Transcript Highlights:

• I received an honorable discharge from active-duty service. I am still...
• somebody from active service because that's a standard across all boards.
• Honestly, in the military service, you know, we have men, women.
• If it's different, can we get them to have these other services, these other pieces?
• It's important for us to, of course, recognize the service, but also the impact.

Summary: The Assembly Military and Veterans Affairs Committee heard four bills, with AB 1616 (Davies) and AB 1638 (Ta) placed on consent and later approved unanimously. The committee then heard AB 1775 (Ward), which would provide state support for veterans affected by the federal executive order targeting transgender service members, including prioritizing them for discharge-upgrade assistance, housing support, and expedited professional licensing. Supporters described the bill as a response to abrupt separations, loss of benefits, housing instability, and employment harm; there was no formal opposition. Members raised questions about how the state would verify eligibility and avoid unintended coverage of discharges based on other reasons, and the author said applicants would need a DD-214 and supplemental documentation showing the discharge was solely due to the executive order. AB 1775 was passed on a due-pass motion and referred to the Committee on Business and Professions. The committee also heard AB 2022 (Gonzalez), which would provide a full property tax exemption for the primary residences of veterans who are 100% service-connected disabled, and extend the exemption to unmarried surviving spouses. The author and supporters said the bill is intended to prevent homelessness and help severely disabled veterans remain in their homes amid California’s high housing costs. Committee discussion focused on the size of the eligible population and the fiscal impact, with the author noting the measure applies to a much smaller group than all disabled veterans and that he would provide more cost information later. AB 2022 was approved as amended and referred to the Committee on Revenue and Taxation. By the end of the hearing, all bills on the agenda were reported out 8-0.

Transcript Highlights:

• I forget that I said 1.8 because I was just looking at the raw services.
• So the services that are considered... ...it away and then come back.
• mean, from coupon service or whatever you call it—to basic services at that point.
• This is for our third-party administrative services. We issued an RFP.
• Okay, this is the Sedgwick claims management service.

Committee: All ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE

Summary: The State Insurance Programs Oversight Subcommittee met on June 17 and reviewed a series of Employee Benefits Division and Office of Property Risk items. The committee approved formulary changes for March and April that favored lower-cost generics, removed some new-to-market drugs from coverage pending more evidence, and made maintenance changes to migraine and diabetes medications. Members also approved a cell and gene therapy policy that would route those therapies through prior authorization rather than automatic coverage; officials said the process should not delay urgent cases and that no current members would be affected. The committee then reviewed a UAMS pharmacy benefit consultant contract amendment, but after extended discussion about the written scope and dollar amounts, the motion was approved with the understanding that any use of optional services would return to the committee for further review. The committee also reviewed the U.S. Able Mutual/Blue Advantage third-party administration contract and the CompSack employee assistance program contract, which officials said would reduce per-member costs and add services. The subcommittee approved proposed 2027 rates for state employees and public employees, with a 9.8% increase for state employees and a 4.9% increase for public school employees. Officials also reported that the UnitedHealthcare rebid was in its final negotiation stage and would return in August, with medical and pharmacy coverage split as previously recommended. In response to questions, the director said the division was considering broader preventive-care offerings, including weight-loss drug coverage, but would proceed cautiously and with strong utilization controls and holistic support if such a program were adopted. On the property risk side, the committee reviewed permanent rules making prior temporary rules permanent, a contingency-fee subrogation contract, and renewals for claims management, actuarial services, and investment management. Members raised concerns about Sedgwick’s claim-adjustment timeliness and communication with school districts after severe weather events; officials said performance guarantees and communication expectations had been strengthened, but the renewal was kept at three years for continuity. Finally, the committee approved 2026-27 captive insurance program rates, which included no change to minimum deductibles, a 10% overall rate reduction, and bucketed rate changes by entity type. Officials said the captive program was working as intended, with improved actuarial support and claims experience, and the meeting adjourned after the approvals.

Transcript Highlights:

• Last but not least, from the Department of Financial Services, Mr.
• Last but not least, from the Department of Financial Services, Mr.
• The consulting services that are listed, are those consulting services, do we look at whether it is a
• We talked about consulting services and subcategorizing consulting services, and I don't know if Mr.
• Started the digital service.

Summary: The subcommittee heard a panel on Florida’s IT procurement process from the Florida Digital Service, the Department of Management Services, and the Department of Financial Services. Witnesses walked through the procurement lifecycle, including planning, market research, solicitation, evaluation, award, implementation, and closeout, and emphasized the role of budget timing, contract managers, and subject matter experts. DMS described the state’s enterprise contracting system, noting more than 1,100 active vendor agreements, over 800 involving IT services, and the statutory requirement to request 25 quotes for certain IT purchases. DFS demonstrated the Florida Accountability Contract Tracking System (FACS), explaining how agencies upload contract and payment data and how the public can search contracts and related documents online. Members focused on accountability, transparency, and whether the state is getting the best products and vendors. Questions addressed how contracts are vetted, how technical evaluations are performed, how financial consequences are used for missed deliverables, how public records and confidential information are handled, and how the state screens vendors for foreign-concern or bad-actor issues. Witnesses said agencies rely on technical experts for evaluations, that contract terms should include measurable deliverables and meaningful financial consequences, and that agencies—not procurement staff—generally manage performance, though Florida Digital Service oversees large IT projects of $10 million or more. The committee then shifted to broader policy discussion, including Senate Bill 7026 and proposals to reorganize state IT governance. Several members argued for stronger centralization under a state CIO or similar enterprise authority, while others cautioned against abrupt restructuring and stressed the need for a transition plan. Members also raised concerns about workforce retention, consulting services, recurring project overruns, and the need for better planning and periodic monitoring. No votes were taken; the meeting ended with the chair thanking members and staff and adjourning the subcommittee.

Transcript Highlights:

• Special services consist of the members who provide specialized services to achieve specific goals within
• FHP Administrative Services provides the administrative services necessary to support the operations
• FHP Administrative Services provides the administrative services necessary to support the operations
• FHP Administrative Services provides the administrative services necessary to support the operations
• And then we have our motor services support.

Summary: The committee met to review agency program funding as it prepared to build the budget, hearing brief presentations from six agencies and then taking member questions. Florida Division of Emergency Management highlighted its role in response, preparedness, recovery, and mitigation, describing a largely federal pass-through budget, major technology investments, and large disaster and preparedness grant activity. The Department of Commerce, Department of State, Florida Housing Finance Corporation, Department of Transportation, Department of Military Affairs, Florida State Guard, and Department of Highway Safety and Motor Vehicles also summarized their budgets, staffing, and major programs, including workforce and economic development, elections and arts funding, housing assistance, transportation work programs, military readiness, state guard expansion, and highway safety and motorist services. Members focused questions on several issues: arts and library grant funding and whether award criteria had changed; Commerce’s rural infrastructure and job growth grants and why funds were not being disbursed faster; Florida Housing’s use of SAIL, Live Local, Hometown Heroes, and SHIP funds and how smaller agencies learn about and access funding; and DOT’s work program gap between agency and governor proposals. The most extensive questioning was directed to Highway Safety and Motor Vehicles about long DMV lines, vacancies, overtime, staffing shortages, and the ability to shift funds between divisions. The department said staffing and pay constraints, especially in South Florida, were driving service delays and vacancy rates, and that overtime was being used because troopers were leaving for better-paying jobs. The Florida State Guard was also questioned about its spending and procurement pace, including aircraft purchases and facilities. Its director said long procurement timelines explained the low initial spending and that obligations had risen sharply as contracts matured. Members also asked about the department’s public opposition to Amendment 3 and whether agency resources were used in that effort; the director said no contracts or purchases were made to influence the vote and said the colonel’s comments were made off the clock. The meeting ended with the chair asking agencies to respond promptly to unanswered questions, and the committee adjourned without any recorded votes or formal actions beyond receiving the presentations and questions.

Transcript Highlights:

• We offer a diverse type of services.
• Then there are our dental services.
• , and then we have the Veterans Service offices.
• , and then we have the Veterans Service offices.
• And I'm also grateful for the service of Executive Director of Veterans Florida Joe Marino for his service

Committee: Senate Military and Veterans Affairs, Space, and Domestic Security

Summary: The committee took up SB 116 by Senator Burgess, a veterans bill aimed at several FDVA-related changes. The bill would reduce annual nominations to the Florida Veterans Hall of Fame from 20 to 5, expand FDVA’s survey work to assess veterans’ awareness of available programs and their health literacy, add mental health training to the veterans suicide prevention pilot, strengthen coordination and reporting between Veterans Florida and FDVA, direct FDVA to develop a plan for adult day health care facilities statewide, and allow the Florida Veterans Foundation to use a portion of Gadsden flag plate proceeds for administrative costs. Senator Burgess said the measure builds on prior “Forward March” efforts and helps close service gaps for aging veterans and others who may not know about available benefits. Testimony on SB 116 was uniformly supportive. FDVA leadership said adult day health care could be added at existing facilities such as Port St. Lucie and Lake City, and that the state would need authority and funding to move forward. A veterans legal collaborative, AARP Florida, and Endeavors all voiced support, with speakers emphasizing the importance of better outreach, mental health awareness, and care options that allow veterans to remain at home. The committee then voted favorably on SB 116. The remainder of the meeting was devoted to agency and stakeholder presentations. Florida National Guard officials described a high operational tempo, deployments at home and abroad, hurricane response efforts, and the need to grow the force and infrastructure. FDVA’s adjutant general reported Florida now has the nation’s second-largest veteran population, rising in-migration of younger veterans, a large and aging Vietnam-era population, strong claims and outreach activity, declining veteran homelessness, and improved suicide prevention outcomes. The Florida Veterans Foundation outlined its emergency relief, dental, transportation, and license-plate-funded programs, while Veterans Florida and CareerSource Florida detailed workforce, apprenticeship, SkillBridge, entrepreneurship, and job-fair programs for veterans and spouses, along with efforts to expand recurring funding and better protect customer information.

Transcript Highlights:

• , health care services, developmental services, and the Health and Human Services Agency to support eligible
• Health Care Services?
• Partners coordinated to create a web of services to eliminate gaps in service delivery for families.
• And in some cases, they use it to provide direct services, and in other cases indirect services.
• Services Authority, Department of Health Care Access and Information, Department of Health Care Services

Summary: The Assembly Budget Subcommittee on Human Services held an informational hearing focused on the impacts of federal HR1 on CalFresh and Medi-Cal, along with related state mitigation efforts. CDSS, DHCS, DDS, county representatives, LAO, and Finance discussed automatic exemptions, data-sharing between departments, county workload, and the timing of implementation. CDSS said about two-thirds of adults ages 18 to 64 are already known to be exempt in CalFresh, and that administrative data matches could newly exempt about 200,000 of the roughly 955,000 adults potentially at risk. DHCS said Medi-Cal work requirements would begin in 2027 and the department is working to automate exemptions, including for IHSS recipients and some caregivers, while DDS said its population is expected to be covered by auto-exemptions. County welfare directors emphasized that individualized worker contact is critical, that counties need more staffing and stable funding, and that without it they expect delays, higher error rates, and reduced exemption screening capacity. Members pressed for written timelines, county-by-county impact data, and clearer guidance; the administration said it would provide follow-up materials and technical assistance. No votes were taken. The committee then heard a separate discussion on a proposed CFAP expansion or “CFAP Plus” concept to provide state-funded benefits to additional populations affected by HR1, including lawfully present non-citizens and ABODs. CDSS said implementation could not occur before October 1, 2027 because of policy and system-design constraints, and that adding unique eligibility rules would increase complexity and cost. Finance cautioned that any expansion would have General Fund impacts likely in the hundreds of millions to multiple billions. Members asked for cost estimates and technical feedback on trailer bill language, and CDSS said it would review the proposal and respond. The hearing also covered CDSS’s CalFresh strategic plan and mandated reporter training updates. CDSS said it is hiring a strategic plan lead to develop a long-term, data-informed CalFresh plan, and that the revised mandated reporter training is on track for launch in fall/winter 2026, ahead of the July 1, 2027 statutory deadline. The training will include updated content on structural racism, ICWA protections, implicit bias, and the distinction between reporting and supporting families. Members praised the work and asked for continued updates. Later panels focused on Promise Neighborhoods, Stop the Hate, and housing programs. Promise Neighborhood advocates and CDSS described the state’s prior $12 million investment, a positive evaluation showing roughly a 4-to-1 return, and a new proposal to support place-based partnerships and community schools through AB 1969. Stop the Hate grantees and CDSS reported that the program has provided direct services, prevention, and statewide coordination to millions of Californians, and urged reauthorization before funding expires; members asked for best-practice language and discussed focusing future funding on solidarity work, harm reduction, legal services, and education. Finally, CDSS presented on the CalWORKs Housing Support Program and Housing and Disability Advocacy Program, saying proposed General Fund investments of $105 million and $55 million would prevent funding cliffs and allow the programs to continue through 2026-27, while the absence of new funding would force reductions in housing assistance, subsidies, and enrollments.

Transcript Highlights:

• The second is to integrate health, housing, and human services.
• And $13.4 billion, about 9.4%, is for developmental services.
• placement decisions, services, and transition.
• Would OYCR be engaged in how services are going to be, how effective services are going to be given now
• services reductions.

Transcript Highlights:

• Sorry, I'm just going to— president and CEO of BAMSI, a full-service human services organization... .
• These are essential and legally required services, not luxuries.
• These are essential and legally required services, not luxuries.
• These are essential and legally required services, not luxuries.
• These are essential and legally required services, not luxuries.

Committee: Joint Joint Committee on Children, Families and Persons with Disabilities

Summary: The Joint Committee on Children, Families, and Persons with Disabilities held a hearing focused on accessibility-related legislation, with the chairs emphasizing ASL and CART accessibility and asking testifiers to speak slowly and clearly. The committee heard testimony first on H.223/S.130, a bill to establish a livable wage for community-based human service workers by reducing the pay gap with state employees. Providers’ Council, Communities for People, the Key Program, and BAMSI all supported the bill, describing persistent wage disparities, high vacancy and turnover rates, and the impact on continuity of care for children, youth, and families. Witnesses said the bill would help recruitment and retention and stabilize services across the Commonwealth. The committee then heard extensive testimony on H.224/S.160, the ACE Act, which would create a dedicated funding source to improve accessibility in the creative economy. Arts organizations and advocates, including Community Access to the Arts, Abilities Dance Boston, Jacob’s Pillow, the Multicultural Arts Center, Northampton Community Music Center, Mass Creative, Open Door Arts, and Monkey House, described barriers such as inaccessible buildings, lack of ASL interpretation and captioning, inadequate lifts and backstage access, and the high cost of renovations. Testifiers said the bill would help smaller and historic institutions make physical and programmatic improvements and allow people with disabilities to participate as artists, workers, and audiences. The committee also heard testimony on H.4180, which would require DDS to consider neuropsychological evaluations when determining eligibility for intellectual disability services. Parents and advocates argued that IQ cutoffs alone can miss significant functional needs, especially for autistic adults and others with complex developmental profiles, and urged broader access to DDS supports. Additional testimony supported S.101 on closed captioning and telecommunications in public areas, and S.158 on requiring restaurants to have some chairs with arms to better accommodate physically disabled and older patrons. No votes were taken during the hearing, and the chair adjourned after hearing from the scheduled witnesses and noting a few signups that were not present.

Transcript Highlights:

• So that would still be able to get the services.
• to service along with them.
• to service outside, along with them.
• of the California Association of County Veterans Service Officers in support of AB 2219, the Faster Services
• Faster Services for Veterans Act.

Committee: House Military and Veterans Affairs

Transcript Highlights:

• For services to treat gender dysphoria, health plans are required to use the World Professional For services
• , including services to treat gender dysphoria.
• gender-affirming care services.
• different state-only services.
• and canceling services with patients.

Transcript Highlights:

• So intensive residential treatment services reduce the need for hospitalization, crisis services, and
• So intensive residential treatment services reduce the need for hospitalization, crisis services, and
• eligible for federal match, while the DSHS-delivered services are state-only funded services, those
• Social and Health Services.
• entitled to those services and the services that they utilize.

Committee: House Appropriations

Summary: The House Appropriations Committee held a work session covering juvenile rehabilitation system capacity, behavioral health capacity, federal funding changes, and a 2026 budget overview. DCYF officials said the juvenile rehabilitation population is older, includes more adult-sentenced youth and post-25 residents, and is projected to keep growing, creating crowding at Green Hill School and placement limits across the system. They described safe operating capacity concerns, staffing turnover, mental health acuity, and the need for additional medium-security and specialized mental health beds, including a proposed Parkland facility and continued development of Harbor Heights. Committee members were told to follow up separately with questions, and the presentation moved on due to time. Behavioral health officials from DSHS and HCA then reviewed forensic and civil capacity. DSHS described expanding state hospital and civil treatment capacity through Olympic Heritage, Maple Lane, Brockman Campus, and a new 350-bed forensic hospital at Western State, while noting ongoing construction, staffing, and funding issues. HCA outlined its strategy to move long-term civil commitment care into community settings through contracted long-term civil commitment beds, intensive behavioral health treatment facilities, PACT teams, and intensive residential treatment teams. Members asked about out-of-state placements, Medicaid funding, and the differences among facility types; officials said the goal is to right-size inpatient capacity while expanding community-based supports. OFM then presented an update on federal funding and the effects of H.R. 1 and H.R. 5371. Agency staff said H.R. 1 would tighten SNAP work requirements, reduce exemptions, shift some lawful immigrants to state-funded food assistance, increase state administrative and benefit costs, and affect Medicaid eligibility, redeterminations, cost sharing, and state-directed payments. HCA estimated major Medicaid caseload reductions and significant future fiscal impacts, while OFM also noted marketplace subsidy changes and higher education and K-12 downstream effects. H.R. 5371 was described as a short-term federal funding extension through January 30, 2026, with some full-year appropriations and a change affecting hemp producers. Finally, Mary Monroe gave a 2026 supplemental budget preview, citing declining NGFO revenue forecasts, reversions, vetoes, and the added uncertainty from H.R. 1, with the projected ending fund balance moving from positive amounts to a negative outlook over the four-year period.

Transcript Highlights:

• </c><00:10:11.000><c> we</c> in order to provide these Services we in order to provide these Services
• Parents need to make sure that the services billed are the services provided.
• </c><00:31:12.880><c> the</c><00:31:13.039><c> services</c> build are the services build are the services
• services, nutrition services, medication monitoring, and counseling.
• > Services nutrition services medication Services nutrition services medication monitoring<00:43:33.040

Committee: Senate Education

Transcript Highlights:

• Recovery support services are different.
• It's called recovery support services, and I think it's in those situations that recovery support services
• All of those were for HIV care services.
• model, increasing access to mobile services, and peer recovery support services.
• to mobile services, and peer recovery support services.

Committee: House Substance Abuse Prevention and Treatment Task Force

Transcript Highlights:

• These rebates have funded the HIV support service grants to HIV supportive services organizations, which
• so if you've done um of service so if you've done um successful<00:28:51.799><c> services</c><00:28:
• </c> boarding by ensuring the right services boarding by ensuring the right services are<01:21:50.679
• Services, and I'm also here on behalf of the Minnesota Association of Social Services Administrators
• This service is essential.

Bills: HF2367 , HF2319 , HF2523 , HF1742 , HF671 , HF2331 , HF2722 , HF2406 , HF1674

Committee: House Human Services Finance and Policy

Transcript Highlights:

• <00:03:46.680><c> next</c><00:03:46.879><c> slide</c> Services next slide Services next slide please<
• </c> already are taxing uh a lot of services already are taxing uh a lot of services uh<00:41:47.160>
• </c> banking service fees on Title Services banking service fees on Title Services closing<00:57:26.920
• payment services uh Loan Servicing payment services uh safety<00:58:21.720><c> deposit</c> safety deposit
• service charges Trust Services Bank bank service charges Trust Services safe<01:09:46.600><c> deposit

Committee: House Taxes

Transcript Highlights:

• </c> guess the Department of Human Services guess the Department of Human Services went<00:02:48.080>
• </c> provided um services may be an option. provided um services may be an option.
• </c> government to provide those services. government to provide those services.
• through them just as the Department of Human Services does in the fee-for-service model.
• services were even provided.

Bills: HF3043 , HF2891

Committee: House Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:

• this service free of charge.”
• As Department Service Officer, I am in charge of 15 accredited service officers.”
• As Department Service Officer, I am in charge of 15 accredited service officers working to serve the
• As Department Service Officer in charge of 15 accredited service officers here in Missouri, I see firsthand
• I appreciate your service.”

Committee: House Veterans and Armed Forces

Summary: The committee met with a quorum and first went into executive session, where it adopted a House Committee substitute combining House Bills 3078 and 2672 and voted the substitute do pass, with one no vote. It then separately voted House Bill 2362 and House Bill 2588 do pass, each by 16 ayes and one no. During the executive session, one member objected to the combined bill on constitutional equal-protection grounds, while another supported it as a benefit for veterans. In public hearing, Representative Stephanie Boykin presented House Bill 3280, which would create a Missouri specialty license plate for the surviving spouse of a disabled veteran who previously qualified for a disabled veteran plate. She described it as a low-cost way to continue honoring a veteran’s service and family sacrifice. Committee members and a surviving spouse testified in strong support, emphasizing the recognition of spouses’ sacrifices and noting that similar plates exist in other states. No opposition was offered. The committee then heard House Bill 3029, sponsored by Representative Schulte, which would require disclosures and prohibit compensation for referrals in the business of advising or assisting with veterans’ benefits, with penalties for violations. Supporters, including a Missouri veterans service officer, argued the bill was needed to stop unaccredited “claim shark” companies from charging veterans for initial claims and using misleading social media advertising. Opponents, including a representative of Veterans Guardian and a VA-accredited attorney, argued the bill would restrict lawful private-sector assistance, reduce veterans’ choice, and should be narrowed to target bad actors while exempting accredited attorneys and referral arrangements. The hearing also included a presentation on the Missouri Veterans Recognition Program, which provides medals and certificates for veterans of major conflicts, and a presentation on MU Extension’s Veteran REEDS program, which uses literature and discussion to support veterans and first responders through community-based resilience work.

Transcript Highlights:

• and pregnancy-related services.
• Seniors use more services, and they use more costly services as is medically needed when you age.
• And we are Health and Human Services, not American-only services.
• with providing that service.
• those particular services, yes.

Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.

Transcript Highlights:

• their services.
• <00:25:20.480><c> an</c><00:25:20.799><c> IEP</c><00:25:21.440><c> service</c> service an IEP service
• ><c> but</c> service it may be a medical service but service it may be a medical service but at<01:14
• </c> Medicaid service cost the of the service Medicaid service cost the of the service cost<01:19:58.640
• </c><01:22:20.000><c> you're</c> service, the OT service that you're service, the OT service that you're

Summary: The subcommittee met for its third discussion on special education aid under retained bill 742, with the chair noting that no action would be taken at the meeting. The chair reviewed prior hearings on Medicaid and local special education funding shortfalls, saying the committee was trying to understand why districts are facing proration of special education aid and how to reduce unfunded costs. He raised a series of questions for the Department of Education about the Nessus system, eligibility and ineligibility, invoices and vouchers, audit procedures, reimbursement rates, out-of-state placements, and who enters data at the district level. Rebecca Fdet, director of special education services at the Department of Education, explained that Nessus is the statewide special education information system and that every child in special education must be entered into it. She said most districts use it to develop IEPs and track services, while six districts use it only as a data reporting tool. She described which fields are required, how the system connects IEP development to the financial section, and how districts submit invoices when seeking special education aid, court-ordered placement payments, or episode-of-treatment placements. She said the department reviews invoices against the IEP, pays only for allowable services, and uses a cap that notifies districts when they reach the annual limit. Members asked about who submits the information, how districts decide when to seek aid, and how costs are calculated for individual or group services. Fdet said the district, usually an administrative assistant in the SAU office, submits the documentation electronically, and districts decide when to track students for aid based on their own circumstances. She said reimbursement is based on actual costs tied to the IEP, with group services split among students, and that the department does not generally set rates for local services. The only rate-setting she described was for approved private special education providers, which submit annual cost spreadsheets for tuition rates. She also said out-of-state providers must be approved by their own state, and the department checks licensure and certification through monitoring and investigations if concerns arise. The department also described its monitoring process, called Program Approval and General Supervision Monitoring, or PAGS. Fdet said districts are reviewed on a six-year cycle, with more intensive review for districts needing assistance or intervention and fewer file requests for districts meeting requirements. She said the department can review up to 65 data points on an IEP and that districts must submit special education aid paperwork by July 31, with superintendent verification due by August 15. The meeting ended with continued questions about procurement, audit procedures, and how the department handles out-of-district and out-of-state placements.

Transcript Highlights:

• </c> regulated by the Kentucky Public Service regulated by the Kentucky Public Service Commission.
• </c> the rate payers in the service area. the rate payers in the service area.
• </c> states that the monopoly of service states that the monopoly of service territories<00:10:36.200
• </c> case in some service areas. case in some service areas.
• Again, these utilities were granted monopolies within these service territories to service them.

Committee: Senate Natural Resources & Energy