Transcript Highlights:

• If the cost-benefit analysis was not included with a measure, the committee was to request the analysis
• Just add a link with the cost-benefit analysis so that everyone has a copy of that cost-benefit analysis
• The department did all the analysis.
• They talk about cost-benefit analysis, but I didn't really see benefit.
• So that one was, Benefit analysis, but I didn't really see benefit.

Keywords: 908, all

Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.

Transcript Highlights:

• I would just direct you to page 63 of the analysis that shows the out-year costs on it.
• I would just direct you to page 63 of the analysis that shows the out-year costs on it. No.
• There are many different pieces of the Children and Youth Behavioral Health Initiative.
• There is $50 million for behavioral health grants to the counties.
• One is around the Youth Behavioral Health Initiative.

Summary: The Assembly Budget Committee held an informational hearing on the final three-party budget agreement and related trailer bills, with the Department of Finance outlining the major budget bill and omnibus measures. Finance described a package built around balancing the state budget amid economic uncertainty, preserving core health and safety-net programs, and making significant ongoing reductions in some state programs. The budget bill included major items such as shifting $1 billion from the General Fund to the Greenhouse Gas Reduction Fund for Cal Fire, funding universal transitional kindergarten, deferring some UC and CSU funding, supporting foster care and homelessness programs, providing Proposition 36 implementation funding, and achieving Medi-Cal savings through changes to benefits and eligibility. The committee also heard that votes on the budget bills were expected later in the week and the following Monday. Finance then walked through the trailer bills, including health, human services, early learning, education, resources, energy, transportation, labor, housing, tax, public safety, courts, general government, cannabis, and energy-related measures. Notable provisions included a Medi-Cal enrollment freeze for certain adults, new premiums and benefit changes for some immigrants, child care COLA changes, education funding for literacy, teacher support, universal meals, and community college student support, as well as resource and climate measures affecting Cal Fire staffing and energy permitting. The housing trailer bill drew the most discussion, with provisions on CEQA streamlining, a vehicle miles traveled mitigation banking program, a renters’ credit trigger, and a six-year moratorium on new residential building standards. Members also discussed a film tax credit expansion, cannabis enforcement funding, a tribal police pilot program, and changes to tax policy, including military retirement income exclusions and wildfire settlement payment exclusions. Committee members largely praised the staff and the budget process, but several raised concerns and asked detailed questions, especially about the housing trailer bill’s new wage standards, tribal consultation provisions, and possible effects on prevailing wage protections. Finance explained that the housing language was intended to set wage floors for market-rate projects receiving CEQA streamlining, with different county-based tiers and a notwithstanding clause preserving existing prevailing wage laws. Members also questioned the size and timing of funding for the Children and Youth Behavioral Health Initiative, Clean Cars for All, Proposition 36, and the film tax credit expansion. Other members highlighted support for public safety, veterans’ tax relief, child care providers, housing production, and higher education, while some expressed concern that the budget’s policy changes were being negotiated too quickly or without enough stakeholder input.

Transcript Highlights:

• That's writer 2, contingency for behavioral health funds.
• Uh, recommendations, once again, delete writer 2, contingency for behavioral health funds.
• And Darryl Spinks with the Behavioral Health Council Executive Health Council, sorry.
• I'm the executive director for the Texas Behavioral Health Executive Council.
• Bad behavior or Do you have any information on that?

Transcript Highlights:

• They should be transparency um analysis.
• <00:53:30.800> health<00:53:31.040> care routine behavioral health care routine behavioral
• <01:23:50.880> health receive emergency behavioral health receive emergency behavioral health
• So it's updating behavior analyst pass.
• c> intensive developmental behavioral intensive developmental behavioral intervention.<01:35:53.199><

Bills: HF3935, HF2216, HF4354, HF4210, HF4212

Keywords: assisted living, healthcare, training, unlicensed personnel, resident rights, safety regulations, nursing home, long-term care, guardian, conservator, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services

Transcript Highlights:

• We want to expand that model to other regions of the state so people in behavioral health crisis can
• go to a dedicated place to get behavioral health assessment and stabilization, hopefully more effectively
• <00:26:06.880> health<00:26:07.279> crisis<00:26:07.600> stabilization behavioral
• health crisis stabilization behavioral health crisis stabilization place,<00:26:08.880> we're
• Insurance gaps, workflow limits, and limited integrated behavioral health as a primary cause of limited

Keywords: 00:00:20 - Call to Order/Roll Call 00:02:00 - Update on Rural Health Transformation Program 00:29:20 - Discussion of 26RS HB 134 00:36:35 - Roll Call Vote on 26RS HB 134 00:37:41 - Consideration of Referred Administrative Regulations 01:09:44 - Adjournment, 958, all

Summary: The Health Services Committee met to receive an update from Cabinet for Health and Family Services Secretary Steven Stack on Kentucky’s Rural Health Transformation Grant. He explained that all 50 states applied and were awarded funding, and Kentucky received about $212.9 million over five years, with the first year treated as a nine-month period. He emphasized that the award is a cooperative agreement with CMS, is not Medicaid funding, cannot be used to supplant existing funds, and is limited to the five areas approved in Kentucky’s application. He also said the state must submit a revised budget before major spending begins, and that CMS could claw back money if performance metrics are not met. Secretary Stack outlined the five focus areas: maternal health, mental health, oral health, emergency medical services, and chronic disease prevention/management, especially obesity and diabetes. He described possible approaches such as expanding behavioral health crisis stabilization models like EMPath, using teledentistry and mobile services, strengthening EMS staffing and treat-in-place options, and building healthier nutrition and activity supports. He said the application was developed quickly with broad stakeholder input and that the state plans to work with universities, nonprofits, and other partners through procurement and other formal processes. He also noted the program will be overseen by the public health department, with Commissioner John Langfeld leading the effort. Committee members asked about the grant timeline, the split between formula and competitive funding, the role of certificate of need, and whether new laws or regulations would be needed. Stack said the state believes it can implement the approved projects under current law, though some broader policy issues such as certificate of need were not included because they would be risky to change within the grant timeline. Members also asked how stakeholders can submit ideas; Stack pointed them to the public website and contact email, saying additional partner information will be posted soon. The committee did not take any formal vote or action during this discussion.

Transcript Highlights:

• Number one is with DHS Division of Aging, Adults and Behavioral Health with AARP.
• Contracts seven and eight are both DHS Division of Aging, Adults, and Behavioral Health, and they are
• Number ten, DHS Division of Aging, Adults, and Behavioral Health, with Republic Services, is for waste
• Number five, DHS Division of Aging, Adults, and Behavioral Health with Arkansas Medical Staffing.
• Number five, DHS Division of Aging Adults and Behavioral Health with Arkansas Medical Staffing.

Summary: The subcommittee first considered a used tire program contract for Arkansas District 4, an $88,000 one-year contract with LTR Intermediate Holdings. Senators raised concerns that the tire district’s revised business plan had not yet been approved and that the contract could leave the district unable to pay. Questions also focused on solicitation language that excluded bidders under corrective action plans. On motion, the committee held the contract until next month and encouraged the tire board to appear. Members then reviewed and, without objection, moved forward a series of methods of finance, alternative delivery projects, and discretionary grants. These included multiple university and college projects such as renovations, roof replacements, a new UCA multipurpose arena, and a revised financing package for UA Fayetteville’s Maple Hill residence hall. The committee also reviewed DHS and Department of Health grants for aging services, substance abuse prevention, mental health, nutrition outreach, hearing-loss follow-up, HIV services, maternal health, and rural hospital quality improvement. The committee next handled contract items, including a UAMS ratification for FMLA Source after an amendment was not submitted for review and payments continued past expiration; UAMS said it had retrained staff and would review for other missed contracts. Members also reviewed numerous construction, intergovernmental, out-of-state, and in-state contracts across state agencies and universities. Questions were raised about an out-of-state aeronautics study, a U of A Fayetteville parking guidance system, and a Veterans Affairs nursing contract. Most items were reviewed without objection, and the meeting adjourned after informational reports on contract amendments and minor contracts.

Transcript Highlights:

• Normal human behavior is if they autoenroll into a plan and they just continue on with that plan if it
• Early analysis of the demographics show that older enrollees, using that as age 55 plus, made the
• Um then um I just had a question on the slide about the early analysis.
• Um then um I just had a question on the slide about the early analysis.
• Um then um I just had a question on the slide about the early analysis.

Keywords: 1187, senate, all

Transcript Highlights:

• They rely on legitimate tools and access privileges to conceal malicious behavior.
• THE DEPARTMENT OF HOMELAND SECURITY'S OFFICE OF Intelligence analysis has a distinct role within the
• In recent years, the Office of Intelligence and Analysis has faced criticism for overreach.
• the office, now, therefore, be it resolved that the House of Representatives disapproves of the behavior
• THE BEHAVIOR OF REPRESENTATIVE FROM ILLINOIS MR. GARCIA.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, November 17, 2025, 1012, house, all

Transcript Highlights:

• 31:52.880> minor analysis dealing with a minor analysis dealing with a minor uh<00:31:55.279><
• Autistic children who elope are often easily identifiable by their behavior.
• Autistic children who elope are often easily identifiable by their behavior.
• Um but I do have behavioral health fund.
• Section 18 is related to a proposal from our behavioral health administration.

Keywords: 1187, senate, all

Transcript Highlights:

• And so I'm just wondering, in terms of your concern about behavioral health for children, was that part
• I see children's behavioral health agencies, but the schools can also be agencies.
• He's still the Director of the Behavioral Health Services Division.
• This is really within... and so you may not be aware, there's two different Behavioral Health Services
• The next two funds at the bottom of page seven were created in 2025: the Behavioral Health Trust Fund

Transcript Highlights:

• WHAT WE ARE EXPECTING TO HAVE THEM GOING FORWARD WITH BEHAVIOR ANALYSIS.
• REVENUE FUND SO THAT'S POSITIVE ALMOST 50 MILLION PER YEAR THAT WE ARE NOW TAKING ACCOUNT OF IN OUR ANALYSIS
• EDR HAS USED A HURRICANE LOSS MODEL TO UNDERTAKE AN ANALYSIS.
• SO THAT IS THE ANALYSIS WE ARE TRYING TO DO HERE. WE DID IT IN 2 STEPS.

Keywords: 999, senate, all

Transcript Highlights:

• It would not do an analysis of whether the restoration at the body shop met the manufacturer's repair
• It would not do an analysis of whether the restoration at the body shop met the manufacturer's repair
• It would not do an analysis of whether the restoration at the body shop met the manufacturer's repair
• So we reward this behavior that's helping with our traffic problems.
• <02:06:08.960> that's motorcycles engaging in Behavior that's motorcycles engaging in Behavior

Keywords: 928, house, all

Summary: The committee first heard House Bill 119-FN, which would allow rental companies registering a rental fleet to choose New Hampshire as their base jurisdiction under the International Registration Plan. The DMV witness said the state already has this capability under the IRP and did not support the bill, adding that no additional staffing should be needed. Committee questions focused on whether the bill would change where registrations are done, what implementation would require, mileage tracking, decals, and inspection requirements. A representative of the Motor Transport Association also said the bill was unnecessary because the option already exists, while noting some related truck-registration and property-tax issues. The chair then closed the public hearing on HB 119-FN with no further speakers. The committee next heard House Bill 612, which would let youth operators renew up to 30 days before turning 21 and receive a temporary license so they can transition to a standard horizontal license without an extra DMV trip. The sponsor and DMV director strongly supported the bill, describing a long-standing problem where early online renewals can trigger another vertical youth license, forcing a duplicate transaction and fee after the birthday. The DMV said the change would reduce confusion and workload, and estimated a one-time system update cost of $48,000. Members asked about whether the proposal was effectively a 30-day extension, how law enforcement would view the temporary status, and whether the system could handle printing and mailing the new horizontal license; the director said the DMV could manage it and that the bill was the best approach. The chair closed the hearing after no one else testified. Finally, the committee heard House Bill 209, which would exempt new vehicles from inspection in the second year after purchase, effectively allowing two years before the next inspection. The sponsor argued the bill would save taxpayers money and reduce unnecessary trips for owners of new vehicles. Supporters said newer vehicles are already maintained through warranties and routine service. Opponents, including the New Hampshire Auto Dealers Association and a service manager from a dealership, argued the bill was not limited to truly new cars, would weaken safety by delaying inspections on vehicles that can still develop tire, brake, and other defects, and could raise costs for everyone else if inspection volume drops. The Motor Transport Association clarified that commercial motor vehicles remain subject to annual federal inspection requirements. No vote was taken in the transcript, and the hearing remained open with testimony continuing.

Transcript Highlights:

• Since I've better is data analysis.
• We do our own data analysis. Right. DHS.
• <00:31:21.120> also<00:31:21.360> partner analysis inhouse, but we also partner analysis
• engage with on data analysis projects. engage with on data analysis projects.
• <00:52:02.640> of<00:52:02.800> housing predatory behavior of housing predatory behavior

Keywords: 1183, house

Transcript Highlights:

• that that's too long for a behavioral that that's too long for a behavioral health<00:57:11.359>
• behavioral analysts and<01:43:07.119> RBTs.
• And we're not just talking for behavior.
• :43.920> for<01:51:44.159> academics, behavior.
• We're talking for academics, behavior.

Keywords: 928, house, all

Summary: The commission met to approve the November 21, 2025 minutes, making several clerical corrections before adopting them as amended. The edits included adding the date, correcting a misspelled name, clarifying references to a scholarship fund representative’s title, removing an incorrect “DOE” reference, and fixing a few wording errors. The minutes were approved with one abstention from members who were absent. The bulk of the meeting focused on organizing the commission’s work under SB 57 and identifying which special education cost issues should be prioritized for research and reporting. Members discussed a long list of topics, including student referral rates, why students are classified as other health impaired, increases in referrals since school closures, interventions before referral, costs of non-medically necessary services in IEPs and 504 plans, differences between federal and state requirements, reporting of special education costs, out-of-district and residential placements, dispute resolution, Medicaid and insurance use, graduation rates, and adult learning participation. Several members emphasized the need to combine or narrow topics and to gather better data before the report due July 1, 2026. Representative Ames highlighted HB 742, which would eliminate prorated special education aid payments when state appropriations fall short, and explained that the Education Funding Committee recommended interim study. He argued that local districts are bearing too much of the cost and that the state and federal governments should provide more support. Other members raised concerns about rising special education identification rates, possible overidentification, school climate and mental health factors, bullying, staffing, speech therapy access, and residential placements. One member cautioned that DOE website numbers may be inflated or at least difficult to interpret because of how students are counted. Department of Education staff then explained how special education data and costs are monitored. They said student counts are tied to IEPs and SASIDs in the state system, districts are checked through both desk audits and on-site monitoring, and billed services are compared against IEP requirements. They also described IDEA funding, noting that most DOE special education staffing is federally funded, with a large share of federal money flowing through to local education agencies and the remainder supporting administration, monitoring, and training initiatives. Members discussed whether more staff and more robust oversight would improve accuracy and accountability.

Transcript Highlights:

• We will not accept disruptive behavior or behavior that incites or threatens violence.
• Preliminary analysis from the Budget Lab at Yale estimates that these tariffs could...
• And that, I think, has last been updated in 1994, according to our analysis.
• Because I would have hoped that that analysis, that directive that started back in 2020... ...analysis
• So when reading the analysis and the bill, it said that 50% would go back to general aviation...

Summary: The Assembly Transportation Committee heard several measures, beginning with SB 86, which would extend and expand the CAEATFA sales and use tax exclusion program through 2031, raise the annual cap from $100 million to $200 million, and add fusion energy. Supporters, including the State Treasurer and industry and labor representatives, cited billions in clean-tech investment, job creation, and environmental benefits; county groups opposed the bill over local revenue losses. The committee approved SB 86 on a 12-0 roll, holding the roll open for additional members. The committee then heard SB 545, which would require Go-Biz to study economic development opportunities along the California high-speed rail corridor, including land value, development incentives, and public-private partnerships. Labor, Fresno’s mayor’s office, and other stakeholders supported the bill as a way to spur corridor development and future funding opportunities, while one business group moved from opposition to neutral after amendments. The bill passed on a 9-1 vote, with the roll held open. Members next considered SB 63, a Bay Area transit funding measure authorizing a regional revenue measure to support transit operations amid looming fiscal shortfalls. The author and witnesses described severe service cuts that could follow without new funding, while committee members raised concerns about the bill’s structure, county participation, polling, and whether other revenue options should be considered. The bill advanced on a 9-3 vote, with the roll held open, and the committee also approved SB 263, directing a state study of tariff impacts on California’s economy and supply chains, on an 11-0 vote. Finally, the committee heard SB 661, which would redirect aviation-related tax revenues back to airports for aviation purposes and bring the state into compliance with federal requirements; testimony focused on airport modernization, rural access, and allocation formulas, but no final vote was taken in the portion provided.

Transcript Highlights:

• The middle of page 6 on the staff analysis, it says what the difference is between Senator Brodeur: an
• foster care pilot program that will increase family-like placements for students with high acuity behavioral
• foster homes, treatment foster parents receive specialized training to care for children with high behavioral
• in a format extractable and able to be analyzed at the request of the legislature, providing data analysis
• The bill requires DCF to contract for a bed capacity study for residential treatment and a gap analysis

Keywords: 998, house, all

Transcript Highlights:

• Laura Vlegelz and then Yale-Kinig from County Behavioral Health.
• We partner with County Behavioral Health all the time.
• I have a child analysis and psychiatrist. I've been doing child analysis psychiatry about 25 years.
• Now they are tasked with behavioral health counseling.
• Now they are tasked with behavioral health counseling.

Summary: The hearing focused on youth mental health and treatment access in California, with opening remarks emphasizing that youth distress, self-harm-related emergency visits, and difficulty obtaining care remain elevated, while workforce shortages and reliance on one-time funding continue to limit access. Assemblymember Lori Davies echoed concerns about unstable funding and said lawmakers need to hear directly from providers and families as they prepare for the budget and legislation. The chair framed the hearing as a chance to hear from county, school, provider, and student perspectives, especially in San Diego County, where needs are high and investments have not always matched demand. County and school officials described the current system and recent state initiatives, including the Children and Youth Behavioral Health Initiative, school-linked fee schedules, payment reform, and the Behavioral Health Services Act transition. San Diego County Behavioral Health said it serves Medi-Cal youth with specialty mental health needs through a broad continuum of care, including outpatient clinics, school-based services, crisis response, residential treatment, and new crisis and residential facilities. San Diego County Office of Education and San Marcos Unified School District described efforts to expand school-based services and reimbursement through CYBHI, but said implementation is slowed by complex billing rules, insurance-data collection concerns from families, administrative burden, and uncertainty about sustaining staff positions funded by grants or soft money. School counselor testimony highlighted reduced stigma through campus outreach and clubs, but also noted that counselor-to-student ratios remain well above national standards and that budget cuts threaten supports. Provider testimony stressed that the system remains fragmented and that youth often move between emergency rooms, inpatient care, outpatient therapy, schools, and county programs without smooth handoffs. A child psychiatrist described crisis cases in which the main choices are brief hospitalization or discharge with limited follow-up, and argued for stronger warm handoffs, more outpatient and intensive outpatient options, better school-clinic coordination, and broader use of mobile crisis and 988. Rady Children’s Hospital and Aurora Behavioral Health described large increases in behavioral health demand, expansion of integrated care, and major barriers tied to low reimbursement rates, delayed payments, and administrative complexity. Across the panel, witnesses called for more stable funding, clearer reimbursement rules, better parent education on warning signs, and stronger collaboration among schools, counties, hospitals, and community providers to reduce stigma and improve timely care for youth.

Transcript Highlights:

• We can't facilitate the bad behavior.
• in and get in a complete um DNA analysis in and get in a complete um DNA analysis of<01:27:03.760
• Incentivize good behavior. We understand we can't punish people for bad behavior. Okay.
• We understand we can't we behavior.
• can't punish people for bad behavior. can't punish people for bad behavior.

Keywords: 958, all

Summary: The task force met for its third meeting, approved the minutes, and heard testimony from Dr. Jack on behalf of the American Beverage Association and Kentucky Beverage Association. Dr. Jack argued that the “totality of the science” supports low- and no-calorie sweeteners as safe and useful tools for reducing sugar and calories, citing FDA and other domestic and international reviews, clinical trials, and the FDA’s recent healthy-label rule. He also described the industry’s transparency efforts, including a “Good to Know” database compiling ingredient and safety information, and said the beverage industry has voluntarily worked to offer more choices with less sugar. Members questioned him about whether beverage ingredients are restricted in other countries, possible health effects beyond weight and cancer, concerns about metabolic issues and gut microbiome effects, whether sweeteners are addictive, and why companies do not simply remove sweeteners. Dr. Jack responded that most ingredients are permitted in many jurisdictions, that broad food-safety reviews have looked at multiple endpoints and found the ingredients safe, that the gut microbiome is still being studied, and that recent clinical evidence does not show increased sweetness preference. He also said business decisions about formulations are up to companies and noted that cane sugar and high-fructose corn syrup are metabolically similar. The committee also discussed consumer apps and ingredient-scoring tools; Dr. Jack said the industry’s website presents facts without interpretation and is based on food-safety agency assessments. At the end of his testimony, the chair accepted additional fact sheets for the committee. The meeting then moved on to introduce Dr. Gary Huber, who began testimony by emphasizing integrative medicine, metabolic syndrome, and the role of diet, exercise, sleep, and stress in health, but his full presentation was not included in the excerpt.

Transcript Highlights:

• Verbal outbursts, shouting, or disruptive behavior will not be tolerated.
• Disruptive conduct may lead to the removal of those engaging in the behaviors.
• little habius corpus ative behaviors little habius corpus ative behaviors corpus<00:21:55.840>
• But to that point,<02:03:34.800> has<02:03:35.040> any<02:03:35.280> analysis<02
• here from our conservative behavior here from our legislators. legislators. legislators.

Keywords: 1187, senate, all

Transcript Highlights:

• You mentioned you would do policy analysis and sort of for people with developmental disabilities.
• We’ve done some pretty comprehensive research and analysis and...
• It's an analysis of a six-month implementation focused on two key policy provisions.
• It's an analysis of a six-month implementation focused on two key policy provisions.
• Okay, well, this analysis says that...

Keywords: 995, all

Summary: The Massachusetts Commission on the Status of Persons with Disabilities held its quarterly meeting on September 10, with roll call, approval of the June minutes as amended, and welcoming remarks for newly appointed commissioner Rachel Caprilyan and reappointed commissioners. Chair Denise Garlick outlined plans for a statewide community hearing series, beginning with a November 4 hybrid hearing at Needham Town Hall focused on the Boston/Metro West region, and described the creation of a nonvoting advisory council to broaden the commission’s expertise across health care, transportation, housing, education, employment, business, and local disability commissions. Commissioners discussed the nomination process, the need for geographic diversity, and the goal of having the council in place by the December quarterly meeting. The main presentation addressed proposed federal Medicaid and SNAP changes in H.R. 1, with Jennifer Bertrand of the Massachusetts Developmental Disabilities Council warning that the law could cut federal Medicaid spending by $1 trillion over 10 years, impose work requirements, require redeterminations every six months, restrict provider taxes, and reduce SNAP benefits. She said these changes could increase uninsurance, create administrative barriers, and threaten home- and community-based services, with a Massachusetts analysis projecting 141,000 to 203,000 MassHealth members could lose coverage over six months. Commissioners and attendees responded that the changes could harm people with disabilities, caregivers, and provider organizations, increase institutionalization risk, and intensify competition for limited state resources; several emphasized the need for disability groups and broader health care stakeholders to coordinate advocacy. Subcommittee reports highlighted recent and upcoming work. The Disability Employment Subcommittee reported on a June “Strength and Support” event, an August presentation by Run the Gamut, and an upcoming MAPC/Employment First workshop in Worcester, while the Long-Term Services and Supports and Health Equity Subcommittee discussed a presentation from the Lurie Institute for Policy Research on community living dashboards and disparities in Medicaid and LTSS. Commissioners also shared announcements about upcoming events, including the Paul Spooner Generational Leisure Summit, the Disability Policy Consortium’s John Winsky Memorial Award ceremony, the Massachusetts Health Council’s annual celebration, and a September 17 hearing on insurance coverage for hearing aids. The meeting ended with congratulations to commissioner Carl Richardson for an accessibility award and a motion to adjourn, which passed.