Video & Transcript Research : 'aging services'

Page 104 of 500
CA
Transcript Highlights:
  • The Commission heard from experts in emergency management, aging and disability services, long-term care
  • The Aging and Disability Resource Connection, or ADRC Network, provides services and supports to older
  • The Aging and Disability Resource Connection, or ADRC Network, provides services and supports to older
  • , and healthy aging.
  • I had done some work several years past to lower the age within the adult protective services to 60 from
Summary: The Assembly Committee on Aging and Long-Term Care met without an initial quorum and heard four Senate bills focused on older adults and people with disabilities. SB 837 by Senator Reyes would require Aging and Disability Resource Connection programs to provide disaster and emergency preparedness education tailored to older adults and people with disabilities. Supporters, including the California Foundation for Independent Living Centers and the California Commission on Aging, cited recent wildfire deaths and the need for better evacuation planning and preparedness. The bill passed on a due pass motion and was re-referred to the Committee on Emergency Management. SB 971 by Senator Choi would create a Healthy Aging Community Partnerships Program to encourage voluntary local partnerships, including with community colleges and other entities, to support social connection, technology help, caregiver resources, and other healthy aging activities. Supporters said it would promote independence and prevent isolation at no mandated cost, while one member questioned whether the bill addressed a current legal gap and whether public health departments should be involved. The committee approved the bill on a due pass motion and re-referred it to the Committee on Health. SB 1261 by Senator Laird would allow Aging and Disability Resource Connections to continue operating for one to two years during transitions when an area agency on aging or independent living center operator changes, preventing service disruptions. Testimony from Access Central Coast and the California Association of Area Agencies on Aging emphasized the importance of continuity for thousands of clients. The committee passed the bill and re-referred it to the Committee on Appropriations. SB 991 by Senator Menjivar, presented by Assemblymember Gonzalez, would require the Department of Social Services to classify substantiated abuse in residential care facilities for the elderly by specific abuse type rather than a broad residents’ rights category. Ombudsman advocates argued this would improve transparency and accountability; members also discussed whether similar protections should extend to younger adults in other licensed settings. The bill passed on a due pass motion and was re-referred to the Committee on Human Services.
CA
Transcript Highlights:
  • Medi-Cal covers long-term services and supports for low-income individuals of all ages.
  • And will help provide services to our aging and disabled populations.
  • So I am vice president for ombudsman services for Wise and Healthy Aging.
  • I am with Empowered Aging. I'm the Director of Programs and Services and also an MSW.
  • I am with Empowered Aging. I'm the Director of Programs and Services and also an MSW.
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.
CA

California 2025-2026 Regular Session

Assembly Aging and Long-Term Care Committee Jun 23rd, 2026

Aging and Long-Term Care

Transcript Highlights:
  • The Commission heard from experts in emergency management, aging and disability services, long-term care
  • The Aging and Disability Resource Connection, or ADRC Network, provides services and supports to older
  • , and healthy aging.
  • long-term services and supports.
  • I had done some work several years past to lower the age within the adult protective services to 60 from
Keywords: 988, house, all
MA
Transcript Highlights:
  • This innovative program enhances the coordination between our acute care hospitals and our aging service
  • We piloted the program with AgeSpan, which is an aging service access point in the Lawrence area.
  • This bill would ensure adequate funding for resident services and age-restricted housing, and ultimately
  • I am Elisa Delage, Chief Programs Officer for Old Colony Elder Services, or OCES, which is the aging
  • eligible for the program, to access these services. ...living with ALS, regardless of their age, if
Keywords: 995, all
Summary: The committee heard testimony on several aging-related bills, with most speakers focusing on housing stability, home-based services, and care transitions. Representative Badger and a commissioner testified in support of H4039, which would create a universal breakfast and lunch program at senior centers funded through a new Senior Breakfast and Lunch Fund, arguing it would reduce food insecurity and social isolation among older adults. Representative Lipper-Garabedian and multiple providers then supported H780/S495, the hospital-to-home partnership program, describing how embedded aging-services liaisons help older patients transition safely from hospitals to home, reduce readmissions, and avoid nursing facility placement; witnesses from Mystic Valley Elder Services and Mass Aging Access cited pilot results, including hundreds of patients served and examples of substantial cost savings and successful discharge planning. The committee also took testimony on S478, which would require continuing care retirement communities to disclose entrance-fee refund policies more clearly at enrollment. Senator Lovely and LeadingAge Massachusetts said the bill would improve transparency for residents and families, while a consumer witness said her family experienced delays and confusion in getting a refund after her mother left a CCRC. Members noted the issue is also being examined by a special commission on CCRCs. A large portion of the hearing focused on S475, a statewide bridge subsidy program for older adults facing housing instability. Advocates from the Massachusetts Coalition for the Homeless, Western Massachusetts, Somerville, Northampton, East Hampton, Old Colony Elder Services, and Somerville’s Office of Housing Stability described rising senior homelessness, long waitlists for subsidized housing, and cases where short-term rental assistance kept older adults housed while they waited for permanent housing. Somerville witnesses said the pilot program helped nine households remain housed and that some participants have since moved into permanent housing. Members asked about wait times, program design, and how to prioritize applicants; witnesses emphasized flexibility, emergency risk, and the need for a statewide expansion. The hearing also included testimony on S465, an ALS bill that would expand home care access regardless of age and bar the use of quality-adjusted life-year metrics in coverage decisions, with the sponsor and ALS Association arguing the measure would reduce discriminatory treatment and better center patient care. No votes were taken during the hearing.
ND

North Dakota 2026 1st Special Session

Human Services Committee May 27th, 2026

Human Services Committee

Transcript Highlights:
  • Have you had any discussions with the aging service division, whether it's Meals on Wheels and the senior
  • Have you had any discussions with the aging service division, whether it's Meals on Wheels and the senior
  • Senator Hogan, I haven't directly spoken to those groups, but aging services and our agency are very
  • don't tap into the services to the degree that... ...working age and elderly who don't tap into the services
  • Current law defines early childhood services for children through the age of 11 at this time.
Summary: The committee first approved the February 11, 2026 minutes and then received an update from the North Dakota Housing Finance Agency on the interagency council on homelessness and continuum of care funding. Testimony described rising homelessness tied to tight housing markets, low incomes, aging homelessness, barriers to rental assistance and public benefits, and limited shelter and case-management capacity. Members discussed the need for more affordable housing, continued one-time funding for the North Dakota Homeless Grant and Housing Incentive Fund, better coordination with Health and Human Services on economic assistance and human service zones, landlord engagement, recovery housing, and reentry housing. The committee also heard that federal continuum of care funding remains uncertain, with possible shifts away from permanent supportive housing and housing-first models; members asked for a future update on the impact if federal rules reduce the share available for permanent housing. The committee then took testimony on accessibility of government services for people who are blind or visually impaired. Paul Olson of North Dakota Vision Services School for the Blind described current screening and service delivery, including infant referrals, regional staff, short-term programs, and collaboration with vocational rehabilitation. He said the targeted screening system is working, recommended maintaining the current model, and noted ongoing challenges with staffing, public awareness, and accessible state websites and documents. Public testimony from a visually impaired resident and a deaf resident emphasized barriers such as CAPTCHAs, inaccessible PDFs, employment forms that screen out applicants based on driver’s license status, shortages of interpreters, and the need for video remote interpreting and video relay services, along with training for users and agencies. Finally, the committee heard a final report on the study of child care provider licensing from HHS Early Childhood Director Kay Larson. The report summarized provider input and committee discussion on simplifying North Dakota’s child care licensing structure, reducing administrative burden, and balancing that with health and safety standards. Key topics included licensing categories, child care assistance eligibility, food program sponsorship, staff qualifications, training requirements, ratios and group size, age bands, and preschool exemptions. The committee’s recommendations included streamlining to three provider types plus a preschool designation, revising ratio and age-band rules, and carrying forward certain preschool outdoor-space exemptions. Larson noted that any changes would require statutory changes, rulemaking, and a transition period before new licensing rules could take effect.
ND

North Dakota 2026 1st Special Session

Human Services Committee May 27th, 2026 at 09:00 am

Human Services

Transcript Highlights:
  • Have you had any discussions with the aging service division, whether it's Meals on Wheels and the senior
  • Senator Hogan, I haven't directly spoken to those groups, but aging services and our agency are very
  • Since July of 2025, we have provided services to 58 infants, as I indicated, 34 preschool-age students
  • Current law defines early childhood services for children through the age of 11 at this time.
  • age to under age one.
Keywords: 908, all
MN

Minnesota 2025 1st Special Session

Conference Committee on SF3045 5/12/25

Transcript Highlights:
  • <00:16:05.759> services<00:16:06.240> and overlap to optimizing aging services and
  • overlap to optimizing aging services and policies<00:16:07.279> across<00:16:07.759> the
  • transportation, aging services, and supports, jobs, and maintaining aging adults in the workplace who
  • <00:19:04.720> services,<00:19:05.200> and transportation, aging services, and transportation
  • , aging services, and supports,<00:19:06.480> jobs,<00:19:07.440> and<00:19:07.760>
Keywords: 1183, house
ND

North Dakota 2025-2026 Regular Session

Human Services Committee May 27th, 2026

Transcript Highlights:
  • Have you had any discussions with the aging service division, whether it's Meals on Wheels and the senior
  • Have you had any discussions with the aging service division, whether it's Meals on Wheels and the senior
  • Senator Hogan, I haven't directly spoken to those groups, but aging services and our agency are very
  • Since July of 2025, we have provided services to 58 infants, as I indicated, 34 preschool-age students
  • And current law defines early childhood services for children through the age of 11 at this time.
Summary: The committee first heard an update on North Dakota’s Interagency Council on Homelessness and Continuum of Care funding. Jennifer Henderson of the North Dakota Housing Finance Agency reported that homelessness remains driven by tight housing markets, low incomes, rising rents, and barriers to rental assistance, public benefits, and disability determinations. She said the state’s one-time North Dakota Homeless Grant is serving all regions but reaches far fewer households than the former Rent Help program, and that aging homelessness, shelter staffing shortages, and limited affordable units are growing concerns. Members discussed the need for more housing supply, better coordination with Health and Human Services, landlord engagement, reentry housing, and possible continued one-time funding for the $10 million Homeless Grant and $25 million Housing Incentive Fund. Henderson also warned that federal Continuum of Care funding is uncertain, with HUD expected to issue a new notice June 1 and possible shifts away from permanent supportive housing toward transitional housing and other models. The committee then took testimony on accessibility of government services for people who are blind, visually impaired, deaf, or hard of hearing. Paul Olson of North Dakota Vision Services School for the Blind described the school’s services for infants, children, and adults, including screenings, mobility training, assistive technology, and outreach across the state. He said the agency works closely with Vocational Rehabilitation and is also involved in improving website and document accessibility, especially for PDF materials. Public testimony highlighted barriers such as inaccessible CAPTCHA systems, online forms, driver’s license requirements on job applications, and limited transportation in rural areas. A deaf resident urged broader use of video remote interpreting and video relay services, along with training so people know how to use them effectively. Finally, Kay Larson presented the final report on the child care provider licensing study. The report recommended streamlining North Dakota’s child care licensing structure into three provider types plus a preschool designation, while preserving health and safety standards and maintaining eligibility for child care assistance. The committee discussed simplifying training and qualification rules, revising ratio and group-size requirements, and adjusting age bands for infants and toddlers. The report also noted that some changes would require statutory amendments and later administrative rule changes, with a transition period likely extending through 2029. No formal votes were taken in the transcript, but the committee accepted the updates and scheduled follow-up presentations for a later meeting.
TX

Texas 89th Regular

89th Legislative Session Apr 7th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • Human Services.
  • the Committee on Human Services.
  • for the Department of Human Services.
  • for the Committee on Human Services.
  • services.
Keywords: 1184, house, all
MN
Transcript Highlights:
  • :54.760> aging Embrace your aging population.
  • The healthy aging plan would redirect our current pattern of just-in-time funding for aging services
  • The healthy aging plan would redirect our current pattern of just-in-time funding for aging services
  • The healthy aging plan would redirect our current pattern of just-in-time funding for aging services
  • House File 2725 would redirect our current pattern of just-in-time funding for aging services every legislative
Keywords: 1183, house
NH

New Hampshire 2025 Regular Session

House Finance Division III (03/10/2025)

Transcript Highlights:
  • serves kids from birth up to age 21, and then we have our Adult and Aging Services and our DD services
  • Services Bureau of Aging adult and Aging Services Bureau of Aging adult and Aging Services we<00:
  • less than um adult and Aging Services less than um adult and Aging Services for<00:06:18.319>
  • > in<00:09:25.000> BDS adult and Aging Services and five in BDS adult and Aging Services and
  • <00:21:54.679> to adult and Aging Services so um just to adult and Aging Services so um just
Keywords: 928, house, all
Summary: The Division of Long-Term Supports and Services presented its budget and program overview as part of the Department of Health and Human Services operating budget review. Leadership described the division’s three bureaus—Aging and Adult Services, Developmental Services, and Family-Centered Services—and explained that the division provides guidance, technical assistance, quality monitoring, and contracted provider oversight across the lifespan. Members also discussed staffing, with reported vacancy rates of 4% in Aging and Adult Services, 15% in Developmental Services, and 6% in Family-Centered Services; the division said the higher BDS vacancy rate is partly due to the small number of authorized positions. The governor’s budget had left eight positions unfunded in the division, including three in Aging and Adult Services and five in BDS. A major topic was the division’s roadmap initiatives, especially building a system of care for healthy aging and strengthening developmental disabilities systems through a new reimbursement rate structure. The division said it contracted with an actuary to study DD service costs and found rates had not been reviewed since 2017 and were significantly below actual costs and other states’ rates, contributing to provider shortages even when services are authorized. Members asked about the impact on service delivery and whether rates would need to rise overall; the division said its strategy is to focus on lower-cost services that help people remain in the community. The division also reported waiver enrollment figures, including about 4,161 people on the Choices for Independence waiver, 3,688 average nursing facility residents, 5,061 people on the DD waiver, 228 on the acquired brain disorder waiver, and 488 children on the in-home support waiver, while noting there is no funding waitlist but provider availability remains a constraint. The division highlighted IT modernization as a major accomplishment, especially moving Adult Protective Services and Developmental Services into the New Heights system. Officials said these changes improve case-note access, data retrieval, service authorization tracking, and transparency for providers, and they asked for future oversight discussion focused on IT leverage. Members noted that New Heights maintenance is budgeted in the Office of the Commissioner under class 27 and suggested better transparency on system costs and benefits. The division also reported that it closed out a long-running CMS corrective action plan for BDS on July 1, 2023, and said it is now focused on strengthening the system rather than compliance alone. Other discussion covered the Aging and Adult Services bureau’s name change from Elderly and Adult Services to Adult and Aging Services, intended to avoid negative connotations and better reflect preventative services. The bureau described Adult Protective Services trends involving scams, financial exploitation, self-neglect, and isolation, and explained that it administers the CFI waiver, determines medical eligibility for nursing facility level of care, and braids funding from Medicaid, state funds, Older Americans Act money, Social Service Block Grants, and other grants. Members asked about waiver growth targets and federal consequences if enrollment remains below projections; the division said it would explain the shortfall in a future waiver amendment and did not anticipate a federal penalty. The meeting ended without any votes or formal actions taken.
CA
Transcript Highlights:
  • Moreover, California's population is rapidly aging.
  • with dignity and grace and to be able to tap into services and have protections as they age is only
  • I've serviced all those people.
  • Family Services Association, our senior services provider, instituted a grab-and-go meal program where
  • Services can include medically tailored nutrition, legal services, critical ombudsman services, access
Summary: The Assembly Aging and Long-Term Care Committee met on April 22, established a quorum, and adopted its 2023-24 committee rules. The hearing then considered five bills focused on aging, long-term care, immigrant seniors, nutrition, and emergency preparedness. AB 450 would create a task force to study the needs of undocumented Californians age 55 and older; supporters from CHIRLA and other advocates described barriers to housing, health care, retirement, and digital access, while members raised questions about eligibility and process. The bill was approved on a due pass motion and re-referred to the Committee on Human Services. AB 508 would require residential care facilities for the elderly to disclose staffing information upon request at admission and when rates increase. The author and supporters argued that staffing levels are closely tied to quality of care and that families need transparency to make informed choices; a witness described her father’s death in an understaffed facility. Assisted living industry representatives opposed the bill as burdensome but said they were continuing discussions with the author. The committee adopted amendments and passed the bill to Appropriations. AB 1476 would allow senior congregate meal programs to continue offering to-go meals, a practice expanded during the pandemic. Supporters said the option improved access for homebound and food-insecure seniors and helped bring people into senior centers; there was no opposition, and the bill passed to Appropriations. AB 1068 would create a working group on evacuation and sheltering needs for older adults and people with disabilities in long-term care during disasters, and AB 1069 would ensure area agencies on aging and aging/disability resource programs have access to emergency shelters to provide services. Both measures drew broad support from aging, disability, and advocacy groups, with testimony citing recent fires and evacuations, and both were approved and re-referred to the Committee on Emergency Management. The committee also left rolls open for additional members to add votes before adjournment.
NH

New Hampshire 2025 Regular Session

Senate Health and Human Services (01/22/2025)

Health and Human Services

Transcript Highlights:
  • Department of Health and Human Services Department of Health and Human Services so<00:04:34.919>
  • prevention we do the client services prevention we do the client services delivery<00:09:23.560>
  • workers we have child Protective Service workers we have child protective<00:09:30.680> service
  • We're also able to invest in our aging and disability Resource Centers, you probably know them as service
  • We're also able to invest in our aging and disability Resource Centers, you probably know them as service
Keywords: 1191, senate, all
TX

Texas 89th Regular

89th Legislative Session Apr 3rd, 2025

Texas House Floor Meeting

Transcript Highlights:
  • AG 4641. by bond and reeling, the resumption of services, certain judicial officers, or the judicial
  • AG 4655 by Halverlin, the preparation of adult living program and other services for the foster care
  • AG 4666 by Manuel, relaying the streamlining, the deadlines of the Health and Human Services Commission
  • AG 4718 by R.
  • And for the Committee on Human Services, AG 4846 by Hopper, relating to criminal procedures related to
Bills: HB9, HB22, HB908, HB1392
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 04/08/26

Human Services

Transcript Highlights:
  • service agreements renew. service agreements renew.
  • . services. services.
  • where<00:58:28.120> the Service Corps service places where the Service Corps service places
  • The response was that the multi-sector plan for aging went beyond Human Services and included eight state
  • One big thing is the multi-sector plan for aging, which went beyond just Human Services.
Keywords: 1187, senate, all
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 03/10/25

Human Services

Transcript Highlights:
  • c> day Services unit-based services or day Services unit-based services or day Services<00:37:20.520
  • It is a free, statewide service of the Minnesota Board on Aging in partnership with Minnesota's area
  • It is a free, statewide service of the Minnesota Board on Aging in partnership with Minnesota's area
  • It is a free, statewide service of the Minnesota Board on Aging in partnership with Minnesota's area
  • <01:47:35.480> uh Aging as the state unit on Aging uh Aging as the state unit on Aging uh
Keywords: 1187, senate, all
MN

Minnesota 2025-2026 Regular Session

Legislative Commission on Pensions and Retirement - 03/03/26

Minnesota Senate Floor Meeting

Transcript Highlights:
  • <01:16:51.840> and<01:16:52.080> service unreduced benefits when age and service unreduced
  • benefits when age and service total<01:16:52.800> 90.
  • and up to $46,000 depending on age and years of service per member.
  • and up to $46,000 depending on age and years of service per member.
  • depending on age and years of service depending on age and years of service per<01:19:45.120>
Keywords: 1187, senate, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Advanced Information Technology, the Internet and Cybersecurity Jun 21st, 2026 at 01:00 pm

Joint Committee on Advanced Information Technology, the Internet and Cybersecurity

Transcript Highlights:
  • Chairman, away from cable and toward streaming services and packages of streaming services. ...away from
  • cable and toward streaming services and packages of streaming services.
  • design code goes a bit further to... ...age-appropriate design code, but the Vermont age-appropriate
  • The fact is that age verification places burdens on everybody to verify ages.
  • like many municipal services.
Keywords: 995, all
Summary: The committee held its second hearing on a large docket of technology, internet, cybersecurity, broadband, and media bills. Early testimony focused on community media funding legislation, with lawmakers and local access advocates arguing that as cable subscriptions decline and streaming grows, revenue tied to cable franchises no longer supports community television and PEG programming. Supporters said community media remains a key source of local news, government meeting coverage, and civic transparency as newspapers disappear or consolidate. A related bill on cable contract oversight also drew support, with testimony that the Department of Telecommunications and Cable is backlogged and should more actively review municipal-provider agreements and report its workload to the committee. Another major topic was a proposal to create a Massachusetts Innovation Fund for state IT modernization. The Alliance for Digital Innovation backed the bill, saying agencies need flexible upfront capital to replace outdated systems and improve cybersecurity, and pointing to the federal Technology Modernization Fund as a model. The witness noted that funding for the state program still needs to be identified. The committee also heard strong support for a bill requiring free broadband in public housing, with Rep. Emmela Goodwin and MAPC describing internet access as essential for jobs, school, telehealth, and civic participation. They said the digital divide in Massachusetts is driven largely by affordability rather than infrastructure, though questions were raised about costs, wiring, and whether all housing sites already have broadband access available at the curb. A substantial portion of the hearing centered on bills to limit addictive social media feeds for minors. Supporters, including lawmakers, parents, teens, and advocacy groups, argued that algorithmic feeds contribute to addiction, anxiety, body image problems, and other harms, and said the bills would restrict surveillance-based curation and overnight notifications while leaving search and followed accounts available. Opponents, including FIRE, CCIA, and the Taxpayers Protection Alliance, argued the bills would require invasive age verification, threaten privacy and cybersecurity, burden adults’ anonymity, and likely face First Amendment challenges. They also warned the measures could disadvantage smaller businesses and may be unconstitutional based on recent court rulings in other states. The committee also heard support for blockchain-related bills creating a commission, a pilot program, and consumer education efforts, with testimony that Massachusetts has the talent but needs a coordinated state strategy. No votes or final actions were taken during the hearing.
HI

Hawaii 2025 Regular Session

HHS Informational Briefing 01-07-2025

Hawaii Senate Floor Meeting

Transcript Highlights:
  • To receive Kupuna Care services, you need to be 60 years of age or older, a U.S. citizen or a qualified
  • We have our area agencies on Aging, who procure out for those services and supports that you mentioned
  • We have our area agencies on Aging, who procure out for those services and supports that you mentioned
  • We have our area agencies on Aging, who procure out for those services and supports that you mentioned
  • we're talking about Health and on Aging we're talking about Health and Social<01:10:24.400> Services
Keywords: 912, senate, all
Summary: The Committee on Health and Human Services held an informational briefing on Kupuna Care funding, distribution, utilization, and the status of program rules. The Office of Aging explained that state Kupuna Care funds are distributed using the same federally approved interstate funding formula used for Older Americans Act funds, with eight weighted factors tailored to Hawaii’s conditions: older adults, greatest economic need, low-income minority status, disability, language barriers, geographic isolation, inverse population density, and older adults living alone in poverty. The department said the formula is based on census and American Community Survey data, with current county shares listed as Kauai 7.45%, Honolulu 69.61%, Maui 11.7%, and Hawaii County 17.88%. Officials said the formula is being reviewed with current data and will need federal approval and then public hearing before final adoption. Members questioned how the program works in practice, noting that the statute and eligibility language can sound like direct individual benefits even though services are delivered through area agencies on aging, ADRCs, and contracted providers such as meal and adult day care programs. The Office of Aging said ADRCs determine eligibility and then refer clients to authorized providers, who must meet service standards in their contracts. The chair pressed repeatedly for long-delayed rules, saying the Legislature had expected them years earlier and that clear rules are needed to ensure funds are spent properly and to avoid conflicts of interest. The department acknowledged the delay, said draft rules were written in 2023 after earlier commitments to finish sooner, and said it paused while federal Older Americans Act rules were being updated; it now expects to send the rules to the Deputy Attorney General, then out for public hearing, with a goal of completion in 2025. The department also reported utilization data for the last two fiscal years. In 2023, it expended about 93% of its allocation and served 5,473 older adults at an average annual cost of $1,358; in 2024, it expended about 97% and served 5,520 older adults, with the average cost down by about $200, which officials said may indicate fewer services per person. Eligibility was described as age 60 or older, U.S. citizen or qualified alien, with cognitive impairment or disability and functional deficits, and the statewide profile showed many participants were homebound, living alone, or below poverty. The most-used services were transportation, case management, and home-delivered meals. The chair also asked about the former Kupuna caregiver program; officials said the programs are now combined under Kupuna Care, with most funding going to adult day care to provide respite for working caregivers. County representatives then described local conditions, especially on Hawaii Island. Hawaii County officials said the county covers about 5,000 square miles, has about 208,000 residents, and roughly 24% are age 65 or older. They identified three main challenges: staffing shortages and retention problems among providers, shortages within the county department itself, and the loss of adult day care capacity, with only one center remaining on the island and none on the west side. They said these constraints limit service delivery even as demand grows. At the same time, they highlighted successes such as serving people in the community before they need higher levels of care, providing caregiver counseling and training through adult day care, serving 467 individuals locally, and ensuring the Resource Center answers calls from caregivers seeking help.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on the Judiciary Jun 21st, 2026 at 01:00 pm

Joint Committee on the Judiciary

Transcript Highlights:
  • It rewrites an age.
  • services.
  • involuntary services.
  • Despite having all the services that Massachusetts offers, and the services...
  • One sets 16 as the age for consent to sex; the other sets 18 as the marriage age.
Keywords: 995, all
Summary: The Joint Committee on the Judiciary held a lengthy hearing on several juvenile justice and parole-related bills, with much of the testimony focused on H. 2051/S. 1087 to end lifetime parole for juveniles and emerging adults, and H. 1923 to raise the age of juvenile court jurisdiction to include 18-, 19-, and 20-year-olds. Chairs Brandy Fluker-Reid and Lydia Edwards opened the hearing by noting the large number of bills and witnesses, the need to keep testimony moving, and special procedures for incarcerated witnesses and sensitive testimony. They also acknowledged the historic nature of the hearing being chaired by two Black women attorneys. No votes were taken during the hearing itself. Many incarcerated speakers and advocates supported ending lifetime parole, arguing that young people can change, that lifetime supervision creates constant fear of technical violations, and that it undermines rehabilitation, family stability, employment, and reintegration. Several testified about their own trauma, youth, and growth in prison programs, while others emphasized the costs of decades of supervision and the racial disparities in the system. Support also came from elected officials, UTEC, the Transformational Prison Project, United Way, CPCS’s Youth Advocacy Division, the Massachusetts Coalition to Prevent Gun Violence, and others, who said juvenile systems are better suited to developmentally appropriate treatment and that the bills would improve public safety and reduce recidivism. There was also opposition, including testimony from family members of a murder victim who argued that lifetime parole should remain for serious violent crimes and that some offenders are not sufficiently rehabilitated. One virtual witness described a family tragedy involving the kidnapping and murder of her infant nephew and warned that ending lifetime parole could remove needed long-term supervision for dangerous offenders. In addition to the juvenile justice bills, the committee heard testimony on H. 1867, a bill related to continuing care for severe mental illness, and H. 2063, which would increase penalties for assaults on correction officers and other prison staff; the correction officers’ union supported H. 2063 and related safety bills. The hearing continued with many more witnesses and bill topics, but no final committee action was announced in the portion provided.