Video & Transcript Research : 'waiver programs'
Page 103 of 500
NM
New Mexico 2026 Regular Session
House - Health and Human Services Jan 28th, 2026 at 09:07 am
House Health & Human Services
Transcript Highlights:
- I'd like to focus on the N in SNAP program: nutrition.
- And thank you presenters and everyone who supports the program.
- You don't hear me often say that we need to put more money into a program, but this program... ...but
- this program, and I appreciate the emails, by the way.
- , DOH programs, to do MOUD, 988, Narcan, working with the new PAC program for tobacco misuse.
TX
Texas 89th 2nd C.S.
S/C on Defense & Veterans' Affairs Apr 7th, 2025
S/C on Defense & Veterans' Affairs
Transcript Highlights:
- Those who would fit in the program.
- And, um, this bill would take this to a mandatory, um, waiver program.
- And that program, unlike programs operated by the Department of Housing or by Texas State Affordable
- Um, our programs are typically mortgages on homes, um, but the Veterans Land Board does have a program
- to evaluate the program by 2 years.
Bills:
HCR7
TX
Transcript Highlights:
- This amounts to to 1,051 additional waiver slots across the programs to move people off. the sometimes
- For the Medicaid program?
- to use that same program.
- program.
- All these waiver programs that we have vulnerable Texans who've been waiting to get these programs, and
Keywords:
appropriations, budget, state funding, education, healthcare, infrastructure, state budget, mental health funding, education funding, infrastructure improvements, public safety, groundwater, water conservation, financial assistance, Texas Water Development Board, innovation fund, local conservation districts, transportation protection agreement, funeral services, insurance exemption
NH
New Hampshire 2025 Regular Session
Senate Health and Human Services (04/23/2025)
Health and Human Services
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Environment and Natural Resources Jun 21st, 2026 at 01:00 pm
Joint Committee on Environment and Natural Resources
Transcript Highlights:
- I'm the Director of Conservation Law Foundation's Farm and Food Program and a staff attorney.
- A waiver process would remain available for true health emergencies.
- using the contraception. ...them to implement a pilot program using the contraception.
- Finally, I spoke with the Alberta Rats Control Program. Thank you very much.
- I'm also a volunteer with Mass Audubon's Rescue Raptors Program.
Summary:
The Joint Committee on Environment and Natural Resources held a hybrid hearing on a large slate of bills focused on pesticides, pollinators, rodenticides, mosquito control, invasive species, and local authority over pesticide regulation. Chair Becca Rausch set strict two-minute testimony limits due to the very large number of speakers. Early testimony from Senator Moore and Representative Hawkins strongly supported a bill to restrict second-generation anticoagulant rodenticides, citing harms to wildlife, pets, and public health, and noting that California has already adopted a similar model. Testimony also supported a Lowell home rule petition to allow the city to prohibit or restrict these rodenticides, with local officials describing documented raptor poisonings and municipal efforts to phase out use on city property.
A major portion of the hearing focused on pollinator protection and neonicotinoid-treated seeds. Witnesses from environmental groups, conservation organizations, academics, and beekeepers argued that neonics harm bees and other beneficial insects, contaminate soil and water, and provide little or no economic benefit in most corn and soybean fields. Several speakers pointed to New York, Vermont, and Quebec as models for restricting treated seeds, and one panel cited research showing only a small percentage of fields benefit economically from the treatments. Support was also voiced for a bill establishing an ecologically based mosquito management program, with advocates criticizing aerial and truck spraying and urging non-chemical, locally tailored approaches.
Other testimony supported bills to reform the pesticide board and pesticide regulation process, to give vulnerable municipalities more local control over pesticide use, to protect schoolchildren from pesticides on school grounds, and to respond to invasive species through a centralized state office, coordinator, strategic plan, and trust fund. Many speakers, including representatives from Mass Audubon, MSPCA, the Xerces Society, the Sierra Club, watershed groups, and local wildlife rehabilitators, described impacts on hawks, owls, pets, fish, and broader ecosystems. No votes were taken during the hearing, and committee members generally asked few questions, with the hearing remaining in testimony mode throughout.
FL
Transcript Highlights:
- At this point in time, they are not included in the housing affordability programs that we have, the
- housing assistance programs that we have in Florida.
- So what this bill does is put them into those programs; it includes them.
- It also would include them in programs where homeowners are currently eligible for funds to rehabilitate
- We're not giving them anything automatically, but this way they would be eligible for these programs
Keywords:
firefighter disability, law enforcement disability, correctional officer disability, correctional probation officer, presumptive disability, workers' compensation, line of duty presumption, heart disease presumption, hypertension presumption, tuberculosis presumption, public safety employees, first responders, physical examination, preemployment exam, medical specialist, Medicare reimbursement, employing agency, Florida Statutes 112.18, Florida Statutes 943.13, occupational disease
Summary:
The committee took up several bills related to public safety, housing, disaster recovery, construction, and land use. SB 330 clarified the heart disease presumption for firefighters, law enforcement, and correctional officers, aligned the definition of heart disease with medical practice, and allowed a transferring law enforcement officer to rely on a prior physical if the new agency does not provide one. An amendment stating the act serves an important state interest was adopted, and the bill passed unanimously after supportive testimony from law enforcement and fire groups. SB 594 expanded local housing assistance eligibility to residents of mobile home communities, including SHIP rental assistance for lot rent and rehabilitation/emergency repair programs for the home itself; it also passed unanimously after support from manufactured housing advocates.
SB 840 revised the hurricane-related land use limits enacted in prior legislation by sunsetting certain temporary restrictions on June 30, 2026, narrowing the affected area from 100 miles to 50 miles from a storm track, and exempting certain planning, water, wastewater, stormwater, and flood-related decisions. The sponsor said the bill was intended to fix unintended consequences of prior hurricane recovery legislation, and the measure was reported favorably on a unanimous vote. SB 526 addressed commercial construction projects by prohibiting “no damages for delay” clauses in public construction contracts, directing the Florida Building Commission to create a uniform commercial permit application, requiring permit fee reductions when private providers are used, and adding mitigation to product approval categories; county representatives raised concerns about implementation and fees, but the bill passed favorably.
The committee also approved SB 504 and SB 506, both by Senator Burgess, creating a framework for code inspector body camera use and a related public records exemption for recordings. Both were described as optional for local governments and were reported favorably without opposition. Finally, the committee considered CS/SB 354, a major “blue ribbon projects” bill creating a framework for very large developments that would reserve at least 60% of land for conservation, agriculture, recreation, utilities, and related uses in exchange for streamlined approval and state preemption over local land use controls. The bill drew extensive testimony both for and against, with supporters emphasizing housing supply and land preservation and opponents warning about local control, sprawl, infrastructure costs, and weak conservation protections. Two amendments were adopted to define reserve areas more specifically and address conservation easements, and the committee reported the bill favorably on a divided vote, with Senator Passidomo voting no.
NH
New Hampshire 2025 Regular Session
House Health, Human Services and Elderly Affairs (04/09/2025)
Health, Human Services & Elderly Affairs
Transcript Highlights:
- on a choices for independence waiver on a choices for independence waiver program<01:36:55.600><
- lower net costs to the Medicaid program lower net costs to the Medicaid program that<03:38:23.840
- Um, and there are very good program.
- We have a whole host of program integrity aspects of the Medicaid program that look for fraud, waste,
- We have a whole host of program integrity aspects of the Medicaid program that look for fraud, waste,
NH
New Hampshire 2025 Regular Session
House Judiciary (02/19/2025)
Transcript Highlights:
- According to former director of Dartmouth's transgender health program, John Turco, quote, there is only
- health program John turko quote<00:30:19.200>
there <00:30:19.320>is <00:30:19.480> - So, assuming that's what happens, my question has to do with an attempted waiver of the right to damages
- the<04:30:21.880>
right <04:30:22.080>to <04:30:22.640>damages attempted waiver - of the right to damages attempted waiver of the right to damages uh<04:30:23.760>
shall <04:30
Summary:
The House Judiciary Committee opened a hearing on House Bill 148, with the chair limiting testimony to two minutes and asking for no outbursts so the committee could get through eight bills that day. Representative Kofalt, the prime sponsor, said HB 148 was the same as last year’s HB 396, which passed both chambers but was vetoed by the governor. He explained the bill would allow, but not require, separation by biological sex in bathrooms, locker rooms, houses of correction, and certain athletic competitions, leaving local school boards and administrators discretion to set policies. He argued the bill was meant to address safety and privacy concerns and cited a Milford incident and concerns in several school districts as examples of why local flexibility was needed.
Committee members questioned the lack of a definition of “biological sex” and how the bill would be applied. Kofalt said he did not think a definition was necessary because males and females are generally understood, and he said the bill would give local policymakers latitude to make practical rules. He also said the bill was intended to address situations where people might misuse transgender claims to access spaces inappropriately. In response to questions, he said he was aware of issues in Kearsarge, Milford, and Mascoma school districts and had heard of discomfort in the State House, though he did not know all the details.
Several opponents testified that the bill would discriminate against transgender and non-binary people and create enforcement problems. Executive Councilor Karen Hill said the bill would roll back New Hampshire’s anti-discrimination protections and conflict with the state’s Live Free or Die values. Alice Wade, a trans woman, said she had used women’s restrooms without incident and argued the bill would invite invasive enforcement and harassment. Representative La Selig said the bill was discriminatory and that bathroom concerns were being confused with unrelated harassment by cisgender males. Betsy Harrington supported the bill, citing a girls’ soccer game at Kearsarge that she said was disrupted by a boy playing on a girls’ team. Rosie Emer and her child testified against the bill, saying bathroom restrictions would increase anxiety and risk for trans and non-binary children. Stephen Scaer and Wendy Stallings supported the bill, arguing sex is biologically fixed and that excluding males from female spaces should not require genital inspections. No vote or final committee action was taken in the portion of the hearing provided.
KY
Kentucky 2025 Regular Session
House Standing Committee on Judiciary (2-12-25) - Reupload
Transcript Highlights:
- There is a tuition waiver so they can get back on their feet, hopefully go to school, get educated.
- There is a tuition waiver so they can get back on their feet, hopefully go to school, get educated.
- <00:36:01.119>
so process there is a tuition waiver so process there is a tuition waiver so - “In this bill, a person that is found to be wrongfully convicted receives a tuition waiver for up to
- And they’re just not.” hours and waiver of mandatory fees hours and waiver of mandatory fees associated
Keywords:
The live stream for this meeting cut off before the end. This is the complete meeting pulled from back ups.
Meeting Start: 00:00:00
Roll Call: 00:00:05
HB 38: 00:02:42
HB 206: 00:29:22, 958, all
Summary:
The committee began with roll call and introductory remarks, including recognition of new members and guests. It then took up House Bill 38, sponsored by Representative Tipton, which would increase penalties for repeated violations of an order of protection. Under the committee substitute, a third violation involving the same order and same individual could be elevated from a Class A misdemeanor to a Class D felony. Tipton and domestic violence survivor Maryanne Pratt testified in support, with Pratt describing repeated abuse, protective-order violations, and ongoing fear despite arrests and jail time. Several members spoke in favor of the bill and praised Pratt’s testimony.
Members and outside witnesses raised concerns about the substitute’s language, especially the requirement that the same victim be involved and whether the bill could leave gaps for repeat abusers with different victims. Representative Burke and others questioned whether the conduct was already covered by stalking or assault statutes. Scott West, speaking for the Kentucky Association of Criminal Defense Lawyers, argued that the bill could allow technical contempt findings to be used as predicate offenses and noted that existing assault and stalking laws already address much of the conduct. Sponsor Tipton said the language was not final and that further changes might be considered in the Senate. Despite the concerns, the committee adopted the substitute and passed HB 38 with favorable expression by a 19-0 vote.
The committee then heard House Bill 206, sponsored by Representative Nemes, on wrongful conviction compensation. Nemes introduced exonerees and representatives from the Kentucky Innocence Project, and the substitute was adopted without objection. Testimony came from Paul Herd, who spent 20 years wrongfully convicted and described the difficulty of reentry, and Jon Acar, who said he was wrongly convicted as a teenager and spent years in custody and on parole. Both urged passage of the bill as overdue support for people exonerated after wrongful convictions.
NH
MD
Transcript Highlights:
- Loyalty programs. Good? Okay. You're welcome.
- Loyalty<00:16:30.640>
programs. Loyalty programs. Loyalty programs. Good? - House Bill 1430, Maryland Public Charter School Program Facilities Funding, Amendment number one.
- Senate Bill 775, Public Safety Gun Buyback Programs Destruction of Firearms, favorable.
- program this session. program this session.
Summary:
The House met in session, opened with a prayer, confirmed a quorum, and then moved through a long series of concurrence items and committee reports. Early on, the House rejected Senate amendments to House Bills 14 and 573 and sent messages asking the Senate to recede or appoint conference committees. It also entered conference on House Bill 907 (third degree assault) and on several other measures where the chambers disagreed, including Senate Bill 233 (cemeteries) and Senate Bill 626 (sex designation on birth certificates and IDs). House Bill 501, dealing with sexual offenses by a person in a position of authority, was concurred in and passed unanimously.
The House then took up a large concurrence calendar and passed a number of bills with Senate amendments, including House Bill 613 on living shoreline waivers, House Bill 315 on income-based housing subsidies, House Bill 548 on development rights and the Maryland Housing Certainty Act, House Bill 571 on nonprofit housing corporation tax exemptions, House Bill 895 on predatory pricing and protected class data, House Bill 1430 on charter school facilities funding, House Bill 1076 on over-the-counter contraception access and reporting, House Bill 624 on hospital staffing committees and plans, House Bill 811 on aging-in-place and multi-generational third places, House Bill 939 on birth certificate filing time periods, House Bill 1151 on a Medicaid hospice reimbursement study, House Bill 1367 on the Commission on Reimagining Healthcare in Maryland, House Bill 828 on State Board of Education membership, House Bill 130 on deed fraud, House Bill 281 on child care provider background checks, House Bill 963 on appointment of personal representatives, House Bill 1326 on child abuse and neglect records, and House Bill 525 on phone-free schools. Several of these were briefly explained on the floor, including changes to shoreline waiver timing, housing and tax provisions, contraceptive access concerns, hospital staffing protections, and the school phone policy’s exemptions.
The chamber also received committee reports that advanced additional bills for third reading, including House Bill 1020 and Senate Bill 654 on the State Police Retirement System mandatory retirement age, Senate Bill 877 on Baltimore City stop sign monitoring systems, Senate Bill 940 on water quality testing, House Bill 44 on plain-language ballot questions, Senate Bill 215 on the Maryland Veterans Trust Fund, Senate Bill 627 designating Korean American Day, and Senate Bill 634 on county discrimination complaints. No final votes were taken on those reported bills in the portion provided; the report simply adopted favorable reports and ordered the bills printed for third reading.
KY
Kentucky 2025 Regular Session
House Standing Committee BR Sub. on Justice, Public Safety, & Judiciary (2-18-25)
Transcript Highlights:
- He also notes there is an alternatives-to-detention program and a Youth Development Center in Morehead
- Additionally, DJJ employs four nurse program administrators who currently oversee the medical program
- <00:16:21.600>
administrators <00:16:22.319>Who <00:16:22.519>currently Program - administrators Who currently Program administrators Who currently oversee<00:16:23.839>
the <00 - oversee the medical program and ensure oversee the medical program and ensure compliance<00:16:26.319
Summary:
The committee heard an overview from Department of Juvenile Justice Commissioner Randy White on the state’s juvenile detention network and several facility projects. He identified the currently operating detention centers as Boyd County for females, Breathitt County for low-risk males, Fayette County for high-risk males, Adair County for high-risk youth from Jefferson and surrounding counties, Warren County for high-risk males, and McCracken County for low-risk males. Members asked about capacity and staffing; White said Boyd County houses 33 and is usually near full, Breathitt County is about half full, Fayette County runs about 80-90% full, Campbell County’s operational limit is about 25 due to staffing, Adair County can hold 60 and has hit capacity several times this year, Warren County holds 43 and usually runs near capacity, and McCracken County holds 43 and is not currently full. He said staffing is generally harder in higher-risk facilities and in metropolitan areas because of wages and housing costs.
White then updated the committee on the Louisville Detention Center downtown renovation and the Lyon facility project. For the Louisville downtown facility, he said schematic design and design development are complete, construction documents are expected by late February or early March, bids are anticipated in April, and completion is projected for March 2027. He explained the delay is due to extensive renovation work needed to bring the building up to current building, life-safety, ACA, and PREA standards, including security, mechanical, electrical, plumbing, food service, and roof work. The project is designed for 64 beds for high-risk Jefferson County boys, with the facility currently vacant and those youth being housed in Adair County and Campbell County. For the Lyon project, he said the contract was issued November 21, 2024, demolition is underway, completion is expected June 14, 2026, and the facility will have 34 beds in four pods for low-risk offenders; he said the project appears to be on time and on budget within the $4.5 million authorization.
The committee also discussed the medical services contract. DJJ officials said they are reviewing whether to continue with the current state contract provider, Wellpath, or pursue an RFP, while retaining current merit staff and continuing oversight through four nurse program administrators. They said DJJ uses a state master agreement to staff nurses, APRNs, and the chief medical officer, and that the current contract is about $20 million per year. Members asked about Wellpath’s bankruptcy filing; officials said they were aware of it, asked questions, and were told it would not affect Kentucky service delivery or contracting, though they could not recall the bankruptcy type and offered to provide more detail later. They also said DJJ is working with the Cabinet for Health and Family Services to become a Medicaid provider, and any future contractual partner will need to be a Medicaid provider.
Finally, White described the proposed high-acuity juvenile mental health treatment facility. He said DJJ must accept court-ordered youth even when they have severe mental illness, but detention centers are not equipped to treat those youth and private psychiatric hospitals often refuse them or discharge them early. He argued that a dedicated secure treatment facility is needed for a small number of highly violent, high-need youth who require intensive psychiatric care and are disruptive in detention. The facility would provide behavioral and psychiatric treatment, reduce delays caused by lack of beds or outside placements, and serve youth determined by clinical assessment to need a secure treatment environment. No votes were taken during the discussion.
NH
New Hampshire 2025 Regular Session
Senate Health and Human Services (02/12/2025)
Health and Human Services
Transcript Highlights:
- The other reason I brought this... program mea the medical Eligibility program mea the medical Eligibility
- provided some flexibility this program provided some flexibility this program is<02:31:29.800>
<03:47:29.600>- They have to submit the waiver.
- The waiver date? Yeah, if you want to change the waiver date, that's fine.
that's want to change the waiver date that's want to change the waiver date
KY
Kentucky 2025 Regular Session
Senate Standing Committee on Judiciary (2-6-25)
Transcript Highlights:
- <00:15:22.560>
a <00:15:22.639>Michelle <00:15:23.040>P <00:15:23.279>waiver - <00:15:23.839>
but has through a Michelle P waiver but has through a Michelle P waiver but - maybe I wonder if there is a need to maybe go a step further and require the Cabinet to put programs
- By embedding digital literacy education programs for both youth and parents or caregivers and creating
- <00:32:27.919>
for <00:32:28.159>both <00:32:29.039>youth education programs
Keywords:
Meeting Start: 00:00:05
Roll Call: 00:00:14
SB 26: 00:01:50
SB 64: 00:18:29
SB 73: 00:22:54, 958, all
Summary:
The Senate Judiciary Committee met with a quorum and heard three bills. Senate Bill 26, sponsored by Chair Storm, would protect parents and prospective parents with disabilities by barring disability alone from being the sole basis for denying an adoption petition or terminating parental rights. Testimony from Judge Marcus Vanover and Crystal Adams described the bill as a product of the Kentucky Judicial Commission on Mental Health and its work groups, cited Kentucky and national cases and federal ADA guidance, and said the bill would require consideration of supportive services, clearer documentation, retention of records, and conforming language changes. Senator Carroll asked how the bill would apply to a hypothetical adult child with special needs; witnesses said the bill is aimed at adoption and termination proceedings where the Cabinet is already involved, not proactive service requests. The committee approved SB 26 by a unanimous 7-0 vote and sent it to the floor with favorable expression.
The committee next considered Senate Bill 64, also sponsored by Chair Storm, which would expand the definition of key infrastructure assets to include telecommunications services such as telephone lines and broadband and make damaging, tampering with, or rendering those services inoperable a Class D felony. Representatives from Charter/Spectrum and AT&T testified that copper theft and vandalism have increasingly damaged fiber and other facilities, citing more than 20 incidents in Kentucky in 2024 affecting over 30,000 customers and diverting resources from broadband expansion. The committee adopted a committee substitute and then passed SB 64 by a 7-0 vote with favorable expression.
Finally, the committee heard Senate Bill 73, sponsored by Senator Julie Adams, which would create a felony offense for sexual extortion, allow victims or their representatives to bring civil actions, include the offense in Kentucky’s sex-crime definitions, and require school-based notification and education efforts along with resource information for students. Senator Adams and witness Lady T. Thompson described sextortion as a fast-growing online crime targeting minors, often through social media, gaming, and messaging apps, and argued that stronger penalties and prevention efforts are needed. The transcript cuts off before any committee action on SB 73.
TX
Transcript Highlights:
- The USDA, which runs the grading program, specifically says it is not a food safety program.
- The other aspect of it is, under the grading program, you would be under TDA's licensing.
- And there were 23 families in that program.
- Same hospitals would allow a waiver, just not as a student, and it makes no sense.
- We have seen a collusion between reimbursements of government programs and programs instigated by hospitals
Keywords:
SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction
Summary:
The committee first took up several pending bills and reported them favorably: SB 968, SB 636 as substituted, SB 1137, and SB 1138 as substituted. Each was advanced by roll call vote, and the committee also recommended the approved bills for the local and uncontested calendar. The chair then moved to the posted agenda and heard SB 719, a mental health bed-capacity study bill by Senator Eckhart, with a committee substitute that refined the data collection to distinguish state and non-state beds, child and adult beds, include two point-in-time counts, and capture jail diversion data.
Testimony on SB 719 was largely supportive from Integral Care, NAMI Texas, and the Children’s Hospital Association of Texas, all of whom said Texas needs better data on inpatient psychiatric capacity, workforce needs, and future demand. Several witnesses described long waits for beds, especially for forensic restoration, and argued the study would help target future investments. Senator Perry and others noted the state has already made major investments in new beds and urged the bill to account for beds already coming online; the committee ultimately withdrew the substitute and left SB 719 pending after public testimony closed.
The committee then heard SB 1864, which would allow small egg producers to sell ungraded eggs more broadly, including to restaurants and retailers, with the substitute increasing the weekly sales threshold and addressing sanitation and labeling. Supporters said grading is about size, not safety, and that the bill would help small farms reach new markets; opponents from the Texas Poultry Federation argued grading and candling help identify cracks and defects that can affect safety and quality. The committee adopted the substitute and left the bill pending. It also heard SB 1467, requiring DSHS to share death record information with hospitals for record accuracy and quality review, and SB 912, which would modernize continuing education tracking for health licensing agencies; both bills drew supportive testimony and were left pending. Finally, the committee heard SB 2023, which would create an HHSC grant program to help counties pay for indigent burial costs, with county representatives testifying in support.
CA
California 2025-2026 Regular Session
Joint Hearing Budget Subcommittee No. 2 on Human Services and Budget Subcommittee No. 1 on Health Apr 9th, 2025
Transcript Highlights:
- As Chair Addis had mentioned in our opening comments, the C-BAS program is certainly a vital program
- Why would we cut this program?
- are providing the cost savings that Programs are providing the cost savings that these programs are
- The IHSS program is the largest home and community-based services program in the United States.
- with additional program data.
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.
KY
Kentucky 2025 Regular Session
Public Pension Oversight Board (12-12-25) - Part 1
Transcript Highlights:
- program.
- In the waiver program, retired teachers were allowed to come back to work for a TRS participating employer
- But it's talking to staff, the primary use for the waiver program is by teachers who faced circumstances
- So we would recommend reinstating the waiver program.
- waiver program. waiver program.
Keywords:
Meeting Start: 00:00:00
Attendance Roll Call: 00:00:12
Approval of Minutes: 00:01:34
Actuarial Valuation Update – KPPA: 00:02:10
Actuarial Valuation Update – TRS: 00:25:32, 958, all
Summary:
The meeting began with roll call, confirmation of a quorum, and approval of the prior minutes. The main presentation was from KPPA officials Ryan Barrow and Erin Saratt on the annual actuarial valuations for the retirement and insurance systems. They said the systems’ funding status improved overall, with three of five insurance funds fully funded, CERS hazardous dropping from over 100% funded to 90.9% because of premium changes, and KRS receiving $650 million in supplemental funding over the biennium. They also reported strong investment returns above assumed rates, higher payroll and membership counts, and resulting actuarial losses tied to higher salaries and premiums, especially on the insurance side.
Members asked several questions about what drove the actuarial losses and whether legislation affected them. KPPA said the CERS insurance loss was driven by premium increases and Senate Bill 10, while the pension-side losses were largely due to higher payroll and benefits for Tier 1 and Tier 2 members. They explained that new Tier 3 employees are designed to add no additional unfunded liability, and that the state administers the systems but does not directly control all hiring. Questions also focused on retiree health premiums, which KPPA said rose about 15% for non-Medicare retirees and 38% for Medicare retirees, with the increase attributed to utilization, prescription costs, and the Inflation Reduction Act.
The committee then heard from TRS Deputy Executive Secretary and General Counsel Beau Barnes on the 2025 TRS actuarial valuation. He reported that the Retirement Annuity Trust and Health Insurance Trust both received full funding, the retirement trust’s funded ratio improved to 61%, TRS 4 remains well funded with no liability, and the health insurance trust improved to 89.1%. Barnes said TRS is on track to fully fund legacy liabilities within the amortization period, with 2044 as the point when the system reflects 100% funding and 2046 as the last year needing additional dollars for the legacy liability. He also explained that lower assumed investment returns and updated mortality assumptions increased liabilities, but that TRS uses direct rate smoothing for budgeting purposes.
At the end of the meeting, the chair circulated a proposed set of “do’s and don’ts of pensions,” emphasizing that future legislation should not create unfunded liabilities. Barnes also noted he would later discuss several legislative proposals for the 2026 session, but the transcript provided ends before that discussion or any votes on those proposals.
FL
Transcript Highlights:
- We want to see every program have a preceptorship program.
- terminates a program...
- Thank God 65% of nursing students go to public programs and not-for-profit programs.
- Go to public programs and not-for-profit programs.
- They're pushed out of the program into some other program.
Summary:
The committee heard and approved several health care bills. Senate Bill 68, by Senator Harrell, would require all hospital emergency departments to be prepared to treat children by maintaining pediatric equipment, staff training, written policies, a pediatric care coordinator, and completion/public posting of the National Pediatric Readiness Assessment. Senator Harrell said the bill is intended to improve pediatric emergency care in general hospitals, and the bill was supported by the Florida College of Emergency Physicians and the Florida Chapter of the American Academy of Pediatrics. It passed favorably.
The committee also approved Senate Bill 154, which corrects the Mobile Act for dentists and dental hygienists by requiring graduates of out-of-state dental schools seeking licensure by endorsement to have attended a CODA-accredited school. The bill drew support from dental and dental hygienist groups and passed favorably. Senate Bill 40, by Senator Sharif, would require Medicaid managed care networks to ensure at least half of primary care providers offer appointments outside regular business hours, including evenings and weekends, to improve access and reduce emergency room use; it also passed favorably.
A lengthy discussion centered on Senate Bill 254, also by Senator Harrell, which would tighten oversight of nursing education programs, create a temporary provisional license and preceptorship for new graduates awaiting NCLEX results, require remediation for low-performing programs, add standardized admission and exit-exam requirements, and allow the Department of Health to inspect programs unannounced. Supporters said the bill would improve quality and help students gain experience, while opponents warned it could reduce the number of nursing programs and worsen shortages, especially among private schools. After debate and testimony from nursing and school representatives, the bill passed favorably, with Senator Davis voting no.
The committee then received an OPPAGA presentation on interstate health care licensure compacts. OPPAGA reviewed how Florida uses licensure by endorsement, telehealth registration, and compacts for nurses, psychologists, and physicians, and explained the potential benefits and drawbacks of joining additional compacts, including portability, data sharing, and emergency staffing versus costs, administrative burdens, and possible conflicts with Florida scope-of-practice laws. No action was taken on the presentation, and the meeting adjourned after Senator Davis requested to be recorded in support of SB 68 and SB 154.
LA
Louisiana 2026 Regular Session
House of Representatives Apr 16th, 2026
Louisiana House Floor Meeting
Transcript Highlights:
- Senate Bill 441 by Senator Mizell, programs for pre-kindergarten-age children, nonpublic programs.
- House Bill 458 by Burris and Knox, relative to work-release programs, purposes of the program, assessment
- Programs for pre-kindergarten age children, non-public public programs.
- House Bill 458, Bar-upson of Knox, relative to work-release programs, purposes of the program, assessment
- House Bill 1112 by Representative Chenevert, pre-K programs, removes requirements that nonpublic programs
Bills:
HR159, HR160, HR161, HR162, HR163, HR164, HCR60, HCR61, HCR62, HCR63, HCR64, HR153, HR154, HR155, HR156, HR157, HR158, HCR57, HCR58, HCR59, SB124, SB399, SB441, SB447, SB460, HCR4, HCR47, HB59, HB74, HB159, HB175, HB330, HB364, HB414, HB458, HB525, HB568, HB628, HB786, HB909, HB1008, HB1033, HB1034, HB1041, HB1052, HB1062, HB1070, HB1079, HB1112, HB1118, HB1139, HB1151, HB1154, HB1176, HB1182, HB1196, HB1214, HB1231, HB1241, SB244, HB1, HB2, HB3, HB312, HB313, HB383, HB314, HCR3, HB983, HB1126, HR1, HR17, HCR5, HB27, HB71, HB214, HB225, HB241, HB244, HB306, HB345, HB366, HB446, HB511, HB514, HB655, HB730, HB743, HB1027, HB1037, HB1043, HB1082, HB1091, HB1096, HB1103, HB1167, HB1174, HB1175, HB1230, HB1237, HB1238, HB55, HB385, HB394, HB396, HB406, HB608, HB622, HB676, HB772, HB897, HB1030, HB1035, HB1038, HB1045, HB1049, HB1056, HB1058, HB1059, HB1092, HB1100, HB1117, HB1160, HB1161, HB1162, HB1177, HB1180, HB1189, HB1216, HB1239, HB1240, SB162, SB349, SB350, SB382, SB383, SB127, HB51, HB58, HB140, HB750, HB911, HB982, HB1010, HB151, HB180, HB192, HB193, HB310, HB635, HB690, HB961, HB1003, HB1146, HB864, HB977, HB181, HB31, HB664, HB615, HB901, HR20, HR74, HB9, HB284, HB393, HB459, HB577, HB582, HB605, HB614, HB682, HB733, HB773, HB996, HB1113, HB1234, HB1236
Keywords:
occupational therapy, healthcare, medical professionals, recognition, professional day, property transfer, public records doctrine, bad faith, Louisiana State Law Institute, real estate law, Black Maternal Health Week, maternal health, racial disparities, healthcare access, culturally competent care, Louisiana, community health, motorcycle safety, awareness month, motorcyclists education
Summary:
The House convened with a quorum, opening prayer, and pledge, then moved through messages from the Senate, committee reports, and a series of resolutions and bills. Several House resolutions were adopted without objection, including recognitions for Louisiana Occupational Therapy Association Day, Denham Springs High School robotics, a tomato festival, Holocaust remembrance, and other commendations and observances. Senate bills and resolutions were received and referred or laid over, and multiple House and Senate measures were sent to committees for further consideration.
The chamber then resolved into the Committee of the Whole for House Bill 1, the general appropriations bill. Representative McFarland outlined the budget, emphasizing LASERS debt payoff using surplus funds, reductions in LDH and MFP based on spending and enrollment trends, and major funding items such as early childhood education, scholarships, workforce programs, FEMA debt payments, and public safety needs. Members asked questions about early childhood funding and higher education grants, including a request for follow-up information on a Lumina Foundation grant. The committee adopted each schedule of HB 1, and the House later returned to regular session and passed HB 1 on final passage by 104 yeas.
The House then took up and passed HB 2, the capital outlay bill, and HB 3, the omnibus bond authorization act, both by unanimous or near-unanimous votes. It also passed HB 312, the supplemental appropriations bill, HB 313 on treasury fund transfers and deposits, HB 383 on ancillary/internal service funds, HB 314 on revenue-sharing allocations, HCR 3 on the hospital stabilization formula, HB 983 on judiciary appropriations, and HB 1126 on legislative branch appropriations. Throughout these measures, members highlighted funding for roads, corrections, public safety, education, health care, and economic development, and several members and staff were recognized for their work before the House adjourned to Monday.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Nov 6th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- or the SNAP program.
- Now, these programs are grant-funded.
- the program so that it's not just...
- Vocational programs, treatment, and education programs have been shown to reduce risk. recidivism.
- Every day we're finding people who do not know of our program. program.