Video & Transcript Research : 'shared services'

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CA
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.
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Nov 5th, 2025

Legislative Health & Human Services Committee

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
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Monday, September 8, 2025)

US Federal House Floor Meeting

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.
CA
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.
CA
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.
CA
Transcript Highlights:
  • Thanks for sharing that.
  • Thanks for sharing that.
  • Thanks for sharing that.
  • Can you just share...
  • Thank you for sharing that.
Summary: The Assembly Budget Subcommittee 5 on State Administration held a May Revise hearing focused on state administration proposals, with the chair noting no actions would be taken and all items would remain open. The committee heard presentations on a range of budget proposals, including technical adjustments for the Governor’s Office of Service and Community Engagement and the California Workforce Development Board, security and election-related funding for the Secretary of State, modernization and loan-backfill requests for the Department of Consumer Affairs, and multiple Employment Development Department updates covering EDD Next, UI and DI/PFL benefit estimates, workforce funding, and an EMT training reappropriation. Several items drew discussion from the LAO and committee members. The LAO generally supported technical or modernization items such as PERB’s implementation requests, GoServe’s College Corps adjustment, the Secretary of State’s security and HAVA grant items, and the Board of Pharmacy modernization proposal, but raised concerns about the Bureau for Private Postsecondary Education’s proposed $10 million General Fund backfill and interest-free loan language. For EDD, the LAO flagged the size of the DI/PFL benefit adjustment and the unusual structure of the document management system proposal within EDD Next, while EDD said the changes reflected higher participation and benefit levels after SB 951 and ongoing modernization needs. The Department of Industrial Relations drew the most extensive questioning. It proposed funding for legal unit reclassifications, EAMS and Cal/OSHA data modernization, a new Cal/OSHA emerging technologies unit, a COYA reappropriation, and trailer bill changes requiring electronic payment of employer assessments and adjusting the Workers’ Compensation Appeals Board timeline. Members pressed DIR on high vacancy rates, long wage theft and workers’ compensation backlogs, low collection rates for fines, and the need for clearer workload and outcome measures. DIR said the requests were intended to improve efficiency, support audits and corrective action plans, and better address emerging workplace risks, while the LAO said the workload drivers behind delays remain unclear. The hearing also included support for CalHR’s employee assistance program consolidation and CDT’s proposal to expand “Poppy,” a statewide generative AI assistant for state employees.
FL

Florida 2026 Regular Session

Community Affairs Dec 2nd, 2025

Community Affairs

Transcript Highlights:
  • , which we share.
  • Within debt service, The last bucket I wanted to point out was debt service fund and pension fund.
  • incorporated, was additional parks and recreation services, libraries, and planning services to make
  • tax, state-shared revenues.
  • Variety, but primarily the municipal utility services tax, state-shared revenues, and communication services
Summary: The Committee on Community Affairs convened with a quorum and took up SB 308, a bill related to the Florida Museum of Black History. The bill would establish a Florida Museum of Black History Board of Directors and direct it to work with a supporting nonprofit foundation, while also requiring the St. Johns County Board of County Commissioners to provide administrative assistance and staffing until planning, design, and engineering are complete. With no appearance forms or debate, the committee voted the bill favorably. The remainder of the meeting was an informational briefing from the Florida Association of Counties and the Florida League of Cities on local government budgeting practices. Presenters explained how counties and cities develop budgets, the legal framework governing property taxes and other revenues, the distinction between restricted and unrestricted funds, and the role of constitutional officers, public safety, debt, pensions, and capital planning. They emphasized that most local revenues are restricted by law, that general funds are the main discretionary source, and that local governments must balance annual budgets while meeting mandated service levels. The presenters also discussed how property taxes, fees, local option taxes, and state-shared revenues support local services, and they highlighted the fiscal pressures created by public safety, emergency management, infrastructure, and retirement costs. Members asked questions about the share of local revenue that is unrestricted and the implications for any proposal to eliminate property taxes. The presenters responded that only a portion of county and municipal revenue is flexible, with much of it dedicated to specific purposes by law.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Bonding, Capital Expenditures and State Assets Jun 21st, 2026 at 01:00 pm

Joint Committee on Bonding, Capital Expenditures and State Assets

Transcript Highlights:
  • service is paid through the operating budget and it's secured by the Fair Share you know kind of by
  • and so the debt service is paid through the operating budget and it's secured by the fair share And
  • so the debt service is paid through the operating budget, and it's secured by the Fair Share revenues
  • and that Fair Share portion would go straight over to pay debt service.
  • would be and the portion that would be carved out from Fair Share for debt service for higher ed or
Keywords: 995, all
Summary: The Joint Committee on Bonding, State Assets, and Capital Expenditures held its first public hearing on House Bill 4257, a transportation bonding bill. The administration testified in support, describing the bill as a $1.185 billion authorization: $300 million for Chapter 90 municipal road funding and $885 million for statewide transportation capital programs. Officials said the bill would increase municipal aid by 50%, with $200 million distributed under the traditional Chapter 90 formula and $100 million based solely on road mileage to better help rural communities. They also highlighted $500 million for bridge and pavement lifecycle asset management, $200 million for culverts and small bridges, and $185 million for congestion, safety, ADA, sidewalk, and multimodal improvements. Committee members asked about how municipalities would apply, how the road-mile formula would affect rural towns, and how the bill would interact with federal funding uncertainty and debt financing. Administration witnesses explained that projects would be administered through MassDOT district offices and Grant Central, that the bill would not backfill rescinded federal funds, and that the proposal would likely use special obligation bonds backed by Fair Share revenues to reduce pressure on the Commonwealth’s general obligation debt limit. Members also pressed the administration on the shift from general obligation to special obligation financing and on whether the Chapter 90 increase keeps pace with inflation. Administration officials said the special obligation structure would be credit-rated separately and was intended to expand available capital without affecting the GO bond cap, while acknowledging that the Commonwealth’s debt portfolio would grow. They said the Chapter 90 increase would roughly restore purchasing power lost since 2012, though construction inflation has outpaced general inflation. Several members and witnesses emphasized the importance of the road-mile formula for rural communities and the need for technical assistance for small towns. The Massachusetts Municipal Association testified in strong support of the bill, calling Chapter 90 and the new infrastructure authorizations critical for cities and towns facing federal uncertainty and rising costs. The Massachusetts Aggregate and Asphalt Pavement Association also supported the bill, citing the importance of the funding for road and bridge work, the construction season, and the industry’s economic impact. A committee member asked about asphalt price inflation, and the witness said liquid asphalt costs rose sharply after COVID, including increases of around 20% in some years. At the end of the hearing, the chair said members would receive a poll by email to move the bill out quickly, and the committee then voted to adjourn.
MA

Massachusetts 2025-2026 Regular Session

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

Joint Committee on Ways and Means

Transcript Highlights:
  • service.
  • These services include a lot of the independent living services and a lot of the home management services
  • And veteran service officers are the front door to services.
  • And veteran service officers are the front door to services.
  • elder services.
Keywords: 995, all
Summary: The hearing was a FY27 budget session on Health and Human Services held in Mattapan, hosted by the Joint Committee on Ways and Means. Opening remarks from Senator Lydia Edwards, Representative Brandy Fluker-Reed, Representative Russell Holmes, and Boston Public Library President David Leonard emphasized the significance of holding the first Ways and Means hearing in Mattapan, the importance of community access, and the role of libraries as human services institutions. Committee members and attendees introduced themselves before agency testimony began. MassAbility testified first, describing its mission to support people with disabilities through employment, independent living, and disability determination services. The agency highlighted federal funding uncertainty, a modest FY27 budget reduction, and a proposed reworking of its home care program, which it said is outdated and should better target those most in need. Members questioned the home care cut, staffing reductions, and federal coordination. MassAbility also shared a participant story about recovery and community support to illustrate the impact of its services. The Massachusetts Commission for the Deaf and Hard of Hearing then presented its FY27 request, focusing on interpreter and captioning access, workforce development, emergency communication, aging-related hearing loss, and transition services for deaf and hard-of-hearing youth. Members asked about interpreter shortages, after-hours emergency coverage, ASL education, and community training; the commission said it is expanding mentorship and referral systems but still faces staffing and vendor challenges. The Massachusetts Commission for the Blind followed with a $30.8 million request, describing services for nearly 9,000 consumers, peer support groups, vocational rehabilitation, and Turning 22 services, while noting federal funding uncertainty and a 7% budget cut. Members raised concerns about maintaining services with fewer resources, and the commissioner said the agency had trimmed overhead and could manage the proposal. The Office for Refugees and Immigrants closed the segment, outlining expanded legal, housing, workforce, citizenship, and financial literacy supports for immigrants and refugees, including Know Your Rights trainings, legal defense initiatives, and the Massachusetts Access to Counsel Initiative. Members discussed the effects of federal policy changes, the loss of refugee resettlement funding, and the need for state support to fill gaps. No votes were taken in the portion provided; the hearing consisted of agency presentations and committee questioning.
US

US Federal 2025-2026 Regular Session

Hearings to examine certain pending nominations. May 1st, 2025 at 08:30 am

Senate Armed Services Subcommittee on Personnel

Transcript Highlights:
  • Because we share the same nature, what Marx's ideology does to the Chinese military service members,
  • The Service Secretary...
  • members a service by committing to that.
  • I'll remind you respectfully that the comments that I made that you've just shared were shared on my
  • Thank you for your service.
Summary: The meeting was primarily focused on discussing nominations for key positions within the Department of Defense, specifically for roles such as the Undersecretary of the Air Force and the Deputy Undersecretary of Defense for Intelligence and Security. Senators expressed urgent concerns about global security threats, the need for robust military readiness, and the emphasis on effective collaboration with NATO allies amidst rising tensions with adversaries such as Russia and China. Several senators highlighted the challenges facing military infrastructure and defense capabilities, suggesting a critical need for improvements and investment in these areas to ensure national security.
HI

Hawaii 2025 Regular Session

HHS Informational Briefing 01-10-2025

Hawaii Senate Floor Meeting

Transcript Highlights:
  • > services<00:30:19.840> are the typically used services are the typically used services
  • So thank you for sharing that and thank everybody for sharing that. I appreciate it.
  • We are from Lanakila Pacific Disability Services, and we would like to share about Lanakila Pacific and
  • our services.
  • our services.
Keywords: 912, senate, all
Summary: The Committee on Health and Human Services held an informational briefing on the Developmental Disabilities Council and related agencies. The Hawaii State Council on Developmental Disabilities outlined its 2025 legislative priorities, including a pilot project for guardian ad litem and capacity evaluations in guardianship/conservatorship cases, a supported decision-making bill, a health disparities study for people with disabilities, an ABLE savings outreach/staffing measure, a Medicaid buy-in proposal, an adult changing tables equity bill, and a resolution on fetal alcohol spectrum disorder. Council representatives emphasized that supported decision-making would complement tools like powers of attorney and medical releases, and that the health disparities study would help identify unmet needs by ZIP code and improve state data on the intellectual and developmental disability population. The Center on Disability Studies at the University of Hawaii described its role as the research and training arm within the DD system, working with the DD Council and the Hawaii Disability Rights Center. It reported activities such as interdisciplinary training, community education, technical assistance, research collaborations, the Pacific Rim International Conference on Disability and Diversity, publications, telehealth, ECHO Autism, and counseling for Maui fire survivors. The center said it leveraged about $16 million in outside funding last year and highlighted goals focused on workforce development, community capacity, research with direct participation from people with disabilities, and accessible dissemination of information. The Hawaii Disability Rights Center, the state’s protection and advocacy agency, supported the Council’s priorities, especially supported decision-making, which it said could help some people avoid guardianship while preserving liberty and reducing state resource use. The center also raised concerns about the DD system budget and urged legislators to review whether the Developmental Disabilities Division is requesting enough funding, noting possible backsliding in services and eligibility. The Developmental Disabilities Division of the Department of Health then outlined its statewide waiver program serving just over 3,500 people, its service array, and its budget request for increased waiver funding, a federal initiatives coordinator, and IT upgrades to comply with the new HCBS access rule; no votes or formal actions were taken during the briefing.
FL

Florida 2026 5th Special Session

Health Policy Oct 7th, 2025

Transcript Highlights:
  • So CHRIS Shared Services is our new HIE.
  • CHRIS Shared Services is our new HIE vendor and is rolling out.
  • So, Senator Davis, we've actually recently changed to a new HIE vendor, CHRIS Shared Services.
  • And so now we're moving fully forward with CHRIS Shared Services. You recognize?
  • And so now we're moving fully forward with Chris share services. You recognize?
Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.
MN

Minnesota 2025-2026 Regular Session

Committee on Education Finance - 02/20/25

Education Finance

Transcript Highlights:
  • State Library Services is committed to supporting a wide array of library services for all 5.7 million
  • So why am I sharing this story?
  • So why am I sharing this story?
  • So why am I sharing this story?
  • Madam Chair, since we're sharing stories, I might as well share one of my fond memories.
Keywords: 1187, senate, all
MA
Transcript Highlights:
  • We have CART services captions enabled, and we have a shared CART services link with the attendees and
  • As I shared with you, Leo is traveling today. Rep.
  • I'd be happy to share.
  • And there is strength in sharing our concerns. There is strength in sharing the stories.
  • And I just thank you for sharing those stories.
Keywords: 995, all
Summary: The Massachusetts Permanent Commission on the Status of Persons with Disabilities held its quarterly meeting virtually and in person at the State House. The commission approved the March minutes and elected its officers by unanimous roll call vote: Denise Garlick as chair, Chris White as vice chair, Carl Richardson as treasurer, and Osmondahar as secretary. The meeting also welcomed several new commissioners, including Rep. Jay Livingstone, Rep. Vanna Howard, Rep. Lindsay Sabadosa, Rep. John Marzi, and Leo Sarkisian, with brief introductions from the new legislative members. A substantial portion of the meeting focused on the commission’s current work and the broader policy environment affecting people with disabilities. Commissioners and subcommittee leaders raised concerns about federal threats to Medicaid/MassHealth, Section 504 accessibility protections, DEI-related rollbacks, immigration policy impacts on the direct care workforce, and the loss of funding for youth employment and vocational rehabilitation programs. Members also discussed ableist language in public discourse and the need for stronger advocacy and communication in response to these developments. Subcommittee reports highlighted recent activity on disability employment, workforce supports, and long-term services and supports/health equity. Presentations included veterans with disabilities, employment programming for young adults with disabilities, immigration and labor protections, MassHealth’s PCA working group, and a health equity roundtable. The commission also discussed future plans to create an advisory board, develop successor and mentoring planning, and launch regional “meeting the moment” listening sessions across the Commonwealth to strengthen outreach and leadership development. The meeting ended with an open invitation for commissioners to share urgent information with staff for broader distribution and a unanimous motion to adjourn.
CA

California 2025-2026 Regular Session

Assembly Human Services Committee Jun 16th, 2026

Transcript Highlights:
  • I am the director of housing community services at Berkeley.
  • And so there were no services between L.A. and San Jose and no services in the Central Valley almost
  • You want to share?
  • Do you want to share?
  • When service members leave military service, we step into a civilian job market that often does not recognize
Summary: The Assembly Committee on Human Services heard several bills focused on homelessness, child care, food security, public assistance, immigration legal services, and veterans’ benefits. SB 479 would allow city-based local health jurisdictions, including Berkeley and Oakland, to use multidisciplinary homeless response teams and share specified information across departments; supporters said the change would improve coordination and outcomes, and no opposition testified. SB 902 would allow electronic signatures for child care and development services paperwork while preserving paper options; supporters said it would reduce burdens on families and providers, and the bill passed to the Assembly Education Committee 4-0. The committee also heard SB 1025, creating an Office of Food Security and Affordability to coordinate California’s food assistance efforts, and SB 1030, repealing the CalWORKs “man-in-the-house” rule. Supporters of SB 1025 said the state’s food system is fragmented and needs a coordinated strategy; SB 1030 supporters argued the rule is outdated, redundant, and rooted in racist and sexist assumptions. Both bills received no opposition testimony and were approved on 4-0 votes, with SB 1025 sent to the Economic Development, Growth, and Household Impact Committee and SB 1030 to Appropriations. The committee then approved SB 1077, which would require CDSS to create a communications and contingency plan for CalFresh disruptions during federal government shutdowns, including a public webpage and planning for state-funded benefits; it passed 4-0 to Appropriations. SB 1194 would codify the Immigration Legal Fellowship Project to expand immigration legal services in underserved areas, and supporters emphasized the need for legal representation in rural and Central Valley communities; it passed 4-1 to Judiciary. SB 1201 would seek federal waivers to protect veterans from CalFresh time limits, require referrals to county veterans service officers, and adjust treatment of job-search expenses; it passed unanimously 6-0 to Military and Veterans Affairs. The consent calendar, including SB 557 and SB 1051, also passed unanimously. After all items were heard, the committee completed roll calls for absent members and adjourned.
NH
Transcript Highlights:
  • They can share in the referral. This is a referral for these type of services.
  • They can share in the referral. This is a referral for these type of services.
  • They can share in the referral. This is a referral for these type of services.
  • They can share in the referral. This is a referral for these type of services.
  • They can share in the referral. This is a referral for these type of services.
Keywords: 1189, house, all
Summary: The meeting opened without a quorum, so approval of the prior draft minutes was deferred until later. The committee then heard a DHS update from Commissioner Lori Weaver and COO David Weers, who described the recent flood at the Brown building and the relocation of nearly 400 DHS staff while operations are restored. They also outlined New Hampshire Care Connections, a privacy- and consent-focused closed-loop referral platform intended to improve referrals among providers, reduce duplication, and support continuity of care, with an Upper Valley implementation partnered with Dartmouth Health and an Epic integration already underway. Members asked whether the system would merge medical records or simply track referrals. DHS said it is not intended to store or transmit full medical records, but to integrate with providers’ electronic health record systems so referrals can be sent, received, and tracked, with consent controls limiting what information can be shared. Officials said the project will be tested over the coming months, with metrics, governance, and advisory committee oversight, and that it is tied to broader rural health transformation efforts and statewide implementation after the regional pilot. The committee also received the annual report from the Child Care Advisory Council. Maryanne Barter and Jessica Carver said the council worked with licensing to streamline the child care licensing rules, reducing the handbook by about 30%, and is now helping develop an informal dispute resolution process, revising the Granite Steps for Quality system, and creating a clearer handbook for providers handling state scholarship audits. They reported ongoing concern about child care closures and workforce shortages, said there is currently no wait list for child care assistance, and discussed questions about federal CCDF immunization requirements, which DHS said it would follow up on with federal technical assistance partners. After quorum was established, the committee moved to approve the minutes from the prior meeting.
CA

California 2025-2026 Regular Session

Senate Budget and Fiscal Review Committee Jun 15th, 2026

Budget and Fiscal Review

Transcript Highlights:
  • be able to access under fee-for-service?
  • The only two services that will not be covered in fee-for-service because they're not currently federally
  • But everything else is the same in fee-for-service as it is in managed care in terms of services and
  • , emergency-only service as a part of a pilot for two years.
  • , emergency-only service as a part of a pilot for two years.
Keywords: 987, senate, all
Summary: The Senate Budget and Fiscal Review Committee heard AB 109, the Budget Act of 2026, and related discussion of the legislative budget agreement. Committee staff and the Department of Finance described a two-year balanced plan with about $253 billion in General Fund spending, roughly $5.5 billion in higher assumed revenues than the May Revision, and about $36.5 billion in combined reserves. They said the package preserves or expands funding for schools and community colleges, child care, IHSS, Medi-Cal-related county administration, housing and homelessness programs, public hospitals, courthouse construction, and some criminal justice and prison-closure savings, while delaying or modifying several prior health care reductions and some Medi-Cal changes. Much of the member discussion focused on Medi-Cal, H.R. 1, and the impact on low-income and immigrant Californians. Several Democrats argued the budget protects vulnerable residents by delaying some cuts, funding county eligibility work, indigent care, public hospitals, and food banks, and rejecting the Governor’s IHSS cuts and asset-limit proposal. Republicans criticized the budget for assuming future revenues, relying on new taxes, and not doing enough to address the structural deficit or improve accountability. Members also raised concerns and support around homelessness funding, Prop. 36, judgeships and courthouse funding, transit and GGRF allocations, local journalism, Caltrans fleet spending, and a proposed “fair share” revenue measure that was not yet before the committee. Public testimony was largely supportive of the budget’s health and human services provisions, especially the rejection of IHSS cuts and the asset-limit proposal, and the inclusion of funding for child care, sickle cell centers, domestic violence services, trauma recovery centers, distressed hospitals, county eligibility work, and transit programs. Some witnesses representing hospitals and health plans cautioned about the effects of moving certain Medi-Cal populations to fee-for-service and about proposed tax changes affecting health care providers. The chair said revenue trailer bills were still being finalized and would likely come back later in the week; the committee then moved to public comment, with the chair limiting speakers to about one minute each.
MA
Transcript Highlights:
  • training and/or the fire service.
  • At in-service training and/or the fire service.
  • Some of the data I can share.
  • to access these services.
  • And thank you for your service.
Keywords: 995, all
Summary: The Special Commission on xylazine held its first meeting, with House Chair Mindy Domb and Senate Co-Chair John Keenan outlining the commission’s charge and a proposed work plan. The commission is tasked with studying the public health and safety impacts of xylazine in the illicit drug supply, including whether it should be scheduled as a controlled substance, how to regulate its production and distribution, and how to improve outreach and treatment for people exposed to it. Members were told the report deadline had been extended to March 30, 2026, and staff proposed a series of public hearings and working groups leading to a final report. The meeting also included attendance, packet materials, and procedural planning. The first major testimony came from BSAS Director Deirdre Calvert, who described xylazine’s appearance in Massachusetts drug supply data, the state’s public health alerts, and DPH’s partnership with Brandeis, CDC, and harm reduction organizations. She emphasized four priorities: reducing stigma and discrimination in health care, expanding self-directed wound care support and coverage for supplies, expanding access to drug checking and test strips, and supporting low-barrier services such as mobile vans and drop-in centers. Commission members asked about first responder awareness, medical education, and whether harm reduction services might face federal restrictions; Calvert said misinformation remains a problem and noted ongoing training efforts, including collaboration with public safety agencies. Several other speakers reinforced the need for low-barrier care and drug checking. Dr. Raghini Jala, an infectious disease and addiction medicine physician, said xylazine has become a common component of the unregulated opioid supply and urged support for rapid-response education teams, community-based drug checking, and better hospital and detox protocols for xylazine withdrawal and wounds. Recovery coach Alan Young testified from lived experience, describing severe wounds, fear of inadequate withdrawal treatment in emergency settings, and the value of mobile care vans that can provide methadone, buprenorphine, and wound care in the community. Dr. Sarah Wakeman echoed the need for naloxone, rescue breathing, low-threshold treatment, and non-stigmatizing health care settings, while Sarah Macon of the Boston Public Health Commission described Boston’s harm reduction and drug checking work, including on-site testing, wound care, and a decline in opioid mortality. Tracy Green of the Massachusetts Drug Supply Data Stream explained that xylazine has declined in recent samples while metatomidine is rising, said drug checking is increasingly used but still not enough, and argued for more funding, staffing, and statewide access to real-time drug checking and harm reduction services.
CA

California 2025-2026 Regular Session

Assembly Human Services Committee Jun 16th, 2026

Human Services

Transcript Highlights:
  • I am the director of housing community services at Berkeley.
  • And so there were no services between L.A. and San Jose and no services in the Central Valley almost
  • Any hopes and dreams you want to share?
  • Do you want to share?
  • When service members leave military service, we step into a civilian job market that often does not recognize
Keywords: 988, house, all
Summary: The Assembly Committee on Human Services heard and advanced a series of bills focused on homelessness, child care, food security, public assistance, immigration legal services, and veterans’ benefits. SB 479 would allow city-based local health jurisdictions, including Berkeley and Oakland, to run homeless response multidisciplinary teams and share specified information across departments; supporters said the change would improve coordination and outcomes, while no opposition testified. SB 902 would permit electronic signatures for Child Care and Development Services Act paperwork, with supporters describing the burden of paper processes on working families and noting that paper would remain an option. Both bills were referred onward after committee action. The committee also approved SB 1025, creating an Office of Food Security and Affordability; SB 1030, repealing the CalWORKs “man-in-the-house” rule; and SB 1077, requiring CDSS to develop a communications and contingency plan for CalFresh disruptions during federal government shutdowns. Testimony on these measures emphasized fragmented food assistance systems, the need to modernize outdated welfare rules, and the importance of preparing for future federal benefit interruptions. Each bill drew broad support from advocates, local governments, and social service organizations, with no opposition testimony, and each received a due-pass recommendation to the next committee. The committee further advanced SB 1194, which would codify the Immigration Legal Fellowship Project to expand access to immigration legal services in underserved regions, and SB 1201, which would seek federal waivers and other protections to help veterans affected by CalFresh changes and connect applicants with county veterans service officers. Supporters said both bills would fill critical service gaps and strengthen legal and food-security infrastructure. SB 1194 received a 6-1 vote, while SB 1201 passed unanimously. Earlier in the hearing, SB 557 and SB 1051 were approved on consent. The committee then adjourned after recording final roll calls for absent members.
ND
Transcript Highlights:
  • We've met with the Higher Learning Commission about shared services and the levels of shared services
  • Learning Commission about shared services and the levels of shared services that are conducted from one
  • So, as Krista said, we continue to have shared services.
  • One is the summary of shared services by NDSU for DSU.
  • One is the summary of shared services by NDSU for DSU.
Summary: The committee met to receive a series of audit presentations, beginning with the statewide Annual Comprehensive Financial Report (ACFR) for fiscal year 2025. The State Auditor’s Office and OMB reported a clean, unmodified opinion for the state, with strong financial results including a $40.6 billion net position, $30.99 billion in assets, $1.81 billion in liabilities, and continued Legacy Fund growth. OMB also explained the new GASB 101 compensated-absences reporting change and discussed pension-liability fluctuations tied to discount-rate assumptions and investment performance. Members asked about how the state compares to others and about the effect of short-term commodity price swings, and OMB said the report reflects actual fiscal-year results rather than forecasts. The committee then heard the University System audit, which also received a clean opinion but included four findings: misreporting of Strategic Investment and Improvements Fund revenue, insufficient monitoring of service organizations at CTS, NDSU, and UND, improper bank reconciliations at Dakota College of Bottineau, Dickinson State, and Williston State, and investment/cash reconciliation problems at Bismarck State College related to bond proceeds. University officials agreed with the findings and said corrective actions were underway, including internal review of bank reconciliations. Members raised questions about NDSU’s use of certificates of deposit, and university staff explained that CDs are used to earn interest on funds being accumulated for future projects. Several other audits were presented, most with clean opinions and no findings, including the State Auditor’s Office, Workforce Safety and Insurance, Housing Finance Agency, Housing Incentive Fund, Job Service North Dakota, the Retirement and Investment Office, PERS, the Center for Distance Education, the Commission on Legal Counsel for Indigents, the Ethics Commission, and the Office of Administrative Hearings. Notable exceptions included a State Fair Association audit with an adverse opinion on the foundation component unit because its financial statements were not available for audit, and a Securities Department performance audit finding that performance-based pay increases and bonuses were issued without required evaluations. The committee also discussed the State Auditor’s future needs, including more staff capacity, data analytics, cybersecurity reviews, possible subpoena authority, independent legal counsel, and whether some audits—such as the Ethics Commission and State Fair—should be handled by independent third parties or under different statutory arrangements.