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

Keywords: voter approval, local tax, disaster declaration, tax rate increases, community funding

Transcript Highlights:

• So those funding for those services, as well as all other long-term care services, are in the budget,
• What is the total amount of funding for ALF services? For the ALF services? For the ALFs?
• There was also an emphasis on making sure that there were residential services and outpatient services
• The service is very important. The service is excellent. We want to provide the service.
• Bernard. providing mental services if you're aware yeah absolutely we do have Medicaid school services

Summary: The Health Care Budget Subcommittee held a panel discussion on Florida’s mental health and substance abuse system, with representatives from DCF, AHCA, two managing entities, and two providers describing how the state’s behavioral health network is funded and operated. Members focused on the implementation of prior legislative investments, especially the $50 million in recurring funding from Representative Maney’s bill and the earlier $126 million community behavioral health appropriation. Witnesses said the newer funds were used mainly for crisis beds, discharge planning, outpatient services, regional collaboratives, and a USF Marchman Act report, while the larger behavioral health appropriation supported CAT, FACT, FIT, forensic teams, residential and outpatient services, and crisis care, with most dollars going directly to services and only a small share to administration. A major theme was access to crisis care and the role of mobile response teams, 988, and central receiving facilities in diverting people from Baker Act admissions and reducing readmissions. DCF and providers said mobile response teams have expanded, are being used to de-escalate crises and connect people to care, and have shown strong diversion results and reductions in Baker Acts in some regions. Members also asked about waitlists, children in crisis, and how to handle people without housing or support; providers said discharge planning is individualized but often constrained by homelessness, transportation, and a lack of safe placements, and several witnesses identified housing as one of the biggest barriers to recovery and stability. The committee also examined provider sustainability, reimbursement, and funding gaps. Witnesses described delays caused by contract timing, cost allocation rules, and Medicaid reimbursement rates that do not always keep pace with labor and operating costs, especially for smaller providers and rural networks. DCF and AHCA said managing entities can provide advances, retroactive rate adjustments, and technical assistance, and that Medicaid managed care plans have network standards and complaint/dispute processes. Members raised concerns about a reported $7 million loss in federal non-sustainable funds, provider closures, and whether there is a formal ombudsman process for disputes; DCF said the federal reductions were known and tied to one-time funds, and that the department generally handles provider issues informally while working with managing entities to preserve continuity of care.

Transcript Highlights:

• services.
• services.
• More IMD services.
• Crisis services also connect individuals with other needed services.
• housing services.

Summary: The meeting focused on Turtle Mountain’s public health and behavioral health priorities, especially access to rural health transformation funding and a long-running data use agreement with the state. Tribal public health leaders described how, during COVID, a temporary data-sharing arrangement allowed them to do their own contact tracing and case management, and they argued that a similar agreement is now needed to respond more quickly to very high syphilis rates and other infectious disease concerns. Committee members generally expressed support and said they would follow up with state officials, while tribal representatives emphasized that they already have the staff and infrastructure to use timely data effectively. A major portion of the meeting was devoted to the Turtle Mountain Recovery Center and the broader issue of the IMD exclusion and residential treatment capacity. Tribal leaders described the center’s opening, its five levels of care, its 16-bed limit, and its efforts to become financially sustainable through billing, grants, and partnerships. They shared success stories and argued for an IMD waiver or similar flexibility so the center could expand to 32 beds and better meet local need. Committee members discussed the policy barriers to expanding residential treatment, including federal approval timelines, state funding choices, and the need to preserve a continuum of care that includes outpatient and community-based services. The committee then heard a detailed presentation from Hector Hernandez-Dogato of the National Health Law Program on the history and mechanics of the IMD exclusion and Section 1115 waivers. He explained that the exclusion limits Medicaid payment for services in facilities with more than 16 beds, but noted existing exceptions and alternatives such as state plan options, managed care arrangements, telehealth, and community-based services. He also reviewed mixed results from states that have used IMD waivers, warning that they do not automatically improve overdose deaths, emergency room use, or access to community care, and may risk reinforcing institutionalization if not paired with strong upstream services. The committee discussed a draft bill to appropriate $49,000 and one FTE for HHS to pursue an IMD waiver, with members suggesting the bill may need to explicitly include serious mental illness as well as substance use disorder and asking for department input at a future meeting.

Transcript Highlights:

• Safe services for individuals.
• Urgent care and emergency services.
• services, similar to many of the services that are provided in schools through telehealth programs that
• That would be a year past the date of service for any services provided in July, but they would have
• Any services provided today, for example, they have time to submit all of those claims, but for any services

Keywords: 988, house, all

Transcript Highlights:

• And the parents that accepted services, the voluntary services, the ones that accepted the services were
• And the parents that accepted services, the voluntary services, the ones that accepted the services were
• The families that need the services the most will not engage in services.
• The families that need the services the most will not engage in services.
• The families that need the services the most will not engage in services.

Summary: The committee heard testimony on House Bill 2511, which would define “imminent physical harm” in the child welfare context as a substantial risk of serious harm arising from home conditions, caregiver conduct, neglect, substance abuse, unsafe environments, or other circumstances likely to cause significant injury. Representative Tom Dent, the sponsor, said the bill was intended to give caseworkers clearer tools to protect children while still recognizing the importance of keeping families together. Supporters, including some foster parents, kinship caregivers, advocates, and individuals with lived experience, argued that the current standard is too vague and has contributed to child fatalities and near-fatalities, especially in cases involving fentanyl exposure, chronic neglect, and abuse. They said clearer language would help courts and caseworkers intervene earlier and more consistently. Opponents, including legal aid, public defense, and child welfare policy groups, argued the bill is legally problematic, could conflict with existing statutes and ICWA-informed language, and would not address root causes such as service gaps, training, and inconsistent implementation. DCYF testified “other,” saying the bill could add clarity but that the language needed refinement; the sponsor said he was open to working on changes. No vote was taken on the bill during the hearing. The committee then heard House Bill 2660, which would allow courts at shelter care hearings to order parents of children under age five to comply with safety-related conditions, evaluations, or services when the child is returned home, with referrals required within seven days and participation not treated as an admission of abuse or neglect. The sponsor, Representative Ortiz-Self, said the bill is aimed at critical incidents and would give caseworkers and courts more ability to require safeguards for very young children when families are not voluntarily engaging in services. DCYF and the Office of the Family and Children’s Ombuds supported the bill, saying it could help prevent tragedies by allowing earlier court-ordered services and safety conditions. Some advocates and parents also supported it, describing cases where removal or court intervention helped protect children. Opponents, including public defense and some family-support organizations, raised constitutional and due process concerns, argued that services are not the same as immediate safety, and warned the bill could shift problems without fixing underlying service shortages. The sponsor and DCYF discussed the need for follow-up on language and implementation, but no committee action or vote was taken in the hearing.

Transcript Highlights:

• where we have gaps in services.
• 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
• 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.

Summary: The Budget Subcommittee on Health and Human Services heard a series of budget items focused first on the California Department of Aging and then on the Department of Social Services. For Aging, the director reported the state is at the midpoint of the Master Plan for Aging, with about 300 initiatives launched and roughly three-quarters completed, nearly $1 billion invested, and expanded local planning, research, and stakeholder engagement. The committee also discussed HICAP modernization, which would add ongoing funding from the Special HICAP Fund to expand Medicare counseling capacity, and senior meal programs, including support for virtual congregate/to-go meals and the use of prior one-time nutrition investments. The chair raised concerns about federal H.R. 1 and its downstream effects on older adults, food assistance, and other safety-net programs, and the department said its direct budget was not affected but that other programs serving older adults could be under pressure. The committee then reviewed multiple CDSS proposals. These included implementing the federal Medicaid Access Rule by creating a statewide grievance process and critical incident reporting system for IHSS and other home- and community-based services; housing and homelessness programs such as CalWORKs Housing Support, Housing and Disability Advocacy, Home Safe, and Bringing Families Home, where the department described strong outcomes but warned that one-time funding is expiring and services are scaling back; and permanent position authority for the Housing and Homelessness Division. Members also heard about the facility management system modernization for Community Care Licensing, home care services branch solvency and regulation work, child care centers in multifamily housing, the Seizure Emergency Response Act, licensing during emergencies and disasters, the Family Preparedness Plan Act, and social services automation projects including CalSAWS, the enterprise data pipeline, and CalWORKs child support notices. The LAO and Department of Finance generally had no additional comments or were still reviewing several requests. A notable exchange occurred on the Community Care Licensing item, where Senator Grove pressed the department about the Autumn Oaks facility in Tulare County, citing dozens of complaints and severe conditions affecting seniors. The department said it had worked with the county and ombudsman on relocation, was reviewing what went wrong, and had authority to pursue administrative action even after a license surrender. The hearing ended with a stakeholder presentation from the California Association of Area Agencies on Aging supporting a $62.3 million Older Californians Act request, followed by public comment from advocates for housing, Meals on Wheels, HICAP, Home Safe, and H-DAP. The subcommittee adjourned without taking votes, and all items were held open.

Transcript Highlights:

• , mental health services, ...for safety net services for children and families, mental health services
• , mental health services, parenting support, services for children with special needs.
• , mental health services, parenting support, services for children with special needs.
• Whether it's medical services, food services, support services, grants are being cut regularly.
• Thank your husband for his service, and thank you for your service as a military spouse.

Summary: The House took up the special order calendar for a proposed constitutional amendment on property taxes, CS/HJR 1F, which would create a new homestead exemption for non-school taxes, lower the annual assessment cap on non-homestead property, and restrict how counties and municipalities may use ad valorem tax revenue. The sponsor, Rep. Overdorf, said the measure would give homeowners tax relief and argued local governments could adjust spending or use other revenue sources. Opponents repeatedly questioned the ballot language, the lack of a fiscal estimate or backfill, and the potential impact on local services, public safety, and debt obligations. The House adopted the special order report and then debated the resolution and a series of amendments. Several amendments were offered to carve out or protect specific services from the tax changes. Rep. Bartleman’s amendment to protect Children’s Services Councils and Children’s Trusts was supported by members who said those entities fund early learning, mental health, aftercare, and other services for children and working families, but it failed 25-74. Rep. Cross offered an amendment to include water management districts in allowable ad valorem uses, warning of impacts on flood control, water quality, Everglades restoration, and water supply; that amendment also failed. Rep. Eskamani offered an amendment requiring the Legislature to backfill public safety funding if local revenues fall, arguing police and fire services, staffing, and response times would be at risk; it failed 25-71. The chamber then rejected Rep. Woodson’s amendment to require state backfill for senior services, with supporters citing Meals on Wheels, transportation, adult day care, and other local senior programs, and opponents saying the proposal was outside the bill’s scope. Finally, Rep. Gant offered an amendment to protect veteran services, saying local governments fund housing, mental health, transition, and family support programs for veterans; debate emphasized the importance of honoring veterans and avoiding cuts to those services. The transcript cuts off during debate on that amendment, before a final vote is shown.

Transcript Highlights:

• What is the cost for the in-jail service? The jail-based restoration service? Yeah.
• So this is crisis residential services. So the department requested 250. services.
• a similar type of duty, and you look at service utilization, that service did pop.
• support services.
• services.

Keywords: 959, house, all

Transcript Highlights:

• IHSS is a medical service, and it is not our intent to interrupt services for recipients.
• the services.
• Gray's to get services. We want others like you to get services.
• County Human Services Agency.
• which are navigation services, and then the caregiving services.

Summary: The joint informational hearing focused on the impact of H.R. 1 on older Californians and related county administration issues. Chair Jackson and Chair Addis opened by emphasizing California’s rapidly aging population and the need to protect seniors’ access to food, health care, housing, and in-home support services. Testimony from the Department of Social Services, Department of Health Care Services, and Department of Aging described how H.R. 1 would expand work and reporting requirements in CalFresh and Medi-Cal, increase redeterminations, and create new eligibility barriers. Witnesses and advocates warned that these changes could lead to large coverage losses, especially for adults ages 55 to 64, people experiencing homelessness, caregivers, and some immigrant groups, while also increasing administrative burden on counties. The LAO noted that many provisions do not directly apply to Californians 65 and older, but highlighted indirect effects and some direct impacts, including a new home equity limit for certain long-term care recipients and narrower immigration eligibility rules. Committee members pressed the administration and counties on how exemptions would be identified and implemented, whether data systems could automatically protect eligible people, and how outreach would reach older adults, women, LGBTQ seniors, and people with limited digital access. DHCS and CDSS said they are working to use existing data, cross-program information sharing, and human-centered communications to maximize exemptions and reduce churn, including text outreach, print and radio campaigns, and navigator support. Members also raised concerns about the need for legal aid and county eligibility workers to help people navigate complex rules, and requested updated analyses on the number of people likely to lose both Medi-Cal and CalFresh and the broader human and system impacts. No votes were taken. The second major topic was the administration’s proposal to shift some future IHSS costs to counties by establishing a statewide baseline for average authorized hours per case. CDSS said the proposal is intended to improve consistency in assessments and not reduce services, while counties and labor groups strongly opposed it, arguing that rising hours reflect real increases in need, an aging and higher-acuity caseload, and state-mandated assessment tools rather than county error. County representatives said the proposal would strain already limited local revenues, worsen the effects of H.R. 1, and could force cuts to other safety-net services. Committee members questioned the proposal’s timing and impact, but the hearing ended without action, with the chairs asking for continued updates, additional analysis, and more information before May Revision.

Transcript Highlights:

• </c> for the Department of Human Services for the Department of Human Services I've<00:04:42.680><c>
• </c> ahead so a summary of The Human Services ahead so a summary of The Human Services proposals<00:09
• </c> behavioral intervention or eidbi service behavioral intervention or eidbi service um<00:10:04.040
• Again, when I first talked about the difference between unit-based services or services delivered in
• </c><00:26:39.159><c> or</c><00:26:39.360><c> Services</c> between unit-based services or Services between

Keywords: 1187, senate, all

Transcript Highlights:

• comment for human services after that.
• services.
• It's not a new service. Tailored day services has been in existence for a while.
• It's not a new service.
• assessment of need for service.

Summary: The committee heard opening budget remarks from the Department of Finance and the Legislative Analyst’s Office on the May Revision for Health and Human Services. Finance said the proposal significantly reduces projected out-year operating deficits through a mix of revenue increases and program cost reductions, while the LAO warned that even with booming revenues the state still faces a structural deficit and should prioritize reserves and avoid new ongoing commitments. The chair and members echoed concern about cuts to vulnerable populations, but also noted the need to maintain the overall level of budget solutions and add to reserves. The hearing then moved through a series of CalHHS and HCAI proposals, mostly held open after presentation. CalHHS requested additional legal support to respond to federal H.R. 1-related issues and a net-zero transfer of positions for a shared eligibility/data-sharing platform. Other items included ongoing funding for the 988 Behavioral Health Crisis Service Fund and a request for EMSA to fund maintenance of its enterprise data management system. HCAI presented proposals for hospital fair pricing implementation, the data exchange framework, the all-payer claims database, CalRx insulin development, the diaper access initiative, distressed hospital grants, opioid settlement fund reversion, and the Rural Health Transformation Program. Members questioned funding sources, special fund use, contracting exemptions, timelines, and whether some proposals should be more targeted or supported by alternative funding. A major discussion centered on HCAI’s diaper access initiative and the use of a Public Contract Code exemption to continue contracting for free diapers distributed through hospitals. The chair and some members criticized the optics of the selected vendor and questioned the lack of an income threshold, while HCAI said the program was designed to be universal and administratively simple, with future phase-two direct-to-consumer purchasing to be handled by a different vendor. Another extended exchange focused on distressed hospital funding, where HCAI said the May Revision would provide up to $50 million for hospitals at immediate risk of closure, but members argued the repeated annual need shows a structural problem and asked for broader reforms to hospital payment and care transitions. The final major topic was the Behavioral Health Services Oversight and Accountability Commission’s budget. The Commission opposed the May Revision’s reduction of the Innovation Partnership Fund from $20 million to $10 million and a $6.7 million cut to community advocacy contracts, arguing both are core Proposition 1 tools for statewide innovation and community engagement. Finance responded that the proposal is within Proposition 1’s allowable maximums and that prior unspent appropriations could be redirected if the Legislature wanted to restore the full amount. No votes were taken; items were generally held open for later action.

Transcript Highlights:

• services staff.
• services staff. to pay over time for social services staff.
• And we're purchasing their services? They are performing the services for the state.
• Number eight, DFA Revenue Services with Veteran Cleaning Service for janitorial services in the Ragland
• And number 22 is UAPB, janitorial services for commercial cleaning services for dormitories. Mr.

Keywords: 1204, all

Transcript Highlights:

• Behavioral Health Services.
• Direct client Services, sorry. Direct client services were streamlined into HHSC.
• services waivers.
• , some in fee for service.
• services to ensure child safety.

Transcript Highlights:

• During the COVID-19 pandemic, the Department of Developmental Services authorized remote services for
• Most importantly, virtual services preserve connection, routine, continuity of services, and choice.
• Most importantly, virtual services preserve connection, Most importantly, virtual services preserve connection
• Because of remote service, So accessing in-person services has become a real challenge for us.
• Senior Advocacy Services provides long-term care ombudsman services in Sonoma County and also the California

Summary: The committee heard several bills focused on disability services, food security, veterans, aging services, and child care. SB 969 by Senator Reyes would make permanent the option for Californians with intellectual and developmental disabilities to receive certain regional center services remotely; supporters said remote services improve access, continuity, safety, and choice, and there was no opposition. The committee initially lacked a quorum, so action on the bill was delayed until later in the hearing, when it was moved on a 4-0 vote to Appropriations. SB 1025 by Senator Hurtado would create an Office of Food Security and Affordability to coordinate state food programs, improve CalFresh enrollment, reduce duplication, and support a 24-hour hunger hotline; supporters framed it as a coordination and strategic-planning measure, while some members questioned whether existing programs should be evaluated first and whether the bill needed stronger reporting and accountability. It passed 3-0 to Governmental Organization. The committee also heard SB 1052 by Senator Gonzalez, which would allow the State Council on Developmental Disabilities to appoint contingent authorized representatives so people with developmental disabilities are not left without support if a parent or other primary helper becomes unavailable. Supporters, including families and disability advocates, described emergencies, immigration enforcement fears, and service interruptions as reasons for the bill; members asked about the current approval and renewal process and whether the annual renewal requirement could be streamlined. The bill passed 3-0 to Appropriations. SB 1077, also by Senator Gonzalez, would require the Department of Social Services to prepare for future federal shutdowns by creating a communications and contingency plan for CalFresh disruptions and a state-backed emergency benefits mechanism; supporters cited the 43-day federal shutdown and delays in benefits, and the bill passed 4-0 to Appropriations. Other measures discussed included SB 1201 by Senator McNerney, the No Hungry Heroes Act, which would seek waivers and direct referrals to protect veterans from federal SNAP changes and job-search-related income calculations; it passed 3-0 to Military and Veterans Affairs. SB 1261 by Senator Laird would let aging and disability resource connections continue operating during partner transitions so people do not lose access to “no wrong door” services; it passed 3-0 to Appropriations. SB 1110 by Senator Becker would update child care subsidy funding and reimbursement structures to better reflect direct family services and stabilize providers; the author said a provision tied to the budget would be removed, and the bill passed 4-0 to Education. Finally, SB 991 by Senator Menjivar was presented to improve how abuse and neglect findings in residential care facilities for the elderly are categorized in the licensing database, so serious abuse is not lumped together with lesser violations; testimony described examples of sexual assault and restraint being recorded as generic residents’ rights violations.

Transcript Highlights:

• where we have gaps in services.
• So to the person, there might be services that they receive or services that have been sustained.
• 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.

Summary: The Budget Subcommittee on Health and Human Services heard an overview from the California Department of Aging on the state’s Master Plan for Aging, including progress at the five-year midpoint, local aging and disability action plans, HCBS gap analysis, workforce work, and stakeholder engagement. The Legislative Analyst’s Office noted the department’s budget was relatively flat but flagged federal H.R. 1 pressure on nutrition-related programs. Members discussed how H.R. 1 and broader federal and state budget pressures could affect older adults through other programs, even where the Department of Aging itself had no direct cut. The committee also heard a stakeholder request from the California Association of Area Agencies on Aging for $62.3 million to support Older Californians Act services, with Finance cautioning that any added ongoing spending would worsen out-year deficits. The committee then reviewed several Department of Aging proposals, including HICAP modernization to add paid counselors and reduce reliance on volunteers, and senior meal program oversight for virtual congregate/to-go meals under AB 1476. Members also discussed the status of area agencies on aging in Ventura, Santa Barbara, and San Luis Obispo counties, including a new RFP process in the Central Coast and the need to protect service continuity during transitions. Finance clarified that remaining modernizing Older Californians Act nutrition funds can still be used through June 2029. The Department of Social Services presented a series of items. These included new federal Medicaid Access Rule implementation for IHSS grievance and critical incident systems; housing and homelessness programs for CalWORKs Housing Support, HDAP, Home Safe, and Bringing Families Home, with testimony that one-time funds are expiring and service levels will likely decline; permanent position authority for housing and homelessness administration; a facility management system to replace aging licensing systems; home care services branch solvency and regulations; child care centers in multifamily housing; the Seizure Emergency Response Act; licensing during emergencies and disasters; and the Family Preparedness Plan Act. The committee also heard a detailed exchange about the Autumn Oaks facility in Tulare County, where Senator Grove raised concerns about 53 complaints and the handling of unsafe conditions; CDSS said it is reviewing the matter and has authority to take administrative action even after a license surrender. No votes were taken, and items were held open.

Transcript Highlights:

• IHSS is a medical health service, and it is not our intent— IHSS is a medical service, and it is not
• Gray to get services. We want others like you to get services.
• Felisa Gray, Deputy Director of Adult and Aging Services for Merced County Human Services Agency.
• , which are navigation services, and then the caregiving services.
• which are navigation services, and then the caregiving services.

Keywords: 988, house, all

Transcript Highlights:

• They're very different services. and then across service days.
• Contracted services cost sometimes less than directly operated service.
• </c> tailor service. tailor service.
• mobility service service requires mobility service associated<01:17:28.640><c> with</c><01:17:28.880
• </c> and improve transit service. and improve transit service.

Keywords: 1183, house

Transcript Highlights:

• The program funds three core services: direct services, including mental health and wellness support,
• and/or prevention services.
• that include state services and local services as well.
• We as a... ...services that include state services and local services as well.
• , which is communicating, building legal services or counseling services.

Keywords: 988, house, all

Transcript Highlights:

• SERVICES THAT ARE COVERED FOR BOTH MEDICARE AND MEDICAID SERVICES INCLUDE ACUTE CARE SERVICES, ALL DAY
• ALL SERVICES ARE PROVIDED BY THE PACE SERVICE ORGANIZATION TO PROVIDE EFFECTIVE CARE COORDINATION AND
• , SOCIAL SERVICES, BEHAVIORAL SERVICES, THERAPEUTIC SERVICES, RESIDENTIAL SERVICES, AND MEDICAL SERVICES
• AND THERE IS BASICALLY NO COVERAGE FOR ADULT DENTAL SERVICES BESIDE EMERGENCY DENTAL SERVICES.
• SERVICE ORGANIZATION SERVICE OFFICERS NEED TO SUPPORT VETERANS. BOTTOM LEFT IS OUR HOPE NAVIGATORS.

Keywords: 999, senate, all

Transcript Highlights:

• They might get housing and lose their service, or get service and lose their housing. Okay.
• VRS is video relay services.
• The Health and Human Services Medical Services Division The Health and Human Services Medical Services
• So we can say we have a service, but if it's not filled, you don't have a service.
• services. ...at what services are designed at the community level for residential services for DD children

Summary: The committee first approved the February 11, 2026 minutes and then received an update from the North Dakota Housing Finance Agency on the interagency council on homelessness and continuum of care funding. Testimony described rising homelessness tied to tight housing markets, low incomes, aging homelessness, barriers to rental assistance and public benefits, and limited shelter and case-management capacity. Members discussed the need for more affordable housing, continued one-time funding for the North Dakota Homeless Grant and Housing Incentive Fund, better coordination with Health and Human Services on economic assistance and human service zones, landlord engagement, recovery housing, and reentry housing. The committee also heard that federal continuum of care funding remains uncertain, with possible shifts away from permanent supportive housing and housing-first models; members asked for a future update on the impact if federal rules reduce the share available for permanent housing. The committee then took testimony on accessibility of government services for people who are blind or visually impaired. Paul Olson of North Dakota Vision Services School for the Blind described current screening and service delivery, including infant referrals, regional staff, short-term programs, and collaboration with vocational rehabilitation. He said the targeted screening system is working, recommended maintaining the current model, and noted ongoing challenges with staffing, public awareness, and accessible state websites and documents. Public testimony from a visually impaired resident and a deaf resident emphasized barriers such as CAPTCHAs, inaccessible PDFs, employment forms that screen out applicants based on driver’s license status, shortages of interpreters, and the need for video remote interpreting and video relay services, along with training for users and agencies. Finally, the committee heard a final report on the study of child care provider licensing from HHS Early Childhood Director Kay Larson. The report summarized provider input and committee discussion on simplifying North Dakota’s child care licensing structure, reducing administrative burden, and balancing that with health and safety standards. Key topics included licensing categories, child care assistance eligibility, food program sponsorship, staff qualifications, training requirements, ratios and group size, age bands, and preschool exemptions. The committee’s recommendations included streamlining to three provider types plus a preschool designation, revising ratio and age-band rules, and carrying forward certain preschool outdoor-space exemptions. Larson noted that any changes would require statutory changes, rulemaking, and a transition period before new licensing rules could take effect.