Transcript Highlights:

• </c><01:27:15.239><c> compassionate</c><01:27:15.880><c> person</c> kind funny caring compassionate person
• kind funny caring compassionate person he<01:27:16.719><c> gives</c><01:27:17.040><c> back</c><01:27
• It was health care access that put this young person in position to re-enter their world and get back
• Nursing home care, as mentioned, costs around $70,000 per person.
• Nursing home care, as mentioned, costs around $70,000 per person.

Summary: The House Finance Committee opened a public hearing on House Bills 1 and 2, which concern the governor’s proposed FY 2026-2027 budget. The chair explained that the committee must fit the budget to House Ways and Means revenue, which is about $800 million below the governor’s estimate in an almost $16 billion budget. He also noted a projected current-budget overspend, the impact of recently passed legislation, possible fee updates, no new tax proposals at that time, and the importance of federal funding and Medicaid stability. Testimony was limited to three minutes, with the chair asking speakers to avoid duplication. Much of the testimony focused on Medicaid, disability services, and home- and community-based care. Speakers urged the committee to restore or protect funding for transportation, Medicaid, day programs, in-home supports, and behavioral health services. Several individuals and providers described how cuts would affect people with disabilities, medically fragile children, and families who rely on services to remain employed and avoid institutional care. A home care provider argued that a proposed 3% Medicaid cut would increase hospitalizations and costs, while a behavioral health representative asked for sustainable Medicaid rates, uncompensated care support, housing resources, and continued funding for community behavioral health clinics. Another major topic was the Group II retirement provisions in HB 2 for public safety workers. Representatives from police, fire, corrections, probation/parole, and related associations testified in support, saying prior pension changes hurt recruitment and retention, pushed experienced workers to neighboring states, and should be reversed to restore promised benefits. They argued the provisions would help keep public safety careers viable and honor commitments made to first responders. An executive counselor also warned that when the state shifts costs away from itself, local property taxpayers bear the burden, and she opposed cost shifts such as Medicaid premiums and universal vouchers. A separate speaker urged funding public schools rather than universal vouchers, arguing vouchers can leave other students behind as resources are diverted.

Transcript Highlights:

• That person really is the person who speaks to child care providers.
• That person really is the person who speaks to child care providers.
• That person really is the person who speaks to child care providers.
• That person really is the person who speaks to child care providers.
• Thank you. that person, coach them into care, um that person, coach them into care, um just<01:46:03.520

Summary: The committee met with DHS Chief Financial Officer Nathan White to receive an update on the department’s budget lapse and vacancy rates. White explained the difference between the “back-of-the-budget” reduction and lapse assumptions, saying DHS is facing a current biennium reduction of about $23 million and estimating roughly a $60 million general fund lapse in state fiscal year 2025, compared with about $13.5 million the prior year. He said DHS’s lapse is driven largely by program utilization, labor market conditions, contract spending, and statutory carry-forwards in areas such as Medicaid and developmental disabilities, which tend to produce a smaller lapse in the first year of the biennium and a larger one in the second year. He also noted that the House and Senate budgets differ on some operating items, including Medicaid rates, with the Senate having struck a House proposal to reduce rates by 3%. Members questioned White about whether DHS ever spends down lapse money on last-minute purchases. He said the department does not engage in that practice, though it does retain some flexibility in its facilities budget for emergencies. He also described the process for transferring funds within and between class lines, including the need for fiscal committee approval above statutory thresholds, and gave examples such as moving funds to cover overtime in the SYSC budget and to ensure Medicaid payments for nursing facilities. White said such transfers are public and transparent and are reviewed by the governor and Executive Council. The committee then discussed DHS staffing. White said the department has a little over 3,200 authorized positions, with a vacancy rate around 14.5%, and that a hiring freeze had been imposed a few months earlier while exempting direct care positions. He said DHS is planning for about a $30 million general fund reduction to personnel, equivalent to just under 400 positions, and is managing postings centrally to stay within budget by July 1. In response to questions about the loss of about $80 million in federal funds, White and Associate Commissioner Patricia Tilly said DHS avoided layoffs by shifting staff into vacant positions, but that the cuts affected community contracts, public health workers, laboratory work, and some IT/data projects. Tilly said roughly 20 positions were affected, most were reassigned, a few staff left voluntarily, and the department has less flexibility going forward if more federal funding ends.

Transcript Highlights:

• care system has less capacity.
• Care, free care.
• In other care facilities?
• The report shows that since 1980, New Mexico's personal health care expenditure has grown from, I think
• The person on the little person, if you'll press that, you'll get rid of it.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• and there goes another person.
• So I would just offer that we, we, And there goes another person and there goes another person.
• Let's talk about health care.
• The health care sector, okay?
• and home care programs.

Summary: The Special Joint Committee on Initiative Petitions held a public hearing on two proposed ballot initiatives: one to reduce the state personal income tax rate from 5% to 4% over three years, and another to revise the state’s tax collection cap/62F process so it would be based on prior-year collections plus wage growth and include surtax revenue. The committee chair and House co-chair outlined the hearing process, and the first witness was Doug Howgate of the Massachusetts Taxpayer Foundation, who testified as the committee’s subject-matter expert on both measures. He said the income tax proposal would lower taxes broadly but would reduce state revenue by about $5.4 billion when fully implemented, with an estimated $800 million hit in FY27, and he discussed possible effects on competitiveness, taxpayer savings, and public finances. On the 62F proposal, he said the revised cap would make refunds more likely, could have produced several large refunds in recent years, and would reduce stabilization fund deposits and constrain recovery after recessions. Committee members questioned Howgate about competitiveness, outmigration, prior tax ballot measures, spending growth, MassHealth, and the interaction between the income tax and surtax. He emphasized that taxes are only one part of the state’s overall competitiveness and that housing, public services, and other factors also matter. He also noted that the surtax is constitutionally restricted but can still support ongoing spending choices. After his testimony, the committee moved to the proponents’ panel. Proponents of both initiatives, including representatives from Taxpayers for an Affordable Massachusetts, the National Federation of Independent Business, Pioneer Institute, and the Mass Opportunity Alliance, argued that the measures would improve affordability, help retain residents and businesses, and support job growth. They cited polling support, outmigration, small-business reinvestment, and comparisons to lower-tax states such as North Carolina. Their economist, Rebecca Paxton, said her model showed smaller revenue losses than critics claim and projected that the revised revenue cap would not create additional annual revenue losses while producing more regular taxpayer refunds. Committee members pressed the panel on competitiveness, prior ballot initiative implementation, and whether the measures would actually address broader affordability pressures; the hearing ended with the committee continuing to take questions from the proponents.

Transcript Highlights:

• Providing a person in crisis with a place to go.
• They offer pennies on the dollar compared to in-person response.
• We have a much better streamlined system of care now.
• , hey, am I going to have this person on staff next year?
• I want to say something personally.

Summary: The joint Assembly Health and Select Committee on Native American Affairs held an oversight hearing on AB 988, California’s 988 crisis line and mobile crisis response system, followed by a discussion of suicide prevention and intervention in California Indian communities. Members and witnesses repeatedly emphasized that AB 988 was intended to create a true alternative to 911 for behavioral health crises, with “someone to call, someone to come, and somewhere to go,” and that Native communities continue to face disproportionately high suicide rates and barriers to culturally responsive care. The first panel of call center and stakeholder witnesses largely argued that implementation is falling short of the law’s intent. They said 988 call centers are underfunded, text/chat answer rates remain far below call answer rates, staffing is strained, and the system still lacks meaningful statewide interoperability between 988 and 911. Several witnesses said mobile crisis teams are not being dispatched through 988 as envisioned, and that funding formulas and governance are too opaque. San Joaquin County was presented as a local success story, with integrated 988, access lines, and mobile crisis handoffs that have reduced reliance on emergency departments and involuntary holds. Witnesses also discussed the need for better tribal outreach, the role of CCBHCs, and the importance of culturally competent services. State officials from CalHHS and DHCS described the five-year 988 implementation plan, the current governance structure across multiple agencies, and efforts to support training, public awareness, and referral tools. They reported growth in 988 contacts, ongoing training with the Trevor Project, a statewide resource directory, and a tribal awareness campaign. DHCS also outlined proposed trailer bill language that would create a formal designation process for 988 centers, set statewide standards, and require existing centers to obtain designation by 2029. Officials said current funding includes SAMHSA grants, block grant dollars, and an expected $67.3 million from the 988 fund in the next budget year, with a large share earmarked for Medi-Cal mobile crisis services. No formal vote or committee action was taken in the portion of the hearing provided.

Transcript Highlights:

• </c><00:10:24.960><c> services</c> gender-affirming health care services gender-affirming health care
• . care. care.
• actions or activities of a health care actions or activities of a health<00:11:10.320><c> care</c><00
• A person commits the offense of unauthorized civil immigration arrest or detention if the person is a
• This prohibits persons from interfering with another person's access to or from a health care facility

Summary: The Judiciary Committee took up a large decision-making agenda and adopted most measures, often with technical or clarifying amendments. Bills addressed wildlife habitat conservation plans, civil identification cards for 16- and 17-year-olds, electronic and mail voting for associations, remedies for unauthorized disclosure of intimate images, traffic safety around stationary vehicles and pickup truck passengers, expedited permitting for housing for people with disabilities, rainwater catchment systems, EMS advisory committee membership, social media account deletion, limits on immigration-enforcement cooperation, prompt payment rules for professional solicitors, fetal death vital statistics, protections for gender-affirming care, passenger ropeways, law-enforcement facial coverings and immigration-related detention, domestic violence, health care facility access, guardianship record sealing, child protective proceedings, remote driver’s license hearings, disposable vaping products, dog attacks, insurance premium increase explanations, the DOE harm-to-student registry, Hawaiian Homes lease succession, EMS law modernization, hoisting machine regulation, release on recognizance, language interpretation rules, civil asset forfeiture for fireworks offenses, and assisted community treatment. Several bills were deferred, including HB 1897, HB 1957, HB 2121, and HB 2324, while HB 1957 was deferred indefinitely. Most measures were adopted without recorded opposition, though HB 1875 and HB 1961 drew no votes from Vice Chair Gabbard, and HB 2413 was adopted with reservations. A number of bills received substantive amendment instructions. HB 1682 was amended with committee report language noting concerns about departing from the model act. HB 1768 and HB 1886 were revised to narrow or clarify immigration-enforcement restrictions and law-enforcement identification and facial-covering provisions, including plainclothes and undercover exceptions, a narrower civil immigration arrest/detention offense, and savings clauses. HB 2540 received extensive amendments to convert policy language into mandatory terms, refine facial-covering and identification rules, align criminal and policy exemptions, narrow immigration-related offenses, and clarify the definition of law enforcement agency. HB 2413 was amended to define violent offenses, change written findings to oral findings on the record, limit reconsideration of bail, and restrict who may request sanctions or financial conditions. Other amendments included technical fixes, bad-date corrections, severability clauses, and chapter-consistency changes. The committee also heard a joint Education/Judiciary item, SCR 105 and SR 99, urging the Department of Education to provide students information on pre-registering to vote before reaching voting age. Testimony was reported in support from the Department of Education, Office of Elections, Hawaii State Commission on the Status of Women, and the League of Women Voters. With no opposition or further discussion, the committee voted to pass both resolutions with technical, non-substantive amendments (SD1).

Transcript Highlights:

• AB 1744 by Little relating to the personal liability of controlled persons and materialators of the Texas
• provided by certain hospitals and parental palliative care grant program and a parental palliative care
• HB 2205 by Bumgarner relating to a policy prohibiting the use of personal.
• AP 2320 by GERA relating to specialist referrals of primary care providers for certain care managed health
• HB 2376 by compost relating to the requirements for facilities that provide care and services to persons

Transcript Highlights:

• This bill is about ensuring patient access to care at affordable, accessible, and trained health care
• care professionals.
• Chairman, in addition to this being an access-to-care issue for veterans, it's also access to care for
• So, if you again run on the platform of access to care, this is a bill about access to care.
• At the very least, it ought to be in person.

Summary: The House met, opened with prayer and the Pledge, approved the prior journal, and first took up a motion to request Senate consent for an extended adjournment. Representative Volk opposed the motion, arguing members should keep working on unfinished business, while Speaker Montenegro said the House had completed its current budget work and was waiting on the governor to return to negotiations. The motion passed 31-20, and the House also agreed to a related Senate adjournment request and to return HB 2415 to the Senate for reconsideration. The chamber then went into Committee of the Whole and considered several Senate bills. SB 1199, concerning the Salt River wild horse herd, was amended to pause removals for a genetic diversity study and received a do-pass recommendation. SB 1399 on Medicaid spending transparency, SB 1496, SB 1497, SB 1582, SB 1713, and SB 1798 were also amended and advanced. SB 1713 drew the most debate, with supporters saying it would expand pharmacist access to basic care and improve rural and veteran access, while opponents warned it expanded scope of practice beyond pharmacists’ training. The House later adopted the Committee of the Whole report, ordered several bills engrossed, and sent SB 1399 to third reading. In a second Committee of the Whole, SB 1214 and SB 1670 were further amended and advanced. The House then moved to third reading and voted on multiple bills. SB 1006, SB 1037, SB 1171, SB 1242, SB 1270, SB 1419, SB 1429, SB 1445, SB 1452, SB 1478, and SB 1566 passed, while SB 1099 and SB 1635 failed on the initial vote. Members then used reconsideration motions to place SB 1006 and SB 1635 back on the third-reading calendar. The session ended with personal privilege remarks recognizing correctional officers, Cinco de Mayo guests, Missing and Murdered Indigenous Peoples Awareness Day, and other tributes, followed by adjournment until June 1, 2026.

Transcript Highlights:

• The person is incompetent.
• </c> care and supervision. care and supervision.
• </c> The person is incompetent. The person is incompetent.
• </c> receive the care that meets their needs. receive the care that meets their needs.
• </c> ultimately that person ultimately that person was<00:33:20.920><c> released.

Transcript Highlights:

• Health care workers, and hospitals throughout my district and the state, who provide essential care to
• They care for the ill.
• , cardiovascular care, mental health services, ...emergency rooms, maternity care, cardiovascular care
• resolution honors hospitals, health care workers, and support staff who care for Californians every
• I know firsthand that quality care is never the result of one person alone.

Transcript Highlights:

• But was that person just a regular person or was that person—did that person have some sort of title?
• Who was that person? I honestly don't know who the person was.
• that doesn't know how to take care of themselves and they're probably not taking care of... ...an older
• person that doesn't know how to take care of themselves, and they're probably not taking care of their
• Taking care of children. Who? We already have statutes that tell you to take care of children.

Committee: House Special Committee on Urban Issues

Transcript Highlights:

• Take care. Now moving on back to in-person, Claudia Quintero from the Central West Justice Center.
• Take care. Now moving on back to in-person, Claudia Quintero from the Central West Justice Center.
• Generally, we're talking about situations where a person is in surgery or receiving intimate care, immediate
• Generally we're talking about situations where a person is in surgery or receiving intimate care, immediate
• But like you guys know, the direct care workforce is responsible for more than health care.

Committee: Joint Joint Committee on Labor and Workforce Development

Summary: The Joint Committee on Labor and Workforce Development held a hybrid public hearing with testimony on a wide range of labor, workforce, unemployment insurance, apprenticeship, disability services, farm labor, hospital staffing, and workplace harassment bills. Chairs Jake Oliveira and Paul McMurtry outlined hearing procedures, limited testimony to two minutes, and noted written testimony would be accepted after the hearing. Committee members and staff were introduced throughout the session as witnesses arrived in person or remotely. A major portion of the hearing focused on unemployment insurance legislation. Greater Boston Legal Services, the AFL-CIO, and Rep. Joan Meschino supported bills to adjust UI eligibility for workers with fluctuating schedules and to streamline waivers and write-offs for non-fault overpayments, arguing the current system unfairly denies benefits or burdens workers who were not at fault. They also backed bills calling for more oversight and resources for the Division of Unemployment Assistance, citing persistent delays in benefit payments. NFIB opposed the UI changes, warning that the trust fund is headed toward insolvency and arguing the bills would worsen the system’s finances. Rep. Meschino and committee members emphasized that the proposals were meant to protect good-faith claimants and did not apply to fraud. Another large set of bills addressed wages, workforce development, and working conditions. Testimony supported raising and modernizing direct care wages to address severe staffing shortages in human services and disability services, with advocates from the Massachusetts Developmental Disability Council, The Arc of Massachusetts, parents of adults with disabilities, and a direct care worker describing how low pay and turnover harm people needing support. The committee also heard support for apprenticeship-related bills from the AFL-CIO and the Carpenters, while Associated Builders and Contractors opposed mandatory apprenticeship ratios and urged changes to align them with licensing laws. Farm worker advocates supported a bill to raise farm labor standards, including minimum wage, paid breaks, and paid time off, while the Farm Bureau opposed parts of it beyond the minimum wage increase. The hearing also featured testimony on workplace harassment training, overtime protections, hospital mandatory overtime, suicide prevention signage on construction sites, and a proposal to update the Massachusetts Medical Society’s mission language from “citizens” to “people.” Labor groups, educators, and compliance trainers strongly supported mandatory annual sexual harassment training, saying it would improve workplace culture and reduce harm. SEIU 1199 supported extending the hospital nurse mandatory overtime ban to the broader hospital workforce. Witnesses on the suicide prevention bill described personal losses in construction and recovery work and urged posting 988 information on job sites. The committee took no votes during the hearing; witnesses repeatedly asked for favorable reports, and members asked follow-up questions on UI calculations, apprenticeship ratios, small-business impacts, and emergency exceptions for hospital staffing.

Transcript Highlights:

• </c> receive this care. receive this care.
• to person.
• to person.
• to person.
• So, urgent care convenient care visits.

Summary: The committee first approved the draft minutes from its May 29 meeting and then received an informational update from the Commission for the Deaf and Hard of Hearing about the state’s ASL interpreter pipeline. Representative Woods and Associate Commissioner Ann Landry explained that the American Sign Language program at UNH Manchester, the nation’s first fully accredited program, is facing viability concerns because high tuition has left only two of a potential 20 students committed so far. They warned that if enrollment does not recover, the program could face a teachout and eventually be lost, which they said would be detrimental because many state services and legal proceedings require qualified interpreters. Members discussed possible alternatives, including whether community colleges could help, and asked for follow-up research and contact information for UNH officials. The committee also heard that interpreter demand across DHHS continues to rise and that the department must ensure compliance with civil rights and service-access requirements. The committee then turned to Medicaid policy changes tied to Senate Bill 134 and a new federal interim final rule on Medicaid community engagement, or work, requirements. DHHS officials Olivia May and Ann Landry explained that the state law and federal rule align in many areas, but the committee still needed to decide how to implement several remaining policy choices. The department recommended adopting all four short-term hardship exceptions because the federal rule requires states to take them all or none: inpatient or institutional care, federally declared emergencies, high-unemployment areas, and extensive out-of-state travel for serious medical care. Members generally supported the exceptions but raised concerns about how they would be defined and applied, especially the emergency and medical-travel categories. Several legislators asked for more clarity on terms like “extensively” and “serious or complex medical care,” and DHHS said the federal rule does not rigidly define them, though the state could refine implementation through rulemaking if authorized. The department also said the emergency exception would apply only to federally declared emergencies, not state declarations, and would be tied to the emergency event itself. No final vote on the Medicaid policy was recorded in the portion provided, but the discussion indicated the committee was reviewing the remaining decisions needed to implement Senate Bill 134 under the new federal framework.

Transcript Highlights:

• Under personal care, we were able to expand the definition of who can be a personal care provider and
• Under personal care, we were able to expand the definition of who can be a personal care provider and
• Under personal care, we were able to expand the definition of who can be a personal care provider and
• Under personal care, we were able to expand the definition of who can be a personal care provider and
• Under personal care, we were able to expand the definition of who can be a personal care provider and

Committee: Senate Health and Human Services

Transcript Highlights:

• By way of background, a person is guilty of the offense of patronizing a prostitute if the person pays
• with him or her; pays or agrees to pay a fee to another person with the understanding that the person
• of value to another person with the understanding that the person will engage in sexual conduct with
• to be about 90 seconds per person.
• sexually exploit persons.

Bills: HB1591 , HB2209 , HB2403 , HB2526

Committee: House Community Safety

Keywords: domestic violence, sexual assault, human trafficking, survivor protections, legal remedies, defendants, theft, robbery, sentencing enhancements, criminal justice, property crimes, failure to register, registration requirements, public safety, law enforcement, prostitution, public health, criminal justice reform, community safety

Transcript Highlights:

• They continue to tie our hands behind our back to provide the kind of care and health care that people
• when you could have care in person.
• And we know, I mean, care in person is really important.
• person.
• And we know, I mean, care in person is really important.

Summary: The hearing opened with remarks from the chair and members about recent federal cuts to public health, mental health, family planning, and Title X funding, with strong concern about the impact on California programs and providers. The committee then turned to the Department of State Hospitals, which presented its 2025-26 budget proposal of $3.4 billion, including new positions, capital improvements, and funding tied to increased patient costs and incompetent-to-stand-trial services. DSH reported major progress in reducing the IST waitlist and wait times, said it had met the court’s 28-day treatment benchmark for those without extenuating circumstances, and described workforce recruitment and retention efforts such as residency programs, fellowships, outreach, and hiring streamlining. Members asked about future IST referral trends, SB 1323’s effect on diversion and community treatment, and workforce lessons in high-cost regions; public comment urged reconsideration of county IST growth cap methodology in light of new criminal justice initiatives. The committee next received an informational overview of Proposition 1 and its changes to behavioral health funding and governance. The Legislative Analyst’s Office explained that Prop. 1 restructured county MHSA funding buckets, expanded the Commission for Behavioral Health, shifted prevention and early intervention responsibilities, and authorized a $6.4 billion bond, including $4.4 billion for behavioral health facilities through BHCIP. DHCS said it had released guidance for county integrated plans and was receiving extensive public comment. Members focused on BHCIP application requirements, especially letters of support and tribal projects, and raised concerns about whether DHCS’s implementation matched statutory intent. DHCS said it had authority to set application requirements and that tribal entities were treated differently because of sovereignty and funding structure. DHCS then updated the committee on BHCIP, the Behavioral Health Bridge Housing Program, and related bond implementation. The department said BHCIP had awarded about $1.7 billion across five rounds, with more than 130 projects and 223 distinct facilities funded, and that it was preparing to award the new bond funds after receiving nearly $8 billion in applications. The LAO’s assessment found that more than half of awards served at least 80% Medi-Cal enrollees, but also raised concerns that the regional allocation model could reinforce inequities, that the program had not sufficiently addressed the highest-need regions such as the southern San Joaquin Valley, and that smaller counties and less launch-ready applicants faced barriers. For bridge housing, DHCS said more than $1.1 billion had been awarded, serving over 5,000 people and supporting more than 2,000 operational beds, but the Governor’s budget proposes to eliminate Round 4 funding as the administration weighs other statewide investments and Proposition 1 implementation workload. Public commenters and members urged more accountability, better regional equity, stronger labor and community involvement, and caution about funding for for-profit psychiatric facilities. Finally, the committee heard on the Children and Youth Behavioral Health Initiative. CalHHS and DHCS described CYBHI as a broad prevention- and equity-focused effort with more than 1,300 organizations funded, over $2.1 billion awarded, and multiple work streams spanning schools, community programs, workforce, and digital supports. DHCS highlighted school-based services, the fee schedule rollout, and digital platforms BrightLife Kids and Soluna, which it said are reaching users statewide and providing low-barrier access to coaching and support. Members and public commenters raised concerns about delays in school fee schedule implementation, the large share of funding going to digital tools, the need for more in-person services, and whether the initiative is sufficiently tracking outcomes and equity impacts. No formal votes were taken during the hearing.

Transcript Highlights:

• I think people who support the values of taking care of each other, taking care of health care and everything
• </c><00:02:34.879><c> for</c> my god rolling back Minnesota care for my god rolling back Minnesota care
• <c> of</c><00:04:46.000><c> health</c><00:04:46.240><c> care</c> each other, taking care of health care
• each other, taking care of health care and<00:04:46.639><c> everything</c><00:04:46.880><c> for</c><
• </c><00:04:52.479><c> of</c> a cost savings, that taking care of a cost savings, that taking care of

Transcript Highlights:

• ,</c> as well for providing medical care, as well for providing medical care, including<00:01:47.520>
• </c> Motans deserve access to health care. Motans deserve access to health care.
• </c> person to have to face. person to have to face.
• </c><00:36:58.240><c> The</c> what medical care is received. The what medical care is received.
• </c> meals, or child care. meals, or child care.

Transcript Highlights:

• </c> managed care the the 2025 managed care managed care the the 2025 managed care amendments<00:04:20.840
• </c> balance the costs of our health care balance the costs of our health care system<00:05:02.240><c
• completely out of managed care.
• </c> health care. Thank you. health care. Thank you.
• Um, that's extremely personal to me because the changes I made in my life and the changes my care team

Transcript Highlights:

• Welcome to the Joint Committee on Health Care Financing hearing.
• for our residents so that they receive the care that they need.
• This issue personally... ...being there.
• This issue personally affected me.
• and especially for direct care workers.

Committee: Joint Joint Committee on Health Care Financing

Summary: The Joint Committee on Health Care Financing held a public hearing on a range of health care financing bills focused largely on autism services and kidney disease coverage. Committee chairs John Lawn and Cindy Friedman outlined hearing procedures and noted that written testimony would continue to be accepted until each bill is acted upon. They said the day’s bills addressed affordability and access to behavioral health services, provider reimbursement, Medicare coverage for vulnerable patients, and MassHealth eligibility asset exemptions. A major portion of the hearing concerned House Bill 4623, which would recognize board-certified assistant behavior analysts (BCABAs) in the MassHealth reimbursement framework to help address long wait lists for autism spectrum disorder services. Representative Lisa Field and several providers testified that Massachusetts families face long delays for ABA services and that adding BCABAs would expand workforce capacity, reduce costs, and improve access. Wakely actuary Annie Tasman Ewing said a three-tier model could reduce MassHealth costs by up to 6% annually, while Dr. Sandra Beaton and others described severe wait lists and said the bill would allow more families to be served sooner. The committee also heard extensive testimony on House Bill 4425 and Senate Bill 2737, which would allow people under 65 with end-stage renal disease to purchase Medigap coverage. Representative Stanley, Senator Gomez, and advocates from the American Kidney Fund and Dialysis Patient Citizens argued that current law unfairly excludes these patients, leaves them with high out-of-pocket costs, and can delay transplant eligibility because many centers require secondary insurance. Testifiers said the change would help about 846 residents, could cost insurers only a small premium increase, and might reduce Medicaid spending by avoiding asset spend-downs. Committee members asked questions about the existing statutory carve-out and the practical effects on transplant access. The hearing also included testimony on House Bill 4353 and Senate Bill 2587, which would require regular Medicaid rate reviews for ABA services. Providers and clinicians said current MassHealth rates no longer reflect the cost of delivering care, especially with new 2026 policy requirements, workforce shortages, and accreditation obligations. They emphasized that the bills would not mandate a rate increase but would create a data-driven, transparent review process. At the end of the hearing, the chairs thanked participants, invited additional written testimony, and the committee voted unanimously to adjourn the hearing.