Transcript Highlights:

• Institute University saw $3.3 million of its $6.3 million federal budget canceled by the federal administration
• Federal priorities.
• It seemed like EPAC 2005 had a big impact on the research direction.
• But by the federal administration or CO2 capture project.
• The federal funds, I agree, and those are being collected and used.

Committee: House Water & Natural Resources Committee

Transcript Highlights:

• The amendment provides certain other additional criteria for qualifying as direct patient care.
• The 340B program is a federal program.
• The 340B program is federal programs. Sometimes.
• The thought, the 340B program is the federal programs.
• So there were no complaints filed from Smile Direct Club.

Summary: The Health Care and Wellness Committee heard executive action on seven bills, with discussion focused on prior authorization, the 340B drug pricing program, biosimilars, HIV drug coverage, exchange certification criteria, and hearing/speech board authority. Members also considered several amendments, including a date change to prior authorization reporting in SB 5395, a large striking amendment and multiple policy amendments on SB 5981, and market-criteria amendments on SB 6210. Testimony and debate centered on transparency, administrative costs, rural access, patient care spending, market stability, and the balance between state authority and federal law. SB 5395 on prior authorization received Amendment 247, which moved the carrier reporting deadline to the Office of Insurance Commissioner from January 1, 2027 to October 1, 2026, and was then reported out with a due pass recommendation. SB 5981 on 340B drug pricing adopted a striking amendment creating reporting and fee structures, but rejected amendments that would have removed filing fees, required 90% of revenues to go to direct patient care, limited additional contract pharmacies to rural or underserved areas, or delayed the bill’s effective date; the bill then passed out of committee 11-7. Supporters emphasized transparency and safety-net funding, while opponents raised concerns about federal preemption, litigation, costs, and administrative burden. SB 5594 on biosimilar substitution, SB 5877 on certified anesthesiology assistants and the physician health program, and SB 6183 on coverage of FDA-approved HIV antiviral drugs without utilization management all advanced with broad support and due pass recommendations. SB 6210 on health benefit exchange market factor criteria adopted a striking amendment but rejected amendments that would have limited updates to every two years, narrowly defined “meaningfully different,” or changed implementation timelines; it also passed 11-7. SB 6226 on the Board of Speech and Hearing adopted Amendment 313 to expand standards-of-care authority for hearing aid fitting and dispensing, then passed 17-1 after debate about patient safety, tele-audiology, and access to care.

Transcript Highlights:

• HHSC was directed in the bill to add federally qualified health centers and rural health clinics as providers
• Is that a federal law? Is that a bill that we passed? Are we required? Is that a federal law?
• We also do a lot of direct-to-consumer telehealth.
• In direct primary care in small scope.
• The federal match is about almost 60%, 59.83%.

Committee: House Public Health

Keywords: 1184, house, all

Transcript Highlights:

• Facilities may suspend compliance with the medical cannabis requirements if the federal government begins
• Importantly, this bill includes federal compliance protections and won't affect licensing.
• Radiologic parenteral procedures may be performed under the direct supervision of a physician.
• Other parenteral procedures may only be performed under the direct supervision of a physician.
• Physicians to provide direct supervision of virtual, direct, real-time interactive audio and video technology

Bills: HB2110 , HB2113 , HB2122 , HB2152 , HB2168

Committee: House Health Care & Wellness

Keywords: ambulance, interfacility transport, specialty care transport, emergency medical services, EMS, registered nurse, nurse staffing, paramedic, emergency medical technician, EMT, patient transfer, hospital transfer, critical care transport, medical transport, workforce shortage, scope of practice, Department of Health, RCW 18.73, first responder, basic life support

Transcript Highlights:

• It's direct care workers who are putting in the work for our family members to live independently with
• And they would direct the Executive Office of Health and Human Services to seek federal approval to make
• The direct care workforce is incredibly fragmented; turnover rates for the direct care workforce are
• However, that money is not being directed back to schools. This does not make any sense.
• This is simply a reallocation of existing federal funds in a way that federal lines up with their intended

Committee: Joint Joint Committee on Health Care Financing

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing focused on two broad sets of issues: home- and community-based care, and school-based Medicaid reimbursement. In the morning session, legislators and advocates testified on bills affecting children and disabled enrollees, including proposals to clarify rate-setting for home health and home care services (H. 767/S. 870), allow family members and spouses to be paid caregivers under MassHealth (H. 1394/S. 886 and related bills), extend MassHealth coverage for applied behavior analysis and other therapies beyond age 21 for adults with autism and developmental disabilities (H. 1351/S. 871), and protect medically fragile children by improving access to continuous skilled nursing. In the later portion of the hearing, testimony shifted to a bill to improve MassHealth reimbursement for schools (S. 862), with speakers describing the school mental health crisis and the need to reinvest Medicaid funds directly into school health services. Witnesses on the home care rate-setting bill said current reimbursement methods are opaque and outdated, contributing to workforce shortages, unfilled shifts, long waitlists, and patients remaining in hospitals longer than necessary. Home care providers and trade groups argued the bill would not set rates directly but would require more transparent methodology and fuller consideration of real costs such as wages, benefits, taxes, training, and technology. On caregiver bills, many family members and provider organizations described the financial and emotional strain of caring for disabled or medically fragile relatives, especially when parents, spouses, or guardians are barred from being paid caregivers. They argued the bills would recognize existing unpaid care, help families remain at home, and reduce reliance on more expensive institutional care. Advocates for adult ABA coverage said services remain medically necessary after age 21 and that ending coverage at that age creates an inequitable “cliff” for MassHealth members compared with those with private insurance. For the PACE/community care bill, elder law attorneys and PACE advocates said current MassHealth income rules force some older adults with modestly higher incomes to spend down to $542 per month, making community living unrealistic and pushing people toward nursing homes. They supported changing the eligibility structure to a premium-based approach that would allow more people to remain in the community. On the school Medicaid bill, advocates said schools are providing effective, preventive mental health care, but reimbursement currently flows to municipalities rather than directly back to school health budgets, limiting districts’ ability to hire and retain staff. No votes were taken during the hearing; the committee heard testimony and several witnesses requested favorable reports on the bills.

Transcript Highlights:

• Chair, the lawsuit is actually with the Federal Highway Administration.
• The council directed us, the department, to go after external funding.
• These federal competitive grant programs are extremely oversubscribed.
• To me, so just to answer your question, it was a federal rule.
• And so they would have negotiated with the federal government.

Summary: The committee heard a lengthy Arizona Department of Transportation presentation on major corridor projects, beginning with Interstate 11. ADOT Director Jennifer Toth said the entire 280-mile I-11 corridor from Nogales to the Nevada line is covered by a federal lawsuit, which has paused Tier 2 work pending a Tier 1 reevaluation and public comment period expected later this year and into early 2027. Members asked whether the northern segment could move forward separately; ADOT said the lawsuit covers the full corridor and that segmentation would likely add time and cost. The committee also heard updates on SR 347 and the I-10 Wild Horse Pass corridor, including widening, interchange reconstructions, grade separations, and traffic-management improvements, with members raising concerns about congestion, signal timing, construction hours, signage, and safety. ADOT also presented the West Kingman I-40/US 93 project, a $106.5 million free-flow ramp project that is about 60% complete and expected to finish in early 2027; members discussed temporary traffic controls near Beale Street and the need for better access and safety in the area. The committee then moved to a mass hearing on the Regional Transportation Advocacy Council (RTAC) bill, House Bill 2304, which appropriates about $473 million for a list of rural and small-metro highway projects. Testimony came from regional planning organizations, county officials, mayors, and city staff supporting projects in Apache Junction, Show Low, Chino Valley, Sedona, Eloy, Coolidge, Casa Grande, Lake Havasu City, Clarkdale, San Luis, and Yavapai County. Speakers described projects such as road widenings, bypasses, bridge and interchange improvements, flood and evacuation routes, freight access, and safety upgrades, often emphasizing local matching funds, shovel-ready status, and economic development benefits. Committee members frequently asked about traffic flow, emergency access, and project design details, while the chair reminded witnesses that support in the budget would still depend on members advocating for the projects during budget negotiations. No final vote on the RTAC bill or the individual project bills was taken in the portion provided, but the chair announced a mass-motion approach: members and witnesses would be allowed to speak briefly on each project, after which the committee would vote on the package together. The meeting also included brief staff explanations of several individual appropriation bills, including funding for Apache Junction, the Wolford Road extension in Show Low, Ray Lane in Graham County, SR 89 widening in Chino Valley, and Sedona roadway and roundabout-related improvements.

Transcript Highlights:

• This federal mandate gave... ...of Census Day, April 1st.
• That's okay now in federal courts.
• And they provide much broader protections than even the federal law included.
• Federal circuits have permitted coalition districts or crossover districts.
• So it's basically under the direction of the Commerce Department.

Committee: Senate Senate Committee on the Census

Summary: The Senate Committee on the Census held a hearing on July 7, 2026 focused on how the census defines and tabulates race and ethnicity for redistricting. The sole witness, Professor Jeffrey Weiss, reviewed the history of Public Law 94-171, the Voting Rights Act, and Census Bureau race categories, explaining how block-level census data has been central to one-person, one-vote compliance and to enforcing Section 2 of the Voting Rights Act. He described the evolution from separate race and Hispanic-origin tabulations to multiracial reporting, the addition of voting-age and citizen voting-age data, and the increasing complexity created by coalition districts and multiracial populations. A major theme was uncertainty about Census 2030. Weiss said the federal government is considering changes to race and ethnicity questions, possible elimination of the MENA category, reduced multiracial detail, and discontinuation of differential privacy, while also discussing a possible citizenship question and other procedural changes coming through the Commerce Department rather than the Census Bureau. He warned that these shifts, combined with staffing cuts, reduced outreach, and scaled-back testing, could affect the availability and granularity of redistricting data and may trigger litigation. Committee members pressed him on the Biden-era revisions, the Trump administration’s current actions, and whether future data might have to be reported at a higher geographic level if block-level privacy protections are removed. Weiss also summarized Supreme Court redistricting doctrine, describing the move from Baker v. Carr and Reynolds v. Sims to the Gingles framework, then to later decisions limiting race-conscious districting, including Shelby County, Rucho, and the recent Louisiana v. Calais decision. He said Calais significantly narrowed federal Section 2 protections but does not directly preempt state voting rights acts, which he noted are being adopted in several states and may still allow coalition-based protections. The hearing ended after questions from the chair and vice chair, with no votes or formal committee actions taken, and the committee adjourned.

Transcript Highlights:

• It's federal law.
• They have federal agent powers.
• All federal agencies have been directed to coordinate efforts and adopt anti-fraud requirements.
• And then we also have direct interfaces with certain state and federal data sources that are used in
• , or federal fiscal year 26.

Committee: Senate Health & Human Services

Keywords: 1185, senate, all

Transcript Highlights:

• NO FEDERAL AUTHORITY CHANGES ARE NEEDED.
• WE ALSO WORKED WITH THE DCF ESTABLISHING A PROCESS WE ARE DIRECTED TO SUBMIT FEDERAL AUTHORITY STATE
• SUBMISSION OF OFFICIAL FEDERAL COMMUNICATIONS. WE WERE DIRECTED TO NOTIFY STATE OFFICIALS.
• HOUSE AND SENATE OF ANY FEDERAL OFFICIAL, FEDERAL COMMUNICATIONS RELATED TO MEDICAID PROGRAMS WITHIN
• YOU'VE DIRECTED US TO LOOK AT THE PREENROLLMENT LIST.

Transcript Highlights:

• </c> funds wisely ensuring they are directed funds wisely ensuring they are directed towards<00:02:13.520
• </c> that could be from the federal that could be from the federal government<00:09:20.519><c> Private
• </c> about the amount of federal about the amount of federal Appropriations<00:15:33.199><c> and</c><
• directives that are coming down.
• </c> also be impacted but the direct also be impacted but the direct Appropriations<00:28:29.640><c>

Committee: House Higher Education Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• , those are 501(c)(3)s, and this is a federal tax law issue.
• is a federal tax law issue.
• </c> we are alleging violations of federal we are alleging violations of federal law<00:31:09.639><c>
• </c><00:31:30.559><c> law</c> 501 c3s are prohibited under federal law 501 c3s are prohibited under federal
• House File 66, however, marks a small step in a positive direction.

Bills: HF72 , HF66 , HF69 , HF73

Committee: House Elections Finance and Government Operations

Keywords: campaign finance, state funding, political activity, nonprofits, government transparency, HF66, Minnesota second-degree murder, unintentional murder, protective order, order for protection, harassment restraining order, domestic violence, victim protection, cross-jurisdictional orders, out-of-state restraining order, tribal court order, Canadian protective order, public safety, criminal law, homicide

Transcript Highlights:

• House Concurrent Resolution by Representative Owen to authorize and direct the Law Institute to study
• House Concurrent Resolution by Representative Owen to authorize and direct the Law Institute to study
• The decrease is primarily due to an adjustment in federal funding.
• The budget consists of $16.7 billion in federal funds and $3.4 billion in State General Fund.
• Interagency transfers, statutory dedications, and federal funds support them.

Bills: HR159 , HR160 , HR161 , HR162 , HR163 , HR164 , HCR60 , HCR61 , HCR62 , HCR63 , HCR64 , HR153 , HR154 , HR155 , HR156 , HR157 , HR158 , HCR57 , HCR58 , HCR59 , SB124 , SB399 , SB441 , SB447 , SB460 , HCR4 , HCR47 , HB59 , HB74 , HB159 , HB175 , HB330 , HB364 , HB414 , HB458 , HB525 , HB568 , HB628 , HB786 , HB909 , HB1008 , HB1033 , HB1034 , HB1041 , HB1052 , HB1062 , HB1070 , HB1079 , HB1112 , HB1118 , HB1139 , HB1151 , HB1154 , HB1176 , HB1182 , HB1196 , HB1214 , HB1231 , HB1241 , SB244 , HB1 , HB2 , HB3 , HB312 , HB313 , HB383 , HB314 , HCR3 , HB983 , HB1126 , HR1 , HR17 , HCR5 , HB27 , HB71 , HB214 , HB225 , HB241 , HB244 , HB306 , HB345 , HB366 , HB446 , HB511 , HB514 , HB655 , HB730 , HB743 , HB1027 , HB1037 , HB1043 , HB1082 , HB1091 , HB1096 , HB1103 , HB1167 , HB1174 , HB1175 , HB1230 , HB1237 , HB1238 , HB55 , HB385 , HB394 , HB396 , HB406 , HB608 , HB622 , HB676 , HB772 , HB897 , HB1030 , HB1035 , HB1038 , HB1045 , HB1049 , HB1056 , HB1058 , HB1059 , HB1092 , HB1100 , HB1117 , HB1160 , HB1161 , HB1162 , HB1177 , HB1180 , HB1189 , HB1216 , HB1239 , HB1240 , SB162 , SB349 , SB350 , SB382 , SB383 , SB127 , HB51 , HB58 , HB140 , HB750 , HB911 , HB982 , HB1010 , HB151 , HB180 , HB192 , HB193 , HB310 , HB635 , HB690 , HB961 , HB1003 , HB1146 , HB864 , HB977 , HB181 , HB31 , HB664 , HB615 , HB901 , HR20 , HR74 , HB9 , HB284 , HB393 , HB459 , HB577 , HB582 , HB605 , HB614 , HB682 , HB733 , HB773 , HB996 , HB1113 , HB1234 , HB1236

Keywords: occupational therapy, healthcare, medical professionals, recognition, professional day, property transfer, public records doctrine, bad faith, Louisiana State Law Institute, real estate law, Black Maternal Health Week, maternal health, racial disparities, healthcare access, culturally competent care, Louisiana, community health, motorcycle safety, awareness month, motorcyclists education

Transcript Highlights:

• Federal resources are isn't easy.
• , the federal recruiting Therefore, the federal recruiting incentives<00:03:29.360><c> and</c><00:03:
• </c> that cuz we're not sure what direction that cuz we're not sure what direction the<00:25:14.000><
• </c> and it referred to the federal and it referred to the federal government<00:25:35.440><c> in</c>
• </c> us a guideline and what direction us a guideline and what direction [clears throat]<00:29:37.279

Bills: SF0012 , SF0013 , SF0067

Committee: House Transportation, Highways & Military Affairs

Keywords: military, national guard, reenlistment, extension bonus, funding, Wyoming, Wyoming National Guard, recruitment, referral bonus, military service, eligibility expansion, incentive program, Wyoming state guard, emergency response, governor authority, state council of defense, 916, all

Transcript Highlights:

• And yet, these tools remain fragmented across more than 50 federal programs.
• Public lands belong to all Americans and should be managed under federal protection.
• Their lands are nested in a checkerboard of private, state, and mostly federal lands.
• We need to fundamentally rethink how we manage our federal forest lands.
• All of this is moving us in the wrong direction. direction and so it's hard to make the case for the

Bills: HB471

Committee: Senate Conservation, Climate, Forestry, and Natural Resources Subcommittee

Keywords: forest management, wildfire prevention, public lands, Tribal jurisdiction, Fix Our Forests Act, wildfire, forest health, hazardous fuels reduction, fuels treatment, prescribed burning, mechanical thinning, mastication, fuel breaks, fire breaks, wildland-urban interface, WUI, fireshed, fireshed management area, fireshed registry, Fireshed Center

Summary: The meeting primarily focused on H.R. 471, the Fix Our Forests Act, which aims to address the ongoing crisis of wildfires exacerbated by climate change and the need for updated forest management practices. Various committee members voiced concerns about past federal management failures and emphasized the necessity for collaborative approaches involving local communities and stakeholders in forest management. As discussions unfolded, there were varying perspectives on the implications of certain provisions in the bill, particularly around regulatory changes and their likely impacts on public participation and environmental reviews.

Transcript Highlights:

• We just need to direct people in the right direction. We're traffic cops.
• We just need to direct people in the right direction.
• It's Code of Federal Regulations.
• Additionally, the school received $2 million in congressionally directed federal funding in the fiscal
• In committee, is there any further discussion or directives? Or directives? I just have a question.

Keywords: 908, all

Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.

Transcript Highlights:

• We issued an unmodified opinion on the federal program, a clean opinion on the federal program.
• Can they direct?
• There is federal funding.
• , federal dollars.
• So that federal money, though, being as federal, is there an accountability to the federal government

Committee: Joint Legislative Audit and Fiscal Review Committee

Keywords: 908, all

Transcript Highlights:

• When it's on federal land, we're in a really tough spot.
• You know, the federal issue was going to be kind of my next question.
• What you're looking at is from the Kansas City Federal Reserve.
• And then there is a regulated stocks-to-use ratio at the federal level.
• And that's more a federal issue, obviously.

Committee: Senate Agricultural Affairs

Summary: The Senate Agricultural Committee approved the January 27, 2026 minutes and then reviewed several Idaho State Department of Agriculture rules. Andrea Thompson presented updates to seed production and distribution rules, explaining that the changes mainly clean up redundant language, incorporate national and international testing standards by reference, and remove outdated rapeseed/canola and bluegrass district requirements that industry said were no longer necessary. She also outlined updates to commercial feed, fertilizer, and soil/plant amendment licensing rules to reflect the 2026 editions of AAFCO and related publications, and described bean planting rule changes clarifying that edible bean seed planted in Idaho must have approved green tags. The committee also heard temporary and pending invasive species rules tied to Snake River quagga mussel response and the addition of golden mussel to Idaho’s emergency invasive species list; members asked about the temporary-rule process and whether the standards should have publication dates, and staff explained the need for rolling updates and immediate quarantine authority. The committee said it would vote on the rules later in the week. The committee then received a presentation from Deputy Director Lloyd Knight on Idaho’s authorities for dealing with pests and invasive species, prompted by recent discussion about rats. He explained that the Plant Pest Act and Invasive Species Act give the department broad authority over pests such as Japanese beetle, grasshoppers, Mormon crickets, quagga/zebra mussels, and other listed species, but that some problems may be better handled through county abatement districts or other local tools. Senators asked about Mormon cricket response in rural counties, coordination with federal land managers, and whether a GIS-based public reporting system could be used for rat sightings; Knight said the department could likely build a low-cost reporting tool and that response options depend on land ownership, funding, and statutory direction. Brett Wilder of the University of Idaho then briefed the committee on the financial condition of Idaho agriculture. He said agriculture and agribusiness account for a significant share of Idaho’s economy, with livestock performing relatively well while crop producers face heavy pressure from high input costs, low commodity prices, and weak credit conditions. He noted record or near-record cash receipts overall, but emphasized that sugar beets and other crops are under strain, that export markets remain important, and that government payments are unlikely to solve the structural problems. Senators asked about sugar beet imports, market distortions, demand trends, and the likely impact of federal bridge payments; Wilder said the payments would help cash flow but would mostly go to existing debts and would not resolve the broader oversupply and profitability issues. The meeting adjourned after the presentations and questions.

Transcript Highlights:

• </c> reapproved um it's a 100% federally reapproved um it's a 100% federally funded<00:04:21.759><c>
• </c> significant ties to the Federal significant ties to the Federal Department<00:05:09.600><c> of</
• </c> state budget this is not 100% federally state budget this is not 100% federally reimbursable<00:
• Does this type of preference already exist for federal employment at the federal level for federal positions
• It was an executive order by former President Biden for federal civilians, so federal employment, so

Committee: House State-federal Relations and Veterans Affairs

Keywords: 1189, house, all

Transcript Highlights:

• And that's kind of the direction that's moving.
• Standards, and that's kind of the direction that's moving.
• Service that an agency is doing that is funded by the federal government.
• So usually when that happens, we sit down and have direct conversations.
• So we have used the federal partners as far as like DHS and SISA.

Committee: Joint Public Utilities, Energy, and Technology Interim Committee

Keywords: 985, all

Transcript Highlights:

• Federal funds comprise...
• That is a self-directed program, which allows greater flexibility.
• But I did hear a question directed to Dr.
• So actually, two ways: one direct, one indirect.
• That's a direct way.

Summary: The Health Care Budget Subcommittee met to organize the new term, take roll, and hear introductory presentations from the six agencies under its jurisdiction: the Agency for Health Care Administration, Agency for Persons with Disabilities, Department of Children and Families, Department of Elder Affairs, Department of Health, and Department of Veterans’ Affairs. The chair outlined the committee process, including assigning members to review agencies and make budget recommendations. Each agency head gave a high-level overview of their budget, staffing, major programs, and priorities, with recurring themes including Medicaid, long-term care, disability services, child welfare, mental health, aging services, public health, and veterans’ health care. Several agency leaders highlighted recent initiatives and funding priorities. AHCA emphasized Medicaid managed care, provider regulation, Hope Florida, hospital-at-home, and cancer-related efforts; APD discussed iBudget services, Hope Florida, a managed-care pilot, online applications, and forensic care costs; DCF focused on child protection, foster care, adult protective services, food/cash/medical assistance, mental health, and opioid treatment; Elder Affairs highlighted Alzheimer’s services, community-based senior care, guardianship, ombudsman services, and disaster outreach; DOH covered cancer innovation, maternal telehealth, cybersecurity, HIV/hepatitis/syphilis screening, and school nursing; and Veterans Affairs described benefits and health care access for veterans, long-term care, and federal reimbursement. Several speakers also raised concerns about rising costs, provider rates, disaster response, and access to services. The committee heard two public comments from disability advocates about Medicaid redeterminations affecting iBudget waiver recipients and provider payment delays. In response, AHCA and APD said they were coordinating on data sharing, early outreach, escalation processes, and efforts to reduce disenrollments and make recertification smoother. Members then asked questions about provider rates, opioid settlement spending, managed care quality measures, pediatric rare disease grants, group home transparency, senior outreach, ABA services moving into managed care, annual Medicaid recertification, veterans’ service utilization, waiting lists for elder services, and prevention spending. No formal votes were taken during the meeting.