Transcript Highlights:

• I also do not support that there's a lot of services and supports in Minnesota at this point.
• supports<01:02:02.560> in lot of lot of services and supports in lot of lot of services and
• Um, so under our Medicaid funding services, day support services, pre-vocational services, and all of
• those day support services.
• those day support services.

Keywords: 1187, senate, all

Transcript Highlights:

• <00:37:55.119> services<00:37:56.079> for housing and supportive services for housing
• with support services tailored to K-12 families.
• > and and support services for survivors and and support services for survivors and their<03:53
• <05:21:52.120> ponar support to expand services at ponar support to expand services at ponar
• care coordination to help families navigate support services.

Keywords: 910, house, all

Transcript Highlights:

• This is going to support continuous monitoring of the quality of the services provided.
• Family Support Services of North Florida and Circuit 4 was identified for the first pilot site.
• pre-service training as staff members are onboarded and ongoing in-service trainings and supports by
• It's one piece of it, but also that support ongoing, which will be going through both that pre-service
• training as staff members are onboarded and ongoing in-service trainings and supports by supervisors

Summary: The subcommittee heard two Department of Children and Families implementation updates on measures passed in prior sessions. First, DCF reviewed House Bill 633, which increased oversight of behavioral health managing entities through biennial independent audits, standardized claims-based reporting, and new monthly outcome dashboards. The department said it had awarded the inaugural audit to Ernst & Young, found no significant waste, fraud, or abuse, but identified process risks involving financial controls, claims validation, data access, and system access controls. DCF also described its transition to standardized behavioral health coding and said the new public dashboard of 11 measures is posted on its website, though members asked for easier access and for hard copies of the audit report. Members asked about how the department distinguishes Medicaid-covered services from department-funded services, how duplicate payment risks are being addressed, and whether the new reporting and audit requirements would improve oversight without disrupting services. DCF said it is the payer of last resort for uninsured or underinsured individuals, that some overlap with Medicaid is expected because Medicaid does not cover all behavioral health services, and that new claims edits and cross-checks are being built into the system. The department also said it had not found significant negative feedback from providers and that the new requirements are intended to improve transparency and accountability. DCF then updated the committee on Senate Bill 7012, covering human trafficking data collection, domestic violence center certification, limited background-screening exemptions, expanded recruitment for child welfare staff, subcontractor liability protections, a four-year treatment foster care pilot, case management efficiency recommendations, and a statewide study of residential bed capacity for child victims of commercial sexual exploitation. The department said several items are already complete or underway, including limited exemptions in the screening clearinghouse, while others are in procurement or rulemaking. It identified Circuits 4 and 12 as the treatment foster care pilot sites and said the pilot will launch in January 2026. Members questioned recruitment metrics, pilot timing, and report deadlines; the department said final reports are expected by January and that some dates were flexible because of procurement and implementation timelines. The meeting ended after the presentations and questions, and the subcommittee adjourned.

Transcript Highlights:

• services and supports population. services and supports population. um<00:30:56.399> this
• services and supports funding. services and supports funding.
• > supports The long-term services and supports The long-term services and supports program<00:
• long-term services and supports in it. long-term services and supports in it.
• <00:47:36.880> and<00:47:37.200> supports services and supports services and supports is

Keywords: 928, house, all

Summary: The committee to study long-term managed care met to approve the prior meeting minutes, with a clarification that “OB3” referred to the “one big beautiful bill.” The minutes were then approved. Chair Jim Kofalt outlined the day’s agenda, which included testimony from the Granite State Home Health and Hospice Association, the New Hampshire Association of Counties, and later DHHS. He also noted that future meetings were expected soon and that the meetings were being livestreamed on YouTube. Granite State Home Health and Hospice Association, represented by Kellyanne Totten and Amy Moore, urged inclusive planning and a cautious, phased approach if managed care is considered. They emphasized that home care providers are not uniform, with different licensing and service models, and said any pilot should include varied provider types, rural and southern regions, and agencies of different sizes. They warned that workforce shortages, inflation, and a possible 9% CMS cut to Medicare home health payments could force agencies to reduce service areas or service types. They also said the 2023 Medicaid CFI rate increase has begun to lose its effect. In response to questions, they said the rural health transformation fund may help with planning and telehealth but likely cannot be used directly for rates or recruitment/retention. They also described the New England Home Care Nurse Residency Program, a Department of Labor grant, as a way to bring new registered nurses into home care with added training and school partnerships. The New Hampshire Association of Counties, through county nursing home administrators Craig Labore and David Ross, revisited the earlier Step Two managed care discussions from 2016-2018. They said prior consultants found the long-term services and supports system was underfunded and needed investment to stabilize providers and expand community-based care. They argued the same concerns remain today and said a managed model would jeopardize the Medicaid quality incentive payment program and, for county nursing homes, the proportionate share payment program. Their testimony was generally opposed to moving forward with managed long-term services and supports without significant additional funding and safeguards.

Transcript Highlights:

• and leveraging purchasing power, supporting the best team in the state to provide these services to
• community support going to be in delivering the needed prevention and early intervention services, even
• services, resources, supports, etc.
• Before we move on to child support, I just wanted to point out that in program support, support, the
• Health and Human Services was responsible for child support. Can I ask these...

Keywords: 996, all

Transcript Highlights:

• My comments focus on the advanced primary care services featured in the two bills I'm supporting.
• We offer about 80 services and 17 locations, and the vast majority of the folks we serve are supported
• We serve 40,000 people a year through a variety of services, but our mental health center services support
• services.
• Also, mental health centers are a support system for behavioral health services for uninsured people,

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket focused on primary care, workforce development, and medical debt. Chairs Cindy Friedman and John Lawn outlined hearing procedures and noted that testimony would be taken on 17 matters. The committee first heard testimony on bills to establish a community health center nurse practitioner residency program and to strengthen mental health centers. Senator Keenan, Rep. Keefe, and health center leaders described the Worcester nurse practitioner residency as a successful pipeline and retention strategy, citing workforce shortages, training needs in community health centers, and the cost of the program. Rep. O’Day also supported the mental health centers bill, saying it would raise payment rates, improve reimbursement for behavioral health services, and help clinics retain staff and expand access. The committee then took testimony on bills to address medical debt through hospital financial assistance reform. The Attorney General’s Office, Health Care for All, Health Law Advocates, the Leukemia and Lymphoma Society, and individual patients supported the measure, arguing that hospital financial assistance policies are inconsistent, hard to find, and difficult to navigate. Witnesses said the bill would standardize eligibility criteria, create a uniform application, improve notice requirements, and expand access to discounted care up to 400% of the federal poverty level. Several personal stories described medical bills being sent to collections, confusion over insurance billing, and the burden of debt on low-income and chronically ill patients. Committee members asked about hospital concerns, the role of the health safety net, and whether the bill addressed root causes of medical debt; testimony emphasized that the proposal was meant to improve transparency and access rather than replace broader insurance reforms. The hearing also focused heavily on “Primary Care for You” legislation, H. 1370 and S. 867, which would increase primary care investment and create a new payment model. Rep. Haggerty, physicians, a patient, community health center leaders, and the Massachusetts League of Community Health Centers described a primary care crisis marked by low reimbursement, staffing shortages, long waits, burnout, and difficulty recruiting clinicians. Supporters said the bills would shift spending toward preventive, team-based care, improve access and equity, and reduce long-term costs. The Massachusetts Association of Health Plans said it was directionally supportive of increased primary care investment but warned that any new spending must stay within the cost growth benchmark and preserve existing contracting structures. The hearing ended with additional testimony on a community health center workforce and loan repayment grant bill from Rep. Stanley, and with further discussion from Dr. Alan Garo about the need for payment reform in primary care.

Transcript Highlights:

• Senate Armed Services Committee.
• and in direct support of the warfighter mission and the support the guardians need.
• , across all services.
• And so we appreciate the support with being able to provide the services. bonuses and pay grade equal
• So the ability for this service that is now five years old to continue to grow with the support of this

Keywords: NDAA, military recruitment, personnel readiness, testimony, military leaders

Summary: The committee meeting focused on pressing issues related to the U.S. military's recruitment and personnel strategies, especially in light of the upcoming NDAA for fiscal year 2026. Chairperson expressed appreciation for the service of witnesses including senior military leaders from different branches, emphasizing the importance of personnel as the backbone of national defense. Discussions revealed concerns regarding the recent lowering of recruitment standards across military branches, which could potentially affect the quality of service members and long-term military readiness. Witnesses were asked to address the implications of these changes on military health and efficiency.

Transcript Highlights:

• We get a lot of NMT service feedback and support. We post this number on our website.
• services under the of child support services under the office<00:39:17.920> of<00:39:18.079><
• this Department of Child Support this Department of Child Support Services<00:40:53.760> and<
• <00:46:24.640> services<00:46:24.960> in prosecutor in child support services in prosecutor
• in child support services in Kitten<00:46:25.599> County.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the October 15 minutes, and began with a moment of silence following a Louisville UPS plane explosion that was described as a local tragedy affecting many families and first responders. The main presentation was an overview of Kentucky’s Medicaid non-emergency medical transportation (NMT) program from the Department for Medicaid Services and the Transportation Cabinet. Witnesses explained that NMT is a federally required Medicaid benefit, administered by the Transportation Cabinet under a risk-based capitated model, with eligibility limited to Medicaid members traveling to medically necessary, Medicaid-covered services and who lack access to other transportation. They also described exclusions, including certain KCHIP, QMB, and PACE members, and outlined the brokered regional structure, call center operations, scheduling rules, vehicle and driver oversight, complaint handling, and rider surveys. The presenters reported that NMT handled more than 3.1 million trips in state fiscal year 2024, with over 1.38 million trips already recorded in October, and said customer satisfaction surveys were high. They said the FY 2025-26 contract total is about $360.6 million, with monthly per-member capitation rates set by region through an actuarial process and approved by CMS. They emphasized that payments are tied to monthly Medicaid enrollment and that the state draws down federal funds for the exact amount paid, with no leftover balance. They also said most NMT use comes from adult day centers and rehabilitative care such as dialysis. Members questioned the witnesses about how quality metrics and contract standards are set, whether the state had explored alternatives such as Uber Health or other integrated models, and how utilization was calculated. The witnesses said contract requirements are developed collaboratively by Medicaid Services, the Transportation Cabinet, and other agencies, and that studies of other models generally found higher costs and lower approval ratings, with additional research on a hybrid model expected by the end of the year. They clarified that one figure reflected the share of Medicaid members with registered vehicles, while another reflected actual NMT users, and they defended the capitated structure as shifting financial risk to brokers rather than the state. Representative Fleming also raised concerns about oversight, reporting, and the apparent gap between budgeted and contracted amounts, asking whether any unused funds would return to general funds; the discussion ended before a final answer was given.

Transcript Highlights:

• And to support a critical... ...services and representation for immigrants.
• And to support a critical human service workforce, the FY27 recommendation is to maintain Chapter 257
• to support those services.
• And to give you a couple statistics, long-term services and supports is growing by 12% year over year
• of homemakers, and an array of other in-home services and supports.

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs. EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle. MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.

Transcript Highlights:

• This bill provides veterans and those soon to be discharged from the Armed Services with the support
• THIS BILL PROVIDES VETERANS AND THOSE SOON TO BE DISCHARGED FROM THE ARMED SERVICES WITH THE SUPPORT
• Scholten for helping me with this bill to support our service men and women.
• SCHOLTEN FOR HELPING ME WITH THIS BILL TO SUPPORT OUR SERVICE MEN AND WOMEN.
• SO, WE MUST AND WILL OPPOSE ATTEMPTS TO SLASH THOSE SERVICES AND WE WON'T STOP AND WE WON'T SUPPORT A

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

Transcript Highlights:

• 55.679> out services and supports that phase out services and supports that phase out began<00
• recovery support services, and service ongoing service coordination.
• Probably also children's therapeutic services and supports; that's a large bucket of services under MA
• 27.000> Support<00:48:27.319> Services<00:48:27.920> which Care community Support
• support services for persons housing and support services for persons in<01:04:37.279> need<01

Keywords: 1183, house

Summary: The committee met for an introductory overview of its jurisdiction and staff roles. Nonpartisan House Research and House Fiscal staff explained that they draft bills and amendments, prepare bill summaries and background research, answer legal and fiscal questions, and help track revenue and budget effects. They also distributed a Budget Overview Brief intended to condense the larger budget materials into a more usable format for members. Staff then walked through the Human Services budget and the committee’s areas of responsibility. They described the department structure, noting that DHS oversees administration, compliance, rulemaking, and county support, and that the overall Human Services budget is large, with medical assistance as the dominant program. They also explained recent and upcoming reorganizations: many children and family-related functions are moving to the new Department of Children, Youth, and Families, Direct Care and Treatment is becoming its own agency, and some homelessness-related functions remain at DHS. Staff reviewed how the budget is organized by program and budget activity, the difference between direct appropriations and standing appropriations, and how forecasted programs and “tails” work in the budget process. The presentation also covered Medicaid financing and long-term care. Staff explained the federal-state FMAP match, including Minnesota’s current 51.16% federal match for most Medicaid spending, the CHIP match, and the 90% federal share for the expansion population. For long-term care, they outlined Medical Assistance services for elderly and disabled people, state-funded long-term care supports, and Board on Aging programs. They highlighted the personal care assistance program’s phaseout and replacement by Community First Services and Supports, and reviewed the five home- and community-based waivers. Members asked one question about refugee resettlement funding, specifically whether it covers flights; staff said they would need to follow up on the exact use of the federal funds. No bills were heard, and no formal votes or other committee actions were taken during this meeting.

Transcript Highlights:

• Recovery support services are different.
• It’s called Recovery Support Services, and I think it’s in those situations that Recovery Support Services
• What they need is Recovery Support Services.
• for care coordination and peer support services.’”
• “It would be increasing long-term funding and support for care coordination and peer support services

Summary: The meeting focused on Missouri’s substance use prevention and treatment system, with repeated emphasis on recovery support services, peer support, recovery housing, transportation, and harm reduction. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he urged greater investment in recovery housing, peer support, employment, and community-based supports that help people stay sober and avoid relapse. Members asked about funding sources, program capacity, referrals, treatment court, transportation, and how Into Action supports people on medication-assisted treatment (MAT). Haniken said the organization is funded through a mix of federal, state, county, city, foundation, and private donations, and that housing and transportation remain major barriers, especially because support is often funded for too short a period compared with the longer time people need to stabilize. Matt Cushman of the Raytown Fire Protection District gave a strong endorsement of harm reduction, including naloxone distribution, syringe service programs, and broader decriminalization of harm reduction tools. He argued that stigma is a major barrier to care and that Missouri should expand access to clean needles, test strips, and other services, while also improving access to MAT in jails and communities. Committee members questioned the evidence base, the role of faith-based providers, and whether safe consumption sites should be pursued; Cushman said syringe exchange decriminalization should be the immediate priority, while safe consumption sites are a longer-term issue. He also described community paramedicine and mobile integrated health as valuable but funding-dependent, and said naloxone distribution is improving but still uneven, especially in rural and minority communities. Representatives from Central Ozarks Medical Center and Four Rivers Community Health Center highlighted the importance of peer support specialists, community health workers, care coordinators, and wraparound services in rural health centers. COMC’s Morgan McClure and Monet Lehman described a jail reentry program in Pulaski County, with Lehman sharing her trauma and recovery story and explaining how she helps incarcerated people prepare for release with housing, employment, benefits, transportation, and treatment connections. Four Rivers’ Devon Polarys and Cassandra Trout said their CEO would change Missouri policy to allow FQHCs to receive reimbursement for peer support and community health worker services similar to CCBHCs, arguing that these roles are essential for addressing barriers like transportation, housing, food insecurity, and insurance. Members discussed confusion over reimbursement rules, the differences between FQHCs and CCBHCs, and the need for better funding and clearer policy for peer and community health worker services. No votes were taken; the discussion ended with a suggestion to bring in a subject matter expert on community health workers for a future session.

Transcript Highlights:

• , Housing and Community Services, and Peter Redue, the manager of neighborhood services for the City
• I'm here in support of SB 902.
• I'm here in support of SB 902.
• And so there were no services between L.A. and San Jose and no services in the Central Valley almost
• When service members leave military service, we step into a civilian job market that often does not recognize

Keywords: 988, house, all

Summary: The Assembly Committee on Human Services heard and advanced a series of bills focused on homelessness, child care, food security, public assistance, immigration legal services, and veterans’ benefits. SB 479 would allow city-based local health jurisdictions, including Berkeley and Oakland, to run homeless response multidisciplinary teams and share specified information across departments; supporters said the change would improve coordination and outcomes, while no opposition testified. SB 902 would permit electronic signatures for Child Care and Development Services Act paperwork, with supporters describing the burden of paper processes on working families and noting that paper would remain an option. Both bills were referred onward after committee action. The committee also approved SB 1025, creating an Office of Food Security and Affordability; SB 1030, repealing the CalWORKs “man-in-the-house” rule; and SB 1077, requiring CDSS to develop a communications and contingency plan for CalFresh disruptions during federal government shutdowns. Testimony on these measures emphasized fragmented food assistance systems, the need to modernize outdated welfare rules, and the importance of preparing for future federal benefit interruptions. Each bill drew broad support from advocates, local governments, and social service organizations, with no opposition testimony, and each received a due-pass recommendation to the next committee. The committee further advanced SB 1194, which would codify the Immigration Legal Fellowship Project to expand access to immigration legal services in underserved regions, and SB 1201, which would seek federal waivers and other protections to help veterans affected by CalFresh changes and connect applicants with county veterans service officers. Supporters said both bills would fill critical service gaps and strengthen legal and food-security infrastructure. SB 1194 received a 6-1 vote, while SB 1201 passed unanimously. Earlier in the hearing, SB 557 and SB 1051 were approved on consent. The committee then adjourned after recording final roll calls for absent members.

Transcript Highlights:

• We also have been supporting 40 nonprofits for the last 30 years across child services and domestic abuse
• I'm from San Mateo County In-Home Support Services, and I am here in support of VLF. Me too.
• I'm also here to support VLF funding to support essential services.
• I'm in support of VLF funding because that's a major provider of our essential services. Thanks.
• It's an affordable housing and supportive services provider in San Mateo County.

Keywords: 987, senate, all

Summary: The subcommittee heard a budget item on vehicle license fee backfill funding, where the Department of Finance said the administration was not proposing the requested $119 million for San Mateo County, Alpine, and Mono, arguing the payment is discretionary and that existing excess ERAF formulas should remain unchanged. Senator Becker and former Senator Jackie Speier testified that the money is owed under the VLF swap arrangement and that San Mateo County faces major service cuts without the backfill; Senator Cabaldon raised broader policy questions about county boundaries and the structure of the formula. The chair held the item open after public comment. The committee then reviewed Secretary of State budget proposals. The department requested funding for SB 851 implementation, including additional duties related to election litigation notice, voting system standards, and vendor reporting, with $1.1 million General Fund in 2026-27 and $807,000 ongoing for four positions and software. Members asked about election security, federal HAVA funding, staffing, and implementation timing; the department said current federal funds are expected to run out in 2027-28 and that it hopes to hire quickly once funded. The item was held open. The Secretary of State also presented the Cal Access Replacement System (CARS), seeking $11.8 million General Fund to finish the project and begin operations, and the notary automation replacement project, seeking $9.795 million in Business Fees Fund for continued development of the outdated notary system. Members focused on project delays, stakeholder input, and whether the funding requests matched prior plans; the department said both projects were still on their original funding tracks but had shifted timelines due to planning needs and election-related workload. Both items were held open. CalVet presented its department overview and then discussed the new 240-bed skilled nursing facility at Yountville, which is nearing completion and will replace the aging Holderman Hospital building. Members asked about the future of Holderman, other campus capital projects, and a payroll/fringe-benefit issue affecting some employees; CalVet said Holderman will continue to house some functions, the roofing and steam projects remain in progress, and the tax issue has been addressed with new procedures and repayment arrangements. The committee also discussed eliminating vacant positions under Control Section 4.12, with CalVet saying the positions were long-vacant CNA and related jobs and the LAO noting the Legislature had not concurred; Senator Cabaldon said he had no objection, and the item was held open. Finally, the California Arts Council gave an overview of its work and its cultural districts program, describing grants and technical assistance in all 58 counties and citing examples of local impact. Senator Smallwood-Cuevas strongly supported additional funding, including a proposed $50 million General Fund investment and a $10 million carve-out for cultural districts, arguing the program supports economic development, preservation, and community identity; council staff said the program is currently unfunded and has only been able to designate a fraction of applicants. Senator Cabaldon noted that many parts of the state still lack cultural districts and urged broader geographic representation. The item was informational and no vote was taken.

Transcript Highlights:

• He said many members had taken issues like IHSS, disability services, and support for veteran families
• Your support helps these vital services remain accessible to those who need them. Thank you.
• Amelia Maya with the Samaritino Community Service Center, and I'm also here in support of the budget
• Amelia Maya with the Samaritino Community Service Center, and I'm also here in support of the budget
• We're here to support funding for legal direct services in our region.

Summary: The Assembly Budget Committee heard opening remarks on the 2025 Budget Act, which will be amended into AB 101 and SB 101 for floor consideration. Committee leaders described the budget as a difficult compromise shaped by a $12 billion deficit, federal funding uncertainty, wildfire impacts, and rising out-year costs, while emphasizing a balance between compassion and fiscal responsibility. Each budget subcommittee chair then summarized major actions in their areas, including health care, human services, education, climate and transportation, housing and state administration, public safety, and oversight/transparency. Key policy items included delaying or narrowing some of the Governor’s proposed cuts, especially in Medi-Cal and other safety-net programs; preserving funding for dental care, women’s health, family planning, hospice, long-term care, IHSS, and services for undocumented Californians; and maintaining or expanding child care, foster care, food banks, and CalWORKs-related supports. Education actions included additional Proposition 98 settle-up, reduced deferrals, support for TK-12, teacher recruitment, literacy, mental health, preschool slots, and restored funding for UC and CSU. Other major items included housing and homelessness investments, wildfire and disaster response funding, transit loans and greenhouse gas reduction fund support, Proposition 36 and VOCA-related public safety funding, and oversight measures on federal impacts and state efficiency. Department of Finance and Legislative Analyst staff said the package makes some of the same savings moves as the May Revision but relies more on internal borrowing and fewer reductions, leaving a smaller reserve than the administration’s plan but still maintaining roughly $11 billion in the rainy day fund. Members from both parties largely supported the package while raising concerns about long-term sustainability, Medi-Cal costs, reserve use, and the need for future revenue and program review. The committee adopted the subcommittee actions by roll call, 18-6, with the roll held open for absent members and additional comments continuing after the vote.

Transcript Highlights:

• <00:36:17.240> and and Community Based Services and and Community Based Services and supports
• These are wraparound services, functional support services, targeted case management that are a part
• wraparound services um things like wraparound services functional<01:44:53.560> Support<01:44
• functional Support Services functional support<01:56:18.679> services<01:56:19.119> are
• ><01:56:19.320> not<01:56:19.560> Clinical support services are not Clinical support services

Keywords: 1191, senate, all

Transcript Highlights:

• <00:03:01.760> and long-term services and long-term services and supports<00:03:03.720>
• Community Support Community Support Services<00:09:55.240> also<00:09:55.640> from
• management and Community Support management and Community Support Services<00:10:05.920> throughout
• vendors of peer recovery Support vendors of peer recovery Support Services<00:14:08.519> section
• Bill requires peer recovery Support Bill requires peer recovery Support Services<00:18:56.760>

Keywords: 1183, house

Transcript Highlights:

• The total of all these supports—transportation, textbooks, counseling, and nursing services—is over a
• You know, the total of all these supports—transportation, textbooks, counseling, and nursing services—is
• You know, the total of all these supports—transportation, textbooks, counseling, and nursing services—is
• Independent schools provide innumerable services and resources to support these students, and this is
• <01:35:50.719> our Services continue again to support our Services continue again to support

Keywords: 1187, senate, all

Summary: The Education Finance Committee met on February 5, 2025, to hear testimony from representatives of Minnesota’s Catholic and other nonpublic schools, focused on state nonpublic pupil aid, transportation, counseling, nursing, and related support programs. Meg Forette of the Archdiocese of St. Paul and Minneapolis argued that Catholic schools serve more than 30,000 students across many districts, educate a diverse population, and achieve strong academic results while operating at far lower per-student costs than public schools. She urged lawmakers to reject proposed cuts to nonpublic funding, saying they would be inequitable and harmful to lower-income families, and also raised concerns about state teacher-licensing requirements conflicting with Catholic values. Trisha Menshu, principal of St. John Paul II Catholic School in Northeast Minneapolis, described a student body with high levels of poverty, learning needs, and academic gaps, and said state-funded nurse and guidance-counseling services are essential to keeping students safe, healthy, and on track for high school. She said the school absorbs many costs itself, including medical supplies and significant staff time, and credited the support programs with helping students make strong academic growth and graduate on time. In response to a senator’s question, she clarified that the school uses the nursing aid for limited nurse time and pays other medical-related costs from operating funds, with no billing back to public school districts. Committee members asked follow-up questions about the relationship between teacher licensing and Catholic values, and about how medical needs for nonpublic students are funded. Forette said the concern was not with welcoming all students but with how DEI-related trainings and language are presented in ways that conflict with Catholic teaching. The committee then moved on to the next testifier, Andrew Hiliker of Stella Maris Academy in Duluth, who began by describing his school’s growth and the state’s role in supporting all students, regardless of school choice.

Transcript Highlights:

• have have early supports and services to have have early supports and services to have family<00:
• support services.
• support services.
• Developmental Services, including early support<03:51:16.279> services.
• I had a baby who support services.

Keywords: 1191, senate, all

Transcript Highlights:

• My question is also on mental health support, with the proposed cuts to services for our young people
• The balance of our budget supports other related services.
• And the people going forward who need the most support will not have to wait for services.
• to support our older adults. an innovative portfolio of home and community-based services to support
• and the services available, unpredictable journey, but the programs and the supports and the services

Keywords: 995, all

Summary: The committee heard budget testimony from Department of Mental Health Commissioner Brooke Doyle, who said DMH serves about 29,000 people and is facing rising demand, higher operating costs, and uncertainty about federal funding. She explained that the FY26 budget prioritizes fully funding the state-operated inpatient system, which is at 100% occupancy and often serves people transferred from Bridgewater State Hospital, while making reductions in other areas to balance the budget. Those reductions include a 50% cut to case managers, a pause on closing the Pocasset unit pending a working group on Cape access, and changes to youth and contracted services such as right-sizing IRTP and CIRT, reducing Youth PACT from seven teams to three, scaling back flex and jail diversion grants as ARPA funds wind down, and preserving the behavioral health helpline and community-based crisis services. Members from Western Massachusetts and the Cape raised concerns about access, staffing, and the impact of cuts, and Doyle said the department would continue operating IRTP services, improve the referral process, and work with stakeholders on the Pocasset review and other access issues. The committee also discussed school-based mental health, 988, loan forgiveness for workforce recruitment, and the role of co-response programs for law enforcement. Secretary Robin Lipson then testified for the Executive Office of Aging and Independence, describing a proposed FY26 budget increase of about 21% to support councils on aging, home care, elder abuse investigations, caregiver support, care transitions, and nutrition programs. She said the agency is managing rising demand, especially from the growing 80-plus population, and noted uncertainty around federal Older Americans Act funding after the federal disbursement agency was disbanded. To control costs, the office will manage intake and caseload growth in a fully state-funded home care program, but current clients will not lose services. Lipson also highlighted a new $1 million line item for local mini-grants to support age-friendly initiatives. In questions, members focused on elder scams, and Lipson said scams are increasing and the agency is working with banks, district attorneys, and public awareness campaigns. The Health Policy Commission’s Executive Director David Seltz presented the agency’s FY26 request and said the biggest challenge is health care affordability, with family premiums near $29,000 annually and many residents delaying care because of cost. He emphasized that recent legislation significantly expands HPC’s role through a new Office of Pharmaceutical Policy and Analysis, which will examine the drug supply chain and pricing, and a new Office of Health Resource Planning, which will support statewide planning around closures and access gaps. The new law also creates task forces on maternal health access and primary care, and adds transparency and oversight for private equity in health care. Members asked about pharmaceutical costs, GLP-1 weight-loss drugs, 340B, and maternal health closures; Seltz said the data show rapid growth in GLP-1 spending and that the new offices will help the state better understand cost drivers and access problems. The Center for Health Information and Analysis then began its testimony, describing its role as the state’s data hub for health care spending, utilization, quality, and affordability analysis.