Video & Transcript Research : 'prerelease services'
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FL
Florida 2025 Regular Session
March 19, 2025 - 01:00 PM
Transcript Highlights:
- We are in public service. Everything starts with the social worker who provides the services.
- As far as services, services would be outsourced.
- services.
- So to the extent that they were to cover services that aren't typical state plan services...
- a service authorization.
Summary:
The Health Care Budget Subcommittee took up two bills and then continued oversight discussions with APD and AHCA. CS/HB 27, the Social Work Licensure Interstate Compact, was presented as a way to let Florida social workers practice in other compact states and vice versa; AARP, the Florida Chamber, and NASW Florida supported it, and the bill passed favorably. HB 1127, a child welfare bill, would create a treatment foster care pilot for children with high behavioral needs, improve DCF data collection on commercially sexually exploited children, and expand recruitment for protective investigators and case managers; the bill also passed favorably after brief supportive testimony.
The committee then questioned APD at length about the iBudget waiver waitlist, enrollment pace, spending projections, and provider capacity. APD said it had sent more than 1,100 interest letters in categories 3, 4, and 5, enrolled 1,124 people so far this year, and expects to spend about 96.4% of its waiver appropriation, leaving roughly $82 million unspent. Members pressed APD on why prior discussions suggested more reserve was needed, how long the SANS process takes, whether category 6 could be expanded, and whether the agency has enough waiver support coordinators and direct support providers. APD said it has about 1,061 waiver support coordinators statewide, adequate capacity for current enrollees, but would need further analysis if the legislature directed a much larger enrollment increase. Members also asked about outreach, annual maintenance of the waitlist, portability for military families, and whether communication efforts should be privatized.
Finally, AHCA walked the committee through the 2023 Achieved Savings Rebate (ASR) report for Aetna and explained how the report is used for financial monitoring, rebate calculations, and transparency. AHCA said the ASR is separate from the medical loss ratio (MLR) calculation, though both are reviewed, and that Florida uses the ASR mechanism rather than an MLR remittance requirement to recover funds from plans. Members asked about related-party disclosures, CVS/Caremark relationships, expanded benefits, encounter data, network adequacy penalties, denials and appeals reporting, interest earned on capitation payments, and whether rate increases were reaching providers. AHCA and the outside auditors said they review the plans’ reported data, reconcile it to underlying records, and can assess liquidated damages for network adequacy violations; several members requested follow-up data on rebates, interest, provider capacity, and related-party reporting.
ND
North Dakota 2026 1st Special Session
Tribal and State Relations Committee Apr 13th, 2026 at 01:00 pm
Tribal and State Relations Committee
MN
Minnesota 2025 1st Special Session
Committee on Health and Human Services - 04/08/25
Health and Human Services
MN
Transcript Highlights:
- behavioral health services. behavioral health services.
- delivery oversight, residential service delivery oversight, residential service<00:09:44.000>
uh< - Now moving to the human services.
- It expands the service subjects the services subject to electronic visit verification.
- and billing of HCBS services. and billing of HCBS services.
CA
California 2025-2026 Regular Session
Assembly Human Services Committee May 1st, 2025
Transcript Highlights:
- Our service lines are very diverse.
- In fact, I believe strongly that the quality of our services and service access will benefit from this
- Our service lines are very diverse.
- In fact, I believe strongly that the quality of our services and service access will benefit from this
- , but the quality of these services.
Summary:
The Assembly Human Services Committee met with quorum established after beginning as a subcommittee. The committee heard AB 790, which would require jurisdictions receiving state homelessness funds to develop systems specifically supporting women and children, especially single mothers and survivors of domestic violence. Supporters said current homelessness programs overlook this population; the bill was amended and passed unanimously on a 7-0 vote. The committee also heard ACA 4, the Housing Opportunities Made Equal Act, which would dedicate a minimum share of the state general fund to affordable housing and homelessness programs. Supporters argued more stable funding is needed to address the housing crisis, while opponents questioned whether more spending would help; the measure passed 5-2 to the Assembly Appropriations Committee.
Members then heard AB 349, which would index the infant supplement for parenting foster youth to inflation. The author and sponsor described the needs of pregnant and parenting teens in foster care and rising costs for diapers and formula; the bill passed 6-0 to Appropriations. AB 779, which expands a domestic violence consultant pilot in child welfare offices statewide, also passed 6-0 after testimony that it would help keep families together safely and improve trauma-informed responses. AB 1335, which would remove a private CARF accreditation requirement for regional center employment programs and rely on state oversight instead, drew support from disability service providers but opposition from the chair over concerns about weakening quality checks; it failed on a 2-2 vote and reconsideration was denied.
The committee also considered AB 1066, a bill to bar state-funded immigration legal services for people unlawfully present in the country who have certain serious felony convictions. Supporters framed it as a public-safety and fiscal-responsibility measure, while opponents said it would restrict due process and align California with mass-deportation policies. The bill failed on a 2-2 vote. Two bills, AB 277 and AB 318, were pulled by the author and not heard. After final roll calls on absent members, the committee adjourned.
FL
Florida 2026 Regular Session
Children, Families, and Elder Affairs Nov 18th, 2025
Children, Families, and Elder Affairs
Transcript Highlights:
- services.
- that direct service... ...to state what exactly direct services entails, including that direct service
- in certain types of services.
- ways in certain types of services.
- Is it based on services, the quantity of services done last year historically?
Summary:
The committee held a panel discussion on Florida’s domestic violence system, focusing on how state and federally funded services are coordinated, the role of the Florida Partnership to End Domestic Violence (FPEDV), the Florida Domestic Violence Collaborative, DCF, and certified domestic violence centers. Members reviewed the post-2020 restructuring after the dissolution of FCADV, the current hotline, legal services, training, and technical assistance contracts, and the Legislature’s recent work on lethality assessments under SB 1224. Panelists also described prevention, shelter, counseling, child advocacy, and legal support services, along with the statewide network of 41 certified centers serving all 67 counties.
Testimony highlighted both collaboration and tension. FPEDV and Women in Distress described overlapping training and technical assistance roles, but FPEDV said its relationship with DCF has been difficult and at times obstructive, while DCF said communication and coordination are ongoing. Women in Distress and other providers emphasized the importance of direct services, the statewide hotline, injunction assistance, child welfare co-located advocates, and prevention programs. Several members asked about funding flows, certification, and whether the current structure is sufficient for rural counties; witnesses said federal FVPSA funds are formula-based, DCF contracts directly with centers, and rural programs face staffing and fundraising challenges that limit beds and services.
A major portion of the discussion centered on the lethality assessment work group and implementation of the new statewide tool. FDLE explained that the work group concluded the Maryland model was copyrighted and costly to replicate exactly, so Florida adopted a statutory assessment that is not evidence-based in the same way, with training available online and 46 of about 400 law enforcement agencies having completed it so far. Senators raised concerns about multiple assessments, redacted police reports, and whether the tool will be useful without better coordination and data collection. Witnesses also discussed rising domestic violence, teen dating violence, and strangulation cases, with providers reporting increased demand, full shelters, and greater use of hotels and mobile crisis responses. No formal votes or actions were taken.
WY
Wyoming 2026 Regular Session
House Labor, Health & Social Services Committee, February 23, 2026
Labor, Health & Social Services
Transcript Highlights:
- Um, services.
- services. Thank you. services. Thank you.
- services services the<01:04:56.960>
services <01:04:57.359>we <01:04:57.599>cover entitled to receive hospice services. entitled to receive hospice services. - Uh so the received hospice<01:10:14.960>
services hospice services hospice services ideally<01
Bills:
HB0004
AR
Transcript Highlights:
- ASU requests ratification of services valued at $37,500 for services rendered prior to proper review.
- Department of Human Services? All right, Department of Human Services, please.
- Is to make sure that a student that has been identified for needing services is getting those services
- This is the new services; the ratification in M-1 was for services that were already rendered.
- This is the new services, the ratification in M1 was for services that were already rendered.
Summary:
The PEER Review Subcommittee met to consider a large agenda of budget, appropriation, transfer, and contract items. Members approved temporary appropriation requests for several agencies, including the Auditor of State, Department of Education, and Labor and Licensing; ARPA return requests from Workforce Services; Infrastructure Investment and Jobs Act requests for State Police and Agriculture; restricted reserve transfers for teacher scholarships, school facilities, and economic stimulus; a Commerce reallocation of positions and spending authority; cash fund, budget classification, overtime, and pay plan requests; and 17 methods of finance items for universities and other agencies. Most items were approved without objection after brief explanations from staff and agencies.
Several items drew questions and were held or discussed further. A Department of Human Services discretionary grant package for the RSVP program was held over after Senator Irvin raised concerns about whether the grants were an effective use of state general revenue and asked for more information on administration costs and program operations. In the contracts section, Representative Richardson questioned a DHS sole-source contract with EMS Link for document management software and a DHS contract with Presidio; the EMS Link item was held for additional answers, while the Presidio item was clarified as not sole-source and was allowed to proceed. Members also asked for more information on a Department of Education mental health referral contract with Care Solace, which officials said is a statewide concierge/referral service connecting students to Arkansas providers and telehealth options.
The committee also reviewed monthly reports, including the Medicaid Trust Fund. DHS and DFA officials said the fund was currently sufficient to finish the fiscal year, though it was being drawn down and would likely require a $100 million transfer from restricted reserves in FY27, with another $100 million set aside in the governor’s budget as a backstop. Members discussed the need to define a minimum reserve level and to better account for ongoing Medicaid costs in the budget. The meeting ended with no further business and adjournment.
MN
NM
New Mexico 2025 Regular Session
Legislative Finance Sub Committee Nov 19th, 2025
Transcript Highlights:
- how many adults need the services.
- Thus far, 177, or 8.8 percent, of the inmates in need of MAT services have received services.
- So, we have been providing billable services, but we haven't yet billed any services. one, because of
- of service.
- The number of people we've provided services to, what services they provided, for how long they provided
MN
Minnesota 2025-2026 Regular Session
House Fraud Prevention and State Agency Oversight Policy Committee 3/2/26
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- providing Medicaid services. providing Medicaid services.
- The number of of people using the service. service. service.
- receiving the service, the type of service provided.
- of receiving the service, the type of service<00:57:35.040>
provided. - 50 hours of a community service, 50 hours of community<01:21:11.800>
service, community service
Summary:
The committee met on March 2 and approved the February 23 minutes after a quorum was reached. The main presentation was from the Department of Human Services on non-emergency medical transportation (NEMT), a federally required Medicaid benefit that helps Minnesota Health Care Program enrollees get to medically necessary appointments. DHS said the program served more than 250,000 people in 2025 at a cost of $127 million, with participation up about 14% over five years, and described the seven transportation modes, provider enrollment requirements, STS certification, background checks, prior authorization rules, and planned transitions to a single administrator for parts of the program in 2026 and 2027.
DHS officials emphasized fraud prevention efforts, saying NEMT is one of the agency’s high-risk Medicaid services. They described enhanced prepayment review, provider revalidation and site visits, removal of inactive providers, and a provider moratorium in metro counties. Inspector General James Clark said the governor’s anti-fraud proposal would add pre-enrollment risk assessments, more staffing and technology, and electronic visit verification. He also noted that about 80% of NEMT spending is in managed care and that managed care organizations have their own compliance and special investigations units.
Committee members raised concerns about fraud, oversight, and privatization. Chair Robbins questioned DHS about the absence of the commissioner and the program’s use of brokers, citing past concerns and asking about the vendor MTM’s history; DHS said the RFP for the new broker had closed and the vendor selection was still underway. Representative Pinto questioned why oversight is outsourced to managed care organizations and suggested bringing more oversight back in house. MTM representative Phil Stahlberger defended the company’s record, said the Missouri dispute was about contract terms from about 15 years ago, and said MTM currently works in Minnesota counties and many other states, with on-site reviews, trip verification, and complaint review processes. No further votes or final actions on the NEMT policy were taken in the portion provided.
MN
Minnesota 2025 1st Special Session
Working Group on Omnibus Human Services Bill - 06/05/25
Minnesota Senate Floor Meeting
Transcript Highlights:
- stabilization services. stabilization services.
- limits for housing stabilization service limits for housing stabilization services. services. services
- It's a medical service medical service.
- It's a service. It's not a PCA service. It's a medical<01:18:01.280>
service. - services.
Summary:
Members met to review a budget bill agreement using a nonpartisan spreadsheet and summary materials. Chairs and members thanked fiscal, research, revisers, and agency staff for the collaborative process, noting the bill had been difficult and that the final product reflected compromise. The chair also said only minor technical changes were expected before final enactment, and the spreadsheet walkthrough was then turned over to fiscal staff.
Fiscal staff explained that the agreement met the overall budget target and walked through major human services provisions. Key items included nursing facility payment changes, including a phased PDPM change, APS inflation, modified single-bed incentives, and a CPI-U capped payment cap; a nursing facility surcharge; workforce standards board rule costs; continuation of certain nursing facility property tax rates; regulation of for-profit acquisitions of nursing homes and assisted living facilities; repurposing assisted living special project funds; funding the SEIU self-directed worker agreement; CFSS reimbursement in acute care hospital settings; and multiple disability waiver rate and authorization changes, including CPI-U inflation caps, waiver authorization reforms, and a waiver reimagined advisory task force.
The agreement also included family residential service rate increases, a temporary extension of customized living disproportionate share payments, tribal eligibility for targeted case management, positive supports training changes, out-of-home respite modifications, swimming lessons as an allowable service for certain children with disabilities, a provisional EID provider license, and program integrity services funded by licensing fee increases. Additional provisions covered MinnChoices studies and assumed savings, behavioral health fund changes, substance use disorder treatment billing and rate changes, supportive recovery housing, housing support supplemental rates for specific providers, disability determinations, enteral nutrition payment timing, temporary funding for Boundary Waters Care Center, several one-time human services grants, senior nutrition funding, and grant reductions and extensions. No formal vote was described in the transcript; the discussion focused on explaining the agreement and its fiscal effects.
MN
Minnesota 2025 1st Special Session
Committee on Health and Human Services - 02/06/25
Health and Human Services
Transcript Highlights:
- not lower St Cay Valley but the service not lower St Cay Valley but the other<00:03:47.760>
service - and the St Louis County County Services and the St Louis County Services<00:07:05.639>
to <00: - <00:09:24.600>
uh money that would help uh Services uh money that would help uh Services uh - /c><00:14:12.480>
in <00:14:12.680>addition Services the fire service um in addition Services - primary service area ambulance services primary service area with<00:18:40.039>
entities <00:18
Summary:
The Health and Human Services Finance and Policy Committee met on February 6, 2025, for an update on emergency medical services (EMS) policy and implementation. Senator Seberger described the work of the EMS Task Force, which traveled statewide to hear concerns from providers about staffing, reimbursement, and retention. She said the task force led to the Sprint Medic model and two innovation zones in Otter Tail and St. Louis counties, and she urged continued monitoring and possible reconstitution of the task force to evaluate what is working and what could be expanded statewide. She also said future EMS work should continue to explore alternative response models and telemedicine, but that the most immediate need is additional funding, especially to address unpaid non-transport calls.
Dylan Ferguson, director of the newly formed Minnesota Office of Emergency Medical Services, gave a detailed update on the office’s structure and priorities after the transition from the Emergency Medical Services Regulatory Board. He described the office’s three divisions, the appointment of deputy directors, the first meetings of the advisory councils, and work on a statewide EMS strategic plan. He also reviewed the $24 million emergency ambulance aid program, explaining its 40-40-20 formula, the emphasis on rural services, the reporting and spending deadlines, and the positive response from ambulance providers. He noted that the $6 million Sprint paramedic grant program is underway, with Otter Tail County moving forward and St. Louis County still finalizing its application.
Ferguson also outlined the office’s budget request for modest staffing and contract-cost increases, two rulemaking efforts to update outdated ambulance vehicle standards and expand medication options for basic life support services, and ongoing data collection on workforce needs, violence against EMS providers, and ambulance crashes. He highlighted the paramedic scholarship program administered by the Office of Higher Education, saying nearly 300 scholarships have been awarded. Members and Senator Seberger praised the EMS reforms and emphasized that non-transport calls create significant unreimbursed costs, especially for rural and volunteer services, but no votes or formal committee actions were taken during the meeting.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Aug 18th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- be receptive to those kinds of services would welcome additional partners that could provide the services
- What determines whether you offer MAT services or MOUD services to a public health office?
- Most Referrals result in informal services, but if it results in a formal service, the JPO refers the
- also had involvement with protective services, and 34% had some interaction with protective services
- So community service, counseling, behavioral health—those types of services have a lot of...
NH
New Hampshire 2025 Regular Session
House Finance Division III (02/27/2025)
Transcript Highlights:
- We have the Bureau of Drug and Alcohol Services and the Bureau of Homeless Services.
- Services.
- can get into that um service level of can get into that um service level of service<02:50:34.399>
- um the services by the Services um the services by the Community<02:55:26.040>
Mental <02:55:26.439 - <05:18:53.280>
that <05:18:53.400>are services that are the services that are services
Summary:
The House Finance Committee’s Division 3 held a public work session on the Behavioral Health budget on February 27, 2025. The chair opened by explaining the schedule, materials, and deadlines for the budget process, and noted there would be no motions or votes in the division that day. Division of Behavioral Health Director Ktia Fox and DHHS CFO Nathan White then walked the committee through the division’s mission, structure, and budget materials, describing the division’s four bureaus: Mental Health Services, Children’s Behavioral Health, Drug and Alcohol Services, and Homeless Services, along with the policy unit. They emphasized the division’s role in oversight, technical assistance, quality assurance, contracting, and the continuum of care from prevention and early intervention through crisis and residential services.
Much of the discussion focused on major programs and funding lines, including the 988 Lifeline contract with Headrest, a technical assistance contract with UNH, Medicaid pass-through payments to New Hampshire Hospital and Glencliff, crisis response services, cold-weather homeless responses, housing supports, and the children’s system of care. Members asked about the UNH contract, the 988 program, crisis stabilization centers, and the peer certification program; Fox explained that the peer certification is a training-and-credentialing pathway for people with lived experience to enter community-based behavioral health work, not a volunteer program. The committee also discussed the “Choose Love” program, which Fox said was created after the Sandy Hook tragedy to build resilience and strength-based emotional regulation in schools and communities.
On the children’s side, Fox described the system of care account as the place where many contracted services are budgeted, including community mental health centers, care management entities, rapid response services, and residential programs. Members asked about temporary staffing, and Fox said roughly $500,000 in temporary staff costs shown in the current year would not be spent next year because the money came from a nonlapsing appropriation in HB 1573 for oversight of children’s residential services. She also said provider rate increases were a prioritized need but were not funded in the governor’s current budget, and that the Children’s Behavioral Health Resource Center was not funded, resulting in about a $1 million reduction. The session ended while the division was still moving through the children’s behavioral health slides, including questions about the Fast Forward high-fidelity wraparound program and medication management.
MN
Transcript Highlights:
- <00:03:05.519>
to So there are a range of services to So there are a range of services to - Some of these services are schools.
- The last service and support within schools is the School Link Behavioral Health Services.
- <00:35:27.280>
Um, outpatient service benefits. Um, outpatient service benefits. - We need more of the services. We it. We need more of the services.
TX
Texas 89th Regular
Appropriations - S/C on Article II Feb 25th, 2025
Appropriations - S/C on Article II
Transcript Highlights:
- of Health Services, and the Department of Health and Human Services.
- . services, and adult protective services.
- item which is Strengthening Services for Adult Protective Services.
- They're providing services like functional- functional-based family services, therapy services, which
- Health Services.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Labor and Workforce Development Jun 21st, 2026 at 10:00 am
Joint Committee on Labor and Workforce Development
Transcript Highlights:
- It's been reported in State House News Service.
- He also said, 'I don't care for the service...' ...I don't care for the service animal.
- I'm Kim Charlson, and I am a service dog user.
- service dogs.
- Ricky is my service dog and partner. We are a team. Thank you. Ricky is my service dog and partner.
Summary:
The hearing opened with the co-chairs introducing House and Senate members and explaining the hybrid format, three-minute testimony guidance, and the deadline for written testimony. The committee then heard extensive testimony on S. 2665, which would require employers to post notice to employees when an I-9 audit or similar federal immigration inspection is underway. Supporters, including immigration attorneys, a pediatrician, a labor leader, and an affected family member, argued the bill would protect privacy, give workers time to gather documents and consult counsel, and reduce fear and wrongful arrests. One witness from Illinois described a similar law there and said it had not caused the problems employers feared, while others said recent ICE enforcement has made notice especially important. The committee also heard testimony on S. 1360, a bill affecting collective bargaining rights for State Police, with the State Police Association arguing that a statutory gap lets departmental rules override their contract and that the bill would restore intended bargaining protections. A separate labor bill, S. 1305, was also briefly supported by the AFL-CIO as part of broader worker-classification protections for app-based delivery drivers.
A large portion of the hearing focused on H. 2066, which would impose fines on transportation network drivers who refuse rides to people with disabilities using service animals. Testimony from blind and disabled riders, service dog users, advocates, and the Disability Law Center described repeated ride cancellations, drivers pulling away after seeing a service animal, and the difficulty of enforcing existing anti-discrimination laws through MCAD or other agencies. Witnesses said the current system leaves riders without practical recourse because drivers are hard to identify and complaints can take years, and they argued that fines on individual drivers would create a real deterrent. Several witnesses also described the impact on employment, medical appointments, and daily independence. Committee members asked about service-animal verification, whether refusals are ever appropriate, and whether penalties should target drivers or companies; witnesses said legitimate refusals are limited to misbehaving or unsafe animals and that companies already have policies and some training, but enforcement remains weak.
The committee also heard from a witness supporting a related bill on rideshare accessibility and from advocates describing broader transportation discrimination issues. One witness discussed a separate proposal to study service-animal denial, and others noted that Uber’s self-identification feature and company policies have not solved the problem. No votes were taken during the hearing, and the meeting ended after the final witnesses on the service-animal bill and a brief organizational discussion about related legislation and committee business.
FL
Florida 2025 Regular Session
November 18, 2025 - 03:30 PM
Transcript Highlights:
- services that we all struggle, right, and actually going to those services.
- And they provided the service.
- So members don't lose their services.
- So this role places as you can see, the pass to develop innovative services and enhance existing services
- Services are more costly than community mental health services and substance use treatment services.
AR
Transcript Highlights:
- E7, Department of Human Services.
- , orthodontic dental services, and the services of oral surgeons.
- The problem we have is that it says oral surgeons' service, dental services.
- I was one of those people who delivered services, oral surgery services, and I'm not an oral surgeon.
- It does not include the oral surgeon services for adults, the dental services provided by dentists.