Transcript Highlights:

• spent on quality activities.
• Instead, services.
• . service. service.
• what service they're going to provide. what service they're going to provide.
• with Health and Human Services. with Health and Human Services.

Keywords: 1191, senate, all

Transcript Highlights:

• That are necessary to make sure that they're providing the high-quality services that they were able
• Services so that they can live an independent and quality life.
• services.
• setting or service type.
• services.

Summary: The hearing began with opening remarks on the Governor’s May Revision for child care and human services, with committee members and advocates stressing that the budget should not be balanced on the backs of low-income families, children, and providers. Legislative members and public witnesses strongly opposed the proposed suspension of the child care COLA, reductions to the Emergency Child Care Bridge Program, and the lack of codified rate reform tied to the alternative methodology. Several speakers also urged more support for providers affected by the Eaton fire and other disasters, and called for child care to be funded at the true cost of care and for additional slots to be restored. Administration, LAO, and Department of Education staff described the child care proposal as maintaining existing funding levels while adding administrative resources to prepare for federally required prospective payment changes and single-rate reform. The administration said the May Revision would suspend the 2025–26 COLA and reduce Bridge Program funding to align with utilization, while the LAO raised questions about the size and purpose of the proposed rate-reform and prospective-payment funding and recommended rejecting a Department of Technology exemption. CDE supported continued early education investments but said it would need additional resources if prospective pay were extended to state preschool, and it objected to a proposed reallocation of preschool funds for inclusive education grants. The committee then moved to the IHSS portion of the May Revision. DSS outlined five major proposals: capping provider work hours at 50 per week, eliminating IHSS for undocumented adults age 19 and older, shifting certain Community First Choice reassessment penalties to counties, reinstating the Medi-Cal asset test as a conforming IHSS reduction, and automating the termination of IHSS when Medi-Cal eligibility ends. DSS also discussed funding to implement a federal HCBS access rule and a separate reassessment of IHSS administrative methodology that found counties would need additional administrative funding. Finance said the proposals were intended to slow program growth and improve sustainability, while the LAO said it was still analyzing the package and raised concerns about implementation, county workload, and the potential loss of services. Committee members and public commenters criticized the IHSS cuts, especially the overtime cap and the elimination of services for undocumented adults and people affected by the asset test. Advocates argued that IHSS workers and recipients depend on these services, that county administration is already underfunded, and that the proposals could destabilize vulnerable consumers. The chair closed by saying the committee would continue to fight for child care and would not pause on child care, and the meeting recessed before moving on to the remaining May Revision items.

Transcript Highlights:

• James Semerad, Director from the Division of Air Quality, Department of Environmental Quality, to kind
• So basically Environmental Quality, man...
• So basically, Environmental Quality manages air quality, water discharge, stormwater, and waste management
• So overall in our research, kind of beyond air quality, is water quality and waste management issues
• So, summary from a DEQ environmental quality standpoint, water quality and waste management issues appear

Keywords: 908, all

Transcript Highlights:

• And it is time to fund services for all of the Hunters.
• Military service, civil service, public service like yours, all of which demand substantive and significant
• Please don't look at these services as handouts, but as investments.
• Please don't look at these services as handouts, but as investments.
• No services are being cut in this bill.

Summary: The committee heard House Bill 1001, sponsored by Representative Les Eaves, which would lower the individual income tax rate to 3.7% retroactive to the current year and reduce the corporate rate to 4.1% beginning in 2027. Eaves argued the bill continues Arkansas’s recent tax-cut strategy, would provide broad relief to working families, and would keep the state competitive while preserving future surpluses rather than cutting existing services. He and Representative Bray emphasized that prior tax cuts have benefited taxpayers and supported economic growth. Several opponents testified against the bill, including representatives from Arkansas Appleseed, Arkansas Advocates for Children and Families, a pastor, and individuals speaking about disability services and food insecurity. They argued Arkansas cannot afford further revenue reductions given needs in public education, early childhood care, Medicaid and food assistance, rural hospitals, and supported living services. Witnesses said the tax cut would disproportionately benefit higher earners while providing little or no relief to lower- and middle-income families, and urged the committee to prioritize public investments over tax cuts. After debate, the committee adopted a motion to limit witness testimony to five minutes each. Representative Eaves closed on the bill and moved to pass it. Following discussion, the committee voted to pass HB 1001, and the meeting adjourned.

Transcript Highlights:

• But we also know that student demand for high-quality vocational education has exceeded the number of
• There are times that small schools has more services than we do in Nahant.
• I was living in East Boston where quality high school options were limited at best.
• We also believe that school should be able to have high quality boilers and facilities as well.
• Should be able to have high-quality boilers and facilities as well.

Keywords: 995, all

Summary: The Joint Committee on Education held a lengthy hearing on a large slate of bills focused primarily on charter school policy and vocational technical education. Committee members opened with ground rules for testimony, including a two-minute limit, written testimony acceptance, and a live-streamed format. The committee then heard testimony on bills to expand collective bargaining rights in Horace Mann and Innovation Schools, reform charter school funding and reimbursement, allow enrollment preferences for high-need students in charter lotteries, and require BESE to consider district impacts when approving new or expanded charters. Several witnesses, including union leaders, parents, educators, and legislators, argued that charter growth has strained district budgets and that funding formulas should be reworked to better protect public schools; charter advocates and alumni countered that charter schools serve high-need students well and should not be penalized for their success. A major portion of the hearing focused on vocational technical education bills, including proposals to expand access and capacity, create a large grant program, and increase MSBA reimbursement rates for vocational school construction. Supporters described long waitlists, strong labor-market demand, and the higher cost of building and maintaining vocational schools, while municipal officials emphasized the tax burden on local communities. The committee also heard testimony on charter school reimbursement bills that would extend the state’s reimbursement schedule, with witnesses from districts such as Boston, Worcester, Fall River, and New Bedford describing large net losses to charter tuition and arguing for longer reimbursement periods and structural reform. The committee took no final votes during the hearing. In one instance, the chair said a bill would be held open until a missing senator could testify. Members asked several detailed questions about charter admissions lotteries, special education placements, funding formulas, and the practical effects of proposed charter caps and reimbursement changes. The hearing remained informational, with witnesses and committee members presenting sharply different views on whether the bills would improve equity and opportunity or harm existing public school systems.

Transcript Highlights:

• In relation to various services that you provide, what would be television type services, and what would
• be safety type services?
• That would be like services like.
• We work closely with the National Weather Service, as you know, there's a local National Weather Service
• Next would be the Environmental Quality Boards.

Keywords: 914, all

Transcript Highlights:

• of services, including home-delivered meals, homemaker services, personal care services, and personal
• of services, including home-delivered meals, homemaker services, personal care services, personal emergency
• I was unaware that people were being denied services because of their quality-adjusted life prospects
• , connecting with services.
• of services.

Keywords: 995, all

Summary: The committee heard testimony on several aging-related bills, with most speakers focusing on housing stability, home-based services, and care transitions. Representative Badger and a commissioner testified in support of H4039, which would create a universal breakfast and lunch program at senior centers funded through a new Senior Breakfast and Lunch Fund, arguing it would reduce food insecurity and social isolation among older adults. Representative Lipper-Garabedian and multiple providers then supported H780/S495, the hospital-to-home partnership program, describing how embedded aging-services liaisons help older patients transition safely from hospitals to home, reduce readmissions, and avoid nursing facility placement; witnesses from Mystic Valley Elder Services and Mass Aging Access cited pilot results, including hundreds of patients served and examples of substantial cost savings and successful discharge planning. The committee also took testimony on S478, which would require continuing care retirement communities to disclose entrance-fee refund policies more clearly at enrollment. Senator Lovely and LeadingAge Massachusetts said the bill would improve transparency for residents and families, while a consumer witness said her family experienced delays and confusion in getting a refund after her mother left a CCRC. Members noted the issue is also being examined by a special commission on CCRCs. A large portion of the hearing focused on S475, a statewide bridge subsidy program for older adults facing housing instability. Advocates from the Massachusetts Coalition for the Homeless, Western Massachusetts, Somerville, Northampton, East Hampton, Old Colony Elder Services, and Somerville’s Office of Housing Stability described rising senior homelessness, long waitlists for subsidized housing, and cases where short-term rental assistance kept older adults housed while they waited for permanent housing. Somerville witnesses said the pilot program helped nine households remain housed and that some participants have since moved into permanent housing. Members asked about wait times, program design, and how to prioritize applicants; witnesses emphasized flexibility, emergency risk, and the need for a statewide expansion. The hearing also included testimony on S465, an ALS bill that would expand home care access regardless of age and bar the use of quality-adjusted life-year metrics in coverage decisions, with the sponsor and ALS Association arguing the measure would reduce discriminatory treatment and better center patient care. No votes were taken during the hearing.

Transcript Highlights:

• I know it's difficult, this public service. I celebrate my 40 years in public service.
• utilizing those services?
• Because I'm a clinician, I usually start with quality.
• People have to survive, and they want a quality of life. And they want a quality of life.
• Incomplete in the highlights and the outcomes and quality?

Transcript Highlights:

• Goal two is to increase and improve the capacity of communities to provide quality services to individuals
• ho communities to provide quality ho communities to provide quality service<00:14:17.680> to<
• We also want to make sure that that's integrated with the quality of our services.
• with the quality of our services<00:33:52.240> so<00:33:52.840> the<00:33:53.399> request
• Next slide: the Workforce Development and service quality.

Keywords: 912, senate, all

Summary: The Committee on Health and Human Services held an informational briefing on the Developmental Disabilities Council and related agencies. The Hawaii State Council on Developmental Disabilities outlined its 2025 legislative priorities, including a pilot project for guardian ad litem and capacity evaluations in guardianship/conservatorship cases, a supported decision-making bill, a health disparities study for people with disabilities, an ABLE savings outreach/staffing measure, a Medicaid buy-in proposal, an adult changing tables equity bill, and a resolution on fetal alcohol spectrum disorder. Council representatives emphasized that supported decision-making would complement tools like powers of attorney and medical releases, and that the health disparities study would help identify unmet needs by ZIP code and improve state data on the intellectual and developmental disability population. The Center on Disability Studies at the University of Hawaii described its role as the research and training arm within the DD system, working with the DD Council and the Hawaii Disability Rights Center. It reported activities such as interdisciplinary training, community education, technical assistance, research collaborations, the Pacific Rim International Conference on Disability and Diversity, publications, telehealth, ECHO Autism, and counseling for Maui fire survivors. The center said it leveraged about $16 million in outside funding last year and highlighted goals focused on workforce development, community capacity, research with direct participation from people with disabilities, and accessible dissemination of information. The Hawaii Disability Rights Center, the state’s protection and advocacy agency, supported the Council’s priorities, especially supported decision-making, which it said could help some people avoid guardianship while preserving liberty and reducing state resource use. The center also raised concerns about the DD system budget and urged legislators to review whether the Developmental Disabilities Division is requesting enough funding, noting possible backsliding in services and eligibility. The Developmental Disabilities Division of the Department of Health then outlined its statewide waiver program serving just over 3,500 people, its service array, and its budget request for increased waiver funding, a federal initiatives coordinator, and IT upgrades to comply with the new HCBS access rule; no votes or formal actions were taken during the briefing.

Transcript Highlights:

• c> provider bills Medicaid for a service provider bills Medicaid for a service that<00:13:31.120>
• <00:14:44.639> So service or of the goods provided. So service or of the goods provided.
• They also provide services to our 24/7 facilities. So podiatry services at Glen Cliff Home.
• Ultimately, we're seeking that we get the highest quality service for the lowest price.
• lowest highest quality service for the lowest highest quality service for the lowest price.<00:59

Keywords: 1189, house, all

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

Transcript Highlights:

• The Commonwealth has a responsibility to support quality education for all students.
• I'm here to ask you to oppose Section 4 of Senate Bill 374, which threatens to take away high-quality
• Chair Lewis, I do not equate MCAS scores with school performance and school quality.
• There's also physical health giving in clinics and services to students such as therapy.
• It will close the testimony on 8. of high quality early education and care in Massachusetts.

Keywords: 995, all

Summary: The Joint Committee on Education heard testimony on several bills centered on school accountability, receivership, graduation requirements, charter school access, community schools, school libraries, and student voting rights. Much of the discussion focused on the Thrive Act, S. 374, which would end state receivership and change the state’s accountability approach. Supporters, including educators, parents, advocacy groups, and students, argued that receivership has not improved outcomes in districts such as Lawrence, Holyoke, Southbridge, Boston, and the Dever, and that local communities should have more control, with greater emphasis on community schools, wraparound services, and broader measures of school quality. They also supported related bills on community schools and school library standards, and several witnesses backed a bill to expand student representative voting rights on school committees. Opponents of S. 374, especially charter school leaders, parents, students, and some education advocates, focused on Section 4 of the bill, which would change the charter school net school spending cap in the lowest-performing districts. They argued that the provision would reduce access to charter seats in communities where families are seeking more options, and that schools such as Roxbury Prep, Excel Academy, Brook, Veritas Prep, and Libertas Academy have produced strong results for students, including students of color, low-income students, and students with special needs. Several witnesses said the section would force schools to shrink or close and would remove opportunities for families in districts with long waitlists. Committee members questioned witnesses on both the effectiveness of receivership and the charter school cap language. Chair Lewis and Chair Gordon emphasized the need for a better accountability system and noted concerns about whether current measures, including MCAS-based designations, accurately reflect school quality. Some witnesses said they had discussed the possibility of removing Section 4 from the Thrive Act and suggested it might be addressed in separate charter reform legislation. No votes were taken during the hearing; testimony was received and the committee later closed testimony on S. 374 and several related bills before moving on to the student voting rights bill, S. 367.

Transcript Highlights:

• One would be the service area.
• So the relative service area in which a School of Hope could open would be after, So the relative service
• In the service area of a low-performing school.
• It's a whole bunch of wraparound services.
• education, quality education.

Summary: The Appropriations Committee on Pre-K-12 Education met with a quorum present and took up several education bills. SB 1150, which would remove an unrelated exam barrier for school social workers to help districts retain them, was briefly explained and reported favorably. The committee then heard SB 1514 on anaphylaxis in public schools, which would require emergency action plans and training for school personnel; amendments narrowed and clarified the bill, including applicability to K-8 schools and FDA-approved epinephrine devices. Orange County Public Schools waived in support, and CS/CS/SB 1514 was reported favorably. The committee spent the most time on SB 1708, which expands Schools of Hope and creates a co-location framework allowing high-performing charter operators to share space in underused public school facilities, with the sponsor explaining that agreements would address safety, supervision, grade levels, emergency protocols, and liability. Members raised concerns about who would be served, lottery access, accountability, and whether the bill would worsen inequities or strain public schools; many public speakers opposed the bill on similar grounds, arguing it would divert resources from already underfunded schools. The sponsor clarified that Schools of Hope recruitment is exempt from lottery, that the bill would not use classrooms already in use, and that districts would receive $600 per student plus associated funding for vacant space. Despite mixed debate, CS for SB 1708 was reported favorably. Finally, the committee considered CS/SB 822, which updates charter school governance by limiting sponsor-imposed deadlines, preventing enrollment caps below facility capacity, improving data sharing, and allowing high-performing charter schools to assume existing charters. A charter school advocate supported the bill as a fairness and efficiency measure, while senators pressed him on claims of district “harassment” and the basis for the bill’s deadline changes. After brief debate, CS/SB 822 was reported favorably. The meeting ended with members recording votes on prior tabs and adjournment.

Transcript Highlights:

• Speaker, your Human Services Committee, Representative M.
• Senate Bill 2024 is a budget of the Department of Environmental Quality.
• of our air and quality of our surface water.
• of our air and quality of our surface water.
• by the ambulance service that would close.

Keywords: 908, all

Summary: The House convened with prayer, the Pledge of Allegiance, and a quorum present. The chamber received notice that the governor had signed several bills, and the Speaker appointed conference committees after the Senate failed to concur with House amendments on Senate Bills 2180 and 2330. The House also approved several sixth-order amendments without objection before moving into reconsideration and final action on House Bill 1300, which concerns legislative term limits. After procedural motions to reconsider and undo concurrence, the House voted to do not concur on HB 1300, sending it back to the chair’s lap for further negotiation. A major portion of the meeting focused on Senate Bill 2232, which changes mandatory reporting rules for prenatal exposure to controlled substances and alcohol. Supporters said the bill is intended to keep pregnant women in prenatal care by removing an automatic CPS report if a woman tests positive but enters and stays on a treatment plan; opponents argued it weakens protections for unborn children and creates vague standards for mandated reporters. The House passed the bill 57-36. The chamber also passed Senate Bill 2280 unanimously, establishing timelines and standards for prior authorization in health insurance, and passed Senate Bill 2186, which creates a civil remedy for interference with court-ordered parenting time, a child custody review task force, and related reporting requirements. The House then took up Senate Bill 2239, an apprenticeship grant program with a $1.1 million appropriation, but rejected it 14-79 after the committee said the program lacked a clear administrative home. Senate Bill 2241, creating a framework for public charter schools, generated extensive debate over school choice, local control, funding, staffing, and rural impacts; supporters emphasized flexibility and community-driven options, while opponents warned about diversion of funds and weak guardrails. The bill passed 64-29. The House also passed Senate Bill 2024, the Department of Environmental Quality budget, after discussion about federal funding uncertainty; Senate Bill 2374, updating property insurance laws and market rules; Senate Bill 2216, creating a waterfowl habitat restoration stamp; Senate Bill 2245, allowing certain duck and goose hunting from anchored floating craft; and Senate Bill 233, establishing a distressed ambulance services process, which drew questions about how affected districts and neighboring services would be involved.

Transcript Highlights:

• Overall, we do have a quality survey for our services, and for 2024–25, we had a 95% positive rate on
• our service quality.
• on and the new programs and services on and the new programs and services that<00:50:59.119>
• issues with the service that we had. issues with the service that we had. people<00:53:15.839>
• tutoring<01:21:37.520> service.

Keywords: 910, house, all

Transcript Highlights:

• In Section E, this is a reallocation of resources for the Department of Human Services.
• This is a reallocation of resources for the Department of Human Services.
• Forest Service Region 8 with our contact there. I don't want to speak for them.
• And so that's why we get behind this, and it's not for both water quantity and quality.
• But these specific tracts are deemed important from the water quality standpoint. Okay.

Summary: The committee met to consider a series of appropriation, reserve transfer, and grant requests. Early items included temporary appropriations for the Department of Education’s Educational Freedom Account program ($32 million), the State Crime Lab ($476,000), and DFA Assessment Coordination ($90,000), along with a $1 ARPA return from the Department of Health. The committee approved these items after brief questions, including a discussion about contract cost increases at Assessment Coordination and a clarification that the $1 ARPA item was simply an unused-funds return. The most extensive discussion centered on the Department of Education’s EFA funding. Members questioned the growth in participation, the use of one-time funds and restricted reserves, and safeguards against fraud or improper purchases. Agency officials said about 44,000 students were being funded, that purchases are reviewed and flagged for unusual activity, and that homeschool students are not required to buy a curriculum so long as purchases are eligible and approved. The committee approved the EFA appropriation and related reserve transfer, and officials said the governor’s proposed budget would include the program in the RSA going forward. The committee also approved a DHS reallocation request and reviewed a building authority loan for a data center power supply replacement. In the federal grant section, members discussed a Department of Agriculture request for Central Arkansas Water to acquire land in the Maumelle watershed. Debate focused on the environmental benefits versus local property-tax and development concerns in Perry County, with testimony from the agency, Central Arkansas Water, and Potlatch about watershed protection, public access, and potential development impacts. After extended discussion, the committee adopted a motion to defer the item to the full Legislative Council and asked the department to remove the Perry County portion from the request, limiting the grant-funded purchase to Pulaski County property. The committee then reviewed remaining items, including a Veterans Affairs pay-plan appropriation, and adjourned.

Transcript Highlights:

• Moving on to our Center for Healthcare Quality, we have an internal departmental quality improvement
• Decades of research have demonstrated the effectiveness of syringe service ...services programs in delivering
• Is it because there's more demand for people wanting the services?
• Representing the Emergency Medical Service Administrators of California, all 34 Local Medical Service
• The Emergency Medical Services Authority plays a crucial role.

Keywords: 988, house, all

Transcript Highlights:

• of the bullet points implemented quality of the bullet points implemented quality assurance<00:13
• kind of helps lead with the quality kind of helps lead with the quality assurance<00:23:09.280><
• There's three legs of public health transformation as far as services and service delivery.
• <00:33:33.760> and transformation as far as services and transformation as far as services
• <00:33:38.880> that arm which is a mandated services that arm which is a mandated services

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Human Services met to review budget items carved out in the prior session budget, including long-term care surveyor contracts, funding for local health departments, and expansion of the central laboratory. The committee approved the June 4 minutes and then heard an update from the Office of Inspector General’s Division of Health Care on long-term care certification surveys and complaint investigations. Officials said the $1 million annual appropriation for contracted survey work, along with salary increases and other resources, helped the state reduce its backlog. They reported that Kentucky completed 101 long-term care certification surveys in fiscal year 2024, up from 28 in fiscal year 2023, and had completed 186 surveys by July 7, 2025, with a goal of 40 to 50 more before the end of fiscal year 2025. Outstanding complaints fell from 1,565 at the end of fiscal year 2024 to 695 by July 7, 2025, and outstanding priority-one or immediate-jeopardy complaints were reduced to zero. Members asked about the definition of priority-one cases, survey timing, the number of facilities still overdue, vacancy rates, federal funding reliance, and the use of contract surveyors. Officials said priority-one cases involve serious harm or high risk of harm, that surveys are required within a 12- to 15.7-month window, and that the agency now has 40 contract surveyors and an outside team option. Several members praised the progress but warned that delays in surveys can endanger residents and urged continued funding and monitoring. The committee then began hearing from Mike Tuggle of the Department of Public Health on the Public Health Transformation Initiative, with Tuggle noting the legislation’s importance to public health financing. The transcript cuts off as he began his remarks.

Transcript Highlights:

• and Protective Services.
• And we focus on the oversight. site on five key areas, so that's access to services, service delivery
• of Aging and Disease. disability services in the Department of Assistive and Rehabilitative Services
• service center.
• CMS oversees the quality, measures the quality, and measures it on a scale of one to five.

Bills: HB150, HB869, HB876, HB 1043, HB1494, HB1522, HB150

Keywords: cybersecurity, state command, information resources, data protection, incident response, information technology, classification officer, job descriptions, state positions, competency-based, information sharing, government efficiency, public sector, private sector, distributed ledger, title registry, real estate, property liens, pilot program, healthcare

Transcript Highlights:

• You know, because the Bureau can’t charge more for a service than it needs to conduct that service.
• that service.
• that service.
• receiving as much attention as high-risk, lower-quality institutions.
• High-quality accredited institution. They don't, I don't know.

Summary: The joint Sunset Review Oversight Hearing focused on the Bureau for Private Postsecondary Education (BPPE) and its reauthorization, operations, enforcement, fiscal condition, and student protections. Committee leaders and DCA officials praised the Bureau’s recent improvements in data systems, licensing, inspections, and enforcement, while noting the Bureau’s role has become more important as federal higher education oversight weakens. Bureau Chief Deborah Cochran said the agency has met its inspection mandate for the first time since the law was enacted, increased citations and disciplinary actions, reduced pending complaints, and used data tools to identify risk and monitor institutions more effectively. A major portion of the hearing centered on student harm, especially school closures, transcript access, predatory recruiting, and the Student Tuition Recovery Fund (STRF). Members asked how the Bureau protects students when schools close, whether bad actors can reopen under new entities, and whether enforcement tools are strong enough. Cochran said the Bureau can cite, fine, place schools on probation, revoke licenses, and order refunds, but it is seeking new authority to deny approval to operators who previously closed schools improperly or failed to refund students. She also said the Bureau is tracking ownership data and is concerned about institutions targeting immigrant and visa students. On STRF, Cochran explained that the fund is currently healthy, assessments are at zero because the balance is above the statutory target, and the Bureau paid about 1,100 claims totaling roughly $17 million over the last four years. Several members questioned the fairness of the assessment structure and discussed alternatives such as surety bonds, but the Bureau said STRF is working well and no change is needed at this time. Fee increases and the Bureau’s structural deficit were another major topic. Cochran said the Bureau reduced costs by eliminating positions, streamlining inspections, improving data analysis, and shifting some student-relief costs to STRF, but that legislative action is still needed to address the deficit. She said the proposed fees were based on workload analyses and that application fees generally match service costs, while annual fees are designed to cover most of the Bureau’s revenue needs. Some members and stakeholders criticized the proposed increases as too high, especially for out-of-state registration and campus fees, while others argued the Bureau needs sufficient resources to regulate effectively. Public commenters from private schools, Northeastern University, San Joaquin Valley College/Carrington College, and TICAS generally supported the Bureau’s mission and reauthorization, but urged changes such as risk-based oversight, better transcript protections, stronger limits on repeated provisional approvals, and more targeted fee and STRF reforms. No votes were taken, and the hearing ended with no formal action beyond discussion and receipt of testimony.

Transcript Highlights:

• When we talk about long-term services and supports, I just want to – When we talk about long-term services
• Some of the services provided through the CBAS centers include professional nursing services, personal
• CA 2030 is designed to provide consistency and quality of service in nutrition, information and assistance
• , CA 2030 is designed to provide consistency and quality of service in nutrition, information and assistance
• services.

Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.