Transcript Highlights:

• participate in the benefits program. participate in the benefits program.
• They weren't aware of the Earned Sick and Safe Time law, even though their employer had a program.
• So for example, in year one he visited a variety of facilities that didn't have ergonomics programs.
• He worked with them provided programs.
• <01:55:57.679> consiliation summarizing our outreach consiliation summarizing our outreach

Keywords: 1187, senate, all

Transcript Highlights:

• does not look like it's a hard program does not look like it's a hard program to<00:20:06.640>
• distribution including Street Outreach distribution including Street Outreach helping<00:33:31.240
• We think about outreach programs.
• valuable that this drug checking program valuable that this drug checking program is<00:56:21.880
• > are track whether or not these programs are track whether or not these programs are actually

Bills: HF696, HF1429, HF1379

Keywords: HF696, rural EMS, ambulance, emergency medical services, uncompensated care, payment pool, rural health, Office of Emergency Medical Services, public safety answering point, PSAP, nontransport, unpaid ambulance calls, EMS reimbursement, rural ambulance provider, general fund appropriation, Minnesota health finance, specialized life support, metropolitan counties, emergency response funding, HF1429

Transcript Highlights:

• . in the program.
• Each one of these programs is a tool in a tool chest, right?
• Our outreach to encourage registered homes is working.
• So, it is a lot of individual outreach.
• We should not be supplanting federal programs.

Keywords: 996, all

Transcript Highlights:

• So, what is this program?
• How is the outreach to them?
• The J TIP program our jobs training incentive program. It's been around since 1972.
• Our JTIP program. If you're in a rural community, you get a 5% bump up on that program.
• And bonds and RFPs, requests for proposals, Christina is our programs and outreach director, and she

Keywords: 996, all

Transcript Highlights:

• So since 2012, we've had a water quality and level program that coordinates with our county governments
• We are in the unique position of facilitating a wide variety of programs and attracting outside funding
• We participated in our county serve program.
• We participated in our county serve program. Um, we... our county serve program.
• Florida Forever Program for land acquisition to Florida Keys for another 10 years.

Summary: The Agriculture and Natural Resources Budget Subcommittee met and first took up CS/HB 973, a broad special districts bill focused heavily on soil and water conservation districts. The bill would dissolve 35 soil and water districts effective December 31, 2025, based on an OPAGA review that found widespread problems such as lack of revenue, inactive boards, poor notice practices, public records issues, and late financial reporting. It also would let special districts use state contracts, authorize FDLE background checks for district employees, preserve fire district taxing/service authority after annexation, extend liability protections for outdoor recreation on certain district lands, tighten eligibility for soil and water supervisors, and shift complaint review to the Commission on Ethics. Supporters argued the districts are often inactive, duplicative, and costly to review, while opponents said many districts provide local conservation, water quality, outreach, and volunteer services and should be given more time to remediate. Public testimony on HB 973 was mixed. Several soil and water district chairs and related advocates opposed the bill, saying their districts provide local conservation, flood, invasive species, education, and coordination services at little or no taxpayer cost, and that abolishing them would remove local representation and collaboration. The bill’s proponent, the Florida Association of Special Districts, supported the measure as a limited-government and accountability reform, arguing that districts with no revenue or contracts should not continue. Members debated whether the bill was relying on the OPAGA report while also eliminating future performance reviews, whether the Department of Agriculture could absorb the added responsibilities, and whether the districts should have been given more time to correct deficiencies. The committee ultimately voted the bill favorably, with one no vote from Representative Hinson. The committee then considered CS/HB 995, which applies to Monroe County and the Florida Keys. The bill would exempt Habitat for Humanity in the Keys from construction performance bond requirements for affordable housing, extend the Florida Keys land acquisition/set-aside authority in Florida Forever for 10 more years, and extend the hurricane evacuation time frame from 24 hours to 24.5 hours to allow up to 825 additional residential permit allocations, phased in over 10 years and directed largely toward vacant buildable lots and workforce housing. An amendment was adopted to codify the 825-unit allocation and the distribution framework. With no opposition offered on the bill, the committee reported HB 995 favorably by unanimous vote.

Transcript Highlights:

• issues with the program issues with the program um<00:57:35.359> I<00:57:35.960> I
• She said the bill supports HTC's three core programs: the MAP, SPR, and accelerator programs.
• local business Assistance programs local business Assistance programs especially<01:05:41.400>
• <01:36:14.679> that don't really have any programs that don't really have any programs that
• the Community Outreach Court.

Keywords: 910, house, all

Transcript Highlights:

• He said he was available in case she needed him to respond to any questions about the parking program
• any questions about the parking program. any questions about the parking program.
• We have a school-based program.
• substance abuse and public outreach. substance abuse and public outreach.
• Is it you know just a ongoing program?

Bills: SB2211, SB2025, SB2038, SB2050, SB2051, SB2090

Keywords: emergency funding, food assistance, healthcare, federal shutdown, Hawaii, DHS, jury duty, advanced practice registered nurses, physician assistants, exemption, patient care, financial hardship, medication abortion, anonymous prescription, pregnancy rights, healthcare privacy, pharmacy regulations, chiropractic education, clinical training, student supervision

Summary: The House Committee on Health held its first hearing of the session and opened with housekeeping notes, introductions of members, and an explanation that the agenda would be taken out of order to accommodate a sign language interpreter. The committee first heard HB 469, relating to parking for disabled persons. Testimony from the Disability and Communications Access Board and the State Council on Developmental Disabilities supported the bill, explaining that a travel placard would help people with disabilities who must travel interisland or to the mainland for medical care. Members asked about emergency travel, misuse prevention, and how to distinguish the travel placard from existing disabled parking placards; witnesses said the bill would need to be tied to administrative rules, and agreed the placard should clearly show an expiration date and likely be a different color. No vote was taken. The committee then heard HB 218, relating to hospital surgical smoke. The Department of Health supported the measure, and the Healthcare Association of Hawaii supported it with amendments, saying hospitals already follow existing standards but that any new policy should account for different procedures and provider safety. A committee member questioned the proposed amendment language and whether it was too flexible; the witness explained the intent was to allow case-by-case application because some procedures generate only brief exposure. Members also asked what surgical smoke is, and the witness explained it is produced when electrical or cauterizing tools are used on tissue and creates vapor or fumes. The bill remained under discussion with no final action reported. The committee next took up HB 814, which would fund a public information campaign and related services on cannabis use among youth. The Department of the Attorney General said the bill should be amended to clarify whether the funding would be used for contracts or grants and to include proper grant standards if grants are intended. The Department of Health supported the bill and said the funds would expand prevention, treatment, recovery, and public education efforts, including social media outreach, PSAs, and school-based youth services. Multiple organizations and individuals testified in support, emphasizing the harms of youth cannabis use and the need for prevention and treatment resources. Members asked what the department currently does, whether it is fulfilling existing law on science-based cannabis information, and what kinds of treatment would be provided; the department said services would mainly be intensive outpatient, outpatient, counseling, and related youth-focused supports. No vote was taken during the hearing.

Transcript Highlights:

• So we stood up this program.
• this this program, we actually shut this program<00:10:24.160> off<00:10:24.399> the<00
• . program. program.
• and outreach.
• The core program, it's case management and outreach.

Keywords: 1183, house

Transcript Highlights:

• I think these are all relevant to any 250th program because this is a source of quite a lot of federal
• And then we fund and train local organizations to do programming that relates to the theme.
• It's been some programs. A lot of people have done the work, right?
• To ask the full commission to add the potluck to the programs that it's promoting.
• I think if we can broaden Mott's outreach, the look of its outreach, the appearance of its outreach,

Keywords: 995, all

Summary: The DEIA subcommittee of the Special Commission on the 250th Anniversary of the American Revolution met with a quorum and discussed planning for the upcoming Patriots Day period, grant opportunities, and ways to make 250th programming more inclusive. Dr. Trent reported on a Virginia 250 conference and shared examples such as the Made by Us youth engagement toolkit and a Smithsonian-related traveling exhibition. Brian also updated the group on Mass Humanities’ grant programs, including Museum on Main Street, Reading Project Douglas Together, and the Promises of Revolution grants, noting that the latter has $600,000 available and is expected to fund roughly 30 to 40 projects through letters of intent due in June. The committee also noted that state tourism 250th grants are open with an April 11 deadline. A major discussion focused on ensuring respect for Indigenous sovereignty and improving representation in marketing. Members raised concerns that Indigenous leaders were not being treated with sufficient respect in state-level engagement, and they discussed whether the full commission should hear from tribal leaders and whether the subcommittee should recommend a broader conversation at the next commission meeting. On marketing, members criticized recent promotional materials as too formulaic and insufficiently reflective of Massachusetts’ diversity, especially in their limited inclusion of Indigenous people, Black patriots, women, and other communities. The group agreed that the commission should push for more inclusive visuals and narratives, and that there is still time to influence digital and future materials. The subcommittee also discussed possibly inviting the marketing and education committees, or commission staff and the outside marketing agency, to explain the rollout and scope of possible changes. The committee then considered a Utah 250 idea for a July 5, 2026 “America’s potluck” style community event and agreed it could be adapted for Massachusetts as a foodways-focused, culturally diverse statewide activity. A motion was made, seconded, and approved to recommend that the full commission and MOTT promote the potluck concept. The meeting ended with agreement to continue developing recommendations on representation, Indigenous engagement, and public outreach, and then adjourned by unanimous vote.

Transcript Highlights:

• In Hillsborough County, we have this really, really cool program called It Ought to Be a Bill, where
• , the FDVA must expand its internet-based mobile application, print, social media, and in-person outreach
• programs for the purpose of... ...print, social media, and in-person outreach programs for the purpose
• Israel, each country puts in a million dollars per year to cooperate on new and innovative space programs
• Well, there's not just the United States and Israel. ...and innovative space programs.

Summary: The Military and Veterans, Space, and Domestic Security Committee met with a quorum and heard several bills focused on veterans, military families, and aerospace. SB 684 by Sen. Avila would let certain Florida Retirement System members buy military wartime service credit under updated eligibility dates and expand the definition of wartime service to include recent operations such as New Dawn, Inherent Resolve, Freedom Sentinel, and Enduring Sentinel. Veterans and first responders testified in support, and senators said the bill corrects an outdated gap. The committee voted the bill favorably. The committee then took up SB 1528 by Sen. Collins on educational opportunities for military children. The bill strengthens coordination between school districts and military installations and requires DOE training modules for school staff working with military families. An amendment removing a sunset provision was adopted, and three Hillsborough County students who helped develop the idea testified in support, describing research on military-family school transitions and the need for staff training on the Interstate Compact on Educational Opportunity for Military Children. The committee reported the bill favorably as amended. SB 910 by Sen. Collins, on veterans benefit assistance, was amended and reported favorably. As amended, it allows veterans to work with professional claims advisors while adding consumer protections, including fee caps, bans on initial/nonrefundable and referral fees, required disclosures, and limits on use of veterans’ login credentials. Sen. Collins and others argued the federal VA claims process is too slow and confusing and that veterans need both help and safeguards. The committee also approved SB 1464 by Sen. Wright, which expands FDVA outreach through digital, print, social media, and in-person efforts and requires public events and annual reporting, and SB 1516 by Sen. Wright, which creates an international aerospace innovation fund administered by Space Florida to support partnerships with international aerospace companies. All measures were reported favorably, and the committee adjourned at the end of the meeting.

Transcript Highlights:

• Building mentorship, We do that through our HOPE College Leadership Program, which is national.
• Program.
• such as a domestic worker education and outreach program, which connects employers and workers so that
• such as a domestic worker education and outreach program, which connects employers and workers so that
• And so that program has really grown this year in an effort to protect folks as they vend.

Summary: The Select Committee on Latina Inequities met at Los Angeles Mission College in Sylmar, hosted by Assemblymember Celeste Rodriguez and joined by Assemblymember Mia Bonta. Rodriguez opened by framing the committee’s work around the economic status of Latinas and the effects of federal policies on the economy and social safety net, while the college president welcomed the committee and described campus services for undocumented and housing-insecure students. Rodriguez also emphasized the local impact of immigration enforcement in the San Fernando Valley and said the hearing would focus on Latinas’ economic conditions, immigration enforcement impacts on the workforce and safety, and H.R. 1’s effects on the safety net. The first panel featured HOPE’s Maria Morales and Dr. Elsa Macias, who presented findings from HOPE’s National Economic Status of Latinas report. They said Latinas are a major and growing part of California’s population and workforce, but face persistent inequities, including a large wage gap, higher unemployment, high uninsured rates, student debt, and affordability pressures around child care, housing, and education. They also discussed entrepreneurship, noting both the growth of Latina-owned businesses and barriers such as limited access to capital, technical assistance, and retirement and health coverage. In response to committee questions, they said higher education can still offer a strong return on investment, but only if students can complete degrees without being overwhelmed by debt and care costs; they also pointed to policy solutions such as SB 642, mentorship, financial literacy, CalSavers access, and support for community development financial institutions. The second panel focused on immigration enforcement and Latina safety in the workforce. Luis Nolasco of the ACLU described arrests tied to apparent ethnicity and Spanish-speaking, the chilling effect on families, and the loss of wages, school attendance, and mobility. Dr. Amada Armenta said immigration enforcement harms California’s economy, public health, and mixed-status families, and noted that undocumented workers are concentrated in agriculture, construction, and child care. SEIU’s Jen Baca Beltran said raids and school-based enforcement traumatize children and families and highlighted the need for Know Your Rights trainings. Megan Ortiz of IDEPSCA described repeated Border Patrol raids on day labor centers, injuries to staff, and the need to protect worker centers, domestic workers, and street vendors. Inclusive Action’s Shannon Camacho said raids have forced many informal workers to stop working, prompted emergency cash assistance and rent relief efforts, and strengthened advocacy for vendor protections and CDFI support. CHIRLA’s Jeanette Zanipatine said the rapid response network has expanded, documented widespread arrests and detention conditions, and is providing direct support and legal referrals; committee members asked about detention, maternal health, and what the state can do, and panelists urged stronger oversight, more legal representation, and protections for pregnant and detained people.

Transcript Highlights:

• Now, through the program, becoming a part of the program, is now an owner of two successful franchises
• Now, through the program, becoming a part of the program, is now an owner of two successful franchises
• Now, through the program, becoming a part of the program, is now an owner of two successful franchises
• <00:11:08.600> across proart programs across proart programs across Minnesota<00:11:10.800
• Um, I love this program.

Keywords: 1183, house

Transcript Highlights:

• We also don't list transitional programs.
• Specific to the state of Massachusetts, we have multiple different voucher programs.
• , some of which have funding through federal programs as well.
• So a lot of great programs.
• I know Charlie is part of one of their working groups with the PCA program.

Keywords: 995, all

Summary: The Long-Term Services and Supports and Health Equity Subcommittee met with a presentation from Housing Navigator Massachusetts. Staff described the nonprofit’s mission to improve access to affordable housing through a free, 24/7 search tool and public data dashboards. They explained how the site distinguishes between rent-based-on-income units and fixed below-market rent units, how mobile vouchers such as AHVP and Section 8 interact with those listings, and what types of housing are included or excluded from the database. They also reviewed accessibility filters, supportive housing resources, and related state programs such as EOHLC resources and RAFT. Committee members asked about the organization’s funding, the availability of voucher programs, and whether the site tracks demand for accessible units or wait lists over time. Housing Navigator said it is primarily supported through the state, works closely with the Executive Office of Housing and Livable Communities, and does not collect personal application data because it is not part of the application process. Staff said accessible units appear to be in high demand, but they do not have direct data on how many people are waiting or how many applications result from site visits. They also said they are working to improve data sharing, more frequent updates, and future research tools. Members discussed ways to increase public awareness of Housing Navigator, including sharing a one-page fact sheet or infographic through disability organizations, local disability commissions, independent living centers, and the Massachusetts Office on Disability. The subcommittee also briefly discussed future goals, including inviting MassHealth to a January meeting, seeking regular updates on federal Medicare and Medicaid developments, reviewing the annual report’s recommendations, and possibly planning a future health equity event. The meeting ended with the introduction of new commission member Victoria Gill and a motion to adjourn, which was approved unanimously.

Transcript Highlights:

• We can provide greater outreach to health departments and the HANS program, and we have several hospitals
• sustainability a program needs to have. sustainability a program needs to have.
• <00:15:50.160> partners' sustain their local program partners' sustain their local program
• <00:16:09.279> to creative to support local programs to creative to support local programs
• this program. this program.

Keywords: 958, all

Summary: Senate Joint Resolution 54, sponsored by Senator Cassie Chambers Armstrong, was heard in committee on expanding Dolly Parton’s Imagination Library in Kentucky. Testimony came from Libby Settles, Bill Shy, and Lindsay Westerfield, who described the program’s impact on early literacy and family reading habits, and outlined ways to increase enrollment. Proposed expansion ideas included automatic enrollment for children in foster care, outreach through WIC and health departments, and exploring enrollment through the birth certificate process. Witnesses also highlighted related efforts such as bilingual books, Braille Tales, and a prison-based reading space program tied to Imagination Library books. Supporters emphasized the program’s low cost and broad educational benefits, citing statewide coverage, 52% enrollment of eligible children ages birth to five, and a goal of reaching 65%. Members asked about sustaining local matching funds and handling children who move between counties. Witnesses said local partners use a five-year cost estimator, diversify funding through grants and foundations, and rely on postal change-of-address systems to transfer enrollments seamlessly. Senator Chambers Armstrong also noted that about 2,200 foster children eligible for the program were not enrolled and said the resolution would help address that gap while protecting confidentiality. The committee adopted a small oral amendment removing the word “is” from line 19 on page two, then approved the resolution as amended on a 10-0 vote with favorable expression. Members spoke in support of the measure, praising the program’s literacy benefits and bipartisan history, and the committee then voted to roll the amendment into the committee report. The resolution was reported favorably and was said to be expected to pass the Senate floor.

Transcript Highlights:

• Hawaii Emergency Management Agency to collaborate with relevant agencies to develop initiatives and outreach
• programs to inform kupuna about emergency preparedness.
• Programs to inform kupuna about emergency preparedness. We have in person today in support AARP.
• Everything was in general: improve the roads, you know, more outreach.

Keywords: 910, house, all

Summary: The Committee on Human Services and Homelessness met on April 1, 2025, to hear one resolution, HCR 37, which asks the Hawaii Emergency Management Agency to work with other agencies on initiatives and outreach to help kupuna prepare for emergencies. Supporters, including AARP, Hawaii Family Caregiver Coalition, Be Ready Manoa, Aloha Care, and the Policy Advisory Board for Elder Affairs, emphasized that older adults are especially vulnerable in disasters and pointed to the Lahaina fire as an example of the need for targeted preparedness efforts. They said the resolution would help focus outreach on kupuna, caregivers, and others who may need assistance. No opposition was presented, and there were no questions from members. The committee moved to decision making and recommended passing HCR 37 as is. The measure was approved unanimously by the members present, with Rep. Takunuchi excused. The committee then adjourned.

Transcript Highlights:

• trying to increase our consumer Outreach trying to increase our consumer Outreach so<01:39:12.239
• So we do a fair amount of outreach to senior organizations, lifelong learning programs, trying to reach
• programs trying to lifelong learning programs trying to reach<04:37:07.439> seniors<04:37:07.959
• Page 44 talks about our programs.
• We have an abundance of education programs, a very robust education program for teaching our managers

Keywords: 928, house, all

Summary: The meeting began with introductory remarks for new and returning members of the House Commerce Committee, led by Chairman John Hunt. Members briefly introduced themselves and their backgrounds, and several noted the committee’s bipartisan, collegial tone. Hunt explained the committee’s structure and traditions, including the division into three subcommittees: banking and business, consumer protection, and liquor commission matters, with insurance now handled as a single area. He also reviewed basic hearing procedures, including decorum, questions for information only, and the committee’s practice of moving bills through subcommittees before full committee executive sessions. The committee then heard an overview from the New Hampshire Insurance Department, led by Commissioner DJ Bettencourt and staff. The department described its mission as promoting a safe and competitive insurance marketplace and emphasized consumer protection, market competition, and affordability. Officials outlined the department’s responsibilities, including licensing insurers, producers, adjusters, and TPAs; reviewing insurance forms; regulating companies and market conduct; overseeing financial solvency; and investigating insurance fraud. They also noted that the department is self-funded through assessments on insurers, collects premium taxes and fees for the state, and returned more than $2.7 million to companies in fiscal year 2024 due to underspending. The presentation also covered the broader regulatory framework for insurance, including the role of the National Association of Insurance Commissioners in promoting uniform standards across states and territories. Officials said New Hampshire licenses about 1,200 insurance companies and roughly 245,000 producers and adjusters, and that the department’s financial examinations are part of an accreditation system used nationwide. No votes or formal committee actions were taken in the portion provided; the session was primarily organizational and informational, with the insurance department presentation beginning the committee’s substantive work for the term.

Transcript Highlights:

• This is a different focus and approach than the programming and outreach work of Wilderness Inquiry.
• This is a different focus and approach than the programming and outreach work of Wilderness Inquiry.
• This is a different focus and approach than the programming and outreach work of Wilderness Inquiry.
• This is a different focus and approach than the programming and outreach work of Wilderness Inquiry.
• This is a different focus and approach than the programming and outreach work of Wilderness Inquiry.

Bills: HF2563

Keywords: HF2563, legacy finance bill, Legacy Amendment, outdoor heritage fund, clean water fund, parks and trails fund, arts and cultural heritage fund, Lessard-Sams Outdoor Heritage Council, Clean Water Council, Minnesota legacy funds, habitat conservation, prairie restoration, wetland restoration, forest conservation, riparian buffers, water quality, groundwater protection, drinking water, septic systems, watershed planning

Transcript Highlights:

• This is a program where we.
• So they have a statutory role in doing the outreach for the Commercial Development Program and the Housing
• Development Program.
• program, our Destination Forward program, and our Clean and Beautiful program.
• We have been working to do that with outreach programs, offering scholarships, and We've been talking

Transcript Highlights:

• first registered apprenticeship program first registered apprenticeship program in<00:04:58.639>
• Then we're going to have the certificates through the outreach or the certificate programs that the community
• through the Outreach or the certificate<00:16:46.199> programs<00:16:46.680> that<00:16
• I think that we're looking at programs every year, and we do review small programs every year, and we
• Academic program. So, uh, whether you're H... My unit, my office, does not offer programs.

Keywords: 912, senate, all

Summary: The hearing covered Senate Bill 426, which would create an early learning apprenticeship grant program. Testimony was overwhelmingly supportive from the City and County of Honolulu, the Department of Human Services, the Executive Office on Early Learning, the University of Hawaiʻi College of Education, the Attorney General’s office, the Early Childhood Action Strategy, Hawaii Children’s Action Network, the University of Hawaiʻi’s early childhood educator project, and a Zoom testifier who described the importance of investing in high-quality early childhood education. Committee discussion focused on the program’s estimated cost, with figures of about $14.5 million in 2025-26 and $15 million in 2026-27, and on whether the program would require ongoing base-budget funding. The committee recommended technical, non-substantive amendments, including a statewide-concern amendment and a deferred effective date, and both committees adopted the recommendation by vote. The committees then heard Senate Bill 1622, which would appropriate funds to establish the Aloha Intelligence Institute within the University of Hawaiʻi to support statewide artificial intelligence initiatives. University representatives described the proposal as the product of campus-wide input and outlined five pillars: governance and policy, outreach and engagement, research and development, workforce development, and AI tools for key sectors such as health care, creative industries, manufacturing, data science, astronomy, and climate change. Members questioned staffing distribution, tuition, enrollment timing, housing, campus placement, and whether positions would be permanent or temporary; the university said it planned about 10 positions across campuses, would start with internal resources, and would house the effort under the Vice President for Research and Innovation initially. The committees recommended an SD1 with the appropriation amounts blanked out, a July 31, 2050 effective date, and committee-report language on housing and West Oʻahu, and the higher education and labor/technology committees adopted the amended recommendation. Finally, the Higher Education Committee took up Senate Bill 1488, a housekeeping measure to consolidate existing University of Hawaiʻi conference center statutes into a single revolving fund structure, and Senate Bill 636, which would fund retention and internship coordinator positions and broader enrollment management efforts at the University of Hawaiʻi at Hilo. SB 1488 drew university support and no opposition. SB 636 prompted substantial questioning about Hilo’s declining enrollment, current retention rate of 72.8 percent, and the scope of the request, which includes not only two named positions but also about $432,000 for enrollment management initiatives such as data analysis, IT support, and other student services. Hilo said it is targeting 3 to 5 percent annual enrollment growth and that the positions would support recruitment, retention, internships, and data-driven enrollment strategy. The committee pressed for a clearer broader plan, but the discussion in the transcript ended before a final vote on SB 636 was shown.

Transcript Highlights:

• Florida, comprised of a number of programs.
• We are moving forward with our mental health programs as well.
• I want to share some things we're doing at the agency regarding outreach and training programs.
• PROGRAMS.
• The caregiver participates in the program. The family caregiver.

Summary: The Health Facilities Subcommittee met to receive implementation updates from the Agency for Health Care Administration on three bills passed in prior sessions. First, Deputy Secretary Brian Meyer reported on the transfer of the Children’s Medical Services managed care plan from the Department of Health to AHCA under HB 1085. He said the move was administrative only, with no change to enrollment, providers, services, or clinical eligibility functions, and that it was intended to create efficiencies by aligning procurement and shifting staff resources between agencies. Members then questioned AHCA about reports of reductions in private duty nursing and therapy services for medically fragile children, including concerns about appeals, provider credentialing, and whether families were losing services or being transitioned appropriately. AHCA said it was reviewing denials, monitoring the plan, and using contractual remedies while focusing on maintaining access for members. The committee also reviewed implementation of a bill creating permanent Medicaid eligibility for individuals with permanent disabilities. AHCA staff explained that the agency had submitted a federal 1115 waiver request after public comment and stakeholder meetings, but CMS had indicated it did not anticipate approving the requested authority. Members pressed AHCA on why the waiver was submitted later than the bill’s directive date and on whether the delay was avoidable. AHCA said the waiver was complex and required review, drafting, and public input, and noted that DCF already has a specialized unit to help with redeterminations while the agencies work on operational changes. The committee discussed the practical impact on families who struggle with annual eligibility renewals and the need for clearer communication and faster follow-up from the agency. Finally, AHCA presented on the home health aide program for medically fragile children and related Medicaid eligibility changes. The agency described the 2023 law that created a family caregiver provider type and the 2025 changes that increased the hourly rate, expanded hours, reduced training requirements, and removed caregiver earnings from Medicaid eligibility calculations, subject to federal approval. AHCA said it had completed state public comment, submitted the waiver amendment to CMS, and was awaiting federal action. Members raised concerns that some families may have enrolled or begun work before the eligibility fix was in place and may have lost benefits, especially in Broward County. AHCA said it would work with affected families and plans, review outreach through DCF and the health plans, and continue rulemaking, system updates, and provider training. The meeting ended with the chair noting that the committee had received the updates and adjourned without objection.