Video & Transcript Research : 'dementia services program'

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AR

Arkansas 2026 Regular Session

JOINT BUDGET COMMITTEE Mar 5th, 2026

JOINT BUDGET COMMITTEE

Transcript Highlights:
  • Previously, this program was housed with our Division of Provider Services and Quality Assurance.
  • Our community alcohol safety program is a program that provides services for individuals who've gotten
  • But the program... ...services, Quality Insurance, which is just another division within DHS.
  • disabled through community-based services and programs and at the five human development centers.
  • Through community-based services and programs and at the five human development centers.
Summary: The committee heard budget presentations and took executive recommendations on several Department of Human Services divisions, including Aging, Adult and Behavioral Health Services; Children and Family Services; County Operations; Developmental Disability Services; and Medical Services, with most divisions showing little or no significant change in total appropriations. Staff and agency witnesses repeatedly explained that many large appropriations are maintained for flexibility, federal matching requirements, or contingency needs, even when actual spending is much lower than the authorized amount. Members also raised concerns about staffing vacancies, long-vacant budgeted positions, and the use of excess appropriation authority across DHS. In Aging, Adult and Behavioral Health, members questioned federal funding levels for mental health and substance abuse grants, the status of senior centers and Meals on Wheels, the Medicaid tobacco settlement program, community alcohol safety grants, and the veterans mental health grant. Agency officials said federal block grants are largely committed, that senior center funding had been delayed by shutdown timing but was now back on track, that the tobacco settlement program had been moved internally within DHS, and that the veterans mental health appropriation remains unfunded. Senators also criticized the adequacy of support for seniors and asked for more detail on how transportation, meal services, and local contributions are funded. In Children and Family Services, members asked about rising appropriation levels, foster care and adoption subsidies, professional fees, the number of children in foster care, and the Children’s Trust Fund. DHS said increases reflect added flexibility for residential treatment, adoption subsidies, and prevention services, while the foster care population has remained fairly steady at about 3,400 children. The Children’s Trust Fund was described as supporting primary prevention programs such as Baby and Me and community schools, and members asked whether it could be administratively combined with other efforts. Questions also covered TANF subgrants, with DHS explaining that it had reduced outside subgrants after discovering over-obligation and was rebuilding reserves. In County Operations, members focused on the summer EBT program, SNAP employment and training, the farmer’s market program, and the state’s TANF reserve position. DHS said summer EBT is still being funded through temporary appropriations because it is a newer program, SNAP employment and training is largely federally funded and may expand under a pending policy change, and TANF reserves were drawn down after prior over-obligation but are now being stabilized. In Developmental Disability Services, members asked about vacancies, human development center staffing, facility construction funds, and the Booneville work program, and DHS said the program has reopened and staffing recruitment continues. In Medical Services, members asked about FMAP, the Our Kids B CHIP program, school-based Medicaid reimbursements, nursing home distress funds, and several large appropriation lines that far exceed actual spending; DHS said these are maintained for claims payment, nursing home receivership contingencies, and other flexibility needs. Each division reviewed was adopted by executive recommendation after questions concluded.
FL

Florida 2026 Regular Session

Health Policy Jan 14th, 2025

Health Policy

Transcript Highlights:
  • It's a program-based service, and it's managed by the Department of Children and Families.
  • services for eligible children born through 20 years of age in the Medicaid program, and early and periodic
  • program.
  • Last year, the program served over 41,000 women with 300,000 services.
  • services.
Summary: The Senate Health Policy Committee met to discuss maternal and infant health, beginning with a presentation from New Jersey’s Maternal and Infant Health Innovation Authority (MiHA). Pamela Taylor described New Jersey’s statewide effort to reduce maternal mortality and racial disparities through the Nurture New Jersey campaign, a strategic plan with more than 80 recommendations, universal home visiting, Medicaid-covered doula care, hospital report cards, limits on non-medically indicated early elective C-sections, and a new maternal and infant health innovation center. Senators asked about doula certification, funding, home visiting, and how New Jersey coordinates across agencies; Taylor said the authority uses quarterly stakeholder meetings, annual summits, and a tracker for recommendations, and that community input helped shape its programs. Florida Agency for Health Care Administration Deputy Secretary Brian Meyer then outlined Florida Medicaid’s maternal coverage and managed care structure. He reviewed eligibility and services for pregnant women, labor and delivery, postpartum coverage, newborn coverage, and family planning, noting 12 months of postpartum coverage, expanded benefits in managed care plans, and new contracts launching February 1 with more maternal-health-focused benefits, quality measures, and a new quality withhold incentive structure. Senators questioned doula certification and duplication with Healthy Start, provider access and network adequacy, kick payments, quality reporting, and whether Florida should consider broader eligibility standards; Meyer said many details are still plan-driven, that quality metrics are public, and that the agency is working on maternal-health work groups and incentives. Department of Health Division Director Shea Holloway followed with an overview of Florida’s maternal and child health programs and data. She cited Florida CHARTS data showing pregnancy-related deaths, severe maternal morbidity, and infant mortality trends, and described the Title V block grant, the Maternal Mortality Review Committee, the Florida Perinatal Quality Collaborative, the electronic prenatal risk screen, Healthy Babies, BH Impact for perinatal mental health, Healthy Start, WIC, family planning, telehealth maternity care, and the Pregnancy Care Network. Senators asked about delays in mortality review reporting, preterm birth, substance use disorder in pregnancy, WIC participation, cesarean rates, and the impact of the abortion ban; Holloway said the department is continuing to monitor outcomes, expand screening and telehealth, and use data and hospital partnerships to improve care. The committee then adjourned without further business.
CA
Transcript Highlights:
  • We have a conditional release program, which is a system of community-based services operated in partnership
  • Good morning, Chris Edens, Chief Deputy Director for Program Services at the department.
  • Chief Deputy Director, Program Services, Chris Edens, and I'm joined by Stacy Camacho, Deputy Director
  • Behavioral Services Act programs and practices, with a focus on the BHSA priority populations.
  • The BHSA did reimagine the required program components that were formally under the Mental Health Services
Summary: The subcommittee heard presentations from the Department of State Hospitals (DSH), the Commission for Behavioral Health, and the Department of Health Care Services (DHCS) on budget proposals and implementation updates. DSH outlined its proposed 2026-27 budget, including funding for patient operating expenses, IST solutions savings, conditional release program costs, LPS bed allocation changes, electrical infrastructure projects at Napa and Patton, SB 380 transitional housing feasibility work, and expanded dental services at Metropolitan and Patton. DSH also reported that it has met court-ordered IST treatment benchmarks in the Stiavedi v. Clinton case, with average time to initiate treatment down to about five days and pending placements reduced to roughly 250, while noting that Proposition 36 could increase referrals and SB 1323 may divert some individuals earlier into community-based treatment. Members asked about rising outside hospitalization costs, Medicare enrollment, the timing and structure of capital projects, and whether IST solution funds are being fully used; DSH said the savings reflect slower-than-expected ramp-up of community programs and that the Central California FACT replacement program is still on track for January 2027 activation. The Commission for Behavioral Health described its role under the Behavioral Health Services Act (BHSA), including data, evaluation, grantmaking, technical assistance, and transparency work. It highlighted the new statewide Innovation Partnership Fund, a five-year, $20 million-per-year program with small and large grant categories; the first RFA drew strong interest, with more than 400 questions and over 1,000 bidders’ conference participants. The Commission also discussed a proposed extension to spend down about $4.1 million remaining for the Alcove Youth Drop-in Center grants so sites can finish implementation and Stanford can complete the final evaluation. Members asked about grant duration, whether projects can be renewed, what qualifies as innovation, and whether the fund could support service delivery rather than awareness campaigns or training; the Commission said awards are expected to be three-year contracts and that proposals must be new or meaningfully expanded approaches that support BHSA priority populations. DHCS reviewed major behavioral health changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, updated specialty mental health access criteria, and new substance use treatment standards based on ASAM’s fourth edition. DHCS reported strong contingency management results, with more than 13,000 members served and 95% testing negative for stimulant use during treatment, and said 21 Indian health care providers have been approved to offer traditional health care practices. It also described BH Connect initiatives such as the $1.9 billion access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation by four counties, and transitional rent services. On BHSA implementation, DHCS said it is not tracking individual county contract cuts but is monitoring county plans and statewide outcomes, while stakeholders raised concerns about local prevention and service gaps. DHCS also outlined its H.R. 1 implementation strategy, including outreach, streamlined renewals, exemptions for disabled, substance use, and medically frail individuals, and proposed clinic navigator and outreach funding; it said it has not yet produced a focused estimate of H.R. 1 impacts on behavioral health populations. The discussion ended with DHCS noting that B-CHIP bond funding has supported 437 infrastructure projects, creating 546 new or expanded facilities and more than 9,500 residential beds across the state.
AR

Arkansas 2026 1st Special Session

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Jun 18th, 2026

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Transcript Highlights:
  • So people apply for programs. They don't apply for services.
  • Almost all other workforce and social services programs are delivered through those state systems, and
  • It creates a layer for one particular program that creates service delivery dysfunction across the array
  • It might be another type of service that's available through the array of these programs, but I'm not
  • It might be another type of service that's available through the array of these programs, but I'm not
Summary: The committee met to hear an update from consultants Mason Bishop and Cameron Christie on Arkansas’s “one door” or “no wrong door” workforce and social services modernization effort. The discussion focused on moving the state toward a work-first system that better connects job seekers, employers, education, and public assistance programs, with goals of increasing upward mobility, improving labor force attachment, reducing inefficiencies, and adapting to changes such as AI and other economic disruptions. The consultants argued that Arkansas’s current system is fragmented across multiple offices, portals, agencies, and funding streams, and that people often have to navigate separate doors for workforce services, TANF, SNAP, Medicaid, and related supports. Bishop repeatedly pointed to Utah as the model, describing how that state integrated workforce and human services into a single department, used cost allocation to blend funding behind the scenes, and saw improved customer service and outcomes after reform. He said TANF should be treated as a workforce program, not just a benefits program, and suggested that Arkansas could use TANF and other tools to cross-train DHS staff, co-locate services, and create a more unified service delivery model. Members asked about federal flexibility, waivers, and whether the state could use one large waiver or a broader restructuring to simplify the system. Bishop explained that a federal pilot authority proposal failed in Congress, so the current approach relies on waivers, cost allocation plans, and possible state-level changes. The committee also discussed the relationship between DHS and workforce offices, the role of local workforce boards, how disability and vocational rehabilitation cases would be handled, and how the governor’s Restore Hope/Hope Hub and faith- and community-based initiatives might fit into the broader plan. Bishop said Arkansas already has rehabilitation services within the workforce department and emphasized that case managers should focus on people rather than programs. No votes were taken. The chair said the committee would revisit case management at its August meeting and adjourned the meeting after thanking the consultants.
FL

Florida 2025 Regular Session

January 15, 2025 - 03:30 PM

Transcript Highlights:
  • agencies can bill the Medicaid program for the family home health aide services beginning October 1,
  • care program, the majority of which are enrolled in the Children's Medical Services Program.
  • There is a small population that remains in the fee-for-service program.
  • , and they can also provide services that aren't even state plan services and do additional services
  • And they can also provide services that aren't even state plan services and do additional services at
Summary: The subcommittee held its first meeting of the 2025-2026 term, took attendance, confirmed a quorum, and heard introductory remarks from members and staff. Chair Anderson outlined the subcommittee’s jurisdiction over access and affordability issues, including health facility regulation, insurance, Medicaid, CHIP, and state employee health coverage. The main agenda item was an update on implementation of HB 391, which created a family home health aide program for medically fragile children. Representative Tramont, the bill sponsor, explained that the law was intended to let trained family caregivers be paid through Medicaid to care for their children, reduce reliance on private duty nursing, and relieve families. He and several members expressed frustration that implementation had taken nearly two years and that families still faced barriers. Deputy Secretary Brian Meyer of AHCA and Bridget Royce of DCF said the program was implemented October 1, 2024, with billing available, but no home health agencies had yet launched the required 80-hour training program and no claims had been paid. They described the program’s requirements, including agency employment, background screening, training, a $25-per-hour Medicaid rate paid to the agency, and an annual assessment report. A major issue discussed was that income earned by family caregivers counts toward Medicaid eligibility and could cause families to lose coverage. AHCA and DCF outlined two possible fixes that would require CMS approval: disregarding the income for eligibility purposes or treating the child as a family of one. Members and public witnesses strongly urged changes to avoid forcing families to choose between income and coverage. Several providers said they had begun preparing training programs, but asked for clearer approval processes and more patient-specific training requirements. The committee then heard extensive public testimony from parents and caregivers of medically fragile children, who described the financial, emotional, and logistical strain of caring for children with severe disabilities and argued that the bill should be expanded to include Florida KidCare families and others in the coverage gap. They also raised concerns about the eight-hour-per-day limit, low pay, and the need for simpler rules and direct support. Home health providers and associations supported the concept but asked for modifications, including more targeted training and clearer implementation guidance. The meeting then shifted to a second agenda item on the Andrew John Anderson Rapid Whole Genome Sequencing Program, which was funded in the 2023 budget. Deputy Secretary Meyer said the program has been implemented since January 1, 2024, but utilization has been lower than expected, with only about 60 claims paid and many denials occurring through managed care. Public testimony from a lab, a hospital, and a pediatric rare disease expert said the program is clinically valuable and cost-saving, but managed care billing barriers, prior authorization issues, and DRG-related denials are limiting access; they urged direct billing to Medicaid and possible expansion to all newborns.
MN

Minnesota 2025-2026 Regular Session

House Fraud Prevention and State Agency Oversight Policy Committee 3/2/26

Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:
  • for the service to which and from which someone's receiving transportation in the program.
  • for the service to which and from which someone's receiving transportation in the program.
  • On the fee-for-service side, we have roughly 550 providers in the program, over 1,100 on the MCO side
  • Attorney's Office, and the Minnesota Department of Human Services Program Integrity Office.
  • And that's why the Medicaid program has said this is a critical service, which it is.
Keywords: 1183, house
Summary: The committee met on March 2 and approved the February 23 minutes after a quorum was reached. The main presentation was from the Department of Human Services on non-emergency medical transportation (NEMT), a federally required Medicaid benefit that helps Minnesota Health Care Program enrollees get to medically necessary appointments. DHS said the program served more than 250,000 people in 2025 at a cost of $127 million, with participation up about 14% over five years, and described the seven transportation modes, provider enrollment requirements, STS certification, background checks, prior authorization rules, and planned transitions to a single administrator for parts of the program in 2026 and 2027. DHS officials emphasized fraud prevention efforts, saying NEMT is one of the agency’s high-risk Medicaid services. They described enhanced prepayment review, provider revalidation and site visits, removal of inactive providers, and a provider moratorium in metro counties. Inspector General James Clark said the governor’s anti-fraud proposal would add pre-enrollment risk assessments, more staffing and technology, and electronic visit verification. He also noted that about 80% of NEMT spending is in managed care and that managed care organizations have their own compliance and special investigations units. Committee members raised concerns about fraud, oversight, and privatization. Chair Robbins questioned DHS about the absence of the commissioner and the program’s use of brokers, citing past concerns and asking about the vendor MTM’s history; DHS said the RFP for the new broker had closed and the vendor selection was still underway. Representative Pinto questioned why oversight is outsourced to managed care organizations and suggested bringing more oversight back in house. MTM representative Phil Stahlberger defended the company’s record, said the Missouri dispute was about contract terms from about 15 years ago, and said MTM currently works in Minnesota counties and many other states, with on-site reviews, trip verification, and complaint review processes. No further votes or final actions on the NEMT policy were taken in the portion provided.
AR

Arkansas 2026 Regular Session

JOINT BUDGET COMMITTEE Mar 5th, 2026

JOINT BUDGET COMMITTEE

Transcript Highlights:
  • Previously, this program was housed with our Division of Provider Services and Quality Assurance.
  • Our community alcohol and safety program is a program that is for providing services for individuals
  • But the program... Services, Quality Insurance, which is just another division within DHS.
  • Why don't we have a breakdown when it's a double service program that we're talking about when we're
  • disabled through community-based services and programs and at the five human development centers.
Keywords: 1204, all
CA

California 2025-2026 Regular Session

Senate Budget and Fiscal Review Committee Jun 15th, 2026

Budget and Fiscal Review

Transcript Highlights:
  • In health and human service programs, the agreement generally adopts a less extensive set of budget solutions
  • program, and some homelessness programs administered by the Department of Social Services.
  • a, program.
  • housing program.
  • housing program.
Keywords: 987, senate, all
CA
Transcript Highlights:
  • And so we will be able to keep them on the program if they are indeed exempt. Health Care Services?
  • that are available in a given county—employment and training programs, workforce services.
  • anti-hate work helped implement multilingual legal services, community healing programs, and rapid response
  • The Department will use its program evaluation findings to identify high-impact service models, such
  • stabilization program that includes homeless support and services received during the quarter as a metric
Summary: The Assembly Budget Subcommittee on Human Services held an informational hearing focused on the impacts of federal HR1 on CalFresh and Medi-Cal, along with related state mitigation efforts. CDSS, DHCS, DDS, county representatives, LAO, and Finance discussed automatic exemptions, data-sharing between departments, county workload, and the timing of implementation. CDSS said about two-thirds of adults ages 18 to 64 are already known to be exempt in CalFresh, and that administrative data matches could newly exempt about 200,000 of the roughly 955,000 adults potentially at risk. DHCS said Medi-Cal work requirements would begin in 2027 and the department is working to automate exemptions, including for IHSS recipients and some caregivers, while DDS said its population is expected to be covered by auto-exemptions. County welfare directors emphasized that individualized worker contact is critical, that counties need more staffing and stable funding, and that without it they expect delays, higher error rates, and reduced exemption screening capacity. Members pressed for written timelines, county-by-county impact data, and clearer guidance; the administration said it would provide follow-up materials and technical assistance. No votes were taken. The committee then heard a separate discussion on a proposed CFAP expansion or “CFAP Plus” concept to provide state-funded benefits to additional populations affected by HR1, including lawfully present non-citizens and ABODs. CDSS said implementation could not occur before October 1, 2027 because of policy and system-design constraints, and that adding unique eligibility rules would increase complexity and cost. Finance cautioned that any expansion would have General Fund impacts likely in the hundreds of millions to multiple billions. Members asked for cost estimates and technical feedback on trailer bill language, and CDSS said it would review the proposal and respond. The hearing also covered CDSS’s CalFresh strategic plan and mandated reporter training updates. CDSS said it is hiring a strategic plan lead to develop a long-term, data-informed CalFresh plan, and that the revised mandated reporter training is on track for launch in fall/winter 2026, ahead of the July 1, 2027 statutory deadline. The training will include updated content on structural racism, ICWA protections, implicit bias, and the distinction between reporting and supporting families. Members praised the work and asked for continued updates. Later panels focused on Promise Neighborhoods, Stop the Hate, and housing programs. Promise Neighborhood advocates and CDSS described the state’s prior $12 million investment, a positive evaluation showing roughly a 4-to-1 return, and a new proposal to support place-based partnerships and community schools through AB 1969. Stop the Hate grantees and CDSS reported that the program has provided direct services, prevention, and statewide coordination to millions of Californians, and urged reauthorization before funding expires; members asked for best-practice language and discussed focusing future funding on solidarity work, harm reduction, legal services, and education. Finally, CDSS presented on the CalWORKs Housing Support Program and Housing and Disability Advocacy Program, saying proposed General Fund investments of $105 million and $55 million would prevent funding cliffs and allow the programs to continue through 2026-27, while the absence of new funding would force reductions in housing assistance, subsidies, and enrollments.
CA
Transcript Highlights:
  • This includes being able to claim federal funding under the Family First Prevention Services Program,
  • This includes being able to claim federal funding under the Family First Prevention Services Program
  • agreements with their direct service providers, and the overarching program infrastructure that, if
  • Our child welfare programs leverage... Title IV-E dollars to provide direct services.
  • While we do not yet see significant impacts to our program and that delivery of services, we know that
Summary: The Assembly Budget Subcommittee on Human Services held an informational hearing on child welfare, foster care, child support, and related prevention efforts. The chair opened by emphasizing mandated reporting reform, foster care system improvements, and community-based prevention, and noted that no votes would be taken. Public testimony focused first on mandated reporting, where a lived-experience advocate and several organizations argued that the current system overreports families, especially Black, Native, and Latino families, causes trauma, and should be reformed through standardized training, clearer thresholds, and stronger community supports rather than more hotline referrals. Casey Family Programs cited data showing nearly 90% of reports are unsubstantiated, while CDSS said it is already forming a Mandated Reporting Advisory Committee, updating training, and exploring community pathways and possible changes to the list of mandated reporters. CWDA and SEIU supported training and alternative response concepts but stressed child safety, county capacity, funding, and the need for careful implementation and accountability. The committee then discussed a proposal to create a foster care multi-agency office within the California Health and Human Services Agency, led by a chief foster youth advocate with authority to coordinate across departments. Advocates said foster youth often need services from education, health, housing, and behavioral health systems that do not coordinate well, and argued that a central office with real authority could improve placement stability and access to services. CDSS responded that existing structures already provide coordination, including AB 2083 interagency teams, the Child Welfare Council, complex care steering committees, and the foster care ombudsperson, but said it was open to technical assistance. Members raised concerns about whether the new office would have enough authority and funding to avoid becoming another layer of bureaucracy, and the chair emphasized the need for real “teeth” and better interagency action. The final major topic was the continuation and expansion of Promise Neighborhoods. A community leader described strong early results from the state-funded neighborhoods, including improved kindergarten readiness, reduced chronic absenteeism, higher graduation rates, food access, housing supports, and mental health services, but warned that current funding sunsets in June 2025 and that a fiscal cliff could jeopardize staff and services. CDSS said the four funded neighborhoods have reported positive outcomes and valuable flexibility, but also noted challenges with one-time funding, student mental health, and long-term planning. Assemblymember Mia Bonta urged continued investment, saying the place-based model is difficult to rebuild once lost, and the chair asked LAO to help identify the minimum funding needed to preserve the existing infrastructure while evaluation results are still pending.
HI

Hawaii 2025 Regular Session

HSH Public Hearing - Thu Feb 6, 2025 @ 10:00 AM HST

Human Services & Homelessness

Transcript Highlights:
  • > $3 programming Services um approximately $3 programming Services um approximately $3 million
  • Go to procure services for shelters across the state, and would like not to start another program for
  • Angie, with the Institute for Human Services, testified that the center started out as a pilot program
  • services within some other existing program?
  • in the office of Youth um program in the office of Youth um services<01:42:19.000> and<01:42:
Keywords: 910, house, all
Summary: The House Committee on Human Services and Homelessness met on February 6, 2025, and heard testimony on several measures. HB 44, which would appropriate funds to the Department of Human Services to work with community-based organizations on social services needs, drew broad support from nonprofit providers and coalitions that said contracts and reimbursement rates have not kept pace with the actual cost of services, leaving agencies unable to retain staff or meet demand. DHS said it supported the bill’s intent but asked for clarification because the language was broad and did not specify which organizations or how funds should be allocated. Committee members and the bill’s introducer discussed how to make the measure more specific and equitable, including whether to set a percentage increase, use a baseline date, and direct DHS to distribute funds among different program areas; the True Cost Coalition and DHS agreed to follow up in writing with proposed language and a funding number. The committee then heard HB 1349, which would authorize Medicaid/CHIP coverage for income-qualified pregnant persons and children regardless of immigration status. Supporters, including the Legal Clinic, Aloha Care, and the Hawaiʻi Coalition for Immigrant Rights, said the bill would improve prenatal and child health, reduce the chilling effect of immigration enforcement on care-seeking, and help prevent premature or underweight births by ensuring earlier access to providers. DHS provided comments and the committee asked where the measure would fit in the budget; the department identified the relevant budget code. Written testimony in support came from multiple advocacy and health organizations and dozens of individuals. Finally, the committee heard HB 613, which would appropriate funds to DHS for emergency shelter and services for unaccompanied homeless youth. The Office of the Public Defender, the Statewide Office of Homelessness and Housing Solutions, the Office of Youth Services, Rise, the Hawaiʻi State LGBTQ+ Commission, and others supported the bill, emphasizing youth homelessness, the need for coordinated shelter and outreach, and the high share of LGBTQ+ youth among homeless minors. OYS asked that the committee consider funding its existing Safe Spaces pilot rather than creating a new program, while DHS said it supported the intent but wanted clarification because multiple department programs could be implicated. No votes were taken during the hearing; the chair instead requested follow-up language and funding information for HB 44 and continued the measures for further consideration.
AR

Arkansas 2026 Regular Session

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Jun 18th, 2026

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Transcript Highlights:
  • And so people apply for programs. They don't apply for services.
  • Almost all other workforce and social services programs are delivered through those state systems, and
  • I money going to local boards does is create a layer for one particular program that creates service
  • It might be another type of service that’s available through the array of these programs, but I’m not
  • They're not seen as workforce programs. ...being seen as welfare programs.
Keywords: 1204, all
NM

New Mexico 2025 Regular Session

IC - Federal Funding Stabilization Subcommittee Aug 1st, 2025

Federal Funding Stabilization Subcommittee

Transcript Highlights:
  • That's just a direct payment from our Medicaid program to those providers for those services for individuals
  • Each state develops its own Medicaid program within federal guidelines outlining services covered, eligibility
  • Be enrolled in a qualifying activity, which could be work, community service, or an educational program
  • Your school-based services program chart.
  • For fiscal year 24, New Mexico Medicaid School-Based Services Program reimbursed schools around $96 million
TX

Texas 89th 2nd C.S.

S/C on Telecommunications & Broadband Mar 24th, 2025

S/C on Telecommunications & Broadband

Transcript Highlights:
  • Service quality.
  • For broadband services.
  • is a competitive grant program to award grants to expand the availability of high-speed internet service
  • The BDO is in the process of developing a pilot program to identify internet service providers that offer
  • So we had over 100 applications for that program. Um, now this program was a county level.
MN

Minnesota 2025-2026 Regular Session

House Fraud Prevention and State Agency Oversight Policy Committee 9/17/25

Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:
  • program and the integrated community services program.
  • services program and the integrated services program and the integrated community<00:04:25.440><
  • c> services<00:04:25.919> program.
  • > a<00:55:51.520> service program masquerading as a service program masquerading as a service
  • community services and other programs?
Keywords: 1183, house
HI

Hawaii 2025 Regular Session

LBT/LAB Joint Info Briefing - Tue Aug 19, 2025 @ 10:00 AM HST

Hawaii House Floor Meeting

Transcript Highlights:
  • <00:10:21.440> provides<00:10:21.920> services<00:10:22.320> to CSBG program
  • provides services to CSBG program provides services to low-income<00:10:23.600> and<00:10:23.839
  • CSBG also allows us to experiment with different programs and services that we feel are needed in the
  • that different programs um and services that different programs um and services that we<00:20:06.559
  • <00:43:32.800> or programs that the CAAS are servicing or programs that the CAAS are servicing
Keywords: 910, house, all
Summary: A joint informational briefing of the House Committee on Labor and the Senate Committee on Labor and Technology was held on August 19, 2025, to hear testimony on the Office of Community Services’ proposed Community Services Block Grant state plan for federal fiscal years 2026 and 2027. Ray Domingo of OCS explained that the plan is intended to maintain federal CSBG funding and focuses on compliance monitoring, coordination among community action agencies and state agencies, and strengthening partnerships. He also reviewed the program structure, noting that Hawaii’s four CAAs serve low-income residents, that the state must pass through at least 90% of the grant to CAAs, and that Hawaii received about $3.8 million in FFY 2025, with allocations to HCAP, Hawaii County Economic Opportunity Council, Kauai Economic Opportunity, and Maui Economic Opportunity. He said statewide CAAs reported serving 40,980 individuals in FFY 2024. Representatives from each CAA testified in support of the plan and described how CSBG functions as flexible “glue” funding that supports overhead, fills gaps, and helps leverage other public and private resources. HCAP’s Robert Piper said the grant helps sustain its broad service network, including Head Start, job training, weatherization, shelter, food assistance, and energy programs, and emphasized its tripartite board structure and annual service to about 20,000 people. Hawaii County’s Chad Hosigal highlighted support for senior farmers market coupons, Meals on Wheels, and transportation services. Kauai Economic Opportunity’s Mabel Fujiuchi said the agency fully supports the plan and described CSBG as nucleus funding that helps support shelter, Meals on Wheels, weatherization, mediation, and other services, including assistance for homeless families and special needs items such as dentures and hearing aids. Maui Economic Opportunity’s Gay Sabonga described CSBG’s role in disaster response after the 2023 wildfires, including shelter transitions, document recovery, housing and utility assistance, bridge grants for small businesses, youth prevention programs, and employment services. Committee members asked about the stability of future federal funding, the frequency of federal assessments, and how satisfaction scores in the state plan were measured. OCS said federal funding information has been mixed and uncertain, that communication with federal partners has been limited and informal, and that the federal assessment website appears outdated; staff said assessments are done every two years. On the satisfaction metric, OCS said the score was 92 out of 100 and believed it reflected participant responses, though they offered to follow up with more detail. No votes or formal actions were taken at the informational briefing.
CA

California 2025-2026 Regular Session

Assembly Human Services Committee May 1st, 2025

Transcript Highlights:
  • CARF is a private nonprofit organization that accredits various human service programs throughout the
  • Employment programs are the only type of service coordinated through regional centers that require outside
  • CARF is a private nonprofit organization that accredits various human service programs throughout the
  • It has adverse effects on the programming and client services, especially when it is duplicated by state
  • Since 2015, California's immigration legal aid programs have provided free legal services to tens of
Summary: The Assembly Human Services Committee met with quorum established after beginning as a subcommittee. The committee heard AB 790, which would require jurisdictions receiving state homelessness funds to develop systems specifically supporting women and children, especially single mothers and survivors of domestic violence. Supporters said current homelessness programs overlook this population; the bill was amended and passed unanimously on a 7-0 vote. The committee also heard ACA 4, the Housing Opportunities Made Equal Act, which would dedicate a minimum share of the state general fund to affordable housing and homelessness programs. Supporters argued more stable funding is needed to address the housing crisis, while opponents questioned whether more spending would help; the measure passed 5-2 to the Assembly Appropriations Committee. Members then heard AB 349, which would index the infant supplement for parenting foster youth to inflation. The author and sponsor described the needs of pregnant and parenting teens in foster care and rising costs for diapers and formula; the bill passed 6-0 to Appropriations. AB 779, which expands a domestic violence consultant pilot in child welfare offices statewide, also passed 6-0 after testimony that it would help keep families together safely and improve trauma-informed responses. AB 1335, which would remove a private CARF accreditation requirement for regional center employment programs and rely on state oversight instead, drew support from disability service providers but opposition from the chair over concerns about weakening quality checks; it failed on a 2-2 vote and reconsideration was denied. The committee also considered AB 1066, a bill to bar state-funded immigration legal services for people unlawfully present in the country who have certain serious felony convictions. Supporters framed it as a public-safety and fiscal-responsibility measure, while opponents said it would restrict due process and align California with mass-deportation policies. The bill failed on a 2-2 vote. Two bills, AB 277 and AB 318, were pulled by the author and not heard. After final roll calls on absent members, the committee adjourned.
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Jun 27th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • We are looking at all waiver programs and all services, uh, for that rate study.
  • Um, right now there are no direct cuts to the DD waiver services program. Being proposed.
  • Health Services Division has close to 10 programs that do housing in different shapes and forms.
  • Um, through the program, we got him into other supportive services including MOUD.
  • Those services are typically the living support services and the day program services for the traditional
OK
Transcript Highlights:
  • I'm a programs manager for Developmental Disability Services Division of Oklahoma Human Services.
  • We also have the state-use program that we use that does product and services as well.
  • Are there, you have quite a diversified program range and services? That's great.
  • Are there you have quite a diversified program range and services?
  • Are there— you have quite a diversified program range and services.
Keywords: 914, all
Summary: The committee/task force met with several disability service providers to discuss integrated employment, transition services, and barriers to community jobs for people with intellectual and developmental disabilities. Robin Arder and Belinda Stevens of ThinkAbility described creating their own businesses when community employers were not hiring their clients, and said rigid service rules, employer readiness, bullying, and reimbursement structures often force the person to fit the service rather than the service fitting the person. They said they have not seen clients lose benefits, but they do closely manage reporting to Social Security and related supports. Tina Hannah of South Central Industries described a broad business model that includes manufacturing, janitorial work, city beautification, state-use contracts, a food truck, and an entertainment trailer, along with an adult day program and residential services. She said many employers are hesitant because of productivity and cost concerns, and that businesses are often more open to contracting with her agency than hiring individuals directly. Miranda Figueroa of A New Leaf said her agency is moving toward a more person-centered model with sheltered work, volunteer sites, paid contracts, and a Transition Academy. She said the academy is a two-year program focused first on independent living and then on employment, with internships and an 85% placement rate, but funding is a major barrier because the program is not accredited and students cannot access traditional aid. She also cited dual diagnoses, inconsistent job coaches, and employer uncertainty as major obstacles. Angela Decker and Deborah Copeland of DRTC described DRTC’s long-running enclave contracts, a new Community Skills and Connections program, and a plan to phase out 14(c) subminimum wage use by the end of the year. They said the new program is designed to keep people engaged in community-based skill-building and networking while families still need day supports, and that DRTC has developed more than 100 community partnerships. Senator Kirt, Rep. Hefner, and participants discussed broader system issues, including the need for better school-to-work transition, more social integration, transportation, safety, and employer education. DRS staff said the agency is already required to provide pre-employment transition services in schools starting at age 14 and offers employer accommodations support and job-carving assistance, though they acknowledged federal reporting expectations and service rules can be restrictive. Several participants raised concerns about line-of-sight restrictions, congregate living rules, benefit cliffs, and the difficulty of moving from DDS to DRS services. The group also discussed the need for better data and possible working groups focused on in-school transition, program support and blending services, and community integration. No formal votes were taken.
FL

Florida 2025 Regular Session

Health Policy Jan 14th, 2025

Transcript Highlights:
  • So doula services are covered. There's increased prenatal services.
  • that program.
  • And we divide this between us and our Children's Medical Services program at the department as well.
  • Our family planning program is available and 67 county health departments at 140 sites services can include
  • Last year, the program served over 41,000 women, 300,000 services and then for the actual wellness services
Keywords: 999, senate, all