Transcript Highlights:

• Mahalo, Jessica, for your service. I yield to my colleague from M.
• Mahalo, Jessica, for your service. I yield to my colleague from M.
• Mahalo, Jessica, for your service.
• for Applied behavioral analysis services for Applied behavioral analysis services to<00:49:48.520
• for home and communitybased service for home and communitybased service waivers<01:00:59.319>

Keywords: 910, house, all

Transcript Highlights:

• Thank you. comprehensive some consulting services comprehensive some consulting services on<00:09:57.920
• contract for physical therapy services contract for physical therapy services for<00:18:39.280><
• "The second contract is with Alley Review Services, and it's for the same service, but Badger deals more
• services and it's for the same service services and it's for the same service but<00:19:52.320><
• c> um<00:23:31.039> legal Eaton Law Services to provide um legal Eaton Law Services to provide

Keywords: 924, joint, all

Transcript Highlights:

• about an amalgam a single service about an amalgam a single service amalgam<00:24:28.000> being
• and other for ABA services um and other intervention<00:31:28.480> services<00:31:28.880> it
• services to your to your point, Senator. services to your to your point, Senator.
• So receiving out of state services.
• cabinet for health and family services. cabinet for health and family services.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• HB 300 by Wilson-Early. to the scholarships under the Texas Armed Services Scholarship Program for the
• AB 2429 by Venditti relating to the funding for the Commercial Service Airport. support projects or for
• HB 2434, by Police, over relating to the purchase of a service credit by a certain.
• Refer to the Committee on Human Services.
• Committee on Human Services, HB 2574 by Harrison.

Keywords: 1184, house, all

Transcript Highlights:

• There's also billing for uncared services, and that would be where a provider bills Medicaid for a service
• c> provider bills Medicaid for a service provider bills Medicaid for a service that<00:13:31.120>
• <00:14:14.639> which Medicaid recipient for a service which Medicaid recipient for a service
• <00:14:44.639> So service or of the goods provided. So service or of the goods provided.
• They also provide services to our 24/7 facilities. So podiatry services at Glen Cliff Home.

Keywords: 1189, house, all

Summary: The committee chair opened by explaining that the committee has expanded from a traditional audit-follow-up role into an oversight role focused on whether audit recommendations are implemented and whether controls are in place to detect fraud. He said the committee was concerned about fraud uncovered in social service programs in other states and wanted to understand New Hampshire’s safeguards, especially around major contracts and program performance. Charles Buchanan, director of the New Hampshire Medicaid Fraud Control Unit, and investigator Tim Brackett described the unit’s structure and mission. Buchanan said the unit, housed in the Attorney General’s Criminal Justice Bureau, investigates and prosecutes fraud by health care providers serving Medicaid beneficiaries, as well as abuse, neglect, and financial exploitation of residents in health care facilities. He outlined common Medicaid fraud schemes such as billing for services not rendered, upcoding, using unqualified staff, drug substitution, kickbacks, supplemental charges, and inflated customary charges. He also described resident abuse/neglect and drug diversion in hospitals, nursing homes, and assisted living settings. Brackett said his role is financial investigator/auditor and noted the unit is grant-funded and must include a prosecutor, investigator, and auditor. The witnesses then explained how cases reach the unit and how they are handled. Most referrals come from the state Department of Health and Human Services’ program integrity unit and from managed care organizations’ special investigations units, which look for fraud, waste, and abuse and refer credible allegations. Other sources include qui tam whistleblower actions, the national Medicaid Fraud Control Units association, citizen complaints, provider referrals, adult protective services law-enforcement referrals, local law enforcement, and federal agencies. Once a referral is received, the unit can accept or deny it; accepted matters may be investigated criminally or civilly, while nonviable matters can be referred back to HHS or other agencies for administrative action, including repayment demands and reimbursement offsets. No votes or formal committee actions were taken in the portion provided.

Transcript Highlights:

• on the service area.
• The services are your basic acute health services, behavioral health services, pharmacy services, and
• Services like transportation, food, other non-medical drivers of health type services.
• When I'm talking about acute health services, that is everything from hospital visits to outpatient services
• to this hospital and get service there.

Bills: HB149, HB252, HB643, HB1442, HB1500, HB1672, HB1851, HB1893, HB2028, HB2768, HB2818, HB149, HB252

Keywords: artificial intelligence, regulation, biometric data, ethical AI, consumer protection, AI governance, employment compensation, state agencies, salary payments, general appropriations, government efficiency, public works, contractors, payment bonds, government contracts, construction law, transparency, open meetings, government accountability, public access

Transcript Highlights:

• I'm their director of housing, health, and human services.
• And that hopefully frees up those services for, These programs hopefully free up those services for people
• To date, we've responded to 128,000 calls for service.
• And really, the spectrum of service has increased.
• We provide short-term follow-up services as well, because if we're not providing the follow-up services

Summary: The Community Safety Committee held an interim work session on crisis response, with members and witnesses discussing how Washington can better integrate 911, 988, mobile crisis, co-response, and alternative response models for behavioral health crises in public spaces. Travis Parker opened with an overview of the Sequential Intercept Model and the crisis care continuum, emphasizing early intervention, 988 access, regional coordination, navigators and peer support, and the need for sustainable braided funding. Several Washington witnesses then described current programs and system gaps, including the growth of co-response teams, the importance of integrating 911 and 988 rather than treating them as competing systems, and the need to reduce unnecessary emergency room use and improve first responder wellness and training. City, fire, and crisis-system representatives described local challenges and reforms. Kim Hendrickson of Poulsbo said most crisis calls still come through 911 and urged better coordination among field-based teams, more behavioral health training for fire/EMS, and more alternatives to ER transport. Laura Pippen, a designated crisis responder, described a strained involuntary treatment system, fewer DCRs statewide, difficulty getting law enforcement support for transports, and limited facility capacity, especially for substance use disorder. Jennifer Stuber and South County Fire’s Keith Sharp highlighted workforce training, a crisis responder certificate program, and first responder wellness efforts. Research witnesses Evan Lauder and James Pine said the evidence is still developing but generally supports on-scene resolution, reduced ED transport and detention in some models, and the importance of clear dispatch protocols, coordination, and ongoing evaluation. Dispatch and program operators then gave examples of how systems are working in practice. Katie Myers of Washington APCO/NENA said 911 remains essential, but needs evidence-based triage protocols, liability protections, and additional funding if it is expected to take on more crisis-response responsibilities. Whatcom County described embedding a “community connector” in the 911 center to coordinate alternative response, while ValleyCom reported that its 988 diversion pilot transferred 2,165 calls with 98% resolved through 988/211 without returning to 911. National examples included Denver’s STAR program, Albuquerque’s Community Safety Department, and Atlanta’s PAD initiative, each showing different ways to route low-acuity or behavioral-health-related calls away from police and toward clinicians, peers, or civilian responders. The session ended with Washington examples continuing, including Whatcom County’s alternative response team, underscoring the committee’s interest in refining and expanding integrated crisis response systems in the next session.

Transcript Highlights:

• Related services.
• grant-f funded services. grant-f funded services.
• different types of services. different types of services.
• different type and quantity of service. different type and quantity of service.
• . services. services.

Keywords: 1187, senate, all

Transcript Highlights:

• And quite frankly, the concern with some of these smaller... or cities that provide services, basic services
• You're going to have to reduce services.
• services draw from surrounding counties.
• For a city like Galveston, we have core services. That's it—core services and our infrastructure.
• The absorption of these services costs us about 1.5% of our general services budget.

Bills: HB26, HB73, SB 14, HB46

Keywords: HB26, law enforcement contracts, sheriff, constable, county commissioners court, commissioners court, private security, special law enforcement district, property owners association, POA, municipal utility district, school district, junior college district, local government, contract policing, supplemental police services, large counties, population over 3.3 million, Texas Local Government Code, Harris County

Transcript Highlights:

• It allows a person who was providing earned wage access services to continue to provide such services
• It allows a person who was providing earned wage access services to continue to provide such services
• access to a service.”
• services for things like this.
• to provide ambulance services if they can demonstrate the ability to provide all services required in

Bills: HB2118, HB2181, HB2308, HB2309, HB2402, HB2476, HB2682, HB2698, HB2875, HB2877, HB2903, HB2910

Keywords: mobile food vendors, licensure, food safety, statewide regulations, health standards, zoning, temporary vendors, HB2181, death certificate, death certificates, vital records, funeral establishment, funeral home, human remains, medical certification of death, death registration, state registrar, local registrar, county medical examiner, alternate medical examiner

Summary: The House Commerce Committee heard and advanced several bills. HB 2181, as amended, would extend the deadline for funeral establishments to submit death certificates from 7 days to a maximum of 14 days and clarify that a provider’s medical certification period excludes weekends and holidays. The sponsor and a mortuary owner testified that the current timeline is often difficult to meet because of weekends, holidays, doctor availability, county delays, and family circumstances. Several members said the bill did not fully address the underlying compliance problems, but the committee adopted the amendment and passed the bill 6-4-1. HB 2682 would create a DES rental assistance program offering up to two months or $5,000 in aid, with a $5 million general fund appropriation for administration. The sponsor and a tenant advocate described the bill as a short-term bridge to prevent eviction and homelessness, while an industry representative said rental assistance is an effective early intervention tool. Some members raised concerns about limiting eligibility to households with children and about program administration, but the bill passed 7-4. HB 2698 would create a rental assistance study committee to evaluate program effectiveness and repeal in 2028; it passed on a 7-4 vote. HB 2476 would revise CPA certification and reciprocity requirements, creating multiple pathways to licensure and updating related rules and fees. Supporters said it would help address a CPA shortage and align Arizona with other states; after clarification from the sponsor and the State Board of Accountancy, the committee passed it unanimously, 11-0. The committee then heard HB 2308, which would bar dental insurers and certain holding companies from owning dental practices; the Arizona Dental Association supported it as a safeguard against vertical integration, while Delta Dental opposed it as overbroad and burdensome. The bill passed 8-0-3. Finally, the committee began hearing HB 2118 on mobile food vendors and local permitting, with the sponsor and food truck operators arguing for streamlined county/state licensing and reduced local duplication, while a vendor representative warned the proposal could affect existing local ordinances and private-property vendors.

Transcript Highlights:

• Following her active duty service, Ms.
• Following her active duty service, Ms.
• Following her active duty service, Ms.
• Following her active duty service, Ms.
• Following her active duty service, Ms.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, November 17, 2025, 1012, house, all

Transcript Highlights:

• Those organizations sign up as a benefit to their employees with these services.
• Like, you're paying for your service, you have the fee clearly lined.
• B, fully and clearly disclose all fees associated with these services.
• I note the FID analysis says that the services provided.
• We are in an economy now that is based on fees for service.

Transcript Highlights:

• We saw a 4% increase in our nutrition services. We saw a 4% increase in our nutrition services.
• enhanced services.
• Nursing services and more enhanced services.
• We are the Department of Veterans Services, and we don't provide services without money and services
• Your services are invaluable, and thank you for your service. Thank you, Senator Padilla.

Keywords: 996, all

Transcript Highlights:

• With IV services, we make sure we monitor the patient throughout the entire service.
• With IV services, we make sure we monitor the patient throughout the entire service.
• <01:56:14.320> We throughout the entire service. We throughout the entire service.
• health system um service provision. health system um service provision.
• Department of Health and Human Services. Department of Health and Human Services.

Keywords: 1189, house, all

Transcript Highlights:

• focus particularly on human services focus particularly on human services nonprofit<00:09:08.160
• um prevent immediate service collapse. um prevent immediate service collapse.
• human services. human services. Next<00:20:38.720> slide<00:20:39.039> please.
• really good important services. Um yeah. really good important services. Um yeah.
• well as any services uh services as well as any services uh conducted<01:45:20.880> at<01:45:

Keywords: 910, house, all

Summary: The House Committee on Human Services held an informational briefing on the impacts of federal funding cuts, inflation, labor shortages, and chronic underfunding on Hawaii’s nonprofit social safety net. Hawaii Community Foundation opened with a story about a federal worker family relying on food pantry support, then described a “perfect storm” facing human services nonprofits: historically high demand, rising costs, staffing challenges, federal cuts, and state and county contracts that do not cover true service costs. The foundation said it has reactivated its Hawaii Resilience Fund, launched strengthened service grants, and is tracking policy changes and data to help nonprofits respond. Trey Gordner of UHERO presented research on the vulnerability of Hawaii’s nonprofit sector, explaining a framework that assessed political, financial, and structural risk. He said about 8,200 501(c)(3) nonprofits are active in Hawaii, but only about 200 receive direct federal funds; 74 grants to 59 organizations were flagged as politically at risk, totaling about $126 million in unpaid obligations. He said about 68 of the direct-funding recipients rely on federal funds for more than 20% of annual revenue, and that human services nonprofits are among the most exposed subsectors because they serve vulnerable populations and depend heavily on federal support. Catholic Charities Hawaii and the Hawaii True Cost Coalition said community-based organizations were already under strain before the current crisis, with most contracts not covering full costs and many groups depending on private philanthropy to fill gaps. They reported that half of surveyed organizations expect to reduce programs, more than a third may decline future contracts, and some are waiting months for reimbursements. Examples included reduced shelter admissions, fewer case management hours, and cutbacks in kūpuna services. The coalition urged higher contract rates, regular inflation and cost-of-living reviews, and timely reimbursement; no votes or formal actions were taken. Partners in Development Foundation described the loss of Native Hawaiian education funding as especially damaging, saying the federal Department of Education has zeroed out support that creates a roughly $46 million gap, including about $20 million for early childhood programs. The speaker shared a family story from the Nā Pono program to illustrate how early learning services support both children and parents, and warned that the organization’s federal funds make up 72% of its budget. The briefing ended with a call for continued emergency funding and longer-term structural changes to sustain nonprofits statewide.

Transcript Highlights:

• neighboring em emergency service neighboring em emergency service departments<00:09:55.480> of
• of our pre-service of our pre-service training<00:14:38.560> training<00:14:38.880> that
• <01:30:38.360> when misdemeanor and Adult Services when misdemeanor and Adult Services when
• <01:32:22.880> this competent um re-entry services this competent um re-entry services this
• very robust um Community work service very robust um Community work service program<01:32:37.440

Keywords: 1187, senate, all

Transcript Highlights:

• opened up to all civil legal service opened up to all civil legal service providers<00:11:40.480
• The bus service is unpredictable.
• The bus service is unpredictable.
• Yeah, no, it's Adult Client Services, Adult Client Services. Thanks.
• probation to adult Client Services probation to adult Client Services Services Services Branch<02:23

Keywords: 910, house, all

Summary: The House Committee on Judiciary and Hawaiian Affairs heard House Bill 4000, the Judiciary’s biennium budget bill for FY 2026-2027. Judiciary Director of Policy and Planning Brandon Kimura testified in strong support, outlining operating requests of about $6.17 million in FY 26 and $6.25 million in FY 27, 17 permanent positions and one temporary position, plus $9.9 million in capital improvements. He described funding needs for specialty courts, preparations for the Wahiawa District Court, an additional district court judge and staff for Kona, cybersecurity upgrades, the Criminal Justice Research Institute, statewide priority items, and restoration of several essential staff positions. He also said the Judiciary was seeking an additional $2 million for the Children’s Justice Center relocation lump sum because updated estimates had risen to about $8 million. The committee also discussed potential impacts from uncertain federal funding and asked for written follow-up on those risks and on the capital request, including coordination with Budget and Finance. Several organizations and individuals testified in support of the Judiciary budget, including the Hawaiʻi State Bar Association, Legal Aid Society of Hawaiʻi, and legal service providers. Mioko Eto asked for an additional $1 million for civil legal service providers, explaining that the current funding is spread across multiple providers and that the need remains high. David Copper of Legal Aid supported the request, citing statewide demand, 105 staff, 7,100 cases closed in the past year, and 15,000 calls received, while noting that many people seeking help cannot be served because of capacity limits. He also said recent federal funding disruptions and proposed cuts could affect legal services and related programs. Committee members asked about the Criminal Justice Research Institute’s mission; Kimura said its primary statutory role is to build a database focused on pre-trial reporting and data analysis, though it is also working on probation and mental health-related projects. No vote or final action on HB 4000 was taken in the hearing excerpt provided.

Transcript Highlights:

• We're already working with Legislative Council Service.
• Care services are being provided at higher costs.
• services.
• Are we set up to provide services? Who's providing those services?
• now are provided services.

Transcript Highlights:

• Through these services, we assisted more than 116,000 Floridians.
• Again, Adrian alluded to a lot of the different services.
• So that means they've completed their services with us.
• But we are also looking at those who are participating in services from blind services or vocational
• , which are great services that you have.

Summary: The subcommittee met to receive an informational presentation from CareerSource Florida President and CEO Adrian Johnson, joined by Anthony Gagliano of CareerSource Suncoast, on the structure, funding, and services of Florida’s workforce development system. Johnson explained that CareerSource serves job seekers and businesses through 21 local workforce development boards and nearly 100 career centers, using federal and state funding streams such as WIOA, Wagner-Peyser, SNAP Employment and Training, and TANF. She described services including case management, training, wraparound supports, job matching, rapid response for layoffs and disasters, and business services such as recruitment, customized training, and on-the-job training. She also highlighted the REACH Act’s role in consolidating local boards from 24 to 21, creating the Master Credential List and Credential Review Committee, and implementing performance-based letter grades for local boards. Members asked detailed questions about funding formulas, letter grade metrics, apprenticeships, youth services, small business access, and the demand occupation list. Johnson said federal allocations are driven largely by unemployment and poverty formulas, which has reduced Florida’s WIOA funding by about $27 million over four years because of the state’s low unemployment rate. She explained the letter grades measure outcomes such as increased earnings, reduced public assistance, employment and training outcomes, work-based learning, business engagement, and service to individuals in certain programs, and said the system is being reviewed for possible changes, including removing extra credit and adjusting weights. On youth services, she said Florida has a waiver allowing a 50/50 split between in-school and out-of-school youth funding, and that local partnerships drive outreach. On the demand occupation list, she said it is based on state labor market data and projections, but local boards can submit evidence of local demand when data does not reflect conditions in their area. A substantial portion of the discussion focused on apprenticeships and workforce training grants. Johnson and Gagliano described apprenticeship navigators funded by the $7.75 million apprenticeship expansion allocation, which help employers navigate registration and expand apprenticeships into nontraditional fields such as IT, health care, education, and hospitality. Gagliano gave examples from CareerSource Suncoast and said navigators helped employers move faster through registration and develop programs with local education providers. Johnson also discussed Incumbent Worker Training Grants and Quick Response Training Grants, noting recent awards of nearly $3 million to 69 businesses and $6.5 million to 24 businesses, respectively, and said these programs are targeted toward high-skill, high-wage occupations and priority industries. The meeting ended with no votes or formal action; the chair thanked the presenters, invited follow-up questions, and adjourned the meeting without objection.

Transcript Highlights:

• County and tribal social services use SSIS to track, manage, and pay for social services.
• leadership and their social service leadership and their social service agencies<01:15:36.800>
• hungry um and I work in social services hungry um and I work in social services at<01:37:59.960>
• those services.
• up paying for those services.

Keywords: 1187, senate, all

Summary: The Health and Human Services committee heard a presentation from Department of Children, Youth, and Families Commissioner Tiki Brown on the department’s 2025 budget and transition plans. Brown said the governor’s budget pairs targeted reductions with modest investments, resulting in net general fund savings, while preserving core safety-net programs. Major proposals included funding for program integrity, modernization of the child welfare SSIS system, compliance changes for the Child Care Assistance Program (CCAP), operating adjustments, and a transition account reallocation as the new department continues moving programs from other agencies through July 1, 2025. A large portion of the discussion focused on CCAP fraud prevention and oversight. Brown and Assistant Commissioner Diane Hy explained that the proposed statewide electronic attendance recordkeeping system would replace retroactive paper-based attendance reporting with more timely data, making it harder to falsify attendance and claim payments improperly. Brown also said the department is working with the Department of Human Services Office of Inspector General and other partners on compliance and fraud controls. Senators pressed for more detail on current enforcement, whether payments can be withheld for violations, and whether recent media reports showed gaps in oversight; Brown said payments can be stopped for false attendance records, suspended or revoked licenses, or fraud allegations, but not for health and safety violations alone. The committee also reviewed other budget-neutral policy changes, including expanding permanency support services for relative foster care and tribal equivalents, strengthening tribal child welfare grants, updating TEACH scholarship rules for early childhood educators, and adjusting the Great Start Compensation Support Payment Program to create a special revenue fund and extend a 10% payment increase to tribally licensed programs and programs on tribal reservation land. Brown also described a $1.5 million annual reduction to restorative practices grants, leaving a smaller ongoing base. No votes or formal actions were taken during the hearing.