Transcript Highlights:

• Cross-disability waiver. That's something that will be sometime before it's fully implemented.
• Also, though, redesigning our level of care process for the developmental disabilities waivers.
• So yes, you would see decreases associated with those other waivers as we implement cross-disability.
• Chairman, Sarah, so this cross-disability advisory council that already exists, correct? Yes.
• You know, I mean, we see it then moving towards the cross-disability waiver.

Keywords: 908, all

Summary: The Senate Appropriations HR Division met with all members present to review the medical services portion of the HHS budget. Sarah Aker, Executive Director of Medical Services, walked the committee through several budget items, including HCBS cost-to-continue adjustments, the DD bed assessment, expansion of value-based purchasing, targeted rate increases for home health and QSP services, and the cross-disability waiver. Members generally supported the targeted increases for home health and QSP, and Aker explained that the cross-disability waiver funding would support startup work, service design, and infrastructure ahead of a planned July 1, 2028 implementation. The committee spent significant time on rate-setting and provider payment issues. Members discussed ambulance rate rebasing, with several senators expressing concern that the proposed increase was too high relative to peer states; the committee ultimately moved toward reducing that item to $1 million rather than zero so it could be revisited in conference committee. They also discussed a House-added critical access hospital networking grant and similarly leaned toward reducing it to $1 million. Aker explained the department’s value-based purchasing plans, including use of a vendor selected through RFP, and clarified how the department’s existing Medicaid managed care and hospital value-based programs work. A major portion of the meeting focused on long-term care and basic care payments, including a House-added extension of the $5 per day basic care add-on and a proposed shift in nursing facility incentive grants toward a withhold-based model. Senator Mathern indicated he would bring an amendment to delay or modify the withhold change, and Aker said the department would prefer language that directly addresses whether a withhold may be implemented. Members also discussed 1915(i) services, FMAP changes, the Medicaid legacy system modernization carryover, and a House-added legislative intent section on medical assistance. The committee adjourned for the morning with plans to return later to continue Human Services budget work and revisit unresolved items in conference committee.

Transcript Highlights:

• and if you look at the developmental and if you look at the developmental task<01:10:12.560>
• children and adults with disabilities.
• And students with disabilities have critical protections under federal and state disability laws when
• The public school helped him manage his learning disabilities.
• manage his learn learning disabilities manage his learn learning disabilities he<04:16:27.319>

Keywords: 928, house, all

Summary: The hearing focused on House Bill 115-FN, which would remove the income cap from New Hampshire’s Education Freedom Account eligibility rules. Representative Valerie McDonnell, the bill’s sponsor, said the measure is intended to fund students rather than systems and to expand educational choice regardless of income or zip code. She described the change as a small statutory edit but argued it would have significant benefits, including helping families afford alternative education settings and testing costs such as AP exams. She also cited testimony from families who said EFAs helped children with special needs or difficult circumstances, and she argued the program is popular and cost-effective. Committee members questioned McDonnell about the bill’s fiscal impact and administration. One member asked whether removing the income cap would extend vouchers to families above the statewide median income and whether the change could cost more than $100 million annually; McDonnell said she did not agree with that estimate and pointed to Arizona as a comparison. Representative Wendy Thomas asked whether the bill should require stronger data-sharing from the Children’s Scholarship Fund, which administers the program, so the Department of Education and taxpayers could better track spending; McDonnell said the program already uses ClassWallet and regulated expenditures, and that the question was better directed to the administrator. Several members testified in opposition. Representative Wendy Thomas said the bill would increase costs for public schools, raise local property taxes, and worsen oversight problems. Representative Heath Howard argued the proposal would function as a subsidy for wealthy families already paying private tuition and said public education and special education should be funded first. Representative Megan Murray also opposed the bill, emphasizing the lack of a legal reporting requirement for EFA spending and the need for transparency, accountability, and attention to special education needs. Representative Sam Farrington supported expansion, sharing a constituent story about a student who left public school after harassment and benefited from private school placement. No vote or final action was taken in the portion provided.

Transcript Highlights:

• Individuals with mental health conditions, developmental disabilities, and the elderly, who are disproportionately
• Parents with disabilities, especially psychiatric or intellectual disabilities, are sometimes inappropriately
• They lose custody of their child or parenting time at alarming rates due to the disability.
• Parents with disabilities are disproportionately involved in the child welfare system, Parents with disabilities
• Additionally, Disabled parents may stay in abusive relationships out of fear that their disability will

Keywords: 995, all

Summary: The Joint Committee on the Judiciary held a hearing on a wide range of state, probate, and family bills, with chairs Edwards and Day outlining strict testimony limits and accepting written testimony. Early testimony focused on H. 1911/S. 1138, which would clarify that a durable power of attorney may create a trust if that authority is expressly granted; sponsors and elder law advocates said the bill would resolve uncertainty created by the Barbetti decision and align Massachusetts with other states. A major portion of the hearing centered on S. 1102, a proposal to establish medical panels in Probate and Family Court. Supporters, including attorneys, parents, physicians, and advocates, said neutral three-doctor panels would help judges resolve disputed medical issues in guardianship and custody cases involving children, elders, and people with disabilities. Testifiers described cases where medical treatment was blocked or contested by one parent or guardian, arguing the panels would provide impartial expertise and protect vulnerable people. The committee also heard support for bills addressing disability discrimination in family court, military parents’ custody rights, and a shared parenting bill, H. 1710, which drew strong opposition from domestic violence advocates and others who said a 50-50 presumption could harm survivors and children. The committee also took testimony on several probate and court-administration measures. Senator Lovely supported a bill on nominee trust partition, and Senator Comerford and probate officials backed legislation to codify additional registry staff positions and modernize registry operations. Other bills discussed included foster care liability insurance, with providers warning that rising premiums and loss of coverage could force program closures; health care proxy storage and activation; access to decedents’ email accounts; uniform trust decanting; the Uniform Voidable Transactions Act; heirs’ property partition protections; a constitutional right to health care; alimony-related reforms; child-centered family law; and a right of disposition for funeral arrangements. No votes were taken during the hearing, and the committee repeatedly invited written testimony and follow-up questions.

Bills: HR153, HR154, HR155, HR156, HR157, HR158, HCR57, HCR58, HCR59, HR133, HR134, HR135, HR136, HR137, HR138, HR139, HR140, HR141, HR142, HR144, HR145, HR146, HR147, HR148, HR149, HR150, HR151, HR152, SCR28, SB141, SB169, SB206, SB233, SB417, SB421, SB429, SB437, SB477, SB510, SB521, HR1, HR17, HCR5, HB55, HB385, HB394, HB396, HB406, HB608, HB622, HB676, HB772, HB897, HB902, HB943, HB1030, HB1035, HB1038, HB1045, HB1049, HB1056, HB1058, HB1059, HB1092, HB1100, HB1117, HB1160, HB1161, HB1162, HB1177, HB1180, HB1189, HB1216, HB1239, HB1240, SB127, HB284, HB1, HB2, HB3, HB312, HB313, HB383, HB314, HCR3, HB983, HB1126, HB21, HB24, HB29, HB31, HB39, HB45, HB77, HB136, HB150, HB263, HB273, HB299, HB315, HB376, HB377, HB431, HB444, HB450, HB519, HB533, HB538, HB559, HB562, HB663, HB664, HB715, HB717, HB805, HB822, HB823, HB834, HB864, HB867, HB1017, HB1018, HB1068, HB1134, HB1137, HB1234, HB1235, HB1236, HB211, HB27, HB71, HB214, HB225, HB241, HB244, HB306, HB345, HB366, HB446, HB511, HB514, HB655, HB730, HB743, HB1027, HB1037, HB1043, HB1082, HB1091, HB1096, HB1103, HB1167, HB1174, HB1175, HB1230, HB1237, HB1238, SB162, SB349, SB350, SB382, SB383, HB401, HB51, HB58, HB140, HB982, HB1010, HB132, HB193, HB635, HB690, HB1003, HB750, HB911, HB151, HB180, HB192, HB310, HB961, HB1146, HB977, HB181, HB901, HR20, HR74, HB9, HB393, HB459, HB577, HB582, HB605, HB614, HB615, HB682, HB733, HB773, HB996, HB1113

Keywords: commendation, robotics, high school, competition, education, Tomato Festival, community celebration, Our Lady of Prompt Succor, fundraising, local heritage, Holocaust, remembrance, Yom HaShoah, Jewish history, condolences, community service, law enforcement, legacy, Shreveport, D.A.R.E. Program

Transcript Highlights:

• The Agency for Persons with Disabilities... Thank you, Mr. Speaker. HB 569, Forensic Clients.
• The Agency for Persons with Disabilities (APD) assists those with developmental disabilities who've been
• convicted of a felony and court-ordered in the Developmental Disability Defendant Program (DDDP).

Summary: The House opened with prayer, a moment of silence for the Reverend Jesse Jackson and Joseph Di Alessandro, the Pledge of Allegiance, and announcements confirming a quorum. Members also adopted the special order report and recognized several guests in the gallery, including former Speaker Dan Webster and law enforcement and civic visitors. The chamber then moved through a long special-order calendar of bills, mostly on third reading, with several measures passing unanimously or by wide margins. Among the bills considered were measures on civil procedure and estates, including C.S. HB 1407 on commencement of civil actions, HB 895 on trustee settlement and discharge, C.S. HB 1337 on estates, HB 131 on curators of estates, and C.S. HB 351 on concurrent legislative jurisdiction over military installations. The House also passed C.S. HB 441 on conservation lands, which would lengthen notice and increase transparency for land swaps involving conservation property, and C.S. CS HB 919 on commercial service airports, which created a statutory definition for major airports and preempted local naming authority for several airports. HB 919 drew extensive debate over the proposed naming of Palm Beach International Airport after President Donald J. Trump, with amendments to delay or alter the naming failing before the bill passed. Other bills approved included HB 409 requiring K-12 schools to observe Veterans Day, CS HB 461 allowing certain students to volunteer at polling places for community service hours, CS HB 1115 creating grants for genetic counseling education, HB 569 revising forensic client services, CS HB 505 regulating virtual currency kiosks to address fraud, and HB 271 on foreign and alien bail bond insurers. The House also passed HB 191 on re-employment assistance eligibility verification after extended questioning about its effects on benefits, appeals, and suitable work standards. One bill, CS HB 243 on electric bicycles, was temporarily postponed, and CS HB 1073 on school districts was also postponed.

Transcript Highlights:

• We already set age thresholds for products and environments that pose developmental risks.
• We already set age thresholds for products and environments that pose developmental risks.
• I'd like to acknowledge LGBTQ+ leaders, disabled access leaders, and residents of rural communities.
• There are over one million working-age Californians with a disability.
• There are over one million working-age Californians with a disability.

Summary: The committee heard AB 1988, which would require AI companion chatbots to respond to credible self-harm or violence-related crisis expressions by displaying the 988 Suicide and Crisis Lifeline, warning users, and pausing the chat for human review after repeated crisis signals. The author and supporters said the bill is a measured safety standard to redirect vulnerable users to human help, citing research and cases where chatbots worsened suicidal ideation or violent behavior. Support came from crisis and medical advocates, while no opposition testimony was offered. The chair and members expressed strong support, and the bill was held pending quorum before later action on the agenda. The committee then took up AB 1709, which would set a minimum age of 16 for users to create or maintain accounts on social media platforms with harmful addictive features and would create an E-Safety Advisory Commission in the Attorney General’s office. The author argued the bill targets product design, not speech, and is intended to curb compulsive features such as infinite scroll, autoplay, and algorithmic feeds while allowing safer or non-addictive platforms to remain available. Supporters, including a psychologist and the Organization for Social Media Safety, described cyberbullying, predation, compulsive use, and mental health harms; opponents, including EFF, ACLU-Cal Action, TechNet, and youth advocacy groups, warned about privacy, First Amendment, and access-to-community concerns, especially for LGBTQ youth and other marginalized groups. Committee members debated whether the bill is a ban or a delay, how age assurance would work, and whether the proposal would be effective or could push youth to less safe spaces. Several members said they would support the bill as a first step, while others raised concerns about enforceability, privacy, and constitutional issues. The author emphasized that the bill is limited to specific harmful design features, not content or general internet access, and that the new commission would monitor evolving technology and recommend future updates. No final vote was taken during the portion of the hearing provided.

Transcript Highlights:

• Do you report it to the developmental disability?
• My name is Katie Ellis, and I am a disability justice activist and someone who has lived with a disability
• I'm a disability advocate.
• I am disabled and a disability advocate.
• And I'm also a disabled employee.

Keywords: 996, all

Summary: The committee first heard House Memorial 54, which would create a stakeholder working group to study utility-service problems in manufactured and mobile home parks and recommend solutions. The sponsor described repeated water and utility outages in large parks, said current law places maintenance responsibility on park owners, and argued that the state needs clearer standards and alternatives to costly attorney general lawsuits. Supporters from PNM and the New Mexico Center on Law and Poverty backed the memorial as a step toward better oversight and protections for residents. The committee asked about existing landlord obligations and whether rent withholding is available; the sponsor said current law does not clearly provide that remedy. HM 54 was reported out with a due pass. The committee then considered House Bill 166, which would create a statewide permitting framework for battery-charged electric fences used by commercial businesses while preserving local zoning authority. The sponsor and an industry witness said businesses face inconsistent local permitting, delays, and added costs, and that the bill would provide uniform standards and security options. Several members raised concerns that the bill appeared to favor a specific product type, could override local code differences, and might not address mixed-use areas, historic districts, or homeowners associations. After debate, the bill passed on a 4-3 vote, with one member explaining support but urging further work with local government experts before floor consideration. House Bill 20, a bipartisan measure, would allow Native American applicants to request a voluntary Native American designation on state driver’s licenses and ID cards, without naming a specific tribe, and with documentation requirements tied to tribal cards, certificates of Indian blood, or affidavits of birth. Supporters said it would recognize tribal political status, help with law enforcement and Turquoise Alert verification, and assist with education, health, and child welfare matters; tribal representatives and State Police testified in favor. Several members expressed concern about racial profiling, privacy, and possible unintended consequences of marking IDs, while others noted the designation is optional and tied to political status rather than race. Members also flagged drafting language that appeared to require multiple documents, and the sponsor agreed to clarify it. The bill ultimately passed, with some members explaining their votes and asking for continued discussion with tribes. The committee also approved Senate Joint Resolution 1, which would amend the state constitution to allow school bond and mill levy questions to appear on the general election ballot rather than being limited to separate school elections. Sponsors said the change would reduce special-election costs, increase turnout, and remove outdated language dating to 1910; school board and education groups supported it. Members asked about ballot crowding and local election timing, and sponsors emphasized that the measure gives school districts a choice rather than a mandate. Finally, the committee heard House Bill 295, which would create an Office of Accessibility to centralize reporting, provide technical assistance, and produce annual reports on accessibility of state buildings and websites. Disability advocates largely supported the bill as a way to improve compliance and consistency, while one webcast commenter opposed it, arguing that without enforcement authority it would not produce meaningful change. The transcript ends during testimony on HB 295, before final committee action is shown.

Transcript Highlights:

• what a student is going through, whether it's financial hardship, transportation challenges, or disability
• police officers across California to successfully interact with residents with mental illness, developmental
• disabilities, and sensory processing challenges. ...and other conditions that may affect communication
• I just want to respond that there's literally hundreds of disabilities... Sure.
• list of some other organizations who asked: the California Alliance of Child and Family Services, Disability

Summary: The committee heard several public safety measures, beginning with housekeeping items and the adoption of a four-bill consent calendar. Bills on the consent calendar included AB 476 on metal theft, AB 619 on California Conservation Corps training for formerly incarcerated people, AB 1192 on child abuse or neglect reporting, and AB 1239 on human trafficking data. Several bills were pulled by the authors before hearing, and the committee also announced that AB 379 would be heard with a file notice waiver and AB 63 would be for testimony only. The most extensive discussion was on AB 366, which would require ignition interlock devices for anyone convicted of DUI. The author, Senator Archuleta, and a MADD representative gave emotional testimony about family members killed by drunk drivers and argued the bill would save lives. Support came from law enforcement, fire, medical, auto club, and safety groups. Opposition from public defenders and criminal justice advocates focused on loss of judicial discretion, costs for low-income drivers, and concerns about vendor oversight and effectiveness. The committee voted to pass AB 366 as amended to Appropriations. The committee also heard AB 1380, which would create a permanent pathway into firefighting careers for formerly incarcerated people who served on Cal Fire hand crews. The author and supporters said the bill would recognize service, improve reentry, and reduce recidivism; a fire labor group withdrew its opposition after amendments were discussed. The measure passed to Appropriations, though it remained on call pending one additional vote. AB 461, which would remove criminal penalties for parents of truant K-8 students and replace them with supportive responses, drew broad support from education and justice advocates but no opposition testimony; it was also passed to Appropriations and left on call pending one more vote. ACR 60, recognizing the Downey Police Department’s special-needs communication program for interactions with people with disabilities or sensory challenges, was adopted unanimously. The committee then heard AB 746 on creating an inmate cooperative program and a green reentry reserve for incarcerated workers. Supporters said it would build job skills, dignity, and reentry success; there was no opposition testimony. The bill passed to Appropriations and was left on call pending votes. Finally, AB 379 on human trafficking drew strong support from survivor advocates, law enforcement, and local officials for creating a survivor services fund and targeting buyers, but also strong opposition from survivors and civil liberties groups who warned it would criminalize vulnerable people and revive harmful loitering enforcement. The committee discussion continued with members weighing survivor support, public safety tools, and concerns about the bill’s amendments and scope.

Transcript Highlights:

• , developmental disabilities, etc., etc.
• , developmental disabilities, etc., etc.
• , developmental disabilities, etc., etc.
• I served people with physical, developmental, chemical health, and mental health disabilities.
• <01:46:22.239> and<01:46:22.400> Trauma disability and Trauma disability and Trauma our

Keywords: 1187, senate, all

Transcript Highlights:

• Jennifer Brisei, Director of the Division of Developmental Disability Services.
• And four is Disability Determination for Social Security Administration.

Keywords: 1204, all

Transcript Highlights:

• prior 2 years at least 3 hours of training related to caring for children with intellectual or developmental
• disabilities.
• This is a human right that people with disabilities have in our state to be educated to the best of their

Transcript Highlights:

• WELL SO WE ARE LOOKING AT VULNERABLE POPULATIONS IN THE STATE OF FLORIDA FROM INDIVIDUALS THAT HAVE DISABLING
• CONDITIONS OR INDIVIDUALS WITH INTELLECTUAL OR DEATH DEVELOPMENTAL DISABILITIES AND MAKING SURE THEIR

Keywords: 999, senate, all

Transcript Highlights:

• These include veterans, folks experiencing housing instability, folks experiencing intellectual or developmental
• disabilities, or folks who are formally incarcerated, just to name a few.
• These include veterans, folks experiencing housing instability, folks experiencing intellectual or developmental
• disabilities, or folks who are formally incarcerated, just to name a few.

Keywords: 987, senate, all

Transcript Highlights:

• We are the largest direct-level care providers of inmates, patients, and individuals with developmental
• disabilities with mental illness.
• grateful that the critical issue of Golden County... ...of inmates, patients, and individuals with developmental
• disabilities with mental illness.

Summary: The Assembly Budget Committee held an informational hearing on the September budget package, which included SB 105 and a series of trailer bills covering health, human services, education, resources, child care, transportation, labor, public safety, housing, revenue, background checks, collective bargaining, and a special election. The Department of Finance described the package as largely technical and clarifying, but also responsive to state and federal changes, especially H.R. 1. Key items included roughly $3.3 billion in Proposition 4 climate and environmental spending, $540 million in discretionary greenhouse gas reduction funds, and major responses to H.R. 1 such as CalFresh error-rate mitigation, food bank support, and Medicaid-related changes. Other notable provisions included vaccine policy flexibility, an Abortion Access Fund, a gender-affirming care program, community college basic-needs and aid changes, CEQA and coastal permit exemptions tied to the 2028 Olympics, invasive mussel prevention funding, a civic media program, labor and pension-related provisions, and special election administration changes. Members raised questions and concerns about several parts of the package. There was support for climate, water, transit, offshore wind, food security, and health investments, but also significant criticism of the lack of cleanup language for SB 131 and its advanced manufacturing exemptions, with multiple members saying promised fixes had not materialized and expressing concerns about tribal consultation, labor standards, and environmental protections. Members also questioned the scale and timing of some Proposition 4 allocations, including fairground upgrades, regional conveyance, and a UC Davis alternative protein research center. The Department of Finance said some programs would roll out over time and that certain funding levels reflected current implementation capacity. The hearing also featured discussion of Bay Area transit financing, with Finance saying SB 105 directs the department and CalSTA to examine loan or other financing options rather than immediately providing loans. Members and public commenters also discussed the state’s response to H.R. 1, with advocates supporting food bank, health care, and immunization provisions while warning of ongoing harm to immigrants, foster youth, and other vulnerable groups. Public testimony broadly supported the health, food, water, offshore wind, and golden mussel provisions, while many speakers echoed legislative concerns about SB 131 and urged cleanup action in the next session. No votes were taken because the hearing was informational only, though the chair noted votes on the bills were expected later that night or the next morning.

Transcript Highlights:

• CS for SB 756 on health insurance coverage for individuals with developmental disabilities by Senator
• CS for SB 756 on health insurance coverage for individuals with developmental disabilities by Senator

Summary: The committee first heard CS for CS for SB 344, which would modernize the Telecommunications Access System Act of 1991 based on Public Service Commission recommendations. The bill drew no opposition and was reported favorably. Members then took up several Senator Burton measures: CS for SB 714 on non-opioid advanced directives, which was amended to create a Department of Health website access point for a voluntary form allowing patients to notify providers they do not want opioid medications; CS for SB 738 on child care and early learning providers, which streamlines and updates child care regulation and was supported by industry and business groups; CS for SB 756 on health insurance coverage for individuals with developmental disabilities, which removes the age-8 diagnosis limit and age cap for mandated autism-related coverage; and CS for CS for SB 1356, creating a Florida Institute for Pediatric Rare Diseases at FSU and a newborn genetic testing pilot, later amended to add FIU and Nicklaus Children’s Hospital to the board and remove specific appropriations. All of these bills were reported favorably. The committee also approved CS for CS for SB 1624 on higher education, a broad bill affecting tuition policies, workforce programs, institutional governance, and naming changes. The bill generated extended discussion over replacing references to “minority” with “underrepresented,” with the sponsor explaining the intent was to focus on low-income access and student support, while members raised concerns about impacts on majority-minority institutions and preeminence pathways. An amendment added guardrails for private religious postsecondary institutions by requiring public review of affidavits of compliance and giving the Commission for Independent Education enforcement authority. After debate, the bill was reported favorably. The committee then passed CS for SB 1626 on child welfare, which addresses military-family investigations, emergency shelter certification, children’s services council appointments, criminal-background exemptions, group-home rates, licensing extensions, small residential group homes, missing-children procedures, and psychotropic medication refills; it was amended to adjust council board composition and then reported favorably. Additional bills approved included SB 178, directing Florida A&M University to conduct an agronomic study on emerging crops for land taken out of production; SB 1162, expanding boating improvement funding for trailer parking and offering lease incentives for clean marine manufacturers; CS for CS for SB 958, creating a type 1 diabetes early detection information program for parents and schools; CS for CS for CS for SB 1070, requiring ECGs for student athletes with phased implementation and exemptions, after extensive testimony from parents and advocates about sudden cardiac arrest; CS for SB 774, requiring electronic transmission of certain court orders to sheriffs within six hours; SB 1516, creating an International Aerospace Innovation Fund administered by Space Florida; SB 994, revising driver education requirements and prompting a commitment to add distracted-driving instruction; and CS for CS for SB 1402, expanding eligibility for dropout retrieval programs. The committee also took up SB 810 on stormwater management systems, amending it to focus annual inspections on vulnerable MS4 infrastructure. That bill drew significant opposition from the Florida League of Cities, counties, and stormwater groups, who argued the mandate would duplicate existing permit requirements and impose major costs, but supporters said it was a basic flood-prevention measure. The transcript ends during debate on SB 810, before a final vote is shown.

Transcript Highlights:

• House Bill 2633, relative to more accessible 9-1-1 disability indicator forms.
• time to hear and collect written testimony for H. 2633, an act relative to more accessible 9-1-1 disability
• autism, ADHD, mental health, and complex medical issues, and I myself am a veteran with a 100% disability
• The goal of this bill is to increase the safety and improve outcomes for persons with disabilities, to
• disabilities, complex medical needs, neurological impairments, as well as addressing language access

Keywords: 995, all

Summary: The Joint Committee on Public Safety and Homeland Security heard testimony on several bills, beginning with a major workplace violence proposal for health care settings. Senator Lovely, the Massachusetts Nurses Association, the Massachusetts Hospital Association, and SEIU 1199 all supported legislation requiring hospitals and other health care employers to conduct facility-specific risk assessments, develop violence prevention plans, train workers, and provide reporting and protections for assaulted employees. Witnesses described workplace assaults as frequent and escalating, and committee members discussed balancing worker safety with concerns about criminalizing mental illness; testimony emphasized that the bill targets intentional assaults while preserving treatment and discretion for behavioral health crises. The committee also heard strong support for bills to strengthen traffic safety, including primary seat belt enforcement, rear-facing car seat requirements, and seat belts on school buses. AAA Northeast, the Brain Injury Association of Massachusetts, law enforcement, legislators, and the Massachusetts Insurance Federation all backed the measures, citing crash data, injury prevention, and personal stories of traumatic brain injury. Senator O’Connor testified for school bus seat belts, saying Massachusetts should join other states requiring them, and later Sophia Furzada of the National Transportation Safety Board urged passage of school bus seat belt and child passenger safety bills, saying lap-shoulder belts would reduce injuries and save lives in crashes where compartmentalization is not enough. Other testimony included support for a bill to make 9-1-1 disability indicator forms more accessible and inclusive, with the witness arguing the form should better reflect mental health, developmental disabilities, language access needs, and a fifth-grade reading level. The committee also heard opposition to a proposal to extend Christian’s Law to swimming pools, with a parks and recreation director warning of unintended consequences for municipal camps and underserved communities. Finally, the committee took testimony on a bill to expand the Forensic Science Oversight Board to include workforce representation, which MOSES said would restore technical expertise to the board. At the end of the hearing, the committee adjourned without taking votes on the bills discussed.

Transcript Highlights:

• On the backs of healthcare for children, for women, for seniors, for people with disabilities, for hardworking
• also looking at cuts to programs that serve vulnerable populations, such as medically fragile. and disabled
• disabilities, who have private insurance through their family members, through their parents, veterans
• They lost their doctors to these very specific disabilities.
• had a doctor in Stanford that they were seeing, one of five people in the entire nation with this disability

Keywords: 988, house, all

Transcript Highlights:

• And I really want to appreciate the information that you offered about the impact on the developmental
• , cognitive... ...impact on the developmental, cognitive developmental abilities of our children when
• Lee, a disabled Chinese senior, was in great need of home care assistance and support, and he was unable
• It's a substantially similar bill to help individuals with developmental disabilities to ensure that
• disabilities can access the care that they're actually paying for.

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.

Transcript Highlights:

• And the third contract is the Division of Developmental Disabilities with Samaritan Integrative Services

Summary: The committee reviewed three DHS out-of-state service contracts: a $690,000-plus sole-source contract for DCFS with Evident Change for maintenance and operation of the Child Welfare Structured Decision-Making practice hub; a $1.2 million sole-source contract for County Operations with Sifter Solutions to support a SNAP waiver compliance solution; and a $156,000 contract for Developmental Disabilities with Samaritan Integrative Services for psychiatric services at the Southeast Arkansas Human Development Center. The chair and staff explained the contracts and noted that the Evident Change and Sifter contracts were sole-source due to the proprietary nature of the systems or services involved. Most of the discussion focused on the Evident Change contract. Members questioned DCFS about long-term dependence on the vendor, the lack of a competitive bid, the absence of a clear off-ramp, and whether the state was paying more overall as the work was split into multiple contracts. DCFS said the contract before the committee was only for maintenance and operations of a web-based platform used daily for safety assessments and case planning, while a separate Evident Change contract covers case reviews, CQI work, and data management. The vendor said it was continuing to reduce its role and had begun off-ramp discussions, but members remained concerned that the state was too reliant on the vendor. Staff said the contract had to be approved by May 31 or the system could be turned off. The committee also discussed the Sifter Solutions contract, which supports Arkansas’s SNAP waiver pilot by providing a dynamic list of excluded products and a consumer app that scans barcodes and provides nutrition information. DHS said the waiver is intended to improve the nutritional value of SNAP benefits, that the contract is funded with remaining federal SNAP Nutrition Education dollars that would otherwise be returned, and that the University of Pennsylvania will conduct the evaluation at no cost. Members asked about the benefit to Arkansas, whether the app would include nutrition and budgeting information, and whether the state would own the application or need future renewals. DHS said the two-year term was intentionally aligned with the waiver period and that future procurement options could change. After discussion, the committee noted the items as reviewed and adjourned without objections or votes recorded in the transcript.

Transcript Highlights:

• The Hospital, Medicaid, and Developmental Disability Study Committee met Thursday to hear testimony on

Summary: The committee met and opened with a prayer, then approved the prior meeting minutes and received the monthly revenue report from the Bureau of Legislative Research. The report showed gross general revenue collections up year to date and net general revenue above forecast, with the staff noting changes driven by casino gaming transfers, income tax growth, and a lottery-related collection. No action was required on the revenue report. Several subcommittee reports were then presented and adopted, including the executive committee, administrative rules, game and fish/state police, hospital/Medicaid/developmental disability, occupational licensing, PEER, revenue, state insurance programs, and personnel. Topics included a Jackson County School District cooperative purchasing waiver, rulemaking updates from several agencies, federal immigration and wildlife issues, SNAP and Medicaid waiver reimbursement rates, occupational authorization reviews, temporary appropriations and transfer requests, a tire removal contract held for later review, EBD pharmacy and medical drug recommendations, and personnel items. The PEER report also included questions to the State Broadband Director about a provider with delinquent property taxes; he said the provider would not be brought forward until the issue is resolved and that broadband grant payments are tied to performance milestones. The most extended discussion came during review of a State Insurance Department report on pharmacy benefit manager oversight. Commissioners and members questioned Navitus Health Solutions’ refusal to provide certain claims data for self-funded plans in an affiliate pricing examination. The department said the matter is being briefed and set for an administrative hearing, likely in April, and that the dispute centers on ERISA preemption and state authority to request the data. Members also asked about the status of the other PBMs under review and whether they had raised similar objections. After all reports were adopted or filed as reviewed, the meeting adjourned with no further business.