Video & Transcript Research : 'dementia services program'
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CA
California 2025-2026 Regular Session
Senate Select Committee on Older LGBTQ+ Californians Apr 27th, 2026
Transcript Highlights:
- You will also hear from CDSS on supporting older adults in our social services programs, one of the key
- Many of the services older adults rely on are supported through federal programs: the Older Americans
- The Medi-Cal waiver program provides comprehensive case management and direct care services to persons
- I stand before you not only as someone with lived experience, but also as a service provider, program
- To many of these gaps, we have developed programs that not only provide services but build leadership
Summary:
The Select Committee on Older LGBTQ Californians held an inaugural hearing focused on health care, long-term services, and supports for older LGBTQ Californians, including older adults living with HIV and transgender, gender diverse, and intersex seniors. Opening remarks emphasized the historical discrimination faced by these communities, the growth of the older LGBTQ population, and the need to address gaps in care, especially in nursing homes, home- and community-based services, and access to affirming providers. Senators present framed the hearing as timely in light of federal policy changes and the state’s aging population.
The first panel featured Justice in Aging, CalHHS, the Department of Aging, and the Aging and HIV Institute. Testimony highlighted statewide survey findings showing both resilience and significant disparities: many respondents reported discrimination, low incomes, health challenges, social isolation, and unmet needs, with worse outcomes for transgender adults and adults of color. Speakers stressed the importance of Medi-Cal, PACE, home- and community-based services, gender-affirming care, and the Master Plan for Aging, while also criticizing the limited explicit attention to LGBTQ older adults in state planning and the impact of federal Medicaid cuts and other federal actions. Committee members asked about translating survey findings into concrete actions, improving outreach in rural areas, and creating more coordinated, “no wrong door” access to services.
The second panel focused on seniors living with HIV. A long-term survivor described the “survivorship penalty,” including benefits problems, housing insecurity, and the need for legal and navigation support, as well as HIV-specific housing and protections against outdated disability standards. The Department of Aging reported on implementation of SB 258, which added HIV status to the definition of greatest social need in area plans; it said 20 of 33 area agencies on aging identified HIV as a target population and many included specific strategies. The Office of AIDS described Project Cornerstone, Ryan White, ADAP, HOPWA, the Medi-Cal waiver, and PrEP-AP, noting these programs serve thousands of older clients and are intended to support whole-person care. Committee members pressed agencies on how ADAP rebate funds might be used, how to improve implementation of SB 258, and how to better connect people to existing benefits and services.
The final panel addressed supports for transgender, gender diverse, and intersex seniors. The Department of Social Services reviewed protections in long-term care facilities under SB 219, including nondiscrimination rules, required training, preferred pronouns and gender identity records, and complaint investigations, and also described IHSS as a self-directed program that can help older adults choose affirming providers. The hearing ended without formal votes or legislative action, but members repeatedly requested follow-up on implementation, outreach, data collection, and possible budget or program changes to better serve older LGBTQ Californians.
AL
Transcript Highlights:
- Senate Bill Number 318 by Senator Singleton regarding service contracts is referred to the Committee
- African-American basketball athletes who integrated the athletic program.
- Bobby Humphrey, who is in for the service mining commission.
- Be service members and their families.
- If you're underage and adding health care services to that list is not a stretch by any means.
Bills:
SJR 12, SJR 81, SB 22, SB 32, SB 241, SB 393, SB 414, SB 458, SB 464, SB 568, SB 583, SB 609, SB 660, SB 664, SB 693, SB 731, SB 732, SB 746, SB 779, SB 783, SB 785, SB 868, SB 897, SB 921, SB 955, SB 1008, SB 1029, SB 1036, SB 1057, SB 1059, SB 1120, SB 1122, SB 1147, SB 1163, SB 1188, SB 1197, SB 1209, SB 1245, SB 1321, SB 1332, SB 1365, SB 1394, SB 1396, SB 1470, SB 1484, SB 1494, SB 1537, SB 1596, SB 1598, SB 1637, SB 1644, SB 1809, SB 1814, SB 1822, SB 1841, SB 1948, SB 2064, SB 2065, SB 2112, SB 2155, SB 2226, SB 2320, SB 2406, SJR 36, SJR 81, SJR 50, SJR 4, SJR 40, SJR 27, SCR 22, SCR 12, SCR 39, SCR 38, SCR 37, SB 1396, SB 1209, SB 765, SB 62, SB 666, SB 888, SB 687, SB 847, SB 1248, SB 504, SB 305, SB 296, SB 284, SB 241, SB 304, SB 1023, SB 204, SB 609, SB 670, SB 850, SB 854, SB 413, SB 1346, SB 1033, SB 1220, SB 1073, SB 810, SB 1539, SB 447, SB 1119, SB 1505, SB 1215, SB 1302, SB 583, SB 673, SB 681, SB 1172, SB 955, SB 957, SB 541, SB 266, SB 1415, SB 53, SB 1352, SB 785, SB 1450, SB 1502, SB 1566, SB 1062, SB 711, SB 746, SB 1404, SB 1448, SB 507, SB 1026, SB 1349, SB 1355, SB 1433, SB 1434, SB 1596, SB 1403, SB 667, SB 1059, SB 1567, SB 310, SB 311, SB 505, SB 1210, SB 1470, SB 264, SB 1358, SB 1364, SB 1569, SB 1376, SB 1228, SB 519, SB 1350, SB 462, SB 827, SB 1585, SB 1484, SB 1273, SB 927, SB 1227, SB 1229, SB 1353, SB 1464, SB 1709, SB 1729, SB 1733, SB 1744, SB 1772, SB 1841, SB 1147, SB 1008, SB 2016, SB 1173, SB 1163, SB 996, SB 1370, SB 1321, SB 1101, SB 860, SB 993, SB 693, SB 1537, SB 1332, SB 1307, SB 963, SB 493, SB 984, SB 619, SB 1122, SB 455, SB 522, SB 1057, SB 1239, SB 1254, SB 1255, SB 1259, SB 1341, SB 1877, SB 1277, SB 32, SB 732, SB 660, SB 731, SB 921, SB 268, SB 1822, SB 1589, SB 397, SB 1058, SB 1267, SB 2112, SB 1930, SB 532, SB 2155, SB 508, SB 292, SB 291, SB 901, SB 1333, SB 1436, SB 1494, SB 964, SB 779, SB 1378, SB 2312, SB 1719, SB 287, SB 2143, SB 1245, SB 261, SB 1247, SB 1948, SB 2406, SB 2407, SB 1882, SB 1814, SB 618, SB 38, SB 393, SB 1371, SB 1394, SB 1365, SB 2243, SB 2226, SB 2039, SB 1919, SB 1895, SB 1598, SB 1493, SB 1810, SB 1791, SB 1706, SB 1644, SB 1238, SB 783, SB 458, SB 22, SB 651, SB 897, SB 1809, SB 1080, SB 745, SB 826, SB 989, SB 1320, SB 1437, SB 2320, SB 2289, SB 1171, SB 664, SB 1637, SB 2064, SB 868, SB 1079, SB 1243, SB 1504, SB 1851, SB 1879, SB 2237, SB 1257, SB 2034, SB 1522, SB 883, SB 249, SB 1318, SB 1151, SB 596, SB 1191, SB 226, SB 570, SB 870, SB 991, SB 60, SB 365, SB 1067, SB 1786, SB 326, SB 1401, SB 1592, SB 1728, SB 1265, SB 586, SB 529, SB 217, SB 209, SB 1923, SB 1559, SB 1839, SB 387, SB 1874, SB 1872, SB 1873, SB 1921, SB 1883, SB 1677, SB 95, SB 1620, SB 1838, SB 2024, SB 2429, SB 1999, SB 511, SB 2309, SB 2166, SB 871, SB 510, SB 33, SB 2420, SB 1860, SB 1541, SB 1316, SB 1314, SB 1313, SB 1426, SB 1398, SB 1869, SB 1750, SB 1871, SB 36, SB 855, SB 1233, SB 760, SB 2425, SB 2037, SB 1758, SB 1759, SB 2365, SB 1924, SB 762, SB 1271, SB 1818, SB 605, SB 1405, SB 1762, SB 1968, SB 1977, SB 2077, SB 2148, SB 2321, SB 1967, SB 1662, SB 1663, SB 2124, SB 2204, SB 1855, SB 863, SB 37, SB 241, SB 1147, SB 1394, SB 1814, SB 1948, SB 2155, SB 1209, SB 1396, SB 609, SB 660, SB 921, SR 373, SR 374, SR 376, SR 377, SR 379, SR 381, SR 386, SB 2332, SB 3040, SB 3041, SB 2332, SB 3040, SB 3041
Keywords:
parental rights, education, constitutional amendment, school choice, child education, tax exemption, ad valorem, tangible personal property, income production, Texas, moving image industry, incentive program, film production, grant funding, job creation, economic development, ad valorem taxation, franchise tax credit, personal property, public camping
TX
Transcript Highlights:
- Remind each of us that true leadership is service and the strength... of this great state lies in the
- University. and completed his residency right here in Austin in the Southwestern Family Medicine Program
- But and I was a I was a high school athlete but I know both the men's and women's programs in Duncanville
- . are not only perennial championship programs, they are legendary. championship programs and so congratulations
- A long-standing civic program that's now in its 30th year of preparing the next generation of community
Bills:
SJR12, SJR81, SB22, SB32, SB241, SB393, SB414, SB458, SB464, SB568, SB583, SB609, SB660, SB664, SB693, SB731, SB732, SB746, SB779, SB783, SB785, SB868, SB897, SB921, SB955, SB1008, SB1029, SB1036, SB1057, SB1059, SB1120, SB1122, SB1147, SB1163, SB1188, SB1197, SB1209, SB1245, SB1321, SB1332, SB1365, SB1394, SB1396, SB1470, SB1484, SB1494, SB1537, SB1596, SB1598, SB1637, SB1644, SB1809, SB1814, SB1822, SB1841, SB1948, SB2064, SB2065, SB2112, SB2155, SB2226, SB2320, SB2406, SJR36, SJR81, SJR50, SJR4, SJR40, SJR27, SCR22, SCR12, SCR39, SCR38, SCR37, SB1396, SB1209, SB765, SB62, SB666, SB888, SB687, SB847, SB1248, SB504, SB305, SB296, SB284, SB241, SB304, SB1023, SB204, SB609, SB670, SB850, SB854, SB413, SB1346, SB1033, SB1220, SB1073, SB810, SB1539, SB447, SB1119, SB1505, SB1215, SB1302, SB583, SB673, SB681, SB1172, SB955, SB957, SB541, SB266, SB1415, SB53, SB1352, SB785, SB1450, SB1502, SB1566, SB1062, SB711, SB746, SB1404, SB1448, SB507, SB1026, SB1349, SB1355, SB1433, SB1434, SB1596, SB1403, SB667, SB1059, SB1567, SB310, SB311, SB505, SB1210, SB1470, SB264, SB1358, SB1364, SB1569, SB1376, SB1228, SB519, SB1350, SB462, SB827, SB1585, SB1484, SB1273, SB927, SB1227, SB1229, SB1353, SB1464, SB1709, SB1729, SB1733, SB1744, SB1772, SB1841, SB1147, SB1008, SB2016, SB1173, SB1163, SB996, SB1370, SB1321, SB1101, SB860, SB993, SB693, SB1537, SB1332, SB1307, SB963, SB493, SB984, SB619, SB1122, SB455, SB522, SB1057, SB1239, SB1254, SB1255, SB1259, SB1341, SB1877, SB1277, SB32, SB732, SB660, SB731, SB921, SB268, SB1822, SB1589, SB397, SB1058, SB1267, SB2112, SB1930, SB532, SB2155, SB508, SB292, SB291, SB901, SB1333, SB1436, SB1494, SB964, SB779, SB1378, SB2312, SB1719, SB287, SB2143, SB1245, SB261, SB1247, SB1948, SB2406, SB2407, SB1882, SB1814, SB618, SB38, SB393, SB1371, SB1394, SB1365, SB2243, SB2226, SB2039, SB1919, SB1895, SB1598, SB1493, SB1810, SB1791, SB1706, SB1644, SB1238, SB783, SB458, SB22, SB651, SB897, SB1809, SB1080, SB745, SB826, SB989, SB1320, SB1437, SB2320, SB2289, SB1171, SB664, SB1637, SB2064, SB868, SB1079, SB1243, SB1504, SB1851, SB1879, SB2237, SB1257, SB2034, SB1522, SB883, SB249, SB1318, SB1151, SB596, SB1191, SB226, SB570, SB870, SB991, SB60, SB365, SB1067, SB1786, SB326, SB1401, SB1592, SB1728, SB1265, SB586, SB529, SB217, SB209, SB1923, SB1559, SB1839, SB387, SB1874, SB1872, SB1873, SB1921, SB1883, SB1677, SB95, SB1620, SB1838, SB2024, SB2429, SB1999, SB511, SB2309, SB2166, SB871, SB510, SB33, SB2420, SB1860, SB1541, SB1316, SB1314, SB1313, SB1426, SB1398, SB1869, SB1750, SB1871, SB36, SB855, SB1233, SB760, SB2425, SB2037, SB1758, SB1759, SB2365, SB1924, SB762, SB1271, SB1818, SB605, SB1405, SB1762, SB1968, SB1977, SB2077, SB2148, SB2321, SB1967, SB1662, SB1663, SB2124, SB2204, SB1855, SB863, SB37, SB241, SB1147, SB1394, SB1814, SB1948, SB2155, SB1209, SB1396, SB609, SB660, SB921, SR373, SR374, SR376, SR377, SR379, SR381, SR386, SB2332, SB3040, SB3041, SB2332, SB3040, SB3041
Keywords:
parental rights, education, constitutional amendment, school choice, child education, tax exemption, ad valorem, tangible personal property, income production, Texas, moving image industry, incentive program, film production, grant funding, job creation, economic development, ad valorem taxation, franchise tax credit, personal property, public camping
TX
Transcript Highlights:
- programs and 2-1-1 services. provided the Texas Information and Referral Network, Health and Human Services
- . to Health and Human Services. relationship to Health and Human Services.
- Case Management for Children and Pregnant Women Program, Health and Human Services, Senate Bill 2899
- programs by certain individuals to health and human services. 2259 Senate Bill 2915 by Miles relating
- and Human Services.
Bills:
SJR 12, SJR 81, SCR 39, SB 22, SB 32, SB 241, SB 393, SB 414, SB 458, SB 464, SB 568, SB 583, SB 609, SB 660, SB 693, SB 731, SB 732, SB 746, SB 783, SB 785, SB 897, SB 993, SB 996, SB 1008, SB 1029, SB 1035, SB 1036, SB 1120, SB 1122, SB 1147, SB 1163, SB 1188, SB 1197, SB 1209, SB 1227, SB 1245, SB 1267, SB 1307, SB 1321, SB 1332, SB 1386, SB 1394, SB 1396, SB 1470, SB 1494, SB 1537, SB 1596, SB 1598, SB 1610, SB 1664, SB 1814, SB 1822, SB 1841, SB 1948, SB 2065, SB 2155, SB 2406, SB 2407, SJR 12, SJR 36, SJR 81, SJR 50, SJR 4, SCR 22, SCR 12, SCR 39, SB 765, SB 62, SB 666, SB 888, SB 687, SB 847, SB 1248, SB 504, SB 305, SB 296, SB 284, SB 241, SB 304, SB 1023, SB 204, SB 609, SB 670, SB 850, SB 854, SB 413, SB 1346, SB 1033, SB 1220, SB 1073, SB 810, SB 1539, SB 447, SB 1119, SB 1505, SB 1215, SB 1302, SB 583, SB 673, SB 681, SB 1172, SB 955, SB 957, SB 1120, SB 541, SB 266, SB 1415, SB 53, SB 1352, SB 785, SB 1450, SB 1502, SB 1566, SB 414, SB 1062, SB 711, SB 746, SB 1404, SB 1448, SB 507, SB 1026, SB 1349, SB 1355, SB 1433, SB 1434, SB 1596, SB 1403, SB 667, SB 1059, SB 1567, SB 310, SB 311, SB 505, SB 1209, SB 1210, SB 1470, SB 264, SB 1029, SB 1358, SB 1364, SB 1569, SB 1376, SB 1228, SB 519, SB 1350, SB 462, SB 827, SB 1585, SB 1396, SB 1484, SB 1273, SB 927, SB 1227, SB 1229, SB 1353, SB 1464, SB 1709, SB 1729, SB 1733, SB 1744, SB 1772, SB 1841, SB 1147, SB 1008, SB 2016, SB 1173, SB 1163, SB 996, SB 568, SB 1370, SB 1321, SB 1101, SB 860, SB 993, SB 693, SB 1610, SB 1537, SB 1332, SB 1307, SB 963, SB 493, SB 984, SB 619, SB 1122, SB 455, SB 522, SB 1057, SB 1239, SB 1254, SB 1255, SB 1259, SB 1341, SB 1664, SB 1877, SB 464, SB 1277, SB 32, SB 732, SB 660, SB 731, SB 921, SB 268, SB 1822, SB 1188, SB 1589, SB 397, SB 1058, SB 1036, SB 1267, SB 2112, SB 1930, SB 532, SB 1035, SB 2155, SB 508, SB 292, SB 291, SB 901, SB 1333, SB 1436, SB 1494, SB 964, SB 779, SB 1378, SB 2312, SB 1719, SB 1386, SB 287, SB 2143, SB 1245, SB 261, SB 1247, SB 1948, SB 2406, SB 2407, SB 1882, SB 1197, SB 1814, SB 618, SB 38, SB 393, SB 2065, SB 1371, SB 1394, SB 1365, SB 2243, SB 2226, SB 2039, SB 1919, SB 1895, SB 1598, SB 1493, SB 1810, SB 1791, SB 1706, SB 1644, SB 1238, SB 783, SB 458, SB 22, SB 651, SB 897, SB 1809, SB 1080, SB 745, SB 826, SB 989, SB 1320, SB 1437, SB 2320, SB 2289, SB 1171, SB 664, SB 1637, SB 2064, SB 868, SJR 40, SJR 27, SCR 38, SCR 37, SB 1079, SB 1243, SB 1504, SB 1851, SB 1879, SB 2237, SB 1257, SB 2034, SB 1522, SB 883, SB 249, SB 1318, SB 1151, SB 596, SB 1191, SB 226, SB 570, SB 870, SB 991, SB 60, SB 365, SB 1067, SB 1786, SB 326, SB 1401, SB 1592, SB 1728, SB 1265, SB 586, SB 529, SB 217, SB 209, SB 1923, SB 1559, SB 1839, SB 387, SB 1874, SB 1872, SB 1873, SB 1921, SB 1883, SB 1677, SB 95, SB 1620, SB 1838, SB 2024, SB 2429, SB 1999, SB 511, SB 2309, SB 2166, SB 871, SB 510, SB 33, SB 2420, SB 1860, SB 1541, SB 1316, SB 1314, SB 1313, SB 1426, SB 1398, SB 1869, SB 1750, SB 1871, SB 36, SB 855, SB 1233, SB 760, SB 2425, SB 2037, SB 1758, SB 1759, SB 2365, SB 1924, SB 762, SB 1271, SB 1818, SB 605, SB 1405, SB 1762, SB 1968, SB 1977, SB 2077, SB 2148, SB 2321, SB 1967, SB 1662, SB 1663, SB 2124, SB 2204
Keywords:
parental rights, education, constitutional amendment, school choice, child education, tax exemption, ad valorem, tangible personal property, income production, border security, southern border, federal immigration policy, illegal immigration, cartels, transnational cartels, fentanyl, drug trafficking, human trafficking, Operation Lone Star, Texas border
Summary:
The meeting primarily focused on educational reforms, particularly in special education funding. Notably, Senator Bettencourt laid out the transformative impacts of Senate Bill 568, which aims to lift a historical cap on special education funding that affected approximately 775,000 students. The discussions included plans for an intensity-based funding model that could ensure fair distribution of resources depending on individual needs, thereby enhancing educational support for diverse learning requirements. Senators acknowledged past failures in the special education framework, emphasizing the necessity of moving towards a system that is transparent and focused on delivering adequate services.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Mar 17th, 2025
Transcript Highlights:
- This includes mental health and substance use disorder services, primary and rural health care programs
- , the Genetically Handicapped Persons Program, California Children's Services Program, and Every Woman
- The C-BAS programs, the community-based adult services programs, are mentioned in item one, as well as
- We provide emergency air services throughout Mercy Air and Skylife programs here in California.
- We provide emergency air services throughout Mercy Air and Skylife programs here in California.
Summary:
The committee heard a budget oversight hearing on the Department of Health Care Services, focusing first on the overall Medi-Cal budget and a March General Fund loan to cover a current-year shortfall. DHCS said the 2025-26 budget proposal totals $193.4 billion, with Medi-Cal projected at $188.1 billion total funds and $42.1 billion General Fund, driven by higher enrollment, pharmacy costs, managed care growth, and costs tied to eligibility expansions and the COVID-era redetermination unwinding. The department said the $3.44 billion loan was needed to manage cash flow and ensure timely payments to providers and plans, while the LAO noted Medi-Cal’s cash-basis budgeting creates volatility and that more detailed estimates would come with the May Revision. Members discussed federal Medicaid threats, the need for transparency on cost drivers, and the impact of pharmacy spending, long-term care, and immigration-related coverage expansions.
The second major topic was family health programs, including California Children’s Services, the continuous coverage unwinding, and opioid settlement fund spending. DHCS described CCS funding methodology changes, ongoing county stakeholder work, and a delayed rollout of CCS monitoring and oversight until July 1, 2025, while county representatives and advocates argued the program is underfunded and asked for more technical assistance and a delay in implementation. On the unwinding, the department explained that federal redetermination flexibilities helped maintain coverage after the pandemic, but the Governor’s budget proposes ending them at the end of June 2025; advocates urged making the flexibilities permanent to avoid coverage losses. For opioid settlement funds, DHCS and Finance said the budget increases funding for naloxone distribution while reducing other harm-reduction spending based on updated settlement revenues, prompting criticism from members and public commenters who argued the change would weaken effective harm-reduction programs.
The hearing also included an update on Proposition 35 implementation. DHCS said the voter-approved measure continuously appropriates MCO tax revenues beginning in 2025, with up to $4.6 billion annually available for specified Medi-Cal and provider investments in 2025 and 2026, but implementation depends on consultation with the required stakeholder advisory committee. The department and LAO noted uncertainty about future federal rules affecting the MCO tax after 2026. Public testimony largely supported maintaining Medi-Cal expansions, protecting immigrant coverage, preserving harm-reduction funding, and increasing support for community health workers, pediatric dental care, and CCS county administration. No votes were taken during the portion of the hearing provided.
FL
Florida 2025 Regular Session
Fiscal Policy Apr 17th, 2025
Transcript Highlights:
- Let's take up Tab 2, Senate Bill 398, on the awareness program for Alzheimer's disease and dementia-related
- It was such a success that 50 states now model their programs after our original program.
- To my knowledge, we're the only state that has put that into their IOTA program among the 40-plus programs
- You've got treasury management services, you've got fraud protection services.
- This is a pilot program. This program will only be implemented in Hillsborough County.
MN
Minnesota 2025-2026 Regular Session
House Higher Education Finance and Policy Committee 2/25/25
Higher Education Finance and Policy
Transcript Highlights:
- <00:15:34.079>
the Training uh restoration programs the Training uh restoration programs the - The rural physician associate program, designated with the acronym RPAP, and the MetroPAP program.
- <00:32:07.039>
to <00:32:07.200>all services to all services to all motans<00:32:09.000 - <00:38:06.839>
about veterinary medicine programming about veterinary medicine programming - <00:41:34.839>
dollars programs Grant programs so those dollars programs Grant programs so
NH
Transcript Highlights:
- We have heard from the counties over and over that they do not have the services to provide for folks
- We have heard from the counties over and over that they do not have the services to provide for folks
- to address those mental health services to address those mental health issues<00:57:39.599>
we - um to provide for folks in the services um to provide for folks in the jails<00:57:47.680>
and - Appreciate it. services for these folks even in the services for these folks even in the community<01
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health May 4th, 2026
Transcript Highlights:
- So often the very types of programs and services mentioned at first by Ms.
- However, so many of the programs and services that do work, like specialty courts, diversion, outreach
- These are not the only programs that are part of the virtual services platforms portfolio, but we'll
- We also have a conditional release program, which is a system of community-based services operated in
- Chris Edens, Chief Deputy Director for Program Services.
Summary:
The hearing focused first on behavioral health, especially hard-to-treat serious mental illness through the lens of anosognosia, and the impact of potential federal Medi-Cal reductions under H.R. 1. A family member, Dawn Marie Anderson, described her son’s long cycle of psychosis, homelessness, arrests, jail-based stabilization, and repeated relapse when treatment ended, arguing that anosognosia is a symptom of illness rather than refusal of care. She and other witnesses urged more consistent, long-term treatment, family involvement, medication support, and stronger county and state coordination. County and provider representatives said the current system still relies too heavily on crisis response and leaves people with serious mental illness falling through gaps between managed care, county specialty care, housing, and justice systems.
Testimony from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association emphasized that people with anosognosia often cannot self-navigate care, making a “no wrong door” system essential. They said H.R. 1 could destabilize coverage and shift costs to counties, while existing private insurance coverage is inadequate for early psychosis and related services. Witnesses highlighted CalAIM, jail in-reach, assertive community treatment, mobile crisis, supportive housing, and LEAP-style family training as promising tools, but said counties still need more resources and that the state should strengthen both Medi-Cal and private insurance behavioral health coverage. A public commenter from Lake County said private insurers denied most claims, especially for unlicensed staff providing case management and mobile crisis services.
The committee then heard an update on the Children and Youth Behavioral Health Initiative, including the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule program. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, and said the platforms are serving children and youth statewide, including many who had never previously accessed care. For the fee schedule, DHCS said 72% of school districts and 50 of 58 county offices of education are participating across six cohorts, with $9.6 million reimbursed to date and 41,556 students represented in claims. Members pressed the department on the program’s roughly $69.3 million administrative cost, the slow pace of reimbursement relative to the investment, and the late delivery of requested data. DHCS responded that many claims are still being submitted, most denials are correctable, and local implementation is still scaling up through technical assistance and capacity grants.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Safety and Homeland Security Jun 21st, 2026 at 01:00 pm
Joint Committee on Public Safety and Homeland Security
Transcript Highlights:
- I'm Vice President of Public Affairs and Youth Services at Easter Seals, Massachusetts, and I live in
- The State's Department of Youth Services provides six hours per day of education.
- behalf of Mary Titian, a registered nurse, founder of Quiet Florida, and chair of our Quiet Streets program
- ischemic heart disease, heart attack, stroke, sleep disruption, diabetes and obesity, depression, dementia
- Dementia, neurodegenerative diseases, and even premature death.
Summary:
The Joint Committee on Public Safety and Homeland Security heard testimony on several bills affecting correctional facilities, disability access, public health, youth education, parole, and vehicle noise. Early testimony focused on H. 2736/S. 1762, “Matt’s Law,” which would permanently ban free weights in medium- and maximum-security correctional facilities and require exercise equipment to be secured. The bill was supported by the Tidman family, Rep. Wells, and the Massachusetts Correction Officers Federated Union, who described the assault on Corrections Officer Matthew Tidman and argued the measure would prevent similar attacks. Committee members expressed sympathy and asked whether the Department of Correction could make the change administratively; witnesses said free weights had already been removed but that codifying the policy in law was needed.
The committee also heard S. 1753 on synthetic drugs in correctional facilities, which would make possession, distribution, and use of Class C synthetic substances in prisons and jails a felony with a mandatory minimum sentence. Senator O’Connor and MCOFU said synthetic drugs like K2 are being smuggled in through mail and are causing violence and medical emergencies among inmates and staff. H. 4123, filed by Rep. Donahue and Chair Vargas, would require correctional facilities to offer two doses of naloxone to people upon direct release; Donahue cited overdose risk after incarceration and her personal loss of a son to overdose. Sheriff Donna Buckley also testified in support of a commission to study sentencing jurisdiction and whether more people should be sentenced to county houses of correction rather than DOC facilities.
A large portion of the hearing was devoted to S. 1733, “An Act Building a More Accessible Massachusetts,” which would expand the Architectural Access Board’s authority over older buildings, workplace areas, and adaptable housing units. Chris Ho, disability advocates, and people with disabilities testified that the bill would help close gaps in accessibility for employment and housing, reduce long waits for accessible units, and support aging in place and independent living. The committee also heard S. 1721 on educational rights for incarcerated youth, with Avery Farmer arguing that 18- to 21-year-olds in DOC and houses of correction should receive the same educational services and disability supports as youth in DYS custody. Additional testimony supported S. 1716 regulating illegal exhaust systems, with one witness citing public health harms from vehicle noise and another opposing the bill as overbroad and harmful to classic car owners. Finally, Claire Massington testified for H. 2694 on equitable access to parole, calling for a more transparent, best-practices-based parole system with a revised board composition and a presumption of parole unless the board shows otherwise. The hearing ended with the chair adjourning the meeting due to a roll call in the House and Senate.
VT
Transcript Highlights:
- certain security services. certain security services.
- this<01:53:56.240>
program, <01:53:57.200>in It creates a program, this program, in - working on creating a full program. working on creating a full program.
- a program like that.
- restoration services to. restoration services to.
Summary:
The House first returned to Senate Bill 71, a consumer data privacy and online surveillance bill. Members debated a proposed amendment that would have removed language allowing companies to rely on consumer consent to sell certain sensitive data. Supporters argued consent pop-ups and terms-of-service notices are not meaningful consent and that sensitive data should be categorically protected, citing Maryland and other states. Opponents, including the committee presenter, said the bill was a carefully negotiated compromise needed to establish Vermont’s first data privacy framework and warned that adopting the amendment could jeopardize passage in the Senate or with the governor. The committee reported the amendment unfavorable on a 9-0 straw poll, the House rejected the amendment, and then approved the committee’s recommended proposal of amendment by roll call vote, 129-3.
During questioning on S. 71, members discussed the bill’s applicability thresholds, with the presenter explaining that the 35,000-consumer threshold was modeled on Connecticut, while lower 3,000 thresholds for sensitive data and data sales were based on business testimony and intended to capture smaller entities such as accountants, lawyers, nonprofits, and trade associations that share or sell lists. Members also asked about the bill’s many exemptions, which were described as covering entities already regulated by state or federal law, including health care entities under HIPAA and banking and insurance sectors. The presenter and supporters emphasized that the bill still requires clear privacy notices, limits data collection to what is reasonable and disclosed, and gives consumers rights to opt out, correct, and delete data. After the roll call vote, the House ordered third reading, suspended rules to place S. 71 in all remaining stages, passed it in concurrence with proposal of amendment, and suspended rules to message the action to the Senate forthwith.
The House then moved to Senate Bill 193, relating to establishing a forensic facility for certain criminal justice-involved persons. The committee presenter from South Burlington previewed that the bill would create a permanent forensic facility, with a separate amendment expected to address interim arrangements while the facility is being developed. The transcript ends as the House begins second reading of S. 193 and the committee reports are introduced, with further debate not shown.
TX
Transcript Highlights:
- Thank you for your time, your service, and your consideration of Senate Bill 1052.
- I'm the water program manager at the Hill Country Alliance. Good afternoon.
- I'm the water program manager at the Hill Country Alliance.
- They do provide a great service.
- facilities, or improved services and facilities?
Bills:
SB467, SB325, SB867, SB994, SB1052, SB1237, SB1449, SB1531, SB2063, SB2172, SB2173, SB2520, SB2529, SB2538, SB2541, SJR46, SJR84
Keywords:
SB 467, Texas property tax, ad valorem tax, homestead exemption, residence homestead, fire damage, house fire, destroyed home, temporary tax relief, appraisal district, chief appraiser, local taxing unit, tax rollback, tax refund, Tax Code Chapter 11, prorated exemption, homestead improvement, disaster relief, property tax exemption, residential property
Summary:
The committee heard several local government and property tax bills, with most testimony focused on appraisal disputes, tax administration, and development rules. Senate Bill 1052 by Senator Hinojosa would address coastal county appraisal litigation by requiring property owners in certain large-value disputes to report an uncontested taxable value while appeals are pending, so taxing units can base truth-in-taxation calculations on more realistic revenue. Nueces County, Del Mar College, and Corpus Christi ISD testified in support, describing major budget shortfalls caused by refinery valuation disputes; the committee substitute narrowed and clarified the bill’s scope. No opposition was heard, public testimony closed, and SB 1052 was left pending.
The committee also heard Senate Bill 1531, which would require local tax collectors to accept common electronic property tax payments such as credit cards, debit cards, and e-checks. Witnesses supported modernizing payment options and the committee substitute removed ACH/electronic funds transfer language to avoid bank-account disclosure concerns. Public testimony closed and the bill was left pending. Senate Bill 325, by Senator Perry, would restore platting and groundwater-certification requirements that were unintentionally weakened by prior legislation; supporters from county government, water groups, and builders’ representatives debated whether the real issue was groundwater protection or road standards for private roads. The bill was left pending after extensive testimony and no vote.
The committee then took up Senate Bill 994 and SJR 46, which would exempt certain livestock feed inventory from property tax and provide the constitutional amendment needed for that change. Feed store and Farm Bureau witnesses supported the measure as relief for seasonal inventory taxes, and the bills were left pending. Senator Paxton presented SB 467 and SJR 84 to create a temporary property tax exemption for homes completely destroyed by fire, with refunds or corrected bills based on the date of loss; both were left pending. SB 1237 would clarify charitable property tax exemptions for senior housing and retirement communities, with testimony from Catholic and Baptist retirement organizations and a resident describing rising costs and exemption revocations; it was also left pending. The committee later voted 6-0 to report SB 2073, a pending bill on appraisal district authority to purchase or finance real property, and recommended it for the local and uncontested calendar.
Finally, the committee heard SB 2172, SB 2173, and SB 2063, all related to property tax administration. SB 2172 would limit when appraisal districts can require homeowners to reapply for homestead exemptions, requiring a specific reason and written notice; SB 2173 would protect new homeowners from surprise tax liabilities caused by prior owners’ erroneous homestead exemptions, with testimony describing large back-assessment bills; both were left pending. SB 2063 would bar appraisal districts from using market-value evidence in unequal appraisal protests, and testimony sharply divided between taxpayer advocates, who said market data improperly overwhelms equity claims, and appraisal district representatives, who argued market value is inherently tied to equal-and-uniform taxation and cited a recent Texas Supreme Court decision; the bill was left pending after testimony.
TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part I) Feb 26th, 2025
Health & Human Services
Transcript Highlights:
- The Senate Committee on Health and Human Services will come to order, and the clerk will please call
- And Senator Cook, welcome to the Senate Committee on Health and Human Services.
- So thank you, and members, Senate Bill 314 is about the school lunch... program.
- That are forcing schools to stop their free lunch or free breakfast programs.
- The bill just states that they need to have the program.
Keywords:
attorney ad litem, indigent parents, parent-child relationship, legal representation, Texas Family Code, court procedures, nutrition, health standards, food labeling, education, dietary guidelines, medical education, food safety, school meals, child nutrition, food additives, public health, 1185, senate, all
LA
Louisiana 2026 Regular Session
House of Representatives May 13th, 2026
Louisiana House Floor Meeting
Transcript Highlights:
- Chance Henry to create a task force on work-release programs to study the framework of work-release programs
- Chance Henry to create a task force on work-release programs to study the framework of work-release programs
- Commission, to study feasibility of creating housing rental assistance program using very Civil Service
- It would expand government programs.
- State civil service workers.
Bills:
HR275, HR276, HR277, HR278, HR279, HR280, HR281, HR282, HR283, HR284, HCR112, HCR113, HR265, HR266, HR267, HR268, HR269, HR270, HR271, HR272, HR273, HCR107, HCR108, HCR109, HCR110, HCR111, SCR63, SCR66, SCR67, SB414, SB484, SB513, HR168, HR174, HR194, HR216, HR264, HCR54, HCR74, HCR79, HCR85, HCR87, HCR94, HCR95, HCR97, HCR98, HCR104, SCR23, SCR29, SCR33, SCR38, HB75, HB705, SB54, SB56, SB72, SB79, SB97, SB105, SB123, SB125, SB129, SB163, SB171, SB252, SB287, SB375, SB386, SB461, SB466, HR84, HR188, HR205, HR3, HR197, HR243, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, SCR20, SCR24, SCR35, HCR6, HB301, HB359, HB657, HB675, HB680, HB727, HB39, HB58, HB112, HB134, HB155, HB187, HB287, HB462, HB782, HB825, HB846, HB903, HB904, HB929, HB941, HB962, HB1200, HB4, HB623, HB944, HB986, HB1098, HB1222, SB45, SB58, SB71, SB81, SB92, SB100, SB109, SB141, SB156, SB181, SB203, SB204, SB205, SB207, SB213, SB214, SB216, SB229, SB257, SB274, SB290, SB304, SB374, SB379, SB396, SB410, SB425, SB427, SB429, SB479, SB522, SB34, SB164, SB172, SB198, SB208, SB232, SB281, SB286, SB317, SB322, SB334, SB380, SB385, SB409, SB417, SB421, SB430, SB439, SB447, SB458, SB510, HB842, HB633, HB1191, HB625, HB1255, HB251, HB582, HB646, HB819, HB998, HB1257, SB197, SB436, SB78, HB901, HR20, HR74, HCR65, HCR71, HB284, HB302, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, HB258, SB149, SB382, SB441
Keywords:
highway maintenance, signage, transportation safety, DOTD, infrastructure, public safety, federal grants, job creation, carbon storage, carbon dioxide storage, carbon capture and storage, CCS, mineral rights, mineral owners, oil and gas, disposal wells, injection wells, advanced drilling, carbon sequestration, Louisiana energy policy
LA
Louisiana 2026 Regular Session
House of Representatives May 13th, 2026
Louisiana House Floor Meeting
Transcript Highlights:
- Is there anyone here from that program? Ah, there you are.
- It would expand government programs.
- Newell: Our state troopers are state civil service workers.
- State civil service workers.
- Well, we, our state troopers, are state civil service workers.
Bills:
HR275, HR276, HR277, HR278, HR279, HR280, HR281, HR282, HR283, HR284, HCR112, HCR113, HR265, HR266, HR267, HR268, HR269, HR270, HR271, HR272, HR273, HCR107, HCR108, HCR109, HCR110, HCR111, SCR63, SCR66, SCR67, SB414, SB484, SB513, HR168, HR174, HR194, HR216, HR264, HCR54, HCR74, HCR79, HCR85, HCR87, HCR94, HCR95, HCR97, HCR98, HCR104, SCR23, SCR29, SCR33, SCR38, HB75, HB705, SB54, SB56, SB72, SB79, SB97, SB105, SB123, SB125, SB129, SB163, SB171, SB252, SB287, SB375, SB386, SB461, SB466, HR84, HR188, HR205, HR3, HR197, HR243, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, SCR20, SCR24, SCR35, HCR6, HB301, HB359, HB657, HB675, HB680, HB727, HB39, HB58, HB112, HB134, HB155, HB187, HB287, HB462, HB782, HB825, HB846, HB903, HB904, HB929, HB941, HB962, HB1200, HB4, HB623, HB944, HB986, HB1098, HB1222, SB45, SB58, SB71, SB81, SB92, SB100, SB109, SB141, SB156, SB181, SB203, SB204, SB205, SB207, SB213, SB214, SB216, SB229, SB257, SB274, SB290, SB304, SB374, SB379, SB396, SB410, SB425, SB427, SB429, SB479, SB522, SB34, SB164, SB172, SB198, SB208, SB232, SB281, SB286, SB317, SB322, SB334, SB380, SB385, SB409, SB417, SB421, SB430, SB439, SB447, SB458, SB510, HB842, HB633, HB1191, HB625, HB1255, HB251, HB582, HB646, HB819, HB998, HB1257, SB197, SB436, SB78, HB901, HR20, HR74, HCR65, HCR71, HB284, HB302, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, HB258, SB149, SB382, SB441
Keywords:
highway maintenance, signage, transportation safety, DOTD, infrastructure, public safety, federal grants, job creation, carbon storage, carbon dioxide storage, carbon capture and storage, CCS, mineral rights, mineral owners, oil and gas, disposal wells, injection wells, advanced drilling, carbon sequestration, Louisiana energy policy
Summary:
The House met with a quorum and began with prayer, the Pledge of Allegiance, and several personal privileges recognizing National Police Week, fallen law enforcement officers, a young Olympic weightlifter, a community sports agent, a deceased coach, Alpha Phi Alpha Fraternity Day, the Louisiana Cattlemen’s Association, aviation professionals, and a birthday tribute. The chamber also received Senate messages, committee reports, and a long series of resolutions and bills, many of which were adopted or concurred in without objection. Several measures were returned to the calendar, while others were advanced with technical or clarifying amendments.
A major portion of the meeting focused on resolutions honoring or commemorating people and groups, including National Police Week, Barron Baker, Paul T. Derezel II, Coach Emilio Tese, Alpha Phi Alpha, Louisiana Realtors Day, Special Olympics Louisiana, and various memorial highway designations. The House also adopted or concurred in resolutions on topics such as DOTD signage, shrimp procurement, geothermal energy, opioid settlement reporting, hospital design standards, Medicaid redetermination flexibility, chronic wasting disease management, remote online notarization, and a task force on intestate succession. Testimony on these items was generally supportive and brief, with sponsors explaining that most were technical, commemorative, or requests for study.
The chamber also took up several substantive bills and Senate amendments. Among the measures concurred in were bills on peace officer citizenship requirements, post-conviction bail limits, portable benefits for independent contractors, workforce development, construction debris burning, license plate coverings, insurance and captive insurers, oil field indemnification, and rural infrastructure financing. One notable bill, HB 39 on peace officer citizenship, drew questions about National Guard members and legal permanent residents before the House concurred in the Senate amendments by a 74-22 vote. HB 134 on harmful material and interactive computer services had its Senate amendments rejected, while HB 359 on nonaffiliated candidates was temporarily returned to the calendar.
The most extended debate came on the conference committee report for HB 842, which addressed Louisiana election law in response to the federal Callais decision. Members questioned how the report would affect the current congressional election cycle, absentee ballots, qualifying dates, signature requirements, and whether the closed party primary for U.S. House races had been canceled in favor of an open primary in the fall. The sponsor explained that the report cancels the current closed party primary for congressional races, voids ballots cast in that canceled election, returns qualifying fees, lowers petition-signature requirements, and sets new dates for the open primary and runoff. The House suspended the rules to consider the report the same day it was received, and the discussion highlighted concerns about election administration, district maps, and the scope of the changes before the chamber moved forward.
US
US Federal 2025-2026 Regular Session
Hearings to examine optimizing longevity from research to action. Feb 12th, 2025 at 02:30 pm
Aging (Special) Committee
Transcript Highlights:
- And strength is also associated with a 42% lower dementia risk.
- Thanks to THC GME, our system has multiple family medicine residency programs.
- Right now, both programs are only funded through... March 31st.
- You can sometimes sell the idea of a pilot program, but SNAP, as you know, is a federal program, and
- We could improve that program. We could make it better, more accessible, more usable.
Summary:
The committee meeting was marked by discussions surrounding health policies aimed at enhancing the lifespan and quality of life for the community members. The chairperson initiated the session with personal reflections on the importance of extending not just the years of life but also the quality of those years, especially from the perspective of parents and grandparents. Members engaged in thoughtful dialogue regarding potential legislative measures that could address public health in a more holistic manner, emphasizing the need for community outreach and effective health education programs.
MN
Minnesota 2025 1st Special Session
House Fraud Prevention and State Agency Oversight Policy Committee 12/17/25
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- , and there will be adult day services, and there will be more<00:31:49.679>
program <00:31:50.240 - We have excess capacity or excess space for program recipients that would like to access adult day services
- We have excess capacity or excess space for program recipients that would like to access adult day services
- We have excess capacity or excess space for program recipients that would like to access adult day services
- We have excess capacity or excess space for program recipients that would like to access adult day services
HI
Hawaii 2025 Regular Session
PBS Info Briefing - Mon Oct 6, 2025 @ 10:00 AM HST
Hawaii House Floor Meeting
Transcript Highlights:
- When asked why he was advanced dementia.
- We've studied every program in release.
- <00:19:47.120>
is whose compassionate release program is whose compassionate release program - are doing with the re-entry services are doing with the re-entry services waiver<00:38:10.079>
- Care program.
Summary:
The Committee on Public Safety held an informational briefing on best practices for medical or compassionate release programs used by correctional systems nationwide and how Hawaii’s current approach compares. Kristen Johnson of the Hawaii Correctional System Oversight Commission introduced Molly Crane of Families for Justice Reform, noting that the commission, the Department of Corrections and Rehabilitation, and the Hawaii Paroling Authority have all been involved in developing proposed legislation, though the bill itself was written by community advocate Bob Merse. Crane described FAM’s work on justice reform and said the group has studied compassionate release programs across the country, including federal reforms, to help Hawaii align with best practices.
Crane argued that compassionate release is intended for people who are too ill or cognitively impaired to pose a public-safety risk and who are often the most expensive and resource-intensive people to incarcerate. She said Hawaii is the only state without a compassionate release statute and currently relies on an agency policy, which she described as complex and slow. She cited examples of severe medical cases in custody, including people with advanced dementia, multiple sclerosis, kidney failure, and hospice needs, and said the burden on correctional medical staff, overtime, off-site transport, and specialized care can consume a disproportionate share of staff time and state resources. She also said the recidivism rate for this population is under 1 percent, citing Vera Institute research.
Members asked about the source of the recidivism figure, how a statute would streamline the process, and why the issue had not advanced in the past. Crane said the proposed bill would reduce layers in the process by moving cases from the medical director to the director and then to the Hawaii Paroling Authority, with a target timeline of about 30 business days from petition to hearing. Johnson said prior efforts failed in part because the agencies most affected were not included early in drafting and revision, and she said one attempt was vetoed, another was removed in conference committee, and another passed one chamber but did not advance. Johnson also explained that incarcerated people’s medical care is paid entirely by the Department of Corrections and Rehabilitation, with no private insurance or Medicaid/Medicare coverage while incarcerated, making severe cases a direct burden on state funds. No votes or formal actions were taken because the briefing was informational only.
KY
Transcript Highlights:
- Program.
- called the Blue Envelope a program called the Blue Envelope Program.<00:26:44.720>
And <00:26: - And then when we learned about Program.
- <00:27:15.840>
that it's an individual who has dementia that it's an individual who has dementia - And my concern with Kelly's program was that it was only going to be rolled out locally in Alexandria
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services May 7th, 2026
Transcript Highlights:
- So the In-Home Supportive Services program, or IHSS...
- This program in particular is $4.2 million for admin and only $298,000 for services.
- IHSS programs and services are our backbone, our source of income.
- This would include services such as day programs, look-alike day programs, independent living, behavioral
- Because of this program, I receive services that better fit my needs.
Summary:
The subcommittee heard an overview of the governor’s IHSS budget proposals and then took public testimony from the administration, LAO, county representatives, labor, consumer advocates, and an aging/disability advocacy group. The administration described IHSS as a large Medi-Cal long-term services program serving more than 900,000 recipients and proposed three changes: shifting some growth costs tied to authorized hours per case to counties, eliminating the statewide backup provider system, and aligning IHSS terminations with Medi-Cal terminations. The administration also discussed the earlier CFCO reassessment penalty change for counties and said overdue reassessments had dropped significantly.
LAO said the governor’s overall IHSS cost estimates appeared reasonable, but raised concerns about the hours-per-case cost shift, including unclear root causes for growth, limited county control over statewide averages, and uncertainty about the eventual savings. County Welfare Directors Association, SEIU, and consumer/advocacy witnesses opposed the hours cost shift, arguing counties use state tools, the proposal would pressure counties to cut services, and it could harm older adults and people with disabilities by increasing institutionalization and shifting costs elsewhere. The chair and members repeatedly questioned the rationale for the proposal, the lack of a defined baseline, and whether the current assessment tools or MOE structure should instead be revisited.
On the backup provider system, the administration said the program is underused and costly to administer relative to service spending, while LAO suggested the Legislature consider whether administrative costs could be reduced instead of eliminating it. County, labor, and consumer witnesses opposed the cut, saying the system is a critical emergency safety net even if utilization is low, especially for rural areas and people with complex needs. Members also asked about data quality, county backup systems, and whether consumers know the program exists. On the Medi-Cal/IHSS alignment proposal, the administration said automation would stop General Fund-only spending when recipients lose Medi-Cal and restore IHSS automatically when Medi-Cal is regained; LAO and others noted the proposal had been rejected before and urged better notices and safeguards. Witnesses warned that automatic termination could create gaps in care and unpaid work for providers, while the department said counties already manually terminate in some cases and that automation is ready if approved. No votes were taken in the excerpt, and the chair indicated the committee would continue with public comment and later items before a hard adjournment time.