Transcript Highlights:

• So, what are the legislative steps that we should take to pursue that process?
• This is a relatively simple process, especially considering CMS.
• The process, right? It is.
• I think a lot of it has to do with the hiring process.
• For those survivors who decide to report to the criminal legal process, we want to ensure that this process

Transcript Highlights:

• Do they have a reasonable accommodations process? Do they have an ADA coordinator?
• From the pilot program, that two-year process culminated with July 1st of 2025.
• So that two-year process culminated with July 1st of 2025.
• That will allow us to deliver more impactful referrals.
• Please do not hesitate to make a resource referral.

Keywords: 995, all

Summary: The Massachusetts Permanent Commission on the Status of Persons with Disabilities met virtually and in person for its June meeting. Members approved the March meeting minutes and heard a chair’s report on recent “Meeting the Moment” community conversations, including the successful Lowell event and plans for a July 14 Northampton event and an October National Disability Employment Awareness Month celebration at the State House. The October event will include a panel with MassAbility on artificial intelligence and its impacts on people with disabilities, with discussion of both accessibility benefits and risks such as bias and discrimination. A major presentation came from the Supplier Diversity Office on its Empowering Abilities in Contracting and Employment (EAC) program. Staff described the program’s evolution from a pilot launched after 2016 legislation to a statewide policy now included in new state contracts. The program aims to increase certification of disability-owned and service-disabled veteran-owned businesses, expand workforce participation by people with disabilities, and use vendor reporting to track progress toward a 3% workforce goal. The office reported about 292 active certified businesses, roughly 40 vendors currently on EAC contracts, and expectations that the number of participating vendors will grow to about 130 by November. Commissioners praised the program and asked about its reach, data, and potential replication in other states or institutions. The advisory council update highlighted broad engagement across topics including accessibility, employment, youth transition, housing, health equity, transportation, technology, AI, and supported decision-making. Members were asked to share fact sheets and resources for posting on the commission website, and two council members will help plan the October employment event. Subcommittee reports followed: the employment subcommittee reviewed transition-to-employment barriers, the disability employment tax credit, veteran services, and a SEED policy brief; the workforce supports subcommittee discussed apprenticeships and a May webinar on addressing workforce barriers through apprenticeships; and the long-term services and supports/health equity subcommittee heard about care coordination training resources and a presentation on post-COVID health care inequities for people with disabilities. The executive director also reported on ongoing work with state agencies, MassHealth-related conversations, caregiver and aging issues, and AI planning. The meeting ended with commissioner announcements on the Paul Spooner Generational Leadership Summit and a Medicaid summit, followed by adjournment by vote.

Transcript Highlights:

• This slide walks through the process of what it means to establish a dependency.
• So this is some of that legal process of dependency.
• So there is sort of a parallel process here.
• The next piece of the process, or the next step of the legal process, is the disposition hearing.
• not be filed for a year or a year and a half after the referral is made.

Summary: The Senate Human Services Committee held a work session on child welfare dependency, focusing on implementation of HB 1227 (Keeping Families Together) and SB 6109 (the fentanyl response bill), along with related data and system updates. DCYF first reviewed the dependency process, explaining intake, shelter care, fact-finding, disposition, and review hearings, and emphasized that removal standards are separate from service provision and that children may be in-home or out-of-home at different stages. DCYF said 1227 raised the removal threshold to imminent physical harm and strengthened kin placement, with nearly 60% of children now placed with relatives or suitable others. The department also said 6109 directs courts to give great weight to fentanyl’s lethality and added legal liaisons to support staff in court preparation. DCYF presented data showing that entries into out-of-home care declined after 1227 but rose again after 6109, returning close to pre-1227 levels. The agency also reported a sharp increase in reviewable critical incidents in 2022-2025, especially near-fatalities, which it linked to the opioid and fentanyl crisis, parental stress, and system complexity. DCYF said it has responded with statewide Safe Child Councils, staff consultations, hotspot monitoring, and additional training, and noted that some contracted services authorized under 6109 were not implemented because of fiscal constraints. Senators asked about where children are in the process, who participates in court, the timing of data releases, age breakdowns, and geographic hotspots. Advocates and lived-experience witnesses from LCYC and a family intervention clinic argued that 1227 has not prevented courts from removing children when necessary and said the law appropriately requires the state to show a causal link between home conditions and risk. They said 6109 appropriately highlights fentanyl’s danger, but stressed that the larger issue is lack of prevention and treatment resources, inconsistent county-by-county practice, and insufficient supports such as inpatient beds, family treatment, housing, transportation, and third-party safety plan participants. A parent ally described how early support, peer guidance, and kin placement helped her achieve recovery and stability after losing parental rights in an earlier case. The committee also heard an update on SB 6068 from the Administrative Office of the Courts and K Implementation and Evaluation. The report identified 15 dimensions of relational permanency and child well-being, found that some data already exist while other measures need development, and recommended a phased data collection plan, a restored data-sharing agreement between AOC and DCYF, and a standing cross-agency work group. AOC said its dependency data system lapsed when the prior agreement expired in June 2025 and needs to be rebuilt. The meeting also included a brief update on bridge housing for youth exiting inpatient treatment, with presenters saying two programs are now open, one in King County and one in Spokane, and a short introduction to juvenile rehabilitation capacity updates before the transcript ended.

Transcript Highlights:

• Our CEO, Morris Sullivan, is currently navigating this exact process.
• I'm in that process. So I didn't really understand what to do.
• I'm in that process. So I didn't really understand what to do.
• It should be a process of empowerment.
• The process felt stacked against me.

Keywords: 995, all

Summary: The Joint Committee on Education held a hearing focused primarily on special education-related bills, with testimony centered on two major themes: transition planning for students aging out of school-based services at age 22, and the fiscal strain special education costs place on districts. Committee members explained hearing procedures, noted the House was in formal session, and periodically stepped out for votes while staff recorded testimony. A separate bill on special education due process was also taken up briefly, along with a bill on special education finance and another on equitable access/data reporting. On House Bill 752 and Senate Bill 313, witnesses from the Arc of Massachusetts, the Massachusetts Down Syndrome Congress, the Developmental Disabilities Council, families, self-advocates, and Senator Comerford described the “Turning 22” transition as a crisis point that often leaves families without adult placements, services, or clear communication. Testimony emphasized earlier planning, more accountability, better data collection, and a commission to improve coordination and residential placement. Several parents and advocates shared personal accounts of traumatic transitions, delayed placements, and the need for plans to begin at least a year before age 22. The committee later closed testimony on these bills after hearing from all signed-up speakers. House Bill 4217, on special education due process, drew support from Representative Sullivan-Almeida, parents, and advocates who argued that the burden of proof should shift from families to school districts. Testimony described costly legal battles, delays, and parents having to become experts in reading instruction or hire advocates and attorneys to secure services. Brody Dwyer, a 10-year-old student with dyslexia, and his mother described how evidence-based instruction helped him after years of struggle. The committee also heard testimony on House Bill 546/Senate Bill 317, which would require DESE to publish cross-tabulated data on race, disability, gender, income, and other factors; advocates said this would better expose disparities and help address the school-to-prison pipeline. Finally, on House Bill 691/Senate Bill 430, school leaders, educators, and union representatives testified that special education costs are outpacing district budgets and that increasing circuit breaker reimbursement and creating a commission to study long-term sustainability would help prevent staffing cuts and service reductions. No votes were taken during the hearing; the committee repeatedly closed testimony on individual bills as speakers finished and moved through the agenda.

Transcript Highlights:

• needs to go through the proper process needs to go through the proper process here<00:28:00.960>
• Once again, vastly confused by the process. Once again, vastly confused by the process.
• Not only the process that I saw process.
• Thank you so much. process. Are you okay with us taking process.
• Oh, we got to go through the process. Oh, we got to go through the process.

Keywords: 1183, house

Transcript Highlights:

• The first is for referral this morning.
• <01:20:14.200> a The bill then outlines the process a The bill then outlines the process a
• the parole process. the parole process.
• in order to begin the search process in order to begin the search process with<01:37:13.840>
• the Parole Board's budgetary process the Parole Board's budgetary process more<01:41:41.160>

Keywords: 926, house, all

Summary: The House opened with a devotional reading for St. Patrick’s Day, followed by the Pledge of Allegiance and the reading of a resignation letter from Representative Hooper of Burlington. The letter said the House environment had changed significantly and that he was resigning before the next cycle, while thanking colleagues and urging bold leadership to address major problems facing Vermonters. Members then received first readings and referrals for a large slate of bills. House bills introduced included measures on tax administration, hunting license fees, emergency management, oath and affirmation language in statutes, judiciary procedures, a Vermont homelessness response continuum, paperwork reduction, public utility subjects, municipal regulation of agriculture, miscellaneous agricultural subjects, and municipal permitting of ground-mounted solar arrays. Senate bills referred to House committees included vocational rehabilitation, home improvement and land improvement fraud, advanced metering infrastructure devices, water quality, and fair employment practices. Several other bills on the notice calendar were also referred to Ways and Means or Appropriations because they affected state revenue or carried appropriations. The House adopted two concurrent resolutions on the consent calendar: HCR 214, honoring Irish-American patriots and their role in American independence, and HCR 220, welcoming the USS Vermont’s namesake visit and designating April 18, 2026 as USS Vermont Day. Members also offered announcements recognizing guests from the USS Vermont and related veterans’ groups, remembering former Representative Ken Harvey, and noting upcoming events such as March Madness pools, the Legislative Cabaret, a Rural Caucus meeting, and a NAMI Walks team. On the floor calendar, H. 723 on posting of land was taken up, amended as recommended by the Committee on Environment, and ordered to third reading on a 10-0-1 committee vote. The House then began second reading of H. 757 on manufactured homes and limited equity cooperatives; committee members described manufactured housing as a key affordable housing option in Vermont and said the bill would clarify how these homes are purchased, titled, taxed, and financed, while reducing costs and improving consistency for homeowners, lenders, and municipalities.

Transcript Highlights:

• voice for smaller associations and groups that often didn't understand government or the legislative process
• President, I move the Senate proceed to the order of introduction and referral.
• President, that completes all eligible items under introduction and referral of bills.

Keywords: 983, senate, all

Transcript Highlights:

• Throughout the confirmation process, Mr.
• Referrals and re-referrals are made in accordance with any supplemental orders of the day that may be

Bills: SB2057, SB2109, SB2400, HB1752, SB2599, SB2930

Keywords: immigration enforcement, sanctuary policy, detainer, ICE, federal immigration authorities, 8 U.S.C. 1357(g), 8 U.S.C. 1373, 8 U.S.C. 1644, deportation, undocumented immigrants, noncitizen, migrant rights, local police cooperation, law enforcement cooperation, hold request, judicial warrant, probable cause, civil immigration enforcement, county police, state police

Transcript Highlights:

• Garin moves to defer the reading of referral bills until the end of today's business.
• permission for all committees and subcommittees to meet while the House is in session during bill referral
• Through the campaign process and kind of the transition here, because I often say this is not my world

Transcript Highlights:

• Are we simply overriding this process through mandates?
• The whole point is that we have a zoning process.
• <01:33:50.199> having hearing and approval process having hearing and approval process having
• during the hearing and approval process during the hearing and approval process when<01:34:08.639
• when they were going through processing when they were going through processing so<02:22:59.399>

Keywords: 1191, senate, all

Transcript Highlights:

• c> independent financial processing independent financial processing systems.<00:08:46.560> So,
• So it might be more structured process.
• needs need referrals to get those basic needs met?
• Do you also have in the process...
• So if um would call a complaint process.

Bills: HF2825

Keywords: expungement, criminal justice, background check, security industry, private detective, 1183, house

Transcript Highlights:

• This program teaches us decision-making processes, and it was because of these activities that I was
• Then we have a pretty rigorous interview and selection process, and we really do try to make sure that
• Again, we are Minnesota's largest educational neglect and truancy program, averaging 10,000 referrals
• Another example: Be at School has implemented a family referral.
• The portfolio process is daunting; it is not an easy route.

Bills: HF1966, HF54, HF2043, HF1171, HF2741

Keywords: HF1966, Minnesota Association of Alternative Programs, STARS program, alternative education, alternative programs, education finance, general fund appropriation, student support services, career readiness, employment skills, academic skills, social skills, student conferences, training grants, Minnesota Department of Education, specialized education, at-risk students, nontraditional education, HF54, Silver Lake

Transcript Highlights:

• They gain first-hand knowledge of the legislative process, work experience, as well as insight. into
• All voltages are also subject to this process.
• Each police department and each sheriff's department is going through this process.
• It balances process for individuals with institutions' obligation to protect.
• Actually, the model creates a clear, as you noted, a two-step process for a first violation.

Bills: SJR60, SB203, SB317, SB397, SB511, SB524, SB731, SB781, SB801, SB867, SB1071, SB1232, SB1319, SB1444, SB1483, SB1633, SB1798, SB1944, SB1978, SB2082, SB2233, SB2363, SB2603, SB2607, SB2717, SB2797, SB2841, SB2919, SB2928, SB2969, SB3038, SB3063, HB102, HB107, HB130, HB132, HB148, HB647, HB668, HB677, HB694, HB748, HB754, HB923, HB1193, HB1240, HB1318, HB1397, HB1584, HB1639, HB1875, HB1893, HB1922, HB2071, HB2187, HB2254, HB2350, HB2510, HB2513, HB2516, HB2522, HB2559, HB2712, HB2713, HB2733, HB2775, HB2788, HB2789, HB2894, HB2960, HB3033, HB3126, HB3211, HB3370, HB3376, HB3751, HB3805, HB3810, HB4187, HB4219, HB4238, HB4273, HB4325, HB4344, HB4384, HB4506, HB4529, HB4643, HB4753, HB4783, HB4850, HB4885, HB5342, HB5424, HB5560, HCR90, HCR98, SJR5, SJR34, SB9, SB27, SB40, SB458, SB482, SB493, SB529, SB541, SB693, SB841, SB843, SB912, SB963, SB1173, SB1241, SB1350, SB1383, SB1388, SB1559, SB1646, SB1734, SB1789, SB1833, SB1883, SB1951, SB1968, SB2143, SB2544, SB1, SB17, SB260, SB509, SB1506, SB1637, SB1833, SB2308, HB2525, SJR36, SJR50, SJR63, SJR60, SCR12, SCR39, SB2023, SB511, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB1749, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2233, SB2683, SB1319, SB1978, SB3038, SB3045, SB1633, SB1538, SB719, SB3071, SB3065, HJR34, HB1393, HB26, HB3810, HB388, HB2712, HB1633, HB685, HB4753, HB762, HB2286, HB1606, HB132, HB1458, HB1240, HB2788, HB2791, HB3146, HB1893, HB4850, HB4187, HB1397, HB3751, HB2061, HB647, HB2522, HB4738, HB3033, HB2563, HB128, HB581, HB766, HB2259, HB2358, HB4384, HB748, HB793, HB1734, HB2340, HB2350, HB3104, HB5180, HB1584, HB4219, HB3806, HB3804, HB3803, HB1522, HB3597, HB1612, HB4224, HB1314, HB2254, HB4643, HB1237, HB3126, HB2856, HB3114, HB3505, HB4205, HB5652, HB3687, HB5424, HB4506, HB3370, HB2025, HB4273, HB3395, HB3376, HB2733, HB2495, HB4325, HB2071, HB2510, HB138, HB18, HB107, HB694, HB923, HB1639, HB1700, HB2187, HB3211, HB4529, HB4655, HB5342, HB2516, HB4783, HB1894, HB1965, HB102, HB300, HB1875, HB2513, HB2713, HB39, HB114, HB24, HB3088, HB4163, HB3479, HB2842, HB519, HB609, HB1275, HB1592, HB3348, HB120, HB6, HB247, HB1533, HB2421, HB2273, HB2464, HB2011, HB3575, HB3788, HB4370, HB4809, HB5057, HB5084, HB5534, HB5668, HB3424, HB2715, HB2564, HB2760, HB2765, HB2898, HB3260, HB3800, HB4396, HB5195, HB4341, HB43, HB5686, HCR90, HCR98, SJR60, SB1633, SB2233, HB102, HB107, HB132, HB694, HB923, HB1639, HB1875, HB1893, HB2071, HB2187, HB2510, HB2513, HB2522, HB2733, HB2788, HB3033, HB3211, HB3370, HB3376, HB3751, HB3810, HB4187, HB4219, HB4273, HB4325, HB4506, HB4529, HB4643, HB4753, HB4783, HB4850, HB5342, HB5424, SB511, SB1978, SR533, SR554, HCR90, HCR98, HCR144, SJR34, SB529, SB541, SB693, SB1173, SB1646, SB1734, SB1833, SB3074, HB1233, HB1285, HB1828, HB1876, HB2091, HB2301, HB2725, HB3063, HB3177, HB3483, HB4662, HB5606, HCR9, HCR10, HCR40, HCR76, HCR118, HCR127, HCR135, HCR141, SB3074, HB1233, HB1285, HB1828, HB1876, HB2091, HB2301, HB2725, HB3063, HB3177, HB3483, HB4662, HB5606, HCR9, HCR10, HCR40, HCR76, HCR118, HCR127, HCR135, HCR141

Keywords: SJR 60, Texas constitutional amendment, property tax exemption, ad valorem taxation, rainwater harvesting, graywater system, water conservation, water reuse, residential tax incentive, local government finance, county commissioners court, appraisal value, environmental incentive, November 2025 ballot, Article VIII, tax relief, student privacy, numerical class rank, education policy, academic programs

Transcript Highlights:

• Members, please give them a round of applause. legislative process chambers's education legislative process
• Democracy lives in the process.
• <00:52:26.880> process<00:52:27.880> public Democratic process process public Democratic
• process process public participation<00:52:29.799> is<00:52:30.160> vital<00:52:30.839
• <01:06:14.720> process attention to the referral process attention to the referral process

Keywords: 910, house, all

Summary: The House convened, completed roll call with 48 members present and three excused, deferred reading of the journal, and received Senate communications noting adoption of House Concurrent Resolutions Nos. 1 and 2. The chamber also recognized several visiting groups and guests, including Congresswoman Jill Tuda, Chamber of Commerce Hawaii participants and students, Okinawan visitors, Farrington High School students, James Campbell High School students, and Waiau High School students, many of whom were introduced in connection with Chamber Week activities and educational presentations. The main business was unfinished business on House Resolutions 6 and 7, which adopted the House rules for the 33rd Legislature, including rules for the Committee on Standards of Conduct. Members generally supported the rules package as a transparency and modernization update, citing earlier public access to testimony, a public list of Speaker appointees, changes to conference committee eligibility, telework for staff, social media guidance, and a public list of bills introduced by request. Several members raised reservations or opposition, focusing on concerns about staff involvement in approving written remarks, budget information timing, the Vice Speaker’s role, social media/free speech issues, and whether some changes reduced public access or conflicted with constitutional open-meeting requirements. No vote on the rules package is recorded in the excerpt. The debate ended with multiple members yielding time and the discussion continuing on the merits of the proposed rule changes, especially the balance between transparency, internal House procedure, and public participation.

Transcript Highlights:

• It is very helpful because this is a complicated matter, and it’s a state and federal process that the
• owed after an appeal has been processed owed after an appeal has been processed and<00:24:40.360
• Just so we have time, this is a single referral, so we have some time, but I want to make sure that we
• <01:01:08.559> so<01:01:08.720> we time this is a single referral so we time this is
• a single referral so we have<01:01:08.960> some<01:01:09.200> time<01:01:09.680> but

Keywords: 910, house, all

Summary: The committee heard several measures, beginning with Senate Bill 869 on community outreach boards. The Office of Information Practices said the bill was now clear and raised no concerns after clarification that it applies to Hawaii County community development action plan committees under the Sunshine Law. Written support was received from several individuals, and one testifier initially opposed the bill but withdrew opposition after hearing OIP’s explanation. No vote was taken in the excerpt. The committee then heard Senate Bill 405 on neighborhood board meetings, which would let boards receive and discuss reports from government officials that were not on a noticed agenda, with final action deferred to a later noticed meeting. OIP said the bill was a policy choice but warned it would give boards more flexibility at the cost of less public notice. Support came from the Wke neighborhood board and Jacob Weinek, while Natalie Iwasa and Greg Mian opposed it, arguing it could lead to unclear agenda items and deeper discussion without adequate public notice. No vote was taken. The committee also heard Senate Bill 903 on a claims review working group in the Office of Hawaiian Affairs, with the Department of Hawaiian Home Lands asking for the measure to be deferred because it believed a complete inventory and audit of the public lands trust should come first. Members asked about the status of related House Bill 1358. The committee then heard tax measures: Senate Bill 1469, which would suspend the collection statute of limitations while tax assessments are on appeal, and Senate Bill 1467, which would clarify that county tax appeals do not need to be served on the Director of Taxation. The Tax Department supported both bills, and the Tax Foundation’s witness generally agreed but suggested a possible amendment to SB 1469 regarding insurance premium tax language. The committee then moved to Senate Bill 544 on sentencing of minor defendants, which would require courts to consider youth-related factors and allow departures from mandatory minimums; OHA, the Public Defender, Human Rights for Kids, and others supported it, citing trauma, diminished culpability, and national trends, and no opposition was noted in the excerpt. Finally, the committee heard Senate Bill 691 on family courts, which would set a minimum age of 12 for adjudication of law violations. The Public Defender and Human Rights for Kids supported the bill, saying very young children should not be treated as law violators and can still receive services through other family court mechanisms. The Attorney General’s office and the Honolulu Prosecutor’s Office opposed the measure, arguing it could limit court jurisdiction and services for younger children and might have unintended consequences, including recruitment of children into criminal activity. Members asked whether amendments could preserve the bill’s intent while addressing those concerns; no final action is shown in the excerpt.

Transcript Highlights:

• Duran said throughout the process is that at times this process felt that it was moving too quickly and
• I track the master plan process closely. I think it was a great process in many ways. new web page.
• I track the master plan process closely. I think it was a great process in many ways.
• The master plan process closely. I think it was a great process in many ways.
• This is not an easy process. Individual outcome measures. This is not an easy process. As Mr.

Summary: The Assembly Budget Subcommittee on Human Services held a hearing on developmental services, rehabilitation, and related supports, with no votes taken. The first major topic was the Master Plan for Developmental Services. Administration officials described a year-long, community-driven process that included a steering committee, work groups, and statewide engagement sessions, and said the final draft would be released that Friday with about 170 recommendations. The Department of Developmental Services said the plan would inform future work, but did not offer a detailed implementation roadmap. The LAO said the plan contains significant policy and budget implications, may require statutory changes, and needs further analysis to turn recommendations into actionable proposals. Advocates and regional center representatives urged the Legislature and administration to avoid letting the plan sit on a shelf, called for prioritization and ongoing stakeholder oversight, and emphasized the need to address equity, workforce, service coordination, and cross-system collaboration. The chair said he wanted to work with the LAO on trailer bill language and future reporting to create a clearer path forward. The second topic was the Office of Employment First and competitive integrated employment. Administration witnesses said California has ended subminimum wage under SB 639, but that moving people into competitive integrated employment remains a major priority. They described existing efforts such as DDS’s coordinated career pathways pilot, paid internships, job development services, benefits counseling, and DOR’s career counseling and referral services, along with pilot projects in San Diego and Orange County. The State Council on Developmental Disabilities and advocates argued that employment outcomes have remained stuck at roughly 15% and that a dedicated Employment First Office is needed to coordinate across agencies, align goals, and improve outcomes. The LAO recommended regular legislative oversight on people transitioning out of subminimum wage and asked for technical assistance on coordinated career pathways. The chair criticized the administration’s decision to effectively eliminate funding for the office, requested a detailed implementation timeline and quarterly transition reports, and said the committee would continue pressing for the office to be implemented. The final issue was respite services, utilization trends, and access. DDS reported that in-home respite use and spending have risen sharply over several years, with about 150,000 people using respite in 2023-24 and expenditures reaching about $1 billion. Officials said access depends on families knowing the service exists, service coordinators identifying need, and having enough providers, especially in rural and linguistically diverse communities. The San Diego Regional Center said utilization generally mirrors statewide trends, but access is stronger in some areas, such as Imperial County, where families often prefer family-directed or agency-supported models that allow them to hire trusted workers. Committee members emphasized the importance of respite for family health and caregiver well-being, asked whether service coordinators are asking practical questions about sleep and stress, and discussed the need for better identification of complex behavioral and medical needs. DDS said a standardized family support tool and updated IPP process are intended to improve consistency, transparency, and person-centered assessment for respite and related services.

Transcript Highlights:

• of the normal process if an instead of the normal process if an amendment<00:20:44.080> to<00
• Rather than having to get a referral, wait months and months for that referral, have someone drive you
• , Rather than having to get a referral, Rather than having to get a referral, wait<01:09:27.759><
• > that<01:18:30.080> we The Sunrise process ensures that we The Sunrise process ensures
• The process this bill had to >> You may.

Keywords: 926, house, all

Summary: The House began with several announcements and recognitions, including a lengthy tribute to Representative Carolyn Brangan of Georgia on her retirement and years of service, followed by remarks from Brangan explaining that she is leaving to care for her husband during cancer treatment. Additional members offered brief reflections, including one on the end of the session and another welcoming students from Founders Memorial School to the gallery, and a member from Brattleboro highlighted a collaborative mural in the card room titled “These Green Hills, Vermont State Symbols and Personal Reflections.” The body then took up its calendar. It adopted Joint House Resolution 12, authorizing limited remote voting in joint committees through the remainder of the calendar year, with an ADA-related accommodation for members physically present but unable to access a meeting room. The House also suspended rules to take up and concur in the Senate amendment to House Bill 935 on emergency management. The committee report described grant programs for emergency response and technical rescue, new definitions and shelter-planning language centered on “whole community,” a wildland fire response task force, and an emergency rulemaking provision requested by the Agency of Natural Resources; the committee approved the Senate proposal on an 8-3 straw poll, and the House concurred. The House next adopted the conference committee report on House Bill 952, the capital construction and state bonding budget adjustment bill. The report explained changes made in conference, including shifting funds to cover a higher-than-expected bid for the St. Johnsbury facility, restoring some funding for maintenance at the women’s correctional facility in Chittenden County, and setting aside $750,000 toward planning for Wi-Fi installation in correctional facilities. It also noted a lease-related language change for a Vermont Huts project at Little River State Park, with notification to the institutions committee chairs. The House then took up Senate Bill 64 on optometrists’ scope of practice; the committee presentation supported allowing specially credentialed optometrists to perform certain minor surgical, laser, and injection procedures, citing improved access, safety, cost, and workforce development, and the bill was read for second reading with committee recommendations for concurrence.

Transcript Highlights:

• , and modernize a waitlist process, and modernize a waitlist management<00:04:06.160> data<00:
• <00:04:53.919> with been doing um in a joint process with been doing um in a joint process
• Laura said camp. cost allocation type of a process, but cost allocation type of a process, but it<00:
• I know you said there's two processes. You got to Medicaid and you have the wait list.
• health outcomes, and they make referrals health outcomes, and they make referrals based<00:46:56.320

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on September 24, 2025, approved the minutes from the September 9 meeting, and then continued its discussion of Medicaid waivers with Leslie Hoffman and Carmen Hancock from the Department for Medicaid Services. Members asked for updates on the 2024 waiver waitlist management assessment recommendations, including aligning waiver policies, standardizing applications and waitlist placement, and modernizing data systems. DMS said that work is being done jointly with Aging and Independent Living and Behavioral Health/Developmental and Intellectual Disabilities through task forces, that ARPA spending delayed action, and that implementation timelines extend through March 2027. The board also reviewed per-member waiver cost averages for fiscal years 2023 through 2025 for ABI, ABI long-term care, HCBS, Model II, Michelle P, and SCL. DMS emphasized these figures were benefit-only averages based on paid claims, not full waiver costs, and explained that true budget neutrality is calculated on an aggregate basis against institutional care comparisons approved by CMS. DMS said all six waivers remain in compliance with budget neutrality and that the most recent 18-month lag review for FY 2022 and FY 2023 found costs at or below institutional care. Members also asked about unused waiver slots; DMS said slots generally cannot be reallocated mid-year if they have been used, except in cases such as death or reserved capacity, because CMS treats participants as unduplicated for the waiver year. A major portion of the meeting focused on the new child waiver created under House Bill 6. Legislators questioned whether the waiver’s design, including the exclusion of participant-directed services and the emphasis on high-acuity children with behavioral health, DCBS, or juvenile justice involvement, matched the bill’s intent to keep children at home. DMS said it used the $14.7 million appropriated for FY 2026 to develop the program, that there is no priority list, and that the waiver is intended to serve the highest-acuity children while also addressing residential needs for those sleeping in offices or placed out of state. Members also raised concerns about the rapid growth of the HCBS waiting list and asked for more detail on age and timing patterns, which DMS said it would provide later. Finally, DMS gave average processing times from application to eligibility determination and from approval to service start, and said the overall average from application to services beginning was about 80 days, while members requested follow-up information on the Carewise assessment contract and related costs.

Transcript Highlights:

• And it's been a very collaborative process of trying to figure out sort of what's the roadmap, what are
• of trying to figure out sort of process of trying to figure out sort of what's<00:09:41.360> the<
• where um the health care needs process where um the health care needs of<00:10:02.880> the<00
• here um uh in governance process here um uh in Kentucky.
• detect a lot of like unclosed referrals detect a lot of like unclosed referrals because<01:12:45.280

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 CRISP Shared Services 00:01:39 Rural Health Transformation Plan 00:30:55, 958, all

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.

Transcript Highlights:

• time-consuming, Most Most process is time-consuming, Most Most process is time-consuming, costly,
• 04:28.880> protect Faster enrollment process and protect Faster enrollment process and protect
• <00:05:13.600> all identity verification processes all identity verification processes all
• I I don't know that requiring referral I I don't know that requiring referral to<00:35:39.200>
• businesses, bakeries, food processing businesses, bakeries, food processing plants. plants. plants

Bills: HF4698, HF4608

Keywords: higher education, identity verification, enrollment fraud, funding, Minnesota State Colleges and Universities, postsecondary education, community college, university, developmental education, remedial education, remediation, corequisite, co-requisite, English composition, college readiness, adult basic education, ABE, student placement, credit-bearing courses, noncredit courses

Summary: The committee first approved the March 26 minutes after Representative Coulter pointed out and moved a technical correction to add a missing “T” in “Regents.” The committee then took up HF 4698, which Representative Duran said would address enrollment fraud at Minnesota State Colleges and Universities by funding an automated identity-proofing system. Testimony from Chief Information Security Officer Craig Munson described a commercial software system that would verify student identities using a selfie and a state ID image, reduce ghost students and fraud, speed enrollment, and lessen staff time spent on manual investigations. Members focused heavily on privacy, data retention, and biometric concerns. Representative Cleveland asked what biometric data would be collected, and Munson said it would be limited to a selfie and ID images, not fingerprints or retinal scans. Chair Klippert and others urged stronger Chapter 13 protections and clearer data practices, while Chair Scott asked how long images would be stored; Munson said they should be deleted as soon as identity is validated, with possible revalidation later. Members also raised concerns about racial bias in biometric matching and the need for alternate verification methods. The bill was laid over, and Duran said he would work on the data practices with committee members. The committee then heard HF 4608, presented by Representative Allen for Representative Koznick, on developmental education reform. Allen said too many students are placed into remedial courses that do not count toward a degree, costing time and money and reducing completion rates. Jane Groatman of the International Institute of Minnesota supported the bill, describing students who spent years in noncredit remedial coursework and arguing for a one-semester cap on remedial classes and clearer notice that such credits do not count toward a degree. Mark Grant of Minnesota State College faculty opposed the bill’s approach, saying it imposed a one-size-fits-all model, could undermine open admissions, and should not limit colleges’ flexibility to meet diverse student needs. The bill was laid over for further consideration.