Transcript Highlights:

• This is an $8.7 million increase. increase because we have that many special needs students going on
• and what are some of the supports that we provided as far as rate increases there, but more specifically
• A 1% increase for provider rates, and then $45.3 million in the back of the bill to develop and implement
• increase.
• The Senate provides an across-the-board 3% base salary rate increases for state employees, state attorneys

Keywords: 998, house, all

Transcript Highlights:

• <00:55:55.359> more<00:55:55.600> normalized rate of increase to a more normalized rate
• I can just share on the rate increase question.
• <01:41:58.080> of relative basis is a lower rate of relative basis is a lower rate of increase
• What you're lower the rate of increase.
• <01:42:47.000> increase can just share on the rate increase can just share on the rate increase

Keywords: 910, house, all

Transcript Highlights:

• That is a 0.75 increase on the employer side and a 0.25 increase on the employee side.
• employer side and a 0.25 increase on the employer side and a 0.25 increase on the employee<00:57
• <00:58:36.480> of but if we were to have a 0% rate of but if we were to have a 0% rate of
• Next year, however, starting July 1, 2025, the contribution rates will increase to 8.75% for employees
• the path for future contribution rates the path for future contribution rates um<01:09:38.759>

Keywords: 1187, senate, all

Transcript Highlights:

• We are seeing increased payment rates.
• DWS seeing increased payment rates um DWS seeing increased payment rates um DWS has<01:24:14.600
• <01:24:26.000> than<01:24:26.679> what rate increases to be higher than what rate increases
• That's why this committee fought to increase the rates.
• That's why this committee fought to increase the rates.

Keywords: 1187, senate, all

Summary: The committee convened for an opening discussion of the 2025 Human Services session, with members emphasizing bipartisan collaboration, the committee’s mission to strengthen support systems for Minnesotans, and a focus on helping vulnerable people thrive. The chair and members welcomed new and returning senators and staff, including new pages and interim committee administration, and several members briefly introduced themselves and their backgrounds in public service and human services work. Members identified the main issues they expect to address this session: workforce shortages in human services professions, long-term care, program integrity, and efforts to limit waste, fraud, and abuse so funding reaches people who need it most. The chair also previewed upcoming hearings on eligibility and redeterminations for people with disabilities, MnCHOICES reassessments, assisted living and provider payment delays, and updates on direct care and treatment, noting that more detailed discussion would come in later meetings. The committee then received a budget overview from fiscal analyst Kyle Raymond. He explained the combined Health and Human Services budget area, noted jurisdiction changes tied to the creation of the Department of Children, Youth, and Families and the planned separation of Direct Care and Treatment, and said some figures may differ from the November forecast because of those shifts. He outlined the major funding sources for the budget area, including federal funds and the general fund, and said the presentation would focus on the fiscal year 2026-2027 budget the legislature will be considering.

Transcript Highlights:

• rates.
• rates.
• rates.
• rates.
• in um Medicaid reimbursement increase in um Medicaid reimbursement rates<00:36:02.240> uh<00:

Keywords: 1191, senate, all

Transcript Highlights:

• What's the formula for determining reimbursement rates?
• Should we look at poverty rate requirements and expanding it and open up... ...reimbursement rates.
• So we actually have more providers now with the new rates than we did under the old rates.
• That has impacted our reimbursement rates in this grant and will also impact reimbursement rates in a
• The rate change was their reason for closing.

Keywords: 1204, all

Summary: The committee met in a workshop-style discussion with Arkansas Department of Education early childhood officials to review the state’s early learning programs, especially ABC and SRA/CCDF, and to consider long-term sustainability, access, and quality. Officials said ABC funding was flat at $11 million from 2009-2010 until a $3 million increase in 2018, while CCDF/SRA funding is about $137 million. They reported ABC serves about 23,000 children, SRA about 14,871, and the SRA wait list has grown to 2,971 children, with breakdowns by age provided during the meeting. They also said the current ABC per-child cost is about $5,105, compared with roughly $8,000 in K-12, and that a new market-rate/cost-of-care study is due because the last one was about three years ago. Members raised concerns about rural and urban access, provider deserts, school-based versus community-based slots, and whether the state should expand or rebalance funding to better support infant-toddler care and mixed delivery. Officials said they are working on identifying gaps, moving slots where possible, and using local leads and quality measures such as CLASS observations to improve kindergarten readiness. They also discussed the transition of federal pre-K funding ending at the end of June, with children either moving into ABC or requalifying for SRA, but without grandfathering beyond bypassing the wait list if already enrolled. A major topic was the impact of new co-pays and funding reductions on families and providers. Officials said the state had to make changes to preserve the programs, and that paying based on enrollment rather than allocated slots saved about $576,000. They also said eight providers cited funding as the reason for closing, while 26 new providers were added under the new rates. Members questioned dual enrollment in home visiting/HIPPY and ABC, and officials said about 1,200 children are dually enrolled, with a possible savings of about $2.4 million if that practice were limited, though members cautioned about unintended consequences for children with developmental needs. The meeting ended with agreement to continue regular updates and further work on simplifying and stabilizing the early childhood system.

Transcript Highlights:

• the personal needs allowance, which has not increased since 2008.
• Just a question that you said, the minimal increase for the state between, was it increasing the asset
• It's important that we get some kind of an increase.
• The Commonwealth must take swift action to support worker development, increase provider rates, and improve
• So there really has been no increase in the last 18 years.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing focused largely on senior long-term care issues, family caregiving, post-acute care access, and direct care workforce pay. Testimony strongly supported bills to raise the personal needs allowance for nursing home and rest home residents (including H. 1411, S. 482, and related bills), with speakers from Mass Senior Action, Dignity Alliance, nursing home residents, providers, and former state officials arguing that the current $72.80 monthly allowance has been unchanged since 2008 and is inadequate for basic items like clothing, toiletries, haircuts, and transportation. Witnesses also backed bills to increase MassHealth asset and income limits for seniors and to stop counting life insurance as cash, describing the current rules as outdated and harmful to low-income elders. The committee also heard testimony on bills allowing family members, including spouses and guardians, to be paid caregivers (H. 1394/S. 886), with supporters saying this would help families keep loved ones at home and reduce reliance on costly institutional care. Another set of bills (H. 1412/S. 903) drew support from a physician who said clearer MassHealth communication and improved post-acute care determination processes would help reduce delays and backlogs for patients awaiting skilled nursing, rehabilitation, or other post-acute placement. Several speakers emphasized that better home- and community-based care can prevent hospital readmissions and support independence. A major portion of the hearing focused on S. 877, which would establish an enhanced care worker minimum wage of $25 per hour, indexed to inflation, for certain home care and human services workers. Union representatives and direct care workers from SEIU Local 509, 1199 SEIU, and the AFL-CIO described severe staffing shortages, burnout, low wages, and high turnover across home care, mental health, disability services, and crisis response. They argued that higher pay is necessary to recruit and retain workers and to stabilize services for vulnerable residents. Committee members asked about costs, comparisons with other states, and whether non-wage incentives could help, but witnesses repeatedly said wages were the central issue. The hearing concluded after all registered testimony was heard, with the committee noting it would continue accepting written testimony and then adjourning.

Transcript Highlights:

• We've also updated our managed care rates and fee-for-service rates based on the updated costs of weight
• <00:09:17.839> based<00:09:18.200> on rates and fee for Service rates based on rates
• <00:10:01.760> system the disability waiver rate system the disability waiver rate system
• That increased up by about 2%; it's the number of claims that increased that roughly doubled.
• That increased up by about 2%; it's the number of claims that increased that roughly doubled.

Keywords: 1183, house

Transcript Highlights:

• And the same is true with Iowa's 89% rate, Hawaii's 89% rate, and Arkansas's 92.5% rate.
• Some carry 100% hospitalization rates, 23% mortality rate, and they only seem benign because herd immunity
• Some carry 100% hospitalization rates, 23% mortality rate, and they only seem benign because herd immunity
• When vaccination rates drop, outbreaks follow.
• When vaccination rates drop, outbreaks follow.

Summary: The committee heard several health-related bills. SB 1082 would let providers or insurers in state-regulated commercial plans opt into the federal independent dispute resolution process for emergency out-of-network claims, with a late-filed amendment clarifying access to the state program in certain circumstances. The bill sponsor and emergency physicians said the measure would reduce litigation and improve payment resolution; the committee adopted the amendment and reported the bill favorably as a committee substitute. SB 1168 would centralize background screening work for the care provider clearinghouse at the Agency for Health Care Administration and update related screening rules, including sealed and expunged records for qualified entities. The sponsor said the change would speed turnaround and reduce duplication; an amendment was adopted, and the bill was reported favorably as a committee substitute. SB 1156 would move ambulatory surgical center regulation out of Chapter 395 into a standalone section of law, and it was reported favorably without amendment. SB 1480, as amended by a strike-all, would grandfather certain temporary certificate holders practicing in areas of critical need if federal designations change, allowing them to continue seeing current patients and potentially new patients in their existing area subject to board oversight. The committee heard support from health system representatives and reported the bill favorably. The final and most debated measure, SB 1756 on medical freedom, would require vaccine education materials and alternative schedules, expand school immunization exemptions to conscience-based objections, clarify limits on emergency vaccination orders, and allow pharmacists to dispense ivermectin behind the counter with written information. The sponsor and supporters framed it as parental choice and access, while physicians, public health advocates, cancer advocates, and parents of immunocompromised children warned it would lower vaccination rates and increase disease risk. The committee adopted a liability-related amendment, rejected a substitute amendment that would have required consultation for exemptions, and continued hearing public testimony opposing the bill; the transcript ends before final action on SB 1756.

Transcript Highlights:

• This change would require individual facility rate impact analysis, consider the increase in the cost
• Would we be required to incorporate those wage increases into the rates of nursing homes?
• Would we be required to incorporate those wage increases into the rates of nursing homes?
• ><00:41:56.640> nursing increases into the rates of nursing increases into the rates of nursing
• <00:48:09.760> your<00:48:09.960> costs increase in your rates if your costs increase in

Bills: HF500, HF718, HF1096, HF1246, HF1469

Keywords: nursing home, employment standards, worker rights, Minnesota Statutes, labor compensation, workforce development, job training, economic stability, low-income, career pathways, education funding, Summit Academy, employment, STEM programming, GED preparation, Neighborhood Development Center, NDC, small business, entrepreneurship, business training

Transcript Highlights:

• increases from about 0.5% to 2%.
• following year, they can adjust their rates.
• This has increased for us, uh, on average about 30% each year.
• And I'm proud to say though that our tax rate in our city here.
• The 10-year growth rate is, uh, currently around 26%.

Transcript Highlights:

• That's almost a 50% increase.
• So, yes, our general fund budget has been increasing, and so our federal funds budget has increased the
• It's not a percentage increase.
• Our general fund spending has increased, so then the federal match increases as well.
• My expenses have increased each week. I have increased it. My expenses have increased each week.

Keywords: 987, senate, all

Summary: The Senate Budget and Fiscal Review Committee heard AB 109, the Budget Act of 2026, and related discussion of the legislative budget agreement. Committee staff and the Department of Finance described a two-year balanced plan with about $253 billion in General Fund spending, roughly $5.5 billion in higher assumed revenues than the May Revision, and about $36.5 billion in combined reserves. They said the package preserves or expands funding for schools and community colleges, child care, IHSS, Medi-Cal-related county administration, housing and homelessness programs, public hospitals, courthouse construction, and some criminal justice and prison-closure savings, while delaying or modifying several prior health care reductions and some Medi-Cal changes. Much of the member discussion focused on Medi-Cal, H.R. 1, and the impact on low-income and immigrant Californians. Several Democrats argued the budget protects vulnerable residents by delaying some cuts, funding county eligibility work, indigent care, public hospitals, and food banks, and rejecting the Governor’s IHSS cuts and asset-limit proposal. Republicans criticized the budget for assuming future revenues, relying on new taxes, and not doing enough to address the structural deficit or improve accountability. Members also raised concerns and support around homelessness funding, Prop. 36, judgeships and courthouse funding, transit and GGRF allocations, local journalism, Caltrans fleet spending, and a proposed “fair share” revenue measure that was not yet before the committee. Public testimony was largely supportive of the budget’s health and human services provisions, especially the rejection of IHSS cuts and the asset-limit proposal, and the inclusion of funding for child care, sickle cell centers, domestic violence services, trauma recovery centers, distressed hospitals, county eligibility work, and transit programs. Some witnesses representing hospitals and health plans cautioned about the effects of moving certain Medi-Cal populations to fee-for-service and about proposed tax changes affecting health care providers. The chair said revenue trailer bills were still being finalized and would likely come back later in the week; the committee then moved to public comment, with the chair limiting speakers to about one minute each.

Transcript Highlights:

• , graduation rates.
• that increase yet again.
• So we increase the basic but we also increase compensatory education at the same time.
• We hope this number can increase.
• It will not make up the increase in the cost of. goods that we purchase due to the steep rates of inflation

Bills: HB2, HB2

Keywords: public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, disaster preparedness, emergency management, flooding, mass fatality, mass casualty, fatality tracking, body recovery, autopsy, justice of the peace

Transcript Highlights:

• throughout the year with growth rates throughout the year with growth rates ranging<00:05:50.560
• The remaining accounts are expected to increase only moderately, with growth rates for the two remaining
• only moderately with growth increase only moderately with growth rates<00:07:53.919> for<00:07
• done without increasing any dollars. done without increasing any dollars.
• Ideally, every completion rate is?

Keywords: 00:32 Call to Order and Roll Call 02:30 Road Fund Report 17:22 Approval of Minutes 18:07 High Growth Counties Projects 56:00 Adjournment, 958, all

Summary: The Budget Review Subcommittee for Transportation met without a quorum at first, then later approved the July 15 minutes by voice vote after quorum was reached. The committee heard an update from the Transportation Cabinet on the road fund for FY 2024-25. Cabinet staff reported road fund revenue came in $38.5 million above the enacted estimate, with motor vehicle usage tax receipts setting an all-time high for the fifth straight year. Motor fuels tax revenue was below estimate and down from the prior year, while overall road fund collections totaled $1.86 billion, essentially flat year over year. Staff said the road fund ended FY25 with a $61.6 million surplus, which under the budget bill must be appropriated to state construction. Members discussed the gas tax formula, with Senator Higdon arguing it no longer works well because revenues fall when fuel prices fall, and the chair noting the committee may need to revisit the formula. The committee then received an update on High Growth County projects in the 2024 highway plan. KYTC said $16 million in HGC authorizations had been made, nine projects already had construction funds authorized or were otherwise underway, 12 more were scheduled to be let by the end of 2025 with estimated construction costs above $250 million, and one additional project was expected to be awarded through alternative delivery. The cabinet said it anticipated authorizing the full $450 million appropriated by the General Assembly. Members praised the effort and emphasized the need to get projects to market before the next budget cycle. Jason Sala of KYTC also explained why transportation projects take time, citing planning, design, right-of-way acquisition, and utility relocation as major steps that can delay delivery. He said these processes are complex and require coordination with property owners, utilities, consultants, contractors, and local governments. Eric Pelfrey then briefed the committee on professional and personal service contracts, saying they are used to expand cabinet capacity for design, inspections, right-of-way appraisal, safety, and related work. He reported that authorizations and payments for these contracts have trended upward over the past decade, and that the number of contracts has also increased. In response to questions, Pelfrey said design-build can speed some projects by overlapping steps, but it does not eliminate right-of-way or utility work when those are required; he said KYTC has been using alternative delivery more often, but project complexity still limits how quickly work can move.

Transcript Highlights:

• It increases transparency for data on the APD website.
• About the medical school passage rate? No.
• we can increase Florida's average.
• The RN pass rates for the private schools have increased over 30 percent; so have the PN pass rates.
• If you look at the public schools, when they were starting with an 85% passage rate, if they increased

Summary: The committee took up a series of health and human services bills, beginning with CS/SB 1602, which would require emergency departments to have evidence-based pediatric care protocols, training, appropriate child-sized equipment and medications, a designated care coordinator, and participation in a pediatric readiness assessment. It was reported favorably. CS/SB 1224 followed, aligning Florida law with federal requirements so paramedics may administer controlled substances in the field under physician or nurse practitioner protocols; it also passed favorably after supportive testimony from fire chiefs. The committee then adopted a strike-all for SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by creating a statewide registry, requiring screening and training in hospitals and long-term care settings, and adding assisted living facility response requirements. Assisted living representatives objected to the ALF provisions as unrealistic and potentially harmful, while supporters argued the bill would save lives; the bill was reported favorably. CS/SB 1182, requiring continuous glucose monitors to be covered as both durable medical equipment and a pharmacy benefit, also passed favorably with support from AARP. The committee next considered CS/SB 12, a claim bill for a child severely injured after a DCF home visit allegedly failed to meet standards, and it was reported favorably without opposition. CS/CS/SB 954, dealing with substance abuse treatment centers and recovery residences, drew substantial debate. The bill would limit local zoning restrictions on treatment facilities and allow larger recovery residences if staffing ratios are increased; a late-filed amendment reduced the maximum active patients from 500 to 300. Municipal and county representatives warned that the bill could override local reasonable-accommodation efforts and create institutional-scale facilities, while supporters said housing is essential to recovery and that clustering concerns are overstated. The committee ultimately reported the bill favorably. CS/SB 1050, expanding the developmental disabilities pilot program statewide and creating a statewide family care council, also passed after extensive testimony from families and advocates. Supporters emphasized the long waitlist and the need for more services, while some speakers opposed managed care and warned about provider shortages and loss of individualized supports. Later, CS/SB 614, requiring a public educational webpage about background screening clearinghouse and level two screening requirements, was reported favorably. CS/SB 1578, which would require coverage for mammograms and supplemental breast cancer screening in certain circumstances, was also reported favorably. CS/SB 1060 created a joint legislative oversight committee to review Medicaid operations and financing; members discussed the need for stronger oversight of large midyear spending adjustments, and the bill passed favorably. CS/SB 1240, a Department of Children and Families substance abuse and mental health bill, was amended to clarify Baker Act transfer timing and notification requirements after debate over whether facilities could hold patients too long; it was then reported favorably. Finally, Senator Harrell presented CS/SB 526, a major nursing education bill aimed at Florida’s low NCLEX passage rates. The bill would require nursing programs to use exit exams, remediation, reporting, and stricter oversight, and the strike-all would add graduate preceptorships for low-performing programs and temporary provisional licenses for graduates pending NCLEX passage. The transcript ended while that bill was still being explained, before final action was taken.

Transcript Highlights:

• It's a vote before the vote that could lead to higher rates.
• And to be clear, decidedly not a funding or rate expert. I'm sorry.
• It's a massive, massive increase.
• Rate inadequacy is leading to the saying that we need to raise rates even more.
• The growing amount because the overall amount of insurance needed increases.

Bills: SB1468, SB1612, SB1789, SB2530, SB2571, SB2717, SB2967

Keywords: utility systems, Texas A&M, regents authority, construction, improvement, construction contracts, trust funds, property rights, mechanics lien, contractors, trustee liability, mechanic's lien, liability, attorney's fees, windstorm insurance, Texas Windstorm Insurance Association, insurance regulation, administrative penalties, coastal counties, catastrophe year

Transcript Highlights:

• , meaning they have increased their rates by more than 6% since December.
• , meaning they have increased their rates by more than 6% since December.
• from rising costs and from increasing from rising costs and from increasing environmental<00:57:
• fraction of 47 cents a month per rate fraction of 47 cents a month per rate paay<01:07:42.240>
• There's an approximate 30% difference between the CDC rate and the commercially purchased rate.

Keywords: 928, house, all

Summary: The committee heard testimony on House Bill 224, which would redirect most money from New Hampshire’s renewable energy fund back to electric ratepayers. The bill sponsor argued the measure would lower energy costs, noting recent utility rate increases and estimating annual savings of roughly $2.5 million to $7.3 million for ratepayers. Supporters said the fund has accumulated money that should be returned to customers rather than used for subsidies, and they emphasized that the state has already rebated similar funds from RGGI for years. Opponents, including Rep. Kat McGee, argued the renewable energy fund is a successful, nonlapsing dedicated fund that supports local clean-energy projects, energy resilience, emissions reductions, and private investment. McGee said the fiscal note overstated the benefit of rebates and understated the loss of investment, claiming the average annual rebate would amount to less than $10 per customer while the program has helped leverage significant private dollars and nearly 10,000 projects. She urged the committee to reject the bill as a poor deal for the state and ratepayers. Committee members questioned the fiscal note, the size of the rebate, whether the bill would set a precedent for other dedicated funds, and whether the program’s incentives amount to picking winners and losers. The Department of Energy testified neutrally, explaining how the renewable energy fund works, including renewable energy credits, alternative compliance payments, and the fund’s use for renewable energy initiatives. No vote was taken in the portion of the hearing provided.

Transcript Highlights:

• <00:27:01.520> He up was a week rate rate differential.
• He up was a week rate rate differential.
• rate expenditures by limiting uh rate rate expenditures by limiting uh rate exceptions.<01:34:32.400
• And then the other services are increased to 55% of the rate study recommendation, and there is inflation
• So, are we paying the rates they want? So, are we paying the rates they want?

Keywords: 1187, senate, all

Transcript Highlights:

• Of our rates, which are twice the national average.
• You need to drive affordable rates. You need to pay all your victims, and you Affordable rates.
• has already come into rates outside of the general rate case.
• One: Do not increase costs to ratepayers.
• insurance rates.

Keywords: 988, house, all

Summary: The Assembly Committee on Utilities and Energy held a hearing on the California Earthquake Authority’s SB 254 report and possible reforms to California’s utility wildfire recovery system. The chair framed the discussion around the Palisades and Eaton fires, the high and growing wildfire-related costs on utility bills, and the need to weigh tradeoffs among survivors, ratepayers, utilities, insurers, and taxpayers. The chair emphasized that the SB 254 report is an inventory of policy pathways rather than recommendations, and that the Legislature’s role is to evaluate the options publicly. The first panel featured wildfire survivors William Abrams and Joy Chen, who described severe ongoing displacement, housing insecurity, delayed compensation, and frustration with what they characterized as opaque and unfair compensation structures. They argued for greater transparency, clearer accountability for utilities, stronger oversight of wildfire mitigation spending, and incentives tied to safety performance. They also urged faster survivor payments, but only if they are full, fair, and not financed by shifting more costs to taxpayers or ratepayers. Committee members asked about gaps in the SB 254 report, the meaning of “full” compensation, and how a fast-pay facility might work. The second panel included the California Earthquake Authority, RAND, PG&E, LADWP, Consumer Attorneys of California, and the Public Advocates Office. Tom Welsh of CEA explained the report’s process and the current wildfire fund structure, including that utilities remain liable, the fund reimburses eligible claims, and prudency reviews can require reimbursement to the fund. RAND’s Lloyd Dixon outlined how roughly $38 billion has been paid to survivors, insurers, and public entities since 2017, and noted substantial litigation costs and cost-shifting among stakeholders. Utility representatives supported reforms that preserve financial stability and reduce risk, while consumer and public-interest advocates opposed shifting more costs to ratepayers and stressed accountability, audits, and safety-linked recovery. No votes or formal actions were taken in the hearing.

Transcript Highlights:

• Before we had increased, though, we recently increased the foster care reimbursement rate for 6 to 11
• We increased it by about 3 The foster care reimbursement rate for 6 to 11 and then 12 to 17, we increased
• One of the things with the kinship stipend before we increased the rates was that you could also get
• increased the So they were taking home about the same amount as the licensed rate.
• They increased financial support, that daily rate for foster families, including kin.

Keywords: 1182, all

Summary: The committee met for a presentation-only hearing on the Arizona Department of Child Safety, with no bills on the agenda. Chair Blackman opened by emphasizing that the hearing was intended to be data-focused and respectful, and that personal attacks or false accusations would not be tolerated. Director Catherine Patak then presented DCS data on hotline volume, investigations, reunifications, adoptions, guardianships, foster care entries and exits, kinship placement, congregate care, missing youth, and extended foster care. She said the department investigated more than 43,000 cases in 2025, kept the out-of-home care population relatively steady, and had reunified about 3,000 children with parents, while also noting that older youth and behavioral-health-driven removals are creating a mismatch with available foster homes. She also described kinship supports, foster parent recruitment, and the impact of Family First on funding, saying DCS lost federal drawdown for congregate care while waiting on approval for prevention programs. Members questioned the director about kinship caregivers, behavioral health access, reunification services, parental rights terminations, notice and documentation practices, and the effect of increased reimbursement rates. Patak said unlicensed kin can receive support through the kinship supports contract, that behavioral health assessments are done quickly at the welcome center or within 24 hours for kin placements, and that provider capacity remains a major constraint outside DCS control. She explained reunification conditions and services, said the department is working on documentation and notice issues flagged by the Auditor General, and noted that kinship reimbursement increases have helped some families step forward. She also said DCS procurement for group homes is handled internally through an RFP process and that about 10% of kinship caregivers become licensed. Representative Gillette then delivered a lengthy presentation arguing that the child welfare, Medicaid, and disability systems are structurally intertwined and that procurement and funding rules create incentives for volume and congregate care use. He criticized DCS, DES, and AHCCCS/Access oversight structures, argued that the system diffuses accountability, and said the committee’s work and related materials would be referred to special counsel. He also raised concerns about documentation, placement decisions, and the cost of congregate care, while asserting that the system over-relies on large providers and that reforms should focus on structural and financial incentives. Vice Chair Fink followed with a brief slide noting that congregate care costs far more per child than foster or kinship care, reinforcing the committee’s concern about placement costs and the need to shift children toward family-based care when possible.