Video & Transcript Research : 'wellness program'
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AR
Arkansas 2026 Regular Session
PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE - SENATE AND HOUSE May 21st, 2026
Transcript Highlights:
- In case You're unaware, the federal government has a program that they call the Continuum of Care program
- , for SSDI, for housing, all these different programs?
- That I've been focusing on as well.
- Yeah, and the state is very well positioned at this time.
- Yeah, and the state is very well positioned at this time.
Summary:
The committee first approved a motion, then heard a lengthy presentation on homelessness in Arkansas, with a focus on unsheltered homelessness, untreated mental illness and substance use, public safety, and the role of local law enforcement and shelters. Presenters from law enforcement, homeless service providers, mental health, and policy groups discussed federal Continuum of Care funding, the need for better data and accountability, and proposals such as statewide camping enforcement, stronger treatment access, and consolidating or reworking the continuum-of-care structure. Much of the discussion centered on the Certified Community Behavioral Health Clinic (CCBHC) model, with witnesses describing it as a way to expand crisis services, treatment, and coordination with housing and justice systems. They also discussed homelessness among sex offenders, family homelessness, workforce supports, and how to scale successful local programs statewide. No formal action was taken on the homelessness proposals during the discussion.
The committee then reviewed several Department of Energy and Department of Health/Board of Nursing rules. The energy rule updated solid waste post-closure cleanup thresholds from $50,000 to $2 million to match Act 791 of 2025. Nursing-related rules added fees for the new dialysis patient care technician registration created by Act 198 of 2025, updated contact-information requirements, implemented APRN authority under Act 862 of 2025, clarified durable medical equipment language under Act 431 of 2025, and incorporated delegation changes from Act 959 of 2025. Additional nursing rules updated certified medication assistant training and duties under Act 265 of 2025, and corrected rules for full independent practice to include clinical nurse specialists under Act 872 of 2023. Each rule was reviewed without objection.
At the close of the meeting, members received an update that UAMS had completed its NCII designation submission for the Winthrop Rockefeller Cancer Institute, which was described as a major milestone. The committee then adjourned.
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Local Government (11-20-25) - Reupload
Transcript Highlights:
- therapy or MRT, re-entry services, workforce training, and academic programming as well.
- therapy or MRT, re-entry services, workforce training, and academic programming as well.
- therapy or MRT, re-entry services, workforce training, and academic programming as well.
- therapy or MRT, re-entry services, workforce training, and academic programming as well.
- therapy or MRT, re-entry services, workforce training, and academic programming as well.
Keywords:
Reupload to restore attendance roll call
Roll Call 00:00:00
Approval of Minutes from September Meeting 00:00:24
Presentation of the Kentucky Association of Counties Legislative Platform for the Upcoming 2026 Session 00:01:48
Discussion of Legislation Concerning Firefighter Death Benefits 00:35:43
Discussion of DNA Collection in Jails for Felony Arrests 00:45:52
Discussion of Federal Immigration Law Enforcement 00:54:18
Adjournment 01:15:39, 958, all
Summary:
The committee met for its sixth meeting, established a quorum, and approved the minutes from the October 21 meeting. The main agenda item was a presentation from Kentucky Association of Counties (KACo) leaders and county officials on jail funding and jail-system reform. Speakers said county jail costs have reached crisis levels, citing large and rising general-fund subsidies in counties such as Hardin, McCracken, and Warren, and noting that county general-fund contributions to jail funds have increased by 76% since 2019.
KACo outlined a three-part legislative approach for the upcoming session: incentivizing regional jails, clarifying responsibility for pre-trial felony detainees, and redefining the model for housing state inmates in county jails. On regional jails, they proposed one-time state construction funding, statutory changes to allow former county jails to serve as 96-hour holdover facilities, broader participation of jailers on regional jail authority boards, an increased supplement for closed county jails, and a one-time payment for counties that close local jails and join regional facilities. Union County Judge Adam Onan described his county’s savings from contracting with Webster County and said regionalization can reduce costs where feasible.
Harlan County Judge Executive Dan Mosley focused on pre-trial felony detainees, saying counties bear the full cost of housing people awaiting trial for long periods, sometimes years, and that pre-trial time is later credited toward state sentences. He argued the state benefits from that credit and referenced prior bills that would have reimbursed counties for time-served credit. Shelley Hampton then proposed replacing the current per diem model for state inmates with contracts requiring the Department of Corrections to pay actual housing costs and to support programming such as substance abuse treatment, cognitive behavioral programming, re-entry services, workforce training, and academics. No votes were taken on the jail proposals, and the meeting ended with the presentation and discussion of the county recommendations.
ND
North Dakota 2025-2026 Regular Session
Legislative Audit and Fiscal Review Committee Mar 24th, 2026
Transcript Highlights:
- Well, Bruce is here. Sorry. They're here? Well, Bruce is here.
- The three programs that we audited this year were the mortgage insurance program, the Ginnie Mae program
- “Well, Mr.
- Well, Mr.
- Well, Mr.
Summary:
The committee met to receive a series of audit presentations, beginning with the statewide Annual Comprehensive Financial Report (ACFR) for fiscal year 2025. The State Auditor’s Office and OMB reported a clean, unmodified opinion for the state, with strong financial results including a $40.6 billion net position, $30.99 billion in assets, $1.81 billion in liabilities, and continued Legacy Fund growth. OMB also explained the new GASB 101 compensated-absences reporting change and discussed pension-liability fluctuations tied to discount-rate assumptions and investment performance. Members asked about how the state compares to others and about the effect of short-term commodity price swings, and OMB said the report reflects actual fiscal-year results rather than forecasts.
The committee then heard the University System audit, which also received a clean opinion but included four findings: misreporting of Strategic Investment and Improvements Fund revenue, insufficient monitoring of service organizations at CTS, NDSU, and UND, improper bank reconciliations at Dakota College of Bottineau, Dickinson State, and Williston State, and investment/cash reconciliation problems at Bismarck State College related to bond proceeds. University officials agreed with the findings and said corrective actions were underway, including internal review of bank reconciliations. Members raised questions about NDSU’s use of certificates of deposit, and university staff explained that CDs are used to earn interest on funds being accumulated for future projects.
Several other audits were presented, most with clean opinions and no findings, including the State Auditor’s Office, Workforce Safety and Insurance, Housing Finance Agency, Housing Incentive Fund, Job Service North Dakota, the Retirement and Investment Office, PERS, the Center for Distance Education, the Commission on Legal Counsel for Indigents, the Ethics Commission, and the Office of Administrative Hearings. Notable exceptions included a State Fair Association audit with an adverse opinion on the foundation component unit because its financial statements were not available for audit, and a Securities Department performance audit finding that performance-based pay increases and bonuses were issued without required evaluations. The committee also discussed the State Auditor’s future needs, including more staff capacity, data analytics, cybersecurity reviews, possible subpoena authority, independent legal counsel, and whether some audits—such as the Ethics Commission and State Fair—should be handled by independent third parties or under different statutory arrangements.
MN
Minnesota 2025 1st Special Session
Committee on Health and Human Services - 01/21/25
Health and Human Services
Transcript Highlights:
- Well, I think the experts are still debating how this program came to be, but I think many seem to agree
- programs.
- provider organizations, I'll say more about that, can acquire ... out and the program particularly well
- Well, I think the experts are still debating how this program came to be, but I think many seem to agree
- but we did Medicaid um pharmacy program but we did say<01:59:03.719>
okay <01:59:03.960>well
Summary:
The Senate Health and Human Services Committee convened for its first meeting of the 2025 session, with Chair Melissa Wiklund outlining the new co-chair arrangement, rotating gavel, committee size of 12, and the seven-vote threshold needed to move bills and motions. Members and staff introduced themselves, including several new senators, committee administrators, counsel, fiscal staff, researchers, and new pages. The committee then began its agenda with an overview of the Minnesota Department of Health from Deputy Commissioner Wendy Underwood.
Underwood described MDH’s mission and structure, emphasizing public health’s focus on prevention, population health, and the social and economic factors that drive health outcomes. She highlighted the state’s health disparities, the department’s five bureaus, and major work areas including infectious disease response, newborn screening, environmental health, chronic disease prevention, health regulation, health equity, and operations. She also discussed the Center for Health Care Affordability, saying the department has been meeting with stakeholders and has hired a director to begin work on advisory bodies and community engagement around rising health care costs.
Members asked questions about physician shortages, burnout, administrative burden, and health care bureaucracy. Senator Grunhagen argued that excessive paperwork and micromanagement are worsening access and workforce shortages, while Senator Abeler asked for data on whether past disparity programs have been effective and whether some efforts should be consolidated. Underwood said MDH has rural health programs, workforce supports such as loan forgiveness, and research on administrative costs and low-value services, and she noted the department has published legislative reports with more data to come. The chair then moved the committee to a broader discussion of public health system development in Minnesota, introducing City of Bloomington officials to present on a recent report.
KY
Kentucky 2025 Regular Session
Budget Review Subcommittee on Education (8-20-25)
Transcript Highlights:
- >
KTG <00:29:24.799>programs, <00:29:25.279>I <00:29:25.520>mean, >> Well - so that you could have that information and be aware we have all these extra programs as well as the
- Um the other on that program as well.
- <00:41:21.680>
as <00:41:21.920>well we have all these extra programs as well we have - all these extra programs as well as<00:41:22.480>
the <00:41:22.640>lottery <00:41:23.040
Summary:
The Interim Joint Budget Review Subcommittee on Education met and approved the July 15, 2025 minutes before hearing a presentation from the Kentucky Higher Education Assistance Authority (KHEAA/KIA) on student financial aid ahead of the January biennial budget session. KHEAA outlined its role administering 17 state-funded grant and scholarship programs, 529 plans, and outreach services, and emphasized that net lottery proceeds after a $3 million literacy appropriation are statutorily dedicated to student aid. The agency focused on the major need-based programs—College Access Program (CAP), Kentucky Tuition Grant (KTG), and KEES—along with dual credit, Work Ready Kentucky, teacher scholarship, and National Guard tuition assistance. Officials said the new federal FAFSA methodology created a major increase in eligible students, especially for CAP, and thanked lawmakers for adding substantial funding this biennium to meet the higher demand.
Staff explained that CAP is for Pell-eligible, low-income students, while KTG is a need-based grant for students at private Kentucky colleges; both use FAFSA data, but schools verify final eligibility. They said CAP awards are first-come, first-served and that the higher funding level allowed the program to last the full 21-month application cycle in FY 2024-2025, compared with much shorter periods in earlier years. KHEAA reported about $232 million spent on CAP for roughly 72,000 students last year, with current applications running about 10% ahead of the prior year. Members asked about the difference between applicants and recipients, the effect of lower lottery revenues, and whether recent federal legislation would affect state aid; KHEAA said it does not expect major impacts on grants and scholarships, though student loan changes could affect graduate students.
The committee also discussed KEES and dual credit. KHEAA said KEES has been fully funded since its creation and that its forecast was within $76,000 of actual need last year. For dual credit, staff said a recent bill consolidated work-ready dual credit and career/technical education under one scholarship program, and KHEAA will seek growth funding because participation and costs continue to rise. The agency said FY 2025 dual credit spending reached $26.4 million across dual credit and work-ready funding, requiring transfers from Work Ready Kentucky to keep dual credit fully funded. Members asked about transferability of dual credit hours and whether the program reduces later college costs; KHEAA said it does not have hard data on every credit transfer, but it does see higher bachelor’s completion rates and lower student debt, suggesting positive effects. No votes were taken beyond approving the minutes.
FL
Florida 2025 Regular Session
March 12, 2025 - 10:15 AM
Transcript Highlights:
- In those programs, they teach independent living, social skills, job skills, and they teach programs
- In those programs, they teach independent living, social skills, job skills, and they teach programs
- In those programs, they teach independent living, social skills, job skills, and they teach programs
- That program is a collegiate-based program for students who want to seek a collegiate-based program.
- age 16 in Leon County and stay in that program and have access to that program until age 26 to learn
Summary:
The subcommittee met with a quorum and considered three bills. House Bill 1145 by Representative Shoaf would clarify that public charter schools may participate in the CAP grant program and expand the number of eligible programs under the money-back guarantee workforce education provision from three to six. Supporters said it would broaden access and encourage outcomes-focused training; members asked about fiscal impact and repayment concerns. The bill passed 16-0 and was reported favorably.
House Bill 127 by Representative Kendall addressed exceptional student education and workforce credentialing. A strike-all amendment broadened the bill to include all students with disabilities, use the term micro-credential, involve the Department of Education, the Florida Center for Students with Unique Abilities, and OSHA, and add validation by special education staff and an IEP team member. Public testimony included support from Goodwill and others, while one witness raised concerns about IDEA compliance, voluntariness, and funding. Members debated those issues, with supporters emphasizing that the bill was not mandatory and would help transition students into work; the amendment was adopted and the bill then passed 15-0.
House Bill 571 by Representative Kendall would expand career planning and work-based learning opportunities for students, require the Articulation Coordinating Committee to evaluate apprenticeship and pre-apprenticeship programs for postsecondary credit, allow more flexible work-based learning, provide career days for students age 16 and up, guarantee transfer of certain credits to the Florida College System, and require annual review of personalized academic and career plans. Several industry and education groups appeared in support, no one spoke in opposition, and the bill passed 15-0 and was reported favorably. The meeting then adjourned.
MN
Minnesota 2025 1st Special Session
House Veterans and Military Affairs Division 3/26/25
Veterans and Military Affairs Division
Transcript Highlights:
- As well as a state reenlistment bonus, which has been a highly successful program.
- . program. program.
- Um, we do have a core program as well. That's the social security disability team.
- Um, we do have a core program as well. That's the social security disability team.
- have a sore program as well that's the have a sore program as well that's the social<00:43:07.599
CA
Transcript Highlights:
- Program.
- We also preserved funding for rehabilitation programs through the Right Grant, as well as funding to
- , affordable housing program, and the Wildfire County Coordinator program.
- We are a program administrator for two of the air districts as well as with the statewide program.
- the HOPE accounts program.
AZ
Arizona 2026 Regular Session
01/21/2026 - Senate Education Committee of Reference
Transcript Highlights:
- WICHE offers three major student access programs. WICHE offers three major student access programs.
- Our graduate program is the Western Regional Graduate Program, or WRGP.
- access programs they were called student exchange program but we are excuse me, student access programs
- , as well as legislation enacted in 2025 that impacted the program.
- , especially a program as important as the school safety program.
Summary:
The Senate Education Committee of Reference met for sunset reviews and first heard a presentation on the Credit Enhancement Eligibility Board from the Governor’s Office. The presenter explained that the board, created in 2016, has no dedicated staff or administrative budget and is supported by existing budget and policy staff and the Treasurer’s Office. The board’s purpose is to lower borrowing costs for qualifying schools by using a guarantee fund to enhance credit ratings, and it has largely been used by charter schools. Because the board has reached its statutory leverage cap and has not met since 2022, it is currently in a monitoring role, but it must remain in place to honor guarantees if any approved financing defaults. The committee asked about financing maturities, demand from schools, and whether a shorter continuation period would make sense. No public testimony was offered, and the committee voted to recommend continuing the board for 10 years, until July 1, 2036.
The committee then reviewed the Western Interstate Commission for Higher Education (WICHE). WICHE’s president described the interstate compact, its regional role in higher education access, workforce development, and data services, and its major student programs: the Western Undergraduate Exchange, the Western Regional Graduate Program, and the Professional Student Exchange Program. She highlighted tuition savings for Arizona students and the state, the return of many PSEP graduates to practice in Arizona, and additional cost savings through cooperative purchasing and technology contracts. The committee asked no substantive questions, and it voted to recommend continuing WICHE for 10 years, until July 1, 2036.
The final major item was the Arizona Department of Education School Safety Program performance audit, followed by testimony from the department. The Auditor General reported that the program has grown substantially, especially after expansion to counselors and social workers and increased appropriations, but that ADE did not consistently ensure schools complied with program requirements. In a sample of 16 schools, most had issues such as missing or incomplete operational plans, inadequate safety team activity, incomplete required training, missing activity logs, or reimbursement requests lacking expenditure reports. The audit said these problems reduced the program’s effectiveness and increased the risk of improper spending, and it recommended stronger monitoring, written procedures, and better documentation review. ADE accepted the findings and said it is implementing the recommendations through more direct staff oversight, training requirements tied to funding, encrypted submission of emergency plans, site visits, and representative desk reviews. The discussion then shifted to whether emergency plans should address federal law enforcement actions; the director said the plans are designed for campus safety threats generally and do not specifically contemplate ICE enforcement. The committee took no vote on the audit presentation and adjourned after discussion.
MN
Minnesota 2025 1st Special Session
House Energy Finance and Policy Committee 3/4/25
Energy Finance and Policy
Transcript Highlights:
- Energy Technologies with programs Energy Technologies with programs ranging<00:18:15.080>
from - new geothermal feasibility study program new geothermal feasibility study program launched<00:18
- 59.080>
not niche that most other programs do not niche that most other programs do not it's<00 - to the program reviewing and oversight to the program reviewing and approving<00:19:22.440>
the - an approving the program design on an approving the program design on an annual<00:19:23.919>
WA
Washington 2025-2026 Regular Session
Joint Committee on Energy Supply, Energy Conservation, and Energy Resilience Dec 3rd, 2025
Joint Committee on Energy Supply, Energy Conservation, and Energy Resilience
Transcript Highlights:
- Well, with that, we will start.
- Well, I guess Kip is well published, but I don't have a whole lot of co-authors, so...
- Well, thank you very much.
- Well, it's... I work everywhere.
- Well, I don't think I see any more questions. Well, I don't think I see any more questions.
Summary:
The Joint Committee on Energy Supply, Energy Conservation, and Energy Resilience opened by electing Senator Shoemake as chair and Representative Alex Ibarra as vice chair. Members then moved into a series of work sessions focused on data centers, transmission, and workforce needs tied to Washington’s clean energy and grid planning challenges.
Kate Bruns and Glenn Blackman presented preliminary findings from the governor’s Data Center work group, created under Executive Order 25-05. They said the group met for six months, received more than 1,000 public comments, and included representatives from agencies, industry, tribes, labor, utilities, environmental groups, and research institutions. The presenters emphasized that data centers are expected to be the largest source of load growth over the next five to ten years, creating concerns about grid capacity, ratepayer impacts, forecasting, water use, backup generation, and compatibility with Washington’s energy and climate laws. They described nine recommendations, including protecting existing energy and climate policy, improving forecasting, seeking more clean power and transmission, and encouraging flexible data center operations. A proposed tax incentive change that would have expanded eligibility while tying the exemption to new clean electricity sources narrowly failed in the work group. Members asked about tribal consultation, cooling technologies, and local benefits from data centers; the presenters said tribal consultation was ongoing and a final report would follow.
Keegan Moyer of West Tech then outlined a regional transmission study showing major strain on the Western grid from load growth, electrification, resiliency needs, and limited transmission capacity. He said the 10-year study identified about 12,000 line miles of needed projects across the West, with roughly $56 billion in estimated costs, including planned projects, reliability upgrades, and new interregional transfer projects. He stressed that many projects are upgrades within existing rights-of-way, but new corridors are still needed, and he previewed recommendations on permitting, equipment procurement, cost allocation, and project sponsorship. In response to questions, he discussed the difficulty of crossing jurisdictional “seams,” the role of federal coordination, landowner compensation, eminent domain as a last resort, and the limited role of public financing beyond a federal GRIP grant.
Stephanie Scott of Commerce presented the transmission workforce study, which focuses on substation technicians, line workers, and line clearance tree trimmers. She said current workforce levels are far below what will be needed under a clean energy expansion scenario, and that active projects are essential because apprenticeship training depends on thousands of hours of hands-on work. She highlighted barriers such as high upfront CDL and pre-apprenticeship costs, the need for wraparound supports, and the importance of expanding access for women, people of color, and tribal communities. Members asked about tribal utility apprenticeship programs, utility-run training pipelines, and whether the study included funding sources; Scott said the report would include an inventory of apprenticeship programs and tribal considerations, but revenue ideas were outside the study scope.
Finally, Brant Johnson of Grid United described the North Plains Connector as a case study in large transmission development. He said the project, a 420-mile, 3,000-megawatt HVDC line connecting Montana and North Dakota, has relied on early stakeholder engagement, route changes, tribal consultation, and coordinated federal and state permitting to reduce risk and shorten timelines. He said the project aims for permits by the end of 2026 and construction beginning in 2028, with an earliest commercial operation date of 2032. In response to questions, he discussed the challenges of crossing regional seams, interconnection queues, land acquisition and compensation, eminent domain, and financing, noting that the project is primarily privately financed with a $700 million federal grant covering a portion of costs.
MN
Minnesota 2025 1st Special Session
Agriculture, Veterans, Broadband and Rural Development - Subcommittee on Veterans - 01/27/25
Agriculture, Veterans, Broadband, and Rural Development - Subcommittee on Veterans
Transcript Highlights:
- as well, so it's one program, two sites, for our veterans homes. uh we have offer a homelike atmosphere
- Well, I don't know.
- Well, I don't know.
- Well, I don't know.
- So we have well-connected CVSOs at the federal level as well.
Summary:
The subcommittee held its first hearing of the session and began with introductions from members and staff, many of whom shared personal or family connections to military service. The chair emphasized that the committee would work respectfully and invited members to raise concerns directly. No votes or formal actions were taken during the opening portion of the meeting.
The main substantive item was an overview presentation from the Minnesota Department of Veterans Affairs. Commissioner Brad Lindsay described the agency’s mission, statewide footprint, and strategic goals, noting Minnesota has more than 286,000 veterans and that MDVA serves veterans in all 87 counties. He outlined the department’s structure, including eight veterans homes, four state veterans cemeteries, tribal and campus outreach, and the agency’s focus on seamless support, awareness of programs, stewardship of resources, and workforce retention.
Deputy Commissioner Ben Johnson then detailed the Programs and Services Division, including federal VA claims assistance, veterans employment and education support, state veterans cemeteries and memorial affairs, the State Soldiers Assistance Program, homelessness prevention, tribal veteran service officers, women veterans services, the Minnesota GI Bill, licensing and certification assistance, the state approving agency, veterans preference, emergency assistance, the LinkVet line, and the Minnesota Service Core partnership with Lutheran Social Services. He also noted the agency’s work on food insecurity and burial services. The presentation was informational only, with no committee action reported.
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Aug 19th, 2025
Transcript Highlights:
- My 401k is doing pretty well.
- Which we did, and we found the Firstborn program to be a commendable program.
- Well, I'd like to add, Mr.
- And I asked the founder of the program, they stopped it at three years, and she said, well, we just stopped
- So after that first year, families that were kind of well-situated would be just fine going off the program
MN
Transcript Highlights:
- , that are cost-based programs.
- and many, many small programs as well.
- and many, many small programs as well.
- as well recall from Miss Beckle programs as well recall from Miss Beckle uh<00:51:50.960>
Aid - and many, many small programs as well.
Summary:
The committee first approved the January 21st minutes by voice vote. Members then resumed a school finance overview focused on how Minnesota’s “base” budgeting system works and how future committee targets are set above or below that base by the Ways and Means chair, in consultation with fiscal staff. Staff emphasized that school funding decisions are tied to the state budget base and that changes made by the tax committee can affect school levies and school finance more broadly.
The presentation then turned to property tax fundamentals. Staff explained that roughly 65% of school district revenue comes from state aid and about 20% from property taxes, with property tax revenue applying to school districts rather than charter schools. They reviewed the two main school tax bases—referendum market value and adjusted net tax capacity—along with class rates, sales ratios, and equalization. They also described tax credits, especially the school building bond agricultural credit, which helps reduce the property tax burden on agricultural land in Greater Minnesota.
Members discussed student choice programs and how funding follows students. In response to questions from Representative Quam, staff explained postsecondary enrollment options (including direct enrollment and College in the Schools) and online learning, noting that funding generally follows the student to the serving institution or district. Staff also reviewed Minnesota’s pupil-counting system, including average daily membership and pupil weighting, and explained that students attending charter schools, other districts through open enrollment, or online programs are counted where they are served.
The presentation concluded with broader school finance context: funding sources, equity and adequacy goals, constitutional and statutory authority, and the state’s school data systems (EUP/FARS, MARS, and STARS). Staff also began reviewing long-term enrollment trends, noting the impact of the baby boom, later growth from the mid-1980s through about 2000, and projected modest declines in public school enrollment through 2029.
MN
Minnesota 2025-2026 Regular Session
Fraud Committee Meeting - 2026-04-21
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- program requirements. program requirements.
- two programs. two programs.
- It gives them program.
- program, but in Medicaid as well.
- in the food program, but in Medicaid<01:46:44.120>
as <01:46:44.280>well.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Sep 11th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- And I'm a big fan of the ICAN program and the SNAP program. I've run early intervention programs.
- . as well.
- So that program is going to be expanded farther north, east, and west through this funding as well.
- One of the programs with our affiliation with NMSU is that pathway program, a seven-year program.
- We are going to focus on warm handoff programs and recovery services, as well as prevention programs,
CA
California 2025-2026 Regular Session
Joint Hearing Assembly Health Committee and Senate Health Committee Aug 19th, 2025
Transcript Highlights:
- And in California, the Medi-Cal program is one of the largest health care programs in the country.
- program, the detrimental nature.
- program, the detrimental nature.
- Well, I kind of talk about the Medi-Cal program.
- Reduced eligibility and access to these programs will put untenable strains on other county programs
Summary:
The joint informational hearing focused on the impacts of H.R. 1 on California’s Medi-Cal program and on community health effects from recent immigration enforcement actions. Committee leaders said H.R. 1 would sharply reduce federal funding, increase administrative burdens, and worsen access to care, especially for Medi-Cal enrollees, immigrant families, rural communities, and reproductive health patients. The second half of the hearing examined how ICE raids and related federal actions are creating fear, reducing clinic and emergency department use, and disrupting children’s access to schools and early childhood education.
Department of Health Care Services Director Michelle Bass outlined the main H.R. 1 provisions affecting Medi-Cal: work requirements, semiannual eligibility redeterminations, shorter retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal support for emergency and lawful immigrant coverage, and a one-year ban on Medicaid funding for prohibited abortion providers. She estimated millions could lose coverage, with tens of billions of dollars in federal funding at risk. Planned Parenthood Affiliates of California warned the defunding provision could force clinic closures, service reductions, and loss of access to family planning, STI testing, and cancer screenings. The California Hospital Association said the financing changes could cut hospital revenue by tens of billions over 10 years and threaten access, especially for rural and safety-net hospitals. The Western Center on Law and Poverty argued the law would increase churn, paperwork, and uninsured rates, disproportionately harming working adults and people experiencing homelessness.
Committee members asked about implementation timelines, notification systems, administrative costs, the effect on immigrant eligibility, and whether California could delay or mitigate some provisions. Bass said the state was still assessing federal guidance, planning county and provider outreach, and exploring a possible delay for work requirements and a transition period for provider-tax changes. Members also discussed how state budget actions may need to be revisited in light of H.R. 1, and how California might preserve access through state-only funding or other policy changes.
In the second panel, CHIRLA, Los Angeles County Department of Health Services, and the Children’s Partnership described the health consequences of immigration enforcement. Speakers said raids and data-sharing fears are causing anxiety, trauma, and avoidance of care, with Los Angeles County reporting declines in emergency, urgent care, and clinic visits after enforcement actions. The Children’s Partnership said school and early childhood absences are rising in some communities and that enforcement is undermining children’s emotional well-being and access to education. Members asked for more data and discussed possible state protections, telehealth, mobile care, and legal and policy responses to reduce fear and preserve access to health and education services.
WA
Washington 2025-2026 Regular Session
House Finance Dec 4th, 2025
Transcript Highlights:
- And it would certainly aid this program if we had some information about those programs to be able to
- It was a free tax filing program. That program appears to be discontinued indefinitely.
- So they're aware about the program.
- and presenting the program.
- as well.
Summary:
The House Finance Committee held a work session that began with welcoming new member Rep. Janice Zahn, who introduced herself as representing the 41st Legislative District. The Department of Revenue then gave an update on the Antio-related legislation following the Washington Supreme Court decision and the 2025 session changes. DOR explained its voluntary disclosure program and the new expanded voluntary disclosure agreement for taxpayers with unreported investment income, including broader eligibility and interest/penalty relief, but said utilization has been minimal so far because additional implementation questions remain unresolved.
The committee next received the annual update on the Working Families Tax Credit. DOR reported record participation in 2025, with about $205 million refunded through October and a major increase in applications after TurboTax added the credit to its filing software. Officials said most dollars went to households with children, outreach efforts remained important, and community partners and state agencies helped increase uptake. Members focused heavily on fraud concerns, especially tax preparers allegedly filing claims without applicants’ knowledge or diverting refunds; DOR said it is using fraud detection tools, training preparers, and trying to make applicants whole, but current law does not provide direct penalties against preparers.
The final portion covered implementation of engrossed substitute Senate Bill 5814, which expanded sales tax to certain services. DOR described the new tax framework, its guidance process, and the large volume of ruling requests and outreach since the law took effect October 1. Committee members asked about fiscal assumptions, the scope of taxable services, and whether the department had revised its implementation estimates; DOR said the fiscal note assumed broad application absent explicit exemptions and that no expenditure revision had been made. In stakeholder testimony, Expedia and T-Mobile argued the law creates complexity and competitive disadvantages for Washington businesses, while a construction training provider said the tax raises tuition for workers seeking required certifications. School and nonprofit representatives said the tax will increase costs for special education services, arts programming, and other public-facing activities, and urged exemptions or further legislative fixes. The chair closed by noting the committee would revisit 5814 in the next session and then adjourned the meeting.
NY
New York 2025-2026 Regular Session
2026 Joint Budget Subcommittee on Environment/ Agriculture/ Housing - 03/17/2026
Transcript Highlights:
- successful program.
- economically disadvantaged farmers grant program.
- Also, I know dairy had experienced cuts as well.
- DISADVANTAGED FARMERS GRANT PROGRAM.
- ALSO I KNOW DAIRY HAD EXPERIENCED CUTS AS WELL.
Summary:
The Joint Conference Committee on Environment, Agriculture and Housing opened budget negotiations for the 2026-2027 enacted budget, with Senate and Assembly leaders outlining their one-house proposals and committee members giving brief remarks. The discussion covered environment, agriculture, housing, parks, and energy, with repeated emphasis on affordability, climate resilience, and support for rural and urban communities. Senate and Assembly chairs described the process and noted the agencies present, while minority members criticized the overall size of the budgets and urged more attention to housing affordability, building stakeholders, and energy costs.
On the environment and energy side, the Senate highlighted proposals for $138 million in additional clean water infrastructure funding, a $75 million increase to the Environmental Protection Fund, $95 million in restored parks capital, $200 million for the Energy Affordability Program, and $1 billion for Sustainable Futures 2.0, including a proposed revival of the NY STUN program. The Assembly said it increased the EPF to $500 million, raised clean water infrastructure funding to $800 million, and included targeted amounts for cities, rural housing-related water projects, Cornell Ag Tech, and the Center for Sustainable Materials Management. Democrats argued that high utility bills are driven by natural gas costs rather than clean energy, while Senate and Assembly Republicans said the CLCPA and other energy mandates are increasing costs and should be reconsidered.
Agriculture remarks focused on research, farm support, and resilience. Senator Hinchey described funding for Cornell’s COWS program, Farm to School amendments, $7 million for farm worker housing, and a new $20 million Farm Weather Resiliency Grant Program. Chair Lupardo said the Assembly added $16 million over the Governor’s proposal for educational research and outreach, restored support for beginning and disadvantaged farmers, and backed dairy, livestock, hemp fiber, and natural fibers initiatives, while also accepting $30 million in farmer tariff relief if guidelines are set. Minority Assembly Member Tague supported dairy infrastructure funding but criticized the farm labor overtime phase-down and the CLCPA’s impacts on farms.
Housing discussion centered on major capital and assistance programs. The Assembly proposed $200 million more for the Housing Access Voucher Program, $100 million for Mitchell-Lama and NYCHA, $50 million for down payment assistance, $4 million for fair housing testing, land banks, and $40 million for the Homeowner Protection Program. The Senate outlined similar priorities, including $500 million for NYCHA, $100 million for Mitchell-Lama preservation, $250 million total for HAVP, and additional funding for mixed-income rental development, vacant rentals, senior housing, and block-by-block infill. Chair Rosenthal said rent stabilization was not being changed in the budget, while Republican members argued that affordability requires lower taxes, lower utility costs, and fewer regulatory burdens. No votes were taken; the meeting was an opening round of budget negotiations and ended with closing remarks from both sides.
WA
Washington 2025-2026 Regular Session
Joint Select Committee on Health Care and Behavioral Health Oversight Nov 5th, 2025
Joint Select Committee on Health Care and Behavioral Health Oversight
Transcript Highlights:
- They could qualify for other state programs.
- Program at the federal level.
- And then some grow your own training program investments in rural workforce incentive programs where
- Well, thank you.
- Well, my apologies for being not as well informed as I should have been.
Summary:
The committee met to hear introductory briefings from the Department of Health and the Health Care Authority on agency priorities, federal changes, and implementation challenges. Secretary of Health Dennis Worsham said his department’s listening tour is focused on strengthening governmental public health, improving health care quality and access, and responding to federal funding disruptions and the shutdown’s effects on programs such as WIC. HCA Director Ryan Moran said the agency is prioritizing coverage preservation, oversight of major contracts, affordability, behavioral health integration, rural health transformation, and internal agency operations. Members asked about licensure delays; Worsham said the backlog had been reduced from about four months to six weeks and should be caught up by January 1, with possible further process changes if needed.
A major portion of the meeting focused on H.R. 1 and its Medicaid-related implementation. Governor’s health policy advisor Caitlin Stafford, HCA staff, and interim Medicaid Director Trinity Wilson said the state is working with DSHS, the Health Benefit Exchange, tribes, and other partners to prepare for eligibility changes, work requirements, and six-month redeterminations. They said the state expects up to 30,000 Apple Health enrollees could lose coverage under the law’s non-citizen eligibility changes, and that the work requirement/redetermination provisions could affect about 620,000 adults, with roughly 80,000 also enrolled in SNAP. HCA said it hopes to automate most verification, but about 15% to 20% of cases may require manual review, with technology costs estimated at up to $30 million. Staff also said they are trying to keep H.R. 1 implementation mostly in budget language rather than statute, and that communication and navigator support will be important to minimize confusion and coverage loss.
The committee also received an update on the Rural Health Transformation Program created in H.R. 1. HCA said Washington submitted its application to CMS on November 5 after extensive stakeholder engagement, including more than 310 written comments, webinars, and tribal consultation. The application centers on six initiatives: rural hospital innovation, community care and prevention, tribal investments, technology and data, workforce development, and rural behavioral health. HCA said the state is likely to receive less than the full $200 million annual amount assumed in the federal program, and that an advisory committee may be created to help guide spending over the five-year program. Members asked about palliative care, small business impacts, and communication with enrollees; HCA said it expects to share outreach toolkits and that no 2026 statutory changes are currently anticipated, though that could change.
The final panels covered organ donation and transplant services. Department of Health staff explained the 2023 “Lights and Sirens” law for organ transport vehicles, including licensing, driver qualifications, insurance requirements, and use of emergency lanes and traffic preemption; the department said one company is currently licensed and there have been no complaints. LifeCenter Northwest described the organ procurement process, the legal framework under the Uniform Anatomical Gift Act, and the rarity and complexity of deceased donation, noting Washington has seen strong growth in donation and transplants over the past decade. University of Washington Medical Center staff then outlined its transplant programs for kidney, liver, heart, lung, pancreas, and multi-organ transplants, describing the multidisciplinary evaluation and waitlist process and the coordination required with donor organizations and hospitals.