Video & Transcript Research : 'prerelease services'
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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.
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.
MN
Minnesota 2025-2026 Regular Session
Fraud Committee Meeting - 2025-05-05
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- services.
- of home and community-based services, which are waiver services, to enroll as providers.
- Provided services may be an option.
- in the fee-for-service model.
- services even provided?
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?
NH
Transcript Highlights:
- Thank you. services for long-term care. And so I services for long-term care.
- serviceable in the they're service serviceable in the community.<03:00:43.920>
In <03:00:44.160 - support services.
- support services.
- Developmental Services, including early support<03:51:16.279>
services.
KY
Kentucky 2026 Regular Session
Senate Standing Committee on Appropriation and Revenue. (2-11-26)
Transcript Highlights:
- , that the need for additional services, that the need for additional services, supports,<00:01:53.439
- to support autism services. each session to support autism services.
- <00:03:12.159>
for that it's research and services for that it's research and services for - technologies, services, and supports. technologies, services, and supports. and<00:03:34.080>
- spectrum disorder research and services spectrum disorder research and services throughout<00:03
Keywords:
Meeting Start 00:00:00
Roll Call 00:00:01
SB 69 Discussion 00:00:30
SB 69 Vote 00:05:52, 958, all
Summary:
The committee met with a quorum and took up only one item: Senate Bill 69, sponsored by Senator Julie Adams. The bill would create an autism spectrum disorder trust fund in the state treasury, allow taxpayers to contribute a portion of their individual income tax refunds to the fund, and authorize additional grants, contributions, and appropriations. Senator Adams said the fund is intended to support autism spectrum disorder research and services in Kentucky, administered by the Cabinet for Health and Family Services with grants awarded through the advisory council on autism spectrum disorders based on a statewide needs assessment. She also noted the bill includes an emergency clause.
During questions, Senator Boswell confirmed the tax refund contribution option would be available on both paper and electronic returns. Senator Funky From asked how families would access services, and Senator Adams explained that providers would apply for grants to the trust fund, which would then review and award funding if the proposal was deemed a good use of the money. No outside testimony was presented; a signed-up witness from the Russell County Fiscal Court did not speak.
The committee then moved the bill, with Senator Boswell making the motion and Senator Neil seconding it. The roll call resulted in 12 yes votes and no nays, and Senate Bill 69 passed the committee with a favorable expression. The committee then adjourned.
ND
North Dakota 2026 1st Special Session
Government Finance Committee Mar 19th, 2026 at 01:00 pm
Government Finance Committee
Transcript Highlights:
- And then we have the social services fund.
- service fund.
- So, similar to what Robin just talked about with fleet services, all of our operational services are
- And what that would mean is that, for a particular service or service delivery, the central IT is general-funded
- for the whole cost of that service.
AZ
Arizona 2026 Regular Session
01/29/2026 - Senate Health and Human Services
Health and Human Services
Transcript Highlights:
- The Committee on Health and Human Services is called to order.
- , the good operators who provide these services, and the state.
- .. ...across the fee-for-service program, looking at quality, prior authorization, service tickets, training
- I believe that Access has failed the fee-for-service members.
- Fee-for-service behavioral health plan prior authorizations turnaround by service type or provider.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Monday, September 8, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- damage service, Chocolate, an apparel store in the mall, and Doyle Systems, a full-service HVAC contractor
- A CUSTOM SUITS AND TUXEDO RENTAL SERVICE. DRY TIME RESTORATION, A WATER DAMAGE SERVICE.
- Sharing amenities in space and services.
- WHAT KINDS OF SERVICE, YOU SAY.
- AND THE PARTY IN POWER HAS THE RESPONSIBILITY TO MAKE SURE THAT THOSE SERVICES, THOSE BASIC SERVICES,
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Committee Jun 29th, 2026
Budget and Fiscal Review
Transcript Highlights:
- It rejects reductions to In-Home Supportive Services.
- The next bill is AB 152, the Human Services Omnibus.
- It requires the Department of Social Services to make transition support services available to adoptive
- , food services, and the safety net.
- providers who also provide fee-for-service.
MN
Transcript Highlights:
- services contribute to national GDP. services contribute to national GDP.
- Since the early 1950s, the services Since the early 1950s, the services sector<00:02:37.599>
- As we've heard, our economy is shifting toward services and increasingly digital services.
- primarily digital advertising services. primarily digital advertising services.
- include certain professional services include certain professional services related<00:14:12.000
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Service Jun 21st, 2026 at 01:00 pm
Joint Committee on Public Service
Transcript Highlights:
- I would like to welcome you all to the fifth hearing of the Joint Committee on Public Service in the
- It's Seda, S-E-D-A, K-O-C-O-R-O-C-H, or mailed to the Joint Committee on Public Service, Room 156.
- It provides a little extra for a public employee who has military service.
- I first entered state service on July 1, 2005, celebrating 20 years of service this coming week.
- Specifically, the statute says in part the following: that any member in service In service in any other
Summary:
The Joint Committee on Public Service heard testimony on a range of retirement-related bills, with several witnesses and advocates focusing on pension equity, veteran benefits, and recognition for public safety workers. Representative Dennis Gallagher and Mass Retirees supported legislation to increase the long-standing veterans’ bonus from $15 to $50 per year of service, up to $1,000 annually, and described it as a modest, overdue adjustment with minimal fiscal impact. Mass Retirees also backed bills to raise the minimum survivor allowance for public retirees and to address inequities in Option B and Option C survivor benefits for retirees whose pensions were calculated under older mortality tables.
The committee also heard a personal bill from Representative Jim Arceiro and Nathan McKinnon seeking creditable service for McKinnon’s years in the Nevada higher education system, which he said should count toward his Massachusetts retirement. Another individual bill was presented by Roberta Wollins, supported by Senator Keenan, to remedy what she described as misleading retirement advice from UMass Boston that affected her ability to buy back prior service and made her retirement planning inaccurate. Senator Keenan and others framed both cases as unique fairness issues rather than broad policy changes.
A large panel from police, fire, corrections, EMS, and related organizations testified in favor of a COVID-19 retirement credit proposal and a study bill, arguing that essential workers who reported in person throughout the pandemic should receive recognition and a time-based retirement credit. Witnesses described exposure risks, illness, deaths, staffing strain, and long-term effects from COVID-19, and several committee members voiced support and appreciation for their service. The hearing concluded with no votes taken on the bills and a motion to adjourn, which was approved.
NH
Transcript Highlights:
- Their speech pathology services are provided online from a service in California.
- Their speech pathology services are provided online from a service in California.
- <00:32:18.000>
It Is the services good? I don't know. It Is the services good? - Uh, on the issue of services.
- We had to do services that services.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 03/12/25
Health and Human Services
Transcript Highlights:
- Services and I own a 13-year-old car and Services and I own a 13-year-old car and it<00:12:50.079>
- <00:15:31.000>
with <00:15:31.199>State these services with State these services with - servic servic HIV<00:42:28.240>
supports HIV supports HIV supports division<00:42:31.319> - and all the other Supportive Services and all the other Supportive Services that<00:52:45.280>
- benefits in addition to the services benefits in addition to the services that<00:54:34.520>
- benefits in addition to the services benefits in addition to the services that<00:54:34.520>
MN
Minnesota 2025-2026 Regular Session
Committee on Judiciary and Public Safety - 03/05/25
Judiciary and Public Safety
Transcript Highlights:
- Services thank you Senator members there Services thank you Senator members there is<00:04:05.040>
- <00:08:19.319>
system <00:08:20.120>thank service system thank service system thank you - roads federal crime victim Services roads federal crime victim Services funding<00:09:27.320>
- We need these services to be there.
- >
of legal service Services is comprised of legal service Services is comprised of multiple<00