Transcript Highlights:

• The average wait time for this group was 20 months.
• This time is in addition to the time that they served in prison for their crime. Thank you.
• Refer to my colleague for time.
• And so time after time, representations are made.
• Community members know that it's— And so time after time, representations are made.

Committee: Senate Joint Legislative Audit

Summary: The Joint Legislative Audit Committee held an oversight hearing on the state auditor’s October 2024 report on the California Forensic Conditional Release Program (CONREP) for sexually violent predators. The auditor said CONREP participants were convicted of new offenses less often than SVPs who were unconditionally released, but also found long delays in finding housing, weak guidance for local housing committees, and limited accountability over Liberty Healthcare and the Department of State Hospitals (DSH). The audit noted that 18 of 56 SVPs placed through CONREP had been revoked and returned to state hospitals, and that some participants waited months or years for placement while pre-placement costs continued to accrue. The auditor recommended, among other things, clearer committee guidance, better oversight of Liberty, and exploring transitional housing; DSH agreed to most recommendations but rejected transitional housing as a solution. Members from rural and high-desert districts described repeated placements in their communities and argued the program concentrates risk in areas with fewer services and slower law-enforcement response times. Senator Jones said the audit confirmed a broken system and pointed to his bill SB 380 to require DSH to develop transitional housing. Assembly Member DeMaio sharply criticized the program, the audit title, and Liberty Healthcare, alleging misleading practices with property owners and calling for the program to be suspended. Other members pressed DSH and Liberty on why placements often end up in rural areas, how judges make placement decisions, and whether the current process adequately protects public safety. DSH and Liberty defended the program as a court-ordered, highly supervised treatment model intended to reduce reoffending and support eventual reintegration. They said DSH now has a more active review process for proposed sites, has implemented four of the five audit recommendations, and is tracking program reviews and committee guidance. They also said the state has repeatedly sought additional vendors without success, and that the small scale and high-profile nature of the program make contracting difficult. DSH and Liberty maintained that transitional housing would not solve the core placement problems and would add cost without resolving county-of-domicile and school-proximity restrictions. The hearing ended without a vote or formal action, after public comment was waived due to no speakers.

Transcript Highlights:

• Things break down from time to time, no different than the derailment Madam spoke of. Oh, Mr.
• There are a lot of times when there is an...
• Wait. No, I don't think so. No, sir. Wait. No, I don't think so.
• That would be at the hospital time.
• To that point, I was waiting, I was waiting.

Bills: HB2163 , HB2256 , HB2305 , HB2367 , HB2369 , HB2669 , HB2772 , HB2916 , HCM2007 , HCR2004 , HR2003

Committee: House Transportation & Infrastructure

Keywords: lighting laws, construction equipment, farm equipment, vehicle safety, Arizona Revised Statutes, salvage vehicles, insurance claims, abandoned vehicles, salvage auction dealers, vehicle title, neighborhood electric vehicles, alternative fuel, vehicle license tax, tax exemption, electric shuttle, photo enforcement, traffic violation, mayoral signature, civil traffic, jurisdiction

Transcript Highlights:

• times, and stabilize service delivery during a time of sustained demand.
• Timely fashion.
• We can't continue to wait.
• We can't continue to wait.
• We can't continue to wait.

Committee: Senate Housing and Homelessness Prevention

Transcript Highlights:

• Since that time, two of the sponsors have decided to hold their interim studies for the time being, and
• So with that, we appreciate your time. Thank you both very much.
• Waiting for an evaluation, yes, sir.
• So just making sure we catch people at the right time.
• I'm sure this isn't the first time you've heard that.

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to behavioral health as the main topic. Representatives Woodridge and Vaught described the work of the behavioral health working group, saying Arkansas needs a more proactive system that improves access, reduces red tape, and focuses on a few achievable policy changes for the 2027 session rather than many bills. Members discussed barriers such as low reimbursement, workforce shortages, licensing and credentialing hurdles, rural access problems, and the need to better use community providers, compacts, and step-down services. Director Paula Stone of DHS’s Office of Substance Abuse and Mental Health gave a detailed overview of the behavioral health system. She said Medicaid pays for more than 75% of behavioral health services in Arkansas and explained that when people are jailed or admitted to the state hospital, Medicaid generally stops, leaving state general revenue to cover care. She described current efforts including family-centered treatment for children, community reintegration group homes, a new adolescent substance use disorder residential unit, expanded community mental health center contracts, a secured restoration unit to reduce state hospital backlogs, and an IMD waiver to allow Medicaid payment for certain residential services. She also said DHS is working on crisis services, forensic evaluations, and provider rebidding in areas previously served by ERISA. Members asked about reimbursement for jail services, the lack of a statewide behavioral health dashboard, civil commitment options, crisis stabilization units, and whether Arkansas should expand step-down or long-term facilities for people who cannot safely return to the community. Stone said the state hospital backlog remains significant, average stays are still about 14 months, and crisis stabilization units have had mixed success, with Fort Smith and Jonesboro performing better than Fayetteville and Little Rock. The meeting ended with a commitment to continue the work, with more substantive discussion planned for August.

Transcript Highlights:

• So we're just not calling it a wait list. We have a wait list.
• I've asked it multiple times. I've asked it multiple times.
• Good timing on our part.
• Thank you for your time.
• Thank you for your time.

Committee: Joint Joint Committee on Ways and Means

Summary: The Joint Committee on Ways and Means held an FY27 Health and Human Services budget hearing in Mattapan, hosted at the Boston Public Library branch. Chairs Lydia Edwards and Russell Holmes, along with Rep. Brandy Fluker-Reid, emphasized the significance of holding the first Ways and Means hearing ever in Mattapan and highlighted the importance of bringing state budget deliberations into a majority-Black neighborhood. Several legislators introduced themselves as they joined, and the committee noted that public testimony was not part of the format, though agencies were invited to discuss priorities and challenges. MassAbility opened the agency testimony. Leadership described the agency’s mission to support people with disabilities through employment, training, home and community life services, and disability determination. They said Governor Healey’s FY27 budget funds MassAbility at $93.3 million, a 1% reduction from FY26, and explained that the agency is responding to federal funding uncertainty and shifting program needs by redesigning services internally. Members questioned a proposed $1.3 million reduction to the Home Care Program, staffing changes, and whether services could be maintained with fewer resources. MassAbility said it was reviewing data on who uses the program, that it does not provide nursing or personal care, and that it is working with a transition plan and a working group. The agency also discussed federal uncertainty around vocational rehabilitation funding and said it had received delayed federal awards but remained in contact with national associations and federal partners. The testimony included a personal story from a participant, Joshua Corcoran, to illustrate the impact of services. The Massachusetts Commission for the Deaf and Hard of Hearing testified next, requesting $11.27 million, about a 6% increase over FY26. The commission said it serves about 1.4 million residents and focuses on communication access in health care, courts, public safety, and other public systems. It highlighted interpreter and captioner workforce shortages, a mentorship program to expand the provider pool, and a modernized referral platform funded through capital contingency money. Members asked about interpreter availability, after-hours emergency coverage, ASL access for students and families, and training for police and emergency responders. The commission said staffing remains limited, especially for after-hours services, but that it is expanding training, school outreach, and partnerships with DCF and other agencies. The Massachusetts Commission for the Blind then presented its FY27 budget request of $30.8 million. The commissioner said the agency serves nearly 9,000 legally blind residents, provides training and peer support, and placed 190 consumers in competitive integrated employment this year. It also described services for older adults, vocational rehabilitation, and the Turning 22 program for young adults with additional disabilities. Members raised concerns about a 7% cut from the prior year and asked how the agency could maintain services; the commissioner said the agency had no waiting list, had trimmed overhead, and could manage the budget through internal efficiencies and strong partnerships. The Office for Refugees and Immigrants closed the session, describing expanded legal and support services for immigrants and refugees, including Know Your Rights trainings, the Massachusetts Access to Counsel Initiative, citizenship and financial literacy programs, and the Family Welcome Center in Mattapan. Members asked about federal funding losses and the structure of the new legal services program; ORI said FY26 funding is stable but FY27 federal cuts remain uncertain, and that the legal program uses a centralized intake system with priority for emergencies and first-come, first-served access.

Transcript Highlights:

• on three times.
• three times?
• time period, and by that time they've lost their job and everything, ...and wait until the court dates
• And a lot of times the charge will just go down, and a lot of times, A lot of times the charge will just
• They said, okay, from this time to this time, you've got to be in your house.

Committee: House Corrections and Public Institutions

Summary: The committee first met in executive session and adopted a House Committee substitute combining House Bills 2592, 2834, and 2787 into one measure. The combined substitute was then voted do pass by a unanimous roll call, recorded as 15 ayes and 0 noes after a brief correction to the tally. The committee then heard House Bill 1786, which would raise the Highway Patrol’s spending threshold for purchasing vehicles, watercraft, aircraft, and related specialized equipment without returning to the legislature from $100,000 to $500,000. The sponsor and Highway Patrol witnesses said the current cap is outdated because boats, armored vehicles, bomb trucks, and aircraft equipment now cost far more than $100,000, while members asked about inflation, the revolving fund, and whether a lower increase might be more appropriate. No opposition testimony was offered. Next, House Bill 2885 was heard. It would redirect the first $1 million in annual boat registration fee revenue away from general revenue and into the Missouri Water Patrol Division. The sponsor and Highway Patrol said registration revenue has declined while operating costs have risen, and the division needs the money to support enforcement, search and rescue, dive operations, and boating safety programs. Members asked how much revenue is collected and whether the change would affect other programs; testimony indicated the bill would mainly earmark existing revenue rather than increase overall department funding. The committee also heard House Bill 2694, which would exempt four fee-supported funds from the end-of-biennium sweep to general revenue: the Highway Patrol Academy Fund, the State Forensic Laboratory Account, the Boiler and Pressure Vessels Safety Fund, and the Elevator Safety Fund. The sponsor and Department of Public Safety witnesses said the sweeps make long-term planning difficult and can disrupt training, lab support, and safety inspection operations, though members raised concerns about excess balances, guardrails, and whether fee reductions should be considered if reserves grow too large. Finally, House Bill 1712 was heard; it would make intentionally failing to charge an electronic monitoring device a crime, closing a loophole in existing tampering law. The sponsor, a sheriff, and other witnesses said the bill addresses deliberate attempts to evade monitoring, while members discussed battery warnings, rural access to electricity, and the costs and benefits of pretrial release. No votes were taken on the later bills before the committee adjourned.

Transcript Highlights:

• I know that I'm out of time and I appreciate your time.
• If we can create... ...of time.
• This has led to increased waiting times for patients who are ready to be discharged from inpatient settings
• Massachusetts families shouldn't wait. Massachusetts families shouldn't wait another budget cycle.
• Thank you for your time and attention.

Committee: Joint Joint Committee on Health Care Financing

Summary: The Joint Committee on Health Care Financing held a public hearing focused on two broad sets of issues: home- and community-based care, and school-based Medicaid reimbursement. In the morning session, legislators and advocates testified on bills affecting children and disabled enrollees, including proposals to clarify rate-setting for home health and home care services (H. 767/S. 870), allow family members and spouses to be paid caregivers under MassHealth (H. 1394/S. 886 and related bills), extend MassHealth coverage for applied behavior analysis and other therapies beyond age 21 for adults with autism and developmental disabilities (H. 1351/S. 871), and protect medically fragile children by improving access to continuous skilled nursing. In the later portion of the hearing, testimony shifted to a bill to improve MassHealth reimbursement for schools (S. 862), with speakers describing the school mental health crisis and the need to reinvest Medicaid funds directly into school health services. Witnesses on the home care rate-setting bill said current reimbursement methods are opaque and outdated, contributing to workforce shortages, unfilled shifts, long waitlists, and patients remaining in hospitals longer than necessary. Home care providers and trade groups argued the bill would not set rates directly but would require more transparent methodology and fuller consideration of real costs such as wages, benefits, taxes, training, and technology. On caregiver bills, many family members and provider organizations described the financial and emotional strain of caring for disabled or medically fragile relatives, especially when parents, spouses, or guardians are barred from being paid caregivers. They argued the bills would recognize existing unpaid care, help families remain at home, and reduce reliance on more expensive institutional care. Advocates for adult ABA coverage said services remain medically necessary after age 21 and that ending coverage at that age creates an inequitable “cliff” for MassHealth members compared with those with private insurance. For the PACE/community care bill, elder law attorneys and PACE advocates said current MassHealth income rules force some older adults with modestly higher incomes to spend down to $542 per month, making community living unrealistic and pushing people toward nursing homes. They supported changing the eligibility structure to a premium-based approach that would allow more people to remain in the community. On the school Medicaid bill, advocates said schools are providing effective, preventive mental health care, but reimbursement currently flows to municipalities rather than directly back to school health budgets, limiting districts’ ability to hire and retain staff. No votes were taken during the hearing; the committee heard testimony and several witnesses requested favorable reports on the bills.

Transcript Highlights:

• We're rarely able to offer services in a timely manner to these clients due to waiting lists.
• manner to these clients due to timely manner to these clients due to waiting<00:15:21.240><c> lists<
• </c><00:30:03.919><c> times</c> they do this create longer wait times they do this create longer wait
• </c><01:03:37.400><c> time</c><01:03:38.240><c> and</c><01:03:38.359><c> in</c> limited access and waiting
• time and in limited access and waiting time and in then<01:03:38.760><c> and</c><01:03:38.880><c> then

Committee: Senate Health and Human Services

Transcript Highlights:

• He noted that there has been a shift from time to time, depending on the federal administration, on what
• the ground for a long, long time.
• I mean, they have that one time.
• And at that time, we had to have 1,200 hours of internship time. I went to Indiana State.
• I passed my test the first time.

Committees: House Economic Development , House Joint Committee on Rural Economic Development

Transcript Highlights:

• We take the time off in between. We actually take time off for Labor Day. And so, and I'm not.
• And I think, and it's probably a warmer time.
• It's probably a warmer time.
• Representative, you can answer now or wait?
• A lot of school districts didn't like that at that time.

Committee: House Education

Transcript Highlights:

• It's been here 4 times already.
• That's the reason why it's been here 4 times already.
• Well, now wait a minute though.
• I'll wait for that and then we'll we'll proceed from there. Thank you.
• Will be be left pending at this time. Yes. Right.

Bills: HB408 , HB787 , HB 1029 , HB 1126 , HB 1136 , HB1607

Committee: House Transportation

Keywords: cultural attractions, highway signs, Texas Department of Transportation, travel guidance, Museum of the Big Bend, traffic control, tourism, sunscreening devices, motor vehicle, judicial specialty license plate, vehicle safety, Texas Transportation Code, disability, parking, Governor's Committee, mobility impairment, disabled veterans, legislative recommendations, license plates, vehicle registration

Transcript Highlights:

• The effect is $100,000 one time.
• This is something we've worked on for a long time on a bipartisan basis: addressing the wait list for
• DD client services, and all this amendment would do is fund the unfilled wait list, folks on the wait
• All this amendment would do is fund the unfilled wait list, folks on the wait list that aren't funded
• So regretfully asking for a no at this time.

Bills: SB5998

Committee: Senate Ways & Means

Keywords: fiscal appropriations, budget, state funding, financial management, operating expenses

Transcript Highlights:

• The effect is the $100,000 one time.
• This is something we've worked on for a long time on a bipartisan basis, addressing the wait list for
• DD client services, and all this amendment would do is fund the unfilled wait list, folks on the wait
• All this amendment would do is fund the unfilled wait list, folks on the wait list that aren't funded
• So regretfully asking for a no at this time.

Summary: The Senate Ways and Means Committee met in executive session on Senate Bill 5998, the proposed operating budget, and received a staff briefing on 39 proposed amendments. The amendments covered a wide range of issues, including technical corrections; truancy intervention funding; public defense and Blake-related vacatur work; family reading, shellfish program review, cultural resource protection, agritourism, transmission planning, paid leave, developmental disabilities services, nursing home rates, TANF workforce services, food bank language, oral health access, behavioral health partnership access, sexual assault nurse examiner training, Department of Corrections security measures, child welfare staffing, pediatric interim care centers, Working Connections Child Care, range rider funding, Chinese American history month materials, Running Start, retiree health subsidies, school bus contractor costs, local effort assistance, transition to kindergarten, charter school enrichment, arts grants, and a tribal liaison position. Several amendments were withdrawn before action, including the truancy increase, Blake funding, one DD-related amendment, and others. The committee adopted a number of amendments, including the technical corrections packet, reductions or savings-related corrections, the family reading program, shellfish review funding, the transmission-system implementation funding, the oral health foundation, the partnership access line, health technology assessment funding, the governor errata correction, the sexual assault nurse examiner training contract, the DOC canine scheduling language, the child welfare staffing correction, the people transportation language, the TTK-related amendment, and the tribal liaison funding. It rejected several others, including agritourism, paid leave study language, DD waiver expansion, nursing home add-ons, the PIC program, range rider funding, Chinese American history month materials, Running Start restoration, the LEA restoration amendment, and the arts grant restoration. Some amendments were withdrawn after discussion, including the DD waiver and LEA-related proposals. During debate, supporters of various amendments emphasized service needs for vulnerable populations, including people with developmental disabilities, survivors of sexual assault, Medicaid dental access, behavioral health callers, and students in Running Start and TTK. Opponents repeatedly cited budget constraints, the need for a sustainable operating budget, and the view that some issues were better addressed through collective bargaining or future negotiations. The committee then rolled the adopted amendments into a new substitute Senate Bill 5998 and voted to send it to the Rules Committee with a do-pass recommendation, subject to signatures. Several members stated they would vote no on the budget overall, while others supported it as a difficult but necessary compromise. The meeting adjourned after the final vote.

Transcript Highlights:

• They're on those wait lists. This... ...kids on the DES child care wait lists.
• I spent thousands of hours doing my own taxes, most personal tax and small businesses from time to time
• I think I hired someone to do my taxes one time in 50.
• President, I appreciate the time. And I vote aye. And, Mr. President, I appreciate the time.
• Okay, so you change the timing of the expensing.

Transcript Highlights:

• That was my first full-time job.
• So we saw kind of an increase in wait times, especially early on in open enrollment, and we'll probably
• ... ...of an increase in wait times, especially early on in open enrollment, and we'll probably see dips
• times, etc.
• times, etc.

Committee: Joint Joint Select Committee on Health Care and Behavioral Health Oversight

Summary: The committee first welcomed new DSHS Secretary Angela Ramirez, who introduced herself and described her background in public service, federal and state legislative work, and health and human services leadership. Members emphasized the importance of building strong relationships with her and noted her focus on protecting services, using strategic approaches in a tight budget environment, and improving partnerships with the Legislature. Ramirez said she wanted to keep communication open and that her priorities would be shaped by what she learns from lawmakers and agency partners. The next work session focused on the West Coast Health Alliance and the broader Governor’s Public Health Alliance. Department of Health and governor’s office staff said the West Coast alliance, involving Washington, Oregon, California, and Hawaii, was formed to coordinate science-based public health guidance, especially around vaccines, return-to-work guidance, and responses to federal changes. They said the alliance is intended to reduce confusion, counter misinformation, and preserve access to evidence-based recommendations, with early actions including vaccine guidance for COVID-19, flu, and RSV, a statement rejecting any vaccine-autism link, and preparation for possible ACIP changes. Members asked about workload and coordination with other regional alliances, and staff said there is informal coordination but no formal regular meetings. The committee then heard from the Washington State Health Benefit Exchange about open enrollment and the effects of federal policy changes. Exchange leaders said the expiration of enhanced premium tax credits, HR1 provisions, and immigration-related eligibility changes are affecting affordability and enrollment, with some customers facing large premium increases and some counties becoming harder to serve. They reported early open-enrollment traffic increases, nearly 10,000 new sign-ups, and nearly 12,000 active coverage drops so far, while noting that many more people may disenroll later if subsidies are not extended. They also described mitigation efforts such as silver loading, Cascade Care Savings, outreach through navigators and community partners, and planning for future HR1 requirements like ending auto-renewal and adding verification steps. In the final work session, staff from the Health Care Authority and Insurance Commissioner’s office reviewed Washington’s health reform history and the state’s current affordability and access efforts. They highlighted past ACA-related coverage gains, continued work on prescription drug affordability, PBM oversight, primary care and behavioral health access, and a pending legislative proposal to preserve access to preventive services. They also discussed federal changes affecting Medicaid and the exchange, including work requirements, six-month redeterminations, and the need to coordinate across agencies to implement new rules. Members raised concerns about network adequacy, provider access, and the complexity of the health care system, while staff said they are trying to mitigate harm, simplify administration, and keep coverage and access as stable as possible.

Transcript Highlights:

• Bybee, did we have eligible students on a waiting list?
• What about students that were maybe waiting and had not received? Do we have that number?
• I guess my concern is, is there a waiting list of students that were eligible but...
• And I don't know exact timing on when awards are made and when the distributions go out.
• I should have just waited and waited and waited and just looked at you and waited. Go ahead.

Summary: The joint Senate Finance and House Appropriations committee met to consider several FY 2026 and FY 2027 cash transfers and then began reviewing maintenance budget language for FY 2027. The first transfer moved $33.745 million from the permanent building fund to the general fund. Keith Bybee and Lori Wolf explained the money was tied to canceled or stalled capital projects, including the Carnegie Library purchase/renovation, juvenile corrections facility additions, an Idaho State Police district facility, IDOC reentry-related projects, and an ISU pedestrian crossing. Senator Wintrow raised concerns that some projects remained important, but the committee approved the transfer 18-2 and sent it with a due pass recommendation. The committee then approved a $15 million transfer from the Water Pollution Control Fund to the general fund and a $10 million transfer from the In-Demand Careers Fund to the general fund, both with due pass recommendations. Members asked whether there were eligible students waiting for In-Demand Careers grants and whether the transfer would reduce aid availability; staff said the fund had a large cash balance relative to current obligations and that some money had been returned or remained unclaimed. The committee also approved a FY 2027 In-Demand Careers transfer of $10 million, but only after awards are obligated and reconciled on December 31, 2026, or as soon thereafter as practicable, reflecting concerns about preserving student aid while allowing unused balances to revert. After the cash-transfer votes, the committee shifted to maintenance budget work for FY 2027. Bybee explained that the packet contained the standard clear language for the maintenance bills, but the reporting structure in the budget database had been disrupted by the many adjustments, so staff would do additional testing before final numbers were circulated. He walked members through the table of contents and examples of the language, noting that maintenance budgets have only existed for three years and generally contain less controversial statutory language, though workgroups could still consider adding intent language. The committee was told that workgroups for General Government and Natural Resources would begin, with additional lunch meetings possible, and the meeting adjourned until the next morning.

Transcript Highlights:

• And that causes wait times for the participants that slows things down.
• And that causes wait times for the participants that slows things down.
• And that causes<00:04:42.040><c> wait</c><00:04:42.280><c> times</c><00:04:42.760><c> for</c><00:04:43.480
• ><c> the</c><00:04:43.600><c> participants</c> causes wait times for the participants causes wait times
• And so, as it takes time to detect the errors, then that's more time that people either are not able

Transcript Highlights:

• For the first time in a long time, I felt relief.
• Thank you for your time and consideration.
• Assessment time waiting, among other things.
• At least half of those at any given time are children.
• Thank you for allowing this time this morning.

Bills: HF2115 , HF2276 , HF1644 , HF99 , HF2068 , HF2707 , HF2704 , HF2406 , HF1674 , HF1579

Committee: House Human Services Finance and Policy

Transcript Highlights:

• We have to wait 630 days.
• Why should some of us have to wait?
• Even the part-time employees very much need it.
• Thank you for your time. Representative McRae. Yeah, thank you, Mike.
• Thank you for your time. Please don't advance this bill.

Bills: HB2124 , HB2125 , HB2160 , HB2179

Committee: House Appropriations

Keywords: retirement, lump sum payment, financial security, pension reform, monthly benefits, retirement system, investment earnings, trust funds, public pensions, financial management, education, benefits, school employees, membership eligibility, employment, public employees, port workers, federal retirement plan, pension

Transcript Highlights:

• It's served us well during its time, but it's probably time to start looking at really getting the benefit
• From time to time, there is conduct engaged in by someone that we're looking at, where all three of us
• We can give you the point in time.
• And so thank you so much for your time.
• In practice, this results in 17 to 18 year wait times for programs like HCS.

Committee: House Human Services