Transcript Highlights:

• We'll have a public safety work group.
• I'm always proud of this group here.
• We talk about them as a group.
• We've got a great group of people. The holder group attends. They've got representatives.
• We do them virtually, and it's a robust group.

Transcript Highlights:

• You may remember that we commissioned the Thermal Energy Network Deployment Work Group that reported
• That work group identified wastewater as a key local thermal resource and recommended prioritizing areas
• that reported to us in Work Group that reported to us in December<00:01:42.120> 2025.
• <00:01:43.240> That<00:01:43.520> work<00:01:43.720> group December 2025.
• That work group December 2025.

Keywords: 1183, house

Transcript Highlights:

• update for where we are on the rebid and kind of the whole conversation around the Medicare Advantage group
• In addition, for the PSC group, they didn't have a pharmacy plan before.
• Individual bids go in in June, but from an employer group perspective, they'll know what's happening
• For most group Medicare Advantage plans, it's all one package.
• For most group, Medicare Advantage plans, it's all on The decoupling, for most group Medicare Advantage

Summary: The committee received an update from Grant Wallace on the rebid and possible decoupling of the state’s Medicare Advantage retiree coverage. He said the state is exploring splitting medical and pharmacy benefits for post-65 retirees, with UnitedHealthcare as the incumbent vendor, and that preliminary estimates suggested savings of about $100 to $200 per participant per month. He outlined the expected timeline for final CMS rate announcements in April 2026, with contract amendments likely to come before the committee in May or June after review by the EBD Advisory Commission and State Board of Finance. Representatives from Segal Consulting then reviewed the history and current structure of the Medicare Advantage prescription drug plan, explaining that the plan was adopted after a 2021 recommendation and launched in 2023 alongside the existing Med-Sup option. They said the Medicare Advantage option has produced substantial savings, including a lower monthly rate than the Med-Sup plan and about $40 million in savings from initial enrollment, while also restoring pharmacy benefits for some retirees. The presenters then explained recent federal changes under the Inflation Reduction Act, including major changes to Part D funding, the direct subsidy, and risk-score methodology, which they said have made risk adjustment much more important and are driving interest in separating medical and pharmacy contracts. In response to questions from senators, the presenters said the Medicare Advantage plan covers post-65 teacher and state employee retirees, including retirees from state agencies and K-12 public schools. They also explained that the new Part D structure has reduced out-of-pocket costs for members, with a $2,000 annual cap and lower average member spending to reach it, while shifting more cost to the plan. No votes were taken and no formal action was reported; the committee simply received the update and was told to expect further information after the April rate notice. The meeting adjourned with the committee scheduled to return on May 13.

Transcript Highlights:

• We're the only group to have navigated very large crewed vessels, VLCCs, some of the largest tankers
• That's why both groups are trying to incorporate. Ryan Malcolm: Chambers County into their statute.
• At that point, then it would be binding law for that group to service the port, Cedarport, in Chambers
• We believe that y'all are all qualified and state-commissioned pilots, and we believe that both groups
• Pilot groups are set up to take care of a non-competitive model, and the reason that is because there's

Bills: HB2065, HB2462, HB2621, HB3187, HB3539, HB3563, HB3726, HB4164, HB4207, HB4368, HB4706, HB4916, HB4950, HB4967, HB5177, HB4429, HB5597

Keywords: commercial vehicles, parking regulations, residential areas, local governance, land use, traffic safety, high occupancy vehicle lane, pregnant operators, transportation, parental rights, motor vehicle regulations, live video feed, state agency, transparency, public safety, regional transportation, mobility program, sales tax, public infrastructure, local government

Transcript Highlights:

• That's because, as a single medical group, Hawaii Permanente Medical Group, every Permanente physician
• , group, Hawaii Permanente Medical Group, group, Hawaii Permanente Medical Group, every<01:10:59.680
• These have all been Medical Group.
• <02:12:22.560> physicians group small group of seven physicians group small group of seven
• or Hawaii Pacific Health Medical Group. or Hawaii Pacific Health Medical Group.

Keywords: 910, house, all

Transcript Highlights:

• Today's hearing, we will discuss and gather testimony from legislators, advocacy groups, and coalitions
• Today's hearing, we will discuss and gather testimony from legislators, advocacy groups, and coalitions
• My team often rounds as a group together.
• This bill is supported by the vascular surgery group at our hospital, Mass General Hospital.
• This bill is supported by the vascular surgery group at our group, at our hospital, I apologize, Mass

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hearing focused on children’s health, disease prevention, screening, treatment, and pharmacy-related bills. The chair explained that the session was for public testimony only, with no votes or decisions taken that day, and outlined the three-minute limit for individual testimony. The committee then heard testimony on a range of bills, including H. 2413 on adding electromagnetic sensitivity to the state’s MAVEN registry, S. 1508 and H. 2433 on creating an amputation prevention task force, H. 2535 and S. 1551 on establishing a naloxone purchase trust fund, S. 1635 on authorizing pharmacists to provide opioid use disorder treatment, H. 2385 on creating a special commission on avian influenza, and S. 1497 on patient safety and non-FDA-approved compounded drugs. Testimony on H. 2413 came largely from advocates and individuals who described electromagnetic sensitivity as a real health condition and argued that adding it to the registry would improve data collection, provider education, and public awareness. Testimony on the amputation prevention task force bills came from the American Diabetes Association and podiatry groups, who said diabetes-related amputations are often preventable, disproportionately affect people of color, and could be reduced through earlier screening, better care coordination, and improved insurance coverage for preventive foot care. On the naloxone trust fund bills, a representative, emergency physician, and nurse testified that hospitals often cannot reliably send overdose patients home with naloxone because of billing and reimbursement barriers, and that a bulk-purchase fund would expand access at no added cost to payers or providers. The committee also heard strong support for S. 1635 from pharmacists and public health researchers, who said community pharmacists could safely initiate and maintain buprenorphine treatment and help close gaps in opioid use disorder care. On H. 2385, a local board of health chair supported a special commission on avian influenza, citing gaps in emergency preparedness and the need for clearer coordination across agencies. On S. 1497, a pharmacy representative opposed restrictions on compounded drugs from outsourcing facilities, warning that changes could reduce access to life-saving medications and harm patient safety. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• The first in this group is...
• They also found that turnover rates are higher for different groups of teachers.
• The Southern Regional Education Board, or SREB, is a grouping of 16 southern states.
• The first is a group of 16 southern states that comprise the SREB that I mentioned earlier.
• The second group will be Arkansas's six neighboring states.

Summary: The committee first approved the May 18 meeting minutes and then received a Legislative Audit presentation summarizing Arkansas Department of Education grant distributions for fiscal year 2025. Auditors said the department distributed about $4.6 billion in grants overall, including $3.2 billion from the Public School Fund, $1.1 billion in federal funds, and $268 million from other state and miscellaneous sources, across 56 Public School Fund programs, 14 other state programs, and 29 federal programs. Members asked about specific recipients and programs, including ClassWallet, master principal bonuses, Economics Arkansas, and CDC surveillance funding; audit staff and Department of Education representatives explained that the report was only a distribution summary and not a recipient-level audit. Members also questioned why many districts showed lower funding, and staff said the decline was largely due to reduced federal and one-time COVID-related funds. Senators and representatives also discussed whether some incentive programs, such as master principal and national board bonuses, were tied to student outcomes, and whether Economics Arkansas was the sole entity named in special language for financial literacy funding; department staff said they would follow up on several details. The committee then heard a Bureau of Legislative Research presentation on consumer price index projections from Moody’s Analytics and S&P Global, with discussion of CPI-U and core CPI estimates for future fiscal years. Dr. Carlos Silva explained that the forecasts generally trend toward about 2 percent over time and that recent projections may have understated actual inflation because of recent shocks. Members asked about the accuracy of past projections, and he said he would provide more detail later if needed. The bulk of the meeting focused on the final adequacy report on teacher recruitment, retention, and salaries. BLR staff reported that Arkansas had about 32,800 teachers and 473,000 students in 2025, with a statewide student-to-teacher ratio of about 14 to 1, average teaching experience of 11.9 years, and a slight increase in National Board Certified teachers. The report found that districts with higher poverty and minority concentrations generally had less experienced teachers, and that teacher shortages remained widespread, especially in special education, math, science, and foreign language. Members asked about licensure exceptions, alternative preparation pathways, incentives for ESL and special education endorsements, and the cost and return on investment of traditional versus alternative routes. Staff said some licensure exceptions are being phased out under Act 304 of 2025 and that they would follow up on several requested details. The report also found that teacher retention averaged 87 percent statewide in 2025, with districts retaining teachers at higher rates than charters, and that 30 percent of surveyed teachers were considering leaving the profession. Principals and teachers identified school leadership as the strongest positive factor in recruitment and retention, while workload and salary were the strongest negative factors. On salaries, BLR reported a statewide average teacher salary of $60,254 in 2025, with districts averaging $60,458 and charters $55,724. Arkansas ranked 45th nationally on average teacher salary in 2025, though its cost-adjusted ranking improved to 36th; among SREB states it ranked 12th, and among neighboring states it ranked fourth. Members asked about starting salaries, salary compression, district step increases, and whether the report should be shared more broadly with educators and school leaders. Staff said they would provide follow-up information on several questions, and the committee took no formal action beyond receiving the presentations and asking for additional data.

Transcript Highlights:

• The first in this group is...
• They also found that turnover rates are higher for different groups of teachers.
• The Southern Regional Education Board, or SREB, is a grouping of 16 southern states.
• The Southern Regional Education Board, or SREB, is a grouping of 16 southern states.
• The second group will be Arkansas's six neighboring states.

Keywords: 1204, all

Transcript Highlights:

• I stand here today representing over 1,000 group members in our private community.
• I'd like to share some of the reactions of our Transforming Families group members to the news of Children's
• Another caregiver in our private Facebook group posted hours after the announcement, "I just called the
• <00:08:51.519> Facebook<00:08:52.000> group<00:08:52.240> posted Facebook group
• Facebook group posted Facebook group Facebook group posted hours<00:08:53.040> after<00:08:53.279

Keywords: 919, house, all

Summary: State lawmakers, the attorney general, advocates, and parents held a press event responding to Children’s Minnesota’s announcement that it would pause some gender-affirming care for minors. Speakers, including Rep. Lee Finke, Hannah Edwards of Transforming Families Minnesota, and Jess Braverman of Gender Justice, said the pause was driven by federal pressure and threats from the Trump administration and HHS, not by medical best practice. They emphasized that gender-affirming care remains legal in Minnesota under the state’s Human Rights Act, Trans Refuge law, and insurance protections, and argued that interrupting care harms trans youth and families, especially those who moved to Minnesota for protection. Testimony focused on the emotional and practical impact on families: loss of trust in providers, delays in treatment, travel and intake wait times, and the stress of having to scramble for continuity of care. Speakers described the care as evidence-based, medically necessary, and life-saving, and said the federal government was using coercion and misinformation to intimidate hospitals and doctors. The attorney general said his office and coalition partners are litigating related federal threats, including a separate RFK Jr. declaration and proposed federal rules, and that Minnesota officials are working to preserve access and enforce state protections. In response to questions, speakers said the state’s legal tools are strong but limited against federal action, so they are relying on court challenges and enforcement of existing state law. They said Children’s Minnesota had been specifically targeted by federal officials and that the hospital’s pause was tied to that pressure. No votes were taken; the event ended with a call for continued public and institutional support for trans youth and for Children’s to resume care as soon as possible.

Transcript Highlights:

• I'm the chairperson for that writing group.
• But I started to help start a group called Kingman Area Low Vision Group, and we were mainly a social
• group that just helped each other.
• We have 20 community group homes.
• Essentially, a standard group home in Maricopa County, we're talking a three-person group home, $2,122.20

Bills: SB1001, SB1011, SB1016, SB1052, SB1072, SB1100, SB1112, SB1113, SB1116, SB1118, SB1120, SB1121, SB1122, SB1123, SB1124, SB1125

Keywords: appropriation, economic security, blind individuals, older adults, state funding, medical examiners, sudden infant death, autopsy protocols, forensic pathology, public health, religious exemption, employment practices, COVID-19 vaccination, accommodation, discrimination, assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent

Transcript Highlights:

• . ...and that person in the state before 1968 also has to be from an eligible ethnic group.
• And that person who was here before 1968 must be one of the eligible ethnic groups.
• And these groups were what was recommended in the research study.
• And now many ethnic groups and religions were affected by the harmful covenants.
• The Covenant Home Ownership Group.

Summary: The Senate Housing Committee heard a series of work-session presentations focused on transit-oriented development, commercial-to-residential redevelopment, building code implementation, housing market trends, and the Covenant Homeownership Program. The first presentation, from the Urban Institute, reviewed research on HB 1491 and TOD feasibility, arguing that Washington has made major progress but faces diverging conditions across transit areas. The presenter said rising construction costs, higher interest rates, and lower rents in some markets have made many projects less feasible, and recommended targeted infrastructure funding for lower-market communities, adjustments to MFTE and affordability requirements by local market conditions, more support for very low-income housing in high-market transit areas, minimum density standards near stations, expanded public land/joint development tools, and better tracking of TOD outcomes over time. Committee members asked about AMI calculations, immigration’s effect on construction labor, developer input, and whether a tracking mechanism had been removed from the bill. The Department of Commerce then outlined implementation of HB 1491 and demonstrated the new Washington Zoning Atlas, which is live and intended to help visualize zoning, overlays, and station-area conditions. Commerce said local governments will designate station areas, update zoning and MFTE policies, and handle anti-displacement measures, with Vancouver and Spokane first to implement and Puget Sound following later. Staff described a timeline for updated MFTE guidance, station-area implementation guidance, a TOD model ordinance, and later rulemaking on variances. The committee also heard from the Lieutenant Governor’s office on a report about converting commercial properties to housing, which found substantial potential for redevelopment on vacant or underused commercial land, especially near transit, but noted barriers such as ground-floor retail mandates, affordability requirements, infrastructure costs, private covenants, and slow implementation. The office urged by-right residential use on commercial land and faster rollout of new housing laws. The State Building Code Council updated the committee on its three-year code cycle and several legislatively directed actions, including minimum dwelling size, emergency shelters, and especially single-exit stairs and multiplex housing. Council staff said those code changes are nearing completion and will provide prescriptive solutions, while noting that elevator size and requirements were not changed and would require separate legislative direction if the committee wanted to revisit them. Members discussed the cost impacts of building and energy codes and the council said it is required to consider economic impacts and is increasingly looking at performance-based approaches. Later, the Washington Center for Real Estate Research presented its annual housing report, showing that higher mortgage rates have sharply reduced affordability, flattened house prices in many cities, and slowed single-family permitting and completions, while multifamily construction has recently cooled after a prior surge. Finally, the Washington State Housing Finance Commission reported strong first-year results for the Covenant Homeownership Program, which provides zero-interest down payment assistance to eligible first-time buyers with family ties to Washington before 1968; the program assisted 547 homebuyers in its first fiscal year, with more than $60 million loaned, and the agency said participation has continued to grow after income-limit changes enacted in 2025.

Transcript Highlights:

• Um, I understand, respect the desire to send the message that this body, we support this group of workers
• Um, I understand, respect the desire to send the message that this body, we support this group of workers
• one group of workers against<00:14:05.880> another.
• , to one group, to one group, but<00:31:23.440> not<00:31:23.640> every<00:31:23.840
• <00:34:02.520> of<00:34:02.640> workers, a specific group of workers, a specific group

Keywords: 1183, house

Transcript Highlights:

• We work with our Protective Intel Group and with the Protective Services Division.
• And then there are ad hoc groups that the court creates as needs arise.
• But we don't have a policy group that recommends the changes to the filing fees.
• But we don't have a policy group that recommends the changes to the filing fees.
• But we don't have a policy group that recommends the changes to the filing fees.

Summary: The Justice Budget Subcommittee met for an introductory overview of the justice budget and the major agencies within it. Chair Maney explained that the committee would hear broad presentations rather than detailed budget questions, and the first panel included the Department of Juvenile Justice, Department of Corrections, Commission on Offender Review, Department of Law Enforcement, Office of the State Courts Administrator, and the Attorney General’s Office. Each agency described its mission, staffing, budget, and major responsibilities, with repeated emphasis on public safety, rehabilitation, staffing shortages, technology needs, and the importance of mental health services and education in reducing recidivism. Secretary Hall described DJJ’s prevention-to-aftercare continuum, including civil citation, detention, probation, and residential commitment programs, and highlighted reductions in juvenile arrests and commitments. Secretary Dixon said DOC’s biggest issues are staffing, overtime, and inflation, while noting progress in education, reentry, and a low recidivism rate. FDLE Commissioner Glass outlined the agency’s investigative, forensic, intelligence, and protective functions, including work on fentanyl enforcement and crime reporting systems. The State Courts Administrator emphasized the judiciary’s constitutional role, case volume, and challenges in providing interpreters, experts, and technology support. Chief Deputy Attorney General Guard described the office’s litigation, criminal appeals, consumer protection, and opioid recovery work, especially defending state laws and recovering opioid settlement funds. Members then asked questions about prison conditions, immigration enforcement, court filing fees, crime reporting, staffing ratios, and transnational gangs. Agency leaders responded that they were not aware of ICE contracts in some cases, that FDLE works with immigration authorities and detention facilities under existing authority, and that filing fees are a legislative policy decision. The committee also heard from the Justice Administrative Commission, prosecutors, public defenders, guardian ad litem, regional conflict counsel, and capital collateral regional counsel, who focused on indigent representation, dependency and death penalty cases, and persistent staffing and retention problems. No votes were taken, and the meeting concluded after the presentations and questions.

Transcript Highlights:

• health insurance at risk for this group health insurance at risk for this group which<00:38:20.079
• <00:46:30.800> three for these group three for these group three employees<00:46:33.000>
• additional access um but our our group additional access um but our our group of<02:34:15.000>
• , where the expertise for the group and the cultural knowledge for the group is within the board that
• <03:39:13.399> the knowledge for the group is within the knowledge for the group is within

Keywords: 928, house, all

Summary: The subcommittee first took up House Bill 702, which would change how extra or special duty pay for retired police officers is treated for retirement and work-limit purposes. Supporters argued the bill would let retirees work more special-duty hours, helping municipalities fill traffic-detail and similar assignments without added state cost, and said it would not prohibit retirees from working but would simply stop those hours from counting toward the return-to-work threshold. Opponents argued the change would be inconsistent with the retirement system’s 2011 reforms, could increase pension liabilities, and would treat the same compensation differently for active employees and retirees. Members also discussed whether the bill would affect current and future retirees, the role of municipalities, and whether the policy amounted to “policing for profit.” The subcommittee ultimately voted 3-2 to recommend inexpedient to legislate (ITL) on HB 702, sending it to the full committee with that recommendation. The committee then discussed House Bill 581, which would create a Group Three retirement plan for new state employees hired after the bill’s effective date. The chair outlined a housekeeping amendment to delay implementation, moving the effective date to January 1, 2026, and noted a sponsor amendment addressing health insurance group inclusion and medical and surgical benefits so those benefits would not be put at risk for the new group. Testimony and discussion focused on the shift from defined benefit to defined contribution, with supporters citing Michigan examples and arguing the bill would help recruit and retain employees while giving them more flexibility. Opponents said the change could weaken retirement security and increase unfunded liability, though supporters responded that the bill still requires employer contributions toward accrued liability and is intended to keep the state on track to pay off its unfunded liability by 2039. The transcript ends with continued discussion of the bill and no final vote shown on HB 581.

Transcript Highlights:

• In Bismarck, they're doing more groups in schools.
• So there's a task force here, a work group here.
• So this group has just been helpful, I think, for that.
• group, all those presenters we talked, I shared with you.
• So this group has just been helpful, I think, for that.

Keywords: 908, all

Transcript Highlights:

• He explained that they have been hosting an informal working group created by Representative Tarnis to
• that was created by working group that was created by representative<00:03:39.280> tarnis<00:
• kind of saw this as an issue the group kind of saw this as an issue of<00:04:09.560> basically
• residential supports so these are group residential supports so these are group homes<00:30:22.880
• : Multidisciplinary, a group of folks that are working on this because it's across the lifespan.

Keywords: 912, senate, all

Summary: The Committee on Health and Human Services held an informational briefing on the Developmental Disabilities Council and related agencies. The Hawaii State Council on Developmental Disabilities outlined its 2025 legislative priorities, including a pilot project for guardian ad litem and capacity evaluations in guardianship/conservatorship cases, a supported decision-making bill, a health disparities study for people with disabilities, an ABLE savings outreach/staffing measure, a Medicaid buy-in proposal, an adult changing tables equity bill, and a resolution on fetal alcohol spectrum disorder. Council representatives emphasized that supported decision-making would complement tools like powers of attorney and medical releases, and that the health disparities study would help identify unmet needs by ZIP code and improve state data on the intellectual and developmental disability population. The Center on Disability Studies at the University of Hawaii described its role as the research and training arm within the DD system, working with the DD Council and the Hawaii Disability Rights Center. It reported activities such as interdisciplinary training, community education, technical assistance, research collaborations, the Pacific Rim International Conference on Disability and Diversity, publications, telehealth, ECHO Autism, and counseling for Maui fire survivors. The center said it leveraged about $16 million in outside funding last year and highlighted goals focused on workforce development, community capacity, research with direct participation from people with disabilities, and accessible dissemination of information. The Hawaii Disability Rights Center, the state’s protection and advocacy agency, supported the Council’s priorities, especially supported decision-making, which it said could help some people avoid guardianship while preserving liberty and reducing state resource use. The center also raised concerns about the DD system budget and urged legislators to review whether the Developmental Disabilities Division is requesting enough funding, noting possible backsliding in services and eligibility. The Developmental Disabilities Division of the Department of Health then outlined its statewide waiver program serving just over 3,500 people, its service array, and its budget request for increased waiver funding, a federal initiatives coordinator, and IT upgrades to comply with the new HCBS access rule; no votes or formal actions were taken during the briefing.

Transcript Highlights:

• group.
• basic group at 26. basic group at 26.
• If we have an A and B group, we have a 20-week group and a 26-week group.
• group.
• Uh what if a 20we group and a 26E group.

Keywords: 1189, house, all

Transcript Highlights:

• So groups are defined as an employer group.
• group that that isn't included? group that that isn't included?
• <04:49:13.120> So groups that are employer groups. So groups that are employer groups.
• groups are defined as an employer group. groups are defined as an employer group.
• student groups for major medical. student groups for major medical.

Keywords: 1189, house, all

Transcript Highlights:

• best practices that will help protect Jewish students and teachers and many others in vulnerable groups
• The brutal terrorist attack against a group of Jews rallying for hostages who shouted, 'Free Palestine
• We've heard a lot from a group that calls itself Together for an Inclusive Massachusetts.
• that as the entire group.
• So that I've gotten feedback from both groups. I think all commission members have to read that.

Keywords: 995, all

Summary: The Special Commission on Combating Antisemitism met to review and discuss draft preliminary recommendations, with the co-chairs explaining that the draft had been released publicly and that the meeting was intended for open discussion and edits rather than a final vote. They emphasized the urgency of addressing antisemitism in Massachusetts, especially in K-12 schools, while noting that the recommendations are preliminary, may be revised, and will be supplemented by further testimony and a final report later. Several members also referenced recent allegations and incidents in local schools as examples of why the commission’s work is needed. Commissioners broadly supported the draft but proposed numerous refinements. Common themes included clarifying the distinction between antisemitic incidents and hate crimes; strengthening reporting systems and privacy protections; adding clearer guidance from DESE and the Attorney General on First Amendment issues, curriculum, and investigations; expanding Holocaust and genocide education; and improving professional development for educators, school committees, and administrators. Several members urged better links to mental health and victim services, more support for the Genocide Education Trust, and stronger language on bystander training, digital literacy, and the role of school committees in addressing bias. There was also discussion of how to frame antisemitism as a distinct form of hate, how to address antisemitism related to Israel and Zionism without restricting legitimate political speech, and how to avoid unfunded mandates for school districts and municipalities. Some commissioners suggested adding timeframes, a centralized reporting or investigative mechanism, and more explicit model policies for schools. The meeting ended with the chairs thanking participants and the public for their input, and the commission then moved to adjourn.

Transcript Highlights:

• But, yeah, the TINs currently in Connecticut are related to a particular practice group.
• is our lowest utilizing group.
• We participate in the member advisory groups.
• We are participating in the all ASO communications groups.
• I think the bones of that eligibility group would be helpful in terms of the technology.

Keywords: 962, all

Summary: The Care Management Meeting opened with a DSS update on the PCMH program. Staff reported the program remained steady at 124 practices, 553 sites, and 2,548 providers, with some month-to-month fluctuation driven by practice consolidation, retirements, and a few practices leaving the program because NCQA requirements were burdensome. Members asked about declining provider and site counts, member attribution trends, and whether PCMH practices overlap with behavioral health homes; DSS said attribution changes are largely due to members becoming ineligible, moving, or getting other insurance, and that PCMH and behavioral health homes are separate programs that coordinate informally. The committee also discussed why some smaller practices leave the program and whether the requirements could be made easier to support retention. The committee then resumed a detailed presentation on the Husky Dental program. The presenter described the dental benefit’s history, the importance of preventive oral health, workforce and consolidation pressures in dentistry, and the lack of interoperability between dental and medical records. Network data showed year-over-year declines in enrolled dental practitioners and service locations, with access gaps concentrated in rural and eastern parts of the state. Appointment availability surveys showed average waits of 38 days for adults and 23 days for children, but much longer waits at FQHCs than private fee-for-service practices. The presenter said Connecticut remains above the national median on CMS pediatric dental quality measures, though sealant rates remain a concern, and noted that preventive care is associated with lower per-member costs. Members raised concerns about provider participation, large practices dropping Medicaid, mobile dental care, and whether the public directory accurately reflects which dentists are actually accepting new patients. The presenter said the plan uses secret-shopper calls, tracks appointment availability, and has begun using place-of-service coding to better identify school-based dental care. She also noted a new MOU with 20 Head Start programs to share data and provide oral health literacy and navigation support. The final major topic was implementation planning for HR1. DSS said CMS guidance was expected in early June and proposed using upcoming meetings to cover medical frailty, communication strategy, and data integration/ex parte verification. Committee members urged the department to create a dashboard to track disenrollments and other impacts of HR1, to build a process for complaints and problem resolution, and to think through cost-sharing, caregiver verification, exemptions, and notices. Members also asked about using existing eligibility structures such as the working-disabled program as a model. The committee agreed to move the next meeting to June 10 by Zoom, with the agenda to be circulated in advance and any PCMH Plus quality data shared if available.