Transcript Highlights:

• Can you make it right?
• Right?
• Right?
• Right.
• Go right ahead.

Committee: Joint Select Committee on Pension Policy

Keywords: 904, all

Transcript Highlights:

• </c><00:02:10.239><c> find</c> helping people with disabilities find helping people with disabilities
• . disability. disability.
• Right. question. Right. &gt;&gt; Understood. &gt;&gt; Understood. &gt;&gt; Understood.
• That's right. So there there criminal. That's right.
• </c> &gt;&gt; Right. Okay. Thank you very much. &gt;&gt; Right. Okay. Thank you very much.

Committee: Senate Health and Human Services

Keywords: 912, senate, all

Summary: The Health and Human Services Committee heard a series of gubernatorial nominations, primarily to the State Rehabilitation Council, the Policy Advisory Board for Elder Affairs (PABEA), the Hawaii State LGBTQ+ Commission, and the Center for Nursing Advisory Board. Nominees included Patrick Gartside, Judith Daniels, James Montgomery (not present), Christine Park, Tammy Napoleon, Scott Spelina, Roy Katsuda, and Dr. Sylvia Rom. Each nominee described their background and why they wanted to serve, with recurring themes of disability advocacy, vocational rehabilitation, nursing workforce development, elder issues, and LGBTQ+ health and community support. Department of Human Services and Executive Office on Aging representatives generally testified in strong support of the nominees and emphasized their qualifications and relevance to the boards’ missions. Members and agency witnesses also discussed substantive policy issues during the nominations. For PABEA nominee Scott Spelina, the committee asked about a bill involving strict liability and elder abuse-related criminal penalties; Spelina supported the approach, saying it would be easier to enforce and better protect seniors. For other nominees, testimony highlighted the need for stronger rehabilitation services, qualified vocational rehabilitation counselors, adult education partnerships, and nursing recruitment and retention, especially on Kauaʻi. Dr. Sylvia Rom’s nomination drew broad support from commission members and community supporters, with testimony focusing on LGBTQ+ health, gender-expansive youth, and intersectional advocacy. No final votes were taken during the hearing. The chair repeatedly stated that decision-making would be deferred until later in the calendar, and in some cases until the nominee was present or quorum was available. One nomination, James Montgomery, was skipped because he was not present on Zoom, and Kevin Nakamura’s nomination was also deferred to a later date. The committee accepted written and oral testimony and generally moved through the nominations without questions from members.

Transcript Highlights:

• </c><00:58:09.520><c> now</c> that is right for the picking right now that is right for the picking right
• Timelines adjusted right now.
• Timelines adjusted right now.
• Bring us solutions, right?
• Bring us solutions, right?

Committees: Senate Health and Human Services , Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• And at this time, I'll ask Logan right.
• </c> the state's service disabled the state's service disabled veteranowned<00:04:55.120><c> small</c
• And our service disabled veteran 223.
• </c><00:19:05.360><c> Okay,</c> right now. Okay, right now.
• Annex right here. The topic of Annex right here.

Keywords: 958, all

Summary: The August 2025 interim meeting of the Commission on Race and Access to Opportunity began with roll call, confirmation of a quorum, approval of the June meeting minutes, and welcoming a new member, Ivonne Smith, who noted her background in MWBE and DBE work. The chair also offered condolences to a member whose father recently passed away and explained that the committee had invited agency officials to answer questions raised at the prior meeting. The first presentation was from Singer Buchanan of the Kentucky Finance and Administration Cabinet, who described the state’s equal opportunity and contract compliance office and its certification programs for service-disabled veteran-owned small businesses and minority/women business enterprises. He outlined outreach efforts, including partnerships with veterans’ organizations, the Kentucky Department of Veterans Affairs, UK, and transportation-related groups; explained that the programs are intended to expand market access rather than provide grants; and said the office has moved to an online application portal that has processed 227 new applications since December 2023. He reported 536 total vendors across the programs, including 29 service-disabled veteran-owned small businesses, and said the office is considering website testimonials to improve outreach. Members asked about staffing, application assistance, and whether the state program conflicts with federal policy; Buchanan said the office has three staff members and that the program is state-funded and, based on legal advice, should continue under Kentucky law. Tony Yusefi of the Kentucky Transportation Cabinet then presented on the federal Disadvantaged Business Enterprise program. He explained the program’s legal basis under federal DOT regulations, its eligibility standards, and its purpose of creating a level playing field while helping firms grow and eventually compete without assistance. He described certification requirements, annual documentation, prompt-payment protections, commercially useful function reviews, good-faith effort requirements, and sanctions for violations. He also discussed barriers facing DBEs, including access to capital, bonding, insurance, training, and prequalification requirements, and noted that 50 firms were removed last month for noncompliance with annual documentation rules. Yusefi said the cabinet has expanded supportive services, including an online application platform, bid notifications, and a nine-class business development program; 95 DBEs are enrolled this year, and the bid-matching system reaches an average of 377 DBEs monthly.

Transcript Highlights:

• to advance the civil rights of people with disabilities.
• Disability Rights Maryland requires..."
• </c><01:02:28.400><c> Rights</c><01:02:28.960><c> Maryland,</c> and um Disability Rights Maryland, and
• um Disability Rights Maryland, which<01:02:30.799><c> is</c><01:02:31.119><c> the</c><01:02:31.680><
• :02:55.040><c> u</c> Disability Rights Maryland requires u Disability Rights Maryland requires u would

Keywords: Senate streaming session for Wednesday, March 4, 2026, 960, senate, all

Transcript Highlights:

• Just because you have a disability doesn't mean that the government has to solve your problem, right?
• So... ...that I'm a person with a disability and I simply have rights.
• It's all right.
• All right.
• All right.

Summary: The Senate convened with a quorum, prayer, pledge, and several recognitions, including remarks from Senator Berman on Democratic priorities and introductions of military leaders and an intern. The chamber then moved through a long special-order calendar, with many bills substituted to House companions, amended, and passed, while several others were temporarily postponed. Major measures approved included the dangerous dogs/Pam Rock Act (SB 572/HB 593), which tightened penalties and procedures for dog attacks and passed 36-0; local government land regulation (SB 1080), which was amended to remove agricultural enclave language and passed 26-8; vessel/freedom-related legislation (SB 1388/HB 1137), which passed 35-0; blood clot screening and treatment (SB 890/HB 1421), which added registry and training provisions and passed 36-0; fleeing or eluding law enforcement (SB 468/HB 113), which increased offense levels and passed 36-0; concealed carry/licensing for certain officers and service members (SB 490/HB 383), which passed 33-3; timeshare management (SB 496/HB 897), which clarified governance and annual meeting requirements and passed 36-0; background screening education (SB 614/HB 531), which created a public webpage and passed 36-0; utility service restrictions (SB 1002/HB 1137), which preempted local energy-source restrictions and passed 36-0; Medicaid oversight (SB 1060), which created a joint oversight committee and passed 35-0; health facilities authorities (SB 68), amended to make fentanyl urine screening more discretionary, and passed 36-0; and veterans’ nursing home beds (SB 78/HB 797), which authorized veteran- and spouse-designated beds and passed 36-0. The chamber also passed disability history and awareness instruction (SB 540/HB 447), a highly personal bill honoring Evan Hartzell that drew extended debate about disability language, inclusion, and education; it passed 35-0 after 35 co-sponsors were added. Manufacturing policy bills SB 600 and SB 602 were approved after amendments to add reporting, ranking metrics, and fee-use restrictions, both passing 35-0. Educational opportunities for military children (SB 1528) passed 36-0 after testimony from student sponsors and senators praising the bill’s origin. Several other bills, including Medicaid oversight, mammograms, Parkinson’s disease, condominium/cooperative associations, waste management, human trafficking, and Bright Futures, were postponed or not taken up during this segment.

Transcript Highlights:

• Not only does Senate File 473 reaffirm equal rights protections for people with disabilities, it also
• Not only does Senate File 473 reaffirm equal rights protections for people with disabilities, it also
• To have the human rights of disabled Minnesotans recognized in our state constitution means that we are
• Not only does Senate File 473 reaffirm equal rights protections for people with disabilities, it also
• To have the human rights of disabled Minnesotans recognized in our state constitution means that we are

Committee: Senate Judiciary and Public Safety

Keywords: 1187, senate, all

Transcript Highlights:

• I don't think that's right.
• Well, folks with, you know, developmental disability, sure.
• , maybe cohabitating with other folks with developmental disabilities.
• disabilities.
• But that's not the entirety of the conversations around disabilities.

Bills: HB2720 , HB2073 , SB5816 , SB5919 , SB5831 , SB6244 , SB6044 , SB5109 , SB5877 , SB6258

Keywords: behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, juice grapes, agriculture, commerce, state regulation, market access, fire safety, insurance incentives, best practices, community protection, voluntary measures, mortgage modification

Transcript Highlights:

• Right now we're getting ready to start the right-of-way phase.
• For right-of-way, we need $19 million. For right-of-way, we need $19 million.
• for right away we need 19 million dollars um right now we are we have 10 million dollars and we're we're
• There are many degrees of being disabled and I'm sure there's lots of being disabled and I'm sure there's
• Yep, some people are temporarily disabled and some people are permanently disabled, and we really should

Summary: The Senate Transportation Committee met for work sessions, public hearings, and executive action. In the work session, WSDOT briefed the committee on the U.S. 12 corridor near Walla Walla and the North Spokane Corridor. Brian White said U.S. 12 is an eight-phase project with seven phases complete, and phase eight would finish the corridor, improve freight mobility and safety, and include a jurisdictional transfer of the old highway back to Walla Walla County. He said the project remains short of full funding, including a gap between the $350 million corridor cost and the $110 million federal Rural Surface Transportation grant, but WSDOT hopes to build smaller independent-utility pieces and begin construction in summer 2027. Charlene K. then reported that the North Spokane Corridor is seven of eight highway miles open, with major remaining work on the I-90 connection and related interchanges, bridges, and trail segments. She described the project as on track for design completion in 2027 and construction completion around 2030, while noting risks tied to federal approval, tight construction space, labor and contractor availability, utilities, and community impacts. The committee also heard from Karen Messmer of the Cooper Jones Active Transportation Safety Council, who summarized the council’s 2025 report and 2026 priorities. She emphasized that pedestrian and bicyclist fatalities remain unacceptably high and urged a safe-system approach focused on safer speeds, roads, road users, vehicles, land use, and post-crash care. She highlighted recommendations including safety-based performance measures, better speed management, more local safety planning support, improved driver education, attention to micromobility and large vehicles, and faster toxicology and crash-data processing. In public hearings, the committee heard Senate Bill 6131, which would expand the Washington Traffic Safety Commission’s fatal crash review authority, designate it as a public health authority for limited access to health information, and create a confidential fatality review committee. The sponsor and Traffic Safety Commission said the bill would help identify common contributing factors in all fatal crashes while protecting confidential information; a media representative testified that the bill preserves public access to records already open and supports the goal of improving safety. The committee also heard Senate Bill 6155, which would extend disability parking placard renewal from every five years to every 20 years and remove the need for a health care practitioner’s signature at renewal; supporters said this would reduce burdens on permanently disabled people, while opponents warned it could increase fraud and misuse of placards. Finally, the committee heard Senate Bill 6238, which would raise the minimum tug escort horsepower for oil tankers in restricted waters to 3,000 horsepower or 5% of tanker deadweight, whichever is greater; the sponsor and Board of Pilotage said the change would align statute with current practice and newly adopted rules. Testimony was mixed, and the hearing closed with two people signed in pro and two con. In executive session, the committee advanced several bills. It passed Senate Bill 5746 on EV charging infrastructure property crime, Senate Bill 5824 on fifth wheel travel trailer length, Senate Bill 6110 on e-bikes and e-motos, Senate Bill 5839 on county ferry district passenger-only service, and Senate Bill 6148 on regional transit authority bond terms, all with due pass recommendations to the Rules Committee. An amendment to SB 6110 adding several state agency leaders to the e-moto work group was rejected. The committee adjourned after signing committee reports.

Transcript Highlights:

• I'm an attorney at Disability Rights Washington, and part of the plaintiff counsel team in the Trueblood
• I'm an attorney at Disability Rights Washington, and part of the plaintiff counsel team in the Trueblood
• I'm an attorney at Disability Rights Washington, and part of the plaintiff counsel team in the Trueblood
• I'm an attorney at Disability Rights, Washington, and part of the plaintiff council team in the true
• All right, thank you.

Summary: The House Appropriations Committee held a public hearing on proposed substitute House Bill 2289, the House operating budget. Budget staff Mary Monroe gave a detailed overview of the proposal’s near general fund outlook, reserve levels, major revenue assumptions, and major spending and savings items. She highlighted assumed revenue from capital gains and a proposed “millionaires tax,” a transfer from the budget stabilization account, administrative reductions across agencies, and several major policy shifts, including changes affecting Working Connections Child Care, K-12 education, higher education, long-term care, behavioral health, wildfire response, and state employee compensation. Members then asked questions, including about the higher education building account/operating fee swap and its interaction with the capital budget and Climate Commitment Act funds. The committee also announced amendment deadlines for the budget process. The bulk of the meeting was public testimony, with many speakers generally supporting or opposing specific parts of the budget. Supportive testimony praised funding for wildfire prevention, public health, reproductive health, civil legal aid, the Poison Center, some higher education institutions, and certain disability and child welfare services. Many speakers urged restoration or protection of funding for K-12 education, especially transition to kindergarten, local effort assistance, bus depreciation, and Running Start; others opposed cuts to child care, early learning, public defense, long-term care, adult day and home care services, occupational/physical/speech therapy for Medicaid patients, and community and technical colleges. Several local government, health, and nonprofit representatives also asked the committee to preserve public works, homelessness, energy assistance, environmental justice, and recovery/diversion programs, while some business and public safety groups sought continued funding for organized retail crime prevention and related initiatives. No votes were taken during the hearing. The committee recessed briefly and later resumed with virtual testimony, where additional witnesses repeated concerns about education cuts, long-term care, health care access, disability services, dispute resolution, early childhood programs, and the need for ongoing or increased funding in those areas.

Transcript Highlights:

• The court found right away.
• Parents with disabilities, especially psychiatric or intellectual disabilities, are sometimes inappropriately
• All right. Take it away.
• Parents with disabilities are disproportionately involved in the child welfare system, Parents with disabilities
• Additionally, Disabled parents may stay in abusive relationships out of fear that their disability will

Committee: Joint Joint Committee on the Judiciary

Keywords: 995, all

Summary: The Joint Committee on the Judiciary held a hearing on a wide range of state, probate, and family bills, with chairs Edwards and Day outlining strict testimony limits and accepting written testimony. Early testimony focused on H. 1911/S. 1138, which would clarify that a durable power of attorney may create a trust if that authority is expressly granted; sponsors and elder law advocates said the bill would resolve uncertainty created by the Barbetti decision and align Massachusetts with other states. A major portion of the hearing centered on S. 1102, a proposal to establish medical panels in Probate and Family Court. Supporters, including attorneys, parents, physicians, and advocates, said neutral three-doctor panels would help judges resolve disputed medical issues in guardianship and custody cases involving children, elders, and people with disabilities. Testifiers described cases where medical treatment was blocked or contested by one parent or guardian, arguing the panels would provide impartial expertise and protect vulnerable people. The committee also heard support for bills addressing disability discrimination in family court, military parents’ custody rights, and a shared parenting bill, H. 1710, which drew strong opposition from domestic violence advocates and others who said a 50-50 presumption could harm survivors and children. The committee also took testimony on several probate and court-administration measures. Senator Lovely supported a bill on nominee trust partition, and Senator Comerford and probate officials backed legislation to codify additional registry staff positions and modernize registry operations. Other bills discussed included foster care liability insurance, with providers warning that rising premiums and loss of coverage could force program closures; health care proxy storage and activation; access to decedents’ email accounts; uniform trust decanting; the Uniform Voidable Transactions Act; heirs’ property partition protections; a constitutional right to health care; alimony-related reforms; child-centered family law; and a right of disposition for funeral arrangements. No votes were taken during the hearing, and the committee repeatedly invited written testimony and follow-up questions.

Transcript Highlights:

• Right, thank you.
• I am the legal director with Disability Rights New Mexico.
• We are a nonprofit legal rights agency that advocates for people with disabilities.
• Disability Rights New Mexico in 2022 sued the state corrections department um and and then.
• All right.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• All right. All right. I'm going to move back into Medicaid.
• Okay, all right. All right.
• All right. So this next line item reflects. All right.
• All right.
• All right.

Summary: The House Health and Welfare Committee approved the February 5, 2026 minutes and then heard a lengthy budget presentation from Department of Health and Welfare Director Juliet Sharon and Medicaid Director Sasha O’Connell. The department outlined numerous supplemental and line-item requests across Medicaid, child and family services, welfare/self-reliance, and support functions, including funding for state hospital billing authority, Medicaid caseload and cost growth, rural health transformation staffing and program funds, child care capacity and program integrity work, kinship navigation, home visiting, and IT and procurement modernization. The committee also discussed the department’s reorganization and the need for additional procurement support for large Medicaid contracts. Much of the discussion focused on Medicaid spending growth, especially in disability services and behavioral health. Sharon said higher utilization and more intensive services, including residential habilitation, youth residential treatment, and substance use services, were driving costs. Members asked about safeguards against provider overuse or steerage; the director said the department uses annual assessments, internal reviews, data mining, and referrals to program integrity, and that some provider behavior had already prompted a proposed rate reduction for residential habilitation. She also explained that the department is seeking to maintain contractor support for disability assessments rather than absorb the work in-house. The committee also reviewed the department’s response to budget reductions and federal changes. Sharon explained the 4% provider rate reduction, the resulting savings, and the need for an additional $22 million in general funds to balance Medicaid, with options for further cuts still before the legislature. Other topics included the state’s Medicaid estate recovery and program integrity contractors, the impact of new SNAP administrative cost-sharing rules, Medicaid work requirements and more frequent eligibility reviews under state and federal law, and a request for three dedicated procurement staff in the Department of Administration to speed Medicaid contracting. No further votes were taken beyond approval of the minutes, and the committee adjourned to attend the floor session.

Transcript Highlights:

• Raise your right hand, please.
• All right. Thank come in this morning. All right.
• All right. Well, thank you so to it. All right.
• All right. your heart also will ask. All right. Thank<00:27:05.520><c> you.
• </c> that does, right? that does, right?

Keywords: 958, all

Summary: The committee first approved contracts 98, 99, and 100 on a roll call vote, with Chairman Douglas voting no but the items still passing. It then took up a Kentucky Department of Tourism contract involving the United Kingdom, France, and Germany/Austria/Switzerland markets. Tourism officials said the state has had similar contracts since 2013, that international visitors spend about six times more per day than domestic travelers, and that the effort supports marketing, public relations, and familiarization trips. The committee approved that contract as well, with Chairman Douglas voting yes after expressing support for tourism promotion. Next, the committee reviewed two Finance Cabinet facilities and support services items involving engineering and architectural services for a specialized lab expansion project. Members discussed why the design work was expensive, and the cabinet explained that the project’s pathogen-related complexity required specialized firms. Chairman Douglas said he believed some architectural and engineering reimbursement rates were too high and should be reexamined, but the committee still approved the items by roll call. The committee then heard from the Attorney General’s office and the Kentucky Opioid Abatement Advisory Commission on an MOA related to substance use disorder funding. Senator Meredith asked how the commission’s work coordinated with behavioral health programs, and staff explained that the commission allocates funds based on applications and includes relevant state officials. The contract was approved. After that, the committee considered behavioral health items: one new 988 chat-and-text contract to expand Kentucky-based crisis response coverage, and a Voices of Hope amendment that doubled funding to continue services into the next fiscal year. Officials said the 988 contract would move more chats and texts in-state, and that the Voices of Hope increase reflected continuation of SAMHSA-funded services; both were approved. Finally, the committee reviewed DCBS contracts, including a food insecurity survey contract with a Kentucky nonprofit and a Building Bridges Initiative training contract. Members questioned whether the food survey group’s advocacy role created a conflict, but DCBS said the organization was chosen for its statewide network and that the cabinet would receive the raw data. For Building Bridges, DCBS said the program began in the fall and provides training and peer mentorship for residential child care providers, with results still too early to assess. Both items were approved. The last set of contracts, under the State Treasurer for the Kentucky Council on Developmental Disabilities, prompted questions about why the funding flowed through the treasurer’s office and about a sexuality-related capacity-building initiative. Staff explained the treasurer serves as the designated state agency for federal DD Act funds, and that the sexuality initiative is part of a broader five-year plan focused on self-advocacy, system change, and capacity building; the committee then moved to approve those contracts as well.

Transcript Highlights:

• Number one is the most significantly disabled, 2 is significantly disabled, and prior to group three
• Disability does not discriminate.
• OK, all right.
• Right now, we got an issue.'
• Right. But for the most part, you have unbelievably talented leadership right now.

Committee: House A&B Human Services Subcommittee

Keywords: 914, all

Transcript Highlights:

• All right. Thank you. Thank you. All right, thank you. Great job.
• So I think it's the right topic, whether... ...it's the right topic, whether it's the right topic for
• Right.
• All right, we're now going to proceed to our final panel, which is on supporting students with disabilities
• All right. All right, thanks so much to the panel.

Summary: The annual joint Senate and Assembly Education Committee hearing featured student proposals from the California Association of Student Councils and SABLE, with opening remarks from legislators emphasizing student voice and the value of hearing youth ideas. Committee members noted the hearing was being streamed and that they would review the testimony even though some members could not attend because of fog-related travel issues. The first panel proposed an annual civic engagement day for grades 7-12, with flexible school-led activities such as discussions, mock elections, and voter registration-related events. Members generally praised the idea but raised concerns about costs, instructional time tradeoffs, how to evaluate effectiveness, and whether the proposal should better connect to existing civics standards and local curriculum. The second panel proposed amending Education Code Section 35012 to require at least one student board member in every unified and high school district, with added training and the right to make motions. Legislators supported student representation in principle but questioned whether the proposal should require one or two student members to avoid board tie issues, why some districts do not already have student trustees, and how the mandate would be funded if it became a state requirement. They also raised technical concerns about the scope of motioning power and the fiscal impact of converting a voluntary local practice into a statewide mandate. Later panels proposed adding middle school financial literacy instruction, expanding restorative justice practices, and creating more structured mental health education time. On financial literacy, students suggested integrating finance into existing middle school classes and teacher training over time; members worried about curriculum overload and suggested aligning the idea with the already-approved high school finance course. On restorative justice, students proposed a CDE task force and training for PPS-certified staff; legislators discussed prior related bills, confidentiality concerns in discipline hearings, and the likely cost of a state task force. On mental health, students proposed short, twice-semester classroom sessions focused on coping skills and awareness of resources, but members questioned whether such brief lessons could be effective and suggested that wellness centers, student-led awareness, and outside referrals might be more practical. No votes were taken; the hearing was informational and ended with encouragement for students to refine their proposals and follow up with legislators.

Transcript Highlights:

• All right, thank you.
• All right. Thank you. Thank you. All right, thank you. Great job.
• Right.
• All right, we're now going to proceed to our final panel, which is on supporting students with disabilities
• All right. All right, thanks so much to the panel.

Keywords: 988, house, all

Transcript Highlights:

• Okay, all right. All right.
• All right. So this next line item reflects. All right.
• All right.
• All right.
• All right.

Committee: House Health and Welfare

Keywords: 989, all

Transcript Highlights:

• Right.
• All right.
• All right. There's no questions. Thank you. All right. Okay.
• All right. Next is Shinikwa Ingram. Thank you. All right.
• All right, no further questions. Thank you. Thank you. All right.

Committee: House Appropriations

Summary: The committee heard public testimony on several budget requests tied to health and human services. Louisiana Children’s Advocacy Centers asked for continued support and a supplemental appropriation of $1.173 million for infrastructure and standardization, explaining that the money would expand use of the Guardify digital evidence system, improve chain of custody, and reduce reliance on DVDs. Baton Rouge and statewide CAC leaders said prior funding helped eliminate a therapy wait list and speed services for abused children. Members asked detailed questions about the digital system, MDT coordination, and how the request related to SB 237, which would strengthen multidisciplinary review of child abuse cases. The Alzheimer’s Association sought $824,000 to sustain the dementia care specialist program, saying it helps families navigate services, keep loved ones at home longer, and reduce Medicaid costs. AARP and the Live at Home Coalition also testified for 750 additional Community Choice waiver slots at a state cost of $3.3 million, arguing that home- and community-based care is cheaper than nursing homes and that the current wait list is more than 11,000 people. Legislators discussed the size of the need, the state’s long-term care spending mix, and whether more support should go to family caregivers and community-based options. Testimony also focused on disability support services, substance use treatment, and developmental disability provider rates. A parent and direct support worker described the Children’s Choice waiver’s 20-hour cap and low pay, saying it makes it hard to retain caregivers and meet the needs of medically fragile children. Odyssey House and O’Brien House asked for higher Medicaid reimbursement rates under ASAM 4, warned that removal of room-and-board payments and weak Medicaid eligibility pathways are reducing access, and called for more oversight of sober living homes; members questioned outcomes data, length of stay, and links to homelessness. Finally, the Arc of Louisiana said the LDH rate study confirmed underfunding and supported a $53.6 million increase in state general funds, with local ARC leaders describing the services they provide and the need for higher direct support professional wages.

Transcript Highlights:

• <00:12:49.519><c> it's</c><00:12:49.720><c> about</c> disabilities it's about disabilities it's about
• </c> authorized and build in the disability authorized and build in the disability waiver<00:17:57.799
• </c> non-residential services in disability non-residential services in disability waiver<00:19:32.200
• </c> rather than when staff is awake right rather than when staff is awake right now<00:35:47.280><c>
• </c> eligibility um at uh for disability eligibility um at uh for disability programs<01:05:05.680><c

Committee: House Human Services Finance and Policy

Keywords: 1183, house