Transcript Highlights:

• Next on the agenda, item D, presentation on Developmental Disabilities Provider Association, DDPA.
• So, Developmental Disabilities Provider Association, DDPA. So you're welcome to come to the table.
• I'm Executive Director of Developmental Disabilities Provider Association. Good morning.
• So I guess there's no point maybe to explain what the developmental disabilities are in this group.
• IDD, intellectual and developmental disabilities.

Summary: The Arkansas Legislative Autism Task Force approved the April 1, 2026 meeting minutes and discussed several vacant membership slots, including positions tied to the Arkansas Psychology Board, Arkansas Blue Cross Blue Shield, UAMS, and parent or guardian appointments. Members said they would try to fill the vacancies and, if not, include the issue in the legislative report and consider statutory changes in the next General Assembly. The task force then heard from the Developmental Disabilities Provider Association and Civitan Services about DDPA’s role in supporting 80 provider organizations serving more than 13,000 children and adults with intellectual and developmental disabilities across 75 counties. They described services such as early intervention day programs, adult day programs, supported employment, intermediate care facilities, work activities, and community/residential waiver services, and said autism falls within the populations they serve. They also shared survey information on services used by older adults with IDD and offered contact information for providers. Members also heard a proposal to amend Act 656 of 2021 to add licensed psychological practitioners as qualified providers for autism waiver-related evaluations. The presenter argued this would reduce wait times, avoid duplicate assessments, and help families access services sooner, while noting that Arkansas Medicaid already pays for some of these evaluations. Task force members and Dr. Scott discussed the roles of psychologists, speech-language pathologists, and the possibility of using training or board oversight to ensure evaluators are properly qualified, with some noting that speech pathologists’ inclusion has historical and clinical roots. The task force also said it still needs a future discussion on fraud, plans to invite the Attorney General’s office, and wants to identify priorities for the 2027 session before adjourning.

Transcript Highlights:

• We serve 1,300 people with developmental and intellectual disabilities, autism, and brain injuries week
• We serve 1,300 people with developmental and intellectual disabilities, autism, and brain injuries week
• Imagine a van full of artists with developmental disabilities who have made painstaking plans to attend
• a performance... ...developmental disabilities who have made painstaking plans to attend a performance
• My name is Liz Fancher, and I'm a program specialist at the Massachusetts Developmental Disabilities

Keywords: 995, all

Summary: The Joint Committee on Children, Families, and Persons with Disabilities held a hearing focused on accessibility-related legislation, with the chairs emphasizing ASL and CART accessibility and asking testifiers to speak slowly and clearly. The committee heard testimony first on H.223/S.130, a bill to establish a livable wage for community-based human service workers by reducing the pay gap with state employees. Providers’ Council, Communities for People, the Key Program, and BAMSI all supported the bill, describing persistent wage disparities, high vacancy and turnover rates, and the impact on continuity of care for children, youth, and families. Witnesses said the bill would help recruitment and retention and stabilize services across the Commonwealth. The committee then heard extensive testimony on H.224/S.160, the ACE Act, which would create a dedicated funding source to improve accessibility in the creative economy. Arts organizations and advocates, including Community Access to the Arts, Abilities Dance Boston, Jacob’s Pillow, the Multicultural Arts Center, Northampton Community Music Center, Mass Creative, Open Door Arts, and Monkey House, described barriers such as inaccessible buildings, lack of ASL interpretation and captioning, inadequate lifts and backstage access, and the high cost of renovations. Testifiers said the bill would help smaller and historic institutions make physical and programmatic improvements and allow people with disabilities to participate as artists, workers, and audiences. The committee also heard testimony on H.4180, which would require DDS to consider neuropsychological evaluations when determining eligibility for intellectual disability services. Parents and advocates argued that IQ cutoffs alone can miss significant functional needs, especially for autistic adults and others with complex developmental profiles, and urged broader access to DDS supports. Additional testimony supported S.101 on closed captioning and telecommunications in public areas, and S.158 on requiring restaurants to have some chairs with arms to better accommodate physically disabled and older patrons. No votes were taken during the hearing, and the chair adjourned after hearing from the scheduled witnesses and noting a few signups that were not present.

Transcript Highlights:

• <01:50:25.760> disabilities people with developmental disabilities people with developmental
• <01:52:06.960> disabilities with developmental disabilities with developmental disabilities
• Their developmental disabilities.
• here do have a developmental disability. here do have a developmental disability.
• > disability<02:13:50.800> who's with a developmental disability who's with a developmental

Keywords: 1191, senate, all

Transcript Highlights:

• Next on the agenda, item D, presentation on Developmental Disabilities Provider Association, DDPA.
• So, Developmental Disabilities Provider Association, DDPA. So you're welcome to come to the table.
• I'm Executive Director of Developmental Disabilities Provider Association. Good morning.
• So I guess there's no point maybe to explain what the developmental disabilities are in this group.
• IDD, intellectual and developmental disabilities.

Summary: The Arkansas Legislative Autism Task Force approved the April 1, 2026 meeting minutes and then reviewed several vacant membership slots on the task force, including appointments from the Arkansas Psychology Board, Arkansas Blue Cross Blue Shield, UAMS, and parent or guardian positions. Members discussed trying to fill those vacancies before the next meeting, and noted that if they remain open they may be addressed in the task force’s legislative report and through possible statutory changes in the next General Assembly. Representatives from the Developmental Disabilities Provider Association (DDPA) and Civitan Services presented on DDPA’s role serving children and adults with intellectual and developmental disabilities across Arkansas. They said DDPA now represents 80 providers serving more than 13,000 individuals in 75 counties, with services including early intervention, adult day programs, supported employment, intermediate care facilities, work activities, and community/residential waiver services. They also shared survey data on older clients and said these services remain available to seniors with IDD, including people with autism. The task force then heard a proposal to amend Act 656 of 2021 to include licensed psychological practitioners as qualified providers for autism waiver-related evaluations. The presenter argued this would reduce wait times, avoid duplicate assessments, and help families access services sooner, while still maintaining quality standards. Members asked about training, licensure, and whether other professionals such as speech-language pathologists or audiologists should be included; Dr. Scott noted that current practice already relies on a two-provider model and that speech-language pathologists play a role because autism diagnosis considers communication, cognitive ability, and language. The discussion also touched on the need for proper testing standards and board oversight. No vote was taken on the amendment, and the meeting ended with plans to return to fraud-related discussion and to begin prioritizing recommendations for the 2027 session before adjourning.

Transcript Highlights:

• department university across the corporation with comprehensive treatment person qualified person disability
• assisted living, University, Bay Area Health Region, and all the practitioners of development and disability
• Practitioner development disability service president, organized advocate person, development, to the

Bills: LB737, LB753, LB788, LB913, LB1055, LB1195, LB1216, LB1256, LB429, LB721, LB722, LB727, LB743, LB745, LB749, LB778, LB787, LB365A, LB823, LB900, LB903, LB940, LB954, LB1127, LB1127A, LB1205, LB1240, LR293, LR296, LR422, LR505, LR507

Keywords: LB737, Olmstead, developmental disabilities, disability services, community-based services, integrated settings, DHHS, Department of Health and Human Services, stakeholder advisory committee, independent consultant, public hearing, legislative oversight, disability rights, community integration, housing, employment, education, transportation, community supports, self-advocacy

Transcript Highlights:

• Of honorable or general under honorable conditions, and to a person who is 50% or more disabled as a
• L.R. 422 asks Congress to fully fund the Individuals with Disabilities Education Act, or IDEA.
• This landmark law's name changed through the Individuals with Disabilities Education Act, or IDEA, in
• Before this law was enacted, only one in five children with disabilities went to school, and many states
• excluded children with disabilities, including the deaf and blind.

Bills: LB737, LB753, LB788, LB913, LB1055, LB1195, LB1216, LB1256, LB429, LB721, LB722, LB727, LB743, LB745, LB749, LB778, LB787, LB365A, LB823, LB900, LB903, LB940, LB954, LB1127, LB1127A, LB1205, LB1240, LR293, LR296, LR422, LR505, LR507

Keywords: LB737, Olmstead, developmental disabilities, disability services, community-based services, integrated settings, DHHS, Department of Health and Human Services, stakeholder advisory committee, independent consultant, public hearing, legislative oversight, disability rights, community integration, housing, employment, education, transportation, community supports, self-advocacy

Transcript Highlights:

• <00:07:42.560> Good Developmental Disabilities. Good Developmental Disabilities.
• Council on Developmental Disabilities. Council on Developmental Disabilities.
• out<00:08:28.000> a developmental disabilities to fill out a developmental disabilities to
• State Council on Developmental State Council on Developmental Disabilities<00:20:09.200> in
• It is developmental disabilities.

Keywords: 910, house, all

Summary: The committee met on March 20, 2025, to hear a series of Human Services and Health resolutions. HCR 146, which asks the Department of Human Services to apply for and implement the Elderly Simplified Application Project, drew strong support from disability, public health, and hunger advocates. Testifiers emphasized that the measure could create a more uniform benefits application, reduce repeated paperwork, extend certification periods from one year to three years, and ease burdens on both applicants and DHS staff. DHS said it stood on its written testimony and was available for questions. The committee also heard that a universal application could help people with disabilities avoid delays and denials caused by complex or duplicative forms. The committee then heard HR 170/HCR 174, which requests review of Aloha-based learning programs for youth in the juvenile legal system. Supporters from Opportunity for Youth Action Hawaii and DebtFree Justice Hawaii said the resolution would help advance restorative justice, community service, and culturally grounded rehabilitation, especially if youth fees and fines are reduced or eliminated. Testimony also supported HR 133/HCR 139, which asks the Office of Wellness and Resilience to report on the developmental needs of children born during the COVID-19 pandemic. Witnesses from the developmental disabilities council, the Office of Wellness and Resilience, the Hawaii Community Foundation, and others said the pandemic’s trauma and behavioral impacts justify a multidisciplinary, evidence-based report, and the office requested more time to complete its findings, suggesting a deadline at the end of 2026. The committee also heard HR 88/HCR 92, proposing a two-year homelessness sanctuary pilot program in Honolulu. One testifier described sleeping in a car and said the pilot could provide a safer option, while the Statewide Office on Homelessness and Housing Solutions said it supported the intent but stressed that a sanctuary is still an unsheltered situation and should lead people toward permanent housing. HCR 180, calling for collaboration among homelessness and law enforcement agencies, received comments that many of the issues are already being addressed locally. HR 103/HCR 107, which would convene a working group to strengthen Title 9 protections, received support from education, women’s, and LGBTQ advocates, who asked for student and queer representation on the working group and said federal Title 9 changes make state action important. No votes were taken during the portion of the meeting provided, and the committee moved from one resolution to the next after testimony and questions.

Transcript Highlights:

• disabilities.
• disabilities.
• disabilities.
• disabilities.
• intellectual and developmental intellectual and developmental disabilities<00:01:36.040> and<

Keywords: 1183, house

Transcript Highlights:

• Moving on, I'd like to call Josh Gladstone from the Massachusetts Developmental Disability Council.
• My name is Josh and I'm the disability policy specialist from the Massachusetts Developmental Disability
• Disability Council, and we know that this impacts people with developmental and other disabilities throughout
• Austin Carr from the Massachusetts Developmental Disability Council. Austin, are you there?
• I'm a citizen council member with the Massachusetts Developmental Disabilities Council and a parent of

Keywords: 995, all

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

Transcript Highlights:

• Um, and I'm joined at the table today by Jennifer Rodriguez, the director of the Developmental Disability
• I'm Jennifer Rodriguez from the Developmental Disability Supports Division, and I would love to be able
• Additionally, uh, we were able, as, as Secretary Armijo mentioned, the Developmental Disability Supports
• Um, another really great success in, in New Mexico with the Developmental Disability Supports Division
• We appreciate the Healthcare Authority and Developmental Disability Supports division considering rate

Transcript Highlights:

• Individuals in developmental disabilities that have been enrolled.
• disability and therefore are served through developmental disabilities or the 040 budget.
• You have to first have a diagnosis, and this is only true in the developmental disability space.
• You can see there's 145 of these people that are receiving services under developmental disabilities.
• Children with intellectual and developmental disabilities and severe behavior being sent out of state

Summary: The committee heard testimony on the effects of H.R. 1 on Washington’s Medicaid, developmental disability, long-term care, and food assistance systems, followed by a separate discussion of juvenile rehabilitation caseloads and placement capacity. DSHS officials said HR1 could affect home equity rules, immigration-related eligibility, work requirements for some expansion-population enrollees, and provider taxes, while also creating a future opportunity for a new 1915(c) waiver. Advocates and providers warned that any state response that cuts home and community-based services would worsen already thin provider networks, increase waiting lists, push more people into hospitals or out-of-state placements, and strain families and workers. A pediatric behavioral health expert and a supported living provider said Medicaid reimbursement is already too low and further reductions would threaten outpatient, residential, and inpatient services for people with intellectual and developmental disabilities and severe behavioral needs. The committee then turned to SNAP and the state food assistance program. DSHS said HR1 would tighten work requirements and exemptions, end some immigrant eligibility for the federal program, eliminate the SNAP education program, raise state administrative costs, and eventually require Washington to share in benefit costs based on its error rate. Officials estimated large numbers of residents could lose or see reduced benefits, with significant added state costs. Anti-hunger advocates, a food bank director, and a SNAP recipient described the program as essential for low-income families, seniors, and people with disabilities, and said the changes would increase paperwork, reduce benefits, and worsen food insecurity while also harming local food economies. Testimony emphasized that food banks cannot replace SNAP and that work requirements may be difficult to meet for caregivers, people with disabilities, and those facing child care or transportation barriers. In the juvenile justice portion, the Caseload Forecast Council presented the JR forecast, which is currently mostly flat through the end of the biennium but expected to grow modestly over the longer term. Members discussed how policy choices, including the 2019 JR-25 law, have increased lengths of stay for adult-sentenced youth in JR, while diversion and other reforms have affected regular JR trends. A court researcher explained the data available to help forecast admissions and noted ongoing efforts to improve data sharing with JR, AOC, and county systems, though staffing and system-lag issues limit how quickly data can be produced. Juvenile court administrators and DCYF officials described the community-based juvenile justice continuum, rising complexity in the JR population, overcrowding at Green Hill and placement constraints at Echo Glen and Harbor Heights, and the need for more flexible community transition and mental health capacity. No votes were taken.

Transcript Highlights:

• by the Department of Human Services Division of Developmental Disability Services.
• Disabilities... ...which is I'm over the Division of Developmental Disabilities, the Office of Substance
• This is the sole responsibility of the Division of Developmental Disability Services.
• This is the office... ...of the Division of Developmental Disability Services.
• disability services this is the office of the division of developmental disability services this is

Summary: The Joint State Agencies committee met to approve prior minutes and then focused on the death of Zachary Moore at the Southeast Arkansas Human Development Center, later clarified in discussion as the Warren facility. DHS officials described Moore’s background, said he died after a prolonged prone restraint followed by a delayed chemical restraint, and reported that 13 staff were terminated, the superintendent was replaced, a consultant was brought in, and the agency entered a settlement with the family for $725,000. Members pressed DHS on the cause of death, restraint policies, staff training, supervision, family notification, and why the family had not been kept informed; DHS said a family-notification procedure exists but that communications during litigation had been handled through counsel. The committee also heard that six staff had been criminally charged with manslaughter and neglect of a vulnerable person, and that the death certificate listed the manner of death as homicide with cause of death tied to physiologic stress associated with struggle and prone restraint. DHS officials gave broader context on the five human development centers, their licensing and accreditation, resident population, mortality review process, and training programs. They said the centers serve highly medically and behaviorally complex residents, that annual restraint training and CPI-based instruction are required, and that the mortality review committee and Office of Long-Term Care review deaths and make recommendations. Members repeatedly criticized the agency for not having complete information at the meeting and for what they saw as gaps in oversight, staffing, and chain-of-command clarity during emergencies. DHS responded that the Warren facility had not been meeting the same standards as the others, that the consultant’s root-cause analysis identified multiple failures, and that new crisis-team and chain-of-command procedures were being drafted. A second major topic was staffing and recruitment. Members discussed low pay, turnover, use of float and on-call staff, rural staffing shortages, and a waiting list of about 2,000 people for home- and community-based services. DHS said CNAs at the centers start at about $39,000 a year, that a broader retention and recruitment plan is being drafted for all five centers, and that a separate rate study for PASS services will be implemented in January 2027 but does not cover CNA pay. The meeting ended with testimony from Moore’s mother, Angela Stevens, who said money could not replace her son and urged stronger training, background checks, and supervision so other residents would be protected. The committee asked DHS to keep members and Stevens updated on consultant reports, recruitment efforts, and follow-up on the family communication issue, and then adjourned.

Transcript Highlights:

• program for developmentally disabled Floridians who receive support through Medicaid waiver programs
• This program in this bill is about supporting Florida's developmentally disabled as they seek inclusion
• adults, developmentally disabled in a Medicaid waiver program, be automatically enrolled.
• The bill also... ...developmentally disabled in a Medicaid waiver program be automatically enrolled.
• Valerie Breen, Florida Developmental Disabilities Council, waving in support.

Summary: The Committee on Children, Families, and Elder Affairs heard and advanced several bills and confirmations. SB 1016, on medical assistance eligibility for working persons with disabilities, was amended to remove automatic enrollment and to improve information sharing between AHCA and DCF; supporters said the bill codifies an existing program that helps developmentally disabled adults work without losing Medicaid coverage, and the committee reported the bill favorably. SB 1002, on temporary custody of minor children, was amended to focus on substance abuse as a pathway for court intervention when parental drug abuse creates ongoing risk to a child, and it was also reported favorably. SB 1594, on veteran benefit payments for minor clients in foster care, would ensure military benefits accessed for foster youth are preserved for post-secondary education or aftercare rather than used as reimbursement to agencies; it passed favorably without amendment. The committee also considered SB 1630 on aging and disability services, a broad modernization bill covering long-term care screening, emergency continuity of care, area agency oversight, Alzheimer’s services, home care, and guardianship reforms. Two amendments were adopted, including one on competitive procurement and another allowing area agencies on aging to directly provide core services during emergencies with department approval. Supporters emphasized caregiver navigation, dementia training, and service continuity, and the bill was reported favorably. SB 1030 on substance abuse services/recovery residences was taken up with a substitute amendment that narrowed transfer definitions, required faster licensure action for existing providers adding levels of care, and limited credentialing entities’ access to resident medical records; stakeholders said further work was needed, but the committee still reported the bill favorably. The committee also heard the nomination of Robert Astellos to lead the Agency for Persons with Disabilities. He outlined priorities including reducing the pre-enrollment list, improving transparency and family involvement, strengthening customer service, and streamlining agency processes. Several disability and provider organizations appeared in support, and the committee voted to recommend his confirmation. The committee then recommended confirmation of the appointees on tabs 7 through 10 by a single favorable vote, and adjourned at the end of the meeting.

Bills: HB389, HB1166, HB1510, HB1541, HB1605, HB1661, HB1663, HB1678, HB1769, HB1785, HB1801, HB1802, HB1815, HB1824, HB1838, HB1840, HB1853, HB1860, HB1891, HB1952, HB1960, HB1969, HB1970, HB1972, HB1976, HB2050, HB2094, HB2104, HB2158, HB2165, HB2171, HB2208, HB2246, HB2271, HB2300, HB2310, HB2315, HB2319, HB2338, HB2339, HB2343, HB2443, HB2498, HB2551, HB2599, HB2606, SB17, SB83, SB99, SB148, SB411, SB709, SB847, SB874, SB888, SB1032, SB1166, SB2001, SB2014, SB2031, SB2041, SB2050, SB2057, SB2061, SB2074, SB2075, SB2089, SB2095, SB2101, SB2102, SB2108, SB2109, SB2110, SB2125, SB2135, SB2138, SB2140, SB2146, SB2151, SB2152, SB2175, SB2203, SB2239, SB2246, SB2247, SB2253, SB2261, SB2268, SB2271, SB2272, SB2320, SB2340, SB2347, SB2353, SB2363, SB2367, SB2372, SB2376, SB2386

Keywords: HB389, uncrewed aircraft, drone, drones, UAS, unmanned aerial vehicle, misuse of uncrewed aircraft, criminal offense, felony enhancement, drone crime, public safety, police, deputy sheriff, fire department, intoxicated operation, registration number tampering, property damage, bodily injury, Honolulu Prosecuting Attorney Package, Hawaii Revised Statutes

Bills: HB389, HB1166, HB1510, HB1541, HB1605, HB1661, HB1663, HB1678, HB1769, HB1785, HB1801, HB1802, HB1815, HB1824, HB1838, HB1840, HB1853, HB1860, HB1891, HB1952, HB1960, HB1969, HB1970, HB1972, HB1976, HB2050, HB2094, HB2104, HB2158, HB2165, HB2171, HB2208, HB2246, HB2271, HB2300, HB2310, HB2315, HB2319, HB2338, HB2339, HB2343, HB2443, HB2498, HB2551, HB2599, HB2606, SB17, SB83, SB99, SB148, SB411, SB709, SB847, SB874, SB888, SB1032, SB1166, SB2001, SB2014, SB2031, SB2041, SB2050, SB2057, SB2061, SB2074, SB2075, SB2089, SB2095, SB2101, SB2102, SB2108, SB2109, SB2110, SB2125, SB2135, SB2138, SB2140, SB2146, SB2151, SB2152, SB2175, SB2203, SB2239, SB2246, SB2247, SB2253, SB2261, SB2268, SB2271, SB2272, SB2320, SB2340, SB2347, SB2353, SB2363, SB2367, SB2372, SB2376, SB2386

Keywords: HB389, uncrewed aircraft, drone, drones, UAS, unmanned aerial vehicle, misuse of uncrewed aircraft, criminal offense, felony enhancement, drone crime, public safety, police, deputy sheriff, fire department, intoxicated operation, registration number tampering, property damage, bodily injury, Honolulu Prosecuting Attorney Package, Hawaii Revised Statutes

Transcript Highlights:

• Developmental disability will not be able to be detained. All right, let's go to sponsor.
• Speaker, I said people with developmental disabilities.
• So my question is, we're exempting people who have developmental disabilities.
• You asked, how are they determining if they had developmental disabilities?
• Incident or issue and, or with a person that has developmental disabilities, Mr.

Bills: HB111, HB61, HB43, HB156, HB70, SB3, HB103, HB109, HB128, HB247, HJM2, HJM3, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM32, HM11, HM14, HM21, HM34, HM50

Keywords: water law, state engineer, civil penalty, compliance order, water rights, overdiversion, illegal diversion, groundwater storage and recovery, well license, permit violation, water enforcement, New Mexico water code, irrigation district, conservancy district, water diversion, unauthorized water sales, measuring device, district court appeal, water resources, water compliance

Transcript Highlights:

• disabilities.
• disabilities.
• disabilities.
• disabilities.
• "And or developmental disabilities in their own homes and in their own communities.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.

Transcript Highlights:

• <00:11:20.360> delay category is developmental delay category is developmental delay developmental
• It could be a math disability.
• is specific learning disability.
• is specific learning disability.
• is specific learning disability.

Keywords: 928, house, all

Summary: The work session focused on special education, especially the differentiated aid component and special education aid, which members noted is still often called “catastrophic aid.” The chair said the committee was trying to better understand how special education costs are growing, how districts are delivering services through SAUs or internally, and how reimbursement formulas affect local costs. Members also discussed the need for better data before making decisions on several education funding bills, and Representative Brown was tasked with capturing questions for follow-up information from the department or elsewhere. Testimony from the state special education director, Becky Fad, centered on why student counts in various disability categories have shifted over time. She said the categories themselves have not changed much, but autism has increased because of greater understanding and identification, developmental delay has grown because it applies to children under age 10 who may not yet have a clear diagnosis, and some students previously classified under speech/language or other health impairment are now identified in more specific categories such as autism. She emphasized that the IEP is based on a child’s individual needs, so a change in category would not necessarily change services, though it may help educators support the student differently. Members asked about whether the shifts reflect better diagnostic capability, whether the department should gather more data on the reasons for the changes, and whether autism-spectrum data could be broken down further. Fad said the department does not currently have data on the causes of the shifts or on where students fall within the autism spectrum, but that collecting and analyzing such data is on its list of priorities and a new data manager had recently been hired. She also explained that each child is counted only once on the chart by primary disability, that the IEP or eligibility team determines the primary category based on evaluations, and that any child can be referred for special education by a parent, teacher, or doctor, after which the district must meet within 15 days to decide whether to evaluate. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• GM 552, Pina Lemusu, State Council on Developmental Disabilities, for term to expire June 30, 2026.
• <00:16:06.360> Disabilities Developmental Disabilities Developmental Disabilities uh<00:16:07.800
• individuals with developmental individuals with developmental disabilities<00:19:17.400> and<
• For GM 552, Pinal Aumua Amosa, for State Council on Developmental Disabilities, for term to expire June
• c> to Developmental Disabilities, for term to Developmental Disabilities, for term to expire<00:20

Keywords: 912, senate, all

Summary: The Health and Human Services committee heard and considered several gubernatorial nominations to advisory boards and councils. Early in the meeting, members heard testimony in support of Miriam Chang for the Health Planning Council Windward O‘ahu subarea, with supporters highlighting her long medical practice on the Windward side, work at Ko‘olau Health Center, and community involvement. Chang said she wanted to help improve health, especially in rural areas. The committee also heard support for Terrilyn Luke’s nomination to the Center for Nursing Advisory Board; the Center for Nursing director and nursing organizations backed her, and Luke said she would bring a front-line nursing perspective, focus on workforce conditions, retention, and collaboration, and help address tensions between the Center and nursing labor groups. The committee then heard support for Valerie Rose’s nomination to the Language Access Advisory Council; Rose briefly noted her prior work in the Chronic Disease Branch and Bilingual Health Aide Section. The committee also took up nominations in a later agenda segment. James Montgomery was heard for the State Rehabilitation Council and described his interest in serving based on a family experience with disability and his work in talent management, saying he wanted to help people with disabilities gain opportunities. Kevin Nakamura was heard for the Board of Certification of Operating Personnel in Wastewater Treatment Plants and said his 30-plus years of wastewater experience would help ensure operators are properly trained and certified to protect resources and the environment. Pina Lemusu was heard for the State Council on Developmental Disabilities; she said her long career with the Division of Vocational Rehabilitation and personal experience with disability would help her contribute to the council. Additional testimony in support came from the State DD Council and Voc Rehab representatives. The committee voted to recommend advise and consent on the nominations it considered, including Miriam Chang, Terrilyn Luke, Valerie Rose, James Montgomery, Kevin Nakamura, and Pina Lemusu. Most recommendations were adopted without objection, though Senator Dela Cruz voted no on some of the later nominations. The meeting also briefly noted another nomination, Olivia Kim, which was recalled and advanced with an advise-and-consent recommendation before adjournment.

Transcript Highlights:

• disability that impacts their ability to communicate.
• He said the Disability Rights Center and NAMI New Hampshire have worked with him on the amendment at
• an intellectual or developmental an intellectual or developmental disability<00:31:14.400> that
• Or developmental disabilities, to not acknowledge that they exist and how inappropriate it would be to
• um who has intellectual or developmental um who has intellectual or developmental disabilities disabilities

Keywords: 928, house, all

Summary: The committee first took up Senate Bill 409 in executive session, with the chair noting a caucus break to explain amendments to several substitute members. Members discussed a proposed amendment to narrow the bill’s felony provisions by limiting them to specific, knowingly dangerous conduct rather than making the offense too broad. The committee also noted a planned floor amendment to add missing “or” language to clarify that the listed acts were alternatives, not cumulative requirements. The amendment was adopted 13-0, and the bill as amended was then reported OTPA by a 13-0 vote. It was initially said to be headed to consent, but members later agreed it would not go on consent because a floor amendment was anticipated. The committee then opened House Bill 667, which would extend protections for medical personnel into emergency room settings. Supporters said the bill was needed because emergency room staff face increasing assaults and existing protections did not fully cover ER circumstances. Several members described firsthand or secondhand incidents involving nurses, EMTs, and other staff being threatened or injured, and argued that stronger penalties would help deter violence and improve prosecution. Others supported the bill but raised concerns about how it might affect people experiencing mental health crises, dementia, or intellectual and developmental disabilities. A proposed amendment from Representative Sher would exempt people experiencing a mental health crisis who have a mental health diagnosis, and also address dementia and certain developmental disabilities. Supporters said the amendment was narrowly tailored and had backing from the Disability Rights Center, NAMI New Hampshire, and the New Hampshire Nurses Association. Opponents argued that the criminal justice system already has safeguards such as prosecutorial discretion, insanity defenses, and competency rules, and warned against creating special exceptions that could weaken equal application of the law. After debate, the committee voted 10-3 to report HB 667 ought to pass, with members noting that minority and majority reports would be prepared.