Transcript Highlights:

• There's not a mobile app that's available for I-Connect.
• I-Connect requires users to use their browser on their mobile device to access it, which has challenges
• because what we're debating is screenshots versus whether or not somebody can access something from a mobile
• There are fundamental technological challenges in the application with browser compatibility and mobile
• mobility.

Summary: The subcommittee heard a lengthy presentation on the Agency for Persons with Disabilities’ I-Connect system, based on an ILAB assessment of the platform’s performance and requirements. ILAB said the system provides useful centralized records, reporting, compliance support, and audit trails, but users described it as cumbersome, outdated, and inefficient, with excessive manual entry, weak navigation, limited notifications, no mobile app, poor printing/export options, and performance issues. ILAB also said the original 2013-era requirements were too high-level and that only a portion of the requirements could be verified, with some features de-scoped or never implemented. Their recommendations included better integration with electronic health record systems, improved performance monitoring, electronic signatures, OCR, and more modern export and verification tools. Public testimony from providers and advocates echoed those concerns. A support coordination provider said the system is nicknamed “I Disconnect,” described problems with EVV/GPS sign-ins, lengthy support plans, lack of a phone app, and possible HIPAA concerns. Another advocate said the system should have preserved family access to records and criticized the need for providers to use workarounds and additional software. APD staff said the agency has spent about $19.7 million through FY 2023-24, has regular build updates under the current contract with WellSky, and uses an internal help desk and vendor ticketing process to triage bugs versus enhancement requests. They said some issues are handled case-by-case, critical tickets have SLAs, and the agency is working on interoperability and other requested improvements. Members questioned whether the system should be fixed or replaced, whether the original contract and SaaS arrangement were sufficient, and whether the state received value for the money spent. APD said the system went live in phases and that all functionality was in place by June 2024, while ILAB and members noted significant technical debt and unresolved gaps. The committee also discussed record retention, provider access to records after a consumer changes providers, and whether federal funding or compliance could be affected. The meeting ended with broader budget remarks emphasizing completion over expansion, stronger upfront planning for technology projects, and more accountability before funding new systems or major enhancements.

Transcript Highlights:

• income discrimination, which ultimately makes it more difficult for our communities to find upward mobility
• income discrimination, which ultimately makes it more difficult for our communities to find upward mobility
• to</c><00:06:59.000><c> find</c><00:06:59.240><c> up</c><00:06:59.639><c> W</c><00:07:00.240><c> mobility
• </c> our communities to find up W mobility our communities to find up W mobility and<00:07:01.080><c>

Keywords: 1187, senate, all

Transcript Highlights:

• placement, That are already delivering results on the ground in workforce development, job placement
• And when we make our state veterans-ready, the boot has a better job in front of them to go get more
• One of those is mobile crisis for adults.
• Who expect a salary, they take that job on knowing that, right? Wouldn't you think that?
• We would be taking money from officers that have already taken the job, have already accepted the job

Bills: HB165, HB175, HB198, HB272, HB457, HB488, HB566, HB603, HB763, HB902, HB909, HB971, HB981, HB1066, HB1125, HB1154, HB1231

Keywords: HB165, lottery proceeds, Lottery Proceeds Fund, Veterans Service Grant Fund, constitutional amendment, veterans, military veterans, veterans' benefits, veterans services, family support, state lottery, education funding, Minimum Foundation Program, problem gambling, compulsive gaming, state treasurer, ballot proposition, constitutional referendum, lottery revenue, Louisiana resident veterans

Transcript Highlights:

• And the agenda did a very good job laying out a number of the programs that we administer.
• And it's not our job to tell you what is best for you.
• That's a multiplier of 1.5, 93 jobs, and $0.9 million in state and local tax revenue.
• I care for my mother-in-law because she struggles with dementia and mobility issues.
• I care for my mother-in-law because she struggles with dementia and mobility issues.

Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.

Transcript Highlights:

• He's been doing an excellent job of trying to make those corrections with the Birmingham. ...corrections
• Well, here's another one: Pritchard, Mobile County.

Bills: SB330

Keywords: water management, regional boards, municipal governance, ethics compliance, public utility, 1136, house, all

Transcript Highlights:

• The bill ensures that an individual's right to privacy is upheld by requiring web browsers and mobile
• urge the committee to continue to support CDCR's policy. policy of letting the parole board do their job

Keywords: 988, house, all

Transcript Highlights:

• perform work at local construction projects from being forced to litigate. at any issue arising on the job
• Some will recall that we heard this bill regarding mobile home beneficiaries.

Bills: SB302, SB1335, SB1734, SB1760, SB1975, SB2127

Keywords: probate court, statutory judge, reimbursement, court costs, court proceedings, judicial assignments, judge assignment, cost reimbursement, judicial expenses, estate management, statutory requirement, court expenses, estates, inheritance, representative duties, court authority, personal representative, real property, deed fraud, title fraud

Transcript Highlights:

• perform work at local construction projects from being forced to litigate any issue arising on the job
• Uh, some will recall that we, we heard this bill, uh, regarding, uh, mobile home, uh, beneficiaries.

Bills: SB 302, SB 1335, SB 1734, SB 1760, SB 1975, SB 2127

Keywords: probate court, statutory judge, reimbursement, court costs, court proceedings, judicial assignments, judge assignment, cost reimbursement, judicial expenses, estate management, statutory requirement, court expenses, estates, inheritance, representative duties, court authority, personal representative, real property, deed fraud, title fraud

Transcript Highlights:

• Charles Miller, Director of Health and Economic Mobility, you show voting for the bill.
• You did too good of a job. Thank you. Thank you. Tom Banning. Thank you, Mr. Chairman.

Bills: HB138, HB335, HB388, HB138

Keywords: health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers

Transcript Highlights:

• The vast majority of emergency calls originate from mobile devices rather than traditional landlines.
• One was an actual outage that affected T-Mobile calls to Tulare County Sheriff.
• One was an actual outage that affected T-Mobile calls, only T-Mobile calls, to T-Mobile Calls to T-Wallamy
• And, you know, the reality of mobile phones being the original calls to 9-1-1, so, yeah, it's pretty
• The public communicates today through mobile devices and data, and we have a responsibility to meet that

Keywords: 988, house, all

Transcript Highlights:

• ><00:05:25.120><c> a</c><00:05:25.240><c> pretty</c><00:05:25.479><c> horrible</c><00:05:25.880><c> job
• </c><00:05:26.080><c> of</c> really doing a pretty horrible job of really doing a pretty horrible job
• So it's often our job as educators to convince families that their kids will be safe and cared for in
• </c><00:14:08.160><c> as</c> um it's often times um our job as um it's often times um our job as Educators
• , but it's also a very demanding job.

Keywords: 1187, senate, all

Transcript Highlights:

• For example, we may have a certain population that is more mobile and they live in an urban area, and
• For example, we may have a certain population that is more mobile and they live in an urban area, and
• For example, we may have a certain population that is more mobile and they live in an urban area, and
• For example, we may have a certain population that is more mobile and they live in an urban area, and
• </c><00:29:58.360><c> and</c> population that is more Bo mobile and population that is more Bo mobile

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services held its first meeting and received an overview from the Department for Medicaid Services on Medicaid’s behavioral health and substance use disorder services. Commissioner Lisa Lee and CFO Steve Beal said Kentucky Medicaid serves about 1.4 million members, including over half of Kentucky children, with 485,000 expansion members, more than 69,000 enrolled providers, and total fiscal year 2024 expenditures of $18.5 billion. They said Kentucky covers a broad range of behavioral health services, and behavioral health provider enrollment has grown from a little over 4,500 in 2019 to nearly 8,000 in 2024. They also described how Medicaid spending and utilization are tracked through claims and encounter data, with most members served through managed care organizations. Members focused on sharp increases in certain behavioral health billing codes, especially peer-to-peer services, and asked about reimbursement, utilization review, and whether the growth reflected increased need or expanded coverage. DMS said the rise was partly tied to combining facility and nonfacility behavioral health fee schedules in 2023, choosing the higher reimbursement rate to avoid cuts, and that the department has seen an uptick in peer-to-peer services. In response to concerns about overutilization, DMS said it mailed a letter to behavioral health providers, is considering limits and prior authorizations for some services, and plans to create a standardized monthly behavioral health report to monitor trends consistently and identify when controls may be needed. Lawmakers also asked whether the provider network is sufficient and whether access is adequate, especially for children. DMS said provider enrollment has expanded because behavioral health services were added to Medicaid in 2014 and because demand increased after COVID, but acknowledged studies showing children have less access than adults and said that would be an area of focus. The department said managed care organizations are required to ensure access to needed services and that current trends indicate access is available, though one member disagreed and said workforce shortages remain a major concern. Another member asked about non-emergency medical transportation spending, and DMS explained that it is handled through a capitated arrangement administered by the Transportation Cabinet rather than directly by the managed care organizations.

Transcript Highlights:

• News and World Report has ranked UC Merced number four in the nation for social mobility.
• Juliet has been doing a fantastic job for us this year in the Capitol office.
• Building infrastructure and to have good-paying jobs and opportunities, apprenticeship opportunities
• This passion led him to leading the state building trades to historic protections of fair wages, job
• Job site standards and apprenticeship programs, never mincing his words when it came to his passion.

Summary: The Assembly convened with a quorum call, prayer, and Pledge of Allegiance, then moved through a largely procedural floor session. Members also heard guest introductions recognizing the 20th anniversary of UC Merced and visiting interns and local officials. The Speaker reminded members about floor managers for Senate bills and noted several items were passed and retained on file or deferred during the day’s business. On the Daily File, the Assembly concurred in Senate amendments to AB 385 on park property and AB 1119 on teacher credentialing, both by unanimous 57-0 votes. The house also passed SB 351, a health practices measure presented as strengthening enforcement of California’s corporate practice of medicine rules and protecting the doctor-patient relationship, by a 61-0 vote. SB 697, relating to water rights adjudication and allowing the State Water Board to use technology such as drones for investigations, passed 55-0. The Assembly then took up SB 346 on local government and short-term rentals. Supporters said it would help cities collect transient occupancy taxes, enforce local ordinances, and identify unpermitted rentals; Assembly Members Bauer-Kahan, Papin, and Dixon spoke in favor, with Dixon describing local regulatory challenges from her time in Newport Beach. The bill passed 50-0. The second-day consent calendar was then approved. The remainder of the session was devoted to adjournment in memory remarks honoring Miguel Antonio Cano, Officer of the California Highway Patrol; Vincent Dino, a longtime Palmdale water district and civic leader; Andrew Meredith, a labor and building trades leader and former Galt mayor; and Erica Hoffman, a California School Boards Association advocate for public education. The Assembly then adjourned until Tuesday, September 2 at 1 p.m.

Transcript Highlights:

• It almost feels like it's everybody's job and then nobody's job, and I don't want people being like,
• and then nobody's it's everybody's job and then nobody's job<00:56:45.440><c> and</c><00:56:45.520><
• It's a 24/7, 365 job, and it's difficult.
• Our jobs are now moving back to a return-to-work status.
• Paul, get on new job. Kyle Raymond, thank you, Mr. Chair.

Keywords: 1187, senate, all

Transcript Highlights:

• Good job. The chair now recognizes the gentleman from Greene County, the majority leader.
• Well, you've done a great job.
• Well, you've done a great job.
• You've done a great job preparing this product, and I think it's done a service.
• I think the gentleman from Bates here has done a great job handling the bill.

Keywords: 959, house, all

Transcript Highlights:

• Texas has 600,000 open jobs that require a lot less administrative burden.
• And it's 69% for mobile home family construction.
• They're making more money in the fireworks stand than they were in their first job.
• One way to conclude your testimony, good job Chester. Hearing none, thank you.
• We appreciate the yeoman job that you did this last session, and you are our champion.

Bills: SB434, SB844, SB898, SB1177, SB1214, SB1454, SB1920, SB1927, SB1935, SB1965, SB2010, SB2046, SB2068, SB2073, SB2183, SB2260, SB3034, SB907

Keywords: SB 434, Harris County Hospital District, hospital district police, peace officers, commissioned officers, law enforcement authority, Health and Safety Code, Code of Criminal Procedure, public safety, hospital security, county hospital district, local government, Texas criminal procedure, district police, armed security, SB 898, low income housing tax credits, LIHTC, affordable housing, Texas Department of Housing and Community Affairs

Transcript Highlights:

• Clubhouses, like Genesis Club in Worcester, provide community and job training programs for those with
• I would say that in terms of the things that worry me the most since coming into this job, I think the
• How do we get to the place where there's less acute need because we've done a better job at preventing
• My job is to make sure that doesn't happen.
• What you're touching on is something that we call mobile integrated health, which is the delivery of

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs. EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle. MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.

Transcript Highlights:

• That would be the mobile app. So they're downloading an app to their mobile phone.
• If we designate someone that their job is every month when you get this report, it's your job to look
• If we designate someone that their job is every month when you get this report, it's your job to look
• And if they're working 50 jobs and getting paid 50 jobs but only showing one employer, but it pops up
• And if they're working 50 jobs and getting paid 50 jobs but only showing one employer, but it pops up

Keywords: 1185, senate, all

Transcript Highlights:

• Many students hold part-time jobs for public post-secondary institutions during their college years,
• Many students hold part-time jobs for public post-secondary institutions during their college years,
• Campus police have done an excellent job helping to prevent, as well as responding to incidents, and
• As was testified, the police did a great job.
• As was testified, the police did a great job in a horrible situation at FSU.

Keywords: 999, senate, all

Transcript Highlights:

• YOU DID AN AMAZING JOB AND THANK YOU FOR CONTINUING TO ADVOCATE FOR YOUR SON.
• OUR JOB IS TO PROTECT PEOPLE, TO PROTECT THOSE WE LOVE.
• I WOULD LIKE TO KNOW WHAT HIS FULL-TIME JOB IS.
• HIM A JOB HE BECAME THING DICTATED TOWARD HER.
• THEY DO AN AMAZING JOB.

Keywords: 999, senate, all