Transcript Highlights:

• In the years since, these services have continued to grow.
• But public transit service ended at midnight.
• I know you all provided a tremendous service.
• who were impacted to use your service at no cost.
• You're providing a service.

Summary: The hearing focused on transportation network companies in California, with the chair framing it as an informational hearing on the history, regulation, safety, climate, accessibility, and data issues surrounding Uber, Lyft, and smaller or autonomous TNC services. The CPUC described its decade-long regulatory role, including safety rules, background checks, insurance requirements, reporting obligations, and two major legislative programs from 2018: the Clean Miles Standard and the Access for All program. Members asked about complaint trends, data collection and disclosure, program implementation, and how the CPUC uses annual reports for policymaking, compliance, and program oversight. Uber and Lyft said the statewide framework has supported growth while providing safety and access benefits, but both companies emphasized that insurance is a major cost driver and argued that California’s UM/UIM requirement is unusually high compared with other vehicles. They said the Clean Miles Standard is pushing electrification but faces headwinds from EV affordability and charging infrastructure, while Access for All has expanded wheelchair-accessible service but still needs continued support. They also discussed transit partnerships, wildfire response, and the potential role of autonomous vehicles, with both companies saying human drivers will remain important and that future regulation should account for new technology. The final panel, including the San Francisco County Transportation Authority and UC Berkeley researchers, presented evidence that TNCs have increased congestion and reduced transit ridership, especially in dense urban areas. They described prior research showing TNCs contributed to congestion growth in San Francisco and noted that this work helped spur local taxes on ride-hailing trips to fund safety and transit improvements. The panel also discussed the CPUC’s evolving data-disclosure decisions, arguing that public access to TNC trip data is important for understanding transportation impacts and informing local policy.

Transcript Highlights:

• We have intensive services. This is one of our newest level of care.
• They've provided the service. It's expensive. Thank you.
• So how do we change that so that we're integrating the services?
• So how do we change that so that we're integrating the services?
• And then how do we provide services to parents so it’s on demand?

Summary: The hearing focused on youth mental health and treatment access in California, with opening remarks emphasizing that youth distress, self-harm-related emergency visits, and difficulty obtaining care remain elevated, while workforce shortages and reliance on one-time funding continue to limit access. Assemblymember Lori Davies echoed concerns about unstable funding and said lawmakers need to hear directly from providers and families as they prepare for the budget and legislation. The chair framed the hearing as a chance to hear from county, school, provider, and student perspectives, especially in San Diego County, where needs are high and investments have not always matched demand. County and school officials described the current system and recent state initiatives, including the Children and Youth Behavioral Health Initiative, school-linked fee schedules, payment reform, and the Behavioral Health Services Act transition. San Diego County Behavioral Health said it serves Medi-Cal youth with specialty mental health needs through a broad continuum of care, including outpatient clinics, school-based services, crisis response, residential treatment, and new crisis and residential facilities. San Diego County Office of Education and San Marcos Unified School District described efforts to expand school-based services and reimbursement through CYBHI, but said implementation is slowed by complex billing rules, insurance-data collection concerns from families, administrative burden, and uncertainty about sustaining staff positions funded by grants or soft money. School counselor testimony highlighted reduced stigma through campus outreach and clubs, but also noted that counselor-to-student ratios remain well above national standards and that budget cuts threaten supports. Provider testimony stressed that the system remains fragmented and that youth often move between emergency rooms, inpatient care, outpatient therapy, schools, and county programs without smooth handoffs. A child psychiatrist described crisis cases in which the main choices are brief hospitalization or discharge with limited follow-up, and argued for stronger warm handoffs, more outpatient and intensive outpatient options, better school-clinic coordination, and broader use of mobile crisis and 988. Rady Children’s Hospital and Aurora Behavioral Health described large increases in behavioral health demand, expansion of integrated care, and major barriers tied to low reimbursement rates, delayed payments, and administrative complexity. Across the panel, witnesses called for more stable funding, clearer reimbursement rules, better parent education on warning signs, and stronger collaboration among schools, counties, hospitals, and community providers to reduce stigma and improve timely care for youth.

Transcript Highlights:

• services are not covered?
• human services budget. human services budget.
• health services? Commissioner? health services? Commissioner?
• It lists private duty nursing as completely different services than home health care services.
• different services than home health<00:19:07.840> care<00:19:08.240> services.

Keywords: 919, house, all

Summary: The conference committee on House File 4188 met on May 16, 2026, with a quorum present and indicated it was intended to be the final meeting. The main issue discussed was an amendment to the 62J language concerning home care nursing services for children with complex medical needs. Chair O'Driscoll said the amendment would direct the Departments of Commerce and Health and Human Services to review the fiscal impact on the state, families, and health plans, and to develop possible legislation for 2027. Supporters described the proposal as a pause to allow more review, while also acknowledging it was not a complete solution. Senator Bolden and others testified strongly against allowing the coverage changes to stand, saying the issue affects roughly 200 to 250 families statewide, many of them children who need hospital-level care at home. They warned that capping or denying private coverage would shift costs to Medicaid waivers, strain family waiver budgets, increase state costs, and potentially force more children into hospitals, reducing critical care capacity. Committee members also questioned Commerce Commissioner Grace Arnold and department staff about the distinction between home care nursing and home health services, statutory definitions, billing units, essential health benefits, waiver budgets, and the effect of enforcement actions involving HealthPartners. The committee adopted the A30 amendment by voice vote, and the motion prevailed. Members then took up another provision, described by staff as the meat raffle/paddle wheel language, and adopted an amendment to add the game of Haus und Pfeffer before approving the provision as amended. In final remarks, members from both chambers praised the committee’s work and professionalism, but several expressed regret that the home care nursing issue was not resolved in the conference report and said it would need further work next session. They also noted other items that did not make it into the bill, including reinsurance and certain other policy provisions.

Transcript Highlights:

• Julia Hannigan, Dependency Legal Services, proud co-sponsor.
• First Prevention Services Program.
• County's Department of Children and Family Services.
• There's no services to offer.
• Public benefit programs provide life-saving health care services and supportive services that keep older

Summary: The Assembly Committee on Human Services heard a long agenda of bills focused largely on child welfare, foster care, child care, CalWORKs, mandated reporting, and public benefits. Early items included AB 890, which would ease county transfer rules for nonminor dependents in extended foster care; AB 461, which would replace punitive truancy-related penalties with supportive services for families; and AB 753, which would create an interim associate teacher pathway to help address the child care workforce shortage. Testimony on these bills emphasized barriers faced by foster youth, low-income families, and child care providers, and members expressed support for the general policy direction. The committee also heard AB 926 on foster care visitation, AB 563 on early childhood planning and reporting, AB 601 on standardized mandated reporter training, AB 1074 on CalWORKs reunification aid, AB 822 extending the Commission on the State of Hate, AB 970 creating a Los Angeles County mandated reporter pilot, AB 1161 protecting public benefits during disasters, AB 1172 allowing trained staff to administer emergency seizure medication in community care settings, and AB 363 expanding CalWORKs student supports and work-study. Witnesses generally supported these measures as ways to reduce trauma, improve reunification, modernize reporting and training, and expand access to services. County welfare and child welfare groups, advocacy organizations, and providers largely testified in support, while some bills drew concerns from county representatives about implementation or needed amendments. Several bills were voted out of committee, often unanimously and sometimes as amended, including AB 926, AB 563, AB 601, AB 1074, AB 822, AB 970, AB 1161, and AB 1172; AB 1172 was reported on call. The committee also took up consent items and later voted on subcommittee-held bills AB 461, AB 753, and AB 890, leaving them on call. At the end of the hearing, the committee heard AB 1211, which would protect CalFresh benefits from federal cuts and require a feasibility study on increasing benefits and eligibility; testimony stressed rising food insecurity and the economic importance of food assistance, but the transcript ends before a final vote on that bill.

Transcript Highlights:

• security services as well.
• How you use your back. to improve processing times and customer service.
• Customer service is paramount.
• It's a services org that has to have a high degree of quality and accuracy.
• And we know that service and wait times and backlogs have existed.

Keywords: Social Security, Medicaid, Frank Bisignano, Elon Musk, benefit processing, office closures, public testimony, administration policies, health care, vulnerable populations

Summary: The committee meeting focused heavily on the nomination of Frank Bisignano as the Commissioner of the Social Security Administration, with intense discussions around the current state of Social Security and its management under the current administration. Members voiced significant concerns regarding potential changes to Social Security and Medicaid, specifically addressing issues such as office closures, delays in benefit processing, and the perceived policies from Elon Musk's association with the administration. Public testimonies highlighted fears that these changes would severely impact the accessibility of benefits for seniors and vulnerable individuals, resulting in a chaotic environment at the SSA. Members expressed a unified opposition to the notion of dismantling these critical programs, emphasizing the long-term implications on their constituents' well-being.

Transcript Highlights:

• , so anything to do with providing like sheltered workshop services and things like that.
• That other 60% went into other service areas.
• their service system.
• Our services are pretty much sequenced. You exhaust this one and then you can use this one.
• at the same time to supplement DrS services.

Keywords: 914, all

Transcript Highlights:

• for communities throughout Texas. greater regionalization of wastewater service delivery.
• If there's a CCN there, they must either seek service or release a service, and there is a cost component
• I think they have a service that they can sell and that it is highly marketable to developers.
• IOUs provide a vital service to the state of Texas when purchasing small utilities.
• Particular entity or water service provider.

Bills: HB29, HB685, HB1633, HB1689, HB1690, HB1918, HB2010, HB2500, HB2608, HB2626, HB29

Keywords: water audit, water loss, water loss mitigation plan, municipally owned utility, municipal utility, water conservation, Texas Water Development Board, TCEQ, Texas Commission on Environmental Quality, water leakage, leak detection, billing data accuracy, utility validation, water audit validation, water scarcity, water management, infrastructure, public utility, conservation plan, administrative penalty

Transcript Highlights:

• And the Forest Service...
• ELM, the Forest Service, we're getting there.
• By 1972, they had behavioral health services.
• Can't provide health care services.
• When the language is all about new services, expanding services, we have programs that have been here

Transcript Highlights:

• , military. family support services, and childcare facilities.
• Texas A&M AgriLife Extension Service.
• Al Davis Director of the Texas A&M Forest Service.
• David Cokney, Director of Texas A&M Engineering Extension Service.
• Now, unfortunately, those services were originally.

Keywords: 1184, house, all

Transcript Highlights:

• incarceration and pre-release services. incarceration and pre-release services.
• We have their post-release services.
• Crime victim services.
• Crime victim services.
• crime victim service Minnesota's crime victim services<00:31:16.880> infrastructure<00:31:17.760

Keywords: 1183, house

Transcript Highlights:

• New emergency medical services for the New emergency medical services for the New Hampshire<03:15
• service and we vote on those in public. service and we vote on those in public.
• So they set up um Cong services.
• closing ambulance services.
• over the emergency calls, the service over the emergency calls, the service that<03:25:13.600>

Keywords: 928, house, all

Summary: The committee first took up several liquor-related bills. Senate Bill 24, allowing students under 21 to taste wine in educational settings, drew no opposition or amendment and was reported out 6-0. Senate Bill 79, authorizing self-pour automated systems under the liquor commission, also faced no opposition and was voted ought to pass 6-0. Senate Bill 80, shifting licensing, auditing, and enforcement for wholesale and retail e-cigarette sales to the liquor commission, prompted discussion about whether the change would add cost; members heard that the liquor commission already handles similar enforcement and that the change was meant to address nonreporting. It was voted ought to pass 6-0. The committee then discussed Senate Bill 87, concerning alcohol service in salons, barbershops, and spas. Members and staff focused on how to limit the amount served, whether to require recordkeeping, and privacy concerns about tracking what patrons drank. The discussion settled on removing references to alcohol type and quantity and keeping only patron records, with the understanding that the agency would set the details by rule. The bill was not formally amended at the meeting, but members agreed an amendment would be drafted for the following week; the bill itself was reported ought to pass with that amendment to be determined. Finally, the committee heard testimony on Senate Bill 245, the EMS No Surprises Act and System Stabilization Act. The sponsor, Senator Suprena, said the bill would prohibit balance billing for emergency ambulance calls and unscheduled transfers, while setting reimbursement at either locally set public rates or 325% of Medicare. She explained that the proposal was based on national work on ground ambulance billing and was intended to stabilize struggling EMS providers. Committee members sought clarification that the bill did not eliminate balance billing for non-emergency transfers, and the sponsor confirmed it did not. A second witness, Jerry Stringham, testified in support, citing his reimbursement background.

Transcript Highlights:

• Your working service is not unnoticed and much, much appreciated.
• Next, I'm going to move to Health and Human Services to the ADAP portion.
• And my final question is health and human services. Thank you.
• They have services somewhere else.
• So the list may not actually be a real list of 16,000 people who need services.

Summary: The Senate convened with prayer and the Pledge of Allegiance, then moved to the conference report on House Bill 501E, the General Appropriations Act for fiscal year 2026-27. Budget chairs presented the major spending areas, describing a $114.5 billion overall budget that they said was fiscally responsible and below the prior year’s spending. Highlights included pay increases and retirement adjustments for public safety employees, education funding for K-12, higher education, health and human services, criminal justice, transportation, environmental programs, and agriculture/regulatory agencies. Members then questioned chairs on several items. In education, senators discussed K-12 declining enrollment funding, teacher salary set-asides, private school scholarship spending, mental health funding, preeminence funding for universities, the Hamilton Center at UF, and charter school PICO funding. In health and human services, questions focused on the iBudget waiver waitlist, provider rates, ADAP/HIV funding and the return of Biktarvy to the formulary, KidCare, rural health funding, SNAP-related IT and error reduction efforts, and the IDD managed care program. In criminal justice, senators asked about correctional officer pay, prison staffing and infrastructure, air conditioning in prisons, juvenile justice facilities, law enforcement recruitment, and court system funding. Environmental and transportation questions covered Florida Forever, water quality, state parks, water projects, housing, elections funding, and emergency management. Several specific actions and explanations were given during debate: the budget includes $8.8 million for state attorney competitive area differentials but no funding for public defender CAD requests; assistant state attorneys will start at $70,000 and assistant public defenders at $65,000; the battery disposal issue was described as a temporary study/preemption approach; and the Senate said the budget does not fund Medicaid expansion, preeminence funding, or the SunBucks Summer EBT state share. Senators also noted that some proposals discussed in committee did not make it into the final budget. The transcript ends with debate statements from members praising the budget process and Chair Hooper, while also expressing concerns about public schools, health care access, affordability, and the lack of funding for certain priorities.

Transcript Highlights:

• We cannot be choosing which of our essential public services we're going to get rid of.
• <00:08:34.560> that Minitex is a public service that Minitex is a public service that connects
• The health of motans's public services.
• <00:09:40.959> employees employees with the service employees employees with the service employees
• <00:21:14.080> program because it is a fee for service program because it is a fee for service

Keywords: 919, house, all

Summary: Sen. Erin Maye Quade, Rep. Esther Abad, and other Minnesota DFL legislators held a press event focused on responding to Trump administration and federal Republican actions that they said threaten health care, education, housing, public health, and other state services. Speakers argued Minnesota must not make “false trade-offs” between core services and should instead protect programs like Medicaid, school funding, disability services, nutrition, and public health by raising additional revenue and closing tax breaks for wealthy individuals and corporations. Rep. Abad and others outlined possible revenue options, including a fifth-tier income tax, a corporate rate match, closing tax exemptions for luxury items and second homes, a social media tax, and ending data center tax exemptions. They said these measures would not fully replace possible federal cuts, but could help mitigate harm and preserve services. Several speakers also criticized Republican opposition to tax increases and said the state should ask wealthy taxpayers and corporations to contribute more. Testimony from Olivia Dylan, a laid-off Minnesota Department of Health epidemiologist, described the impact of federal public health funding cuts and MDH layoffs on outbreak response, nursing home support, lab work, and tribal public health. Sean Leaden of SEIU Local 284 described low pay and staffing shortages among hourly school workers and said underfunding has hurt students and employees. Sen. Doran Clark and Rep. Emma Greenman framed the issue as both a budget and democracy question, arguing that federal cuts and attacks on public programs undermine self-governance and community well-being. In response to questions, speakers said Minnesota cannot fully backfill expected federal Medicaid losses, but can use state tools to reduce harm and should press Republicans to identify what services they would cut instead.

Transcript Highlights:

• be extended to service dogs in training.
• be extended to service dogs in training.
• be extended to service dogs in training.
• It definitely provides a unique service.
• Johnson: The owner of either a service dog or now a service dog in training is responsible for any damage

Keywords: 1183, house

Transcript Highlights:

• , Disabled Student Programs and Services, apprenticeship programs, CalWORKs student services, the mandates
• We're excited to be of service.
• We're excited to be of service.
• It's called an ITS2 in state service.
• , referrals services for homeless children and youth, tutoring services, referrals services for homeless

Keywords: 988, house, all

Transcript Highlights:

• >> Um it came via guardianship services. >> Um it came via guardianship services.
• Medicaid Services. Medicaid Services.
• for 25% of our budget on services.
• is spent in that setting on services. is spent in that setting on services.
• for Medicaid services. for Medicaid services.

Keywords: 958, all

Summary: The Health and Family Services committee heard an informational presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults, often with serious mental illness, who do not meet nursing home criteria but need structured supervision, medication assistance, meals, and daily support. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and are supported largely through state supplementation payments and residents’ SSI income. The presenters argued that the current reimbursement rate of about $50.70 per day is no longer sufficient to cover staffing, food, insurance, utilities, maintenance, and other costs, and said the sector has shrunk significantly over time. They cited figures showing a decline from 64 to 34 homes serving the seriously mentally ill since 2002, with 30 closures over 23 years, and said the loss of beds contributes to homelessness, hospital overcrowding, and longer psychiatric stays. They also gave examples of residents who had spent many months in hospitals before being successfully placed in personal care homes, which they said can prevent more costly institutional care. Committee members asked about staffing credentials, fraud controls, referral processes, and how reimbursement works in other states. The presenters said Kentucky does not require licensed or certified staff in these facilities, though some homes use certified medication technicians or an LPN, and they described a county case-manager-based assessment process used to set individualized rates in other states such as Minnesota. Members expressed support for the work but emphasized the need for documentation of savings and budget offsets. The presenters said they are seeking an incremental reimbursement increase over two years, roughly 25% to 50% in the first year and another 50% after that, and urged the committee to support the homes to prevent further closures.

Transcript Highlights:

• <00:21:28.720> we do when people are at intake services we do when people are at intake services
• <00:23:32.279> uh<00:23:32.440> we service and uh past her service uh we service and
• Lisa Amador, Department of Human Services administrator for Adult Protective and Community Services,
• <04:16:04.439> health<04:16:04.680> services of uh Social Services health services
• She said home care services are personal care services, such as bathing, cooking, and cleaning.

Keywords: 910, house, all

Transcript Highlights:

• So when I'm flagging enterprise services, enterprise services bring money, revenues into the general
• health services.
• Related to community-based youth mentoring services.
• Just one quick question, Joey, on Line 312, Rural Air Service Enhancement. ...Service Enhancement.
• This is to subsidize services out of those airports.

Keywords: 996, all

Transcript Highlights:

• I'm the director of the Florida Forest Service and the Florida Forest Services Division under the Florida
• So overview of the Florida Forest Service, we manage 38 state for us.
• They're also an calculated benefits and ecosystem services.
• And we do partner with the Forest Service on offer hunting on quite a few forest service lands as well
• the park service or the Fish and Wildlife Conservation Commission.

Transcript Highlights:

• The first page on our outline will just give you a brief overview of ACA and the services that they offer
• So, you know, obviously this is very interesting to me as being the chair of Human Services.
• So, you know, obviously this is very interesting to me as being the chair of Human Services.
• , providing service, and quite frankly was not providing service for a long time, and our state was aware
• I was looking at the Florida Department of Management Services.

Summary: The Health Care Budget Subcommittee met to review agency budgets, vacant positions, and possible efficiencies across several health and human services agencies. Members were asked to identify savings and potential areas for increased funding, and the discussion repeatedly focused on whether long-vacant FTEs, reversion of funds, and staffing shortages reflect true operational needs or broader budgeting and recruitment problems. The chair and members emphasized that the exercise was intended to help the committee make more informed budget decisions and to identify structural issues that may require legislative action. For the Agency for Persons with Disabilities, members highlighted a large waiting list, including individuals in crisis and children, and discussed whether vacant positions and unspent funds could be redirected to services. Several members raised concerns about delays in crisis applications, the use of paper applications, and whether the issue is staffing, process, or both. For the Department of Children and Families, the presenters discussed vacant positions, the use of staff augmentation in state hospitals, support for expanding behavioral qualified residential treatment program beds, and concerns raised by audits of the managing entities, which showed procurement and financial management problems. They recommended continued oversight, reporting requirements on Medicaid enrollees receiving mental health services through managing entities, and support for the governor’s proposed funding items. Other agencies reviewed included Elder Affairs, where members questioned the need for multiple divisions, CARES assessments, and supervisory overhead; the Department of Health, where vacancies, turnover, pay gaps, and units of rate were discussed as barriers to recruitment and retention; and the Department of Veterans’ Affairs, where the presenters said vacancies were tied to new nursing homes and recommended shifting a major priority into general revenue rather than trust funds. Throughout the meeting, members generally agreed that the vacancy review was eye-opening and suggested deeper, possibly separate, reviews of agency staffing, pay parity, and fund reversion practices. No formal votes were taken during the transcript.