Transcript Highlights:

• education services also receives special education services also has<00:09:25.000> protections
• <00:16:15.639> to receive special education services to receive special education services
• times that we are setting up services times that we are setting up services and<00:18:34.360>
• A student who is older may receive services through vocational rehabilitation services.
• older may receive Services through is older may receive Services through vocational<00:20:53.320>

Keywords: 1187, senate, all

Transcript Highlights:

• ' programs and services.
• of her retirement from the Department of Human Services.
• Just because a vendor offers a service, if we choose not to accept that service, that doesn't relieve
• Just because a vendor offers a service, if we choose not to accept that service, that doesn't relieve
• , moving everything to a shared service.

Summary: The Arkansas Legislative Council met and first adopted the previous meeting minutes, then honored Lori McDonald of the Department of Human Services for nearly 28 years of state service. Members read a resolution recognizing her legislative, constituent, and leadership work at DHS, and the council adopted it unanimously. McDonald thanked members for their support, and the Senate also presented her with a citation, a flag flown over the Capitol, and a commemorative coin. The council then received the May 2026 revenue report, which showed gross adjusted collections of $7.76 billion year-to-date, up 4.4% from the prior year, and net available for distribution of $6.36 billion. The Bureau of Legislative Research noted collections were running above last year and that the updated forecast reflected a surplus. The Executive Subcommittee report was adopted after members were told it had approved captive insurance premiums and deductibles, a claims administration contract, emergency DHS rules, waiver requests, committee fund allocations, and the cancellation of the regular July ALC meeting in favor of only meeting for urgent matters. Several subcommittee reports were then adopted, including Administrative Rules, Game and Fish and State Police, Hospital/Medicaid/Developmental Disabilities, Lottery Oversight, Occupational Licensing Review, Peer Review, Review, State Insurance Programs Oversight, and Personnel. During the Administrative Rules discussion, members questioned the Department of Education about delays and vendor performance under the ClassWallet contract; department officials said they were meeting regularly with the vendor, keeping expense review in-house, and would consider other options if needed. In Personnel, the Department of Commerce clarified that a reallocation request was part of a broader departmental realignment and shared services move, not the Arkansas Workforce Connection waiver. The council also reviewed and took action on several communications, including filing retirement system investment summaries as reviewed, approving rural community grant funding, giving favorable advice for state park acquisitions/expansion, approving special maintenance funding for state parks, and filing proposed Office of State Technology service rates as reviewed before adjourning.

Transcript Highlights:

• programs and services.
• of her retirement from the Department of Human Services.
• Just because a vendor offers a service, if we choose not to accept that service, that doesn't relieve
• Just because a vendor offers a service, if we choose not to accept that service, that doesn't relieve
• , moving everything to a shared service.

Keywords: 1204, all

Transcript Highlights:

• , emergency medical services, and then you've got the list, the six core services.
• services.
• Several essential services that residents rely upon—veteran services, libraries, health and human services
• But our services still have to run, and we have had to reduce our services.
• These services complement county human services and school services and include things like early childhood

Summary: The Committee on Appropriations took up SJR 2-F, a proposed constitutional amendment to reduce property taxes by lowering assessment caps on non-homestead property, expanding homestead exemptions over time, and allowing local governments to increase exemptions further. The sponsor argued the measure would provide broad property tax relief while requiring revenues to be directed to core services such as public safety, education, infrastructure, and natural resource projects, with a trust fund intended to help local governments transition. Senators raised concerns about the lack of a fiscal score, the effect on counties, cities, school districts, and special districts, and whether the proposal would shift costs to fees or other taxes. Several amendments were debated. Senator Polsky’s amendment to explicitly authorize user fees and non-ad valorem assessments to offset lost property tax revenue failed. Senator Avila’s amendment broadening permissible uses of ad valorem revenue to include county constitutional officers and other expenditures approved by local governing bodies was adopted after debate over whether the bill would otherwise underfund essential functions. Senator Smith’s sunset amendment, which would have made the constitutional changes expire after five years, failed. Senator Smith’s amendment to allow tourism development tax revenue to support public safety and education also failed. Senator Graal’s amendment removing the constitutional trust fund language was adopted, with supporters arguing the Constitution should not promise an unfunded account. Additional late-file amendments were considered. Senator Berman’s proposal to change the ballot title to more neutrally describe the measure as affecting property taxes and local community service reductions failed. Senator Trumbull’s amendment removing school board ad valorem taxes from the proposal was adopted, preserving school taxes. Senator Smith’s amendment narrowing the non-homestead assessment cap reduction to small businesses only failed. The committee then returned to the bill as amended and continued questioning the sponsor about eligibility, fiscal impacts, and whether the proposal could lead to local governments offsetting lost revenue through special assessments or other charges.

Transcript Highlights:

• services meet their needs. services meet their needs.
• um core service. um core service.
• fee-for-service program. fee-for-service program.
• of service to the person. of service to the person.
• and support services. and support services.

Keywords: 1187, senate, all

Transcript Highlights:

• services.
• Contracted services.
• One is flex, DMH flex services.
• The services that DMH is reducing are specialty services separate from those services.
• , and infertility services.

Keywords: 995, all

Summary: The committee heard budget testimony from Department of Mental Health Commissioner Brooke Doyle, who said DMH serves about 29,000 people and is facing rising demand, higher operating costs, and uncertainty about federal funding. She explained that the FY26 budget prioritizes fully funding the state-operated inpatient system, which is at 100% occupancy and often serves people transferred from Bridgewater State Hospital, while making reductions in other areas to balance the budget. Those reductions include a 50% cut to case managers, a pause on closing the Pocasset unit pending a working group on Cape access, and changes to youth and contracted services such as right-sizing IRTP and CIRT, reducing Youth PACT from seven teams to three, scaling back flex and jail diversion grants as ARPA funds wind down, and preserving the behavioral health helpline and community-based crisis services. Members from Western Massachusetts and the Cape raised concerns about access, staffing, and the impact of cuts, and Doyle said the department would continue operating IRTP services, improve the referral process, and work with stakeholders on the Pocasset review and other access issues. The committee also discussed school-based mental health, 988, loan forgiveness for workforce recruitment, and the role of co-response programs for law enforcement. Secretary Robin Lipson then testified for the Executive Office of Aging and Independence, describing a proposed FY26 budget increase of about 21% to support councils on aging, home care, elder abuse investigations, caregiver support, care transitions, and nutrition programs. She said the agency is managing rising demand, especially from the growing 80-plus population, and noted uncertainty around federal Older Americans Act funding after the federal disbursement agency was disbanded. To control costs, the office will manage intake and caseload growth in a fully state-funded home care program, but current clients will not lose services. Lipson also highlighted a new $1 million line item for local mini-grants to support age-friendly initiatives. In questions, members focused on elder scams, and Lipson said scams are increasing and the agency is working with banks, district attorneys, and public awareness campaigns. The Health Policy Commission’s Executive Director David Seltz presented the agency’s FY26 request and said the biggest challenge is health care affordability, with family premiums near $29,000 annually and many residents delaying care because of cost. He emphasized that recent legislation significantly expands HPC’s role through a new Office of Pharmaceutical Policy and Analysis, which will examine the drug supply chain and pricing, and a new Office of Health Resource Planning, which will support statewide planning around closures and access gaps. The new law also creates task forces on maternal health access and primary care, and adds transparency and oversight for private equity in health care. Members asked about pharmaceutical costs, GLP-1 weight-loss drugs, 340B, and maternal health closures; Seltz said the data show rapid growth in GLP-1 spending and that the new offices will help the state better understand cost drivers and access problems. The Center for Health Information and Analysis then began its testimony, describing its role as the state’s data hub for health care spending, utilization, quality, and affordability analysis.

Transcript Highlights:

• The purpose of the bill is to require the Department of Human Services to create an ALS services program
• The proposed bill removes providing intellectual disability services and providing personal care services
• Yeah, so personal care services are in-home care services.
• So it's a very needed service.
• and told you is true that we provide meal services and other services to seniors to help them stay in

Keywords: 994, senate, all

Summary: The committee met, approved the March 5, 2026 minutes, and then took up several health- and human-services-related bills. House Bill 5086, concerning peer support programs for covered caregivers, was explained as creating training and testimonial privilege protections; the committee adopted an amendment clarifying that boards may still require participation in a board-designated professional health program, and then reported the bill to the full Senate with the recommendation that it do pass. House Bill 5004, an educational bill on PANS and PANDAS, was supported by the sponsor, who described his family’s experience and the importance of earlier diagnosis; it was reported to the Senate without amendment. House Bill 5327, which would require the Department of Human Services to create an ALS services program, also received supportive testimony from the sponsor and members, but the transcript reflects the bill being reported as House Bill 537; it was moved forward without amendment. The committee then considered House Bill 5096, which would remove personal care and intellectual/developmental disability waiver services from certificate-of-need review. The sponsor argued the change would reduce regulatory burden and expand access, while a county aging-program director testified that certificate-of-need revenues help fund senior meals and services and that eliminating the requirement would reduce important support for aging providers. After a division vote, the motion to report the bill failed 3-9. House Bill 4695, allowing PEIA patients to switch to an alternative medically appropriate covered treatment without new prior authorization if it costs no more than the original treatment, was explained as carrying an estimated $13 million annual cost to PEIA and was reported to the Senate. The committee also advanced House Bill 5582, enacting the Respiratory Care Interstate Compact, after discussion of a committee amendment removing a new-background-check-at-initial-licensure provision; the amendment was adopted and the bill was reported. Another House Bill 5582, concerning the TANF drug screening program, was described as removing the sunset date and allowing oral fluid testing in addition to urine samples; it too was reported. Finally, House Bill 5466 renamed the batterer intervention program as an abuse intervention program and allowed live synchronous virtual delivery with an in-person option; the sponsor said the change would expand access statewide, and the bill was reported to the Senate. The committee then adjourned.

Transcript Highlights:

• CARE SERVICES AND ADULT COMPANION SERVICES AND SELECTED NURSING SERVICES.
• WE CAN PROVIDE MEDICAL SERVICES, WE CAN PROVIDE LONG-TERM CARE SERVICES ANYWHERE IN THE STATE.
• SO WE SELECTED SOME SERVICES.
• , DEEPENED SERVICES INCLUDING MEDICAL SERVICES THE FIRST GROUP.
• OR IS THE MAJORITY OF THE STILL FEE-FOR-SERVICE. VERSUS FEE-FOR-SERVICE IN THIS PILOT AS WELL?

Transcript Highlights:

• , and the services of oral surgeons, the dental services of oral surgeons.
• , and the services of oral surgeons, the dental services of oral surgeons.
• The problem we have is that it says oral surgeons’ services, dental services.
• I was one of those people who delivered services, oral surgery services,” “who delivered services, oral
• Special needs services for adults and oral surgeons' dental services for adults.

Summary: The Arkansas Administrative Rules Subcommittee met to review a large set of agency rules and reports. Early items were routine filings: emergency-rule reports, subcommittee review reports, and administrative directive reports were filed without objection. One rule from the Department of Agriculture on maternal health providers and remote monitoring was noted as pulled by the agency and not considered. The committee then reviewed and approved several Agriculture rules, including repeal of equine ID-chip rules after Act 703 of 2025, updates to finance rules adding a new water and sewer treatment facilities grant and consolidating revolving-fund rules, and a pesticide rule creating a Class J pesticide category for feral hog toxicant use. It also approved a Commerce/Insurance rule removing duplicative workers’ compensation plan provisions, and a Corrections rule creating a unified visitation rule for correctional facilities and community correction centers. A member asked about prison visitation hours during COVID, and staff said they would check on that. The committee next approved multiple Department of Human Services rules. These included marketing rules for provider-led organizations under Act 301 of 2025, a comprehensive revision of the DCFS policy manual, changes to Medicaid eligibility to include fictive kin placements and to expand ABLE account eligibility under Act 875, presumptive eligibility changes for pregnant women to align with federal rules, and a follow-up SNAP/TEA/Work Pays rule with updated work requirements, mandatory employment and training, alien eligibility changes, and job-search requirements for certain applicants. DHS also presented a rule implementing federal coverage for certain incarcerated youth before and after release, and the committee approved it. Another DHS rule updated nurse aide training requirements to match federal CNA hour standards and moved criminal-records-check procedures to the agency website. The most extended discussion involved DHS Division of Medical Services’ dental rate rule under Act 1025. The agency explained that it was increasing pediatric dental rates and certain oral-surgery-related rates, but not orthodontic rates or a broader special-needs benefit limit because CMS would not approve a diagnosis-based limit. Members debated whether the statutory language was intended to cover general dentists performing oral surgery procedures, with legislators, the Dental Association, and DHS discussing legislative intent, fiscal impact, and whether a future fix or emergency rule might be needed. Despite the disagreement, the committee approved the rule. The committee also approved other DHS medical rules: adverse-decision appeal changes and prior-authorization posting requirements, an increased RSV administration fee for children, expanded emergency treat/triage/transport ambulance authority, and clinic-based physical and occupational therapy coverage. Later, the committee approved permanent rules for the new state insurance program under Shared Administrative Services, procurement rule revisions recommended after an ACASO review, and commodity-management rule updates including a new revenue distribution model. Under Act 595 of 2021, the committee granted two Department of Commerce/Insurance requests to be excluded from rulemaking requirements: one for Act 772 on forced organ harvesting, and one for restorative reproductive medicine, with the department saying it would promulgate rules later when clinical guidelines are available. Finally, the committee accepted a recommendation to keep and extend the Department of Education, Division of Career and Technical Education rules, filed outstanding rulemaking updates, and adjourned without further business.

Transcript Highlights:

• We also piloted with Somerville Cambridge Elder Services.
• of services, including home-delivered meals, homemaker services, personal care services, and personal
• of services, including home-delivered meals, homemaker services, personal care services, personal emergency
• And ongoing care management services, $194 per month.
• , connecting with services.

Keywords: 995, all

Summary: The committee heard testimony on several aging-related bills, with most speakers focusing on housing stability, home-based services, and care transitions. Representative Badger and a commissioner testified in support of H4039, which would create a universal breakfast and lunch program at senior centers funded through a new Senior Breakfast and Lunch Fund, arguing it would reduce food insecurity and social isolation among older adults. Representative Lipper-Garabedian and multiple providers then supported H780/S495, the hospital-to-home partnership program, describing how embedded aging-services liaisons help older patients transition safely from hospitals to home, reduce readmissions, and avoid nursing facility placement; witnesses from Mystic Valley Elder Services and Mass Aging Access cited pilot results, including hundreds of patients served and examples of substantial cost savings and successful discharge planning. The committee also took testimony on S478, which would require continuing care retirement communities to disclose entrance-fee refund policies more clearly at enrollment. Senator Lovely and LeadingAge Massachusetts said the bill would improve transparency for residents and families, while a consumer witness said her family experienced delays and confusion in getting a refund after her mother left a CCRC. Members noted the issue is also being examined by a special commission on CCRCs. A large portion of the hearing focused on S475, a statewide bridge subsidy program for older adults facing housing instability. Advocates from the Massachusetts Coalition for the Homeless, Western Massachusetts, Somerville, Northampton, East Hampton, Old Colony Elder Services, and Somerville’s Office of Housing Stability described rising senior homelessness, long waitlists for subsidized housing, and cases where short-term rental assistance kept older adults housed while they waited for permanent housing. Somerville witnesses said the pilot program helped nine households remain housed and that some participants have since moved into permanent housing. Members asked about wait times, program design, and how to prioritize applicants; witnesses emphasized flexibility, emergency risk, and the need for a statewide expansion. The hearing also included testimony on S465, an ALS bill that would expand home care access regardless of age and bar the use of quality-adjusted life-year metrics in coverage decisions, with the sponsor and ALS Association arguing the measure would reduce discriminatory treatment and better center patient care. No votes were taken during the hearing.

Transcript Highlights:

• the Department of Social Services.
• We included here the new services that we are covering and the services that are covered within the maternity
• Shelly Nolan from the Department of Social Services, who will provide an update on women's health services
• And I oversee women's services and problem gambling services for the Department of Mental Health and
• Addiction Services.

Keywords: 962, all

Summary: The meeting focused on maternal health and behavioral health services for pregnant and postpartum people in Connecticut. Dr. Fatmata Williams of DSS gave an update on the Husky maternity payment bundle, explaining that it was created in response to worsening maternal and neonatal outcomes and racial disparities. She said the bundle, launched in 2025, shifts payment away from fee-for-service toward prospective case rates, quality measures, and shared savings, while covering services such as doulas and maintaining access to behavioral health and other non-pregnancy-related care outside the bundle. She noted 26 maternity practices are participating, quarterly quality reports have been distributed, reconciliation is planned for 2026, and DSS is considering refinements such as adding newborns, revisiting shared losses, and possibly expanding to FQHCs after further stakeholder review. Shelly Nolan of DMHAS then described the state’s women’s services and recovery continuum, including pregnant and parenting treatment programs, women’s recovery support programs, community transition support with rent subsidies, the Proud program, REACH navigation, recovery houses, and outpatient services. She emphasized that many programs are under capacity and that DMHAS uses a no-wrong-door approach, real-time bed availability, technical assistance, and training to improve access. She also reviewed initiatives tied to substance-exposed pregnancies and safe sleep, secure storage, naloxone distribution, reproductive health integration, breastfeeding support, and upcoming conferences and trainings. She said the department works closely with DCF and community partners to reduce stigma and improve family-centered care. Beth Garrigan presented on the Access Mental Health and Substance Use for Moms program, a statewide consultation service for providers serving pregnant and postpartum individuals up to 12 months after delivery. She said the program offers real-time psychiatric consultation, referral support, and one-time face-to-face assessments, and has provided more than 4,300 consultations and resource/referral support to over 700 individuals since 2022. Members and legislators praised the service and discussed how it helps providers connect patients to care, follow up on referrals, and address barriers such as fit, stigma, and workflow. No votes were taken; the meeting ended with plans for the next meeting on June 8 and a request for Dr. Williams’ slides to be posted online.

Transcript Highlights:

• <00:02:37.640> that<00:02:37.800> they receive the service that they receive the service
• them to agree to these service them to agree to these service agreements<00:07:58.400> happy<
• area which sits in our Human Services area which sits in our Human Services side<00:08:29.759>
• that service services without that service authorization<00:41:39.599> in<00:41:39.960> place
• community service specialist.

Keywords: 1183, house

Transcript Highlights:

• And then we have the social services Social services fund, which, again, is funded with a stream of oil
• services costs.
• service fund.
• So, similar to what Robin just talked about with fleet services, all of our operational services are
• Service.

Summary: The Government Finance Committee met with new leadership, approved the December 11 minutes, and received a series of informational updates on the state’s finances and related policy issues. The Office of Management and Budget reported the general fund is tracking very close to forecast, with revenues about $2 million above forecast and an estimated ending balance of about $397 million, higher than previously expected. OMB also reviewed balances in major funds, including the budget stabilization fund, legacy fund, foundation aid stabilization fund, social services fund, and strategic investment and improvements fund, and answered questions about oil tax revenues and fund management. The Tax Department provided updates on taxable sales and purchases by county and industry, noting Cass County as the largest county by taxable sales and that retail trade remains the largest industry sector. Tax Commissioner Brian Kroshus also discussed the federal One Big Beautiful Bill Act and its estimated effects on North Dakota income tax collections, explaining that the projected revenue impacts are measured against a 2025 baseline and that some provisions are temporary while others are permanent. He also reported that primary residence tax credit applications were running ahead of last year, with more than 154,000 received so far and an expectation of roughly 160,000-plus applications. The committee also heard fee-study presentations from the Department of Transportation and the Information Technology Department. DOT explained that driver’s license fees cover only about half of program costs and that the shortfall is subsidized by the highway fund, while also noting recent changes such as the blackout plate and motor vehicle excise tax distribution changes. NDIT described its internal service fund model, current billing structure, and possible future changes to simplify invoices and billing frequency. Legislative staff also updated the committee on office space needs in Bismarck-Mandan and on legislative branch space planning, and subcommittees reported progress on fixed-route transit funding and regional jail capacity, including a visit to the Burleigh-Morton detention facility and discussion of future prison bed needs. No formal votes or legislative actions beyond approving the minutes were taken, and the committee adjourned with its next meeting set for June 25.

Transcript Highlights:

• as and in lieu of service, just as certain mental health and substance abuse services are currently
• For a service to be offered as an in lieu of service, of service, it must be medically appropriate, cost-effective
• We have seen 14 of 16 MCOs provide some form of mental health service in lieu of other services like
• . services.
• So it is in lieu of other services.

Bills: HB26, HB140, HB141, HB142, HB215, HB26, HB140, HB141, HB142, HB215

Keywords: Medicaid, nutrition support, maternal health, chronic conditions, pilot program, DFPS, Department of Family and Protective Services, child protective services, child abuse investigations, child neglect, child exploitation, advisory committee, Family and Protective Services Council, council abolition, foster care, due process, investigative procedures, child welfare, parental rights, family preservation services

Transcript Highlights:

• Those grant funds services include financial assistance, home monitoring, modifications, service dogs
• services to meet their needs.
• Counties and cities and veterans service organizations that can provide direct services to veterans.
• Veteran County Service Officers, and I also want to mention with the Veteran County Service Officers,
• Thank you for your service.

Keywords: 1184, house, all

Transcript Highlights:

• , emergency medical services, and then you've got the list, the six core services.
• We're a full-service city.
• Several essential services that residents rely upon—veteran services, libraries, health and human services
• But our services still have to run, and we have had to reduce our services.
• These services complement county human services and school services and include things like early childhood

Summary: The Committee on Appropriations took up SJR 2-F, the proposed constitutional amendment on property tax relief, which would reduce assessment growth on non-homestead property, expand homestead exemptions, create a new exemption for new homesteaders, and direct counties, cities, and school districts to use property tax revenues for specified core services. Senator Avila presented the measure as the governor’s plan to provide historic relief and argued that local governments should tighten budgets and prioritize core functions. Senators raised concerns about the lack of fiscal scoring, the breadth and ambiguity of the permitted uses, the effect on special districts and local services, and whether the proposal would shift costs to fees or other taxes. The committee adopted several amendments, including Avila’s amendment clarifying that ad valorem revenues could be used for county and municipal operations and administration and other expenditures not prohibited by law, and Trumbull’s amendment removing school board ad valorem taxes from the proposal. Other amendments failed, including proposals to allow user fees and non-ad valorem assessments, add a sunset, redirect tourism development taxes, narrow the small-business provision, and change the ballot title to reference local service reductions. Grall’s amendment removing the constitutional trust fund requirement was adopted, while the committee also rejected Berman’s title-change amendment and Smith’s sunset and tourism-tax amendments. The committee then returned to the bill as amended for questions, including extended debate over whether the proposal would affect noncitizen residents, the impact on local government finances, and whether local governments would respond with higher fees or special assessments. The meeting ended with the bill still under discussion after the final round of questions, with Avila saying he would continue working with the governor’s office on the language before the next vote.

Transcript Highlights:

• I am the Chief Program and Services Officer at Texas Health and Human Services.
• Services Commission.
• training, the development of the services then they can be sustainable with those ongoing services.
• It's gonna be okay. and it is so much appreciated because we do service, Jefferson County Services.
• providing a different service.

Keywords: budget, House Bill 1, public education, healthcare, border security, federal funding, spending limits

Summary: The meeting primarily focused on reviewing the proposed budget for the upcoming biennium, with substantial discussions around House Bill 1 and its implications for public education, healthcare, and border security. The Comptroller presented a revenue overview indicating a total of $194.6 billion available for general purpose spending, which reflects a slight decrease compared to previous years due to fluctuating economic conditions. Members raised questions regarding spending limits and the impact of federal funding on state programs, highlighting concerns about the sustainability of funding in light of potential changes at the federal level.

Transcript Highlights:

• The current statute has two services combined together. One is intensive residential services.
• The current statute has two services combined together. One is intensive residential services.
• . services. services.
• Services like PCA, services like home nursing, services like, um, TRA care.
• Services like PCA, services like home nursing, services like, um, TRA care.

Keywords: 1183, house

Transcript Highlights:

• other type of services to those other type of services to those populations<00:04:43.919> the
• the 2025 preventive health and service the 2025 preventive health and service and<00:05:07.120><
• ,<00:36:50.560> needed individuals for services, needed individuals for services, needed services
• behavioral health services in the home. behavioral health services in the home.
• short-term service that can be provided. short-term service that can be provided.

Keywords: 958, all

Summary: The committee met with a quorum and first heard brief presentations on Kentucky’s 2025 Preventive Health and Health Services Block Grant and Title V Maternal and Child Health Block Grant. Department for Public Health staff explained that the preventive health block grant provides about $2.3 million annually and supports programs such as accreditation and performance improvement, local health department grants, community health workers, prescription assistance, asthma and COPD programs, workforce development, and a sexual assault programs set-aside. They said the Title V block grant provides about $11.7 million, with 35% directed to children and youth with special health care needs and 65% to maternal and child health populations, largely through local health departments and a five-year needs assessment process. After no questions, a motion was made and seconded to approve both block grants. The roll call vote passed 19-0, and the two block grants were approved. The committee then approved the minutes from the prior meeting. The next item was a discussion of the child waiver created in House Bill 6. Committee members raised concerns that the proposed 1915(c) waiver did not match the legislature’s intent, which they said was to move children from the Michelle P. waiver to free slots for adults. Cabinet officials from DCBS, behavioral health, and Medicaid described the proposed “Community Health for Improved Lives and Development” waiver as a targeted home- and community-based program for children under 21 with severe behavioral health or developmental needs, including those stepping down from inpatient or residential care or at risk of out-of-home placement. They said the waiver is designed for about 100 slots, uses a standardized needs-based assessment, and includes case management, community living supports, home modifications, respite, supervised residential care, and clinical therapeutic services. Officials said the public comment period ended July 15, responses are being compiled for August submission to CMS, and the waiver is part of the broader Families First initiative.

Transcript Highlights:

• services to Children agencies providing services to Children and<00:05:14.360> Families<00:05
• it's a child not receiving services.
• upon services upon services so<00:28:03.399> I<00:28:03.480> don't<00:28:03.600>
• We provide services such as family preservation services, parent supervision, and cases involved with
• community-based services.

Keywords: 1191, senate, all