Transcript Highlights:

• Guidelines with our partners at HHS.

Bills: SB222

Keywords: whole milk, school lunch, school meals, National School Lunch Program, Richard B. Russell National School Lunch Act, Child Nutrition Act, USDA, nutrition standards, dairy, nonfat milk, low-fat milk, reduced-fat milk, lactose-free milk, nondairy beverages, plant-based milk, milk substitution, parental consent, legal guardian, food allergies, allergic reaction

Summary: This meeting of the committee focused primarily on the Whole Milk for Healthy Kids Act, S222, which aims to permit schools to offer a fuller range of milk options, including whole, reduced, and low-fat varieties, that have garnered bipartisan support. Chairman Bozeman opened the session by highlighting concerns over children's nutrition and the obesity epidemic, emphasizing the significance of nutritious school meals in addressing these issues. Experts from various organizations were invited to discuss the implications of this bill as well as the current challenges facing school meal programs, including budget constraints and food supply issues. The meeting included passionate testimonies about the direct impacts of current dietary guidelines and federal funding reductions affecting schools' abilities to provide healthy meal options.

Transcript Highlights:

• It's on the HHS website, on their FAQs. You can see it clear as day.

Summary: The committee took up a large health policy agenda. SB 1568 on electronic prescribing was explained as a federal conformity measure, but members raised concerns about preserving patients’ ability to obtain paper prescriptions and about exemptions for emergency, hospice, and other situations. Emergency physicians testified in support of e-prescribing but asked for flexibility, and the bill was reported favorably despite Senator Harrell’s opposition. SB 1606 on patient access to records sought to standardize record-production timelines and require electronic delivery when available; after an amendment correcting a drafting error, the bill drew concerns about HIPAA, behavioral health confidentiality, and the distinction between personal and legal representatives, and it was reported unfavorably as a committee substitute. The committee then approved SB 1346 on fentanyl testing, with a technical amendment, to require hospitals and campus emergency departments to test for fentanyl in urine testing for suspected overdose or poisoning. SB 1224 on administration of controlled substances by paramedics was amended to clarify language and reported favorably. SB 656 on health care billing and collection activities was substantially revised by strike-all amendment to allow sale of medical debt to third parties under new limits, including no interest or fees and return of debt if charity care applies; it was reported favorably as a committee substitute. SB 68 expanded health facilities authority financing to include not-for-profit LLCs and parent companies, and SB 524 added Duchenne muscular dystrophy to the newborn screening panel; both were reported favorably. Later, the committee approved SB 1842 on out-of-network referrals after multiple amendments, requiring providers to verify network participation at the point of service and notify patients in writing, though several members and physicians warned it could burden providers and increase workload. The committee also advanced proposed committee bill SB 7028, which revises the Casey DeSantis Cancer Research Program, adds oversight and reporting requirements, creates a pediatric cancer research incubator, and establishes the Bascom-Palmer VisionGen initiative; cancer center representatives testified in strong support, and the bill was reported favorably as a committee bill. SB 172 on specialty titles and designations was amended to clarify enforcement and was reported favorably after supporters said it would prevent misleading use of specialist titles, while opponents argued it could confuse practitioners’ titles. Finally, SB 1690 on surrendered infants was reported favorably after supporters said it would codify and expand safe-haven baby box procedures and opponents raised safety concerns about the devices. The committee also noted SB 1606 remained pending for reconsideration next week before adjourning.

Transcript Highlights:

• Dyson, HHS reported that MHMR Authority of Brazos Valley saw a 14% decrease in deaths. in suicide deaths

Bills: HB170, HB865, HB748, HJR112, HB 1110, HB1495, HB786, HB 1130, HB170

Keywords: civil liability, self-defense, force, deadly force, legal immunity, attorney's fees, criminal justice, firearms, liability, veterans, gun ownership, immunity, firearm hold agreement, sexual abuse, nondisclosure, confidentiality, public policy, Trey's Law, parental rights, child upbringing

Transcript Highlights:

• And HHS to develop a science-based impairment system that we can address this with?

Keywords: transportation, air traffic control, safety regulations, Boeing 737 MAX, Department of Transportation, infrastructure funding, public safety, legislative oversight

Summary: The committee meeting addressed several pressing issues concerning transportation, particularly focusing on the need for improved safety standards and efficient management at the Department of Transportation. Specific discussions revolved around air traffic control, with members highlighting the urgency for a significant upgrade in systems and personnel. Notably, concerns were raised regarding past practices, especially the handling of safety regulations during the Boeing 737 MAX incidents. The committee expressed a clear intent to ensure rigorous safety oversight moving forward, emphasizing that the health and safety of the public must remain the top priority in all legislative and funding decisions.

Transcript Highlights:

• Uh, no problem; that'll go to HHS. do the same thing good good good thank do the same thing good good

Keywords: 1191, senate, all

Transcript Highlights:

• interim study we met with various stakeholders and uh the division, the food protective services from HHS
• 03.319> services<04:02:03.880> from protective services from protective services from HHS
• :07.080> of<04:02:07.279> that<04:02:07.560> came<04:02:07.920> several HHS
• and uh out of that came several HHS and uh out of that came several bills<04:02:08.760> of<04

Keywords: 928, house, all

Summary: The Solid Waste Subcommittee met to discuss proposed amendments to HB 171 and HB 215. For HB 171, Representative Gerna outlined technical changes to a landfill moratorium bill: DES would be allowed to accept applications only to review them for completeness, a notwithstanding clause would override automatic approval timing rules, the word “fully” would be removed, and an unnecessary reference to perennial water bodies would be deleted. Members raised concern about whether applications deemed complete during the moratorium would still have to comply with later changes in law or rule. Director Mike Whap of DES said applicants would likely need to amend applications if policy changes occurred, and suggested the bill could explicitly state that later changes apply to pending applications. The subcommittee generally supported the revised language and agreed the amended bill could go directly to executive session, though one member said the underlying legislation was ill-advised but preferred the amended version over the original. The committee then turned to HB 215, which would create a two-stage landfill siting review centered on a “net public benefit” determination before full technical review. Representative Gerna explained that the amendment would define net public benefit, require an independent third-party assessment paid for by the applicant, and set up a process for selecting the contractor from a list submitted by the applicant, with DES and the host community involved and the commissioner choosing if no agreement is reached within 60 days. Members asked how “host community” would be defined; DES said it would generally mean the municipal governing body, though that body could appoint others. The amendment also broadened the factors considered in both harms and benefits, including human health, property values, tourism, recreation, wildlife, local economic benefits, and infrastructure improvements. The discussion also added a provision directing DES to consult with the Department of Transportation, the Department of Business and Economic Affairs, and the Department of Natural and Cultural Resources as needed when reviewing the third-party assessment. Director Whap said interdepartmental consultation is normal and that DES would likely adopt rules to guide the process. Members questioned whether the new framework would be too vague or burdensome for applicants, but Whap said it would not be designed to stack the deck against applicants and that the process should provide clearer, more balanced criteria. No votes were taken during the meeting, and the subcommittee appeared to continue refining the amendment language before further action.

Transcript Highlights:

• the recipient but the broader economy as well, which is why I think you're seeing groups like Queen's HH
• He said that is why he thinks groups like Queen's HH and a number of businesses are coming in to support
• I think you're seeing groups<02:37:33.680> like<02:37:33.880> Queens<02:37:34.399> HH
• and<02:37:35.160> a<02:37:35.279> number<02:37:35.600> of groups like Queens HH
• and a number of groups like Queens HH and a number of businesses<02:37:36.279> coming<02:37:36.520

Keywords: 910, house, all

Summary: The committee first took up SB 1494 on hearing aids. Testimony was generally supportive of expanding hearing-aid coverage, with the Insurance Division raising concern about possible federal defrayment issues, SHPDA supporting the goal of hearing augmentation, DCAB strongly supporting the bill as an important access issue, and health plans and insurers asking for amendments. Kaiser Permanente and the Hawaii Association of Health Plans requested changes to add a medical-necessity standard and clarify annual notice language, while HMSA suggested the proposal should be studied by the auditor. The chair noted concerns about federal preemption and the lack of an audit, and deferred the bill in favor of a related resolution calling for a study. The committee then heard SB 1448, an emergency appropriation for the Hawaii State Hospital. DAGS and the Department of Health supported the measure, with the hospital administrator saying the funding would improve the environment of care, support cleaning, and allow a third-party review of the building. Committee members questioned the size of the request and the status of litigation against the design-builder. Administration witnesses said they were pursuing a comprehensive study involving destructive testing, had made a demand on the design-builder to fund the study, and were using different processes than before. They also said the roof work would be handled through a separate CIP request. No final action was taken in the portion provided. The committee next heard SB 1432, relating to the future responsibilities of the Department of Health and land issues at Kalaupapa after the last patient dies. DOH supported the bill in part but said its long-term role would be limited mainly to environmental cleanup, with operations expected to continue under the National Park Service and land-use decisions left to DHHL and beneficiary consultation. DHHL asked that the measure reflect that any land-use or zoning changes on homeland lands require commission approval and beneficiary consultation. Testifiers from Kalaupapa and Maui County, including Degra Vanderbilt-Papa and Council Member Keani Rollins-Fernandez, supported deferring the bill, saying there had been no meaningful community discussion about provisions affecting Kalaupapa’s future management and possible transfer of responsibilities to Maui County. The committee also read into the record written testimony from Gloria Marks emphasizing that Kalaupapa stakeholders must be included in future discussions. Finally, the committee heard SB 955 on fitness-to-proceed examinations. The Judiciary and the Public Defender’s Office both supported raising pay and standardizing expectations for private examiners, but opposed reducing felony fitness evaluations from three examiners to one and opposed expanding use of expedited reports. They argued that a single examiner would reduce reliability, create a more adversarial process, and likely increase costs and contested hearings, while expedited reports do not contain enough information for a proper fitness determination. The Department of Health also supported the bill’s intent but asked to preserve a three-examiner framework and said the goal was to reduce the number of people sent to the State Hospital, where admissions have reportedly risen about 20% year over year since Act 26. The bill remained under discussion in the excerpt, with no final vote shown.

Transcript Highlights:

• So this language is traveling in both the HHS, excuse me, omnibus policy bill that I have going, and
• Council can, I guess, if you want to provide any more details, but— in both the HHS the ominous in both
• the HHS the ominous [clears throat and cough]<01:01:40.559> excuse<01:01:40.880> me [clears

Keywords: 1187, senate, all

Transcript Highlights:

• > in already appropriated funds included in already appropriated funds included in<00:48:02.560> HH
• <00:48:03.200> HF3425 in HH HF3425 in HH HF3425 remain<00:48:05.520> unspent<00:48:

Bills: HF3425, HF3424, HF1385

Keywords: supportive housing, grants, housing assistance, funding, Minnesota Statutes, eviction, rent, nonpayment of rent, landlord-tenant, residential tenant, notice to quit, unlawful detainer, housing, lease violation, late fees, rental assistance, legal aid, tenant rights, Minnesota Statutes 504B.321, pre-eviction notice

Transcript Highlights:

• The bill requires that a school either tell all to a parent or file an abuse or neglect petition with HHS
• The bill requires that a school either tell all to a parent or file an abuse or neglect petition with HHS
• The bill requires that a school either tell all to a parent or file an abuse or neglect petition with HHS

Keywords: 1191, senate, all

Transcript Highlights:

• support for client notices, a document management retention system, some elevator replacements for HHS
• Some of them had some federal match. replacements at um for HHS, and then the replacements at um for
• HHS, and then the Glen<01:15:33.120> Cliff<01:15:33.440> home<01:15:33.679> fuel

Keywords: 1191, senate, all

Transcript Highlights:

• Senators, the HHS budget is really working to expand access to essential services and drive public health
• Madam President, I do have an additional question for Senator Trumbull as well for the HHS budget, if
• Senator, Senate Bill 2514, our conforming bill for HHS, allows dental and dental hygiene students with

Summary: The Senate opened with prayer, the Pledge of Allegiance, doctor and guest introductions, and then took up Committee Substitute for Senate Bill 168, the Tristan Murphy Act, on mental health. Senator Bradley described the bill as a major criminal justice and behavioral health reform measure that would expand pretrial mental health diversion, strengthen treatment-based probation conditions, broaden grant uses for mental health and substance abuse programs, add Hillsborough County to a forensic hospital diversion pilot, require certain DOC mental health evaluations, and create a Florida Behavioral Health Data Repository. Senators from both parties spoke in strong support, emphasizing treatment over incarceration, public safety, data collection, and the Murphy family’s role in advancing the bill. The Senate passed the bill 37-0 and then approved 37 co-sponsors. The chamber then received the Senate’s 2025-26 General Appropriations Bill, SB 2500, with Chair Hooper outlining a $117.4 billion budget that he said reduces spending, preserves reserves, and includes major investments in water quality, transportation, education infrastructure, and reporting requirements. Committee chairs summarized their portions: K-12 funding at $34.7 billion with increases for FEFP, scholarships, VPK, school hardening, and school safety; higher education at $11.5 billion with workforce, nursing, reading, autism, and student aid investments; health and human services with a $1.8 billion increase for Medicaid, mental health, opioid response, disability services, and veterans programs; criminal and civil justice at $7.6 billion for corrections, juvenile justice, law enforcement, courts, and judgeships; transportation/tourism/economic development at about $18 billion including roads, housing, Visit Florida, and cultural grants; and agriculture/environment/general government with major Everglades, water quality, citrus, food bank, and agency IT funding. Members then questioned several budget items, especially education funding formulas, the shift of scholarship dollars below the line, the impact on public school districts, AP/IB and other accelerated program funding, the APD wait list, opioid settlement spending, arts grants, and the My Safe Florida Home and condo pilot programs. Chairs generally said scholarship and accelerated-program dollars were being restructured for transparency and flexibility rather than cut, that school districts would still receive funding based on enrollment, and that APD and other human services issues would continue to be worked out in conference. The budget discussion concluded with remarks praising staff and noting a 4% across-the-board pay raise for state employees and targeted increases for law enforcement and firefighters, followed by a recognition for FAMU Day at the Capitol.

Transcript Highlights:

• > for<01:06:59.640> the<01:07:00.160> uh<01:07:01.160> uh<01:07:01.240> HHS
• 01:07:01.839> had<01:07:02.039> some<01:07:02.480> related costs for the uh uh HHS
• had some related costs for the uh uh HHS had some related uh<01:07:03.359> cost<01:07:03.640>

Keywords: 1189, house, all

Summary: The Finance Division II work session focused on organizing the committee’s remaining budget work and reviewing a set of recommended changes to House Bills 1 and 2. Mr. Landrian explained the committee’s tracking sheets and draft amendment package, noted that the division was being asked to find roughly $200 million in reductions, and said the governor’s lottery proposal in House Bill 2 could help offset part of that target. Members also discussed how revenue estimates tied to fee changes would be handled, with the chair saying the committee could seek Ways and Means input but would ultimately decide the estimates itself. The committee then considered four mostly technical amendments to House Bill 2. It voted unanimously to delete Section 81, which duplicated CCSNH dual and concurrent enrollment language already moving in House Bill 192; to delete Sections 143 and 144, which duplicated police standards and training extra-duty language already in House Bill 778; to adopt a correction to Section 151 that removed an inadvertently repeated sentence; and to delete Section 178 because the same Lottery Commission language already appears in House Bill 1. The committee also agreed to approve Section 4 of House Bill 1, the Lottery Commission boilerplate language, while deferring action on Section 2 of House Bill 1 until the university and community college budget is settled. A substantial portion of the meeting was spent planning upcoming work sessions and discussing possible revenue measures. The committee planned to invite Fish and Game on Monday to review a large set of follow-up materials and to discuss a possible amendment requiring hunters and trappers to pay the license fee before taking free training classes, with a second chance to retake the class if needed. Members also discussed possible fee adjustments for Safety and Fish and Game, including using dedicated-fund fees to reduce reliance on general funds and help stabilize the Highway Fund and Fish and Game Fund. The chair emphasized that all actions were recommendations until the committee’s final deadline and encouraged members to review draft language carefully before voting.

Transcript Highlights:

• c><01:44:41.320> of<01:44:41.400> your<01:44:41.560> day than<01:44:48.360> HHS
• 49.360> backed<01:44:49.679> up<01:44:49.880> enough<01:44:50.199> that than HHS
• is still backed up enough that than HHS is still backed up enough that I I...

Keywords: 1191, senate, all

Transcript Highlights:

• And if I'm looking at, say, an HHS program, and there's an income eligibility requirement, they may not
• Large agencies, like an HHS or a DOT, I don't know how an agency leader can run that agency without their

Summary: The task force reviewed survey results from state agencies on potential statutory revisions, with Levi reporting 70 proposals from 20 agencies and noting that about 33 might become agency pre-file bills. Members discussed the need to share the survey more broadly within higher education and to better coordinate issues involving IT and other cross-agency functions. The task force then heard from the Office of Management and Budget on three topics: concessions, architect/engineering pre-qualification, and legal notices. OMB said the concessions law is outdated and inconsistent with current practice, and suggested a collaborative rewrite to allow best-value evaluation, raise the threshold, and standardize solicitation templates. On architect/engineering pre-qualification, OMB proposed expanding authority beyond current state-agency limits and creating uniform templates. On legal notices, OMB proposed modernizing publication requirements, exploring online and abbreviated notices, and working with newspapers and other stakeholders on technology and accessibility improvements. Members asked about where concession revenues go, whether political subdivisions must follow the same rules, and how to move from discussion to action. The task force agreed to have OMB work with Legislative Council and affected stakeholders to develop bill drafts, and the motion passed unanimously. The University of North Dakota then presented a series of proposed revisions focused on public buildings and procurement. UND asked to rework the definition of construction so routine maintenance and one-for-one replacements over $250,000 would not automatically trigger public-improvement requirements, suggested raising the threshold to $500,000, and asked for more flexibility based on project complexity and risk. UND also proposed changes to public bid advertisements to reflect electronic bidding, revisions to construction manager-at-risk selection criteria, changes to architect/engineer procurement rules, an increase in the direct-hire design threshold, and a higher legislative-consent threshold for privately funded projects. The task force supported having UND work with counsel and OMB to develop bill drafts, and that motion also passed. The Department of Public Instruction concluded with proposed cleanup to credentialing and education statutes. DPI recommended reviewing its credential categories for relevance, possibly transferring credentialing authority to the Education Standards and Practices Board, removing outdated school safety patrol language, clarifying waiver provisions, and updating dyslexia screening reporting requirements so the statute reflects current practice. Members focused mainly on whether the dyslexia reporting requirement should remain, and DPI said the screening itself would continue even if reporting language were revised. No votes were taken on DPI’s suggestions, and the task force recessed after the presentation.

Transcript Highlights:

• might ask why that carve-out is for both of those agencies, because the federal money comes through HHS
• Arizona actually has a waiver that has been approved by the Administration for Children and Families at HHS

Keywords: 1182, all

Summary: The committee met for a presentation-only hearing on the Arizona Department of Child Safety, with no bills on the agenda. Chair Blackman opened by emphasizing that the hearing was intended to be data-focused and respectful, and that personal attacks or false accusations would not be tolerated. Director Catherine Patak then presented DCS data on hotline volume, investigations, reunifications, adoptions, guardianships, foster care entries and exits, kinship placement, congregate care, missing youth, and extended foster care. She said the department investigated more than 43,000 cases in 2025, kept the out-of-home care population relatively steady, and had reunified about 3,000 children with parents, while also noting that older youth and behavioral-health-driven removals are creating a mismatch with available foster homes. She also described kinship supports, foster parent recruitment, and the impact of Family First on funding, saying DCS lost federal drawdown for congregate care while waiting on approval for prevention programs. Members questioned the director about kinship caregivers, behavioral health access, reunification services, parental rights terminations, notice and documentation practices, and the effect of increased reimbursement rates. Patak said unlicensed kin can receive support through the kinship supports contract, that behavioral health assessments are done quickly at the welcome center or within 24 hours for kin placements, and that provider capacity remains a major constraint outside DCS control. She explained reunification conditions and services, said the department is working on documentation and notice issues flagged by the Auditor General, and noted that kinship reimbursement increases have helped some families step forward. She also said DCS procurement for group homes is handled internally through an RFP process and that about 10% of kinship caregivers become licensed. Representative Gillette then delivered a lengthy presentation arguing that the child welfare, Medicaid, and disability systems are structurally intertwined and that procurement and funding rules create incentives for volume and congregate care use. He criticized DCS, DES, and AHCCCS/Access oversight structures, argued that the system diffuses accountability, and said the committee’s work and related materials would be referred to special counsel. He also raised concerns about documentation, placement decisions, and the cost of congregate care, while asserting that the system over-relies on large providers and that reforms should focus on structural and financial incentives. Vice Chair Fink followed with a brief slide noting that congregate care costs far more per child than foster or kinship care, reinforcing the committee’s concern about placement costs and the need to shift children toward family-based care when possible.

Transcript Highlights:

• Um, there may be other members of HHS here that have had conversations. >> Okay. >> Any further questions
• I have a question on the HHS dashboard. Dashboard. Okay. Guess Mr.

Keywords: 928, house, all

Summary: The Fiscal Committee met on December 19, with Senators Long and Lang serving as replacements. The committee approved the November 21 minutes and adopted the consent calendar after removing two Department of Health and Human Services items for separate discussion. It then took up an HHS request involving nursing facility rates, where Nathan White explained that $2.2 million would be transferred from a long-term care Medicaid eligibility contract to the nursing facilities budget. He said the funds would offset an otherwise projected 3.9% average rate decrease and bring the overall average change to zero for the next six months, with rates reset again in July under state law. Members asked about the budget adjustment factor, bed counts, and whether additional funds could raise rates further; White said the factor is statutory, capped at 28.76%, and that more money would lower the factor and increase rates. The committee also corrected a date in the request from February 1, 2025 to February 1, 2026, and approved the item. The committee next approved another HHS item related to rural health transformation grants. Members confirmed the request covered the full amount applied for this biennium, and asked about the technology component. HHS said the grant is not solely about AI, but about broader technology improvements such as electronic medical records, back-end systems, and tools to improve access and sustainability in underserved areas. The committee approved that item as well. The Judicial Council then requested funds for contract attorneys providing indigent defense on a fixed-fee basis. The council said current funds had already been exhausted and that the new appropriation would be used immediately. Members questioned the size of the request and the number of people awaiting counsel; the council reported about 150 incarcerated people and about 300 non-incarcerated people waiting for counsel, more than in recent years. It attributed the increase to competition for attorneys, public defender offices closing intake in some locations because of caseload limits, and broader case and court-system changes. One member raised constitutional concerns about delays in counsel for incarcerated defendants. The committee ultimately amended the request downward to $1 million, approved it, and then approved a motion to place several annual financial reports on file and release them to the public when available. The committee also discussed dashboard reporting from HHS, asking for more detail on community mental health center caseloads and budget-reduction information, and HHS agreed to provide more useful monthly detail.

Transcript Highlights:

• Recently, I traveled to Washington, D.C., and had a really productive meeting with RFK Jr., who runs HHS
• that the screwworm directorate is doing is working across the interagency with the Department of War, HHS

Summary: The joint hearing focused on preparedness for the New World screwworm threat and brought together the House Committees on Culture, Recreation, and Tourism and Agriculture and Livestock. USDA officials, Texas Department of Agriculture Commissioner Sid Miller, and Texas Animal Health Commission leadership described the pest as a serious risk to livestock, wildlife, rural economies, and beef prices, and emphasized coordination among federal, state, industry, and Mexican partners. Witnesses repeatedly stressed that Texas is currently seeing no confirmed U.S. detections, but that recent confirmed cases in northern Mexico, including Nuevo León, remain a concern because of their proximity to the border. USDA testimony outlined current surveillance and response efforts, including more than 120 screw worm-specific traps along the Texas border and neighboring states, thousands of additional dual-purpose traps, wildlife inspections, weekly coordination with Mexico’s Senasica, and a new USDA New World Screwworm Directorate. Officials said the existing Panama sterile fly facility is maxed out at about 100 million flies per week, while a dispersal facility in Tampico is helping move flies farther north in Mexico. They also described plans for a retrofitted sterile fly facility in Metapa, Mexico, expected to come online in 2026, and a new domestic production facility at Moore Air Base, with phase one targeted for late 2026 or early 2027 and phase two adding substantially more capacity later. Members pressed USDA on timelines, production capacity, the reliability of Mexican reporting, the risk from wildlife, and whether modular or mobile facilities could be deployed faster. USDA said it is also exploring innovative technologies, including a genetically engineered sterile male fly, but that such tools still require EPA review and field validation. Commissioner Miller highlighted Texas biosecurity efforts, five permanent inspection stations, cooperation with FDA and EPA on treatments such as Exzolt, and other pest issues affecting Texas agriculture. He also noted research into fly bait and private-sector efforts to speed sterile fly production. Texas Animal Health Commission officials described extensive state preparedness work, including weekly coordination calls, field response trainings, outreach to producers and veterinarians, and a Texas Screwworm Response Team. They said Texas has trained more than 100 inspectors and other personnel, with additional trainings planned, and that the state is expanding its cattle fever tick rider program. No votes or formal committee actions were taken during the hearing; the main action was the exchange of testimony and questions about readiness, surveillance, and facility timelines.

Transcript Highlights:

• Session that... 67 back to HHS. All right. What's going on at HHS? Sunday.

Keywords: 1191, senate, all

Transcript Highlights:

• federal level, but especially for the Older Americans Act, given what's happened with the restructure at HHS
• and the Administration. the Older Americans Act, given what's happened with the restructure at HHS and

Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.