Video & Transcript Research : 'supportive services'

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FL

Florida 2025 Regular Session

Senate in Session Mar 19th, 2025

Florida Senate Floor Meeting

Transcript Highlights:
  • It will also support modeling efforts to assess...
  • We appreciate you being here to support this.
  • I ask for everyone's favorable support.
  • for these services.
  • I would ask for your favorable support.
Bills: SCR5, SCR13, SB3, SB6, SB10, SB12, SB13, SB15, SB17, SB18, SB19, SB24, SB35, SB57, SB65, SB112, SB284, SB290, SB388, SB400, SB402, SB412, SB495, SB499, SB502, SB509, SB621, SB706, SB740, SB815, SB842, SB854, SB875, SB893, SB917, SB974, SB1025, SB1061, SB1073, SB1106, SB1268, SB1281, SB1300, SB1362, SB1379, SB1447, SB1451, SB1555, SB1902, SJR36, SJR12, SCR13, SCR25, SCR5, SCR22, SCR12, SCR24, SB495, SB412, SB10, SB18, SB565, SB372, SB842, SB765, SB62, SB19, SB666, SB707, SB888, SB687, SB706, SB847, SB290, SB13, SB1248, SB740, SB14, SB1006, SB504, SB917, SB925, SB388, SB1902, SB1121, SB995, SB857, SB305, SB296, SB284, SB35, SB6, SB815, SB3, SB1281, SB1379, SB1300, SB1497, SB1499, SB1498, SB1451, SB1061, SB15, SB65, SB241, SB304, SB402, SB499, SB621, SB974, SB1023, SB1024, SB1025, SB1106, SB686, SB112, SB371, SB204, SB400, SB609, SB1447, SB670, SB502, SB427, SB850, SB854, SB413, SB1555, SB1362, SB1346, SB1033, SB1220, SB1073, SB810, SB987, SB1539, SB893, SB447, SB875, SB406, SB509, SB985, SB965, SB17, SB1119, SB1505, SB12, SB24, SB57, SB1194, SB1253, SB1215, SB1532, SB1268, SB1302, SB856, SB650, SB583, SB673, SB840, SJR57, SCR8, SB213, SB681, SB1172, SB1252, SB378, SB610, SB918, SB1343, SB608, SB487, SB955, SB957, SB988, SB990, SB1019, SB1021, SB1120, SB251, SB958, SB535, SB761, SB1, SB541, SB315, SB379, SB1018, SB1737, SB266, SB1415, SB3, SB6, SB15, SB35, SB290, SB706, SB842, SB917, SB1281, SB1451, SB1902, SB12, SB13, SB17, SB19, SB388, SR261, SR265, SR276, SR277, SR281, SR286, SR293, SCR5, SCR13, SB2425, SB2880, SB10, SB12, SB13, SB17, SB18, SB19, SB388, SB412, SB495, SB2425, SB2880
TX
Transcript Highlights:
  • I think there is literature out there supporting its use for COVID.
  • Support this well-thought-out, straightforward, short-term solution.
  • The pharmacist wouldn't have anything on record to support that.
  • No credible medical authority supports this bill.
  • Contracts would be left out from having extra patrol services.
HI

Hawaii 2026 Regular Session

House Chamber - Tue Mar 31, 2026, 12:00PM HST - Day 36

Hawaii House Floor Meeting

Transcript Highlights:
  • Through her Keystone Club, she has led and supported impactful service efforts, from organizing a fall
  • Through her Keystone Club, she has led and supported impactful service efforts, from organizing a fall
  • In support.
  • Strong support and permission and service and comments to the journal.
  • > and Strong support and permission and Strong support and permission and service<00:37:50.800
AL

Alabama 2026 1st Special Session

Alabama Senate Judiciary Committee Mar 18th, 2026

Judiciary

Transcript Highlights:
  • Uh, we fully support this bill.
  • So, the fire and EMS support this well.
  • If the service, will they be punished?
  • support of this piece of legislation. support of this piece of legislation.
  • <00:38:12.720> on the office of protective services on the office of protective services on
AL

Alabama 2026 1st Special Session

Alabama Senate Judiciary Committee Mar 11th, 2026

Judiciary

Transcript Highlights:
  • I supported that and I support the revision. We're trying to do some revision.
  • I supported that and I support the revision. We're trying to do some revision.
  • So, as I said earlier, I'm going to support the bill, but I'm just making a serious notice.
  • So I was just wondering that you're not considered that, and I'm not I'm supporting your bill. >> Oh
  • So I was just wondering that you're not considered that, and I'm not I'm supporting your bill. >> Oh
AL

Alabama 2026 1st Special Session

Alabama Senate Judiciary Committee Jan 21st, 2026

Judiciary

Transcript Highlights:
  • ought to increase the fines and make it a class C misdemeanor, which is I think up to $500 community service
  • ought to increase the fines and make it a class C misdemeanor, which is I think up to $500 community service
  • ought to increase the fines and make it a class C misdemeanor, which is I think up to $500 community service
  • And so it, you know, I let him know what I thought. think up to $500 community service and think up to
  • $500 community service and up<00:17:43.520> to<00:17:43.679> three<00:17:43.919> months
AZ

Arizona 2026 Regular Session

02/18/2026 - Senate Judiciary and Elections

Judiciary and Elections

Transcript Highlights:
  • We are signed in, supported the bill.
  • Excellent bill, very much in support.
  • very much in support.
  • services.
  • I do not support this bill.
Summary: The committee approved the minutes and then took up a long agenda of election, criminal justice, corrections, and county-government bills. Early election measures included SB 1436, requiring ballot language for certain school override and bond elections to estimate the secondary property tax impact; SB 1568, requiring election systems’ internal clocks to stay within 60 seconds of official time and making violations a misdemeanor; SB 1569, limiting special election board members from collecting or processing voter registration while assisting confined voters; and SB 1746, requiring voting centers to supplement rather than replace precinct polling places, requiring public offices and schools to provide polling space, and closing schools on primary and general election days for in-service training. SB 1436 and SB 1568 were eventually given do-pass recommendations, SB 1569 also passed committee, and SB 1746 passed despite concerns raised about school safety and access. Some bills were held earlier in the meeting and voted on later after testimony concluded. The committee also heard SB 1295, which would allow the Department of Corrections to release certain seriously ill inmates to contracted medical institutions if they qualify for ALTCS, with an amendment replacing disability language with illness-based criteria; the sponsor described it as a cost-saving measure that could shift care costs to federal programs. SB 1067, the so-called Gila County blight bill, would let counties place abatement costs for rubbish, debris, and dilapidated buildings on property tax bills and liens; county officials testified that it would help recover cleanup costs for blighted properties and heirs’ property, and it passed unanimously. SB 1413 would remove the $100,000 cap on restitution for serious injury or death caused by moving violations and passed after the sponsor said the cap had already been found unconstitutional. SB 1476 would make child neglect a class six felony when a custodian exposes a newborn to dangerous or narcotic drugs or causes fetal alcohol syndrome; supporters framed it as accountability and child protection, while opponents warned it could deter treatment and worsen family separation. The bill passed on a split vote. Later, the committee considered several criminal-justice and public-safety bills. SB 1512 would expand the definition of vulnerable adult and broaden “position of trust and confidence” for theft cases involving seniors and other vulnerable adults; testimony highlighted scams and exploitation of grieving or isolated elders, and the bill passed. SB 1585 would regulate sex-offender-specific evaluations, treatment, and polygraph services through the Sex Offender Management Board, add a surcharge fund and assessment on sexual-offense convictions, and appropriate funds to DPS; supporters said it would create uniform standards, while opponents questioned the need for additional fees, and it passed. SB 1662 would require probation conditions to be the least restrictive necessary and tailored to a defendant’s risk and needs; supporters from the Justice Action Network and criminal-defense advocates said it would improve rehabilitation and public safety, and it passed. The committee also began SB 1664, which would change constable petition-signature requirements in Maricopa and Pima counties, but the transcript cuts off before the full discussion and vote on that bill.
OK
Transcript Highlights:
  • But fortunately, my family was in support and found an alternative group that did not have access to
  • Oh, Representative Kennedy, we are so grateful for your service.
  • Service to the House and our country. The House and our country.
  • Thank you, Representative Kennedy, for your service. Mr.
  • Thank you so much for your service. Appreciate it that very much. Thank you very much.
Summary: The House opened with prayer, the Pledge of Allegiance, and several introductions, including the Nurse of the Day and a guest pastor, on the National Day of Prayer. Members also made announcements about prayer activities in the Capitol and welcomed former Speaker Charles McCall to the gallery. The chamber then moved through a long floor calendar of Senate bills, joint resolutions, and a conference committee report, with several measures amended on the floor before final passage. Among the bills passed were SB 1090, a consumer protection measure aimed at giving homeowners time to cancel contracts with predatory door-knocking roofers and contractors; SJR 49, repealing a Wildlife Conservation Commission rule on surety for oil and gas leases; SB 633, a juvenile code measure described as protecting children from fentanyl poisoning; SB 650, a public utilities bill tied to transparency and accountability for state employee salary increases; SB 263, amended to include a “lemonade stand” provision; SB 122, a transportation-related bill on proof of insurance; and SB 1614, creating a teacher induction program, which also received emergency passage. SJR 52 and HJR 1101, both dealing with agency rules, also passed, as did SJR 53 on Oklahoma Medical Marijuana Authority rules. The most debated item was SB 1884, which would strengthen equal access for school employees to teacher professional organizations and related membership/dues procedures. Supporters argued it would clarify existing law, ensure fair access, and give teachers more choice and legal support; opponents said the problem was compliance with current law, not a need for new statute, and warned against duplicating existing protections. After extended debate, the bill failed 47-44. Members then took up SJR 50, a major Medicaid expansion-related resolution revising earlier trigger language; supporters said it preserved expansion unless federal funding changed and gave lawmakers flexibility, while opponents argued the state had not done enough fiscal analysis before proposing changes. SJR 50 passed 69-18. Finally, the House adopted a conference committee report on HB 3021, consolidating graduation requirements into the ICAP framework and clarifying related school rules, and the bill passed with emergency status.
TX

Texas 89th Regular

89th Legislative Session Mar 28th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • So thank you for your service. Thank you. Thank you. Thank you.
  • And again, thank you for your service, and God bless Texas. Appreciate it. Thank you.
  • Thank you all for the service that you're performing.
  • After my service here, I was elected in 2000.
  • I love public service, and I still love public service.
HI

Hawaii 2026 Regular Session

WAM-LBT, WAM Informational Briefings 01-20-2026

Hawaii Senate Floor Meeting

Transcript Highlights:
  • of civil service, the civil service<00:05:19.280> system,<00:05:19.680> including service
  • So the debt service reductions is we use a formula to calculate our debt service. Right?
  • >> we would use debt service. >> we would use debt service.
  • service that's got to come out to pay. service that's got to come out to pay.
  • most civil other civil service position. most civil other civil service position.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Children, Families and Persons with Disabilities Jun 21st, 2026 at 01:00 pm

Joint Committee on Children, Families and Persons with Disabilities

Transcript Highlights:
  • DDS youth services are focused on family support and individualized services meant to supplement and
  • support educational entitlement services.
  • This program supports 800 students each year by building in-home supportive services that reflect and
  • , natural supports, and available services, to best support their goals, independence, and community
  • , shared living, and in-home support services.
Keywords: 995, all
Summary: The hearing was an informational and oversight session of the Joint Committee on Children, Families, and Persons with Disabilities, with chairs and members hearing agency updates from several commissioners. The Department of Public Health’s Bureau of Family Health and Nutrition described its maternal and child health work, including home visiting, early intervention, WIC, newborn hearing screening, and cross-agency efforts on prenatal substance exposure, respite care, children’s vision, and maternal health initiatives. DPH emphasized that federal grant cuts, layoffs, and the loss of data systems such as PRAMS would weaken services and planning, and members asked about Title V funding and the impact of federal uncertainty. The Massachusetts Commission on the Deaf and Hard of Hearing highlighted communication access services, interpreter and CART referrals, emergency after-hours support, family navigation, and independent living services. Commissioners and members discussed the shortage of ASL interpreters and the need to expand training pipelines, including partnerships with colleges and possible ASL programming for younger students. The Department of Developmental Services reported serving nearly 50,000 people and focused on youth and adult services, transition-age supports, autism services, self-direction, respite, and new high-acuity residential models. Members asked about respite availability, self-direction outcomes, and workforce shortages; DDS said it was expanding clinical capacity and provider rates while monitoring possible federal Medicaid, SNAP, and immigration-related impacts. The Commission for the Blind described services for about 28,000 legally blind residents, most of whom are older adults, including social rehabilitation, orientation and mobility training, children’s services, assistive technology, vocational rehabilitation, and Turning 22 supports. The commissioner discussed a UMass-based effort to build the workforce pipeline for blindness services and said the agency was watching federal restructuring but had not yet seen direct cuts. MassAbility’s leadership then warned about major federal changes affecting Social Security disability determinations, including staff restructuring, office closures, and a new overpayment repayment policy, and said the agency was preparing for possible increases in claims and uncertainty around reallotment dollars that help fund services. The Disabled Persons Protection Commission closed the hearing with an update on its abuse investigations and protective services for adults with disabilities. DPPC reported rising hotline calls and investigations, a growing caseload, its sexual assault response team, the abuser registry, and a new interagency protective services integration system funded by ARPA dollars through 2027. The agency also flagged new federal rules that could affect funding eligibility and said it may need statutory changes to comply. Members asked about funding, reporting pathways, and how complaints reach DPPC, and the commissioner said the agency uses both mandated reporting and proactive outreach to identify and respond to abuse.
CA

California 2025-2026 Regular Session

Assembly Human Services Committee Apr 29th, 2025

Transcript Highlights:
  • We don't need... ...services, support language access standards across CalHHS.
  • Julia Leau, Regional Services, in strong support.
  • So I urge your support of this bill and safeguarding recipients' full access to support services while
  • So I urge for your support of this bill and in safeguarding of recipients full access to support services
  • Horvibata Chargi with the California Alliance of Child and Family Services in support.
Summary: The committee heard a series of child care, social services, immigrant support, disability services, and language access bills, with many measures drawing strong support and no opposition. Early in the hearing, AB 450 proposed a Department of Aging task force to study and recommend policies for undocumented adults age 55 and older; AB 593 would let CDSS identify data-sharing opportunities to improve CalFresh administration and participation; and AB 904 would clarify child care subsidy eligibility so families do not lose care during pregnancy leave, family leave, caregiving, or job search periods. All three were presented as ways to reduce barriers and improve access to essential services, and AB 904 was moved out on a 1-0 call after support testimony from child care advocates and a member of the public. AB 617, which would expand and standardize respite care access for people with intellectual and developmental disabilities by requiring licensing and registry participation, drew both support and significant opposition from respite providers and disability service organizations concerned about added regulation, cost, and possible delays; the author said she would continue working with opponents, and the bill was moved out on a 2-0 call. The committee also heard AB 1220, which would require regional centers to document denials, notices of action, and appeals in individual program plans and include that data in annual reports to improve transparency and equity in developmental services. The bill drew extensive public support from parents, advocates, and disability organizations, with no opposition, and passed 5-0. AB 752 would make child care centers by right in certain residential zones when co-located with multifamily housing or institutional uses, and supporters argued it would reduce zoning barriers and help expand child care capacity; it also passed 5-0. AB 1242 would create a CalHHS language access director, require human review of machine translation, and improve language coverage determinations for state and local agencies; supporters emphasized health equity and the need for better access for limited-English communities, and the bill was moved out on a 4-0 call. Later, AB 548 would continue and expand the Asylee and Vulnerable Non-Citizen Program, which provides case management and integration services for asylees and certain visa holders; supporters said the program had been effective but had run out of funding, and the bill passed 4-0. AB 495, the Family Preparedness Plan Act, would strengthen family safety planning for immigrant families, standardize acceptance of caregiver authorization affidavits, and create a joint guardianship process for temporary separations; testimony focused on fear of family separation and the need for clear school and medical procedures, and the bill passed 4-0. AB 1357 would exclude guaranteed income payments from being counted as income for state public assistance eligibility, with supporters arguing it would prevent recipients from falling off the “benefits cliff”; it passed 4-1. Finally, AB 1201, the Reunity Act, was introduced to require individualized court assessments before denying reunification services to parents with certain violent felony convictions after a five-year period, with the author and a witness describing the bill as a trauma-informed approach to family reunification.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Ways and Means Jun 21st, 2026 at 11:00 am

Joint Committee on Ways and Means

Transcript Highlights:
  • 68% of the budget supports an array of services such as our out-of-home placements and our support and
  • 68% of the budget supports an array of services such as our out-of-home placements and our support and
  • In April, we relaunch our support and stabilization services.
  • The department provides a number of family support services, including respite services, which are a
  • support, support with behavioral health services.
Keywords: 995, all
Summary: The hearing opened with remarks from Senate Chair Robyn Kennedy and House Chair Chynah Tyler, who emphasized that the fiscal year 2026 hearing was focused on the Health and Human Services budget, asked members to keep questions budget-related, and noted that no public testimony would be taken. They also highlighted the choice of Doherty Memorial High School as the venue to showcase Worcester’s investment in career and technical education. Committee members then introduced themselves before the first panel, the Executive Office of Veterans Services and the state veterans homes, began testimony. Secretary John Santiago said the governor’s FY26 proposal would support implementation of the HERO Act, which he said is now about 95% implemented, including higher disabled veteran annuities, expanded behavioral health benefits, and other service expansions. He described efforts to reduce veteran homelessness, including nearly $20 million in ARPA-funded housing and outreach initiatives, and said the agency has delivered more than 100,000 supportive services to nearly 8,500 veterans. Leaders from the Chelsea and Holyoke veterans homes reported on staffing, quality measures, electronic medical records, and major construction projects at both facilities, including a new Chelsea campus and the new Holyoke home. Members asked about funding transfers, geographic equity in access to the homes, outreach to women veterans and veterans of color, suicide prevention, Gold Star family support, and the impact of federal uncertainty; Santiago said the homes are now licensed and certified, that the current budget is sufficient, and that the agency is expanding engagement and data collection. The second panel, the Office of the Veteran Advocate, testified that its FY26 request is about $3.3 million, up from the current $2 million, to cover staffing, a larger office, and higher technology costs. Veteran Advocate Bob Notch said the office is a new independent oversight agency created in 2022 to examine systems, coordinate with local veteran service officers, and investigate fatalities or serious harm involving veterans in state care. He said the office’s work depends on research, data, and collaboration with other agencies, and that current funding is only enough for minimum operations. In response to questions, Notch and Deputy Commissioner David O’Callaghan discussed the difficulty of tracking veteran suicides, the need for better data across agencies, and the office’s role as an oversight body rather than a direct service provider. No votes or formal actions were taken during the hearing.
CA
Transcript Highlights:
  • So, through the long-term services and supports financing initiative and with the support of the Urban
  • and supports. ...to afford the cost of $50,000 worth of long-term services and supports per year without
  • and supportive services.
  • , supportive services, and caregiving.
  • First, CBHA supports continued investment in adult day services and community-based adult services.
Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 03/09/26

Human Services

Transcript Highlights:
  • Individualized home supports is a service option that provides support to individuals.
  • 00:05:18.480> to service option that provides support to service option that provides support
  • > the<00:05:21.880> service<00:05:22.200> that supports with training, the service
  • , but a training and support service.
  • , supporting that was receiving services, supporting that was receiving services, but<01:18:57.360
Keywords: 1187, senate, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Ways and Means Jun 21st, 2026 at 10:00 am

Joint Committee on Ways and Means

Transcript Highlights:
  • and, five years later, into our community support services.
  • services. ...support each other and, beyond that, to the transformative services that you provide.
  • , youth services, school initiatives, elder support, and other essential services that advance refugee
  • But most of those supports are community-based supports and really meant to be pushing services to the
  • But most of those supports are community-based supports and really meant to be pushing services to the
Keywords: 995, all
Summary: The hearing was a FY27 budget session on Health and Human Services held in Mattapan, hosted by the Joint Committee on Ways and Means. Opening remarks from Senator Lydia Edwards, Representative Brandy Fluker-Reed, Representative Russell Holmes, and Boston Public Library President David Leonard emphasized the significance of holding the first Ways and Means hearing in Mattapan, the importance of community access, and the role of libraries as human services institutions. Committee members and attendees introduced themselves before agency testimony began. MassAbility testified first, describing its mission to support people with disabilities through employment, independent living, and disability determination services. The agency highlighted federal funding uncertainty, a modest FY27 budget reduction, and a proposed reworking of its home care program, which it said is outdated and should better target those most in need. Members questioned the home care cut, staffing reductions, and federal coordination. MassAbility also shared a participant story about recovery and community support to illustrate the impact of its services. The Massachusetts Commission for the Deaf and Hard of Hearing then presented its FY27 request, focusing on interpreter and captioning access, workforce development, emergency communication, aging-related hearing loss, and transition services for deaf and hard-of-hearing youth. Members asked about interpreter shortages, after-hours emergency coverage, ASL education, and community training; the commission said it is expanding mentorship and referral systems but still faces staffing and vendor challenges. The Massachusetts Commission for the Blind followed with a $30.8 million request, describing services for nearly 9,000 consumers, peer support groups, vocational rehabilitation, and Turning 22 services, while noting federal funding uncertainty and a 7% budget cut. Members raised concerns about maintaining services with fewer resources, and the commissioner said the agency had trimmed overhead and could manage the proposal. The Office for Refugees and Immigrants closed the segment, outlining expanded legal, housing, workforce, citizenship, and financial literacy supports for immigrants and refugees, including Know Your Rights trainings, legal defense initiatives, and the Massachusetts Access to Counsel Initiative. Members discussed the effects of federal policy changes, the loss of refugee resettlement funding, and the need for state support to fill gaps. No votes were taken in the portion provided; the hearing consisted of agency presentations and committee questioning.
OR
Transcript Highlights:
  • And so we often get into conversations about needs or about services or about supports.
  • Or the service must support the youth in achieving age-appropriate growth and development.
  • And again, we'll get the link for describing each section and the support services.
  • It is a service and support that's Medicaid-reimbursable and has clinical criteria for entry.
  • and supports through developmental disability services.
Keywords: 907, all
CA
Transcript Highlights:
  • These funds will support positions in contracting services to support community engagement and coordination
  • Long-term services and supports will continue to be accessed through the fee-for-service system, including
  • For medically tailored meals and our medically supportive food, service intensity.
  • that provide health and supportive services to over 90,000 individuals.
  • that provide health and supportive services to over 90,000 individuals.
Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.
CA
Transcript Highlights:
  • Relatively new services and supports, such as enhanced regional center service coordination, the 1 to
  • needs and provide support with accessing those services.
  • , the In-Home Supportive Services Program.
  • and the In-Home Supportive Services program (IHSS).
  • their consumers and also supported evacuation services.
Keywords: 988, house, all
CA
Transcript Highlights:
  • Relatively new services and supports such as enhanced regional center service coordination, the 1-to-
  • needs and provide support with accessing those services.
  • and the In-Home Supportive Services program, IHSS.
  • and the In-Home Supportive Services program, IHSS.
  • Transportation not just supports folks from experiencing isolation, it supports all these services.
Summary: The Assembly Budget Subcommittee on Human Services held a hearing on developmental services, rehabilitation, and related supports, with no votes taken. The first major topic was the Master Plan for Developmental Services. Administration officials described a year-long, community-driven process that included a steering committee, work groups, and statewide engagement sessions, and said the final draft would be released that Friday with about 170 recommendations. The Department of Developmental Services said the plan would inform future work, but did not offer a detailed implementation roadmap. The LAO said the plan contains significant policy and budget implications, may require statutory changes, and needs further analysis to turn recommendations into actionable proposals. Advocates and regional center representatives urged the Legislature and administration to avoid letting the plan sit on a shelf, called for prioritization and ongoing stakeholder oversight, and emphasized the need to address equity, workforce, service coordination, and cross-system collaboration. The chair said he wanted to work with the LAO on trailer bill language and future reporting to create a clearer path forward. The second topic was the Office of Employment First and competitive integrated employment. Administration witnesses said California has ended subminimum wage under SB 639, but that moving people into competitive integrated employment remains a major priority. They described existing efforts such as DDS’s coordinated career pathways pilot, paid internships, job development services, benefits counseling, and DOR’s career counseling and referral services, along with pilot projects in San Diego and Orange County. The State Council on Developmental Disabilities and advocates argued that employment outcomes have remained stuck at roughly 15% and that a dedicated Employment First Office is needed to coordinate across agencies, align goals, and improve outcomes. The LAO recommended regular legislative oversight on people transitioning out of subminimum wage and asked for technical assistance on coordinated career pathways. The chair criticized the administration’s decision to effectively eliminate funding for the office, requested a detailed implementation timeline and quarterly transition reports, and said the committee would continue pressing for the office to be implemented. The final issue was respite services, utilization trends, and access. DDS reported that in-home respite use and spending have risen sharply over several years, with about 150,000 people using respite in 2023-24 and expenditures reaching about $1 billion. Officials said access depends on families knowing the service exists, service coordinators identifying need, and having enough providers, especially in rural and linguistically diverse communities. The San Diego Regional Center said utilization generally mirrors statewide trends, but access is stronger in some areas, such as Imperial County, where families often prefer family-directed or agency-supported models that allow them to hire trusted workers. Committee members emphasized the importance of respite for family health and caregiver well-being, asked whether service coordinators are asking practical questions about sleep and stress, and discussed the need for better identification of complex behavioral and medical needs. DDS said a standardized family support tool and updated IPP process are intended to improve consistency, transparency, and person-centered assessment for respite and related services.