Video & Transcript Research : 'services'
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MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 1/22/25
Human Services Finance and Policy
Transcript Highlights:
- <00:03:01.159>
it's the department of Human Services it's the department of Human Services - Department of Human Services on a fee-for-service basis.
- <00:06:36.880>
certified Department of Human Services certified Department of Human Services - is that the Department of Human Services is that the Department of Human Services is<00:10:01.279
- debt the Department of Human Services debt the Department of Human Services really<00:10:11.920>
Summary:
The committee approved the January 16, 2024 minutes without objection. Members then heard a presentation from the Office of the Legislative Auditor on its December 2024 performance audit of the Department of Human Services’ outstanding provider debt in Minnesota’s Medicaid fee-for-service program. Legislative Auditor Judy Randall said the audit was launched after the office noticed a large accounts receivable balance during the state financial statement audit and became concerned that DHS did not understand the extent of the overpayments, had poor data, and planned to forgo recovery of some recoverable balances.
Deputy Legislative Auditor Lori Lyson explained that DHS had reported $51.7 million in provider debt across about 2,500 providers in fiscal year 2023, with testing focused on long-term care facilities and the largest balances. The audit concluded DHS did not comply with legal requirements and lacked adequate internal controls. Findings included that DHS had not attempted to recover more than $40 million since collection notices were last sent in 2015 and 2019; that the department planned to write off some balances under $1,000 and some older than six years despite the auditors’ view that at least some of that debt may still be recoverable; that DHS overstated accounts receivable in its financial reporting because it had not updated its allowance calculation since 2019; and that MMIS data were insufficient to verify balances, with 20 of 59 sampled providers not reconciling and many dates inaccurate.
In response to member questions, the auditors said the overpayments appeared to be routine program adjustments rather than fraud, but the department could not explain many of them because detailed data are only retained for about three years. They also said they did not know which specific DHS leader approved not collecting the debt, and that responsibility for recovery appeared split between program and finance staff, with each pointing to the other. The auditors recommended DHS recover the debt where possible, improve internal controls, retain better documentation, ensure accurate financial reporting, and work with the legislature if needed to clarify recovery authority.
AZ
Transcript Highlights:
- Their national leader in environmental services, Republic Services, proudly calls Legislative District
- Their national leader in Environmental Services, Republic Services, proudly calls Legislative District
- Public Human Services: HB 2335, vaccination services. HB 2336, Health and Human Services.
- Health and Human Services and Appropriations: HB 2542.
- Health and Human Services: HB 2647, child care and services; HB 2648, appropriations.
VT
Vermont 2025-2026 Regular Session
Senate Session - 2026-05-20 - 10:00AM
Vermont Senate Floor Meeting
MN
Minnesota 2025-2026 Regular Session
House Energy Finance and Policy Committee 3/10/26
Energy Finance and Policy
Transcript Highlights:
- exclusive rights and assigned service exclusive rights and assigned service areas<00:01:48.720><
- <00:02:55.200>
territories exclusive rights and service territories exclusive rights and service - <00:16:02.240>
territories established electric service territories established electric service - <00:16:35.600>
This of infrastructure and services. This of infrastructure and services. - <00:16:40.639>
and grid is built for universal service and grid is built for universal service
Keywords:
electric utilities, service areas, Tribal lands, Minnesota statute, energy regulation, utility rates, public utilities, Public Utilities Commission, PUC, ratepayer, consumer protection, affordable energy, energy affordability, ability to pay, just and reasonable rates, rate regulation, electric rates, natural gas rates, energy conservation, renewable energy
Summary:
The committee approved the March 5, 2026 minutes and then took up House File 3458, as amended, which would exempt tribes from utility exclusive rights and assigned service areas. The bill’s author and the Upper Sioux community chairman said the measure was prompted by a dispute over a solar project at the tribal casino and argued the issue is really about tribal sovereignty, not solar, citing tribal civil regulatory authority and prior court cases. The amendment A1 was adopted before testimony.
Testimony was split. Chairman Kevin Jensel of the Upper Sioux community strongly supported the bill, saying the tribe should not be forced to follow utility service territories and that the state should correct a long-standing omission in law. Derek Mo of the Minnesota Rural Electric Association opposed the bill, warning it would undermine the regulatory compact, reliability, long-term planning, and financing for electric service, especially in tribal areas. Justin Johns of East Central Energy also opposed the bill, but emphasized that many cooperatives have productive tribal partnerships and said his co-op has worked successfully with the Mille Lacs Band on solar, resilience, and workforce efforts; he cautioned that removing service obligations could leave difficult-to-serve areas underinvested.
Members discussed whether the Public Utilities Commission process already underway should be allowed to resolve the dispute and whether the bill’s scope could extend beyond the current solar issue. The chair responded that the bill was a legislative approach to a problem that had not been resolved and said the amendment addressed concerns about removing the obligation to serve. A roll call was requested, and the committee voted to re-refer House File 3458, as amended, to the General Register.
TX
Transcript Highlights:
- it, and I'll just briefly go through it, but our mission is to advocate for and provide superior service
- And so it's a very good service that we give. Then we see a lot of veterans.
- Employment Services.
- And they are spread out geographically throughout the state, as we do with all of our services.
- In 2023, military service members were added to that provision.
Summary:
The Senate Committee on Veteran Affairs heard a briefing from the Texas Veterans Commission on its major programs and outreach efforts. TVC described its claims assistance, health care advocacy, education oversight, employment services, entrepreneurship support, mental health and suicide prevention work, women veterans services, grant funding for nonprofits and local governments, and support for veteran treatment courts. The agency also highlighted its communications strategy, including media outreach, events, newsletters, social media, and the Texas Veterans State Benefits Booklet, and noted that less than 58% of veterans were aware of TVC in the latest needs assessment. A committee member asked about performance metrics, and TVC said each appropriation has associated measures and that it could provide recent results.
The committee then took up Senate Bill 651, which would allow a county veterans service office in a large county to report either directly to commissioners court or to a designated county executive official. Senator West explained the bill as a cleanup of current practice, and Dallas County testified in support, saying the change would streamline internal management. No opposition was heard, and the bill was left pending.
Senate Bill 897 would reduce the non-state matching requirement for the Texas Veterans and Family Alliance grant program in larger counties from 100 percent to 75 percent in the committee substitute, rather than the 50 percent reduction in the filed version. Supporters from MetroCare and Emergence Health Network said the lower match would help sustain and expand veteran mental health services, citing increased demand and program growth. The bill was left pending after testimony. The committee also adopted its rules.
Finally, the committee heard Senate Bill 1814, which would create an interagency database to collect and coordinate contact information for transitioning veterans so agencies could proactively connect them with services. Senator Hancock said the goal was to better use information already being collected, though he noted the bill had a significant fiscal note. The committee also heard Senate Bill 1818, which would create a temporary six-month licensing and certification process for military members and spouses assigned to Texas while they wait for letters of good standing from other states. VFW testified in support, emphasizing the importance of employment for military families. Both bills were left pending, and the committee recessed subject to the call of the chair.
CA
California 2025-2026 Regular Session
Assembly Budget Committee Jun 29th, 2026
Transcript Highlights:
- The next bill is SB 152, the human services omnibus trailer bill.
- Finally, it requires the Department of Social Services to make transition support services available
- We were able to also reject cuts to home supportive services, protect child care access, provide services
- Michael Henning, California Alliance of Child and Family Services.
- Allison Ramey, on behalf of Ultimate Health Services.
Summary:
The Assembly Budget Committee met to consider the final three-party agreement for the 2026-27 state budget and 19 implementing bills, including two budget bill juniors and 17 trailer bills. Committee leadership and administration officials described the budget as a balanced plan that reduces out-year structural deficits, maintains large reserves, and makes major investments in health care, education, housing, child care, public safety, and other core services while also responding to expected federal cuts and fiscal uncertainty. The Department of Finance outlined the package’s major components, including Medi-Cal adjustments, education funding increases, higher education changes, child care and human services updates, housing and homelessness funding, energy and transportation provisions, and tax and general government changes.
Members asked questions about several provisions, including CSU enrollment targets and turnaround plans, the Prop. 98 settle-up mechanism, the plastics market development payment program, housing accountability measures, NextGen 9-1-1 implementation, and veteran services. Staff and administration witnesses explained that the higher education language is intended to improve campus-by-campus reporting and oversight, that Prop. 98 settle-up would be finalized later through the statutory certification process, and that NextGen 9-1-1 now includes one-time funding, quarterly reporting, an independent technical review, and a state audit. Members also discussed the HAP homelessness funding increase to $900 million and the balance between accountability and timely distribution of funds.
The most extended exchange centered on comparisons between funding for veterans and Medi-Cal/immigrant health coverage. Republican members argued the budget spends far more on undocumented immigrant services than on veterans, while Democratic members and Finance staff responded that the comparison was misleading because many veterans’ services are federally funded and the state budget also includes dedicated veteran support. The chair and other members emphasized that the budget reflects difficult tradeoffs and that the package protects vulnerable populations, preserves health care access, and advances affordability. No final vote was described in the excerpt, but members indicated support for the overall package and said they would support it on the floor.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Committee Jun 15th, 2026
Budget and Fiscal Review
Transcript Highlights:
- be able to access under fee-for-service?
- The only two services that will not be covered in fee-for-service because they're not currently federally
- But everything else is the same in fee-for-service as it is in managed care in terms of services and
- , emergency-only service as a part of a pilot for two years.
- , emergency-only service as a part of a pilot for two years.
MN
Minnesota 2025 1st Special Session
House Workforce, Labor, and Economic Development Finance and Policy Committee 2/11/25
Workforce, Labor, and Economic Development Finance and Policy
Transcript Highlights:
- <00:04:26.199>
reper state and then I'm a Service reper state and then I'm a Service reper - McKinnon on my right Workforce Services McKinnon on my right Workforce Services and<00:25:54.919
- In addition to those basic services, we also offer job services to veterans across the state as well,
- are coming home um we provide services are coming home um we provide services to<00:42:23.240>
- loss benefits medical management servic loss benefits medical management servic and<01:20:55.280
Summary:
The committee held an introductory organizational meeting for the newly named Workforce and Economic Development Committee, with Chair Dave Baker noting a quorum and that no votes or formal actions were scheduled. Members and staff introduced themselves and described their districts, backgrounds, and priorities. Several members emphasized worker protections, labor experience, small business concerns, rural economic issues, and the importance of balancing employer and employee interests. Others highlighted education-to-workforce pathways, affordability, support for seniors, and opportunities for immigrant and refugee communities.
Chair Baker said he wants the committee to find a balance between protecting labor and ensuring a strong employment base, fair rules, and fair taxes, while also acknowledging concerns about recent policy trends and the need to get proposals right before they leave the committee. Members from both parties echoed themes of collaboration and economic opportunity, though some Republicans criticized past rules and regulations as burdensome on small businesses. The committee also welcomed nonpartisan staff and DFL/GOP staff, including the committee administrator, legislative assistant, House Research, and fiscal analysis staff.
The committee then received an overview from DEED Commissioner Matt Varilek and deputy commissioners. Varilek described DEED’s mission as empowering growth of the Minnesota economy for everyone, increasing prosperity and extending it broadly, and coordinating with other agencies such as Labor and Industry to avoid duplication and use taxpayer dollars efficiently. He said DEED focuses on business attraction, retention, and expansion, workforce development, and helping Minnesotans—including people with disabilities—prepare for jobs and independent living. A deputy commissioner began outlining the economic development division’s structure and operations, but the transcript cuts off before the full presentation was completed.
MN
NH
New Hampshire 2025 Regular Session
House Finance Division III (02/26/2025)
Transcript Highlights:
- <00:09:47.800>
we services and through our JJs Services we services and through our JJs Services - Justice Services.
- intercept service which is a a service intercept service which is a a service um<02:00:55.320>
- Service Act um evidence-based Services Service Act um evidence-based Services which<02:01:03.520
- Based Services.
Summary:
The Division 3 House Finance Committee opened a work session and announced scheduling updates, including a second Medicaid work session on March 5 at 9:00 a.m. and a reminder that recommendations or budget amendments must be moved to the full finance committee by the end of March. Members were told no motions, roll calls, or votes would be taken, and the chair also reviewed upcoming meeting dates and weather-related cancellation procedures. The day’s presentation was a budget work session on the Division for Children, Youth and Families (DCYF), with officials Marie Nunan and Nathan White introducing the agency’s budget materials and mission.
DCYF’s presentation focused on its core mandates and recent operational changes. Officials described child protective services, juvenile justice services, and the Sununu Youth Services Center, then highlighted workforce improvements, including reduced vacancy rates for assessment caseworkers, juvenile justice officers, and youth counselors. They attributed the staffing gains to legislative pay raises, mass recruitment posting changes, a more stable and trauma-informed model at SYC, and broader flexibility after prior budget cuts and hiring freezes. Members asked about full-time versus part-time staffing, and DCYF said most positions discussed were full-time, with some harder-to-fill part-time youth counselor roles at SYC.
The committee also discussed DCYF’s emphasis on serving families earlier through its Community Navigator hotline referrals and community-based voluntary services, which are intended to connect families to supports before abuse or neglect escalates. Officials said the Community Navigator program had received 807 referrals since August 2023. On juvenile justice, DCYF described its assessment and diversion process and said it had reduced juvenile probation involvement by 30% from 2019 to 2023; members were directed to slide 17 for 2024 data, and officials said the trend continued toward fewer in-home juvenile justice cases. The agency also reported progress in kinship care, saying initial out-of-home placements with kin now occur 74% of the time and that kinship placements are associated with more reunification. Officials said kinship caregivers are being licensed and paid similarly to foster parents, and that the legislature’s kinship law has helped. Finally, DCYF outlined transition-age youth supports, including the HOPE program, Youth Villages LifeSet, and housing vouchers. No votes or formal actions were taken.
ND
North Dakota 2026 1st Special Session
Information Technology Committee Jul 8th, 2026
Information Technology Committee
Transcript Highlights:
- Into the service fund. Correct, into the service fund.
- Most things are moving toward platform as a service, software as a service.
- An additional $1 million of dedicated emergency communication service revenue for prepaid wireless service
- Yeah, the prepaid wireless services, so you buy those in advance. service definition for your consideration
- We needed some help with service desk.
Summary:
The Information Technology Committee approved the March 26 minutes and received a series of reports from NDIT on major IT projects, the annual report, mainframe modernization, and cybersecurity services. The project portfolio was reported at 116 major projects with a baseline cost of $546 million, overall under budget but modestly behind schedule. Several projects that had been in variance status last quarter were said to have closed, including HHS bed management, vital records modernization, and DOT roadway capital planning. New startup reports were mostly HHS efforts tied to refugee data management, technical debt cleanup, and legacy application decommissioning, while closeouts included HHS, OMB, DPI, and DOT projects with mixed budget and schedule results.
In the annual report discussion, NDIT described its service-fund financials, peer-state rate comparisons, records management reporting, and customer satisfaction efforts. Members asked about how revenues and grants flow through the service fund, how NDIT charges agencies for services, and whether customer satisfaction or CSAT scores are tracked and could be reported more regularly. NDIT said it does track service-team CSAT and survey data, and committee members encouraged more regular reporting of those metrics. The committee also discussed application portfolio management, statewide IT planning, and whether agencies should slow new system replacements while the state pursues an ERP system.
The mainframe update focused on the state’s ongoing effort to retire legacy systems by about 2030. NDIT and HHS said the work is being managed as a tech-debt program, but progress is slowed by data cleanup, integration complexity, staff retirements, vendor capacity, and federal requirements. Members asked whether there is a coordinated commitment and whether additional vendor support or consultants are needed; NDIT said it is working jointly with HHS and is seeking an RFP to help accelerate modernization. The cybersecurity presentation then shifted to statewide maturity assessments and services. NDIT said it provides endpoint protection, vulnerability scanning, security awareness training, threat briefings, and penetration testing, and that assessments are based on CIS controls. Members raised concerns about low participation in the self-assessment process, the lack of mandatory reporting or audit authority, and whether insurance incentives through Enderf or possible State Auditor involvement could improve compliance. No formal votes were taken beyond approval of the minutes.
WA
Washington 2025-2026 Regular Session
Joint Legislative Executive Committee on Planning for Aging and Disability Issues Jun 18th, 2025
Joint Legislative Executive Committee on Planning for Aging and Disability Issues
Transcript Highlights:
- I'm the director of Home and Community Services.
- Our long-term services and support strategy is also very much-term service.
- I am the CEO of Alpha Support Living Services.
- I am the CEO of Alpha Support Living Services.
- Do we have enough services?
Summary:
The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population.
On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications.
The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.
FL
Florida 2025 Regular Session
January 15, 2025 - 03:30 PM
Transcript Highlights:
- Service.
- In the area of financial services, we have the big division within our financial services area: the Division
- My question is for the public service commissioner.
- My question is for the public service commissioner.
- Pedro, with Department of Management Services.
Summary:
The State Administration Budget Subcommittee met for an introductory overview of the agencies under its jurisdiction and their current-year budgets. Chair Vicki Lopez welcomed members and staff, and each member briefly introduced themselves and identified areas of interest, with recurring themes including fiscal restraint, insurance regulation, revenue administration, condominium issues, and government efficiency. The chair then outlined the subcommittee’s overall budget, about $3.1 billion, and noted major recent policy areas affecting the budget such as condominium legislation and emergency communications funding.
Agency heads then presented high-level summaries of their missions and budgets. The Department of Revenue described property tax oversight, tax administration, and child support enforcement; the Department of Management Services reviewed state purchasing, telecommunications, fleet, state insurance, retirement, and digital services; DBPR highlighted licensing, enforcement, condominiums, and building code work; DFS covered insurance consumer services, risk management, unclaimed property, fire marshal functions, and criminal investigations; the Gaming Control Commission discussed pari-mutuel and tribal gaming oversight and enforcement; OIR explained insurer solvency and rate review; the Lottery emphasized education funding and record sales; OFR described regulation of banking, securities, lending, and money services; DOAH outlined administrative and workers’ compensation adjudication; PSC covered utility rate regulation and consumer complaints; PERC described labor relations and career service appeals; and FCHR summarized discrimination complaint investigations and outreach.
Several members asked questions about utility returns, insurance regulation staffing, DMS’s state employee health plan deficit and prescription drug formulary management, agency recommendations for reducing regulatory burden, and state facilities usage. Responses generally emphasized that utility rates and insurer filings are determined through evidentiary and actuarial processes, that OIR has reduced vacancies but still seeks specialized staff and a Tampa office expansion, and that DMS acknowledged rising health plan costs and said the issue likely requires broader budget-level discussion. The chair also pressed multiple presenters to stay focused on agency operations and budgets rather than broader policy issues. No votes or formal actions were taken in the meeting.
MN
Minnesota 2025-2026 Regular Session
Minnesota Management and Budget Press Conference 12/4/25
Transcript Highlights:
- But we are also observing higher costs for services that are paid on a fee-for-service basis.
- that are paid on a fee for services that are paid on a fee for service<00:25:02.400>
basis. - plans to cover services for enrolles. plans to cover services for enrolles.
- . services. services.
- . services. services.
Summary:
Minnesota Management and Budget Commissioner Aaron Campbell, State Economist Dr. Tony Becker, and State Budget Director Anna Mingi presented the November 2025 budget and economic forecast. Campbell said the state now projects a nearly $2.5 billion surplus at the end of the 2026-27 biennium, about $575 million better than the end-of-session estimate, but also a projected negative balance of about $2.9 billion in FY 2028-29, reflecting a worsening structural imbalance. He said the budget reserve stands at $3.4 billion, with cash flow and budget reserves totaling $3.8 billion after a $244 million addition, and emphasized that Minnesota’s AAA bond rating and reserve policy remain strengths even as future sessions will need to address the long-term gap.
Becker said the national economic outlook has changed only modestly since February, but growth remains below trend through the forecast horizon. He cited slower consumer spending, weak private investment, continued tariff uncertainty, lower projected immigration, and modest inflation that stays near 3% through 2026 before easing. Revenue forecasts for the next biennium were revised up to $66.3 billion, driven mainly by higher individual income tax receipts and other revenue, partly offset by lower sales and corporate tax forecasts. He also noted risks from federal policy changes, the recent shutdown’s effect on data availability, and possible equity market volatility.
Mingi said general fund spending is projected to rise sharply, with current biennium spending up $3.4 billion from end-of-session estimates and planning-year spending up $1.9 billion. She attributed much of the increase to carryforward from prior one-time appropriations, discretionary inflation, and especially Medical Assistance. MA costs are projected to be about $2.5 billion higher over 2025-29, largely because managed care rates rose more than expected due to higher utilization and higher-cost services, including pharmacy costs, while long-term care and disability waiver costs also increased. In response to questions, officials said the federal reconciliation bill had only a relatively small effect on the health care changes, and that the carryforward amounts reflect unspent prior appropriations that now show up in later years rather than new spending.
NH
New Hampshire 2025 Regular Session
House Education Funding (03/31/2025)
Transcript Highlights:
- certain uh services certain uh services do<00:39:47.440>
services <00:39:48.000>that - versus medical services?
- versus medical services?
- versus medical services?
- versus medical services?
Summary:
The subcommittee met to begin work on HB 742, which would require catastrophic special education aid to be drawn from the education trust fund, and more broadly to study special education aid/differentiated aid and related costing issues. The chair said the group was starting early because the issue has been debated for years without resolution, local districts are being forced to absorb prorated costs, and the committee wants to send the Department of Education and HHS Medicaid a clear request for data and recommendations before retained bills return in the fall. A committee clerk was also selected, with Representative Reverend volunteering to take notes for the meeting.
Members reviewed background materials on special education enrollment, high-cost students, and possible funding formulas, including data on students in high-cost brackets and prior ideas such as category-based funding and caseload-based approaches. The chair also referenced research on other states, including Arkansas, which uses a different special education funding structure and audits IEPs. The committee emphasized that it was focused on the funding mechanics and costs, not on questioning whether services should be provided.
Henry Lipman of HHS explained how Medicaid-to-schools currently works in New Hampshire. He said 172 school districts participate, but utilization dropped during the pandemic and remains below historical levels, in part because districts need the capacity to bill Medicaid. Under the current system, schools receive reimbursement based on half of the Medicaid fee schedule, with the school district effectively providing the state share. He said the federal government is requiring a shift by July 1, 2026, to a true certified public expenditure model based on actual costs, which should allow schools to recover 50% of their true costs and some administrative overhead. The department has received a roughly $2.5 million grant to hire a vendor and support districts through the transition, and an RFP and stakeholder meetings are underway.
Committee members asked about how costs would be determined, whether the new system would use actual district-specific costs rather than averages, and how the department would support districts that do not currently participate. Lipman said the cost model would be based on each district’s own reasonable costs, subject to audit standards, and that the department expects to provide templates and technical assistance through the vendor because its staff is limited. He also said about one in four New Hampshire children are enrolled in Medicaid, that child enrollment has been relatively stable, and that continuous coverage rules should reduce churn. No votes or formal actions on HB 742 were taken during the meeting beyond organizing the subcommittee and beginning testimony and discussion.
ND
North Dakota 2025-2026 Regular Session
Senate Appropriations - Human Resources Division Apr 2nd, 2025 at 02:00 pm
Appropriations - Human Resources Division
Transcript Highlights:
- to medical services.
- A couple words, service. Yeah, Mr.
- Service you could get if you took such a patient, and he heard the backup service, and it's essentially
- They come in and get services all day.
- We don't own most of our human service centers.
Summary:
The HR division continued work on the behavioral health budget, with members revisiting several funding items and generally agreeing to hold provider inflation increases until the full division picture is clearer. They tentatively supported additional funding for Community Connect and Free Through Recovery, as well as increases for the drug court program and peer support, while clarifying that some items were already in the House version and others were one-time or grant-related expenditures.
The committee spent considerable time on a proposed $2 million behavioral health services program for nursing homes and basic care facilities. Senator Mathern brought revised language to describe a capitated payment model for training, consultation, and direct patient care for residents with medically based behavioral disorders and disruptive behaviors. Some members remained skeptical and wanted to see the amendment before deciding, but the discussion centered on whether the funding would help nursing homes accept patients who otherwise end up in state hospitals or acute care settings.
Members also discussed several one-time funding items, including electronic health record and legacy system upgrades, network redundancy for the state hospital, partial hospitalization/intensive day treatment expansion, and a bathroom remodel at the Southeast Human Service Center. The committee restored the bathroom project to the original $972,000 estimate after concerns that the House reduction would not cover the needed ADA and plumbing work. They also debated a $12.96 million behavioral health facility grant for Altru in Grand Forks, with some members opposing it and others supporting it as a regional service expansion, but ultimately set it aside for later consideration.
The meeting ended with staff flagging other sections of the bill, including the opioid settlement advisory language, the state hospital steering committee, behavioral health education grants, and the system of care grant. The chair announced that medical services would be taken up the next day, and members agreed to adjourn after planning to revisit unresolved behavioral health items and vote on the held bill later.
TX
Transcript Highlights:
- AB 1021 by Shaheen relating to telemedicine services and telehealth services covered by certain health
- Refer to the Committee on Human Services.
- HB 1107 by Cole relating to applicability of civil service status of an emergency medical services personnel
- for the Committee on Human Services.
- to certain parents, heard of the Committee on Human Services.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Health Care Financing Jun 21st, 2026 at 11:00 am
Joint Committee on Health Care Financing
Transcript Highlights:
- Families seeking ASD services are facing unprecedented delays.
- Families seeking ASD services are facing unprecedented delays.
- Community Autism Services? Thank you. Great.
- We provide ABA services to children and families.
- It can also delay service access for children ready to begin care.
Summary:
The Joint Committee on Health Care Financing held a public hearing on several health care bills focused primarily on autism services and kidney disease coverage. Committee chairs John Lawn and Cindy Friedman opened by outlining hearing procedures, testimony rules, and filing deadlines, and noted the hearing would be recorded and written testimony accepted. They said the day’s topics included affordability and access to behavioral health services, provider reimbursement, Medicare coverage for vulnerable populations, and MassHealth eligibility asset exemptions.
A major portion of the hearing concerned House Bill 4623, which would add board-certified assistant behavior analysts (BCABAs) as a recognized mid-level supervisory role in the MassHealth reimbursement framework to help address long wait lists for autism spectrum disorder services. Representative Lisa Field, actuaries, clinicians, and autism service providers testified that the current two-tier model limits workforce capacity, contributes to long delays, and leaves families waiting months for care. Supporters said the bill could expand access, improve retention, and potentially reduce MassHealth costs, while also helping providers meet growing demand and new administrative requirements.
The committee also heard testimony on House Bill 4425 and Senate Bill 2737, which would allow Massachusetts residents under 65 with end-stage renal disease to purchase Medigap coverage. Legislators, dialysis advocates, and patients described high out-of-pocket costs under Medicare, barriers to kidney transplant eligibility without secondary insurance, and the financial strain on patients and families. Testifiers said the change would affect about 846 residents, could modestly increase premiums, and might reduce Medicaid spending by preventing asset spend-downs. Senator Gomez and others spoke from personal experience with dialysis and transplant care.
Finally, the committee heard testimony on House Bill 4353 and Senate Bill 2587, which would require regular data-driven review of MassHealth ABA reimbursement rates. Providers and association representatives argued that reimbursement has not kept pace with inflation, workforce shortages, accreditation costs, and new 2026 MassHealth policy requirements, and said the bills would improve transparency and ensure rates reflect the true cost of care. No votes were taken; the hearing concluded with the chairs thanking participants, inviting additional written testimony, and adjourning the meeting.
FL
Florida 2026 Regular Session
Military and Veterans Affairs, Space, and Domestic Security Nov 4th, 2025
Military and Veterans Affairs, Space, and Domestic Security
Transcript Highlights:
- We have serviced veterans through all the branches of service from the Korea War to Operations Iraqi
- We have serviced veterans through all the branches of services from the Korea War to operations Iraqi
- It's tailored to improve honoring residents, service, and dignity.
- You can see their service branch insignia next to their names.
- We have service members that come to Florida because what SkillBridge allows is it allows a service member
Summary:
The Committee on Military Veterans Affairs, Space, and Domestic Security met to consider SB 96, which originally proposed a new veterans dental care program but was amended to expand the existing Veterans Dental Care Grant Program. The amendment raised eligibility from 300% to 400% of the federal poverty level and added a recurring $500,000 general revenue appropriation. Members discussed whether expanding eligibility without guaranteed additional funding could dilute services for veterans already being served, while supporters argued it would help veterans currently turned away for dental care. The committee adopted the amendment and then reported CS/SB 96 favorably by roll call vote, with Chair Wright voting no.
The committee also approved two committee bills continuing public records exemptions: SPB 7000, covering the address and telephone number of people staying in public emergency shelters during storms or catastrophic events, and SPB 7002, covering certain Department of Military Affairs records stored in or transmitted through Department of Defense systems or related to military cyber operations. Both were moved as committee bills without objection and were favorably reported.
Members then received presentations from Dr. Pia Woodley of the Florida Veterans Foundation and Joe Marino of Veterans Florida. Dr. Woodley outlined the foundation’s dental initiatives, emergency assistance, transportation support, benefits guide distribution, new programs for state veterans’ homes and community grants, and recent audits with no findings. Marino described Veterans Florida’s SkillBridge, entrepreneur, and workforce programs, including outreach and federal partnerships, and noted legislative priorities to allow stipends for training at UF IFAS AGVets facilities and to rename a program in statute for clarity. The meeting concluded with no further business and adjournment.
FL
Florida 2025 Regular Session
October 7, 2025 - 03:30 PM
Transcript Highlights:
- TO NOT ONLY IMPROVE SERVICE BUT THE MEASURE PERFORMANCE.
- EACH BOARD WORKS WITH ITS FISCAL AGENT, SERVICE PROVIDERS AND STAFF TO PROVIDE WORKFORCE SERVICES TO
- FOR ALL THE SERVICES AT OUR LOCAL WORKFORCE DEVELOPMENT BOARDS.
- SO THINK OF THAT AS AN INDIRECT TRAINING SERVICE OVERALL.
- THE IDEA IS TO SHIFT SOME OF THE FUNDING OVER TO THE NON-ITA SERVICES. WHAT ARE NON-ITA SERVICES?