Transcript Highlights:

• In Phoenix, Arizona, the FBI raided a body donation center in 2014.
• Dale's body was then sent to UNT Health Science Center.
• This is done through a progressive process of training.
• He is a friend and was also in the process of dying.
• We do the same at the center; it is a single-purpose facility.

Bills: SB1406, SB1681, SB2480, SB2721

Keywords: body donation, medical science, forensic science, willed body program, informed consent, boarding home, boarding home facility, adult care home, group home, assisted living, county reporting, municipal reporting, annual report, reasonable accommodation, fair housing, disability accommodation, local ordinance, permit requirement, Texas Health and Human Services Commission, HHSC

Transcript Highlights:

• Does the planning process itself have any bearing on the costs.
• to help provide certainty in the planning process.
• How are we going to, what process would that relate to?
• liability, approval process, what do you envision it?
• So, if you have a data center.

Bills: SB 6, SB6, SB504, SB765, SB815, SB929

Keywords: hemp, consumable hemp, hemp-derived cannabinoids, CBD, cannabidiol, CBG, cannabigerol, delta-8, delta-9, intoxicating hemp, hemp gummies, hemp vape, edibles, cannabinoid regulation, hemp licensing, retailer registration, product registration, QR code labeling, child-resistant packaging, minor access

Transcript Highlights:

• with a fellow center.
• While some 911 centers have expressed interest in partnering with other 911 centers...
• Partnering with other 911 centers, current Alabama law does not provide a process for doing so.
• This bill therefore proposes the establishment of a process for 911 centers to voluntarily coordinate
• I mean, any of the judicial process, as Senator...

Bills: SB174, SB180, HB196, HB25, SB193, HB25

Keywords: business taxes, annual reports, Alabama Tax Tribunal, tax appeals, local government, media monitoring, government contracts, state agencies, local agencies, media regulations, transparency, juvenile detention, county management, legal procedures, juvenile justice, county commission, supervision, administration, emergency services, 911

Transcript Highlights:

• more than the money side of what's causing the logjams in the process.
• You know, process type of gas operations is on.
• And it's really like you're walking into the event center here in Bismarck or the Alerus Center in Grand
• And some of our case managers from the Bismarck Workforce Center and Fargo Workforce Center go into the
• That has also been a long process.

Keywords: 908, all

Summary: The Leadership Division of the Budget Section approved the prior meeting minutes and then received an update from Senator Jonathan Sickler on the Cash Management Board’s interim work under House Bill 1278. He said the board has reviewed state cash, investments, and liquidity across agencies and concluded the state’s overall mix of long-term and short-term assets is appropriate, with about $35 billion in total liquid assets and investments and roughly 89% in longer-term investments. He highlighted process improvements already underway, including replacing more than 500 six-month CDs with a special-rate savings account to reduce administrative work, and said the board sees opportunities to improve forecasting, automation, and statewide coordination. Members asked about whether the CD change would increase returns, how the Legacy Fund transfer for the homestead tax relief bill affected earnings, and whether more state cash could be consolidated or better managed through BND; Sickler and BND staff said those issues are being studied and may lead to legislation for the 2027 session. Representative Nathan Toman then updated the committee on the Task Force on Government Efficiency. He said the group has focused less on cutting dollars and more on defining metrics and asking how the legislature knows whether programs are working. The task force is pushing a standard set of questions for new or expanding programs—who is affected, expected outcomes, alternatives, how success will be measured, and full funding—and OMB has agreed to require those answers in future budget requests. Members discussed possible use of dashboards, program evaluators, AI tools, and possible rule or statutory changes to require performance measurement. Toman said the task force will continue meeting with agencies such as the courts, university system, auditor, HHS, Commerce, and ITD to identify workflow bottlenecks and potential efficiencies. Phil Davis of Job Service North Dakota gave a workforce update, reporting that North Dakota’s unemployment rate is 2.5% and labor force participation is about 68.7%, both well above national performance. He described Job Service’s 15 workforce programs, including H-2A housing inspections for foreign agricultural workers, the job placement partnership program with DOCR, WOTC, and other federal and state workforce efforts. Davis said the agency served more than 11,000 individuals in 2025, operates nine workforce centers, and tracks outcomes through quarterly and annual reporting. In response to questions, he said job openings data reflect only positions in the system and may understate actual hiring needs, that child care and other assistance programs could be better tied to employment outcomes, and that the DOCR partnership has shown strong results with lower recidivism and higher earnings. He also said the H-2A inspection workload is growing quickly and additional staffing or less frequent federal inspection requirements could help. Allen Knutson then presented S&P Global’s updated revenue forecast. He said oil prices have risen sharply since the prior month’s outlook, improving the state’s near-term revenue picture, though the economy remains volatile and agriculture is facing weaker commodity prices. Based on the updated forecast, total major tax revenues for the current biennium are projected to be about $89 million above the legislative forecast, and the next biennium could be about $500 million higher, though that estimate is preliminary and may change. He also walked through an alternate oil-price scenario showing significantly higher oil and gas collections and a larger Strategic Investment Fund balance if prices remain elevated. Members asked whether another forecast should be requested once oil markets stabilize and about tribal allocation changes in the alternative scenario; Knutson said additional updates are possible through OMB and future forecast cycles.

Transcript Highlights:

• Okay, next up is Morgan McClure and Monet Lehman from Ozarks Medical Center, Central Ozarks Medical Center
• COMC is a federally qualified health center.
• It's a mandatory process.
• Louis is another recovery center, not housing, but again, a critical center.
• Louis is another recovery center, not housing, but again, a critical center.

Summary: The meeting focused on Missouri’s substance use prevention and treatment system, with repeated emphasis on recovery support services, peer support, recovery housing, transportation, and harm reduction. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he urged greater investment in recovery housing, peer support, employment, and community-based supports that help people stay sober and avoid relapse. Members asked about funding sources, program capacity, referrals, treatment court, transportation, and how Into Action supports people on medication-assisted treatment (MAT). Haniken said the organization is funded through a mix of federal, state, county, city, foundation, and private donations, and that housing and transportation remain major barriers, especially because support is often funded for too short a period compared with the longer time people need to stabilize. Matt Cushman of the Raytown Fire Protection District gave a strong endorsement of harm reduction, including naloxone distribution, syringe service programs, and broader decriminalization of harm reduction tools. He argued that stigma is a major barrier to care and that Missouri should expand access to clean needles, test strips, and other services, while also improving access to MAT in jails and communities. Committee members questioned the evidence base, the role of faith-based providers, and whether safe consumption sites should be pursued; Cushman said syringe exchange decriminalization should be the immediate priority, while safe consumption sites are a longer-term issue. He also described community paramedicine and mobile integrated health as valuable but funding-dependent, and said naloxone distribution is improving but still uneven, especially in rural and minority communities. Representatives from Central Ozarks Medical Center and Four Rivers Community Health Center highlighted the importance of peer support specialists, community health workers, care coordinators, and wraparound services in rural health centers. COMC’s Morgan McClure and Monet Lehman described a jail reentry program in Pulaski County, with Lehman sharing her trauma and recovery story and explaining how she helps incarcerated people prepare for release with housing, employment, benefits, transportation, and treatment connections. Four Rivers’ Devon Polarys and Cassandra Trout said their CEO would change Missouri policy to allow FQHCs to receive reimbursement for peer support and community health worker services similar to CCBHCs, arguing that these roles are essential for addressing barriers like transportation, housing, food insecurity, and insurance. Members discussed confusion over reimbursement rules, the differences between FQHCs and CCBHCs, and the need for better funding and clearer policy for peer and community health worker services. No votes were taken; the discussion ended with a suggestion to bring in a subject matter expert on community health workers for a future session.

Transcript Highlights:

• agreed to none, no resource center, and that the Senate agreed to none, which is no resource center.
• And now we're putting it in as an online resource center.
• And now we're putting it in as an online resource center.
• I, too, have concerns about the process and the rushing of this process.
• And clearly last time it was a flawed process. It wasn't correct.

Summary: The conference committee met on engrossed House Bill 1217 and received a staff briefing on the proposed conference striking amendment S-3395.2. Staff explained that the amendment would set rent increase limits under the Residential Landlord-Tenant Act at 7% plus CPI or 10%, whichever is less, retain and modify various exemptions, update notice requirements, add a July 1, 2040 expiration date, and require the Department of Commerce to create an online landlord resource center. For manufactured/mobile home tenancies, the amendment would limit rent increases to 5% in any 12-month period, adjust exemptions and notice provisions, and align enforcement language with the RLTA changes. The amendment also removes certain miscellaneous provisions from the Senate version, including a social vulnerability assessment and a JLARC review requirement. Representative Lowe raised a procedural point of order about whether the landlord resource center could be added in conference, but the chair ruled the point not well taken under Joint Rule 18. Senator Gainer asked for clarification about the landlord resource center and the referenced RCW 43.31.605; staff explained it would direct landlords to existing Commerce resources, including the landlord mitigation program and related subprograms, and noted that the resource center language was originally in the House bill. A motion was made to reject prior amendments, adopt striking amendment S-3395.2, and give the bill a do pass recommendation. Senator Gainer and Representative Lowe spoke in opposition, citing concerns about the bill’s balance, the landlord provisions, and the speed of the process. The committee then voted 4-2 to recommend the conference committee report, and the meeting adjourned.

Transcript Highlights:

• In Phoenix, Arizona, the FBI raided a body donation center in 2014.
• Dale's body was then sent to UNT Health Science Center.
• This process was not a win-win situation.
• financial process, leaving emotional duress and scars on families.
• Hello, Michelle Salman, with the Center for Health Care Innovation and Science Center, and I'm testifying

Bills: SB1406, SB1681, SB2480, SB2721

Keywords: body donation, medical science, forensic science, willed body program, informed consent, boarding home, boarding home facility, adult care home, group home, assisted living, county reporting, municipal reporting, annual report, reasonable accommodation, fair housing, disability accommodation, local ordinance, permit requirement, Texas Health and Human Services Commission, HHSC

Summary: The committee first heard Senate Bill 2480, which would clarify that the Texas Medical Board may collect license renewal surcharge fees from all licensees to fund the Texas Physician Health Program and related administrative costs. The bill author explained the funding fix was needed after prior language was found to allow surcharges only for physicians and physician assistants. Witnesses from the Texas Physician Health Program supported the measure and described the program’s confidential monitoring and treatment services; members asked about the fee amount, which was described as capped at $15 per two-year registration cycle. The bill was left pending. The committee then took up Senate Bills 1406 and 2721, both authored by Senator Parker, addressing the handling of human remains by non-transplant anatomical donation organizations, willed body programs, and related facilities. Senator Parker and several witnesses described alleged abuses involving unclaimed bodies, consent problems, body leasing, hotel-based dissections, and mishandling of cremains, and argued for strict licensing, inspections, transparency, and criminal penalties. Supporters included families of deceased veterans and other relatives, a biomedical ethicist, the Texas Catholic Conference of Bishops, and some public safety and hotel industry representatives who said legitimate training should continue but bad actors should be shut down. Opponents or cautious witnesses from accredited donation organizations and bioskills labs said they support stronger oversight but warned the bills could unintentionally disrupt legitimate medical education and urged clearer language and implementation of existing law. Both bills were left pending. Senate Bill 1681, by Senator Menendez, would require counties and municipalities that regulate boarding homes to report facility standards and related information to the Health and Human Services Commission. The author said the bill is intended to improve state oversight of boarding homes that serve elderly and disabled residents and to address abuse, neglect, and exploitation. The bill was left pending after brief discussion. After the testimony portion, the committee returned to voting on pending business and unanimously reported Senate Bills 527, 912, 1580, 1952, and 2032 to the Senate with recommendations that they do pass and be printed, and each was also recommended for the local and uncontested calendar. The committee also adopted a committee substitute for Senate Bill 407 and reported the substitute favorably, with six ayes and three nays. The committee then moved on to Senate Bill 500 as pending business.

Transcript Highlights:

• We want our process to play out. We want our due process for folks that are in Massachusetts.
• They have been tremendous throughout this process.
• That is what this process was about, and that is what this bill is.
• It reinforces due process.
• And there's also the issue of due process in our Constitution.

Keywords: 995, all

Summary: The House first handled several routine matters, including adoption of a birthday resolution honoring Caroline San Martino Moran and suspension of Joint Rule 12 to allow consideration of a petition involving the City of Waltham and the Veterans Memorial Rink. It also advanced two local bills: one authorizing DCAMM to release a sewer line easement in West Roxbury, and another relative to the town administrator of Carlisle. Both bills were amended by Ways and Means and ordered to third reading or engrossed as amended. The chamber also passed a memorial-marker bill for fallen law enforcement officers in Milton and Canton. The main floor debate centered on House Bill 5305, the “Protect Act,” which was presented as a measure to limit state and local involvement in federal civil immigration enforcement, restrict ICE access in courthouses and other sensitive locations, strengthen notice and language-access protections for detainees and workers, and expedite U and T visa certifications. Supporters, including members of the Black and Latino Caucus and other legislators, argued the bill would protect due process, encourage victims and witnesses to come forward, preserve public trust, and keep local police focused on criminal matters. They cited courthouse arrests, fear in immigrant communities, and the need for clearer boundaries between state and federal authority. Several amendments were offered and voted on during consideration of H.5305. An amendment to strike Section 4 was rejected, as were amendments seeking to alter the courthouse enforcement provisions and to recognize immigration judge warrants. Other amendments were adopted, including one clarifying sheriff-related provisions, one expanding language around release dates, one adding protections related to school settings, and one expediting U visa certification for family members aging out. A roll call was taken on the bill and on multiple amendments, with the House ultimately adopting the amendments described and continuing consideration of the bill as amended.

Transcript Highlights:

• Data centers need to be building their own energy.
• I'm voting no today against the process. It's time that we change this process.
• I'm voting no today against the process. It's time that we change this process.
• It's time that we change this process.
• I'm against the process.

Summary: The House convened with prayer, the Pledge of Allegiance, journal approvals, quorum call, and a series of guest recognitions, including students, interns, local officials, and advocates visiting the chamber. Members also announced caucus and committee meetings, and the House recessed before returning later in the day for floor action. After reconvening, the House adopted several committee reports and then considered a series of resolutions and bills. It adopted House Resolution 462, designating May 17, 2026, as World Neurofibromatosis Awareness Day, and House Resolution 553, designating May 19, 2026, as Pontian Greek Genocide Remembrance Day, both by 200-2 votes. The chamber also agreed to House Bill 733 on marriage ceremony law, House Bill 2529 on scheduling metatomidine as a Schedule 3 controlled substance, and Senate Bill 1294 on civil penalties for unlicensed commercial driving schools. The House then debated House Bill 2359 on data center nondisclosure agreements and related amendments. One amendment requiring hyperscale data centers to pay their own energy and infrastructure costs failed on a 101-101 tie, while another amendment to make the bill effective immediately passed 201-1 and a third amendment to protect trade secrets failed 87-115. The bill itself was agreed to after amendment. The House also approved House Bill 2455 on collective bargaining rights for Pittsburgh school administrators, House Bill 2499 on State Workers Insurance Fund investment authority, Senate Bill 604 joining the Counseling Compact, and House Bill 1006 on penalties against abusive towing practices, with one agreed-to amendment added. Several measures then passed finally by recorded vote: House Bill 2014 on opportunities for minors in emergency service organizations, House Bill 2037 on cryptocurrency-related ethics restrictions for public officials, House Bill 2512 prohibiting ride-share pricing based on certain device conditions, House Bill 2644 authorizing capital bridge projects, and House Bill 2559 on Millersville University and other conveyances. House Bill 2559 drew floor criticism from Representative Conklin over the state land conveyance process, though it still passed 154-48. Before adjournment, the House recommitted several bills to Appropriations, removed additional Senate bills from the table calendar, and adjourned until June 30, 2026, at 11 a.m.

Transcript Highlights:

• It came through the Fusion Center.
• I think it came from overseas to the National Threat Operations Center. ...sent to the Texas Fusion Center
• And then you get into the Fusion Centers.
• It slows down our processes and blurs the lines of responsibility.
• I do believe this is a good start and a good part of the process.

Bills: SB36, SB2202, SB 36

Keywords: homeland security, border security, critical infrastructure, Department of Public Safety, intelligence operations, public-private partnerships, SB 2202, firearm trafficking, gun trafficking, terrorism, foreign terrorist organization, Texas-Mexico border, United Mexican States, Mexico, DPS, second-degree felony, weapons transfer, illegal firearms transfer, arms smuggling, cross-border crime

Transcript Highlights:

• It will also create a centralized process for gathering, analyzing, and distributing intelligence related
• In the legislative process.
• But when it comes into the fusion center. for us it's an immediate response.
• Operations Center, sent to the Texas Fusion Center.
• Uh, it slows down our processes and it blurs the lines of responsibility.

Bills: SB 36, SB 2202

Keywords: homeland security, border security, critical infrastructure, Department of Public Safety, intelligence operations, public-private partnerships, SB 2202, firearm trafficking, gun trafficking, terrorism, foreign terrorist organization, Texas-Mexico border, United Mexican States, Mexico, DPS, second-degree felony, weapons transfer, illegal firearms transfer, arms smuggling, cross-border crime

Transcript Highlights:

• That were processed, um, more than 2 million renewals that were processed.
• So this is a really um important tool that we use throughout our process.
• Are you in the appropriations process?
• We, we try to get them, uh, processed as quickly as possible.
• It's very it's a very youth centered youth-driven process and so we have seen a little bit better results

Transcript Highlights:

• moved the Center for Arts to Lafayette High School.
• economic threshold outlined in the selection process receive a L.A.
• Nicholas Center for Children.
• These are the same cuts that the sexual assault centers have received, that the child advocacy centers
• Family Justice Center. We have Lewis and Emma. Okay, Family Justice Center of Central Louisiana.

Summary: The committee met for public testimony on the Finance budget, with the main discussion focused first on funding for disability services and then on the LA GATOR scholarship program. Several individuals testified in support of fully funding Families Helping Families and Louisiana Rehabilitation Services (LRS), describing how advocacy, transition services, and direct support workers help people with disabilities access education, employment, and independent living. Witnesses urged the committee to preserve or increase state general funds to draw down federal matching dollars, and provider groups said current reimbursement rates and staffing shortages are leaving agencies in deficit, creating waitlists, overtime costs, and difficulty retaining workers. Committee members thanked the speakers and noted that the testimony would be used to compare the governor’s, House, and remaining budget requests. The committee then heard extensive testimony in support of increasing funding for the LA GATOR scholarship program. Supporters included policy groups, school leaders, parents, and students who argued that the program expands educational choice, helps low-income and special-needs students find schools that fit their needs, and should be fully funded at the level of demonstrated demand. Speakers from Catholic and Christian schools said GATOR funding had helped students thrive academically and spiritually, but that shortfalls left many eligible students without awards, hurt kindergarten enrollment, and forced schools to raise private donations to cover gaps. Several witnesses emphasized that the program is not a zero-sum attack on public schools, but a way to let education dollars follow students. A few committee questions focused on the fiscal impact and on whether choice programs improve outcomes without harming public schools. Testimony cited enrollment growth, parent demand, and data from other states to argue that school choice can improve student and parent outcomes and may also strengthen traditional public schools through competition. No votes or formal actions were taken during the public testimony portion of the meeting.

Transcript Highlights:

• process that comes forward. process that comes forward.
• /c><00:35:12.240> contacts<00:35:12.640> the center if that data center contacts the center
• When fully center in Farmington.
• center development should be followed. center development should be followed.
• So now that's a data center.

Bills: HF3793, HF3699, HF793, HF3322, HF3426

Keywords: groundwater, water use permit, data centers, public health, environmental regulations, municipalities, state park license plate, specialty license plate, Minnesota DNR, Department of Natural Resources, license plate design contest, North Shore, Lake Superior Agate, AI-generated art, artificial intelligence, Minnesota resident, state parks, specialty plates, vehicle registration, contest requirements

Transcript Highlights:

• We collaborate with the Women's Resource Center.
• Wolfe and the Veterans Integration Center.
• I'm the CEO of the Veterans Integration Centers.
• Space Force, the Air Force Nuclear Weapons Center, Air Force Operational Test and Evaluation Center,
• this process into corrective measures.

Transcript Highlights:

• So, as soon as the governor signed the legislation, schools started the process.
• health center here in Tallahassee, about a mile away.
• Health centers accept Medicaid. Less than one in five Florida dentists do so.
• Health centers also care for the uninsured.
• But this committee process exists for a reason.

Summary: The Health Professions and Programs Subcommittee heard and advanced three bills. HB 21 would create a new licensed profession of dental therapy under the Department of Health and Board of Dentistry, allowing trained dental therapists to provide a limited scope of care under a supervising Florida-licensed dentist through a collaborative management agreement. Sponsor Rep. Cheney argued the bill would help address severe dental shortages and improve access in underserved areas; opponents from the Florida Dental Association and oral surgery groups warned that the bill would allow irreversible procedures by less-educated providers and could compromise patient safety. Supporters, including dentists, hygienists, and community health center leaders, said dental therapists would expand access and free dentists to handle more complex care. An amendment was adopted to require proof of local anesthesia training, adverse-incident reporting, and updated background screening language. The bill was reported favorably as amended by a 14-1 vote. The committee then considered HB 27, which creates the Social Work Licensure Interstate Compact to allow licensed social workers to practice across member states, including through telehealth, and to help military families and address workforce shortages. Supporters from the National Association of Social Workers and other advocates said the compact would improve mobility, reduce administrative burdens, and expand access to mental health services, especially in underserved and rural areas. A technical amendment restoring model language and setting an effective date of July 1, 2025 was adopted, and the bill was reported favorably as amended on a 15-0 vote. Finally, the committee heard HB 29, the public-records companion to the social work compact, which creates exemptions needed for compact compliance and allows the compact commission or its committees to meet in closed session when discussing information exempt under law. After a technical amendment authorizing closed meetings for exempt matters was adopted, the bill was reported favorably as amended on a 15-0 vote. The meeting then adjourned.

Transcript Highlights:

• depend on services like PACE centers for important medical care.
• depend on service like pay centers for important medical centers.
• For important medical centers, I look forward to this discussion.
• Whitney Francis with the Western Center on Law and Poverty.
• Scott Graves at the Center for Budget and Policy has written about this.

Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.

Transcript Highlights:

• not address the reertification process not address the reertification process that<00:42:11.920>
• And that's overheating process.
• worked through the legislative process. worked through the legislative process.
• It's a very easy process.
• food processing product. food processing product.

Keywords: 1189, house, all

Transcript Highlights:

• If we make policies and build systems and structures centered, for example, to serve a Black, patient
• If we make policies and build systems and structures centered, for example, to serve a black, patient
• A six-level completion process in nearly four months.
• They were required to establish new processes to share data with MassHealth.
• I'm going to center my comments on inequities around disability severity.

Keywords: 995, all

Summary: The Massachusetts Permanent Commission on the Status of Persons with Disabilities held a public hearing focused on health equity for people with disabilities. The chair opened by explaining that the session was not about specific legislation, but about sharing data, lived experience, and strategies to inform more inclusive health systems. Presenters included representatives from the Health Equity Compact, the Department of Public Health, MassHealth, UnitedHealthcare Community Plan, the Brain Injury Association of Massachusetts, UMass Chan Medical School, Spaulding Rehabilitation, and the Arc of Massachusetts/Operation House Call. Speakers described how structural racism and ableism contribute to poor health outcomes, unemployment, poverty, and barriers to care for disabled people, especially disabled people of color. Testimony highlighted access problems such as inaccessible medical equipment, transportation, inadequate provider training, lack of culturally competent care, and insurance barriers. Several speakers emphasized the importance of collecting and disaggregating disability data, training providers in disability-competent care, and screening for accommodation needs. MassHealth described its Quality and Equity Incentive Program under the 1115 waiver, including disability-related metrics on data completeness, staff training, and accommodation screening, and reported early increases in hospitals collecting self-reported disability data. Brain injury advocates focused on inequities in rehabilitation access, including the impact of CMS’s “three-hour rule,” which they argued denies needed inpatient rehab to people with severe traumatic brain injury. They called for policy changes, a TBI task force, and possibly bipartisan legislation if CMS cannot revise the rule. Other testimony described DPH efforts such as one-to-one navigation, health promotion workshops, mini-grants for accessible recreation, and the Massachusetts Health and Disability Partnership. The hearing also highlighted medical education efforts like Operation House Call, which uses home visits and disability-led teaching to reduce bias and improve provider competence. No votes were taken and no formal actions were announced.

Transcript Highlights:

• Thank everybody who’s been part of this process.
• , and that's why I want to thank the process.
• Linda Wei with Western Center on Law and Poverty.
• CEQA is all about public process. This process provides environmental justice communities a voice.
• The process is absolutely wrong here.

Keywords: 988, house, all