Transcript Highlights:

• services and HIV supports.
• ><c> and</c><00:15:03.240><c> supports</c><00:15:03.600><c> for</c> long-term care services and supports
• , easing access and navigation for families, and improving services overall.
• by providing food assistance, cash assistance, child support services, and employment services. assistant
• </c><01:30:03.159><c> services</c> and family services and family services Administration<01:30:05.520

Keywords: 1187, senate, all

Transcript Highlights:

• and services to behavioral support and services to enhance<00:01:46.719><c> the</c><00:01:46.840><c>
• </c> with this level of housing with Support with this level of housing with Support Services<00:02:38.599
• have replaced it with day support services.
• And so when they say common support services, common menu of services, they have dumbed it down.
• Services common menu say common Support Services common menu of of of services<01:43:19.199><c> they

Keywords: 1183, house

Transcript Highlights:

• Since then, we've had over 7,000 views of our videos, the highest ones being child support and family
• Inland County's legal services sees on the daily, how targeted legal help can stabilize a family and
• Both of our organizations, Tessie’s and mine, do provide support around family law issues.
• Whether a parent seeking a timely child support or child custody order, a family settling in a state,
• I'm here to speak in support of issue three for deportation and defense services.

Keywords: 987, senate, all

Transcript Highlights:

• Previous LFC reports have highlighted student support services and the positive impact those can make
• Lack of support is an immensely important issue for foster families.
• That's not a family. We didn't have the supports then.
• And that's the Child and Family Service Review that the federal government does. That's dated 2025.
• , to assess children, and to provide services to those families and kids.

Transcript Highlights:

• Family child care supports families working non-traditional hours, such as farm workers, nurses, and
• She said the change would help families access full-day, full-year services.
• other family supports.
• And you asked a question: how can we reinvent our systems to support families?
• Child care helps my family by giving me child care service so my mom could go to work.

Keywords: 988, house, all

Transcript Highlights:

• Respite is a vital service that supports families throughout the state, and access to safe and reliable
• We know that respite is a critical upstream service that supports families, and without access to reliable
• > to</c> disability services that support them to disability services that support them to live<00:42
• those</c> providing services and support for those providing services and support for those who<00:57
• those</c> provide services and supports for those provide services and supports for those who<00:58:

Keywords: 1187, senate, all

Transcript Highlights:

• long-term services and support systems that allow individuals to remain safely in their homes.
• long-term services and support systems that allow individuals to remain safely in their homes.
• industry and support systems and Across the long-term care services industry and support systems, and
• My family and I have spent most of our lives in public service.
• of the disease and can be better prepared to support their clients and their families.

Keywords: 995, all

Summary: The Joint Committee on Aging and Independence held a hearing on several bills, led by Chair Tom Stanley and Senate Chair Patricia Jehlen. The committee first heard testimony on H. 765/S. 487, an act relative to councils on aging, which would update outdated statutory language and allow directors of councils on aging to make staffing decisions when a council is structured as an advisory body. Representative Donahue and Betsy Connell of the Massachusetts Association of Councils on Aging said the change reflects how most councils now operate and would resolve conflicts like the one that arose in Sherborn. Members asked about whether the bill would affect town managers, volunteer roles, and whether the language should more clearly exempt informal volunteer help; supporters said the bill is aimed at municipal staffing structures, not unpaid volunteer assistance. The committee then took extensive testimony on H. 789/S. 470, an act to improve Massachusetts home care, which would create a statewide licensure system for non-medical home care agencies and entities. Julie Watt, Jay Krillovich, Betsy Krimmins, Lisa Gargoni, Tim Foley, and several providers and advocates supported the bill, arguing that licensure would establish baseline standards for background checks, training, service plans, insurance, complaint procedures, and labor-law compliance, while helping consumers identify legitimate providers and reducing fraud and abuse. Several witnesses described problems with unlicensed or poorly supervised providers, and family members and dementia advocates emphasized the need for dementia-specific training and better oversight for vulnerable clients. Tim Foley also raised concerns about private equity’s growing role in home care and said stronger regulation is needed to protect consumers and workers. Committee members focused on practical questions about the bill’s scope, including whether it would reach informal paid helpers, volunteers, or people doing occasional household tasks, and what agency would enforce the rules. Supporters said the bill is intended to cover entities advertising home care services, not unpaid volunteer help, though they acknowledged regulators would need to work out details. John Sneeth of Tribute Home Care offered a more cautious view, saying licensure should not unduly burden smaller providers or reduce competition, and that enforcement would be key. The hearing also included testimony from the Alzheimer’s Association and family caregivers, who strongly supported the bill’s dementia-training provisions and described how trained caregivers improved safety and quality of life for people living with Alzheimer’s and dementia. At the end of the hearing, the committee also heard support for H. 778/S. 473, regarding the Commission on LGBTQ Aging, with Lisa Krinsky urging funding for a full-time director and continued support for the commission’s strategic plan. After public testimony concluded, the committee adjourned the hearing by motion and voice vote.

Transcript Highlights:

• </c><01:26:23.080><c> family</c> provides flexibility to support family provides flexibility to support
• Prevention services such as family counseling, mental health support, substance use treatment, family
• Prevention services such as family counseling, mental health support, substance use treatment, family
• Prevention services such as family counseling, mental health support, substance use treatment, family
• Prevention services such as family counseling, mental health support, substance use treatment, family

Keywords: 1187, senate, all

Transcript Highlights:

• We have over 6,000 veterans getting child support services.
• We have over 6,000 veterans getting child support services.
• Legal services is one; support services for homeless veterans is another.
• Legal services is one, support services for homeless veterans is another.
• This actually brings those services, the supportive services, on site, actually in the location where

Summary: The Assembly Committee on Military and Veteran Affairs held an informational hearing focused on the effects of federal budget cuts and policy changes on veterans, military readiness, and California’s veteran support systems. The chair and members emphasized that federal reductions to the VA, Medicaid/Medi-Cal, SNAP, and the federal workforce are disproportionately harming veterans by threatening health care, employment, housing, crisis lines, and suicide prevention services. The chair also highlighted California’s progress on veteran homelessness and the importance of preserving state programs that leverage federal dollars. Major General Matthew Beavers of the California Military Department described the department’s structure, its response to the Los Angeles fire emergency, and concerns that federal cuts could reduce readiness through less training, older equipment, and fewer resources. He also discussed state programs such as Work for Warriors, STARBASE, youth and community schools, and the counterdrug task force, saying they are valuable but vulnerable if funding is redirected away from readiness. Members asked about the impact of federal changes on the Guard and how the Legislature could help, and Beavers said the state should advocate for recapitalized equipment and continued support for key programs. A second panel focused on veterans’ benefits and claims support. CalVet, Los Angeles County, and Swords to Plowshares testified that county veteran service officers, legal aid, and community-based partnerships are essential to helping veterans access VA benefits, especially after the PACT Act expanded eligibility and increased claims volume. Witnesses said these services bring substantial federal dollars back to California, but county offices and legal providers are underfunded and overburdened. Members discussed data sharing, staffing shortages, and the need for more resources to reach veterans who are not connected to VA care. In the final panel on mental health and suicide prevention, CalVet and nonprofit providers described state-funded programs such as the Veterans Support Self-Reliance program and the California Veterans Health Initiative, which place services in permanent supportive housing and provide no-cost counseling statewide. Witnesses said these programs are showing measurable improvements in health, medication adherence, and emergency room use, but they depend on sustained funding and are vulnerable to step-down grants and federal instability. Committee members expressed support for the programs and raised questions about access, staffing, and the role of non-veteran family members in Vet Center services.

Transcript Highlights:

• Hi, Annie Thomas on behalf of the California Alliance of Child and Family Services and support.
• Annie Thomas, on behalf of the California Alliance of Child and Family Services, in support.
• Annie Thomas, on behalf of the California Alliance of Child and Family Services in support.
• So we believe this measure offers essential support for families navigating increasingly challenging
• This allows the state to identify breakdowns early, support local workers, and ensure families don't

Summary: The Assembly Committee on Human Services met to hear several measures focused on children, foster youth, farmworker families, and disaster assistance. AJR 12, recognizing May 2025 as Head Start Month and urging Congress and the President to protect and increase Head Start funding, was presented by Assemblymember Hadwick on behalf of Assemblymember Arambula. Testimony emphasized Head Start’s role in early education, health, and family support, especially in rural and low-income communities. The resolution passed 6-0. The committee also heard SB 624, which would expand access to the California Foster Youth Tax Credit by requiring counties to mail notices and provide guidance to non-minor foster youth about filing taxes and claiming the credit. Supporters from John Burton Advocates for Youth and former foster youth described the credit as a meaningful poverty-reduction tool that helps with rent, transportation, and other basic needs. Members praised the bill, and it passed 7-0 as amended to the Assembly Appropriations Committee. SB 778 would broaden eligibility for the Migrant Child Care and Development Program by redefining migrant agricultural worker family and allowing self-certification of income eligibility. Support came from the Mexican American Opportunity Foundation, California Citrus Mutual, and First 5 California, with witnesses saying the changes would ease enrollment for farmworker families facing seasonal and verification challenges. The bill passed 7-0 to Appropriations. The committee also approved a consent calendar containing SB 444, SB 471, and SB 792, all on a 7-0 vote. Finally, SB 739 would authorize the Department of Social Services to check whether counties in disaster areas can provide timely CalFresh and Disaster CalFresh services, aimed at improving coordination when local systems are damaged or overwhelmed. Supporters said the bill would help protect access to food benefits after disasters, and members noted its importance in light of recent Los Angeles County emergencies. The bill passed 7-0 to Appropriations, and the meeting adjourned after all items were acted upon.

Transcript Highlights:

• Then you have student support, instruction support, administration, plant operations, food service, transportation
• From the classroom and into support services and plant operations.
• I support this because I support military families and I support educational stability.
• That includes military families. And so I don't support this measure.
• If we really wanted to support our families, our military families, we would put in wraparound services

Summary: The House convened, completed roll call, approved the journal, and took up several Senate bills and one Senate concurrent resolution through motions to reconsider, return bills for reconsideration, and refer measures to additional Committee of the Whole sessions for further amendment. Early actions included returning SB 1175 and SB 1198 to the Senate for reconsideration, rescinding passage of SB 1336 so it could be reconsidered, and referring SB 1111 and SB 152 to an additional COW. The House also recognized Representative Travers for a personal privilege statement honoring National Women Veterans Recognition Day and recorded attendance. In Committee of the Whole, members adopted floor amendments and recommended passage for SB 1511, SB 1552, SB 1198, SB 1110, SB 1618, SB 1431, and SCR 1004, with some debate on SB 1110’s home-confinement/reentry program, SB 1618’s Military Affairs Commission changes, and SB 1431’s city and town authority over residential project standards and streetscapes. The House later adopted the COW reports and moved the measures to engrossing or third reading as appropriate. SB 1336 and SB 1519 were also advanced from committee, while SB 1004 was reconsidered and ultimately failed on reconsideration. On third or final reading, the House passed SB 1127, SB 1180, SB 1428, SB 1198, SB 1336, SB 1511, SCR 1004, SB 1552, HB 2104, HB 2105, HB 2114, HB 2311, HB 2729, and HB 4117. SB 1687, SB 1004, SB 1519, and SB 1502 failed. Members explained votes on several measures, including support for tax administration clarity in SB 1180, objections and support for the May primary proposal in SB 1687, concerns about sex offender monitoring in SB 1004, support for the Arizona Beef Council in SB 1198, and debate over the photo enforcement referral in SCR 1004. The session also included recesses for caucuses, lunch, and dinner, plus a brief technical outage of the live stream.

Transcript Highlights:

• Prior to 1999, the Department of Children and Families directly managed this continuum of services using
• Prior to 1999, the Department of Children and Families directly managed this continuum of services using
• that are being served through family support, in-home and out-of-home services, the percentage of cases
• As was mentioned, I have the pleasure of serving as the President and CEO for Family Support Services
• That is one of the things that Family Support Services has... ...has been known for for many years.

Summary: The Human Services Subcommittee held its first meeting of the term and heard introductory remarks from the chair, vice chair, ranking member, and members, who broadly described their interest in child welfare, mental health, aging services, homelessness, and agency accountability. The chair then outlined the subcommittee’s jurisdiction, including child welfare, mental health and substance abuse safety net services, domestic violence, developmental disabilities, elder services, and child support, and introduced the Department of Children and Families (DCF) as the first agency panel for the term. DCF presented an implementation update on HB 7089, a 2024 law aimed at increasing accountability and transparency for community-based care (CBC) lead agencies that deliver most child welfare services under contract. The department said the bill was prompted by forensic examinations that found problems such as noncompetitive procurement, related-party transactions, excessive executive compensation, and weak financial oversight. DCF described new contract requirements and monitoring tools covering board governance and annual training, conflict-of-interest disclosures, financial penalties for noncompliance, fidelity bond requirements, limits on direct service provision by lead agencies, related-party procurement rules, procurement thresholds, real-property approvals, compensation caps, expanded public reporting, and a new Future of Child Protection and Funding Work Group. DCF reported that some lead agencies had completed required board training, others were still on schedule, and two agencies exceeding the direct-service threshold had been referred to the Auditor General. Members asked DCF about the reasons for the bill, the impact on children, the work group’s regional representation, aging-out youth, the Embrace Families transition, board training requirements, and whether enforcement actions had been taken. DCF said the bill was intended to protect funds for children and families and improve oversight, and clarified that the Central Florida lead agency contract was awarded through competitive procurement rather than an absorption. DCF also said the board training was designed to be meaningful but not overly burdensome, with timing left partly to lead agencies as they implement the new requirements. The committee then heard from two CBC leaders, who generally supported the accountability goals of HB 7089 and said their agencies had already addressed most of the new governance and disclosure requirements. They reported that board training had been completed or was being scheduled, but both agencies said the fidelity bond requirement has been difficult or impossible to obtain in the market as written, though they were able to secure the separate performance bond. The CBC witnesses also warned that recruiting providers is increasingly difficult, especially for higher-acuity children and group-home placements, due to limited provider supply, regulatory burden, insurance costs, and rising risk. They said these pressures are contributing to budget deficits in some areas and urged lawmakers to consider the funding model, insurance and indemnification issues, and the risk of overregulation reducing provider participation.

Transcript Highlights:

• So, through the long-term services and supports financing initiative and with the support of the Urban
• and supports. ...to afford the cost of $50,000 worth of long-term services and supports per year without
• and supportive services.
• , supportive services, and caregiving.
• First, CBHA supports continued investment in adult day services and community-based adult services.

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:

• . the Bureau of Family Centered Services. the Bureau of Family Centered Services.
• , meals, um congregate housing, services, meals, um congregate housing, family<00:58:30.559><c> support
• to make sure that case workers have those supports and services at their ready to offer the families
• to make sure that case workers have those supports and services at their ready to offer the families
• to make sure that case workers have those supports and services at their ready to offer the families

Keywords: 1191, senate, all

Transcript Highlights:

• , Bureau of Child Support Services.
• , Bureau of Child Support Services.
• </c> support orders and we also help families support orders and we also help families enforce<00:22:
• /c> families receive child support really is families receive child support really is an<00:23:13.600
• They're really just a core service to that tier and support multiple families accessing the community

Keywords: 928, house, all

Summary: The meeting began with committee process reminders from the chair, including rules for questioning witnesses, time limits for testimony, and how motions and committee reports are handled. The chair also discussed the committee’s history, emphasized a cooperative approach with agencies and the Judiciary, and noted that a special committee on the Family Division of Circuit Court had previously done useful work; he said a new subcommittee could be appointed later to continue looking at judicial-system issues. He also mentioned that the Speaker’s office was expected to name members to the DHHS oversight committee by Friday at 1. The substantive presentation was from the Department of Health and Human Services’ Bureau of Child Support Services. Attorney John Williams introduced the bureau team, and Bureau Chief Lisa Dekowski described the program’s mission: encouraging responsible parenting, family self-sufficiency, and child well-being by locating parents, establishing paternity, setting or modifying support orders, and enforcing court-ordered child and medical support. She said the bureau operates statewide under Title IV-D of the Social Security Act, works with courts, employers, and other partners, and serves both in-state and out-of-state cases, with some international and tribal coordination. She also cited program scale, saying the bureau dispersed about $76 million to families in New Hampshire in fiscal year 2023 and that most collections go directly to families. Members asked about enforcement tools, especially passport denial. In response to a question about a case involving a very small shortfall, the bureau said the federal passport-denial threshold is $2,500 in arrears, not a few cents, and that denial remains in place until the balance is resolved or an arrangement is made with the agency, with hardship factors potentially considered. The bureau also explained that either parent can apply for services when a child support order exists and that the bureau can help initiate income withholding orders. No votes or formal actions were taken during this portion of the meeting.

Transcript Highlights:

• This is a unique time for families to receive life-saving and life-changing supports.
• They're connected to social services, and they have chances to build support networks.
• our foundation of support, navigation, home-based services, prevention, and connection.
• By 2021, home visiting and peer support were bringing services directly into family homes.
• And they want to build these models of 24/7 intensive services around families.

Summary: The Senate Health and Long-Term Care Committee met on July 30, 2026, to hear two main briefings. The first, from the Health Care Authority, focused on implementation of federal H.R. 1 Medicaid changes and Washington’s rural health transformation funding. HCA said the state is preparing for major eligibility changes, including the October 1 loss of Medicaid coverage for about 14,000 lawfully present non-citizens and January 1, 2027 work requirements, six-month renewals, and reduced retroactive coverage for roughly 600,000 Medicaid expansion adults. Officials described outreach efforts, new automated verification systems, a verification hub, and plans to use available data sources to reduce manual paperwork, while noting that about one-third of the affected population may still need manual processing. They also said H.R. 1 will limit state-directed payments over time, with an estimated long-term impact of up to $1.5 billion in hospital reimbursements. On rural health transformation, HCA said it is moving quickly to obligate its $181 million federal award through contracts and competitive grants for rural hospitals, workforce, behavioral health, technology, and tribal and community partners. Committee members asked about the impact on rural providers, community service as a work-requirement pathway, emergency Medicaid, tribal and federal reimbursement issues, and whether the state would submit comments on the federal work-requirement rule. HCA said it would file comments, that emergency Medicaid coverage for certain services remains available, and that it is working with tribes and other agencies to avoid erroneous terminations and to move eligible people into other coverage where possible. Members also raised concerns about the administrative burden on families and providers and the need for congressional attention on issues such as TRICARE reimbursement. The second briefing addressed maternal health and the Department of Health’s Maternal Mortality Review Panel report. DOH said maternal mortality in Washington increased for the first time in the report series, but most pregnancy-related deaths remain preventable. Nearly half were linked to behavioral health conditions, especially overdose deaths, with suicide, cardiovascular disease, and COVID-19 also significant causes; most deaths occurred postpartum rather than during delivery. The report found higher mortality rates among American Indian and Alaska Native, Black, Native Hawaiian, Pacific Islander, multiracial, rural, and Medicaid-covered populations, and identified lack of access to care, financial hardship, housing instability, discrimination, bias, and systemic inequities as major contributors. DOH highlighted existing state actions such as one-year postpartum coverage, doula reimbursement, inpatient substance use treatment coverage for birthing people, and vaccine coverage requirements, and offered 12 legislative recommendations focused on affordable and high-quality care, basic needs and community supports, and equitable, culturally responsive services. Presenters from the Suquamish Tribe and Kitsap OBGYN described how the tribe acquired and stabilized a threatened OB-GYN practice to preserve regional access amid provider shortages and hospital service losses. They said rural obstetric care is difficult to sustain because of thin margins, workforce shortages, long travel distances, and higher-risk patients, and emphasized that tribal health systems can offer stronger reimbursement and integrated family-centered care. The Foundation for Healthcare Quality and the Bree Collaborative then outlined statewide maternity-care quality efforts, including work on perinatal behavioral health, care coordination, postpartum screening, doula support, and better-aligned payment models. They said Washington has strengths in innovation but still needs more OB-GYN capacity, better transitions of care, and more culturally responsive, trauma-informed maternal and Native health services.

Transcript Highlights:

• If families lose access to these supports, the impact would be devastating.
• So I have come to learn so much about the importance of in-home health and support services.
• Support our families on immigrants... ...just cut us super our families on immigrants, and please don
• Even as we continue to support our families, we also help sustain other families with our work of care
• , and In-Home Supportive Services, or IHSS.

Keywords: 987, senate, all

Transcript Highlights:

• Key state staff, PRTF providers, and families, custodians of youth accessing PRTF services.
• It included a one-page handout supporting the communication to families regarding the infant toddler
• zones, our customer support center, and our tribal CCDF administration. ...human service zones, our
• Thank you for your continued support and partnership as we work to strengthen the services and support
• I'm going to give you a brief update on the Family Caregiver Service Pilot Project.

Summary: The committee first approved the February 11, 2026 minutes and then received an update from the North Dakota Housing Finance Agency on the interagency council on homelessness and continuum of care funding. Testimony described rising homelessness tied to tight housing markets, low incomes, aging homelessness, barriers to rental assistance and public benefits, and limited shelter and case-management capacity. Members discussed the need for more affordable housing, continued one-time funding for the North Dakota Homeless Grant and Housing Incentive Fund, better coordination with Health and Human Services on economic assistance and human service zones, landlord engagement, recovery housing, and reentry housing. The committee also heard that federal continuum of care funding remains uncertain, with possible shifts away from permanent supportive housing and housing-first models; members asked for a future update on the impact if federal rules reduce the share available for permanent housing. The committee then took testimony on accessibility of government services for people who are blind or visually impaired. Paul Olson of North Dakota Vision Services School for the Blind described current screening and service delivery, including infant referrals, regional staff, short-term programs, and collaboration with vocational rehabilitation. He said the targeted screening system is working, recommended maintaining the current model, and noted ongoing challenges with staffing, public awareness, and accessible state websites and documents. Public testimony from a visually impaired resident and a deaf resident emphasized barriers such as CAPTCHAs, inaccessible PDFs, employment forms that screen out applicants based on driver’s license status, shortages of interpreters, and the need for video remote interpreting and video relay services, along with training for users and agencies. Finally, the committee heard a final report on the study of child care provider licensing from HHS Early Childhood Director Kay Larson. The report summarized provider input and committee discussion on simplifying North Dakota’s child care licensing structure, reducing administrative burden, and balancing that with health and safety standards. Key topics included licensing categories, child care assistance eligibility, food program sponsorship, staff qualifications, training requirements, ratios and group size, age bands, and preschool exemptions. The committee’s recommendations included streamlining to three provider types plus a preschool designation, revising ratio and age-band rules, and carrying forward certain preschool outdoor-space exemptions. Larson noted that any changes would require statutory changes, rulemaking, and a transition period before new licensing rules could take effect.

Transcript Highlights:

• Families seeking ASD services are facing unprecedented delays.
• Families seeking ASD services are facing unprecedented delays.
• We provide ABA services to children and families.
• Our families in Massachusetts are waiting far too long for critical ABA services.
• For many families, center-based services are essential for consistency, supervision, and scheduling.

Summary: The Joint Committee on Health Care Financing held a public hearing on a range of health care financing bills focused largely on autism services and kidney disease coverage. Committee chairs John Lawn and Cindy Friedman outlined hearing procedures and noted that written testimony would continue to be accepted until each bill is acted upon. They said the day’s bills addressed affordability and access to behavioral health services, provider reimbursement, Medicare coverage for vulnerable patients, and MassHealth eligibility asset exemptions. A major portion of the hearing concerned House Bill 4623, which would recognize board-certified assistant behavior analysts (BCABAs) in the MassHealth reimbursement framework to help address long wait lists for autism spectrum disorder services. Representative Lisa Field and several providers testified that Massachusetts families face long delays for ABA services and that adding BCABAs would expand workforce capacity, reduce costs, and improve access. Wakely actuary Annie Tasman Ewing said a three-tier model could reduce MassHealth costs by up to 6% annually, while Dr. Sandra Beaton and others described severe wait lists and said the bill would allow more families to be served sooner. The committee also heard extensive testimony on House Bill 4425 and Senate Bill 2737, which would allow people under 65 with end-stage renal disease to purchase Medigap coverage. Representative Stanley, Senator Gomez, and advocates from the American Kidney Fund and Dialysis Patient Citizens argued that current law unfairly excludes these patients, leaves them with high out-of-pocket costs, and can delay transplant eligibility because many centers require secondary insurance. Testifiers said the change would help about 846 residents, could cost insurers only a small premium increase, and might reduce Medicaid spending by avoiding asset spend-downs. Committee members asked questions about the existing statutory carve-out and the practical effects on transplant access. The hearing also included testimony on House Bill 4353 and Senate Bill 2587, which would require regular Medicaid rate reviews for ABA services. Providers and clinicians said current MassHealth rates no longer reflect the cost of delivering care, especially with new 2026 policy requirements, workforce shortages, and accreditation obligations. They emphasized that the bills would not mandate a rate increase but would create a data-driven, transparent review process. At the end of the hearing, the chairs thanked participants, invited additional written testimony, and the committee voted unanimously to adjourn the hearing.

Transcript Highlights:

• Since then, we've had over 7,000 views of our videos, the highest being child support and family law
• Since then, we've had over 7,000 views of our videos, the highest ones being child support and family
• 7,000 views of our videos, the highest ones being child support and family law in particular.
• Inland County's legal services sees on the daily, how targeted legal help can stabilize a family and
• Both of our organizations, Tessie and myself, provide support around family law issues.

Summary: The committee heard budget and workload presentations from the Office of the State Public Defender, legal aid organizations, and the Judicial Branch. OSPD requested permanent funding for positions that had been temporarily funded to implement the Racial Justice Act, explaining that the work has become ongoing and now includes additional Supreme Court briefing, habeas proceedings, investigations, expert analysis, and data requests. The State Public Defender also presented the AB 625 public defense workload report, which found statewide staffing shortages, caseloads above recommended standards, and major gaps in investigators and support staff. Senators asked about racial bias claims, the volume of data requests, and the impact of Prop. 36, and OSPD said it would provide additional written information. The legal aid panel asked for a $50 million increase to the Equal Access Fund, $20 million to restart homelessness prevention services, and $10 million for health care access work, while also supporting Access to Justice Commission requests for loan repayment assistance, immigrant family preparedness services, and innovation grants. Witnesses described legal aid as homelessness prevention and cited examples involving eviction defense, domestic violence survivors, and immigration detention cases. Los Angeles Superior Court Presiding Judge Sergio Tapia discussed eviction data, low tenant representation, and court pilots in Compton and at Stanley Mosk that combine mediation, rental assistance, and legal help. Senators asked for service maps, outreach materials, and more detail on funding needs and federal funding losses. For the Judicial Branch overview, the Judicial Council and trial court representatives supported the Governor’s proposed budget, including $70 million for trial court operations, $21.7 million for employee health and retirement costs, and funding for appellate counsel, case processing, and courthouse construction. They said rising costs, staffing retention, and interpreter shortages continue to strain the courts, and described efforts to reallocate interpreter funds and recruit hard-to-find languages such as Mixteco. Senators pressed the branch and the Department of Finance on courthouse facilities, noting that the long-term need is far larger than the current budget proposal; Finance said the branch’s facility needs were estimated at about $22.5 billion over 10 years to start 68 projects and $29.4 billion to complete the remaining projects. The committee requested follow-up information on facilities, judgeships, and interpreter needs.