Video & Transcript Research : 'shared services'
Page 106 of 500
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1025 said the state’s food system is fragmented and needs a coordinated strategy; SB 1030 supporters argued the rule is outdated, redundant, and rooted in racist and sexist assumptions.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
New Hampshire 2026 Regular Session
Health and Human Services Oversight Committee (02/20/2026)
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.
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.
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
Massachusetts 2025-2026 Regular Session
Public Health Effects of Xylazine Jun 21st, 2026 at 12:00 pm
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.
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
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
North Dakota 2025-2026 Regular Session
Legislative Audit and Fiscal Review Committee Mar 24th, 2026
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.
CA
California 2025-2026 Regular Session
Assembly Communications and Conveyance Committee Jun 18th, 2025
Communications and Conveyance
Transcript Highlights:
- This is a service that wouldn't have otherwise been available.
- Our service... that we provide is available from 7 a.m. to midnight.
- This is just ride share data. This is just data from Uber and Lyft.
- So in the annual report, FAERS data is shared with the CPUC.
- You're providing a service. Do they, are those other carriers required?
CA
California 2025-2026 Regular Session
Assembly Higher Education Committee Nov 17th, 2025
Transcript Highlights:
- , and comprehensive wellness services.
- , and comprehensive wellness services.
- And while we are really, services and comprehensive wellness services.
- For our institutions, what we've been seeing, the vast majority of impacts are around services, services
- We have referrals to various services, including immigration services.
Summary:
The Assembly Higher Education Committee held an oversight hearing on how federal actions are affecting California higher education, with opening remarks from the chair and members emphasizing the importance of state-federal shared governance and the need to protect access, affordability, and campus diversity. The first panel included leaders from the CSU, University of the Pacific, California Community Colleges, and UC, who described broad impacts from federal grant terminations, changes to student aid, loan limits, visa and immigration policy, and proposed reductions to research support. Testimony focused on the elimination of Grad PLUS loans, caps on Parent PLUS and Pell-related changes, the loss or suspension of hundreds of grants, and the resulting harm to student support services, research, workforce pipelines, food assistance, and health care training. UC and CSU representatives warned of major losses in research funding, indirect cost reimbursement, and student opportunities, while community college leaders highlighted uncertainty around federal grants and the need to maintain services for low-income, first-generation, undocumented, and other vulnerable students.
Committee members asked how the state could respond, including through intersegmental partnerships, dual enrollment, transfer pathways, and support for basic needs and nutrition programs. Witnesses said California could help by sustaining financial aid, protecting minority-serving institution programs, and investing in research, housing, and workforce development. Several speakers stressed that federal changes were creating instability for students and campuses, and that the effects would likely be long-lasting, especially in health care, teaching, STEM, and social work pipelines.
A second panel then focused on equitable access. The California Student Aid Commission described state efforts such as the $3.9 billion investment in aid programs, the Cal Grant system, the Dream Act, and possible reforms to better serve adult learners, foster youth, undocumented students, and students with dependents. The Los Angeles Community College District reported that federal cuts and policy shifts are discouraging students from applying for aid, threatening TRIO and MSI/HSI-funded services, and reducing support for basic needs, counseling, and workforce programs. The Association of Independent California Colleges and Universities and the CSU Academic Senate echoed concerns about FAFSA confusion, international student restrictions, grant losses, and the erosion of equity-focused programs. No formal votes or legislative actions were taken during the hearing; the committee primarily received testimony and discussed possible state responses.
LA
Transcript Highlights:
- But this is revenue sharing, and it’s revenue sharing—let’s be clear—that is state money.
- This is revenue sharing. This is revenue sharing.
- And as far as the cost shared, it's a shared cost analysis.
- So just in sharing some of those things, and knowing that service providers are not able to move forward
- So just in sharing some of those things, and knowing that service providers are not able to move forward
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 5 on State Administration May 19th, 2026
Transcript Highlights:
- Thanks for sharing that.
- Thank you for sharing that.
- into one statewide service contract that covers all of the level of services state employees need.
- Heather Carlson, Department of General Services. Old habit. Department of General Services.
- Thank you for sharing that.
Summary:
The subcommittee held a May Revision budget hearing on state administration and related issues, hearing presentations from multiple departments and agencies. Early items included the Public Employment Relations Board on funding for implementation of AB 1 and a reduced request tied to AB 288, the Governor’s Office of Service and Community Engagement on a technical College Corps adjustment, and the Secretary of State on building security upgrades, election security grant matching funds, and payroll system readiness costs. The Department of Consumer Affairs presented a Board of Pharmacy modernization request and a General Fund backfill for the Bureau for Private Postsecondary Education; the LAO raised no concerns on the pharmacy item but recommended rejecting the private postsecondary backfill and questioned interest-free loan language. The Employment Development Department outlined several large workload and benefit adjustments, including EDD Next document management funding, UI loan interest, DI/PFL benefit increases, WIOA adjustments, school employee benefits, an EMT training reappropriation, and a technical reversion correction; the LAO flagged the size of the DI/PFL increase and the expansion of the document management scope, while members asked about program impacts and timelines.
The California Workforce Development Board presented an April adjustment to reimbursement authority for an interagency agreement with Caltrans, which the LAO said raised no concerns. Public comment on that item and others included support for workforce and apprenticeship initiatives, including the Jails to Jobs proposal and renewal of the Apprenticeship Innovation Fund, though those were not part of the May Revision package. The Department of Industrial Relations then presented several proposals: reclassifying legal positions, continuing modernization of the workers’ compensation EAMS system, Cal/OSHA data modernization, creating a Cal/OSHA emerging technologies unit, reappropriating funds for the California Opportunity Youth Apprenticeship program, and trailer bill changes requiring electronic payment of employer assessments and adjusting the statutory treatment of the workers’ compensation administrative director’s salary. The LAO generally found the IT and salary proposals reasonable but urged close monitoring of the new emerging technologies unit.
Committee members, especially Assemblymember Ortega, pressed DIR on long vacancy rates, wage theft claim delays, low collection rates for Cal/OSHA fines, and whether new resources would improve outcomes; DIR said it was pursuing recruitment, classification reviews, and process modernization, while the LAO noted that staffing alone may not explain the delays. The Workers’ Compensation Appeals Board also sought to make permanent a 2024 change to the 60-day reconsideration clock, saying it had reduced backlog and interim orders; the LAO had no concerns. Finally, the Department of Human Resources presented a statewide Employee Assistance Program contract consolidation that would lower costs compared with renewing separate contracts and requested one program manager position to oversee the contract and first responder services; the hearing continued with Finance’s response after the transcript ended.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Children, Families and Persons with Disabilities Jun 21st, 2026 at 01:00 pm
Joint Committee on Children, Families and Persons with Disabilities
Transcript Highlights:
- services or CART providers, and we provide those referral services for them.
- , shared living, and in-home support services.
- The other area that we provide services in is vocational rehabilitation services. These services...
- We share a similar mandate as the Department of Children and Families, the state's child protective service
- Protective services.
Summary:
The hearing was an informational and oversight session of the Joint Committee on Children, Families, and Persons with Disabilities, with chairs and members hearing agency updates from several commissioners. The Department of Public Health’s Bureau of Family Health and Nutrition described its maternal and child health work, including home visiting, early intervention, WIC, newborn hearing screening, and cross-agency efforts on prenatal substance exposure, respite care, children’s vision, and maternal health initiatives. DPH emphasized that federal grant cuts, layoffs, and the loss of data systems such as PRAMS would weaken services and planning, and members asked about Title V funding and the impact of federal uncertainty.
The Massachusetts Commission on the Deaf and Hard of Hearing highlighted communication access services, interpreter and CART referrals, emergency after-hours support, family navigation, and independent living services. Commissioners and members discussed the shortage of ASL interpreters and the need to expand training pipelines, including partnerships with colleges and possible ASL programming for younger students. The Department of Developmental Services reported serving nearly 50,000 people and focused on youth and adult services, transition-age supports, autism services, self-direction, respite, and new high-acuity residential models. Members asked about respite availability, self-direction outcomes, and workforce shortages; DDS said it was expanding clinical capacity and provider rates while monitoring possible federal Medicaid, SNAP, and immigration-related impacts.
The Commission for the Blind described services for about 28,000 legally blind residents, most of whom are older adults, including social rehabilitation, orientation and mobility training, children’s services, assistive technology, vocational rehabilitation, and Turning 22 supports. The commissioner discussed a UMass-based effort to build the workforce pipeline for blindness services and said the agency was watching federal restructuring but had not yet seen direct cuts. MassAbility’s leadership then warned about major federal changes affecting Social Security disability determinations, including staff restructuring, office closures, and a new overpayment repayment policy, and said the agency was preparing for possible increases in claims and uncertainty around reallotment dollars that help fund services.
The Disabled Persons Protection Commission closed the hearing with an update on its abuse investigations and protective services for adults with disabilities. DPPC reported rising hotline calls and investigations, a growing caseload, its sexual assault response team, the abuser registry, and a new interagency protective services integration system funded by ARPA dollars through 2027. The agency also flagged new federal rules that could affect funding eligibility and said it may need statutory changes to comply. Members asked about funding, reporting pathways, and how complaints reach DPPC, and the commissioner said the agency uses both mandated reporting and proactive outreach to identify and respond to abuse.
ND
North Dakota 2026 1st Special Session
Legislative Audit and Fiscal Review Committee Mar 24th, 2026 at 10:00 am
Legislative Audit and Fiscal Review Committee
Transcript Highlights:
- Can you explain a little bit more on the shared services?
- We've met with the Higher Learning Commission about shared services and the levels of shared services
- So, as Krista said, we continue to have shared services.
- So as Krista said, we continue to have shared services.
- One was a summary of shared services by NDSU for DSU.
WA
Washington 2025-2026 Regular Session
House State Government & Tribal Relations Jun 22nd, 2026
Transcript Highlights:
- Postal Service rules, federal legislation related to elections, U.S.
- Customs and Immigration Services.
- , who we're sharing it with, and why, and do we have to?
- So that was just shared, and we're happy to share that with you all if you have not received it yet.
- So that was just shared.
Summary:
The House State Government & Tribal Relations Committee held a virtual work session focused first on federal actions affecting elections. A representative from NCSL reviewed recent U.S. Supreme Court and pending cases, including a redistricting/Voting Rights Act case and a case on whether mailed ballots received after Election Day can be counted. She also discussed a Trump executive order directing USPS to draft mail-ballot rules, the federal SAVE system’s expanded use for voter list maintenance, DOJ requests for unredacted voter rolls, and reduced federal election-security support. Committee members asked about proof of citizenship requirements, whether DOJ requests are compulsory, and how federal election funding and grants may be changing.
The Attorney General’s Office then described Washington’s litigation challenging two election-related executive orders and DOJ’s lawsuit seeking unredacted voter registration lists. State lawyers said courts have already enjoined parts of the executive orders, including documentary proof-of-citizenship requirements and voting-system changes, and have upheld Washington’s ballot-receipt deadlines so far. They said DOJ’s voter-roll demands have been rejected by multiple courts and that Washington’s position is that state law limits disclosure of sensitive voter data. Members asked about the legal basis for DOJ’s requests, the risk of immigration-enforcement use, and whether attestation on registration forms counts as proof of citizenship; the office said it does under state law and that no evidence of mass voter-fraud problems in Washington has been shown.
Deputy Attorney General Todd Bowers then gave a broader overview of the Attorney General’s federal litigation, saying Washington has filed 61 cases since January 2025, often with other states, and has had notable success obtaining preliminary injunctions and favorable summary judgments. He highlighted cases involving election rules, environmental and energy disputes, public health funding, student loans, housing, and data privacy, and said many challenges involve executive-branch conditions added to congressionally appropriated funds. He also described a growing number of federal audits and inquiries directed at state agencies.
Finally, Office of Equity Director Megan Matthews discussed how federal actions are affecting state and local equity work, community organizations, and public confidence. She said the office is coordinating more closely with the Attorney General, governor’s office, other agencies, and local governments through the immigration subcabinet, while also working on data privacy, Keep Washington Working compliance, and community outreach. Committee members asked about the office’s human-trafficking work and how it is encouraging agency compliance; Matthews said the focus is on clearer guidance, technical support, and consistent expectations across agencies. The committee adjourned after the presentations and questions.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Children, Families and Persons with Disabilities Jun 21st, 2026 at 01:00 pm
Joint Committee on Children, Families and Persons with Disabilities
Transcript Highlights:
- Sorry, I'm just going to— president and CEO of BAMSI, a full-service human services organization... .
- These are essential and legally required services, not luxuries.
- My son Jake, as Joan has shared, is 31.
- Thank you for sharing Jake with us and your story.
- She shares: 'I have a spiky profile.
Summary:
The Joint Committee on Children, Families, and Persons with Disabilities held a hearing focused on accessibility-related legislation, with the chairs emphasizing ASL and CART accessibility and asking testifiers to speak slowly and clearly. The committee heard testimony first on H.223/S.130, a bill to establish a livable wage for community-based human service workers by reducing the pay gap with state employees. Providers’ Council, Communities for People, the Key Program, and BAMSI all supported the bill, describing persistent wage disparities, high vacancy and turnover rates, and the impact on continuity of care for children, youth, and families. Witnesses said the bill would help recruitment and retention and stabilize services across the Commonwealth.
The committee then heard extensive testimony on H.224/S.160, the ACE Act, which would create a dedicated funding source to improve accessibility in the creative economy. Arts organizations and advocates, including Community Access to the Arts, Abilities Dance Boston, Jacob’s Pillow, the Multicultural Arts Center, Northampton Community Music Center, Mass Creative, Open Door Arts, and Monkey House, described barriers such as inaccessible buildings, lack of ASL interpretation and captioning, inadequate lifts and backstage access, and the high cost of renovations. Testifiers said the bill would help smaller and historic institutions make physical and programmatic improvements and allow people with disabilities to participate as artists, workers, and audiences.
The committee also heard testimony on H.4180, which would require DDS to consider neuropsychological evaluations when determining eligibility for intellectual disability services. Parents and advocates argued that IQ cutoffs alone can miss significant functional needs, especially for autistic adults and others with complex developmental profiles, and urged broader access to DDS supports. Additional testimony supported S.101 on closed captioning and telecommunications in public areas, and S.158 on requiring restaurants to have some chairs with arms to better accommodate physically disabled and older patrons. No votes were taken during the hearing, and the chair adjourned after hearing from the scheduled witnesses and noting a few signups that were not present.
CA
California 2025-2026 Regular Session
Assembly Budget Committee Jun 29th, 2026
Transcript Highlights:
- The next bill is SB 152, the human services omnibus trailer bill.
- Finally, it requires the Department of Social Services to make transition support services available
- SB 177 is the Fair Share Act.
- We were able to also reject cuts to home supportive services, protect child care access, provide services
- Allison Ramey, on behalf of Ultimate Health Services.
Summary:
The Assembly Budget Committee met to consider the final three-party agreement for the 2026-27 state budget and 19 implementing bills, including two budget bill juniors and 17 trailer bills. Committee leadership and administration officials described the budget as a balanced plan that reduces out-year structural deficits, maintains large reserves, and makes major investments in health care, education, housing, child care, public safety, and other core services while also responding to expected federal cuts and fiscal uncertainty. The Department of Finance outlined the package’s major components, including Medi-Cal adjustments, education funding increases, higher education changes, child care and human services updates, housing and homelessness funding, energy and transportation provisions, and tax and general government changes.
Members asked questions about several provisions, including CSU enrollment targets and turnaround plans, the Prop. 98 settle-up mechanism, the plastics market development payment program, housing accountability measures, NextGen 9-1-1 implementation, and veteran services. Staff and administration witnesses explained that the higher education language is intended to improve campus-by-campus reporting and oversight, that Prop. 98 settle-up would be finalized later through the statutory certification process, and that NextGen 9-1-1 now includes one-time funding, quarterly reporting, an independent technical review, and a state audit. Members also discussed the HAP homelessness funding increase to $900 million and the balance between accountability and timely distribution of funds.
The most extended exchange centered on comparisons between funding for veterans and Medi-Cal/immigrant health coverage. Republican members argued the budget spends far more on undocumented immigrant services than on veterans, while Democratic members and Finance staff responded that the comparison was misleading because many veterans’ services are federally funded and the state budget also includes dedicated veteran support. The chair and other members emphasized that the budget reflects difficult tradeoffs and that the package protects vulnerable populations, preserves health care access, and advances affordability. No final vote was described in the excerpt, but members indicated support for the overall package and said they would support it on the floor.
TX
Transcript Highlights:
- We have contracted services, which include daycare, family services, and substance use treatment services
- Those services are delivered through fee-for-service.
- what services were delivered. service occurred; the date of that service; the time the visit started
- The services are based on that service plan and do vary by waiver.
- Slide 6 demonstrates a critical reality: IDD services represent a much smaller share of state and local
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Committee Jun 29th, 2026
Budget and Fiscal Review
Transcript Highlights:
- It requires the Department of Social Services to make transition support services available to adoptive
- We need a system, a system where we can share responsibility and share prosperity.
- And for me, I think... ...a system where we can share responsibility and share prosperity.
- And why fair share is so important. Why fair share is so important.
- We'd like to share our great appreciation for the increase in funding for immigration and legal services
MN
Minnesota 2025-2026 Regular Session
Legislative Task Force on Child Protection - 01/08/25
Minnesota Senate Floor Meeting
Transcript Highlights:
- <00:09:28.040>
go to receive those Services as they go to receive those Services as they go - sharing to serving the youth with shared sharing to serving the youth with shared definitions<00
- and prepetition legal legal services and prepetition legal services<01:20:55.440>
in services - State investment and prevention services aimed at increasing service array and service access is critically
- Services aimed at increasing service Services aimed at increasing service array<02:11:35.199>
and<
OR
Oregon 2026 Regular Session
House Interim Committee On Health Care 06/16/2026 2:30 PM
Transcript Highlights:
- Blue bar is the member service, so how much of the money is actually going to member services compared
- Blue bar is the member service, so how much of the money is actually going to member services compared
- So for Health Share, their Health Share partners in total reported a negative $108 million loss in 2025
- I do not know any significant changes in service.
- You know, you showed a couple examples where the money will be used for providing services, in-home services
Summary:
The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits.
CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs.
The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 7 on Accountability and Oversight Mar 11th, 2025
Transcript Highlights:
- I want to share with the committee, Mr.
- I want to share with the committee, Mr.
- before they would then compel the services.
- We clearly need more supportive services, more treatment and recovery-focused services.
- We clearly need more supportive services, more treatment and recovery focused services.
Summary:
The Assembly Budget Subcommittee on Accountability and Oversight held a hearing on California’s homelessness funding, focusing on the Homeless Housing Assistance and Prevention (HAP) Grant and the Encampment Resolution Grant Program. HCD described new accountability requirements, including regional action plans, stronger reporting and expenditure conditions, housing-element compliance, encampment response plans, and public dashboards that track fiscal spending, service outcomes, and encampment resolution status. Officials said the goal is to use the data to identify underperforming grantees, provide technical assistance, and, if needed, withhold or reallocate funds.
Local officials from San Diego, Fresno, and Santa Cruz said the programs have helped expand shelter, outreach, and permanent housing, and that state dollars have leveraged local and federal resources. Mayor Todd Gloria said San Diego has used HAP to expand shelter and safe sleeping options, reduce downtown encampments, and increase housing production, but argued the state’s new accountability website is too high-level and does not fully reflect countywide conditions, behavioral health outcomes, or the role of continuum-of-care partners. Fresno officials said HAP and other state funds helped the city add shelter beds and reduce homelessness, while Santa Cruz emphasized that state funding helped build local coordination and draw in federal vouchers.
Members pressed the panel on whether HAP is actually reducing homelessness, what the best success metrics should be, and whether the state is getting full, usable data from grantees and subcontractors. Several members asked for more granular jurisdiction-level reporting, better tracking of nonprofit spending, and clearer measures beyond point-in-time counts and “people served.” HCD said it is still improving HMIS participation and data quality, but can already show outcomes such as exits to permanent housing and returns to homelessness. The hearing ended with broad agreement that transparency is important, but disagreement remained over the best measures of success and how much emphasis should be placed on housing, prevention, shelter, and treatment.