Video & Transcript : 'aging facilities' :
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OK
Oklahoma 2026 Regular Session
Appr/Sub-Health and Human Services Feb 4th, 2026
Transcript Highlights:
- The school-age kids, that was removed in November.
- The accreditation numbers: at the end of 2024, we had 1,300 five-star facilities.
- Most of those facilities that were no longer five-star moved into that four-star bucket.
- Can you give us an update on that facility? Certainly.
- But we have received some small funding, but it is an aging campus.
Summary:
The subcommittee heard budget presentations and questions from several health and human services agencies, with members repeatedly emphasizing that agency numbers had been posted since October and that questioning should stay focused and brief. The Office of Juvenile Affairs said its $5.45 million request would support 162 employees receiving a pay adjustment, and members asked about juvenile care conditions and staffing. The Department of Human Services discussed major changes to child care subsidy funding, including a reduced subsidy request, a $11.5 million child care teacher recruitment/retention request, and planned eligibility and reimbursement changes; it also reviewed SNAP administrative cost shifts under federal law, the state’s SNAP error rate, and the risk of large future state costs if the error rate is not reduced. DHS also addressed TANF reserves, the DDS waiver wait list, the Greer Center buildout, the Advantage waiver supplemental, and meal service options for waiver members. OCCY described a largely personnel-driven budget, requests for more oversight staff, and workload pressures in juvenile competency evaluations. The Office of Disability Concerns reported a flat budget and said it relies mainly on mediation and informal resolution rather than enforcement. OSU Medical Authority said its Tulsa expansion, VA skybridge, and c-section suites remain on schedule, that psychiatric residency funding is being phased in over several years, and that it is working to reduce contract labor and evaluate service lines. J.D. McCarty Center reported its new ABA outpatient clinic is on time and on budget and is nearing full capacity. OMMA said its lab is following required standards, its FTE count is below budgeted levels because hiring depends on lab accreditation and other unknowns, and dispensary numbers continue to decline as the market matures. Oklahoma Rehabilitation Services said it needs about $1.4 million to avoid a maintenance-of-effort penalty and discussed aging campus capital needs and staffing vacancies. The Oklahoma Health Care Authority then outlined a very large budget requirement driven by utilization growth and the shift to value-based care, saying FY26 is currently stable but FY27 would likely require additional appropriations if the request is not fully funded.
KY
Kentucky 2025 Regular Session
Education Assessment and Accountability Review Subcommittee (10-14-25)
Transcript Highlights:
- grant allows state departments of education to set aside funds to benefit children with disabilities ages
- 54.160><c> children</c><00:04:54.560><c> with</c><00:04:54.800><c> disabilities</c><00:04:55.680><c> ages
- </c> benefit children with disabilities ages benefit children with disabilities ages 3<00:04:56.400><
- RTC activities are also aligned with the state goals for preschool-age children.
- , it just may but it at this day and age, it just may be<00:24:22.880><c> a</c><00:24:23.120><c> good
Keywords:
Call to Order and Roll Call: 00:22
Office of Education Accountability Report: Early Childhood Regional Training Centers (RTCs): 01:22
Approval of July 14, 2025 Minutes 31:21
Office of Education Accountability: 2025 Study Agenda 32:35
Adjournment: 39:12, 958, all
Summary:
The subcommittee heard an Office of Education Accountability report on Kentucky’s early childhood regional training centers (RTCs). OEA said the centers provide valuable training, consultation, technical assistance, and materials for preschool personnel, especially for children with disabilities and at-risk students, and that the services align with state and federal requirements. However, the report found uneven student and teacher populations across regions, wide variation in per-student funding, some staffing data inaccuracies, and several fiscal oversight concerns, including inconsistent indirect cost rates, a building rental charge that may have been duplicative, and host districts recording RTC expenditures in a way that could blur them with district finances. OEA also said some documentation of progress toward goals was incomplete and that the technology lending library appeared underused. The report recommended stronger KDE oversight, uniform coding and accounting practices, review of budgets and expenditures, and an evaluation of whether the current five-center model remains the most efficient structure; OEA also suggested the General Assembly may wish to revisit KRS 157.318. Members asked about KDE’s response, whether the centers are required by federal law, how the centers operate, and whether changing the model would affect federal funding. OEA said KDE had only discussed the findings informally and had not issued a formal response, the centers are required by state law but not federal law, and changing the model would not jeopardize IDEA preschool funds. The committee accepted the report by motion.
The subcommittee then approved the minutes from its July 14, 2025 meeting after initially delaying action because quorum was not yet present. After that, members turned to the Office of Education Accountability’s proposed 2026 study agenda. OEA said the three proposed topics are the annual district data profiles, facilities funding, and implementation of early literacy statutes. The district profiles would add an appendix showing the number and percentage of students moving to private school or homeschool by district and another appendix noting data-quality issues that affect comparability. OEA explained that district staffing data can undercount contract staff because those employees are not always entered into the system, and members expressed interest in tracking whether prior recommendations were implemented. One senator also raised a separate interest in reviewing whether KDE created and implemented regulations related to KFIX. The discussion remained informational, with no final vote on the study agenda shown in the transcript excerpt.
TX
Texas 89th 2nd C.S.
Homeland Security, Public Safety & Veterans' Affairs Apr 14th, 2025
Homeland Security, Public Safety & Veterans' Affairs
Transcript Highlights:
- Please raise the age. Thank you for listening and the opportunity to speak today.
- We're not changing laws as to background checks or age or or registration.
- I was also a facility security officer at the uranium enrichment facility.
- I was taught gun safety at a young age. However, I also understand.
- Sometimes hospitals and mental health facilities are places of healing.
Bills:
HB259
AL
Alabama 2026 Regular Session
Alabama Joint Legislative Budget Hearings - Education Feb 2nd, 2026
Transcript Highlights:
- </c> their age. their age.
- </c><00:51:34.880><c> the</c> sites working with our facil the sites working with our facil the facilities
- </c> was going to cost to build the facility was going to cost to build the facility but<01:06:41.280
- So this is of the people that are in working age, the dominant working age period, 25 to 64.
- the the dominant working in working age the the dominant working age<01:10:11.600><c> period</c><01:
MN
Minnesota 2025-2026 Regular Session
House Children and Families Finance and Policy Committee 3/4/26
Children and Families Finance and Policy
Transcript Highlights:
- </c> to enter a daycare facility. to enter a daycare facility.
- </c> on their facilities. on their facilities.
- We want to check child care facilities.
- I appreciate. if if the child care facility is the one if if the child care facility is the one that
- </c> what the facilities can do. what the facilities can do.
Bills:
HF3415
Keywords:
child care, day care, licensed child care center, license-exempt child care, immigration enforcement, ICE, Customs and Border Protection, CBP, USCIS, Department of Homeland Security, DHS, judicial warrant, facility access, sensitive locations, immigrant families, Minnesota Statutes chapter 142B, 1183, house
WA
Washington 2025-2026 Regular Session
Senate Local Government Jan 19th, 2026
Transcript Highlights:
- They could still work in an appropriate facility, but they would be accountable to commissioners first
- As you've heard me talk a lot over the last few years, you can currently use ag land, rural land, and
- They kept failing to actually protect ag lands around those freight dependent uses, and they haven't
- It's allowed in certain rural situations, but not on ag lands.
- What this bill did was say we can put those on ag lands now, and I think that's... ...ag lands.
Summary:
The Senate Local Government Committee heard briefings and public testimony on several bills. SB 6064 would let qualifying regional fire protection districts or authorities take over administration and enforcement of the International Fire Code within their boundaries, with notice to counties and equivalent jobs for displaced workers; supporters said it would improve consistency and local control, while counties, fire marshals, and builders opposed it as unnecessary and likely to add permitting complexity and delay. SB 6101 would require county coroners to be appointed rather than elected, while preserving appointed medical examiners in larger counties; the sponsor cited the Yakima County coroner controversy as the reason for the bill, and opponents argued it would reduce voter accountability and could increase costs, though some supporters said appointment would professionalize death investigations and improve consistency. SB 6077 would extend from 21 to 28 business days the deadline for assessors and taxpayers to exchange valuation evidence before property tax appeal hearings, with supporters saying the change would give taxpayers a fairer chance to respond and opponents saying the bill should also address long delays in scheduling hearings themselves.
The committee also heard SB 5820, which would repeal Clark County-specific Growth Management Act authority allowing freight rail-dependent uses on certain resource lands adjacent to a short-line railroad. The sponsor and supporters said the 2017 law was a poorly written special exemption that threatens agricultural and resource lands and should be repealed; opponents, including the railroad operator, business groups, and local officials, argued the rail overlay supports economic development, jobs, and low-emission freight movement and that the county should retain local control. Testimony on SB 5820 also raised concerns about safety, land-use conflicts, and the meaning of “adjacent,” with some witnesses saying the land is currently underused and others saying it is needed for future industrial and rail-served development.
Finally, the committee heard SB 6013, an agency-request bill updating ski-area terminology and safety provisions to include aerial tramways, toes, and conveyors in the state’s ski lift regulations. State Parks supported the measure as a technical update to align safety inspections, insurance requirements, and rider conduct rules with current equipment terminology. The transcript ended before any vote or executive action was taken on these bills, and the chair noted some previously scheduled executive session items were moved to a later date.
OK
Transcript Highlights:
- It doesn't have to be all of it, but it definitely needs to be available for ag land that's currently
- producing ag on it.
- But there's nothing being said about ag producers.
- producing ag on it.
- But there's nothing being said about ag producers.
Keywords:
electric utilities, grid congestion, transmission technology, advanced power flow controllers, dynamic line rating, energy efficiency, rural water service, district organization, emergency legislation, Oklahoma, water management, state vehicles, state-owned vehicles, state-leased vehicles, motor vehicle use, commuting use, personal use, fleet management, Corporation Commission, field inspectors
Summary:
The committee first considered the nomination of Russell Isaacs to the Oklahoma Water Resources Board. Isaacs described his farming background and experience with cotton, corn, sorghum, and wheat, and said he regularly tests conservation technologies on his farm. Senators discussed his water-conservation experience and the value he could bring to the board. The nomination received 10 ayes and 0 nays and was advanced to the full Senate floor.
Members then took up House Bill 3183, dealing with smart transmission technology and electric grid efficiency. Senator Murdoch explained that the bill had been difficult to negotiate and that the enacting clause was stricken so work could continue on a committee substitute. He said the technology would allow existing transmission towers to carry lighter, more efficient lines, reduce wildfire risk, and potentially lower long-term rates by easing congestion. Senators asked about costs, who pays, and whether ratepayers or large load users would bear the burden; an amendment changed language from “customer funded” to “large load user funded.” The committee adopted the amendment and then passed the bill 7 ayes to 3 nays.
The committee also advanced several nominations and bills related to environmental and energy policy. Steve Mason was confirmed to the Environmental Quality Board by an 8-0 vote. House Bill 4316, which removes an old deadline that prevented nonprofit corporations from converting into water districts and accessing grant funding, passed 8-0. House Bill 4484, allowing discretionary use of state-owned or state-leased vehicles between employees’ homes and workplaces to save mileage costs, passed 9-0. House Bill 3464 created a statewide framework for energy storage and solar facilities; a motion to table an amendment failed, and the bill passed 10-0 after debate over landowner protections, decommissioning, fire safety, and dual-use agricultural concerns.
The committee then passed House Bill 3173, the Well-Repurposing Act, 10-0, to allow orphaned and abandoned wells to be repurposed for geothermal and energy storage uses, with discussion about surface-owner rights and possible tweaks to the geothermal temperature definition. House Bill 3469, a measure easing surety requirements for smaller producers by allowing a stair-stepped compliance schedule, passed 9-0. Finally, House Bill 3989 was amended for drafting corrections and then passed 9-0; it relates to the one-megawatt load standard and uses actual load over a two-year period rather than plate load. The chair ended the meeting by thanking members and staff and adjourning the committee.
CA
California 2025-2026 Regular Session
Assembly Environmental Safety and Toxic Materials Committee Apr 8th, 2025
Transcript Highlights:
- In recycling facilities, especially, In recycling facilities especially, the batteries in these vapes
- We call them material recovery facilities.
- facilities.
- Your bill is dealing with metal shredding facilities.
- requirements for metal shredding facilities statewide.
Summary:
The committee heard several environmental and consumer-safety bills. AB 405, the Fashion Act, would require fashion companies to disclose and manage toxic chemicals in their supply chains; supporters said it would reduce worker and consumer exposure and align with existing industry frameworks, while retailers and business groups argued it would duplicate existing laws and raise costs. After questions about DTSC workload, international standards, and affordability, the bill was moved on a due-pass-as-amended motion to Natural Resources and held on call with three votes. AB 762 would ban the sale and distribution of disposable vape devices; supporters emphasized battery-fire risks, recycling contamination, and waste impacts, while cannabis and convenience-store interests warned it would push consumers to illicit markets and harm legal businesses. The bill passed on a due-pass motion to Business and Professions with three votes and was held on call.
The committee also adopted the consent calendar with six votes. AB 794 would direct California to keep in place the federal PFAS drinking-water standard if federal protections are weakened, with supporters citing health risks and the need for certainty, and water agencies opposing the emergency-rulemaking authority and potential costs. Members debated whether the bill was too broad and whether federal funds would cover implementation; the bill passed on a due-pass-as-amended motion to Appropriations with four votes and was held open. AB 1148, the Safer Food Packaging Act, would restrict certain chemicals in food packaging; supporters cited cancer and reproductive-health concerns, while chemical, beverage, and manufacturing groups argued the bill should go through existing regulatory processes and that some chemicals lacked feasible alternatives. The author said she would remove antimony trioxide later in the process after hearing opposition concerns; the bill passed on a due-pass motion to Judiciary with four votes and was held open.
Finally, AB 1338 would allow local air districts to recover costs for implementing fence-line air monitoring at metal shredding facilities, building on prior legislation and local air district efforts in AB 617 communities. The author said the bill would preserve local control and improve efficiency, and the South Coast Air Quality Management District testified in support. The transcript ends as the district witness begins testimony, with no vote yet taken on AB 1338.
NH
Transcript Highlights:
- It starts from varies by age.
- For example, at my uh age, it decreases.
- </c> storage facilities. storage facilities.
- </c><01:20:37.760><c> related</c> manage and operate the facility related manage and operate the facility
- </c> facility within our city or town. facility within our city or town.
WA
Washington 2025-2026 Regular Session
Senate Labor & Commerce Feb 20th, 2026 at 08:00 am
Labor & Commerce
Transcript Highlights:
- Agriculture, where we already have testing capacity at the Department of Ag, and because they've got
- Because you don't need to do accreditation of the facility. That's right.
- A class of 20 kids, ages 5 to 7, is mentally and physically exhausting.
- A class of 20 kids, ages 5 to 7, is mentally and physically exhausting.
- Today, I'm also speaking on behalf of three other licensed child care facilities in Asotin County.
WY
Wyoming 2026 Regular Session
House Labor, Health & Social Services Committee, February 20, 2026
Labor, Health & Social Services
Transcript Highlights:
- </c> especially in our safety net facilities especially in our safety net facilities um<00:12:36.160>
- </c> capital construction for new facilities capital construction for new facilities or<00:23:16.480>
- We are a safety net facility.
- Um so we try to be flexible uh facility.
- That's those are the types of facility.
WA
Washington 2025-2026 Regular Session
Citizen Commission for Performance Measurement of Tax Preferences Aug 4th, 2026 at 04:56 pm
Transcript Highlights:
- These are facilities that have a single owner and several tenant businesses.
- Qualifying facilities must be in counties with at least 800,000 people.
- Again, all facilities qualified as refurbishments, and moreover, these facilities all predate the preference
- Moreover, these facilities all predate the preference by five years or more.
- As their guardians age, these adults might need to find other living arrangements.
Summary:
The Citizen Commission for Performance Measurement of Tax Preferences met on August 4, 2026, with all five commissioners present. The commission approved the May 26 meeting minutes, welcomed new commissioner Diane Tabelius, noted Commissioner Orr’s reappointment, and elected Andy Knopfsiger Meadows as chair and Dr. Sharon Kiyoko as vice chair. JLARC staff also introduced two Evans School interns who are assisting with preliminary research for the 2027 review cycle.
JLARC then presented preliminary findings on seven tax preferences, focusing most heavily on Main Street communities, equitable access to credit, and urban data centers. Staff recommended continuing the Main Street and equitable access to credit preferences because both appeared to meet legislative goals, while also suggesting DAHP collect more detailed and standardized business-count data for Main Street evaluations. For the urban data center exemption, staff concluded it had only been used for refurbishment projects, not new construction, and recommended allowing it to expire. Commissioners and Representative Pollitt discussed the limits of self-reported data, the need for more specific performance criteria, and whether future tax preference statements should measure cost per job, whether jobs would have occurred anyway, and energy-use impacts.
Staff also reviewed preferences for airplane modifications, landfill biogas equipment, automotive adaptive equipment for veterans and service members, and housing for adults with developmental disabilities. JLARC recommended continuing the airplane modification, landfill biogas, and automotive adaptive equipment preferences, while suggesting the landfill biogas program improve reporting and noting the veterans’ preference use has declined. For the developmental disabilities housing exemption, staff found no use of the preference and recommended allowing it to expire, while suggesting the legislature and DSHS consider other ways to support housing continuity. The commission will take public testimony in September, adopt comments in October, and forward final comments in December.
WA
Washington 2025-2026 Regular Session
Citizen Commission for Performance Measurement of Tax Preferences Aug 4th, 2026
Citizen Commission for Performance Measurement of Tax Preferences
Transcript Highlights:
- These are facilities that have a single owner and several tenant businesses.
- Qualifying facilities must be in counties with at least 800,000 people.
- Again, all facilities qualified as refurbishments, and moreover, these facilities all predate the preference
- Moreover, these facilities all predate the preference by five years or more.
- As their guardians age, these adults might need to find other living arrangements.
Summary:
The Citizen Commission for Performance Measurement of Tax Preferences met on August 4, 2026, with all five commissioners present. The commission approved the May 26, 2026 minutes, welcomed new commissioner Diane Tabilius, and re-elected Andy Knopfsiger Meadows as chair and Dr. Sharon Keiko as vice chair. JLARC staff also introduced two Evans School interns who are assisting with preliminary research for the 2027 review cycle.
JLARC presented preliminary findings on seven tax preference reviews, focusing most heavily on the Main Street communities credit, the Equitable Access to Credit Program, and the urban data center exemption. Staff concluded that the Main Street preference has helped increase the number of communities and businesses and recommended continuing it, while also recommending that DAHP collect more detailed and standardized business-count data. The Equitable Access to Credit Program was found to support underserved communities and was also recommended for continuation. The urban data center exemption was found to have been used only for refurbishment projects, not new construction, and staff recommended letting it expire; commissioners and Representative Paulette discussed the need for better performance measures, cost-per-job analysis, and clearer legislative intent language in tax preference statements.
Staff then reviewed airplane modification, landfill biogas, automotive adaptive equipment, and housing for people with developmental disabilities. The airplane modification preference was found to likely support jobs and state tax revenue and was recommended for continuation. The landfill biogas preference was also recommended for continuation, with a suggestion for more detailed reporting on use and renewable natural gas production. The automotive adaptive equipment exemption was found to continue providing relief to disabled veterans and service members and was recommended for continuation, while the housing transfer exemption for adults with developmental disabilities had not been used and was recommended to expire. No public testimony was taken at this meeting, and the commission noted that public testimony would be heard at its September meeting before final comments are adopted in October.
ND
North Dakota 2025-2026 Regular Session
House Human Services Apr 9th, 2025 at 10:00 am
Human Services
Transcript Highlights:
- I realize how important it is to the functions of that particular facility through that tenure.
- This is a program that is funded by discounts from the drug manufacturers to the facilities, so there
- If a drug is discounted to a facility and the claim is made that's just, pick a number out of the sky
- When they, when in their claims report, the facility will utilize the $500 cost to the insurer.
- What are you using that, in this case, $495 for in your facility?
Summary:
The committee first addressed Senate Bill 2387, which had previously included language expanding the definition of a sexual assault victim advocate to include advocates from organizations serving victims of sexual trafficking or other sexual violence. After concerns were raised that the language could broaden participation in forensic interviews beyond appropriately credentialed organizations, the parties agreed to remove that added language. The committee then reconsidered its prior action, adopted the amendment striking the new language, and passed SB 2387 as amended on a 12-0-1 roll call vote.
The bulk of the meeting focused on Representative Nelson’s proposed changes to a 340B-related bill, centered on expanding reporting and transparency requirements. His draft would require hospitals to report how 340B savings are used, and would also add reporting by drug manufacturers, pharmacy benefit managers, and health insurers on rebates, pricing, ownership interests, 340B savings, premiums, claims, and related data. Nelson argued the reporting was needed to give lawmakers better information about how the 340B program affects hospitals, insurers, pharmacies, and public costs, and noted the Department of Corrections also benefits from the program.
Testimony was mixed but generally supportive of more transparency. Sanford Health Plan said it needed more time to review carrier impacts and had concerns about employer-related language and rebate reporting. The North Dakota Hospital Association supported hospital transparency and said the broader approach was appropriate because hospitals are only one part of the 340B system. Several members raised procedural concerns about the scope of the proposal and the lack of a drafted LC amendment. The committee decided not to take final action on the 340B proposal that day, instead forming a subcommittee led by Representative Hendricks, with Representatives Dobervich and Bolinske, to work with LC and return with drafted language for further review on Monday.
HI
Hawaii 2025 Regular Session
EIG-HHS, EIG-GVO Public Hearings 04-01-2025
Energy and Intergovernmental Affairs
Transcript Highlights:
- It's traumatic at a young age and so it impacts everybody.
- It's traumatic at a young age and so it impacts everybody.
- Some are parks, some are recreational facilities, some belong to the county, some are DLNR.
- ,</c> parks, some are recreational facilities, parks, some are recreational facilities, some<00:03:30.799
- </c><00:11:14.959><c> to</c> for state buildings and facilities to for state buildings and facilities
Summary:
The joint committees on Energy and Intergovernmental Affairs and Health and Human Services heard Senate Concurrent Resolution 58 and Senate Resolution 42, which urge counties to install special-needs recreational playground equipment in parks and playgrounds. Testimony came from the Disability and Communication Access Board, the Hawaii State Council on Developmental Disabilities, the Disability Rights Center, Autism Moms of Kona, and a Pacific Disability Center representative, all supporting the resolutions. Several testifiers asked that the term “special needs” be replaced with “access and functional needs,” and one requested language broadening the measure to explicitly include developmentally and intellectually disabled youth. A committee member also discussed the need for inclusion and the benefits of accessible play for all children.
After questions, the chairs said they would adopt amendments from the Disability and Communication Access Board, Autism Moms of Kona, and Tina Marie Kira, along with technical, non-substantive changes. Both committees then voted to recommend passage of SCR 58 and SR 42 with amendments, with members voting aye and some excused.
The committees then heard Senate Concurrent Resolution 163 and Senate Resolution 132, which request counties to adopt flexible setback requirements for state buildings and facilities to improve land use efficiency and public service delivery. Testimony in support came from the Grassroots Institute and the Department of Accounting and General Services. The chairs moved the resolutions forward with technical, non-substantive amendments, and both committees adopted recommendations to pass SCR 163 and SR 132 with amendments before adjourning.
MN
Minnesota 2025-2026 Regular Session
House Higher Education Finance and Policy Committee 3/25/25
Higher Education Finance and Policy
Transcript Highlights:
- </c> network of higher education facilities network of higher education facilities was<01:11:22.080><
- ,</c> making investments in their facilities, making investments in their facilities, a<01:22:07.760>
- This is a 1956 facility.
- This is a 1956 facility.
- </c> to the fact that you've had facilities to the fact that you've had facilities since<01:38:19.280
CA
California 2025-2026 Regular Session
Assembly Floor Session Jun 3rd, 2025
California House Floor Meeting
Transcript Highlights:
- It's especially hitting our ag folks that my family farm was hit. We had a break-in.
- By encouraging construction of assisted living facility.
- As you may know, I'm Vice Chair of Ag, and I know the Ag community has a lot of concerns in regards to
- Or in many cases, locker room facilities with showers, what have you.
- I do feel very strongly about these solar projects taking ag land in our community, taking ag land out
ID
Transcript Highlights:
- It aims to keep them out of institutions, be it nursing facilities or intermediate care facilities whenever
- It is, I'd say, rare for youth in this group to often be in a detention facility just based on their
- It is, I'd say, rare for youth in this group to often be in a detention facility just based on their
- this facility to be billed through Medicaid when possible, wherein we're going to have a reduction to
- And this is for the aged, blind, and disabled program.
Summary:
The House Health and Welfare Committee approved the February 5, 2026 minutes and then heard a lengthy budget presentation from Department of Health and Welfare Director Sharon and Medicaid Director Sasha O’Connell. The department reviewed a large number of supplemental and line-item requests across Medicaid, child and family services, welfare/self-reliance, and indirect support services, including funding for state hospital Medicaid billing authority, Medicaid caseload and cost growth, rural health transformation staffing and implementation, child care program integrity and capacity, kinship navigation, home visiting, and IT/procurement modernization. The committee also discussed ongoing litigation affecting Medicaid procurement timelines, the move to centralized IT services, and the department’s request for additional procurement staff to help manage complex Medicaid contracts.
A major portion of the hearing focused on Medicaid spending growth and the department’s response to the governor’s 4% provider rate reduction. The director said growth is being driven largely by higher utilization and intensity of services in behavioral health and disability/home-and-community-based services, including residential habilitation and residential treatment, and noted the department has identified some provider behavior concerns and referred cases to program integrity. Members asked about safeguards, assessments, and whether the department could absorb the outside contractor used for disability assessments; the director said state staffing would be too costly and the contractor should remain in place. The committee also discussed the department’s request for an additional $22 million in general funds to balance Medicaid, with the director emphasizing that the department had already taken the reductions and rescissions available to it.
Other discussion covered child welfare placements, including a request for transfer authority to pay for youth served at Southwest Idaho Treatment Center when no other safe placement exists, and a request to continue paused child care capacity funds while the department completes a 360-degree review of child care providers. In welfare/self-reliance, the department outlined new costs from federal changes to SNAP administration, Medicaid expansion work requirements, and more frequent eligibility redeterminations, along with a reduction in aged, blind, and disabled funding that the department said it has routinely been able to revert. The committee did not take action on the budget items during this hearing and adjourned to the floor after the presentation and questions.
TX
Transcript Highlights:
- Chairman Frank relating to confinement or detention of certain individuals in a county jail or other facility
- for visiting families and friends for the presence of distribution of drugs in the correctional facilities
- Despite implementing harsher restrictions, monitoring incoming mail, many correctional facilities have
- And they told me that sometimes when they go into their facilities, they walk right around the screeners
- And letting people circumvent the security mechanisms for officers coming into the facility are also
Bills:
HB153
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Dec 11th, 2025 at 01:30 pm
Transcript Highlights:
- Chair, the last thing I'll ask about is can we get just a very brief update on the Metro DPS facility
- Line 146: $75 million for the Wastewater Facility Construction Loan Fund.
- One of the larger items you'll see on here is for the Facilities Management Division on line 316.
- Chair and Joey, I wasn't sure if it was healthcare authority, aging, or DOH. I thought it was HCA.
- This time it's a public school's facility.