Transcript Highlights:

• I am a program manager with the Division of Occupational and Professional Licenses, and I'm also the
• This board was in the Bureau of Occupational Licenses.
• This board was in the Bureau of Occupational Licenses.
• I'm the Bureau Chief for the Occupational Licensing Bureau, the Division of Occupational and Professional
• I'm the Bureau Chief for the Occupational Licensing Bureau, the Division of Occupational and Professional

Committee: Senate Commerce and Human Resources

Keywords: 989, all

Transcript Highlights:

• physical therapists, chiropractors, and athletic trainers, and it's recognized nationally as part of occupational
• Members, this is a very simple bill that will allow licensed occupational therapists who elect to complete
• So, um, initially when I looked at this, I was like, well, do occupational therapists, you know, are
• I looked at the professional anatomy and all of that training, and that satisfied me. occupational therapists
• hearing what you had to say about it and seeing the needs—because I have dealt with both licensed occupational

Transcript Highlights:

• body and can lead to cancer and other diseases.
• This is not a lifestyle disease.
• When I was six, I was diagnosed with celiac disease.
• When I was six, I was diagnosed with celiac disease.
• I have celiac disease.

Committee: Joint Joint Committee on Higher Education

Summary: The Joint Committee on Higher Education held a hearing on two late-filed bills, H. 5012 and S. 2927, titled An Act Relative to Student Access, Food, and Nutritional Information, also referred to by witnesses as the “Snack Act.” The bills would require schools to make gluten-free and allergen-related meal information easier to find online, including menus, ingredients, food safety procedures, and contact information, so students with celiac disease and other medically necessary dietary restrictions can safely participate in universal school meal programs. Committee leaders explained the hearing process and invited testimony from pre-registered and in-person witnesses. Most testimony came from parents, students, physicians, and advocates who described celiac disease as a serious autoimmune condition requiring a strict lifelong gluten-free diet. Witnesses said many families avoid school meals because information is hard to find or not clearly communicated, and they emphasized that the bill would not create a new system so much as make existing information accessible. Several speakers cited research showing that many children with celiac disease do not participate in school breakfast and lunch programs, and that communication gaps between school administrators, nurses, and food service staff are a major barrier. Witnesses also said the bill could help students with food allergies more broadly and would support equity in the state’s universal school meals program. A number of students with celiac disease gave personal testimony about feeling excluded, managing food anxiety, and relying on clear school communication to stay safe. One parent and clinician described a child’s severe malnutrition before diagnosis and shared a photo to illustrate the seriousness of gluten exposure, while other doctors discussed long-term health risks from uncontrolled celiac disease and the need for better access to safe meals. Committee members praised the witnesses, especially the young students, and asked questions about cross-contamination, school procedures, and whether regulations or agency action might also address the issue. Senator Joan Lovely, the Senate sponsor, briefly endorsed the bill and thanked the panel. No vote was taken during the hearing, and the committee closed the hearing after testimony concluded.

Transcript Highlights:

• Like Sama will testify today, I myself have celiac disease.
• body and can lead to cancer and other diseases.
• This is not a lifestyle disease.
• When I was six, I was diagnosed with celiac disease.
• I have celiac disease.

Committee: Joint Joint Committee on Higher Education

Keywords: 995, all

Summary: The Joint Committee on Higher Education held a hearing on two late-filed bills, S. 2927 and H. 5012, titled An Act Relative to Students Accessing Food and Nutritional Information, filed by Senator Joan Lovely and Representative Michelle Badger. The bills would require schools to make clear, centralized online information available about gluten-free and allergen-free meals, including menus, food safety procedures, and contact information, so students with celiac disease and other medically necessary dietary restrictions can safely participate in universal school meal programs. Committee members and the bill sponsors emphasized that the measure is intended to improve transparency, equity, and access within the Commonwealth’s universal free breakfast and lunch program. Testimony came from students, parents, physicians, and advocates, many of whom described celiac disease as a serious autoimmune condition requiring a strict lifelong gluten-free diet. Witnesses said families often struggle to find reliable school meal information, and that lack of communication between school administrators, nurses, and food service staff can lead families to opt out of school meals even when safe options exist. Medical witnesses from Boston Children’s, Mass General, and Beth Israel said the bill addresses a real barrier identified in research and could help prevent health problems, missed school, and long-term complications from gluten exposure. Several witnesses also noted that the bill’s approach could benefit students with food allergies more broadly. Committee members praised the testimony, especially from young student witnesses, and discussed practical issues such as cross-contamination, 504 plans, and whether schools already have the underlying information needed to comply. One member suggested the Department of Public Health might be able to address some of the issue through regulations, similar to a prior restaurant allergy-protocol change. No vote was taken during the hearing, and the committee closed after hearing from all panels and the bill sponsors, who asked for favorable consideration.

Transcript Highlights:

• So let's look at the Division of Occupational and Professional Licensing next on our agenda. Ms.
• The Division of Occupational and Professional Licenses was outlined in a 2020 executive order by the
• I'm Russ Barron, the administrator for the Division of Occupational and Professional Licenses.
• I'm Russ Barron, the Administrator for the Division of Occupational and Professional Licenses, commonly
• John Price, who is chief of Occupational Licenses. Ryan Bernard, Legislative Affairs Chief.

Keywords: 989, all

Summary: The committee first heard a report from the Joint Millennium Fund co-chairs on recommended uses of Millennium Fund dollars. The recommendations included one-time funding for juvenile safety assessment centers and child advocacy centers, ongoing funding for the Upper River Youth Leadership Council Recovery Center, $5 million for a statewide drug awareness media campaign, and $25 million one-time for Medicaid claim payments to reduce the general fund impact in fiscal year 2027. Members asked about the Medicaid recommendation because the fund had previously been directed away from Medicaid; the co-chairs said the request was made in light of a revenue downturn and was intended as one-time funding, with any unused balance returned. The report was accepted by unanimous consent. The committee then reviewed the Division of Occupational and Professional Licenses. Legislative staff summarized the division’s consolidation of licensing boards, staffing, fee-balance management requirements, and the governor’s and committee’s budget recommendations, including vehicle replacement and IT hardware requests. Administrator Russ Barron said the division has reduced overall expenditures since consolidation, improved licensing and inspection timeliness, and used fee changes, fee holidays, and board mergers to keep board balances within the target range. Members questioned rising personnel costs, the use of opioid settlement funds for prescriber DEA fees, the continued need for a 10% transfer exemption, vehicle replacement timing, and how complaints and discipline are handled; Barron said complaints drive investigations, boards set fees subject to legislative approval, and a universal discipline bill could improve consistency. Finally, the committee heard the state lottery budget. Staff described lottery revenues, prize payouts, dividend distributions to schools and state buildings, and a small one-time request for replacement computers. Director Andrew Arulenandum said the lottery has reduced management layers, renegotiated major contracts for significant future savings, and is trying to improve performance without relying heavily on paid advertising. Members asked about the role of lottery detectives, the return on advertising spending, and the need for MacBooks and iMacs; he said detectives investigate theft and other lottery-related crimes, advertising results are hard to isolate from jackpot size, and the Apple equipment is needed for in-house design work. The committee concluded its business and adjourned, with a reminder about upcoming budget-setting work sessions.

Transcript Highlights:

• Opportunity, by adding on line 13 that cities, towns, and municipalities shall not mandate that occupants
• anywhere uh F any anywhere else<00:17:25.360><c> uh</c><00:17:26.079><c> per</c><00:17:26.520><c> occupant
• So, for example, an apartment is defined as 200 square feet per occupant.
• and 60 per occupant per bedroom if they’re shared.
• Representative Pal continued: “...per occupant per bedroom and 60 per occupant per bedroom if they’re

Committee: House Housing

Keywords: 1189, house, all

Transcript Highlights:

• So, while the individual diseases may be rare, the total number of people impacted by rare disease is
• Council, provide us a briefing on the Florida Rare Disease Council, Pediatric Rare Disease Grant Program
• Individuals have a rare disease.
• Of rare diseases in the state.
• Sustainable funding for rare disease research.

Summary: The Health Professions and Program Subcommittee met with a quorum present and received a briefing from Melissa Jordan, Assistant Deputy Secretary for Health and chair of the Florida Rare Disease Advisory Council (ARDAC). Jordan explained that rare diseases affect fewer than 200,000 people each individually, but together impact an estimated 2.3 million Floridians. She reviewed ARDAC’s structure, its three subcommittees, and its 2025 legislative report recommendations, which focused on expanding Florida-specific data, disaster preparedness, state agency coordination, insurance oversight, provider education, faster diagnostic tools, research collaboration, and establishing centers of excellence. She also highlighted ARDAC’s work with other states and its effort to build an online repository of resources for families and providers. Jordan discussed the Andrew John Anderson Pediatric Rare Disease Grant Program, funded at $500,000 annually, which supported research awards at Florida State University and the University of Miami in 2024 and another University of Miami project in 2025. She also described House Bill 907 and the Sunshine Genetics Act pilot program, which created the Florida Institute for Pediatric Rare Diseases at FSU and a newborn whole-genome sequencing pilot to screen volunteer infants for hundreds of conditions beyond traditional newborn screening. The institute will include research, training, clinical care, a diagnostic lab, genome editing capacity, and a sequencing pilot overseen by a board, consortium, and steering committee. Members asked about interstate collaboration, the scope of data collection beyond Medicaid, how the council reduces family financial burdens, how families and providers can learn about available resources, and how ARDAC measures effectiveness. Jordan said Florida has learned from other states’ survey-based approaches and instead is using administrative data sources such as Medicaid, hospitalizations, emergency department visits, birth and death certificates, with more clinical data to be added over time. She said success is tracked through annual reports, ongoing work plans, and quarterly research reports that measure progress, patient enrollment, treatment outcomes, and potential follow-on funding. The meeting concluded after the presentation and questions, and the subcommittee adjourned without further business.

Transcript Highlights:

• I'd like to officially call the meeting, the second interim meeting of Licensing and Occupations, to
• </c> This is o employment occupational This is o employment occupational um<00:09:20.560><c> issues.
• </c> hiring authority and occupational hiring authority and occupational licensing<00:10:06.080><c> boards
• </c><00:10:16.640><c> So</c><00:10:16.880><c> we're</c> is occupational licensing.
• So we're is occupational licensing.

Keywords: 958, all

Summary: The committee first approved the June 18 meeting amendments, then heard an update from Representative Emily Callaway on the State Board of Licensure for Professional Engineers and Land Surveyors. She reported no major budget or regulatory concerns, but noted hiring challenges, especially for investigators, and said the board is pursuing a scholarship program using cash reserves and penalty payments. She also said the board has about 20,000 licenses, handled 134 cases in 2024, and had an open-investigation count that stayed roughly flat. The board said initial licenses take about 5 to 7 business days and endorsements about 10 business days, with one citizen-at-large vacancy on the 11-member board. Callaway and board staff also discussed emerging issues such as AI, digital plan submissions, and the use of drones and LiDAR in surveying education. They said Kentucky’s surveying exam pass rates are well above national averages and that universities such as East Tennessee State, Cincinnati State, Bellarmine, Spalding, and Eastern Kentucky are helping train students for the field. The committee then took up Callaway’s occupational licensing bill aimed at removing barriers for people with criminal records. The proposal would let applicants seek an upfront determination of whether a record would disqualify them, require boards to consider specified materials and give written reasons if they deny eligibility, and bind the board’s decision absent new or undisclosed offenses. Supporters said the goal is to help roughly 30,000 people reenter the workforce and avoid wasted time and money on training that could later be disqualified. The committee next heard from Representatives Fleming and Willner on a psychology licensing bill, a reintroduction of prior legislation. They said the measure is intended to address mental health workforce shortages by adding two members to the Kentucky Board of Examiners of Psychology, setting a more predictable timeline for licensure examinations, and requiring annual reporting on processing times for licenses and complaints. They said the bill is meant to speed entry into the profession as new psychology programs expand in Kentucky. No objections were raised. Finally, the Alcoholic Beverage Control commissioner and general counsel presented two administrative amendments tied to SB 202 to allow direct-shipping forms for cannabis-infused beverages, and the committee approved both regulations by voice vote. The committee then held a broader discussion about whether ABC should be expanded by statute to regulate additional intoxicating substances and emerging products. ABC officials said the agency already handles alcohol, tobacco, vape licensing, and some related enforcement, but any broader authority would require legislative action and likely more officers and funding. Members discussed the need to stay ahead of new products, possibly through an emerging-industries framework, while also protecting businesses and consumers.

Transcript Highlights:

• Bordelon: “But obviously there are many diseases that mimic the symptoms of this disease.
• The disease moves. It steadily moved. It touched four positive counties. The disease moves.
• That's especially true of chronic wasting disease. That surround deer diseases.
• disease or EHD.
• and deal with diseases.

Summary: The meeting began with roll call, approval of the agenda, and approval of the prior minutes, followed by a presentation from Julie Grenwald of Louisiana Hunters for the Hungry. She described the nonprofit’s work collecting and distributing protein to food banks and agencies statewide through freezer clean-out days, deer donations processed by more than 50 processors, fish donations through Venice Marina, and a paused-but-planned-to-reopen feral hog program. Members asked about processor locations, signage, exotic species, funding, sponsorships, and disease safety; Grenwald said the program is protected under Louisiana’s Good Samaritan Law and that wildlife and fisheries agents help connect processors and promote the program. She also noted the organization is looking for more partners and ways to expand access and awareness. The task force then received an update from Louisiana Department of Wildlife and Fisheries on chronic wasting disease testing. Jonathan Bordelon reported more than 2,800 samples collected and over 2,300 results returned, with nine positives to date: eight in Tensas Parish and one confirmed new detection in Concordia Parish from a hunter-harvested deer. He said the Concordia positive triggered the state’s CWD response plan, including a declaration of emergency and a future rulemaking process to adjust control-area boundaries. Members asked about symptomatic deer, harvest trends, and whether the disease appears to be spreading along the river; Bordelon said most positives were asymptomatic hunter-harvested deer and that harvest numbers remain near record highs. William McKinley of the Mississippi Department of Wildlife, Fisheries and Parks then gave an extensive presentation on Mississippi’s CWD experience. He said Mississippi has had 529 detections across 18 counties since 2018, with prevalence rising from about one in 500 samples to roughly one in 40 this year, and that some counties near the Tennessee line are seeing severe impacts. He described Mississippi’s surveillance system, voluntary sampling, taxidermist partnerships, targeted tags for properties near positives, bans on feeding and baiting in CWD zones, and research on environmental contamination, raccoons, and strain differences. Members asked about high-fence enclosures, live deer movement restrictions, Tennessee’s regulations, environmental testing capacity, and whether more aggressive measures or LSU research capacity could help Louisiana; McKinley said the disease is expanding despite management efforts and emphasized early detection, rapid response, and continued interstate coordination.

Transcript Highlights:

• Bill 5509 allows municipalities to suspend or revoke the certificate of occupancy for a hotel if law
• With the suspension or revocation procedures for a certificate of occupancy for any other type of business
• A governing body may suspend or revoke a certificate of occupancy, a CO, for a hotel located... in Miss
• follows the procedure described by Subsection D before suspending or revoking the certificate of occupancy
• Senator, was that we didn't want a truly and purely ex parte hearing to revoke a certificate of occupancy

Bills: HB1532 , HB2731 , HB3483 , HB4308 , HB4580 , HB4582 , HB5509 , HB5663

Committee: Senate Local Government

Keywords: Lake Houston, dredging, maintenance district, flood control, environment, public works, HB 2731, roadside vendors, solicitors, county regulation, border counties, Mexico border, Transportation Code, unincorporated areas, right-of-way, public highway, parking lot, livestock sales, live animals, vendor regulation

Transcript Highlights:

• But obviously, there are many diseases that mimic the symptoms of this disease.
• I know my shallow knowledge on diseases. I just know that diseases change over time.
• chronic wasting disease.
• disease or EHD.
• and deal with diseases.

Keywords: 965, house, all

Summary: The meeting began with roll call, adoption of the agenda, and approval of the prior minutes. The main presentation was from Julie Grenwald of Louisiana Hunters for the Hungry, who described the nonprofit’s protein donation programs, including freezer clean-out days, deer and fish processing partnerships, and a paused feral hog donation program that had collected about 3,500 hogs and 137,000 pounds of pork before funding ran short. She said the group has donated roughly 300,000 pounds of protein over two years, works with food banks and local agencies, and is protected under Louisiana’s Good Samaritan Law. Members asked about processor locations, exotic species, signage, sponsorships, and whether the program could expand to other invasive species or mobile drop-off options; Grenwald said expansion is possible if processors and funding are available. The task force then received a Louisiana Department of Wildlife and Fisheries update from Jonathan Bordelon on chronic wasting disease testing. He reported more than 2,800 samples collected and over 2,300 results returned, with nine positives total: eight in Tensas Parish and one confirmed in Concordia Parish on Richard K. Yancey WMA, which triggered preparation of an emergency declaration and future rulemaking to adjust the control area. He said harvest and sampling remain near record levels, most samples are voluntary, and the agency continues to monitor symptomatic deer reports and public submissions. The final major presentation was from William McKinley of the Mississippi Department of Wildlife, Fisheries and Parks, who gave a detailed overview of Mississippi’s CWD response. He said Mississippi has 529 detections across 18 counties, with prevalence rising from about one in 500 samples to about one in 80 statewide, and much higher in some counties. He described Mississippi’s surveillance system, targeted tags within three miles of positives, environmental sampling, feeder bans in CWD zones, and research showing contamination at feeders and in scrapes. He also discussed possible multiple strains, including one linked to the Wisconsin whitetail strain and another around Vicksburg/Issaquena, and said the disease appears to be expanding about 3.5 miles per year. Members asked about high-fence enclosures, live deer movement restrictions, baiting and feeding rules, hunter participation, and whether Louisiana should develop similar environmental testing capacity; no votes were taken on these issues, but members discussed possible future legislative or budget action.

Transcript Highlights:

• They set occupancy limits that have no basis in building codes or safety data.
• Representative Crane said the bill appears to address occupancy limits.
• He said occupancy limits are enforced, for example, and that helps keep the chaos under control.
• Lastly, Stegner's testimony with respect to occupancy is particularly compelling.
• I would like to see some element of at least dealing with the sewage for an occupancy that way.

Committee: House Business

Keywords: 989, all

Transcript Highlights:

• It says OS documentation, so occupancy and spacing documentation. Is that what that is?
• That means that if you have occupancy and spacing limits, have you demonstrated that you can actually
• If that is true, the response is to revise your occupancy and spacing requirements so that that's not
• That means that if you have occupancy and spacing limits, have you demonstrated that you can actually
• That's the state. occupancy and spacing requirements so that that's not the case.

Bills: HB2266 , HB2489

Committee: House Housing

Keywords: housing, supportive housing, transitional housing, emergency shelters, homelessness prevention, public space, local governance, life-sustaining activities, statewide standards, regulation, 904, all

Transcript Highlights:

• other than that, uh young uh occupants other than that, uh young uh young<00:37:17.000><c> adults</c
• , so the young the minors that occupants, so the young the minors that are<00:37:26.080><c> in</c><00
• <00:37:34.280><c> number</c><00:37:34.520><c> three</c> occupant number three occupant number three um
• So, on a lease, yes, there's the tenant, and then there's the occupants.
• The occupants then are the minors that are authorized to actually inhabit that unit.

Committee: Senate Housing and Homelessness Prevention

Keywords: 1187, senate, all

Transcript Highlights:

• alarming frequency and devastating impact across the fire service, Matt Troy was diagnosed with occupational
• Sadly, my brother Matt did not survive his battle with occupational cancer, passing away some time after
• As firefighters in Massachusetts, we are afforded legislative benefits related to occupational cancer
• As occupational cancer continues to ravage the fire service in Boston, across the Commonwealth, and the
• And there's many other occupational hazards that we're aware of with firefighters and other public safety

Committee: Joint Joint Committee on Public Service

Keywords: 995, all

Summary: The Joint Committee on Public Service held a hearing on several public safety-related bills, with testimony focused heavily on firefighter cancer presumptions, death benefits, and age-limit waivers for public safety appointments. Boston Firefighters Local 718 and the Professional Firefighters of Massachusetts testified in support of legislation tied to the late Boston firefighter Matt Troy, describing his service, his occupational cancer diagnosis, and the family’s ineligibility for benefits because his diagnosis fell just short of the statutory presumption period. Witnesses urged the committee to advance the bill so his widow could receive accidental death benefits and to address broader concerns about cancer risks, bunker gear, and early detection programs for firefighters. Committee members asked questions about how the diagnosis date affected eligibility and discussed the need for broader systemic changes rather than repeated home-rule petitions. Senator Nick Collins and Representative Dan Hunt both testified in support of the Troy-related bills, and the committee also heard that written testimony had been submitted by additional supporters. The committee also heard local home-rule petitions to extend the employment of fire chiefs in Rochester and Northfield. Representative Alan Silvia supported H. 4235 to allow Rochester Fire Chief Scott Wego to continue serving until age 70, citing his nearly 50 years of service and leadership in department improvements. A Northfield select board chair testified virtually in support of H. 4236 to keep Fire Chief Floyd “Skip” Dennell on the job, explaining that he has been central to building planning, volunteer recruitment, training documentation, and an organizational review as the town prepares for his eventual retirement. Both local bills were presented as measures to preserve continuity and support ongoing public safety planning in their communities. Another major topic was S. 2583, which would waive the maximum age requirement for Jonathan Lewis to be appointed to the Massachusetts State Police. Senator Collins described Lewis’s community service and strong exam score, and Lewis testified about his background in Dorchester, his prior interest in becoming a trooper, and his recent ranking on the eligibility list. Committee members expressed support and noted the importance of recruiting qualified candidates and diversifying the force. The committee also heard support for H. 4443, which would raise the maximum age for original appointment to firefighter or police officer positions, and members discussed related retirement and health-review issues that have arisen in prior home-rule cases. At the end of the hearing, no further witnesses came forward, and the committee voted to adjourn.

Transcript Highlights:

• Licensed occupations make up 25% of the workforce.
• That means one in four people are in a licensed occupation.
• And many licensed occupations operate with a compact agreement.
• discipline licensees and follows a proven model that's already used across health care, with 21 occupational
• And under that current structure, we have EMS, the interstate medical, the nurses, the occupational therapy

Committee: House Professional Registration and Licensing

Keywords: 959, house, all

Transcript Highlights:

• As the Vice Chair of the Rare Disease Caucus, I am proud to rise today to introduce ACR 132, Rare Disease
• diseases.
• someone with a rare disease.
• Rare Disease Day is observed on the last day of February to raise awareness about rare diseases and their
• Rare disease day is observed on the last day of February to raise awareness about rare diseases and their

Summary: The Assembly met with a quorum call at the start, then proceeded with Black History Month observances, including a libation ceremony, the Pledge of Allegiance, and remarks emphasizing remembrance, ancestry, and the importance of honoring Black history. The chamber also handled routine procedural matters, including dispensing with the journal, re-referring certain Senate budget items to the Budget Committee, and allowing guest introductions and other unanimous-consent requests. The main floor action was on Assembly Concurrent Resolution 134, recognizing Black History Month. Members from multiple caucuses spoke in support, highlighting the historical contributions of Black Americans, the ongoing effects of slavery and segregation, the need to protect voting rights and education, and the importance of solidarity across communities. The resolution was adopted by voice vote after 74 co-authors were added. The Assembly also adopted Assembly Concurrent Resolution 132, declaring February 28 as Rare Disease Day. Members shared personal stories about ALS and other rare diseases, described barriers to diagnosis, treatment, and insurance coverage, and called for more research and support. The resolution received broad bipartisan support, with 71 co-authors added before adoption by voice vote. The chamber then recognized a series of Black History Month Unsung Heroes honorees, including community leaders, health professionals, advocates, and public servants, and later heard additional guest introductions. The meeting concluded with adjournments in memory of Peyton Trilling and John Jackson, followed by announcements and adjournment until February 26 at 9 a.m.

Transcript Highlights:

• Do you require fire extinguishers, so many per occupant? Could you walk us through that?
• </c> home subject to their occupancy home subject to their occupancy standards<00:59:28.760><c> on</c
• </c> so you might have per bedroom occupancy so you might have per bedroom occupancy um<01:39:25.760>
• </c> talk uh today about uh occupancy talk uh today about uh occupancy restrictions<02:02:13.760><c>
• </c><02:02:18.760><c> restriction</c> there is an occupancy restriction there is an occupancy restriction

Committee: House Municipal and County Government

Keywords: 928, house, all

Summary: The House Municipal and County Government subcommittee met on February 19, 2025 to gather additional information on House Bill 432, which concerns recovery houses. The first witness, State Fire Marshal Sean Tumi, said his office had worked with stakeholders for more than a year on the bill’s definition changes and supported the revised definition. He explained that the bill removes vague language such as “safe, healthy, family” and instead relies on fire-code requirements and certification standards, including a primarily non-transient dwelling unit and living as a single household. He distinguished recovery houses from boarding or rooming houses and from other congregate settings such as group homes or transitional housing, saying those other uses do not currently have the same exemptions. Members questioned Tumi about fire safety, inspections, smoke alarms, egress, and whether sprinklers should be required. He said recovery houses are inspected by the fire marshal’s office and local fire departments, with annual inspections under state fire code provisions, and that operators must work with a certifying body. He described the inspection process as checking alarms, extinguishers, heating systems, cooking equipment, street numbers, and no-smoking rules, and said new houses are generally given time to obtain certification. He also said he would prefer sprinklers everywhere but believed mandating them for these existing structures would likely shut down many recovery houses and significantly harm the recovery community. Bill McKenny of the New Hampshire Building Officials Association then testified in support of HB 432. He said recovery housing is an important step after treatment and that the 2024 code changes and the bill help align state law with federal disability law. He emphasized that certification through a recognized organization gives code officials confidence that standards are being monitored, and warned that if a recovery home loses certification it would lose the waiver from sprinkler requirements and could be treated more like a boarding or rooming house. No vote or final action was taken at this meeting.

Transcript Highlights:

• Again, one thing that we're looking at right now are the physical therapy, occupational therapy, and
• There are some services, for example, the physical therapy, speech therapy, and occupational therapy,
• Again, one thing that we're looking at right now are the physical therapy, occupational therapy, and
• Again, one thing that we're looking at right now are the physical therapy, occupational therapy, and
• There are some services, for example, the physical therapy, speech therapy, and occupational therapy,

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met with a quorum still coming together and first handled roll call and minutes. The main presentation came from the Department for Medicaid Services, with Commissioner Lisa Lee and CFO Steve Beckle giving an overview of Kentucky Medicaid, its federal-state financing structure, and the department’s 1915(c) home- and community-based waiver programs. They explained FMAP funding levels for traditional Medicaid, administration, IT, expansion adults, and CHIP, and noted the size of the program, including more than 600,000 Kentucky children eligible for Medicaid or CHIP, about 485,000 expansion adults, over 69,000 enrolled providers, and $18.5 billion in 2024 expenditures. A major focus was the waiver system, including the acquired brain injury waivers, model waiver, independence waiver, Michelle P. waiver, and Supports for Community Living waiver. The department said these waivers are intended to keep people with physical or developmental disabilities in home and community settings rather than facilities, and that many services are not covered by Medicare or commercial insurance. Officials described participant-directed services, interagency administration, and eligibility rules, including that some waiver programs use the child’s income only rather than family income. They also reported an unduplicated waiver wait list of 13,930 people and said the General Assembly had added waiver slots in the last budget, including 650 ABI slots and 1,275 more to be allocated July 1, 2025. The department also discussed a waiver rate study conducted by Guidehouse, explaining that CMS requires a defensible rate methodology because there is no Medicare or commercial benchmark for many waiver services. They said the study used cost and wage surveys, provider and stakeholder input, and aimed to improve transparency, provider stability, and rate parity. Officials reviewed prior COVID-era Appendix K rate increases and budget-driven increases, and said the budget ultimately funded rates at about 70% of the benchmark study, while preserving higher existing rates where needed so no provider would be cut. They highlighted larger differences in behavioral support and case management rates, and said a public report is available. Members asked several questions about the potential impact of federal FMAP changes, especially possible reductions in the enhanced match for expansion adults and Medicaid IT/admin activities. DMS said any FMAP reduction would require more state general fund dollars, estimating about $75 million for each 1% drop in the expansion match, while impacts on administrative IT funding would depend on the systems being built or implemented in a given year. Members also pressed for clarification on waiver wait-list procedures, funded versus filled slots, and what happens when someone on the wait list is later found ineligible. DMS said people on the wait list may not yet have been assessed, can be reevaluated if conditions change, and are still eligible for regular Medicaid state-plan services if they qualify, even if they are waiting for waiver services.

Transcript Highlights:

• HAVE A SHORT AGENDA SO LET'S GET STARTED AND GIVE YOU TIME BACK ON YOUR DAY, HB 867 DRIVING BY OCCUPATIONAL
• BY PHYSICAL THERAPISTS, CHIROPRACTORS AND ATHLETIC MINORS AND RECOGNIZED NATIONALLY AS PART OF OCCUPATIONAL
• IT IS A SIMPLE BILL THAT WILL ALLOW OCCUPATIONAL THERAPISTS IN FLORIDA WHO ELECT TO COMPLETE THE SAME
• MENTIONED IN THE OPENING IS RECOGNIZED NATIONALLY, TODAY STATUTORILY THERE ARE 10 STATES THAT ALLOW OCCUPATIONAL
• WE HAVE ANITA BARRY, FLORIDA OCCUPATIONAL THERAPY ASSOCIATION WAIVES IN SUPPORT.