Transcript Highlights:

• , and employment services.
• , and employment services.
• , and employment services.
• , and employment services.
• <00:12:43.000> make services uh programs and services make services uh programs and services

Keywords: 1183, house

Transcript Highlights:

• and services system.
• These include caseload, available services, utilization of those services, and the rates paid for services
• So even independent living services, residential services, day services, and employment providers, they
• So even independent living services, residential services, day services, and employment providers, they
• I’m a director of deaf services, supported living services.

Keywords: 987, senate, all

Summary: The subcommittee heard an overview of the governor’s IHSS budget proposals and then took public testimony from the administration, LAO, county representatives, labor, consumer advocates, and an aging/disability advocacy group. The administration described IHSS as a large Medi-Cal long-term services program serving more than 900,000 recipients and proposed three changes: shifting some growth costs tied to authorized hours per case to counties, eliminating the statewide backup provider system, and aligning IHSS terminations with Medi-Cal terminations. The administration also discussed the earlier CFCO reassessment penalty change for counties and said overdue reassessments had dropped significantly. LAO said the governor’s overall IHSS cost estimates appeared reasonable, but raised concerns about the hours-per-case cost shift, including unclear root causes for growth, limited county control over statewide averages, and uncertainty about the eventual savings. County Welfare Directors Association, SEIU, and consumer/advocacy witnesses opposed the hours cost shift, arguing counties use state tools, the proposal would pressure counties to cut services, and it could harm older adults and people with disabilities by increasing institutionalization and shifting costs elsewhere. The chair and members repeatedly questioned the rationale for the proposal, the lack of a defined baseline, and whether the current assessment tools or MOE structure should instead be revisited. On the backup provider system, the administration said the program is underused and costly to administer relative to service spending, while LAO suggested the Legislature consider whether administrative costs could be reduced instead of eliminating it. County, labor, and consumer witnesses opposed the cut, saying the system is a critical emergency safety net even if utilization is low, especially for rural areas and people with complex needs. Members also asked about data quality, county backup systems, and whether consumers know the program exists. On the Medi-Cal/IHSS alignment proposal, the administration said automation would stop General Fund-only spending when recipients lose Medi-Cal and restore IHSS automatically when Medi-Cal is regained; LAO and others noted the proposal had been rejected before and urged better notices and safeguards. Witnesses warned that automatic termination could create gaps in care and unpaid work for providers, while the department said counties already manually terminate in some cases and that automation is ready if approved. No votes were taken in the excerpt, and the chair indicated the committee would continue with public comment and later items before a hard adjournment time.

Transcript Highlights:

• of those county behavioral health services, we will only see demand for our services increase just as
• of services are they getting?
• and all mobile crisis services delivered by unlicensed staff ...services and all mobile crisis services
• Also just want to start by saying thank you for your public service on this first day of Public Service
• for Medi-Cal services.

Keywords: 988, house, all

Summary: The hearing focused first on behavioral health, especially hard-to-treat serious mental illness through the lens of anosognosia, and the impact of potential federal Medi-Cal reductions under H.R. 1. A family member, Dawn Marie Anderson, described her son’s long cycle of psychosis, homelessness, arrests, jail-based stabilization, and repeated relapse when treatment ended, arguing that anosognosia is a symptom of illness rather than refusal of care. She and other witnesses urged more consistent, long-term treatment, family involvement, medication support, and stronger county and state coordination. County and provider representatives said the current system still relies too heavily on crisis response and leaves people with serious mental illness falling through gaps between managed care, county specialty care, housing, and justice systems. Testimony from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association emphasized that people with anosognosia often cannot self-navigate care, making a “no wrong door” system essential. They said H.R. 1 could destabilize coverage and shift costs to counties, while existing private insurance coverage is inadequate for early psychosis and related services. Witnesses highlighted CalAIM, jail in-reach, assertive community treatment, mobile crisis, supportive housing, and LEAP-style family training as promising tools, but said counties still need more resources and that the state should strengthen both Medi-Cal and private insurance behavioral health coverage. A public commenter from Lake County said private insurers denied most claims, especially for unlicensed staff providing case management and mobile crisis services. The committee then heard an update on the Children and Youth Behavioral Health Initiative, including the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule program. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, and said the platforms are serving children and youth statewide, including many who had never previously accessed care. For the fee schedule, DHCS said 72% of school districts and 50 of 58 county offices of education are participating across six cohorts, with $9.6 million reimbursed to date and 41,556 students represented in claims. Members pressed the department on the program’s roughly $69.3 million administrative cost, the slow pace of reimbursement relative to the investment, and the late delivery of requested data. DHCS responded that many claims are still being submitted, most denials are correctable, and local implementation is still scaling up through technical assistance and capacity grants.

Transcript Highlights:

• Thank you so much for your services.
• I can share that with them, and she can share it on with you. So I've been a mentor.
• Thank you both for your service, and thank you for jumping in today and presenting to us and sharing
• And thank you for your service and your vulnerability today, sharing your personal lived experience with
• Let me share my screen. Let’s see if this works. There we go.

Keywords: 995, all

Summary: The Disability Employment Subcommittee of the Massachusetts Commission on the Status of Persons with Disabilities met and began with roll call, but did not have a quorum, so approval of prior minutes and an inspirational quote were tabled. A planned presentation from a U.S. Department of Veterans Affairs employee was canceled shortly before the meeting, and the agenda shifted to an informal discussion with two Treasury employees, Steve Kroder and Bill Collievis, about veterans with disabilities in the workplace. Kroder and Collievis described barriers veterans face, including stigma, employer misunderstanding, the need for frequent medical appointments, invisible disabilities such as PTSD and other service-connected conditions, and challenges for Guard and Reserve members balancing service with civilian work. They also discussed supportive practices in public employment, the need for better outreach to employers, the role of local veterans service officers, Military OneSource, TAP, and the importance of helping veterans navigate benefits and transition services. Commission members responded by emphasizing education, employer outreach, and possible resource-sharing through the commission’s website and toolkit. The committee then heard a presentation from Commonwealth Corporation on its Young Adults with Disabilities employment grant program. Staff explained the program’s funding, eligibility, training and placement model, and data from the prior cycle, including participant demographics, completion rates, credential attainment, employment outcomes, and wages. Members discussed benefits counseling, underemployment definitions, stigma around addiction as a disability category, and the need to connect grantees and participants with work incentives and benefits information. Commonwealth Corporation said grantees now receive training on benefits impacts and that the agency is open to further partnership. The meeting ended with a brief update on a planned commission event focused on youth and young adults with disabilities, inclusive workplaces, PCAs, and job coaches. Organizers said they were still securing a venue and were considering a hybrid or virtual format, with participation from youth organizations, the PCA Council, and the Arc of Massachusetts. The subcommittee then voted to adjourn.

Transcript Highlights:

• Senate 718, an act eliminating cost sharing for certain behavioral health services, requires less background
• behavioral health services.
• to be covered, alongside acute treatment services and clinical stabilization services.
• vocational services and housing-related services.
• The services are based on National Substance Abuse and Mental Health Services The services are based

Keywords: 995, all

Summary: The committee held a hearing on a large group of behavioral health and insurance-related bills. Topics included expanding access to mental health services by allowing physician assistants to authorize Section 12 emergency holds and be recognized as licensed mental health professionals (H. 1131/S. 773); improving coverage for community behavioral health centers so commercial insurance matches MassHealth’s bundled outpatient and crisis services (H. 1276/S. 703); eliminating cost sharing for certain behavioral health services (S. 718); extending detox and clinical stabilization coverage from 14 to 30 days and adding transitional support services (H. 1319/S. 772); requiring coverage for dual-diagnosis treatment in psychiatric facilities (H. 1277/S. 771); and preserving access to treatment for serious mental illness through coverage of coordinated specialty care and assertive community treatment (H. 1135/S. 709). The committee also heard bills on preventive behavioral health services for children (H. 1228/S. 802) and post-pregnancy mental health care, including postpartum depression and pregnancy loss-related care (H. 1314/S. 823).

Transcript Highlights:

• Currently, counties pay a share of 22.9% for Behavioral Health Fund services, and we're proposing to
• Finally, this proposal adds a 5% county share for residential services in provider-controlled settings
• For example, the county share proposal is 5% of the state share of that service, so there wouldn't be
• c> service<01:44:31.280> um<01:44:31.360> so of the state share of that service um
• It's just the share of who pays for the services.

Keywords: 1187, senate, all

Transcript Highlights:

• Postal Service rules. I will give a little bit about the proposed U.S. Postal Service rules.
• Customs and Immigration Services.
• Very invaluable, and certainly I'll be sharing this link up with.
• , who we're sharing it with, and why, and do we have to?
• That was just shared, and we're happy to share that with you all if you have not received it yet.

Keywords: 904, all

Transcript Highlights:

• and the Florida Digital Service.
• and the Florida Digital Service.
• for this service.
• service outcomes.
• So one application shares that API.

Summary: The subcommittee held its first meeting to examine Florida’s information technology governance, budgeting, cybersecurity, data management, and telecommunications operations. Chair Schneider and other members framed the panel as a new joint policy-and-budget forum focused on reducing jargon, improving accountability, and asking whether technology investments are feasible, aligned with state goals, cost-controlled, and secure. State Affairs Chairman Will Robinson and members emphasized that the committee should avoid buying “shiny new objects” without clear business cases and should focus on long-term value, cybersecurity, and operational efficiency. Florida Digital Service and Department of Management Services leaders provided an overview of the state IT enterprise. Secretary Pedro Allende described DMS as the state’s business, workforce, and technology service provider, while State CIO Warren Spanholz outlined Florida Digital Service’s four core areas: cybersecurity, project success, data interoperability, and enterprise architecture. Chief Data Officer Ed Ryan said the state data catalog is about 400,000 elements and roughly half of agencies are participating, and he described efforts to identify authoritative data sources and improve interoperability. Chief Information Security Officer Jeremy Rogers discussed the state cybersecurity operations center, enterprise risk management, incident response exercises, and a recurring $35 million cybersecurity resiliency budget. Chief Technology Officer Leo Schoonover described oversight of major IT projects over $10 million, updated project management standards, and a shift toward smaller phased implementations and more flexible methodologies to reduce delays and overruns. Other presenters covered telecommunications, data center operations, and cybersecurity workforce development. Director Denise Atkins said the Division of Telecommunications manages Suncom and MyFloridaNet, with nearly $336.9 million appropriated for fiscal year 2024-25, and is procuring the next network contract while emphasizing security controls and vendor flexibility. Tim Brown said the Northwest Regional Data Center operates on a chargeback basis, serves state and local customers, and returned surpluses to customers in recent years. Cyber Florida Director Ernie Ferraroso described training, workforce pipelines, K-12 outreach, a cyber range, and research programs aimed at building Florida’s cyber workforce and improving public-sector readiness. Members asked about budget setting, project delays, change orders, cybersecurity reporting, data catalog participation, interoperability, and expanding cybersecurity operations centers. Officials said chargeback rates are based on actual direct and indirect costs, project delays often stem from unclear scope and insufficient upfront planning, and cybersecurity success is measured by mean time to detect, respond, and recover. They also said the state is moving toward more modular project delivery, broader agency participation in shared cybersecurity services, and expanded CSOC locations within existing staff and budget where feasible.

Transcript Highlights:

• if you'd like to share additional information.
• Yet, as Senator Moore shared, data sharing when a student in foster care enters the new school is currently
• And our largest network of services is by far our adult service division. Um.
• Tommy and I shared a very special friendship. This... Tommy and I shared a very special friendship.
• . ...services.

Keywords: 995, all

Summary: The Joint Committee on Children, Families and Persons with Disabilities held a hybrid hearing focused largely on DDS-related bills, with chairs Kennedy and Livingstone outlining strict time limits, accessibility procedures, and a 5 p.m. stop to preserve ASL and CART services. The committee heard testimony on several measures, including a bill from Sen. Mike Moore to create a centralized electronic education records system for students in out-of-home placements, which supporters said would improve communication, preserve IEP continuity, and reduce missed services. Paul DePaulo also testified in support, describing the educational and justice-system harms that can follow when foster youth do not receive coordinated records and supports. A major portion of the hearing centered on H. 242/S. 149, a bill to enhance standards of care for people with autism and intellectual and developmental disabilities. Rep. Garballey and many advocates, parents, clinicians, and disability leaders supported the bill, saying it would require provider training, statewide standards, and better emergency department practices to reduce misdiagnosis, trauma, and unnecessary ER boarding. Testimony described sensory and communication barriers in medical settings, lack of provider training, and the need for continuing education and license-related requirements. Related testimony also supported H. 213/S. 111, which would improve access to behavioral health services for children involved with state agencies by requiring better discharge planning, coordination with hospitals and agencies, and more appropriate post-hospital placements. The committee also heard strong support for H. 256/S. 102, requiring universal changing stations in public buildings, from parents, advocates, and the Massachusetts Developmental Disabilities Council. Witnesses said current restroom accommodations often force unsafe or undignified changes on floors, in cars, or in inaccessible spaces, and argued the cost of adding changing stations to new or renovated buildings would be modest compared with the benefits to dignity, safety, and community access. Another major topic was H. 261/S. 155 on supported decision-making agreements for certain adults, which supporters described as a less restrictive alternative to guardianship that preserves autonomy while providing trusted support. Finally, testimony on Tommy’s bill (S. 168/H. 282) described a preventable death after a hospital discharge and urged clearer communication and training requirements for residential staff handling life-sustaining equipment; the bill was presented as a safeguard for people with disabilities relying on such equipment.

Transcript Highlights:

• Thank you for your service. Much appreciated. We know how... Thank you for your service.
• of our fair share spending.
• Debt service in this FY27 budget is about $2.67 billion, 4.4% of total costs.
• and disclose exactly how those fair share dollars are spent.
• It is paid for this year as a combination of fair share dollars and I-Lottery.

Keywords: 995, all

Summary: The Senate opened with the Pledge of Allegiance, adopted two commendatory resolutions honoring the Plimpton Historical Society’s Deborah Sampson Day recognition and Megan’s Light’s Cystic Fibrosis Awareness Month observance, and suspended Joint Rule 12 to refer several House petitions to committee. The chamber also briefly recognized Diane Talk of the South Shore Regional Emergency Communication Center on her retirement after 30 years of dispatch service. Later, the Senate passed two local bills to enactment: House No. 4006, authorizing Dartmouth to grant an additional all-alcoholic beverages license, and House No. 473, relating to the charter of Westwood. The main business was the Senate Ways and Means presentation of the fiscal year 2027 budget, totaling about $63.3 billion. The chair described the budget as balanced, with no new taxes or tax cuts, based on a consensus revenue estimate of $986 million in growth over FY26 (2.4%), and including about $15.8 billion in federal financial participation and roughly $2.7 billion from the Fair Share surtax. The budget emphasized record local aid, including $1.376 billion in unrestricted general government aid, $7.66 billion for Chapter 70 education aid, increased minimum school aid, higher regional school transportation reimbursement, rural aid, and the revival of the Foundation Budget Review Commission. It also highlighted major investments in MassEducate free community college, food security, housing, and support for vulnerable residents. Members then engaged in extended colloquy on the budget’s major cost drivers and policy choices. Questions focused on debt service, pension and OPEB liabilities, MassHealth caseload and rising per-enrollee costs, child care funding, and program integrity in DTA and other benefit programs. The chair said debt service would be about $2.67 billion, pension payments would be $5.1 billion, OPEB would receive a $150 million payment, and MassHealth enrollment was projected at about 2 million with costs driven by acuity and medical inflation. He also said the budget includes no collective bargaining agreements and no state tax changes. Senators supporting the budget praised its investments in education, local aid, homelessness prevention, public health, libraries, and housing, while minority leaders and others stressed the need for fiscal discipline, transparency, and further work on affordability and municipal support. The Senate also received a House message on House No. 5316, which the House had nonconcurred in, and a conference committee was appointed on the disagreement.

Transcript Highlights:

• We share solutions, share our problems.
• In what other ways have you been able to pool resources and maybe share services, particularly back-office
• services?
• Are these services that you've been able to figure out how to share those back-office services among
• Yeah, and I would just say that there's no way that you can fill all the votes with cash by sharing services

Summary: The Senate Education Pre-K-12 Committee met to discuss the needs of rural school districts and the role of Florida’s three regional education consortia: the Panhandle Area Education Consortium, Northeast Florida Educational Consortium, and Heartland Educational Consortium. Executive directors and several rural superintendents described the consortia as member-led organizations that provide shared services, professional learning, leadership development, grant support, cooperative purchasing, risk management, IT/cybersecurity help, and back-office assistance that small districts could not afford to provide on their own. They emphasized that rural districts are often very small, have limited staff, and must still meet the same state reporting and compliance requirements as large urban systems. Testimony focused heavily on teacher recruitment and retention, alternative certification, and the difficulty of staffing specialized roles such as CFOs, MIS directors, IT staff, and content-area teachers. Superintendents said many new hires are career changers or alternatively certified teachers who need consortium-supported training, and several argued for more flexibility in funding so districts can raise salaries and compete with neighboring districts and nearby states. Members also asked about the impact of declining enrollment, homeschooling, and voucher-related school choice; superintendents said those trends are reducing FTE and creating budget instability, while also requiring districts to right-size staff and programs. Several speakers described the financial strain on rural districts, including rising insurance costs, transportation costs, and the challenge of forecasting budgets when enrollment changes after the school year begins. One superintendent recounted major hurricane damage and said consortium risk-management support was essential to recovery. Others said the consortia help districts pool resources for property and health insurance, payroll, student data systems, and procurement, and that this shared approach saves money and improves services. No votes or formal committee actions were taken during the meeting.

Transcript Highlights:

• THIS ENABLES DEPARTMENT AND PARTNERS TO PROVIDE SERVICES AND PLACEMENT SERVICES AND ALSO ALLOWING FOR
• WE KNOW IN PROVIDING SERVICES TO THESE YOUTH THEY DO REQUIRE A LOT OF OTHER SERVICES.
• WE WANTED TO SHARE WITH YOU THAT WE EXPANDED THE SERVICES TO VULNERABLE ADULTS.
• INTENSIVE SERVICES BEING DONE. EARLY OUTCOMES FOR THOSE SERVICES WHICH IS GREAT.
• LOOKING AT ALL OF THE SERVICES AND MAKING SURE THEY ARE QUALITY SERVICES.

Keywords: 999, senate, all

Transcript Highlights:

• framework for sharing the data. framework for sharing the data.
• in the form of information sharing. in the form of information sharing.
• services or just digital experience? services or just digital experience?
• before they started sharing. before they started sharing.
• . share. share.

Keywords: Technology - Room 409, 5 March, 2026; 8:00 A.M., 925, all

Summary: ATS and Gartner presented preliminary findings from the feasibility study required by Senate Bill 2267, which directed ATS to establish a CIO Council, study statewide data exchange feasibility, develop a phased implementation plan, and report progress to the legislature. ATS said the CIO Council has already met several times and has heard from other states, including Tennessee and Ohio, with Georgia expected to follow. Gartner explained that it interviewed about 17 agencies and was also gathering input from other states and market research to identify Mississippi’s current data-sharing landscape and possible paths forward. Gartner’s main findings were that Mississippi agencies strongly prioritize data security and compliance, but that this focus has also contributed to silos, point-to-point integrations, and inconsistent data definitions across agencies. The presenters said the state lacks a central legal framework and common standards, so agencies rely on individual memoranda of understanding. They emphasized that other states have generally not built “everything at once,” but instead started with specific outcomes such as citizen services, fraud detection, or reporting, then created statewide legal frameworks, common standards, and governance structures, often led by a chief data officer or similar office. The discussion also highlighted examples from other states, including Utah’s single portal for services and Maryland’s 360-degree citizen view for caseworkers. Gartner said Mississippi should first decide what outcome it wants from a data exchange and suggested that the effort should be framed as information sharing rather than moving all data into one central repository. Members and presenters discussed the need for foundational standards, a chief data office, and change management, including agency “change champions,” to build trust and participation over time. No votes were taken; the meeting was informational, and the presenters said the remaining CIO Council work would help prioritize use cases for the final feasibility report.

Transcript Highlights:

• of Managed Health Care Services, and the Emergency Medical Services Authority.
• And they will share what they are seeing at the local local health services department.
• , child welfare services, adult protective services, and our local hospitals.
• The other piece is services.
• Services themselves.

Summary: The hearing focused on California’s 988 suicide and crisis lifeline and the broader crisis response system, with members and witnesses emphasizing both the system’s life-saving role and the risks posed by funding gaps, rising demand, and uneven local implementation. Opening remarks highlighted the personal impact of suicide and the need to strengthen crisis response so calls are answered quickly and linked to appropriate care rather than defaulting to 911, emergency rooms, or law enforcement. State officials described the AB 988 five-year implementation plan, which sets goals around public awareness, equitable access, high-quality call/chat/text response, and better integration with ongoing behavioral health services. State agencies reported progress on infrastructure, coordination, and related behavioral health investments. CalHHS said California has expanded mobile crisis teams, crisis stabilization units, and youth behavioral health supports, and is preparing additional public awareness and grant programs tied to Proposition 1. DHCS explained that 988 is funded through a federal SAMHSA grant and the AB 988 surcharge, while Medi-Cal separately funds mobile crisis services; officials said the mobile crisis benefit is active in 53 counties and that statewide expansion remains a work in progress. Cal OES described the statewide technical buildout, including network infrastructure in all 11 crisis centers, interoperability with 911, and a pilot of next-generation routing and call-handling tools. The 988 California Consortium said call volume continues to rise sharply, missed calls remain a major concern, text/chat capacity is limited, and centers need more stable funding, better reimbursement, and stronger feedback loops with the state. County and community witnesses stressed that local systems need more flexible, sustained support to match the demand. Lake County described a peer-led rural mobile crisis model that has reduced law enforcement holds and increased housing placements, but said county-run mobile crisis teams still cannot reliably access 988 surcharge dollars and face reimbursement problems from Medi-Cal and commercial plans. Santa Clara County reported strong performance metrics, rapid call answer times, and a broad continuum of mobile crisis services, but said staffing and funding are strained and commercial reimbursement remains slow. The Mental Health Association of San Francisco said the peer-run warm line complements 988 by offering non-emergency support and warm handoffs, but recent budget changes forced cuts to Spanish-language service, federation support, and hours. No formal votes or legislative actions were taken during the hearing; members mainly asked questions about surcharge levels, budget timing, coordination among agencies, data collection, and how to improve collaboration with frontline crisis centers.

Transcript Highlights:

• Paratransit is a shared ride service, meaning multiple passengers may be transported on the same vehicle
• service demands.
• So the $2.2 million in just our 5307 grant would not be applicable to any sort of ride-share service.
• And there were a couple comments about, or a couple questions about, ride-share services.
• It's a ride-share type service done by an app that can get a same-day ride, and generally they're used

Keywords: 908, all

Summary: The Government Finance Transportation Study Subcommittee met to review fixed-route transit systems and related funding needs. After approving the prior meeting minutes, the committee heard presentations from Cities Area Transit in Grand Forks/East Grand Forks, Bisman Transit in Bismarck-Mandan, and MATBUS/Fargo, along with comments from North Dakota Protection & Advocacy. The transit agencies described their routes, paratransit services, ridership trends, fare structures, fleet replacement needs, and rising operating costs, emphasizing that transit supports access to work, school, medical care, and other essential services. Testimony also noted that ridership fell during the pandemic and has been recovering, while vehicle and maintenance costs have risen sharply. Grand Forks transit reported 17 routes, a recent fare increase, and operating costs that exceed fare revenue, with paratransit service extending beyond the federal minimum service area. Bisman Transit outlined its fixed-route and paratransit operations, recent service expansions, local mill levies, sales tax support, and federal grant structure, and said it is seeking more stable funding and flexibility beyond paratransit-only support. Minot’s transit superintendent explained the state’s existing transit aid formula, the use of refurbished buses, and the challenges of driver recruitment and electric bus infrastructure. Fargo asked for additional state support for fixed-route urban transit. Committee members discussed whether ride-share services could replace transit, the cost per trip, local match requirements, and whether a separate state funding source should be recommended for the four urban fixed-route systems. The subcommittee ultimately approved a motion to have Legislative Council prepare a summary of its activities for inclusion in the full Government Finance Committee report, and members indicated they would seek more detailed funding figures from the transit agencies before making any specific recommendation.

Transcript Highlights:

• When we talk about long-term services and supports, I just want to – When we talk about long-term services
• Some of the services provided through the CBAS centers include professional nursing services, personal
• , the Department of Social Services, and the Department of Developmental Services as our partners on
• This shared governance helps ensure services are inclusive, accessible, and grounded in real, authentic
• 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.

Transcript Highlights:

• provider of that service.
• Data sharing mandates: all of the people who shared data with us do it voluntarily.
• And then we would add a layer from the directory of services called access to services.
• But PMS, you know, Presbyterian Medical Services shares data, and many of them still do.
• We provide shared services and HR to about 13 to 15 different state agencies that can't or don't want

Transcript Highlights:

• We do not share the same values.
• A CUSTOM SUITS AND TUXEDO RENTAL SERVICE. DRY TIME RESTORATION, A WATER DAMAGE SERVICE.
• for Federal agencies by sharing amenities in space and services.
• Sharing amenities in space and services.
• AND I'M GOING TO SHARE THEM.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, September 8, 2025, 1012, house, all

Transcript Highlights:

• comment for human services after that.
• Can you share?
• services.
• It's not a new service.
• talk. services provided to, excuse me, one-third of services provided to all seniors.

Keywords: 987, senate, all

Summary: The hearing opened with Department of Finance and Legislative Analyst’s Office remarks on the May Revision, which both described efforts to reduce large out-year operating deficits through a mix of revenue increases, spending reductions, and reserve use. Finance said the May Revision more than halves projected deficits in later years, while LAO stressed that revenues are at unprecedented levels yet the state still faces a significant structural deficit and is drawing down reserves; LAO urged maintaining at least the administration’s level of budget solutions and adding to reserves rather than new ongoing commitments. The chair echoed concern about cuts to vulnerable populations and noted the tension between service reductions and requests for additional administrative positions. The committee then heard a series of California Health and Human Services and HCAI proposals, including additional legal support for CalHHS to respond to federal HR1 changes; a net-zero transfer of positions for a centralized eligibility/data-sharing platform; 988 crisis line implementation funding and continued work with the Trevor Project to train crisis centers to better serve LGBTQ youth; EMS data system maintenance funding; HCAI implementation of AB 1312 hospital charity care screening; SB 660 data exchange framework funding; CalRx biosimilar insulin reappropriation; and a diaper access initiative that would provide free diapers to newborns in participating hospitals and support a future direct-to-consumer purchasing option. Members questioned the diaper program’s universal design, the use of a Public Contract Code exemption, and the selection of Baby2Baby, with the chair expressing concern about optics and the lack of an income threshold. The committee also discussed distressed hospital funding, with HCAI requesting up to $50 million for another round of grants to hospitals in immediate financial distress. HCAI said it receives annual and quarterly financial reports but the data lag limits real-time monitoring, and the LAO recommended stronger program parameters and turnaround plans. Members argued the repeated need for distressed hospital aid reflects a structural problem, not a short-term gap, and raised broader concerns about hospital reimbursement and patient flow. Other items included reverting $19.6 million in unused opioid settlement funds from HCAI to DHCS for General Fund offset, and a Rural Health Transformation Program request to increase HCAI spending authority to cover the full federal award. Later, DMHC presented funding requests to implement PBM licensing and financial review requirements under AB 116, modernize the managed care complaint system, and build an electronic claims settlement data system under AB 3275. The final major discussion focused on the Behavioral Health Services Oversight and Accountability Commission, which opposed the May Revision’s proposed reduction of its Innovation Partnership Fund from $20 million to $10 million and a $6.7 million cut to community advocacy grants. The Commission argued these programs are core to Proposition 1’s goals of statewide innovation and community accountability, while Finance said the proposal is consistent with Proposition 1’s maximum funding levels and reflects a broader effort to prioritize direct services and use unspent prior-year funds; members pressed for more information and questioned whether the cuts would undermine the new behavioral health framework.

Transcript Highlights:

• Of Child Support Services.
• fee-for-service delivery system.
• Emergency services.
• Make corporations pay their fair share of employees who are utilizing Medi-Cal services. Thank you.
• make corporations pay their fair share of employees who are utilizing Medi-Cal services.

Keywords: 987, senate, all

Summary: The subcommittee first heard May Revision items for child support, child care, and related human services. The Department of Child Support Services described two technical adjustments, which the LAO said raised no concerns. The Department of Social Services then walked through child care proposals, including a shift in how federal and Proposition 64 funding reductions would be absorbed, a 2.01% COLA, disaster-related child care infrastructure grants, an increase in in-contract administrative support costs for alternative payment agencies, reversion of prospective-pay implementation funding after a federal rule change, a one-time allocation to cover the first quarter of Cost of Care Plus payments in the next fiscal year, reappropriation for existing infrastructure grant closeout work, and estimates of unspent child care funds. The department also outlined trailer bill language on a single rate structure, site safety and emergency procedures, CalWORKs child care data sharing, and child care oversight. The LAO recommended that the Legislature seek more justification for shifting reductions from General Child Care to the Alternative Payment Program, noting that CAP reductions affect more slots and that General Child Care has had significant unspent funds. It supported removing prospective-pay funding, but recommended rejecting the administrative cost shift to a percentage-based rate because it could create future General Fund pressure. It also suggested the Legislature review alignment between the disaster grants and the child care infrastructure program. Senators and members pressed the administration on why the budget would reduce child care slots and COLA percentages while the state still has waitlists and unspent funds, and questioned the need for early funding of Cost of Care Plus payments and the move from a flat administrative amount to a percentage. Public commenters, including providers, advocates, county offices, and infrastructure partners, urged full COLA funding, preservation of child care slots, support for prospective pay, and continued investment in child care access and facilities. After a short recess, the committee moved to Part B on health and heard the Department of State Hospitals. DSH presented a May Revision budget of $3.2 billion and described proposals for a central utility plant replacement at Metropolitan State Hospital, an electronic health record implementation, reduced county bed billing authority due to phased-in LPS bed capacity, limited contract exemption authority for online clinical subscriptions, reversion of prior-year unspent operating funds, and a workforce development proposal shifting some costs to Behavioral Health Services Act funds, including support for an additional psychiatric training cohort at Napa. The department also outlined IST-related savings and a trailer bill to remove the sunset on the independent placement panel program.