Video & Transcript : 'ABA services' :
Page 147 of 500
LA
Transcript Highlights:
- This is due to the increase in statewide services such as legislative auditor fees, civil service fees
- Operating services are about 0.5% of the department budget. Professional services, 1.5%.
- services for young people?
- , 24-hour care for any behavioral health services, physical health services.
- services, they provide service.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Elder Affairs Jun 21st, 2026 at 10:00 am
Transcript Highlights:
- My family and I have spent most of our lives in public service.
- I'm the executive director for Mystic Valley Elder Services.
- Home care services and those individuals who provide those services.
- The Secretary of Health and Human Services.
- So I needed those services, right?
Summary:
The Joint Committee on Aging and Independence held a hearing on several bills, led by Chair Tom Stanley and Senate Chair Patricia Jehlen. The committee first heard testimony on H. 765/S. 487, an act relative to councils on aging, which would update outdated statutory language and allow directors of councils on aging to make staffing decisions when a council is structured as an advisory body. Representative Donahue and Betsy Connell of the Massachusetts Association of Councils on Aging said the change reflects how most councils now operate and would resolve conflicts like the one that arose in Sherborn. Members asked about whether the bill would affect town managers, volunteer roles, and whether the language should more clearly exempt informal volunteer help; supporters said the bill is aimed at municipal staffing structures, not unpaid volunteer assistance.
The committee then took extensive testimony on H. 789/S. 470, an act to improve Massachusetts home care, which would create a statewide licensure system for non-medical home care agencies and entities. Julie Watt, Jay Krillovich, Betsy Krimmins, Lisa Gargoni, Tim Foley, and several providers and advocates supported the bill, arguing that licensure would establish baseline standards for background checks, training, service plans, insurance, complaint procedures, and labor-law compliance, while helping consumers identify legitimate providers and reducing fraud and abuse. Several witnesses described problems with unlicensed or poorly supervised providers, and family members and dementia advocates emphasized the need for dementia-specific training and better oversight for vulnerable clients. Tim Foley also raised concerns about private equity’s growing role in home care and said stronger regulation is needed to protect consumers and workers.
Committee members focused on practical questions about the bill’s scope, including whether it would reach informal paid helpers, volunteers, or people doing occasional household tasks, and what agency would enforce the rules. Supporters said the bill is intended to cover entities advertising home care services, not unpaid volunteer help, though they acknowledged regulators would need to work out details. John Sneeth of Tribute Home Care offered a more cautious view, saying licensure should not unduly burden smaller providers or reduce competition, and that enforcement would be key. The hearing also included testimony from the Alzheimer’s Association and family caregivers, who strongly supported the bill’s dementia-training provisions and described how trained caregivers improved safety and quality of life for people living with Alzheimer’s and dementia. At the end of the hearing, the committee also heard support for H. 778/S. 473, regarding the Commission on LGBTQ Aging, with Lisa Krinsky urging funding for a full-time director and continued support for the commission’s strategic plan. After public testimony concluded, the committee adjourned the hearing by motion and voice vote.
NH
New Hampshire 2025 Regular Session
House Finance Division III (02/27/2025)
Transcript Highlights:
- We have the Bureau of Drug and Alcohol Services and the Bureau of Homeless Services.
- Services.
- can get into that um service level of can get into that um service level of service<02:50:34.399><c>
- um the services by the Services um the services by the Community<02:55:26.040><c> Mental</c><02:55:26.439
- </c><05:18:53.280><c> that</c><05:18:53.400><c> are</c> services that are the services that are services
Summary:
The House Finance Committee’s Division 3 held a public work session on the Behavioral Health budget on February 27, 2025. The chair opened by explaining the schedule, materials, and deadlines for the budget process, and noted there would be no motions or votes in the division that day. Division of Behavioral Health Director Ktia Fox and DHHS CFO Nathan White then walked the committee through the division’s mission, structure, and budget materials, describing the division’s four bureaus: Mental Health Services, Children’s Behavioral Health, Drug and Alcohol Services, and Homeless Services, along with the policy unit. They emphasized the division’s role in oversight, technical assistance, quality assurance, contracting, and the continuum of care from prevention and early intervention through crisis and residential services.
Much of the discussion focused on major programs and funding lines, including the 988 Lifeline contract with Headrest, a technical assistance contract with UNH, Medicaid pass-through payments to New Hampshire Hospital and Glencliff, crisis response services, cold-weather homeless responses, housing supports, and the children’s system of care. Members asked about the UNH contract, the 988 program, crisis stabilization centers, and the peer certification program; Fox explained that the peer certification is a training-and-credentialing pathway for people with lived experience to enter community-based behavioral health work, not a volunteer program. The committee also discussed the “Choose Love” program, which Fox said was created after the Sandy Hook tragedy to build resilience and strength-based emotional regulation in schools and communities.
On the children’s side, Fox described the system of care account as the place where many contracted services are budgeted, including community mental health centers, care management entities, rapid response services, and residential programs. Members asked about temporary staffing, and Fox said roughly $500,000 in temporary staff costs shown in the current year would not be spent next year because the money came from a nonlapsing appropriation in HB 1573 for oversight of children’s residential services. She also said provider rate increases were a prioritized need but were not funded in the governor’s current budget, and that the Children’s Behavioral Health Resource Center was not funded, resulting in about a $1 million reduction. The session ended while the division was still moving through the children’s behavioral health slides, including questions about the Fast Forward high-fidelity wraparound program and medication management.
KY
Kentucky 2025 Regular Session
Government Contract Review Committee (8-12-25) - Reupload
Transcript Highlights:
- > we</c> those services and what services we those services and what services we offer<00:11:50.240><
- And if I may, this provider... these services? these services?
- </c> services um so the demand for services services um so the demand for services is<00:34:04.320><c
- </c> services in our Eastern Mountain service services in our Eastern Mountain service region.<00:34:
- </c> services, we may have too many services services, we may have too many services and<01:33:01.199
Summary:
The Government Contracts Committee met with a quorum and approved the July 8 minutes. It then deferred several items from the July agenda, including a Kentucky Education Television contract because the vendor was not yet registered with the Secretary of State, and a University of Louisville contract at the university’s request. The committee also deferred a behavioral health memorandum of agreement and later a Department of Community Based Services contract after questions were raised about the scope of services and the need for additional information.
The most extensive discussion involved the Seven Counties Services contract with the Department for Behavioral Health, Developmental, and Intellectual Disabilities. Committee members questioned why the state continues to contract with Seven Counties despite its bankruptcy and pension-related liabilities, how the funding split was determined, whether the services are statutorily required, and whether the state or another provider could deliver the services more efficiently. Agency representatives said Seven Counties is the sole provider of core community mental health services in its region, serves about 24,500 people, and that service needs and acuity remain high even as the number served has declined. A cabinet attorney said the bankruptcy dispute is ongoing and involves roughly $20 million in contested retirement contributions, though members suggested the amount may be higher.
Members also raised broader concerns about whether local governments, especially Metro Louisville, should contribute more toward services tied to social determinants of health, and whether the contract includes services beyond what statute requires. The committee requested additional information on the contract scope and possible offsets or recovery of unfunded liabilities, and then voted to defer the Seven Counties contract to the next meeting. The committee also heard a separate DCBS presentation on the Youth Villages Intercept program, where staff explained it was selected because it is an approved evidence-based Family First prevention service, provides intensive in-home and foster care stabilization services, and is headquartered in Tennessee but operates across Kentucky; members asked for clarification on Medicaid billing and additional funding needs.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Transportation Jun 21st, 2026 at 01:00 pm
Joint Committee on Transportation
Transcript Highlights:
- which provide fixed-route and demand-response service, generally bus service, outside the MBTA service
- We are an organization that has regulatory responsibility for vehicle services, driver services, driver
- We have a very bare-bones Registry service center at the service plaza on the Pike, but they're very
- So our service model is on the license side of the house for license-related service, permits, license
- And we've shifted our service delivery model to focus on all-day service, a reflection of the post-pandemic
Summary:
The Joint Committee on Transportation held an informational hearing with invited testimony from MassDOT leadership, the MBTA, Massport, and the state’s Federal Funds and Infrastructure Office. MassDOT officials outlined work across highways, rail and transit, the Registry of Motor Vehicles, and aeronautics, emphasizing major capital spending, bridge and roadway programs, transit grants, rail expansion, airport safety, and modernization efforts. They highlighted Chapter 90 and municipal grant programs, the Compass Rail and West-East Rail efforts, RMV upgrades such as electronic titles and driver licensing systems, and aeronautics work on airport pavement, drones, and advanced air mobility.
Committee members focused on safety, service access, and project implementation. Questions to MassDOT covered automated enforcement and rising roadway fatalities, the Allston multimodal project’s federal funding, Complete Streets access for rural communities, and South Coast Rail staffing and future electrification. The RMV was asked about the Work and Family Mobility Act, Real ID demand, and appointment access, especially in Metro West. Members also raised concerns about South Coast Rail operations, Keolis staffing, and whether the Stoughton route remains part of future plans; MassDOT and MBTA officials said they are working on staffing, service reliability, and long-term expansion, while noting that nothing is off the table for future rail improvements.
MBTA General Manager Phil Eng reported progress including workforce growth, elimination of subway speed restrictions, expanded reduced-fare access, bus network redesign, South Coast Rail launch, and commuter rail signal upgrades. He said the agency is pursuing a new commuter rail operating contract designed to support future regional rail, electrification, and higher-frequency service, while maintaining service and workforce stability amid funding uncertainty. Members also asked about fare collection data privacy and the impact of state funding levels; Eng said the MBTA needs the governor’s proposed funding to preserve service and staffing, and that the fare system’s data are encrypted and handled through a secure vendor system.
Massport CEO Rich Davey reported record activity at Logan, Worcester, and the cruise and maritime facilities, along with major capital and climate investments such as sustainable aviation fuel planning, shore power at Flynn Cruiseport, renewable diesel, and expanded ground transportation. He said Massport is planning for continued passenger growth and managing congestion through parking, HOV, and curbside changes, while monitoring federal policy, tariffs, and air traffic control staffing issues. Federal Funds Director Quentin Palfrey described the administration’s efforts to secure federal infrastructure dollars, citing about $9 billion in federal awards since the start of the administration, including major transportation grants for the Cape Cod Bridges, Allston, West-East Rail, North Station drawbridge replacement, roadway safety, and clean school buses. He warned that changing federal policies, grant delays, and possible future congressional actions create uncertainty, but said the office is working case-by-case with municipalities and agencies to protect awarded funds and find alternative financing where needed.
MN
Minnesota 2025-2026 Regular Session
Press Conference: Outlining Impact of the Human Services Budget Proposal on County Budgets - 2/19/25
Transcript Highlights:
- </c><00:02:18.599><c> compound</c> for Access of basic Services compound for Access of basic Services
- Services would add disability waiver Services would add approximately<00:03:08.319><c> $1</c><00:03:
- </c> much increased demands for our service much increased demands for our service and<00:03:50.959><
- </c><00:04:57.639><c> uh</c> for other important County Services uh for other important County Services
- </c> infrastructure and Emergency Services infrastructure and Emergency Services Klay<00:05:02.880><c
FL
Florida 2025 Regular Session
January 14, 2025 - 03:30 PM
Transcript Highlights:
- Some examples of VR services: In short, whatever services are necessary to help that individual achieve
- services.
- We provide services to adults, some who are looking for vocational services, and actually one of our
- of the services are complete.
- Service hours for the Medallion, 75 service hours, or Academic 100 service hours, or, for either particular
Summary:
The Higher Education Budget Subcommittee met for an introductory overview of the higher education programs under its jurisdiction. After roll call and member introductions, Chair Busatta outlined that the subcommittee oversees programs in the Department of Education and the State University System, including vocational rehabilitation, blind services, private postsecondary licensure, student financial aid, career and adult education, the Florida College System, and the Board of Governors. The chair and staff also noted that these areas represent roughly $9 billion in current-year funding.
Officials from the Department of Education presented on several programs. Vocational Rehabilitation Director Kelly Rogers described services for adults and youth with disabilities, including pre-employment transition services, job coaching, assistive technology, and employer support; she said the program served more than 55,000 people last year, has no wait list, and reported a return of $7.61 to the economy for every $1 invested. Division of Blind Services Director Robert Doyle explained services from birth through older adulthood, including early intervention, school-age support, vocational rehabilitation, independent living, the Business Enterprise Program for blind vendors, and the Braille and Talking Book Library; he said the division serves about 12,000 people annually and also has no wait list, though some community rehab providers may have one. Tiffany Hurst of the Commission for Independent Education described licensure and consumer protection for independent postsecondary institutions, reporting oversight of about 1,100 institutions and 721 non-degree schools, along with enforcement actions against unlicensed operators.
Sean Haskin of Student Financial Assistance reviewed 22 scholarship and grant programs totaling about $1 billion for more than 200,000 students, including Bright Futures, Benacquisto, need-based grants, EASE, EASE Plus, veterans’ scholarships, dual enrollment reimbursement, first responder scholarships, and the Ocoee and Rosewood scholarships. Members asked about surplus funds, marketing, Bright Futures eligibility requirements, and whether EASE awards had changed; Haskin said any unused funds are reverted to the Legislature, that the department markets through schools and the Florida Lottery, and that EASE remained at $3,500 per FTE for the last two fiscal years. Several members raised concerns that students and parents may not learn about aid programs early enough, especially in economically disadvantaged communities.
Chancellor Kevin O’Farrell then presented on Career and Adult Education, highlighting record participation in career and technical education, adult education, and apprenticeship. He said about 800,000 secondary students and 480,000 postsecondary students are in CTE, adult education serves about 183,000 learners, and apprenticeship/pre-apprenticeship programs include more than 22,000 participants. He also described the workforce development fund, Perkins, WIOA Title II, the Pathways to Career Opportunities Grant, workforce capitalization grants, CAPE performance funding, and the Pipeline nursing initiative, noting strong NCLEX outcomes and expanded outreach through the Get There, Your Way, Future of Work Florida, and Zello platforms. Kathy Hebda began the Florida College System presentation by emphasizing open access, workforce preparation, statewide reach, and strong enrollment and completion growth, including more than 672,000 students, over 131,000 degrees and certificates, and significant dual enrollment savings for students and families.
MN
Minnesota 2025-2026 Regular Session
Cmte on Agriculture, Veterans, Broadband and Rural Development - Subcommittee on Veterans - 02/23/26
Transcript Highlights:
- I come from a long line of military service. Service is part of my family's identity.
- </c><01:03:35.280><c> Service</c> a long line of military service.
- Service a long line of military service.
- </c> the services of an accredited lawyer. the services of an accredited lawyer.
- </c> veterans needed services later in life. veterans needed services later in life.
Summary:
The subcommittee opened its first meeting of the session with member introductions and a statement from the chair that veterans issues would remain distinct and receive separate attention. The first item was an update on the Minnesota Military and Veterans Museum at Camp Ripley from Executive Director Randall Dietrich. He said the museum has operated for nearly 50 years, has outgrown its current space, and is building a new 40,000-square-foot facility with $32 million in state support plus several million more in private funding. He described construction progress, planned exhibits including restored military artifacts and the USS Ward gun, and said the museum is scheduled to open on September 12. In response to Senator Kunish, Dietrich said the museum is actively incorporating stories and flags representing women, tribal nations, and other underrepresented groups, including 11 tribal flags at the entrance, and is working to integrate those stories throughout the galleries rather than isolating them.
The committee then received an update from the Minnesota Department of Veterans Affairs on the veterans suicide prevention plan from Rachel Johnson, Veterans Committee Health Director, with John Kelly later answering questions on department impacts. Johnson said the plan is a coordinated statewide framework built with legislative support, expanding regional coordinators, veteran health navigators, data analytics, and community partnerships, including a suicide mortality review pilot in Hennepin County. She said Minnesota loses about 100 veterans a year to suicide, that firearms remain the primary mechanism, and that prevention must address community connection, economic stability, and access to care, not just clinical treatment. She also said the plan aligns with state and federal strategies and is intended as a living roadmap. In response to questions, Johnson said the department is exploring data-sharing policy issues, has not seen a direct financial impact from federal VA staffing changes, and is tracking federal proposals affecting VA advisory groups. She also said 988 data is available in general but more Minnesota-specific data on the veteran option is still being gathered.
Members asked follow-up questions about trends in veteran suicide, the role of families in identifying warning signs, and the Hennepin County mortality review pilot. Johnson said the annual number has remained around 100 for about 15 years, with a dip in 2024 and a return to that level in 2025, and that the Hennepin County pilot was chosen because it offers a manageable geography and existing coalition work, with an initial review expected by May or June. The final item began a presentation from the Minnesota Association of County Veteran Service Officers. Legislative chair Larry Fonder said the group’s priorities are protecting veterans from fraud and modernizing the property tax benefit for disabled veterans, but the presentation would focus on educating the committee about the role, training, certification, and accountability of county veteran service officers. President Tom Anderson, the Winona County VSO and a Navy veteran, began describing his background and office staffing when the transcript ended.
CA
California 2025-2026 Regular Session
Senate Military and Veterans Affairs Committee Jun 22nd, 2026
Military and Veterans Affairs
MN
Minnesota 2025-2026 Regular Session
Human services panel hears HF729 2/26/25
Minnesota House Floor Meeting
Transcript Highlights:
- services, which includes home health aide, rehab therapy, skilled nursing visit services, as well as
- home care nursing services.
- services, which includes home health aide, rehab therapy, skilled nursing visit services, as well as
- home care nursing services.
- Home health agency services include home health aide, rehab therapy, skilled nursing visit services,
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Mar 17th, 2025
Transcript Highlights:
- services, case management, and physical and occupational therapy services to children under age 21 with
- . services.
- , services.
- which services should remain in fee-for-service.
- , CMS, in order to begin operations and provide services in specified service areas.
Summary:
The committee heard a budget oversight hearing on the Department of Health Care Services, focusing first on the overall Medi-Cal budget and a March General Fund loan to cover a current-year shortfall. DHCS said the 2025-26 budget proposal totals $193.4 billion, with Medi-Cal projected at $188.1 billion total funds and $42.1 billion General Fund, driven by higher enrollment, pharmacy costs, managed care growth, and costs tied to eligibility expansions and the COVID-era redetermination unwinding. The department said the $3.44 billion loan was needed to manage cash flow and ensure timely payments to providers and plans, while the LAO noted Medi-Cal’s cash-basis budgeting creates volatility and that more detailed estimates would come with the May Revision. Members discussed federal Medicaid threats, the need for transparency on cost drivers, and the impact of pharmacy spending, long-term care, and immigration-related coverage expansions.
The second major topic was family health programs, including California Children’s Services, the continuous coverage unwinding, and opioid settlement fund spending. DHCS described CCS funding methodology changes, ongoing county stakeholder work, and a delayed rollout of CCS monitoring and oversight until July 1, 2025, while county representatives and advocates argued the program is underfunded and asked for more technical assistance and a delay in implementation. On the unwinding, the department explained that federal redetermination flexibilities helped maintain coverage after the pandemic, but the Governor’s budget proposes ending them at the end of June 2025; advocates urged making the flexibilities permanent to avoid coverage losses. For opioid settlement funds, DHCS and Finance said the budget increases funding for naloxone distribution while reducing other harm-reduction spending based on updated settlement revenues, prompting criticism from members and public commenters who argued the change would weaken effective harm-reduction programs.
The hearing also included an update on Proposition 35 implementation. DHCS said the voter-approved measure continuously appropriates MCO tax revenues beginning in 2025, with up to $4.6 billion annually available for specified Medi-Cal and provider investments in 2025 and 2026, but implementation depends on consultation with the required stakeholder advisory committee. The department and LAO noted uncertainty about future federal rules affecting the MCO tax after 2026. Public testimony largely supported maintaining Medi-Cal expansions, protecting immigrant coverage, preserving harm-reduction funding, and increasing support for community health workers, pediatric dental care, and CCS county administration. No votes were taken during the portion of the hearing provided.
CA
California 2025-2026 Regular Session
Joint Hearing Health and Select Committee on Native American Affairs May 12th, 2026
Transcript Highlights:
- And unfortunately, because this is a new service to the state, but it's not a new service to us.
- Because this is a new service to the state, but it's not a new service to us.
- health crisis services.
- health crisis services.
- Native youth should not only be the recipients of services, but should help shape those services.
Summary:
The joint Assembly Health and Select Committee on Native American Affairs held an oversight hearing on AB 988, California’s 988 crisis line and mobile crisis response system, followed by a discussion of suicide prevention and intervention in California Indian communities. Members and witnesses repeatedly emphasized that AB 988 was intended to create a true alternative to 911 for behavioral health crises, with “someone to call, someone to come, and somewhere to go,” and that Native communities continue to face disproportionately high suicide rates and barriers to culturally responsive care.
The first panel of call center and stakeholder witnesses largely argued that implementation is falling short of the law’s intent. They said 988 call centers are underfunded, text/chat answer rates remain far below call answer rates, staffing is strained, and the system still lacks meaningful statewide interoperability between 988 and 911. Several witnesses said mobile crisis teams are not being dispatched through 988 as envisioned, and that funding formulas and governance are too opaque. San Joaquin County was presented as a local success story, with integrated 988, access lines, and mobile crisis handoffs that have reduced reliance on emergency departments and involuntary holds. Witnesses also discussed the need for better tribal outreach, the role of CCBHCs, and the importance of culturally competent services.
State officials from CalHHS and DHCS described the five-year 988 implementation plan, the current governance structure across multiple agencies, and efforts to support training, public awareness, and referral tools. They reported growth in 988 contacts, ongoing training with the Trevor Project, a statewide resource directory, and a tribal awareness campaign. DHCS also outlined proposed trailer bill language that would create a formal designation process for 988 centers, set statewide standards, and require existing centers to obtain designation by 2029. Officials said current funding includes SAMHSA grants, block grant dollars, and an expected $67.3 million from the 988 fund in the next budget year, with a large share earmarked for Medi-Cal mobile crisis services. No formal vote or committee action was taken in the portion of the hearing provided.
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Working Group 1/15/25
Minnesota House Floor Meeting
Transcript Highlights:
- <00:03:53.400><c> for</c> services for services for minnesotans<00:03:55.360><c> you</c><00:03:55.640
- service networks.
- ><c> must</c> Integrated Service networks um they must Integrated Service networks um they must pay<00
- enroll through fee-for-service.
- </c><00:14:16.639><c> are</c> well as there are services that are well as there are services that are
TX
Texas 89th 2nd C.S.
S/C on Telecommunications & Broadband Mar 24th, 2025
S/C on Telecommunications & Broadband
Transcript Highlights:
- Service quality.
- Because when you have higher population density, these other services, these terrestrial services, cable
- For broadband services.
- services that people are getting.
- So, uh, we primarily use our Spectrum for the voice service, wireless service, but when there's extra
MN
Minnesota 2025-2026 Regular Session
Press Conference: Addressing the Federal Funding Freeze on Victim Services - 02/24/25
Transcript Highlights:
- </c><00:04:19.479><c> provided</c> survivors the types of services provided survivors the types of services
- </c> and resources and other services and resources and other services including<00:04:34.199><c> those
- We need lawmakers to take immediate action to ensure that services for all crime victim service providers
- </c> about how it's impacting Direct Services about how it's impacting Direct Services organizations<
- </c> Services provided by us as service Services provided by us as service providers<00:26:12.919><c>
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 02/26/25
Health and Human Services
Transcript Highlights:
- closing additional services.
- closing additional services.
- c> and</c><00:29:41.399><c> are</c> Services are specialty services and are Services are specialty services
- Physician services is a category under federal law of services that they cover.
- human services.
CA
California 2025-2026 Regular Session
Senate Select Committee on Older LGBTQ+ Californians Apr 27th, 2026
Transcript Highlights:
- gender-affirming care services.
- These services include an initial needs assessment with linkage to appropriate long-term services and
- So if you think about, for example, the service... ...services they need.
- Coordination with HIV and aging services, while CDPHOA does not directly coordinate services, local level
- These services include personal care like dressing, grooming, and bathing; domestic and related services
Summary:
The Select Committee on Older LGBT Californians held an inaugural hearing focused on the health care and support needs of older LGBTQ Californians, including older adults living with HIV and transgender, gender non-conforming, and intersex seniors. Committee members and state officials discussed the California Master Plan for Aging, the first statewide survey of LGBTQIA older adults, and the need to address discrimination, social isolation, housing insecurity, economic instability, and gaps in culturally competent care. Several speakers emphasized that older LGBTQ adults often lack traditional family caregiving supports and may face vulnerability in nursing homes or other institutional settings.
Testimony from advocates and people with lived experience highlighted the impact of federal actions, including H.R. 1, on Medi-Cal, housing, and benefits, and called for stronger state action, outreach, and navigation services. Justice in Aging urged more investment in home- and community-based services and warned that Medicaid cuts could increase institutionalization. The Department of Aging described its survey findings and said it had convened a lived-experience advisory board, updated data tools, and incorporated HIV as a factor in local aging plans under SB 258, though members pressed for clearer implementation and accountability. CalHHS described coordination across departments, Medi-Cal coverage of gender-affirming care, PACE, and other services, while the Department of Public Health outlined Ryan White, ADAP, HOPWA, Medi-Cal waiver, and PrEP-AP programs serving older adults with HIV.
The hearing also featured extensive testimony from people aging with HIV, who described fragmented systems, benefits cliffs, housing costs, and the need for legal and case-management support. One witness urged funding for HIV-specific housing and navigation services, while another described how case management and safety-net programs help clients manage medication, food, transportation, and housing needs. In the final panel, the Department of Social Services reviewed protections for TGI seniors in licensed care facilities, including SB 219, nondiscrimination notices, resident rights postings, required staff training, and complaint investigations. No formal votes were taken; the chair repeatedly asked departments to follow up on implementation gaps, data visibility, and possible budget or policy responses.
TX
Transcript Highlights:
- Services including the services provided under the Medicaid managed Care and Child Health plan programs
- Committee and Human Services.
- Issue 44,830 by FELA relating to the regulation of service contractors and service contract providers
- The 211 service provider for the Texas Information and Referral Network on Human Services, HB 4839 by
- the Committee and Human Services.
CA
California 2025-2026 Regular Session
Joint Hearing Health and Select Committee on Native American Affairs May 12th, 2026
Transcript Highlights:
- I think running a 24-7 crisis line is a unique service delivery model, and it's a service delivery model
- And unfortunately, because this is a new service to the state, but it's not a new service to us.
- Because this is a new service to the state, but it's not a new service to us.
- health crisis services.
- health crisis services.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Service Jun 21st, 2026 at 01:00 pm
Joint Committee on Public Service
Transcript Highlights:
- services unit.
- We're the ones providing the direct service.
- I've worked for the Department of Developmental Services for the past 32 years as a service coordinator
- The statement testimonial from my office is for all the service coordinators and the service coordinator
- I help individuals obtain residential and vocational services, and those services enable individuals
Summary:
The committee heard testimony on several retirement and workforce-related bills. House Bill 2980 would place county correctional nurses and certain medical staff into Group 4 retirement. Representative Trino, Middlesex Sheriff Peter Koutoujian, and nurse manager Leanne Cameron argued that correctional nurses work in dangerous, high-stress settings with frequent contact with incarcerated people, high rates of mental illness and substance use in the jail population, and significant workplace violence, and that the change would help recruitment and retention with limited statewide fiscal impact.
The committee also heard Senate Bill 210, which would create a commission to study additional regular compensation and annual expenses for members of the General Court. Senator John Keenan said Massachusetts has high leadership stipends compared with other states and argued the current structure can affect independence and public trust. Representative O'Day testified on House Bill 2928 to extend Group 2 retirement to additional Department of Children and Families social workers, and SEIU 509 witnesses described frequent transport of children, crisis response, threats, assaults, and other high-risk duties that they said match Group 2 work.
Additional testimony supported House Bill 2943 for DDS service coordinators and supervisors, with witnesses describing home visits in unsafe conditions, transport of vulnerable individuals, direct care during staffing crises, and exposure to violence. House Bill 2899 drew support from the Association of Social Work Boards for social work field placement grants, incentives for supervisors, and expanded retirement benefits for DCF social workers. The committee also heard Senate Bill 2613, a local retirement bill for Salem police officer Kathleen Roachville, who described a severe line-of-duty injury during an arrest involving a combative person in a mental health crisis. Finally, Susan Smith Campbell testified for reclassifying certain DYS administrative officers into Group 2 because of their direct involvement in restraints, assaults, and crisis management. After testimony concluded, the committee adjourned without taking any votes.