Video & Transcript : 'cistern program' :

Page 101 of 500
FL
Transcript Highlights:
  • This program was converted back in 2023-24 into a scholarship program.
  • programs.
  • So there are AS degree programs, career certificate programs, college credit certificate programs that
  • our nursing program.
  • Those programs are reviewed.
Summary: The Higher Education Appropriations Committee met for its first meeting of the session and heard presentations focused on workforce education in the Florida College System and district technical colleges. Members introduced themselves and discussed their personal connections to higher education, then heard from Department of Education senior chancellor Kevin O’Farrell, South Florida State College president Fred Hawkins, and Pinellas Technical College representative Mark Hunt. O’Farrell outlined the department’s budget request, including increases for adult education, Florida College System program funds, workforce development capitalization grants, apprenticeship and teacher apprenticeship programs, Open Door scholarships, and CAPE industry certification funding. He emphasized record growth in enrollments, completions, dual enrollment, and program offerings, and described grant-funded expansion in fields such as health sciences, manufacturing, logistics, aerospace, and AI-related programs. Committee members raised concerns about whether current programs match actual labor-market demand, how artificial intelligence may reduce future human labor needs in some fields, and how the state should avoid unwarranted duplication of programs. O’Farrell said the department uses economic forecasts, employer demand data, and a CTE audit process to review programs and phase out those that do not meet performance thresholds. Members also asked for more detail on the teacher apprenticeship model, the transition from technical college clock hours to college credit, job placement and salary outcomes, and the LPN-to-RN pathway. O’Farrell said he would provide additional information later. Hawkins described South Florida State College’s rural service area, low college-going rates, and difficulty recruiting and retaining faculty and staff because salaries lag behind local market alternatives and nearby school district pay. He said the college has had to turn away students in high-demand programs due to staffing and operational limits, while also noting strong outcomes in nursing, dental hygiene, EMT/paramedic, and radiography. Hunt said Pinellas Technical College serves about 5,000 students annually, including many dual-enrolled high school students, and reported a placement rate above 90% and strong local economic returns. He said many programs have waiting lists and that additional operational funding is needed to meet demand, maintain equipment, and keep pace with salary and cost increases. The meeting ended after public comment was opened and no further business was brought before the committee, and the committee adjourned.
CA
Transcript Highlights:
  • I am the program analyst for our elderly program, and I strongly urge that we do not cut our funding
  • The funding we maintained that we retained in the program is to continue funding the existing programs
  • grant program because it wasn't used.
  • The program requires a 30-year covenant to continue serving ISTs for 30 years, and for some programs,
  • understanding of program costs.
Keywords: 988, house, all
CA
Transcript Highlights:
  • for these programs.
  • establish new programs, it requires a significant increase in their ability to stand up programs, train
  • establish new programs, it requires a significant increase in their ability to stand-up programs, train
  • programs are doing versus what the shelter programs are doing.
  • housing programs as an example.
Summary: The Senate Budget and Fiscal Review Subcommittee 4 met to hear an oversight discussion focused on homelessness, including the state of homelessness in California, state data systems, and the Homeless Housing, Assistance, and Prevention (HAP) program. In opening remarks, the chair emphasized accountability and the need to focus on families and people at the bottom rung, while the vice chair argued that homelessness and affordability problems stem from policy choices and the state should give counties more flexibility rather than top-down mandates. The committee also announced that the one scheduled vote would be postponed and public comment would be taken later. Dr. Ryan Finnegan of UC Berkeley’s Turner Center presented recent homelessness data, saying California’s homelessness remains high at about 187,000 people in the 2024 point-in-time count, with most still unsheltered, though the unsheltered share has declined somewhat. He explained differences between point-in-time counts and the state’s Homeless Data Integration System (HDIS), noted progress in shelter, permanent supportive housing, rapid rehousing, and interim housing capacity, and highlighted declines in youth and veteran homelessness. He also described persistent racial disparities, the large number of chronically homeless people, and risks from federal changes and possible reductions to programs such as Emergency Housing Vouchers and Continuum of Care funding. Members questioned the causes of recent trends, the role of Housing First, Proposition 47, Martin v. Boise, and how funding streams such as HAP and CalAIM are layered together. The California Interagency Council on Homelessness then outlined its data systems and AB 799 implementation. Staff explained that HDIS aggregates HMIS data from all 44 continuums of care and is used to measure outcomes, disparities, and program effectiveness statewide. They said HAP 4 was cost-effective under the State Auditor’s methodology, and that new AB 799 dashboards will provide more public-facing fiscal and outcome reporting by June 2027. Members asked whether the system can better distinguish which interventions work, how self-sufficiency will be measured, how fraud is detected, and whether the council can meet the auditor’s concerns on time. Cal ICH said it has met prior statutory deadlines, that program outcome data already exist, and that fiscal reporting will be built through a web-based tool and aligned with existing departmental reporting systems.
KY
Transcript Highlights:
  • No taxpayer dollars are used to fund this program beyond the cost of oversight of the program by the
  • Some of those programs include improvements to the general surgery program, an orthopedic surgery program
  • This is a chronic care program.
  • This is a chronic care program.
  • This is a chronic care program.
Summary: The Senate Standing Committee on Health Services opened with the chair welcoming several new members and outlining session rules: hearings would start and end on time, the committee would limit the number of bills heard each meeting, prioritize bills heard during the interim, and generally avoid using the consent calendar except in extreme circumstances. The committee then briefly considered administrative regulations, which were treated as approved if members had no questions. The main item was Senate Bill 14, a measure addressing the 340B drug discount program. The chair said the bill had already passed the Senate in a prior session and had been heard in interim, so he did not present it again. He described the bill as prohibiting drug manufacturers from discriminating against 340B covered entities by refusing 340B pricing when the same drug is offered at that price in the state. He also said the committee would not debate the federal 340B program itself, but would hear testimony on the bill. Hospital leaders and Kentucky Hospital Association representatives testified in support, arguing that 340B savings are essential to rural hospitals, oncology services, transportation support, chronic care, addiction recovery, and new service lines such as chemotherapy and hepatitis treatment. They said the program helps keep care close to home and that manufacturer restrictions on contract pharmacies have reduced access and cost hospitals millions. Opponents from BIO Kentucky and the National Alliance of Healthcare Purchaser Coalitions argued the bill would expand federal law beyond Congress’s intent, create administrative burdens, and not lower patient out-of-pocket costs. The chair repeatedly pressed opponents to address why Kentucky should be denied the same 340B pricing available in other states. No vote on the bill was taken in the portion provided.
MA

Massachusetts 2025-2026 Regular Session

Status of Persons with Disabilities May 28th, 2026

Transcript Highlights:
  • So all of our programs are paid.
  • That's why we like to say all of our programs are an earning-while-learning program.
  • We do have programs in healthcare. We do have programs in cybersecurity.
  • We have a whole variety of other programs. We have banking programs.
  • So this is a program that we Boards work with individuals to really get that program going.
Summary: The Workforce Support Subcommittee met to discuss how registered apprenticeships could help address workforce shortages in disability services, human services, and other high-need fields. Co-chairs and staff introduced the session as a practical overview of apprenticeship pathways, with a focus on how employers, intermediaries, and training providers can work together to build programs. The discussion emphasized that apprenticeships can be used not only in the trades, but also in health care, early childhood education, medical interpreting, and other occupations facing recruitment and retention problems. Amara Ramon of the Division of Apprenticeship Standards explained the structure of registered apprenticeships in Massachusetts, including employer-led on-the-job training, related technical instruction, wage progression, credentialing, and state support through templates, compliance oversight, and grants. Melissa Sebeli described her role as an intermediary at the MassHire Hampden County Workforce Board, saying intermediaries help employers design, register, and manage programs, recruit apprentices, and keep programs compliant. She said the model offers employers a pipeline of workers, retention benefits, tax credits, and flexibility to tailor training to local needs. Lisa Morris described a new apprenticeship for medical interpreters, built from an existing training program and employer demand for experience, with a pre-apprenticeship, 2,000 hours of work-based learning, and related technical instruction tied to certification requirements. Members and attendees asked about where apprentices come from, how employers recruit, how wages are set, and whether state agencies or workforce boards can serve as intermediaries. Speakers said recruitment can come from career centers, youth programs, incumbent workers, community colleges, job fairs, ESL centers, and community-based organizations. They also discussed accommodations and modified curricula for people with intellectual, developmental, and neurodiverse disabilities, citing Bridgewater State’s Excel program as an example. No votes were taken; the meeting concluded with encouragement for organizations to contact the presenters or Division of Apprenticeship Standards to explore apprenticeship options and with notice that materials and the recording would be posted online.
CA
Transcript Highlights:
  • These efforts include the California Wildfire Mitigation Program, a program primarily focused on home
  • the programs for the first level?
  • the pilot program, but I... ...program in terms of the funding for the pilot program, but I question
  • This program is working.
  • And so I go to: to what end do we keep doing this program and expanding this program?
Keywords: 988, house, all
CA
Transcript Highlights:
  • You alluded, Chair, to the Demand Side Grid Support program, the DSGS program, and I think As you all
  • It's based on program needs.
  • So we're looking at, you know, this is a— the DOE's program is an eight-year program.
  • One of the things we can envision with this program is that it's an emergency response program.
  • government programs like the lunch program, Medi-Cal, and Medicare.
Keywords: 988, house, all
FL

Florida 2025 Regular Session

January 15, 2025 - 03:30 PM

Transcript Highlights:
  • program.
  • It's a new program.
  • of the SR Plus program.
  • We run the TEACH program.
  • We use Teach in our programs. It is an amazing program.
Summary: The Education Administration Subcommittee held an introductory meeting focused largely on member introductions and “homework” reports about education issues in each district. Members raised a wide range of concerns and priorities, including early childhood care and VPK access, school choice and school closures, teacher recruitment and retention, conflict resolution and school safety, early literacy and preparedness, technology and AI/STEM instruction, attendance and mental health, ESE services, dual enrollment and career/technical education, caregiving youth, and real-time student enrollment/funding tracking. Several members also emphasized local challenges such as housing-driven teacher turnover, disaster-related attendance problems, and funding inequities across counties. The committee then heard a detailed presentation on Florida’s early learning system from Chancellor Carrie Miller of the Department of Education’s Division of Early Learning. She outlined the structure and funding of School Readiness, VPK, and the Gold Seal Quality Care program, the role of early learning coalitions and DCF, and the state’s quality and accountability measures. She highlighted the importance of kindergarten readiness, teacher quality, and the new School Readiness Plus program, which helps families transition off subsidy more gradually. Additional panelists from the Children’s Forum, the Early Learning Coalition of Miami-Dade/Monroe, and a Tallahassee child care provider discussed workforce shortages, low wages, provider turnover, the TEACH scholarship program, Help Me Grow, local coalition operations, and the need for more providers and more consistent regulation. During questions, members asked about wait lists, special needs services, teacher retention, provider onboarding, and DCF regulation. The panel said Miami-Dade’s wait list was about 4,000 children and described priority categories for service; they also said children with disabilities are screened and referred for support, though not given a separate priority category. Panelists reported that TEACH has helped reduce turnover through education support and service commitments, but said wages and career pathways remain major issues. Members also pressed for clearer, more consistent licensing standards and more support for new providers entering the field. No formal votes or committee actions were taken in the meeting.
CA
Transcript Highlights:
  • program.
  • Both program and fiscal.
  • program.
  • Okay, so you have the HAP program and the HSP program. That's right.
  • Program.
Summary: The Assembly Budget Subcommittee on Human Services opened its first hearing of the year with a discussion centered on CalFresh, the Department of Social Services, and related anti-poverty and immigrant services programs. Chair Jackson framed the hearing as a response to the “historic and enormous challenges” created by H.R. 1, emphasizing that the committee’s goal was to minimize harm to vulnerable Californians. No votes were taken in the hearing. The first major topic was the impact of H.R. 1 on CalFresh eligibility and administration. CDSS estimated major federal funding reductions, with hundreds of thousands of Californians potentially losing benefits under new time limits and work requirements for able-bodied adults without dependents, and additional losses among certain non-citizen groups. County welfare directors, eligibility workers, SEIU, and other advocates argued that counties are underfunded and understaffed to implement the new rules, and urged release of the previously authorized $20 million General Fund, a county match waiver, and an additional ongoing workforce investment. LAO and the Department of Finance said they were reviewing the administration’s proposals and emphasized the need to use existing data, automation, and statutory direction to reduce administrative burden and improve implementation. A second panel addressed county administrative backfill and the broader fiscal effects of H.R. 1. CDSS explained that the law shifts more administrative costs to the state and counties beginning in federal fiscal year 2027 and could also create future state benefit costs tied to payment error rates. County and food bank representatives warned that many counties will struggle to absorb the higher match and that penalties tied to payment error rates could worsen budget pressure. Members pressed Finance and CDSS for clearer timelines, written responses, and more detailed workload assumptions, while Finance said it was still analyzing the federal guidance and county resource needs. The final major topic was the California Food Assistance Program (CFAP) and possible state responses for people losing federal CalFresh eligibility. CDSS said CFAP remains limited by statute and by the federal structure it currently uses, but that the planned expansion to Californians age 55 and older regardless of immigration status remains on track for October 1, 2027, subject to funding. Immigrant advocates urged the state to fold newly excluded humanitarian immigrants into CFAP and to invest in outreach and administration, while Western Center on Law and Poverty proposed a broader state-funded anti-hunger response for people cut off by H.R. 1. LAO noted that the CFAP expansion is difficult to estimate and that further policy and technical work would be needed to assess costs and implementation options.
MN

Minnesota 2025-2026 Regular Session

Committee on Energy, Utilities, Environment and Climate - 03/26/25

Energy, Utilities, Environment, and Climate

Transcript Highlights:
  • . program. program.
  • </c> solar program since the day it opened. solar program since the day it opened.
  • There was the ARR version of the program, the VOS version of the program.
  • There was the ARR version of the program, the VOS version of the program.
  • > started</c> program, green energy program started program, green energy program started with<01:31:
Keywords: 1187, senate, all
WA
Transcript Highlights:
  • It's a balancing act in the program, and they set a very ambitious and unique program for us.
  • examples of how implementation looks in the program, as well as how change happens in the program.
  • DNR also employs a program administrator who oversees the program.
  • And lastly, it's a developing and responsive program. There will be changes in this program.
  • Our triple F2P program, the Family Forest Fish Passage Program, invested nearly $50 million since its
Summary: The committee held a work session on the history, implementation, and current challenges of Washington’s Forest and Fish law and related Habitat Conservation Plan. Testimony from tribal representatives Jim Peters and David Herrera, former Rep. Jim Buck, and mediator Tim Thompson described the original timber, fish, and wildlife negotiations as a broad, collaborative effort intended to balance salmon and habitat protection with a viable timber industry. DNR’s Sabur Jawad outlined the program’s statutory framework, the roles of DNR, Ecology, Fish and Wildlife, tribes, local governments, landowners, and the Forest Practices Board, and explained that changes to aquatic-resource rules can come through adaptive management, legislative direction, or court orders. He also described the permitting and enforcement system, the programmatic HCP, road maintenance and abandonment work, and the adaptive management process, including the long-running NP stream-buffer studies and resulting rulemaking timeline. Agency and stakeholder testimony emphasized accomplishments such as decades of HCP coverage, annual compliance monitoring, road and fish-barrier improvements, small forest landowner assistance programs, and the completion of numerous adaptive management studies. DNR’s Katie Allen said the program has strong successes but also faces resource-intensive implementation, rising costs, and watershed-wide pressures beyond forestry, and she pointed to a State Auditor review that produced 13 recommendations now being addressed through an action plan and a structured decision-making model. Washington Farm Forestry Association executive director Elaine O’Neill said small forest landowners supported the agreement expecting assistance and flexibility, but argued the balance has shifted toward more protection and less practical consideration of rural vitality and property rights. Washington Forest Protection Association executive director Jason Spadero said the agreement has produced measurable environmental gains and regulatory predictability, but criticized the recent NP rule and urged continued science-based, economically balanced management. In the final discussion, tribal representatives said the collaborative, consensus-based process still works in some areas, but that the principals need to be re-engaged more directly and periodically to restore accountability and trust. They said the adaptive management process and funding remain important, but expressed concern that consensus has broken down in some recent rulemaking and that side negotiations or outside pressure can undermine the original agreement. Members asked how to restore the collaborative model; Peters suggested renewed commitment from the principal parties and more regular high-level meetings, while Herrera echoed the need to implement the auditor’s recommendations. No formal votes or legislative actions were taken during the work session.
ND
Transcript Highlights:
  • programs.
  • those programs.
  • faculty to those programs.
  • So they're great programs.
  • , low-cost programs... ...through that FTE number account for high-cost programs, low-cost programs,
Summary: The Higher Ed Funding Committee met to review how North Dakota might identify and address low-producing academic programs and to discuss draft funding formulas for the university system. Lisa Johnson of the NDUS explained that the State Board of Higher Education is already developing a system-wide policy, using models from other states such as Texas, Virginia, North Carolina, Colorado, Kentucky, Ohio, and Connecticut. She described how low-producing programs are typically flagged by multi-year enrollment or completion thresholds, then reviewed for workforce demand, mission fit, cost, accreditation, and regional need before any action is taken. Committee members asked about what counts as a program, how costs are analyzed, whether certificates are included, how exemptions work for mission-critical or high-demand fields, and whether the board or legislature should set the rules. Johnson said the board is the appropriate body to lead the process, but legislators could use funding leverage if they wanted to encourage action; the chair asked the board to bring a detailed proposal to the June meeting. The committee then heard a Legislative Council presentation on a draft formula for UND and NDSU. The proposal uses fall census FTE enrollment, with a placeholder undergraduate rate of $7,000 per FTE and a graduate/professional rate of $10,500, plus incentives for completions in in-demand fields and research productivity. Alex from Legislative Council walked through the projected funding effects, noting that the model would increase funding for NDSU and reduce it for UND in the current biennium, with different results in the next biennium as enrollment changes are recognized. Members questioned the use of the placeholder rates, the definition of in-demand programs, the treatment of research funding, and the exclusion of state-appropriated dollars from the external grants calculation. The chair emphasized that the numbers were illustrative and that appropriators would set the actual dollar amounts later. A second draft formula for the other nine institutions was also reviewed. That model uses fall census FTE without a weighted economic factor, applies a higher undergraduate rate, and adds completion incentives for in-demand credentials and all other completions. Members noted that the formula would benefit some institutions, such as Bismarck State College, while reducing funding for others, such as Mayville State, and discussed whether the nine institutions should be treated more uniformly or split into smaller groups because of their different missions and sizes. Committee members and staff repeatedly stressed that the formulas are still being refined and that some institutions would likely need hold-harmless adjustments or other transition measures. The meeting ended with the chair directing the committee to continue the discussion later and to expect further work on both the low-producing program policy and the funding formulas.
MO

Missouri 2026 Regular Session

Budget Feb 9th, 2026 at 12:00 pm

Budget

Transcript Highlights:
  • Some of the programs in this core are inspection programs that are regulatory and include programs such
  • Poison Prevention Program.
  • Waiver Program.
  • program.
  • , our Medicaid program.
Keywords: 959, house, all
MN

Minnesota 2025-2026 Regular Session

Committee on Jobs and Economic Development - 03/16/26

Jobs and Economic Development

Transcript Highlights:
  • staff,</c><00:37:40.320><c> 90</c><00:37:40.720><c> program</c> program areas, 30 staff, 90 program
  • So the medtech soldering program that is a new program that we're launching.
  • So the medtech soldering program that is a new program that we're launching.
  • So the medtech soldering program that is a new program that we're launching.
  • So the medtech soldering program that is a new program that we're launching.
Keywords: 1187, senate, all
FL

Florida 2026 5th Special Session

Community Affairs Nov 4th, 2025

Transcript Highlights:
  • The Hurricane Michael Housing Program is the fastest CDBG-DR housing program in the nation.
  • is managing our housing program.
  • This is a federal program.
  • This is a federal program. It is not a state program. Accessible to Floridians.
  • This is a federal program. It is not a state program. It's 100% federal dollars.
Summary: The Committee on Community Affairs met with a quorum present and heard several housing and disaster-recovery items. The committee heard SB 48 by Senator Gates, which would require local governments to allow voluntary accessory dwelling units, preserve homestead treatment for the owner-occupied portion of the property, limit undue parking restrictions, require 30-day minimum rentals, extend certain density bonuses for military families, and allow reusable tenant screening reports. The bill drew strong support from the Florida Association of Mortgage Professionals and several others, and it was reported favorably. The committee also heard SB 34 by Senator Sharif, creating a historic cemeteries program to help preserve historic African-American cemeteries and allow sale of excess vacant land if proceeds are used for long-term maintenance; it was also reported favorably. The committee then considered and recommended confirmation of Fox Henderson to the Board of Directors of the Florida Housing Finance Corporation. Members also received a presentation from the Department of Commerce on the Community Development Block Grant Disaster Recovery program and Rebuild Florida. Deputy Secretary Justin Domer described the state’s administration of HUD disaster recovery funds, including more than $4.3 billion received since 2017, housing repair and replacement programs that have completed 5,271 homes, and infrastructure and mitigation projects such as sewer conversion in Alford, the new Calhoun-Liberty Hospital, and the Florida Keys desalination plant. Members asked about average project costs, contractor oversight, corrective actions for deficient work, and audit procedures; Domer said the department uses inspections, vendor oversight, and financial penalties, and noted stricter contract consequences in newer programs. The Division of Emergency Management also presented on Elevate Florida, a federal mitigation program that allows homeowners to apply directly for elevation, reconstruction, acquisition/demolition, or wind-mitigation projects, with a 75/25 federal-homeowner cost share and no state funds. Director Kevin Guthrie said the program is designed to reduce repetitive flood losses and keep homeowners in place, and that it has received more than 12,000 applications, with about 1,500 prioritized, 500 on a wait list, and 305 submitted to FEMA for final approval. Members asked about the 25% match for seniors, the wait list, contractor procurement, and how projects are classified; Guthrie said the program uses insurance proceeds where available, has competitively procured 27 contractors, and may shift projects from elevation to reconstruction depending on damage and flood rules. The committee adjourned after the presentations and discussion.
AZ

Arizona 2026 Regular Session

02/11/2026 - House Appropriations

Appropriations

Transcript Highlights:
  • This one program, though, is the one program they run that I like.
  • program expenditures.
  • We don't have to change the whole program for those that abuse the program.
  • program.
  • program.
FL
Transcript Highlights:
  • program.
  • programs.
  • So they're AS degree programs, career certificate programs, and college credit certificate programs that
  • , is our nursing program.
  • Those programs are reviewed.
Keywords: 999, senate, all
ID

Idaho 2026 Regular Session

Agenda Feb 12th, 2026

Transportation

Transcript Highlights:
  • , our training program, the broader technical assistance that we provide, and then a couple program updates
  • Various dollar amounts for the different programs, but in general there's a program here for just about
  • Various dollar amounts for the different programs, but in general there's a program here for just about
  • And on to a couple program highlights. First, the Children Pedestrian Safety Program.
  • I said the program started in 2022, so not quite three years, actually, of the program to have 91 complete
Summary: The committee heard testimony on House Bill 533, which would eliminate the vehicle registration sticker program. The sponsor said the stickers are often unreadable or obscured, law enforcement already runs plates during stops, and the change would save the Idaho Transportation Department an estimated $300,000 while keeping the agency neutral. Senators asked about other states that have ended sticker programs and the original purpose of the stickers; the sponsor said the visual color system was once used to identify expired registrations, but that is no longer effective. The committee moved the bill to the Senate floor with a due pass recommendation, and the motion carried. The committee also introduced RS 33330, sponsored by Senator Hart, to clarify what constitutes a valid right-of-way and highway. Hart described a recent Shoshone County dispute involving an old, incomplete road process and a vague legal description that led to litigation over access across private property. The proposal would require a record, survey, and public hearing process, and would make clear that counties or highway districts are not obligated to maintain every public right-of-way. The motion to introduce the RS passed. Members then received an update from the Local Highway Technical Assistance Council (ELTAC). The administrator reviewed the agency’s role serving cities, counties, and highway districts through training, technical assistance, and administration of federal and state transportation programs. She highlighted federal aid projects, the T2 training center, grant-writing assistance, the Children Pedestrian Safety Program, and the Leading Idaho Local Bridge Program, noting major investments, completed bridge projects, and the use of state funds to accelerate repairs and reduce local taxpayer burden. The committee asked about ELTAC’s coordination with ITD and how local governments seek funding help. Finally, the committee approved the February 10, 2026 minutes and adjourned.
NM
Transcript Highlights:
  • It's important to note it's unclear if program hours are limited to one or more programs linked to program
  • programs.
  • We must not pit schools against schools or program against program. I've heard some nonsense.
  • . program.
  • We have seen many of the programs bilingual programs or language programs, any after-school programs,
MA
Transcript Highlights:
  • And when you compare the growth, the cost growth of the PCA program to other programs within MassHealth
  • or the MassHealth program in the aggregate, Within MassHealth or the MassHealth program in the aggregate
  • LTSS programs...
  • The Massachusetts PCA program nationally is the gold standard of PCA programs. And yes, we are.
  • They do pay into the program.
Keywords: 995, all
Summary: The subcommittee met with MassHealth LTSS Chief Leslie Darcy to review the Personal Care Attendant (PCA) program and the legislative work group focused on its long-term sustainability and cost containment. Darcy and Charlie described the work group’s five meetings and three consensus recommendations: enforce the 66-hour overtime cap, address fraudulent activity in the PCA program, and eliminate MassHealth handling of PCA paperwork/administrative work for members without a live-in exemption because those members are subject to EVV. They explained EVV as an electronic visit verification system replacing paper timesheets, and noted the rollout is expected to be completed this fall. The group estimated about $7 million in savings from the consensus recommendations and agreed to continue meeting through June to consider additional ideas. Darcy presented data showing the PCA program served about 56,000 members in state fiscal year 2024 and has grown from $1.2 billion in FY20 to $1.6 billion in FY24, with projections near $2 billion by 2027. She said much of the growth is driven by wage increases and older adults using more services, and compared PCA costs with other LTSS programs. The discussion also covered overtime spending, the role of federal financial participation, and how Massachusetts’ PCA program differs from other states because it has no hard caps on hours or activities. Several members emphasized the program’s value for independent living and community participation, while also acknowledging the need to control growth without undermining services. Members asked about undocumented immigrants and MassHealth funding, and Darcy explained that some eligibility categories are state-funded only and do not receive federal matching funds. Another member asked about workforce recruitment and wage pressures; Darcy said recent collective bargaining agreements raised PCA wages, with some workers eventually reaching $25 per hour and the entry wage reaching $20. The group also discussed whether IADL hours are disproportionately high compared with ADL needs, and reviewed data suggesting potential savings if IADL hours were limited relative to ADL hours, though no consensus recommendation was made on that point. The meeting ended with approval of the prior minutes by roll call vote, an update that the next health equity informational hearing is scheduled for May 19, and a motion to adjourn carried unanimously.