Transcript Highlights:

• The State Literacy Network panel will hear the Governor's budget proposal to add a literacy network to
• The Literacy Network provides the opportunity to create a unified ecosystem rather than maintaining a
• This statewide literacy network will provide this dedicated space for collaboration.
• This literacy network provides that opportunity to open up access to all of our districts, specifically
• The literacy network, one component of that, is to provide professional development.

Keywords: 988, house, all

Transcript Highlights:

• And then I would also say provide as many networking opportunities for job seekers with disabilities
• Who may be watching at networking opportunities like this.
• So I would really put an emphasis on networking.
• just providing on-site support and creating a relationship usually between... ...just providing on-site
• And I just wanted to say, don't be afraid to network.

Keywords: 995, all

Summary: The Massachusetts Permanent Commission on the Status of Persons with Disabilities hosted “Strength and Support,” a networking and resource-sharing event focused on employment for youth and young adults with disabilities, with ASL interpretation, CART, recording, and livestreaming provided. The panel featured self-advocates, job coaches, and employment support staff who shared personal employment stories, including internships and career services through MassAbility, community advocate work at an independent living program, advocacy and podcasting, supported employment in retail and food service, and examples of successful placements through job coaching and clubhouse programs. A major theme throughout the discussion was the barriers people with disabilities face in finding and keeping work, especially repeated rejection, lack of experience, inaccessible hiring and training processes, weak communication, and employers’ assumptions about disability. Panelists described the importance of accommodations, flexible scheduling, clear communication, patient supervision, and ongoing job retention support. Several speakers emphasized that networking and in-person connections often helped them secure interviews or jobs when online applications did not. In response to questions about making employment more inclusive and sustainable, panelists recommended person-centered support, accessible applications and onboarding, opportunities to gain experience through internships and fellowships, and stronger employer education about the value of job coaches and disabled workers. They also stressed self-advocacy, patience, and taking chances on people. The event ended with audience Q&A and closing thanks to the speakers, interpreters, tech staff, and attendees.

Transcript Highlights:

• networks.
• The agency is required to conduct or contract for systemic and continuous testing of the provider network
• network contract initiative.
• The provider network adequacy is an issue.
• When was the last time we did a provider network adequacy test? Mr.

Keywords: 999, senate, all

Transcript Highlights:

• And so each of those regions had a service provider who operated the 911 network for that region, and
• providers had.
• providers had.
• So the data is owned by the state, and it is used by the network provider. And that's out.
• Owned by the state, and it is used by the network provider, and that's outlined in the contract, yes.

Summary: The Senate Budget Subcommittee on Corrections, Public Safety, Judiciary, Labor, and Transportation heard updates from the Office of Emergency Services (Cal OES) and the Department of Justice. Cal OES Acting Director Tina Curry described the department’s proposed budget, disaster response and recovery work, Los Angeles wildfire recovery, FEMA reimbursement delays, hazard mitigation grant applications, planning for major events like the FIFA World Cup and LA28 Olympics, and the state’s next generation 911 priorities. Senators raised concerns about Operation Stonegarden, small-disaster recovery delays, FEMA reimbursement timing, VOCA funding, and the need for more detailed reporting on federal grants and recovery costs. The committee then focused on Next Generation 911. Cal OES staff said the current regional deployment encountered call-routing and transfer failures, leading the department to pause further rollout and propose a new phased plan centered on a statewide provider, followed by an open procurement for a long-term vendor. They said the plan is intended to improve reliability, simplify architecture, and support Los Angeles-area PSAPs ahead of the Olympics, with a target of full statewide transition by summer 2030. The Legislative Analyst’s Office urged the Legislature to pause major changes until it receives more information, including a clearer explanation of the problems, alternatives considered, costs, cybersecurity and privacy issues, and oversight needs. Members expressed mixed views, with some supporting a joint oversight hearing and requesting quarterly fiscal reports and monthly progress updates. The Department of Justice then presented its overall workload, emphasizing public safety enforcement, fentanyl and human trafficking prosecutions, housing enforcement, civil rights work, and extensive federal litigation against the Trump administration. DOJ said the additional federal accountability work has significantly increased staffing and overtime demands, though it has hired 44 additional employees. The committee also heard DOJ’s firearms workload proposal, including funding for SB 704 implementation, continued firearms IT modernization, and a proposed shift of Bureau of Firearms costs to the General Fund. The LAO recommended using special funds and loans instead of ongoing General Fund support where possible, and asked DOJ to develop a framework by January 2027 for determining which firearms and ammunition workload should be supported by fee revenue. The Department of Finance largely agreed with the need for SB 704 funding but disagreed with the LAO’s proposed loan approach for the firearms account.

Transcript Highlights:

• provider network.
• Ancillary providers such as physical therapists who are not in the network may provide care if the worker's
• Ansorily providers such as physical therapists who are not in the network may provide care if the workers
• attending provider were such as physical therapists who are not in the network may provide care if the
• as an attending provider, it means that every provider in that type must join the medical provider network

Bills: HB2107, HB2137, HB2243, HB2264

Keywords: construction safety, hazard notification, worksite regulations, labor safety, state law, law enforcement, correctional officers, interest arbitration, collective bargaining, public safety, workers' compensation, healthcare providers, physical therapy, occupational therapy, employment, unemployment insurance, benefits, layoffs, workforce reduction, 904

Transcript Highlights:

• and network adequacy for mental health providers, as well as compliance with mental health parity.
• Obtaining care from an out-of-network provider puts a substantial financial strain on patients who are
• provider, 10 must go out of network to see a psychiatrist.
• network provider puts a care from out of network provider puts a substantial substantial substantial
• Providers don't control network size.

Keywords: 1189, house, all

Transcript Highlights:

• The fourth change is related to provider reimbursements.
• Increasing access to care and networks will likely lead to an increase in provider payments to secure
• Increasing access to care and networks will likely lead to an increase in provider payments to secure
• Language access providers are independent contractors who provide spoken-language interpretive services
• That will then improve the services that we provide to labs and landfills, as well as provide transparency

Summary: The House Appropriations Committee held a public hearing on a series of bills, beginning with House Bill 2689 on Working Connections Child Care. Staff explained that the proposed substitute would keep eligibility at 60% of state median income, eliminate scheduled expansions to 75% and 85%, reduce future subsidy rates from the 85th to the 75th percentile of market, end enhanced regional rates, and change reimbursement rules from prospective enrollment-based payments back to attendance-based payments with a reduced monthly payment after 11 absent days. Child care advocates thanked the committee for removing the proposed cap on the program but opposed the cuts to provider rates and eligibility expansions, warning of harm to families and providers. The committee then heard Engrossed Substitute Senate Bill 5124 on Medicaid network adequacy for post-acute care, with staff noting administrative costs and indeterminate fiscal effects; hospitals supported the bill as a way to reduce discharge delays and reliance on single-case agreements. Senate Bill 5832, which would raise the new motor vehicle arbitration fee from $3 to $6 to support the Lemon Law arbitration program, drew support from the Attorney General’s Office and auto dealers, who said the fee had not been updated since 1995 and the program was underfunded. The committee also heard Substitute Senate Bill 5862, providing a one-time 3% COLA for certain PERS 1 and TRS 1 retirees, with retirees testifying in favor and local government representatives warning about added employer costs. The committee next heard Senate Bill 5922, allowing school districts to transfer money from the Transportation Vehicle Fund to other funds if they reduce their fleet and receive OSPI approval; staff said the bill would mainly add administrative work for OSPI, and no one testified. Substitute Senate Bill 5923 would allow a hospital on an island in Skagit County to qualify as a critical access hospital if federally certified; Island Health testified that the designation would help sustain rural services, and a committee member asked about bed count and Medicaid/charity-care pressures. Senate Bill 5944 would require language access providers to bargain over compensation for missed or canceled appointments and clarify that statutes prevail over conflicting contract terms; WFSE supported the bill, saying it would equalize bargaining rights across agencies. Substitute Senate Bill 5972 would extend interest arbitration rights to correctional employees in city and county jails regardless of population size; labor supported the bill as a retention tool, while cities and counties opposed it, arguing it would raise costs and should include ability-to-pay protections. The committee also heard Senate Bill 5988, authorizing the Department of Health to continue accrediting opioid treatment programs and charge accreditation fees, which DOH said was needed to avoid winding down the program. Later, the committee heard Senate Bill 6151, which would move Ecology fee revenues for landfill methane emissions and laboratory accreditation into dedicated accounts; Ecology supported the bill as improving transparency and reinvesting fees into the programs, and staff said the lab fee shift would be offset by a related budget action. Engrossed Substitute Senate Bill 6194 would pay a rural hospital on a federally recognized Indian reservation, specifically Astria Toppenish, at 150% of the Medicaid fee-for-service rate beginning in 2027; hospital leaders and community members testified that the hospital serves a high-Medicaid, rural, and tribal population and faces persistent losses. Finally, Engrossed Substitute Senate Bill 6302 would direct L&I to investigate possible misclassification of independent contractors on public works projects involving multiple workers doing the same finishing work; labor and business representatives both described it as a negotiated compromise to address underground economy abuses. The committee took no final votes during the hearing and ended by reiterating amendment deadlines for bills scheduled for executive session.

Transcript Highlights:

• Also with us is Carol Gormley with Florida Community Care, the provider service network implementing
• Also with us is Carol Gormley with Florida Community Care, the provider service network implementing
• the pilot, who will brief us on what the plan the provider service network implementing the pilot, who
• and partnering with providers, managing provider networks, providing services, and performing various
• Again, I mentioned at the outset Florida Community Care is a provider service network.

Summary: The Health and Human Services Committee received an overview of Florida’s intellectual and developmental disabilities (IDD) managed care pilot, created by legislation in 2023 to test whether a managed care model could integrate Medicaid medical services with iBudget waiver home- and community-based services for adults in pre-enrollment categories. AHCA explained the existing system, the pilot’s scope in Regions D and I, and the rollout timeline, including federal approval, contract execution with Florida Community Care, and the October 2024 go-live. Officials reported that, as of early February, 370 individuals had been sent for onboarding and 168 more were in queue, with about $35.8 million of the appropriation remaining. APD also clarified the difference between the pre-enrollment categories and the waiver waitlist, and noted that crisis cases can be enrolled more quickly depending on eligibility and funding. Florida Community Care described the pilot as a comprehensive managed care model offering medical, long-term care, and iBudget services, plus enhanced benefits such as bed-hold days, caregiver transportation, and help with legal guardianship costs. The plan said it uses one care coordinator, a 1:18 coordinator ratio, a face-to-face assessment within five days of enrollment, and 180 days of continuity of care for existing providers. The company emphasized that it is recruiting providers by offering higher rates than some iBudget rates, lower administrative burden, and network adequacy incentives, while APD said it continues to monitor provider supply and demand and recruit across service types and regions. Members repeatedly questioned whether the pilot’s costs, provider rates, and service levels were truly comparable to the iBudget system, and AHCA and APD said it was too early to draw firm conclusions because claims data are still lagging. Committee members also raised concerns about communication, enrollment delays, provider shortages, and whether the pilot could scale statewide. APD said it has used letters, phone calls, texts, emails, and community meetings to reach eligible individuals, and that some delays stem from required assessments, Medicaid eligibility checks, and level-of-care determinations. Several members asked for more detailed comparisons of costs and provider reimbursement between the pilot and iBudget, and APD said it would provide additional data. Public testimony at the end was strongly critical of managed care, with a participant and his mother describing poor service, transportation failures, and loss of control under prior managed care arrangements, and urging the committee not to expand such a model without safeguards. No votes or formal committee action were taken before adjournment.

Transcript Highlights:

• "And so each of those regions had a service provider who operated the 911 network for that region, and
• providers had.
• So the data is owned by the state, and it is used by the network provider, and that's outlined in the
• Owned by the state and it is used by the network provider, and that's outlined in the contract, yes.
• provide you with a brief.

Keywords: 987, senate, all

Transcript Highlights:

• And at least three years of experience providing or funding organizations that provide anti-hate survivor
• of what they are providing.
• I think one of the outreach programs that we do provide, that many of the organizations provide, is really
• With this fund, we've been able to provide legal support for our immigrant victims of hate crimes, providing
• We provided free food, holistic healing... ...to provide a know-your-rights training.

Keywords: 988, house, all

Transcript Highlights:

• ><c> ations</c><00:10:29.640><c> for</c><00:10:29.839><c> Network</c> uh recommend ations for Network
• This network provides a number of built-in protections, including intrusion prevention, distributed denial-of-service
• This network provides a number of built-in protections, including intrusion prevention, distributed denial-of-service
• </c><00:15:48.319><c> much</c> Senate file 379 would provide much Senate file 379 would provide much
• </c> I I think that testifiers have provided I I think that testifiers have provided um<00:21:32.360>

Keywords: 1187, senate, all

Transcript Highlights:

• and operations network center network and operations network were<00:05:08.160><c> previously</c><00
• 09:14.640><c> two</c> [snorts] air network comprises two [snorts] air network comprises two central<00
• So if you look at the the network.
• Marks has something to provide.
• Markx has uh something to provide. Dr. Markx has uh something to provide.

Keywords: 958, all

Summary: The task force met on November 4, 2025, approved the prior minutes without objection, and then heard a presentation from Amazon on its Kentucky aviation and logistics operations. Amazon described its statewide footprint, including its Boone County air hub at KCVG, its investment of more than $60 billion in Kentucky since 2010, about 20,000 jobs in the state, and its use of Amazon Air as a middle-mile network supported by third-party carriers. The company also highlighted small-business support, community relief efforts, and workforce development through Career Choice, including partnerships with Kentucky schools and aviation maintenance training. Members asked about Amazon’s most in-demand workforce needs, future operational challenges, and whether autonomous vehicles are used on the KCVG ramp. Amazon said it would follow up on workforce-demand details, identified customer-driven innovation and culture as ongoing challenges, and said autonomous vehicles are in testing but are not part of regular KCVG operations. Amazon also emphasized sustainability efforts, including alternative aviation fuel, and said it wants to work with the legislature to expand AAF production and supply in Kentucky. The task force then heard from Secretary Jeff Noel of the Kentucky Cabinet for Economic Development and Matt Wingate on the state’s aviation economic development strategy. They said aviation and aerospace are central to Kentucky’s logistics and economic-development goals, with aerospace identified as the state’s top export and air cargo as a major strength. They discussed outreach to general aviation airports, support for local grant matching, airport funding projects, workforce and education partnerships, and efforts to market Kentucky at aviation trade shows such as Paris Air Show and MRO America. No formal votes or other actions were taken beyond approving the minutes.

Transcript Highlights:

• Employers must notify employees about the network and how to use it, and at the time of an injury provide
• Employers must notify employees about the network and how to use it and, at the time of an injury, provide
• of pharmacists and dispensing providers and defines the term pharmacy management network.
• network.
• of pharmacists and dispensing providers and defines the term pharmacy management network.

Bills: HB2211, HB2229, HB2389, HB2403, HB2445, HB2502, HB2620, HB2813, HB2872, HB2889, HB2960, HB4028, HCR2007

Keywords: contractors, subcontractors, resident preference, public contracts, materials supply, Arizona Revised Statutes, local businesses, pregnancy resource center, pregnancy center, crisis pregnancy center, DHS, Arizona Department of Health Services, state appropriation, general fund, nonprofit grant, women's health, maternal health, reproductive health, abortion funding, pro-life

Transcript Highlights:

• they call R&amp; networks, research and education<00:04:27.680><c> networks.
• So when I say network, I mean a communications network, and this is distinct from the type of networks
• like KCNA because of the services that it provides above the network.
• Part of this was a transition from a Windstream-provided underlying network connectivity to one that's
• networks.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:11 Approval of Minutes 00:02:00 Information Items 00:02:25 CPE Special Report 00:03:26 Review of Executive Branch Agency Plans 00:31:48 A. Attorney General 00:32:10 B. Court of Justice 00:36:41 C. Cabinet for Economic Development 00:50:44 D. Kentucky Public Pensions Authority 00:56:06 E. Board Discussion of Planning Issues 01:05:12, 958, all

Summary: The Capital Planning Advisory Board opened its fourth meeting, confirmed a quorum, approved the prior meeting’s minutes by unanimous voice vote, and then heard information items and agency presentations. The main substantive presentation came from the Council on Postsecondary Education, which outlined its capital planning recommendations for the 2026–28 biennium. CPE staff described the role of Kentucky’s research and education network (Kron), including connectivity to cloud services, Internet2, identity services, and new local AI/inferencing capacity, and argued that the network is now essential to higher education, health care, and extension services. They said the network’s recent upgrades were driven by privacy, security, redundancy, and the need to support modern research and AI workloads at lower cost than commercial providers. CPE also presented its broader higher-education capital request: $700 million for asset preservation and $1.73 billion for new construction, for a total recommendation of about $2.4 billion. Staff said they do not plan to recommend IT projects or equipment in this cycle, despite reviewing 48 IT submissions totaling nearly $1.4 billion and equipment requests totaling $322.6 million. For asset preservation, they said the recommended allocation method would remain based on each institution’s share of Category 1 and 2 square footage, and they noted that the state’s prior facility assessment is now 12 years old, with deferred maintenance still estimated in the $7–9 billion range. For new construction, they said the requests are heavily focused on STEM and health-related facilities that are difficult to retrofit into older buildings. Board members asked about how asset-preservation amounts were determined, including why Northern Kentucky University’s request was much larger than its prior allocation. CPE staff responded that campus size, building age, and institutional prioritization affect the requests, and that schools are asked to submit more projects than are likely to be funded. The board then moved on to an Attorney General capital plan overview, where senior counsel Will Schroeder began describing the office’s technology needs and the office’s prior reliance on a 2020 appropriation to replace legacy systems and improve security.

Transcript Highlights:

• support services and other statewide training work through groups like the Washington Passport Network
• support services and other statewide training work through groups like the Washington Passport Network
• support services and other statewide training work through groups like the Washington Passport Network
• Members of the regional networks and members of the larger Washington Passport Network are provided with
• Members of the regional networks, members of the larger Washington passport network are provided with

Summary: The Senate Higher Education and Workforce Development Committee began with a work session presentation from the Washington Student Achievement Council on the Passport to Careers Program. Staff explained that Passport serves youth who experienced foster care at age 13 or later or unaccompanied homelessness, and that the program provides scholarships and campus support services for college, apprenticeship, and pre-apprenticeship pathways. WASAC said the program is a national model because it uses data-sharing agreements to identify eligible students automatically, is funded by the state, and partners with the College Success Foundation and campus networks to provide support. Officials reported that about 2,000 students will be served in 2025-26, with awards capped at $2,000, and cited an evaluation finding that 31% of participants graduate within eight years, compared with much lower rates for similarly situated students outside the program. Committee members asked about graduation rates for all students, the share of Passport students who are parents, how unaccompanied homelessness is identified, where campus support staff are housed, and how funding is used. WASAC said most students are single without children, unaccompanied homeless youth are identified through McKinney-Vento liaisons, and campus support structures vary by institution. Staff also described how the program has grown 131% since unaccompanied homeless youth became eligible in 2019, while appropriations have remained around $7 million annually, forcing reductions in the maximum scholarship award from $5,000 in 2023-24 to $2,800 and then $2,000 in 2025-26. Officials emphasized that students still face significant unmet need and that campus support funds are often used for basic needs, academic support, and emergency aid. The committee then moved through executive session on several bills and advanced each one with a do pass recommendation to Ways and Means. The bills included SB 5826 on medication abortion access at public postsecondary institutions, SB 5828 on Washington College Grant and College Bound Scholarship awards at private four-year institutions, SB 5909 on low-enrollment undergraduate programs, SB 5931 on WIA board co-chair terms and dashboard requirements, SB 5954 on tuition waivers for certain veteran dependents and survivors, SB 5963 on Passport to Careers funding and eligibility changes, SB 6082 on a state financial aid fraud performance audit, and SB 6090 establishing the Heritage Orchard Program at Washington State University. The committee adopted the proposed substitute for SB 5931 before passing it, and all measures were reported out subject to signatures.

Transcript Highlights:

• network, as well as Some statistics and some figures are on the dental provider network, as well as
• , and member survey reports, we have a medical-dental... ...around oral health equity, provider network
• at enrollment as a dentist or a dental provider in our network, we are seeing significant changes over
• I believe we are the only provider group across Medicaid where the network is retracting.
• So when we think about network access and availability, we survey annually all providers, asking them

Keywords: 962, all

Summary: The MAPOC Women and Children’s Health Subcommittee heard a presentation from Kate Parker Riley, executive director of the Connecticut Dental Health Partnership, on the Husky Dental Program and efforts to improve oral health during pregnancy. She reviewed the structure of Connecticut’s Medicaid dental benefit, the ASO model, provider network, utilization trends, and member barriers to care. She noted that children’s dental measures remain above the national median, but adult utilization is lower and the dental provider network has been shrinking, with longer wait times in rural areas. A major focus was the state’s goal to raise the rate of oral evaluation during pregnancy from about 17.5% to 25% by 2030. Riley described planned outreach to OB/GYN practices using a draft “snapshot” report showing each practice’s pregnancy oral-health rate compared with the state average, along with education materials based on ACOG and AAP guidance. Committee members and guests discussed barriers such as lack of provider training, workflow burden, access to dentists who will see pregnant patients, and the need for stronger referral bridges. Suggestions included adding simple oral-health screening questions in OB settings, using human support to make appointments, and exploring co-located dental hygienists or other embedded models. Riley also highlighted partnerships with DSS, DCF, Head Start, WIC, Read to Grow, YMCA programs, refugee resettlement agencies, and school-based and hospital partners, as well as data-sharing and navigation efforts. She said pregnant members newly identified through HUSKY will now receive outreach and navigation support. DSS dental director Carolyn MacArthur introduced herself and said she supports the initiative, noting the literature linking untreated maternal dental disease to poor child oral-health outcomes. No votes were taken; the meeting ended with thanks and a preview of upcoming July presentations on integrated behavioral health and home visitation programs.

Transcript Highlights:

• networks.
• The agency is required to conduct or contract for systemic and continuous testing of the provider network
• network contract initiative.
• The provider network adequacy is an issue.
• When was the last time we did a provider network adequacy test? Mr.

Summary: The Legislative Budget Commission met to consider 21 budget amendments, beginning with the Department of Education’s request for $14.751 million in federal grant authority for the Preschool Development Grant. Members asked whether any funds would support VPK or provider payments; the department said the money is for birth-to-kindergarten early learning work, including IT modernization, workforce credentialing, training, and streamlining director certification. The amendment was adopted without objection. The commission then approved amendments for the Department of Veterans Affairs to shift $2.2 million within its trust fund to cover higher nursing home occupancy and reduce staffing agency use, and for the Department of Health to realign about $9.1 million for disability determinations amid a backlog of roughly 140,000 cases. The Agency for Health Care Administration presented multiple Medicaid-related amendments, including $766 million for indirect medical education, $1.9 million for managed care network adequacy audits, $209 million for the Rural Health Transformation Program, and several large supplemental payment programs for KidCare, hospitals, physicians, cancer hospitals, nursing IME, and public hospital payments. Members questioned network adequacy, rural access, and the KidCare surplus and expansion; the KidCare realignment drew debate, with some members objecting because the 2023 eligibility expansion has not been implemented, but the amendment passed on a roll call vote. Other amendments adopted included FDLE’s $16.3 million for counter-UAS detection and mitigation equipment, DJJ’s $1.6 million for Florida Scholars Academy and a Social Services Block Grant realignment, and emergency management pass-throughs for FIFA World Cup security and counter-drone funding to the Miami host committee. The Department of Commerce received $148.4 million for disaster recovery under the CDBG-DR program, with questions about the split between housing, infrastructure, and administrative costs. The Department of State also received $408,377 for arts and culture grant authority. Most amendments were adopted without objection, and the commission adjourned after completing the agenda.

Transcript Highlights:

• providers had.
• So the data is owned by the state, and it is used by the network provider.
• provide you with a brief.
• provide you with a brief.
• I'm chief program officer representing Stand Up Placer, a victim services provider, providing domestic

Summary: The committee heard an overview from Cal OES on disaster response, LA wildfire recovery, federal FEMA reimbursements, security monitoring, and the state’s 911 transition. Cal OES said its budget supports disaster preparedness and recovery, including ongoing work in Los Angeles, where it reported about 700 FEMA public assistance applications totaling roughly $1.2 billion and about $545 million in state wildfire response and recovery funding already allocated under AB 100. Members pressed for more detail on FEMA delays, hazard mitigation grants, federal event planning, and the status of Operation Stonegarden, while also raising concerns about small-disaster recovery, federal shutdown impacts, and the need for more timely reporting. A major portion of the hearing focused on Next Generation 911. Cal OES described problems with the current regional deployment, especially call-routing and transfer failures, and said it now plans to shift to a statewide provider as an interim step, then run an open procurement for a long-term vendor. The agency said it expects to execute a bridging contract in the coming weeks, release an RFP in the second quarter of 2026, award a long-term contract in the fall, begin transitioning Los Angeles-area PSAPs ahead of the 2028 Olympics, and complete statewide migration by summer 2030. The LAO urged the Legislature to pause further implementation until it has more information on the problems, alternatives, costs, privacy/security issues, and oversight needs, and recommended quarterly and monthly reporting if the project proceeds. Several senators echoed concerns about cost, redundancy, cybersecurity, and whether the statewide model could create new risks, and the chair said she would pursue a joint oversight hearing with the Emergency Management Committee and seek input from the State Auditor. The Department of Justice then presented its overall workload and budget pressures. DOJ highlighted its work on fentanyl enforcement, human trafficking, firearms recovery, housing enforcement, consumer protection, environmental and civil rights litigation, and a large federal litigation workload, saying it has filed 59 lawsuits against the Trump administration and won most of them. DOJ said the added federal cases and other mandates have strained existing staff, though 44 additional hires have been made. Members praised DOJ’s work on immigration, housing, and federal accountability, and asked for more information on detention facilities and staffing. The committee also reviewed DOJ’s firearms-related budget proposals. DOJ requested funding for continued firearms IT modernization, implementation of SB 704 on firearm barrels, and a temporary shift of Bureau of Firearms costs to the General Fund. The LAO supported the IT modernization request but recommended funding SB 704 from the Dealer’s Record of Sale Special Account, with startup costs covered by a loan from the Firearm Safety and Enforcement Special Fund, and suggested limiting the General Fund shift to one year and treating it as a loan. The LAO also asked DOJ to develop a framework by January 10, 2027, for deciding which firearm and ammunition workload should be supported by fee revenue rather than the General Fund.

Transcript Highlights:

• It’s a provider group. So you have a group of providers working under one company.
• And how do you protect those providers from unprofessional conduct when it’s the actual provider group
• Employers must notify employees about the network and how to use it, and at the time of an injury provide
• of pharmacists and dispensing providers and defines the term pharmacy management network.
• As for network adequacy, we want every pharmacy we can get in our network.

Summary: The committee first took up a discussion-only strike-everything amendment to HB 2211, which would make it unprofessional conduct for certain health care providers to submit offers in independent dispute resolution above 300% of Medicare or the qualified payment amount. The chair said he was not ready to move the bill because more stakeholder meetings were needed. Testimony split between insurers, who said a small number of providers were abusing the No Surprises Act and driving up costs, and provider representatives, who argued the proposal would improperly cap rates, relied on opaque insurer-set QPAs, and could threaten licensure in a billing dispute. No vote was taken on HB 2211. The committee then considered HB 4028 on accessory dwelling units. The bill would remove the 1,000-square-foot cap, change setback rules, bar municipalities from requiring an administrative use permit and certain elevation criteria, and extend the deadline for cities to adopt ADU regulations. The sponsor argued it would give homeowners more flexibility and help address housing affordability, while cities, neighborhood groups, and residents warned it would allow oversized ADUs, reduce local control, create density and safety concerns, and invite investor-driven development. After extensive debate, the committee voted 8-9 with one present, and HB 4028 failed. Next, the committee heard HB 2620, as amended, which appropriates $300,000 annually for five years from the General Fund to the Department of Veterans’ Services for grants to emergency shelters. An amendment removed age and non-congregate-setting conditions for eligibility. The sponsor and a shelter provider said the funding would help shelters better serve homeless veterans and connect them to services. The committee adopted the amendment and then passed HB 2620 on a 17-0 vote with one member not voting. The committee then considered HB 2960, as amended, which creates a veterans specialty court grant program and a dedicated fund to support local veterans treatment courts. An amendment shifted administration of the fund to the Office of the Courts and allowed support for expansion of existing programs. The sponsor, a Lake Havasu judge, and a veteran graduate testified that veterans courts reduce recidivism and save lives by linking veterans to treatment and support. The bill was still being taken up when the transcript ended, with testimony continuing from supporters including a veterans shelter founder.

Transcript Highlights:

• But because I'm out of network, I couldn't order it. She had to go through her in-network PCP.
• We provided interpreter services.
• provider for a referral.
• So, CPMs provide comprehensive evidence-based care for So, CPMs provide comprehensive, evidence-based
• I'm proud to provide information, provide education, provide the physical, emotional support, provide

Keywords: 995, all

Summary: The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers. On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money. A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore. The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.