Video & Transcript Research : 'guardian program'

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HI

Hawaii 2026 Regular Session

Senate Floor Session 03-24-2026 11:30am

Hawaii Senate Floor Meeting

Transcript Highlights:
  • And as the state rolled out its program at airports, where you had AEDs in airports, just in the first
  • And as the state rolled out its program at airports, where you had AEDs in airports, just in the first
KY
Transcript Highlights:
  • Prescription Assistance Program, the Kentucky Asthma Management Program, the COPD program, Education
  • programs that we have here in Kentucky. programs that we have here in Kentucky.
  • . program. program.
  • For licensed programs, there is the Child Care Aware program.
  • There are programs, and the Division of Child Care has programs and coaches.
Keywords: 958, all
Summary: The committee met with a quorum and first heard brief presentations on Kentucky’s 2025 Preventive Health and Health Services Block Grant and Title V Maternal and Child Health Block Grant. Department for Public Health staff explained that the preventive health block grant provides about $2.3 million annually and supports programs such as accreditation and performance improvement, local health department grants, community health workers, prescription assistance, asthma and COPD programs, workforce development, and a sexual assault programs set-aside. They said the Title V block grant provides about $11.7 million, with 35% directed to children and youth with special health care needs and 65% to maternal and child health populations, largely through local health departments and a five-year needs assessment process. After no questions, a motion was made and seconded to approve both block grants. The roll call vote passed 19-0, and the two block grants were approved. The committee then approved the minutes from the prior meeting. The next item was a discussion of the child waiver created in House Bill 6. Committee members raised concerns that the proposed 1915(c) waiver did not match the legislature’s intent, which they said was to move children from the Michelle P. waiver to free slots for adults. Cabinet officials from DCBS, behavioral health, and Medicaid described the proposed “Community Health for Improved Lives and Development” waiver as a targeted home- and community-based program for children under 21 with severe behavioral health or developmental needs, including those stepping down from inpatient or residential care or at risk of out-of-home placement. They said the waiver is designed for about 100 slots, uses a standardized needs-based assessment, and includes case management, community living supports, home modifications, respite, supervised residential care, and clinical therapeutic services. Officials said the public comment period ended July 15, responses are being compiled for August submission to CMS, and the waiver is part of the broader Families First initiative.
NH

New Hampshire 2025 Regular Session

House Finance Division III (03/10/2025)

Transcript Highlights:
  • too's group the division of program too's group the division of program quality<00:07:03.319>
  • <00:35:55.200> throughout caregivers Support Program throughout caregivers Support Program
  • I can talk from a program standpoint.
  • <00:48:14.520> which for the Foster grandparent program which for the Foster grandparent program
  • Or so the congregate housing, that's the entire program?
Keywords: 928, house, all
Summary: The Division of Long-Term Supports and Services presented its budget and program overview as part of the Department of Health and Human Services operating budget review. Leadership described the division’s three bureaus—Aging and Adult Services, Developmental Services, and Family-Centered Services—and explained that the division provides guidance, technical assistance, quality monitoring, and contracted provider oversight across the lifespan. Members also discussed staffing, with reported vacancy rates of 4% in Aging and Adult Services, 15% in Developmental Services, and 6% in Family-Centered Services; the division said the higher BDS vacancy rate is partly due to the small number of authorized positions. The governor’s budget had left eight positions unfunded in the division, including three in Aging and Adult Services and five in BDS. A major topic was the division’s roadmap initiatives, especially building a system of care for healthy aging and strengthening developmental disabilities systems through a new reimbursement rate structure. The division said it contracted with an actuary to study DD service costs and found rates had not been reviewed since 2017 and were significantly below actual costs and other states’ rates, contributing to provider shortages even when services are authorized. Members asked about the impact on service delivery and whether rates would need to rise overall; the division said its strategy is to focus on lower-cost services that help people remain in the community. The division also reported waiver enrollment figures, including about 4,161 people on the Choices for Independence waiver, 3,688 average nursing facility residents, 5,061 people on the DD waiver, 228 on the acquired brain disorder waiver, and 488 children on the in-home support waiver, while noting there is no funding waitlist but provider availability remains a constraint. The division highlighted IT modernization as a major accomplishment, especially moving Adult Protective Services and Developmental Services into the New Heights system. Officials said these changes improve case-note access, data retrieval, service authorization tracking, and transparency for providers, and they asked for future oversight discussion focused on IT leverage. Members noted that New Heights maintenance is budgeted in the Office of the Commissioner under class 27 and suggested better transparency on system costs and benefits. The division also reported that it closed out a long-running CMS corrective action plan for BDS on July 1, 2023, and said it is now focused on strengthening the system rather than compliance alone. Other discussion covered the Aging and Adult Services bureau’s name change from Elderly and Adult Services to Adult and Aging Services, intended to avoid negative connotations and better reflect preventative services. The bureau described Adult Protective Services trends involving scams, financial exploitation, self-neglect, and isolation, and explained that it administers the CFI waiver, determines medical eligibility for nursing facility level of care, and braids funding from Medicaid, state funds, Older Americans Act money, Social Service Block Grants, and other grants. Members asked about waiver growth targets and federal consequences if enrollment remains below projections; the division said it would explain the shortfall in a future waiver amendment and did not anticipate a federal penalty. The meeting ended without any votes or formal actions taken.
LA

Louisiana 2026 Regular Session

House of Representatives May 12th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • conjunction with other agencies to study the feasibility of creating a housing rental assistance program
  • conjunction with other agencies to study the feasibility of creating a housing rental assistance program
  • Senate Bill 324 by Senator Reese provides relative to the Water Sector Program and administration of
  • the program, phase two sub-fund, emergency sub-fund grant awards, and rate-study requirements.
  • Members, this is just clearing up and cleaning up some aspects of the Water Sector Program in terms of
Bills: HR265, HR266, HR267, HR268, HR269, HR270, HR271, HR272, HR273, HCR107, HCR108, HCR109, HCR110, HCR111, HR257, HR258, HR259, HR260, HR261, HR262, HR263, HCR105, HCR106, SCR30, SB57, SB157, SB202, SB237, SB276, SB450, SB465, SB501, SB525, HR3, HR80, HR197, HR243, SCR5, SCR35, HB4, HB623, HB944, HB986, HB1098, HB1222, SB34, SB164, SB172, SB198, SB208, SB232, SB281, SB286, SB317, SB322, SB334, SB380, SB385, SB409, SB417, SB421, SB430, SB439, SB447, SB458, SB510, SB398, HB646, HR84, HR188, HR205, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, SCR20, SCR24, HCR6, HB301, HB359, HB657, HB675, HB680, HB727, HB302, HB819, HB1257, HB1258, SB8, SB10, SB11, SB12, SB13, SB14, SB16, SB17, SB18, SB20, SB21, SB22, SB40, SB48, SB55, SB69, SB75, SB77, SB78, SB85, SB102, SB115, SB133, SB140, SB148, SB151, SB165, SB169, SB170, SB185, SB197, SB200, SB217, SB235, SB278, SB280, SB291, SB300, SB303, SB315, SB324, SB330, SB411, SB416, SB420, SB436, SB438, SB449, SB455, SB456, SB477, SB489, SB521, SB45, SB58, SB71, SB81, SB92, SB100, SB109, SB141, SB156, SB181, SB203, SB204, SB205, SB207, SB213, SB214, SB216, SB229, SB257, SB274, SB290, SB304, SB374, SB379, SB396, SB410, SB425, SB427, SB429, SB479, SB522, HCR72, HB633, HB603, HB940, HB251, HB775, HB998, HB1191, HB625, HB1255, HB901, HR20, HR74, HCR65, HCR71, HB284, HB306, HB341, HB366, HB393, HB458, HB577, HB582, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, HB258, HB842, SB149, SB382, SB441
Summary: The House convened with prayer, the pledge, roll call, and several personal privileges recognizing visitors and special observances, including Transportation Day and a day without child care at the Capitol. Members also honored the Southern University Laboratory School track teams, early childhood educators, and later offered condolences and tributes, including a memorial resolution for Derek Butler’s family and birthday recognitions for members and staff. The chamber received Senate messages, committee reports, and introduced or adopted several resolutions and bills throughout the day. A major portion of the floor was devoted to retirement-system cleanup and funding bills, including Senate Bills 8, 10, 11, 13, 14, 16, 17, 18, 20, and 21. Members and authors explained these measures as technical changes to simplify contribution formulas, separate funding for COLAs and benefit increases from debt paydown, and update reemployment or benefit rules for retirees in various systems. Most of these bills passed with large margins after brief questions about whether they would affect automatic debt reduction; authors repeatedly said they would not stop debt paydown. Other measures passed on topics such as emergency vehicle procedures, international driving reciprocity with Ireland, seat belt use, port commission appointments, GOHSEP cybersecurity authority, storage facility rental rules, biomarker testing coverage, DNA sample collection procedures, and a law-institute bill on movable-property leases. The House also adopted HCR 72, the Jonas A. Feeley Act, which memorializes Congress to expedite research and treatment development for acute myeloid leukemia in honor of a deceased veteran, and H.B. 1258, which directs the Department of Wildlife and Fisheries on handling unlawfully possessed sick, injured, or orphaned wildlife. Another notable bill, Senate Bill 200, created a process for expropriating property tied to foreign adversaries near military bases, with amendments allowing voluntary divestment before expropriation. Most measures were adopted by wide margins, with co-author votes taken on some resolutions and bills tabled or returned to the calendar when requested. The most extended debate centered on Senate Bill 217, which would reduce the number of judges in Orleans Parish courts based on a statewide workload study. Supporters said the National Center for State Courts study showed Orleans had more judges than comparable parishes and that the bill would right-size the courts and save about $2.1 million. Opponents questioned the study’s methodology, the lack of Orleans delegation involvement, the counting of cases, the absence of uniform statewide clerk-of-court standards, and whether reducing criminal judges made sense given crime concerns. Despite the criticism, the bill was advanced after lengthy questioning, while the chamber continued to move other bills and resolutions forward.
TX

Texas 89th 2nd C.S.

S/C on Family & Fiduciary Relationships Mar 24th, 2025

S/C on Family & Fiduciary Relationships

Transcript Highlights:
  • They often need numerous types of therapies, and parents must navigate governmental programs, and there
  • The list of items that have to be completed within that continuing education program, all three of those
  • Um, We have so many taxpayer programs, food stamps, housing, everything.
  • Um, so you've mentioned, um, programs, right?
  • Well, most specifically substance abuse programs. OK.
Bills: HB116
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 2/18/25

Human Services Finance and Policy

Transcript Highlights:
  • the program a provider from the program the program a provider from the program or<00:41:07.480>
  • These are not parents of minors or guardians that are providing those services.”
  • <01:33:55.119> Integrity to have oversight and program Integrity to have oversight and program
  • integrity in many of our programs.
  • Integrity in many of our programs so Integrity in many of our programs so this<01:45:30.560> year<
Keywords: 1183, house
MD

Maryland 2026 Regular Session

House Floor Session, 3/20/2026 #1

Maryland House Floor Meeting

Transcript Highlights:
  • training and defensive tactics program. training and defensive tactics program.
  • this affecting reward programs?
  • is this going to affect reward programs? is this going to affect reward programs?
  • Because obviously they're programs?
  • , explicitly allows loyalty programs, explicitly allows loyalty programs, points,<00:32:40.440>
Summary: The House met with 125 members present and began with the pledge, prayer, and opening formalities. Two House resolutions were presented and adopted by voice vote: one honoring the pioneering women of the Maryland State Police and State Fire Marshal’s Office during Women’s History Month, and another recognizing the University of Maryland School of Medicine Center for Infant and Childhood Loss on its 50th anniversary. Both resolutions highlighted the honorees’ service and contributions, and the clerk read each resolution into the record. The chamber then received Senate bills introduced in the House, including Senate Bill 6 and Senate Bill 551, which were read the first time and referred to committee without objection. The House also took up multiple committee reports, largely adopting favorable reports and ordering bills printed for third reading. Measures advanced included bills on residential real estate contract contingencies, Maryland data privacy, local alcoholic beverages licenses and fees in several counties, county salary study commission membership, sheriff and municipal enforcement matters, estates, health occupations background checks, school book fair tax exemptions, school board compensation and voting, and a Calvert County medical center bill. Several bills were amended before advancing. House Bill 443 on Prince George’s County small event center alcohol licensing received a capacity-related amendment; House Bill 348 on Baltimore City alcohol license extension received a technical amendment and a change expanding coverage to transfers of ownership before July 1, 2029; House Bill 682 changed a license classification from Class C to Class GC; House Bill 405 on EV recharging equipment in condo/HOA documents was amended to clarify budget treatment; and House Bill 895 on dynamic pricing and predatory pricing received amendments clarifying definitions, disclosures, and enforcement. After extended discussion of HB 895, including questions about whether it bans dynamic pricing for food, how it treats discounts and loyalty programs, and whether supply-and-demand pricing changes are affected, the House agreed to special order the bill until later in the day.
TX

Texas 89th Regular

Public Health Aug 22nd, 2025

Public Health

Transcript Highlights:
  • There has been some discussion during this summer about different programs that would certify people
  • That's where we're supposed to set fees and such. a way to offset the expense of running the program.
  • I think we'll have people in our public programs spending less money on health care, and people will
  • These programs were designed to assist people, and I think that they've just been severely mismanaged
  • in this country in these programs, and so I think the cities have just taken advantage of it.
Bills: HB 265, HB25
TX

Texas 89th Regular

S/C on Family & Fiduciary Relationships Apr 22nd, 2025 at 02:04 pm

S/C on Family & Fiduciary Relationships

Transcript Highlights:
  • It also supports job training for formerly incarcerated men, mentoring programs for fatherless youth,
  • They're not going to psychiatrists, they're not going to see guardian ad litems.
  • They're either going to work the program or they're not.
  • Oh, Trust-Based Relational Intervention—it's a program that's out of TCU that was developed by a lady
  • Texas CASA is the statewide membership organization for the 74 local CASA programs in Texas.
TX

Texas 89th Regular

S/C on Family & Fiduciary Relationships Apr 22nd, 2025

S/C on Family & Fiduciary Relationships

Transcript Highlights:
  • It also supports job training for formerly incarcerated men, mentoring programs for fatherless youth,
  • state of Texas turns to when it wants rigorous evaluations of its child protection and prevention programs
  • They're not going to psychiatrists, they're not going to see guardian ad litems.
  • And they're stuck in this cycle of uncertainty. ...Either going to work the program or they're not.
  • Texas CASA is the statewide membership organization for the 74 local CASA programs in Texas.
MN

Minnesota 2025-2026 Regular Session

Committee on Education Policy - 02/12/25

Education Policy

Transcript Highlights:
  • Master's programs are a couple of years.
  • They suggest the idea of engaging parents and guardians, and very often parents and guardians are considered
  • and our special education transition program as well.
  • <01:05:08.880> direct you get to go program direct you get to go program direct admissions
  • <01:05:26.680> to that would be an excellent program to that would be an excellent program
Keywords: 1187, senate, all
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Wednesday, January 14, 2026)

US Federal House Floor Meeting

Transcript Highlights:
  • <00:18:22.400> in<00:18:22.799> football firstear program in football firstear program
  • and Twirling Program.
  • By working graduate programs.
  • programs for the American people. programs for the American people.
  • and Related Programs Appropriations Act. and Related Programs Appropriations Act.
AZ

Arizona 2026 Regular Session

06/09/2026 - Senate Floor Session

Arizona Senate Floor Meeting

Transcript Highlights:
  • This bill would prohibit a parent or guardian from being considered as having abused or neglected a child
Keywords: 1182, all
CA
Transcript Highlights:
  • pay program.
  • across programs.
  • programs in their area.
  • What are our big program drivers?
  • Very important program. Probably the most important program in the world.
Summary: The Assembly Budget Subcommittee on Human Services held a hearing on the Governor’s May Revision, with no votes taken. The first major topic was child care and early education, where the Department of Social Services and Department of Finance outlined proposed changes to absorb federal Child Care and Development Fund and Proposition 64 revenue reductions, shift some funding between child care programs, end funding for prospective pay implementation now that the federal requirement has been rescinded, adjust the alternative payment administration structure, and fund child care infrastructure grants and a Low-Income Investment Fund contract closeout. The Legislative Analyst’s Office said the budget makes progress on the structural deficit but recommended maintaining the administration’s solution level, making reserve deposits, and avoiding new ongoing commitments; it also raised concerns about shifting reductions to the California Alternative Payment Program and about the proposed administrative-rate change. Committee members strongly criticized the proposed loss of child care slots and said they would oppose eliminating those slots, while also expressing support for child care as essential infrastructure. The committee then reviewed California State Preschool Program proposals. Finance and CDE described reductions to the preschool COLA from 2.41% to 2.01%, removal of prospective pay funding, and increases for the QRIS block grant, audit support, and rate reform implementation. Trailer bill language would codify age-based rate categories, inclusion-rate documentation, family fee collection rules, portability, and excused absences. CDE supported the QRIS increase and some attendance and family-fee changes, but warned that aligning three- and four-year-old rates could reduce support for three-year-olds and that the budget does not fully cover enrollment growth. Members also questioned whether the preschool and child care slot reductions should be reallocated rather than terminated, and the administration said the reductions were intended to reflect current utilization and avoid harm to currently enrolled families. The hearing then moved to CalFresh and nutrition programs. CDSS said the May Revision includes a one-time CalFood augmentation, funding to cover federal SNAP administrative cost-share pressures, and additional staffing and technical assistance to implement HR 1 changes, including the able-bodied adults without dependents time limit and new non-citizen eligibility rules. The department estimated HR 1 could cut CalFresh funding by $2.3 billion to $3.7 billion annually and affect about 500,000 people, with roughly 806,000 adults potentially subject to the time limit and about 34,000 non-citizens expected to lose eligibility once fully implemented. Members pressed for stronger harm mitigation, including a $98 million backfill to protect families from losing food benefits, and raised concerns about county workload and the “chilling effect” on immigrant participation. The final portion of the transcript began the IHSS presentation, noting a revised budget of $33.7 billion total funds and $12.8 billion General Fund, with proposed reductions tied to Medi-Cal asset-limit changes and other federal conformity items.
CA
Transcript Highlights:
  • The treatment programs are the same.
  • Care court's a voluntary program that those with antisagnosia, program that those with anisagnosia, are
  • But these are expensive programs.
  • or a TK program, or where there is a preschool program on campus, we are supporting those programs as
  • And these are not just programs. They are not social media programs.
Summary: The hearing focused first on behavioral health, especially serious mental illness and anosognosia, a condition described by witnesses as a neurological symptom that prevents people from recognizing they are ill. The chair framed the issue around families cycling through emergency rooms, jails, conservatorships, and short-term stabilization without lasting treatment, and warned that federal changes under H.R. 1 could reduce Medi-Cal funding and worsen access. Dawn Marie Anderson gave a personal account of her son’s long history of psychosis, homelessness, arrests, repeated jail and state hospital stays, and eventual stability when he received sustained medication and coordinated support. She argued that the system often treats the problem as criminal rather than medical and that voluntary programs and short-term services are not enough for people who lack insight into their illness. Other panelists, including representatives from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association, agreed that anosognosia is not denial or noncompliance and said the system needs long-term, coordinated care, including assertive community treatment, mobile crisis, supportive housing, medication support, and stronger handoffs between county and managed care systems. They said CalAIM and other reforms have improved some coordination, but significant gaps remain, especially for people with serious mental illness, for those in jail or locked settings, and for people with private insurance, which witnesses said often offers little meaningful coverage for early psychosis or intensive behavioral health services. Several witnesses urged the Legislature to protect Medi-Cal, shore up county safety-net services, and invest in training and family engagement. The committee then turned to the Children and Youth Behavioral Health Initiative, with a focus on the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, saying the platforms provide free, culturally responsive, early-intervention support statewide and help connect users to higher levels of care when needed. On the fee schedule, DHCS said more than 500 LEAs, colleges, universities, and school-linked providers are participating, 181 LEAs have submitted claims, and $9.6 million has been reimbursed to date, with 41,556 students represented in claims. The chair and several members criticized the pace of implementation and the amount of money spent relative to reimbursement levels, saying the Legislature had requested data earlier and that the return on investment still appeared low. DHCS responded that many claims are still being submitted, that 70% of denials are correctable, that $400 million in capacity grants has been distributed locally, and that reimbursement is increasing rapidly as more districts come online. Public comment included a rural county behavioral health director who said private insurance denials leave counties with significant uncompensated work, especially for unlicensed staff providing case management and mobile crisis services.
CA
Transcript Highlights:
  • These are not the only programs.
  • Schedule program.
  • or a TK program, or where there is a preschool program on campus, we are supporting those programs as
  • And these are not just programs. They are not social media programs.
  • to fund this program.
Keywords: 988, house, all
Summary: The hearing focused first on behavioral health, especially hard-to-treat serious mental illness through the lens of anosognosia, and the impact of potential federal Medi-Cal reductions under H.R. 1. A family member, Dawn Marie Anderson, described her son’s long cycle of psychosis, homelessness, arrests, jail-based stabilization, and repeated relapse when treatment ended, arguing that anosognosia is a symptom of illness rather than refusal of care. She and other witnesses urged more consistent, long-term treatment, family involvement, medication support, and stronger county and state coordination. County and provider representatives said the current system still relies too heavily on crisis response and leaves people with serious mental illness falling through gaps between managed care, county specialty care, housing, and justice systems. Testimony from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association emphasized that people with anosognosia often cannot self-navigate care, making a “no wrong door” system essential. They said H.R. 1 could destabilize coverage and shift costs to counties, while existing private insurance coverage is inadequate for early psychosis and related services. Witnesses highlighted CalAIM, jail in-reach, assertive community treatment, mobile crisis, supportive housing, and LEAP-style family training as promising tools, but said counties still need more resources and that the state should strengthen both Medi-Cal and private insurance behavioral health coverage. A public commenter from Lake County said private insurers denied most claims, especially for unlicensed staff providing case management and mobile crisis services. The committee then heard an update on the Children and Youth Behavioral Health Initiative, including the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule program. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, and said the platforms are serving children and youth statewide, including many who had never previously accessed care. For the fee schedule, DHCS said 72% of school districts and 50 of 58 county offices of education are participating across six cohorts, with $9.6 million reimbursed to date and 41,556 students represented in claims. Members pressed the department on the program’s roughly $69.3 million administrative cost, the slow pace of reimbursement relative to the investment, and the late delivery of requested data. DHCS responded that many claims are still being submitted, most denials are correctable, and local implementation is still scaling up through technical assistance and capacity grants.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Racial Equity, Civil Rights, and Inclusion Jun 21st, 2026 at 01:00 pm

Joint Committee on Racial Equity, Civil Rights, and Inclusion

Transcript Highlights:
  • So these programs don't only expand access.
  • For those less familiar with these programs, there is the Pell Program, providing $7,395 per year to
  • It caps borrowing below actual program costs.
  • We've doubled our investments in success programs, building on a successful community college program
  • The success program, food, hunger programs, all the other programs that are out there are crucial.
Keywords: 995, all
Summary: The Joint Committee on Racial Equity, Civil Rights, and Inclusion held an informational hearing on “Protecting Equity in Higher Education” and emphasized that no bills were being heard. Members and witnesses focused on the effects of recent federal actions on DEI, admissions, financial aid, student loans, international students, and campus equity efforts in Massachusetts. Opening remarks from the co-chairs and the chair of Higher Education highlighted Massachusetts’ investments in free community college, expanded financial aid, and early college programs, while warning that federal policy changes could undermine those gains. Testimony from BU law professor Jonathan Feingold argued that many DEI practices remain legally defensible after Students for Fair Admissions v. Harvard, and that the decision did not end all race-conscious or equity-oriented efforts. He said the Trump administration’s anti-DEI actions and funding threats were legally suspect and had created confusion and a chilling effect. Bahar Akman-in-Boden of the Hildreth Institute testified that proposed federal cuts to TRIO, Gear Up, Pell Grants, SEOG, work-study, and student loan programs would disproportionately harm low-income, first-generation, Black, Latino, and other underserved students, and urged the state to prepare hold-harmless and advising supports using Fair Share revenue. Commissioner Noe Ortega described Massachusetts’ long history of equity in higher education and said the state has expanded aid, success programs, and early college, but still has work to do on attainment and completion. He said the state responded to SFFA by creating ACARE and continuing to defend equity practices, while also warning that federal disruptions and “dear colleague” letters have created uncertainty. In the second panel, state university leaders and campus officials said federal threats to Pell, DEI grants, Medicaid, and international student policies could affect access, campus operations, and the economy; they stressed that most state university graduates stay in Massachusetts and that institutions are continuing their equity practices despite federal pressure. Roxbury Community College’s president said RCC remains committed to open access and inclusion, noted enrollment growth, and said executive orders do not change existing law or the college’s obligations.
CA
Transcript Highlights:
  • and programs serving lower census levels than the maximum budget the program is projected to support
  • program that we've lost here in Sacramento.
  • If they land in a diversion program, that diversion program will be funded by the DSH program.
  • It was a pilot program investment. I don't think it's a pilot program. It was investment.
  • In statutes that govern our DHCS alcohol and drug program certification and our narcotic treatment program
Keywords: 987, senate, all
Summary: The subcommittee heard updates from the Department of State Hospitals on its proposed 2026-27 budget, including a $3.2 billion total budget, patient-driven operating cost increases, savings in the IST solutions program, and progress in meeting the Stiavedi court-ordered 28-day treatment standard. DSH reported it has met court benchmarks, reduced the IST pending placement list from a pandemic high of 1,953 to about 250, and is now averaging about five days to initiate treatment. Members asked about the effects of Proposition 36 and SB 1323 on referrals, outside hospitalization costs, Medicare coverage, and whether IST solution funds were being overbudgeted; DSH said referrals are slightly down overall, outside medical costs are rising due to inflation and an aging population, and the IST savings reflect slower-than-expected activation of community programs rather than a service gap. The department also outlined proposed funding for electrical infrastructure upgrades at Napa and Patton, a feasibility study under SB 380 for transitional housing for the CONREP SVP program, and a dental services expansion at Metropolitan and Patton. The committee held those DSH items open after discussion. The Commission for Behavioral Health presented its role in overseeing the transition from MHSA to BHSA, including data, evaluation, transparency, grantmaking, and technical assistance. It described the new Innovation Partnership Fund, a statewide innovation grant program funded at up to $20 million annually for five years, with small and large grants, and said it had received strong interest ahead of the May 8 application deadline. Members asked about what qualifies as innovation, whether grants could be renewed, and how the state would ensure the program supports service delivery rather than general outreach or training. The commission also sought a liquidation deadline extension for up to $4.062 million in remaining Alcove Youth Drop-in Center funds so sites can finish implementation and Stanford can complete the final evaluation; that item was also held open. DHCS provided an overview of behavioral health policy changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, the access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation, transitional rent, and upcoming youth-focused guidance such as high-fidelity wraparound and activity funds. On BHSA implementation, DHCS said it is not tracking specific local program cuts, but is monitoring county plans and outcomes while noting that counties must still preserve Medi-Cal specialty mental health and DMC-ODS services. The department also discussed its H.R. 1 implementation strategy, including outreach, streamlined renewals, ex parte exemptions, and proposed clinic navigator and outreach funding to reduce Medi-Cal coverage loss, especially for people with behavioral health needs. In response to questions, DHCS said it has not produced a specific H.R. 1 impact estimate for county behavioral health populations, and later explained that counties can still use BHSA and other funding streams for prevention and early intervention while the state tracks impacts through integrated plans and new performance measures. The department also reported on BH-CHIP bond spending, saying it has awarded $5.8 billion for 437 infrastructure projects creating 546 new or expanded facilities and more than 9,553 residential beds, with tribal set-asides exceeding the original allotment.
CA
Transcript Highlights:
  • and programs serving lower census levels than the maximum budget the program is projected to support
  • the delayed activation of a new Central California FACT program that will replace the program we've
  • If they land in a diversion program, that diversion program will be funded by the DSH program, the DSH
  • Diversion program.
  • It was a pilot program investment. I don't think it's a pilot program. It was investment.
Summary: The subcommittee heard presentations from the Department of State Hospitals (DSH), the Commission for Behavioral Health, and the Department of Health Care Services (DHCS) on budget proposals and implementation updates. DSH outlined its proposed 2026-27 budget, including funding for patient operating expenses, IST solutions savings, conditional release program costs, LPS bed allocation changes, electrical infrastructure projects at Napa and Patton, SB 380 transitional housing feasibility work, and expanded dental services at Metropolitan and Patton. DSH also reported that it has met court-ordered IST treatment benchmarks in the Stiavedi v. Clinton case, with average time to initiate treatment down to about five days and pending placements reduced to roughly 250, while noting that Proposition 36 could increase referrals and SB 1323 may divert some individuals earlier into community-based treatment. Members asked about rising outside hospitalization costs, Medicare enrollment, the timing and structure of capital projects, and whether IST solution funds are being fully used; DSH said the savings reflect slower-than-expected ramp-up of community programs and that the Central California FACT replacement program is still on track for January 2027 activation. The Commission for Behavioral Health described its role under the Behavioral Health Services Act (BHSA), including data, evaluation, grantmaking, technical assistance, and transparency work. It highlighted the new statewide Innovation Partnership Fund, a five-year, $20 million-per-year program with small and large grant categories; the first RFA drew strong interest, with more than 400 questions and over 1,000 bidders’ conference participants. The Commission also discussed a proposed extension to spend down about $4.1 million remaining for the Alcove Youth Drop-in Center grants so sites can finish implementation and Stanford can complete the final evaluation. Members asked about grant duration, whether projects can be renewed, what qualifies as innovation, and whether the fund could support service delivery rather than awareness campaigns or training; the Commission said awards are expected to be three-year contracts and that proposals must be new or meaningfully expanded approaches that support BHSA priority populations. DHCS reviewed major behavioral health changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, updated specialty mental health access criteria, and new substance use treatment standards based on ASAM’s fourth edition. DHCS reported strong contingency management results, with more than 13,000 members served and 95% testing negative for stimulant use during treatment, and said 21 Indian health care providers have been approved to offer traditional health care practices. It also described BH Connect initiatives such as the $1.9 billion access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation by four counties, and transitional rent services. On BHSA implementation, DHCS said it is not tracking individual county contract cuts but is monitoring county plans and statewide outcomes, while stakeholders raised concerns about local prevention and service gaps. DHCS also outlined its H.R. 1 implementation strategy, including outreach, streamlined renewals, exemptions for disabled, substance use, and medically frail individuals, and proposed clinic navigator and outreach funding; it said it has not yet produced a focused estimate of H.R. 1 impacts on behavioral health populations. The discussion ended with DHCS noting that B-CHIP bond funding has supported 437 infrastructure projects, creating 546 new or expanded facilities and more than 9,500 residential beds across the state.