Video & Transcript : 'ABA services' :

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CA

California 2025-2026 Regular Session

Senate Local Government Committee Mar 18th, 2026

Local Government

Transcript Highlights:
  • Heavy-duty service vehicles, including those providing essential solid waste and recycling services,
  • So just to be clear, Utility service provider agreements.
  • Everyday essential public services like solid waste collection use heavy service vehicles while on local
  • works can recover the street maintenance costs tied to delivering those services.
  • for providing services.
Summary: The Senate Committee on Local Government met and first adopted a consent calendar covering SB 1005, SB 1080, SB 935, and S.J.R. 11 by a 4-0 vote, with those items remaining on call until later in the hearing. SB 992 was pulled at the author’s request. The committee then heard SB 922, which would clarify that local governments may recover street maintenance and repair costs caused by public service operations, such as waste hauling, through rates, fees, or franchise agreements. Supporters included the League of California Cities, county groups, cities, waste haulers, and legal counsel who argued the bill restores a long-standing practice and reduces litigation risk after a recent court decision; the California Building Industry Association opposed unless amended, warning the bill could affect construction impact fees. The bill passed the committee 7-0 to the Senate floor. The committee also heard SB 1078, which would allow Santa Cruz County voters to consider raising the county’s local tax cap to help fund health care, food assistance, and other safety-net services in response to federal cuts. The County of Santa Cruz and the Central California Alliance for Health supported the measure, emphasizing Medi-Cal enrollment, CalFresh needs, and potential impacts on hospitals and clinics. Senator Choi raised concerns that the bill effectively authorizes a tax increase and questioned the fairness of county-by-county exceptions, while other members supported giving local voters the choice. The bill passed 5-2 and was sent to the Senate Revenue and Taxation Committee. After those actions, the committee returned to and approved the consent calendar items 7-0. The meeting concluded with thanks to the public and adjournment.
MN

Minnesota 2025-2026 Regular Session

House Veterans and Military Affairs Division 3/26/25

Veterans and Military Affairs Division

Transcript Highlights:
  • In order to programs and services.
  • </c><00:42:35.520><c> And</c> Social Service of Minnesota. And Social Service of Minnesota.
  • And so this service, there's real dollars behind the service that I do as a reservist.
  • And so this service, there's real dollars behind the service that I do as a reservist.
  • Commissioner, Programs and Services for Commissioner, Programs and Services for the<00:56:53.520><c>
Keywords: 1183, house
MA
Transcript Highlights:
  • and other long-term services and supports like housing.
  • towards home- and community-based services rather than institutional services.
  • Who are not receiving services or are receiving services through kind of alternative non-Medicaid sources
  • care services, home health, rehabilitation services, case management, and private duty nursing services
  • , rehabilitation services, case management, and private duty nursing services.
Keywords: 995, all
Summary: The Massachusetts Commission on the Status of Persons with Disabilities’ Long-Term Services and Supports and Health Equity Subcommittee met to hear a presentation from the Lurie Institute for Disability Policy at Brandeis University. Monica Mitra introduced the institute’s work on disability health equity and long-term services and supports, and staff described several research centers focused on community living policy, disability and pregnancy, and parents with disabilities. The presentation emphasized participatory research, accessible dissemination, and the connection between health equity and access to home- and community-based services. Joe Caldwell discussed the Community Living Policy Center’s work on Medicaid HCBS, the direct care workforce crisis, housing, and policy advocacy, including efforts related to the Money Follows the Person program and the Medicaid access rule’s interested parties advisory group. Sid Pickern highlighted a workforce study interviewing direct care workers, a forthcoming policy brief on the access rule, and housing research including Massachusetts’ Alternative Housing Voucher Program. Teresa Nguyen described the Community Living Equity Center’s focus on disparities in community living for people of color, especially a study on self-direction and community living outcomes, and asked for help recruiting participants. Lauren Bixby demonstrated the community living data dashboard, which compares adults who need LTSS with those receiving Medicaid LTSS using ACS and TMSIS data. She explained that the dashboard can be filtered by state and demographics, but noted major race and ethnicity data gaps for Massachusetts and other states. Commissioners praised the dashboard and the institute’s work, asked questions about data sources and the 1115 waiver, and discussed possible connections to the Health Equity Compact. No votes were taken; the meeting ended with an invitation for follow-up, including a forthcoming direct care workforce brief and the institute’s October 28 lecture.
AR

Arkansas 2026 Regular Session

ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE Jun 17th, 2026

ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE

Transcript Highlights:
  • , I mean, from coupon service or whatever you call it, to basic services at that point.
  • “You have these optional services in place.
  • This is for our third-party administrative services.
  • Okay, this is the Sedgwick Claims Management Service.
  • Okay, this is the Seduit Claims Management Service.
Summary: The State Insurance Programs Oversight Subcommittee met on June 17 and reviewed a series of Employee Benefits Division and Office of Property Risk items. Grant Wallace presented March and April formulary changes, explaining that the updates favored lower-cost generics, re-tiered some drugs, left several new-to-market drugs uncovered pending more evidence, and added quantity limits in some cases. The committee approved those formulary recommendations. The subcommittee also approved a cell and gene therapy policy that would exclude automatic coverage of those therapies and route them through prior authorization and review, with members noting the process should not delay urgent cases and that appeals remain available. Members then discussed a UAMS professional consultant services contract amendment for pharmacy benefit consulting. The discussion focused on confusion over the dollar amount and scope, with Wallace clarifying that the committee was being asked to approve up to $2.596 million, including optional services related to coupon and rebate management that could be used later without returning for another approval. Several members raised concerns about matching the written contract to the approval amount and about the relationship to the current pharmacy benefit manager, but the committee ultimately approved the item with the understanding that any use of the optional services would return to the committee. The committee also reviewed, without objection, a Blue Cross/Blue Advantage third-party administrator contract, a CompSack employee assistance program contract, and approved proposed 2027 employee and public school health plan rates of 9.8% and 4.9% increases, respectively. Wallace also said the UnitedHealthcare rebid was in final negotiation and would return in August. On the property risk side, the committee reviewed permanent rules for the property insurance program, a contingency-fee subrogation contract with Denenberg-Tuffly, and extensions for Sedgwick Claims Management, Actuarial Advantage, and Stevens Capital Management. Members asked about claim-adjustment delays after a major winter storm, and Wallace said performance guarantees and communication requirements had been added, with claims still expected to vary by case. The committee also approved 2026-27 captive insurance program rates, which included no change to minimum deductibles, lower rates for K-12 and higher education, a higher rate for state agencies, and an overall 10% reduction. Wallace said the reductions reflected improved actuarial foundations, better claims management, and the program’s first-year performance. The meeting adjourned after approving the rate item.
MN

Minnesota 2025-2026 Regular Session

Agriculture, Veterans, Broadband and Rural Development - Subcommittee on Veterans - 01/27/25

Agriculture, Veterans, Broadband, and Rural Development - Subcommittee on Veterans

Transcript Highlights:
  • They're entitled to these benefits through their service or through the service of their loved ones.
  • </c> who leads our programs and services who leads our programs and services division<00:11:54.480><c
  • We have medical services.
  • We have significant social services, along with mental health and behavioral health services.
  • Well, all of these services are provided for free from a County Veteran Service Officer.
Keywords: 1187, senate, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Financial Services Jun 21st, 2026 at 10:00 am

Joint Committee on Financial Services

Transcript Highlights:
  • Welcome to the Joint Committee on Financial Services public hearing.
  • So the fee-for-service models are arranged between the hospital and the private ambulance services.
  • H. 1061, an act to increase nurse midwifery services.
  • We offer comprehensive services at five community health centers, including services at Dorchester House
  • insurance plans to cover doula services.
Keywords: 995, all
Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.
ND

North Dakota 2025-2026 Regular Session

Information Technology Committee Jul 8th, 2026

Transcript Highlights:
  • Into the service fund. Correct, into the service fund.
  • That would also have been an hourly service.
  • Most things are moving towards platform as a service, software as a service.
  • An additional $1 million of dedicated emergency communication service revenue for prepaid wireless service
  • We needed some help with service desk.
Summary: The committee approved the March 26 minutes and then received a quarterly update on major IT projects from NDIT. Staff reported the portfolio included 116 major projects totaling about $546 million, with the overall portfolio under budget but slightly behind schedule. They reviewed projects over the 20% variance threshold, including an Industrial Commission grants management system and DOT’s roadway pre-construction replacement, and then heard startup and closeout reports from HHS, OMB, DPI, and DOT. Several previously troubled projects were closed, including HHS bed management, vital records modernization, and DOT roadway capital planning; some projects finished under budget and ahead of schedule, while others were significantly behind schedule or over budget but were now closed or being remediated. The committee also reviewed NDIT’s annual report, including service-fund financials, peer-state rate comparisons, records management, and customer satisfaction efforts. Members asked about how service-fund revenue and grant administrative charges are accounted for, how chargebacks work, and whether NDIT tracks customer satisfaction scores. NDIT said it does track CSAT-type measures in some service areas and has survey data, but it is not planning another customer survey this summer. Members encouraged more regular reporting of customer satisfaction, service-level metrics, and performance data to help guide future improvements. A major portion of the meeting focused on the state’s mainframe modernization effort. NDIT said the overall effort is still targeting about 2030, with multiple HHS and DOT projects underway and a $15 million tech-debt appropriation already removing some components. Staff described the main obstacles as data cleanup, complex integrations, limited staff capacity, retirements, and vendor constraints, and said they are seeking a vendor with modernization support in the next contract cycle. Members pressed for clearer accountability and faster progress, and NDIT and HHS emphasized that they are working jointly but need continued support and better tools. The committee then heard a cybersecurity update on NDIT’s statewide services and maturity assessments. NDIT explained that it provides vulnerability scanning, endpoint protection, security awareness training, threat briefings, and penetration testing, and that these services are tied to a cybersecurity maturity assessment based on CIS controls. Members questioned the sharp drop in participation since 2020 and whether the self-assessment should be mandatory or tied more strongly to StageNet access or insurance incentives. NDIT said participation is voluntary, but Enderf is now requiring annual assessments to keep a 4% insurance discount, and members discussed whether stronger requirements or audit authority may be needed. The meeting ended as the committee began a follow-up discussion on BEAD broadband connection costs and why some locations are much more expensive to connect than others.
CA
Transcript Highlights:
  • at a higher rate than non-Medicaid units of services.
  • services.
  • There are some services, depending on the hospital type and the service delivered, some services are
  • We provide services for our multilingual patients.
  • Rolando Chavez with Altamette Health Services.
Summary: The joint informational hearing focused on the impacts of H.R. 1 on California’s Medi-Cal program and on community health effects from recent immigration enforcement actions. Committee leaders said H.R. 1 would sharply reduce federal funding, increase administrative burdens, and worsen access to care, especially for Medi-Cal enrollees, immigrant families, rural communities, and reproductive health patients. The second half of the hearing examined how ICE raids and related federal actions are creating fear, reducing clinic and emergency department use, and disrupting children’s access to schools and early childhood education. Department of Health Care Services Director Michelle Bass outlined the main H.R. 1 provisions affecting Medi-Cal: work requirements, semiannual eligibility redeterminations, shorter retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal support for emergency and lawful immigrant coverage, and a one-year ban on Medicaid funding for prohibited abortion providers. She estimated millions could lose coverage, with tens of billions of dollars in federal funding at risk. Planned Parenthood Affiliates of California warned the defunding provision could force clinic closures, service reductions, and loss of access to family planning, STI testing, and cancer screenings. The California Hospital Association said the financing changes could cut hospital revenue by tens of billions over 10 years and threaten access, especially for rural and safety-net hospitals. The Western Center on Law and Poverty argued the law would increase churn, paperwork, and uninsured rates, disproportionately harming working adults and people experiencing homelessness. Committee members asked about implementation timelines, notification systems, administrative costs, the effect on immigrant eligibility, and whether California could delay or mitigate some provisions. Bass said the state was still assessing federal guidance, planning county and provider outreach, and exploring a possible delay for work requirements and a transition period for provider-tax changes. Members also discussed how state budget actions may need to be revisited in light of H.R. 1, and how California might preserve access through state-only funding or other policy changes. In the second panel, CHIRLA, Los Angeles County Department of Health Services, and the Children’s Partnership described the health consequences of immigration enforcement. Speakers said raids and data-sharing fears are causing anxiety, trauma, and avoidance of care, with Los Angeles County reporting declines in emergency, urgent care, and clinic visits after enforcement actions. The Children’s Partnership said school and early childhood absences are rising in some communities and that enforcement is undermining children’s emotional well-being and access to education. Members asked for more data and discussed possible state protections, telehealth, mobile care, and legal and policy responses to reduce fear and preserve access to health and education services.
FL

Florida 2025 Regular Session

January 15, 2025 - 03:30 PM

Transcript Highlights:
  • Service.
  • In the area of financial services, we have the big division within our financial services area: the Division
  • My question is for the public service commissioner.
  • My question is for the public service commissioner.
  • Pedro, with Department of Management Services.
Summary: The State Administration Budget Subcommittee met for an introductory overview of the agencies under its jurisdiction and their current-year budgets. Chair Vicki Lopez welcomed members and staff, and each member briefly introduced themselves and identified areas of interest, with recurring themes including fiscal restraint, insurance regulation, revenue administration, condominium issues, and government efficiency. The chair then outlined the subcommittee’s overall budget, about $3.1 billion, and noted major recent policy areas affecting the budget such as condominium legislation and emergency communications funding. Agency heads then presented high-level summaries of their missions and budgets. The Department of Revenue described property tax oversight, tax administration, and child support enforcement; the Department of Management Services reviewed state purchasing, telecommunications, fleet, state insurance, retirement, and digital services; DBPR highlighted licensing, enforcement, condominiums, and building code work; DFS covered insurance consumer services, risk management, unclaimed property, fire marshal functions, and criminal investigations; the Gaming Control Commission discussed pari-mutuel and tribal gaming oversight and enforcement; OIR explained insurer solvency and rate review; the Lottery emphasized education funding and record sales; OFR described regulation of banking, securities, lending, and money services; DOAH outlined administrative and workers’ compensation adjudication; PSC covered utility rate regulation and consumer complaints; PERC described labor relations and career service appeals; and FCHR summarized discrimination complaint investigations and outreach. Several members asked questions about utility returns, insurance regulation staffing, DMS’s state employee health plan deficit and prescription drug formulary management, agency recommendations for reducing regulatory burden, and state facilities usage. Responses generally emphasized that utility rates and insurer filings are determined through evidentiary and actuarial processes, that OIR has reduced vacancies but still seeks specialized staff and a Tampa office expansion, and that DMS acknowledged rising health plan costs and said the issue likely requires broader budget-level discussion. The chair also pressed multiple presenters to stay focused on agency operations and budgets rather than broader policy issues. No votes or formal actions were taken in the meeting.
CA

California 2025-2026 Regular Session

Assembly Health Committee Aug 4th, 2026

Health

Transcript Highlights:
  • no differently than how they reimburse for in-person services.
  • What does that look like in providers that are offering telehealth services?
  • For example, in the context of sexual and reproductive health care services, patients may access service
  • and continue to provide those services even to this day.
  • We continue to offer telehealth services and continue to provide those services even to this day.
Keywords: 988, house, all
ID

Idaho 2026 Regular Session

Agenda Feb 23rd, 2026

Transcript Highlights:
  • He'll be discussing the topic of family court services and some of the services and financial support
  • with the family court services office each fiscal year.
  • If they're not employed, they're performing community service.
  • So, sir, thank you for your service in the military, but also your service here in the courts.
  • Thank you for your service in the military, but also your service here in the courts.
Summary: The Idaho Judiciary, Rules and Administration Committee began with introductions of a new page and visiting family members, then unanimously approved the minutes from February 19, 2026. The committee heard presentations from court administrators on court assistance offices, family court services, and treatment courts. Testimony described services for self-represented litigants, family law support, mediation and fee assistance, and the structure and outcomes of treatment courts. Members asked questions about recidivism, sanctions, and court procedures, and one line of questioning about child interviews in family cases was cut short because of pending legislation in that area. The committee then took up House Bill 692, which would expand access to child protection hearings and create a rebuttable presumption for attendance by children, relatives, foster parents, fictive kin, service providers, and legislators unless the judge finds exclusion appropriate. The sponsor and advocates said the bill would improve transparency and allow children and caregivers to be heard; opponents raised concerns about overbreadth, confidentiality, and the inclusion of legislators and broad categories of service providers. After discussion, the committee rejected a motion to send the bill directly to the floor and instead approved a substitute motion to send it to general orders by a 15-1 vote. Next, House Bill 23, a House rule change for procedures during a call of the house, was explained as allowing members and staff access to offices and restrooms while still requiring attendance and voting. It passed unanimously. House Bill 683, concerning sex offender residency definitions and removing a care-facility exemption near schools or daycares, also passed unanimously after testimony from the sponsor and a sheriff. House Bill 684, shifting transport costs for escaped state prisoners from counties to the state, passed unanimously as well. Finally, House Bill 615, which would add religious gatherings and houses of worship to the disturbing-the-peace statute, drew both support and constitutional concerns about vagueness and First Amendment issues; it passed the committee 9-2 and was sent to the floor.
WA

Washington 2025-2026 Regular Session

House Appropriations Jan 14th, 2026

Transcript Highlights:
  • Foundational public health services are services that everyone needs and uses like disease investigation
  • Foundational public health services are services that everyone needs and uses, like disease investigation
  • In human services, we're seeing significant funding pressures and high demand for homelessness services
  • , but those who need services won't get them, which ultimately leads them to use emergency services and
  • Without these services, it has...
Summary: The House Appropriations Committee continued its public hearing on House Bill 2289, the fiscal biennial supplemental operating budget appropriations bill. The chair and vice chair explained the hearing process, limited testimony to one minute per person, and then heard extensive public comment from a wide range of advocates, local officials, service providers, and residents. No committee vote was taken during the hearing. Much of the testimony focused on opposition to proposed budget shifts involving Climate Commitment Act revenue, especially the proposed diversion of $569 million to other uses, including the Working Families Tax Credit. Environmental, public health, and local government witnesses argued those funds should remain dedicated to climate pollution reduction, wildfire resilience, clean transportation, natural climate solutions, and affordability programs. Several speakers also urged full funding for wildfire response and forest health, including the HB 1168 commitment, and opposed transfers from the Public Works Assistance Account. Other major topics included Medicaid and long-term care rates, with nursing home and assisted living providers warning that freezing or delaying rate rebasing would worsen staffing shortages and threaten access to care. Public health and health care advocates opposed cuts to foundational public health services, Apple Health expansion, and pharmacy benefit changes, while oral health advocates asked to preserve Medicaid dental funding and support Dentist Link. Testimony also supported or opposed funding for K-12 programs such as special education, the Ninth Grade Success Initiative, and homeless student stability; early learning and child care subsidies; disability services; public defense; housing and homelessness prevention; food assistance; higher education; and immigrant legal services. The committee concluded the hearing and adjourned after public testimony ended.
FL

Florida 2025 Regular Session

October 15, 2025 - 08:00 AM

Transcript Highlights:
  • TRAINING ADP, AND PRE VOCATIONAL SERVICES.
  • SERVICES.
  • BASED ON A STUDY CONDUCTED BY ACHA ACTUARIAL SERVICE VENDOR.
  • AND WHAT ARE THE IMPLICATIONS ON SERVICE DELIVERY?
  • BE DOING PREVOCATIONAL SERVICES HELPING THEM TO GET JOBS.
KY
Transcript Highlights:
  • Medicaid Services.
  • </c> services in a skilled nursing facility. services in a skilled nursing facility.
  • We can start services.
  • We can start services.
  • How long should people have to wait to provide services? They're getting Medicaid services.
Keywords: 958, all
Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.
NH
Transcript Highlights:
  • </c> parental consent altogether for services parental consent altogether for services in in in 2023.
  • So I'm service it's a new care plan.
  • So yes, it's not just for those IEP-related services, but any medical services or mental health services
  • </c><00:17:25.039><c> But</c> Medicaid services. Correct. Yes. But Medicaid services. Correct. Yes.
  • would get the service or not get<00:56:47.680><c> the</c><00:56:47.920><c> service.
Keywords: 928, house, all
Summary: The committee heard testimony on Senate Bill 34, which would require parental consent for each new service provided to a student through the Medicaid to Schools program and require reports to legislative policy committees. Senator Ruth Ward said the bill was intended to increase transparency, protect parental involvement, and ensure continuity of care, especially for students with disabilities. She also noted a proposed amendment she received shortly before the hearing that would change the bill’s focus from a “new service” to a “new care plan.” Representatives from the New Hampshire Primary Care Association and Amoscake Health testified that they opposed the bill as written but would support it with the amendment. They explained that tying consent to individual diagnosis codes or services could be burdensome, could delay care, and could create compliance problems if a diagnosis changes during a visit. They said the amendment would better align consent with the overall care plan and avoid interrupting treatment mid-appointment. Committee members raised questions about how the bill would interact with IEPs, individualized health plans, homebound services, telehealth, billing, and whether the amendment would still require parental involvement after a care plan changes. The deputy Medicaid director from the Department of Health and Human Services testified that the amendment was more operationally feasible because Medicaid billing involves many ICD-10 codes that can change or overlap, and consent should be tied to the care plan rather than to each code. He said the current law already requires parental consent for participation in the Medicaid to Schools program and annual consent for billing, but the bill would make explicit consent for care-plan changes. No vote was taken during the portion of the hearing provided, and the committee appeared to continue discussion with DHHS after the testimony.
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 2/24/25

Health Finance and Policy

Transcript Highlights:
  • ambulance services.
  • The long-term viability of many services is in jeopardy if an ambulance service fails.
  • ambulance services.
  • getting the money I know one Services getting the money I know one service<01:05:05.720><c> in</c> service
  • That's why our service and several other services will do fundraisers.
Keywords: 1183, house
TX
Transcript Highlights:
  • Customer service is important. Public service is important.
  • services.
  • They do direct services. Why do three do direct services and one does contracting?
  • OK, we are going to move on to the Department of State Health Service. Services.
  • . services.
Bills: SB1, SB 1
CA

California 2025-2026 Regular Session

Assembly Budget Committee Jun 29th, 2026

Transcript Highlights:
  • The next bill is SB 152, the human services omnibus trailer bill.
  • Finally, it requires the Department of Social Services to make transition support services available
  • We were able to also reject cuts to home supportive services, protect child care access, provide services
  • Michael Henning, California Alliance of Child and Family Services.
  • Allison Ramey, on behalf of Ultimate Health Services.
Summary: The Assembly Budget Committee met to consider the final three-party agreement for the 2026-27 state budget and 19 implementing bills, including two budget bill juniors and 17 trailer bills. Committee leadership and administration officials described the budget as a balanced plan that reduces out-year structural deficits, maintains large reserves, and makes major investments in health care, education, housing, child care, public safety, and other core services while also responding to expected federal cuts and fiscal uncertainty. The Department of Finance outlined the package’s major components, including Medi-Cal adjustments, education funding increases, higher education changes, child care and human services updates, housing and homelessness funding, energy and transportation provisions, and tax and general government changes. Members asked questions about several provisions, including CSU enrollment targets and turnaround plans, the Prop. 98 settle-up mechanism, the plastics market development payment program, housing accountability measures, NextGen 9-1-1 implementation, and veteran services. Staff and administration witnesses explained that the higher education language is intended to improve campus-by-campus reporting and oversight, that Prop. 98 settle-up would be finalized later through the statutory certification process, and that NextGen 9-1-1 now includes one-time funding, quarterly reporting, an independent technical review, and a state audit. Members also discussed the HAP homelessness funding increase to $900 million and the balance between accountability and timely distribution of funds. The most extended exchange centered on comparisons between funding for veterans and Medi-Cal/immigrant health coverage. Republican members argued the budget spends far more on undocumented immigrant services than on veterans, while Democratic members and Finance staff responded that the comparison was misleading because many veterans’ services are federally funded and the state budget also includes dedicated veteran support. The chair and other members emphasized that the budget reflects difficult tradeoffs and that the package protects vulnerable populations, preserves health care access, and advances affordability. No final vote was described in the excerpt, but members indicated support for the overall package and said they would support it on the floor.
CA

California 2025-2026 Regular Session

Senate Budget and Fiscal Review Committee Jun 15th, 2026

Budget and Fiscal Review

Transcript Highlights:
  • be able to access under fee-for-service?
  • The only two services that will not be covered in fee-for-service because they're not currently federally
  • But everything else is the same in fee-for-service as it is in managed care in terms of services and
  • , emergency-only service as a part of a pilot for two years.
  • , emergency-only service as a part of a pilot for two years.
Keywords: 987, senate, all
LA

Louisiana 2026 Regular Session

Appropriations Mar 11th, 2026

Appropriations

Transcript Highlights:
  • There's a $923,000 decrease in professional services for foundation repair contracts, legal services,
  • Vacancies across Public Safety Services.
  • We have already submitted the request to civil service.
  • Next up is Youth Services. Okay. Okay. Youth Services, Zion. Please proceed. Thank you, Mr.
  • We continue to expand our vocational services.
Summary: The committee heard FY27 budget presentations for the Department of Public Safety and Corrections, beginning with Public Safety Services. House Fiscal Division staff reviewed the department’s recommended budget of $645.9 million, including supplemental pay, State Police, Motor Vehicles, and the State Fire Marshal. Officials explained that the overall budget reflects a net decrease from FY26, driven largely by shifts in funding sources, removal of one-time statutory dedications, and adjustments tied to undercollections in fees and self-generated revenues. State Police was recommended at $459.7 million, OMV at $86.7 million, and the Fire Marshal at $41.1 million. Department leaders also described ongoing modernization efforts, staffing vacancies, and the use of efficiencies identified internally. Lieutenant Colonel Robert Burns and agency heads testified about State Police operations, including increased cadet graduations, improved Mardi Gras security, progress on APHIS and OMV modernization, and the new crime lab under construction. Members asked about undercollections, vacancies, the role of public tag agents, and whether the agency could expand counter-drone capabilities. Burns said the department has identified about $11 million in efficiencies, but warned that counter-drone work would require additional funding, citing a $4.5 million fiscal note for HB 940 and roughly $9 million more for a robust unit. OMV officials said staffing and retention remain difficult, but modernization should improve service and reduce lines; they also said the agency continues to rely on public tag agents and is working through reinstatement fee collection issues. The committee then reviewed the Department of Corrections FY27 budget, recommended at $902.3 million, with most funding from State General Fund and a large increase tied to higher incarceration costs, medical needs, overtime, and added capacity at Louisiana State Penitentiary. DOC officials said the department remains under pressure from vacancies, turnover, contraband, and medical costs, and that the budget includes funding to add 150 correctional officers at Angola and to house ICE detainees at Camp J. They also discussed criminal justice reinvestment savings, prison enterprises, and reentry programs funded through the Second Chance Act. Members asked about staffing, inmate deaths at Elaine Hunt, work-release pay, and whether the department is tracking the true long-term cost of incarceration. Officials said they are pursuing pay increases, recruitment, expanded training and reentry programs, and more data-driven workforce alignment, while acknowledging that many budget pressures remain unresolved.