Video & Transcript : 'childcare services' :

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MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Education Jun 21st, 2026 at 01:00 pm

Joint Committee on Education

Transcript Highlights:
  • We then reverted to PCA services.
  • We then reverted to PCA services.
  • The district controls the services.
  • to adult services.
  • Our FY26 budget is over $2 million below level services.
Summary: The Joint Committee on Education held a hearing focused primarily on special education-related bills, with testimony centered on two major themes: transition planning for students aging out of school-based services at age 22, and the fiscal strain special education costs place on districts. Committee members explained hearing procedures, noted the House was in formal session, and periodically stepped out for votes while staff recorded testimony. A separate bill on special education due process was also taken up briefly, along with a bill on special education finance and another on equitable access/data reporting. On House Bill 752 and Senate Bill 313, witnesses from the Arc of Massachusetts, the Massachusetts Down Syndrome Congress, the Developmental Disabilities Council, families, self-advocates, and Senator Comerford described the “Turning 22” transition as a crisis point that often leaves families without adult placements, services, or clear communication. Testimony emphasized earlier planning, more accountability, better data collection, and a commission to improve coordination and residential placement. Several parents and advocates shared personal accounts of traumatic transitions, delayed placements, and the need for plans to begin at least a year before age 22. The committee later closed testimony on these bills after hearing from all signed-up speakers. House Bill 4217, on special education due process, drew support from Representative Sullivan-Almeida, parents, and advocates who argued that the burden of proof should shift from families to school districts. Testimony described costly legal battles, delays, and parents having to become experts in reading instruction or hire advocates and attorneys to secure services. Brody Dwyer, a 10-year-old student with dyslexia, and his mother described how evidence-based instruction helped him after years of struggle. The committee also heard testimony on House Bill 546/Senate Bill 317, which would require DESE to publish cross-tabulated data on race, disability, gender, income, and other factors; advocates said this would better expose disparities and help address the school-to-prison pipeline. Finally, on House Bill 691/Senate Bill 430, school leaders, educators, and union representatives testified that special education costs are outpacing district budgets and that increasing circuit breaker reimbursement and creating a commission to study long-term sustainability would help prevent staffing cuts and service reductions. No votes were taken during the hearing; the committee repeatedly closed testimony on individual bills as speakers finished and moved through the agenda.
CA

California 2025-2026 Regular Session

Assembly Judiciary Committee Jul 8th, 2025

Transcript Highlights:
  • Our One of the free services.
  • I thank them for their service.
  • At all for any of these services.
  • Get me into the services.
  • Thank you for your service.
Summary: The committee heard several bills, with most drawing support after amendments or ongoing stakeholder negotiations. SB 29, by Senator Laird, would extend a sunset on the law allowing pain-and-suffering claims to survive a plaintiff’s death; supporters, including a family member describing a medical negligence case, labor groups, consumer advocates, and disability and elder organizations, argued it prevents defendants from running out the clock, while hospitals, medical groups, and business organizations warned of higher costs and added liability. After extensive debate about data collection, settlement reporting, and the impact on health care access, the bill passed to Appropriations on a divided vote. SB 294, by Senator Reyes and presented by Senator Laird, would require employers to notify a worker’s emergency contact if the worker is arrested or detained and would create a template to inform employees of state and federal labor rights. Labor and worker advocates said the bill would help workers understand and enforce their rights amid weakened federal enforcement; there was no opposition on file, and the bill passed unanimously to Appropriations. SB 697 would modernize water-rights adjudication by allowing the State Water Board to use technology instead of requiring in-person field investigations; with no opposition, it also passed unanimously. The committee also advanced SB 37 on attorney advertising, SB 645 on peremptory challenges in civil cases, SB 303 on bias-mitigation trainings in public workplaces, and SB 464 on expanding pay-data reporting for specified state workers. SB 37 drew support from consumer and legal groups but concerns from Walker Advertising about joint advertising; members said negotiations were ongoing, and the bill passed. SB 645 would extend anti-bias jury-selection rules to certain civil rights cases; criminal-defense and defense groups said they were close to agreement, and the bill passed. SB 303 and SB 464 were both amended to narrow scope and moved forward after several opponents shifted to neutral or removed opposition. The committee also approved a consent calendar of additional bills, all sent to Appropriations.
WA

Washington 2025-2026 Regular Session

Joint Select Committee on Health Care and Behavioral Health Oversight Nov 5th, 2025

Joint Select Committee on Health Care and Behavioral Health Oversight

Transcript Highlights:
  • And as we know, it's an important service to allow people to age in place and receive their services
  • For those who don't know, Indian Health Services individuals who are enrolled in Indian Health Services
  • services, SUD services, and lower-level preventative behavioral health clinical services, are all really
  • , particularly crisis services, SUD services, lower level kind of preventative based like behavioral
  • for a critical life-saving service.
Summary: The committee met to hear introductory briefings from the Department of Health and the Health Care Authority on agency priorities, federal changes, and implementation challenges. Secretary of Health Dennis Worsham said his department’s listening tour is focused on strengthening governmental public health, improving health care quality and access, and responding to federal funding disruptions and the shutdown’s effects on programs such as WIC. HCA Director Ryan Moran said the agency is prioritizing coverage preservation, oversight of major contracts, affordability, behavioral health integration, rural health transformation, and internal agency operations. Members asked about licensure delays; Worsham said the backlog had been reduced from about four months to six weeks and should be caught up by January 1, with possible further process changes if needed. A major portion of the meeting focused on H.R. 1 and its Medicaid-related implementation. Governor’s health policy advisor Caitlin Stafford, HCA staff, and interim Medicaid Director Trinity Wilson said the state is working with DSHS, the Health Benefit Exchange, tribes, and other partners to prepare for eligibility changes, work requirements, and six-month redeterminations. They said the state expects up to 30,000 Apple Health enrollees could lose coverage under the law’s non-citizen eligibility changes, and that the work requirement/redetermination provisions could affect about 620,000 adults, with roughly 80,000 also enrolled in SNAP. HCA said it hopes to automate most verification, but about 15% to 20% of cases may require manual review, with technology costs estimated at up to $30 million. Staff also said they are trying to keep H.R. 1 implementation mostly in budget language rather than statute, and that communication and navigator support will be important to minimize confusion and coverage loss. The committee also received an update on the Rural Health Transformation Program created in H.R. 1. HCA said Washington submitted its application to CMS on November 5 after extensive stakeholder engagement, including more than 310 written comments, webinars, and tribal consultation. The application centers on six initiatives: rural hospital innovation, community care and prevention, tribal investments, technology and data, workforce development, and rural behavioral health. HCA said the state is likely to receive less than the full $200 million annual amount assumed in the federal program, and that an advisory committee may be created to help guide spending over the five-year program. Members asked about palliative care, small business impacts, and communication with enrollees; HCA said it expects to share outreach toolkits and that no 2026 statutory changes are currently anticipated, though that could change. The final panels covered organ donation and transplant services. Department of Health staff explained the 2023 “Lights and Sirens” law for organ transport vehicles, including licensing, driver qualifications, insurance requirements, and use of emergency lanes and traffic preemption; the department said one company is currently licensed and there have been no complaints. LifeCenter Northwest described the organ procurement process, the legal framework under the Uniform Anatomical Gift Act, and the rarity and complexity of deceased donation, noting Washington has seen strong growth in donation and transplants over the past decade. University of Washington Medical Center staff then outlined its transplant programs for kidney, liver, heart, lung, pancreas, and multi-organ transplants, describing the multidisciplinary evaluation and waitlist process and the coordination required with donor organizations and hospitals.
CA
Transcript Highlights:
  • There might be services that are needed now.
  • But we've estimated that to maintain the current service levels without any decrease in services, Cal
  • But we've estimated to maintain the current service levels without any decrease in services. to maintain
  • the current service levels without any decrease in services, Cal OES, we need a federal grant award
  • , 119 survivors with legal services.
Summary: The committee heard a broad public safety budget hearing focused on youth justice funding, probation incentive grants, and disaster response and recovery. On the youth justice item, the Office of Youth and Community Restoration described a proposed change to the JJRBG funding formula that would shift resources away from a DJJ-based measure and toward county youth population, serious offenses, and step-down placements in less restrictive programs. Members asked about data on Native American youth; OYCR said statewide data are limited, but its SYTF data show about 1% of youth in secure youth treatment facilities were Native in 2024. The Department of Finance had no objections, and the item was discussed as a way to support alternatives to long-term incarceration. The committee then reviewed the community corrections performance incentive program for county probation departments. The Department of Finance proposed stabilizing the program with a maintenance payment, updating the performance baseline, and adding a growth factor; the LAO agreed the formula needed changes but recommended using 2022-23 data instead of 2021-23, using marginal rather than average cost assumptions, rejecting the growth payment and minimum guarantee, and adding stronger oversight through the BSCC. Finance said it was open to some technical changes but opposed a new BSCC audit framework, noting Judicial Council already surveys probation departments and that evidence-based practice use has increased over time. Members and staff indicated the proposal still needed further work. A major portion of the hearing focused on the January 2025 Southern California wildfires and state disaster response. A resident of Altadena gave emotional testimony about evacuation failures, loss of home, and the need for accountability. LAO and Cal OES outlined the disaster response and recovery system, including mutual aid, alert and warning, debris removal, FEMA and state funding streams, and the long timeline for reimbursement. Cal OES said it had pre-positioned resources, temporarily took over the county’s wireless emergency alert function for about three weeks, coordinated debris removal and recovery operations, and had already allocated more than $286 million in state funds. Officials also discussed the 100% federal cost share for emergency work for 180 days and the uncertainty created by changing federal processes and the cancellation of the BRIC resilience program. The committee also heard two smaller Cal OES items: a request to reappropriate about $22 million for the law enforcement mutual aid reimbursement program, which the LAO said should be placed in statute with clearer goals and reporting, and an update on Victims of Crime Act funding, where Cal OES said federal VOCA allocations have fallen sharply and that roughly $224 million would be needed to maintain current service levels if federal funding does not improve. Public comment included a request for funding to expand datacasting and emergency alert receivers for wildfire and earthquake warning.
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 4/8/25

Human Services Finance and Policy

Transcript Highlights:
  • Chair and members, this is the human service focus adjustment.
  • Chair and members, this is the human service focus adjustment.
  • And I'm Department of Human Services.
  • </c> disability and and require um services disability and and require um services under<00:04:34.160
  • Um however, the provide MAT services.
Bills: HF2995 , HF2434
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Telecommunications, Utilities and Energy Jun 21st, 2026 at 11:00 am

Joint Committee on Telecommunications, Utilities and Energy

Transcript Highlights:
  • act preserving broadband service for low-income consumers.
  • We're one of the largest human service organizations providing community-based services for individuals
  • with... ...one of the largest human service organizations providing community-based services for individuals
  • , Medicare, Social Security, SNAP, banking, health care, veteran services, and many other vital services
  • Over half of those enrolled in ACP were utilizing ACP to access vital services, state services such as
Summary: The Joint Committee on Telecommunications, Utilities, and Energy opened its hearing with testimony on several broadband, towing, and rideshare-related bills. The first major issue was H. 3470/S. 2259, which would add data privacy and integrity protections for transportation network driver information. Rideshare drivers and labor advocates strongly opposed the bill, saying it would delay implementation of Question 3, which Massachusetts voters approved to give rideshare drivers a path to unionize. Drivers described low pay, deactivations, harassment, safety risks, and the need for a union to negotiate fairer working conditions. Legal and labor experts testified that the bill was largely duplicative of existing law and regulations and would unnecessarily postpone drivers’ organizing rights. No vote was taken on the bill during the hearing. The committee also heard extensive testimony on broadband affordability and access bills, including S. 2318/H. 3527 and related measures. Supporters, including legislators, digital equity advocates, senior advocates, and service providers, said low-income households need a permanent affordable broadband option after the federal Affordable Connectivity Program ended. They argued that internet access is now essential for jobs, school, health care, housing, and daily life, and supported a flat-rate low-income plan around $15 per month with protections such as no installation fees or termination fees. Opponents from cable and wireless industry groups argued the bills would impose artificial price mandates, discourage investment, and reduce consumer choice, noting that providers already offer discounted programs. The committee also heard support for broadband deployment and pole-attachment streamlining bills, with providers and municipal broadband advocates saying permitting delays and pole access bottlenecks slow expansion and raise costs. Additional testimony covered H. 3566, which would exempt municipal broadband projects from surety bond requirements, and towing-related bills including S. 2235, H. 3507, H. 3516, and H. 3482. Insurance and anti-fraud witnesses supported stronger towing protections, saying some towers charge excessive fees and hold vehicles hostage, while one witness urged broader consumer safeguards. The hearing ended after the chairs shortened testimony to fit the room schedule, asked for final comments on remaining bills, and then adjourned by motion and voice vote.
NM

New Mexico 2026 Regular Session

House - Chamber Meeting Jan 27th, 2026 at 11:17 am

New Mexico House Floor Meeting

Transcript Highlights:
  • Speaker, your Health and Human Services Committee, to whom has been referred House Bill 4, has had it
  • Department to contract for services for the shelter and care of service and companion animals, and to
  • Department to contract for services for the shelter and care of service and companion animals, and to
  • We do have NVD providing service. Thank you.
  • We do have NVD providing services to members in the lounge.
Bills: HM19
NM
Transcript Highlights:
  • We also have specialized passenger services.
  • These include charter services, towing services, and other kinds of businesses that move property, such
  • I mean, there might be some van services.
  • It is a commercial service at this time.
  • service from their airport to another commercial service airport.
CA
Transcript Highlights:
  • For CCHCS, the analysis focused on business services, medical services, and nursing services.
  • , homeless youth emergency services under the California Office of Emergency Services.
  • , homeless youth emergency services under the California Office of Emergency Services.
  • , homeless youth emergency services under the California Office of Emergency Services.
  • In Los Angeles County, our Bureau of Victim Services provides direct services to victims of violent crime
Summary: Assembly Budget Subcommittee No. 6 heard the Governor’s May Revision proposals for the judicial branch, the Board of State and Community Corrections, the Department of Justice, and the California Department of Corrections and Rehabilitation. The Legislative Analyst’s Office opened with a warning that the state budget remains structurally imbalanced and urged the Legislature to avoid new ongoing spending unless offset by reductions elsewhere. In the judicial branch discussion, the Judicial Council highlighted language access funding, appellate court security, a backfill for the state court facilities construction fund, and an extension of the lactation room mandate; Finance supported most items but suggested reporting language on interpreter costs and reducing the General Fund backfill. Members raised concerns about judicial vacancies, long-term salary freezes, remote hearings, and the lack of progress on court staffing in some counties. For the Board of State and Community Corrections, the administration proposed $10 million one-time each for the Missing and Murdered Indigenous People grant program and a human trafficking vertical prosecution grant program. The LAO said both should be weighed against other priorities and suggested the Legislature consider whether the Tribal Nations Grant Fund could support MMIP work, while Finance said it preferred General Fund support and wanted more review before any fund swap. Members strongly supported MMIP funding and asked whether ongoing support would be considered. On the human trafficking grant, Finance said BSC was a good fit because of its grant administration experience and prior vertical prosecution work, while legislators asked why the program was not placed with the Office of Emergency Services as originally contemplated in prior legislation. The Department of Justice presented antitrust litigation funding, Medi-Cal Fraud and Elder Abuse staffing, completion of organized retail criminal enterprise cases, and trailer bill language for a continuous appropriation from the Victims of Consumer Fraud Restitution Fund. The LAO supported the antitrust account use but questioned the Unfair Competition Law Fund’s ability to cover the full request without General Fund repayment, and recommended against a continuous appropriation for the restitution fund in favor of a more limited mechanism with legislative oversight. Finance said the fund would remain solvent and defended the continuous appropriation as necessary to pay victims promptly. In the CDCR portion, the largest discussion centered on the Boston Consulting Group efficiency review and sharply reduced savings estimates; LAO said the department had not fully explained the proposed position eliminations or future $100 million savings target, while Finance said the work reflected deeper analysis and ongoing efforts to find savings. Members repeatedly pressed CDCR and Finance on the gap between earlier promised savings and the revised figures. CDCR also outlined population projections showing continued declines in prison and parole populations, while LAO again urged the state to close an additional prison to save ongoing costs. The department then walked through several May Revision items, including workers’ compensation funding, a Corcoran honor housing dorm, incarcerated firefighter pay implementation, an incarcerated menopause program, mental health receiver staffing, mental health resource teams and crisis intervention teams, medical classification staffing changes, and AI note-taking for the electronic health record. LAO generally recommended limiting-term funding and more reporting for many of these proposals, while Finance defended them as necessary ongoing investments or court-ordered obligations. Members questioned the cost of workers’ compensation, the need for more prison closures, the lack of funding for women’s facility violence prevention, and the timing and transparency of the BCG savings process. No votes were taken.
TX

Texas 89th Regular

Appropriations - S/C on Articles I, IV, & V Feb 26th, 2025

Appropriations - S/C on Articles I, IV, & V

Transcript Highlights:
  • Downgrade of service on the border areas.
  • . services.
  • Now we provide services.
  • We service about 50,000 people a year through those services contracts.
  • We are required to utilize a CEGIS, which is criminal. justice information services compliant level service
KY
Transcript Highlights:
  • </c> cabinet and Health and Family Services cabinet and Health and Family Services versus<00:04:46.400
  • </c><00:10:48.519><c> uh</c> the bill ensures supported Services uh the bill ensures supported Services
  • <c> she</c> you know there are certain Services she you know there are certain Services she has<00:15
  • It defines what is covered, and we wanted to include telephone lines, broadband services.
  • </c><00:20:56.360><c> Beyond</c> industry we we provide service Beyond industry we we provide service
Summary: The Senate Judiciary Committee met with a quorum and heard three bills. Senate Bill 26, sponsored by Chair Storm, would protect parents and prospective parents with disabilities by barring disability alone from being the sole basis for denying an adoption petition or terminating parental rights. Testimony from Judge Marcus Vanover and Crystal Adams described the bill as a product of the Kentucky Judicial Commission on Mental Health and its work groups, cited Kentucky and national cases and federal ADA guidance, and said the bill would require consideration of supportive services, clearer documentation, retention of records, and conforming language changes. Senator Carroll asked how the bill would apply to a hypothetical adult child with special needs; witnesses said the bill is aimed at adoption and termination proceedings where the Cabinet is already involved, not proactive service requests. The committee approved SB 26 by a unanimous 7-0 vote and sent it to the floor with favorable expression. The committee next considered Senate Bill 64, also sponsored by Chair Storm, which would expand the definition of key infrastructure assets to include telecommunications services such as telephone lines and broadband and make damaging, tampering with, or rendering those services inoperable a Class D felony. Representatives from Charter/Spectrum and AT&T testified that copper theft and vandalism have increasingly damaged fiber and other facilities, citing more than 20 incidents in Kentucky in 2024 affecting over 30,000 customers and diverting resources from broadband expansion. The committee adopted a committee substitute and then passed SB 64 by a 7-0 vote with favorable expression. Finally, the committee heard Senate Bill 73, sponsored by Senator Julie Adams, which would create a felony offense for sexual extortion, allow victims or their representatives to bring civil actions, include the offense in Kentucky’s sex-crime definitions, and require school-based notification and education efforts along with resource information for students. Senator Adams and witness Lady T. Thompson described sextortion as a fast-growing online crime targeting minors, often through social media, gaming, and messaging apps, and argued that stronger penalties and prevention efforts are needed. The transcript cuts off before any committee action on SB 73.
WA

Washington 2025-2026 Regular Session

Senate Ways & Means Feb 6th, 2026

Transcript Highlights:
  • its name implies, would be for public defense services.
  • Most of those require the services of a public defender.
  • Allison Mandiola, staff to the Human Services Committee.
  • These programs support or provide access to services.
  • Services are not the answer when the services cannot stop a child from a parental mental health crisis
Summary: The Ways and Means Committee met on February 6, 2026, and first voted to suspend the five-day notice rule for all bills on the agenda. Senators Braun and Gildon objected, arguing the bill needed more public review and that the fiscal note had only just been released, but a roll call vote passed 15-9 and the committee proceeded to Senate Bill 6346. Staff briefed SB 6346 as a proposal to create a 9.9% income tax on Washington taxable income above a $1 million per-household standard deduction, with a $50,000 charitable deduction, apportionment rules for nonresidents and certain professions, quarterly estimated payments, and credits for capital gains tax and certain business taxes. Staff said the tax would begin in 2029 and eventually raise about $3.5 billion annually from roughly 30,000 taxpayers. The bill also would expand the Working Families Tax Credit, create a sales tax exemption for grooming and hygiene products, increase the small business B&O tax credit and filing threshold, and end the B&O surcharge on high-grossing businesses one year early. Members questioned the bill’s constitutionality, its exemption from referendum, treatment of student athletes, natural-resource industries, and whether real estate gains would be captured. Public testimony was sharply divided. Supporters, including labor groups, educators, health care advocates, counties, child care workers, and some business owners and high-income individuals, said the bill would make the tax code more progressive and provide stable funding for health care, education, child care, public defense, and other services, while expanding the Working Families Tax Credit. Opponents, including many small business, construction, housing, and taxpayer advocates, argued the measure would function as a tax on pass-through businesses and retained earnings, harm housing production and investment, encourage wealthy residents and businesses to leave the state, and violate the state constitution or the will of voters. No final action on SB 6346 was taken during the hearing.
MA
Transcript Highlights:
  • Today's meeting is the Long-Term Services and Supports and Health Equity Subcommittee.
  • Thank you so much for your interpretation services, as well as Tracy.
  • providers, anyone using our services, meeting them where they are.
  • that usually have a monthly fee on top of the rent and other services.
  • And Department of Developmental Services.
Summary: The Long-Term Services and Supports and Health Equity Subcommittee met with a presentation from Housing Navigator Massachusetts. Staff described the nonprofit’s mission to improve access to affordable housing through a free, 24/7 search tool and public data dashboards. They explained how the site distinguishes between rent-based-on-income units and fixed below-market rent units, how mobile vouchers such as AHVP and Section 8 interact with those listings, and what types of housing are included or excluded from the database. They also reviewed accessibility filters, supportive housing resources, and related state programs such as EOHLC resources and RAFT. Committee members asked about the organization’s funding, the availability of voucher programs, and whether the site tracks demand for accessible units or wait lists over time. Housing Navigator said it is primarily supported through the state, works closely with the Executive Office of Housing and Livable Communities, and does not collect personal application data because it is not part of the application process. Staff said accessible units appear to be in high demand, but they do not have direct data on how many people are waiting or how many applications result from site visits. They also said they are working to improve data sharing, more frequent updates, and future research tools. Members discussed ways to increase public awareness of Housing Navigator, including sharing a one-page fact sheet or infographic through disability organizations, local disability commissions, independent living centers, and the Massachusetts Office on Disability. The subcommittee also briefly discussed future goals, including inviting MassHealth to a January meeting, seeking regular updates on federal Medicare and Medicaid developments, reviewing the annual report’s recommendations, and possibly planning a future health equity event. The meeting ended with the introduction of new commission member Victoria Gill and a motion to adjourn, which was approved unanimously.
MA

Massachusetts 2025-2026 Regular Session

Status of Persons with Disabilities May 18th, 2026

Transcript Highlights:
  • I am a 100% service-connected VA-disabled veteran.
  • It's a recognition of the damage done to a service member's body while they're in the service or to their
  • Severe PTSD anxiety develops while they're in the service.
  • Harvard has their legal services center.
  • I mean, there's a lot of services being provided around this.
Summary: The Employment Subcommittee of the Massachusetts Permanent Commission on the Status of Persons with Disabilities met on May 18 and approved the prior meeting minutes. The group heard first about the Massachusetts Disability Employment Tax Credit from MassAbility staff, who explained that the credit offers employers an incentive for hiring workers with disabilities, that the certification process is designed to be simple and largely self-attesting, and that outreach is being done through MassAbility’s website, business relations team, flyers, and a dedicated email address. Members asked about employer filing, available data, and whether credits can be carried forward; the presenter said the Department of Revenue handles implementation questions and that the program had recently resulted in its first company receiving the credit, though broader employer uptake remains limited. The subcommittee then heard from Scott Pitt of the Office of the Veteran Advocate, who described the new independent agency’s role in helping veterans access timely services, investigating problems, and improving coordination across state systems. He focused on veterans’ disability ratings, the fact that VA disability does not necessarily prevent work, and the importance of discharge status for access to benefits such as the GI Bill and state programs. He also highlighted vocational rehabilitation, housing and caregiver supports, and the office’s work on professional licensure barriers, especially in nursing, where Massachusetts is exploring whether military training can be recognized more directly. Members discussed other states’ approaches, the need for more data, and possible connections to workforce and nursing stakeholders. In the final portion of the meeting, members discussed a lengthy policy brief and the subcommittee’s future work. They identified two main areas of interest: the “benefit cliff” and youth/young adult pathways into employment, including apprenticeships. Members agreed the brief should be revisited at the August 31 meeting and that they may need a more structured format, such as a spreadsheet or landscape map, to organize the information. The chair emphasized that the commission can collect and share information and develop a white paper for appointing authorities, but cannot lobby or legislate, and invited members interested in the benefit cliff work to join follow-up discussions. The meeting then adjourned.
LA

Louisiana 2026 Regular Session

Insurance May 13th, 2026

Insurance

Transcript Highlights:
  • Control of our PBM services.
  • What's our cost to provide a rebate aggregation service or rebate administration service?
  • It's around what's our cost to provide that service.
  • What's our cost to provide a rebate aggregation service or rebate administration service?
  • We run our rebate aggregation services through Prime, who then services under Ascent, which is part of
Committee: Senate Insurance
Summary: The Senate Insurance Committee met on May 13, 2026, adopted the May 6 minutes, and then took up several bills dealing with pharmacy benefit managers, prescription access, behavioral health coverage, and Citizens Property Insurance. HB 938, as amended, was the main PBM reform measure. After the committee adopted a large amendment set that narrowed the bill, members heard extensive testimony in support from Mark Bloom, Justin Joseph of Capital Rx, and Kathy Ue of Pontchartrain Cancer Center, all emphasizing transparency, pass-through pricing, reverse auctions, and patient access. Supporters described savings from reverse auctions and administrative models, while the cancer center testified that PBM-owned specialty pharmacy requirements can delay cancer medications and create financial hardship. The committee reported HB 938 favorably with amendments. The committee also heard HB 1154, which prohibits prior authorization for certain generic medications prescribed by qualified physicians, with a $250 cap discussed as a safeguard against higher-cost generics. The bill was supported by representatives from Ochsner Health and the Louisiana State Medical Society and was reported favorably. HB 909, which requires commercial coverage for behavioral health crisis services, was amended to clarify the insurers covered and then reported favorably with support from the Office of Behavioral Health and several outside groups. Testimony on HB 909 focused on reducing emergency room and law enforcement burdens and expanding crisis response capacity across the state. HB 1187, dealing with excess emergency assessment funds from Louisiana Citizens Property Insurance Corporation, was explained by the Insurance Commissioner as a way to transfer remaining Katrina-era assessment funds to the Fortified Roof Program. The committee reported the bill favorably. Finally, SB 511 and SB 512 were deferred and converted into a study resolution approach because there was not yet consensus on the underlying issue. The meeting then adjourned.
MD

Maryland 2026 Regular Session

Senate Floor Session, 2/23/2026 #1

Maryland Senate Floor Meeting

Transcript Highlights:
  • May this ceremony honor their service, their sacrifice, and their lasting legacy. Mr.
  • He was also a member of the Chester Town Volunteer Fire Company, servicing his hometown.
  • </c><00:13:40.800><c> his</c> Volunteer Fire Company servicing his Volunteer Fire Company servicing his
  • in uniform and in service can exist in uniform and in community.
  • ><c> PFC</c><00:14:38.480><c> Moore</c> Beyond his military service, PFC Moore Beyond his military service
WA

Washington 2025-2026 Regular Session

House Appropriations Feb 5th, 2026

Transcript Highlights:
  • services, or personal care services, conditioned on the payment of an entrance fee in addition to or
  • The ESIP program provides an array of services such as developmental services, occupational and physical
  • service plan.
  • These services quite literally saved her life.
  • Services such as athletics, extracurricular activities, and counselors, services that wealthier districts
Summary: The committee heard public hearings on several bills. HB 2675 would eliminate a number of state accounts and transfer remaining balances from two accounts to the general fund, while also changing how revenues in the Salary Insurance Contribution Increase Revolving Account are deposited; OFM testified in support and there was no public opposition. SHB 1903 would create a statewide low-income energy assistance program through the Department of Commerce, funded by the general fund and Climate Commitment Act revenues; supporters said it would address Washington’s underfunded and uneven energy assistance system, while utilities and rural co-ops raised concerns about cost, reporting burdens, utility authority, and implementation details. SHB 2384 would require actuarial reviews for certain continuing care retirement communities with prepaid life care contracts; residents and consumer advocates supported the added transparency, while providers opposed the added review costs and said they already pay for actuarial work. SHB 1982 would expand the ability of tribal members to vacate convictions tied to treaty rights, add OPD representation and a tribal liaison position, and then an amendment was described that would remove the liaison position and eliminate the fiscal impact; the sponsor and OPD supported the bill, and testimony emphasized correcting past treaty-rights convictions. The committee also heard SHB 2389, a broad juvenile justice bill that would expand suspended disposition options, create midpoint review hearings, reduce some robbery ranges, and address juvenile rehabilitation capacity and transfers. Supporters argued it would reduce racial disparities, favor community-based rehabilitation when safe, and improve outcomes, while prosecutors, sheriffs, counties, judges, cities, victim advocates, and some tribal law enforcement warned it would weaken accountability for serious violent offenses, increase court and local government burdens, and shift costs without funding. Several witnesses and the bill sponsor discussed proposed amendments, including removing presumptions and the mid-sentence review. The committee then heard SHB 2439, which would raise tobacco and vapor product license fees, create a responsible vendor program, add manufacturer certification and enforcement provisions, restrict certain products and sales practices, and redirect tobacco tax revenue to public health, cancer research, and youth prevention accounts; public health and prevention groups supported it, while retailers and industry representatives opposed the fee increases and some of the new restrictions. Finally, HB 2681 would sharply increase cannabis license fees and index them to inflation; OFM supported the change as aligning fees with program costs, while cannabis businesses and associations opposed or sought changes to the fee structure and CPI indexing. The committee also heard a briefing on SHB 2215, which would require the Caseload Forecast Council to forecast SNAP and state food assistance caseloads in light of upcoming federal cost-sharing changes; no questions were raised at the briefing.
WA
Transcript Highlights:
  • What percentage of those folks are enrolled in SNAP or food service kinds of or social service kinds
  • What percentage of those folks are enrolled in SNAP or food service kinds of or social service kinds
  • You've heard about some support services.
  • Wraparound services, you know, we have great advising, tutoring, career services, as well as, you know
  • As well as, you know, mental health services, and, you know, we have disability services, as well as,
Summary: The work session focused first on Washington’s apprenticeship system, especially building trades programs and support services. Labor and Industries staff explained how registered apprenticeship works in the state, including the role of the Washington State Apprenticeship and Training Council, the requirements for paid on-the-job training and classroom instruction, and the difference between apprenticeship and pre-apprenticeship. Panelists emphasized that apprenticeship is tied to actual jobs and training agents, and that many waitlists reflect a shortage of job openings and employer participation rather than a lack of interest. They also discussed youth apprenticeship, the growth of apprenticeship and pre-apprenticeship programs, and the use of Career Bridge and L&I’s database to help people find programs. Representatives asked whether the state should expand apprenticeship programs and how people can find openings. Speakers said more programs alone would not solve the backlog without more employers signing on as training agents and more apprenticeship utilization on projects. The panel also highlighted the Constructed Career Initiative, a grant-funded navigation and support program that helps people enter and stay in building trades apprenticeships through outreach, case management, and wraparound aid such as transportation, tools, and work clothes. A related nonprofit, Build Up, described similar support services, including prison-based boot and PPE programs and assistance for reentry participants. The panel said these services are especially important because apprentices often face unstable income, housing, food, and transportation barriers. The panel also discussed House Bill 2084 and the new Construction Training Pathway Oversight Committee, which is examining construction training in correctional facilities and how to create clearer pathways from prison-based training to apprenticeship, college, or work. Speakers said the committee is still in its early stages and will report to the legislature. The session ended with committee members thanking the panel and noting the importance of support services and referral networks for apprentices. The meeting then resumed at Renton Technical College, where college leaders and faculty discussed serving non-traditional students. The college reported strong enrollment growth, a median student age of 30, a diverse student body, and high job placement rates, while also noting significant budget cuts and program reductions from the prior year. Health care and early childhood education programs were highlighted, including efforts to expand access through hybrid scheduling, evening and Saturday classes, Spanish-language offerings, and in-person wraparound support for admissions, financial aid, and registration. Faculty said these changes were driven by student data and were aimed at helping working parents, English learners, and other non-traditional students complete credentials and enter family-wage careers.
FL

Florida 2025 Regular Session

February 5, 2025 - 09:00 AM

Transcript Highlights:
  • To the right, you see Florida Digital Services, right?
  • And then the provider services module... And then the provider services module.
  • Where is Florida Digital Service?
  • Were you consulting at all with the digital services on that?
  • There are also no fees for our service.
Summary: The subcommittee heard updates on several major technology modernization efforts, beginning with the Department of Financial Services’ Florida PALM project, which is replacing the state’s decades-old FLAIR accounting system. DFS described PALM as a statewide effort affecting all three branches of government, with cash management already live and the remaining financial management, payroll, and data warehouse components still in development. Officials said the project began in 2014, was restructured after a 2022 legislative pause, and is now being recommended for a go-live delay from January 2026 to July 2026. Members asked about governance, staffing, contract structure, cost growth, and maintenance costs; DFS said the contract is deliverable-based, the current amendment would add a net $2.2 million, and post-go-live maintenance is expected to be about $13 million annually under the current contract through July 2027. The Agency for Health Care Administration then updated the committee on the FX Medicaid enterprise modernization program. AHCA explained that federal CMS directed states to move from monolithic Medicaid systems to a modular approach, leading Florida to procure separate vendors for integration services, data warehouse, unified operations, provider services, and claims processing, with pharmacy benefits still to be procured. Officials said the project has spent about $334 million to date, with most costs federally matched, and requested $189.95 million for the upcoming year. They also highlighted a 2024 special assessment that produced 81 recommendations, most tied to staffing shortages, and said the Legislature added 47 FTEs, with 17 currently filled or being filled. Members asked about governance changes, production status, data access, and future technology maintenance; AHCA said some components are operational, the data warehouse is nearing certification, and the agency is working to keep the system adaptable and nonproprietary. The Department of Children and Families presented its Access modernization project, which is replacing a mainframe-based eligibility system used for SNAP, TANF, Medicaid assistance, and related programs. DCF said the six-year, $205 million project is in its third year and has already delivered a new customer portal with mobile access, multi-factor authentication, and fraud protections, while also building a worker portal, document management, community partner tools, and workload management functions. The agency said it is requesting $36.625 million for the next fiscal year, the same as last year, and emphasized that the project has remained on schedule and on budget by breaking work into smaller modules and using strong vendor and staff support. Members praised the project’s progress and asked about cybersecurity testing and the long delay before modernization began; DCF said security requirements were built in from the outset and that the remaining work will focus on moving staff off the legacy mainframe and modernizing notices and back-end processes.
KY

Kentucky 2026 Regular Session

Interim Joint Committee on Economic Development & Workforce Investment. (6-18-26)

Economic Development & Workforce Investment

Transcript Highlights:
  • </c> that's all led by a client services that's all led by a client services manager.<00:40:48.520><c
  • So, you know, just as invaluable as the services they provided is the cost of the services.
  • </c><01:00:04.080><c> services.
  • </c> quality of the services that we provide. quality of the services that we provide.
  • </c><01:02:16.080><c> service</c><01:02:16.640><c> revenue</c> $2 million in service service revenue