Transcript Highlights:

• services to meet their needs.
• We work with our veterans service organizations, get the word out about how they can access these services
• Thank you for your service.
• PTSD or other problems as a result of military service we have 4 service officers that work in conjunction
• The state is far and away, in my opinion, uh, the best services, the most comprehensive services of any

Transcript Highlights:

• of Social Services.
• human service agencies.
• welfare services we can provide.
• , legal services, and more.
• , legal services, and more.

Summary: The Assembly Budget Subcommittee on Human Services held an informational hearing on child welfare, foster care, child support, and related prevention efforts. The chair opened by emphasizing mandated reporting reform, foster care system improvements, and community-based prevention, and noted that no votes would be taken. Public testimony focused first on mandated reporting, where a lived-experience advocate and several organizations argued that the current system overreports families, especially Black, Native, and Latino families, causes trauma, and should be reformed through standardized training, clearer thresholds, and stronger community supports rather than more hotline referrals. Casey Family Programs cited data showing nearly 90% of reports are unsubstantiated, while CDSS said it is already forming a Mandated Reporting Advisory Committee, updating training, and exploring community pathways and possible changes to the list of mandated reporters. CWDA and SEIU supported training and alternative response concepts but stressed child safety, county capacity, funding, and the need for careful implementation and accountability. The committee then discussed a proposal to create a foster care multi-agency office within the California Health and Human Services Agency, led by a chief foster youth advocate with authority to coordinate across departments. Advocates said foster youth often need services from education, health, housing, and behavioral health systems that do not coordinate well, and argued that a central office with real authority could improve placement stability and access to services. CDSS responded that existing structures already provide coordination, including AB 2083 interagency teams, the Child Welfare Council, complex care steering committees, and the foster care ombudsperson, but said it was open to technical assistance. Members raised concerns about whether the new office would have enough authority and funding to avoid becoming another layer of bureaucracy, and the chair emphasized the need for real “teeth” and better interagency action. The final major topic was the continuation and expansion of Promise Neighborhoods. A community leader described strong early results from the state-funded neighborhoods, including improved kindergarten readiness, reduced chronic absenteeism, higher graduation rates, food access, housing supports, and mental health services, but warned that current funding sunsets in June 2025 and that a fiscal cliff could jeopardize staff and services. CDSS said the four funded neighborhoods have reported positive outcomes and valuable flexibility, but also noted challenges with one-time funding, student mental health, and long-term planning. Assemblymember Mia Bonta urged continued investment, saying the place-based model is difficult to rebuild once lost, and the chair asked LAO to help identify the minimum funding needed to preserve the existing infrastructure while evaluation results are still pending.

Transcript Highlights:

• service standard for ICS service service standard for ICS service providers providers providers
• services.
• intensive services. intensive services.
• intensive services. intensive services.
• , Services, services, I believe.

Keywords: 1187, senate, all

Transcript Highlights:

• , health care services, developmental on the collaborative work between the departments of social services
• , health care services, developmental services, and the Health and Human Services Agency to support eligible
• Health Care Services?
• Partners coordinated to create a web of services to eliminate gaps in service delivery for families.
• And in some cases, they use it to provide direct services, and other cases indirect services.

Keywords: 988, house, all

Summary: The Assembly Budget Subcommittee on Human Services held an informational hearing focused largely on the implementation of federal HR1 changes and their effects on CalFresh, Medi-Cal, and related county workloads. CDSS, DHCS, DDS, CWDA, LAO, and Finance discussed the CalFresh able-bodied adult without dependents time limit, with CDSS saying about two-thirds of affected adults are already known to be exempt in the system and that roughly 200,000 more could be auto-exempt through new data matches with DHCS and DDS. Officials said those exemptions should be in place by mid-August, before the first possible discontinuance in October, and that counties would receive policy guidance, handbook updates, and client-facing materials. DHCS said Medi-Cal work requirements would be implemented later, with rules and testing completed ahead of a January 2027 rollout, and noted automatic exemptions for some IHSS-related cases. CWDA urged more county staffing and funding, citing examples where high-touch outreach improved exemptions, reduced churn, and increased participation, while warning that without additional resources counties expect delays, higher error risk, and reduced engagement. The committee also discussed a possible CFAP Plus expansion to provide state-funded food benefits to people losing CalFresh eligibility under HR1. CDSS said implementation could not occur before the planned October 1, 2027 CFAP expansion timeline and would depend on final policy choices, system design, and the complexity of adding new eligibility groups. Finance cautioned that any benefit expansion would carry significant General Fund costs, potentially in the hundreds of millions or more. Members asked for written timelines, county-by-county impact data, and feedback on trailer bill language, and CDSS agreed to provide follow-up materials and technical assistance. A separate item reviewed the CalFresh strategic plan and the revision of CDSS’s online mandated reporter training. CDSS said the strategic plan lead position should be posted in May and that the plan would be data-driven and collaborative. For mandated reporter training, CDSS reported that the revised curriculum is being developed with lived experts and stakeholders, will include content on structural racism, ICWA protections, implicit bias, and the distinction between reporting and supporting, and is on track to launch in fall/winter 2026 ahead of the statutory deadline. The committee also heard updates on Promise Neighborhoods, where advocates described strong outcomes and argued for continued and expanded state support, including AB 1969 to deepen partnerships with community schools; members emphasized the need for more stable braided funding and institution-building rather than short-term program funding. The hearing concluded with updates on the Stop the Hate program and housing assistance programs. CDSS said Stop the Hate has provided direct services, prevention and intervention programming, and statewide coordination, reaching millions through outreach and serving more than 11,200 people through transformative grants; advocates urged reauthorization and more targeted funding for solidarity, harm reduction, legal services, and education. Finally, CDSS said proposed one-time investments of $55 million for H-DAP and $105 million for HSP would help avoid funding cliffs and maintain homelessness prevention and housing stabilization services through 2026-27, while the absence of new funding would force reductions in emergency housing assistance, rental subsidies, and enrollments. No votes were taken during the hearing.

Transcript Highlights:

• Services.
• Refer the Committee on Pensions, Investments and Financial Services.
• Of Personal assistance services under the Community Limiting Assistance and Support Services class waiver
• Services.
• and related services and the provision of Medicaid reimbursement of certain services to certain public

Transcript Highlights:

• <00:02:55.360> special receive special service special receive special service special education
• forward<00:02:58.720> this services I'm bringing forward this services I'm bringing forward
• c> or<00:04:36.479> away vendor to provide services at or away vendor to provide services
• contracted service providers.
• > is Services stripping these Services is Services stripping these Services is absolutely<01:26

Keywords: 928, house, all

Summary: The House Education Policy and Administration Committee heard testimony on HB 222, which would repeal the requirement that a chartered public school and the resident school district sign a memorandum of understanding on how students with disabilities will receive special education services. The prime sponsor, Rep. Peggy Balboni, said the bill was requested by the New Hampshire Association of Special Education Administrators and the New Hampshire Alliance for Public Charter Schools. She argued that federal and state law already require districts to provide FAPE and that the MOU requirement has created extra work, legal costs, and delays without improving services. She said many MOUs remain unsigned, but students are still receiving services and complaint numbers have not changed. Rep. Mooney also supported repeal, calling the MOU duplicative and impractical because IEPs and 504 plans already govern services. Testimony from Jane B. Brulu of the special education administrators’ association and Beth McLure of the charter schools alliance echoed that view, saying the MOU has not helped students, has added hours of work and legal fees, and has mostly been a source of disputes over funding and service costs. McLure said her school has worked with more than 15 districts and has always been able to reach agreements, though the first year of the requirement took substantial time and money. Committee members asked about the original purpose of the law, unsigned MOUs, and whether disputes could be resolved without the requirement. A representative from the Department of Education said the MOU was originally proposed to address reports that some students were not getting services on time and to provide some oversight, but the department has no authority to order charter schools or districts to agree and no appeal process if they cannot. The department also said it does not currently audit charter school special education services because it lacks authority to monitor charter schools directly, and it urged the committee to consider some alternative oversight if the MOU requirement is repealed. The hearing on HB 222 was then closed, and the committee announced it would begin the hearing on HB 699 after a short break.

Transcript Highlights:

• services.
• services.
• services.
• And so we paid for those services through fee for service pending that.
• They're receiving services. How are those students... Services.

Summary: The committee heard budget presentations and took executive recommendations on several Department of Human Services divisions, including Aging, Adult and Behavioral Health Services; Children and Family Services; County Operations; Developmental Disability Services; and Medical Services, with most divisions showing little or no significant change in total appropriations. Staff and agency witnesses repeatedly explained that many large appropriations are maintained for flexibility, federal matching requirements, or contingency needs, even when actual spending is much lower than the authorized amount. Members also raised concerns about staffing vacancies, long-vacant budgeted positions, and the use of excess appropriation authority across DHS. In Aging, Adult and Behavioral Health, members questioned federal funding levels for mental health and substance abuse grants, the status of senior centers and Meals on Wheels, the Medicaid tobacco settlement program, community alcohol safety grants, and the veterans mental health grant. Agency officials said federal block grants are largely committed, that senior center funding had been delayed by shutdown timing but was now back on track, that the tobacco settlement program had been moved internally within DHS, and that the veterans mental health appropriation remains unfunded. Senators also criticized the adequacy of support for seniors and asked for more detail on how transportation, meal services, and local contributions are funded. In Children and Family Services, members asked about rising appropriation levels, foster care and adoption subsidies, professional fees, the number of children in foster care, and the Children’s Trust Fund. DHS said increases reflect added flexibility for residential treatment, adoption subsidies, and prevention services, while the foster care population has remained fairly steady at about 3,400 children. The Children’s Trust Fund was described as supporting primary prevention programs such as Baby and Me and community schools, and members asked whether it could be administratively combined with other efforts. Questions also covered TANF subgrants, with DHS explaining that it had reduced outside subgrants after discovering over-obligation and was rebuilding reserves. In County Operations, members focused on the summer EBT program, SNAP employment and training, the farmer’s market program, and the state’s TANF reserve position. DHS said summer EBT is still being funded through temporary appropriations because it is a newer program, SNAP employment and training is largely federally funded and may expand under a pending policy change, and TANF reserves were drawn down after prior over-obligation but are now being stabilized. In Developmental Disability Services, members asked about vacancies, human development center staffing, facility construction funds, and the Booneville work program, and DHS said the program has reopened and staffing recruitment continues. In Medical Services, members asked about FMAP, the Our Kids B CHIP program, school-based Medicaid reimbursements, nursing home distress funds, and several large appropriation lines that far exceed actual spending; DHS said these are maintained for claims payment, nursing home receivership contingencies, and other flexibility needs. Each division reviewed was adopted by executive recommendation after questions concluded.

Transcript Highlights:

• They're waiting for services that could transform their lives.
• Yes, and on the services, because I know the pilot is offering services that may not have been included
• For an individual to receive iBudget waiver services, it is a mandatory service to receive waiver support
• We don't want to duplicate services.
• We want to make sure those kids are getting appropriate services.

Summary: The committee heard and advanced several bills related to children, families, elder affairs, mental health, disability services, and child care. SB 1050 on the Agency for Persons with Disabilities was amended and reported favorably after discussion of expanding the voluntary IDD managed care pilot statewide, improving transparency on the APD wait list, creating a statewide family care council, addressing transition services for youth leaving foster care, and seeking federal approval for an adult pathways waiver. Testimony from providers and a parent emphasized workforce capacity, county-level identification of clients, Medicaid delays, and the importance of keeping the pilot voluntary; the bill passed with support and some discussion about possible future clarifications on services and Medicaid eligibility. The committee also passed SB 1310, which directs OPPAGA to evaluate student mental health outcomes tied to school mental health assistance funding, and members discussed the need for better data, coordination with managing entities, and avoiding duplication of services. SB 976 on court-appointed social investigators was amended and approved, with the sponsor describing due process protections and fee-shifting provisions for parents challenging court-appointed psychologists. SB 886, creating a crisis care coordination team pilot in Volusia and Polk counties to reduce Baker Act recidivism and improve follow-up care, was reported favorably after the sponsor described its law enforcement and community provider partnerships and an independent evaluation requirement. Later, SB 614 on child care facility and program background screening requirements was amended and passed; the bill requires a public educational webpage explaining Level 2 screening, the clearinghouse, disqualifying offenses, exemptions, and related job listings and timelines. Finally, SB 276 on sheltering or aiding unmarried minors was approved; it increases the offense from a first-degree misdemeanor to a third-degree felony, creates a presumption regarding knowledge of the minor’s age, and adds a defense when the conduct was necessary to protect the minor from danger. All bills considered were reported favorably, and the committee adjourned at the end of the meeting.

Transcript Highlights:

• their service lives. Okay. their service lives. Okay.
• or end of service life.
• or end of service life.
• of service life. of service life.
• service and likely to remain in service service and likely to remain in service for<00:22:52.400

Keywords: Meeting Start 00:00:00 KentuckyWired Communications Network Authority 00:01:20 Artificial Intelligence and Free Expression 00:38:40, 958, all

Summary: The committee questioned KCNA officials about the Kentucky Wired network refresh, focusing on whether the equipment truly needed replacement now and what the vendor end-of-support dates were for the network’s layer 1, 2, and 3 equipment. Senators and representatives pressed for invoices, purchase orders, and vendor documentation, and KCNA staff explained that end-of-support dates vary by specific model and component, not just by broad product family. KCNA agreed to provide a detailed list of components, part numbers, and support dates, and acknowledged that some requested documentation had not yet been produced. A major point of discussion was the timing of the system refresh. KCNA said the 10-year refresh schedule comes from the project agreement, specifically Schedule 19, Section 2.1B, which requires the first system refresh to be completed by September 3, 2026. Committee members argued the network equipment appears to remain in service life for at least the next two years and questioned why an upgrade would be needed immediately. KCNA responded that failing to complete the refresh could excuse the service provider from contractual obligations and could constitute a material breach or default under the project and bond documents. Members also asked about network capacity and the impact on schools and state users. KCNA said it would need to check with Quark for an exact utilization figure, while the chair cited prior testimony that schools account for about 80% of traffic and KCNA about 20%. The committee raised concerns about schools not connected to the network and the effect of KCNA’s actions on continuity of service, while KCNA disputed that K-12 service had been put at risk. KCNA also explained the contract and payment structure: the Commonwealth’s project agreement runs through Kentucky Wired Infrastructure Corporation/Quark, with KEDA-issued bonds and funds flowing through Quark in a waterfall structure. The meeting ended with KCNA agreeing to request underlying vendor invoices from Quark, provide the requested contract documents, and supply information on the status of the wholesaler replacement procurement and related litigation. No formal vote was taken.

Transcript Highlights:

• <00:09:49.399> and for the committee on human services and for the committee on human services
• of Human Services with comments.
• For 125 years, Child and Family Service has been providing family strengthening services from keiki to
• Family Service we Echo the comments uh Family Service we Echo the comments uh of<00:14:07.759> the
• Services Network is Judy Services Network is Judy Here<00:14:55.920> Am<00:14:56.920> uh

Keywords: 910, house, all

Summary: The House Committee on Human Services and Homelessness met on February 6, 2025, and heard testimony on several measures. HB 44, which would appropriate funds to the Department of Human Services to work with community-based organizations on social services needs, drew broad support from nonprofit providers and coalitions that said contracts and reimbursement rates have not kept pace with the actual cost of services, leaving agencies unable to retain staff or meet demand. DHS said it supported the bill’s intent but asked for clarification because the language was broad and did not specify which organizations or how funds should be allocated. Committee members and the bill’s introducer discussed how to make the measure more specific and equitable, including whether to set a percentage increase, use a baseline date, and direct DHS to distribute funds among different program areas; the True Cost Coalition and DHS agreed to follow up in writing with proposed language and a funding number. The committee then heard HB 1349, which would authorize Medicaid/CHIP coverage for income-qualified pregnant persons and children regardless of immigration status. Supporters, including the Legal Clinic, Aloha Care, and the Hawaiʻi Coalition for Immigrant Rights, said the bill would improve prenatal and child health, reduce the chilling effect of immigration enforcement on care-seeking, and help prevent premature or underweight births by ensuring earlier access to providers. DHS provided comments and the committee asked where the measure would fit in the budget; the department identified the relevant budget code. Written testimony in support came from multiple advocacy and health organizations and dozens of individuals. Finally, the committee heard HB 613, which would appropriate funds to DHS for emergency shelter and services for unaccompanied homeless youth. The Office of the Public Defender, the Statewide Office of Homelessness and Housing Solutions, the Office of Youth Services, Rise, the Hawaiʻi State LGBTQ+ Commission, and others supported the bill, emphasizing youth homelessness, the need for coordinated shelter and outreach, and the high share of LGBTQ+ youth among homeless minors. OYS asked that the committee consider funding its existing Safe Spaces pilot rather than creating a new program, while DHS said it supported the intent but wanted clarification because multiple department programs could be implicated. No votes were taken during the hearing; the chair instead requested follow-up language and funding information for HB 44 and continued the measures for further consideration.

Transcript Highlights:

• I'm a program manager for the Developmental Disability Services Division of Oklahoma Human Services.
• So that’s an example of the individual has to fit their description of the service, not the service fit
• You brought up services. What are those services that you guys do in the schools?
• are different and provide different types of services and even different philosophy of services.
• That could be a service.

Summary: The meeting focused on integrated employment and related services for people with intellectual and developmental disabilities, with testimony from several provider agencies and state officials. Robin Arder and Belinda Stevens of ThinkAbility described how their organization supports people through residential services and self-created businesses because community employers often are not ready to hire people with disabilities. They said rigid service rules, difficulty fitting individuals into existing job definitions, and reimbursement requirements can prevent person-centered employment supports. They also reported that, in their experience, employees had not lost benefits when work was coordinated carefully with Social Security and benefits management. Tina Hannah of South Central Industries described a broad business model that includes manufacturing, janitorial and highway contracts, state-use products, a food truck, and an entertainment trailer, along with an adult day program and residential services. She said the organization uses a temp-service style model to make employers more comfortable and noted barriers such as employer concerns about productivity, lack of awareness of tax credits and accessibility resources, and the need for consistent job coaches. Miranda Figueroa of A New Leaf said her agency is moving toward a more person-centered model, including a Transition Academy for young adults that combines independent living instruction, community college classes, internships, and follow-along support; she said the program has an 85% placement rate but is expensive and not eligible for traditional student aid because it is not accredited. She also cited barriers including dual diagnoses, workforce readiness, and low reimbursement rates. Angela Decker and Deborah Copeland of DRTC described their long-running enclave contracts and a new Community Skills and Connection program that uses interest-based cohorts, community exploration, and volunteer experiences to build skills and networks tied to employment. They said the agency is phasing out its 14(c) subminimum wage certificate by the end of the year and is trying to expand community-based opportunities. DRTC and other providers emphasized the need to blend DDS and DRS services more effectively, reduce restrictive rules such as line-of-sight requirements, and better support people in congregate living settings. DRS representatives said the agency does provide school-based transition services, employer accommodations, and job carving support, and noted federal reporting requirements tied to wage outcomes. Members also discussed safety concerns, employer education, data collection, ABLE accounts, and the role of schools in preparing students for work and community life. The co-chairs proposed organizing the task force into three working groups: in-school/transition services, program support and service blending, and community integration/employer engagement. No votes were taken, and the meeting ended with plans for further working-group discussion and follow-up on data and policy ideas.

Transcript Highlights:

• , or no service at all.
• The city has tried to take the service area to provide better service.
• But if it's one that you're going to put service on, how fast does that service come online?
• Two, have they requested service? And three, have they met your requirements for service?
• , expand service, and grow service.

Bills: SB863, SB1190, SB1261, SB1413, SB1624, SB1662, SB1663, SB1855, SB1967, SB2124, SB2204, SB1623

Keywords: Edwards Aquifer, water conservation, reclaimed water, aquifer storage, environmental protection, water loss, municipally owned utilities, Texas Water Development Board, administrative penalties, water audit, water infrastructure, water supply, state water plan, water management strategies, water financing, municipal bonds, revenue bonds, public debt, obligations, TWDB

Transcript Highlights:

• This is Assembly Budget Subcommittee 2 on Human Services.
• disorder services, pharmacy, dental, vision, and other long-term services and supports.
• inform policy, program, process, and service change.
• such as the Department of Health and Social Services.
• supportive services to housing.

Summary: The Assembly Budget Subcommittee on Human Services heard an overview of efforts to streamline access to safety net programs and move toward more automatic, person-centered enrollment. CDSS, DHCS, and CalHHS described current cross-enrollment between Medi-Cal, CalFresh, and CalWORKs, including data showing high overlap among programs and a text-message outreach pilot that increased CalWORKs applications and enrollments but reached only a small share of potentially eligible people. Witnesses emphasized barriers such as differing federal eligibility rules, data-sharing limits, privacy concerns, and the need for better technology, consent management, and stakeholder engagement. Members pressed the administration on how to institutionalize these efforts across administrations and asked for concrete budgetary and regulatory steps to support “no wrong door” enrollment and automatic referrals. The committee also reviewed several chair priorities. On the proposed foster care multi-agency office, CDSS said existing coordination structures already address much of the intended work and asked to verify prior fiscal scoring. On the Employment First Office, CalHHS explained that the office’s $1 million budget was eliminated in the 2024-25 budget as part of deficit reductions, while noting that employment for people with intellectual and developmental disabilities remains an administration priority through existing departmental coordination. For the food insecurity proposal, CDSS said it could provide technical assistance but would need new data-sharing agreements, could not separately calculate a CFAP participation rate with current data, and would likely need until July 1, 2027, plus ongoing staffing, to complete the requested report. The mandated reporter proposal drew support for reform, with CDSS estimating low-millions in one-time training costs and ongoing costs in the hundreds of thousands. The subcommittee also discussed a guaranteed income proposal. CalHHS suggested drafting new statutory language and considering a county-administered model rather than a state-run competitive grant process to reduce administrative burden, while members and public commenters urged support for AB 661 and a study of a permanent statewide guaranteed income program. Public testimony also supported automatic enrollment, community-supporting mandated reporting reforms, and cash assistance for fire recovery. In the final items, CSD described how local nonprofit partners helped during the Los Angeles fires with food, housing vouchers, transportation, and emergency energy assistance, and explained that LIHEAP and CSBG remain important but limited tools for disaster response. CSD also said recent federal staffing cuts and possible future federal budget threats could affect LIHEAP and CSBG administration, though no immediate service disruptions had occurred and additional LIHEAP funds were expected to be released soon.

Transcript Highlights:

• assessment of services follows agency assessment of services and<00:04:03.799> functions<00:04
• costeffective and transparent services costeffective and transparent services that<00:16:21.360>
• These services include overseeing the state's annual purchasing of $3.7 billion in goods and services
• , security services, or consulting services.
• Consulting Services Security Services uh Consulting Services Security Services uh Consulting Services

Keywords: 1183, house

Transcript Highlights:

• the services.
• Will not allow individuals who need services but aren't on services until July 2026.
• So, for fee-for-service, of course, fee-for-service is our smaller program, largely served by Native
• and substance use services, and how we can access those services.
• Services.

Transcript Highlights:

• I'm a programs manager for Developmental Disability Services Division of Oklahoma Human Services.
• To DRS services.
• of services and even different philosophy of services.
• like is… Of services.
• That could be a service.

Keywords: 914, all

Summary: The committee/task force met with several disability service providers to discuss integrated employment, transition services, and barriers to community jobs for people with intellectual and developmental disabilities. Robin Arder and Belinda Stevens of ThinkAbility described creating their own businesses when community employers were not hiring their clients, and said rigid service rules, employer readiness, bullying, and reimbursement structures often force the person to fit the service rather than the service fitting the person. They said they have not seen clients lose benefits, but they do closely manage reporting to Social Security and related supports. Tina Hannah of South Central Industries described a broad business model that includes manufacturing, janitorial work, city beautification, state-use contracts, a food truck, and an entertainment trailer, along with an adult day program and residential services. She said many employers are hesitant because of productivity and cost concerns, and that businesses are often more open to contracting with her agency than hiring individuals directly. Miranda Figueroa of A New Leaf said her agency is moving toward a more person-centered model with sheltered work, volunteer sites, paid contracts, and a Transition Academy. She said the academy is a two-year program focused first on independent living and then on employment, with internships and an 85% placement rate, but funding is a major barrier because the program is not accredited and students cannot access traditional aid. She also cited dual diagnoses, inconsistent job coaches, and employer uncertainty as major obstacles. Angela Decker and Deborah Copeland of DRTC described DRTC’s long-running enclave contracts, a new Community Skills and Connections program, and a plan to phase out 14(c) subminimum wage use by the end of the year. They said the new program is designed to keep people engaged in community-based skill-building and networking while families still need day supports, and that DRTC has developed more than 100 community partnerships. Senator Kirt, Rep. Hefner, and participants discussed broader system issues, including the need for better school-to-work transition, more social integration, transportation, safety, and employer education. DRS staff said the agency is already required to provide pre-employment transition services in schools starting at age 14 and offers employer accommodations support and job-carving assistance, though they acknowledged federal reporting expectations and service rules can be restrictive. Several participants raised concerns about line-of-sight restrictions, congregate living rules, benefit cliffs, and the difficulty of moving from DDS to DRS services. The group also discussed the need for better data and possible working groups focused on in-school transition, program support and blending services, and community integration. No formal votes were taken.

Transcript Highlights:

• guess the Department of Human Services guess the Department of Human Services went<00:02:48.080>
• provided um services may be an option. provided um services may be an option.
• government to provide those services. government to provide those services.
• through them just as the Department of Human Services does in the fee-for-service model.
• services were even provided.

Bills: HF3043, HF2891

Keywords: public safety, illegal remunerations, healthcare fraud, grants, criminal penalties, state law, grants management, state employees training, certification, monitoring grants, accountability, grant fraud, 1183, house

Transcript Highlights:

• quality for phone service.
• This is not just for voice. service, but it also includes broadband services.
• or a bundled voice and broadband service as well.
• That includes broadband service.
• We have the new concierge service, which I think everybody now wants concierge Caltrans service You've

Keywords: 988, house, all

Transcript Highlights:

• provider for the service.
• <00:13:05.639> so<00:13:05.920> if services provider for the service so if services
• We're an emergency service.
• 14:36.079> service<00:14:36.440> for doing essential service for doing essential service
• No provider, no service.

Keywords: 928, house, all

Summary: The subcommittee discussed three ambulance reimbursement bills and tried to distinguish their approaches. House Bill 185 would require insurers to pay the full amount billed by an ambulance provider when there is no contract rate, with no balance billing to the patient; the Insurance Department clarified that emergency ambulance services are already covered under the benchmark plan, so the bill’s reference to policies without ambulance coverage is effectively meaningless. House Bill 725 would set reimbursement at 325% of the Medicare rate for non-contract ambulance services and prohibit balance billing. House Bill 316 was described as addressing the broader problem that Medicare/Medicaid rates are low and that current balance billing shifts costs to patients or municipalities; its sponsor said the bill would require insurers to pay a rate that gives providers a fighting chance to remain in business, and he viewed 325% of Medicare as the most logical option. Members debated whether insurers should pay the billed amount, a negotiated in-network rate, or a regulated percentage of Medicare. Some argued that out-of-network ambulance providers are underpaid and that in-network rates are often too low to sustain service, especially for emergency providers who cannot steer patients. Others said ambulance companies should not be able to bill whatever they want and questioned the fairness of charging insured patients or insurers more than the service is worth. There was also discussion of whether rate schedules should be reviewed by an oversight body and whether different costs in rural areas justify different reimbursement levels. A recurring issue was balance billing and who ultimately bears the shortfall. Several members said balance billing harms patients and often does not get paid, leaving cities and towns or property taxpayers to cover the difference for municipal ambulance services. Others argued that shifting the cost to insurance premiums would spread the burden more fairly, though it could raise premiums by a few dollars per person per month. No vote or final action was taken in the excerpt; the discussion focused on clarifying the bills and weighing their policy tradeoffs.

Transcript Highlights:

• <00:03:46.680> next<00:03:46.879> slide Services next slide Services next slide please<
• already are taxing uh a lot of services already are taxing uh a lot of services uh<00:41:47.160>
• banking service fees on Title Services banking service fees on Title Services closing<00:57:26.920
• payment services uh Loan Servicing payment services uh safety<00:58:21.720> deposit safety deposit
• service charges Trust Services Bank bank service charges Trust Services safe<01:09:46.600> deposit

Keywords: 1183, house