Transcript Highlights:

• Services and Supports and Health Equity Subcommittee meeting of the Massachusetts Commission on the Status
• We work really closely with organizations like the Autistic Self-Advocacy Network, ASAN, DREDF, which
• By poverty status, about 67% of people, for example, who need LTSS are above the poverty line and 32.7%
• We also look by rural status as well.
• Individuals who need LTSS by race, ethnicity, age, language, poverty status, and rural status as well

Keywords: 995, all

Summary: The Massachusetts Commission on the Status of Persons with Disabilities’ Long-Term Services and Supports and Health Equity Subcommittee met to hear a presentation from the Lurie Institute for Disability Policy at Brandeis University. Monica Mitra introduced the institute’s work on disability health equity and long-term services and supports, and staff described several research centers focused on community living policy, disability and pregnancy, and parents with disabilities. The presentation emphasized participatory research, accessible dissemination, and the connection between health equity and access to home- and community-based services. Joe Caldwell discussed the Community Living Policy Center’s work on Medicaid HCBS, the direct care workforce crisis, housing, and policy advocacy, including efforts related to the Money Follows the Person program and the Medicaid access rule’s interested parties advisory group. Sid Pickern highlighted a workforce study interviewing direct care workers, a forthcoming policy brief on the access rule, and housing research including Massachusetts’ Alternative Housing Voucher Program. Teresa Nguyen described the Community Living Equity Center’s focus on disparities in community living for people of color, especially a study on self-direction and community living outcomes, and asked for help recruiting participants. Lauren Bixby demonstrated the community living data dashboard, which compares adults who need LTSS with those receiving Medicaid LTSS using ACS and TMSIS data. She explained that the dashboard can be filtered by state and demographics, but noted major race and ethnicity data gaps for Massachusetts and other states. Commissioners praised the dashboard and the institute’s work, asked questions about data sources and the 1115 waiver, and discussed possible connections to the Health Equity Compact. No votes were taken; the meeting ended with an invitation for follow-up, including a forthcoming direct care workforce brief and the institute’s October 28 lecture.

Transcript Highlights:

• together underrepresented educators annually to discuss experiences, best practices, and allow for networking
• together underrepresented educators annually to discuss experiences, best practices, and afford for networking
• I mean, are they changing the votes or are they just... what's the status? Slowness with the tally.

Keywords: 993, senate, all

Summary: The Senate Finance Committee, chaired for the day by Senator John Liu, took up a long agenda of bills covering labor and benefits, corrections, health, taxation, government transparency, and public services. Early measures included increasing short-term disability benefits, adjusting a poverty-level-related earned income disregard, expanding correctional health staffing review, and authorizing the Inspector General to investigate sexual assault complaints in correctional facilities; each of these advanced to the floor. The committee also advanced bills on ovarian cancer screening access, retirement system membership changes, a trail stewardship program, live agency representative access, FOIL/open meetings fee awards, a Harriman campus development plan, court data reporting, educator conventions, park water testing, an energy storage tax abatement, a Native American Affairs office, adult changing tables in public facilities, Medicaid Inspector General audit standards, remote training certification for agency personnel, newborn Gaucher disease testing, electronic self-exclusion requests for gambling, and child daycare inspections and opioid antagonist requirements. Several bills drew discussion. The prescription drug transparency bill (Print 488A) prompted questions about possible overlap with federal Hatch-Waxman/FTC oversight and whether a New York notice requirement could slow generic-drug settlements; sponsors and staff said it was intended as a supplemental transparency measure for consumers. The court reporting bill (Print 1849A) raised concerns about mandates on local governments, but supporters said it mainly required OCA to compile data in one format. The Medicaid local-share phaseout bill (Print 5519) generated the most debate, with supporters arguing it would provide major property tax relief and should be addressed in the budget, while opponents emphasized the need to curb Medicaid fraud, waste, and abuse first. Two major fiscal oversight proposals were defeated. Print 8661, which would have required the Comptroller to hire an independent private auditing firm to review state-funded programs for fraud and abuse, was opposed despite support from some members who argued outside auditing was overdue; it failed by one vote. Print 5519 was also ultimately defeated after a recount confirmed it lacked the required majority of the full 22-member committee. Most other bills were approved and sent either to the floor or, in the case of the drug transparency bill, to the Rules Committee.

Transcript Highlights:

• participating in Medicaid personal care services programs to report to the Health Care Authority on the status
• that all Centers of Excellence administer programs provided for by law, creating the STEM Innovation Network
• , defining terms, and designing the principal hub of the network.

Transcript Highlights:

• So, yeah, this is what I do at Culture Language Arts Network at the Minneapolis American Indian Center
• So, yeah, this is what I do at Culture Language Arts Network at the Minneapolis American Indian Center
• So, yeah, this is what I do at Culture Language Arts Network at the Minneapolis American Indian Center
• American network at the Minneapolis American Indian<00:10:29.600> Center.
• support, this bill will fund a statue support, this bill will fund a statue and<01:31:51.760>

Keywords: 1187, senate, all

Transcript Highlights:

• We have with us today Ann Burner from the Southeast Florida Behavioral Health Network.
• I'm the CEO of Northwest Florida Health Network. Thank you for having us here today.
• I'm the CEO of Northwest Florida Health Network.
• So we are the glue that puts a network together with our provider partners.
• Over the years, basically threatening to leave a network, a plan's network, because we weren't receiving

Summary: The Health Care Budget Subcommittee held a panel discussion on Florida’s mental health and substance abuse system, with representatives from DCF, AHCA, two managing entities, and two providers describing how the state’s behavioral health network is funded and operated. Members focused on the implementation of prior legislative investments, especially the $50 million in recurring funding from Representative Maney’s bill and the earlier $126 million community behavioral health appropriation. Witnesses said the newer funds were used mainly for crisis beds, discharge planning, outpatient services, regional collaboratives, and a USF Marchman Act report, while the larger behavioral health appropriation supported CAT, FACT, FIT, forensic teams, residential and outpatient services, and crisis care, with most dollars going directly to services and only a small share to administration. A major theme was access to crisis care and the role of mobile response teams, 988, and central receiving facilities in diverting people from Baker Act admissions and reducing readmissions. DCF and providers said mobile response teams have expanded, are being used to de-escalate crises and connect people to care, and have shown strong diversion results and reductions in Baker Acts in some regions. Members also asked about waitlists, children in crisis, and how to handle people without housing or support; providers said discharge planning is individualized but often constrained by homelessness, transportation, and a lack of safe placements, and several witnesses identified housing as one of the biggest barriers to recovery and stability. The committee also examined provider sustainability, reimbursement, and funding gaps. Witnesses described delays caused by contract timing, cost allocation rules, and Medicaid reimbursement rates that do not always keep pace with labor and operating costs, especially for smaller providers and rural networks. DCF and AHCA said managing entities can provide advances, retroactive rate adjustments, and technical assistance, and that Medicaid managed care plans have network standards and complaint/dispute processes. Members raised concerns about a reported $7 million loss in federal non-sustainable funds, provider closures, and whether there is a formal ombudsman process for disputes; DCF said the federal reductions were known and tied to one-time funds, and that the department generally handles provider issues informally while working with managing entities to preserve continuity of care.

Transcript Highlights:

• And he referred to this synagogue as, quote, 'their Statue of Liberty,' and said, 'I shit on it.'
• I want to see for one of our broad network and makes a job, both on the killing commission specifically
• ... ...is in service to a global so-called Hamas support network, i.e., is supporting terrorism.
• The catalyst for this violence was a petition by a local high school student to remove the statue of
• The state's education leaders in the Department of Education must take action to remove MTA's status

Keywords: 995, all

Summary: The meeting focused on the commission’s work addressing antisemitism in Massachusetts, including security, education, victim services, and legal responses. A major presentation came from former federal prosecutor Eric O’Sham, who described the 2018 Tree of Life synagogue shooting in Pittsburgh, the attack’s planning and execution, the 11 victims killed, the defendant’s white supremacist and antisemitic online activity, the federal prosecution, and the long aftermath for the victim community. Commissioners asked about prevention, radicalization online, security for houses of worship, and how to support victims; O’Sham emphasized the limits of law enforcement when speech is protected, the importance of public education, security grants, and victim-witness support. The commission also heard from Ariel Holman of Agudath Israel, who described a wide range of antisemitic incidents affecting Orthodox Jews, including assaults, threats, vandalism, school harassment, and zoning barriers, and urged expanded security personnel grants, mental health resources, kosher food access, and support for synagogue development. Other speakers included advocates and local officials who supported Holocaust education, the planned Boston Holocaust Museum, cemetery protection, and broader public education efforts, while some public commenters criticized the commission’s focus or raised concerns about definitions of antisemitism and free speech. The meeting concluded with approval of prior meeting minutes and the start of public comment, which was limited to three minutes per speaker due to time constraints.

Transcript Highlights:

• You know, I have been proud to be a part of the elevated status of the University of Florida nationally
• I want to see FAMU continue to progress towards R1 status and position itself as not only the number
• was appointed for a two-year term, and Hope Florida is an incredible organization that provides a network
• fact that Hope Florida Foundation had failed to submit federal tax filings required to maintain its status
• We funded it, and students from any college could learn and join and learn how data moves around a network

Summary: The Appropriations Committee on Higher Education met to hear confirmation testimony for a large slate of university and state college trustees. Most of the discussion centered on the nominees’ backgrounds, ties to their institutions, and priorities such as student success, workforce development, financial sustainability, research growth, housing, and maintaining or improving university rankings. Several University of Florida trustees emphasized campus improvements, “One UF” integration, institutional neutrality, and ambitions to move UF into the top tier nationally. Other nominees highlighted goals for Florida A&M, Florida Atlantic, UCF, Florida State, Florida Poly, the Florida Prepaid College Board, and several state colleges, with recurring themes of affordability, economic mobility, cybersecurity, and keeping Florida students in-state for college and careers. Public testimony was heard on the Florida A&M appointment, where Elijah Hooks spoke in opposition to the current administration and described his expulsion, arrest, and trespass from the university after protesting the selection of President Marva Johnson. During questioning of FAU nominee Tina Vidal-Duart, senators asked about her prior service on the Hope Florida Foundation board and about reports concerning CDR Health’s contracting practices; she said she was not aware of the foundation issues at the time and noted that CDR’s state contract was a flat daily rate, so subcontractor pricing affected only the company’s internal margins. Other nominees received little or no questioning. At the end of the meeting, the committee voted to confirm all nominees except Tina Vidal-Duart separately. Senator Bracy Davis requested the separate vote and opposed her confirmation, citing concerns related to her Hope Florida Foundation board service. Despite that objection, the committee ultimately voted to report Vidal-Duart favorably as well. The committee also noted that one University of West Florida nominee would be taken up at a later hearing because he was unable to attend.

Transcript Highlights:

• this request is to provide resources, both FTE and contractors, hardware, software, and bandwidth networking
• would help with our initiatives that we have done over the past few years: our services, licensing, network
• Over half of our correctional officers right now, over half of them are on probationary or trainee status
• Over half of our correctional officers right now, over half of them are on probationary or trainee status
• . ...or on probationary or trainee status.

Summary: The committee met to hear fiscal year 2026-2027 legislative budget requests from several justice-related agencies. The Florida Commission on Offender Review requested funding for investigator and revocation staff salary increases to address turnover, plus nonrecurring funds for Wi-Fi, seven vehicles, technology support, and commissioner salary adjustments. The State Courts Administrator presented a broad judicial branch request focused on trial court case-management technology, additional case managers, trust fund authority for child support hearing officers, courthouse furnishings, district court flexibility in staffing, a future courthouse for the Sixth District Court of Appeal, Supreme Court elevator replacement, POM accounting implementation support, judicial security liaison positions tied to the Florida Fusion Center, expanded senior management service authority, and judicial salary adjustments. The Office of the Attorney General outlined pay and operating requests for consumer protection, citizen services, ethics, crime compensation, victim services, vehicle replacement, IT and cybersecurity, lease and operating costs, and PALM-related expenses, while several senators questioned the office about outside counsel contracts, contingency-fee arrangements, transparency, and the use of private law firms. The Department of Corrections made the largest presentation, describing severe staffing shortages, high turnover, rising inmate populations, increased assaults, and heavy overtime use. Secretary Ricky Dixon said the agency’s request was driven by constitutional and public safety needs and included funding for operations, security equipment, inflationary costs, vehicle replacement, offender information system modernization, technology restoration, inmate health services, drug and food cost increases, staffing pilots, maintenance, security infrastructure, Florida PALM, recruitment and retention, and $56 million for new correctional housing units. Members asked about inmate labor, prison safety, overtime, vehicle breakdowns, and whether more National Guard support was needed; Dixon said the agency needed more staffing and pay competitiveness rather than a long-term military presence. A correctional officers’ union representative also urged support for pay raises, citing low pay and staffing concerns. No votes were taken on the budget requests. The chair allowed extended questioning, especially for the Department of Corrections, but noted time constraints and asked agencies to return in a later committee meeting, including FDLE, which was deferred because of a House site visit.

Transcript Highlights:

• ,<00:29:59.600> and in Kentucky, they're on CSI status, and in Kentucky, they're on CSI status
• handle the schools with under CSI status handle the schools with under CSI status >> and<00
• to campus to support our students and network with them.
• as they think about life after network as they think about life after high<00:59:09.040> school.
• Ashley is our assistant director of alumni networking and outreach.

Keywords: 958, all

Summary: The meeting focused on Kentucky school choice and innovation, with discussion of the state constitution’s “common schools” requirement and how that has been interpreted alongside newer education models. Chairman Tipton described model laboratory schools, Gatton and Craft Academies, magnet and virtual programs, and said these options show that Kentucky has long expanded opportunity through innovation. He then turned the discussion to Senate Bill 207, which he said was designed to support schools of innovation. Senator Steve West reviewed the history of Kentucky charter schools and explained that SB 207 was modeled on a South Carolina approach. He said the bill allows a local school board to contract with a third-party entity to manage an existing school, seek waivers from certain state rules, and receive SEEK funding while also allowing outside private investment. He emphasized that the district initiates the process, that the school remains public, and that the bill includes accountability through a time-limited contract that can be ended if the school is not performing. Members asked about the difference between SB 207 and the earlier charter school law, whether schools could cherry-pick students, and whether teachers would remain district employees. West and Tipton said the new model is tied to an existing school rather than a new charter, cannot cherry-pick students, and keeps teachers as district employees. Representative Brown raised concerns that charters and exceptions could leave some children out, especially lower-income students, while West responded that the proposal is intended to expand choice for families who may not otherwise have it and cited examples from other states where similar models improved low-performing schools. No vote or formal action was taken during the discussion.

Transcript Highlights:

• welcome Senator Lovel to testify on behalf of Senate 157, an act establishing a commission on the status
• I come before you as a licensed clinical social worker myself, concerned about the status of a field
• Turley from the Mass Coalition for the Homeless and Andrea Park from the Mass Law Reform. family status
• I'm representing both the Boston Immigration Justice Accompaniment Network and Unitarian Universalist
• I'm representing both the Boston Immigration Justice Accompaniment Network and Unitarian Universalist

Keywords: 995, all

Summary: The Joint Committee on Children, Families, and Persons with Disabilities heard testimony on a wide range of bills affecting foster youth, child welfare oversight, homelessness services, juvenile justice, social work licensure, and human services workforce supports. Committee co-chairs Senator Robyn Kennedy and Representative Jay Livingstone opened the hybrid hearing by outlining testimony procedures and accessibility measures. Several members and legislators participated throughout the day, and many witnesses were invited to submit additional written testimony after speaking. A major portion of the hearing focused on House 227/Senate 105, which would protect federal benefits owed to children in foster care. Supporters, including advocates from Hopewell, the Disability Law Center, CPCS, the Children’s Law Center, More Than Words, Friends of Children, and youth witness Onyx Rosario, said DCF had already ended the practice of taking most Social Security and SSI benefits and now conserves them in accounts for youth, but argued the policy should be codified to prevent future reversals. Witnesses described how conserved benefits help with basic needs, housing, education, transportation, and transition to adulthood, and several noted the bill also adds financial literacy and transparency requirements. Senator Joan Comerford and others said the change would protect vulnerable youth, especially children of color, LGBTQ youth, and youth with disabilities. The committee also heard testimony on House 225, which would expand the grandparents-raising-grandchildren commission by adding appointments and helping with quorum and representation. The committee also took testimony on Senate 136, which would improve emergency housing assistance for families experiencing homelessness by easing documentation requirements, allowing use of existing state data to verify eligibility, requiring notice before benefit reductions, and creating an ombudsperson. Senator Adam Gomez and other supporters said the bill would reduce barriers for families in crisis. On House 262/Senate 148, an omnibus child welfare bill, witnesses supported provisions on data reporting, education coordination, and Office of the Child Advocate reforms, while CPCS raised concerns about expanded access to sensitive records and the OCA’s role in certain proceedings. The Office of the Child Advocate supported codifying current practices and also backed child fatality review changes in House 234/Senate 133. The committee additionally heard support for Senate 108, which would require attorneys and audio/video recording during juvenile custodial interrogations, and for House 247/Senate 116, which would update the Juvenile Justice Policy and Data Board to add supported lived-experience seats. Finally, the committee heard competing testimony on Senate 135, a bill to ensure parity in social work licensure. SEIU Local 509 and supporters argued the current exam requirement disproportionately harms Black, Latino, multilingual, and multicultural applicants and worsens workforce shortages, while the Association of Social Work Boards opposed the bill, saying the exam is a necessary public-protection measure and that removing it would conflict with interstate compact efforts. The hearing also included testimony in support of a loan repayment program for human service workers, with providers and workers describing low wages, high student debt, and the need to retain staff in essential services. No votes or final committee actions were taken during the hearing itself.

Transcript Highlights:

• But we do have very robust network adequacy requirements that are laid out in our SMMC health plans.
• And I'd be happy to follow up with additional information with you as to what those network adequacy
• You know, when we talked about network adequacy, we are now a maternity desert in Barton County.
• So our network adequacy requirements that you measured earlier, they're really measured at the region
• And then the last program I wanted to talk about is Florida's Pregnancy Care Network.

Summary: The Senate Health Policy Committee met to discuss maternal and infant health, beginning with a presentation from New Jersey’s Maternal and Infant Health Innovation Authority (MiHA). Pamela Taylor described New Jersey’s statewide effort to reduce maternal mortality and racial disparities through the Nurture New Jersey campaign, a strategic plan with more than 80 recommendations, universal home visiting, Medicaid-covered doula care, hospital report cards, limits on non-medically indicated early elective C-sections, and a new maternal and infant health innovation center. Senators asked about doula certification, funding, home visiting, and how New Jersey coordinates across agencies; Taylor said the authority uses quarterly stakeholder meetings, annual summits, and a tracker for recommendations, and that community input helped shape its programs. Florida Agency for Health Care Administration Deputy Secretary Brian Meyer then outlined Florida Medicaid’s maternal coverage and managed care structure. He reviewed eligibility and services for pregnant women, labor and delivery, postpartum coverage, newborn coverage, and family planning, noting 12 months of postpartum coverage, expanded benefits in managed care plans, and new contracts launching February 1 with more maternal-health-focused benefits, quality measures, and a new quality withhold incentive structure. Senators questioned doula certification and duplication with Healthy Start, provider access and network adequacy, kick payments, quality reporting, and whether Florida should consider broader eligibility standards; Meyer said many details are still plan-driven, that quality metrics are public, and that the agency is working on maternal-health work groups and incentives. Department of Health Division Director Shea Holloway followed with an overview of Florida’s maternal and child health programs and data. She cited Florida CHARTS data showing pregnancy-related deaths, severe maternal morbidity, and infant mortality trends, and described the Title V block grant, the Maternal Mortality Review Committee, the Florida Perinatal Quality Collaborative, the electronic prenatal risk screen, Healthy Babies, BH Impact for perinatal mental health, Healthy Start, WIC, family planning, telehealth maternity care, and the Pregnancy Care Network. Senators asked about delays in mortality review reporting, preterm birth, substance use disorder in pregnancy, WIC participation, cesarean rates, and the impact of the abortion ban; Holloway said the department is continuing to monitor outcomes, expand screening and telehealth, and use data and hospital partnerships to improve care. The committee then adjourned without further business.

Transcript Highlights:

• governor to decide in early 2027 the level of premiums on adults with unsatisfactory immigration status
• We urge inclusion of cap-and-invest to protect climate funding, the Student Loan Empowerment Network
• the harm of H.R.1 in the transition that we look at now from fee-for-service for people with UIS status
• Clearly, it could go further, especially as a lot of immigrants are losing their legal status from the
• Protected Status, TPS.

Keywords: 988, house, all

Summary: The Assembly Budget Committee met to consider the 2026 Budget Act, which leaders described as the compromise budget expected to move to the floor later that evening. Opening remarks emphasized that the plan balances the budget over two years, reduces the structural deficit, and builds reserves, while also protecting core programs from federal cuts. Jason Sisney outlined the legislative budget plan, saying it uses higher-than-expected revenues and reserve balances to reject some proposed reductions and fund temporary restorations and new spending in areas such as education, child care, health care, housing, homelessness, and public safety. Department of Finance representatives said the administration appreciated the two-year balanced framework and the effort to address out-year deficits, while noting the plan includes additional spending and revenue changes. Sisney also previewed floor bills including AB 109, SB 110, SB 122, and SB 125, with SB 122 described as a modification to the tax credit proposal and SB 125 as the managed care organization tax proposal. Subcommittee chairs then described the major policy choices in their areas. Health chair Addis said the budget responds to federal health care rollbacks by protecting Medi-Cal, clinics, hospitals, dental care, and other safety-net services, while also supporting reproductive care, gender-affirming care, and county health systems. Education chair Alvarez highlighted increased school funding, expanded learning, special education, teacher support, community colleges, and a change to Cal Grant eligibility for older community college students. Other chairs emphasized child care expansions, homelessness and housing funding, prison closure and criminal justice savings, wildfire mitigation, county support for Medi-Cal and CalFresh administration, and accountability measures tied to homelessness and corrections spending. Several members also raised concerns or priorities, including the impact of the MCO tax on providers, the need for more support for local journalism, transit and climate funding, biotech and R&D incentives, and continued work on Prop 98 and long-term revenue solutions. No formal votes were taken in the portion provided, but members broadly expressed support for the budget framework and the need to continue negotiations with the administration before final passage. The committee discussion repeatedly framed the budget as a response to federal policy changes and a choice to protect vulnerable Californians while maintaining fiscal responsibility. The vice chair, citing LAO warnings about future volatility and limited reserves, pressed Finance on whether the budget represented a record-sized state budget and whether revenues were also at record levels, underscoring concerns about the state’s preparedness for a downturn.

Transcript Highlights:

• It's going to challenge the status quo and upset the apple cart.
• And to your previous point, I'm a huge... believer in the networks.
• I go back to this: we need a network of performers.
• that network as they're performing on its merits.
• It drove adoption of one of the most incredible networks in the world.

Transcript Highlights:

• You're watching CTF, the Connecticut Network, connecting you to state government since 1999.
• Fatmata Williams from DSS is going to give us an overview on the status of the maternity bundle.
• doulas who are enrolled as independent providers within the Connecticut Medicaid Assistance Program Network
• We do have a robust network of services that are targeted specifically to this population.
• And so the focus on this program is really case management and building up that network of skills.

Keywords: 962, all

Summary: The meeting focused on maternal health and behavioral health services for pregnant and postpartum people in Connecticut. Dr. Fatmata Williams of DSS gave an update on the Husky maternity payment bundle, explaining that it was created in response to worsening maternal and neonatal outcomes and racial disparities. She said the bundle, launched in 2025, shifts payment away from fee-for-service toward prospective case rates, quality measures, and shared savings, while covering services such as doulas and maintaining access to behavioral health and other non-pregnancy-related care outside the bundle. She noted 26 maternity practices are participating, quarterly quality reports have been distributed, reconciliation is planned for 2026, and DSS is considering refinements such as adding newborns, revisiting shared losses, and possibly expanding to FQHCs after further stakeholder review. Shelly Nolan of DMHAS then described the state’s women’s services and recovery continuum, including pregnant and parenting treatment programs, women’s recovery support programs, community transition support with rent subsidies, the Proud program, REACH navigation, recovery houses, and outpatient services. She emphasized that many programs are under capacity and that DMHAS uses a no-wrong-door approach, real-time bed availability, technical assistance, and training to improve access. She also reviewed initiatives tied to substance-exposed pregnancies and safe sleep, secure storage, naloxone distribution, reproductive health integration, breastfeeding support, and upcoming conferences and trainings. She said the department works closely with DCF and community partners to reduce stigma and improve family-centered care. Beth Garrigan presented on the Access Mental Health and Substance Use for Moms program, a statewide consultation service for providers serving pregnant and postpartum individuals up to 12 months after delivery. She said the program offers real-time psychiatric consultation, referral support, and one-time face-to-face assessments, and has provided more than 4,300 consultations and resource/referral support to over 700 individuals since 2022. Members and legislators praised the service and discussed how it helps providers connect patients to care, follow up on referrals, and address barriers such as fit, stigma, and workflow. No votes were taken; the meeting ended with plans for the next meeting on June 8 and a request for Dr. Williams’ slides to be posted online.

Transcript Highlights:

• had eight in their network. had eight in their network.
• That does not raise their status. It doesn't change their status. Okay?
• That does not raise their status. It doesn't change their status. Okay?
• That does not raise their status. It doesn't change their status. Okay?
• That does not raise their status. It doesn't change their status. Okay?

Keywords: 1189, house, all

Transcript Highlights:

• is, how close they their housing status is, how close they have<00:42:39.680> um<00:42:39.920
• One of the greatest barriers to expanding the provider network is the reimbursement system.
• Worth exploring, though, for sure. um potentially um a greater network of um potentially um a greater
• <01:16:11.360> Um<01:16:11.760> you from a networking perspective?
• Um you from a networking perspective?

Keywords: 928, house, all

Summary: The committee to study long-term managed care met to approve the prior meeting minutes, with a clarification that “OB3” referred to the “one big beautiful bill.” The minutes were then approved. Chair Jim Kofalt outlined the day’s agenda, which included testimony from the Granite State Home Health and Hospice Association, the New Hampshire Association of Counties, and later DHHS. He also noted that future meetings were expected soon and that the meetings were being livestreamed on YouTube. Granite State Home Health and Hospice Association, represented by Kellyanne Totten and Amy Moore, urged inclusive planning and a cautious, phased approach if managed care is considered. They emphasized that home care providers are not uniform, with different licensing and service models, and said any pilot should include varied provider types, rural and southern regions, and agencies of different sizes. They warned that workforce shortages, inflation, and a possible 9% CMS cut to Medicare home health payments could force agencies to reduce service areas or service types. They also said the 2023 Medicaid CFI rate increase has begun to lose its effect. In response to questions, they said the rural health transformation fund may help with planning and telehealth but likely cannot be used directly for rates or recruitment/retention. They also described the New England Home Care Nurse Residency Program, a Department of Labor grant, as a way to bring new registered nurses into home care with added training and school partnerships. The New Hampshire Association of Counties, through county nursing home administrators Craig Labore and David Ross, revisited the earlier Step Two managed care discussions from 2016-2018. They said prior consultants found the long-term services and supports system was underfunded and needed investment to stabilize providers and expand community-based care. They argued the same concerns remain today and said a managed model would jeopardize the Medicaid quality incentive payment program and, for county nursing homes, the proportionate share payment program. Their testimony was generally opposed to moving forward with managed long-term services and supports without significant additional funding and safeguards.

Transcript Highlights:

• I'm a mother, a lifelong Texan, and president of the Texas Freedom Network.
• I represent the Transgender Education Network of Texas.
• I'm here representing myself and TENT, the Transgender Education Network of Texas.
• I'm the Senior Policy Director at the Transgender Education Network of Texas.
• I'm an advocate for the statues, but it doesn't just stop with the statues.

Bills: SB7, SB14, SB 7, SB 14

Keywords: gender designation, civil penalties, private civil rights, multiple-occupancy spaces, Texas Women's Privacy Act, law enforcement, confidentiality, personnel files, employee records, misconduct, abortion, civil liability, abortion-inducing drugs, qui tam actions, Texas Citizens Participation Act, Religious Freedom Restoration Act, healthcare regulations, impact fees, water conservation, reuse projects

Transcript Highlights:

• So I'm wondering how that networks, at least with our universities in the state. Sure, Mr.
• You can see that extensive network on the previous slide.
• I'll talk about our current status on the next slide.
• Let me just quickly, if I can, go through what the current status is of each of those.
• How would you rate the safety status of that operation right now, or how would you quantify it? Mr.

Keywords: 996, all

Transcript Highlights:

• On behalf of La Comadre Network, a statewide association of Latina women who advocate for their children
• Hi, Cindy Bourbon with La Comadre Network, in full support. Hi, good afternoon.
• you land on an egregious misconduct list is what occurs when you have a change in your employment status
• you land on an egregious misconduct list is what occurs when you have a change in your employment status
• what we've done is we've created a database system that flags folks that are in what we call pending status

Keywords: 988, house, all

Transcript Highlights:

• All of that refer to it as the network.
• So the network itself isn't completely built to cover fully in all of Kentucky yet.
• > completely the network itself isn't completely the network itself isn't completely built<00:
• <00:59:05.359> So um and and then their custody status.
• So um and and then their custody status.

Keywords: Call to Order and Roll Call- 00:00:02 Statewide Emergency Response System Monthly Update- 00:02:23 Shock Probation: Administrative Office of the Courts-00:34:28 Shock Probation: Department of Corrections Oversight-01:04:04 Adjournment-01:12:22, 958, all

Summary: The committee received an update on Kentucky’s statewide emergency responder voice system (SERVS) and the supporting microwave network, known as KYeS. Michael Brandon Marshall, the state’s statewide interoperability coordinator, explained that the project began as a replacement for Kentucky State Police’s radio system and has expanded into a statewide public-safety trunked radio system. He reviewed work completed in phases 1 and 2, including upgrades to existing tower sites, construction of new sites, installation of generators and DC power plants, and replacement of microwave routers and stations. He said the microwave upgrade is a separate but necessary part of the project and that the remaining microwave work on existing sites is expected to be finished in 2026, with roughly 20 more sites likely to move from blue to green by the next monthly report if conditions allow. Members pressed Marshall on the pace of deployment and the lack of coverage in parts of Eastern Kentucky. Senator Thomas said the coverage map was especially unfavorable to counties from Whitley and McCreary up to Lewis County and asked when that gap would be fixed. Marshall said the eastern buildout is planned, but those areas have not yet been funded; he estimated that by the end of 2026 the areas around Posts 14, 8, and 11 should be live, while other eastern post areas would remain unbuilt until additional funding is provided. He said the decision to start in Western Kentucky was technical rather than political, based on terrain and the relative ease of building coverage over flatter ground. Senator Wheeler asked whether newer low-orbit satellite systems such as Starlink could reduce the need for tower construction. Marshall said satellite technology could be a useful tool, especially for outdoor or disaster-response communications, but it cannot replace terrestrial radio for public safety because responders often work indoors and need reliable penetration through buildings. He also noted that lower-frequency spectrum such as 700 MHz is better suited for that purpose. Representative Smith asked about contracting and delays; Marshall said the Finance Cabinet’s DECA manages the construction contracts, while his office helps define the scope of work and reviews whether it is adequately met. The committee indicated it will continue to receive monthly updates on the project.