Transcript Highlights:

• We are strong supporters of home and community-based services.
• I'm here to speak on legal services funding.
• Michael Henning, California Alliance of Child and Family Services.
• Kate Morrison with Maxim Health Care Services.
• Budget Subcommittee No. 3 on Health and Human Services is adjourned.

Keywords: 987, senate, all

Transcript Highlights:

• and then it's a per service uh billing. and then it's a per service uh billing.
• legal services, case management services, investigative services, and so forth.
• personal services contract green list. personal services contract green list.
• Department for Medicaid Services. Department for Medicaid Services.
• You pay for services against a contract for the year the services were rendered.

Keywords: 958, all

Summary: The committee first approved the June 9 minutes, then reviewed a deferred personnel contract involving workers’ compensation claims administration. Staff explained that the roughly $50 million figure included about $48 million for claims payments and up to $1.45 million per year for administrative services, with billing based on a fee schedule for specific services rendered. Senator Meredith raised concerns about the vendor’s history, the scoring and bid process, and prior allegations involving the company; the administration responded that the procurement had been conducted under 45A through open competition, with outside scorers and no finding of wrongdoing tied to this contract. Meredith moved to disapprove Contract 167, Hart seconded, and the committee voted 5-2 to disapprove it. The committee then deferred a Western Kentucky University personal services contract because the vendors were still not registered with the Secretary of State’s office. Hart moved to defer the contract until the August 2026 meeting, Meredith seconded, and the motion carried. The committee also approved the agenda covering the various contract lists and deferred items. Next, the committee heard from the Cabinet for Health and Family Services on several personal services contracts for medical staffing and related services. Secretary Steven Stack and staff explained that staffing shortages often require outside vendors, that the contracts were competitively bid under 45A, and that the cabinet uses a streamlined vendor pool for specialized needs such as actuaries, auditors, and technical consultants. The committee approved Contracts 52 through 55 without objection. Discussion then began on Contract 61, with Meredith expressing concern that the committee lacked enough detail to judge whether the services could be performed in-house or whether the exchange of resources was appropriate; Stack said the contract was intended to provide efficient access to specialized outside expertise. The transcript cuts off before a final vote on Contract 61 is shown.

Transcript Highlights:

• our disability service system. our disability service system.
• disabilities who ser whose services disabilities who ser whose services service<00:16:19.600>
• service needs are not being met. service needs are not being met.
• of these service crisis. of these service crisis.
• providers that provide these services. providers that provide these services.

Keywords: 1187, senate, all

Transcript Highlights:

• One of the services I receive is Louisiana Rehabilitation Services. My story is just one example.
• One of the services I receive is Louisiana rehabilitation services.
• rates and direct service workers' pay.
• And those services cost more.
• duplication of services is reduced.

Summary: The committee met for public testimony on the Finance budget, with the main discussion focused first on funding for disability services and then on the LA GATOR scholarship program. Several individuals testified in support of fully funding Families Helping Families and Louisiana Rehabilitation Services (LRS), describing how advocacy, transition services, and direct support workers help people with disabilities access education, employment, and independent living. Witnesses urged the committee to preserve or increase state general funds to draw down federal matching dollars, and provider groups said current reimbursement rates and staffing shortages are leaving agencies in deficit, creating waitlists, overtime costs, and difficulty retaining workers. Committee members thanked the speakers and noted that the testimony would be used to compare the governor’s, House, and remaining budget requests. The committee then heard extensive testimony in support of increasing funding for the LA GATOR scholarship program. Supporters included policy groups, school leaders, parents, and students who argued that the program expands educational choice, helps low-income and special-needs students find schools that fit their needs, and should be fully funded at the level of demonstrated demand. Speakers from Catholic and Christian schools said GATOR funding had helped students thrive academically and spiritually, but that shortfalls left many eligible students without awards, hurt kindergarten enrollment, and forced schools to raise private donations to cover gaps. Several witnesses emphasized that the program is not a zero-sum attack on public schools, but a way to let education dollars follow students. A few committee questions focused on the fiscal impact and on whether choice programs improve outcomes without harming public schools. Testimony cited enrollment growth, parent demand, and data from other states to argue that school choice can improve student and parent outcomes and may also strengthen traditional public schools through competition. No votes or formal actions were taken during the public testimony portion of the meeting.

Transcript Highlights:

• Your working service is not unnoticed and much, much appreciated.
• Next, I'm going to move to Health and Human Services to the ADAP part.
• And my final question is health and human services. Thank you.
• They have services somewhere else.
• They have services somewhere else.

Keywords: 999, senate, all

Transcript Highlights:

• Mahalo, Jessica, for your service. I yield to my colleague from M.
• Mahalo, Jessica, for your service. I yield to my colleague from M.
• Mahalo, Jessica, for your service.
• for Applied behavioral analysis services for Applied behavioral analysis services to<00:49:48.520
• for home and communitybased service for home and communitybased service waivers<01:00:59.319>

Keywords: 910, house, all

Transcript Highlights:

• I'm their director of housing, health, and human services.
• And that hopefully frees up those services for, These programs hopefully free up those services for people
• To date, we've responded to 128,000 calls for service.
• And really, the spectrum of service has increased.
• We provide short-term follow-up services as well, because if we're not providing the follow-up services

Summary: The Community Safety Committee held an interim work session on crisis response, with members and witnesses discussing how Washington can better integrate 911, 988, mobile crisis, co-response, and alternative response models for behavioral health crises in public spaces. Travis Parker opened with an overview of the Sequential Intercept Model and the crisis care continuum, emphasizing early intervention, 988 access, regional coordination, navigators and peer support, and the need for sustainable braided funding. Several Washington witnesses then described current programs and system gaps, including the growth of co-response teams, the importance of integrating 911 and 988 rather than treating them as competing systems, and the need to reduce unnecessary emergency room use and improve first responder wellness and training. City, fire, and crisis-system representatives described local challenges and reforms. Kim Hendrickson of Poulsbo said most crisis calls still come through 911 and urged better coordination among field-based teams, more behavioral health training for fire/EMS, and more alternatives to ER transport. Laura Pippen, a designated crisis responder, described a strained involuntary treatment system, fewer DCRs statewide, difficulty getting law enforcement support for transports, and limited facility capacity, especially for substance use disorder. Jennifer Stuber and South County Fire’s Keith Sharp highlighted workforce training, a crisis responder certificate program, and first responder wellness efforts. Research witnesses Evan Lauder and James Pine said the evidence is still developing but generally supports on-scene resolution, reduced ED transport and detention in some models, and the importance of clear dispatch protocols, coordination, and ongoing evaluation. Dispatch and program operators then gave examples of how systems are working in practice. Katie Myers of Washington APCO/NENA said 911 remains essential, but needs evidence-based triage protocols, liability protections, and additional funding if it is expected to take on more crisis-response responsibilities. Whatcom County described embedding a “community connector” in the 911 center to coordinate alternative response, while ValleyCom reported that its 988 diversion pilot transferred 2,165 calls with 98% resolved through 988/211 without returning to 911. National examples included Denver’s STAR program, Albuquerque’s Community Safety Department, and Atlanta’s PAD initiative, each showing different ways to route low-acuity or behavioral-health-related calls away from police and toward clinicians, peers, or civilian responders. The session ended with Washington examples continuing, including Whatcom County’s alternative response team, underscoring the committee’s interest in refining and expanding integrated crisis response systems in the next session.

Transcript Highlights:

• We saw a 4% increase in our nutrition services. We saw a 4% increase in our nutrition services.
• enhanced services.
• Nursing services and more enhanced services.
• We are the Department of Veterans Services, and we don't provide services without money and services
• Your services are invaluable, and thank you for your service. Thank you, Senator Padilla.

Keywords: 996, all

Transcript Highlights:

• An act to amend the Public Service Law in relation to determination of certain utility services to report
• We have $2.4 billion in our service account.
• proposed rate changes for gas and electric service.
• An action on public service law in relation to proposed rate changes for gas and electric service.
• reconnection of service for low-income customers.

Keywords: 993, senate, all

Summary: The Senate Standing Committee on Energy and Telecommunications, chaired by Senator Cameron Parker, considered a large agenda focused on utility consumer protections, rate transparency, NYSERDA oversight, and energy transition policy. Several bills were discussed in detail, including measures to prohibit residential utility shutoffs during extreme temperature forecasts (Bill 120A), delay shutoffs and late fees while a utility is under certain PSC investigations (Bill 904B), require disclosure of planned rate increases (Bill 4989A), limit certain utility charges after 12 months (Bill 8710), and require utilities to disclose more information with major rate change applications (Bill 9433A). The committee also considered bills on net energy metering credits (Bill 1553), reconnection for low-income customers (Bill 965), sanctions and civil penalties (Bill 8908), and annual NYSERDA reporting obligations (Bill 1819). Members raised recurring concerns about affordability, arrears, and who ultimately bears costs when utilities are prevented from collecting immediately. Senator Walczyk repeatedly questioned whether protections would shift costs to other ratepayers, while sponsors and the chair emphasized that the bills did not erase arrears but created temporary consumer protections. Senator May noted that some proposals could produce significant savings for ratepayers. On Bill 1819, Senator Walczyk supported greater accountability for NYSERDA’s use of ratepayer-funded money. Bill 1668, which would authorize NYSERDA to administer grants for switching residents to electric heat pumps, drew questions about funding; staff said it would be funded off-budget from existing sources and would have no direct state cost, though it could require shifting existing program resources. The committee advanced most bills to third reading after motions and votes, with several measures receiving no votes but still moving forward. Bill 2477 was held for possible amendments. Bill 4989A was referred to the Consumer Protection Committee. Bill 5111, the Just Energy Transition Act, prompted extended discussion about its study timeline and a PSC order to facilitate replacement and redevelopment of at least 4 gigawatts of fossil fuel generation; the bill was advanced to third reading after debate. The meeting concluded with adjournment after the committee completed its agenda.

Transcript Highlights:

• Too many PCAs online matching service.
• <00:17:51.039> just places I represent, NMT services just places I represent, NMT services
• Thank you for the care services.
• So why have a community services.
• service world. Um here we sit. Yep. service world. Um here we sit. Yep.

Keywords: 1187, senate, all

Transcript Highlights:

• We're already working with Legislative Council Service.
• Care services are being provided at higher costs.
• services.
• Are we set up to provide services? Who's providing those services?
• now are provided services.

Transcript Highlights:

• Through these services, we assisted more than 116,000 Floridians.
• Again, Adrian alluded to a lot of the different services.
• So that means they've completed their services with us.
• But we are also looking at those who are participating in services from blind services or vocational
• , which are great services that you have.

Summary: The subcommittee met to receive an informational presentation from CareerSource Florida President and CEO Adrian Johnson, joined by Anthony Gagliano of CareerSource Suncoast, on the structure, funding, and services of Florida’s workforce development system. Johnson explained that CareerSource serves job seekers and businesses through 21 local workforce development boards and nearly 100 career centers, using federal and state funding streams such as WIOA, Wagner-Peyser, SNAP Employment and Training, and TANF. She described services including case management, training, wraparound supports, job matching, rapid response for layoffs and disasters, and business services such as recruitment, customized training, and on-the-job training. She also highlighted the REACH Act’s role in consolidating local boards from 24 to 21, creating the Master Credential List and Credential Review Committee, and implementing performance-based letter grades for local boards. Members asked detailed questions about funding formulas, letter grade metrics, apprenticeships, youth services, small business access, and the demand occupation list. Johnson said federal allocations are driven largely by unemployment and poverty formulas, which has reduced Florida’s WIOA funding by about $27 million over four years because of the state’s low unemployment rate. She explained the letter grades measure outcomes such as increased earnings, reduced public assistance, employment and training outcomes, work-based learning, business engagement, and service to individuals in certain programs, and said the system is being reviewed for possible changes, including removing extra credit and adjusting weights. On youth services, she said Florida has a waiver allowing a 50/50 split between in-school and out-of-school youth funding, and that local partnerships drive outreach. On the demand occupation list, she said it is based on state labor market data and projections, but local boards can submit evidence of local demand when data does not reflect conditions in their area. A substantial portion of the discussion focused on apprenticeships and workforce training grants. Johnson and Gagliano described apprenticeship navigators funded by the $7.75 million apprenticeship expansion allocation, which help employers navigate registration and expand apprenticeships into nontraditional fields such as IT, health care, education, and hospitality. Gagliano gave examples from CareerSource Suncoast and said navigators helped employers move faster through registration and develop programs with local education providers. Johnson also discussed Incumbent Worker Training Grants and Quick Response Training Grants, noting recent awards of nearly $3 million to 69 businesses and $6.5 million to 24 businesses, respectively, and said these programs are targeted toward high-skill, high-wage occupations and priority industries. The meeting ended with no votes or formal action; the chair thanked the presenters, invited follow-up questions, and adjourned the meeting without objection.

Transcript Highlights:

• community services block grant. Yeah. community services block grant. Yeah.
• services in our outreach.
• landlords across our service area. landlords across our service area.
• our services. our services.
• These services services for children.

Keywords: 958, all

Summary: The committee first approved the minutes from its July 30, 2025 meeting. Members then heard a presentation from Roger McCann of the Department for Community Based Services on Kentucky’s 2026-2027 Community Services Block Grant state plan. He explained that the federally funded grant, now about $12 million annually, is distributed through 23 local community action agencies that use flexible funds for locally identified needs such as housing, nutrition, transportation, Head Start, and domestic violence services. McCann said the plan is submitted every two years and that the agencies served about 264,000 Kentuckians and 130,000 families in 2024. Senator Meredith asked whether there was a central place to review local projects, and McCann said regular reports exist and could be shared with members. The committee then approved the CSBG state plan by roll call vote. After that, members received an update on Kentucky’s state-designated domestic violence shelter programs from Angela Yanelli of ZeroV, Mary Foley of Maryman House Domestic Crisis Center, and Elizabeth Martin of the Center for Women and Families. The presenters described ZeroV’s role as the statewide domestic violence coalition, its 15 member programs across all area development districts, and its contract with the Cabinet for Health and Family Services to provide emergency shelter, supportive services, housing assistance, and batterers intervention programming. They emphasized that services are available 24/7 and are trauma-informed, with a strong focus on children and family support. The domestic violence providers reported high demand and rising costs. ZeroV said its network served more than 14,000 adults and children in fiscal year 2025, including nearly 900 children in shelter and more than 500 in outreach, while Maryman House reported operating at 90-92% capacity, with 53 households waiting for emergency shelter and 63 more waiting for intake. Maryman House also described an 8-unit transitional housing complex and plans for a 48-unit apartment complex if tax credit funding is approved. The Center for Women and Families highlighted school-readiness support for children, tutoring, counseling, and family services, including back-to-school supplies and rights information for homeless students. No additional votes or formal actions were taken during the domestic violence presentations.

Transcript Highlights:

• Armed Service members deployed overseas cast their ballots.
• In 2018, the electronic transmission service was narrowed into the DOD FAC service, which allowed military
• Indeed, just in the last several months, the Postal Service announced that it would terminate mail service
• Several months ago, the Postal Service announced that it would terminate mail service to several countries
• So what I know is that the DOD fax... ...service ended, right?

Summary: The Assembly Military and Veterans Affairs Committee met and considered several measures, with most of the discussion focused on veterans’ access to food assistance, overseas voting, and veteran mental health research. SB 1201, the “No Hungry Heroes Act,” would seek federal waivers to protect certain veterans from CalFresh time limits and require referrals to county veteran service officers; supporters said federal SNAP cuts are leaving vulnerable veterans at risk of hunger, while no opposition testified. Members spoke strongly in favor, emphasizing the need to support service members and their families. SB 970 addressed ballot access for military and overseas voters after the federal DOD fax service was discontinued. The bill would direct the Secretary of State to develop regulations for a secure ballot return method. County election officials and veterans groups supported the measure, while the Secretary of State’s office and Verified Voting raised concerns about cybersecurity and urged a more deliberate process, including a possible task force. After discussion, the committee voted to pass SB 970 and send it to Appropriations. SB 1224 proposed a California Emerging Therapies Research Partnership to help the state compete for federal research funding for alternative therapies, including treatments relevant to PTSD, depression, and substance use among veterans. Veterans advocates described the bill as a way to expand options for those not helped by traditional treatment, and the author noted amendments to address conflicts of interest and administrative issues. The committee approved the bill and referred it to Appropriations. The committee also approved the consent calendar, including HR 120, SB 892, SB 1188, SJR 14, and SJR 17, and later voted SB 1201 and SB 970 out of committee as well. Overall, the meeting reflected broad bipartisan support for veteran-focused measures, with the main policy debate centered on how to balance access and security in overseas voting.

Transcript Highlights:

• Across California, County Veterans Services Officers...
• In 2018, the electronic transmission service was narrowed into the DOD FAC service, which allowed military
• Indeed, just in the last several months, the Postal Service announced that it would terminate mail service
• Several months ago, the Postal Service announced that it would terminate mail service to several countries
• So what I know is that the DOD fax service ended, right?

Keywords: 988, house, all

Transcript Highlights:

• from the Department of Human Services from the Department of Human Services Behavioral<00:01:19.320
• By structuring children, family, and adult mental health services and substance use disorder services
• <00:03:43.720> and adult Mental Health Services and adult Mental Health Services and substance
• we transition to different Services we transition to different Services supports<00:23:31.919>
• with supports and treatment services with supports and treatment services that's<00:24:24.919>

Keywords: 1183, house

Transcript Highlights:

• Department of Human Services. Department of Human Services.
• services side.
• services side.
• services side.
• services side.

Keywords: 1187, senate, all

Transcript Highlights:

• about an amalgam a single service about an amalgam a single service amalgam<00:24:28.000> being
• and other for ABA services um and other intervention<00:31:28.480> services<00:31:28.880> it
• services to your to your point, Senator. services to your to your point, Senator.
• So receiving out of state services.
• cabinet for health and family services. cabinet for health and family services.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• There's also billing for uncared services, and that would be where a provider bills Medicaid for a service
• c> provider bills Medicaid for a service provider bills Medicaid for a service that<00:13:31.120>
• <00:14:14.639> which Medicaid recipient for a service which Medicaid recipient for a service
• <00:14:44.639> So service or of the goods provided. So service or of the goods provided.
• They also provide services to our 24/7 facilities. So podiatry services at Glen Cliff Home.

Keywords: 1189, house, all

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

Transcript Highlights:

• on the service area.
• The services are your basic acute health services, behavioral health services, pharmacy services, and
• Services like transportation, food, other non-medical drivers of health type services.
• When I'm talking about acute health services, that is everything from hospital visits to outpatient services
• to this hospital and get service there.

Bills: HB149, HB252, HB643, HB1442, HB1500, HB1672, HB1851, HB1893, HB2028, HB2768, HB2818, HB149, HB252

Keywords: artificial intelligence, regulation, biometric data, ethical AI, consumer protection, AI governance, employment compensation, state agencies, salary payments, general appropriations, government efficiency, public works, contractors, payment bonds, government contracts, construction law, transparency, open meetings, government accountability, public access