Transcript Highlights:

• Services including the services provided under the Medicaid managed Care and Child Health plan programs
• Committee and Human Services.
• Issue 44,830 by FELA relating to the regulation of service contractors and service contract providers
• The 211 service provider for the Texas Information and Referral Network on Human Services, HB 4839 by
• the Committee and Human Services.

Transcript Highlights:

• I think running a 24-7 crisis line is a unique service delivery model, and it's a service delivery model
• And unfortunately, because this is a new service to the state, but it's not a new service to us.
• Because this is a new service to the state, but it's not a new service to us.
• health crisis services.
• health crisis services.

Keywords: 988, house, all

Summary: The joint oversight hearing focused on AB 988 implementation and suicide prevention in California Indian communities. Members and the chairs emphasized that 988 was intended to create a behavioral health crisis system with “someone to call, someone to come, and somewhere to go,” and then turned to the disproportionate suicide burden facing Native youth and the need for culturally responsive outreach and services. Assemblymember Bauer-Kahan, the bill’s author, said the law has already saved lives but argued that key parts of the system—especially interoperability between 911 and 988, mobile crisis dispatch, and adequate funding—are not yet working as intended. The first panel of stakeholders and call center leaders largely said California’s 988 network is underfunded and not fully integrated. Speakers from the Steinberg Institute and 988 California said call, text, and chat demand has grown sharply, but staffing and funding have not kept pace, leaving text/chat answer rates far below the state’s goals and sending many contacts to out-of-state backup centers. They also said mobile crisis teams are not being dispatched through 988 statewide, and that the state’s current governance and funding structure is too fragmented. WellSpace Health and other providers described 988 as the “front door” to crisis care, urged more stable funding, and recommended broader use of the CCBHC model to support mobile crisis and behavioral health infrastructure. San Joaquin County offered a local success story, describing a countywide crisis continuum that links 988, mobile crisis, behavioral health access lines, and follow-up services through warm handoffs and coordinated outreach. County officials said the model has reduced reliance on emergency departments and involuntary holds, and they noted that local partnerships and repeated community meetings were key to implementation. Members asked about staffing, tribal outreach, and how to make the system more measurable and interoperable; panelists said staffing projections should be based on actual call volume and contact length, and that tribal-specific outreach has often depended on temporary grant funding. State officials from CalHHS and DHCS then described the five-year implementation plan, the roles of multiple agencies, and current performance data. They said California’s 988 system has handled more than 74,000 contacts in a recent month, with in-state answer rates of 87% for calls and lower rates for chats and texts, and that unanswered contacts are routed to backup centers. They highlighted training efforts, LGBTQ+ competency work after the end of the federal “Press 3” option, and efforts to improve reimbursement for mobile crisis services. No formal votes or committee actions were taken during the hearing.

Transcript Highlights:

• <00:04:19.479> provided survivors the types of services provided survivors the types of services
• and resources and other services and resources and other services including<00:04:34.199> those
• We need lawmakers to take immediate action to ensure that services for all crime victim service providers
• about how it's impacting Direct Services about how it's impacting Direct Services organizations<
• Services provided by us as service Services provided by us as service providers<00:26:12.919>

Keywords: 1187, senate, all

Transcript Highlights:

• Thank you for your service. Thank you for what you've done.
• Veterans Service Officers.
• Veterans Service Officers.
• called to service alongside them.
• called to service alongside them.

Keywords: 987, senate, all

Transcript Highlights:

• to the services that they deserve. to the services that they deserve.
• Services in the counties. Services in the counties.
• services.
• . services. services.
• > residential service recipients of residential service recipients of residential services<01:

Keywords: 1187, senate, all

Transcript Highlights:

• 04:07:28.720> service service customers are default service service customers are default service
• So, um, default service customers should pay for default service costs.
• So, um, default service customers should pay for default service costs.
• competing on default service. competing on default service.
• We are providing one service. They are providing a different service.

Keywords: 1189, house, all

Transcript Highlights:

• <00:02:33.240> are much-needed and necessary services are much-needed and necessary services
• can still get the services they need. can still get the services they need.
• service without a replacement ready. service without a replacement ready.
• . service. service.
• services versus just scattered services services versus just um<00:21:14.000> you<00:21:14.080

Keywords: 1183, house

Transcript Highlights:

• , and the elimination of remote services. and behavioral services.
• waiver services. waiver services.
• services program. services program.
• the commissioner of human services. the commissioner of human services.
• human<01:44:19.199> services human services human services >> and<01:44:19.920> and

Keywords: 918, senate, all

Summary: The joint hearing opened with chairs explaining that the program integrity omnibus bill is a combined draft assembled from individual member bills and governor proposals, many of which had already been heard in committee. Members emphasized the compressed end-of-session timeline, said the language was not yet ready for enactment, and invited continued revisions as the bill moves next to judiciary and finance. Several speakers stressed the need for bipartisan collaboration, while also warning that the Legislature must act this session on program integrity rather than defer reforms. The fiscal staff then walked through a spreadsheet showing the bill’s overall budget effects and major provisions. The package includes DHS proposals on transforming human services, market- and receipt-based rate reform, enhanced program and payment integrity, uniform service standards, nursing facility rate changes, ICS reforms, and a repeal/redesign of housing stabilization, along with child care assistance integrity and human services redesign items in DCYF. Staff highlighted that the bill combines multiple sources, including governor proposals and member bills, and noted several items that are also in the supplemental human services budget. Committee discussion focused heavily on prepayment review, remote supports, ICS, and provider accountability. Chairs said the bill would codify prepayment review with a 60-day notice requirement after providers were caught off guard by prior rollout, and that remote supports and ICS language were placeholders or under active debate. One member argued the system needs stronger standards but cautioned against harming compliant providers, while another urged the committee to learn from good providers and warned against repeating failed implementations. Staff also reviewed thematic indexes covering billing and service delivery oversight, EVV, administrative reform, licensing and background studies, provider enrollment, sanctions, and child care provider compliance training. No formal votes were taken in the portion provided. The hearing ended with staff beginning the index walkthrough and members indicating that posted amendments would be considered as the bill advances through the remaining committees.

Transcript Highlights:

• service demands.
• Has the service ever partnered with, say, like a veteran service organization?
• Commission approved service changes for both the CAT Bus and our paratransit services.
• This is a local service.
• This is a local service.

Keywords: 908, all

Summary: The Government Finance Transportation Study Subcommittee met to review fixed-route transit systems and related funding needs. After approving the prior meeting minutes, the committee heard presentations from Cities Area Transit in Grand Forks/East Grand Forks, Bisman Transit in Bismarck-Mandan, and MATBUS/Fargo, along with comments from North Dakota Protection & Advocacy. The transit agencies described their routes, paratransit services, ridership trends, fare structures, fleet replacement needs, and rising operating costs, emphasizing that transit supports access to work, school, medical care, and other essential services. Testimony also noted that ridership fell during the pandemic and has been recovering, while vehicle and maintenance costs have risen sharply. Grand Forks transit reported 17 routes, a recent fare increase, and operating costs that exceed fare revenue, with paratransit service extending beyond the federal minimum service area. Bisman Transit outlined its fixed-route and paratransit operations, recent service expansions, local mill levies, sales tax support, and federal grant structure, and said it is seeking more stable funding and flexibility beyond paratransit-only support. Minot’s transit superintendent explained the state’s existing transit aid formula, the use of refurbished buses, and the challenges of driver recruitment and electric bus infrastructure. Fargo asked for additional state support for fixed-route urban transit. Committee members discussed whether ride-share services could replace transit, the cost per trip, local match requirements, and whether a separate state funding source should be recommended for the four urban fixed-route systems. The subcommittee ultimately approved a motion to have Legislative Council prepare a summary of its activities for inclusion in the full Government Finance Committee report, and members indicated they would seek more detailed funding figures from the transit agencies before making any specific recommendation.

Transcript Highlights:

• services unit.
• We're the ones providing the direct service.
• I've worked for the Department of Developmental Services for the past 32 years as a service coordinator
• The statement testimonial from my office is for all the service coordinators and the service coordinator
• I help individuals obtain residential and vocational services, and those services enable individuals

Keywords: 995, all

Summary: The committee heard testimony on several retirement and workforce-related bills. House Bill 2980 would place county correctional nurses and certain medical staff into Group 4 retirement. Representative Trino, Middlesex Sheriff Peter Koutoujian, and nurse manager Leanne Cameron argued that correctional nurses work in dangerous, high-stress settings with frequent contact with incarcerated people, high rates of mental illness and substance use in the jail population, and significant workplace violence, and that the change would help recruitment and retention with limited statewide fiscal impact. The committee also heard Senate Bill 210, which would create a commission to study additional regular compensation and annual expenses for members of the General Court. Senator John Keenan said Massachusetts has high leadership stipends compared with other states and argued the current structure can affect independence and public trust. Representative O'Day testified on House Bill 2928 to extend Group 2 retirement to additional Department of Children and Families social workers, and SEIU 509 witnesses described frequent transport of children, crisis response, threats, assaults, and other high-risk duties that they said match Group 2 work. Additional testimony supported House Bill 2943 for DDS service coordinators and supervisors, with witnesses describing home visits in unsafe conditions, transport of vulnerable individuals, direct care during staffing crises, and exposure to violence. House Bill 2899 drew support from the Association of Social Work Boards for social work field placement grants, incentives for supervisors, and expanded retirement benefits for DCF social workers. The committee also heard Senate Bill 2613, a local retirement bill for Salem police officer Kathleen Roachville, who described a severe line-of-duty injury during an arrest involving a combative person in a mental health crisis. Finally, Susan Smith Campbell testified for reclassifying certain DYS administrative officers into Group 2 because of their direct involvement in restraints, assaults, and crisis management. After testimony concluded, the committee adjourned without taking any votes.

Transcript Highlights:

• But in terms of paid services, we have about 44,000 individuals that receive a paid service.
• , and DD, or long-term care services.
• The rest are receiving services under home and community services.
• We've cuts to HCBS service.
• It cuts pediatric therapy services and visiting nurse services. Complex kids.

Summary: The committee heard testimony on the effects of H.R. 1 on Washington’s Medicaid, developmental disability, long-term care, and food assistance systems, followed by a separate discussion of juvenile rehabilitation caseloads and placement capacity. DSHS officials said HR1 could affect home equity rules, immigration-related eligibility, work requirements for some expansion-population enrollees, and provider taxes, while also creating a future opportunity for a new 1915(c) waiver. Advocates and providers warned that any state response that cuts home and community-based services would worsen already thin provider networks, increase waiting lists, push more people into hospitals or out-of-state placements, and strain families and workers. A pediatric behavioral health expert and a supported living provider said Medicaid reimbursement is already too low and further reductions would threaten outpatient, residential, and inpatient services for people with intellectual and developmental disabilities and severe behavioral needs. The committee then turned to SNAP and the state food assistance program. DSHS said HR1 would tighten work requirements and exemptions, end some immigrant eligibility for the federal program, eliminate the SNAP education program, raise state administrative costs, and eventually require Washington to share in benefit costs based on its error rate. Officials estimated large numbers of residents could lose or see reduced benefits, with significant added state costs. Anti-hunger advocates, a food bank director, and a SNAP recipient described the program as essential for low-income families, seniors, and people with disabilities, and said the changes would increase paperwork, reduce benefits, and worsen food insecurity while also harming local food economies. Testimony emphasized that food banks cannot replace SNAP and that work requirements may be difficult to meet for caregivers, people with disabilities, and those facing child care or transportation barriers. In the juvenile justice portion, the Caseload Forecast Council presented the JR forecast, which is currently mostly flat through the end of the biennium but expected to grow modestly over the longer term. Members discussed how policy choices, including the 2019 JR-25 law, have increased lengths of stay for adult-sentenced youth in JR, while diversion and other reforms have affected regular JR trends. A court researcher explained the data available to help forecast admissions and noted ongoing efforts to improve data sharing with JR, AOC, and county systems, though staffing and system-lag issues limit how quickly data can be produced. Juvenile court administrators and DCYF officials described the community-based juvenile justice continuum, rising complexity in the JR population, overcrowding at Green Hill and placement constraints at Echo Glen and Harbor Heights, and the need for more flexible community transition and mental health capacity. No votes were taken.

Transcript Highlights:

• . financial services.
• provided to service.
• Issue 4830 by Phelan related regulation of service contractors and service contract providers and administrators
• The 2-1-1 service provider. for the Texas Information and Referral Network for commenting on human services
• facilities or for the Committee on Human Services.

Bills: HB9, HB22, HB908, HB1392

Keywords: property tax, ad valorem tax, tangible personal property, income-producing property, business personal property, tax exemption, local government finance, appraisal district, chief appraiser, rendition statement, property tax relief, small business, commercial property, leased property, related business entity, unified business enterprise, tax situs, Texas Tax Code, local taxing unit, constitutional amendment

Transcript Highlights:

• which additionally provide CFI services. which additionally provide CFI services.
• services that might be cut? services that might be cut?
• services and supports funding. services and supports funding.
• long-term services and supports in it. long-term services and supports in it.
• better services. better services.

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:

• Housing Stabilization Services Program.
• service.
• A less expensive service, like a transition service.
• as a service program.
• case management services?

Transcript Highlights:

• , and other services, etc.
• So I oversee the Bureau of Developmental Services and Adult and Aging Services.
• services and adult and Aging Services services and adult and Aging Services thank<01:42:43.599><
• for 988 services.”
• for 988 services.”

Keywords: 1191, senate, all

Transcript Highlights:

• gender-affirming care services.
• These services include an initial needs assessment with linkage to appropriate long-term services and
• Aging services, HIV care, primary care, behavioral, Aging services, HIV care, primary care, behavioral
• So if you think about, for example, the service... Services they need.
• Something like the navigation services or legal services that he was mentioning?

Summary: The committee held an inaugural hearing on the health care and support needs of older LGBTQ Californians, with members and witnesses emphasizing that this population has made major gains in rights and longevity but still faces discrimination, isolation, economic insecurity, and gaps in services. Opening remarks highlighted concerns about older LGBTQ people entering nursing homes and feeling forced back into the closet, as well as the growing number of Californians aging with HIV. The hearing was structured into three panels, with public testimony considered if time allowed. The first panel focused on the overall health and support landscape. Justice in Aging described survey findings showing discrimination, poor health, difficulty with errands, and economic insecurity among older LGBTQ Californians, and warned that federal Medicaid cuts and broader federal actions could worsen access to home- and community-based services and culturally competent care. CalHHS and the Department of Aging described the Master Plan for Aging, the first statewide LGBTQIA older adult survey, and efforts to support gender-affirming care, PACE, care management, and community supports. Witnesses stressed the need for better outreach, data collection, and a “no wrong door” approach so people can more easily find and access services. The chair and senators pressed the departments on how survey findings are being translated into concrete action and how state agencies are coordinating across silos. The second panel addressed health care for seniors living with HIV. A longtime survivor described severe financial and benefits consequences from a federal clawback and argued that California needs stronger legal, navigation, and housing supports, including HIV-specific housing funding. The Department of Aging reported on implementation of SB 258, saying it has educated area agencies on aging, added HIV data to planning tools, and found that 20 of 33 area agencies identified HIV as a target population, with 16 including specific strategies. The Office of AIDS outlined Project Cornerstone, Ryan White, ADAP, HOPWA, a Medi-Cal waiver, and PrEP-AP, noting these programs serve thousands of older clients and that local case managers are expected to coordinate whole-person care. Case managers and advocates said housing, food, transportation, mental health, and premium assistance remain major needs, and senators asked whether future ADAP rebate funds could support navigation, housing, and other gap-filling services. The final panel turned to transgender, gender nonconforming, and intersex seniors. The Department of Social Services described protections under SB 219, including nondiscrimination notices, resident rights postings, required records for preferred names and pronouns, and annual inspections of licensed facilities. The Department of Public Health and a TransLatin Coalition leader were introduced to discuss additional supports for TGI seniors. Across the hearing, members repeatedly returned to the themes of visibility, coordination, and implementation, asking departments to follow up on how they will better connect services, improve outreach, and ensure that existing laws and programs are actually reaching the people they are meant to serve.

Transcript Highlights:

• <00:09:15.040> to for the Department of Human Services to for the Department of Human Services
• also important is that those Services also important is that those Services help<00:10:19.560>
• uh the costs for our home Services uh the costs for our home health<00:10:31.440> services<00
• :10:31.800> are<00:10:32.040> increasing health services are increasing health services
• Services, then it would be beyond just a lack of services.

Keywords: 910, house, all

Summary: The committee heard several Human Services measures focused on Medicaid access, long-term care benefits, home health reimbursement, SNAP administration, trauma-informed child welfare, and child abuse reporting. HP 702 would increase funding for Medicaid in-home services if federal matching funds are secured, and testimony from disability advocates supported the measure as needed to help people with disabilities cover medical expenses. HB 1477, described as a correction to a prior session’s mistake, would clarify that the monthly needs allowance for certain long-term care residents does not replace state supplemental payments and would raise the ceiling by $25 to fix the prior issue and by an additional $20 as a new benefit; DHS supported it with amendments, and the committee indicated it would amend accordingly. HB 713 would fund a DHS rate study for home health services, with the Healthcare Association of Hawaii strongly supporting it and describing rising labor costs, losses on Medicaid patients, and access concerns if agencies cannot keep serving Medicaid clients. HB 1099 would appropriate emergency funds to DHS after a USDA penalty tied to SNAP response times, with supporters including Catholic Charities Hawaii, Hawaii Public Health Institute, and others arguing the money should be reinvested in staffing and systems to improve access and avoid further penalties. HB 1079 would direct the Office of Wellness and Resilience and DHS to create trauma-informed assessments and training for Child Welfare Services staff; testimony from state offices and advocacy groups supported it, citing the Mālama ʻOhana Working Group, staff burnout, and the need for a sustainable train-the-trainer model. Finally, HB 239 would narrow when failure to provide a child’s needs constitutes abuse or neglect, but DHS raised concerns that the current wording could broaden abuse findings and leave families in poverty without a clear safety net, while the Honolulu prosecutor’s office opposed it, warning it could weaken mandatory reporting and hinder investigations of child abuse. No formal votes were taken in the portion provided, though the chair said HB 1477 would be amended and several measures were left open for further questions and testimony.

Transcript Highlights:

• that provide services to seniors. that provide services to seniors.
• prevention services. prevention services.
• to services to get those. to services to get those.
• fee-for-service claims. fee-for-service claims.
• Human Services. Human Services. Madam<01:39:07.160> Chair.

Keywords: 1187, senate, all

Transcript Highlights:

• Last year, Navy Region Northwest Fire and Emergency Services responded to 2,769 total calls for service
• Last year, Navy Region Northwest Fire and Emergency Services responded to 2,769 total calls for service
• We have services, both at the active duty as well as the VA, that often assume the service member is
• We have services, both at the active duty as well as the VA that often assume the service member is the
• We have case management services. We have telehealth services.

Summary: The committee heard updates from Joint Base Lewis-McChord, Navy Region Northwest, Fairchild Air Force Base, the Coast Guard, state licensing agencies, the Professional Educator Standards Board, the Washington National Guard, and a veterans behavioral health presenter. Across the military briefings, common themes were readiness, infrastructure, and quality-of-life issues for service members and families, especially child care, housing, food insecurity, medical and dental access, and military spouse employment. JBLM highlighted its role in Indo-Pacific readiness, ongoing PFAS cleanup, 212 new family housing units under construction, efforts to expand child care, and continued work to keep the Lewis Army Museum open. Navy Region Northwest discussed its major installations and economic impact, the Shipyard Infrastructure Optimization Plan, future carrier and submarine homeporting needs, and asked the legislature to continue support for licensure compacts, educational stability for military children, housing, and medical access. Fairchild emphasized its tanker and survival missions, child care shortages, food insecurity, aging housing, and concerns about wind turbine development near flight paths, while the Coast Guard focused on rebuilding Base Seattle for new icebreakers and on rural access to housing, medical care, and child care at dispersed stations like Neah Bay. Members repeatedly raised food insecurity and asked for follow-up on solutions. JBLM and Fairchild both described increased demand for food assistance during the shutdown, and committee members noted progress in getting mobile food vans onto JBLM. The presenters also praised state action on military spouse licensure and child care, including Senate Bill 5545 and related compact and portability efforts. The Department of Licensing reported about 9,000 self-identified military members or spouses licensed, with average time-to-license just under nine days, and said applications are prioritized when military status is self-identified. The Department of Health said its military-to-civilian crosswalk now covers more than 35 health professions, that temporary practice permits and expedited processing are in place, and that 1,300 credentials were issued to military spouses and domestic partners and 129 to military-trained health professionals in the last fiscal year, all within 30 days. The Professional Educator Standards Board explained that military spouses and service members can receive expedited teacher certification with reduced documentation, and that they are moved to the front of the review queue when they self-identify. Members asked about verification, and staff said the process relies on attestation with investigatory safeguards if needed. The Washington National Guard briefed on its dual state and federal mission, the impact of the recent shutdown on nearly 700 employees who worked without pay, and policy and budget requests including youth academy protections, alignment of the Washington Code of Military Justice with the UCMJ, making Civil Air Patrol a division of the Military Department, 911 funding, disaster assistance, and capital funding for headquarters and readiness facilities. The Guard also warned about drone threats and said it wants authority to identify, track, and monitor suspicious drones. A veterans behavioral health presenter, an Army combat veteran and clinical social worker, described high suicide risk, barriers to care, and the need for more culturally competent services, especially for women veterans and caregivers. He said Washington veterans’ suicide rate remains above the national average and emphasized that childcare, transportation, and provider shortages can prevent timely treatment. Members generally responded supportively throughout, asked for follow-up on food security and other issues, and encouraged agencies to bring forward legislative ideas for future sessions.

Transcript Highlights:

• . services. services.
• justice services.
• justice services.
• > and services, connection to services, and services, connection to services, and community<01
• service services for adolescent service expansion?

Keywords: 1191, senate, all