Transcript Highlights:

• public process.
• And it sounds like with the existing process and the proposed process of public review of regulations
• and all existing process and the proposed process of public review of regulations and all that we're
• It’s a process that’s a very community-involved process.
• I was assuming that the middle and high school redesign process came with community school process.

Keywords: 988, house, all

Transcript Highlights:

• So you will be watching that regulatory process? The regulatory process to make...
• Again, I'm not here to defend the center for...
• Senator, we haven't begun the budget process.
• that deliberative process.
• Senator, our center did the research on that. And who in your center did the research on that?

Transcript Highlights:

• Overdose prevention centers do both.
• It's really not up front and center.
• There are things we can do to alleviate that process, so it's not so heavily centered on the court system
• Any questions in the center? No. Thank you.
• I worked at Boston Medical Center for nearly two decades as a registered nurse and I work at the center

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on several harm reduction bills, including measures to decriminalize simple possession and paraphernalia, authorize overdose prevention centers, and expand access to naloxone for first responders. Chair Mindy Domb and Senator John Velis opened by describing harm reduction as an evidence-based public health strategy and noting Massachusetts’ recent decline in fatal overdoses. They emphasized that testimony would help shape whether and how the bills advance, and explained the hearing process, including time limits and written testimony. Testimony was sharply divided. Supporters, including Rep. Kate Donaghue, Sen. Cindy Friedman, Rep. Marjorie Decker, Rep. Manny Cruz, public health professionals, recovery advocates, and people with lived experience, argued that harm reduction saves lives, reduces stigma, and can connect people to treatment. They supported overdose prevention centers and decriminalization as tools to keep people alive long enough to enter recovery, and several speakers described personal losses to overdose or family experiences with addiction. Some supporters also framed the bills as racial justice measures, arguing that criminal penalties for possession have disproportionately harmed Black and brown communities. Opponents, including Sen. Nick Collins and several South End residents, argued that overdose prevention centers and decriminalization would worsen public drug use, crime, and neighborhood disorder, especially around Mass and Cass. They said current approaches such as Section 35, diversion, and police leverage into treatment are more effective, and they urged more treatment beds and recovery facilities instead of harm reduction sites. Committee members questioned witnesses about research, local siting, crime data, and the relationship between harm reduction and treatment, and several members said neighborhood impacts must be considered alongside overdose prevention. The committee did not take a vote during the hearing; it continued receiving testimony and announced a later break before resuming on H. 2196 and S. 1393.

Transcript Highlights:

• Or what's the thought process there? Thank you very much for the question.
• I argue that data centers are a top concern for many districts right now.
• But I'm very concerned and very frustrated with the process of how this has been presented.
• Really, my question is on the process, and my concerns are on the process.
• You could see the sausage making process in the budget deliberating process before it went to appropriations

Bills: HB3418, HB3985, HB3463, HB3002, HB4303, HB3919, HB3416, HB3417, HB3415, HB2206, HB3414, HB3265, HB3310, HB3413, HB4486, HB1219, SR39, SB1177, HB3298, HB2696, HB3941, HB3970, HB3264, HB3321, HB2650, HB3497, HB3980, HB3981, HB4421, HB3177, HB3322, HB3499, HB3500, HB3845, HB3742, HB3622, HB1250, HB2710, HB3831, HB4408, HB1002, HB3008, HB3086, HB3595, HB3678, HB4107, HB3695, HB3315, HB3590, HB3006, HB3151, HB2959, HB2398, HB3026, HB3467, HB4268, HB3372, HB2210, HB4359, HB4427

Keywords: public works, bidding procedures, construction contracts, transparency, public trust, electronic bidding, school districts, property rights, public nuisance, compensation claims, government enforcement, Oklahoma Safe Neighborhoods Act, municipal audit, state auditor, local government, financial transparency, gasoline tax allocations, counties, county officers, education

Transcript Highlights:

• Or a state supported living center. And then other times they can go to a facility.
• That's the typical process I'm aware of, too.
• opened Bryan Pregnancy Center in the Brazos Valley.
• For example, at our pregnancy center, we had some...
• Paris Pregnancy Care Center. Paris? Uh-huh. Paris, Texas. Oh, Paris, Texas.

Bills: SB670, SB1388, SB627, SB912, SB269, SB528, HB2711, HB4819, HB5248, HB4175

Keywords: SB 670, investigational sun protection products, sun protection, sunscreen, FDA approval, clinical trial, phase one trial, patient access, informed consent, physician prescription, Texas Health and Safety Code, Texas Medical Board, compassionate use, experimental treatment, medical freedom, patient autonomy, healthcare regulation, dietitian, dietitians, licensed dietitian

Transcript Highlights:

• Medical Center. Medical Center.
• and a burn center. and a burn center.
• the Level 1 Trauma Center. the Level 1 Trauma Center.
• pediatric level one trauma center. pediatric level one trauma center.
• Medical Center. Medical Center.

Bills: HF4841, HF4234, HF3697

Keywords: Hennepin County, sales tax, health care facilities, ballpark improvements, tax revenue, HF4234, Minnesota private activity bonds, tax-exempt bonds, bond cap, aggregate bond limitation, residential rental projects, multifamily housing, affordable housing finance, housing bonds, public finance, bond allocation, private activity bond cap, Minnesota Statutes 474A.02, tax committee, tax refund

Transcript Highlights:

• . process. process.
• So he's got a lot of solid center.
• there's a fifth level of trauma center there's a fifth level of trauma center so<00:43:47.119>
• centers are emergency departments. centers are emergency departments.
• We have 100% trauma center.

Keywords: 958, all

Summary: The committee first handled several referred administrative regulations, including a package from the Board of Respiratory Care described as a substantive housekeeping update to its regulations and incorporated materials. There were no questions from members, and the committee also heard from the Kentucky Board of Medical Licensure, which was present in case questions arose but did not require action. Members then took up an amendment to the state health plan for facilities and services, specifically 900 KAR 5:02. Wesley Duke explained that a previously proposed criteria related to mega-voltage requirements, originally suggested by the Kentucky Hospital Association, was now being removed because the association no longer considered it necessary. The committee moved to accept the agency amendment, with a motion and second, and approved it without opposition. The committee next considered Senate Joint Resolution 23, a “food is medicine” resolution sponsored by Senator Shelley Funke Frommeyer. Supporters from the Kentucky Department of Agriculture and the Kentucky Hospital Association described the initiative as a voluntary, statewide effort already adopted by 52 hospitals, aimed at improving patient health while supporting Kentucky farmers and local food systems. Members discussed access to healthy food, grocery-store availability, school nutrition, and the need to reduce barriers to local procurement; the resolution was adopted unanimously after a roll call vote, with one senator briefly explaining a late vote due to weather. Finally, the committee began hearing Senate Bill 12, which would allow mid-level practitioners to serve as the leader of a Level IV trauma center under physician direction. The sponsor and witnesses from Appalachian Regional Healthcare argued the change would help address rural trauma-care shortages, align with national standards, and improve access without changing scope of practice or other trauma-center requirements. Several members raised questions and comments about rural access, liability, costs, and the broader health impacts, but no vote on the bill was taken in the portion of the meeting provided.

Transcript Highlights:

• Center at Hormel Institute, 4 million. Center at Hormel Institute, 4 million.
• Center, 2.5 million. Center, 2.5 million.
• Engagement Center, 8.85 million. Engagement Center, 8.85 million.
• Resource Center improvement, 3 million. Resource Center improvement, 3 million.
• Paul meat processing,<00:25:03.800> 565,000 processing, 565,000 processing, 565,000 for<00:25:

Keywords: 918, senate, all

Summary: The committee took up a large bonding bill and reviewed the final spreadsheet of capital investments. Chairs and members repeatedly thanked staff, House and Senate negotiators, and the Governor’s team for a collaborative process. The bill was described as a statewide package rather than a partisan one, with major funding for higher education asset preservation, DNR projects, public safety, transportation, the Met Council, veterans facilities, corrections, DEED/local projects, and a large water infrastructure section. House Fiscal staff and Senate fiscal staff walked through the bill line by line. Highlights included University of Minnesota and Minnesota State asset preservation, education and language immersion school funding, DNR trail and flood mitigation projects, public safety facilities, local road and bridge grants, Met Council parks and I/I grants, veterans home and armory funding, corrections projects including the Faribault vocational expansion, and many local economic development and public facility projects across Greater Minnesota and the metro. The bill also included Public Facilities Authority water and wastewater grants, housing rehabilitation funding, historical society grants, a Minnesota Zoo operating transfer, airport appropriations, and several cancellations of prior appropriations to help finance the package. Members generally praised the bill and the bipartisan work behind it. Some Republicans emphasized the one-time license fee reduction and affordability, while also saying DEED’s business development infrastructure funding was too low. Senator Nelson highlighted long-awaited transportation projects such as Highway 14 and township roads. Senator Dibble supported the transportation investments but criticized the bill for having no transit funding, calling that a major omission. No vote was recorded in the excerpt, but the discussion centered on final review and support for moving the bonding bill forward.

Transcript Highlights:

• , and Rape Crisis Centers.
• Crisis Centers. Crisis Centers.
• And I think that's the way the process should go, and we look forward to continuing this process.
• process. Thank you, Mr. President. process. Thank you, Mr. President.
• So, to the throughout the process.

Keywords: 958, all

Transcript Highlights:

• These would process advocacy claims.
• I'm not sure I understand the thought process.
• envisioning going from four data centers to a single data center.
• Even as far as approval process?
• I also worked for Lumen as a 911 center liaison.

Summary: Assembly Budget Subcommittee No. 6 heard the Governor’s May Revision proposals for the judicial branch, the Board of State and Community Corrections, the Department of Justice, and the California Department of Corrections and Rehabilitation. The Legislative Analyst’s Office opened with a warning that the state budget remains structurally imbalanced and urged the Legislature to avoid new ongoing spending unless offset by reductions elsewhere. In the judicial branch discussion, the Judicial Council highlighted language access funding, appellate court security, a backfill for the state court facilities construction fund, and an extension of the lactation room mandate; Finance supported most items but suggested reporting language on interpreter costs and reducing the General Fund backfill. Members raised concerns about judicial vacancies, long-term salary freezes, remote hearings, and the lack of progress on court staffing in some counties. For the Board of State and Community Corrections, the administration proposed $10 million one-time each for the Missing and Murdered Indigenous People grant program and a human trafficking vertical prosecution grant program. The LAO said both should be weighed against other priorities and suggested the Legislature consider whether the Tribal Nations Grant Fund could support MMIP work, while Finance said it preferred General Fund support and wanted more review before any fund swap. Members strongly supported MMIP funding and asked whether ongoing support would be considered. On the human trafficking grant, Finance said BSC was a good fit because of its grant administration experience and prior vertical prosecution work, while legislators asked why the program was not placed with the Office of Emergency Services as originally contemplated in prior legislation. The Department of Justice presented antitrust litigation funding, Medi-Cal Fraud and Elder Abuse staffing, completion of organized retail criminal enterprise cases, and trailer bill language for a continuous appropriation from the Victims of Consumer Fraud Restitution Fund. The LAO supported the antitrust account use but questioned the Unfair Competition Law Fund’s ability to cover the full request without General Fund repayment, and recommended against a continuous appropriation for the restitution fund in favor of a more limited mechanism with legislative oversight. Finance said the fund would remain solvent and defended the continuous appropriation as necessary to pay victims promptly. In the CDCR portion, the largest discussion centered on the Boston Consulting Group efficiency review and sharply reduced savings estimates; LAO said the department had not fully explained the proposed position eliminations or future $100 million savings target, while Finance said the work reflected deeper analysis and ongoing efforts to find savings. Members repeatedly pressed CDCR and Finance on the gap between earlier promised savings and the revised figures. CDCR also outlined population projections showing continued declines in prison and parole populations, while LAO again urged the state to close an additional prison to save ongoing costs. The department then walked through several May Revision items, including workers’ compensation funding, a Corcoran honor housing dorm, incarcerated firefighter pay implementation, an incarcerated menopause program, mental health receiver staffing, mental health resource teams and crisis intervention teams, medical classification staffing changes, and AI note-taking for the electronic health record. LAO generally recommended limiting-term funding and more reporting for many of these proposals, while Finance defended them as necessary ongoing investments or court-ordered obligations. Members questioned the cost of workers’ compensation, the need for more prison closures, the lack of funding for women’s facility violence prevention, and the timing and transparency of the BCG savings process. No votes were taken.

Transcript Highlights:

• senior centers.
• treatment similar to government-owned centers.
• government-owned centers.
• for nonprofit centers.
• competitive with convention centers in other states.

Summary: The Citizens Commission for Performance Measurement of Tax Preferences met on August 6, 2025, with five commissioners present and a quorum. The commission approved the May 7, 2025 meeting minutes and welcomed new commissioner Scott Edwards, who introduced himself. Staff also confirmed the September meeting date had been changed to September 22, 2025 at 10:00 a.m. to accommodate his schedule, and noted that testimony questions for the public hearing would be used at that meeting. JLARC staff then presented preliminary 2025 tax preference performance reviews covering nine preferences. For natural gas used as a transportation fuel, staff said the preferences reduce fuel costs but do not meet emissions-reduction goals, and recommended continuing the public utility tax and natural gas use tax exemptions while modifying reporting requirements; they also recommended continuing the marine-use LNG sales tax exemption and considering the Department of Revenue work group’s findings. For travel agents and tour operators, staff said the small-beneficiary rate appears to support smaller firms, while the larger-beneficiary rate should be reviewed and both should have clearer objectives and metrics. For nonprofit low-income housing development, staff said the preference is helping produce housing but the current metric does not align well with the objective, data/reporting problems remain, and the legislature should decide whether to continue and possibly modify the exemption, including considering annual renewal. Staff also reviewed the multipurpose senior citizen centers exemption, concluding it meets its objective and recommending continuation, with possible consideration of making it permanent. For disabled veteran adapted housing, staff said the preference has very low uptake despite eligible veterans and recommended continuing it but modifying it in consultation with the Department of Veterans Affairs to improve use. For trade convention attendance, staff said the preference aligns Washington with other states and recommended continuation. For agricultural fertilizer and seed wholesaling, staff said the exemption reduces tax layering and recommended continuation, with clarification on whether it is exempt from expiration/performance-statement requirements. For agricultural crop protection products, staff said the preference met its revenue-growth metric and recommended extending it while considering better metrics or recategorizing it as tax relief. Finally, for energy sales to a silicon smelter, staff said the preferences were unused because the facility was never built and recommended allowing them to expire. The meeting ended with reminders about written testimony and the September public testimony session.

Transcript Highlights:

• So, Tiffany, you said that it changed it from to an internal process.
• Real quick on the behavioral—and we were just talking about as far as we're processing the kids and processing
• Our CACs, our child advocacy centers, served 13,568 children and families in 2025.
• I mean, I have ...the centers, the children's advocacy centers.
• That is the same for all the centers. So it's not based on numbers?

Keywords: 1204, all

Transcript Highlights:

• , which we reference as the center are meant for short.
• So that is our maternal data center.
• That established that universal risk-free process.
• And so we move to electronic process.
• We're a little late in that process.

Keywords: 999, senate, all

Transcript Highlights:

• The objection process does not stop program approval.
• and Health Center.
• Additionally, we have kicked off that final bullet under process: a regulatory review process as part
• So there's less of a demand on our call center.
• They can just walk in person into the center.

Summary: The committee heard a report on the Underground Economy Task Force in Washington’s construction industry. Labor and Industries said the task force, created by a 2024 budget proviso, met 11 times and developed consensus recommendations to improve enforcement against worker misclassification, unregistered contractors, and unpaid taxes and premiums. Consensus items included defining and regulating construction labor providers, improving interagency data sharing, increasing penalties for repeat offenders, expanding L&I authority over successor accountability, reviewing agency penalty rules, and exploring tracking of cash payments. Majority-but-not-consensus ideas included posting subcontractor notices at job sites, setting an independent-contractor threshold that would trigger L&I review, holding direct contractors liable for unpaid wages owed by subcontractors, and reviewing reporting requirements. Testifiers from labor, business, and the Attorney General’s Office generally supported stronger enforcement and transparency, while business representatives cautioned against overregulation and said any new rules should avoid burdening legitimate contractors or restricting lawful cash payments and independent contracting. L&I said the final report would be distributed by December 31 and the task force work group would be reconvened. The committee then reviewed the wage recovery work group report. L&I explained current wage complaint procedures and said the work group, made up of labor and business representatives, reached five consensus recommendations: allow L&I to prioritize wage complaints strategically, permit aggregation of related complaints, raise the minimum penalty under the Wage Payment Act from $1,000 to $1,500 and create a penalty matrix, improve employer awareness with materials for new hires, and establish a wage recovery fund. The fund would be seeded by penalties, would not require new employer assessments, and would allow limited early payments to eligible workers facing hardship, with a proposed cap of $2,500 and a later review of the program. Business and labor representatives both supported the overall framework, though business raised concerns about fraud safeguards and recovery of funds if a claim is later found invalid. Members also received an overview of Washington’s apprenticeship system. L&I described the state’s apprenticeship agency structure, the Washington State Apprenticeship and Training Council, and the difference between Washington’s state apprenticeship standards and the federal Office of Apprenticeship system. The presentation highlighted current participation levels, program approval and objection processes, and strong post-completion outcomes, including median annual earnings above $100,000 and an estimated $7.80 return for every public dollar invested. Committee members asked about how apprentices apply, how sponsors work with L&I, and whether recurring objections could be addressed earlier in the process. Finally, the committee heard updates on wildland firefighter respiratory protection, federal cuts to NIOSH, and economic and federal policy impacts on unemployment insurance and workforce services. L&I said wildland firefighters face significant smoke exposure and cancer risk, but current rules do not require respiratory protection for that work because of technical and operational challenges; the agency is watching efforts in other jurisdictions and at the federal level. On NIOSH, L&I warned that federal staffing and grant cuts could weaken occupational safety research, training pipelines, and programs affecting Washington workers, including firefighter cancer tracking and Hanford exposure assessments. ESD reported rising UI claims, a stable unemployment rate, and pressure on the trust fund, while also describing technology and process changes that have improved claims handling. ESD also said HR1 will significantly increase demand on WorkSource services through new work-search requirements for SNAP and Medicaid recipients, creating an unfunded mandate that the agency is preparing to implement with partner agencies.

Transcript Highlights:

• So it just wasn't on the radar because it's a different process.
• This is funding for the Patient Center Medical Home Model.
• This is for janitorial services in their gateway center.
• . 125 is with Recovery Centers of Arkansas for substance abuse treatment centers. 126 is with Southern
• I'm just curious what your typical process is over there.

Summary: The committee met to review a supplemental agenda item, procurement rule revisions, methods of finance, discretionary grants, contracts, reports, and a member disclosure. The supplemental agenda was accepted, and the Office of State Procurement’s rule revisions were approved after Jessica Patterson explained they were driven by 2025 legislative changes, including Act 782, CASO Consulting recommendations, and updates to sole source, bid, protest, and debarment provisions. The methods of finance and discretionary grants were also approved, covering a range of university capital projects, health and human services grants, historic preservation awards, and tobacco prevention and cessation programs. The committee then reviewed RFQs and six ratifications. The ratifications included a Workforce Connections payment to ACT WorkKeys for services provided during a contract gap, a Department of Health ratification for water-leak repairs, a large Department of Public Safety ratification for Motorola’s Arkansas Wireless Information Network upgrade, a Veterans Affairs HVAC ratification, an ADFA medical services ratification, and a UA Little Rock painting contract ratification. Members questioned the Public Safety ratification at length about why the expired Motorola contract was not caught sooner and why it took months after discovery to come forward; agency officials said the work was tied to bond funding and was not tracked in ASIS, and the chair urged agencies to develop better monitoring procedures. The committee approved a large slate of construction, intergovernmental, out-of-state, and in-state contracts, including many recurring service agreements for DHS, higher education institutions, corrections, health agencies, and state support functions. Several members asked about specific contracts, including aerial application services for correctional farms and a Southern Arkansas University custodial contract, and staff or agency representatives provided brief explanations. The meeting concluded with review of reports and approval of a member disclosure involving Representative Andrew Collins’ investment interest in a company leasing property to Arkansas Rehabilitation Services.

Transcript Highlights:

• any observing the legislative process any observing the legislative process any objections hear none
• but I enjoy the process in the process but I enjoy the process in the process but I enjoy the process
• and to authorize the center to center and to authorize the center to center and to authorize the center
• it's a new center that resource center it's a new center that resource center it's a new center that
• process of simplified and uh both the process of simplified and uh both the process of Distributing

Keywords: sessions, 2025-R, 1, 219

Transcript Highlights:

• defendant<00:26:29.160> has During this process, the defendant has During this process
• This includes process protections.
• I it been there all along the process.
• All opposed, no. attorneys involved in this process as attorneys involved in this process as you<00:41
• <00:59:22.320> I judicial process. So, I apologize. I judicial process. So, I apologize.

Keywords: 981, all

Transcript Highlights:

• <00:14:58.639> for center at Capulani Medical Center for center at Capulani Medical Center
• The intake service centers and the statewide intake service centers and intake service centers and she'll
• excessive bail and due process rights. excessive bail and due process rights.
• ownability in the pre-trial process. ownability in the pre-trial process.
• victims through the civil process. victims through the civil process.

Keywords: 910, house, all

Transcript Highlights:

• We had a certified center about...
• a rural center, can afford.
• So all the centers, all 41 centers, when we were all under the coalition, that was the network.
• a rural center can afford.
• specific centers?

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:

• When I served as CEO of the Lynn Community Health Center, I centered my leadership around the concept
• It is also academic medical centers, insurers, nursing homes, and community health centers.
• This was an internal process.
• benefits of birth centers, but in fact birth centers have better quality scores.
• We streamlined the admission process.

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs. EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle. MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.