Video & Transcript : 'ABA services' :
Page 141 of 500
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health May 4th, 2026
Transcript Highlights:
- Because county behavioral health services provided by Medi-Cal are most comprehensive specialty services
- of those county behavioral health services, we will only see demand for our services increase just as
- of those County Behavioral Health Services, we will only see demand for our services increase just as
- and all mobile crisis services delivered by unlicensed staff services and all mobile crisis services
- So on the online service apps, I think... yeah, on the online service apps, I really got very spotty
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
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Apr 30th, 2026
Transcript Highlights:
- the Mental Health Services Act.
- So we have Lake County Behavioral Health Services, Behavioral Health Services from the County of San
- So we have Lake County Behavioral Health Services, Behavioral Health Services from the County of San
- these life-saving services.
- services.
Summary:
The subcommittee heard budget and policy updates from the Department of State Hospitals, the Commission for Behavioral Health, and the Department of Health Care Services. DSH described its proposed 2026-27 budget of $3.2 billion, including savings tied to IST solutions, higher patient-driven operating costs, and a small increase in caseload projections. Officials said the department has met court-ordered IST treatment benchmarks, with wait times reduced from a pandemic peak of 1,953 pending placements to about 250, and average treatment initiation now around five days. Members asked about the effects of Proposition 36 and SB 1323, rising outside hospitalization costs, Medicare enrollment, and whether IST solution funding was being overbudgeted; DSH said referrals are slightly down overall, aging and medically complex patients are driving outside care costs, and the IST solution savings reflect slower-than-expected program activation rather than a service gap. The department also outlined proposed funding for CONREP cost increases, a new county-by-county LPS bed allocation model, electrical infrastructure upgrades at Napa and Patton, SB 380 transitional housing feasibility work, and additional dental staffing and space at Metropolitan and Patton.
The Commission for Behavioral Health reviewed its role in the Behavioral Health Services Act transition and its new Innovation Partnership Fund. Staff said the commission is shifting from county-level innovation oversight to a statewide grant strategy, with the first $20 million RFA drawing strong interest and awards expected in mid-June. Members asked how “innovation” would be defined, whether grants could be renewed after the initial three-year contracts, and how the state would ensure the money supports real service delivery rather than general outreach or training. The commission also sought a liquidation deadline extension for the Alcove youth drop-in center grants so remaining funds can be spent before they revert, allowing sites to finish implementation and support the final evaluation.
DHCS provided an overview of CalAIM and BH Connect implementation, including updated specialty mental health access criteria, new ASAM-based substance use treatment standards, contingency management, traditional health care practices for tribal members, workforce investments, evidence-based practice expansion, IMD participation, and transitional rent services. The department also addressed BHSA implementation, saying it does not track specific local program cuts but will monitor county three-year plans, performance measures, and outcomes as counties shift to the new funding structure. On H.R. 1, DHCS said it is preparing outreach, eligibility simplification, and exemption strategies to reduce Medi-Cal coverage losses, including clinic navigators, a statewide outreach campaign, and possible employment supports through a future waiver. The department also reported that BH-CHIP bond funds have supported 437 infrastructure projects, creating 546 facilities and more than 9,500 residential beds, with additional outpatient capacity and tribal investments. Finally, DHCS outlined a proposed 988 trailer bill to create a statewide designation process for 988 centers and mobile crisis teams, with implementation no earlier than October 1, 2027.
CA
California 2025-2026 Regular Session
Assembly Military and Veterans Affairs Committee Mar 25th, 2025
Transcript Highlights:
- Legal services is one; support services for homeless veterans is another.
- Legal services is one, support services for homeless veterans is another.
- We provide mental health services, legal services...
- services, and drop-in services.
- We provide mental health services, legal services, employment services, and drop-in services.
Summary:
The Assembly Committee on Military and Veteran Affairs held an informational hearing focused on the effects of federal budget cuts and policy changes on veterans, military readiness, and California’s veteran support systems. The chair and members emphasized that federal reductions to the VA, Medicaid/Medi-Cal, SNAP, and the federal workforce are disproportionately harming veterans by threatening health care, employment, housing, crisis lines, and suicide prevention services. The chair also highlighted California’s progress on veteran homelessness and the importance of preserving state programs that leverage federal dollars.
Major General Matthew Beavers of the California Military Department described the department’s structure, its response to the Los Angeles fire emergency, and concerns that federal cuts could reduce readiness through less training, older equipment, and fewer resources. He also discussed state programs such as Work for Warriors, STARBASE, youth and community schools, and the counterdrug task force, saying they are valuable but vulnerable if funding is redirected away from readiness. Members asked about the impact of federal changes on the Guard and how the Legislature could help, and Beavers said the state should advocate for recapitalized equipment and continued support for key programs.
A second panel focused on veterans’ benefits and claims support. CalVet, Los Angeles County, and Swords to Plowshares testified that county veteran service officers, legal aid, and community-based partnerships are essential to helping veterans access VA benefits, especially after the PACT Act expanded eligibility and increased claims volume. Witnesses said these services bring substantial federal dollars back to California, but county offices and legal providers are underfunded and overburdened. Members discussed data sharing, staffing shortages, and the need for more resources to reach veterans who are not connected to VA care.
In the final panel on mental health and suicide prevention, CalVet and nonprofit providers described state-funded programs such as the Veterans Support Self-Reliance program and the California Veterans Health Initiative, which place services in permanent supportive housing and provide no-cost counseling statewide. Witnesses said these programs are showing measurable improvements in health, medication adherence, and emergency room use, but they depend on sustained funding and are vulnerable to step-down grants and federal instability. Committee members expressed support for the programs and raised questions about access, staffing, and the role of non-veteran family members in Vet Center services.
ND
North Dakota 2026 1st Special Session
Human Services Committee Feb 11th, 2026 at 09:00 am
Human Services
Transcript Highlights:
- the service.
- and Human Services.
- , Child Care Services.
- , they'd use HCBS services for additional services.
- So then, from a human services standpoint, a medical services standpoint, From a human services standpoint
Summary:
The Human Services Committee met in interim session and first approved the previous meeting minutes before receiving a series of presentations on homelessness and housing stability. Jennifer Henderson of the North Dakota Housing Finance Agency updated members on the new Interagency Council on Homelessness, describing its executive-order mandate to review resources, gather input from stakeholders, identify gaps, and develop recommendations. She said the council’s first work is building a statewide program matrix of existing homeless services and funding sources, with attention to youth, tribal communities, and other vulnerable populations. Members raised concerns about youth homelessness, homeless veterans, and how the council will stay focused on a practical framework rather than getting lost in details. The committee also discussed possible connections to the rural health transformation grant and agreed to continue the topic later in the spring.
Beth Olson of Presentation Partners in Housing described the organization’s housing-first model in Cass County and Clay County, including homeless prevention/diversion, housing navigation, and Cooper House, a 42-unit permanent supportive housing building in Fargo. She said the organization focuses on people with long-term and chronic homelessness, many with mental health, addiction, health, domestic violence, and Indigenous identity-related barriers, and reported strong outcomes: 85 of 86 people housed in 2025, 91% still housed after one year, and major reductions in emergency room use, ambulance rides, jail stays, detox days, and shelter use. She also explained that state funding has grown from a small share of the budget to about $1.1 million in state-connected funding for fiscal 2026, largely through contracts tied to supportive services. Members asked about vouchers, rent contributions at Cooper House, length of stay, and whether similar projects could be expanded elsewhere.
Andrea Olson of the Community Action Partnership of North Dakota outlined statewide homeless and housing-related services delivered through six community action agencies in all 53 counties. She explained the Community Services Block Grant structure, said housing was identified as the top need in the most recent statewide needs assessment, and described programs including Supportive Services for Veteran Families, North Dakota Homeless Grant services, and Home ARP supportive services. She emphasized that the end of North Dakota Rent Help has increased pressure on the system, that the current $2 million annual homeless grant is far smaller than prior rent-help assistance, and that community action is using case management and financial assistance to move households toward self-sufficiency. Members asked about funding formulas, rural service delivery, and coordination with Presentation Partners to avoid duplication. YouthWorks then began a presentation on youth homelessness, describing services for ages 12 to 24, the special needs of youth and former foster youth, and the organization’s use of federal and state funds to support transitional housing, emergency shelter, maternity housing, and diversion services.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services May 20th, 2026
ND
North Dakota 2025-2026 Regular Session
Tribal and State Relations Committee Apr 13th, 2026
Transcript Highlights:
- services.
- services.
- services.
- More IMD services.
- housing services.
Summary:
The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems.
A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements.
The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all.
No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health May 19th, 2026
Transcript Highlights:
- ; emergency services; surgical services provided by a doctor of dental medicine or dental surgery; services
- care coordination services would still be a part of the fee-for-service model?
- The fee-for-service coordination services that you talk about that would be available under the fee-for-service
- care coordination services would still be a part of the fee-for-service model?
- The FI for service, the coordination services that you talk about that would be available under the fee-for-service
NH
New Hampshire 2026 Regular Session
Senate Energy and Natural Resources (03/24/2026)
Energy and Natural Resources
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health May 4th, 2026
Transcript Highlights:
- of those county behavioral health services, we will only see demand for our services increase just as
- of services are they getting?
- and all mobile crisis services delivered by unlicensed staff ...services and all mobile crisis services
- Also just want to start by saying thank you for your public service on this first day of Public Service
- And my colleague at the Department of Health Care Services noted that the decision to recast the service
TX
Transcript Highlights:
- They are coming for the services.
- more intensive outpatient services or step-down services.
- Services (DFPS) is also working, in limited circumstances, to provide these services.
- Those services, particularly case management services, often work best when done in person.
- Is it tied to the service?
CA
California 2025-2026 Regular Session
Senate Transportation Subcommittee on LOSSAN Rail Corridor Resiliency Feb 18th, 2026
Transcript Highlights:
- We advance service expansion and restoration, including a full return to pre-pandemic service levels
- But we can take those projects, we can then put in a service model and say, look at the service plan
- But we can take those projects, we can then put in a service model and say, look at the service plan
- key stations, and the baseline service all day, seven days a week, is half-hourly service.
- and the performance of services.
Summary:
The Senate LOSSAN Rail Corridor Resiliency Subcommittee heard updates from CalSTA, Caltrans, Metrolink, and Caltrain on corridor performance, governance, funding, and long-term planning. Chair Lackey opened by saying the SB 1098 report on LOSSAN governance and performance was unfinished and overdue, and argued the corridor remains at a crossroads because ridership, on-time performance, fiscal solvency, and capital delivery are still lagging. Senator Archuleta echoed concerns about safety, maintenance, ridership recovery, and the need to avoid state subsidy if local revenues fall short.
CalSTA and Caltrans said the state has made major investments, including $125 million for San Clemente emergency resiliency work, and that more than $25 billion in funded rail projects are moving toward construction. They said work on the SB 1098 report is underway, with a LOSSAN working group to be convened, and described a new Caltrans transit-and-rail reorganization with a deputy director to improve accountability. Caltrans also reported restoration of Surfliner service to 13 weekday round trips between Los Angeles and San Diego, planned service increases to Santa Barbara and San Luis Obispo, fleet overhauls, and a new project-tracking and service-planning tool to prioritize capital projects by service outcomes. The panel also discussed zero-emission strategy, saying hydrogen fuel-cell trains are being procured for longer-distance service while battery-electric options are being pursued where feasible, and that San Clemente long-term planning is being scoped with local partners.
Metrolink CEO Darren Kettle said the agency has shifted from a commuter-only model to all-day regional service through its “Metrolink Reimagined” schedule, with improved transfers, more weekend and off-peak ridership, and a 25% increase in monthly pass sales under a new fare pilot. He warned, however, that Metrolink faces a fiscal cliff: member agencies now cover about 72% of operating costs while fares cover about 11%, and without a dedicated revenue source the agency may need to cut service, reduce stations, or end later-evening and weekend trips. He said Metrolink has limited ability to monetize stations or parking because it does not own most of the relevant property or rights. Caltrain’s Jason Baker described the success of electrified service, with ridership up 57% year over year and customer satisfaction at record highs, but said Caltrain also faces a projected $75 million annual operating deficit and may need to consider service cuts if stable funding is not found. He highlighted revenue efforts such as energy regeneration compensation, parking and concession reviews, station development, and a planned battery-electric pilot to extend zero-emission service south of San Jose.
MN
Minnesota 2025-2026 Regular Session
Human services policy bill clears committee 4/3/25
Transcript Highlights:
- and disability services policy.
- services policy aging and disability services policy Provisions<00:02:46.159><c> sections</c><00:02:
- </c><00:03:01.760><c> and</c> long-term services and long-term services and supports<00:03:03.720><c>
- It updates and clarifies state-operated services crisis services technical assistance language.
- </c><00:09:30.640><c> service</c><00:09:31.040><c> provider</c> management servicer service provider
AR
Transcript Highlights:
- services.
- Service contract.
- The service contract.
- Number two is Commerce Workforce Services. temporary staffing services for ASU.
- Number eight, DFA Revenue Services with Veteran Cleaning Service for janitorial services in the Ragland
Summary:
The committee heard a series of appropriation requests and contract reviews across multiple sections. In Section B, members approved temporary appropriations for the Court of Appeals, Commerce/Aeronautics, and Insurance-related payments and refunds. Section C ARPA requests from DHS were approved to return unused federal funds. Section D infrastructure-related appropriations, including wildfire preparedness, broadband BEAD funding, forestry support, recycling, and oil and gas sample preservation, were approved after questions about broadband audit controls and performance safeguards. Section E DHS reallocations were approved, including large transfers within Medical Services from hospital medical to private and public nursing home lines, along with smaller transfers for children and family services, developmental disabilities, and youth services; members asked about the source and purpose of the medical services transfer. Sections F and G were reviewed, covering cash fund requests, federal grants, and miscellaneous grants, including community college storm repairs, corrections commissary and maintenance, 911 enhancements, maternal health, disability determinations, state police equipment, digital newspaper archiving, and CDL data improvements.
In Section H, the committee reviewed pay plan appropriations and performance fund transfers tied to the new Class and Comp pay plan. Section I reviewed three methods of finance for UA Little Rock, UAMS, and the University of Arkansas system. In Section J, the committee reviewed discretionary grants, including a $1.4 million HIV services grant and nine tobacco prevention subgrants through UAPB. Members questioned the effectiveness, metrics, and addresses of some tobacco-cessation arts-based grantees, especially Arts Absolutely Inc.; after discussion, Representative Kavanaugh moved to expunge the vote on J2 and refer it back for review at a later ALC meeting, and that motion passed. J3, a Department of Energy and Environment grant for propane safety training and e-waste recycling services, was then reviewed.
The committee also reviewed contracts in Section K. K-1 ratified emergency management nuclear planning work performed during a transition between agencies. K-2 construction contracts included architectural and engineering services for corrections, National Park College signage, a Razorback Road parking facility, and UAMS cyclotron installation. K-3 intergovernmental contracts covered health, education, autism waiver, stroke, newborn screening, Medicaid evidence review, and radiation testing services. K-4 out-of-state contracts included staffing, IT, tobacco prevention, audit, marketing, planetarium, recruitment, and janitorial services; Senator Irvin noted one contract appeared to belong in the out-of-state list rather than intergovernmental. K-5 in-state contracts covered staffing, cleaning, re-entry and treatment services, foster care and disability services, hearing officers, asbestos abatement, campus IT support, and janitorial work. The meeting ended after a brief personal update from Senator Irvin about tornado damage in Stone County and thanks to members for their concern, followed by adjournment.
MN
Transcript Highlights:
- </c> it's great to kick off uh Human Services it's great to kick off uh Human Services for<00:02:10.200
- </c> presentation on the Human Services presentation on the Human Services budget<00:15:15.079><c> so
- </c> with the health and human services with the health and human services committee<00:21:19.640><c>
- </c> and transparency of government services and transparency of government services and<00:35:37.160
- It includes SUD services, mental health services, gambling, and tobacco.
MN
Transcript Highlights:
- </c> required and critical nursing services required and critical nursing services that<00:03:59.120>
- c> then require nursing Services I would then require nursing Services I would very<00:04:32.919><c>
- Senator Rasmusson, Home and Community-Based Services standards, out-of-home respite care services for
- , including 24-hour daily services to unit-based services that are provided a few hours a week.
- , including 24-hour daily services to unit-based services that are provided a few hours a week.
CA
California 2025-2026 Regular Session
Assembly Human Services Committee Apr 29th, 2025
Transcript Highlights:
- and the Department of Social Services.
- and the Department of Social Services.
- before providing services.
- Require them to be licensed through the Department of Social Services before providing services through
- Julia Leau, Regional Services, in strong support.
Summary:
The committee heard a series of child care, social services, immigrant support, disability services, and language access bills, with many measures drawing strong support and no opposition. Early in the hearing, AB 450 proposed a Department of Aging task force to study and recommend policies for undocumented adults age 55 and older; AB 593 would let CDSS identify data-sharing opportunities to improve CalFresh administration and participation; and AB 904 would clarify child care subsidy eligibility so families do not lose care during pregnancy leave, family leave, caregiving, or job search periods. All three were presented as ways to reduce barriers and improve access to essential services, and AB 904 was moved out on a 1-0 call after support testimony from child care advocates and a member of the public. AB 617, which would expand and standardize respite care access for people with intellectual and developmental disabilities by requiring licensing and registry participation, drew both support and significant opposition from respite providers and disability service organizations concerned about added regulation, cost, and possible delays; the author said she would continue working with opponents, and the bill was moved out on a 2-0 call.
The committee also heard AB 1220, which would require regional centers to document denials, notices of action, and appeals in individual program plans and include that data in annual reports to improve transparency and equity in developmental services. The bill drew extensive public support from parents, advocates, and disability organizations, with no opposition, and passed 5-0. AB 752 would make child care centers by right in certain residential zones when co-located with multifamily housing or institutional uses, and supporters argued it would reduce zoning barriers and help expand child care capacity; it also passed 5-0. AB 1242 would create a CalHHS language access director, require human review of machine translation, and improve language coverage determinations for state and local agencies; supporters emphasized health equity and the need for better access for limited-English communities, and the bill was moved out on a 4-0 call.
Later, AB 548 would continue and expand the Asylee and Vulnerable Non-Citizen Program, which provides case management and integration services for asylees and certain visa holders; supporters said the program had been effective but had run out of funding, and the bill passed 4-0. AB 495, the Family Preparedness Plan Act, would strengthen family safety planning for immigrant families, standardize acceptance of caregiver authorization affidavits, and create a joint guardianship process for temporary separations; testimony focused on fear of family separation and the need for clear school and medical procedures, and the bill passed 4-0. AB 1357 would exclude guaranteed income payments from being counted as income for state public assistance eligibility, with supporters arguing it would prevent recipients from falling off the “benefits cliff”; it passed 4-1. Finally, AB 1201, the Reunity Act, was introduced to require individualized court assessments before denying reunification services to parents with certain violent felony convictions after a five-year period, with the author and a witness describing the bill as a trauma-informed approach to family reunification.
FL
Florida 2026 Regular Session
Appropriations Committee on Health and Human Services Jan 15th, 2025
Appropriations Committee on Health and Human Services
Transcript Highlights:
- Services that are covered are both Medicare and Medicaid services that include acute care services, adult
- services, behavioral services, therapeutic services, residential services, and medical services, including
- But we don't want—we want to make sure the services are there that are not covered or very specific services
- besides emergency dental services.
- And they give me great advice on where we need to do as service organization, service officers to support
Summary:
The Appropriations Committee on Health and Human Services heard a base budget overview for the 2025-26 fiscal year, which was presented as a $46.8 billion starting point for the silo. Staff explained that HHS accounts for about half of the state base budget and roughly 36% of general revenue, with AHCA and Medicaid making up the largest share. The committee then reviewed the PACE program for the elderly, including its eligibility, service model, growth in applications, slot funding and reversions, and the agency’s plan to move from the federal three-way agreement to a more detailed two-party contract to improve accountability, transparency, and reporting. Members raised concerns about unfilled slots, reversions, rural access, and the need for clearer return-on-investment data; the agency said it would follow up on some of those questions.
The committee also heard from the Agency for Persons with Disabilities on its statewide dental program. APD described its history of appropriations, the failed January 2024 solicitation, and a new up-to-$11.5 million solicitation focused on preventive care, community partnerships, teledentistry, and coordination with other services. Members questioned overlap with Medicaid dental coverage, the effect of Medicaid unwinding on APD clients, and whether state dollars were duplicating federally supported services; APD said it tries to act as payer of last resort and that services would continue during procurement. Public testimony from an APD stakeholder and the Florida Dental Association emphasized Medicaid eligibility problems for waiver recipients, low reimbursement rates, limited access to anesthesia and hospital-based dental care, and concerns that proposed Medicaid changes could reduce access for special-needs patients.
The Department of Veterans’ Affairs then presented on state veterans service officers and benefits assistance. FDVA highlighted its role in helping veterans access federal benefits, reporting about $27.9 billion in federal dollars flowing into Florida and a high return on state investment. The department said it has increased outreach, claims processing, and services, and has trained staff to identify mental health concerns through its Overwatch program. In response to questions, FDVA discussed plans to expand adult day health care at a new veterans nursing home and possibly at existing locations with additional state funding. At the end of the meeting, the committee completed its presentations and adjourned without objection.
ND
North Dakota 2026 1st Special Session
Emergency Response Services Committee Feb 25th, 2026 at 10:00 am
Transcript Highlights:
- service.
- service.
- Whereas a third-service municipal or third-service city service or others might not have that same laser
- service.
- they designate service areas for ambulance services, ensure that a central ambulance service covers
Summary:
The committee was called to order, a quorum was established, and the minutes from the prior meeting were approved. The first major presentation came from Montana Public Employees Retirement System executive director William Hollahan, who gave an overview of Montana’s Volunteer Firefighters’ Compensation Act plan. He explained that the plan covers volunteer firefighters in unincorporated areas, is funded by 5% of state fire insurance premium taxes, and currently serves 228 departments with about 2,936 active members and 1,242 retirees. He described eligibility rules, annual training and reporting requirements, benefit levels for partial and full pensions, disability, death, medical, and funeral benefits, and said the plan is actuarially sound with roughly $60 million in assets and a funded ratio slightly above 100%. Committee members asked about prior-service credit, whether EMS personnel are included, the effect on recruitment and retention, and whether expanding coverage would require a funding analysis; Hollahan said prior service is not credited, EMS is not currently included, and any expansion would need financial review.
Tim Walleen of Workforce Safety and Insurance then presented a draft North Dakota workers’ compensation solution for volunteer firefighters and volunteer EMS personnel. He explained that volunteer responders are already covered by workers’ comp for medical and wage-loss benefits, but the proposal would set a minimum annual wage of $30,000 for calculating wage-loss benefits for qualifying volunteers, with the benefit paid at two-thirds of that amount. Representative Porter suggested tying the volunteer definition to existing code rather than a fixed dollar amount, and Walleen agreed. Questions focused on whether search and rescue or other volunteer emergency services could be included, whether departments would face new paperwork, and whether volunteer organizations can already elect coverage; Walleen said there would be no additional paperwork and that volunteer coverage is already available.
The committee also heard from volunteer fire service representatives and the state fire marshal. An Oakes-area firefighter, Mr. Olson, testified that small departments are struggling with retention, communication, and administrative burdens, especially around separate bookkeeping and funding rules for donated or fundraising money, and he said departments need clearer guidance from the state. State Fire Marshal Dr. Matthew Clark introduced himself and outlined a broader effort to improve education, support, and coordination for fire departments, including a planned 10% audit of certificates of existence beginning in 2027, more outreach through his office, and better assistance with training, reporting, and grant access. He said his office is authorized under current law to provide these services, but the role has been vague and underused. Finally, Arnagard Rural Fire District Chief Rick Schreiber testified in favor of new recruitment and retention ideas, including retirement-style benefits, health insurance, tax incentives, scholarships, grants, and more remote or regional training. He said volunteer departments are losing members, that local tax and donation funds are already stretched, and that any new retirement or incentive program should be sustainable and likely involve a mix of state and local support.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Mar 12th, 2026
Transcript Highlights:
- So to the person, there might be services that they receive or services that have been sustained.
- of Social Services and health care services and others are experiencing now, and you'll get to hear
- Some of their services in-house. They may choose to contract out for services.
- the Department of Social Services—that is, for our In-Home Supportive Services system.
- the Department of Social Services—that is, for our In-Home Supportive Services system.
TX
Texas 89th 2nd C.S.
S/C on Defense & Veterans' Affairs Mar 31st, 2025
S/C on Defense & Veterans' Affairs
Transcript Highlights:
- It generally provides protections for service members during periods of military service.
- This would be for active service members. Active services, yes sir, and it is not an option.
- It protects the service members.
- We have peer service coordinators.
- The proud parent of the MVPN, but also we know peer services are not formal mental health services.
Bills:
HB101