce Support Subcommittee met to discuss how registered apprenticeships could help address workforce shortages in disability services, human services, and other high-need fields. Co-chairs and staff introduced the session as a practical overview of apprenticeship pathways, with a focus on how employers, intermediaries, and training providers can work together to build programs. The discussion emphasized that apprenticeships can be used not only in the trades, but also in health care, early childhood education, medical interpreting, and other occupations facing recruitment and retention problems. Amara Ramon of the Division of Apprenticeship Standards explained the structure of registered apprenticeships in Massachusetts, including employer-led on-the-job training, related technical instruction, wage progression, credentialing, and state support through templates, compliance oversight, and grants. Melissa Sebeli described her role as an intermediary at the MassHire Hampden County Workforce Board, saying intermediaries help employers design, register, and manage programs, recruit apprentices, and keep programs compliant. She said the model offers employers a pipeline of workers, retention benefits, tax credits, and flexibility to tailor training to local needs. Lisa Morris described a new apprenticeship for medical interpreters, built from an existing training program and employer demand for experience, with a pre-apprenticeship, 2,000 hours of work-based learning, and related technical instruction tied to certification requirements. Members and attendees asked about where apprentices come from, how employers recruit, how wages are set, and whether state agencies or workforce boards can serve as intermediaries. Speakers said recruitment can come from career centers, youth programs, incumbent workers, community colleges, job fairs, ESL centers, and community-based organizations. They also discussed accommodations and modified curricula for people with intellectual, developmental, and neurodiverse disabilities, citing Bridgewater State’s Excel program as an example. No votes were taken; the meeting concluded with encouragement for organizations to contact the presenters or Division of Apprenticeship Standards to explore apprenticeship options and with notice that materials and the recording would be posted online.

Transcript Highlights:

• So you could learn the CNA track at a community center.
• lot of our transition offices and all the community colleges for in-demand fields, whether that be CNAs
• “And just—you see so many CNAs, central processing, there's so many open job requirements at all these
• I mean, Rachel, you keep saying CNA—maybe Bridgewater has that, but maybe they don't, right?

Summary: The commission approved the December minutes and heard opening remarks on upcoming initiatives, including a second “Meeting the Moment” community forum in Lowell on March 27 focused on digital accessibility, education-to-employment transition, workforce supports, long-term services and supports, and health equity. The chair also previewed planning for National Disability Employment Awareness Month in October, including formation of a small planning group to help select employer awardees and shape the program. A major portion of the meeting featured an update from the Attorney General’s office on federal litigation affecting Massachusetts. The presentation covered lawsuits and amicus work involving higher education diversity data requests, anti-DEI funding conditions, immigration and Haiti Temporary Protected Status, NIH research grant disruptions, and Department of Education mental health training grants. Commissioners asked about possible impacts on Medicaid and whether disability is included in the federal administration’s undefined “DEI” restrictions; the AG’s office said it was monitoring Medicaid developments closely, had not seen a CMS letter at that time, and would share guidance on DEI and employment initiatives. The meeting also included a workforce and apprenticeship presentation from Undersecretary Josh Cutler and Amara Riemann. They described registered apprenticeship and pre-apprenticeship programs, emphasizing paid, employer-driven training, classroom instruction, wage progression, and transferable credentials. Commissioners highlighted the Bridgewater State University Excel program for neurodivergent individuals and people with disabilities as a promising model and discussed the need to build similar pathways through community colleges and employer partnerships in fields such as direct support, CNA work, and other in-demand jobs. Subcommittee reports noted that the disability employment subcommittee heard from SEED and will host future presentations from the Lawrence Partnership for Transition to Employment and the Office of Veterans Affairs. The long-term services, supports, and health equity subcommittee discussed MassHealth budget pressures, a projected $3.5 billion budget gap tied to federal changes, upcoming Medicaid eligibility changes, and crisis standards of care. The executive director reported on collaboration with the Massachusetts Office on Disability, planning for the Lowell event, participation in statewide disability employment and autism advocacy work, and upcoming engagement with the Massachusetts Caregiver Coalition. Commissioners also announced several honors, including awards for Regina Marshall, Jay Livingstone, and Vanna Howard.

Transcript Highlights:

• It requires CNA serving a nursing home to receive training on recognizing the signs and symptoms of a
• Senator Davis, it would be similar to what we were just talking about with the CNAs.
• that we make it really work that for our the CEUs for our nurses, our nursing home staff LPNs and and CNAs

Keywords: 999, senate, all

Transcript Highlights:

• Susan Varela, I'm with CNA. I've been an RN for 22 years.
• Cynthia Chang, part of CNA, strongly support.
• Kathy Kennedy, president of CNA, 46 years RN, strong support.
• Kathy Kennedy, president of CNA, 46 years RN, strong support.
• I am with CNA and I'm for the bill. Thank you. My name is Sarah Freed.

Summary: The committee heard several bills focused on privacy, accessibility, labor, and public safety. AB 1798 by Assemblymember Wilson would bar life and disability insurers from using non-diagnostic genetic information, including direct-to-consumer test results, in underwriting. Supporters argued the bill would protect privacy and encourage genetic testing, while insurers opposed it as unnecessary and said genetic data should be treated like other predictive health information. The bill passed the committee on a 7-0 vote and was held open for absent members. AB 2190 by Assemblymember Wallace would create website accessibility standards based on WCAG guidelines and add affirmative defenses intended to reduce serial litigation while improving access for people with disabilities. Disability advocates supported the measure as a needed civil-rights update, while business groups warned it could increase liability and create unclear compliance obligations. The bill passed 9-0 and was sent to Appropriations. AB 2721 by Assemblymember Carrillo would require hotels to post notice when they know or should know that U.S. Customs and Border Protection or ICE are using the premises, with supporters saying workers and guests deserve transparency and safety. Hotel and business groups opposed it, citing privacy, liability, and concerns about interfering with federal operations. The committee voted 6-2 to pass the bill to Appropriations, with the roll left open. AB 2027 by Assemblymember Ward would restrict employers from using worker data to train AI systems that replace workers and limit sharing of worker data for automation; labor groups supported it and business and public-sector groups opposed it as too broad. The bill passed 7-2 to Appropriations, with the roll left open. The committee also heard AB 1837 by Assemblymember Mark Gonzalez, which would extend and tighten privacy rules for transit agencies’ use of forward-facing cameras to enforce bus-lane violations; supporters said the cameras improve transit flow and safety, and the bill was presented with amendments, though no final vote is reflected in the transcript excerpt.

Transcript Highlights:

• Susan Varela, I'm with CNA. I've been an RN for 22 years.
• Cynthia Chang, part of CNA, strongly support.
• Kathy Kennedy, president of CNA, 46 years RN, strong support.
• Kathy Kennedy, president of CNA, 46 years RN, strong support.
• I am with CNA and I'm for the bill. Thank you. My name is Sarah Fried.

Keywords: 988, house, all

Transcript Highlights:

• And community colleges also have these certification programs, like for CNAs and for sort of in-demand
• And community colleges also have these certification programs, like for, you know, CNAs and for sort
• of in-demand and have these certification programs, like for, you know, CNAs and for sort of in-demand

Keywords: 995, all

Summary: The Employment Subcommittee of the Permit Commission on Status of Persons with Disabilities met on April 27 and approved the prior meeting minutes before hearing a presentation from the Lawrence Partnership for Transition to Employment (LPTE). Presenters from UMass Boston’s Institute for Community Inclusion, the Arc of Greater Haverhill-Newburyport, Northeast, and Lawrence Public Schools described LPTE as a five-year grant focused on improving transition outcomes for youth with intellectual and developmental disabilities in Lawrence through community partnerships, work groups, and family engagement. A major focus was a family survey designed to better understand barriers to transition planning and IEP participation. Presenters said the survey response rate increased sharply after Lawrence Public Schools helped distribute it, rising from about a dozen responses to more than 200. Survey findings showed common barriers such as scheduling conflicts, language access, childcare, transportation, and limited understanding of IEPs and transition planning. The data also suggested that many families expect college or employment outcomes for their children, but fewer reported access to pre-employment training, indicating a communication gap rather than a lack of services. Lawrence school staff explained that the district has a five-person transition team, bilingual resources, workshops, and a developing online transition hub, and that they are using the survey results to improve visibility and access to existing supports. Committee members discussed the need to start transition planning earlier, expand real-world work experiences, improve outreach to Latino families, and better connect students with college, trade, and employment pathways. Several members suggested partnerships with summer youth employment, volunteer programs, and college or alumni panels. The presenters said the grant ends in September, but the resource hub will continue through the Arc and they are exploring ways to sustain the consortium model. The meeting ended with thanks to the presenters, an update that committee members would meet with Seed on Massachusetts as a model employer, and notice that the next meeting would feature the Office of Veteran Affairs before adjournment.

Transcript Highlights:

• Community colleges also have these certification programs, like for CNAs and for sort of in-demand employment
• And community colleges also have these certification programs, like for, you know, CNAs and for sort
• of in-demand and have these certification programs, like for, you know, CNAs and for sort of in-demand

Keywords: 1212, all

Summary: The Employment Subcommittee of the Commission on the Status of Persons with Disabilities met on April 27 and approved the prior meeting minutes. The main presentation was from the Lawrence Partnership for Transition to Employment (LPTE), a five-year grant project focused on improving transition outcomes for youth with intellectual and developmental disabilities in Lawrence. Presenters described the project’s community conversations, consortium, and four work groups, with emphasis on the family-partnership work group and a family survey designed to better understand engagement barriers and transition needs. The survey results showed that family participation increased sharply when Lawrence Public Schools helped distribute the survey, rising from about a dozen responses to more than 200. Key findings included barriers such as scheduling conflicts, language access, childcare, and limited understanding of the IEP and transition process. Many families said they wanted their children to pursue college or employment after high school, but fewer reported access to pre-employment training, suggesting a gap between expectations and awareness of available services. The Lawrence team also described a bilingual transition website, workshops offered at different times with interpretation and childcare, and efforts to make transition planning more visible and accessible. Committee members responded with questions and comments about cultural barriers, early transition planning, college and community college pathways, trades, summer youth employment, and how to reach families earlier, especially in middle school. Presenters said Lawrence has a strong transition team and existing resources, but needs more real-world work experiences and better communication so families understand and use them. The meeting ended with thanks to the presenters, a note that committee members would meet with SEED later in the week about Massachusetts as a model employer, and an announcement that the May meeting would feature the Office of Veterans Affairs.

Transcript Highlights:

• CNAs are the backbone of health care.
• And the CNA role of direct care and skilled care in hospitals.
• When the CNA pipeline strains, every level of health care feels it.
• A CNA credential is a doorway to stability, advancement, and long-term opportunity.
• Dwyer scholars choose to be CNAs, but we do not have the funding to provide it.

Keywords: 1184, house, all

Transcript Highlights:

• and CNA 2, but that they were not getting all of the CNAs because those spots were being taken by people
• </c><02:47:41.880><c> and</c><02:47:42.040><c> CNA</c><02:47:42.520><c> 2</c> available for CNAs and
• CNA 2 available for CNAs and CNA 2 but<02:47:44.280><c> that</c><02:47:44.520><c> they</c> but that they
• </c> we weren't getting all of the CNAs we weren't getting all of the CNAs because<02:47:48.440><c> those
• </c> through that program to be a CNA? through that program to be a CNA?

Keywords: 916, all

Transcript Highlights:

• It requires CNA serving in a nursing home to receive training on recognizing the signs and symptoms of
• It would be similar to what we were just talking about with the CNAs.
• know. ...that we make it really work for our CEUs for our nurses, our nursing home staff, LPNs, and CNAs

Summary: The Senate Committee on Health Policy considered several health-related measures. SB 890 on improving screening and treatment for blood clots was presented as a work-in-progress based on a prior working group. The bill would define certain clot-related conditions as chronic diseases, create a DOH registry, require screening and training in hospitals, nursing homes, and assisted living facilities, and several senators raised concerns about definitions, training requirements, facility responsibilities, and public records impacts. Survivors and family members testified in strong support, describing blood clots as a preventable public health crisis. The bill was reported favorably after a roll call vote. SB 668 on storage and disposal of prescription drugs and sharps would direct a study of medical sharps collection and address conflicts between state and federal law on disposal of certain prescription drugs. Senators discussed whether the study should include both individual and commercial disposal and whether newer injectable medications increase sharps waste. The bill received supportive testimony from waste and recycling stakeholders and was reported favorably. SB 762 on preventing the spread of avian influenza would create a DOH task force to develop a statewide response strategy, monitor outbreaks, study wastewater monitoring, and recommend cost-effective testing and prevention measures. An amendment extended the task force deadline, and the bill was reported favorably as a committee substitute. The committee also approved SB 182, which creates the Home Away From Home tax credit for businesses donating to charities that house families of critically ill children, with supporters saying it would help expand lodging for families in need. SB 942, the chair’s bill on restrictive covenants in health care, would limit non-compete clauses for physicians under a salary threshold, with debate focused on patient access, workforce retention, and concerns about small practices and contract enforcement. The bill was reported favorably. Finally, the committee adopted SPB 7018 to preserve a public records exemption for minors seeking judicial bypass of parental consent requirements for abortion, and then reported it favorably. Several members later recorded votes on earlier bills, and the committee adjourned.

Transcript Highlights:

• Also, reserve seatings and partnerships with our state and technical college, i.e., our CNA program,
• In the past, we'd had a very successful and continue to have a very successful CNA program.
• right now that there's a return on investment, as we've already had students enrolled and pursuing CNA

Summary: The Senate Committee on Education Postsecondary met to receive an update from Florida developmental research lab schools on articulated health care programs created under the Live Healthy initiative and Senate Bill 76. Chair Calatayud opened the meeting, confirmed a quorum, and heard presentations from P.K. Young/University of Florida, Florida State University Schools, FAMU Developmental Research School, and Florida Atlantic University Laboratory School. Each school described efforts to build K-12-to-postsecondary health care pathways, expand dual enrollment and industry certifications, and share replicable curriculum models with other districts. FSU Schools highlighted its HERO program, including CNA and food manager certifications, dual enrollment growth, reserve seating at colleges, and a paid internship with the Department of Health tied to emergency shelter operations. P.K. Young described its Healthy Lives Blueprint, which combines K-8 wellness experiences, a new high school health and human performance pathway, AP and science course expansion, a planned gymnasium redesign, and partnerships with Santa Fe College and UF. FAMU DRS reported growing dual enrollment, partnerships with FAMU, Tallahassee State, and Lively, and a goal of serving at least 100 students and 40 staff through health career exposure, certifications, and AA/AS pathways. FAU Lab School described a more advanced model that integrates elementary through high school research and health science experiences, including biotechnology, bioengineering, and partnerships with health and research institutions. The school reported 87 peer-reviewed student publications, more than $350,000 in student grants, six patents, and pipelines into FAU’s medical and nursing programs, including a Med Direct pathway and a National Merit Scholar pipeline. Committee members asked about student readiness for nursing programs, dual enrollment, articulation with state colleges, and how the lab school models could be disseminated statewide. The meeting concluded with praise for the programs and a motion by Senator Fine to adjourn, which was adopted without objection.

Transcript Highlights:

• WABON, the Washington Board of Nursing, has moved CNA testing to training programs to similar results
• There are CNAs, which are largely in our... ...care.
• There are CNAs, which are largely in our skilled nursing facilities and assisted living facilities.
• other, because when pay is low and benefits are not competitive, it's hard to attract new folks, new CNAs

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• call 911, access to primary care somewhere nearby, and workforce for those types of services, nurses, CNAs
• this is where for a very specific set of professions, uh, largely tied to the nursing industry, so CNAs
• Direct service professionals, CNAs and nursing have been incredibly difficult to recruit and retain given
• It's not just being a CNA.
• It's a CNA at the state hospital or the Life Resource Center, dealing with some of the toughest clients

Keywords: 916, all

Transcript Highlights:

• Is it CNAs, RNs, or what? It's absolutely CNAs.
• Most of our vacancies, 39 of them, are not CNAs; 240 agency-wide are CNAs.
• So we train CNAs in-house to be CNAs. You can't just walk in the door.
• But as a what I hear from in talking with these CNAs, a lot of them are more worried about putting a
• But as a what I hear from in talking with these CNAs, a lot of them are more worried about putting a

Summary: Attorney General Catherine Hanaway presented the Office of the Attorney General’s FY 2027 budget request and outlined her office’s priorities: reducing violent crime, targeting illegal and unregulated activities she described as a “vice squad” focus, protecting Missourians from fraud, and improving the office’s legal work. She highlighted major cases and enforcement efforts, including litigation over insulin pricing, Dollar General pricing practices, a criminal prosecution in Hermann, the Jackson County assessment dispute, and a new lawsuit involving Misha’s board policy. Committee members asked about cybercrime enforcement, cooperation with federal authorities, VLTs, ballot and referendum litigation, and the office’s approach to diversity-related legal issues. Hanaway said cybercrime and no-call enforcement rely heavily on multi-state and federal cooperation, and she emphasized that many cases begin with citizen reports. Members also questioned the cost and scope of ongoing election-related litigation, including redistricting and referendum cases, and Hanaway said her office is defending the laws and ballot processes as required. She estimated roughly $600,000 in staff time over about six months for the referendum/redistricting work combined. Several members raised concerns about the Misha lawsuit and whether similar statutory provisions elsewhere in state government could raise the same legal issues; Hanaway responded that the case involved a board rule, not a statute, and turned on whether the requirement functioned as a quota. The committee also discussed child sexual exploitation, human trafficking, Medicaid fraud, and the use of outside counsel and pro hac vice fees. Hanaway said the office is using non-GR funds where possible and is not requesting pay increases this year. The Missouri Office of Prosecution Services then presented its budget. Officials explained that MOPS trains and supports prosecutors statewide, including on DWIs, child sex cases, and new prosecutor training, and that its budget request matches the governor’s recommendation. Members asked about support for local prosecutors, the nine counties without elected prosecutors, and the new conviction integrity unit; staff said the unit’s positions were shifted between line items and that the office can help answer prosecutorial questions through its general counsel. The committee then moved to the Department of Public Safety budget. DPS reviewed funding for crime victims notification, law enforcement recruitment and retention, drug task forces, academy scholarships, Blue Star grants, local crime prevention, school safety, World Cup security, 988 trainings, wastewater testing in schools, and other programs. Members asked about the $59 million federal FIFA World Cup grant, school safety app funding, and wastewater testing participation; DPS said the World Cup funds require no state match, the app funding is being phased out, and schools opted into the testing program. The committee recessed before finishing the DPS book, with plans to return later.

Transcript Highlights:

• As we're coming to the close of this, the commission reviewed this CNA report, the gap analysis that
• Taking the CNA, the time with leadership, all of the history that we have, in order for the commission
• reviewed this CNA report uh the<00:46:22.440><c> Gap</c><00:46:22.720><c> analysis</c><00:46:23.240>
• </c><00:46:46.599><c> the</c><00:46:46.760><c> time</c><00:46:47.040><c> with</c> and taking the CNA
• the time with and taking the CNA the time with leadership<00:46:48.240><c> all</c><00:46:48.440><c> of

Keywords: 1191, senate, all

Transcript Highlights:

• Thanks to Cairo's ongoing support, I passed my CNA exams, obtained my state license, and secured a job
• My injury also state license as a CNA.
• support, I passed my CNA exams, obtained my<00:08:49.839><c> state</c><00:08:50.160><c> license,</c>
• How many CNAs? How many CDLs? I think you talked about the commercial driver's licenses.
• How many CNAs? How many CDLs? I think you talked about the commercial driver's licenses.

Keywords: 1187, senate, all