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4/7/25, 10:00 AM - Budget Hearing: Ways & Means, Attleboro High School, One Blue Pride Way and virtual

Status: Normal
Date/Time: 4/7/25 10:00 AM
Location: Attleboro High School, One Blue Pride Way and virtual
Committee: Joint Committee on Ways & Means (JWM)
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Joint Committee on Ways and Means Fiscal Year 2026 Budget Hearing


Chairs:  
Senator Paul R. Feeney
Representative David Biele
 

Participants will be:

Executive Office of Health and Human Services
Office of Medicaid
Dept. of Public Health 
Dept. of Mental Health
Executive Office of Aging and Independence 
Health Policy Commission
Center for Health Information and Analysis


Bill # Title Last Action Status Track
1. 04/07/2025 - Joint Committee on Ways and Means
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Printable
Transcript
This transcript is initially posted in unedited form, edited transcript to follow.
SPEAKER15.28 -5.28 Welcome5.28 everybody.5.6 Welcome6.88 to7.28 our,7.68 joint8.56 committee8.88 on9.28 ways9.44 and9.68 means9.92 governors10.4 h10.96 111.12 budget11.52 proposal11.92 for12.4 fiscal12.56 year12.96 2013.2 2613.52 614.48 HHS15.29 115.85 hearing.16.24 This17.52 is17.77 the18 seventh18.16 public18.57 hearing18.89 on19.2 the19.36 h19.52 119.68 budget,19.93 by21.2 the21.36 joint21.52 committee21.77 on22.09 ways22.24 and22.48 means.22.64 The23.36 eighth23.52 and23.77 final24.01 hearing24.32 on24.8 the24.89 h25.05 125.2 budget25.45 proposal25.84 will26.24 take26.4 place26.64 tomorrow,26.88 April27.91 eighth28.15 at28.47 11AM28.71 at29.35 the29.43 State29.59 House,29.83 and30.47 we'll30.63 feature30.79 testimony31.19 from32.07 the32.31 public.32.39 My33.67 name33.83 is33.99 Paul34.23 Feeney.34.47 I'm34.79 the34.95 state35.03 senator35.35 from35.67 the35.83 Bristol35.91 And36.39 Norfolk36.55 District,36.95 Assistant37.35 Vice37.75 Chair38.07 of38.55 the38.71 joint38.79 committee39.03 on39.35 ways39.51 and39.67 means39.83 the39.99 senate40.15 committee40.39 on40.71 ways40.79 and41.03 means.41.19 It41.66 is41.73 my41.9 pleasure42.14 to42.45 welcome42.62 you42.94 to43.09 Attleboro43.26 High43.82 School,43.98 to44.62 the44.77 city44.94 of45.17 Attleboro.45.34 To46.53 I46.85 wanna47.02 just47.5 say47.66 thank47.9 you48.14 so48.3 much48.45 to48.77 all48.85 my49.09 colleagues,49.26 not50.38 only50.62 for50.85 coming51.02 here51.34 today51.58 to51.98 the52.05 Jewel52.22 City,52.53 but53.58 also53.82 for54.38 traveling54.7 across55.26 the55.58 Commonwealth55.73 over56.75 the56.91 last57.15 month57.39 plus57.71 for58.11 all58.27 these58.51 hearings.58.75 It's,59.71 it's60.27 been60.51 evident60.75 that61.15 this61.23 is61.47 the61.55 way61.63 the61.87 government62.03 should62.43 work62.59 going62.91 out63.15 to63.31 every63.63 community,63.87 that64.83 we64.99 possibly65.15 can65.55 across65.79 the66.11 Commonwealth,66.19 and66.67 I'm66.83 thrilled66.99 to67.31 have67.47 you67.63 here67.79 in68.35 Attleboro68.51 this69.39 morning.69.63 Today,70.75 this72.19 hearing72.52 will73 be73.16 co73.31 chaired73.56 by73.88 myself74.11 and75.08 my75.39 good75.64 friend75.8 and76.19 partner76.44 in76.83 government76.92 state77.31 representative77.64 David78.28 Beal.78.59 We79.47 will79.64 hear79.88 from80.11 the80.35 executive80.52 office80.92 of81.23 Health81.31 and81.47 Human81.64 Services,81.95 EOHHS,82.44 MassHealth,84.03 Office84.75 of85.08 Medicaid,85.16 Department86.26 of86.58 Public86.74 Health,87.06 DPH,87.3 Department88.34 of88.74 Mental88.82 Health,89.06 EMH,89.86 Health90.58 Policy90.98 Commission,91.46 Center92.5 for92.74 Health93.14 Information93.38 and93.86 Analysis,94.1 also94.74 known95.06 as95.22 CHIA,95.54 Executive96.34 Office96.9 of97.14 Aging97.3 and97.62 Independence,97.78 Massachusetts98.9 Commission99.54 on99.86 LGBTQ100.1 Youth,101.14 Commonwealth102.03 of102.5 Massachusetts102.67 Asian103.14 American103.55 and103.74 Pacific103.94 Islanders104.34 Commission,104.83 and105.86 the106.19 Betsy106.42 Lehman106.75 Center107.22 for107.55 Patient107.86 Safety.108.27 HHS109.31 is109.86 the110.03 largest110.19 secretary110.58 in111.06 the111.22 Commonwealth111.31 with112.19 11112.34 agencies112.75 and113.22 over113.39 23,000113.55 employees114.5 and115.4 directly115.56 deliver115.88 services116.36 and116.76 programming117 to117.32 nearly117.56 1117.88 in118.44 every118.6 3118.92 residents119.4 of119.96 the120.12 Commonwealth.120.28 We121.32 will121.48 try121.8 and122.04 move122.2 as122.44 expeditiously122.68 as123.4 possible123.56 through123.96 the124.2 testimony124.36 and125.24 provide125.48 legislators125.8 with126.36 an126.6 opportunity126.76 to127.24 ask127.4 questions127.64 and128.36 make128.6 comments128.84 on129.24 the129.32 proposal129.4 before129.96 us.130.28 But131.19 before132 we132.31 move132.4 into132.64 the132.96 testimony133.03 and133.59 and133.92 and134.31 and134.4 the134.56 subject134.79 matter135.12 of135.44 the135.51 day,135.59 I'd136.64 like136.79 to137.03 take137.12 a137.59 few137.68 brief138 minutes138.24 to138.64 officially138.79 welcome139.28 you139.59 to140.16 the140.31 brand140.47 new140.79 Attleboro141.12 High141.75 School.141.92 I'm142.96 gonna143.21 hear143.37 more143.53 about143.85 this144.17 school144.33 in144.57 a144.73 moment144.81 from145.05 our145.29 principal,145.45 but146.25 I146.49 just146.57 wanna146.73 highlight147.05 that147.37 this147.53 $260,000,000147.69 building149.05 project149.45 for150.01 the150.09 new150.17 Attleboro150.33 High150.81 School150.97 was151.13 almost151.37 20151.69 years152.01 in152.25 the152.33 making152.49 and153.21 finally153.45 opened153.85 its154.09 doors154.25 to154.49 students154.65 in155.05 August155.21 of155.53 20155.69 22.155.93 The157.08 largest157.32 municipal157.72 undertaking158.2 in158.69 the158.84 city's159 history,159.41 the160.13 project160.36 featured160.69 $126,500,000161 reimbursement163.25 for164.13 the164.28 Massachusetts164.44 School165 Building165.25 Authority165.64 after166.53 city166.84 voters167.08 approved167.49 the167.81 property167.88 tax168.28 override168.53 in169.25 April169.41 2018169.92 to170.44 pay170.53 for170.76 the170.92 building171 with171.76 66%172 of173.52 the173.68 vote.173.92 We'll175.04 hear175.28 more175.44 about175.68 the175.84 school175.92 in176.24 a176.32 moment176.4 from176.72 our176.88 principal,176.96 Kate177.36 Campbell,177.6 but178.24 I178.48 wanna178.56 underscore178.88 how179.28 proud179.44 we179.68 are179.84 of180 this180.08 wonderful180.24 school,180.72 especially181.44 the181.92 CTE182.16 programs182.56 offered183.12 here.183.44 Attleboro184.26 High184.58 School184.66 is185.06 very185.22 unique185.47 in185.71 that185.86 it's186.03 1186.26 of186.43 14186.58 comprehensive187.06 high187.71 schools187.86 offering188.75 both189.06 traditional189.86 general190.43 education190.82 curriculum191.31 and192.34 chapter192.5 74192.91 approved193.71 career194.1 and194.43 technical194.58 education194.99 programs.195.47 Hopefully,196.58 you'll196.99 get197.15 the197.38 chance197.54 during197.86 the198.19 day198.34 to198.95 hear199.11 all199.35 about199.51 the199.75 the200.07 many200.15 shops200.55 that200.87 are201.03 offered201.19 here201.59 at201.83 Attleboro201.91 High202.47 School202.63 and203.11 how203.27 the203.43 students203.59 have203.91 taken203.99 Evangeline.204.31 I'd205.59 like205.75 to205.91 take206.47 this206.71 opportunity206.95 right207.51 now207.67 to207.91 turn207.99 it208.23 over,208.39 to209.19 our209.43 co209.67 chair,209.91 representative210.47 David211.11 Beal,211.43 for211.67 opening211.83 remarks.212.15
213.69 SPEAKER2213.69 -213.69 Thank213.69 you,213.84 Chair214.09 Feeney.214.32 Good214.81 morning,215.04 everyone.215.37 For216.17 those216.32 of216.56 you216.65 who216.81 I216.89 haven't217.04 met,217.28 my217.53 name217.69 is217.84 David218 Beal.218.32 I218.65 am218.81 the218.89 state219.04 representative219.37 for219.93 the220.09 Fourth220.25 Suffolk220.56 District,220.89 which221.69 includes221.93 the222.32 South222.49 Boston222.72 neighborhood223.04 in223.37 the223.44 city223.61 of223.76 Boston.223.93 I'm224.56 grateful224.72 for225.13 the225.28 opportunity225.44 to225.84 be226 here.226.09 This226.25 is226.49 a226.56 wonderful226.65 school,227.04 and228.41 look228.65 forward228.89 to,229.13 hearing229.93 from230.17 testimony.230.41 As231.29 we231.45 know,231.61 we231.77 live231.85 in232.09 uncertain232.25 times,232.73 and233.13 with233.37 all233.53 the,233.69 activity234.89 that235.21 we're235.37 seeing235.53 going235.85 on236.01 in236.17 DC,236.41 looking237.05 forward237.29 to237.53 hearing237.77 testimony238.01 on238.49 how238.65 that238.81 will238.97 impact239.13 specifically,239.53 health240.34 and240.5 human240.66 services240.9 and241.53 working241.78 together242.09 with242.42 my242.58 colleagues242.74 in243.06 the243.14 house243.22 and243.46 senate243.62 in243.94 the244.09 administration,244.18 put245.22 forward245.46 a245.78 budget245.86 as246.18 we246.34 craft,246.5 our247.69 budget247.86 for248.25 the248.42 upcoming248.5 fiscal248.81 year.249.14 So249.29 thank249.69 you,249.86 Chair250.01 Feeney250.25 and250.5 your250.58 team250.74 for,250.97 putting251.38 us251.62 together,251.78 for252.18 hosting252.34 us,252.66 and252.81 look252.9 forward253.14 to253.38 a253.46 productive253.62 day253.94 of254.18 testimony.254.25 Thank254.81 you.254.97
255.66 SPEAKER1255.66 -255.66 Thank255.66 you,255.82 mister255.98 chairman.257.02 It's257.5 great257.74 to257.98 have258.06 you258.22 down258.3 at258.54 God's258.62 Country258.86 coming259.66 from259.9 the260.06 city260.14 down260.46 to260.7 Attleboro260.86 this261.26 morning.261.42 As262.94 I263.1 said,263.26 members263.66 have263.98 been264.14 traveling264.3 to264.86 this264.94 committee.265.1 Members266.3 have266.62 been266.78 traveling266.94 all267.34 across267.58 the267.82 Commonwealth267.98 to268.46 many,268.62 many268.94 hearings269.1 over269.5 the269.74 last269.9 month,270.14 and271.08 I271.25 would271.4 like271.73 to271.88 give271.96 them272.13 a272.37 chance272.52 to272.85 introduce273 themselves,273.4 where274.44 they274.6 come274.76 from,275 their275.17 district,275.4 and275.81 the275.96 communities276.2 that276.69 they276.85 represent.277 So277.73 why277.96 don't278.04 we278.29 start278.44 on278.93 my279.16 right279.73 down280.04 at280.29 the280.44 end280.52 of280.69 the280.76 table280.85 here,281.16 rep,281.4 Kearns.281.81
285.54 Grab285.54 any285.7 of285.94 those286.02 mics.286.18 Talk286.5 directly286.74 into287.14 the287.3 mic287.38 if287.7 we287.78 could.287.94 And288.1 if,288.34 I288.82 think288.98 there's289.14 a289.38 switch289.54 on289.78 the289.94 top290.1 to290.26 make290.42 sure290.58 you290.74 turn290.98 it291.14 on291.3 so292.02 that292.18 everybody292.34 on292.74 the292.82 live292.98 stream293.22 can293.54 hear293.78 us293.94 as294.18 we294.34 make295.75 our296 comments.296.15
296.48 SPEAKER3296.48 -296.48 I296.48 got296.63 you.296.79 Thank297.04 you,297.19 mister297.35 chairman.297.75 Good298.15 morning.298.39 Sally299.04 Kearns,299.35 thirteenth299.92 Essex300.39 District,300.79 Danvers,301.68 Middleton,302.31 Peabody,303.04 Wenham,303.83 Topsfield.304.48 Great305.19 to305.44 be305.51 here.305.68 Thank305.91 you.306.15
308.81 SPEAKER4308.81 -308.81 Good308.81 morning,309.05 everyone.309.37 State310.01 representative310.33 Marcus310.81 Vaughn311.29 from311.93 Wrentham,312.25 but312.81 originally312.97 hail313.45 from313.77 your,314.01 rival314.97 North315.37 Attleboro,315.61 but316.25 I316.49
316.57 SPEAKER5316.57 -316.57 represent316.57 Wrentham,317.05 Plainville,317.53 and318.41 Norfolk,318.65 Walpole,319.69 Millis,320.25 and320.65 Metfield.320.81 Thank321.37 you.321.61 Good323.25 morning.323.5 State324.06 representative324.29 Kelly324.85 Pease.325.25 I325.57 come325.74 from326.06 the326.21 Fourth326.38 Hampton326.62 District,327.1 which327.57 is327.81 pretty328.69 far328.94 out329.18 west.329.33 Westfield329.74 and330.13 Southampton330.38 is330.94 who331.18 I331.33 represent.331.41
338.31 SPEAKER6338.31 -338.31 Good338.31 morning,338.47 everyone.338.71 I'm339.03 John339.27 Moran.339.51 I'm339.83 state339.99 representative340.31 from340.95 the341.19 Ninth341.43 Suffolk341.91 District,342.31 which343.03 is,343.19 part343.83 of343.99 the344.15 South344.31 End344.63 Roxbury,344.95 Dorchester,345.59 and346.23 the346.39 city346.47 of346.71 Boston.346.87
348.69 SPEAKER7348.69 -348.69 Good348.69 morning.348.94 Thank349.25 you,349.41 chair.349.74 My350.21 name350.45 is350.54 Steven350.77 Exaros.351.18 I'm351.97 a352.21 Massachusetts352.38 state353.1 representative353.41 from354.45 the354.69 fighting354.85 Fifth355.25 Barnstable355.57 District356.13 on356.62 Cape356.85 Cod,357.18 representing357.97 the358.69 towns358.77 of359.18 Barnstable,359.33 Sandwich,360.38 and360.94 Bourne.361.18
363.55 SPEAKER2363.55 -363.55 Good363.55 morning,363.71 everybody.364.03 Representative364.51 Michael365.07 Chasen365.31 from365.63 the365.79 First365.87 Bristol366.11 District366.43 representing366.91 Foxborough,367.39 Mansfield,367.79 and368.27 Norton.368.35
369.63 SPEAKER1369.63 -369.63 Good369.63 morning,369.79 Joe370.19 McKenna,370.43 eighteenth370.99 Worcester371.47 district371.87 in372.27 the372.43 house372.51 representing372.91 Webster373.47 Douglas373.87 Sutton374.27 on374.59 the374.75 border374.83 of375.15 both375.23 Connecticut375.47 and375.95 Rhode376.19 Island.376.43
377.79 SPEAKER8377.79 -377.79 Good377.79 morning.377.87 State378.19 representative378.43 Todd378.9 Smola.379.23 I'm379.63 the379.79 ranking379.94 member380.19 of380.43 the380.5 committee.380.67 I'm380.99 from381.23 the381.46 First381.63 Hamden381.94 District382.35 in382.59 Western382.75 Massachusetts.383.15
387.31 SPEAKER9387.31 -387.31 I'm387.31 Jim387.63 Hawkins,387.94 and388.5 I'm388.75 the388.9 state389.06 representative389.38 from389.94 Attleboro390.11 and390.75 a390.9 proud390.99 retiree391.46 of392.03 Attleboro392.11 High392.67 School.392.82 And393.23 and393.43 everybody393.51 else393.75 had393.99 to394.23 drive394.31 all394.55 over394.71 the394.95 state.395.11 I395.59 could395.83 have395.99 walked396.23 here396.47 this396.71 morning.396.79 Sorry.397.19
401.59 SPEAKER10401.59 -401.59 Good401.59 morning,401.83 Tip402.87 Digs,403.11 second403.43 Barnstable403.75 District,404.31 Petuit,405.11 Austell,405.67 Cynival,406.15 Hyannis,406.87 Barnstable407.51 Village,408.07 and408.83 West409.07 Jammoth.409.15 Proud409.79 to410.12 be410.19 here.410.35 Thank410.6
412.91 SPEAKER11412.91 -412.91 you.412.91 Good413.39 morning413.56 everyone.413.88 Jo414.35 Comerford.414.75 I415.47 represent415.63 the416.12 Hampshire416.27 Franklin416.68 Worcester417.24 District.417.71 That's418.6 25418.91 cities419.39 and419.79 towns419.95 in420.27 the420.44 Connecticut420.6 River421.24 Valley421.47 and422.29 over422.53 up422.77 until423.09 North424.13 Worcester424.37 County.424.85
428.05 SPEAKER12428.05 -428.05 Good428.05 morning428.21 everyone.428.53 Great429.01 to429.25 be429.33 in429.49 God's429.73 country.430.05 I430.45 hail430.69 from430.93 the431.17 heart431.33 of431.49 the431.57 commonwealth431.73 was432.85 serving433.09 the433.49 first433.65 Worcester433.81 District434.21 State434.77 Senator435.01 Robin435.41 Kennedy.435.81 Thank436.21 you.436.45
438.1 SPEAKER13438.1 -438.1 Good438.1 morning,438.34 everyone.438.57 Judith439.06 Garcia.439.62 I440.25 proudly440.5 represent440.98 Chelsea441.46 and441.94 Everett.442.1 Thank442.57 you442.81 so443.06 much443.22 for443.46 having443.62 me.443.94
445.78 SPEAKER14445.78 -445.78 Good445.78 morning.446.01 State446.5 representative446.81 Margaret447.62 Scarsdale.448.18 I448.81 represent448.98 the449.46 First449.69 Middlesex450.01 District,450.9 which451.22 is451.62 Ashby,451.86 Dunstable,452.42 Groton,453.06 Precincts453.7 2454.18 And454.42 3,454.66 Pepperell,455.14 Lunenburg,455.78 Precincts456.58 A457.06 C457.22 And457.38 D,457.54 and457.78 Townsend.458.02
459.62 SPEAKER13459.62 -459.62 Good459.62 morning,459.78 everyone.460.18 My460.5 name460.66 is460.82 Lindsay460.98 Sabadosa.461.38 I'm462.02 the462.1 state462.26 representative462.58 for463.06 the463.22 First463.3 Hampshire463.54 District,463.86 which464.24 is464.39 the464.47 city464.63 of465.19 Northampton465.44 and466.07 8466.31 other466.56 communities466.79 in467.27 Western467.35 Hampshire467.75 County.468.15 Good470.39 morning,470.56 everyone.470.95 I'm471.44 Priscilla471.75 Souza.472.24 I472.63 represent472.79 the473.12 Sixth473.27 Middlesex473.51 District.473.91 That's474.24 about474.47 60%474.71 of475.27 Framingham,475.35 Southside,475.91 Westside.476.31
478.23 SPEAKER4478.23 -478.23 Good478.23 morning.478.47 My478.71 name478.87
479.03 SPEAKER15479.03 -479.03 is479.03 Rodney479.19 Elliott.479.51 I479.91 represent,480.15 the480.95 City481.11 of481.43 Lowell481.51 and481.83 North482.07 Charleston.482.55
484.23 SPEAKER4484.23 -484.23 Good484.23 morning.484.39 Russell484.79 Holmes.485.19 I485.67 represent486.07 the486.63 6486.79 Suffolk487.11 District,487.51 which488.15 is488.39 parts488.55 of488.87 Boston.489.03 So489.51 Mattapan,490.07 Dorchester,490.55 High491.11 Park,491.27 Rosendale,491.51 and492.07 JP.492.31
494.26 SPEAKER13494.26 -494.26 Good494.26 morning,494.43 all.494.66 My494.9 name494.99 is495.14 State495.31 Representative495.54 Shirley495.87 Arriaga.496.26 I496.75 come496.82 from496.99 Western497.23 Massachusetts.497.54 I498.1 represent498.26 the498.58 great498.66 city498.82 of499.06 Chicopee.499.14
500.82 SPEAKER16500.82 -500.82 Good500.82 morning,500.99 Vana501.31 Howard.501.79 I'm502.1 a502.26 State502.43 Representative502.66 representing503.38 the503.87 17504.02 Middlesex504.5 District.505.06 That's505.38 Lowell505.7 in506.02 Tewkesbury.506.19 Welcome.507.31
517.84 I'm517.84 Representative518 Kristin518.56 Kasner.518.88 I519.28 represent519.36 the519.76 Second519.92 Essex520.24 District520.64 which521.53 is521.7 North521.77 Shore,522.1 Hamilton522.5 Ipswich,522.82 Raleigh,523.29 Newbury,523.7 Georgetown,524.1 and,524.58 part525.13 of525.29 Topsail.525.38 Thank525.93 you.526.1
527.7 SPEAKER1527.7 -527.7 Great.527.7 Thank527.93 you528.17 so528.33 much.528.5 And528.58 there528.82 may528.89 be529.05 other529.21 members.529.45 I'm530.01 getting530.17 a530.33 couple530.5 of530.74 text530.89 messages,531.13 members531.53 joining531.93 us532.25 later532.41 on532.65 in532.89 the532.98 morning,533.13 and534.05 we534.21 will534.29 recognize534.53 them534.85 as535.33 they,535.49 as536.05 they536.29 come536.45 up536.61 to536.77 the536.85 stage.537.01 Right537.97 now538.13 without538.29 further538.61 ado,539.01 again,539.65 Attleboro,540.21 as540.77 I541.01 mentioned541.09 earlier,541.49 has541.81 been541.97 known542.21 historically542.45 as543.01 the543.17 jewelry543.33 capital544.13 of544.53 the544.61 world.544.77 Odds545.81 are546.05 if546.29 you546.45 had546.61 a546.77 school546.93 ring547.33 at547.65 some547.81 point547.97 in548.53 your548.69 life,548.93 it549.43 was549.6 manufactured549.84 right550.48 here550.72 in550.96 Attleboro.551.12 We552.24 have552.39 a552.63 long,552.72 manufacturing553.75 tradition554.63 and555.2 history555.36 here555.75 in555.91 the556.08 city,556.15 but557.2 we557.27 are557.43 ably557.67 led558.15 now,558.48 during559.36 these559.6 times559.84 by560.39 mayor560.63 Kathleen560.96 DeSimone,561.51 and562.43 we're562.59 thrilled562.75 to563.15 have563.31 you563.47 here,563.63 mayor,563.95 and564.27 we564.43 wanna564.59 welcome564.91 mayor565.63 DeSimone,565.95 for566.83 some567.07 remarks567.23 this567.63 morning.567.79
575.64 SPEAKER15575.64 -575.64 Thank575.64 you,575.88 principal576.13 Campbell.576.52 First577.4 of577.64 all,577.73 good577.88 morning.578.13 Thank578.45 you578.68 all,578.92 for579.49 coming579.73 here.579.96 It580.28 is580.45 awesome580.61 to580.92 see581 all581.25 of581.33 your581.49 beautiful581.64 smile582.13 smiling582.52 faces583 on583.4 this583.57 great583.8 Monday584.21 morning.584.61 I585.64 am585.8 pleased586.04 to586.37 be586.52 here586.68 to,587 welcome587.49 you587.8 on587.96 behalf588.13 of588.37 the588.71 City588.79 of588.91 Attleboro.589.03 We589.51 are589.59 proud589.75 to590.07 host590.15 today's590.47 meeting,590.79 and591.67 we591.75 are591.91 grateful592.07 for592.47 the592.63 good592.71 work592.95 that593.19 you593.35 do593.51 for593.67 the593.83 residents593.91 of594.31 Attleboro594.55 and594.95 the595.11 Commonwealth.595.27 I'm596.23 also596.47 particularly596.79 proud597.27 of597.59 the597.67 beautiful,597.83 amazing,598.71 top599.75 notch,600.07 number600.55 1600.79 high601.19 school601.35 in601.67 the601.83 Commonwealth,601.99 and603.1 to603.17 be603.33 joined603.5 by,603.98 principal604.77 Campbell.605.25 Attleboro606.22 is606.77 indeed606.93 a607.25 city607.42 on607.82 the607.98 move608.05 evolving608.46 from,608.93 as609.17 Senator609.34 Feeney609.74 mentioned,610.13 our610.93 manufacturing611.17 roots.612.13 We612.46 are612.62 a612.74 great612.86 a613.17 gateway613.34 city613.82 rapidly614.46 becoming615.1 a615.75 community615.91 that616.23 supports616.71 and617.19 welcomes617.43 and617.75 embraces617.99 our618.47 educational618.71 system619.43 and620.23 our620.47 community620.55 health620.95 care621.19 systems621.43 that621.83 include622.07 Manet622.55 Community622.87 Health623.27 and623.51 Sturdy623.75 Health.624.15 We're625.75 on625.91 the626.15 move626.23 folks626.47 and626.71 I'm626.87 glad627.03 that627.19 you're627.35 here627.51 to627.75 see627.83 that.628.07 As628.93 you629.1 all629.25 well629.5 know,629.65 former629.89 Speaker630.22 of630.46 the630.54 House630.7 Chip630.93 O'Neill631.17 famously631.58 said632.05 that632.3 all632.62 politics632.86 is633.42 local.633.58 As634.54 much634.7 as634.86 that635.01 statement635.25 is635.58 true,635.74 it635.98 is636.13 also636.3 true636.54 that636.77 politics637.1 is637.58 not637.74 government637.98 nor638.86 governing.639.17 Good640.54 government640.77 is641.34 hard,641.58 as641.98 you642.13 all642.38 well642.54 know.642.86 It643.59 requires643.83 discussion,644.39 debate,645.11 compromise,645.75 getting646.71 things646.95 done647.27 even647.59 when647.83 we648.07 fundamentally648.23 disagree.649.03 Good650.07 government650.31 serves650.71 all651.03 of651.19 the651.35 people651.43 regardless651.83 of652.47 political652.55 party.653.03 Good653.99 government654.23 is654.63 open,654.87 fair,655.27 transparent,655.59 accountable,656.23 and656.79 efficient.656.95 Equally658.13 important,658.52 good659.57 government659.8 is660.29 also660.45 accessible.661.09 And662.29 holding662.45 your662.76 legislative663 committee663.57 meetings663.97 at664.37 locations664.52 like665 this665.25 across665.49 the665.88 commonwealth666.04 and667.17 allowing667.4 folks667.8 to668.13 access668.29 them668.61 via668.92 video669.17 are670.04 great670.29 ways670.61 to671 demonstrate671.17 good672.19 government672.43 to672.91 all672.99 of673.15 our673.23 residents.673.47 I674.43 am674.59 grateful674.75 for675.15 your675.31 service675.55 to675.87 the675.95 Commonwealth676.19 and677.07 your677.23 commitment677.47 to677.87 good678.03 government,678.19 and678.59 I678.83 look678.91 forward679.15 to679.47 a679.63 long679.71 well,680.03 not680.27 long.680.43 Strike680.75 that.681.07 To681.39 a681.55 productive681.71 and682.35 rewarding682.59 day683.07 for683.31 all683.55 of683.71 you.683.87 Thank684.13 you684.37 very684.45 much684.52 for684.76 being685 in685.13 the685.25 city.685.4
685.96 SPEAKER1685.96 -685.96 Thank685.96 you,686.28 Mayor.686.52 At687.64 this687.88 time,687.96 I688.2 wanna688.28 turn688.61 it688.85 over688.92 to,689.25 my690.04 partner690.28 in690.52 the690.68 delegation690.76 and691.49 member691.64 of691.96 this692.04 committee,692.28 also693.25 a693.57 former693.8 teacher694.28 at695.08 this695.33 school.695.57 So696.61 please696.85 welcome697.16 State697.57 Representative697.8 Jim698.28 Hawkins.698.52
699.7 SPEAKER9699.7 -699.7 Thank699.7 you,699.78 senator.700.02 I701.14 actually701.3 wasn't701.54 a701.86 teacher701.94 at702.26 this702.42 school.702.58 The702.82 school702.9 that703.14 I703.3 taught703.46 at703.7 is703.94 probably704.1 where704.42 you're704.66 parked.704.9 This705.78 was706.02 built706.26 a706.74 couple706.82 feet707.14 away707.38 from707.62 the707.78 school707.94 where708.26 I708.42 taught,708.58 but709.22 I'm709.38 I'm709.7 proud710.02 to710.42 be710.58 retired.710.74 I'm711.3 proud711.46 to711.7 1712.6 of712.75 my712.83 proudest713 things713.32 is713.63 my713.79 association714.03 with714.6 Attleboro714.75 High715.24 School715.32 as715.55 a715.63 teacher.715.71 As716.6 a716.75 district,716.91 it's717.32 forward717.63 thinking,717.95 does718.36 many718.6 things718.83 that719.15 I719.32 know719.48 don't719.63 happen719.88 in720.19 other720.36 communities.720.6 And721.79 this722.12 building722.36 amazing723.63 thought724.12 went724.36 into724.6 this,724.83 that724.91 it725.07 would725.24 be725.39 functional,725.55 that725.95 it726.03 will726.12 be726.36 good726.43 for726.6 generations726.83 to727.48 come.727.63 As728.41 a728.65 teacher.728.81 I729.13 can729.29 appreciate729.53 all730.01 the730.49 good730.65 work730.89 that731.13 went731.29 into731.45 this.731.69 I'd732.57 also732.81 like733.13 to733.29 since733.61 I733.85 see734.01 so734.25 many734.41 of734.57 the734.65 people734.81 that735.05 I735.21 used735.37 to735.53 work735.61 with735.85 here,735.93 I'd736.09 like736.25 to736.49 give736.57 thanks736.81 to737.05 the737.21 staff737.37 at737.61 Adelberg737.77 high738.17 school738.33 who738.57 are738.73 welcoming738.89 welcoming739.53 us740.01 in740.17 so740.33 many740.49 ways740.65 And741.16 the741.4 double741.57 ACS742.28 who's742.37 who's,742.76 making743.49 this743.88 technology744.2 top744.76 notch.745 We're,746.37 we're746.61 very747 lucky747.16 to747.49 be747.57 in747.73 Attleboro.747.96 It's748.68 my748.92 job749.16 to749.32 introduce749.57 principal750.28 Kate750.68 Kate751.32 Campbell,751.64 who752.85 has753.4 led753.73 this753.96 to754.37 teach754.53 this754.77 school.754.93 She755.25 would755.41 have755.57 been755.73 my755.81 boss755.97 if756.13 I756.37 was756.45 still756.61 here.756.85 So757.09 I'll757.41 introduce757.65 her758.21 very758.37 respectfully.758.61 Thank759.17 you.759.41
760.45 SPEAKER17760.45 -760.45 Thank760.45 you,760.69 Jim.761.09 On762.05 behalf762.29 of762.53 Attleboro762.69 High763.25 School,763.49 I'd763.73 like763.97 to764.13 welcome764.29 you764.61 all764.85 to765.01 our765.17 spectacular765.41 school.766.13 We're767.2 grateful767.43 for768 this768.15 opportunity768.39 to769.12 host769.27 this769.6 important769.83 session770.24 of770.63 the770.71 joint770.88 committee771.2 on771.51 ways771.67 and771.91 means772.15 led772.55 by772.79 Senator773.03 Feeney.773.43 Thank774.15 you774.39 to774.55 everyone774.71 sitting775.12 here775.43 sitting775.75 here776.15 today776.39 for776.96 your777.12 passion777.27 for777.67 public777.83 service.778.15 Less779.36 than779.51 3779.75 years780 ago,780.24 we780.55 opened780.63 the780.96 doors781.03 to781.36 this781.43 glorious781.67 building,782.15 But783.09 in783.25 time,783.49 we783.73 have783.89 created784.13 more784.53 than784.77 a784.93 school.785.01 Together,785.97 we786.29 have786.45 designed786.61 a787.01 place787.09 where787.33 dreams787.57 take787.97 root788.21 and788.61 where788.77 ideas789.09 come789.73 to789.97 life.790.13 We791.09 have791.25 a791.41 learning791.49 environment791.89 where792.45 each792.61 and792.85 every792.93 student793.25 has793.65 the793.81 opportunity793.97 to794.61 grow794.77 and795.01 shine795.25 in795.65 areas795.89 of796.29 interest,796.45 skill,797.17 and797.65 content.797.89 I'd799.23 like799.47 to799.54 thank799.78 Dave800.35 Sawyer,800.75 our801.14 superintendent801.3 of801.95 schools,802.11 who's802.66 led802.99 this803.23 journey.803.38 His804.42 hard804.59 work804.83 and805.07 determination805.3 have806.11 built806.26 a806.5 solid806.66 foundation806.99 on807.95 respect,808.18 engagement,808.9 creativity810.02 and810.83 collaboration811.07 for811.87 our812.02 district.812.18 Along813.65 with814.05 the814.29 Attleboro814.45 High815.01 School815.25 team,815.49 superintendent816.21 Sawyer817.01 had817.49 a817.65 vision817.81 for818.29 how818.45 a818.69 true818.85 comprehensive819.17 high819.89 school820.05 should820.53 be.820.69 Currently,821.89 our822.53 19822.85 CTE823.41 programs823.97 are824.69 embedded824.85 into825.25 life825.57 at825.81 Attleboro825.97 High826.61 School.826.85 And827.71 for827.95 many,828.11 it's828.59 the828.83 connection828.99 to829.38 the829.54 world829.71 beyond830.02 high830.42 school.830.59 As831.71 I've831.87 been832.11 known832.26 to832.59 say,832.75 I833.47 wish833.63 all833.95 high834.11 school834.35 students834.59 could835.3 do835.47 school835.78 like836.35 we836.59 do836.83 at837.07 Attleboro837.23 High837.78 School.837.95 At839.07 Attleboro839.3 High839.78 School,840.02 while840.35 exploring840.59 new841.14 subjects,841.38 discovering842.25 hidden842.65 talents,843.05 or843.61 challenging843.85 themselves,844.41 our845.45 students845.69 continue846.17 to846.65 create846.81 pathways847.13 that847.93 will848.09 lead848.25 them848.49 far848.81 beyond849.13 our849.53 walls.849.69 What850.89 they851.05 acquire851.29 here851.77 will852.33 lead852.57 them852.81 to853.05 opportunities853.21 showing854.25 the854.49 valuable854.73 contributing855.37 members856.01 that856.65 they856.89 are.857.13 Our858.07 students858.23 of858.87 Attleboro859.11 High859.58 School859.83 will860.3 make860.54 the860.7 world860.78 a861.11 better861.26 place.861.5 Thank862.63 you862.78 again863.02 for863.35 joining863.5 us863.83 at863.99 Attleboro864.14 High864.63 today.864.87 We865.26 hope865.5 you865.66 enjoy865.83 your866.23 time866.38 here866.63 as866.78 much866.95 as867.18 we867.26 do.867.42
868.63 SPEAKER1868.63 -868.63 Thank868.63 you868.87 so869.02 much,869.18 madam869.5 mayor,869.83 madam870.14 principal.870.54 We871.66 appreciate871.83 your872.3 hospitality872.54 today.873.26 And874.33 I874.41 believe874.57 before875.13 we,875.53 get876.09 into876.25 our876.49 testimony876.65 in877.13 just877.37 a877.53 moment,877.69 we're878.17 gonna878.41 highlight878.73 some879.05 of879.17 the879.29 students,879.53 this880.41 morning.880.73 Madam881.45 principal,881.77 do882.09 we882.25 wanna882.33 bring882.57 out882.73 our882.89 select883.21 choir?883.61
885.13 SPEAKER17885.13 -885.13 Caroline885.13 and885.85 the886.17 select886.41 choir886.73 with887.05 missus887.21 McCarthy,887.53 if887.93 you888.09 could888.25 join888.41 us.888.57
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Massachusetts2657.14 is2657.86 gonna2657.93 be2658.18 the2658.34 highest,2658.49 per2659.22 capita2659.45 cost2659.86 for2660.1 home2660.34 care2660.49 services2660.74 in2661.22 the2661.38 entire2661.45 country2661.93 right2662.58 here2662.82 in2662.97 the2663.14 Commonwealth2663.22 Of2663.62 Massachusetts.2663.78 You2665.07 know,2665.23 I2665.47 those2665.71 numbers2666.03 don't2666.43 tell2666.67 me2666.99 as2667.47 a2667.63 member2667.71 of2667.95 this2668.03 committee2668.27 that,2668.83 we're2669.95 we're2670.19 moving2670.59 in2670.83 the2670.99 direction2671.15 of2671.63 people2671.79 living2672.03 within2672.43 constraints2672.75 of2673.63 the2673.87 the2674.03 structure2674.19 of2674.67 PCA2674.83 or2675.39 the2675.63 changes2675.79 that2676.59 you2676.83 you2676.99 may2677.15 be2677.31 talking2677.47 about2677.71 here2678.03 today.2678.19 I2678.82 see2678.97 exactly2679.14 the2679.7 opposite.2679.86 That2680.34 in2680.57 a2680.74 very2680.89 short2681.14 period2681.38 of2681.7 time,2681.86 we're2682.57 gonna2682.74 be2682.97 looking2683.14 at2683.38 a2683.61 greater2684.02 need,2684.41 more2684.74 dependence2684.97 on2685.53 a2685.7 program2685.78 that2686.34 more2686.66 and2686.82 more2686.97 individuals2687.22 across2687.86 the2688.09 Commonwealth,2688.26 really2689.86 believe2690.09 in2690.41 and2691.14 stand2691.3 by.2691.61 So2691.86 I2692.49 just2692.65 again,2693.53 I2693.93 I2694.25 acknowledge2694.41 the2694.97 fact2695.13 that2695.45 you2695.77 have2696.01 a2696.25 very,2696.41 very2696.65 tough2696.97 job2697.29 before2697.53 you,2697.85 and2698.17 I2698.41 know2698.57 the2699.29 administration2699.45 is2700.01 well2700.17 intentioned2700.41 when2700.81 it2700.97 comes2701.13 to2701.37 all2701.53 the2701.69 things2701.85 that2702.09 fall2702.33 under2702.49 the2702.81 your2702.97 secretariat.2703.21 But2703.85 I2705.2 am2705.36 worried2705.59 about2706.32 the2706.8 the2707.36 the2707.76 proposal2707.84 that2708.47 is2708.88 specifically2709.59 for2710.07 PCAs2710.32 in2710.8 this2710.95 budget.2711.2 Is2712.16 there2712.39 anything2712.55 else2712.95 that2713.2 we2713.43 should2713.51 be2713.76 doing2713.91 outside2714.24 of2714.55 a2714.8 dollar2714.95 amount2715.28 that2715.91 we're2716.07 talking2716.32 about2716.64 here2716.88 and2717.11 what's2717.2 being2717.43 proposed2717.68 in2718.07 house2718.24 1?2718.55 Is2719.16 there2719.24 anything2719.48 else2719.56 that2719.96 we2720.12 should2720.28 be2720.52 doing2720.68 or2721.08 we2721.24 should2721.4 be2721.56 focused2721.72 on2722.12 relative2722.44 to2723.4 the2723.48 dramatic2723.72 growth2724.28 that2724.6 we've2724.76 seen2725 in2725.24 this2725.4 program2725.56 in2726.04 such2726.28 a2726.52 short2726.68 period2727 of2727.32 time2727.48 particularly2728.12 when2728.6 it2728.84 looks2729.08 like2729.4 the2729.96 Commonwealth2730.12 of2730.6 Massachusetts2730.84 is2731.48 gonna2731.56 be2731.8 sitting2731.88 at2732.12 the2732.28 top2732.44 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2738.57 SPEAKER162738.57 -2738.57 Yeah,2738.57 I2738.89 agree.2739.05 I2739.53 think2739.61 that2739.93 if2740.57 you2740.74 look,2740.89 if2741.3 you2742.18 step2742.34 back2742.57 and2742.82 look2742.97 at2743.14 cost2744.41 drivers2744.82 in2745.38 our2745.61 state,2745.86 I2746.49 think2746.66 everyone2746.89 agrees2747.3 that2747.78 health2748.34 care2748.66 premiums2749.8 are2750.28 too2750.44 expensive.2750.76 I2752.12 think2752.2 there's2752.36 unanimity2753.08 that2753.72 farmer2754.04 prices2754.44 are2754.92 driving2755.08 and2755.48 the2755.64 growth2755.8 in2756.04 pharmaceutical2756.28 costs2757 have2757.8 been,2758.12 have2758.92 been2759.08 a2759.24 big2759.32 driver.2759.56 What2759.96 you've2760.12 identified2760.36 and2761.16 what2761.4 we2761.56 identified2761.8 and2762.28 what2762.44 we2762.6 proposed2762.76 last2763.24 year2763.48 and2764.09 tried2764.24 to2764.36 do2764.48 this2764.72 year2764.96 was2765.2 say,2765.44 this2766.09 is2766.24 12766.48 part2766.64 of2766.88 the2766.96 program.2767.2 In2767.76 Medicaid2768.01 speak,2768.48 it's2768.64 called2769.05 Long2769.36 Term2769.53 Support2769.84 and2770.16 Services.2770.32 It's2771.44 growing2771.76 too2772.09 fast2772.4 and2772.96 we2773.2 have2773.44 to2773.61 be2773.76 more2773.84 selective2774.09 about2774.57 who2774.8 gets2774.96 it.2775.13 We2776.01 cannot2776.24 be2776.64 a2777.13 nation2777.28 of2778.01 patients2778.16 and2778.57 caregivers2778.8 that's2779.77 economically2780.25 non2782.25 productive.2782.49 And2783.61 so2783.77 we2783.93 were2784.73 proposing2784.97 to2785.77 cut2785.93 the2786.17 program.2786.33 We2787.29 were2787.53 proposing2787.69 to2788.25 slow2788.73 the2789.13 rate2789.21 of2789.45 growth2789.61 to2790.41 be2790.49 consistent2790.65 with2791.05 healthcare2791.21 inflation.2791.69 And2792.95 many2793.26 people2793.59 believe2793.91 that2794.22 that's,2794.39 you've2794.86 heard2795.11 from2795.34 fellow2796.22 people2796.47 on2796.7 the2796.86 committee,2796.95 that2797.26 that's2797.43 not2797.59 a2797.74 good2797.82 cut.2797.99 I2799.18 actually2799.51 think2799.74 it's,2800.47 you2800.55 have2800.78 to2801.03 look2801.11 at2801.43 where2801.51 the2801.74 growth2801.91 has2802.14 outstripped,2802.47 far2803.74 outstripped2804.07 any2805.64 other2805.88 economic2806.28 indicator2806.84 in2807.24 the2807.4 home2807.56 care2807.8 programs2807.96 12808.36 of2808.52 them.2808.68
2809.32 SPEAKER82809.32 -2809.32 And2809.32 I2809.56 and2809.72 I2809.88 think,2809.96 you2810.28 know,2810.36 our2810.6 common2810.76 sense2811.08 tells2811.32 us2811.64 that2811.88 that's2812.04 really2812.2 a2812.52 smart2812.76 model2813.24 to2813.56 pursue,2813.72 and2814.04 I2814.2 and2814.36 I2814.52 think2814.68 most2814.84 of2815.08 us2815.24 see2815.48 that.2815.64 But2817.16 I'm2817.32 worried2817.48 that2817.8 in2817.96 the2818.12 time2818.28 period2818.52 that2818.84 we're2819 talking2819.24 about2819.56 to2819.88 make2820.04 these2820.28 22820.78 things,2821.01 parallel2822.3 with2822.7 12822.93 another2823.18 so2823.66 that2823.82 there's2823.97 kind2824.3 of2824.38 more2824.45 of2824.7 an2824.78 evening2825.01 of2825.34 the2825.49 of2825.66 the2825.82 playing2825.97 field2826.3 that2827.18 the2827.66 limited2828.78 increase2829.57 that2830.05 we're2830.22 talking2830.45 about2830.7 here2830.86 in2831.01 this2831.18 budget2831.34 is2831.66 gonna2831.74 be2831.97 just2832.14 too2832.3 dramatic2832.45 in2832.93 such2833.09 a2833.26 short2833.34 period2833.57 of2833.89 time.2834.05 Again,2834.81 I2835.05 I2835.37 know2835.45 I'm2835.61 preaching2835.77 to2836.01 the2836.17 choir2836.25 because2836.49 I2836.73 I2836.89 I2837.21 know2837.29 you2837.53 understand2837.77 this,2838.17 and2838.49 I2838.65 know2838.73 that2838.89 this2839.05 is2839.21 discussion2839.37 that2839.77 we've2839.85 had.2840.09
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programs4061.36 that4061.84 we4062 that4062.32 we've4062.56 built,4062.88 Be4063.68 ruthless4063.93 about4064.32 the4064.57 ones4064.64 that4064.89 are4065.05 working4065.2 and4065.61 not4065.84 working4066.16 and4067.05 apply4067.28 the,4067.61 the4067.84 fewer4068.24 sources4068.57 we4069.05 have4069.13 left4069.36 for4070.97 the,4071.13 for4071.45 the,4071.61 to,4071.93 to4072.16 do4072.32 the4072.48 most4072.57 good4072.89 with4073.05 them.4073.2
4074.41 SPEAKER64074.41 -4074.41 Yeah.4074.41 Thank,4074.72 thank4074.89 you4075.13 very4075.28 much.4075.53 I4075.68 just4075.76 would4076.01 say4076.24 that4076.41 that4076.57 20,4076.8 you4077.33 know,4077.41 that4077.57 that4077.73 mon4077.81 those4078.21 monies,4078.45 the4078.85 ORF4079.09 money4079.41 could4079.65 have4079.81 been4079.89 used4080.05 for4080.29 recovery4080.53 because4081.17 I4081.41 think4081.57 we're4081.73 in4081.81 a4082.05 situation4082.21 where4082.61 Long4082.85 Island4083.01 is4083.41 closed.4083.49 We4084.37 asked4084.53 ORF4084.77 for4085.09 money4085.17 for4085.49 recovery,4085.65 but4086.13 then4086.29 they're4086.61 saying4086.77 that4087.01 the4087.25 money's4087.33 been4087.57 committed4087.81 for4088.13 the4088.29 next4088.37 64088.61 years.4088.93 So4089.18 until4089.8 we4090.05 get4090.13 into4090.36 a4090.61 situation4090.77 where4091.32 where4091.57 we4091.89 have4092.13 monies4092.28 for4092.68 recovery4092.93 in4093.24 the4093.32 state,4093.49 we're4093.72 just4093.8 gonna4093.97 be4094.2 moving4094.28 people4094.53 from4094.77 point4094.93 a4095.09 to4095.24 point4095.41 b,4095.64 from4095.8 city4095.97 to4096.28 city.4096.44 And4097.4 so4097.65 it's4097.73 unfortunate4097.89 that4098.6 there4099.01 wasn't4099.16 some4099.48 discussion4099.65 around4100.05
4100.28 SPEAKER184100.28 -4100.28 how4100.28 that4100.36 money4100.52 could4100.77 have4100.93 been4101.01 used.4101.16
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4180.57 SPEAKER164180.57 -4180.57 I4180.57 I4180.73 think4180.81 it's4181.05 a4181.38 very,4181.53 very4182.02 hard4182.34 job4182.65 to4182.81 be4182.98 an4183.14 independent4183.22 pharmacist.4183.85 I4184.65 mean,4184.73 there's4184.9 some4185.14 data4185.3 to4185.61 suggest4185.77 that4186.18 every4186.41 single4186.9 American4187.3 lives4187.77 within4188.02 a4188.26 204188.41 minute4188.73 drive4188.98 of4189.22 a4189.38 CVS.4189.53 And4190.48 if4190.64 you4190.8 think4190.88 about4191.12 our4191.52 rural,4192 the4193.12 rural4193.28 parts4193.6 of4193.84 our4194 country,4194.16 you4195.36 can4195.52 imagine4195.68 that4196.16 just4196.4 just4197.2 how4197.36 many4197.52 places4198.32 like4198.8 CVS4198.96 and4199.44 Walgreens4199.68 there4200.32 are4200.48 just4201.2 on4201.36 Cape4201.52 Cod4201.84 alone.4202.08 I4203.06 mean,4203.23 it's4203.47 I4203.94 don't4204.19 know4204.34 how4204.51 independent4204.74 pharmacists4205.3 are4206.02 doing4206.19 it.4206.43 I4206.74 think4206.82 they4207.15 it's4207.3 because4207.63 they4208.02 are4208.19 in4210.02 a4210.26 pharmacy4210.43 desert4210.9 and4211.94 that4212.19 means4212.34 CVS4213.23 and4213.63 Walgreens4213.78 have4214.26 decided4214.43 it's4214.74 not4214.98 lucrative4215.15 for4215.55 them4215.7 to4215.94 be4216.02 there4216.19 or4217.4 they4217.64 provide4217.88 other4218.2 services4218.52 that4219 the4219.16 community4219.32 needs4219.8 like4220.12 durable4220.36 medical4220.76 equipment,4221.08 or4223 they're4223.24 incredibly4224.2 tenacious.4224.92 And4226.36 I4226.68 don't4226.84 but4228.12 when4228.44 you4228.6 look4228.84 at4229.08 what4229.24 drives4229.64 the4230.52 cost4230.76 increase4231.08 that4232.18 this,4232.34 I4232.73 think4232.9 was4233.14 the4233.38 first4233.53 question,4233.77 pharmaceutical4235.69 costs4236.34 were4236.57 a4236.73 huge4236.9 part4237.22 of4237.45 that.4237.53 And4238.02 that's4238.18 not4238.41 the4238.73 fault4238.81 of4239.14 the4239.3 independent4239.45 pharmacy,4240.02 but4240.41 they4240.57 are4240.73 swept4240.9 up4241.3 in4242.02 that4243.06 challenge.4243.14 We4243.85 have4244.1 to4244.34 look4244.49 at4244.66 every4244.81 aspect4245.22 of4245.61 the4245.77 system4245.94 and4246.61 figure4246.77 out4247.01 ways4247.09 to4247.41 do4247.57 it4247.65 better.4247.81 I4248.69 don't4249.01 know4249.17 what4249.33 to4249.49 say4249.65 to4249.81 an4249.89 independent4250.13 pharmacist.4250.69 I4252.93 really4253.17 would4253.41 think4254.61 about4254.93 diversifying4255.17 what4255.81 they4255.97 do,4256.21 because4257.73 and4258.29 trying4258.53 to4258.77 meet4258.93 the4259.09 needs4259.17 of4259.49 their4259.65 community4259.81 like4260.37 they've4260.53 done4260.69 for4260.93 some4261.35 people4261.59 for4261.76 centuries.4262.23
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6048.02 SPEAKER186048.02 -6048.02 Well,6048.02 thank6048.27 you,6048.43 Senator,6048.66 for6048.91 the6049.15 question.6049.23 And6049.55 let6049.78 me6049.86 start6050.02 out6050.19 by6050.43 categorically6050.59 stating6051.31 that,6051.7 we6052.59 are6052.82 not6053.06 eliminating6053.95 any6054.74 community6055.06 based6055.63 assessors.6056.43 So6057.88 last6058.12 year6058.36 when6058.6 I6058.76 testified,6058.92 it6059.56 came6059.8 right6060.04 on6060.28 the6060.44 heels6060.6 of6060.92 us6061 releasing6061.16 a6061.56 procurement6061.64 that6062.12 did6062.28 something6062.44 pretty6062.76 remarkable,6063.08 which6063.56 was6063.72 unite6063.96 an6064.28 extremely6064.52 fractional6064.84 stakeholder6065.32 community6065.8 in6066.28 opposition6066.52 and6067.48 in6067.64 agreement,6067.8 against6068.76 what6069.24 we6069.4 had6069.56 proposed.6069.8 So6071.23 we6071.39 went6071.55 through6071.7 an6071.86 extensive6072.02 process6072.82 of6073.31 listening6073.63 and6074.59 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11089.74 SPEAKER211089.74 -11089.74 Thank11089.74 you.11089.98 I11090.14 appreciate11090.22 that11090.62 context.11090.86 I11091.5 look11091.58 forward11091.74 to11091.98 reviewing11092.06 that.11092.46 Next11093.02 up,11093.26 we11093.42 have,11093.66 Rep.11094.22 Kilcoyne.11094.46
11105.48 SPEAKER2011105.48 -11105.48 Alright.11105.48 Here11105.95 we11106.11 go.11106.27 Thank11106.43 you,11106.59 mister11106.75 chair.11107.08 Commissioner,11108.14 thank11108.54 you11108.7 so11108.86 much11109.02 for11109.18 being11109.34 here.11109.58 I11109.98 just11110.14 wanted11110.3 to11110.54 briefly,11110.7 touch11111.34 on11111.66 a11111.9 response11112.38 that11112.7 you11112.86 had11112.94 given11113.02 earlier11113.34 regarding11113.66 the11113.9 Pappas11114.06 facility11114.46 and11114.86 its,11114.94 the11115.66 the11116.06 process11116.22 by11116.7 which11116.86 you're11117.02 going11117.26 under.11117.42 And11118.46 I11118.7 I11118.86 understand11119.26 that11119.9 the11120.06 Western11120.22 Mass11120.54 facility11120.86 is11121.26 is11121.58 state11121.9 of11122.06 the11122.22 art11122.38 and11122.62 new11122.78 and11122.94 and11123.49 you11124.13 feel11124.28 that11124.52 it11124.77 would11124.84 be11125 a11125.17 good11125.25 alternative.11125.49 But11125.97 I11126.28 did11126.44 want11126.69 to11126.84 pick11126.92 up11127.17 on,11127.33 you11128.05 know,11128.2 some11128.44 of11128.69 the11128.77 differences11128.92 with11129.49 the11129.65 populations11129.81 currently11130.69 that11131.49 are11131.73 treated11131.97 by11132.28 the11132.44 Papas11132.52 facility,11132.92 which11133.41 serves11133.65 children11133.97 711134.84 to11135.17 2011135.33 211135.57 from11135.73 all11135.97 of11136.05 roughly11136.28 711136.69 to11137.08 age11137.33 2211137.65 all11138.13 over11138.28 the11138.52 state.11138.6 And11139.2 you11139.36 mentioned11139.52 that11139.76 in11140 the11140.08 Western11140.16 Mass11140.56 facility,11140.8 it11141.52 is11141.76 adults11142 of11142.88 of11143.28 all11143.36 different11143.52 backgrounds,11143.92 including11144.24 some11144.96 of11145.12 those11145.2 who11145.44 are,11145.52 involved11146.16 in11146.88 the11146.96 criminal11147.12 justice11147.44 system.11147.84 A11148.64 concern11148.8 I11149.2 have11149.36 is11149.68 that11149.84 I've11150.16 seen11150.48 in,11151.04 you11151.44 know,11151.52 other11151.84 facilities11152.16 that11153.12 if11153.44 you11153.6 are11153.68 if11154.4 you11154.48 have11154.72 specific11155.03 populations11155.52 that11156.16 you're11156.24 trying11156.48 to11156.72 integrate,11156.88 there11157.76 can11157.92 be11158.08 many11158.32 challenge11158.48 for11158.95 challenges.11159.19 For11159.83 instance,11160 if11160.4 you11160.56 are11160.72 dealing11160.88 with,11161.19 populations11161.76 that11162.24 are11162.4 involved11162.56 in11162.95 the11163.03 criminal11163.11 justice11163.52 system,11163.83 you11164.64 may11164.8 need11164.95 a11165.11 facility11165.27 that11165.76 has11166 to11166.32 deal11166.56 with11166.8 frequent11167.11 outbreak,11167.76 lockdowns11168.48 and11169.39 have11169.55 a11169.71 far11169.79 more11170.07 secure11170.35 facility11170.75 where11171.23 there11171.47 is11172.03 a11172.19 potential11172.35 for,11173.07 greater,11175.15 what's11177.07 the11177.23 word11177.39 I'm11177.63 looking11177.79 for,11178.03 where11179.15 they11180.11 may11180.35 not11180.59 be11180.75 able11180.83 to11181.07 move11181.23 as11181.39 freely11181.63 as11181.95 they11182.19 would11182.35 say11182.51 at11182.75 a11182.91 Pappas11182.99 facility11183.39 where11183.79 many11184.3 of11184.53 these11184.61 children11184.85 are,11185.33 as11185.73 you11185.9 said,11185.98 of11186.3 complex11186.45 medical11186.93 needs11187.25 and11187.81 are11187.98 there11188.14 primarily11188.3 to11188.77 get11188.93 an11189.09 education.11189.25 So11189.81 the11189.98 campus11190.14 is11190.53 is11190.77 not11190.93 designed11191.17 for11191.58 that11191.73 kind11191.98 of11192.22 population.11192.45 So11192.93 my11193.09 question11193.25 to11193.58 you11193.73 is,11193.9 I11194.61 know11194.77 there's11194.93 a11195.17 working11195.25 group11195.65 that11195.98 is11196.22 going11196.38 to11196.61 be11196.77 looking11196.93 at11197.25 these11197.42 questions,11197.65 but11198.06 are11199.01 you11199.25 prepared11199.33 to11199.89 deal11200.05 with11200.37 the11200.53 challenges11200.69 that11201.25 might11201.57 be11201.81 involved11201.97 if11202.61 you11202.85 are11203.01 trying11203.65 to11203.89 consolidate11204.13 what11204.61 is11204.77 a11204.93 very11205.01 specific11205.33 population11205.73 at11206.21 Pappas11206.37 that11206.69 serves11206.85 a11207.17 very11207.25 specific11207.57 mission11207.97 with11208.69 a11208.93 wider11209.01 population11209.49 that11210.05 could11210.29 actually,11210.69 due11211.55 to11211.7 the11211.86 needs11211.94 of11212.42 those11212.58 patients,11212.91 create11213.94 unintended11214.5 consequences11215.15 and11215.78 even11215.86 harm11216.18 for11216.42 some11216.67 of11216.83 the11216.91 children11217.06 that11217.55 rely11218.18 on11218.67 and11218.91 the11219.06 families11219.23 that11219.63 rely11219.78 on11220.02 the11220.18 services11220.26 of11220.67 Pappas?11220.83
11222.02 SPEAKER1911222.02 -11222.02 Thank11222.02 you11222.26 for11222.42 the11222.58 question.11222.75 And11223.15 I'll11223.39 start11223.7 by11223.94 saying,11224.18 I11224.75 apologize11224.98 if11225.63 I11225.78 misspoke11226.34 earlier.11226.66 Most11227.54 of11227.86 those11228.02 individuals11228.34 involved11228.74 with11229.06 the11229.14 criminal11229.3 justice11229.62 system11230.02 are11230.42 either11230.66 at11230.98 the11231.22 Tewksbury11231.38 State11231.94 Hospital11232.1 campus11232.5 or11232.82 the11233.06 Lemuel11233.14 Shattuck11233.62 Hospital11233.94 campus11234.34 in11234.74 Boston.11234.9 Western11235.7 Mass11236.1 Hospital11236.34 functions11236.9 much11237.46 more11237.7 as11238.1 a,11238.26 long11238.83 term11239.07 acute11239.47 care11239.78 facility11240.1 for11240.5 people11240.67 stepping11240.99 down11241.39 from11241.63 acute11241.78 hospitals,11242.34 mostly11243.31 in11243.7 the11244.02 central11244.18 and11244.5 western11244.67 parts11244.99 of11245.23 the11245.31 state,11245.39 although11245.7 they11245.94 come11246.1 from11246.18 all11246.42 parts11246.58 of11246.83 the11246.91 state.11246.99 But11247.86 that11248.1 said,11248.34 I11248.67 think11248.91 your11249.07 point11249.23 is11249.55 incredibly11249.7 well11250.26 taken11250.5 that11250.83 integration11251.69 of11252.25 a11252.49 new11252.57 population11252.89 into11253.45 a11253.77 hospital11253.93 campus11254.33 is11254.73 really11254.81 challenging.11255.13 I11256.33 don't11256.49 want11256.73 to11256.89 get11256.97 ahead11257.13 at,11257.53 Chair11257.85 Feeney11258.09 has11258.41 left11258.57 us11258.81 for11258.97 a11259.05 moment,11259.13 but11259.45 I11259.53 don't11259.61 want11259.77 to11259.93 get11260.01 ahead11260.17 of11260.33 the11260.49 working11260.65 group11260.89 as11261.13 he11261.29 mentioned.11261.45 There's11261.85 no11262.09 predetermined11262.57 conclusion11263.37 here.11263.93 It's11264.17 important11264.41 for11264.81 the11264.97 working11265.13 group11265.37 to11265.69 think11265.85 about11266.09 the11266.69 challenges11267.01 of11267.49 integration11267.73 of11268.36 a11268.44 pediatric11268.69 program11269.25 into11270.05 a11270.36 hospital11270.52 that11271.01 has11271.17 traditionally11271.41 served11272.05 an11272.36 adult11272.6 population.11272.93 We11274.05 also11274.13 have11274.44 to11274.6 match11274.69 that11274.93 though11275.17 with11275.41 what,11275.97 who11276.28 are11276.52 the11276.69 children11276.85 that11277.33 need11277.49 the11277.73 care?11277.89 What11278.36 are11278.6 the11278.77 resources11278.93 that11279.64 they11279.8 need?11279.96 And11280.04 how11280.36 can11280.52 a11280.68 facility11280.84 match11281.48 those11281.72 resources?11281.96 I11283.4 highlighted11283.72 before11284.12 those11284.52 numbers11284.76 around11285.16 80011285.48 children11286.12 with11286.68 significant11287.08 medical11288.2 complexity11288.6 and11289.16 behavioral11289.32 health11289.88 needs.11290.12 A11290.84 large11291.08 percentage11291.48 of11291.96 those11292.12 are11292.92 dependent11293.24 on11293.64 mechanical11293.88 ventilation.11294.36 They're11295.3 dependent11295.53 on11296.09 a11296.25 ventilator11296.5 to11297.14 breathe11297.38 for11297.69 them11297.93 every11298.33 day11298.58 of11298.73 their11298.9 life.11299.14 And11300.01 we11300.33 want11300.5 to11300.61 be11300.73 able11300.9 to11301.06 provide11301.14 a11301.45 place11301.53 for11301.77 them11301.93 to11302.17 go.11302.25 Right11302.98 now,11303.14 we11303.53 cannot11303.69 do11304.09 that11304.25 on11304.42 the11304.58 Pappas11304.73 campus.11305.14 And11305.77 that11305.93 has11306.17 to11306.42 be11306.5 a11306.65 part11306.81 of11307.06 the11307.22 working11307.38 group's11307.69 discussion.11308.09 Do11309.28 we11309.52 want11309.68 to11309.8 make11309.92 sure11310.08 that11310.24 we11310.4 have11310.56 a11310.72 location11310.88 for11311.44 these11311.68 children11311.92 who11312.32 are11312.56 ventilator11312.72 dependent,11313.28 who11313.84 may11314.16 need11314.32 a11315.2 long11315.44 term11315.68 acute11316.16 care11316.48 hospital,11316.8 who11317.36 may11317.6 need11317.84 a11318.32 brief11318.48 period11318.72 of11319.04 respite?11319.2 And11319.92 where11320.24 in11320.56 the11320.8 state11320.96 should11321.28 we11321.52 be11321.68 able11321.76 to11321.88 provide11322 those11322.4 resources?11322.56
11327.07 SPEAKER211327.07 -11327.07 Thank11327.07 you.11327.31 Next11328.02 up,11328.27 we11328.5 have11328.58 Rick11328.83 Zaras.11329.07
11334.02 SPEAKER711334.02 -11334.02 Thank11334.02 you,11334.27 Chairman.11334.5 Good11335.88 to11335.96 see11336.2 you11336.24 again,11336.28 sir.11336.76 You11337.64 brought11337.88 up11338.12 Pappas11338.52 and11339.16 good11339.4 work,11339.64 by11340.84 the11341.08 chair11341.32 and11341.64 people11341.88 to11342.28 try11342.44 to11342.6 work11342.84 with11343 you11343.16 to11343.32 keep11343.48 that11343.72 open.11343.88 My11344.68 concern11344.92 is11345.48 Poughcasset11345.8 at11347.24 the11347.4 same11347.56 time11347.8 that11348.12 Pappas11348.97 was11349.44 talked11350.32 about11350.56 closing,11350.97 so11352.48 was11352.73 Pacasset11353.68 on11354.32 Cape11354.56 Cod,11354.81 which11355.05 is11355.28 the11355.44 only11355.52 facility11355.84 that11357.44 serves11357.76 those11359.68 people11359.92 on11360.4 the11360.65 Cape11360.81 And11361.13 Islands.11361.36 The11362.58 last11362.74 we11362.98 knew11363.14 there11363.38 was11363.54 a11363.78 pause11363.86 put11364.18 on11364.42 that11364.58 as11364.74 well,11364.9 and11365.86 there11366.02 was11366.18 supposed11366.34 to11366.58 be11366.66 some11366.98 type11367.14 of,11367.38 I11367.86 think11367.94 you11368.1 called11368.34 it11368.5 a11369.14 working11369.3 group.11369.7 So11370.34 could11370.58 you11370.82 update11371.3 us11371.78 on11372.02 that?11372.1 What's11373.38 the11373.62 plan11373.86 with11374.18 Paccasset11374.8 and11375.59 the11375.92 working11376.15 group11376.48 and11376.88 any11377.51 other11377.75 thoughts11378 in11378.31 that11378.4 realm?11379.43
11380.23 SPEAKER1911380.23 -11380.23 I11380.23 mean,11380.4 if11380.72 it's11380.88 okay,11381.03 I'm11381.19 going11381.35 to11381.51 defer11381.67 that11381.83 question11382 actually11382.31 to11382.56 Commissioner11382.72 Doyle.11383.19 The11383.51 Paccasset11383.67 facility11384.23 sits11384.72 under11384.95 the11385.19 Department11385.27 of11385.67 Mental11385.83 Health,11386.15 not11386.4 the11386.64 Department11386.72 of11387.03 Public11387.19 Health.11387.51 And11387.67 so11388.17 I11388.33 think11388.41 she11388.49 would11388.57 have11388.89 the11389.05 latest11389.21 updates11389.61 when11389.93 she11390.17 comes11390.33 to11390.57 testify,11390.73 where11391.61 PICAS11392.01 it11392.33 stands11392.57 and11392.89 how11393.13 that11393.37
11393.45 SPEAKER711393.45 -11393.45 will11393.45 move11393.61 forward.11393.77 Perfect.11395.29 Thank11395.69 you.11395.93 Thank11396.65 you,11396.81 Chair.11397.05
11399.05 SPEAKER111399.05 -11399.05 Thank11399.05 you,11399.29 Representative.11399.45 Next11399.93 question11400.25 is11400.57 from11400.73 Senator11400.97 Pavel11401.61 Pallano.11401.93
11409.7 SPEAKER2111409.7 -11409.7 Hello?11409.7 Alright.11410.35 Testing,11411.23 testing.11411.63 Commissioner,11412.99 thank11413.78 you11414.02 so11414.19 much11414.35 for11414.67 for11414.91 being11415.23 here.11415.55 My11416.95 question11417.19 is11417.51 around11417.59 111417.91 of11417.99 the11418.07 programs11418.31 that11418.87 you11419.11 guys11419.27 help11419.67 support.11419.91 I11420.23 think11420.31 DPH11420.55 has,11421.67 does11422.23 incredible11422.55 work,11423.03 in11423.51 my11423.75 district11423.91 supporting11424.39 up11424.79 to11425.51 tons11425.59 of,11425.91 incredible11426.47 programs.11427.03 And,11428.15 111428.87 in11429.11 particular11429.27 is11429.83 around,11430.07 gun11430.63 violence,11430.95 and11431.69 I11431.85 think11431.94 which11432.09 is,11432.33 a11433.3 priority11433.53 for11434.58 many11434.74 of11435.06 us.11435.14 I11435.38 know11435.45 it's11435.61 a11435.77 priority11435.85 for11436.42 the11436.74 Administration11436.98 as11437.53 well.11437.69 It11438.09 doesn't11438.25 just11438.58 affect,11438.82 my11439.45 district.11439.69 It11440.01 affects,11440.17 you11440.74 know,11440.9 cities11441.14 across11441.53 the11442.25 State11442.42 where11443.3 we're11443.61 looking11444.09 for.11444.5 Ways11446.41 to11446.81 engage11447.93 the11448.33 community,11448.57 train11449.37 people,11449.85 and11450.97 mobilize11451.29 folks11451.93 around11452.41 this11452.89 issue.11453.13 So11454.09 we11454.33 could,11454.57 hopefully11455.77 decrease11457.05 it,11457.45 111458.41 day,11458.73 maybe11458.97 end11459.37 it.11459.53 And,11460.28 my,11460.84 my11461 questions11461.25 around,11461.65 you11461.89 know,11462.05 I've,11462.2 I've11462.36 been11462.52 seeing11462.76 for11462.92 the11463.08 last11463.17 couple11463.4 of11463.65 years11463.81 that11464.05 there's11464.2 been,11464.36 Ace,11466.44 a11467.17 trend11467.48 of11468.2 decreasing,11469.17 this11470.6 amount11470.92 that11471.48 is11471.73 going11472.13 to11472.68 these,11472.92 organizations11474.5 that11475.3 are11475.46 doing,11475.62 this11477.06 type11477.3 of11477.54 work11477.7 and,11478.02 just11479.06 wanted11479.3 to11479.7 understand11479.94 more11480.42 the11480.58 strategy11480.82 around11481.54 that.11481.86 And11482.66 what11483.3 are11483.46 ways11483.86 that11484.26 DPH11484.5 is11485.14 doing11485.3 to,11485.86 sort11486.98 of11487.22 help11488.27 these11488.52 efforts,11489 even11489.56 though11489.8 that11490.11 it11490.35 might11490.52 mean11490.75 that,11491 they're11491.72 receiving11491.95 less11492.52 funds11492.64 in,11492.75 the11494.19 last11494.52 few11494.75 years?11495
11495.95 SPEAKER1911495.95 -11495.95 And11495.95 thank11496.19 you11496.27 for11496.52 the11496.67 question,11496.75 Senator,11497.16 and11497.4 for11497.56 your11497.72 commitment11497.95 to11498.44 addressing11498.67 the11499.08 threat11499.24 of11499.56 gun11499.72 violence11500.13 in11500.29 our11500.37 communities.11500.53 I11501.09 I11501.25 see11501.33 this11501.49 as11501.73 a11501.81 public11501.97 health11502.29 threat.11502.61 And11502.93 I11503.17 was11503.25 actually11503.49 very11503.89 encouraged11504.21 last11504.69 year11504.93 by11505.17 the11505.33 passage11505.49 of11505.89 the11506.05 Gun11506.37 Violence11506.61 Prevention11507.01 Law,11507.49 which11508.13 makes11508.45 Massachusetts11508.77 the11510.13 the11510.29 state11510.45 with11510.77 the,11511.01 toughest11511.81 gun11513.03 restriction,11513.27 in11514.24 the11514.4 nation.11514.48 And11514.88 I11515.11 think11515.27 that's11515.51 really11515.75 important,11516 but11516.32 more11516.48 important11516.72 is11517.03 that11517.19 that11517.59 bill11517.67 recognized11518.48 the11518.95 importance11519.11 of11519.59 community11519.83 based11520.32 investments11520.72 and11521.43 community11521.59 violence11522.08 reduction,11522.48 which11522.88 is11523.11 the11523.35 strategy11523.51 that11524 we11524.16 take11524.32 at11524.56 the11524.64 Department11524.8 of11525.19 Public11525.27 Health.11525.59 We11526.3 think11526.54 about11526.7 gun11526.94 violence11527.18 not11527.58 as11527.82 a11527.98 single11528.14 act,11528.46 but11528.86 as11529.18 as11529.74 really11529.98 a11530.3 failure11530.46 of11530.86 us11531.02 building11531.18 the11531.58 right11531.74 community11531.98 support.11532.54 And11533.74 so11533.98 we11534.7 have11534.94 done,11535.18 I11535.5 think,11535.58 a11536.46 lot11536.54 with11536.86 the11537.02 resources11537.18 that11537.74 we11537.9 have11537.98 been11538.14 given11538.3 by11538.54 the11538.7 legislature11538.86 in11539.5 the11539.58 gun11539.74 violence11539.9 prevention11540.3 space.11540.78 But11541.17 we've11541.33 also11541.57 had11541.65 to11542.05 make11542.13 some11542.28 necessary11542.92 difficult11543.57 decisions11543.97 about11544.92 how11545.17 we11545.33 fund11545.57 things11545.73 going11546.05 into11546.28 fiscal11546.52 year11546.92 26.11547.17 Part11548.52 of11548.84 that11548.92 decision11549.17 making11549.57 was11550.05 to11550.36 think11550.52 about11550.84 what11551.17 are11551.33 the11551.49 resources11551.65 across11552.2 the11552.6 Executive11552.76 Office11553.25 of11553.57 Health11553.65 and11553.89 Human11554.05 Services11554.36 And11555.22 how11555.38 can11555.46 we11555.7 work11555.94 collaboratively11556.26 across11557.14 all11557.54 of11557.62 the11557.78 programs?11558.02 And11558.9 so11559.06 while11559.22 there11559.38 are11559.54 programs11559.62 that11560.02 sit11560.18 in11560.42 the11560.5 secretary's11560.74 office11561.3 focused11561.7 on11561.94 gun11562.18 violence11562.34 prevention11562.74 and11563.3 programs11563.94 that11564.34 sit11564.5 within11564.74 the11564.98 department11565.14 of11565.54 public11565.7 health11566.02 focused11566.26 on11566.58 gun11566.74 violence11566.82 prevention,11567.22 We're11568.14 beginning11568.3 to11568.77 merge11569.01 these11569.41 programs11569.73 at11570.38 least11570.53 in11570.69 their11570.93 strategy,11571.25 in11572.06 their11572.22 investments,11572.53 in11573.57 the11573.73 way11573.81 that11573.98 they11574.14 materialize,11574.38 that11576.14 the11576.38 approach11576.53 to11576.93 gun11577.09 violence11577.25 prevention.11577.65 By11578.53 doing11578.77 so,11579.17 we11579.57 can11579.73 do11579.9 more11580.14 with11580.38 less.11580.61 Right?11581.15 We're11581.39 not11581.47 doubling11581.95 up11582.35 on11582.59 individual,11582.83 investments,11583.95 but11584.43 yet11584.59 we're11584.83 weaving11585.39 together11585.71 the11586.35 right11586.59 investments.11586.91 And11587.79 this11587.95 collaborative11588.19 approach11588.75 really11589.23 is11589.47 gonna11589.63 allow11589.87 us11590.19 to11590.35 stretch11590.59 the11590.91 dollars11591.07 as11591.47 far11591.63 as11591.79 we11591.95 possibly11592.11 can11592.59 to11592.83 make11592.99 sure11593.15 every11593.39 community11593.63 has11594.11 the11594.35 resources11594.51 that11595.07 it11595.23 needs11595.31 and11595.98 that11596.14 we're11596.25 appropriately11596.38 spending11597.49 significant11597.9 dollars11598.53 in11598.93 the11599.09 communities11599.25 with11599.73 the11599.9 highest11600.06 rates11600.45 of11600.69 gun11600.77 violence.11601.01 I11602.14 think11602.22 we11602.38 also11602.61 have11602.93 to11603.17 just11603.25 be11603.49 cognizant11603.57 that11603.98 we're11604.14 going11604.38 to11604.53 be11604.61 doing11604.69 this11604.93 at11605.25 a11605.42 time11605.49 when11605.81 federal11606.14 support11606.61 for11606.93 gun11607.09 violence11607.25 prevention11607.65 is11608.3 going11608.45 away.11608.69 I11609.55 talked11609.71 about11609.79 some11610.19 of11610.35 the11610.43 rescissions11610.67 and11611.15 the11611.23 firings11611.39 at11611.87 CDC.11612.03 111613.07 of11613.23 the11613.39 major11614.03 firings11614.75 happened,11615.23 was11616.03 the11616.35 closure11616.51 really11617.07 of11617.31 the11617.47 National11617.71 Center11618.11 for11618.35 Injury11618.59 Prevention.11618.99 The11619.87 Injury11620.03 Center11620.43 funded11620.83 all11621.39 gun11621.63 violence11621.87 prevention11622.19 work11622.59 out11622.83 of11622.99 CDC.11623.15 That11624.23 center11624.47 no11624.78 longer11624.94 exists.11625.34 It11625.82 doesn't11625.9 have11626.15 a11626.31 center11626.47 director.11626.78 It11627.18 doesn't11627.34 have11627.58 individuals11627.82 who11628.39 work11628.55 for11628.78 it.11628.94 I11629.26 don't11629.34 know11629.58 where11629.66 that11629.82 funding11629.98 will11630.39 go.11630.63 And11631.1 so11631.26 we're11631.42 going11631.58 to11631.82 have11631.9 to11632.15 shift11632.31 our11632.78 approach11633.02 as11633.82 that11634.06 federal11634.31 money11634.7 dries11635.1 up11635.42 and11635.9 as11636.06 our11636.23 federal11636.39 support11636.78 goes11637.18 away11637.42 to11637.74 make11637.9 sure11638.06 we11638.23 continue11638.39 to11638.78 appropriately11639.82 invest11640.54 state11640.86 resources11641.18 in11641.58 the11641.74 right11641.82 communities.11641.98
11645.58 SPEAKER2111645.58 -11645.58 Just11645.58 a11645.82 follow-up.11645.98 Thank11646.46 you.11646.7 When11647.5 you're11647.74 saying,11647.98 merge,11648.94 different11650.46 programs,11650.86 you11651.34 mean11651.5 different11651.74 programs11652.06 that11652.62 are11652.94 being11653.42 executed11654.38 in11654.93 certain11655.17 areas,11655.57 that11655.98 they're11656.14 similar11656.77 programs,11657.25 that11658.45 are11658.61 doing11658.77 this11659.01 work11659.17 in11659.33 different11659.5 can11660.06 you11660.22 just11660.38 give11660.53 me11660.69 an11660.77 example11660.93 so11661.57 I11661.73 can11661.81 understand11662.06 a11662.38 little11662.45 bit11662.61 better?11662.77
11663.01 SPEAKER1911663.01 -11663.01 Yeah.11663.01 I11663.09 think11663.17 merge11663.42 is11663.65 probably11663.73 too11664.06 technical11664.3 of11664.69 a11664.77 word11664.85 to11665.09 use11665.33 what11665.65 I'm11665.81 describing11666.06 here.11666.61 I'm11666.85 just11667.01 describing11667.17 that11667.65 the11668.14 211668.22 teams11668.46 are11668.62 getting11668.86 together.11669.18 They're11669.5 sitting11669.74 in11669.98 the11670.14 room.11670.3 They're11671.02 talking11671.26 about11671.5 shared11671.82 approaches11672.14 to11672.46 gun11672.62 violence11672.86 prevention.11673.18 They're11673.98 thinking11674.22 about11674.46 how11674.78 111674.94 program11675.18 can11675.58 invest11675.74 in11676.14 111676.3 community11676.54 and11676.94 a11677.1 different11677.26 program11677.58 invests11677.98 in11678.3 a11678.46 different11678.54 community11678.86 so11679.58 that11679.74 we11679.9 take11680.06 the11680.22 resources11680.38 that11680.86 we11681.02 have11681.18 and11681.5 spread11681.66 it11681.98 as11682.06 widely11682.22 as11682.46 possible.11682.62 And11683.17 and11683.41
11683.44 SPEAKER2111683.44 -11683.44 and11683.44 that11683.49 makes11683.73 sense.11683.97 And11684.2 and11684.52 are,11684.84 are11685.73 these11685.97 teams11686.2 are11686.6 coming11686.76 together11687.17 and11687.73 having11687.97 these11688.28 conversations?11688.6 Are11689.08 they11689.33 gonna11689.41 be11689.65 releasing11689.89 some11690.68 type11690.92 of11691.17 report,11691.33 some,11691.97 you11692.2 know,11692.36 some11692.84 type11692.92 of11693.17 document,11693.33 showing11694.92 sort11695.56 of11695.73 what11695.89 the11696.13 outcomes11696.28 were?11696.68 So11697.42 they're,11697.66 they're11697.82 all11698.14 focused11698.46 on11698.86 the11699.02 data11699.1 and11699.34 the11699.5 outcomes.11699.74 And11700.14 certainly11700.38 we,11700.7 report11701.34 back11701.66
11701.82 SPEAKER1911701.82 -11701.82 to11701.82 the11701.9 legislature11702.14 on11702.86 the11703.02 outcomes11703.18 of11703.58 our11703.74 efforts.11703.9 But11704.3 I11704.54 think11704.62 probably11704.86 more11705.18 relevant11705.42 is11705.82 that11705.98 they're11706.14 going11706.22 to11706.46 release11706.54 some11706.78 funding11706.94 opportunities11707.34 over11708.06 the11708.22 next11708.38 year11708.62 that11709.26 are11709.42 going11709.58 to,11709.66 allow11709.98 us11710.22 to11710.38 make11710.46 sure11710.62 we11710.78 get11710.94 the11711.1 dollars11711.18 out11711.58 the11711.66 door11711.82 into11712.06 the11712.3 communities.11712.46 And11713.07 that's11713.23 a11713.31 reflection11713.39 of11713.47 their11714.19 shared11714.35 work11714.67 together11714.91 and11715.15 their11715.31 commitment.11715.55
11716.35 SPEAKER2111716.35 -11716.35 Yeah.11716.35 Thank11716.58 you.11716.75
11718.99 SPEAKER211718.99 -11718.99 Thank11718.99 you.11719.31 Next11719.86 up,11720.02 Rep.11720.27 Garcia.11720.51
11724.1 SPEAKER1311724.1 -11724.1 Thank11724.1 you,11724.35 Chair.11724.58 Commissioner,11725.15 thank11725.7 you11725.86 so11726.02 much11726.19 for11726.43 your11726.58 continuous11726.67 leadership.11727.23 Well,11728.85 my11729.01 question11729.25 is11729.73 actually,11730.29 I'll11730.53 start11730.77 off11731.01 with11731.25 with11731.49 saying11731.81 during11732.29 my11732.69 time11732.85 on11733.57 the11733.89 joint11734.37 committee11734.85 on11735.17 public11735.41 health,11735.73 I11736.29 really11736.53 appreciated11736.85 the11737.33 discussions11737.49 around11738.29 the11738.69 renovation11738.93 of11739.65 the11739.81 state11739.89 public11740.21 health11740.53 lab.11740.77 And11742.23 I11742.47 know11742.63 it's11742.94 been11743.26 the11743.42 theme11743.58 today.11743.9 Obviously,11744.55 there's11745.02 a11745.18 lot11745.34 of11745.58 federal,11745.82 cuts11747.02 that11747.42 are11747.58 going11747.75 to11747.98 take11748.06 place.11748.31 And11748.63 my11748.86 question11749.02 to11749.5 you11749.67 is,11750.06 do11750.39 you11750.55 anticipate11750.86 any11752.55 impact11752.94 on11753.5 the11753.67 plans11753.82 to11754.15 renovate11754.31 this,11754.86 state11755.75 public11756.15 health11756.55 lab?11756.78
11757.72 SPEAKER1911757.72 -11757.72 Thank11757.72 thank11757.88 you11758.12 for11758.28 the11758.44 question.11758.6 And11758.92 for11759.16 anyone11759.32 who11759.72 hasn't11759.88 visited11760.2 the11760.76 state11760.92 public11761.24 health11761.48 lab,11761.72 let11762.04 me11762.2 know.11762.36 We11762.52 are11762.68 happy11762.76 to11763 arrange11763.16 a11763.4 tour.11763.56 It11763.96 is11764.12 nearly11764.44 complete,11764.84 the11765.32 renovation.11765.56 Thank11766.12 you11766.36 for11766.52 your11766.68 investment11766.92 over11767.48 the11767.72 past11767.8 few11768.12 years11768.36 to11769 support11769.08 that11769.4 campus,11769.64 the11770.04 newly11770.12 renamed11770.44 Alfred11770.84 de11771.16 Maria11771.24 Public11772 Health11772.32 Campus.11772.48 You11774.32 know,11774.4 the11775.03 federal11775.43 funding11775.83 that11776.56 was11776.8 in11777.19 the11777.35 news11777.51 over11777.83 the11778 past11778.16 couple11778.4 of11778.72 weeks11778.8 did11779.27 include11779.51 significant11780.08 dollars11780.56 that11780.95 went11781.11 to11781.35 our11781.43 state11781.59 public11781.83 health11782.16 laboratory.11782.4 And11783.27 they11783.43 weren't11783.59 dollars11783.83 specifically11784.32 about11784.95 the11785.19 renovation11785.35 of11785.83 the11786 building,11786.16 right,11786.64 Moving11787.02 fiber11787.26 optic11787.42 cables11787.9 and11788.46 shifting11788.7 from11789.1 floors.11789.34 But11790.22 they11790.46 were11790.62 about11790.86 supporting11791.42 the11791.9 infrastructure11792.14 needs11792.86 of11793.1 the11793.18 campus,11793.34 buying11794.3 equipment11794.7 for11795.26 the11795.42 campus.11795.58 As11796.7 we11796.94 did11797.1 the11797.26 renovation,11797.42 we11797.9 realized11798.06 some11798.46 equipment11798.7 had11799.1 reached11799.26 an11799.5 end11799.66 of11799.82 life11799.9 and11800.14 we11800.38 have11800.46 to11800.7 find11800.78 dollars11801.1 to11801.58 support11801.74 replacing11802.14 that11802.54 equipment.11802.88 That's11803.83 what11804.16 the11804.56 epidemiology11805.03 and11806 laboratory11806.24 capacity11806.8 grant11807.43 from11807.67 CDC11808 was11808.56 intended11808.8 to11809.19 do.11809.35 That's11809.59 the11809.83 grant11809.92 that11810.24 had11810.31 been11810.48 in11810.64 the11810.72 news11810.88 over11811.19 the11811.35 past11811.51 couple11811.75 of11812 weeks.11812.16 Fortunately,11813.11 thanks11813.75 to11814.08 the11814.16 leadership11814.31 of11814.72 the11814.88 attorney11815.03 general,11815.35 we11816.12 have11816.2 a11816.36 temporary11816.44 restraining11816.84 order11817.32 in11817.56 place.11817.72 Those11818.04 dollars11818.36 continue11818.76 to11819.32 flow11819.48 and11820.12 we11820.28 will11820.36 continue11820.6 to11821 spend11821.16 them11821.4 appropriately11821.8 to11822.6 make11822.76 sure11822.92 we're11823.16 investing11823.4 in11823.8 a11823.96 state11824.04 public11824.36 health11824.6 laboratory.11824.92 But11825.96 if11826.2 that11826.36 temporary11826.52 restraining11827.08 order11827.56 were11827.88 to11828.04 fall,11828.28 or11828.76 if11829 at11829.24 the11829.4 next11829.56 hearing11829.8 an11830.2 injunction11830.36 is11831 not11831.16 granted,11831.4 or11832.09 if11832.25 at11832.42 some11832.5 point11832.73 in11832.98 the11833.14 future11833.22 an11833.61 appeals11833.85 court11834.25 or11834.57 the11834.98 Supreme11835.22 Court11835.69 reverses11836.09 the11836.57 decision,11836.81 there11837.61 will11837.85 be11838.09 dollars11838.33 that11838.73 we11838.98 were11839.14 intending11839.38 to11839.85 use11840.01 to11840.33 help11840.5 finish11840.9 the11841.3 renovation,11841.45 federal11842.5 dollars11842.98 that11843.3 will11843.45 no11843.69 longer11843.85 be11844.17 available11844.25 to11844.73 us.11844.9
11848.94 SPEAKER211848.94 -11848.94 Thank11848.94 you.11849.18 Next11849.5 up,11849.74 Rep.11849.98 Sabadoso.11850.22
11857.02 SPEAKER1311857.02 -11857.02 Thank11857.02 you11857.26 so11857.5 much,11857.74 Commissioner.11857.98 It's11858.7 really11858.94 just11859.18 been11859.58 wonderful11859.82 to11860.14 hear11860.45 your11860.69 responses11861.01 and11861.42 how11861.58 proactive11861.82 you11862.53 are11862.85 being11863.09 in11863.58 light11863.74 of11864.06 all11864.22 the11864.38 many11864.45 things11864.69 that11865.01 we're11865.17 facing.11865.33 So11865.66 I11865.9 wanna11865.98 just11866.3 really,11866.69 truly11866.94 say11867.42 thank11867.66 you.11867.82 And11868.94 I11869.09 have11869.17 another11869.42 Pappas11869.74 related11870.14 question11870.45 for11870.85 you11871.01 just11871.42 to11871.66 add11872.37 on11872.53 to11872.65 the11872.77 file,11873.09 but11873.81 with11873.97 a11874.13 slight11874.21 Western11874.45 Mass11874.85 focus11875.01 this11875.41 time.11875.57 So,11876.37 I11877.49 appreciate11877.73 your11878.05 comments11878.21 about11878.53 the11878.77 campus.11878.85 I11879.17 grew11879.33 up11879.49 in11879.65 Westfield.11879.73 It11880.21 is11880.29 in11880.45 fact11880.53 a11880.69 lovely11880.85 place.11881.17 But11882.37 I,11882.61 I11883.41 wonder11883.57 about11884.05 the11884.29 number11884.45 of11884.69 patients11884.85 who11885.25 are11885.49 currently11885.76 at11886 Pappas11886.17 who11886.4 will11886.56 actually11886.73 be11887.05 eligible11887.2 to11887.84 transfer11888.08 to,11888.81 the11889.76 Western11889.84 to11890.24 the11890.32 facility11890.48 in11890.81 Westfield11890.89 to11891.28 Western11891.44 Mass.11891.76 And11891.92 I11892.17 I11892.32 also11892.48 wonder11892.81 about11893.68 the11893.92 nonmedical11894.17 supports.11894.97 I11895.36 know11895.52 Pappas11895.68 offers,11896.08 as11896.32 my11896.48 colleagues11896.65 have11896.97 stated,11897.13 educational11898.35 opportunities.11898.91 And11899.55 I11899.87 don't11899.95 believe11900.19 that11900.43 Western11900.51 Mass11900.99 does.11901.15 So11901.31 I'm11901.47 just11901.63 curious11901.87 as11902.35 to11902.51 how11902.67 you11902.83 view11903.55 this.11903.71
11904.03 SPEAKER1911904.03 -11904.03 Yeah.11904.03 Thank11904.35 you11904.59 for11904.75 the11904.91 for11904.99 the11905.15 opportunity11905.31 to11905.79 expand11905.95 on11906.27 this.11906.35 And11906.51 again,11906.67 I'll11906.99 take11907.07 this11907.23 as11907.47 an11907.55 opportunity11907.71 to11908.27 echo11908.67 what11908.99 you11909.15 said.11909.55 We11909.79 are11909.95 not11910.03 there11910.27 are11910.43 no11910.51 predetermined11910.75 conclusions11911.39 here.11911.87 We11912.11 want11912.19 the11912.43 working11912.59 group11912.91 to11913.57 do11913.73 the11913.81 work11913.89 and11914.6 to11914.85 understand11915.25 these11915.97 211916.2 campuses11916.44 and11917 the11917.17 future11917.25 of11917.73 pediatric11917.89 care11918.36 in11918.69 the11918.85 state.11919 But11920.05 the11920.2 Westfield11920.28 campus11920.77 does11921.17 offer11921.49 us11921.81 a11922.05 lot11922.13 of11922.28 really11922.77 great11923.17 opportunities.11923.57 So11924.69 currently11925 right11925.41 now11925.57 there11925.73 isn't11925.89 a11926.13 pediatric11926.28 program,11926.85 but11927.25 we11927.41 are11927.65 entertaining11927.97 how11928.61 we11928.77 would11928.85 build11929.09 a11929.33 pediatric11929.41 program11930.05 that11930.85 starts11931.09 with11931.41 our11931.57 commitment11931.81 to11932.29 education11932.45 for11932.85 every11933.09 individual11933.33 who11933.89 comes11934.05 in.11934.29 And11934.53 so11934.69 we11934.93 are11935.17 working11935.33 closely11935.65 and11936.05 we'll11936.21 continue11936.45 to11936.77 work11936.93 closely11937.17 with11937.89 DESE11938.05 to11938.53 make11938.69 sure11938.85 that11939.01 we've11939.17 thought11939.41 through11939.57 how11940.1 do11940.35 we11940.51 educate11940.78 any11941.07 individual11941.31 who11941.78 may11941.94 be11942.19 in11942.27 Westfield?11942.43 How11943.15 do11943.39 we11943.47 continue11943.63 to11944.02 educate11944.19 anyone11944.67 who's11945.07 in11945.39 Canton11945.63 on11946.1 the11946.19 Pappas11946.27 campus?11946.75 We11948.02 also11948.27 want11948.51 to11948.75 think11948.83 really11949.31 creatively11949.55 about11950.19 the11950.75 resources11950.99 that11951.55 existed11951.78 in11952.35 Canton,11952.67 both11953.66 on11953.9 the11953.98 campus11954.22 and11954.62 around11954.86 the11955.18 campus11955.34 that11956.14 might11956.38 be11956.54 replicated,11957.1 recreated,11957.82 or11958.62 reimagined11959.18 in11960.06 Westfield.11960.3 So11961.18 I11961.42 think11961.58 folks11961.82 know11962.14 there's11962.38 currently11962.7 an11963.1 Olympic11963.34 sized11963.74 pool11964.06 on11964.54 the11964.7 Pappas11964.86 campus11965.26 in11965.66 Canton.11965.82 Within11966.83 a11967.4 couple11967.48 of11967.8 miles11967.95 of11968.27 the11968.35 Westfield11968.51 campus,11969 there11969.4 are11969.56 multiple11969.8 handicap11970.35 accessible11971 pools.11971.56 And11972.03 we11972.51 would11972.67 like11972.92 to11973.08 begin11973.15 discussions11973.56 with11974.11 those11974.27 pools11974.51 and11974.92 to11975.08 talk11975.31 about,11975.56 can11976.11 we11976.35 bring11976.59 folks11977 there?11977.31 Can11977.72 children11977.95 come11978.35 over?11978.51 Can11978.83 we11979 continue11979.23 the11979.64 aquatic11979.8 therapy?11980.27 I11981.4 mentioned11981.56 the11981.96 nearly11982.2 20011982.52 acres11983 that11983.32 exist11983.48 in11983.96 Westfield,11984.12 which11985 would11985.24 be11985.4 ripe11985.56 for11985.88 a11986.2 lot11986.28 of11986.44 outdoor11986.68 programming.11987.08 Programming11987.96 like11988.36 farming11989.16 and11990.04 gardening11990.28 and11991.16 thinking11991.64 about11991.96 how11992.2 we11992.36 can11992.44 utilize11992.68 the11993.08 outdoor11993.32 space11993.72 to11994.12 help11994.28 folks11994.6 gain11994.93 independence11995.25 and11996.05 move11996.2 forward11996.36 in11996.69 their11996.85 rehabilitation11997.01 needs.11998.52 So,11998.69 while11998.77 there's,11999.01 not11999.49 an11999.89 apples12000.13 to12000.52 apples12000.69 comparison12001.08 here,12001.57 it's12001.73 not12001.97 112002.2 for12002.44 1,12002.6 what's12002.93 in12003.25 Canton12003.41 versus12003.81 what12004.05 could12004.2 be12004.36 in12004.52 Westfield.12004.69 We12005.49 want12005.65 to12005.81 use12005.97 the12006.2 working12006.36 group12006.77 and12007.08 the12007.25 community12007.41 to12008.28 identify12008.52 the12009.68 reimagined12009.84 way12010.56 of12010.8 providing12010.96 pediatric12011.36 care12011.84 in12012 the12012.16 state.12012.24
12015.76 SPEAKER1312015.76 -12015.76 -Uh,12015.76 to12016.16 follow-up,12016.32 I12017.52 also12017.6 said,12017.92 if12018.8 you12018.88 do12019.04 know12019.2 how12019.28 many12019.44 children12019.76 would12020.08 actually12020.24 be12020.56 eligible,12020.64 though,12021.12 to12021.44 complete12021.6 that12022 transfer12022.16 as12022.64 well?12022.72
12023.76 SPEAKER1912023.76 -12023.76 That's12023.76 that's12024.08 a12024.33 hard12024.49 question12024.73 to12025.13 answer12025.28 right12025.6 now.12025.76 As12026 I12026.17 said,12026.25 there12026.49 are12026.65 3212026.81 children12027.36 on12028 the12028.17 Canton12028.65 campus.12029.05 We12030.25 continue12030.57 to12030.97 admit12031.13 and12031.44 to12031.6 discharge12031.76 because12032.17 we're12032.49 living12032.81 through12033.13 the12033.36 spirit12033.44 of12033.69 the12033.84 pause.12034 And12034.33 so,12034.57 612035.66 months12035.82 from12035.94 now,12036.06 1212036.46 months12036.7 from12036.94 now,12037.1 1812037.34 months12037.66 from12037.9 now,12038.14 I12038.38 can't12038.54 tell12038.78 you12038.94 how12039.26 many12039.42 children12039.66 will12040.46 be12040.54 on12040.7 the12040.86 campus.12040.94 We12041.66 really12041.9 do12042.14 wanna12042.3 see12042.62 folks12042.94 progress12043.26 through12043.74 their12043.98 stay.12044.22 We12044.78 hope12044.94 that12045.18 everyone12045.34 gets12045.82 discharged12046.14 to12046.7 their12046.86 next12047.02 forever12047.42 home,12047.9 whether12048.14 it12048.38 be12048.54 a12048.7 group12048.78 home,12049.02 back12049.34 home12049.5 with12049.66 family,12049.9 or12050.22 living12050.38 independently.12050.7
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12366.67 SPEAKER112366.67 -12366.67 Thank12366.67 you,12366.83 Representative.12366.99 Commissioner,12367.63 I12369.39 know12369.55 we12369.79 we12370.11 talked12370.27 a12370.51 lot12370.59 this12371.47 afternoon12371.71 about12372.19 Pappas,12372.59 And12373.99 I12374.15 know12374.39 I've12375.1 talked12375.5 to12375.67 you12375.83 about12375.91 it12376.07 and12376.31 I12376.63 can12376.78 sense12377.02 that12377.35 you12377.5 feel12377.58 the12377.91 same,12378.07 as12378.78 us12379.02 with12379.19 this12379.42 passion,12379.67 to12380.78 make12380.94 sure12381.1 that12381.35 we're12381.42 treating12381.67 these12382.07 kids12382.23 right.12382.86 These12383.1 are,12383.35
12385.91 miracles12385.91 happen12386.39 at12386.7 Pappas.12386.86 I've12387.35 said12387.5 frequently,12387.83 miracles12389.05 happen12389.45 to12389.85 these12389.93 to12390.25 these12390.41 kids,12390.65 these12390.89 students12391.13 that12391.53 deserve12391.69 it12392.01 more12392.17 than12392.33 anybody.12392.49 The,12394.17 the12394.41 passion,12394.73 the12395.21 advocacy12395.37 comes12396.09 from,12396.41 it12397.93 comes12398.09 from12398.33 a12398.49 place12398.57 that12398.73 I12398.89 hope12398.97 you12399.13 can12399.29 understand12399.53 is,12400.09 you12401.94 know,12402.02 very,12402.26 very12402.66 few12402.9 times12403.14 in12403.85 this12403.94 job.12404.18 Do12404.66 you12404.82 get12404.98 stopped12405.22 in12405.45 your12405.61 tracks?12405.77 We're12406.02 constantly12406.26 going12406.66 and12406.9 we're12407.06 doing12407.14 things12407.38 like12407.53 this12407.69 embedding12407.85 line12408.66 items12408.82 and12409.22 budgets12409.38 and,12409.69 with12411.06 Pappas.12411.45 This12411.85 is12412.02 112412.18 of12412.33 those12412.42 times12412.66 certainly12412.9 in12413.3 my12413.53 career.12413.69 And12413.94 I12414.18 know12414.26 many12414.66 of12414.9 my12415.06 colleagues12415.14 share12415.53 that12415.77 as12416.02 well.12416.1 Very,12418.48 very12418.8 concerned,12419.12 about12420.48 this12420.88 pause12421.84 and12422.48 what12422.96 the,12423.28 real12425.04 work,12426.8 you12427.2 know,12427.36 that12427.44 needs12427.68 to12427.84 be12427.92 done12428.08 by12428.24 the12428.48 working12428.64 group,12429.04 whether12429.28 or12429.6 not12429.68 that's12430.25 going12430.5 to12430.58 result12430.73 in,12431.14 in12431.38 any12431.69 changes12431.93 in12432.25 the12432.42 decision12432.58 making.12432.9 In12434.17 speaking12434.5 with,12434.9 many12435.85 of12436.25 the12436.5 staff12436.73 and12437.06 the12437.22 family12437.38 members12437.69 up12438.09 there12438.17 and12438.42 former12438.65 staff12438.98 and12439.3 community12439.45 members,12439.85 APIS12440.9 is12441.3 more12441.45 than12441.61 just12441.85 a12442.58 hospital.12442.73 Right?12443.53 It's12444.81 a12445.45 school.12445.69 It's12446.73 a12446.89 community.12447.05 It's12448.25 where12448.57 kids12449.21 can,12449.53 you12449.93 know,12450.09 go12450.73 outside12450.97 in12451.45 nature12451.61 and12451.93 and12452.25 be12452.41 together12452.57 and12453.13 and12453.45 learn,12453.61 and12454.33 they12454.57 thrive12454.81 there.12455.29 They12455.61 really12455.77 do.12456.01 They12456.25 thrive.12456.41 I've12456.81 seen12456.97 it12457.21 firsthand.12457.37 112459.33 of12459.58 the12459.66 concerns12459.74 I12460.14 have12460.22 is12460.45 as12460.61 the12460.69 working12460.85 group12461.17 continues12461.5 to12461.9 do12461.98 this12462.14 work12462.3 and12462.53 we12462.61 have12462.77 these12462.94 conversations,12463.17 is12465.02 that12465.25 decisions12465.58 are12466.06 being12466.22 made12466.45 down12467.42 the12467.66 road.12467.82 For12468.06 instance,12468.3 we12468.85 have12469.02 educators.12469.17 Right?12469.9 Again,12470.22 more12470.45 than12470.69 just12470.77 hospital12471.02 school,12471.58 incredible12471.9 educators12472.45 at12473.02 Pappas.12473.17 Are12474.98 they12475.22 going12475.38 to12475.62 be12475.78 held12475.94 on12476.26 beyond12476.58 the12476.98 end12477.06 of12477.22 the12477.38 school12477.62 year?12477.94 Or12478.74 is12479.78 there12480.02 a12480.26 plan12480.42 to12480.74 to12481.38 lay12481.7 them12481.94 off?12482.18 And12482.98 and12483.06 I12483.3 mean12483.38 this12483.62 question12483.78 sincerely,12484.1 just,12484.74 you12485.38 know,12485.54 you12485.94 must12486.18 be12486.34 thinking12486.5 a12486.9 few12486.98 months12487.14 ahead12487.38 and12487.62 and12487.86 curious12488.1 if12488.58 if12489.14 there12489.3 is12489.53 a12489.61 plan12489.69 for12490.01 that.12490.17 What12490.65 if12490.81 the12490.98 working12491.14 group12491.38 comes12491.61 back12491.85 with12492.01 recommendations12492.25 to12492.9 say12492.98 we're12493.3 going12493.45 to12493.53 do12493.61 X,12493.77 Y,12494.01 and12494.17 Z12494.25 at12494.5 Pappas,12494.58 you12495.06 know,12495.22 in12495.45 Canton,12495.69 but12497.14 by12497.38 that12497.53 point12497.77 you12498.01 don't12498.17 have12498.42 any12498.58 educators12498.98 left.12499.53 Right?12499.77 Is12500.33 there12500.5 a12500.73 plan12500.9 by,12501.3 by12501.61 the12501.77 administration12501.93 to12502.58 actually12502.65 keep12503.06 those12503.3 teachers12503.45 beyond12503.93 the12504.59 end12504.67 of12504.91 the12504.95 school12504.99 year12505.31 now?12505.55
12506.67 SPEAKER1912506.67 -12506.67 So12506.67 I12506.91 might12507.07 defer12507.31 that12507.63 question12507.79 to12508.11 DESE12508.35 because,12508.67 as12508.91 you12509.07 know,12509.15 DESE12509.39 operates12509.87 the12510.43 school12510.59 at12510.91 the12511.07 Pappas12511.23 campus.12511.63 But12512.03 there12512.19 is12512.35 a12512.51 commitment12512.67 from12512.99 the12513.23 Department12513.39 of12513.71 Public12513.87 Health12514.27 to12514.59 make12514.75 sure12514.91 that12515.15 for12515.87 any12516.03 kid12516.27 that12516.51 is12516.67 in12517.53 Pappas,12517.77 in12518.33 the12518.5 Canton12518.73 campus12519.06 of12519.38 Pappas,12519.61 that12520.01 we12520.25 are,12520.42 tending12521.85 to12522.17 our12522.33 obligation12522.5 to12523.3 provide12523.45 education12523.85 to12524.5 that12524.66 individual.12524.81 So12525.61 it12525.77 is12525.93 ultimately12526.09 up12526.58 to12526.66 DESE12526.73 how12527.06 they12527.22 want12527.38 to12527.53 provide12527.61 that12527.85 education.12528.09 And12528.5 I12528.73 I12528.9 don't12528.98 want12529.14 to12529.38 speak12529.45 for12529.69 them12529.85 around12530.09 what12530.42 they12530.58 will12530.66 do12530.81 with12530.98 their12531.14 workforce12531.3 and12531.77 how12531.93 they'll12532.09 manage12532.33 the12532.66 school,12533.45 but12533.77 we12533.93 are12534.17 committed12534.41 to12534.81 making12534.97 sure12535.29 we12535.61 meet12535.85 that12536.17 constitutional12536.41 obligation12537.21 to12537.85 provide12538.01 education12538.41 to12538.97 every12539.21 child12539.45 in12539.77 the12539.85 Commonwealth.12540.01 And12540.81 if12541.05 that12541.13 means12541.29 they're12541.61 in12541.85 Canton12542.01 on12542.41 the12542.57 Pappas12542.73 campus12543.05 and12543.45 they12543.53 need12543.69 schooling,12543.93 we12544.49 will12544.65 work12544.81 with12544.97 DESE12545.13 to12545.45 get12545.61 them12545.69 schooling.12545.85
12547.03 SPEAKER112547.03 -12547.03 Thank12547.03 you,12547.19 Commissioner.12547.35 Seeing12547.83 no12548.08 other12548.31 questions,12548.48 we've12549.43 gone12549.67 through12549.92 our12550.08 list.12550.24 We12550.64 really,12550.8 really12551.03 appreciate12551.27 your12551.59 time12551.75 today.12551.92 I12552.08 know12552.24 it's12552.4 been12552.56 a12552.72 long12552.8 day12552.95 for12553.19 you.12553.35 Thank12553.59 you.12553.75 Thank12554 you,12554.16 Doctor.12554.31 Goldstein.12554.56 Thank12555.19 you,12555.35 Matt.12555.51
12555.75 SPEAKER412555.75 -12555.75 We12555.75
12555.92 SPEAKER112555.92 -12555.92 appreciate12555.92 your12556.24 time.12556.48 Thank12556.8 you.12556.95
2. 04/07/2025 - Joint Committee on Ways and Means
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This transcript is initially posted in unedited form, edited transcript to follow.
SPEAKER11.92 -1.92 Okay.1.92 Next2.4 up,2.72 again,3.52 this3.76 is3.92 panel4.16 number4.64 44.88 of5.12 10,5.28 so5.6 members5.92 understand6.24 where6.56 we6.8 are6.88 timing7.2 wise.7.52
16.26 I'd16.26 stop16.5 around16.82 6PM17.14 to18.57 accommodate18.98 a19.38 school19.45 committee19.7 meeting20.02 just20.34 down20.49 the20.65 hall.20.82 So,21.05 while23.05 we23.21 do23.38 that,23.45 if23.61 anybody23.77 wants24.1 to24.26 stay24.34 for24.49 that24.65 school24.73 committee24.98 meeting,25.3 it25.45 should25.61 be25.7 a25.86 lively,25.94 debate26.65 tonight.27.05 Welcome,28.95 commissioner29.67 Doyle,30.23 you31.03 and31.19 your31.43 team,31.59 and31.83 I32.07 will32.15 turn32.31 it32.47 over32.55 to32.71 you.32.87 The33.03 floor33.11 is33.27 yours.33.43
35.19 SPEAKER235.19 -35.19 Thank35.19 you.35.51 And36.31 I36.55 am36.71 joined36.95 today37.27 by37.67 Steve37.91 Bernard,38.15 who38.63 is38.79 DMH's39.03 chief40.07 financial40.47 officer.41.03
55.17 Good55.17 afternoon,55.41 Chair55.89 Feeney,56.21 Chair56.77 Bill.57.17 It's58.21 a58.45 pleasure58.53 to58.93 be59.09 here59.25 today.59.49 To60.69 members60.93 of61.41 the61.57 Joint61.65 Committee61.97 of62.29 Ways62.45 and62.69 Means,62.85 thank63.49 you.63.73 We64.21 appreciate64.45 being65.01 here.65.25 I'm66.64 gonna66.88 start67.36 today67.75 just68.31 by,68.64 you've69.75 you've70.47 already70.72 heard71.11 some71.83 of72.08 the72.31 background72.64 information73.28 and74.56 in74.88 the75.11 interest75.28 of75.83 trying76.56 to76.88 help76.95 stay77.28 on77.52 schedule,77.67 I'll78.56 do78.72 my78.95 best79.11 also79.52 to79.83 answer80 some80.4 of80.56 those80.64 other80.95 questions81.19
86.87 so86.87 for87.11 those87.27 of87.59 you87.67 who87.91 I88.07 have88.23 not88.47 yet88.71 met,89.03 my89.35 name89.51 is89.67 Brooke89.91 Doyle.90.15 I'm90.95 the91.19 Commissioner91.35 of91.75 the91.91 Department92.07 of92.39 Mental92.47 Health92.79 and93.51 I93.83 have94.23 been94.47 Commissioner94.71 since95.27 2020.95.59 This98.13 year,98.36 as98.84 we've99.08 heard99.33 other99.64 people99.88 say,100.2 has100.84 forced101.16 us101.72 all102.13 to103.08 think103.33 about105 things105.41 that105.81 honestly106.13 many106.77 of107 us107.16 never107.41 imagined108.05 we'd108.52 have108.84 to109 think109.08 about.109.41 We've110.52 had110.84 to111 make111.08 a111.4 lot111.48 of111.72 really111.96 hard112.28 choices.112.6 We've113.88 had114.12 to114.36 weigh114.6 a115.08 lot115.16 of115.4 considerations.115.56 The117.4 most117.64 important118.04 thing,118.6 though,119.08 that119.96 as120.44 we120.76 were121.32 beginning121.64 to122.12 look122.36 at122.6 this122.84 fiscal123.16 year,123.56 1125.13 of125.3 the125.45 things125.53 that125.77 was126.02 really126.25 critical126.66 to127.06 us127.22 is128.18 that128.41 we128.89 made129.22 sure129.53 that130.18 in130.41 in131.46 balancing131.78 all132.41 of132.57 these132.74 really133.13 difficult133.46 choices,133.94 as135.06 Secretary135.29 Wall135.94 said,136.25 that136.87 we137.11 were137.19 considering137.59 how138.55 to138.79 make138.87 sure139.11 that139.35 we're139.51 taking139.83 care140.07 of140.31 DMH's140.55 priority141.27 areas,141.91 delivering143.11 the143.59 services143.83 that144.47 are144.63 needed,144.87 and145.99 making146.23 sure146.63 amongst147.19 all147.75 things147.99 that148.39 we're148.55 thinking148.87 ahead149.19 as149.59 well.149.83 Given152.31 that152.63 this152.79 is153.03 budget153.19 testimony,153.51 a154.4 lot154.56 of154.72 what154.88 I'm155.03 gonna155.28 talk155.59 about155.75 today156.07 is156.56 about156.79 fiscal157.68 issues,158.16 business159.35 processes.159.75
163.29 But163.29 it163.45 shouldn't163.69 be164.33 lost164.65 that165.37 underlying165.85 every166.81 1167.05 of167.29 these167.45 points167.77 are168.57 people.168.81 People170.33 rely170.81 on171.13 the171.29 Department171.45 of171.85 Mental171.93 Health.172.25 Mental172.81 health173.13 is173.37 health173.53 care.173.85 And174.65 as174.89 we175.13 heard175.37 earlier175.77 as176.33 well,176.49 health177.43 care,177.99 not178.31 just178.54 public179.43 sector179.82 health180.22 care,180.38 health180.71 care180.94 in181.1 general,181.34 is182.78 really183.1 struggling183.91 to184.78 find185.1 a185.42 way185.5 the186.14 path186.38 forward186.78 to187.34 balance187.5 all188.47 of188.71 the188.86 fiscal189.03 priorities,189.42 all190.69 of190.77 the191.01 priorities191.25 of191.81 care191.97 that192.29 we192.53 all192.77 value,193.25 and194.69 to195.01 balance195.17 all195.81 of196.05 these196.21 things196.45 in197.49 a197.97 time198.21 when198.61 there's198.85 so199.17 much199.41 uncertainty.199.73
203.26 With203.26 the203.58 federal203.75 funding204.14 uncertainty204.63 that's205.26 looming,205.58 I207.34 also207.58 just207.82 want208.06 to208.31 acknowledge208.47 the208.94 challenge209.19 that209.58 you209.82 all209.98 are210.22 facing.210.47 It's212.7 really213.1 difficult213.42 to213.91 balance214.14 all214.54 of214.7 these214.86 priorities215.1 with215.66 the215.91 uncertainty216.06 that's216.86 looming217.1 all217.58 over218.04 all218.28 of218.52 us.218.76 So219.72 I219.96 also220.12 just220.44 want220.68 to220.92 pledge221 my221.4 commitment221.56 to222.12 continuing222.28 to222.92 partner223.16 to223.64 look223.8 for223.96 ways224.28 forward.224.68 It's225.56 going225.8 to225.96 take226.04 all226.28 of226.44 us226.6 together.226.84 The229.16 Department229.32 of229.72 Mental229.88 Health230.28 serves231.06 the231.71 Commonwealth's231.94 most232.66 vulnerable232.99 adults233.78 and234.19 youth234.42 with234.82 the234.99 most235.14 complex235.54 mental236.5 health236.91 needs.237.14 Typically,239.47 we're240.26 serving240.58 people240.99 who241.22 require241.47 specialized242.1 care.242.75 This243.92 is244.08 different244.48 than245.2 the245.52 care245.68 that's245.92 traditionally246.32 available247.04 through248.08 what248.56 we248.88 often249.12 think249.44 of249.68 as,249.92 like250.8 our251.12 traditional251.36 clinics,252 those252.56 things252.8 that253.2 we253.36 access253.68 through254.72 our255.36 health255.6 plans.255.92 The257.69 things257.78 that258.18 DMH258.42 is258.98 responsible259.22 for259.86 are260.57 the260.81 things260.98 that261.54 go261.86 outside262.25 of262.9 that263.13 largely,263.46 and264.98 they're265.86 ways266.81 of267.13 providing267.38 services267.86 that268.42 are268.65 very268.9 unique269.13 and270.01 very270.34 specialized.270.74 And272.38 over272.7 the272.94 past273.1 few273.42 years,273.74 the274.14 population274.38 who's275.26 needed275.58 those276.3 types276.7 of277.02 very277.18 specialized277.5 services278.14 has279.18 grown279.42 both279.82 in280.86 the281.5 volume281.74 of282.46 people282.7 who282.94 need283.18 it,283.42 but283.58 also283.82 in284.38 the284.62 acuity,284.78 the285.42 complexity285.58 that286.3 people286.62 present286.94 with.287.42 We've288.75 had289.15 the289.31 privilege289.48 this290.04 year290.27 of290.51 serving290.68 about291.07 29,000291.48 people.292.6
295.31 About295.31 4,100295.63 of296.68 those296.92 29,000297.24 are298.12 youth.298.27 And300.44 the300.75 governor's301 budget301.56 for302.12 f302.44 y302.6 26302.84 proposed303.96 DMH's304.6 budget305.16 at306.28 about306.92 $1,275,000,000307.32 almost310.84 $1,300,000,000311.32 This315.08 is315.24 actually315.4 the315.8 largest315.96 budget316.36 we've316.84 ever317.08 seen.317.4 That's318.33 a318.65 7%318.74 increase319.94 over320.98 last321.38 year's321.62 budget.322.01
324.9 In324.9 addition325.21 to325.77 DMH's326.01 budget,326.65 the328.9 governor's329.13 budget,329.62 as330.49 we330.73 also330.81 heard,331.29 Assistant332.25 Secretary332.65 Levine333.21 talk333.61 about,333.85 also334.57 supports335.05 the335.77 continued336.01 funding336.57 for336.89 the337.13 community337.45 behavioral337.93 health338.33 centers,338.65 school339.77 based340.09 mental340.41 health,340.81 and341.21 the341.45 behavioral341.61 health342.09 helpline.342.25 And343.13 these343.37 are343.69 really343.85 important344.25 earlier345.82 intervention,346.54 earlier347.26 identification347.82 opportunities348.94 that350.14 help350.46 kids351.5 and351.82 adults352.06 get353.26 access353.58 to354.31 mental354.63 health354.94 treatment355.26 earlier356.46 in356.94 the357.1 course357.35 of357.66 seeking357.99 help,358.54 which359.64 ultimately360.76 for361.16 all361.48 of361.64 us,361.8 I361.96 think,362.12 helps363.48 us363.88 imagine364.6 a365.48 way365.56 for365.88 people366.2 to366.6 need366.92 the367.88 kind368.2 of368.44 intensive368.84 services369.48 that370.04 DMH370.28 offers,371.16 hopefully372.28 less.372.84 Ultimately,373.75 we374.31 wanna374.56 be374.88 able375.04 to375.36 help375.51 people375.84 earlier.376.16 But378.4 we378.72 also378.96 recognize379.36 that380.31 there382 is382.24 always382.4 gonna382.8 be383.04 a383.28 need383.44 for384.16 some384.56 of384.8 the384.96 types385.12 of385.44 services385.68 that386.24 DMH386.56 offers.387.04 And387.79 so388.03 that's388.11 where388.51 some388.83 of389.07 the389.23 prioritization389.47 comes390.75 in.391.71 The391.95 Department392.19 of392.59 Mental392.75 Health,393.15 and393.95 some394.11 of394.35 you394.51 may394.67 know394.83 this,395.07 some395.31 of395.55 you395.71 may395.87 not.396.03 We396.67 actually396.91 are397.87 the398.51 largest398.75 operator399.71 of401.26 inpatient401.5 services402.06 in402.54 Massachusetts.402.7 We404.23 provide404.54 a404.87 different405.1 kind405.58 of406.7 inpatient406.94 services407.58 with408.87 the409.1 exception409.26 of410.14 2410.7 small411.02 units,411.35 Pucassid411.9 and412.7 Corrigan.412.94 So413.58 I'll413.75 talk413.99 a414.23 little414.31 bit414.54 about414.7 Pucassid415.19 in415.82 in415.99 a416.63 few416.79 minutes416.95 as417.35 well.417.51 But419.43 the419.67 units419.83 that420.47 DMH420.79 operates,422.31 these423.19 over423.91 700424.23 beds425.03 primarily426.31 serve427.67 people428.15 whose428.71 needs,429.19 for430.42 a430.81 hospital430.9 level431.3 of431.54 care431.78 often432.34 are433.46 accompanied433.86 with434.57 the435.13 need,435.21 for435.54 example,435.78 from436.5 the436.74 court436.9 for437.3 a437.46 competency437.54 evaluation.438.25 We439.78 receive440.01 transfers440.57 from441.38 Bridgewater441.69 State442.25 Hospital.442.65 In443.46 fact,443.69 the444.18 Bridgewater444.42 is444.98 from445.06 trans445.38 The445.99 transfers446.23 from446.71 Bridgewater446.95 State447.51 Hospital447.83 have448.31 actually448.55 increased449.19 in450.31 the450.47 last450.63 few450.95 years.451.19 In451.99 fact,452.23 this452.71 year,452.95 if453.91 the454.15 trend454.39 continues454.79 as455.59 it455.99 looks456.23 for456.87 this457.11 early457.43 part457.83 of458.07 the458.15 year,458.31 We're459.39 probably459.71 gonna460.36 surpass461.39 every461.96 other462.19 year462.51 with463.07 about463.48 226464.04 admissions465.31 from465.96 transfers.466.44 This467.56 is467.71 a467.88 good468.04 thing.468.19 We469.15 wanna469.39 be469.71 able469.88 to470.12 take470.27 people470.51 out470.83 of471 strict471.15 security471.39 and471.88 help472.04 people472.36 to472.68 enter472.83 a473.56 DMH473.71 hospital.474.19 The475.26 challenges475.42 we're476.06 seeing476.46 people476.7 entering477.18 in477.74 earlier478.22 in478.86 their479.02 course479.26 of479.58 treatment,479.74 which480.78 means481.02 they481.34 need481.58 longer481.98 periods482.38 of482.78 time483.02 in483.42 our483.66 hospitals483.98 to484.62 stabilize484.86 and485.98 ultimately,486.22 once487.98 their488.46 core488.86 proceedings489.18 are489.98 resolved,490.14 return491.56 to491.95 the492.19 community.492.35 This494.19 means494.44 we're494.75 occupying495 beds495.63 for496.35 longer.496.68 So498.12 all498.51 of498.75 our498.92 beds,499.24 literally499.88 100%500.75 of501.79 them502.04 are502.51 occupied,502.92 And504.37 that504.61 level504.85 of505.17 care505.41 is505.81 actually506.13 over506.85 occupancy507.17 and508.29 has508.61 been508.85 for509.65 almost509.89 2510.29 years510.53 now.510.85 We're511.97 we're512.61 operating512.69 over513.97 occupancy,514.29 more515.97 demand,516.21 more517.41 need,517.81 again,519.23 emphasizes519.54 the520.75 really520.99 critical521.3 importance521.78 of522.35 reaching522.5 people522.99 earlier523.38 in524.42 their524.9 course525.23 of525.54 treatment.525.7 Some526.99 of527.23 the527.38 people527.54 who've527.95 ended528.35 up528.66 in528.83 our528.99 hospitals,529.14 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2035.96 SPEAKER12035.96 -2035.96 Great.2035.96 Thank2036.2 you2036.44 so2036.6 much,2036.76 commissioner.2037 Reminded2037.56 to2037.96 all2038.12 members,2038.28 12038.68 minute,2038.92 12039.16 question,2039.4 so2040.28 we2040.44 can2040.52 get2040.68 through2040.84 all2041.08 of2041.24 them.2041.32 I2041.8 will2041.96 start2042.12 with,2042.44 Senator2043 Olivera.2043.64
2048.61 SPEAKER32048.61 -2048.61 Thank2048.61 you,2048.93 commissioner.2049.18 Thank2050.53 you2050.78 for2050.93 mentioning2051.09 McCutchen's2051.57 program2052.21 as2052.86 well.2053.01 Belchertown2053.34 is2053.97 located2054.21 in2054.86 my2055.01 district.2055.26 I2056.05 know2056.3 that,2056.53 representative2057.09 Pease2057.73 asked2058.14 the2058.38 secretary2058.53 earlier2059.09 today2059.57 about2060.18 some2060.34 of2060.46 the2060.58 cuts2060.82 into2061.06 the2061.38 programs2061.54 into2061.94 CIRT2063.14 and2063.94 IRTP.2064.34 I2065.7 share2066.02 similar2066.58 concerns2066.98 with2067.46 many2067.7 of2068.02 my2068.1 Western2068.26 Mass2068.66 colleagues,2068.9 including2069.38 senator2070.1 Commerford,2070.5 who's2071.14 here,2071.46 representative2072.26 Sabadosa,2072.9 obviously,2075.02 Representative2075.49 Pease2076.14 with2076.54 this2076.7 program.2076.93 And2077.89 I2078.61 have2078.78 to2079.02 say,2079.1 when2079.82 you2079.97 just2080.14 said2080.38 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2381 SPEAKER42381 -2381 we2381 need2381.24
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2404.84 SPEAKER32404.84 -2404.84 Thank2404.84 you,2405.08 commissioner.2405.32 And2405.72 I2405.88 know2405.96 you2406.12 should2406.2 be2406.44 receiving2406.68 in2407.16 your2407.24 inbox2407.48 as2407.88 well2408.04 a2408.28 letter2408.36 from2408.6 representative2408.84 Saunders2409.4 who2409.88 represents2410.12 Belchertown.2410.6 And2411.56 I2411.8 I2412.04 failed2412.11 to2412.52 mention2412.68 another2413.08 Western2413.47 Mass2413.88 colleague2414.11 that's2414.52 here,2414.76 Representative2415.08 Smola,2415.72 who2416.36 borders2416.6 Belchertown2417.08 as2417.8 well2418.04 in2418.6 our2418.84 advocacy2418.99 for2419.56 these2419.72 programs2419.95 being2420.43 located2420.68 in2420.99 Western2421.16 Massachusetts.2421.64 Thank2422.36 you.2422.6
2426.93 SPEAKER52426.93 -2426.93 Thank2426.93 you,2427.25 Commissioner.2427.41 Our2427.89 next2428.05 question2428.29 comes2428.69 from2429.01 the2429.17 Assistant2429.33 Vice2429.81 Chair2429.97 of2430.21 this2430.29 committee,2430.45 Representative2430.93 Kip2431.49 Diggs.2431.73
2434.45 SPEAKER62434.45 -2434.45 Thank2434.45 you,2434.69 Mr.2434.93 Chair.2435.25 Commissioner,2437.03 you2439.03 said2439.28 that2439.51 there's2439.59 a2439.91 lot2439.99 of2440.16 confusion,2440.32 and2441.59 and2442.16 I'm2442.23 seeing2442.47 why2442.8 I2443.11 mean,2443.19 I'm2443.67 feeling2443.91 confusion2444.47 because2445.19 of2445.51 you2446.16 know,2446.32 mental2446.39 health2446.8 is2447.03 such2447.19 a2447.59 big2447.84 issue.2448.16 I2449.03 live2449.19 on2449.43 The2449.59 Cape,2449.67 and2450.07
2453.86 traveling2453.86 to2454.26 go2454.42 see2455.06 your2455.22 child2455.46 wherever2455.86 the2456.42 child2456.74 is,2457.22 to2457.94 go2458.1 to2458.34 Western2458.42 Mass,2458.9 to2459.46 go2459.7 we2460.66 need2460.82 to2461.54 me,2461.7 it2461.94 seems2462.02 like2462.26 we2462.5 need2462.66 smaller2462.98 venues,2463.86 but2465.02 having2465.26 them2465.41 in2465.89 separate2466.14 several2466.86 places2467.41 so2467.89 that2468.14 we2468.54 can2468.78 have2468.93 something2469.18 like2469.57 this2469.74 so2469.89 that2470.06 workforce2471.82 can2472.45 be2472.78 obtained.2473.57 Because,2474.06 of2474.3 course,2474.38 if2474.61 you2474.7 have2474.86 to2475.02 travel2475.18 to2475.74 get2475.89 to2476.06 Western2476.22 Prodome2476.61 Mass,2476.93 if2477.09 you2477.26 don't2477.41 live2477.57 there2477.82 or2478.38 wherever2478.7 you2479.09 live2479.26 and2479.49 you,2479.66 I2480.12 saw2480.36 I2480.52 think2480.68 us2481.24 being,2481.56 needs2482.44 to2482.76 be2482.84 more2483 communication,2483.32 I2483.96 feel,2484.12 because,2484.44 you2485.48 know,2485.72 these2486.44 groups,2486.76 we2487.16 need2487.32 to2487.48 figure2487.64 out2487.88 where2488.04 the2488.28 groups2488.36 are,2488.68 where2488.84 where2489.16 we2489.4 can2489.56 help,2489.8 where2490.36 we2490.6 can2490.68 get2490.92 these,2491.08 I2492.21 don't2492.38 care,2492.69 adolescents2493.01 or2493.49 everybody.2494.61 If2495.18 if2495.34 anyone2495.66 has2496.14 mental2496.53 health2497.01 issues,2497.34 we2498.53 need2498.78 to2498.93 be2499.09 able2499.18 to2499.41 help2499.49 them2499.66 in2499.97 in2500.3 various2500.61 ways,2501.01 and2501.97 by2502.38 all2502.61 means2502.78 necessary.2503.18 But2504.61 to2505.26 have2505.5 them2505.58 so2506.14 far2506.46 away2506.78 that,2507.26 I2508.46 think2508.62 we're2508.86 giving2509.18 doing2509.66 a2509.9 a2510.22 disservice2510.46 to2511.02 everybody2511.18 instead2512.22 of2512.62 being2512.78 more2513.1 technical2514.86 and2515.66 where2515.9 we2516.14 work2516.3 and2516.54 where2516.78 we2517.02 put2517.18 these2517.34 these2518.24 sites2518.48 at.2519.05 So2520.24 maybe2520.48 we2520.72 can2520.89 I2521.44 feel2521.68 that's2521.84 what2522.16 we2522.32 need2522.57 to2522.72 do2522.8 is2522.96 kind2523.2 of2523.36 get2523.53 get2524.24 to2524.48 a2524.64 spot2524.72 where,2524.96 okay,2525.2 let's2525.44 have2525.68 something2525.84 here,2526.24 smaller2527.36 unit,2527.84 whatever?2528.8 So2529.28 but2529.53 just2529.76 something2529.92 that's2530.24 gonna2530.57 make2530.8 us2531.05 more2532.12 proficient2532.36 and2533.56 and2533.8 more2533.88 professional2534.52 and,2536.36 to2537.16 take2537.32 care2537.48 of2537.72 our2537.88 people2539.24 that2539.56 need2539.72 to2539.96 be2540.04 helped.2540.2 So2540.84 thank2541.08 you.2541.32
2543 SPEAKER22543 -2543 If2543 I2543.16 may,2543.32 just2543.72 a2544.04 brief2545.22 response2545.55 back.2546.11 There2547.22 are2547.55 some2547.86 efforts2548.18 underway2548.74 that2549.3 are2549.63 actually2549.86 doing2550.26 exactly2550.66 what2551.14 you've2551.3 just2551.55 described.2551.86 What2554.03 we2554.26 really2554.51 wanted2554.82 to2555.14 focus2555.39 on,2555.86 with2556.74 the2557.3 investments2557.55 that2558.18 are2558.34 going2558.51 forward,2558.91 I2560.22 mentioned2560.38 the2560.62 community2560.94 behavioral2561.42 health2561.82 centers.2562.14 Those2563.66 investments2563.98 are2564.54 not2564.78 just2564.94 clinic2565.34 based.2565.82 They2566.38 also2566.7 include2567.02 mobile2567.5 crisis,2567.9 and2568.86 they2569.02 they2569.82 include2569.98 what2571.26 are2571.5 called2571.66 crisis2572.06 stabilization2572.62 units.2573.42 And2574.66 this2574.82 was2575.22 also2575.39 a2576.03 newer2576.34 resource2576.82 added2577.55 with2578.43 the2578.59 reforms2578.91 of2579.47 behavioral2579.7 health.2580.26 We2581.22 never2581.47 had2581.86 youth2582.18 crisis2582.91 stabilization2583.47 units2584.18 in2584.51 Massachusetts2584.66 before.2585.47 We2586.26 do2586.51 now.2586.74 And2587.55 those2587.78 are2588.11 more2588.34 locally2588.66 based.2589.22 And2590.04 so2590.2 the2590.44 idea2590.68 is2590.92 exactly2591.16 what2591.64 you2591.8 just2592.04 said.2592.28 Bring2593 services2593.32 closer2594.04 to2594.52 where2594.68 people2594.92 are,2595.32 make2596.12 them2596.44 available2596.68 at2597.24 earlier2597.48 points2598.04 in2599 their2599.16 seeking2599.64 help2600.2 journey2601.24 so2602.18 that2602.41 we2602.57 can2602.73 help2603.05 people2603.22 get2604.09 the2604.34 help2604.49 they2604.73 need2604.97 closer2605.38 to2605.78 their2605.93 communities2606.18 and2607.38 earlier.2607.7 So2608.49 we2608.89 hear2609.14 you2609.38 a2609.86 %,2610.09 and2611.53 that2611.7 is2611.86 part2612.09 of2612.34 the2612.49 investments2612.66 that2613.38 the2613.53 Haley2613.7 Driscoll2614.01 administration2614.41 is2615.14 supporting2615.38 as2615.86 well.2616.09
2617.7 SPEAKER12617.7 -2617.7 Thank2617.7 you.2617.94 Next2618.1 question2618.42 comes2618.74 from2618.9 senator2619.14 Kelly2619.54 Duna.2619.78
2626.1 SPEAKER72626.1 -2626.1 Thank2626.1 you,2626.34 mister2626.66 vice2626.98 chair.2627.3 And2628.42 first2628.66 off,2628.98 thank2629.3 you2629.46 to2629.89 my2630.21 colleagues2630.45 for2630.86 listening2631.09 to2631.49 me2631.57 talk2631.82 about2632.05 this2632.3 probably2632.61 every2633.09 single2633.41 week.2633.66 But,2633.97 the2635.34 community2635.49 of2635.97 Middleborough,2636.14 you2636.78 mentioned2636.93 school2637.34 based2637.66 mental2638.05 health.2638.45 And2639.18 12639.34 of2639.49 my2639.66 communities2639.97
2641.18 SPEAKER82641.18 -2641.18 at2641.18
2641.34 SPEAKER72641.34 -2641.34 the2641.34 February2641.41 lost2642.61 a2643 grant2643.24 that2643.64 was2643.72 supporting2644.04 student2644.52 social,2645 emotional2645.4 learning,2645.88 behavioral,2646.92 and2647.64 mental2647.88 health,2648.28 for2649.08 $73,0002649.32 in2650.76 the2651 schools2651.16 due2651.64 to2651.88 noncompliance2653 with2653.96 the2654.2 MBTA2654.44 Communities2655.08 Act.2655.8 And,2656.12 obviously,2656.6 that2657.8 kept2658.55 me2658.7 up2658.86 at2658.95 night2659.18 and2659.34 honestly2659.59 made2659.99 me2660.14 sick2660.31 to2660.55 my2660.63 stomach.2660.79 While2662.31 I2662.47 know2662.55 it2662.7 wasn't2662.95 your2663.27 department's2663.51 decision2664.31 per2664.86 se,2665.11 I2665.34 know2665.51 whose2665.83 decision2666.14 it2666.47 was.2666.63 Can2666.86 your2667.03 department2667.27 commit2667.91 to2668.22 just2668.39 being2668.63 a2668.86 resource2669.03 for2670.47 my2670.7 communities2670.95 that2671.59 are2671.83 now2671.91 very2672.53 fearful2672.85 that2673.33 they2673.57 may2673.81 lose2674.05 mental2674.37 health2674.77 funding2675.01 for2675.57 their2675.73 schools2675.97 and2676.29 any2676.53 other2676.69 programs2676.93 within2677.41 the2677.73 town?2677.81
2678.93 SPEAKER22678.93 -2678.93 Yes.2678.93 We2680.13 do2680.37 wanna2680.61 be2681.01 available2681.49 for2682.05 support,2682.37 and2683.41 DMH2683.73 actually2684.37 has2685.01 a2685.73 staff2686.29 member2686.69 whose2687.49 entire2688.38 job2688.86 is2689.41 to2689.82 do2689.97 exactly2690.14 what2690.53 you2690.78 just2690.93 said,2691.18 to2691.41 be2691.57 the2691.74 liaison2691.97 between2693.09 the2693.89 department2694.22 and2694.93 DESE,2695.18 the2696.14 department2696.38 and2697.09 other,2697.49 state2698.7 agency2699.09 sources2699.82 of2700.87 funding.2701.03 And2701.59 there2701.75 are2702.07 other2702.39 sources2702.95 of2703.43 school2703.67 based2703.99 funding2704.31 as2704.79 well,2704.95 and2705.19 we2705.83 can,2706.07 you2706.39 know,2706.55 definitely2706.87 work2707.43 with2707.75 your2707.91 community2708.23 to2708.79 see2709.03 how,2709.51 potentially2710.55 there2711.19 might2711.43 be2711.67 other2712.15 ways2712.55 that2713.35 your,2713.75 community2714.55 could2715.19 could2715.97 be2716.13 funded2716.28 for2716.76 resources.2717.01
2718.28 SPEAKER72718.28 -2718.28 Thank2718.28 you.2718.45 We2719.09 didn't2719.32 have2719.97 that2720.2 partnership2720.53 with2721.01 Middleborough,2721.24 so2721.72 moving2721.97 forward,2722.28 it2722.68 would2722.76 be2722.93 great2723.09 if2723.41 they2723.49 could2723.64 make,2723.8 you2724.05 know,2724.2 a2724.36 real2724.53 strong2724.76 effort2725.16 to2725.57 be2725.72 there2725.89 for2726.13 those2726.36 communities2726.61 because2727.09 mental2727.49 health2727.8 funding2728.05 is2728.36 something2728.53 that2728.84 should2729.69 never2729.93 be2730.09 threatened2730.33 or2730.81 pulled2731.13 or2731.45 removed,2731.69 especially2732.17 when2732.65 it2732.81 comes2732.97 to2733.13 school2733.29 systems2733.61 and2734.09 communities2734.25 who2734.89 very2735.21 much2735.45 depend2735.77 on2736.09 those2736.25 grants.2736.49 Thank2737.21 you.2737.45
2737.85 SPEAKER22737.85 -2737.85 I2737.85 understand.2738.09 And2738.73 and2739.29 my2739.85 colleague2740.49 from2740.89 DPH,2741.21 DPH2742.99 actually2743.55 also2743.95 funds2744.36 some2744.76 school2744.99 based2745.24 mental2745.64 health2745.95 services.2746.28 So2746.91 we2747.16 can2747.24 definitely,2747.55 connect2749.72 and2750.04 collaborate2750.36 and2750.99 and2751.32 just2751.47 learn2751.72 more2752.04 about2752.36 what's2752.68 possible.2752.99 Thank2754.2 you.2754.43
2756.45 SPEAKER52756.45 -2756.45 Thank2756.45 you,2756.69 commissioner.2756.93 Our2757.49 next2757.81 question2758.05 is2758.53 from2758.69 representative2759.01 Rodney2759.57 Elliott.2759.97
2761.81 SPEAKER92761.81 -2761.81 And2761.81 thank2762.05 you,2762.21 mister2762.29 chairman.2762.61 Thank2763.73 you,2763.97 commissioner,2764.13 for2764.69 your2764.93 testimony.2765.33
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2941.47 SPEAKER22941.47 -2941.47 Thank2941.47 you.2941.8 I2942.04 appreciate2942.28 the2942.76 concern2942.99 you're2943.47 you're2943.8 raising.2944.11 And2944.68 if2947.07 it's2947.32 okay,2947.47 I'd2947.8 like2947.95 to2948.11 just2948.2 start2948.59 by,2948.99 highlighting2950.28 some2950.99 of2951.16 the2951.32 context2951.55 because,2952.43 actually,2953.07 there2953.55 were2953.8 a2954.11 lot2954.28 of2954.43 different2954.68 levels2955.07 of2955.47 care2955.55 that2956.27 you2956.51 just2956.75 identified2957.23 in2958.67 your2958.83 questions.2959.07 And2960.19 so,2960.43 for2960.59 example,2960.83 the2961.31 behavioral2961.55 health2961.95 helpline2962.19 actually2963.23 is2963.95 different2964.19 than2964.59 a2964.75 crisis2964.91 line.2965.47 It's2966.27 an2966.59 access2966.91 line.2967.39 And2968.35 so2968.59 we2969.66 encourage2969.9 people2970.63 to2971.11 call2971.34 before2971.74 they're2972.14 in2972.39 crisis.2972.55 And2973.18 most2973.74 of2973.98 those2974.22 calls2974.55 are,2975.51 in2975.74 fact,2975.9 people2976.3 seeking2976.7 routine2977.18 care,2977.66 which2978.22 is2978.46 a2978.55 good2978.7 sign.2978.94 And2980.07 part2980.63 of2980.86 the2981.03 reason2981.18 that2981.59 I2981.74 emphasize2981.98 that2982.55 is2982.94 that2983.18 that's2983.89 part2984.37 of2984.77 a2985.09 network2985.41 of2986.05 services2986.37 that2987.33 we2987.49 rolled2987.65 out2987.97 in2988.13 20232988.37 that2989.89 help2990.13 with2990.53 that2991.25 identification2991.81 earlier.2992.85 This2993.81 community2994.21 behavioral2994.69 health2995.17 centers2995.49 have2996.45 urgent2996.69 care2997.17 capacity.2997.57 So2999.09 that2999.32 in2999.57 addition2999.89 to3000.45 mobile3000.76 crisis3001.16 and3001.57 the3001.8 crisis3001.89 units3002.36 and3002.84 standard3003.09 appointments,3004.05 they3004.93 also3005.16 have3005.57 urgent3005.8 care.3006.28 And3007.09 so3007.32 part3007.72 of3007.89 what3008.13 I3008.36 I3008.84 wanna3008.93 highlight3009.32 is3009.97 that3010.13 some3011.34 of3011.58 what3011.82 has3012.46 developed,3012.94 excuse3013.98 me,3014.3 over3015.66 the3015.9 years3016.06 has3017.02 developed3017.34 in3018.54 isolation.3018.78
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3102.91 SPEAKER93102.91 -3102.91 Just3102.91 a3103.15 follow-up,3103.31 or3105.31 or3105.87 another3106.11 question.3106.43 So3106.83 you3107.55 also3107.78 alluded3108.26 to3108.59 in3108.74 your3108.91 remarks,3109.07 you3110.18 plan3110.43 on3110.86 ex3111.3 do3111.55 you3111.7 plan3111.78 on3112.11 expanding3112.26 private3113.39 sector3113.78 contracts,3114.43 the3116.18 current3116.34 vendors3116.66 to3117.63 come3117.86 cover3118.18 some3118.59 of3118.74 these3118.91 services3119.47 that3120.11 was3121.48 now3121.56 being3122.12 performed3122.52 by3122.84 state3123 employees?3123.32
3124.28 SPEAKER23124.28 -3124.28 No.3124.28 There3125.08 there3125.56 will3125.88 be3126.04 no3126.28 expansion3126.68 contracts.3127.4 We3128.04 will3128.28 be3128.44 maximizing3128.68 existing3129.48 resources.3130.12 And,3131.48 and3132.52 I3133 appreciate3133.24 that3133.88 you're3134.2 bringing3134.44 that3134.84 up.3135.08 I3135.84 also3136.07 just3136.39 want3136.64 to3136.8 bring3136.88 us3137.2 back3137.36 to3137.68 the3138.07 fact3138.24 that3138.47 we're3138.64 also3138.88 foregoing3139.36 further3139.91 expansion3140.39 of3141.52 the3141.68 adult3141.84 community3142.16 clinical3142.8 services3143.2 to3143.68 achieve3143.91 some3144.32 savings,3144.55 and3145.36 we're3145.52 foregoing3145.76 further3146.72 expansion3147.11 of3147.59 respite.3147.84 This3149.3 is3149.54 going3149.7 to3149.86 allow3150.02 us3150.34 collectively3150.66 to3152.1 prioritize3152.42 all3153.14 of3153.38 our3153.54 resources3153.78 to3155.3 effectively3155.46 meet3156.26 the3156.5 needs3156.66 that3156.98 people3157.22 have.3157.62
3160.1 SPEAKER93160.1 -3160.1 And3160.1 lastly,3160.34 Mr.3161.14 Chairman,3161.46 just3161.78 lastly,3162.18 so3163.76 this3164.09 reduction3164.32 of3164.8 employ3165.05 of3165.53 of3165.84 employees3166.09 case3166.64 managed3166.97 workload,3167.36 will3169.84 that3170.09 result3170.48 in3171.05 some3171.45 of3171.61 the3171.76 less3172.01 acute,3172.64
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3184.5 SPEAKER23184.5 -3184.5 No.3184.5 In3184.82 fact,3185.06 anybody3185.46 will3186.1 be3186.34 able3186.5 to3186.98 use3188.02 the3188.42 open3188.66 access3189.06 design,3189.94 And3191.29 our3191.68 intention3192.01 is3192.81 to3193.13 match3193.45 the3193.84 open3194.09 access3194.49 with,3195.36 as3196.33 I3196.49 mentioned,3196.64 office3197.45 hours,3197.93 mobiling3199.36 out3199.84 to3200.16 high3200.33 visibility3200.57 locations3201.36 to3202.01 be3202.24 available3202.41 where3203.05 people3203.36 might3203.77 be3204.09 more3204.64 inclined3205.2 to3205.84 show3206.01 up.3206.24 But3207.42 also3207.58 we3208.14 will3208.38 be3208.7 able3208.86 to3209.26 use3209.5 outreach3210.06 calls.3210.62 So3211.26 we3211.5 will3211.74 be3211.98 able3212.06 to3212.3 identify3212.62 people3214.06 who3214.46 might3214.7 be3214.94 less3215.18 inclined3215.5 to3216.38 follow3216.62 through3216.94 on3217.18 their3217.42 own,3217.66 and3218.38 we3218.54 will3218.78 proactively3219.02 outreach3220.06 to3220.62 them3220.86 as3221.18 well.3221.42 And3223.07 this3223.32 is3223.95 why3224.11 I3224.36 just3224.52 wanna3224.84 emphasize3225.24 that,3225.88 yes,3226.43 the3227.07 proposal3227.56 does3228.2 reduce3228.52 the3228.91 case3229.07 manager3229.56 workforce.3230.2 We3231.64 will3231.88 continue3232.11 to3232.59 have3232.76 a3232.91 full3233.07 complement3233.32 of3233.8 supervisors.3234.04 We3234.76 will3234.84 continue3235.07 to3235.56 have3235.72 our3236.36 site3236.68 directors,3236.91 and3237.86 we3238.02 will3238.18 continue3238.34 to3238.82 operate3238.98 our3239.54 site3239.78 offices.3240.1
3242.02 SPEAKER53242.02 -3242.02 Thank3242.02 you,3242.26 commissioner.3242.42 And3242.98 just3243.14 as3243.38 a3243.54 reminder,3243.62 to3244.34 all3244.5 of3244.66 our3244.82 colleagues3244.98 here,3245.3 we're3245.86 on3246.02 panel3246.26 43246.58 of3246.82 103246.98 with3247.14 the3247.38 hard3247.46 stop.3247.78 So3248.1 I3248.34 just3248.42 wanna3248.66 remind3248.9 everybody,3249.14 13249.78 question,3249.94 per3251.48 per3251.97 member.3252.2 And3253.09 with3253.24 that,3253.41 we3253.64 will,3253.8 turn3254.45 it3254.84 next3255.09 to3255.41 Rep3255.64 Kilcoyne.3255.97
3264.14 SPEAKER103264.14 -3264.14 No3264.14 problem.3264.38 Thank3264.78 you,3265.02 commissioner,3265.18 and3265.98 thank3266.14 you3266.3 for3266.46 your3266.62 thorough3266.78 testimony.3267.66 Earlier,3269.9 I3270.3 know3270.38 that3270.62 it3271.02 is3271.18 a3271.74 very3271.9 difficult3272.22 budget3272.62 cycle3272.94 for3273.34 everyone,3273.5 and3273.9 and3274.06 the3274.3 issues3274.46 that3274.78 you3274.94 deal3275.1 with3275.26 are,3275.5 particularly3276.47 of3277.18 concern.3277.35 And3278.14 I3278.31 know3278.39 you3278.63 touched3278.79 on3279.03 this3279.18 in3279.35 your3279.51 testimony,3279.66 so3280.14 I3280.31 will3280.39 be3280.55 brief.3280.7 But3281.03 I3281.74 know,3281.91 you3282.31 know,3282.47 since3282.7 I've3282.95 been3283.11 elected3283.35 I3283.83 was3283.99 elected3284.14 in3284.79 2020,3285.03 fall3285.66 of3285.91 '203286.07 '20.3286.31 And3287.18 since3287.74 that3288.14 time,3288.47 all3290.41 I3290.65 have3290.73 heard3290.97 from3291.37 my3291.77 constituents3292.01 and3292.57 I'm3292.81 sure3292.97 from3293.21 people3293.45 or3294.09 my3294.25 colleagues3294.41 here3294.81 similar3294.97 from3295.29 their3295.53 districts3295.69 as3296.17 well3296.25 that3296.41 mental3297.05 health3297.37 is3297.69 on3297.93 the3298.01 rise,3298.17 that3298.97 it3299.21 is3299.37 a3299.53 continuing3299.85 crisis,3300.49 and3302.09 that3302.33 it3302.57 is3302.73 more3302.97 important3303.37 than3303.85 ever3304.09 to3304.49 make3304.65 sure3304.89 that3305.21 our,3305.86 those3306.91 that3307.22 need3307.47 these3307.7 services3307.86 have3308.43 access3308.59 to3308.99 them.3309.07 And,3309.86 I3310.91 know3311.07 it's3311.22 something,3311.47 again,3311.95 that3312.26 you've3312.43 addressed,3312.66 but3312.99 I3313.22 I3313.47 can't3313.63 help3313.86 but3314.11 just3314.34 still3315.39 be3315.63 concerned3315.78 that,3316.34 the3316.82 prospect3316.99 of3317.47 cutting3317.63 503318.11 percent3318.51 of3318.91 caseworkers3319.14 will3320.38 leave3320.7 a3321.02 huge3321.18 void3321.58 in3322.46 in3322.86 many3323.02 of3323.26 the3323.42 patients3323.58 that3323.98 are3324.14 reliant3324.38 on3325.02 the3325.26 critical3325.5 care3326.14 and3326.46 services3326.7 they3327.26 provide.3327.5 And3328.94 we3330.3 have3330.62 heard,3330.94 in3331.26 addition3331.42 to3331.82 having3331.98 a3332.22 mental3332.38 health3332.62 crisis3332.86 issue,3333.34 that3333.58 we3333.82 have3333.98 a3334.14 health3334.22 care,3334.54 crisis3335.76 workforce3336.47 issue,3337.03 that3338.39 it's3338.64 harder3338.95 than3339.51 ever3339.84 to3340.24 find3340.47 individuals3340.88 that3341.43 are3341.59 going3341.68 into3341.91 this3342.16 line3342.32 of3342.55 work,3342.64 particularly3342.88 in3343.43 mental3343.59 health3343.91 services.3344.16 And3345.03 I3345.11 just3345.28 would3345.84 like3346.07 to3346.39 hear3346.8 from3347.28 you3347.51 just3348.23 what3348.47 is3348.63 your3348.79 plan3349.03 to3349.35 ensure3349.51 that3349.83 those3349.99 that3350.31 are3350.47 reliant,3350.71 that3351.03 are3351.19 continuing3351.35 to3351.83 receive,3351.99 care3354.07 from3354.95 DMH3355.59 case3356.07 managers,3356.39 that3357.19 they3357.43 will3357.67 continue3357.83 to3358.23 get3358.31 the3358.55 quality3358.63 care3359.11 that3359.67 they3359.91 should3360.88 be3361.28 receiving3361.59 and3362.07 that3362.23 they3362.39 expect,3362.64 and3364.07 how3364.39 you3364.71 are3365.19 planning3365.59 to3366.16 avoid3366.32 any3366.88 shortfalls3367.36 in3367.91 services3368.07 or3368.71 making3369.43 sure3369.84 that3370.07 those3370.32 that3370.71 individuals3370.88 are3371.43 not3371.51 falling3371.76 through3371.99 the3372.23 cracks3372.32 with3372.71 a3373.03 significantly3373.68 reduced3374.32 staff.3374.88 And3376.04 thank3376.2 you3376.44 so3376.52 much3376.68 for3376.84 your3377 time3377.16 today.3377.32
3378.28 SPEAKER23378.28 -3378.28 Thank3378.28 you.3378.44 It3380.6 is3380.84 something3381.08 that3381.64 we've3381.96 given3382.2 considerable3382.6 thought3383.24 to.3383.56 And3384.44 what3385.08 we've3385.32 tried3385.64 to3386.04 think3386.2 about3386.44 is3386.92 how3387.48 how3388.12 we3388.44 would3388.68 monitor3389.08 the,3389.96 the3391.43 use3391.59 of3392.07 these3392.22 open3392.55 access3393.03 and3393.74 our3394.14 solution3394.39 focused3394.86 options3395.74 and3396.86 to3397.11 track3397.43 how3398.31 well3398.63 or3398.95 not3399.11 well3399.43 the3399.91 currently3400.47 enrolled3401.03 group3401.59 are3402.31 responding3402.63 to3403.27 them.3403.43 We3404.54 would3404.78 also3404.94 have3405.5 the3405.74 ability3405.9 to3406.94 flexibly3407.18 move3407.98 people3408.3 in3409.1 or3409.34 out3409.66 of3410.06 13410.94 particular3411.34 case3411.98 management3412.3 approach3412.86 or3413.18 another.3413.42 So3414.22 we3414.46 as3415.34 I3415.58 mentioned,3415.74 we3416.56 will3416.72 continue3416.95 to3417.52 have3417.76 the3418.16 availability3418.47 of3419.28 what3419.52 is3419.68 our3419.91 more3420.16 standard3420.72 or3421.11 traditional3421.28 way3421.99 of3422.24 doing3422.32 case3422.64 management3422.95 today.3423.43 Our3424.39 intention3424.72 is3425.76 to3425.99 reduce3426.32 the3426.95 volume3427.43 that3428.32 are3428.56 getting3428.8 that3429.28 more3429.6 intensive3429.84 approach.3430.56 We3431.45 will3431.61 still3431.93 be3432.25 able3432.41 to3432.73 provide3432.97 that3433.29 for3433.53 the3433.69 people3433.85 who3434.25 need3434.41 it.3434.65 So3434.81 we3435.05 will3435.21 have3435.37 to3435.61 both3436.41 address3437.29 the3437.77 needs3438.01 that3438.33 people3438.57 have,3438.89 as3440.81 they're3441.05 seeking3441.45 the3442.49 use3442.73 of3443.05 this3443.29 newer3443.93 approach.3444.33 And3445.43 then3445.59 also,3446.39 like3447.03 I3447.28 said,3447.36 to3447.67 through3447.99 proactive3448.39 engagement3449.84 to3451.19 be3451.36 able3451.51 to3451.76 make3451.91 sure3452.15 that3452.47 we3452.64 understand3452.88 if3453.91 something's3454.07 shifting3454.55 for3455.11 them.3455.43 The3456.39 proactive3456.95 engagement3457.51 model3458.39 is3458.95 something3459.19 that3459.67 is3460.07 in3460.47 use3460.64 today3461.11 in3461.43 other3461.75 case3462.07 management3462.47 teams3462.95 that3463.83 are3464.15 quite3465.03 similar3465.43 in3465.91 terms3466.07 of3466.39 the3466.55 way3466.63 that3466.87 they3467.03 work.3467.27 So,3467.67 for3468.31 example,3468.47 health3468.95 care3469.19 for3469.43 the3469.59 homeless,3469.75 teams3471.03 use3471.99 a3472.39 very3472.55 flexible3472.95 engagement3473.91 focused3474.63 approach.3475.19 It's3476.09 very3476.64 much3476.97 inherent3477.53 and3477.93 and3478.16 natural3478.41 in3479.28 the3479.45 way3479.61 that3479.76 they3479.93 deliver3480.16 case3480.64 management3480.89 services.3481.53 So3483.2 I3483.53 have3483.68 confidence3483.93 that3484.72 because3485.05 this3485.45 is3485.68 a3486.09 design3486.24 that3487.05 is3487.28 in3487.53 use3487.76 in3488.16 other3488.57 types3489.05 of3489.76 teams3490.01 that3491.02 we3491.34 have,3491.66 we3492.62 believe3492.78 it3493.1 can3493.26 be3493.42 effective3493.58 here3494.06 too.3494.3
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3673.45 So3673.45 I3673.61 heard3673.76 your3674.16 remarks.3674.41 The3675.28 question3675.45 would3675.76 be,3675.93 at3676.32 this3676.49 point,3676.64 do3678.24 you3678.41 have3678.49 any3678.72 more3678.89 information3679.13 about3679.68 the3679.93 working3680.09 group?3680.49 Like,3680.97 when3681.45 will3681.68 that3681.93 happen?3682.16 Who3682.64 will3682.8 that3683.05 be?3683.36 And3684.41 will3685.36 it3685.53 be3685.76 done3685.93 before3686.16 the3686.57 end3686.72 of3686.97 the3687.05 budget3687.13 season?3687.53 And3688.43 is3688.67 there3688.83 money3689.07 in3689.47 your3689.71 new3690.03 budget3690.27 to3690.83 keep3691.07 Percasset3691.39 open,3692.11 in3693.55 the3693.71 next3693.87 budget?3694.19
3695.31 SPEAKER23695.31 -3695.31 Thank3695.31 you3695.55 for3695.71 the3695.87 question.3695.95 There3696.91 isn't3697.15 a3697.55 date3697.71 certain3698.03 yet3698.59 for3698.91 when3699.15 this3699.39 will3699.63 start.3699.87 We're3700.11 working3700.35 with3700.67 the3700.83 administration3700.99 to3701.87 set3702.11 it3702.35 up.3702.59 In3703.72 terms3703.95 of3704.51 the3704.68 budget3704.91 and3705.55 what3706.11 would3706.36 happen3706.59 if3707.24 this3707.55 went3707.8 into3708.03 the3708.51 next3708.68 fiscal,3708.99 we3709.72 would3709.95 have3710.2 to3710.43 work3710.59 with3710.84 a3711.16 and3711.32 f,3711.47 to3712.36 to3713.32 try3713.47 to3713.72 identify3714.28 any3714.84 resources3715.32 that3715.95 are3716.11 needed.3716.28 At3717.16 this3717.39 point,3717.64 it's3718.03 paused.3718.56 The3719.12 closure3719.36 is3719.76 paused.3720 But3721.52 the3721.92 budget,3722.16 did3723.36 not3723.6 contemplate3724 this,3724.56 and3724.8 so3725.04 we3725.2 would3725.44 have3725.68 to3725.84 work3726 with3726.8 a3727.12 and3727.2 f3727.52 if3727.92 we3728.08 find3728.32 ourselves3728.56 in3729.44 a3729.68 situation3729.76 going3730.56 into3730.88 a3732.01 fiscal3732.26 year3732.66 without3733.05 the3733.45 approved3733.61 funding.3734.01
3737.78 SPEAKER53737.78 -3737.78 Thank3737.78 you,3738.01 Commissioner.3738.26 Thank3738.73 you.3738.97 Our3740.66 next3740.89 question3741.05 comes3741.38 from3741.61 Rep3741.86 Howard.3742.01
3749.39 SPEAKER133749.39 -3749.39 Thank3749.39 you,3749.55 Mr.3749.79 Chairman.3750.03 Commissioner,3750.83 thank3751.31 you3751.47 so3751.71 much3751.87 for3752.11 your3752.27 testimony.3752.43 My3753.71 question3753.95 is3754.43 also3754.67 on3755.07 mental3755.39 health3756.03 support.3756.35 With3757.24 the3757.47 proposed,3757.95 proposed3759.24 cuts,3759.72 to3761.16 services3761.64 for3762.28 our3762.52 young3762.76 people.3763.07 In3764.2 your3764.36 testimony3764.68 earlier,3765.32 you3765.72 stated3765.95 that3766.36 you3766.52 want3766.76 these3766.99 services3767.24 available3768.04 to3769.42 them3769.66 in3770.54 their3770.86 community3771.18 closer3772.06 to3772.54 their3772.7 community.3772.94 So3773.9 with3774.14 this3774.3 proposed3774.62 this3775.1 proposed3775.34 cuts3775.9 in3776.54 FY26.3776.78
3779.66 How3779.66 many3779.9 centers3780.3 are3780.78 we3780.94 talking3781.1 in3781.66 numbers?3781.9 How3782.38 many3782.54 cuts3782.94 of3783.53 centers3783.86 across3784.26 Massachusetts3785.3 are3786.41 we3786.57 talking3786.74 here?3787.05 And3787.7 as3787.93 you3788.18 know,3788.26 we3789.14 are3789.38 still3789.61 recovering,3791.3 I3792.26 don't3792.41 think,3792.66 fast3792.89 enough3793.14 from3793.53 COVID.3794.09 And3796.22 so3796.46 the3797.1 mental3797.18 health,3797.58 the3797.9 crucial3798.06 mental3798.54 health,3798.86 especially3799.18 for3799.66 our3799.9 young3799.98 folks,3800.22 what3802.22 data,3802.7 the3803.66 the3803.9 proposed3804.06 cut,3804.46 what's3804.78 the3805.1 what3805.34 what's3806.06 based3806.54 on3806.94 what3807.18 kind3807.5 of3807.74 data3807.9 did3808.46 you3808.7 use3808.94 to3809.42 propose3809.82 these3810.38 cuts?3810.7 Because3811.59 our3812.63 young3812.79 folks,3813.11 if3813.59 they3813.82 are3814.07 can't,3814.55 you3814.79 know,3814.95 can't3815.18 get3815.43 to3815.59 these3816.3 services3816.55 right3817.91 away3818.14 immediately3818.55 within3819.74 their3820.14 own3820.3 community,3820.55 then3821.74 it's3822.7 it's,3822.95 you3823.34 know,3823.43 they3823.66 can't3823.82 get.3824.07
3825.15 SPEAKER23825.15 -3825.15 Thank3825.15 you3825.39 for3825.55 thank3825.87 you3826.19 for3826.43 the3826.59 opportunity3826.75 to3827.55 clarify.3827.71 These3828.99 are3829.23 actually3829.47 23830.03 different3830.43 types3830.91 of3831.39 services.3831.71 The3833.07 services3833.63 that3834.19 I3834.43 described3834.67 that3835.23 are3835.47 closer3835.71 to3836.51 communities3837.15 where3837.95 young3838.43 people3838.67 and3838.99 their3839.07 families3839.31 are3840.03 living3840.19 are3841.07 part3841.3 of3841.63 the3841.95 community3842.18 behavioral3842.66 health3843.14 centers.3843.39 And3844.34 there3844.59 are,3844.98 313845.95 locations.3846.59 And3847.7 under3848.18 that3848.59 contract,3848.91 which3849.46 is3849.7 actually3850.03 a3850.43 MassHealth3850.59 contract,3851.14 under3852.26 that3852.59 contract,3852.98 the3854.31 community3854.55 behavioral3855.11 health3855.59 centers3855.91 are3856.31 responsible3856.63 for3857.27 providing3857.67 a3858.23 full3858.39 continuum3858.71 of3859.75 crisis3859.99 care.3860.47 And3861.19 so3861.43 part3861.91 of3862.15 that3862.31 crisis3862.55 care3863.11 is3863.99 inclusive3864.31 of3865.19 these3865.91 what3866.31 are3866.55 called3866.71 youth3867.11 crisis3868.07 stabilization3868.46 beds.3869.91 So3870.14 those3870.46 are3870.7 available3870.95 and3871.34 they're3871.59 not3871.82 subject3872.14 to3872.63 DMH's3872.86 budget.3873.74 And3875.18 those3875.34 are3875.59 continuing.3875.91 So3876.55 that's3876.7 funded3877.11 through3877.66 House3878.07 1.3878.39 And3879.34 that's3879.59 actually3879.98 something3880.39 that,3880.95 assistant3882.09 secretary3882.57 Levine3883.05 alluded3883.61 to3884.17 the3884.33 continuing,3884.57 funding3885.85 for3886.65 the3886.89 the3887.13 behavioral3887.53 health3888.09 community3888.49 behavioral3888.97 health3889.45 centers.3889.69 So3890.57 those3890.81 were3891.29 part3891.61 of3891.85 of3892.41 that,3892.65 priority.3893.77 The3894.81 services3895.45 that3896.17 DMH3896.41 is3897.71 reducing3898.03 are3898.99 specialty3899.39 services3900.03 separate3901.07 from3901.55 those3901.95 services,3902.28 and3903.07 these3903.32 are3903.47 statewide3903.71 programs.3904.36 They're3905.07 actually3905.32 not3905.71 located3906.03 in3906.59 every3906.91 community.3907.23 These3908.59 statewide3908.84 programs,3909.39 we3909.95 would3910.19 be3910.36 continuing3910.59 to3911.23 operate,3911.47 33913.04 of3913.52 the3913.76 IRTPs.3914.08 And3915.52 if3915.84 the3916 proposal3916.24 goes3916.8 forward3917.04 as3917.52 it3917.76 was,3917.92 proposed,3918.8 we3919.76 would3920 be3920.16 reducing3920.64 by3921.28 23921.52 IRTPs3921.84 and3922.88 the3923.12 CIRT.3923.36
3926.78 SPEAKER133926.78 -3926.78 13926.78 quick3926.93 question.3927.18 The3928.05 9883928.53 helpline,3929.41 I3930.38 think3930.45 it3930.58 was3930.7 launched3930.93 in3931.18 2022.3931.34 How3933.18 many3933.41 calls,3933.73 texts,3934.3 online3934.86 chat3935.41 have3935.89 you3936.14 received,3936.3 and3936.86 how3937.18 many,3937.41 crisis3938.53 train3939.09 counselors3939.34 manning3941.5 the3941.98 the3942.22 988.3942.38 In3944.14 my3944.46 community,3944.7 we3945.58 lost3945.9 23946.38 young3946.62 folks3946.94 to3947.66 suicide3947.82 and3948.86 23949.1 too3949.42 many.3949.58 And3950.22 so3950.46 how3951.74 so3952.46 the3952.86 since3953.66 it3954.06 was3954.14 launched3954.38 in3955.55 2022,3955.8 how3957.24 many3957.39 calls,3957.64 texts,3957.95 online3958.28 chat3958.59 have3958.91 have3959.24 you3959.55 received?3959.8 Thank3960.43 you.3960.59
3961.47 SPEAKER23961.47 -3961.47 Sorry3961.47 for3962.36 the3962.91 loss3963.16 of3963.39 your3963.55 community3963.8 members.3964.36 I3964.99 agree3965.16 with3965.47 you.3965.64 Any3966.91 loss3967.24 to3967.64 of3967.88 life3968.03 to3968.43 suicide3968.59 is3969.9 tragic.3970.14 And3971.9 we3972.22 can3972.38 get3972.54 back3972.78 to3972.94 you3973.1 with3973.26 the3973.5 9883973.66 numbers.3974.7 9883975.66 is3976.38 actually3976.62 overseen3977.1 by3977.5 the3977.66 Department3977.9 of3978.22 Public3978.38 Health,3978.7 but3979.02 we3979.26 can3979.34 get3979.58 back3979.74 to3979.9 you3980.06 with3980.22 that.3980.38
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4004.79 SPEAKER24004.79 -4004.79 Thank4004.79 you.4005.11 Yes.4005.35 We4006.33 were,4006.57 very4007.45 appreciative4007.85 of4008.72 getting4008.97 funding4009.37 for4009.68 loan4009.93 forgiveness,4010.16 and4010.64 it4010.81 did4010.97 we4011.53 had4011.68 a4011.85 dedicated4012.09 source4012.81 of4013.13 loan4013.29 forgiveness4013.53 for4014.01 DMH,4014.24 and4014.89 we4015.13 were4015.29 able4015.53 to4015.93 authorize4016.24 over4016.72 24016.97 I4017.29 think4017.37 it4017.61 was4017.68 close4017.85 to4018.16 250,4018.33 individuals4020.27 were4021.15 eligible4021.47 and4022.03 received4022.35 the4023.15 loan4023.31 forgiveness.4023.55 It4025.07 has4025.31 been4025.55 a4025.87 useful4026.03 tool4026.59 for4026.83 us4027.07 with4027.71 regard4027.95 to4028.35 recruitment4028.67 and4029.15 retention.4029.39 And,4030.67 and4031.87 there4032.43 are4032.67 other4032.91 sources4033.31 of4034.26 loan4034.51 forgiveness4034.9 that4035.55 have4035.78 also,4036.03 prioritized4037.14 behavioral4037.78 health.4038.26 So4038.82 there4039.07 was4039.22 this4039.7 14039.94 that4040.18 was4040.34 specific4040.59 for4040.98 DMH.4041.22 And4042.18 then4042.34 there4042.66 actually4043.07 is,4043.7 there4044.42 was4044.66 an4044.82 announcement,4045.07 actually,4045.55 I4045.86 think4046.03 last4046.26 week4046.59 of4047.3 another4047.55 wave4048.03 of4048.66 tuition,4049.32 the,4051.32 excuse4051.56 me,4051.88 loan4052.2 forgiveness4052.36 that4053.32 was4053.48 authorized.4053.72
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4283.35 SPEAKER84283.35 -4283.35 I'll4283.35 make4283.43 sure4283.59 I4283.7 have4283.82 it4283.99 right.4284.15 All4284.47 334284.7 we4285.59 had4285.74 deemed4285.99 part4286.63 of4286.86 the4287.02 essential4287.19 employees4287.74 to4288.23 COVID.4288.39 Right?4288.86
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6509.79 SPEAKER156509.79 -6509.79 Yes.6509.79 Thank6510.35 you6510.59 for,6510.83 for6511.07 that6511.23 question.6511.47 And6512.43 those6512.75 26512.99 new6513.23 pieces6513.39 of6513.79 legislation,6513.95 as6515.07 I6515.31 was6515.39 describing,6515.63 really6516.51 do6516.83 represent6517.07 a6517.63 significant6517.79 expansion,6518.59 in6519.82 terms6519.98 of6520.31 our6520.47 our6520.7 scope6520.94 of6521.9 being6522.15 able6522.39 to6522.7 look6522.78 at6523.02 all6523.19 the6523.43 different6523.59 aspects6523.98 of6524.39 what6524.55 contributes6524.86 to6525.27 health6525.43 care6525.66 spending.6525.9 I6526.7 would6526.78 say6527.02 I6527.19 think6527.27 this6527.51 was6527.66 this6528.23 was6528.47 an6528.7 oversight6528.86 in6529.43 the6529.51 initial6529.74 law.6530.23 We6531.19 we6531.51 the6531.66 initial6531.9 law,6532.31 you6532.98 know6533.14 had6533.3 a6533.38 tremendous6534.02 focus6534.58 on6534.82 our6535.14 healthcare6535.3 provider6535.7 system6536.18 our6536.82 health6537.06 plans6537.3 not6538.34 so6538.5 much6538.58 on6538.82 the6538.9 pharmaceutical6539.06 sector6539.7 and6540.5 what6540.58 we6540.82 know6540.9 today6541.14 is6541.86 that6542.02 this6542.18 is6542.34 a6542.5 critically6543.06 important6543.62 part6544.02 of6544.34 our6544.42 healthcare6544.58 system6544.98 that6545.22 we6545.38 need6545.54 to6545.7 be6545.86 able6545.94 to6546.26 understand6546.34 And6547.15 as6547.39 a6547.55 for6547.7 example6548.02 to6548.43 that,6548.59 the6549.47 original6549.78 law6550.27 allows6551.06 for6551.39 the6551.55 Health6551.63 Policy6551.86 Commission6552.27 every6552.66 year6552.9 through6553.15 our6553.39 annual6553.55 cost6553.86 trends,6554.19 hearing6555.23 process6555.63 to6556.1 call,6556.27 leaders6557.47 of6558.02 healthcare6558.19 providers6558.66 and6559.47 health6559.63 plans6559.86 to6560.34 testify6560.51 under6561.06 oath6561.31 about6561.78 their6562.02 efforts6562.34 to6563.04 meet6563.2 the6563.44 Commonwealth's6563.48 goals.6563.52 But6564.88 it6565.2 did6565.44 not6565.6 include6565.84 leaders6567.12 of6567.36 pharmaceutical6567.6 manufacturers6568.24 or6568.88 leaders6569.12 of6569.44 PBMs.6569.6 The6570.72 laws6570.88 that6571.28 just6571.44 passed6571.68 earlier6571.92 this6572.32 year6572.48 changed6572.8 that.6573.12 So6573.52 to6573.76 me6573.92 this6574.16 is6574.32 about6574.48 an6574.8 even6575.04 playing6575.36 field6575.68 across6576 the6576.4 health6576.48 care6576.72 system.6576.96 It's6577.2 not6577.44 about6577.68 picking6577.92 at6578.76 16578.99 particular6579.24 sector.6579.88 It's6580.44 about6580.6 understanding6580.99 all6581.64 of6581.88 the6581.95 different6582.11 sectors6582.44 and6582.91 how6582.99 they6583.24 work6583.4 together.6583.64 So6584.52 to6585.16 answer6585.4 your6585.72 question,6585.88 representative,6586.2 those6587.07 laws,6587.32 absolutely6588.68 increase6589.4 our6589.8 oversight6590.03 in6590.52 that6590.68 area,6590.84 our6591.5 oversight6591.82 and6592.3 understanding,6592.54 the6593.58 supply6593.98 and6594.38 distribution6594.62 of6595.1 services6595.26 as6596.3 well6596.46 as6596.7 our6596.86 oversight6597.1 in,6597.66 financing6598.62 models6599.1 such6599.42 as6599.66 private6599.74 equity6600.06 and6600.7 their6600.78 growth6601.02 in6601.42 healthcare.6601.74 So,6603.1 that6603.9 is,6604.14 you6604.78 know,6604.94 there's6605.38 other6605.69 smaller6605.94 provisions,6606.34 but6606.81 those6606.98 are6607.14 the6607.22 ones6607.3 I6607.61 would6607.77 highlight.6608.49
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6677.64 SPEAKER156677.64 -6677.64 Yeah.6677.64 Thank6679 you,6679.24 representative.6679.48 And6680.12 it6680.52 it's6680.68 a6680.92 great6681.08 question.6681.24 And6681.56 I6681.64 think6681.8 reflective6682.12 of6683.24 a6683.8 trend6683.96 that6684.28 we've6684.44 we've6684.76 seen6685.24 over6685.8 the6686.04 past6686.2 few6686.44 years6686.68 with6686.92 some6687.16 of6687.32 these6687.48 closures6687.72 or6688.12 reduction6688.36 in6688.84 services.6689 And6690.02 to6690.26 be6690.41 able6690.57 to6690.81 understand,6691.05
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We9013.59 have9013.83 reenvisioned9014 our9014.72 youth9014.88 council9015.11 on9015.44 its9015.59 programming9015.75 by9016.24 implementing9016.4 youth9016.8 led9017.03 civic,9017.27 community9018.16 projects.9018.64 Currently,9019.51 we're9019.92 leading9020.16 the9020.48 first9020.64 ever9020.96 statewide9021.28 AAPI9021.76 survey9022.32 in9022.64 collaboration9022.8 with9023.2 UMass9023.44 Boston,9023.92 the9024.56 Asian9024.72 Community9025.04 Fund9025.44 at9025.68 the9025.76 Boston9025.92 Foundation,9026.32 and,9027.04 the9027.76 Asian9028 Pacific9028.24 Islander9028.64 Civic9029.04 Action9029.36 Network.9029.76 This9030.48 initiative9030.64 gathers9031.12 disaggregated9031.52 data9032.24 to9032.56 better9032.64 understand9032.88 our9033.44 community's9033.6 needs9034.16 and9034.65 inform9034.89 the9035.13 evidence9035.28 based9035.69 policy9036.08 decisions9036.73 across9037.05 the9037.36 Commonwealth.9037.52 We've9038.73 given9038.97 financial9039.28 support9039.69 to9040 239040.17 community9040.57 organizations9040.97 to9041.52 hold9041.69 community9041.93 events9042.33 and9042.57 gatherings,9042.73 helping9043.13 build9043.44 a9043.69 dynamic9043.85 and9044.17 expanding9044.41 network9044.73 of9045.13 AAPI9045.28 leaders,9045.77 across9046.89 the9047.28 State.9047.44 And9048.15 finally,9048.39 we've9048.71 supported9048.95 organizations9049.35 dedicated9050.07 to9050.47 serving9050.63 refugees9050.95 in9051.51 Massachusetts,9051.75 reaffirming9052.63 the9053.27 Commission's,9053.43 commitment9054.31 to9054.63 fostering9054.79 impactful9055.27 work9055.83 within9056.15 refugee9056.55 communities9057.03 across9057.51 the9057.83 State.9057.99 We've9058.39 received9058.63 429059.59 applicants9060.07 and9060.55 99060.79 organizations9060.95 were9061.59 funded.9061.75 As9063.24 part9063.48 of9063.65 our9063.81 strategic9063.97 plan,9064.36 the9064.68 AAPI9064.92 Commission9065.4 is9065.81 committed9065.97 to9066.28 advancing9066.52 systemic9066.92 change,9067.4 policy9067.81 driven9068.2 advocacy9068.52 across9069.4 the9069.73 state.9069.89
9072.92 Over9072.92 the9073.17 next9073.24 fiscal9073.48 year,9073.89 our9074.13 funding9074.28 will9074.6 support9074.76 the9075.08 following9075.17 initiatives.9075.56 1,9076.33 we9076.65 will9076.89 advise9077.21 executive9077.53 and9078.01 legislative9078.17 bodies9078.57 about9078.89 the9079.05 potential9079.21 effects9079.69 of9080.33 proposed9080.49 legislation9080.89 and9081.45 partner9081.69 with9082.01 advocacy9082.17 organizations9082.65 to9083.69 cohost9083.85 19084.41 to9084.65 29084.81 public9084.89 hearings9085.21 annually9085.61 on9086.01 priority9086.17 bills,9086.49 using9087.21 them9087.45 to9087.61 elevate9087.77 AAPI9088.25 voices9088.73 and9089.05 increase9089.29 policy9089.69 transparency.9090.09 2,9091.49 we'll9091.81 be9092.05 expanding9092.28 our9092.6 AAPI9092.84 youth9093.33 council9093.49 from9093.89 109094.05 members9094.28 to9094.68 14,9094.84 including9095.65 other9095.97 regions9096.2 in9096.52 the9096.6 state9096.76 we're9097 not9097.08 currently9097.25 in,9097.65 and9098.28 to9098.6 continue9098.92 and9099.33 engage9099.41 in9099.73 youth9099.89 led9100.13 community9100.28 projects9100.68 to9101.08 promote9101.25 civic9101.56 engagement9101.89 and9102.28 community9102.44 impact.9102.92 Third,9103.98 we'll9104.38 deepen9104.62 regional9105.02 connections9105.42 to9105.82 underrepresented9105.98 areas9106.78 and9107.18 support9107.34 language9107.66 access9108.06 for9108.3 populations9108.54 in9109.1 with9109.34 limited9109.5 English9109.9 proficiency.9110.22 And9111.5 finally,9111.74 we9112.06 will9112.22 continue9112.38 building9112.7 strategic9113.02 relationships9113.5 and9114.06 hold9114.14 joint9114.38 events9114.7 with9115.02 our9115.18 other9115.34 affinity9115.58 commissions9115.98 to9116.38 amplify9116.46 cross9116.94 cultural9117.26 solidarity9117.66 and9118.57 statewide9118.73 equity9119.05 efforts.9119.44 The9120.89 recent9121.05 revocation9121.52 of9122 the9122.08 White9122.25 House9122.49 initiative9122.81 on9123.28 Asian9123.36 Americans,9123.77 Native9124.17 Hawaiians,9124.49 and9124.89 Pacific9124.97 Islanders9125.36 underscores9125.85 the9126.41 urgent9126.57 need,9126.97 for9127.85 state9128.08 level9128.33 action.9128.65 As9129.44 federal9129.69 support9130.08 diminishes,9130.41 Massachusetts9130.97 must9131.6 step9131.85 up9132.08 and9132.25 the9132.41 AAPI9132.49 Commission9132.97 is9133.36 ready9133.52 to9133.77 lead,9133.85 but9134.25 we9134.41 can't9134.49 do9134.65 it9134.73 without9134.89 sustained9135.21 investment9135.61 from9135.93 all9136.09 of9136.25 you.9136.41 The9137.45 AAPI9137.69 Commission9138.09 is9138.41 uniquely9138.57 positioned9139.05 to9139.37 serve9139.45 19139.69 of9139.85 Massachusetts'9140.01 fastest9140.65 growing9140.89 and9141.21 most9141.29 diverse9141.53 populated9141.85 populations.9142.49 The9143.69 586,0009143.85 a9145.13 889145.29 in9146.09 FY9146.42 '269146.67 funding9146.98 will9147.23 allow9147.39 us9147.63 to9147.78 ensure9147.94 equitable9148.34 access9148.75 and9149.06 opportunity9149.31 to9149.78 all9149.94 AAPI9150.18 residents.9150.58 Before9151.78 I9152.18 finish,9152.26 I9152.67 also9152.82 want9153.06 to9153.18 talk9153.31 about9153.47 myself9153.7 as9154.02 a9154.1 constituent.9154.26 I9155.63 was9155.78 in9155.94 middle9156.1 school9156.34 during9156.67 nineeleven.9156.9 And9157.94 while9158.1 many9158.26 of9158.5 us9158.58 remember9158.75 the9159.06 day9159.23 after9159.39 nineeleven9159.63 as9160.02 a9160.18 moment9160.26 of9160.5 unity,9160.58 that9161.39 wasn't9161.47 my9161.79 experience.9162.03 I9162.83 was9162.99 the9163.15 outsider,9163.31 I9163.87 was9163.95 the9164.11 bad9164.27 guy.9164.51 And9165.15 for9165.39 well9165.87 over9166.11 a9166.35 decade,9166.43 I9166.75 lived9166.91 with9167.07 that9167.23 self9167.47 hate9167.63 and9167.87 I9168.03 wished9168.11 that9168.35 there9168.51 were9168.67 people9168.83 who9169.15 looked9169.31 like9169.55 me,9169.63 people9169.87 who9170.19 looked9170.27 like9170.43 you,9170.51 who9170.67 said,9170.91 you9171.47 are9171.71 worthwhile,9171.87 you9172.43 are9172.59 loved.9172.75 In9173.87 2020,9174.03 when9174.59 we9174.75 saw9174.83 the9174.99 rise9175.07 in9175.31 AGPI9175.47 Hate,9176.03 I9176.56 had9176.72 a9176.8 chance9176.88 to9177.19 stand9177.35 up9177.51 for9177.67 my9177.83 community9178.07 and9178.48 say9178.64 to9179.03 those9179.11 kids9179.35 that9179.59 you9179.75 are9179.92 okay.9180.15 When9181.11 I9181.27 moved9181.35 back9181.59 here,9181.83 now9182.07 I9182.31 have9182.4 a9182.56 49182.64 year9182.8 old,9182.88 I'm9183.11 gonna9183.27 have9183.51 a9183.83 a9184.23 baby9184.31 in9184.64 May9184.8 as9185.03 well.9185.19 We9186.31 need9186.56 to9186.72 be9186.8 there9186.95 for9187.19 those9187.43 kids9187.59 who9187.92 are9187.99 experiencing9188.15 fear9188.72 right9189.03 now9189.19 as9189.43 immigrant9189.67 populations,9190.15 people9191.07 of9191.31 color9191.47 being9191.79 terrorized9192.03 by9192.51 the9193.07 current9193.23 administration.9193.63 We9194.27 had9194.43 19194.59 of9194.67 our9194.75 community9194.91 members9195.23 picked9195.55 up9195.71 in9195.79 Somerville9195.95 earlier9196.59 this9196.91 month9197.07 or9197.39 last9197.55 month.9197.87 We9198.99 have9199.15 an9199.31 opportunity9199.47 to9200.19 stand9200.35 up9200.51 and9200.59 say9200.75 that9200.91 you9201.07 are9201.23 loved,9201.39 you9201.71 belong9201.95 here,9202.27 and9202.51 that's9202.67 really9202.99 why9203.23 we're9203.79 here9204.03 today9204.19 to9204.51 talking9204.59 to9204.91 you.9204.99
9208.02 Thank9208.02 you.9208.27 I9208.83 appreciate9208.91 it.9209.31 We9210.5 ask9210.75 this9210.99 Committee9211.15 to9211.47 approve9211.63 our9211.94 budget9212.02 in9212.34 full9212.5 and9212.67 recognize9212.91 the9213.39 AAPI9213.55 Commission9214.02 as9214.42 a9214.5 key9214.67 partner9214.83 in9215.15 advancing9215.31 racial9215.7 equity,9216.1 representation,9216.5 and9217.07 access9217.31 across9217.63 the9217.94 Commonwealth.9218.02 On9219.18 behalf9219.34 of9219.66 our9219.82 commissioners,9219.98 staff,9220.62 and9220.86 the9221.02 communities9221.1 we9221.58 serve,9221.74 we9222.22 extend9222.38 our9222.7 heartfelt9222.94 thanks9223.34 to9223.66 the9223.74 Asian9223.9 Caucus9224.22 and9224.54 leaders9224.62 across9224.94 the9225.26 legislative9225.34 and9225.82 executive9225.98 branches9226.46 for9227.02 your9227.18 continued9227.34 partnership,9227.82 leadership,9228.46 and9228.86 unwavering9229.02 support.9229.58 We're9230.38 happy9230.62 to9230.86 answer9231.02 any9231.26 questions9231.42 you9231.74 might9231.9 have.9232.06 Thank9232.22 you9232.46 so9232.62 much.9232.78
9233.52 SPEAKER19233.52 -9233.52 Alright.9233.52 Chair9234 Preston,9234.32 thank9234.72 you9234.88 as9235.11 well9235.27 for9235.52 all9235.68 your9235.84 important,9236.08 very9237.44 meaningful,9237.76 critical9238.72 work,9239.19 especially9239.52 these9240.08 days,9240.24 and9241.03 for9241.19 sharing9241.44 your9241.84 own9242 story,9242.24 your9242.64 own9242.8 frame9242.95 of9243.19 reference,9243.35 and9244.4 for9244.64 turning9244.88 that9245.27 pain9245.52 that9245.84 you9246 felt9246.16 then9246.4 into9247.09 purpose9247.41 and9247.89 giving9248.21 power,9248.61 to9250.21 others9250.37 now,9250.85 that's9251.57 what9251.89 this9252.13 thing9252.29 is9252.53 all9252.69 about.9252.85 So9253.09 we're,9253.49 very,9254.53 very9254.85 grateful9255.09 to9255.49 you,9255.65 and,9255.89 appreciate9256.37 you9256.77 being9256.93 here9257.17 today.9257.41 I'll9257.81 turn9257.89 it9258.13 over9258.21 to9258.45 representative9258.61 Beal9259.09 for9259.33 any9259.41 questions9259.65 from9259.97 the9260.21 house.9260.29
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10408.2 SPEAKER510408.2 -10408.2 Well,10408.2 I10408.44 think10408.52 you10408.69 covered10408.77 most10409 of10409.25 it,10409.33 Senator.10409.49 But10409.97 a10410.2 quick,10410.28 thank10410.77 you10410.92 to10411.08 you10411.25 as10411.41 well10411.49 for,10411.73 running10412.2 a10412.44 very10412.52 efficient10412.69 hearing.10413 We10413.33 appreciate10413.41 it.10413.81 Thank10414.44 you10414.69 for10414.85 opening,10415.25 your10416.48 district,10416.8 to10417.92 the10418.32 members10418.48 of10418.8 the10418.88 committee.10418.96 It's10419.6 been,10419.84 it's10421.36 been10421.44 a10421.52 memorable10421.6 experience.10422.08 It's10422.8 my10422.96 first10423.12 time,10423.36 chairing10423.84 a10424.16 hearing.10424.24 So,10424.48 thank10424.96 you10425.2 for10425.44 showing10426.08 me10426.32 the10426.48 way.10426.64 You10426.88 and10427.12 your10427.28 team10427.36 have10427.6 been10427.68 great.10427.84 And,10428.41 to10428.97 all10429.2 of,10429.36 my10429.76 colleagues10429.92 in10430.25 the10430.33 House10430.41 and10430.57 Senate10430.73 who10430.97 made10431.13 the10431.28 trip10431.44 down,10431.68 to10432.25 Attleboro,10432.41 thank10432.97 you10433.13 so10433.2 much10433.36 for10433.6 being10433.76 part10433.92 of10434.17 the10434.25 process.10434.33
10434.81 SPEAKER110434.81 -10434.81 Thank10434.81 you,10435.05 representative.10435.28 You10435.76 do10435.84 good10436 work,10436.17 my10436.41 friend.10436.57 And10436.81 now10436.97 a10437.2 motion10437.36 to10437.6 adjourn10437.76 is10438.17 in10438.33 order.10438.49 Moved10439.76 and10440.41 seconded.10440.57 All10440.97 in10441.13 favor10441.2 say10441.52 aye.10441.68 Opposed,10441.84 no.10442.17 The10442.41 ayes10442.57 have10442.81 it.10442.97 We10443.13 are10443.28 adjourned.10443.52 Thank10444.28 you.10444.52