Transcript Highlights:

• funding by each program.
• Since the risk of litigation program is the only means of finance in that program, the interagency transfers
• It's civil and criminal in terms of our program.
• We are working on building that program up.
• of Services program.

Committee: House Appropriations

Summary: The Appropriations Committee first reviewed the Department of Justice FY 2027 budget, which was presented at $117.8 million, with most funding coming from statutory dedications and the largest program areas being criminal law/Medicaid fraud and civil law. The Attorney General described major work in Troop NOLA, Medicaid fraud, opioid and PBM litigation, and especially child exploitation and online predator investigations. She said ICAC tips are rising sharply, local law enforcement partnerships have expanded, and her office needs more analysts, more permanent positions, and more expenditure authority for the legal support fund and related programs. Members asked about case backlogs, staffing, settlement funds, and whether more resources could be directed toward outreach, mental health, and technology; the Attorney General said she wants to expand cyber capacity, training, and prevention efforts, and that some settlement recoveries are being used to support existing programs and fraud enforcement. Committee members also focused heavily on child safety, truancy, and mental health. Several representatives described local concerns about online exploitation, trafficking, self-harm, and the need for school-based training and community outreach. The Attorney General said she wants a broader prevention strategy involving parents, schools, and behavioral health resources, and she discussed using outreach models such as anti-vaping campaigns and town halls. On opioid settlement oversight, members raised concerns about the size of the funds and the need for stronger state oversight; the Attorney General agreed more structure and compliance monitoring would be useful and said drug courts and treatment programs are effective investments. The committee then moved to the judicial branch budget presentation. The judiciary requested $229.6 million in FY 2027, plus $5.6 million in one-time funding, with most of the budget coming from state general fund. The presentation highlighted increases for judge salaries, staff pay adjustments, health insurance, operating costs, and 17 unfunded positions, along with one-time requests for security and technology upgrades. Chief Justice John Weimer and other justices said the budget would help core court functions and statewide programs such as CASA, drug courts, and FINS, and they emphasized the need for better staffing and technology in the courts. A major discussion centered on truancy and the FINS program. Justice Griffin said statewide collaboration with education officials had reduced truancy and that FINS officers are trained to identify children who may be runaways or trafficking victims. The justices and members supported expanding FINS so every judicial district has coverage, and they said the program helps keep children out of deeper system involvement. Members also asked about security funding, technology improvements, and the 17 unfunded positions, which were described as mostly clerical, IT, and support roles in appellate and district courts. No votes were taken in the portion of the meeting provided.

Transcript Highlights:

• Apparently in Minnesota, fraudsters have a better meal program than kids.
• We don't believe in government programs so big that we don't know where the money is going.
• The other one was a child care assistance program. That one right now is under investigation.
• We don't believe government programs so big that we don't know where the money is going.
• And that is just one of the programs that so far that they've that they've known.

Committee: House State Affairs

Keywords: 989, all

Transcript Highlights:

• program.
• ><00:03:44.000><c> specialist</c> program we have a program specialist program we have a program specialist
• They run and oversee the InvestNH program and the Housing Champions program.
• Well, the program itself, there are two programs that are run: there's the Housing Champions program
• So the SBDC program is a program that's been around for over 45 years.

Keywords: 928, house, all

Summary: The committee held a work session on the Department of Business and Economic Affairs budget, with testimony from Chase Hegman and Kathy Frederickson. Early discussion focused on staffing and vacancies, including a senior planner position tied to FEMA requirements, a program assistant funded by federal ORID dollars, a program specialist being considered for reclassification, two Housing Champions positions to be funded in the next biennium, and temporary welcome center positions. Members also reviewed the commissioner’s office, indirect cost recoveries tied to federal program administration, and the structure and staffing of rest areas and welcome centers, including the Turnpike-funded locations and seasonal staffing patterns. Members then moved through economic development and federal grant-related accounts. Hegman explained that a large share of the agency’s funding is federal, with some programs requiring state match, including the Apex Accelerator, which supports government contracting assistance for businesses. He described Apex as a small team that helps businesses with DOD and other contracting opportunities through webinars, matchmaking, and one-on-one support. The Office of Workforce Opportunity was described as largely federally funded through Commerce-related workforce programs and subrecipients, with some general fund support for agency-wide needs. The Northern Borders Regional Commission dues and capacity grant were also discussed, with officials explaining the state’s required contribution and the federal funds used to administer the program. A major point of discussion was the proposed reduction to the Small Business Development Center, which officials said provides one-on-one technical assistance to new and small businesses and has a strong return on investment. Members questioned the cut, the federal funding sources, and whether there was a waiting list for services; officials said they would provide more detail on matching requirements and funding. The committee also reviewed travel and tourism accounts, including the joint promotional grant program and tourism advertising funds, both of which are proposed to increase. Officials said the tourism marketing formula is based on a percentage of meals and rooms tax revenue and argued that the spending generates significant visitor spending and tax revenue, citing an outside ROI study and examples of advertising in test markets. No votes were taken during the work session.

Transcript Highlights:

• program program Mah<00:16:20.839><c> thank</c><00:16:21.000><c> you</c><00:16:21.199><c> Leia</c><00
• and the programs that would be housed under it, conceivably the compost reimbursement program and its
• take this program and the programs<00:19:22.000><c> that</c><00:19:22.120><c> would</c><00:19:22.240
• of the food hub pilot program.
• </c> hub pilot program hub pilot program first<00:36:58.560><c> up</c><00:36:59.560><c> Department</c

Keywords: 912, senate, all

Summary: The Agriculture and Environment hearing on January 27, 2025, took up multiple measures, beginning with a proposed constitutional amendment, HB 559, to recognize a right to clean water and air, a healthful environment, climate, native ecosystems, and beaches. The Attorney General’s Office testified with concerns that the amendment’s broad language could create challenges for future legislatures and environmental enforcement, while the Climate Commission and DLNR supported it. Environmental and advocacy groups, including Climate Protectors Hawaii, 350 Hawaii, Greenpeace Hawaii, and others, strongly supported the measure, arguing it would strengthen decision-making and protect Hawaii’s natural resources. Committee members raised questions about how the amendment would interact with existing constitutional protections and recent litigation, and the AG’s office said the proposal could lead to broad judicial interpretation and possible liability issues. The hearing then moved on without a recorded vote on this bill. The committee next heard SB 552, which would establish a healthy soils program in the Department of Agriculture and require annual reporting and funding. The Climate Change Commission supported the bill, and the Department of Agriculture said it stood on its submitted testimony but noted existing commissions and the greenhouse gas sequestration task force already address similar objectives, suggesting SB 552 may duplicate current efforts. Agricultural and environmental advocates, including the Hawaii Farmers Union, Hawaii Farm Bureau, and others, supported the concept of a consolidated healthy soils program, saying it would better organize existing efforts, improve access for producers, and support conservation practices. The Agribusiness Development Corporation said it would support either DOA or ADC administering the program, and committee discussion focused on implementation, program overlap, and whether the bill should better integrate existing compost reimbursement and related efforts. The final measure discussed in the excerpt was SB 678, which would create an Agricultural Development Food Security Special Fund, dedicate a portion of the environmental response, energy, and food security tax to it, and appropriate funds equal to 3% of the state budget for agriculture. The Department of Agriculture strongly supported the bill, saying the funding would align with its goals and help support farmers and ranchers. The Tax Foundation of Hawaii and the Department of Budget and Finance raised concerns that the proposed special fund may not meet statutory criteria. Farm and industry groups generally supported the measure but suggested changes, including adding uses related to local food sourcing, distribution, and biosecurity. Committee members questioned the scale of the appropriation, noting it could amount to roughly $250 million and a major increase in DOA’s budget, and discussed whether the department could realistically implement such a large program. The hearing ended with testimony counts noted for the measures heard, and the chair indicated the committee would reconvene later for any unfinished business.

Transcript Highlights:

• programs were identified for closure or consolidation.
• Those programs enrolled 152 students at the time.
• program, a biostatistical core.
• Obviously, you have a terrific program here.
• Obviously, you have a terrific program here.

Summary: The committee met at NDSU and approved the April 9 minutes. The main purpose of the meeting was an informational presentation from NDSU President David Stewart and university leaders on the university’s priorities, including enrollment, student success, research, commercialization, and use of New Horizons funding. Stewart emphasized a “One NDSU” approach, thanked legislators for past support, and said the university will focus on recruitment and retention, a new strategic plan, and growing research and tech transfer while serving North Dakota’s workforce needs. University leaders said NDSU is using tuition waivers more strategically and will work to reduce them over time through scholarship optimization. Provost Sherry Vale described academic portfolio reviews, program closures or consolidations, strategic hiring, and workload policies aimed at aligning resources with demand. They also highlighted student outcomes, including high completion rates, strong employment placement, and NDSU’s role in producing a large share of the state’s engineers, nurses, and agriculture graduates. Several students testified about how NDSU’s mentoring, internships, research, and support services helped them succeed. The committee also heard from partners on New Horizons-related collaborations: Gateway to Science described K-12 STEM outreach in rural and tribal areas, and Sanford Research discussed joint research efforts, including COBRE-related work, obesity and GLP-1 studies, and a joint biostatistics hire. Later speakers highlighted Governor’s School and NDSU’s research and commercialization efforts, including growth in research expenditures and invention disclosures. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• It defines a flexible demand program as an electric utility program that encourages consumers to shift
• To be approved for a residential battery incentive grant program, a flexible demand program must have
• And it does make the system a more direct incentive program that would be managed by the grant program
• As we see the evolution of the emissions controls programs down into the electric vehicles programs as
• As we see the evolution of the emissions controls programs down into the electric vehicles programs as

Bills: SB5982 , SB6008 , SB6050 , SB6056

Committee: Senate Environment, Energy & Technology

Keywords: consumer-owned utilities, clean energy, port districts, market customers, energy transformation, energy storage, residential battery, grid connection, renewable energy, incentives, distributed energy, renewable resources, energy policy, sustainable energy, state regulations, utility vehicles, emission standards, environment, regulation, exemptions

Transcript Highlights:

• It defines a flexible demand program as an electric utility program that encourages consumers to shift
• To be approved for a residential battery incentive grant program, a flexible demand program must have
• It does make the system a more direct incentive program that would be managed by the grant program and
• We're supportive of a battery program.
• down into the electric vehicles programs as well.

Summary: The committee heard public hearings on four bills. SB 5982 would expand Clean Energy Transformation Act coverage to include port districts and certain single-customer utilities, and would revise definitions for market customers and affected market customers. Supporters, including environmental groups, Commerce, Ecology, and some port and utility representatives, said it would close loopholes and ensure large loads such as data centers and port-based generation are subject to CETA. Opponents from ports, PUDs, business groups, and industrial consumers argued the bill could sweep in existing single-customer utilities and burden smaller ports or industrial projects. No vote was taken; the chair closed the hearing after noting substantial pro, con, and other testimony. SB 6008 would create a statewide residential battery incentive and flexible demand program administered through Commerce, with higher incentives for low- and moderate-income customers and requirements tied to utility flexible demand programs. Supporters said it would improve grid resilience, lower bills, and help deploy virtual power plants and distributed storage. Utilities and some advocates supported the concept but asked for changes on funding, low-income verification, compensation, deadlines, and program design. No action was taken beyond the public hearing. SB 6050 would allow portable plug-in solar devices and one meter-mounted device per premises, while restricting utilities, landlords, and HOAs from blocking them and setting safety and certification conditions. Supporters called it a low-cost way to expand distributed solar access, especially for renters and lower-income households. Opponents, including labor, utilities, and safety-focused witnesses, raised concerns about fire risk, backfeeding, lack of existing electrical code standards, utility worker safety, and the need for interconnection review. The committee then heard SB 6056, which would direct Ecology to exempt utility service vehicles from certain clean vehicle emissions standards; Ecology said it was already pursuing a similar rule and flagged the bill’s broad definition and potential policy implications, while utility associations supported the exemption for emergency response vehicles and environmental advocates opposed the statutory approach. No votes were taken on any of the bills.

Transcript Highlights:

• As you can tell, these are sort of environmentally focused programs and education-focused programs.
• As you can tell, these are sort of environmentally focused programs and education focus programs.
• That's our Migrant Seas and Farm Worker Program. The programs that help people find jobs.
• You'll see in the next slide that there's a list of programs. So these are the programs.
• There are three specific programs there. We have an events program.

Committee: Senate Senate Finance

Keywords: 996, all

Transcript Highlights:

• Research Program, and Live Like Bella.
• And one way you can make that happen is to keep this program rolling.
• Remember, that was a goal that was listed in the program as well.
• versus the success rates outside of those programs?
• All of us have very robust clinical trial portfolio programs.

Summary: The Health Care Budget Subcommittee held a panel discussion on Florida’s cancer research and funding programs, including the Casey DeSantis Cancer Research Program, the Florida Cancer Innovation Fund, the James and Esther King Biomedical Research Program, the Bankhead-Coley Research Program, and Live Like Bella. Dr. Ladapo and leaders from Moffitt, Sylvester/University of Miami, UF Health, and Mayo Clinic described how state funding has helped Florida’s four NCI-designated cancer centers expand research, recruit faculty, increase clinical trials, and build collaborations. They emphasized that the programs are intended to improve cancer care statewide, support innovation, and encourage more institutions to pursue NCI designation. The Governor’s budget recommendation was noted as including additional funding, and members asked about the cost and requirements of becoming NCI-designated and eventually comprehensive. Panelists said NCI designation requires major infrastructure, compliance, research, and training investments, with de novo development estimated at about $1 billion. They described Florida’s collaborative model as unusual nationally, with annual symposia, shared pilot funding, and joint projects across the four centers. Members also asked about rural access, home-based care, and recruitment/retention. Mayo described its “Cancer Care Beyond Walls” home-treatment model and said it could expand to rural counties within months; Moffitt and UF discussed mobile screening, satellite sites, and affiliations with local hospitals and practices. Several members raised concerns about workforce shortages, licensure delays, and the need to reach underserved areas. The discussion also covered outcomes, data reporting, and the broader economic impact of the cancer centers. Panelists cited growth in jobs, federal research funding, and clinical trial enrollment, and highlighted advances in immunotherapy, CAR-T, TIL therapy, carbon ion therapy, AI-driven screening, and the firefighter cancer initiative. They said the Florida Cancer Data System is being expanded to track recurrence and quality-of-life measures. Members also asked about philanthropy, medical tourism, and federal funding risks, including possible indirect cost reductions that could affect research budgets. The meeting ended with general support for continued investment, while some members noted an ongoing policy debate over whether future cancer research dollars should be concentrated in the four NCI centers or spread more broadly across the state.

Transcript Highlights:

• </c> the state and a community grant program the state and a community grant program could<00:44:17.920
• </c> administer a Federal grant program administer a Federal grant program through<00:49:20.160><c> the
• </c> bill this grant could this grant program bill this grant could this grant program through<00:49:
• </c> partnership with our DOD repe program partnership with our DOD repe program and<01:01:51.200><c>
• Not going to cut the REEP program.

Committee: House Finance

Keywords: 910, house, all

Transcript Highlights:

• And there would be a program; the funds from the program would be awarded to support practical needs
• There's a program that is meant to stretch federal dollars.
• how this program could be used.
• So it actually had been curtailed some of the... ...program, how this program could be used.
• program, that's where we should be going.

Committee: Senate Health

Keywords: 993, senate, all

Summary: The Health Committee met to consider a series of bills, many of them repeat proposals from prior sessions. Early measures included S.11 on disclosure for non-invasive prenatal screening, S.92 allowing redaction of certain physician names from birth certificates, S.135 creating practical support grants for abortion care, S.428A requiring chain restaurants to label high-sodium menu items, S.555 prohibiting visual images of people undergoing medical treatment without consent, and S.1614A establishing presumptive Medicaid eligibility for people leaving incarceration. The committee also advanced S.1438A to create an abortion clinical training program, S.1468 on access to medical records and limiting copy charges to actual cost, S.1619 expanding pharmacists’ authority to order and administer certain tests, and S.1714 banning the use of “excited delirium” as a diagnosis or cause of death. A substantial portion of the meeting focused on S.1633A, which would add protections for sensitive health information and allow patients to restrict disclosure of specified categories of data. One senator argued the bill could hinder care by limiting access to complete records, especially in emergencies, while supporters said the measure was needed to protect patients and providers from legal action by other states or the federal government, particularly in reproductive health cases. Staff clarified that the bill would allow segregation of specific sensitive data rather than locking an entire record. The committee also discussed S.1913, a 340B prescription drug anti-discrimination bill; supporters said it would protect safety-net providers and federally qualified health centers from pharmaceutical company practices, while one senator raised concerns about broad state intervention in a federal program. Additional bills advanced included S.5981 establishing a comprehensive sexual and reproductive health program, S.6178 directing a sickle cell disparity study, S.7457 permitting cremation or natural organic reduction for certain unclaimed decedents, S.7541 moving up reporting timelines for licensed home care services agencies, and S.8257A directing an alternative payment methodology for federally qualified health centers to support fertility care. Most bills were moved by committee vote, generally with some opposition or without recommendation, and were referred to first reading, rules, or finance as appropriate.

Transcript Highlights:

• Defendant Program.
• Our 24-7 Dads program is a program that has wraparound services for men.
• Okay, sounds like a great program. I look forward to it.
• By design, the SNAP program is operationalized with flexibilities to ensure the program responds to the
• I don't have any intention of cutting a program or eligibility.

Transcript Highlights:

• may prioritize elements of that program based on federal or private matching funds.
• House Bill 2523 concerns the community reinvestment program.
• . ...to maximize impact rather than create parallel programs.
• Through our incredible partners... ...90,000 people were served by CRP programs.
• Our legal assistance programs funded real burial removal... ...programs funded real burial removal. 1,000

Bills: HB2157 , HB2351 , HB2365 , HB2357 , HB2446 , HB2523 , HB2606

Committee: House Technology, Economic Development, & Veterans

Keywords: artificial intelligence, AI regulation, algorithmic discrimination, high-risk AI, machine learning, generative AI, synthetic content, impact assessment, risk management policy, consumer protection, civil rights, discrimination, facial recognition, automated decision-making, deployers, developers, Washington RCW, Title 19 RCW, employment, housing

Transcript Highlights:

• the program.
• youth diversion program.
• Programs do need to exist, but we have to also look at combining both types of programs and not really
• We have to also look at combining both types of programs and not really focus in on one program.
• And I loved that program. We did just like you guys said. And I loved that program.

Summary: The committee heard a large public safety agenda and began by announcing several bills off calendar and limiting testimony to two witnesses per side. The first major item was AB 2698, which would authorize local governments to create youth court diversion programs for first-time juvenile offenders. The author and supporters, including Bakersfield Police Department representatives and a student participant, described the program as restorative, record-clearing, and successful in Bakersfield. Opponents argued it was not true diversion because it occurs after adjudication, could widen system involvement, and should instead be replaced by pre-arrest community-based diversion. The bill was moved on a due pass motion to Appropriations, but remained on call with some members not voting. The committee also adopted a consent calendar of ten bills without opposition. The committee then heard AB 1959, which would create a narrow exception allowing resentencing in adult court for certain violent juvenile offenders in a case arising from the Santana High School shooting. The author, San Diego County District Attorney Summer Stephan, and a survivor/city councilmember argued the bill would close a loophole that could lead to resentencing and early release despite parole denials. Several organizations registered opposition or opposed unless amended, but many noted they were reviewing the amended version. The bill was moved due pass as amended to Appropriations and remained on call. AB 1628, extending California’s safe surrender window for newborns from 72 hours to 30 days, drew broad support from the author, firefighters, medical and child welfare groups, and no opposition; it was moved due pass to Human Services and remained on call. The committee also approved AB 1974, which authorizes law enforcement agencies to create voluntary temporary firearm storage programs. The author and supporters from San Francisco law enforcement, Giffords, and gun safety groups said the bill would expand safe storage options during crises and in custody disputes; there was no opposition, and it passed due pass as amended. AB 2297, requiring restitution in diversion cases, drew support from the author, district attorneys, and victims’ advocates, while opponents argued it was duplicative, could burden low-income participants, and might undermine diversion success. After discussion about restitution law and ability to pay, the bill passed due pass. Finally, AB 2438, which would require people sentenced to more than six years to serve in state prison rather than county jail, drew support from the author and Riverside County Sheriff Bianco, who said realignment had overcrowded county jails and strained resources. Opponents warned it could worsen state prison overcrowding and conflict with realignment’s purpose. The chair recommended no, and the bill was moved due pass and re-refer to Appropriations, remaining on call.

Transcript Highlights:

• And so I asked for a program, too. I didn't have a program. I paroled homeless.
• And so I asked for a program, too. I didn't have a program. I paroled homeless.
• But is that an optional program or is it a forced program?
• Are you aware of the program? I'm aware of the ICTT program. Yes.
• And you're aware of that program? I'm not aware of that program.

Summary: The Assembly Budget Subcommittee hearing focused on the Department of Corrections and Rehabilitation’s handling of mental health care in prisons and allegations of sexual abuse, retaliation, and excessive force in the state’s women’s facilities. CDCR officials described their PREA-based prevention and response efforts, including training, oversight, body-worn cameras, retaliation follow-up, and partnerships with outside groups. The Office of the Inspector General explained its monitoring role, noting increased authority under SB 1069, but also limited staffing and the ability to monitor only a portion of cases. The Legislative Analyst’s Office added that prison population trends could allow the state to close a prison and save over $100 million, with some savings potentially redirected to prevention or response efforts. Advocates and formerly incarcerated witnesses from Sister Warriors Freedom Coalition and the California Coalition of Women Prisoners testified that meaningful systemic change has not occurred and that retaliation, blocked programming, and unsafe reporting conditions remain widespread. They described alleged barriers to community-based services, forced or coercive treatment concerns involving Suboxone, and the need for survivor-centered reentry support, trauma-informed care, and more independent oversight. Sandra DeAnda gave detailed testimony about alleged staff abuse, retaliation, denial of mental health care, and a large use-of-force incident at Central California Women’s Facility, while Amika Mota and April Grayson urged release or resentencing for survivors housed with their abusers and greater investment in outside programs. Members of the committee pressed CDCR and OIG on accountability, use-of-force standards, criminal referrals, disciplinary outcomes, and whether investigations are completed within statutory timelines. CDCR acknowledged cultural problems at both women’s prisons and said it was retraining staff and working on reforms, while OIG said it had monitored 161 investigations and found most grievance routing appropriate, though some cases had lapsed due to time limits. Later exchanges revealed that CDCR has over 13,500 active cases and 109 investigators, and that some cases have exceeded deadlines, prompting concerns from members about whether the current system can adequately investigate misconduct and impose consequences. No votes were taken.

Transcript Highlights:

• Insurance Program.
• </c> you an overview of the Medicaid Program you an overview of the Medicaid Program in<00:03:03.360>
• uh inte program within the program uh inte program Integrity<00:42:31.480><c> division</c><00:42:31.880
• in the program.
• in the program.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services held its first meeting and received an overview from the Department for Medicaid Services on Medicaid’s behavioral health and substance use disorder services. Commissioner Lisa Lee and CFO Steve Beal said Kentucky Medicaid serves about 1.4 million members, including over half of Kentucky children, with 485,000 expansion members, more than 69,000 enrolled providers, and total fiscal year 2024 expenditures of $18.5 billion. They said Kentucky covers a broad range of behavioral health services, and behavioral health provider enrollment has grown from a little over 4,500 in 2019 to nearly 8,000 in 2024. They also described how Medicaid spending and utilization are tracked through claims and encounter data, with most members served through managed care organizations. Members focused on sharp increases in certain behavioral health billing codes, especially peer-to-peer services, and asked about reimbursement, utilization review, and whether the growth reflected increased need or expanded coverage. DMS said the rise was partly tied to combining facility and nonfacility behavioral health fee schedules in 2023, choosing the higher reimbursement rate to avoid cuts, and that the department has seen an uptick in peer-to-peer services. In response to concerns about overutilization, DMS said it mailed a letter to behavioral health providers, is considering limits and prior authorizations for some services, and plans to create a standardized monthly behavioral health report to monitor trends consistently and identify when controls may be needed. Lawmakers also asked whether the provider network is sufficient and whether access is adequate, especially for children. DMS said provider enrollment has expanded because behavioral health services were added to Medicaid in 2014 and because demand increased after COVID, but acknowledged studies showing children have less access than adults and said that would be an area of focus. The department said managed care organizations are required to ensure access to needed services and that current trends indicate access is available, though one member disagreed and said workforce shortages remain a major concern. Another member asked about non-emergency medical transportation spending, and DMS explained that it is handled through a capitated arrangement administered by the Transportation Cabinet rather than directly by the managed care organizations.

Transcript Highlights:

• I'm the Massachusetts state long-term care ombudsman, and as many of you know, our program is mandated
• One of my very first questions to the department was about the responsible person program.
• We, like many across the March membership, work in close partnership with our local PACE program and
• Massachusetts' MAP system was created for individuals living in community residential programs and is
• Opposing the MAP program. So I'm hoping that that answers your question. I think so.

Committee: Joint Joint Committee on Aging and Independence

Summary: The Joint Committee on Aging and Independence heard testimony on Senate 3057/House 5376, a bill to create an Assisted Living Residence Trust Fund and implement recommendations from the Assisted Living Residence Commission. Supporters, including AARP and the state long-term care ombudsman, backed the trust fund for certification staffing, compliance reviews, investigations, ombudsman services, public reporting, and appeals. The assisted living industry, represented by MassALA, supported the affordability task force and certified medication aides, but asked for amendments to expand career paths and to remove or limit fines as a funding source, arguing fines should be capped and tied to health or safety risks. The ombudsman emphasized the need for more staffing and resources, noting the current caseload and travel burden across the state. The committee also took testimony on Senate 3056/House 5243 concerning medication administration in rest homes. Rest home operators, MARCH, and LeadingAge Massachusetts opposed proposed Department of Public Health changes that would replace the long-standing responsible person model with a MAP-based framework or require more licensed nursing staff. They argued the current model has been used for decades, is safe and affordable, and is better suited to rest homes than MAP, which they said was designed for different settings. They urged the committee to preserve responsible person medication administration while improving training and oversight, and several witnesses asked for a task force or substitute language to study best practices rather than impose immediate regulatory changes. Committee members asked questions about the history of the responsible person model, how medication administration works in practice, and whether other states use similar systems. Chair Stanley said the committee was still reviewing building code-related recommendations for assisted living and noted that those issues may require more time. No votes were taken during the hearing, and the committee adjourned after testimony concluded.

Transcript Highlights:

• I'm the Massachusetts state long-term care ombudsman, and as many of you know, our program is mandated
• I'm the Massachusetts state long-term care ombudsman, and as many of you know, our program is mandated
• One of my very first questions to the department was about the responsible person program.
• We, like many across the March membership, work in close partnership with our local PACE program and
• . ...opposing the MAP program.

Bills: H5243 , H5376 , S3056 , S3057

Committee: Joint Joint Committee on Aging and Independence

Keywords: rest home, rest homes, medication administration, medication management, assisted living, long-term care, elder care, older adults, senior care, nursing home, resident care, self-administration, licensed facility, Chapter 111, section 71, Responsible Person, caregiver, direct care staff, care facilities, funding

Transcript Highlights:

• </c> volunteer driver program would go away. volunteer driver program would go away.
• </c> programs. Please support it. Thank you. programs. Please support it. Thank you.
• </c> program that basically saved my life. program that basically saved my life.
• . program. program.
• Thank you, Laura. a two-year pilot program. During the a two-year pilot program.

Committee: Senate Finance

Keywords: 1191, senate, all

Transcript Highlights:

• </c> program uh in questions as to program program uh in questions as to program utilization<00:05:22.280
• The IC program is a creation of DHS, and as providers struggle to navigate the program requirements because
• The IC program is a creation of DHS, and as providers struggle to navigate the program requirements because
• </c> costs uh while Medicaid waiver programs costs uh while Medicaid waiver programs fund<00:51:07.160
• </c><01:04:16.960><c> is</c> 2025 they alleged that the program is 2025 they alleged that the program

Committee: Senate Human Services

Keywords: 1187, senate, all