Transcript Highlights:

• A portion of the state housing prevention services also supports legal and tenant advocacy services that
• So I had a couple of slides I wanted to share with you today.
• I do want to share that we took a slightly different tack.
• And amazingly, the majority of our services do focus on cooling.
• It increases our shared grid's capacity and reliability.

Keywords: 907, all

Summary: The committee met for a series of information sessions focused on housing stabilization, rental assistance, senior housing, and heat resilience. In the first panel, OHCS and NOAA described the state’s affordable housing preservation work, including the $35 million in 2025 stabilization funding used to reduce debt and keep distressed affordable rental projects operating, plus manufactured home park preservation efforts. OHCS said the portfolio remains under strain, with about a third of projects at debt coverage ratios of 1.0 or less and rising insurance and operating costs. NOAA urged faster closings on the stabilization awards, more funding in 2027, and broader rent assistance and process reforms. Committee members asked about the gap between current appropriations and need, and OHCS explained that the new Article 11-Q bond preservation program is structured differently and requires full refinancing rather than simple cash infusions. The committee then heard a detailed discussion of the state’s eviction prevention and rental assistance program, ORDAP. OHCS said the program is administered through community action agencies, prioritizes households at imminent risk of eviction, and is now funded at a much lower level than in the prior biennium, reducing expected service to about 8,200 households this biennium. The Oregon Law Center, a county community action agency, and Multifamily Northwest all agreed the program prevents homelessness and is effective, but they differed on whether assistance should be tied so closely to eviction court. Legal aid and community action witnesses said the current system is underfunded and that eviction filings are the clearest indicator of need, while Multifamily Northwest argued the process can push people into court unnecessarily and should be moved earlier when possible. Legislators raised questions about whether a pre-eviction model could be developed and about the costs of court involvement; one member shared a personal story about how rental assistance helped keep their family housed. Next, the governor’s office, OHCS, and OHA presented on the new senior housing initiative and healthy homes work. The governor’s housing director said Oregon is making progress on homelessness and housing production, with reductions in homelessness outside Multnomah County and an estimated 50,000 future units added to the pipeline through recent state actions. OHCS outlined the senior housing programs launched in May: a debt-financing program using elderly and disabled bond authority, an older adult housing development program funded through the senior property tax deferral revolving account, and a rehousing program for older adults that will use bridge funding and services to move at least 400 unsheltered older Oregonians into housing. OHA also described its Healthy Homes Grant Program, including $24.6 million already awarded, a new $5 million grant round for seniors and people with disabilities, and examples of home repairs and weatherization that help people remain safely housed. The final information session focused on home cooling and heat resilience. OHA presented data showing rising extreme heat days, more heat-related emergency visits, and likely undercounted heat deaths, especially among older adults, people with disabilities, low-income communities, and people without access to healthy homes. ODOE reviewed implementation of Senate Bill 1536, including a cooling needs study that found 58% of surveyed households in the studied housing types needed permanent cooling, with estimated statewide costs of $582 million to $1 billion. ODOE said its rental home heat pump and community heat pump programs have supported 4,638 installations so far, with a temporary reopening planned using remaining funds. The session ended with a remote presentation from a Community Action Partnership of Oregon representative, continuing the discussion of how community action agencies help deliver energy and anti-poverty services.

Transcript Highlights:

• services.
• services.
• services.
• More IMD services.
• housing services.

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• ,<00:07:32.400> the humanity that we all share, the humanity that we all share, the grounding
• > our Through shared stories about our Through shared stories about our families,<00:16:45.120
• <00:18:27.919> is When we remember that public service is When we remember that public service
• It was about service.
• Service was at the core of her serve.

Keywords: 1183, house

Transcript Highlights:

• Department of Human Services.
• Um I'm joined here this Services.
• and social services. and social services.
• military service members of all states. military service members of all states.
• and share the need.

Keywords: 912, senate, all

Summary: The Senate Committee on Health and Human Services held an informational briefing on the federal shutdown’s impact on state benefits, with the main focus on SNAP. DHS Benefit, Employment and Support Services Division Administrator Scott Morish explained that SNAP serves about 86,229 households statewide, or 168,947 individuals, and averages roughly $58–60 million in monthly federal benefits. He said USDA directed states to suspend November SNAP benefits effective November 1 if the shutdown continues, while existing October balances on EBT cards remain usable and cash benefits such as TANF, General Assistance, and AABD are not affected. DHS said it has continued processing applications, recertifications, interviews, and required reporting, and has posted public guidance on its website. Morish also reviewed other SNAP-related changes taking effect November 1 under the One Big Beautiful Bill Act, including expanded able-bodied adult work requirements and tighter non-citizen eligibility rules. He said the work requirements now extend from ages 18–54 to 18–64 and apply to additional groups previously exempt, while only lawful permanent residents, COFA residents, and Cuban or Haitian entrants will remain eligible among non-citizens. He also noted Hawaii’s ongoing SNAP benefit reduction tied to a federal calculation error in the thrifty food plan, which has lowered benefits by about $8 per person per month for the past three years. On the state response, DHS said it is working with the Hawaii Food Bank and seeking $2 million in state funding to support it, and is also developing a Hawaii Relief Program using TANF reserve funds. The program is intended as a short-term housing and utility assistance program for families with dependent children under 300% of the federal poverty level, with up to four months of assistance. Senators questioned why rainy day funds were not being used and whether the state could directly fund EBT cards; DHS responded that the TANF approach was the fastest available option, that EBT delivery involves significant technical and administrative mechanics, and that the department is still in discussions with the vendor and other stakeholders about additional options.

Transcript Highlights:

• Business services supported residential services.
• for your phone service.
• of access to basic service, not just to voice service.
• So you clearly have a sensibility of the market share for wireline services.
• service standards, right?

Keywords: 988, house, all

Transcript Highlights:

• Services Association, in opposition.
• But I share Ms. Carlton's comments.
• I definitely share some of the concerns of the opposition.
• Thanks for letting us share our concerns. We respectfully oppose.
• Gonzalez with Sacred Heart Community Service.

Summary: The committee heard testimony on several bills related to reproductive access, child safety online, immigration enforcement in schools, health privacy, location data, digital provenance, reparations, and age assurance. AB 54 would protect the medication abortion supply chain and shield providers and others from liability; AB 1137 would strengthen reporting and enforcement tools for child sexual abuse material on social media; AB 49 would limit ICE activity at California public schools; AB 82 would expand privacy and safety protections for gender-affirming care patients and providers; AB 1355 would restrict the collection, use, and sale of precise location data; AB 853 would expand provenance requirements for AI-generated and authentic content; AB 62 would create a pathway for restitution for racially biased eminent domain takings; and AB 1043 would create a device-based age assurance framework for online services. Supporters generally framed the bills as necessary responses to current harms: reproductive rights advocates emphasized California’s role as a safe haven; child safety witnesses described the persistence and re-victimization caused by CSAM online; immigrant rights and education advocates said schools should remain safe from immigration enforcement; health and LGBTQ+ advocates stressed privacy and safety risks tied to tracking and harassment; privacy and consumer groups backed limits on location data and stronger provenance tools; and reparations advocates said AB 62 would help address historic injustices. Opposition came from family policy, tech, business, law enforcement, and industry groups, who raised concerns about safety claims, constitutional issues, implementation burdens, transparency, law enforcement access, and the need to preserve existing privacy frameworks and voluntary standards. The committee members largely expressed support for the policy goals while noting implementation concerns on some measures. Several members asked for or were offered coauthor status on bills. AB 1137, AB 54, AB 49, AB 82, AB 1355, AB 853, and AB 62 all received do-pass votes to Appropriations, with some members voting no or not voting on certain bills. AB 1355 and AB 853 were advanced with amendments or ongoing work promised with opponents, and AB 1043 was presented with discussion of possible amendments on parental consent and age assurance details, though the transcript cuts off before final action on that bill.

Transcript Highlights:

• If they request to have the services continued, the health plan cannot reduce the services as it plays
• services in certain geographical areas.
• For institutional care services, approximately 71,000 individuals were there for hospice services and
• ;  399 SERVICES AND APPROXIMATELY 38 TO 181 AND FOR HOME  AND COMMUNITY BASED SERVICES APPROXIMATELY
• Most of us share that desire.

Summary: The Health Facilities Subcommittee met to receive implementation updates from the Agency for Health Care Administration on three bills passed in prior sessions. First, Deputy Secretary Brian Meyer reported on the transfer of the Children’s Medical Services managed care plan from the Department of Health to AHCA under HB 1085. He said the move was administrative only, with no change to enrollment, providers, services, or clinical eligibility functions, and that it was intended to create efficiencies by aligning procurement and shifting staff resources between agencies. Members then questioned AHCA about reports of reductions in private duty nursing and therapy services for medically fragile children, including concerns about appeals, provider credentialing, and whether families were losing services or being transitioned appropriately. AHCA said it was reviewing denials, monitoring the plan, and using contractual remedies while focusing on maintaining access for members. The committee also reviewed implementation of a bill creating permanent Medicaid eligibility for individuals with permanent disabilities. AHCA staff explained that the agency had submitted a federal 1115 waiver request after public comment and stakeholder meetings, but CMS had indicated it did not anticipate approving the requested authority. Members pressed AHCA on why the waiver was submitted later than the bill’s directive date and on whether the delay was avoidable. AHCA said the waiver was complex and required review, drafting, and public input, and noted that DCF already has a specialized unit to help with redeterminations while the agencies work on operational changes. The committee discussed the practical impact on families who struggle with annual eligibility renewals and the need for clearer communication and faster follow-up from the agency. Finally, AHCA presented on the home health aide program for medically fragile children and related Medicaid eligibility changes. The agency described the 2023 law that created a family caregiver provider type and the 2025 changes that increased the hourly rate, expanded hours, reduced training requirements, and removed caregiver earnings from Medicaid eligibility calculations, subject to federal approval. AHCA said it had completed state public comment, submitted the waiver amendment to CMS, and was awaiting federal action. Members raised concerns that some families may have enrolled or begun work before the eligibility fix was in place and may have lost benefits, especially in Broward County. AHCA said it would work with affected families and plans, review outreach through DCF and the health plans, and continue rulemaking, system updates, and provider training. The meeting ended with the chair noting that the committee had received the updates and adjourned without objection.

Transcript Highlights:

• One of the services I receive is Louisiana Rehabilitation Services.
• Thank you for the opportunities to share my story. My name is opportunity to share my story.
• One of the services I receive is Louisiana rehabilitation services. is Louisiana rehabilitation services
• In that visit, they share every struggle, they share every frustration, and most impactfully, they share
• And those services cost more.

Keywords: 974, senate, all

Transcript Highlights:

• by the state and federal governments, including in-home supportive services, developmental services,
• So of course, the lion's share of this is Social Security and Medicare.
• from our Human Services Agency including 240,000 Medi-Cal enrollees.
• I want to say I share the opening remarks by Mr.
• It's about attacking our basic ability. to provide human services and healthcare services to Californians

Keywords: 988, house, all

Transcript Highlights:

• I share your concern.
• . services. services.
• systems, etc., to have Minit as a shared services entity.
• each to have shared services instead of each to have shared services instead of each agency<01
• a shared services entity. a shared services entity. and<01:31:21.120> then<01:31:21.280><

Keywords: 1183, house

Transcript Highlights:

• service operations look like.
• This is coming from the department classifying how food services can be provided, ranging from Services
• So, food services funding comes from a So, food services funding comes from a few different sources.
• unopened items on a share table.
• Smith had shared.

Keywords: 916, all

Transcript Highlights:

• accessing more services.
• Services and physical therapy service who could not get them.
• based service.
• We did add some services that we referred to a few years ago as evidence-based services, and there was
• a specific package of about five services, I believe, that we added to the behavioral health services

Keywords: 996, all

Transcript Highlights:

• THE SERVICE FOR CERTAIN SERVICES THEY MAY BE ASKED TO UPLOAD PROOF OF VARIOUS CERTIFICATIONS FOR THE
• I CAN RESERVE SERVICES. SAY I WANT TO DO A MONTHS WORTH OF SERVICES I CAN ADD THEM TO MY CART.
• AND EACH TIME A SERVICE ORDER IS RESERVED AS WELL AS EDITED OR CANCEL THE SERVICE PROVIDER WOULD RECEIVE
• THANK YOU FOR THE SERVICES.
• THEY SHARE THAT WITH US.

Transcript Highlights:

• We are not reducing services.
• those services for people.
• We think Department of Health Care Services and Social Services is a better model.
• services.
• setting or service type.

Keywords: 988, house, all

Transcript Highlights:

• Services.
• Services, Department of Developmental Services, I think, are the big cost drivers in human services.
• This immigration legal services funding is million dollars for these services.
• services, foster care services, and adoptions.
• Services.

Keywords: 988, house, all

Summary: The Assembly Budget Subcommittee on Human Services held a hearing on the Governor’s May Revision, with no votes taken. The first major discussion focused on child care and early education, including proposed reductions tied to federal Child Care and Development Fund and Proposition 64 revenue changes, the shift of reductions from general child care to the California Alternative Payment Program, the end of funding for prospective pay implementation, a 2.01% cost-of-living adjustment, child care infrastructure grants, and a proposal to increase administrative funding for alternative payment agencies. The Legislative Analyst’s Office generally supported removing prospective pay funding and urged caution on the administrative-rate shift, while also recommending more justification for the slot reduction approach and more detail on infrastructure grant alignment. Committee members strongly objected to eliminating about 6,000 child care slots, arguing the Legislature should preserve and expand child care access. The Department of Education supported the preschool QRIS block grant increase and the COLA but raised concerns about rate alignment for three- and four-year-olds and the lack of funding to maintain enrollment growth. The committee then reviewed trailer bill language affecting child care, including codifying age-based reimbursement categories, expanding documentation for enhanced inclusion rates, clarifying CalWORKs child care eligibility, aligning health and safety standards with federal requirements, coordinating disaster-related infrastructure funding, and updating oversight language. Administration officials said the proposals were intended to support the single reimbursement rate structure, improve safety compliance, and coordinate disaster recovery funding. LAO said it had no major initial concerns with the trailer bill language but would continue reviewing it. The hearing then turned to CalFresh and nutrition programs. CDSS described projected caseload declines, a one-time augmentation for county administration to implement federal H.R. 1 changes, a proposed reassessment schedule for county administrative funding, and updated estimates that H.R. 1 could cut CalFresh funding by $2.3 billion to $3.7 billion annually and affect about 500,000 people. Members pressed the administration on the impact of H.R. 1, the “chilling effect” on immigrant households, county workload, and whether the state should backfill federal cuts, especially for families with children subject to new work requirements. The committee also discussed a one-time CalFood augmentation, state administrative expense funding, staffing for H.R. 1 implementation, and a small increase to the CACFP meal reimbursement rate. Finally, the committee began IHSS items, including the impact of reinstating the Medi-Cal asset limit, automatic IHSS termination tied to Medi-Cal loss, and related savings and caseload estimates, with the administration explaining that these proposals would reduce eligibility and that there is no broad substitute for IHSS for many recipients.

Transcript Highlights:

• Services, DBA of.
• And to share how 988 and the peer-to-peer warm line, as well as other services we provide to you today
• Protocol Services.
• We'd be happy to share that.
• We actually provide after-hours services for core service agencies throughout New Mexico.

Transcript Highlights:

• They're sellers of services.
• At the bottom are the three shared commitments that our members all share as a part of the Association
• Would you support a shared savings bill?
• I'll just share with y'all that when I shared, I was talking to some co-workers and I said, what if you
• Again, David Kostron, and I am the chief regulatory services officer at the Health and Human Services

Keywords: 1185, senate, all

Transcript Highlights:

• services, and insurers to come together. services, and insurers to come together.
• Second step is shared savings.
• services is to reduce the claims cost. services is to reduce the claims cost.
• That's why we have value added services. That's why we have value added services.
• services are not covered um in Kentucky. services are not covered um in Kentucky.

Keywords: 958, all

Summary: The task force opened with a moment of silence for the Louisville UPS plane tragedy, approved the October 15 minutes, and reminded members to submit policy recommendations before the December 16 meeting, when the group will discuss its report to LRC. The first informational presentation, from the Department for Public Health, focused on youth vaping. Elizabeth Good and Julie Brooks cited a recent Surgeon General report warning that youth vaping can harm brain development, mental health, lungs, asthma, and hormones, and noted Kentucky survey data showing 8.7% of students reported daily vaping and 19.7% used vaping products in the prior 30 days. They described prevention and cessation resources including Catch My Breath, I Can End the Trend, Not on Tobacco, My Life, My Quit, Quitline services, and the Kentucky TRUST retailer education program, which trained 3,371 individuals in 2024 and distributed 253 Tobacco 21 toolkits. The next presentation came from Kentucky ABC on implementation of SB 100, which created the division of tobacco, nicotine, and vapor product licensing. Commissioner Scotty Tracy and Jamar Carter said all retailers selling tobacco, nicotine, or vapor products must be licensed, regulations were filed October 31, 2025, and the online application portal is live. In response to questions about sales to minors, they said violations carry escalating fines for clerks and owners, with a fourth violation resulting in no license renewal for two years and unpaid fines also blocking renewal. They said complaints can be submitted through the portal, by phone, or on the ABC website, and enforcement investigates tips and may use underage compliance checks. The committee then heard from Kim McKenna Johnson of One Cross Community Health, who argued for a “deficiency-first” and holistic approach to care centered on nutrition, lifestyle, and targeted supplementation. She said her clinic serves more than 7,000 patients in Taylor and Marion counties and described a model that includes primary care, behavioral health, functional medicine, addiction recovery, and chronic care. She cited Kentucky health rankings, claimed nutritional deficiencies cost the state billions, and said many children are overprescribed while undernourished. She urged broader insurance coverage for nutritional testing and supplements, rural demonstration grants, and Medicaid pilots for clinically prescribed supplements. Members asked about testing costs, dietitian support, long-term cost savings, compliance, and whether medications are often used to prevent damage from noncompliance; the presenter said the lab tests are generally covered, supplements are the main cost barrier, and seeing lab results can improve family buy-in. No votes were taken during the meeting.

Transcript Highlights:

• To fill the medical gap, the Pueblo's Emergency Medical Services stepped in, providing medical services
• However, I also receive my services through the Indian Health Services now, and In Albuquerque, to a
• We provide services to all who come in.
• IHS facility to expand services to non-IHS eligible individuals so that they can provide services to
• Do you operate your own ambulance services?

Transcript Highlights:

• Thank you for sharing your story.
• Allow me to share my own personal experience.
• To privatize public services.
• We've heard nurses and doctors share their outrage.
• Their share of the schools at the same time trying to keep all their services intact.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on 16 bills, with the chairs noting a busy legislative day and asking speakers to keep testimony brief. The committee first heard testimony on Senate 860/House 1405, the Medicare for All bill, with Sen. Jamie Eldridge and many advocates, clinicians, municipal officials, and patients arguing that a single-payer system would make care a right, reduce administrative waste, lower costs, and protect residents from rising premiums, medical debt, and hospital closures. Several speakers cited the Steward hospital crisis, affordability problems, and polling or ballot questions showing public support for single-payer coverage. No vote was taken during the hearing. The committee then took testimony on S. 863, a bill on non-opioid options for chronic pain. Pain specialists, patients, and advocates said the bill would improve care coordination for MassHealth members, expand access to non-opioid medications, require provider education, and collect data on chronic pain. Testifiers described long delays in diagnosis and treatment, stigma toward pain patients, and the need for multidisciplinary care and transportation support. Again, the committee heard testimony only and took no action. A large portion of the hearing focused on H. 1360/S. 869, which would prevent discrimination against people with disabilities in health care. Disability advocates, clinicians, and patients described being denied or delayed care, pressured into DNR orders, or treated based on assumptions about quality of life rather than medical facts. Speakers referenced COVID-era crisis standards of care, discriminatory metrics, and personal stories involving canceled procedures, inadequate accommodations, and poor treatment in hospitals. Committee members thanked speakers for their testimony and said they would review the bill and its implications, but no vote was announced. The committee also heard testimony on H. 1399, an individual Medicare marketplace option for municipal retirees, where supporters said it would give cities and towns a lower-cost alternative for retiree health benefits through HRAs and individual Medicare plans. The hearing then returned to Medicare for All testimony, with additional supporters repeating arguments about cost, access, municipal budget pressure, and the need for global budgeting and universal coverage. The transcript ends with continued testimony and no recorded committee vote or final action on any bill.