Transcript Highlights:

• It's creating a new integrated eligibility platform for our SNAP, TANF, and child care programs, and
• Um, and the reason programs.
• improve our program integrity, and to improve agency operations.
• our analytics, to improve our program our analytics, to improve our program integrity,<01:08:59.440
• <01:10:50.159> integrity<01:10:51.520> um program integrity um program integrity um system

Keywords: Appropriations - Room 216, 24 February, 2026; 1:30 PM, 925, all

Summary: Legislative leaders opened the hearing by focusing on statewide technology issues affecting agencies, including rising IT costs, cloud migration, cybersecurity risks, procurement delays, and the need for better coordination across government systems. They said the meeting was intended to hear from agency directors about current challenges and possible legislative solutions. The ITS director described the state’s IT structure as decentralized but increasingly moving toward shared services. He highlighted recent legislative and executive actions on cloud computing, artificial intelligence, procurement modernization, and data sharing, including House Bill 1491, Senate Bill 2426, Senate Bill 2267, House Bill 958, and an executive order on AI. He said ITS has worked with large agencies on a cloud center of excellence, a procurement modernization advisory council, and a state data exchange, and noted plans for a master contract, potentially with OpenAI, that could be available to all public entities. He also emphasized cybersecurity, saying the state is seeking a secure operations center and a broader “cyber maturity” approach after recent incidents. On procurement, he said the goal is to speed up purchasing while keeping it safe, and on optimization he pointed to potential savings from consolidating duplicate agreements, such as multiple Microsoft enterprise contracts. In response to questions, he said exceptions to centralization would be based on business and technical architecture and regulatory requirements such as HIPAA, CISA, or FERPA, rather than ad hoc decisions.

Transcript Highlights:

• key We'll begin by identifying program participants, highlighting some key program features, as well
• And again, we are a state program here, and there are other states with different programs, but that
• is a key feature of our program here. program here and there are other states with different programs
• And then for the labs, eight of nine are integrated, and the ninth that is not integrated will cease
• So the grants program...

Summary: The Health Professions and Program Subcommittee met to receive oversight briefings on Florida’s medical marijuana program from the Department of Health’s Office of Medical Marijuana Use (OMMU) and from the University of Florida’s Consortium for Medical Marijuana Clinical Outcomes Research. OMMU Director Christopher Kimball outlined the program’s structure, including more than 900,000 active patients, nearly 7,000 caregivers, 27 MMTC licensees, 706 dispensing locations, and nine certified testing labs. He described the state’s pre-approval process for products and advertising, plain packaging requirements, seed-to-sale tracking, registry operations, and compliance efforts such as background checks, inspections, complaint investigations, and lab desk audits. He also said the Bureau of Public Health Laboratories in Jacksonville had been accredited to begin supporting testing. Members asked about telehealth, patient growth, product safety, advertising to children, inspections, and the status of MMTC licensure; Kimball said recertifications by telehealth now make up more than half of recertifications, that patient growth has slowed, and that ongoing litigation is delaying issuance of 22 new MMTC licenses. Kimball also discussed implementation of recent legislation and licensure changes, including licenses issued under HB 387 and SB 1582 to applicants from the original Pigford-related pool, with additional cure opportunities still ongoing. He said the department is monitoring diversion, inversion, and unapproved products, and that it coordinates with law enforcement when needed but does not itself have sworn authority. In response to questions, he said the department does not regulate physicians directly, but may refer concerns to the Division of Medical Quality Assurance, and that caregiver and physician participation requirements are set by statute. Members raised concerns about edibles, child access, and continued use of child-attractive branding; Kimball said the department tries to catch issues through pre-approval and enforcement, and that complaints involving children are treated as serious and investigated using available records and camera footage. Dr. Almond Winterstein then presented the consortium’s research overview. He explained that the consortium was created by statute in 2019, includes 10 universities, and is funded by annual state appropriations. He said its work includes grants, a research repository, a clinical core, outreach, and evidence synthesis, including a recent FDA-supported review of cannabis evidence. He emphasized that the current evidence base is limited and often low quality, with the strongest signals for symptom relief in PTSD-related symptoms, nausea, and some pain outcomes, but with many studies inconclusive or mixed. He also described the consortium’s use of registry data linked to Medicaid, Medicare, death, fetal death, and birth records to study safety and outcomes, including children, pregnancy, driving safety, opioid-sparing effects, and adverse events. Winterstein said adverse event reporting is sparse and likely underreported, with most reports mild but some serious events noted, and he expressed concern about use among young adults because of uncertain benefit-risk and possible effects on the developing brain. The committee discussed the need for better surveillance, more robust adverse event reporting, and the possibility of using linked data to identify harms more quickly. At the end of the meeting, the committee rose without objection.

Transcript Highlights:

• 19.280> airports<00:05:19.680> and it's integrated with the airports and it's integrated
• Um so integrate with conventional jet.
• most notable is the the SAF fast program most notable is the the SAF fast program that<00:10:04.880
• <00:37:03.760> with like and how does that integrate with like and how does that integrate
• It's the EIP, the Integration Partnership Program pilot program.

Keywords: 958, all

Summary: The task force approved the October 14, 2025 meeting minutes and then heard a presentation from Austin Kaylor of WSP on alternative aviation fuels. Kaylor described an ongoing feasibility study focused on Cincinnati/Northern Kentucky International Airport and the other four commercial airports in Kentucky, with an eye toward both near-term use of alternative aviation fuel in existing supply chains and longer-term in-state production using local feedstocks. He said Kentucky’s current jet fuel use at the five airports is about 609 million gallons annually and could approach 1 billion gallons by 2050, and he outlined potential feedstocks such as soybeans, corn, and waste oils, along with existing logistics assets like river terminals, trucking, rail, and some pipelines. He also discussed federal and state policy support, including renewable fuel credits and the recent 45Z tax credit extension, and said the study suggests significant economic-development potential if Kentucky can leverage existing infrastructure and incentives. Members asked about the cost of sustainable aviation fuel, whether taxpayers would be subsidizing it, and whether food crops would be diverted from food use. Kaylor responded that the market is increasingly using second-generation and waste-based feedstocks, that federal incentives can cover much of the price differential, and that SAF is a direct substitute for conventional jet fuel with some efficiency benefits. He said demand comes from both U.S. and foreign carriers, including major U.S. airlines that have made emissions-reduction commitments. Members also raised the possibility of locating production in Appalachia to create jobs closer to feedstock sources; Kaylor said that approach has worked in other states and could fit Kentucky’s logistics network. The committee then heard from Leif Elder of the Utah Department of Transportation, who introduced himself and said he would discuss advanced air mobility legislation in Utah. The transcript cuts off before his substantive presentation, and no further votes or actions were recorded after the question-and-answer discussion on alternative aviation fuels.

Transcript Highlights:

• Your legislation is basically going to address integrators only, correct?
• address integrators only, correct?
• We were awarded an integrated license the third time around.
• Y'all, this is not the time to add more integrated licenses, as I...
• We are one of the integrated groups that has won all three times.

Bills: SB185, SB194, SB72

Keywords: veterinary medicine, veterinarian-client-patient relationship, prescription refills, animal care, regulatory compliance, agriculture authority, eminent domain, property rights, tax exemption, agriculture center, medical cannabis, cannabis license, integrated facility license, Alabama Medical Cannabis Commission, AMCC, medical marijuana, dispensary, cultivation, processing, license appeal

Transcript Highlights:

• integration from funding to energy to water to food.
• Basically integration from funding to energy to water to food.
• So it's all integrated on site.
• You know, this is a three-year program, a readiness program for career development, integration around
• And agribusiness solutions as the foundation of this program.

Summary: The committee first approved the minutes from its October 27 meeting and then heard testimony from Clinton Ballard of Milk and Honey Hill Farm about the impact of Act 698 on raw dairy producers. Ballard said the law allowed his farm to expand from one cow to 12, serve about 150 families, increase sales by roughly $50,000, and sell about $10,000 in raw cheese and other products through retail outlets. He argued the law improved farm income, food security, and local supply, and he asked for an optional state inspection/certification path for raw milk producers so they could access USDA grants and other opportunities available to licensed dairies. Committee members asked about herd management, safety practices, bee production, market channels, and whether such certification should remain voluntary; Ballard said he follows Grade A-style sanitation, chills milk quickly, removes sick cows from production, and supports optional training or inspection but not mandatory regulation. Members also raised food safety concerns, especially for children and pregnant women, and Ballard responded that raw milk producers rely on cleanliness, rapid cooling, consumer feedback, and truth in labeling. He said the health department currently inspects commercial dairies but not raw milk producers who do not sell through a cooperative, and he believed state inspection would help producers distinguish themselves and qualify for funding without changing interstate rules. Several members discussed the balance between consumer choice, safety, and possible “mission creep” if the state created a certification system. The committee then heard a lengthy presentation from Terence Bolden of TLB Enterprises on hydroponic and container farming as a response to food insecurity and food deserts. Bolden described a three-year workforce and career-technical program built around retrofitted shipping containers, drones, robotics, agribusiness, and AI, with partnerships involving schools, universities, Farm Bureau, UAPB, the Little Rock School District, and other entities. He said the model could create year-round local food production, support school cafeterias and community markets, and generate jobs and economic impact, estimating at least four jobs per container and potentially significant regional economic benefits. Members asked about costs, target communities, energy needs, crop types, and implementation timelines; Bolden said the first containers for school sites could be in place by late summer or early fall, with pilot projects already underway in Arkansas and Orlando. The meeting adjourned after no further business.

Transcript Highlights:

• , the ALE program, and the different types of program models that fall under this.
• Our partner program, Stride, provides us the curriculum and also helps us audit every single program
• We are a full ALE program.
• We have a highly capable program. We have a Spanish program.
• We have a great ML program. We have a phenomenal SPED program.

Summary: The committee met to hear an overview of Washington’s alternative learning experience (ALE) programs and then an update on artificial intelligence in schools. OSPI’s Anissa Sherritt explained that ALE is a course-level funding designation for instruction that occurs partly or wholly away from the traditional seat-time model, with online, site-based, and remote course types. She emphasized that ALE is still basic education, subject to the same public school requirements, and that OSPI provides technical assistance, annual reporting review, and program reviews. Representatives from several programs described different models: Washington Virtual Academy (a large online ALE operated through Omak School District and partnered with for-profit Stride), Columbia Virtual Academy in Valley School District (a district-run, nonprofit online/remote program), Pearl in Quilcene (a K-8 remote parent partnership program), and River Home Link in Battleground (a site-based hybrid program). They discussed student supports, special education, enrichment, family choice, transportation, and how they measure outcomes. Members asked for follow-up information on funding, demographics, racial and ethnic data, multilingual learners, and post-graduation outcomes, and OSPI agreed to provide additional data where available. The committee then heard from OSPI and several districts about AI guidance and implementation. OSPI’s Holly Ryan Calloway described the agency’s human-centered AI framework, three guidance documents for schools, statewide professional learning, an AI innovation summit, and new AI literacy and informatics course frameworks and CIP codes. Quincy School District described a multi-year effort to integrate AI by centering student needs, creating district policy and classroom guidance, and training teachers to use AI responsibly while building an AI readiness plan from elementary through high school. Peninsula School District described its AI action research team, teacher professional learning, and classroom uses of generative AI to support science instruction, communication, and prompt engineering, while stressing that AI should enhance rather than replace learning. Members raised questions about privacy, energy and water use, prompt engineering, workforce and university connections, and the need for clear standards and ongoing educator training. No votes were taken.

Transcript Highlights:

• Tomorrow, we do have the program integrity bill, and I know it's Friday, and we're going to do have it
• Tomorrow, we do have<00:08:39.760> the<00:08:39.960> program<00:08:40.280> integrity
• <00:08:40.840> bill,<00:08:41.159> and<00:08:41.280> I have the program integrity
• Now, the program integrity is the version posted online the final version? Um, Senator Pratt, no.
• program integrity bill. program integrity bill. Thank<00:10:22.480> you. Thank you.

Keywords: 1187, senate, all

Transcript Highlights:

• <00:13:19.200> um that we've seen in in our programs um that we've seen in in our programs
• <00:17:29.360> For program and continuum of care. For program and continuum of care.
• of this program?
• service programs that they offer. service programs that they offer.
• We're even in a smaller program.

Keywords: 928, house, all

Summary: The Committee to Study Long-Term Managed Care met to approve prior minutes and outline its schedule, with meetings set for September 24 and September 29 ahead of an October 1 report deadline. The chair said the committee would use the first two meetings to digest testimony, likely ask follow-up questions of DHS, and then work toward conclusions and a report format. The minutes from the previous meeting were approved unanimously. The main testimony came from Sharon Alexander of Amera Health, who argued in favor of moving from fee-for-service Medicaid long-term services and supports to a managed LTSS model. She described managed LTSS as a capitated, quality-driven system used in about 26 states, and said it can improve care coordination, accountability, access to home- and community-based services, and budget predictability. She cited Amera Health’s experience in Pennsylvania and Delaware, including care coordination, housing and transportation support, caregiver programs, and quality benchmarks tied to state oversight. She also said nursing facilities would remain an important option for people who need that level of care. Committee members asked about how the programs are administered, how rates are set, how care managers work, and how quality is measured. Alexander said states contract with managed care organizations at actuarially sound capitated rates, with annual contracts, reporting, and oversight. She explained that care managers typically conduct quarterly assessments and follow up after trigger events such as hospitalization, and that housing coordinators may assist with transitions to the community. On quality, she said states use CMS-related and HCBS benchmark measures covering service timeliness, care planning, transitions, and other outcomes, and that New Hampshire could build on existing metrics rather than starting from scratch. She also noted that rural areas face workforce and transportation challenges, which managed care plans try to address through technology and self-direction options.

Transcript Highlights:

• <02:04:17.360> integrity one of the drivers of program integrity one of the drivers of program
• They include program integrity advisory board, MA enrollment standards, program integrity technology
• Uh one of the integrity of the programs.
• Um uh more integrity to the programs.
• :33:44.319> advisory they include program integrity advisory they include program integrity advisory

Keywords: 1187, senate, all

Transcript Highlights:

• and programs serving lower census levels than the maximum budget the program is projected to support
• the delayed activation of a new Central California FACT program that will replace the program we've
• If they land in a diversion program, that diversion program will be funded by the DSH program, the DSH
• Diversion program.
• It was a pilot program investment. I don't think it's a pilot program. It was investment.

Summary: The subcommittee heard presentations from the Department of State Hospitals (DSH), the Commission for Behavioral Health, and the Department of Health Care Services (DHCS) on budget proposals and implementation updates. DSH outlined its proposed 2026-27 budget, including funding for patient operating expenses, IST solutions savings, conditional release program costs, LPS bed allocation changes, electrical infrastructure projects at Napa and Patton, SB 380 transitional housing feasibility work, and expanded dental services at Metropolitan and Patton. DSH also reported that it has met court-ordered IST treatment benchmarks in the Stiavedi v. Clinton case, with average time to initiate treatment down to about five days and pending placements reduced to roughly 250, while noting that Proposition 36 could increase referrals and SB 1323 may divert some individuals earlier into community-based treatment. Members asked about rising outside hospitalization costs, Medicare enrollment, the timing and structure of capital projects, and whether IST solution funds are being fully used; DSH said the savings reflect slower-than-expected ramp-up of community programs and that the Central California FACT replacement program is still on track for January 2027 activation. The Commission for Behavioral Health described its role under the Behavioral Health Services Act (BHSA), including data, evaluation, grantmaking, technical assistance, and transparency work. It highlighted the new statewide Innovation Partnership Fund, a five-year, $20 million-per-year program with small and large grant categories; the first RFA drew strong interest, with more than 400 questions and over 1,000 bidders’ conference participants. The Commission also discussed a proposed extension to spend down about $4.1 million remaining for the Alcove Youth Drop-in Center grants so sites can finish implementation and Stanford can complete the final evaluation. Members asked about grant duration, whether projects can be renewed, what qualifies as innovation, and whether the fund could support service delivery rather than awareness campaigns or training; the Commission said awards are expected to be three-year contracts and that proposals must be new or meaningfully expanded approaches that support BHSA priority populations. DHCS reviewed major behavioral health changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, updated specialty mental health access criteria, and new substance use treatment standards based on ASAM’s fourth edition. DHCS reported strong contingency management results, with more than 13,000 members served and 95% testing negative for stimulant use during treatment, and said 21 Indian health care providers have been approved to offer traditional health care practices. It also described BH Connect initiatives such as the $1.9 billion access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation by four counties, and transitional rent services. On BHSA implementation, DHCS said it is not tracking individual county contract cuts but is monitoring county plans and statewide outcomes, while stakeholders raised concerns about local prevention and service gaps. DHCS also outlined its H.R. 1 implementation strategy, including outreach, streamlined renewals, exemptions for disabled, substance use, and medically frail individuals, and proposed clinic navigator and outreach funding; it said it has not yet produced a focused estimate of H.R. 1 impacts on behavioral health populations. The discussion ended with DHCS noting that B-CHIP bond funding has supported 437 infrastructure projects, creating 546 new or expanded facilities and more than 9,500 residential beds across the state.

Transcript Highlights:

• And when we look forward, we need strong program integrity measures.
• we look forward, we need strong program we look forward, we need strong program integrity<00:03:
• And the integrity measures.
• legislation to correct the program legislation to correct the program integrity<00:03:24.159>
• ,<00:03:48.080> which the housing stabilization program, which the housing stabilization program

Keywords: 919, house, all

Summary: Representative Schultz reflected on the prior session as highly dynamic and unpredictable, but said it was productive because it allowed many viewpoints to be represented. He described the session as history-making and said he was able to advance priorities for his district and conservative constituents. He highlighted two main policy wins: a bill he said prevented illegal immigrants from receiving taxpayer-funded health care benefits, identified as House File 10, and a bipartisan measure he called “freeing the hot tubs,” which allowed hot tubs at short-term rentals such as Airbnbs and VRBOs after prior Department of Health restrictions. He said both measures were enacted during the special session. Schultz also discussed his work on the House Fraud Prevention and State Agency Oversight Policy Committee, saying the committee was needed to focus on fraud in state agencies. He cited more than a billion dollars in fraud over the past six or seven years, including Feeding Our Future and issues in Medicaid-funded services, waiver services, and the housing stabilization program. He said the committee’s hearings and agency discussions helped produce tangible legislation to strengthen program integrity and protect taxpayer dollars. Looking ahead to 2026, he said his priorities would be affordability, stopping fraud, and improving school safety and learning environments across all types of schools in Minnesota.

Transcript Highlights:

• of Program Integrity, Tasha Blanchard.
• integrity, and also SNAP, for our SNAP program, a lot of support there.
• Hi, my name is Tasha Blanchard, and, as Merida said, I'm the director for the program integrity.
• more um I'm the director for the program more um I'm the director for the program integrity<01:35
• /c><01:35:55.639> of under the program Integrity but all of under the program Integrity but all

Keywords: 1189, house, all

Transcript Highlights:

• Healthcare under the collaborative care model as their program manager.
• Healthcare under the collaborative care model as their program manager.
• collaborative care is an integrated collaborative care is an integrated highly<00:07:53.520>
• by training and I support the integrated by training and I support the integrated Behavioral<00:
• <00:10:09.560> Behavioral approach that integrates Behavioral approach that integrates Behavioral

Bills: HF958, HF688, HF702

Keywords: mental health, behavioral health, psychiatric care, collaborative care model, healthcare funding, service dog, service animal, service dog in training, assistance dog, guide dog, disability rights, housing accommodations, fair housing, landlord, rental housing, homeowners association, HOA, Minnesota human services, accessible housing, reasonable accommodation

Transcript Highlights:

• <00:02:37.000> Integrity<00:02:37.720> on sure that we have program Integrity on sure
• that we have program Integrity on the<00:02:38.200> largest<00:02:38.879> source<00:02
• Obviously, I think this is a good step that we should be taking to make sure that we have program integrity
• Obviously, I think this is a good step that we should be taking to make sure that we have program integrity
• Medicaid have program Integrity in our Medicaid have program Integrity in our Medicaid units<00:

Keywords: 1183, house

Transcript Highlights:

• by opening the program up to physicians. ...by opening the program up to physicians whose practice setting
• Since 2017, I've been the medical director for the Compass Moms Do Care Program, which is a program providing
• Moms Do Care is a statewide program founded in 2015 designed to support Moms Do Care is a statewide program
• By building integrated multidisciplinary teams that center the expertise, By building integrated multidisciplinary
• Our experience with the Moms Do Care program is that integrating multiple disciplines that center, ..

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on 17 bills focused on behavioral health workforce shortages, studies, and commissions. Chairs Mindy Domb and Senator John Velis opened by emphasizing the severity of the Commonwealth’s mental and behavioral health workforce crisis, the resulting gaps in access to care, and the legislature’s ongoing use of loan repayment programs, studies, and commissions to address these issues. They outlined hearing procedures and noted that testimony would be limited to three minutes, with written testimony also accepted. A major portion of the hearing focused on bills to expand the primary care workforce, including H. 2205/S. 1385, which would broaden eligibility for the Mass RePay loan repayment program. Testimony from the Massachusetts Medical Society, Senator Jo Comerford, and Dr. Kate Atkinson described severe primary care shortages, long wait times, physician burnout, high debt burdens, and the need to recruit and retain physicians in more practice settings and regions. Committee members asked about the likely impact of loan repayment, the role of nurse practitioners and physician assistants, and how to prioritize limited funding. Witnesses argued that primary care investment improves access and outcomes and that the bill would help sustain community-based practices. Another large block of testimony supported H. 2208/S. 1411, the proposed perinatal behavioral health care workforce trust fund, often referred to as the Moms Matter Act. March of Dimes, perinatal mental health advocates, doulas, clinicians, parents, and organizations such as the Boston Public Health Commission and Empty Arms Bereavement Support testified that postpartum depression, anxiety, substance use, and grief are widespread, often untreated, and worsened by long waitlists and a shortage of trained, culturally competent providers. Speakers repeatedly stressed that screening alone is not enough without a workforce to provide timely treatment, and several shared personal stories of postpartum illness, loss, and difficulty accessing care. The bill was also framed as a needed complement to the Commonwealth’s recent maternal health law, which increased screening and therefore increased demand for treatment. The committee also heard support for the Bridge Act, H. 2207/S. 1388, which would create mental health capacity grants for organizations serving communities at high risk of hate crimes or hate incidents. Testimony from the Jewish Community Relations Council and the bill’s sponsor described the mental health harms of hate, including anxiety, trauma, isolation, and loss of trust, and argued that community organizations need resources to build resilience and provide support. In addition, the committee heard from the Massachusetts Mental Health Counselors Association on H. 2218/S. 1380, which would update job classifications to explicitly include licensed mental health counselors and licensed supervised mental health counselors in state behavioral health roles. Witnesses said the change would modernize hiring, expand access, and better reflect current licensure and scope of practice. No votes were taken during the hearing, and the session ended with a motion to adjourn after all testimony was completed.

Transcript Highlights:

• Next, MDE should place a greater emphasis on program integrity and risk-based monitoring if oversight
• Our agency is committed to maintaining program integrity and ensuring robust fiscal oversight of our
• We are placing additional emphasis on program integrity when we are considering waivers, and lastly,
• <00:53:25.400> Integrity<00:53:26.079> when<00:53:26.200> we emphasis on program
• Integrity when we emphasis on program Integrity when we are<00:53:26.720> considering<00:53:27.520

Keywords: 1183, house

Summary: The Education Policy Committee met to hear a delayed presentation from the Office of the Legislative Auditor on MDE’s oversight of Feeding Our Future, a report released in June 2024. The chair framed the hearing as an oversight review of how the Minnesota Department of Education handled the nonprofit’s participation in the Child and Adult Care Food Program and the Summer Food Service Program, emphasizing that the hearing was not about criminal charges against agency staff. Legislative Auditor Judy Randall and Director of Special Reviews Katherine Tyson explained that their review focused on state oversight, not the underlying federal fraud case, which involved an alleged $250 million scheme and ongoing criminal proceedings. The auditors concluded that MDE’s oversight was inadequate and created opportunities for fraud. They said MDE failed to act on warning signs before the pandemic, did not effectively use its authority to hold Feeding Our Future accountable, and was ill prepared to respond to problems. Examples included approving applications despite concerns about internal controls and staffing, failing to follow up on earlier review findings, not adequately investigating at least 30 complaints, and in one case referring a complaint back to Feeding Our Future for resolution rather than conducting an independent investigation. They also said MDE deferred serious deficiencies without enough evidence that problems had been fully corrected and approved meal claims despite records showing major inconsistencies. Tyson said MDE had made progress on all eight recommendations in the report, though one recommendation to the legislature had not yet been addressed because the session had not convened since the report’s release. The auditors recommended that the legislature establish clearer statutory criteria or give MDE rulemaking authority for sponsor applications, and that MDE strengthen verification of sponsor information, focus more on high-risk sponsors, improve complaint procedures, and emphasize program integrity if waivers reduce oversight in the future. In response to member questions, the auditors said MDE’s reported progress was partial in some areas and that further review would be needed to fully confirm implementation. No votes or formal committee actions were taken during the hearing.

Transcript Highlights:

• To the NYS Father Peter Young Memorial Addiction Professional Scholarship Program.
• services pilot program, and providing for the repeal of such provisions upon expiration thereof.
• services pilot program, and providing for the repeal of such provisions upon expiration thereup.
• And so those addictions are integrated; therefore, we need to be integrated in our response to these
• You're funneling money to integrated programs, services, and collaboration, which are going to have better

Keywords: 993, senate, all

Summary: The Senate Standing Committee on Alcoholism and Substance Use Disorders held its first meeting of 2026, chaired by Senator Nathalia Fernandez, who opened with remarks about the committee’s recent work, declining overdose deaths in New York overall, continuing disparities in some communities, and the need to protect state funding amid possible federal cuts. She also emphasized alcohol-related harm, the importance of maintaining treatment and recovery supports, and the need to prepare for expanded gambling with downstate casino development. Senator Rob Rawlinson and Ranking Member Senator Oberacker participated, with Oberacker later praising the committee’s bipartisan approach and Fernandez’s leadership. The committee considered eight bills, all of which were advanced. The measures included S. 489 on referrals to appropriate substance use disorder service providers; a scholarship program bill for addiction professionals; S. 1812 on certifying innovative statewide substance use disorder treatment services; S. 3632 establishing a problem gambling advisory council; S. 4950 concerning payment of substances at addiction treatment centers operated by OASAS; S. 4953 creating an intensive addiction and medical services integrated services pilot program; S. 5105 directing OASAS to issue rules for providers in rural locations; and S. 5382 related to privacy protections for chemical dependency services. Several of the bills were sponsored by Senator Fernandez, while others were sponsored by Senator Peter Harckham and Senator Harkham. Discussion focused heavily on integrated care, co-occurring mental health and substance use disorders, the value of dual licensing and collaboration among providers, and the practical barriers faced in rural areas, including long travel distances, weather, transportation shortages, and limited broadband for telehealth. Members also noted the importance of privacy in treatment settings and the need for accessible, centralized services so people are less likely to fall through the cracks. Each bill was moved and reported either to the calendar or to finance, with no negative votes recorded.

Transcript Highlights:

• initiatives, integrated behavioral health programs, and that is how we continue to adapt the growing
• So we've paired this program with our program, what we call a maternal heart-wise program, which is a
• program in Orlando.
• So we created this program.
• In the new program, the SMMC 3.0 program, the In the new program, the SMMC 3.0 program that started two

Summary: The committee held a panel discussion focused on how Florida health care organizations are working to improve access, quality, and affordability. Panelists from Florida Community Care/Independent Living Systems, Sunshine Health, AdventHealth, UF Health, and Nemours described their approaches, including Medicaid managed care, value-based contracting, community partnerships, mobile screening units, smart-room technology, telehealth, and specialized programs for maternal health, children, and complex chronic conditions. Several speakers emphasized that managed care and coordinated care can improve outcomes while reducing unnecessary utilization and costs. Members asked about the impact of Medicare’s V28 changes, mobile cancer screening, urgent care versus emergency room billing, pediatric specialty access, complaint resolution, Black maternal mortality, provider shortages, network adequacy, and the use of AI in prior authorization. Witnesses said V28 has affected providers and revenue, UF Health’s mobile screening program is expanding beyond a few cancer types, and its urgent care model bills patients at the appropriate level rather than both urgent care and ER rates. Nemours said it reduced specialty wait times through scheduling changes, telemedicine, and registry tools, while AdventHealth described postpartum coordination and maternal heart programs to reduce maternal complications and mortality. On complaints and access problems, panelists said their organizations use patient/member advocates, care managers, call centers, and escalation processes to resolve issues, and Sunshine Health specifically discussed a transportation complaint that was addressed with its vendor and the family. Sunshine Health also said it is not using AI for prior authorization, though it is exploring responsible uses elsewhere, and Florida Community Care said it is not using AI in utilization management. In closing, panelists identified workforce shortages, provider burnout, and high-cost drugs as the biggest ongoing challenges. The meeting ended with thanks to the panel and adjournment after Representative Brackett moved to rise, without objection.

Transcript Highlights:

• <01:38:13.840> Integrity<01:38:14.840> package prevention and program Integrity package
• integrity proposals for this legislative session. program policies for charter schools and program policies
• <01:39:06.840> Integrity fraud prevention and program Integrity fraud prevention and program
• abuse and enhance program abuse and enhance program integrity<01:40:57.920> and<01:40:58.040
• education fraud prevention and program education fraud prevention and program Integrity<01:41:33.880

Keywords: 1187, senate, all

Transcript Highlights:

• house's provision on EIDBI program house's provision on EIDBI program integrity<00:27:39.120>
• integrity pieces for other uh program integrity pieces for HCBS<00:29:02.360> providers.
• We also have program integrity and also the central office.
• ><00:59:24.319> the<00:59:24.480> central program integrity and also the central program
• > some<01:11:51.040> of program integrity and address some of program integrity and address

Keywords: 1187, senate, all