Transcript Highlights:

• We can coordinate services. We're also ready to work on program integrity.
• and adult social services.
• , integrity and strength and service delivery for Minnesotans.
• Adult services are very similar to the services that are provided to children in the child welfare information
• Some have a lot of overlap, adult services very similar to the services that are provided to children

Keywords: 1183, house

Transcript Highlights:

• Currently, the population that is receiving these types of services, private duty nursing services, the
• on private-duty nursing services.
• , and they can also provide services that aren't even state plan services and do additional services
• And they can also provide services that aren't even state plan services and do additional services at
• or they lose Medicaid services.

Summary: The subcommittee held its first meeting of the 2025-2026 term, took attendance, confirmed a quorum, and heard introductory remarks from members and staff. Chair Anderson outlined the subcommittee’s jurisdiction over access and affordability issues, including health facility regulation, insurance, Medicaid, CHIP, and state employee health coverage. The main agenda item was an update on implementation of HB 391, which created a family home health aide program for medically fragile children. Representative Tramont, the bill sponsor, explained that the law was intended to let trained family caregivers be paid through Medicaid to care for their children, reduce reliance on private duty nursing, and relieve families. He and several members expressed frustration that implementation had taken nearly two years and that families still faced barriers. Deputy Secretary Brian Meyer of AHCA and Bridget Royce of DCF said the program was implemented October 1, 2024, with billing available, but no home health agencies had yet launched the required 80-hour training program and no claims had been paid. They described the program’s requirements, including agency employment, background screening, training, a $25-per-hour Medicaid rate paid to the agency, and an annual assessment report. A major issue discussed was that income earned by family caregivers counts toward Medicaid eligibility and could cause families to lose coverage. AHCA and DCF outlined two possible fixes that would require CMS approval: disregarding the income for eligibility purposes or treating the child as a family of one. Members and public witnesses strongly urged changes to avoid forcing families to choose between income and coverage. Several providers said they had begun preparing training programs, but asked for clearer approval processes and more patient-specific training requirements. The committee then heard extensive public testimony from parents and caregivers of medically fragile children, who described the financial, emotional, and logistical strain of caring for children with severe disabilities and argued that the bill should be expanded to include Florida KidCare families and others in the coverage gap. They also raised concerns about the eight-hour-per-day limit, low pay, and the need for simpler rules and direct support. Home health providers and associations supported the concept but asked for modifications, including more targeted training and clearer implementation guidance. The meeting then shifted to a second agenda item on the Andrew John Anderson Rapid Whole Genome Sequencing Program, which was funded in the 2023 budget. Deputy Secretary Meyer said the program has been implemented since January 1, 2024, but utilization has been lower than expected, with only about 60 claims paid and many denials occurring through managed care. Public testimony from a lab, a hospital, and a pediatric rare disease expert said the program is clinically valuable and cost-saving, but managed care billing barriers, prior authorization issues, and DRG-related denials are limiting access; they urged direct billing to Medicaid and possible expansion to all newborns.

Transcript Highlights:

• Our field services, which entails our veteran service officers.
• We don't, we have to contract vendors and service providers, so we do the vetting of service providers
• that you do, yeah, OK, for, for, for funeral services.
• And unhoused veterans, but for other services as well, even underemployed veterans to provide services
• Education Department and the Veteran Service Department.

Transcript Highlights:

• Services. Services.
• Medicaid Services. Medicaid Services.
• we believe it's a medical service. we believe it's a medical service.
• eligible for services. eligible for services.
• . services. services.

Keywords: 1189, house, all

Summary: The committee first handled routine business, approving the minutes and consent calendar, then moved to the regular calendar of administrative rules. Department of Energy rule 25-220 was postponed until June at the sponsor’s request so stakeholders would have more time to review revised language. Several Department of Health and Human Services Medicaid-related rules were then considered, including 25-240, 25-265, and 26-33, each of which drew staff comments mainly about expired rule provisions and the agencies’ reliance on federal law, the Medicaid state plan, or other manuals. The committee approved those rules after brief questions, with the agencies stating they were already operating under the relevant federal or state-plan authority and, in one case, that rulemaking was underway to update an expired citation. The most extended discussion was on HHS Bureau of Aging rule 25-304, which had an amended conditional approval request. Staff explained the amendments clarified how case management agencies accept or deny cases, how telehealth participation is evaluated, and that the department sets the timing for accepting or denying cases under its existing authority. Staff also noted a separate issue about whether reimbursement rates must be in rule, but said the agency had long interpreted the statute to allow its approach and that any change would likely require legislation rather than committee objection. A provider representative testified against parts of the rule, arguing the case management agencies should not be required to accept referrals before contacting the participant, that telehealth decisions for other providers should remain with those providers, and that the quality-management section was duplicative and burdensome. Committee members questioned whether the telehealth language merely allowed case managers to say a service fit the client’s plan or instead gave them authority over another provider’s delivery method. The agency responded that case managers may determine what services an individual needs, but should not control how another licensed provider delivers those services. The discussion continued with no final action shown in the excerpt.

Transcript Highlights:

• the failed Northstar commo rail service the failed Northstar commo rail service I<00:46:39.119><
• The response was that terminating the service and providing bus service is the best alternative, and
• > service<01:04:52.720> and<01:04:53.000> providing terminating the service and
• providing terminating the service and providing bus<01:04:53.720> service<01:04:54.079> is<
• <01:05:12.200> Mr favor of terminating the service Mr favor of terminating the service Mr

Keywords: 1183, house

Transcript Highlights:

• support services.
• support services.
• support services.
• support services.
• support services.

Keywords: 1183, house

Summary: The committee met for an introductory overview of its jurisdiction and budget, with the chair emphasizing the committee’s role over a large portfolio of children, youth, and family programs and the new Department of Children, Youth, and Families (DCYF). House Research and House Fiscal staff explained their roles and described the 2023-24 reorganization that transferred many programs from DHS, DPS, MDH, and MDE to DCYF, along with a statute recodification and a crosswalk resource for members. Doug Berg then walked through the committee’s budget structure, explaining the difference between all-funds and general fund views, the major funding sources, and how forecasted programs and grant bases roll forward. He highlighted that the committee’s general fund base is a little over $2.1 billion for the biennium, with large federal components such as SNAP and TANF, and noted smaller accounts including child protection-related opioid funds and federal reimbursement offsets (FFP) for administrative costs. Members asked several questions about federal financial participation, TANF, and the effect of the repeal of the Diversionary Work Program (DWP). Staff explained that FFP generally applies to administrative costs for federally related programs and usually does not change much unless program activity changes, while TANF is a block grant that has been stable for years. On DWP, staff said the program was sunsetted effective March 1, 2026, and that the associated funding and administrative costs were being reworked rather than simply removed. A member also asked about federal funding fluctuations; staff said no changes were currently factored in, though SNAP or other federal policy changes could alter future numbers. Danielle Penelli then presented on economic assistance and employment supports transferred to DCYF, focusing first on MFIP, Minnesota’s state-supervised, county-administered welfare program jointly funded by state and federal dollars. She explained that MFIP provides cash and food assistance, employment and training services, and related supports, with a 60-month time limit and certain exemptions for illness, incapacity, or other barriers to employment. She also described the program’s income and asset standards, including a $10,000 asset limit with exclusions for homesteads and one vehicle per assistance unit member age 16 or older. Members asked clarifying questions about how the time limit applies and what assets count, and staff responded that the limit applies to the caregiver and does not restart with additional children. Penelli also introduced support services grants, which fund employment services for MFIP, DWP, and SNAP participants through workforce centers, counties, tribes, and community agencies, and help cover some county and tribal administrative costs. She began outlining nutrition programs under DCYF, including SNAP, the Minnesota Food Assistance Program, the Minnesota Food Shelf Program, the Emergency Food Assistance Program, and the American Indian Food Sovereignty Program. No formal votes or bill actions were taken during this meeting; it was primarily an informational staff briefing and question-and-answer session.

Transcript Highlights:

• Thank you, sir, for your service. Thank you very much.
• Family centers are our shelters in housing and services.
• service member lost to suicide.
• We expanded our services to rural Minnesota.
• Services.

Transcript Highlights:

• The House Health and Human Services Finance Policy Committee is called to order.
• Programs and services and analyzing gaps.
• Examples would include funding for therapeutic services and juvenile.
• It would be detrimental for them to lose services.
• It increases the current emergency services program.

Transcript Highlights:

• In our student services, we employ five positions: we have a dean of student services, a registrar, an
• This slide shows Medicaid payments for residential services and outpatient services over the past five
• We've increased payments for residential services by over 1,700% and payments for outpatient services
• We've increased payments for residential services by over 1,700% and payments for outpatient services
• To coverage of IMD services.

Keywords: 908, all

Transcript Highlights:

• services.
• From notary services, homebound delivery services, passport services, technology training, and augmentation
• services, libraries on wheels, specialized services, digital services.
• I get the services offered.
• I get the services offered.

Keywords: 959, house, all

Summary: The Committee on Local Government held a public hearing on Senate Substitute No. 2 for Committee Substitute for Senate Bill 1023, sponsored by Senator Justin Brown. The bill would expand the existing authority for certain public library districts to ask voters to approve a local sales tax, with county-specific provisions: St. Charles County would have to reduce property tax levies to offset sales tax revenue, and Cass and Johnson counties would be limited to a 0.33% rate and would eliminate property tax levies if the sales tax is adopted. The bill also includes a provision allowing circuit courts to collect a civil case filing surcharge of up to $15 for law library maintenance, and a Kansas City Public Library fiscal-year flexibility provision was also described. Supporters from several library systems and the Missouri Library Association testified that the bill would give libraries more flexibility to diversify revenue, reduce reliance on property taxes, and protect voter-approved library sales taxes from legal uncertainty tied to county reclassification. Witnesses from St. Charles County said the measure would let local voters decide whether to fund library services through sales tax, property tax, or a mix, while a Marshall Public Library representative said the bill would help preserve a voter-approved sales tax affected by unrelated litigation. A Kansas City Public Library representative said the fiscal-year change would improve budget timing. One committee member questioned the fairness of shifting library funding to sales tax, especially for nonresidents, while other members spoke in support of libraries and their community services. No one testified in opposition. The chair closed the public hearing and announced the committee plans to executive the bill on Monday at noon, with notice to be sent by email. A representative also criticized the tone of the senator’s response during questioning, but said he still supported the bill.

Transcript Highlights:

• Program to Health and Human Services.
• and Human Services.
• to Health and Human Services.
• to Health and Human Services.
• to Health and Human Services.

Transcript Highlights:

• public for these services. Thank you. public for these services. Thank you.
• , EIDBI, or autism services.
• service contract.
• service contract.
• service contract.

Keywords: 1187, senate, all

Transcript Highlights:

• We don't do services for the crime lab.
• So unless it's talking about crime lab does toxicology services for us, but we do not do services for
• Does toxicology services for us, but we do not do services for the crime. Okay.
• Dementia care services program.
• Service denials and appeals process. Service denials and appeals process.

Keywords: 908, all

Summary: The committee was called to order, the roll was taken, and the March 18 minutes were approved. Members then received several project and program updates, beginning with CHI St. Alexius’s behavioral health buildouts in Bismarck, Williston, and Grand Forks. St. Alexius reported that the Bismarck project remains on track for June 2027 completion, with demolition underway and final design work nearing completion. Williston reported construction is progressing, staffing recruitment is underway for psychiatrists and other staff, and an air handler replacement is creating a roughly $750,000 unbudgeted barrier that will slightly delay the timeline. Grand Forks reported its expansion is about 30% complete, with no major barriers beyond weather, and leaders said the project should be substantially complete in the first quarter of 2027. The Department of Health and Human Services then presented a series of budget and program updates. Donna Ockland explained several recent line-item transfers as technical corrections that net to zero and do not require new spending, then reviewed salaries, wages, and FTE counts, noting the department remains within its authorized staffing levels. Pat Rainer followed with an update on the Rural Health Transformation Program, saying 12 opportunities have been posted, 422 applications received, and $8.4 million obligated so far, with a goal of obligating the full $199 million by September. He described grants for workforce retention, rural rotations and housing, community gardens, school wellness, behavioral health promotion, safety net services, equipment, technology, EMS, and other initiatives, emphasizing that the program is intended to be transformational and tied to metrics. Members asked extensive questions about how rural eligibility is defined, how grants will support both rural facilities and hub hospitals, and how future years of funding will build on current awards. The committee also heard an update on certified community behavioral health clinics from Elena Zeller, who said North Dakota has been accepted as a demonstration state, implementation is underway in Williston, North Central/Minot, Fargo, and Dickinson, and care coordination and service counts are increasing. Rebecca Askins then reviewed SNAP payment error rates, saying the 2025 rate was finalized at 9.89%, with the state aiming to get below 6% through policy updates, training, data tools, and a quality assurance team. Members pressed her on the causes of the error rate, the role of the SPACES software system, and the need for accountability and improvements. Finally, Dirk Wilkie reported the state laboratory project reached substantial completion on June 12 and is on budget at about $69.95 million, though a service elevator had to be redesigned because it was too small for equipment.

Transcript Highlights:

• . services caseworkers.
• and child protective services.
• I coordinated to have a number of foster care services visit with the Senate Health and Human Services
• in lieu of other services.
• It is not a needed state amendment plan. in lieu of services in 2016 as a service or setting that works

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001, HB136

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Transcript Highlights:

• I have an app that's provided through our health service.
• I think we can all agree that it is a basic service.
• Legislative and judiciary entities have declined our services.
• So this is the portfolio of services: 534.
• Similarly, you can see vulnerability management as a service.

Transcript Highlights:

• They provide services to private and public sector.
• Because customer service has to start with me.
• This is a way to get services where you may not be able to get services.
• because of their situation or services they are receiving elsewhere, and they don't need iBudget services
• And so it's—we're not— They don't accept the services.

Summary: The Human Services Subcommittee met to receive an update from the new director of the Agency for Persons with Disabilities on implementation of House Bill 1103. The director said APD is working to update the funding algorithm through a contracted study due November 15, 2025, expand transparency on its website, launch an online crisis application by the end of 2025, improve client choice in qualified organizations and waiver support coordinators, and coordinate with AHCA on the managed care pilot and Florida HealthFinder listings for APD providers. He also said APD is working on family resource materials, a monthly newsletter, and stronger transition planning with DCF. Members asked about whether the new algorithm would include transportation and what services might change, but the director said the replacement model is still being developed and any new methodology would be implemented through rulemaking. Questions also focused on Family Care Councils, including the statewide council’s membership and appointment process; the director said the statute sets the process and APD is helping councils recruit and organize. On transparency, members praised the website improvements and asked for more interactive data tools. The director said APD would consider suggestions and continue expanding public reporting. The committee also discussed eligibility and waiver notices, including concerns about outdated language in APD letters and how autism cases are reviewed. The director said clinicians and behavioral analysts review cases and asked to see the specific letter. On the pre-enrollment list, the chair asked about the wait list, and the director said APD recently sent 5,612 service offers to people on the list and is working to better distinguish those who truly need services from those who do not. No votes were taken, and the meeting adjourned after the presentation and questions.

Transcript Highlights:

• of the service.
• just the delivery of the new service just the delivery of the service<00:26:16.039> Senator<00
• Pronton, looks at expanding services for chiropractic services.
• additional services that they haven't additional services that they haven't done<00:43:11.920>
• <00:47:33.040> I by providing a little more services I by providing a little more services

Keywords: 1187, senate, all

Transcript Highlights:

• The crossover items are between the Human Services Committee and the Health and Human Services Committee
• items between the um human services items between the um human services committee<00:01:17.840><
• kinship services.
• <00:15:46.720> On services to include kinship services.
• On services to include kinship services.

Keywords: 1187, senate, all

Transcript Highlights:

• This is a service that we provide through Medicaid, but it's also a service that's paid for by the PASS
• This is a service that we provide through Medicaid, but it's also a service that's paid for by the passes
• We want to make sure that there's a quality service.
• Things that qualify you for personal care services.
• to evaluate whether someone qualifies for their service.

Summary: The committee approved the December 8 minutes and referred items C1 and C2 to the labor and environment subcommittees, adopting the chair’s recommendations. The main substantive item was a DHS rule package revising the State Plan Personal Care Manual and the Arkansas Independent Assessment (ARIA) Manual. DHS said the revisions would repeal and replace the current manuals with streamlined versions, remove overlapping language, implement Act 853 by shifting licensure/certification for personal care agencies to the Department of Health, lengthen personal care prior authorizations from six months to one year, and keep the 64-hour monthly cap. For ARIA, DHS said it would remove references to state plan personal care, clarify telehealth and in-person assessments, and add/update sections for PASS, AR Choices, Living Choices, and PACE. DHS argued the current independent assessment process is costly and not controlling utilization, citing a 95% approval rate, annual spending of more than $212 million on personal care for about 17,000 people, and an estimated $6.173 million in savings from eliminating the Optum assessment and reducing prior-authorization frequency. Agency witnesses said the new process would reinsert primary care practitioner involvement, use standardized evaluation and prescription forms, and rely on personal care provider nurses for the assessment step, with training already available through an AFMC contract. Several members questioned whether PCPs should be used as gatekeepers, whether the change would delay services, and whether the savings estimate accounted for training or provider burden. Some members also raised concerns about conflicts of interest, the workload on physicians, and whether the agency had adequately worked with the existing vendor to improve the current system. The discussion became contentious, with Senator Irvin and others strongly opposing the proposal as inconsistent with the earlier independent-assessment approach and urging DHS to slow down and work with legislators. Other members asked for clarification on how the new process would work for new applicants and whether it would affect waiver or PASS participants; DHS said the rule would not apply to PASS and should not delay services. At the end of the hearing, the chair offered DHS the option to pull the rule down and work off-record with legislators on a revised proposal, and DHS agreed. The meeting then adjourned without further business or a final vote on the rule.

Transcript Highlights:

• It's a thing to continue to be net services.
• You get legal protection services.
• of crime, and also for rehabilitative services.
• of crime, and also for rehabilitative services.
• This way it maximizes the connection to Medi-Cal and health services. Emergency Medi-Cal services.

Summary: The Assembly Budget Committee met to consider the 2026 Budget Act, which leaders said was the negotiated compromise with the Senate and was expected to move to the floor that evening. Opening remarks emphasized that the plan balances the budget over two years, reduces the structural deficit, and builds reserves, while also protecting core services in the face of federal cuts. Jason Sisney outlined the legislative budget framework and the likely floor bills, including AB 109, SB 110, SB 122, and SB 125. Department of Finance representative Eric Khali said the administration appreciated the two-year balanced approach and supported the modification in SB 122, while noting the package uses additional revenues and new spending to soften or reject some proposed cuts. Most of the discussion focused on major spending areas. Members and subcommittee chairs highlighted protections and additions for health care and human services, including rejecting the proposed Medi-Cal asset limit change, delaying premium increases, restoring clinic and dental funding, supporting distressed hospitals and county indigent care, and expanding county eligibility staffing to handle H.R. 1-related workload. Education members described record or expanded support for TK-12 schools, child care, special education, community colleges, teacher recruitment, and higher education, including a change to extend Cal Grant eligibility to age 30 for some community college students. Housing and homelessness funding was increased for HAP, multifamily housing, and the low-income housing tax credit, while public safety members pointed to investments in victims’ services, restorative justice, and prison closure savings. Several members also raised concerns or priorities tied to the budget deal. Some praised the package as a moral document that protects vulnerable Californians, immigrant communities, LGBTQ residents, seniors, and people with disabilities. Others noted unresolved issues, including the MCO tax’s impact on districts, the need for more support for local journalism, arts, biotech R&D incentives, transit and GGRF-related concerns, and the need for continued work on Prop. 98 and long-term fiscal resilience. The vice chair cautioned that despite the current progress, the state remains vulnerable to revenue volatility and warned that the budget should build more resilience against a possible downturn. No formal vote was taken in the portion provided, but the committee was preparing the budget package for floor action and final negotiations.