Video & Transcript : 'ABA services' :

Page 144 of 500
CA
Transcript Highlights:
  • This is the Assembly Budget Subcommittee No. 2 on Human Services hearing on human services issues.
  • , legal services, and more.
  • We need detention and deportation services. Moreover, we need to provide navigation services.
  • truly servicing the pilot.
  • an immigrant seeking services.
Keywords: 988, house, all
MO

Missouri 2026 Regular Session

Budget Feb 10th, 2026

Transcript Highlights:
  • What is the cost for the in-jail service? The jail-based restoration service? Yeah.
  • a similar type of duty, and you look at service utilization, that service did pop.
  • support services.
  • support services.
  • services.
Summary: The Budget Committee heard the Department of Mental Health’s FY 2027 budget presentation, with Director Valerie Hoon outlining a $4.4 billion department budget, including $1.7 billion in general revenue, and describing the department’s roles in substance use, behavioral health, and developmental disabilities services. Early questioning focused on marijuana-related mental health impacts, but the main discussion centered on the department’s new decision items, funding sources, and expected wait lists. The director explained several increases tied to Medicaid growth, mental health youth services, outpatient competency restoration, crisis residential services, developmental disability waivers, and provider tax adjustments, along with offsets such as reduced wraparound funding at the Kansas City Assessment and Triage Center and cuts to some youth and self-directed DD services. A major portion of the hearing focused on competency restoration for people found unfit to stand trial and currently held in county jails. Members pressed the department on the cost, effectiveness, and legal implications of keeping people in jail while awaiting services, noting a reported wait list of roughly 524 to 538 individuals and average holds of about 14 months. The department said it currently has eight outpatient competency restoration beds in the community, is seeking funding for 50 additional outpatient slots, and also operates jail-based restoration for about 40 people at a time. Members repeatedly asked for breakdowns of violent versus nonviolent cases, success rates, cost per person, and the split between state and federal funding, while the department explained that Medicaid can cover only the treatment portion, not residential housing or other non-billable costs. The committee also discussed broader capacity constraints in state hospitals and developmental disability services. Hoon said Fulton, Center for Behavioral Medicine, and FTC North are full, with 183 vacancies across the department, and that the department is working on a new Kansas City hospital that would add 150 beds, though completion is now expected closer to 2029 or 2030. In the developmental disabilities section, the department warned that the governor’s recommendation would create wait lists for in-home waiver services and crisis residential services, and members questioned proposed reductions to self-directed services rates and other provider payments. No votes were taken, and the committee recessed before finishing the presentation.
MN

Minnesota 2025-2026 Regular Session

Committee on Labor - 03/11/25

Labor

Transcript Highlights:
  • Thank you. heard in Human Services. heard in Human Services.
  • Services. Services.
  • I am the program services services services uh<00:58:13.160><c> director</c><00:58:13.640><c> at</c><
  • Um, so under our Medicaid funding services, day support services, pre-vocational services, and all of
  • <c> where</c> services or development services where services or development services where they<01:46
Keywords: 1187, senate, all
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 3rd, 2025 at 09:00 am

Appropriations - Human Resources Division

Transcript Highlights:
  • of Health and Human Services.
  • kind of a menu of services and might be receiving multiple services.
  • those services.
  • entry into services.
  • those services.
Keywords: 908, all
Summary: The Senate Appropriations HR Division met with all members present to review the medical services portion of the HHS budget. Sarah Aker, Executive Director of Medical Services, walked the committee through several budget items, including HCBS cost-to-continue adjustments, the DD bed assessment, expansion of value-based purchasing, targeted rate increases for home health and QSP services, and the cross-disability waiver. Members generally supported the targeted increases for home health and QSP, and Aker explained that the cross-disability waiver funding would support startup work, service design, and infrastructure ahead of a planned July 1, 2028 implementation. The committee spent significant time on rate-setting and provider payment issues. Members discussed ambulance rate rebasing, with several senators expressing concern that the proposed increase was too high relative to peer states; the committee ultimately moved toward reducing that item to $1 million rather than zero so it could be revisited in conference committee. They also discussed a House-added critical access hospital networking grant and similarly leaned toward reducing it to $1 million. Aker explained the department’s value-based purchasing plans, including use of a vendor selected through RFP, and clarified how the department’s existing Medicaid managed care and hospital value-based programs work. A major portion of the meeting focused on long-term care and basic care payments, including a House-added extension of the $5 per day basic care add-on and a proposed shift in nursing facility incentive grants toward a withhold-based model. Senator Mathern indicated he would bring an amendment to delay or modify the withhold change, and Aker said the department would prefer language that directly addresses whether a withhold may be implemented. Members also discussed 1915(i) services, FMAP changes, the Medicaid legacy system modernization carryover, and a House-added legislative intent section on medical assistance. The committee adjourned for the morning with plans to return later to continue Human Services budget work and revisit unresolved items in conference committee.
AR

Arkansas 2026 Regular Session

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Jun 18th, 2026

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Transcript Highlights:
  • Because those are the dollars that can be rolled back into services, whether it be career services, training
  • They don't apply for services.
  • Because one of, you know, we talk about workforce services here, but also, you know, human services,
  • by state employees who provide those services.
  • and all the services available to their neighbors?
Keywords: 1204, all
CA
Transcript Highlights:
  • health services that are non-RAP.
  • I am Victoria Kelly, and I am the CEO for Redwood Community Services, a multi-service organization based
  • First, neither the in-state services nor these out-of-state services served Adam and his family very
  • An investment in the prevention services, and for tribes to provide prevention services directly, is
  • This augmentation is needed to maintain service levels, This augmentation is needed to maintain service
Summary: The Assembly Budget Subcommittee on Human Services heard an informational hearing on child welfare, foster care, community care licensing, child support, and related budget issues. CDSS described the Governor’s proposed child and family services budget, emphasized a family-centered and kin-first approach, and reported that foster care entries and congregate care placements have declined over the past decade. Witnesses also highlighted the importance of extended foster care to age 21, while noting persistent racial disparities for Native American and Black children and the need for stronger prevention, family finding, and community-based supports. A major focus was the proposed tiered rate structure (TRS), which CDSS said would shift funding from placement-based rates to child-centered supports, including care and supervision, strength-building dollars, and immediate needs funding paired with high-fidelity wraparound services. CDSS and county representatives said implementation is on track, with foundational policy guidance expected by the end of the year, CANS/CFT timeliness targeted by year-end, and the CWS CARES system nearing go-live in October 2026. Counties and providers raised concerns about whether the rate model and wraparound capacity will be sufficient, especially for higher-acuity youth, and asked for more data, clearer guidance, and continued collaboration. County Welfare Directors Association representatives also requested continued emergency response funding and an extension of flexible family supports, arguing both are needed to stabilize front-end child welfare work and bridge to TRS. Providers from FFAs and STRTPs warned that insurance costs, provider closures, and the transition to TRS could threaten service capacity unless the state addresses long-term insurance and reimbursement issues. LAO noted the Governor’s budget contains no new child welfare augmentations and said the main General Fund change reflects the expiration of one-time funding. No votes were taken; members instead asked for follow-up data, technical assistance, and possible future legislative or trailer bill solutions, including on insurance and implementation timelines.
US
Transcript Highlights:
  • Our witnesses here today and thank you all for your service.
  • Senate Armed Services Committee.
  • Service Loan Forgiveness and Tuition Assistance Program, making it easier for service members to get
  • member complaints about student loan servicers went up.
  • , across all services.
Summary: The committee meeting focused on pressing issues related to the U.S. military's recruitment and personnel strategies, especially in light of the upcoming NDAA for fiscal year 2026. Chairperson expressed appreciation for the service of witnesses including senior military leaders from different branches, emphasizing the importance of personnel as the backbone of national defense. Discussions revealed concerns regarding the recent lowering of recruitment standards across military branches, which could potentially affect the quality of service members and long-term military readiness. Witnesses were asked to address the implications of these changes on military health and efficiency.
MN
Transcript Highlights:
  • </c> services in the Senate. services in the Senate. All<00:02:58.239><c> right.
  • </c> services technical assistance language. services technical assistance language.
  • On page services.
  • service service standards.<00:27:20.400><c> On</c><00:27:20.640><c> page</c> standards.
  • </c> from the Department of Human Services. from the Department of Human Services.
Keywords: 1187, senate, all
FL

Florida 2026 Regular Session

FL House Floor Session - 2026-06-02 (10:00AM Session)

Florida House Floor Meeting

Transcript Highlights:
  • , mental health services, parenting support, services for children with special needs.
  • , mental health services, parenting support, and services for children with special needs.
  • For safety net services for children and families, mental health services, parenting support, services
  • 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 met in special session, opened with prayer and the Pledge of Allegiance, approved the journal, and adopted the special order report setting the day’s calendar. The chamber then took up CS/House Joint Resolution 1F, the Governor’s property tax proposal, which would raise the homestead exemption for non-school taxes, lower the annual assessment cap on non-homestead property from 10% to 5%, and restrict county and municipal ad valorem revenue to public safety and certain other uses. Sponsor Rep. Overdorf said the measure would return money to homeowners and give local governments flexibility, while opponents repeatedly argued the ballot language was misleading and that the proposal could create large local revenue shortfalls, shift costs to other taxpayers, and threaten local services and debt obligations. Members debated a series of amendments aimed at protecting specific programs from the bill’s effects. Rep. Bartleman’s amendment to exempt Children’s Services Councils and Children’s Trusts was defeated 25-74 after supporters said those entities fund child care, mental health, aftercare, and family support, while opponents said local governments could still choose to fund them. Rep. Cross’s amendment to include water management districts in allowable uses of ad valorem taxes was also defeated, despite testimony that the districts are essential for flood control, water supply, Everglades restoration, and drought response. Rep. Eskamani’s amendment to require the Legislature to backfill public safety funding failed 25-71 after debate over whether the proposal could reduce police and fire budgets and response times. The House 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 aging services, and opponents saying the state already funds senior programs. Finally, Rep. Gant’s amendment to protect veteran services was introduced and debated, with members emphasizing housing, mental health, transition assistance, and homelessness concerns for veterans; the transcript cuts off before the vote on that amendment. Throughout the debate, sponsors and supporters of the main resolution maintained that local governments would retain spending discretion and could use other revenue sources, while critics argued the measure lacked clear backfill provisions and could force cuts or tax shifts at the local level.
WA

Washington 2025-2026 Regular Session

Senate Ways & Means Jan 13th, 2026

Transcript Highlights:
  • there, no in-person services.
  • But sales tax on services—our office had to pay for that because we do a lot of services, right?
  • and loss of vital services.
  • Community Services will cause... ...for waiver services through Developmental Disability Community Services
  • but those needing services won't get them, which ultimately leads to them using emergency services and
Summary: The Senate Ways and Means Committee heard an overview from OFM Director Katie Chapman See on Governor Ferguson’s 2026 supplemental budget proposal. She said the budget was built in response to higher caseloads and inflation, a roughly $390 million revenue forecast drop, new federal costs tied to H.R. 1, and a relatively small ending fund balance. The proposal would increase near general fund spending by about $1.1 billion and solve an estimated $2.3 billion two-year gap through about $800 million in reductions, revenue shifts and tax preference changes, use of other funds, and about $1 billion from the budget stabilization account. She also noted the budget is balanced over two years but not fully over four years under the state’s outlook rules. Chapman See highlighted reductions in Working Connections Child Care, including a soft cap on enrollment and holding subsidy rates at the 75th percentile, delays to long-term care and developmental disability-related changes, and across-the-board reductions to higher education and administrative spending. She also described investments in wildfire suppression and preparedness, affordability programs like utility rebates and home energy assistance, housing-related planning and permitting support, One Washington IT replacement, behavioral health workforce programs, and continued support for some K-12 initiatives such as ninth grade success and homeless student stability. In response to questions, she said some proposed cuts were based on the governor’s subjective judgment about what was critically necessary, that current child care enrollees would not be cut off immediately, and that the budget would maintain services for about 500 highest-acuity Medicaid clients who lost eligibility under federal changes. Public testimony was largely critical of the proposed cuts in K-12, early learning, and higher education. School officials, educators, nurses, and advocacy groups opposed reductions to Transition to Kindergarten, Local Effort Assistance, Running Start, MSOC, school leadership and support grants, and higher education funding, arguing the cuts would worsen existing funding gaps and harm student outcomes. Several witnesses supported restoring or maintaining funding for ninth grade success, Treehouse’s foster youth graduation program, homeless student stability, and Science on Wheels. In early learning, child care providers and advocates opposed the Working Connections cap and subsidy-rate reduction, warning it would reduce access and destabilize providers. In higher education, campus leaders and labor representatives opposed across-the-board cuts and fund shifts, while some institutions and advocates supported targeted investments such as behavioral health workforce programs and DigiPen aid restoration. In human services, Planned Parenthood advocates praised restored abortion access funding and Medicaid reimbursements. The committee took no votes or final action in the transcript provided.
MN

Minnesota 2025-2026 Regular Session

Human services panel considers HF1005 3/4/25

Minnesota House Floor Meeting

Transcript Highlights:
  • </c> Health homes and fee for service Health homes and fee for service hospital<00:08:49.560><c> inpatient
  • </c><00:19:21.880><c> we</c> Lighthouse Child and Family Services we Lighthouse Child and Family Services
  • </c><00:19:28.080><c> services</c> programming and outpatient services programming and outpatient services
  • </c><00:20:30.520><c> has</c> Children's Mental Health Services has Children's Mental Health Services
  • </c> it sounds like it's equivalent service it sounds like it's equivalent service so<00:26:15.840><c
Keywords: 1183, house
KY
Transcript Highlights:
  • This is strictly services. costs. This is strictly services.
  • . services. services.
  • You get EPSDT services.
  • </c> waiver services. waiver services.
  • You get EPST services. You get Medicaid? You get EPST services.
Keywords: 958, all
Summary: The committee opened by adopting its mission and priorities for reviewing Kentucky’s 1915(c) home- and community-based services waiver wait lists, including evaluating current capacity and bottlenecks, comparing other states’ practices, and considering a tiered priority system based on urgency of need. The chair also announced that, although public comment was not on the agenda, the committee would allow 30 minutes for comments and asked speakers to keep remarks brief. He noted that public comment would not continue in the smaller subcommittees after this meeting, but could still be made at the larger MOAB meetings or by email. Department for Medicaid Services officials Leslie Hoffman and Carmen Hancock then gave a detailed overview of Kentucky’s waiver programs: the acquired brain injury waiver, ABI long-term care waiver, home and community-based waiver, Model 2, Michelle P. waiver, Supports for Community Living waiver, and the newly approved child waiver. They explained each program’s eligibility and level-of-care requirements, described funded, filled, allocated, reserved, and available slots, and said the state had already added new slots from House Bill 500. They emphasized that available slots can coexist with a wait list because of reserved slots for money-follows-the-person transitions, emergency slots, annual slot churn, and waiver-year reconciliation. They also reported that the unduplicated wait list total was 18,948, and gave current wait-time figures by waiver, noting that the numbers change constantly. Members asked about how level-of-care determinations are made, whether all people on the wait list have been assessed, and whether undocumented individuals appear in the counts. The department said full level-of-care assessments are done only when a person is moving off the wait list into a reserved slot, and that only Medicaid-eligible individuals can reach the wait list. Senators and representatives also pressed on the meaning of “churn,” why slots cannot be reissued immediately when someone leaves, and whether people who receive even a small amount of service keep their slot for the rest of the waiver year under CMS rules. Officials said that once a participant receives service during the waiver year, the slot generally cannot be reassigned until the next waiver year, even if the person later disengages. The department also presented county distribution, annual member growth, average total cost per member, and total annual waiver expenditures, saying fiscal year 2025 closed at about $1.8 billion in waiver services. In response to questions, officials said they would provide additional churn data for other waivers, including Michelle P., and would look into the average wait-time calculations requested by members. No formal votes or legislative actions were taken during the meeting.
CA
Transcript Highlights:
  • Services.
  • Wraparound services, as well as when it's available for in-state residential services.
  • that include social services.
  • We do, it's a fee for service.
  • services with the USCIS office and removal services with immigration courts.
Summary: The committee heard an extensive Department of Social Services presentation on child care budget issues, including the Governor’s proposed 2026-27 budget, federal CCDF changes, Prop. 64 revenue adjustments, and a one-time $11.5 million disaster-related infrastructure grant for licensed child care facilities affected by 2025 declared disasters. DSS said federal formula updates and lower Prop. 64 revenues would reduce funding and could result in about 4,176 CCTR slots being reduced, but the department said it was working to avoid impacts to currently enrolled children. The LAO supported aligning general child care funding with lower revenues and asked for more detail on the disaster grant. Members pressed DSS and Finance on why reductions were not being backfilled and why so many awarded slots remain uncontracted or unused; DSS said delays are largely due to providers building new infrastructure, licensing, staffing, and enrollment challenges, and that some unspent funds revert to the General Fund. The committee also discussed whether some contract dollars should be shifted to vouchers and whether more flexibility should be allowed for infrastructure and expansion costs. A second panel focused on the state’s commitment to expand child care and on rate reform. DSS reported that nearly 125,000 new slots have been awarded since 2021-22, but speakers from Stanislaus County Office of Education, Parent Voices California, and the California Budget and Policy Center argued that unmet need remains large and that the system still leaves many families without access. Stanislaus County described a large local shortage of infant and toddler care and said reimbursement disparities between child care programs and state preschool create disincentives for providers. Parent Voices gave testimony about the burdens and instability families face when trying to access care, especially for survivors and low-income parents, and called for a universal, publicly funded system. The Budget Center said only about 16% of eligible children were enrolled in 2024, urged expansion across the mixed delivery system rather than concentrating investment in TK, and called for faster rate reform and new revenue. LAO estimated that bringing certain CCTR adjustment factors up to CSPP levels would cost $88 million to $131 million ongoing. Members and witnesses discussed the single rate structure, automation needs, and the need for deadlines and a ramp-up plan; DSS said the goal is to eliminate disparities, but that policy decisions are still needed before automation can proceed. The committee then reviewed several trailer bill proposals. DSS outlined a 2026-27 COLA proposal that would apply a 2.41% increase through cost-of-care-plus payments, though the department said it had inadvertently excluded CalWORKs Child Care and the Emergency Child Care Bridge Program and would revise the proposal; LAO recommended making the COLA methodology uniform across programs. DSS also proposed replacing the market rate survey with the federally approved alternative methodology on a triennial schedule, limiting temporary absences in family child care homes to 20% of monthly hours, defining excessive unexplained absences as more than 30 days in a year, and aligning family fee deductions with new federal requirements so providers receive the full voucher value. Members generally supported the temporary absence change and asked about implementation timing for the family fee deduction, with DSS saying it was in contact with Riverside County. The committee also heard a brief update on the Early Childhood Policy Council reappropriation, which would extend unused funds through June 30, 2028 because prior costs came in higher than expected.
CA
Transcript Highlights:
  • We are not reducing services.
  • those services for people.
  • We think Department of Health Care Services and Social Services is a better model.
  • services.
  • setting or service type.
Keywords: 988, house, all
AR

Arkansas 2026 1st Special Session

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Jun 18th, 2026

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Transcript Highlights:
  • They don't apply for services.
  • Because one of, you know, we talk about workforce services here, but also, you know, human services,
  • Because one of, you know, we talk about workforce services here, but also, you know, human services,
  • “People, regardless of who signs their paycheck, delivering integrated services and all the services
  • services.
Summary: The committee met to hear an update from consultants Mason Bishop and Cameron Christie on Arkansas’s “one door” or “no wrong door” workforce and social services modernization effort. The discussion focused on moving the state toward a work-first system that better connects job seekers, employers, education, and public assistance programs, with goals of increasing upward mobility, improving labor force attachment, reducing inefficiencies, and adapting to changes such as AI and other economic disruptions. The consultants argued that Arkansas’s current system is fragmented across multiple offices, portals, agencies, and funding streams, and that people often have to navigate separate doors for workforce services, TANF, SNAP, Medicaid, and related supports. Bishop repeatedly pointed to Utah as the model, describing how that state integrated workforce and human services into a single department, used cost allocation to blend funding behind the scenes, and saw improved customer service and outcomes after reform. He said TANF should be treated as a workforce program, not just a benefits program, and suggested that Arkansas could use TANF and other tools to cross-train DHS staff, co-locate services, and create a more unified service delivery model. Members asked about federal flexibility, waivers, and whether the state could use one large waiver or a broader restructuring to simplify the system. Bishop explained that a federal pilot authority proposal failed in Congress, so the current approach relies on waivers, cost allocation plans, and possible state-level changes. The committee also discussed the relationship between DHS and workforce offices, the role of local workforce boards, how disability and vocational rehabilitation cases would be handled, and how the governor’s Restore Hope/Hope Hub and faith- and community-based initiatives might fit into the broader plan. Bishop said Arkansas already has rehabilitation services within the workforce department and emphasized that case managers should focus on people rather than programs. No votes were taken. The chair said the committee would revisit case management at its August meeting and adjourned the meeting after thanking the consultants.
CA
Transcript Highlights:
  • However, support divisions within the department, such as human services, legal, and fiscal services,
  • of Social Services.
  • If you're unaccompanied and you need those types of services, we've been able to provide the services
  • that include also social services.
  • services with the USCIS office and removal services with immigration courts.
Keywords: 987, senate, all
CA

California 2025-2026 Regular Session

Assembly Human Services Committee May 1st, 2025

Transcript Highlights:
  • Our service lines are very diverse.
  • In fact, I believe strongly that the quality of our services and service access will benefit from this
  • Our service lines are very diverse.
  • In fact, I believe strongly that the quality of our services and service access will benefit from this
  • , but the quality of these services.
Summary: The Assembly Human Services Committee met with quorum established after beginning as a subcommittee. The committee heard AB 790, which would require jurisdictions receiving state homelessness funds to develop systems specifically supporting women and children, especially single mothers and survivors of domestic violence. Supporters said current homelessness programs overlook this population; the bill was amended and passed unanimously on a 7-0 vote. The committee also heard ACA 4, the Housing Opportunities Made Equal Act, which would dedicate a minimum share of the state general fund to affordable housing and homelessness programs. Supporters argued more stable funding is needed to address the housing crisis, while opponents questioned whether more spending would help; the measure passed 5-2 to the Assembly Appropriations Committee. Members then heard AB 349, which would index the infant supplement for parenting foster youth to inflation. The author and sponsor described the needs of pregnant and parenting teens in foster care and rising costs for diapers and formula; the bill passed 6-0 to Appropriations. AB 779, which expands a domestic violence consultant pilot in child welfare offices statewide, also passed 6-0 after testimony that it would help keep families together safely and improve trauma-informed responses. AB 1335, which would remove a private CARF accreditation requirement for regional center employment programs and rely on state oversight instead, drew support from disability service providers but opposition from the chair over concerns about weakening quality checks; it failed on a 2-2 vote and reconsideration was denied. The committee also considered AB 1066, a bill to bar state-funded immigration legal services for people unlawfully present in the country who have certain serious felony convictions. Supporters framed it as a public-safety and fiscal-responsibility measure, while opponents said it would restrict due process and align California with mass-deportation policies. The bill failed on a 2-2 vote. Two bills, AB 277 and AB 318, were pulled by the author and not heard. After final roll calls on absent members, the committee adjourned.
WA

Washington 2025-2026 Regular Session

Senate Ways & Means Oct 16th, 2025

Transcript Highlights:
  • outpatient mental health services and substance use disorder services.
  • services in community settings.
  • The waiver services overall, though, represent about 20% of the services that long-term care delivers
  • Social and Health Services.
  • Services partner agencies.
Summary: The Ways and Means Committee held a work session to review how H.R. 1 (the One Big Beautiful Bill Act) could affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on implementation challenges, fiscal impacts, and likely coverage losses. Staff and agency officials explained Washington’s Medicaid financing structure, eligibility categories, caseload trends, and the role of the Health Care Authority and DSHS in administering Apple Health and related services. They also described how Medicaid expansion increased access to behavioral health services and how H.R. 1’s provisions are expected to affect the expansion population most directly. Health Care Authority and DSHS officials outlined several major H.R. 1 changes: new work and community engagement requirements for the Medicaid expansion population, six-month redeterminations instead of annual renewals, changes to immigrant eligibility, limits on provider taxes and state-directed payments, new cost-sharing requirements, reduced retroactive coverage, and changes affecting long-term care eligibility. They said Washington is still awaiting federal guidance on many details, but estimated that about 620,000 Apple Health expansion enrollees could be subject to work requirements, that roughly 30,000 immigrants could lose Medicaid eligibility under the new definition of qualified alien, and that some long-term care and developmental disability clients could be indirectly affected. Officials also said the state is working with other agencies to build shared verification systems and may seek a delay waiver, though they do not expect broad federal flexibility. The committee also heard that H.R. 1 immediately blocks Medicaid reimbursement for Planned Parenthood services for one year, with the state planning to backfill about $11 million to preserve access. In addition, officials warned that the law could reduce federal Medicaid revenue by billions over time and strain hospitals and emergency rooms as more people become uninsured. They noted that Washington’s rural health transformation grant application is due November 5 and could bring some funding, but not to offset coverage losses. No votes were taken; the session was informational only. The committee then heard a separate presentation on food assistance, where staff and DSHS described H.R. 1’s SNAP changes, including expanded work requirements, immigrant eligibility restrictions, higher state administrative costs, and a possible future state share of benefit costs tied to payment error rates. DSHS estimated a four-year fiscal impact of about $750 million for food assistance changes and said the state is working on system and policy changes across agencies before the new requirements take effect.
CA
Transcript Highlights:
  • Of Child Support Services.
  • Long-term services and supports, including home and community-based services, are not impacted.
  • We do have a Medi-Cal fee-for-service fee schedule for payment rates in the fee-for-service delivery
  • fee-for-service delivery system.
  • Emergency services.
Keywords: 987, senate, all
NM
Transcript Highlights:
  • how many adults need the services.
  • Thus far, 177, or 8.8 percent, of the inmates in need of MAT services have received services.
  • So, we have been providing billable services, but we haven't yet billed any services. one, because of
  • of service.
  • The number of people we've provided services to, what services they provided, for how long they provided