Transcript Highlights:

• C was much more than a health care provider for my sister and my family.
• It would provide her with the...
• CPR provides technical assistance on SDM around the country.
• House Bill 282 and Senate Bill 168 provide a direct and powerful solution.
• Providers and institutions are told to Two, broad third-party reliance.

Keywords: 995, all

Summary: The Joint Committee on Children, Families and Persons with Disabilities held a hybrid hearing focused largely on DDS-related bills, with chairs Kennedy and Livingstone outlining strict time limits, accessibility procedures, and a 5 p.m. stop to preserve ASL and CART services. The committee heard testimony on several measures, including a bill from Sen. Mike Moore to create a centralized electronic education records system for students in out-of-home placements, which supporters said would improve communication, preserve IEP continuity, and reduce missed services. Paul DePaulo also testified in support, describing the educational and justice-system harms that can follow when foster youth do not receive coordinated records and supports. A major portion of the hearing centered on H. 242/S. 149, a bill to enhance standards of care for people with autism and intellectual and developmental disabilities. Rep. Garballey and many advocates, parents, clinicians, and disability leaders supported the bill, saying it would require provider training, statewide standards, and better emergency department practices to reduce misdiagnosis, trauma, and unnecessary ER boarding. Testimony described sensory and communication barriers in medical settings, lack of provider training, and the need for continuing education and license-related requirements. Related testimony also supported H. 213/S. 111, which would improve access to behavioral health services for children involved with state agencies by requiring better discharge planning, coordination with hospitals and agencies, and more appropriate post-hospital placements. The committee also heard strong support for H. 256/S. 102, requiring universal changing stations in public buildings, from parents, advocates, and the Massachusetts Developmental Disabilities Council. Witnesses said current restroom accommodations often force unsafe or undignified changes on floors, in cars, or in inaccessible spaces, and argued the cost of adding changing stations to new or renovated buildings would be modest compared with the benefits to dignity, safety, and community access. Another major topic was H. 261/S. 155 on supported decision-making agreements for certain adults, which supporters described as a less restrictive alternative to guardianship that preserves autonomy while providing trusted support. Finally, testimony on Tommy’s bill (S. 168/H. 282) described a preventable death after a hospital discharge and urged clearer communication and training requirements for residential staff handling life-sustaining equipment; the bill was presented as a safeguard for people with disabilities relying on such equipment.

Transcript Highlights:

• So Medication-Assisted Treatment, or MAT, provides services that are provided by the state, and they
• to provide these services.
• The goal is to provide more health care providers, and we love it when we grow our own.
• We had a lot of providers.
• What's going to happen to our particularly rural providers? But all of our providers.

Transcript Highlights:

• Thank you for the opportunity to provide this update.
• Inability to provide customers with comprehensive data.
• Also in 2023, additional providers were added to the I-Connect system, including behavioral service providers
• During 2024, the agency continued to add providers, including adult day training and residential providers
• and different types of service providers.

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

Transcript Highlights:

• There's roughly about 17 providers in the state of New Mexico that provide this care that are certified
• Having this explicitly in the language ensures that it's not any willing provider that can provide it
• Provide one. Madam Chair? Yes.
• Many forms of providers, such as behavioral health providers, specifically psychologists mentioned in
• Many forms of providers, such as behavioral health providers, specifically psychologists mentioned in

Keywords: 996, all

Transcript Highlights:

• Everything we provide is on site. We used to refer everyone out.
• So it looks like there are 10 core services we all have to provide.
• more beds or provide more services.
• So it looks, so there's 10 core services we all have to provide.
• It's not published, but they did provide us some data.

Summary: The committee held a panel discussion on Florida’s domestic violence system, focusing on how state and federally funded services are coordinated, the role of the Florida Partnership to End Domestic Violence (FPEDV), the Florida Domestic Violence Collaborative, DCF, and certified domestic violence centers. Members reviewed the post-2020 restructuring after the dissolution of FCADV, the current hotline, legal services, training, and technical assistance contracts, and the Legislature’s recent work on lethality assessments under SB 1224. Panelists also described prevention, shelter, counseling, child advocacy, and legal support services, along with the statewide network of 41 certified centers serving all 67 counties. Testimony highlighted both collaboration and tension. FPEDV and Women in Distress described overlapping training and technical assistance roles, but FPEDV said its relationship with DCF has been difficult and at times obstructive, while DCF said communication and coordination are ongoing. Women in Distress and other providers emphasized the importance of direct services, the statewide hotline, injunction assistance, child welfare co-located advocates, and prevention programs. Several members asked about funding flows, certification, and whether the current structure is sufficient for rural counties; witnesses said federal FVPSA funds are formula-based, DCF contracts directly with centers, and rural programs face staffing and fundraising challenges that limit beds and services. A major portion of the discussion centered on the lethality assessment work group and implementation of the new statewide tool. FDLE explained that the work group concluded the Maryland model was copyrighted and costly to replicate exactly, so Florida adopted a statutory assessment that is not evidence-based in the same way, with training available online and 46 of about 400 law enforcement agencies having completed it so far. Senators raised concerns about multiple assessments, redacted police reports, and whether the tool will be useful without better coordination and data collection. Witnesses also discussed rising domestic violence, teen dating violence, and strangulation cases, with providers reporting increased demand, full shelters, and greater use of hotels and mobile crisis responses. No formal votes or actions were taken.

Transcript Highlights:

• So we believe that by reducing the instructional minutes, it will provide greater flexibility to provide
• We have provided through SIF clear and measurable results, and we also have SIF providing additional
• Specifically, there was funding provided for L.A.
• You'll be provided one minute each. I will have a timer.
• We provide services to 47 LEAs, 30 other I don't know.

Keywords: 987, senate, all

Transcript Highlights:

• There is budget bill language that provides.
• The Legislature could provide a different amount.
• If the Legislature is interested in providing funding, it could, in language, provide a little bit more
• So the funding is provided to UCSF so that they can continue providing it to schools at no cost ongoing
• they provide for, you know, teachers.

Summary: The committee heard an overview of the May Revision’s Proposition 98 changes for K-12 and community colleges. The Department of Finance said the minimum guarantee rises by $6.4 billion over the Governor’s Budget across the three-year window, with higher guarantees in each year, full payment of the prior settle-up, and larger deposits into the school rainy-day fund. The LAO said the revenue and LCFF updates were reasonable, but urged caution about the settle-up approach and recommended using more of the available funding to protect ongoing programs and build budget resilience. Members focused heavily on the size of the proposed $3.9 billion settle-up, the $10.3 billion reserve deposit, declining K-12 enrollment, and how much of the new funding should be ongoing versus one-time. The committee then reviewed the community colleges portion of the budget. Finance described the May Revision’s higher SCFF COLA, additional funding for enrollment growth, a student support block grant, apprenticeship adjustments, and continued funding for deferred maintenance, Calbright, Common Cloud, and credit for prior learning. The Chancellor’s Office supported the core investments but asked for more funding for enrollment growth, changes to the growth formula, and a COLA for Student Equity and Achievement. The LAO recommended prioritizing the statutory COLA increase, noted that more than half of districts are already above current-year growth targets, and said the new adult learner demonstration project should be rejected because districts already have tools to support similar services. Members also discussed a $52 million current-year apportionment shortfall, which Finance said was discovered too late for the May Revision and would need to be addressed later. Finally, the committee took up the proposed implementation of the federal Workforce Pell program. Finance proposed one-time funding for the California Student Aid Commission and Cradle to Career to build eligibility and data systems, along with trailer bill changes to set up state approval processes. CSAC said the program is promising but highly complex, that California lacks the needed infrastructure, and that the state will need emergency regulations, data linkages, and ongoing funding beyond the one-time proposal. The LAO agreed that some initial funding is needed but warned that the amounts and ongoing costs remain uncertain and that the Legislature should carefully draft the trailer bill language. Members asked about timing, other states’ actions, and how the state would ensure the program is ready for students and institutions.

Transcript Highlights:

• Similarly, care providers and primary care providers need more training to ensure direct connection to
• So at a very minimum, providers must have the tools to be able to provide services via telehealth, and
• So at a very minimum, providers must have the tools to be able to provide services via telehealth, and
• Fish and wildlife lands are—there's taxes provided in lieu, or money provided in lieu of taxes, for that
• provide?

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• actually provided by last legislature at the bottom of page 8.
• The following riders provide contingent appropriation.
• Right. actually did provide funding for the reading academies.
• As is somewhat complex, the state provides money not to schools, the state provides money to schools.
• The NES, it's sort of centrally provided, so that's.

Keywords: 1184, house, all

Transcript Highlights:

• provider shortage and a provider provider shortage and a provider malistribution<00:11:26.240>
• to be treated by the medical providers to be treated by the medical providers to<00:11:37.600>
• law as it is a healthcare provider law. law as it is a healthcare provider law.
• will be provided services. will be provided services.
• We can provide paper titles, but they will be provided for a fee.

Keywords: 958, all

Summary: The Senate convened with prayer, the pledge, and roll call, establishing a quorum with 33 members present. The chamber approved the prior journal, excused absent senators, welcomed viewers, and received House messages announcing passage of House Bill 253, House Bill 436508, and House Concurrent Resolution 44 for concurrence. New filings were also reported: Senate Bill 197 on economic development and Senate Joint Resolution 99 designating the Destiny Brewer Memorial Highway in Martin County. The main floor action centered on Senate Bill 72, a measure on recruitment and retention of health care professionals and declaring an emergency. The bill’s sponsor argued it would protect health care workers’ conscience rights, improve recruitment and retention, and address provider shortages and corporate pressures in medicine, while emphasizing that emergency care would still be required under federal law. Supporters said the bill would protect providers from being forced to participate in procedures that violate their moral or religious beliefs and cited examples from other states and physicians who had left practices over conscience concerns. Opponents argued the bill’s language was too broad and could allow denial of non-emergency care based on vague moral, ethical, or religious objections, potentially harming patients in health care deserts and sending the wrong message about caring for all people. One senator raised a hypothetical about racial discrimination under the bill’s definitions, while supporters responded that the bill was intended to protect providers and patients and that existing professional ethics and hospital policies would prevent abuse. Additional supporters said the measure would not deny basic care and would help keep physicians in the state. The bill was still under debate at the end of the excerpt, with questions and responses continuing; no final vote or disposition on Senate Bill 72 is shown in the transcript provided. Other bills reported from second reading were referred to the Rules Committee for further action, and Senate Bill 69 was passed over and retained its place on the orders of the day.

Transcript Highlights:

• Um it provides 50 program for youth.
• well as our primary care providers.
• care of themselves and providing care of themselves and providing incentives<00:58:42.480> to
• > just with Hotel, Inc. where we provided just with Hotel, Inc. where we provided just $6,000<01:
• Uh, members uh appreciate the services not only the MCOs provide them but that provider community is

Keywords: 958, all

Summary: The task force opened with a moment of silence for the Louisville UPS plane tragedy, approved the October 15 minutes, and reminded members to submit policy recommendations before the December 16 meeting, when the group will discuss its report to LRC. The first informational presentation, from the Department for Public Health, focused on youth vaping. Elizabeth Good and Julie Brooks cited a recent Surgeon General report warning that youth vaping can harm brain development, mental health, lungs, asthma, and hormones, and noted Kentucky survey data showing 8.7% of students reported daily vaping and 19.7% used vaping products in the prior 30 days. They described prevention and cessation resources including Catch My Breath, I Can End the Trend, Not on Tobacco, My Life, My Quit, Quitline services, and the Kentucky TRUST retailer education program, which trained 3,371 individuals in 2024 and distributed 253 Tobacco 21 toolkits. The next presentation came from Kentucky ABC on implementation of SB 100, which created the division of tobacco, nicotine, and vapor product licensing. Commissioner Scotty Tracy and Jamar Carter said all retailers selling tobacco, nicotine, or vapor products must be licensed, regulations were filed October 31, 2025, and the online application portal is live. In response to questions about sales to minors, they said violations carry escalating fines for clerks and owners, with a fourth violation resulting in no license renewal for two years and unpaid fines also blocking renewal. They said complaints can be submitted through the portal, by phone, or on the ABC website, and enforcement investigates tips and may use underage compliance checks. The committee then heard from Kim McKenna Johnson of One Cross Community Health, who argued for a “deficiency-first” and holistic approach to care centered on nutrition, lifestyle, and targeted supplementation. She said her clinic serves more than 7,000 patients in Taylor and Marion counties and described a model that includes primary care, behavioral health, functional medicine, addiction recovery, and chronic care. She cited Kentucky health rankings, claimed nutritional deficiencies cost the state billions, and said many children are overprescribed while undernourished. She urged broader insurance coverage for nutritional testing and supplements, rural demonstration grants, and Medicaid pilots for clinically prescribed supplements. Members asked about testing costs, dietitian support, long-term cost savings, compliance, and whether medications are often used to prevent damage from noncompliance; the presenter said the lab tests are generally covered, supplements are the main cost barrier, and seeing lab results can improve family buy-in. No votes were taken during the meeting.

Transcript Highlights:

• My name is Manju, and I'm a child care provider with CCPU.
• I'm a family child care provider from Orange County.
• I am a family child care provider in Sacramento County.
• I am a 24-hour child care provider.
• I'm a provider from Los Angeles County. I've been a child care provider for 17 years.

Keywords: 987, senate, all

Transcript Highlights:

• We've also used exclusive providers where you try to steer populations to in-network providers to get
• To provide some foundation for it, we've provided some additional information in terms of turnover rates
• The employer providing these are employer-provided surveys, not input.
• The employer providing—these are employer-provided surveys, not the input.
• However, we do provide family medical leave that provides up to 12 weeks of unpaid family leave.

Summary: The Employee Benefits Committee met to approve prior minutes, hear presentations on state employee health insurance, compensation, leave, and related policy issues, and then recess for lunch. PERS reviewed the history and structure of the state health plan, noting the long-standing state-paid family coverage, cost-control measures, wellness incentives, the current grandfathered PPO and high-deductible options, and the effects of recent benefit mandates such as insulin caps, prosthetic coverage, medication management, prescription copay changes, and ambulance balance-billing limits. Committee members questioned the fiscal impact of adding benefits and the possible cost of moving to a non-grandfathered plan, while PERS and HRMS emphasized that health insurance remains the top-ranked employee benefit and that any major plan changes should be considered carefully. HRMS also presented compensation comparisons showing state pay generally below private-market benchmarks, discussed targeted market equity adjustments, identified ongoing recruitment and retention concerns in fields like nursing, IT, engineering, and attorneys, and reviewed leave policies, tuition reimbursement, and family leave comparisons with neighboring states. Job Service provided labor market data showing low unemployment, high labor force participation, and wage growth that still trails some neighboring markets, and OMB explained that prevailing wage requirements apply to federally funded projects under Davis-Bacon, not to ordinary state contracts. After lunch, the committee took up the required process for health insurance mandate bills and adopted an amendment to Joint Rule 211. The amendment clarified that the deadline for submitting mandate measures is intended to allow time for all required reports, including both the cost-benefit analysis and any Employee Benefits Committee actuarial report, while leaving the existing deadline unchanged. The amendment was adopted on a roll call vote, with several members voting yes and a few no votes recorded. The committee then moved into its jurisdiction review of bill drafts, beginning with a bill that would automatically renew pre-tax dental and vision elections; members debated whether it had any actuarial or administrative impact on PERS or the state, and the chair explained that the committee’s role was only to decide whether further analysis was needed before later testimony and recommendations.

Transcript Highlights:

• The role of each CESA is to provide The role of each CESA is to provide services<00:02:44.760>
• :51.080> highly Examples would include providing highly Examples would include providing highly
• providing transportation. providing transportation.
• best suit that region to provide. best suit that region to provide.
• another area that they um are providing. another area that they um are providing.

Keywords: 926, house, all

Summary: The meeting was a caucus of the whole on House Bill 955, described by House Education Chair Rep. Peter Conlin as the year’s education transformation bill. He said the bill is still evolving and must still go through Ways and Means, Appropriations, and the Senate. Conlin framed the bill as a response to declining enrollment, school building needs, future funding changes, and equity concerns, drawing on prior commission work, testimony, surveys, emails, and committee input. Conlin said H. 955 has two major structural pieces: it creates seven mandatory Cooperative Education Service Areas (CESAs) to provide shared services more efficiently at larger scale, and it requires merger study committees in all parts of the state to examine whether districts should voluntarily merge into pre-K through 12 union school districts. He emphasized that CESAs are service providers, not governing bodies, and that merger study committees are required to study merger but not to merge. He also said the bill includes startup grants for CESAs, fee-for-service funding, a guidance map for facilitator work, deadlines culminating in merger votes on November 7, 2028, and reporting requirements back to the General Assembly. Members asked about whether CESAs duplicate supervisory unions, how representation would work, whether the bill affects academic standards, what happens to articles of agreement, why some study groupings include only one district, how the process would work in practice, and what support facilitators would have. Conlin responded that CESAs are intended to add scale for specialized services rather than replace supervisory unions, that they do not govern schools, and that representation and structure could be adjusted as the bill moves forward. He said the bill does not change what is taught in schools, only governance and funding, and that any merger would still require new articles of agreement and voter approval. He also said the facilitator system would be supported by a lead facilitator and the existing CESA structure, and that some groupings may be revised based on local conditions. The committee also discussed cost savings and timing. Conlin said the bill is intended to reduce costs through shared services and larger-scale districts, and that the proposed delay in implementing a foundation formula is meant to allow time for mergers and related administrative work, including bargaining, records, and district consolidation. He cited the existing Vermont Learning Collaborative in southeastern Vermont as an example of a CESA already providing specialized services and saving member districts money.

Transcript Highlights:

• Next, we'll provide a very high-level overview of the services that Admin provides to the enterprise
• to<00:02:39.040> the the services that admin provides to the the services that admin provides
• the benefit of the committee provide the benefit of the committee provide what<00:14:37.839>
• time and our mission is to provide time and our mission is to provide leadership<00:16:06.000>
• lead to Greater Services being provided lead to Greater Services being provided to<01:09:17.560>

Keywords: 1183, house

Transcript Highlights:

• Also, that providers will provide a high-quality learning experience for the children and that there
• So we have monthly provider calls.
• That's open to everyone, actually, not just providers.
• Do you provide any training from your office for the providers? Yes, sir.
• We know our local providers and so forth.

Summary: The Early Childhood Committee met for an update from the Office of Early Childhood within the Department of Education. Members heard that the office’s goals under the LEARNS Act are to improve kindergarten readiness, support families, ensure quality providers, and expand affordable, accessible child care. Staff reviewed the local lead system, licensing, quality efforts such as CLASS and QRIS, and the two main funding streams: School Readiness Assistance (SRA), a federal CCDF-funded voucher program serving about 14,600 children with a wait list of a little over 3,000, and Arkansas Better Chance (ABC), a state-funded program serving about 21,000 children with authority recently increased to 24,000 slots. A major topic was the difference between market rate surveys and cost analysis studies. Officials said the department is procuring both through an RFP, hoping to begin by August and have results by late in the year. Members pressed for current reimbursement levels, the gap between ABC and SRA funding, and whether ABC funding should be increased to better match costs. Staff explained that SRA rates are set at 75% of the market rate, while ABC per-child funding is much lower, and that ABC slots are limited by the overall allocation. They also explained that some ABC slots were increased by moving children from a discontinued federal pre-K arrangement into ABC to preserve continuity of care. Committee members raised concerns about rural access, infant and toddler shortages, provider stability, workforce pay, and communication with families and providers. Officials said local leads are now helping identify underserved areas, that no county with absolutely no care is known, and that the department is trying to get a truer statewide count of children and providers. They also described efforts to improve communication through monthly provider calls, website postings, and direct case contacts with families. Members discussed possible funding increases, including ideas to reduce the SRA wait list and raise ABC funding, but no formal vote or action was taken beyond approving prior meeting minutes and receiving the update.

Transcript Highlights:

• Also, that providers will provide a high-quality learning experience for the children and that there
• So we have monthly provider calls.
• That's open to everyone, actually, not just providers.
• Do you provide any training from your office for the providers? Yes, sir.
• We know our local providers and so forth.

Summary: The Early Childhood Committee met to receive an update from the Office of Early Childhood on Arkansas child care and early learning programs. Committee members discussed the state’s child care crisis, including reported economic losses from lack of access, the need to track access, affordability, workforce shortages, rural and infant/toddler care gaps, and the role of local leads in identifying needs across the state. The committee also approved the February 17 minutes. Office of Early Childhood staff explained their responsibilities under the LEARNS Act, including kindergarten readiness, provider quality, and access to affordable seats. They reviewed licensing, quality efforts, and the two main funding streams: School Readiness Assistance (SRA), a federally funded voucher program serving about 14,600 children with a wait list of more than 3,000, and Arkansas Better Chance (ABC), a state-funded program serving about 23,000 children, with approval to increase to 24,000 slots. Members asked about the difference between market rate surveys and cost analyses, and staff said the office is procuring both, with results expected by the end of the year. Several members raised concerns about funding levels, especially that ABC reimbursement has not kept pace with K-12 funding increases and that child care reimbursement remains below the true cost of care. Staff said ABC requires certified teachers and lower ratios than SRA, but pays less, and that some federal pre-K slots were moved into ABC to preserve continuity of care. They also explained that SRA eligibility changes, including a higher work requirement and ending a child care worker eligibility category, were made to reduce spending and serve families on the wait list. The committee discussed communication with providers and parents, technical assistance for centers, and possible future legislative action to stabilize providers and expand access, but no votes or formal actions were taken beyond approving the minutes and adjournment.

Transcript Highlights:

• state systems as well as provider state systems as well as provider systems<00:36:41.320> as<
• is maintained as a referral from a provider sending and a provider receiving the referral.
• So, if I was a provider and Marissa was a provider, the two of us would be able to see it if you as a
• to that provider group, then the system on the back end says this provider group has access to this
• So, we have housing providers. We have food service providers.

Keywords: 1189, house, all

Summary: The committee first approved the March 20 minutes and then adopted the remainder of the consent calendar, after removing two items for separate discussion. On item 26071, members questioned a $95,000 DoubleTree Manchester contract for a two-day conference. Department staff said the hotel was the only bidder, the conference typically draws more than 500 attendees, most of the cost is food offset by registration fees, and attendees pay their own lodging except for presenters. The committee then approved the item. On item 26068, members asked for clearer reporting on remaining federal funds in continuing items. DHHS said about $10.3 million remained as of February 28, 2026, and agreed to provide the original award amounts and a reconciliation later. The committee approved the item. The committee then took up a DHHS transfer item for the developmental disability system, where officials said projected costs had risen because of delayed pandemic-era billings, new individuals entering the system, and higher individual service budgets. They said the budget was built on older assumptions, that carryforward funds had fallen from about $94 million to $72 million, and that the transfer would not affect lapse because it shifts general funds while federal Medicaid funds are accepted in return. The item was adopted. The committee also approved a hiring request and then a late Corrections item tied to overtime and recruitment. Corrections officials said the department is about 50% staffed for corrections officers, typical overtime is an eight-hour shift, inmate populations are beginning to rise again, and the department is using academy blitzes, out-of-state recruiting, targeted advertising, and a $10,000 sign-on bonus paid after academy completion and one year of service. Senator Gray said the late item was intended to help reduce a larger request expected in June, and the committee adopted the item. Finally, members questioned DHHS item 26074 on the New Hampshire Care Connection system and its interoperability with provider and managed care systems. DHHS said the system already has SMART on FHIR integration, single sign-on, and deeper integration options, and that managed care organizations are working with the contractor on use cases and data exchange. Officials said the project has been multi-phase, including the 988 crisis-response migration, privacy/security work, a provider network of more than 100 organizations, and a searchable resource portal managed by Granite United Way. They said the closed-referral solution is funded largely with Medicaid federal funds and is planned to continue in the base budget, not the rural health grant. The discussion ended without further action noted in the excerpt.

Transcript Highlights:

• So as we think of providers now building lower amounts, right?
• And we were starting to see some of those operating margins that the providers need to provide services
• And we were starting to see some of those operating margins that the providers need to provide services
• Very few of our members provide just one type of service.
• For example, 81% of all providers licensed to provide individualized home supports are located in the

Keywords: 1183, house

Transcript Highlights:

• Private businesses provided gift cards, local nonprofits provided food, and our own Washington Military
• We provide confidential care.
• We provide military-competent care, including every provider that walks through a door gets extensive
• We were already providing them.
• State provides.

Summary: The committee heard updates from Joint Base Lewis-McChord, Navy Region Northwest, Fairchild Air Force Base, the Coast Guard, state licensing agencies, the Professional Educator Standards Board, the Washington National Guard, and a veterans behavioral health presenter. Across the military briefings, common themes were readiness, infrastructure, and quality-of-life issues for service members and families, especially child care, housing, food insecurity, medical and dental access, and military spouse employment. JBLM highlighted its role in Indo-Pacific readiness, ongoing PFAS cleanup, 212 new family housing units under construction, efforts to expand child care, and continued work to keep the Lewis Army Museum open. Navy Region Northwest discussed its major installations and economic impact, the Shipyard Infrastructure Optimization Plan, future carrier and submarine homeporting needs, and asked the legislature to continue support for licensure compacts, educational stability for military children, housing, and medical access. Fairchild emphasized its tanker and survival missions, child care shortages, food insecurity, aging housing, and concerns about wind turbine development near flight paths, while the Coast Guard focused on rebuilding Base Seattle for new icebreakers and on rural access to housing, medical care, and child care at dispersed stations like Neah Bay. Members repeatedly raised food insecurity and asked for follow-up on solutions. JBLM and Fairchild both described increased demand for food assistance during the shutdown, and committee members noted progress in getting mobile food vans onto JBLM. The presenters also praised state action on military spouse licensure and child care, including Senate Bill 5545 and related compact and portability efforts. The Department of Licensing reported about 9,000 self-identified military members or spouses licensed, with average time-to-license just under nine days, and said applications are prioritized when military status is self-identified. The Department of Health said its military-to-civilian crosswalk now covers more than 35 health professions, that temporary practice permits and expedited processing are in place, and that 1,300 credentials were issued to military spouses and domestic partners and 129 to military-trained health professionals in the last fiscal year, all within 30 days. The Professional Educator Standards Board explained that military spouses and service members can receive expedited teacher certification with reduced documentation, and that they are moved to the front of the review queue when they self-identify. Members asked about verification, and staff said the process relies on attestation with investigatory safeguards if needed. The Washington National Guard briefed on its dual state and federal mission, the impact of the recent shutdown on nearly 700 employees who worked without pay, and policy and budget requests including youth academy protections, alignment of the Washington Code of Military Justice with the UCMJ, making Civil Air Patrol a division of the Military Department, 911 funding, disaster assistance, and capital funding for headquarters and readiness facilities. The Guard also warned about drone threats and said it wants authority to identify, track, and monitor suspicious drones. A veterans behavioral health presenter, an Army combat veteran and clinical social worker, described high suicide risk, barriers to care, and the need for more culturally competent services, especially for women veterans and caregivers. He said Washington veterans’ suicide rate remains above the national average and emphasized that childcare, transportation, and provider shortages can prevent timely treatment. Members generally responded supportively throughout, asked for follow-up on food security and other issues, and encouraged agencies to bring forward legislative ideas for future sessions.