Video & Transcript : 'direct care' :
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MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Mar 20th, 2026
Joint Committee on Ways and Means
Transcript Highlights:
- Chelsea continues to exceed industry benchmarks in direct care staffing.
- Our direct care team delivers 6.11 hours of care per resident day, including 0.93 RN hours, 0.8 LPN hours
- Holyoke continues to exceed national long-term care benchmarks and direct care staffing.
- Our team delivers 6.99 hours of direct care per veteran day, including 1.48 RN hours, 0.79 LPN hours,
- And the direct support certificate program partners with community colleges to equip direct care staff
NH
New Hampshire 2025 Regular Session
House Finance Division III (01/27/2025)
Transcript Highlights:
- Fifty percent of what you're looking at here, roughly, is what we call direct care, so client-facing
- We do have some carve-outs for direct care, but attrition is constant, so I do expect that number to
- </c><00:13:31.279><c> or</c> call Direct Care so client facing or call Direct Care so client facing or
- </c><00:14:08.440><c> care</c> we do have some car outs for direct care we do have some car outs for
- direct care but<00:14:09.079><c> attrition</c><00:14:09.480><c> is</c><00:14:09.759><c> constant</c><
Summary:
The committee convened an informational Division 3 Finance hearing focused on DHHS programmatic issues rather than budget line items. The chair emphasized that members should avoid questions requiring dollar figures and noted that the coming budget cycle would likely be difficult because revenues are expected to be tighter. Commissioner Lori Weaver said the department wanted to use the session to explain its functions at a high level, with more detailed presentations to follow, and to collect questions for later responses.
Weaver outlined DHHS’s mission of supporting optimal health for state residents and described the department’s three main responsibilities: protection and prevention, client service delivery, and regulatory oversight. She said DHHS has eight divisions, a $3.6 billion total budget, about $1.217 billion in general funds, roughly a quarter of state positions, and personnel costs that are less than 11% of the budget. She also noted a recent hiring freeze, explained that the department did not request new positions except where required by law, and said vacancy rates had improved from 22% to 14% over the last two years but could rise again because of attrition and the hiring freeze.
Weaver and CFO Nathan White then discussed why the DHHS budget is complex, explaining that it is built from multiple funding sources and is shaped by assumptions made months before the fiscal year begins, actual service demand, and cost allocation rules used to draw down federal funds. White highlighted maintenance-of-effort requirements, including TANF, where state spending is needed to secure federal matching funds and shortfalls can trigger penalties. At the committee’s request, DHHS agreed to provide a simplified historical accounting of TANF contributions to show how the match is assembled across positions, contracts, and other factors.
The department also reviewed its roadmap, which Weaver described as a framework developed with staff and stakeholders around three themes: culture, community, and customer service. She highlighted priorities such as Mission Zero to end emergency department boarding, expanding access to community-based and residential behavioral health services, reducing reliance on institutional care, improving contract management with nonprofit and provider partners, using data dashboards to guide decisions, and investing in workforce stability and culture. No votes were taken; the main action was DHHS’s commitment to provide additional follow-up materials, including the TANF contribution breakdown.
WA
Washington 2025-2026 Regular Session
House Health Care & Wellness Dec 5th, 2025
Transcript Highlights:
- Care and Wellness Committee work session.
- of care, and quality of care. ...which is around access to care, affordability of care, and quality
- of care.
- That's going to be charity care or uncompensated care for hospitals.
- So as we balance caring for our communities and dealing with our increasing costs of providing care,
Summary:
The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected.
The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers.
A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked.
The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.
NM
New Mexico 2025 Regular Session
Legislative Finance Sub Committee Sep 24th, 2025
Transcript Highlights:
- They're not independently just snatching kids and keeping them in foster care. Foster care.
- foster care is also licensed.
- nor non-relative care.
- I think CYFD kids are in care for many, many years without being able to go into foster care.
- Do you know what percentage of kids go into therapeutic foster care versus foster care?
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Forty One - Wednesday, March 25 - Afternoon Session
Missouri House Floor Meeting
Transcript Highlights:
- and facilitation of care.
- and facilitation of care.
- , providing care.
- Health care. Health care. That's pretty broad. It is. Yet, do all these... Huh?
- Health care.
Summary:
The House first established a quorum after a quorum call and welcomed special guests, including the Freedom of the Road motorcycle riders and students from Warsaw High School. It then took up House Committee Substitute for House Bill 1855, a reporting bill on Alpha-Gal syndrome. The bill sponsor described the condition as a serious tick-borne allergy that has affected his family and many Missourians, arguing that Missouri needs mandatory reporting and surveillance data to identify hotspots, guide public health outreach, and support research and funding. Supporters from both parties said the bill would improve awareness and data collection, while one member raised concerns about the fiscal note and whether the state would get useful information for the cost.
The chamber adopted Amendment 1 to HB 1855, changing the follow-up language from “may” to “shall,” but rejected Amendment 2, which would have required patient consent before lab results were reported into the surveillance system. Opponents of the consent amendment said it would undermine disease surveillance and set a bad precedent for other reportable conditions; supporters argued for privacy and individual choice. After debate, the House adopted the committee substitute as amended and ordered it perfected and printed.
The House then considered House Committee Substitute for House Bills 2230 and 2978, a K-5 education measure addressing screen time, cursive, and handwriting. The sponsor said the bill responds to research and parent/teacher concerns about excessive screen use, poor literacy outcomes, and mental health effects, and would create a state focus group to review evidence and make recommendations while leaving districts flexibility. Members discussed carve-outs for special education, English language learners, and virtual school, and adopted an amendment excluding the virtual school program. The House then adopted the substitute as amended and ordered it perfected and printed.
Finally, the House took up House Bill 2355, the “Food is Medicine” initiative, which would allow Missouri to use federal funds through 1115 waivers for pilot programs such as medically tailored meals, produce prescriptions, nutrition education, and related supports. Supporters said the program could improve health outcomes, reduce Medicaid spending, and help address food deserts. An amendment adding vitamin therapies and updating a date drew discussion over supplement safety and regulation, but the transcript cuts off before a final vote on that amendment or the bill itself.
FL
Florida 2025 Regular Session
Health Policy Apr 1st, 2025
Transcript Highlights:
- You mentioned Medicaid managed care and of course, as we know, Medicaid managed care started small.
- Remove sanctions related to hospice care teams and plan of care responsibilities and updates.
- managed care structure.
- We're very careful careful. This became a problem.
- Then the managed care plan.
HI
Transcript Highlights:
- People can also choose a consumer-directed option so they can hire their own staff and direct their own
- ><c> their</c> hire their own staff and direct their hire their own staff and direct their own In terms
- </c> rolling in our first cohort of direct rolling in our first cohort of direct support<00:34:06.760
- </c><00:34:16.839><c> support</c> uh to retain and recruit direct support uh to retain and recruit direct
- </c> services and general care services and general care coordination<01:10:31.000><c> and</c><01:10:
Summary:
The Committee on Health and Human Services held an informational briefing on the Developmental Disabilities Council and related agencies. The Hawaii State Council on Developmental Disabilities outlined its 2025 legislative priorities, including a pilot project for guardian ad litem and capacity evaluations in guardianship/conservatorship cases, a supported decision-making bill, a health disparities study for people with disabilities, an ABLE savings outreach/staffing measure, a Medicaid buy-in proposal, an adult changing tables equity bill, and a resolution on fetal alcohol spectrum disorder. Council representatives emphasized that supported decision-making would complement tools like powers of attorney and medical releases, and that the health disparities study would help identify unmet needs by ZIP code and improve state data on the intellectual and developmental disability population.
The Center on Disability Studies at the University of Hawaii described its role as the research and training arm within the DD system, working with the DD Council and the Hawaii Disability Rights Center. It reported activities such as interdisciplinary training, community education, technical assistance, research collaborations, the Pacific Rim International Conference on Disability and Diversity, publications, telehealth, ECHO Autism, and counseling for Maui fire survivors. The center said it leveraged about $16 million in outside funding last year and highlighted goals focused on workforce development, community capacity, research with direct participation from people with disabilities, and accessible dissemination of information.
The Hawaii Disability Rights Center, the state’s protection and advocacy agency, supported the Council’s priorities, especially supported decision-making, which it said could help some people avoid guardianship while preserving liberty and reducing state resource use. The center also raised concerns about the DD system budget and urged legislators to review whether the Developmental Disabilities Division is requesting enough funding, noting possible backsliding in services and eligibility. The Developmental Disabilities Division of the Department of Health then outlined its statewide waiver program serving just over 3,500 people, its service array, and its budget request for increased waiver funding, a federal initiatives coordinator, and IT upgrades to comply with the new HCBS access rule; no votes or formal actions were taken during the briefing.
KY
Kentucky 2026 Regular Session
Senate Standing Committee on Health Service (2-18-26)
Transcript Highlights:
- </c> reliable or consistent prenatal care. reliable or consistent prenatal care.
- , screening care, and perhaps even some measure of restorative care out to communities that currently
- ,</c> models project preventive care, models project preventive care, screening<00:08:49.120><c> care
- </c> hubs for chronic care and innovation. hubs for chronic care and innovation.
- </c> take care of a patient. So, thank you. take care of a patient. So, thank you.
Summary:
The Health Services Committee heard a presentation from Dr. Steven Stack, Secretary of the Cabinet for Health and Family Services, on Kentucky’s Rural Health Transformation Program. He said Kentucky received about $213 million in federal funding, among the highest awards nationally, after a fast application and negotiation process. He emphasized that the grant is time-limited, must be used for the specific goals in the state’s application, and cannot be treated as a general bailout or replacement for existing funding. He also noted the state will use a website, ruralhealthplan.ky.gov, to share the full application, award terms, and future opportunities.
Dr. Stack outlined five focus areas: maternal health and prenatal/early childhood supports; EMS and trauma response workforce and transfer capacity; behavioral health crisis care through the EMPATH model and mobile crisis services; oral health access through more hygienists, telehealth, and hub-and-spoke models; and rural community hubs for chronic disease prevention and innovation, including food-as-medicine and healthier lifestyle interventions. He stressed that the program is meant to be transformative, not duplicative, and that it cannot pay clinician salaries, fund new construction, replace EMR systems broadly, or duplicate billable services. He said the state will work with community partners, hospitals, universities, and others, including the Foundation for a Healthy Kentucky, to begin implementation.
Members responded positively overall. Senator Berg praised the award and the goal of integrating care across the state, but raised concerns about access to prenatal care and about possible future changes to water fluoridation, warning both could harm children and rural families. The chair and other members thanked Dr. Stack for the update and congratulated him on the award. No votes or formal committee actions were taken during this portion of the meeting.
WA
Washington 2025-2026 Regular Session
Legislative Republican Leaders Media Availability Feb 10th, 2026 at 09:15 am
Transcript Highlights:
- Left, right, or center, we don't particularly care.
- Last thing I'll mention, Up the cost for everyone across our state, going in the wrong direction.
- So I certainly think it's a move in the right direction.
- I'm not sure that's all dead, but that's, I think, a step in the right direction.
- I would expect you'd get a challenge from that direction at some point.
Summary:
House and Senate Republican leaders held a press event to preview the final weeks of the legislative session and criticize several Democratic proposals. Their main focus was a proposed income tax on high earners, which they said is really an income tax that could later be expanded, and which drew what they described as record opposition in public sign-ins and testimony. They also objected to other fiscal bills they said would raise costs for food, agriculture, health care, energy, labor, and consumer goods, and they argued these measures would worsen affordability and encourage people and businesses to leave Washington.
The caucus also highlighted bills they opposed on policy grounds, including measures affecting local authority over camping bans and housing permitting, an anti-initiative bill they called anti-voter, and a bill on sheriff background checks. They said they supported or were pleased to see movement on some Republican-backed measures, including tax exemptions for diapers, prepared foods, and certain licensing and continuing-education costs, as well as a repeal of last year’s services tax. They also said the Senate’s move to roll back the estate tax was a partial step in the right direction, though not enough to offset the proposed income tax.
A major portion of the event centered on child welfare and the Keeping Families Together Act. Republicans criticized a House bill they said only partially addresses the “imminent harm” standard and does not adequately protect children in drug-affected homes, citing recent fatalities and critical incidents. They said they will keep pushing for changes and also mentioned support for adding fentanyl to the child endangerment statute. In closing, they said they would continue floor fights over the next week, and House Republicans announced they will issue their own media credentials to promote press access in Olympia.
FL
Florida 2026 Regular Session
FL House Floor Session - 2026-05-29 (10:00AM Session)
Florida House Floor Meeting
Transcript Highlights:
- It continues to direct dispense, it continues the direct dispense program, and it requires DOH work with
- needs other than their HIV care.
- Thank you. insurance would, you know, conceivably have other health care needs other than their HIV care
- , and child care.
- , and child care.
Summary:
The House convened with prayer, a moment of silence for former Senator Don Childers, the Pledge of Allegiance, and recognition of Officer Antonio Richardson as law enforcement officer of the day. The chamber announced it would take up 11 budget conference committee reports, with no third-reading bills or special-order calendar items. Members were reminded that conference reports were subject to debate but not amendment, and that the required review periods had been satisfied.
The first major action was on HB 7031E, the tax package. Representative Duggan explained that the conference report included a mix of retained, modified, and new tax provisions, including sales tax holidays, property tax and homestead-related changes, reductions in certain gaming and carbon-related taxes, changes to child care and documentary stamp tax credits, a new refund process for public works construction tax paid by universities and colleges, and other tax administration changes. Debate focused on the bill’s consumer impact, the reduction of the child tax credit from three years to one, the inclusion of firearm accessories in a sales tax holiday, the absence of gas tax relief and combined reporting, and the homestead exemption provision for certain deployed diplomatic and foreign service personnel. Critics argued the package favored niche or corporate interests over broad affordability relief, while supporters said it provided targeted tax relief and reflected conference negotiations. The House adopted the conference report and passed HB 7031E by a vote of 88-11.
The House then began presenting the conference report for HB 501E, the state budget, which totaled $114.5 billion for fiscal year 2026-27 and was described as below the prior year’s spending level while maintaining reserves. Subcommittee chairs outlined major budget areas: pre-K-12 funding included an increase in FEFP, salary increases for veteran teachers, stabilization funding, and support for declining enrollment; higher education included full Bright Futures funding, workforce programs, college operating support, university initiatives, and school guardian expansion; IT funding focused on Palm, ACCESS, APD’s I-Connect replacement, corrections systems, emergency management systems, and cybersecurity grants; health care funding covered Medicaid, nursing home rates, waiver provider increases, ADAP funding and restructuring, child welfare, and behavioral health; transportation and economic development included housing, cultural grants, jobs and rural infrastructure, Visit Florida, Space Florida, highway patrol equipment, and local transportation projects; justice funding included correctional construction, juvenile justice facilities, law enforcement grants, and clerk and due process reimbursements; state administration included fire stations, constrained counties, building maintenance, and Safe Florida Home; and agriculture/natural resources funding emphasized Everglades restoration, water quality, land acquisition, Florida Forever, state parks, and citrus research. Members then began questioning the budget details, including school voucher accountability, school funding formulas, public defender parity, prison technology, wastewater monitoring in prisons, ADAP policy, SNAP fraud controls and AI-assisted verification, Florida Forever funding, school lunch funding, and coral reef restoration. No final vote on HB 501E appears in the transcript excerpt.
MN
Minnesota 2025-2026 Regular Session
Conference Committee on HF2431 5/17/25 - Part 4
Transcript Highlights:
- dive into that, I just want to share some appreciation because we are all here tonight because we care
- We care about making things as public as possible, and we can't do that without Todd from our streaming
- I just want to share some appreciation because we are all here tonight because we care about transparency
- We care about making things as public as possible, and we can't do that without Todd from our streaming
- </c> offer includes um an increase for direct offer includes um an increase for direct admissions<00:
WA
Washington 2025-2026 Regular Session
Senate Human Services Feb 4th, 2026
Transcript Highlights:
- We do this for child care and the certifications that we do.
- We do this in our health care and other areas.
- We do this for child care and the certifications that we do.
- We do this in our health care and other areas.
- So by putting them in LRA, are they actually having direct 24-7 supervision?
Summary:
The Human Services Committee met on policy cutoff day and first completed executive action on several bills. Members advanced Senate Bill 6224 on the Children and Youth Behavioral Health Leadership Council to Ways and Means, Senate Bill 6255 on the poverty task force/council changes to Rules, Senate Bill 5977 on DCYF near-fatality reports to Rules, Senate Bill 5979 on in-home dependency procedures to Rules, Senate Bill 6249 on DOC supervision of stalking convictions to Rules, and Senate Bill 6007 on WISIP’s evaluation of child welfare screening tools to Ways and Means. The committee also confirmed gubernatorial appointee Angela Ramirez. Several proposed amendments were debated, mostly offered by Senator Christian, but most failed; one technical amendment to SB 6184 was adopted, and an amendment to SB 6007 removing the risk-assessment portion of the study was adopted before the bill advanced. The committee also moved to waive the five-day notice rule for Senate Bill 6339 so it could be heard that day.
The public hearing on Senate Bill 6339 focused on a proposed requirement that a less restrictive alternative (LRA) placement for sexually violent predators be owned and operated by the same individuals. Senator Torres and Senator Banke argued the bill would improve accountability, transparency, and community safety, citing a proposed Kennewick placement near schools and children. Supporters from the city of Kennewick and community members said the current process lacked transparency and that owner-operators should have a direct stake in safe operation. Opponents, including DSHS, the Washington Defender Association, the Office of Public Defense, and Disability Rights Washington, said the bill would create conflicts of interest, be difficult or impossible to implement, and could undermine the constitutional LRA process by making community placement unattainable. Committee members asked about liability, supervision, and the difference between LRA placements and unconditional release, and the chair said more work was needed on the issue.
No final action was taken on SB 6339 during the hearing. The chair closed the hearing after noting the committee was at cutoff and that further discussion would continue later.
FL
TX
Texas 89th 2nd C.S.
Senate Committee on Health and Human Services Jul 7th, 2026
Health & Human Services
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/17/26
Human Services Finance and Policy
Transcript Highlights:
- 24-hour care.
- 24-hour care.
- with many requiring 24-hour plan of care with many requiring 24-hour<00:03:20.520><c> direct</c><00:
- I wish that we had two staff for every home or, you know, the more direct care available.
- </c><00:21:26.120><c> care</c> the more direct care the more direct care available. available. available
Keywords:
workplace regulations, employee rights, meal breaks, rest breaks, exemptions, medical assistance, data matching, eligibility, reporting, human services, assisted living, health regulations, inspection authority, vulnerable adults, local government, program integrity, high-risk providers, enrollment requirements, fraud prevention, compliance
FL
Transcript Highlights:
- Senators, Florida has always been a health care leader in solutions to maximize access to care and prepare
- But more than that, it will address the shortage of veterinary care, the rising costs in veterinary care
- So I think this is the right direction.
- care at that time.
- You have to have a duty of care.
Bills:
S0036, S0620, S0796, S0934, S1080, S1096, S1366, S1536, S1548, S1580, S1588, S1620, S1756, S7034, S7044
Keywords:
nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, candidate qualifying, federal office, election integrity, regulatory compliance, political candidacy, veterinary medicine, telehealth, veterinary professional associate, animal health, public safety, access to veterinary services, payment bond exemption, Habitat for Humanity, Florida Forever Act, land acquisition
Summary:
The committee first took up SB 354, the “Blue Ribbon Projects” bill, which creates a framework for large planned communities on at least 15,000 contiguous acres with 60% reserved area and a streamlined local review process. Senator McLean presented the bill and a strike-all amendment, and members raised concerns about local control, conservation enforceability, data centers, concurrency, multi-county projects, and whether reserve lands could later be converted. Audubon Florida and 1,000 Friends of Florida opposed the bill, arguing the conservation protections were not permanent enough and that the reserve areas could be changed later; small-county representatives also worried about tax-base impacts. Supporters argued the bill would better manage growth, preserve green space, and provide a more orderly alternative to sprawl. After debate, the committee voted to report the bill favorably.
The committee then approved SB 620 on candidate qualifying, which requires candidates for federal, state, county, district, judiciary, school, and school board offices to disclose any non-U.S. citizenship. Amendments added disclosure about whether federal candidates intend to trade stock if elected and adjusted 2026 congressional qualifying procedures in the event of redistricting, including a new qualifying window and petition rules. The bill was reported favorably after brief support from a member of the public and discussion about candidate vetting. The committee also reported favorably CS/CS/CS/SB 1452, a Department of Financial Services bill with amendments addressing My Safe Florida Home notices, condo pilot eligibility, firefighter hiring, unclaimed property, and related financial-services provisions.
Next, the committee approved CS/CS/SB 1620, a school board members’ bill of rights. A substitute amendment narrowed the bill to access to records, fiscal transparency, and nondisclosure agreements, while preserving board members’ rights to timely documents, budget information, and public comment, and setting deadlines for records requests. Superintendents and a school board member testified in support, saying the bill clarifies roles and prevents board members from being frozen out. The committee also passed CS/HB 245, which replaces the term “child pornography” with “child sexual abuse material”; one senator supported the terminology change but warned about preserving legal precedent and avoiding appellate issues. The committee then reported favorably SB 1548, an update to the Live Local affordable housing law expanding eligible sites and clarifying setbacks, airport proximity, and fair-housing protections.
Finally, the committee took up the veterinary medicine bill creating veterinary professional associates. The bill allows trained master’s-level VPAs to perform limited veterinary services under a veterinarian’s supervision, and an amendment tightened the standard to immediate supervision on premises. Supporters said the measure would expand access to care, especially in rural areas with vet shortages, while opponents argued it added unnecessary regulation. After testimony from veterinary educators and others, the bill continued with support expressed by committee members, including praise for the direct-supervision amendment.
CA
California 2025-2026 Regular Session
Assembly Select Committee on Child Care Costs Aug 20th, 2025
Transcript Highlights:
- CPS removed her from my mom’s care and placed her in foster care.
- After-school care is considered part-time care, and the rates are minimal.
- for dependent care.
- , health care.
- , health care.
Summary:
The California State Assembly Select Committee on Child Care Costs held its first hearing to examine the state of child care access, affordability, and provider compensation. Chair Cecilia Aguiar-Curry and other members described child care as essential infrastructure for working families and the economy, noting that costs are unaffordable for many households and that providers are underpaid. Early testimony came from a San Francisco parent, Quinn Chung, who described the difficulty of finding safe care and the financial and career sacrifices caused by lack of child care, and from Tuolumne County provider Anita Viscini, who detailed her monthly costs, low margins, and the need to work weekends and teach CPR classes to make ends meet. Assemblymembers also emphasized the crisis in rural communities and the need for a long-term strategy.
The first policy panel featured Jennifer Troia of the California Department of Social Services, Laura Pryor of the California Budget and Policy Center, and Alexa Frankenberg of Child Care Providers United. Troia said the state has nearly doubled child care funding in five years, expanded subsidy slots, and reached a new tentative three-year agreement with providers that includes cost-of-living adjustments, stabilization payments, and continued work on an alternative rate methodology and single rate structure. Pryor argued that despite funding gains, child care remains too expensive, only a fraction of eligible children receive subsidies, and provider wages remain far below comparable jobs, worsening racial and gender inequities. Frankenberg said the tentative agreement is progress but not enough, calling for a true cost-of-care system, fair wages, paid time off, better support for emergency and nontraditional care, and stronger integration of family child care into the mixed-delivery system.
Members asked about why the crisis persists, how the alternative methodology will work, how family fees and sliding-scale help are being used, and why middle-income families still struggle. The panel said the problem reflects long-term underinvestment, a broken market, and a system that still leaves many families without access. The committee also heard an economic panel from Ashley Hoffman of the California Chamber of Commerce and Sarah Bone of the Public Policy Institute of California. Hoffman described employer child care benefits and public-private partnership models in other states, including shared-cost programs and local chamber efforts. Bone said child care costs reduce family financial security and labor force participation, especially for mothers of young children, and estimated that if mothers of young children worked at the same rate as mothers of older children, more than 80,000 additional women could be in the workforce each year. In the final panel, parent and provider advocates, including Jennifer Greppie and Black Californians United for Early Care and Education co-founder Keisha Doyle, argued for fully funding child care, ending waiting lists, protecting culturally affirming care, and addressing racial inequities and private equity’s role in the sector.
CA
Transcript Highlights:
- They just care if you're Jewish. And I think this bill...
- Assembly Member Stephanie: ...care if you're Jewish.
- I'm a gay man myself, I want to say, and I care deeply about this population.
- but explicitly exempts non-directive psychotherapies in Section 5A3A.
- You know, they apply standards of care.
CA
Transcript Highlights:
- There's a direct line between what can... can be done.
- I am following the direction of the Chair on how the committee hearing will proceed.
- I care about you. I know you care. We care. We all care. That's all we're asking for. That's it.
- The cuts in health care were well laid out.
- We have seniors who cannot support their health care.
CA
California 2025-2026 Regular Session
Assembly Elections Committee Aug 19th, 2025
Transcript Highlights:
- And I care about you. I know you care. We care. We all care. That's all we're asking for.
- , including reproductive health care.
- “The direction of our country.
- And I do know you care about that.
- That was directed. We're going to go back to Vice Chair Meseed. That was directed.
Summary:
The Assembly Elections Committee met on August 19, 2025, to consider ACA 8, SB 280, and an informational hearing on AB 604. The meeting began with several failed motions to adjourn, to read public comments into the record, and to recess so members could review the roughly 16,000 public comments submitted through the committee portal. The chair emphasized the hearing’s expedited format, transparency measures, and rules limiting witness testimony, and noted a letter from Speaker Rivas authorizing Assemblymember Berman to present ACA 8.
ACA 8, described by supporters as the “Election Rigging Response Act,” would place before voters a temporary congressional redistricting plan tied to AB 604 and triggered only if another state, especially Texas, adopts a partisan mid-decade redistricting. Supporters, including Assemblymember Berman, labor groups, CTA, Planned Parenthood affiliates, SEIU, and other allied organizations, argued the measure was a response to partisan gerrymandering elsewhere and a defense of democracy, with voters having the final say in a November 4, 2025 special election. Opponents, including current and former redistricting commissioners, good-government groups, business and taxpayer organizations, and many members of the public, argued the proposal undermines California’s independent redistricting model, was rushed without adequate public review, could cost roughly $200 million or more, and would invite litigation and partisan manipulation.
The committee also debated a proposed amendment that would bar legislators who voted for ACA 8 from later running for Congress in districts adopted under the measure. After extended procedural disputes, the committee voted to lay the amendment on the table. The hearing then continued with extensive public testimony, overwhelmingly divided between strong support and strong opposition, but the transcript provided does not show a final committee vote on ACA 8 or SB 280 before the excerpt ends.