Transcript Highlights:

• We have the computer science program now.
• We have the computer science program now.
• We have the computer science program now.
• operating, they can request a waiver operating, they can request a waiver except<00:26:33.039>
• Uh and we are title programs as well.

Keywords: 958, all

Summary: The Interim Joint Budget Review Subcommittee on Education met with a quorum, approved the August 20, 2025 minutes, and then heard a discussion tied to Constitution Day and Kentucky’s constitutional duty to provide an efficient system of common schools. Chairman James Tipton reviewed the history of Kentucky’s model laboratory schools, postsecondary academy programs such as Gatton and Craft, magnet schools, virtual learning, and computer science opportunities, arguing that Kentucky has long expanded educational opportunity through different school models. He described model schools and academy programs as hybrid or innovative approaches that serve specialized student needs and noted that some of these programs receive state appropriations and, in some cases, tuition. Senator Steve West then gave a retrospective on school choice in Kentucky, beginning with the 2017 charter school law and explaining that Kentucky’s charter framework was designed as public-only to comply with the state constitution. He said charter schools have remained largely dormant in Kentucky and used that as context for Senate Bill 207, the School Innovation Act, which he said was modeled on a South Carolina approach. Under SB 207, a local school board can contract with a third-party entity to manage an existing school, receive SEEK funding, and seek waivers from certain state regulations in order to innovate, while retaining limits on items such as school safety and attendance rules. Members asked about how the new model differs from charter schools, whether schools could cherry-pick students, and whether teachers would remain district employees. West and Tipton said the bill is intended to keep the school within the public system, with the local district initiating the process and maintaining accountability through a time-limited contract that can be ended if the school fails to perform. They emphasized that the school would serve the existing student population rather than select students, and that teachers would remain district employees with their pensions and related contributions unchanged. Representative Brown raised concerns that exceptions and charters could leave lower-income children behind, while West responded that the bill is meant to expand choice for families who otherwise lack access and cited examples from other states where outside management and parental involvement helped turn around low-performing schools. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• <00:29:49.279> or whether they're caddy waivers or whether they're caddy waivers or disability
• <00:29:52.440> some disability waivers uh they have some disability waivers uh they have some
• <00:41:23.720> that tenants are going to have a waiver that tenants are going to have a waiver
• There are waivers that would fund home safety modifications under the 245 Home and Community-Based waivers
• There are waivers that would fund home safety modifications under the 245 Home and Community-Based waivers

Bills: HF2296, HF1566, HF1854, HF1385, HF1142

Keywords: landlord-tenant, victim confidentiality, domestic violence, sexual assault, stalking, tenant privacy, housing law, eviction, unpaid rent, damages, release of information, shared database, protective order, victim of violence, Minnesota Statutes 504B.206, housing finance, civil law, autism, rental properties, reasonable accommodation

Transcript Highlights:

• programs.
• of program types that are completing the program over that time.
• And then we have the 1240 waiver. So the And then we have the 1240 waiver.
• “With teacher preparation programs, educator preparation programs, and other preparation programs who
• in both programs.

Summary: The committee first approved the May 18 meeting minutes and then received a presentation from Legislative Audit on Arkansas Department of Education grant distributions. Auditors explained that the fiscal year 2025 report summarizes $4.6 billion in grants from state, federal, and miscellaneous sources, across school districts, charter schools, education cooperatives, and other entities, and that the report only shows amounts distributed, not how recipients ultimately used the money. Members asked about specific recipients and programs, including ClassWallet, Economics Arkansas, and CDC surveillance funding; department staff clarified that the Economics Arkansas grant is written into special language and that the CDC-related funding supports student surveys used by state agencies. Questions also focused on bonus and incentive programs such as master principal and National Board Certified teacher bonuses, with department staff saying the bonuses are generally tied to completion of the program or certification rather than classroom performance, though they would follow up on details. The committee then heard a Bureau of Legislative Research update on Consumer Price Index projections from Moody’s Analytics and S&P Global. Dr. Carlos Silva explained the difference between CPI-U and core CPI and said the estimates show inflation slowing over the forecast period, with some near-term variation between the two data providers. Members asked about the historical accuracy of prior projections, and he said the forecasts generally tend to move toward about 2 percent over time, though recent shocks have caused earlier estimates to understate actual inflation. The bulk of the meeting was devoted to the final adequacy report on teacher recruitment, retention, and salaries. BLR staff reviewed Arkansas teacher demographics, shortage areas, educator preparation pipelines, licensure exceptions, survey results from teachers and principals, and teacher support programs. They reported that Arkansas had about 32,800 teachers and 473,000 students in 2025, with an average of 11.9 years of experience and a slight increase in National Board Certified teachers. The report found shortages in multiple subject areas, especially special education, math, science, foreign language, and social studies, and identified 65 districts as high-need geographically. Survey results showed school leadership as the strongest positive factor in recruitment and retention, while workload and salary were the biggest negatives; 30 percent of responding teachers said they were considering leaving the profession. The committee also reviewed teacher salary data showing a statewide average salary of $60,254 in 2025, Arkansas ranking 45th nationally by NEA methodology, and a long-term inflation-adjusted decline in district salaries, though LEARNS Act increases improved the trend. Members asked for additional follow-up information on survey methodology, alternative licensure costs, coursework, incentives for ESL and special education endorsements, exit data, and how salary comparisons are calculated.

Transcript Highlights:

• I will note that on that first section there, we do have broad discretion in our waiver program to address
• Um program.
• That waiver is going to take a waiver. That waiver is going to take a little<02:08:44.320> bit.
• program.
• program.

Keywords: 1189, house, all

Transcript Highlights:

• Helping and voluntarily signing a waiver to do so.
• Just to go back to the existing workforce programs that are part of degree programs, you know, there's
• It's not a new program for the employees, but for the students themselves who are in, say, a degree program
• that exists, exist, they would never be asked to sign a waiver to keep participating in that program
• There is no language that says there can be a waiver.

Transcript Highlights:

• waiver transformation.
• First, I've dealt with five LIDAs and two waiver programs over the course of my son's life.
• I am highlighting key issues related to the Medicaid waiver programs and supports for people with IDD
• One option is to allocate additional funding to expand these waiver programs. Bill Combest.
• First, I've dealt with five LIDAs and two waiver programs over the course of my son's life.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• So the UPL program, or the upper payment limit program, was established by federal statute to be used
• The upper payment limit program, or access payment program, is limited to the private hospitals currently
• We use waivers here. Our PAST program is a 1915(c) waiver.
• We have 1115 waivers for the expansion program.
• There are nine clients under our waiver program at the facility. All right, thank you.

Keywords: 1204, all

Transcript Highlights:

• House Bill 2984 directs the Department of Human Services to request a waiver to allow SNAP dollars to
• Is there any opportunity for anyone to get like a waiver or if they're on the border state?
• I don't think we're going to be able to get as granular as that as an individual waiver.
• This administration has been very waiver-friendly regarding the SNAP program.
• And so this administration has really taken into consideration significantly more waivers than we've

Bills: HB4422, HB4117, HB4300, HB4298, HB2984, HB3344

Keywords: immigration, public assistance, legal status, food assistance, state benefits, family resource center, community support, employment services, kinship families, social connections, child care, criminal history, background checks, child safety, licensing, Oklahoma laws, advisory committees, daycare, licensed child care facility, child care subsidy

Transcript Highlights:

• programs in artificial created programs in artificial intelligence.<00:04:50.160> We've<00:04
• that funding of those uh waivers. that funding of those uh waivers.
• Um we have a program late uh date.
• Do you have many people who are 65 and over who currently use that waiver program?
• Do you have many people who are 65 and over who currently use that waiver program?

Keywords: 958, all

Summary: The House Budget Review Subcommittee on Postsecondary Education met without a quorum and postponed approval of the minutes. The committee first heard from Northern Kentucky University President Katie Short Thompson, who highlighted NKU’s enrollment growth, student success metrics, national recognition for value, lower student debt, and new programs tied to regional workforce needs, including AI, cybersecurity, supply chain analytics, cardiovascular perfusion, and the Norse Network Hub for employer access. She asked for a $5 million recurring base funding adjustment to align NKU’s general fund support with peer institutions, along with support for tuition waivers with FAFSA requirements, continued debt collection authority through the Department of Revenue, inclusion of fire and tornado insurance premiums in base funding, inflation and performance-funding support, and increased asset preservation funding. She also outlined capital priorities for the Hail College of Business building, Nunn Hall, and the MEP building, and requested $5.4 million to match private support for the Young Scholars Academy, a dual-credit program serving first-generation and low-income students. Representative Tipton questioned NKU about the number of older students using tuition waivers and whether the university could continue the program without a statutory age-based mandate. Thompson said the number of students over 65 using the waiver was small, that some students pursue degrees while others audit classes, and that external fundraising could potentially support the program if state funding changed. Tipton also confirmed NKU’s requested priorities and the $5.4 million match for the Young Scholars Academy. The committee then heard from University of Kentucky representative Dr. Cavallo, who framed UK’s request around accountability, workforce development, research, and health care impact. He described a patient story to illustrate UK’s medical mission, cited growth in enrollment, degrees awarded, hospital patients treated, and research grant revenue, and emphasized UK’s role in extension services and disaster response. He said UK is consolidating services for efficiency and is focusing on future workforce needs, especially artificial intelligence, noting the launch of the state’s first AI bachelor’s degree and a partnership with Microsoft to expand AI tools and training across campus and the Advancing Kentucky Together network. He also discussed demographic challenges, the need to retain graduates in Kentucky, and the importance of aligning programs and funding with long-term state needs.

Transcript Highlights:

• General modernization program.
• We've been a collaborative program since inception.
• The program roadmap has not had any substantial changes since the FL WINS program launched.
• This is a huge win for the FL WINS program.
• And then there's 11,000 waiver support, or 11-100 waiver support. 11,000 waiver support.

Summary: The subcommittee heard updates on several state technology modernization efforts, beginning with the Florida Division of Emergency Management’s Enterprise Business Solution (DEMS). FDEM said DEMS is about 50% complete, with some grants and finance functions already live, and is intended to replace manual disaster and grants processing with a cloud-based system. Officials described faster reimbursement timelines after recent storms, major return-on-investment claims, and a planned final phase focused on design, testing, communications, data governance, and additional functionality. Members asked about the total cost, the role of Florida Digital Service, deliverables-based contracting, and how much of the system is live; FDEM said the project is expected to cost about $16 million to $16.8 million and finish by June 2027, with some follow-up information to be provided. The Department of Legal Affairs presented its Office of Attorney General Modernization Program, a follow-up to an earlier effort that failed after spending about $26 million. Acting Attorney General John Gard said the department has now moved to an off-the-shelf case management product, LawBase, and is in development and testing, with the Office of Statewide Prosecution already live and full implementation expected by the end of the fiscal year. The request includes funding for staff augmentation, cloud storage, the LawBase license, redundancy through a backup site in Orlando, and OnBase support. Members questioned the prior failure, the use of Florida Digital Service standards, data location and cloud migration, and the redundancy plan; Gard said lessons learned included better scoping and that the current effort is on track. The Department of Highway Safety and Motor Vehicles then updated the committee on Motorist Modernization, including the Orion system and the MyDMV portal. Officials said Phase 1 and Phase 2 have modernized driver license and motor vehicle services, with Phase 2 statewide rollout scheduled to begin in April 2025 and Phase 3 proposed at $16.5 million for dealer services, data warehouse improvements, and call center modernization. Members asked about payment options, organ donor questions, staffing, cybersecurity, cloud strategy, and the digital driver license program. The agency said the portal already allows some sanctions to be cleared online, an ACH option is being developed, the digital driver license vendor has changed with a fall go-live anticipated, and the department is using security testing and a managed security service provider. Officials also said the system is currently on an on-prem private cloud, with future workloads expected to move to public cloud where appropriate. Finally, Florida Commerce presented on the Reemployment Assistance modernization system, Reconnect, and the FLWINS workforce system. Commerce said Reconnect is hosted in the Azure Government Cloud, has reduced claim filing time, improved fraud detection, and increased appeals capacity, and now needs $4.9 million in recurring funding to cover ongoing operations, cloud hosting, licenses, and staff augmentation. Members asked about adjudication issues, wait times, fraud prevention, and whether the system stores caller identifiers; Commerce said the average wait to speak to a representative is about 18 minutes and claims are generally processed in four to six weeks. The committee then began hearing about FLWINS, which is intended to create a “no wrong door” workforce portal under the REACH Act, but the transcript cuts off before that presentation concluded.

Transcript Highlights:

• Why were these waivers not larger?
• After the waivers of the COVID time, we actually had a Midtown waiver, which is a particular area that's
• Waivers were allowed for Midtown in an effort to try and boost activity.
• So I'm kind of curious as to how the six-month waiver fee waiver of permit inspection fees, that was
• So I'm looking at, so I'm kind of curious as to how you, how the six-month waiver fee, waiver of permanent

Summary: The committee first took up a long-running audit finding involving the City of Daytona Beach’s unexpended building permit fund balance, which has exceeded the statutory cap for several years and was reported at $10.8 million in the latest audit. Mayor Derek Henry and city staff said the city had analyzed the fund, adopted a corrective action plan, waived more than $5.5 million in permit and inspection fees, used some excess funds for a training facility rehabilitation, and is pursuing a $9.4 million City Hall expansion that they say is allowed under a November 2024 Attorney General opinion permitting construction of a building to house the building code enforcement function. Committee members repeatedly questioned whether the city was simply trying to spend down the money, whether the proposed uses were truly lawful, why the balance kept growing despite fee waivers, and where the interest earnings were going. The mayor and deputy city manager said the city’s growth and staffing needs justified the plan, but several members expressed frustration and skepticism. A public commenter also urged accountability and raised concerns about the city’s spending plans and the size of the remaining balance. The committee then received an Auditor General presentation on the Town of Greenville, which found 31 operational audit findings and described pervasive control failures, possible fraud, waste, and abuse. The findings included election paperwork problems that left a council seat vacant, conflicts of interest, late financial disclosure filings, related-party transactions, inadequate meeting notices and minutes, quorum and voting documentation problems, council members’ involvement in day-to-day operations, missing ethics training, budget adoption and monitoring deficiencies, inaccurate accounting records and bank reconciliations, utility billing and rate issues, grant compliance problems tied to an unfinished grocery store project, weak personnel and contracting controls, improper severance and compensation issues, late vendor payments, weak procurement and P-card controls, vehicle-use and property-control weaknesses, poor public records access, and IT access and fraud-policy gaps. Greenville’s mayor and staff said the audit largely reflected the prior administration and that the current council and staff are taking corrective action. They said the town terminated the former manager, adopted seven new policies since the audit began, and is working with the Auditor General to improve procurement, financial controls, inventory management, grant oversight, and ethics compliance. The town attorney said he had alerted federal authorities earlier about concerns, and committee members noted that FDLE has received a criminal referral and is investigating. Several members praised the new leadership’s cooperation but also suggested the town consider consolidation or dissolution if problems persist.

Transcript Highlights:

• BY GOING TO WAIVER AND MAKING SURE THE CHILDREN AND PARENTS ARE ABLE TO PARTICIPATE IN THIS PROGRAM WE
• IT EXPANDS THE CURRENT MEDICAID WAIVER PROGRAM FOR MEDICALLY FRAGILE CHILDREN.
• THE MODEL WAIVER SO IT CAN SERVE ALL MEDICAID ELIGIBLE THE MODEL WAIVER SO IT CAN SERVE ALL MEDICAID
• THAT THE DAYCARE PROGRAM FOR CHILDREN MEDICALLY FRAGILE CHILDREN.
• SO WE ARE ALL WELL FORMED OF WHAT THE WAIVER WILL DO.

Keywords: 999, senate, all

Transcript Highlights:

• So the UPL program, or the upper payment limit program, was established by federal statute to be used
• The upper payment limit program, or access payment program, is limited to the private hospitals currently
• We use waivers here. Our PAS program is a 1915(c) waiver.
• We have 1115 waivers for the expansion program.
• There are nine clients under our waiver program at the facility.” “All right. Thank you.”

Summary: The subcommittee met to review Department of Human Services hospital payments in Arkansas Medicaid, with DHS Secretary Janet Mann and Deputy Secretary Misty Eubanks presenting first, followed by Arkansas Hospital Association Executive Vice President Jody Ann Tritt and a brief comment from Arkansas Children’s. DHS outlined the main hospital payment streams: fee-for-service per diem payments, upper payment limit (UPL) supplemental payments, cost settlements, and smaller payments such as graduate medical education and disproportionate share hospital funds. Members asked for plain-language explanations of cost settlements, why per diem rates vary by hospital type, and why UPL applies to private hospitals. DHS said cost settlements and UPL are mechanisms to help offset Medicaid underpayment, with SFY 2025 hospital payments totaling hundreds of millions of dollars and no general revenue used for supplemental payments beyond the state share funded through hospital assessments and related financing structures. Committee members focused heavily on whether Arkansas hospitals are adequately reimbursed and why rural hospitals struggle. Tritt explained that critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals operate under different federal and state rules, and said lower per diem rates for some facilities help with cash flow and later cost settlement adjustments. She said Arkansas hospitals are under financial strain, citing a negative patient services margin statewide and noting that Medicaid, Medicare, and commercial payers all contribute to the problem. She also said the association had just authorized a statewide survey of hospital finances and costs, which she expected would take about a year to complete. A major theme was commercial insurance reimbursement. Tritt argued Arkansas hospitals are paid far less than hospitals in neighboring states even though premiums are similar, and said administrative burdens, prior authorizations, and denials add to the problem. She said hospitals receive about 52 to 53 cents on the dollar for Medicaid costs without UPL and about 78 cents with UPL, still below cost. Members also discussed Medicare wage index issues, Medicare Advantage, and whether hospitals could use technology or alternative arrangements to improve finances. No votes were taken on the hospital presentation. At the end of the meeting, DHS provided a brief update on Living Choices and assisted living reimbursement. Officials said one assisted living facility, Pillars of the Community in Crossett, had announced closure, with nine waiver clients being transitioned to other settings. DHS said the current cost reporting period was underway and that a new rate study could be ready for review before the end of the fiscal year if reports were submitted on time. Members also asked about the broader waiver plan, and DHS said the next waiver iteration would likely be brought back to the committee in the summer.

Transcript Highlights:

• Senator, could you talk to us about the Canadian prescription drug importation program, program that
• The program has since grown to a $4 billion program over the years.
• It maintains from last year the modification that we made on the tuition waiver for programs of strategic
• programming, waiver programs, why are we not including... ...including the Medicaid managed care pilot
• programming, waiver programs, why are we not including... ...programming waiver programs, why are we

Summary: The Senate began with prayer and the Pledge of Allegiance, then moved into floor consideration of the 2026-2027 budget. Appropriations Chair Hooper presented Senate Bill 2500, describing a $115 billion budget that reduces overall spending from the prior year, maintains reserves, and includes a 3% pay raise for state employees and 5% raises for state law enforcement, firefighters, correctional officers, and park rangers. Committee chairs then outlined major spending in their areas, including K-12 education, higher education, health and human services, criminal and civil justice, transportation/tourism/economic development, and environmental and agricultural programs. Highlights included increased funding for school scholarships and safety, workforce and university programs, Medicaid and child welfare, corrections operations, affordable housing, rural communities, Everglades and water quality projects, and infrastructure. Members then asked detailed questions about several budget items. Senators sought clarification on the Emergency Management Trust Fund, arts and cultural grants, Florida Forever land acquisition versus conservation easements, teacher salaries, charter school capital outlay funding, EASE grants, New College funding, DOC inmate counts and reimbursement, lottery staffing, concealed weapons licensing positions, election security funding, iBudget waiver support, ADAP funding, Medicaid hospital rate reductions, and scholarship and enrollment supplements in K-12 education. Chairs explained that some reductions reflected technical shifts or right-sizing, that some funds were being moved below the line for better tracking, and that several items—such as ADAP and corrections operations—would likely remain conference issues with the House. After questions, the Senate substituted House bills for the budget and implementing measures and adopted amendments placing the Senate language onto the House vehicles to prepare for conference. The chamber passed the budget-related bills and several conforming measures, including bills on retirement, fuel taxes, the state agency law enforcement radio system, court trust funds, judgeships, and K-12 and higher education conforming changes. Votes on the major bills were overwhelmingly unanimous or near-unanimous, and the Senate repeatedly voted to accede to the House’s request for conference on the substituted bills.

Transcript Highlights:

• programs.
• programs decreased.
• of program types completing the program over that time.
• Then we have the Act 1240 waiver, including School of Innovation waivers and a charter waiver.
• Loan Forgiveness Program.

Summary: The committee first approved the May 18 meeting minutes and then received a Legislative Audit presentation summarizing Arkansas Department of Education grant distributions for fiscal year 2025. Auditors said the department distributed about $4.6 billion in grants overall, including $3.2 billion from the Public School Fund, $1.1 billion in federal funds, and $268 million from other state and miscellaneous sources, across 56 Public School Fund programs, 14 other state programs, and 29 federal programs. Members asked about specific recipients and programs, including ClassWallet, master principal bonuses, Economics Arkansas, and CDC surveillance funding; audit staff and Department of Education representatives explained that the report was only a distribution summary and not a recipient-level audit. Members also questioned why many districts showed lower funding, and staff said the decline was largely due to reduced federal and one-time COVID-related funds. Senators and representatives also discussed whether some incentive programs, such as master principal and national board bonuses, were tied to student outcomes, and whether Economics Arkansas was the sole entity named in special language for financial literacy funding; department staff said they would follow up on several details. The committee then heard a Bureau of Legislative Research presentation on consumer price index projections from Moody’s Analytics and S&P Global, with discussion of CPI-U and core CPI estimates for future fiscal years. Dr. Carlos Silva explained that the forecasts generally trend toward about 2 percent over time and that recent projections may have understated actual inflation because of recent shocks. Members asked about the accuracy of past projections, and he said he would provide more detail later if needed. The bulk of the meeting focused on the final adequacy report on teacher recruitment, retention, and salaries. BLR staff reported that Arkansas had about 32,800 teachers and 473,000 students in 2025, with a statewide student-to-teacher ratio of about 14 to 1, average teaching experience of 11.9 years, and a slight increase in National Board Certified teachers. The report found that districts with higher poverty and minority concentrations generally had less experienced teachers, and that teacher shortages remained widespread, especially in special education, math, science, and foreign language. Members asked about licensure exceptions, alternative preparation pathways, incentives for ESL and special education endorsements, and the cost and return on investment of traditional versus alternative routes. Staff said some licensure exceptions are being phased out under Act 304 of 2025 and that they would follow up on several requested details. The report also found that teacher retention averaged 87 percent statewide in 2025, with districts retaining teachers at higher rates than charters, and that 30 percent of surveyed teachers were considering leaving the profession. Principals and teachers identified school leadership as the strongest positive factor in recruitment and retention, while workload and salary were the strongest negative factors. On salaries, BLR reported a statewide average teacher salary of $60,254 in 2025, with districts averaging $60,458 and charters $55,724. Arkansas ranked 45th nationally on average teacher salary in 2025, though its cost-adjusted ranking improved to 36th; among SREB states it ranked 12th, and among neighboring states it ranked fourth. Members asked about starting salaries, salary compression, district step increases, and whether the report should be shared more broadly with educators and school leaders. Staff said they would provide follow-up information on several questions, and the committee took no formal action beyond receiving the presentations and asking for additional data.

Transcript Highlights:

• two programs combine what we call in Florida the Florida KidCare program.
• So we went ahead with the 1115 waiver and submitted the waiver to implement the program.
• entities to implement new health care screening or service programs, or to expand existing programs
• Back to the question I started two presentations ago: the dental program and the FRAME program.
• Program.

Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.

Transcript Highlights:

• The TEACH program.
• The KidCare program—Title XXI is a CHIP program, Title XIX for Medicaid for children—those two programs
• So we went ahead with the 1115 waiver and submitted the waiver to implement the program.
• entities to implement new health care screening or service programs, or to expand existing programs
• And back to the question I started two presentations ago, the dental program and the FRAM program.

Summary: The committee opened with roll call, welcomed members back for the first committee weeks, and heard brief personal updates from several senators before moving into agency implementation updates on recently enacted health care laws. The Agency for Health Care Administration reported on Senate Bill 64 creating rural emergency hospitals, explaining that AHCA adopted the required rules effective June 1, 2025, but that no hospitals have yet been designated. Members asked about possible hospital conversions, accreditation and survey responsibilities, and whether Florida would apply for federal rural health transformation funding; AHCA said it intends to apply and has already been working on the issue with federal officials. AHCA also reviewed the non-emergent care access plan requirement under Senate Bill 7016. The agency said hospitals with emergency departments must submit plans that help redirect non-emergent patients to appropriate care settings while complying with EMTALA, and that 83 plans had been received and 63 approved as of September 30. Members asked about data collection, managed care coordination, and the state’s health information exchange; AHCA said it has moved to a new HIE vendor and will continue monitoring implementation and possible care gaps. AHCA then updated the committee on the TEACH program, saying $6.8 million was spent in 2024-25 across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed. The agency said rulemaking is nearly complete, a new nursing student category and expanded facility eligibility were added, and a federal 1115 workforce waiver remains stalled after CMS signaled it will not approve new workforce demonstrations. AHCA also reviewed House Bill 121 on KidCare eligibility, explaining that implementation of the 300% poverty-level expansion remains blocked by federal litigation and waiver issues tied to premium nonpayment rules; members and public speakers urged action to close the coverage gap. Public testimony on AHCA’s presentation came from representatives of health centers and advocacy groups, who said the non-emergent care access plan has improved hospital-health center coordination and reduced repeat emergency use, and who urged implementation of KidCare expansion for children in the coverage gap. The Department of Health then presented updates on FRAM, the Sanadi screening grant program, the Health Care Innovation Revolving Loan Program, telehealth maternity care, swimming lesson vouchers, and House Bill 159 on pharmacist dispensing of HIV post-exposure prophylaxis. DOH reported strong participation in FRAM and the telehealth maternity program, 24 Sanadi grant awards in 42 counties, 4,945 swimming lesson vouchers issued last year and 2,371 so far this year, and three approved certification courses with five pharmacist certifications issued under HB 159. Committee members asked about recruitment of dentists and other providers, telehealth maternity outcomes, and why participation in the maternity program remains below expected levels; DOH said outreach and regional referral networks are expanding and more detailed outcome data will be included in the upcoming legislative report.

Transcript Highlights:

• Communities, we have some programs aligned with this type of work.
• And it's not an on and off switch sometimes that happens with programs.
• So, the Medicaid waiver, you know, home and community Waivers to have an expert on how to build those
• out different ways to Spend to to to a you know allow for waiver spend.
• Someone goes to a program during that time, and that's a barrier.

Keywords: 914, all

Transcript Highlights:

• We were able to get them waivers, and it really...
• So typically every state that mandates it will have a free program available, and the programs themselves
• I became program coordinator of You're With Us, and we were able to get subsidized programs. it.
• programs. ...became program coordinator of You're With Us, and we were able to get subsidized programming
• At UMass now, and she's doing the program for You're With Us.

Keywords: 995, all

Summary: The Joint Committee on Labor and Workforce Development held a hybrid public hearing with testimony on a wide range of labor, workforce, unemployment insurance, apprenticeship, disability services, farm labor, hospital staffing, and workplace harassment bills. Chairs Jake Oliveira and Paul McMurtry outlined hearing procedures, limited testimony to two minutes, and noted written testimony would be accepted after the hearing. Committee members and staff were introduced throughout the session as witnesses arrived in person or remotely. A major portion of the hearing focused on unemployment insurance legislation. Greater Boston Legal Services, the AFL-CIO, and Rep. Joan Meschino supported bills to adjust UI eligibility for workers with fluctuating schedules and to streamline waivers and write-offs for non-fault overpayments, arguing the current system unfairly denies benefits or burdens workers who were not at fault. They also backed bills calling for more oversight and resources for the Division of Unemployment Assistance, citing persistent delays in benefit payments. NFIB opposed the UI changes, warning that the trust fund is headed toward insolvency and arguing the bills would worsen the system’s finances. Rep. Meschino and committee members emphasized that the proposals were meant to protect good-faith claimants and did not apply to fraud. Another large set of bills addressed wages, workforce development, and working conditions. Testimony supported raising and modernizing direct care wages to address severe staffing shortages in human services and disability services, with advocates from the Massachusetts Developmental Disability Council, The Arc of Massachusetts, parents of adults with disabilities, and a direct care worker describing how low pay and turnover harm people needing support. The committee also heard support for apprenticeship-related bills from the AFL-CIO and the Carpenters, while Associated Builders and Contractors opposed mandatory apprenticeship ratios and urged changes to align them with licensing laws. Farm worker advocates supported a bill to raise farm labor standards, including minimum wage, paid breaks, and paid time off, while the Farm Bureau opposed parts of it beyond the minimum wage increase. The hearing also featured testimony on workplace harassment training, overtime protections, hospital mandatory overtime, suicide prevention signage on construction sites, and a proposal to update the Massachusetts Medical Society’s mission language from “citizens” to “people.” Labor groups, educators, and compliance trainers strongly supported mandatory annual sexual harassment training, saying it would improve workplace culture and reduce harm. SEIU 1199 supported extending the hospital nurse mandatory overtime ban to the broader hospital workforce. Witnesses on the suicide prevention bill described personal losses in construction and recovery work and urged posting 988 information on job sites. The committee took no votes during the hearing; witnesses repeatedly asked for favorable reports, and members asked follow-up questions on UI calculations, apprenticeship ratios, small-business impacts, and emergency exceptions for hospital staffing.

Transcript Highlights:

• grant program.
• This discretionary program This discretionary program proposed to deploy Level 2 EV chargers at select
• Also, the Department of Energy State Energy Program funds, as well as Home Efficiency Rebate Program
• Programs.
• The utility programs for the current program that we're in were $400 million over four years.

Keywords: 995, all

Summary: The committee held a hearing on the impact of the Trump administration’s federal climate policy changes on Massachusetts, with a focus on threatened grants, regulatory rollbacks, and state options to continue climate work. Chair Creem and other senators emphasized that Massachusetts still has a 2050 net-zero mandate and needs contingency plans for clean energy, transportation electrification, offshore wind, resilience, and financing if federal support is reduced or withdrawn. Executive branch witnesses said Massachusetts has already experienced disruptions to more than $1 billion in climate-related federal funds, though many suspended grants were restored after litigation by the Attorney General’s office. EEA reported continued uncertainty around a $389 million Grid Innovation Program award and a FEMA dam-safety reimbursement, while MassDOT said its NEVI fast-charging program remains on track with about $50 million obligated, but a $14.4 million competitive charging grant is on hold and future unobligated NEVI funds remain uncertain. Senators also discussed EV rebates, charging infrastructure, the role of the Community Climate Bank, and whether the state can expand independent financing and support for municipalities, higher education, and nonprofits. The Attorney General’s office described successful multi-state litigation that won a temporary restraining order and preliminary injunction against the federal funding freeze, restoring access to many EPA, DOE, USDA, and Interior funds, while noting continued enforcement actions over FEMA manual reviews and other barriers. The office said it is also preparing to defend the endangerment finding, California vehicle-emissions waivers, offshore wind permits, and other federal climate protections. Outside advocates warned that federal tax-credit rollbacks, tariffs, and possible repeal of IRA and infrastructure funding could slow EV adoption and raise costs, while offshore wind testimony said federal permitting pauses and legal challenges are delaying projects and could leave Massachusetts far short of its 2030 offshore wind goals. Nonprofit witnesses also described canceled or delayed grants for wetland restoration and urban heat mitigation, and urged the Legislature to increase state funding, including for the environmental bond bill and municipal vulnerability preparedness work.