Transcript Highlights:

• Both both programs. >> correct? Both both programs.
• companies will bring to this program. companies will bring to this program.
• managing the program. managing the program.
• . program. program.
• brain injury waiver and the developmental disability waiver. >> Okay.

Keywords: 928, house, all

Summary: The committee to study long-term managed care met to approve the prior meeting minutes, with a clarification that “OB3” referred to the “one big beautiful bill.” The minutes were then approved. Chair Jim Kofalt outlined the day’s agenda, which included testimony from the Granite State Home Health and Hospice Association, the New Hampshire Association of Counties, and later DHHS. He also noted that future meetings were expected soon and that the meetings were being livestreamed on YouTube. Granite State Home Health and Hospice Association, represented by Kellyanne Totten and Amy Moore, urged inclusive planning and a cautious, phased approach if managed care is considered. They emphasized that home care providers are not uniform, with different licensing and service models, and said any pilot should include varied provider types, rural and southern regions, and agencies of different sizes. They warned that workforce shortages, inflation, and a possible 9% CMS cut to Medicare home health payments could force agencies to reduce service areas or service types. They also said the 2023 Medicaid CFI rate increase has begun to lose its effect. In response to questions, they said the rural health transformation fund may help with planning and telehealth but likely cannot be used directly for rates or recruitment/retention. They also described the New England Home Care Nurse Residency Program, a Department of Labor grant, as a way to bring new registered nurses into home care with added training and school partnerships. The New Hampshire Association of Counties, through county nursing home administrators Craig Labore and David Ross, revisited the earlier Step Two managed care discussions from 2016-2018. They said prior consultants found the long-term services and supports system was underfunded and needed investment to stabilize providers and expand community-based care. They argued the same concerns remain today and said a managed model would jeopardize the Medicaid quality incentive payment program and, for county nursing homes, the proportionate share payment program. Their testimony was generally opposed to moving forward with managed long-term services and supports without significant additional funding and safeguards.

Transcript Highlights:

• So CARB runs a program called H-RIP, HVIP.
• So it's basically the Hydrogen or Heavy Vehicle Incentive Program.
• So it's basically the Hydrogen or Heavy Vehicle Incentive Program.
• I came out of a 342 apprenticeship program.
• I came out of a 342 apprenticeship program.

Keywords: 987, senate, all

Transcript Highlights:

• program.
• It modifies the tuition waiver for programs of strategic emphasis or in-state teacher approved preparation
• programs better known as the tuition waiver.
• In-state teacher approved preparation programs better known as the tuition waiver to provide that the
• This creates a tax program to encourage supporting these programs by offering tax relief.

Keywords: 999, senate, all

Transcript Highlights:

• because there was a federal vision waiver, which they no longer have, and it was a very long process
• , so that's why the Louisiana vision waiver was even created.
• . four years to help support that particular program.
• I thought they didn't understand what waiver meant, but they're here. They drove up from Opelousas.
• My brother Brett lost his life in 2021 in an adult day program because of his poor impulse control.

Bills: SCR58, SB309, SB514, HCR63, HCR69, HB401, HB487, HB722, HB730, HB745, HB988, HB989, HB1001, HB1024, HB1032, HB1050, HB1081, HB1086, HB1108, HB1172, HB1173, HB1175, HB1192, HB1218, HB1244

Keywords: SCR 58, Senate Concurrent Resolution, DOTD, Department of Transportation and Development, public-private partnership, P3, public-private partnership contracting, Belle Chasse Toll Bridge, Belle Chasse Bridge, toll bridge, tolling, tolls, transportation infrastructure, roads and highways, Plaquemines Parish, bridge project, toll fees, unauthorized charges, contract oversight, procurement

Transcript Highlights:

• Finally, our last proposal is a first-time waiver of fine for late filers of financial disclosures.
• lobbyist registration, lobbying firms filing compensation reports late are eligible for a first-time waiver
• , and we've seen low-level recidivism with that one-time waiver.
• So our proposal would be a first-time waiver of a fine for late filers of financial disclosures.
• So we think it would be prudent to help those out with a grant program to get up and running with the

Summary: The Senate Committee on Ethics and Elections met with a quorum present and heard a presentation from the Florida Commission on Ethics on several proposed legislative changes. The commission asked for changes to the Whistleblower Act to better cover ethics complaints, a public records exemption for commissioners’ and staff members’ sensitive personal information, an expanded gift-disclosure family definition to include foster relationships, and a first-time waiver of fines for late financial disclosure filers. Staff also requested technical fixes, including treating a timely postmarked appeal as filed on time, clarifying Form 6 filing requirements for appointees to elected seats, extending ethics-training requirements to municipal appointees filling unexpired terms, and clarifying where Form 10 gift disclosures are filed. Commission staff reported high electronic filing compliance rates, the rollout of automated fines, and an average of 92 days for completed preliminary investigations in 2025. They also updated the committee on two federal court challenges involving the in-office lobbying ban and the Form 6 requirement for elected municipal officers. The committee then heard from Secretary of State Cord Byrd, who outlined preparations for the 2026 election cycle and several policy proposals. He discussed work with new supervisors of elections, ongoing election-crimes enforcement, cooperation with federal agencies on citizenship verification, and data-sharing agreements with other states. Byrd also proposed a statewide pre-certification audit system with grants for smaller counties, a more streamlined process for checking voter citizenship status after registration, and a modernization fix for voter records affected by randomized driver’s license numbers. Members asked about special elections, election-crimes investigations, returning-citizen voting determinations, chain-of-custody procedures, and interstate data-sharing agreements. Byrd said special election timing is controlled by the governor, the elections-crimes office investigates but does not arrest, returning-citizen applications are resolved within 90 days, and he is confident in current chain-of-custody practices. The committee also considered gubernatorial nominations. By unanimous vote, members approved a block of nominees, then separately took up Joshua Kellum’s nomination to the Fish and Wildlife Conservation Commission. The committee heard sworn public testimony from Robin Blevins, who urged rejection of Kellum’s appointment and criticized his background and past involvement in FWC-related advocacy. After brief discussion, the committee voted unanimously to approve Kellum’s nomination as well.

Transcript Highlights:

• The first local program I will talk with you about is the Small County Outreach Program, or SCOP.
• The next program I will talk to you about is the County Incentive Grant Program, or SIGP.
• For this program, FDOT funds 50% of the project cost, and match waivers are available.
• The last program I will talk to you about today is the Transportation Regional Incentive Program, or
• For this program, FDOT funds 50% of the project costs, and match waivers are also available.

Summary: The Senate Transportation Committee met and first received an update from FDOT on the Sun Trail shared-use nonmotorized trail program. FDOT said the program, created in 2015 and expanded by 2023 legislation, now includes connections to the Florida Wildlife Corridor and received a one-time $200 million appropriation plus increased annual funding. The department reported programming about $180 million of that funding, completing 42 construction projects totaling nearly 95 miles in 21 counties, and installing trail counters and QR-code surveys to measure usage and economic impact. Members expressed support for the program and asked no substantive questions. The committee then heard a presentation on FDOT’s locally administered state transportation funding programs, including SCOP, SCOPM, SCRAP, SIGP, and TRIP. FDOT explained these programs support local roadway resurfacing, bridge repair, drainage, paving unpaved roads, and safety or capacity improvements, with varying state match levels depending on the program and eligibility. FDOT said its adopted five-year work program includes more than $1.4 billion for local transportation improvement projects. A member asked whether toll revenues from Miami-Dade, Broward, and Palm Beach counties fund these programs; FDOT said it would research the funding source and follow up. The committee’s main discussion was a panel on advanced air mobility (AAM), including FDOT and industry representatives from Supernal, Joby, Atlantic Aviation, Hillsborough County Aviation Authority, and Eve Air Mobility. FDOT described its AAM planning work, advisory committee, local government guidebook, and upcoming training, while panelists emphasized Florida’s leadership, the likely use of existing airport and heliport infrastructure first, and the expectation that private investment will fund much of the early vertiport buildout. Members raised concerns about community acceptance, privacy, zoning, airspace congestion, security, and lessons from scooters and drones. Panelists repeatedly stressed a “crawl, walk, run” rollout, local government coordination, multimodal connectivity, and public outreach. No votes were taken, and the committee adjourned after the panel.

Transcript Highlights:

• I'll start with an update on what is known as the MA Repay program.
• number of years, depending on the program.
• So this was a $46 million ARPA-funded grant program to support human service agencies.
• This was a two-year grant program.
• that can be used by training programs to strengthen and expand their offerings.

Keywords: 995, all

Summary: The subcommittee met to approve the April and May minutes, welcome a new member, and hear an update from Gina Frey of EOHHS on statewide health and human services workforce development efforts. Frey described cross-secretariat initiatives under the Workforce Skills Cabinet, including MA Repay loan repayment awards, expanded community college and tuition supports, ESOL/work-readiness programming for immigrants, and efforts to build career pathways and reduce attrition in nursing, behavioral health, direct care, and primary care. She also reviewed a $46 million ARPA-funded home and community-based services grant program that supported 82 grantees, led to hiring 8,752 new staff, over 1,000 interns, 2,000 new certifications, and a drop in vacancy rates from 22% to 12%. Members raised concerns about the impact of immigration policy changes on the direct care workforce, including losses of trained workers in provider agencies, and asked whether any exemption or other relief efforts were underway. Frey said EOHHS is tracking the issue closely but did not identify a specific exemption effort. The discussion also touched on Medicaid and related program changes, with Frey noting the administration is focused on understanding potential impacts to eligibility and work requirements. Rep. Howard asked about initiatives for direct support professionals and wraparound supports, and Frey said those efforts are often led by individual agencies such as MassAbility and DDS, with EOHHS coordinating across them. The latter part of the meeting shifted to planning FY26 subcommittee goals and possible events. Members discussed using the Health Policy Commission’s Behavioral Health Workforce Center and possibly asking for a study comparing compensation in DDS and related direct care roles against health care and education jobs. They also discussed a possible cross-state public event on immigration’s impact on the workforce, especially for people with disabilities and direct support services, and agreed to continue refining goals and event ideas by email and at the next meeting. Frey provided a website link and contact information for Amy Doyle at the Health Policy Commission to facilitate future presentations.

Transcript Highlights:

• put in the appropriate program. put in the appropriate program.
• the utilization of that that program. the utilization of that that program.
• Correct. programs. So, I would say that would programs.
• Across various programs.
• Michelle P waiver wait list. And that Michelle P waiver wait list.

Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:02:10 3. Discussion of State-Based Marketplaces and the Federally-Facilitated Marketplace – 00:02:31 4. Discussion of the Role of Kynectors and Navigators – 00:27:29 5. Discussion of Presumptive Eligibility – 01:11:57 6. Discussion of Medicaid Eligibility, Enrollment, and Redeterminations – 01:20:09 7. Update on Rural Health Transformation Program Application Process – 01:47:35 8. Public Comment – 01:59:57 9. Adjournment – 02:06:10, 958, all

Summary: The Medicaid Oversight Advisory Board met for its third meeting and approved the July 30 minutes. The chair outlined a full agenda covering the state-based marketplace versus the federally facilitated marketplace, connectors and navigators, presumptive eligibility, eligibility/enrollment/redetermination, and a rural health transformation update. Commissioner Lisa Lee and Assistant Director David Barry presented first on Kentucky’s state-based exchange, Connect, explaining that it is an integrated eligibility and enrollment system for Medicaid, CHIP, SNAP, TANF, child care, and qualified health plans. They reviewed Kentucky’s move from a state-based exchange to healthcare.gov in 2017 and back to a state-based marketplace in 2021, and said the system helps route applicants to the correct program and allows families to move more easily between Medicaid and exchange coverage as circumstances change. The presenters said the exchange is funded by carrier assessments on qualified health plans rather than general fund dollars, with costs allocated across programs based on use. They said Kentucky’s exchange fees are lower than the federal platform’s and that the state-based system provides local assistance through DCBS offices, connectors, and licensed agents in every county. Members asked about startup and operating costs, fee-setting, and whether any general fund dollars are used; the department said it would follow up with the CFO on fee details and said it was not aware of general fund support for exchange operations. Members also raised concerns about Medicaid eligibility verification and improper enrollment, while the department emphasized that the state system uses different questions than healthcare.gov and is designed to identify the correct coverage based on monthly Medicaid income and annual tax-credit income. The board also discussed enrollment trends, including a COVID-era spike during the public health emergency when disenrollments were largely paused, and current qualified health plan enrollment of more than 97,000 people on Connect. Commissioner Lee explained presumptive eligibility as temporary Medicaid coverage, noting it applies to pregnant women and hospital-based cases, with hospitals able to grant it and certain providers able to grant it to pregnant women. She said full eligibility is still determined within 30 days and that presumptive eligibility ends when full Medicaid eligibility is determined or at the end of the following month. The meeting then shifted to connectors, with representatives from Community Action Kentucky and the Kentucky Primary Care Association describing their statewide outreach network, local offices, and role helping residents apply for Medicaid, renew coverage, report changes, and navigate benefits; they said connectors do not determine eligibility but assist with applications, recertifications, and outreach events across the Commonwealth.

Transcript Highlights:

• Um, with the programs that you said were offered, is dispatch included in those programs?
• SNAP benefits waiver request. SNAP benefits waiver request.
• offer the dental hygiene programs. offer the dental hygiene programs.
• nursing program. nursing program.
• through that program to be a CNA? through that program to be a CNA?

Keywords: 916, all

Transcript Highlights:

• came out the the teacher prep programs came out the the teacher prep programs that's<00:09:11.160
• and say well these this of the program and say well these this program<01:04:08.720> is<01:04
• really about the impact of the program really about the impact of the program at<01:04:25.920>
• MathCore is a great program.
• Ray rower math cor is a great program Ray rower math cor is a great program it's<01:10:41.120>

Keywords: 1183, house

Transcript Highlights:

• Bradbury, as you know, rural communities rely heavily on the essential air service program.
• It may be that the program... Which makes sense.
• I don't know all the ins and outs of what's happening right now with particular funding programs.
• And certainly we need the... staff at FAA to administer the program effectively.
• We have the adequate staff to administer the programs that, by law, we need to administer.

Keywords: transportation, air traffic control, safety regulations, Boeing 737 MAX, Department of Transportation, infrastructure funding, public safety, legislative oversight

Summary: The committee meeting addressed several pressing issues concerning transportation, particularly focusing on the need for improved safety standards and efficient management at the Department of Transportation. Specific discussions revolved around air traffic control, with members highlighting the urgency for a significant upgrade in systems and personnel. Notably, concerns were raised regarding past practices, especially the handling of safety regulations during the Boeing 737 MAX incidents. The committee expressed a clear intent to ensure rigorous safety oversight moving forward, emphasizing that the health and safety of the public must remain the top priority in all legislative and funding decisions.

Transcript Highlights:

• Every session we adjust because the programs that we run are based on focus and program so that we can
• The plainest way to explain this is that we have a plan that aligns with forecasted programs within this
• the Medicaid program but have require services under the Medicaid program to buy into the Medicaid program
• The program was repealed in the 2023 session.
• Last year, the... legislature authorized an 1115 reentry waiver.

Transcript Highlights:

• for these really important programs.
• California currently has no licensed midwife programs and only one nurse midwifery program accepting
• in California and is the foundation for two new programs.
• And these programs last anywhere from three to seven years.
• is also... ...federal family planning program grantee for 55 years and is also proud to be the program

Summary: The Assembly Health Committee met on April 8 and heard a long series of bills, beginning with AB 54 on medication abortion access. The author and supporters, including the Attorney General’s office and reproductive justice advocates, said the bill would protect California’s medication abortion supply chain and shield providers and manufacturers from civil, criminal, and professional liability. Opponents from the California Family Council argued the bill removes safeguards and increases risks. The bill was moved forward on a committee motion. The committee then heard several reproductive and public health measures, including AB 551 to create a pilot program supporting emergency departments in providing reproductive health services, AB 260 to protect medication abortion access and telehealth, AB 309 to remove sunset dates on laws allowing pharmacy syringe sales and lawful possession of sterile syringes, AB 536 to preserve colorectal cancer screening coverage if federal guidelines are challenged, AB 804 to make housing support services a Medi-Cal benefit, AB 594 to address student health insurance billing and transparency, AB 836 to study and expand the midwifery workforce, AB 1418 to collect data on health coverage for eligible employees, and AB 1500 to maintain and expand the abortion.ca.gov information site. Supporters emphasized access, preventive care, workforce shortages, and public health benefits, while opponents raised concerns about abortion, syringe distribution, and the focus of state resources. Most measures were advanced by committee vote, with roll calls showing broad support and a few no votes from members on some bills. The final bill discussed in the transcript was AB 1037, which would update substance use disorder laws to reflect evidence-based, harm-reduction approaches and remove barriers to treatment. The author and supporters described it as a compassionate response to overdose and treatment access problems, while law enforcement opposition argued it would encourage drug use and endanger communities. The transcript cuts off during testimony on AB 1037, so no final committee action on that bill is shown in the provided text.

Transcript Highlights:

• The Army has worked hard to improve its recruiting activities and has enjoyed success with new programs
• If you look at things like waivers, I mentioned to your colleague, I think we need to re-look at the
• waiver process.
• Currently, the physicians in charge of giving waivers, their incentive structure, as I understand it,
• The Army is currently running a repair-by-replacement pilot program.

Transcript Highlights:

• The Capital Investment Grant program, or the CIG, is the FTA discretionary grant program which funds
• The Capital Investment Grant program, or the CIG, is the FTA discretionary grant program which funds
• The Capital Investment Grant program, or the CIG, is the FTA discretionary grant program which funds
• The Capital Investment Grant program, or the CIG, is the FTA discretionary grant program which funds
• The Capital Investment Grant program, or the CIG, is the FTA discretionary grant program which funds

Keywords: 1183, house

Transcript Highlights:

• successfully The program has been successfully The program has been successfully running<00:04:06.080
• > is<00:04:50.960> administered this way, the program is administered this way, the program
• the Education of Freedom Account Program the Education of Freedom Account Program or<00:47:22.560
• attend graduate library programs. attend graduate library programs.
• ready to go and a shovel ready program. ready to go and a shovel ready program.

Keywords: 1189, house, all

Transcript Highlights:

• SB 1350, outdoor-based therapy programs, grants.
• SB 1353, monitoring program fish containment's appropriation.
• SB 1357, large electronics recycling programs. Natural Resources.
• SB 1373, appropriation, summer youth employment program.
• SB 1391, stress management pilot program, SB 1391, stress management pilot program.

Keywords: 1182, all

Transcript Highlights:

• These programs include the Supplemental Nutrition Assistance Program, Temporary Assistance for Needy
• To monitor program effectiveness and for program improvements and allocate resources.
• So there are specific goals for the TANF program that outline, as you administer these programs, how
• effectiveness, and inform program improvement... ...to monitor program effectiveness, inform program
• By design, the SNAP program is operationalized with flexibility to ensure the program responds to the

Summary: The Human Services Subcommittee met to receive implementation briefings on House Bill 1267, which was enacted to address benefit cliffs and help public assistance recipients move toward economic self-sufficiency. The Department of Children and Families reviewed SNAP, Temporary Cash Assistance (TCA), and Medicaid-related eligibility and work requirements, including who must participate in work activities, the role of Florida Commerce and CareerSource Florida, and the new standardized intake and exit surveys required by the law. Members also discussed the TCA program’s household-based structure, the 48-month adult limit, and how work requirements differ for SNAP and TCA participants. Florida Commerce and CareerSource Florida then reported on implementation of HB 1267, including the CLIFF financial forecasting tool, case management changes, and survey data collected from welfare transition participants. They said intake surveys showed common barriers such as child care, transportation, and flexible work schedules, while exit surveys showed many participants were employed or had gained credentials, though response rates were low because the surveys are voluntary. A local workforce board, CareerSource Tampa Bay, described using CLIFF in case management and shared a success story about a participant who completed training, earned certifications, and moved into employment. The committee also heard a separate DCF briefing on the federal One Big Beautiful Bill Act and its impact on SNAP. DCF said the law expands able-bodied adult without dependents requirements, changes non-citizen eligibility, ends future SNAP-Ed funding, increases state administrative cost sharing, and may require states to share in benefit costs if payment error rates remain above federal thresholds. Members focused heavily on Florida’s SNAP payment error rate, which DCF said was 15.13% for federal fiscal year 2024 and 12.60% for 2023, with the state currently on a corrective action plan. DCF described steps to reduce errors, including more verification of rent and utility expenses, improved income matching, staff training, and system modernization. No votes were taken, and the meeting adjourned after questions concluded.

Transcript Highlights:

• Here in Texas, in all programs, it's about 24% of our population that are enrolled in some kind of program
• Recently, Minnesota's Applied Behavioral Analysis Program, or ABA program, stole national headlines.
• And ensuring that program integrity.
• Texas has a very strong program.
• But some programs maybe are lifelong programs for independence for But some programs maybe are lifelong

Summary: The Senate Committee on Health and Human Services convened to discuss interim charges regarding fraud, waste, and abuse in Texas human services, particularly focusing on Medicaid and childcare programs. The meeting highlighted the importance of preventing misuse of taxpayer funds, with testimony from various stakeholders emphasizing the need for increased oversight and accountability in these programs. Key points included the alarming rise in healthcare fraud in other states, the necessity for Texas to enhance its fraud prevention measures, and the potential financial repercussions of failing to meet federal compliance standards. Several committee members expressed concerns about the impact of fraud on vulnerable populations, particularly those relying on Medicaid services. Testimonies from experts underscored the effectiveness of Texas's Office of Inspector General (OIG) in combating fraud, yet pointed out existing vulnerabilities, such as inconsistent enforcement and the need for better data sharing among agencies. The discussion also touched on the challenges faced by hospice care providers, with a significant increase in the number of hospices in Texas raising concerns about quality and oversight. The committee heard from various witnesses, including representatives from health plans and advocacy organizations, who provided insights into the complexities of managing Medicaid and the importance of maintaining program integrity. The meeting concluded with a commitment to further explore legislative solutions to enhance oversight and ensure that resources are directed to those in genuine need.

Transcript Highlights:

• A nurse can educator on the program. A physician can educate on that program.
• Ressa, cervical cancer program, enrollees and family planning waiver members and in Florida, Medicaid
• , largely and Medicaid program.
• that program.
• and R B H Impact program.

Keywords: 999, senate, all