Transcript Highlights:

• Daily service limits for the ABA services.
• services.
• Daily service limits for the ABA services.
• services.
• services.

Keywords: 1185, senate, all

Transcript Highlights:

• What is the taxable service?
• personal services.
• Personal services, funeral services, and auto repair and maintenance.
• > services.
• , remote services, out of state services, remote services, out of state services, you<01:21:36.159

Keywords: 1187, senate, all

Transcript Highlights:

• The Health and Human Services Medical Services Division The Health and Human Services Medical Services
• So we can say we have a service, but if it's not filled, you don't have a service.
• So we can say we have a service, but if it's not filled, you don't have a service.
• services.
• services. at what services are designed at the community level for residential services for D.D. children

Summary: The committee first heard an update on North Dakota’s Interagency Council on Homelessness and Continuum of Care funding. Jennifer Henderson of the North Dakota Housing Finance Agency reported that homelessness remains driven by tight housing markets, low incomes, rising rents, and barriers to rental assistance, public benefits, and disability determinations. She said the state’s one-time North Dakota Homeless Grant is serving all regions but reaches far fewer households than the former Rent Help program, and that aging homelessness, shelter staffing shortages, and limited affordable units are growing concerns. Members discussed the need for more housing supply, better coordination with Health and Human Services, landlord engagement, reentry housing, and possible continued one-time funding for the $10 million Homeless Grant and $25 million Housing Incentive Fund. Henderson also warned that federal Continuum of Care funding is uncertain, with HUD expected to issue a new notice June 1 and possible shifts away from permanent supportive housing toward transitional housing and other models. The committee then took testimony on accessibility of government services for people who are blind, visually impaired, deaf, or hard of hearing. Paul Olson of North Dakota Vision Services School for the Blind described the school’s services for infants, children, and adults, including screenings, mobility training, assistive technology, and outreach across the state. He said the agency works closely with Vocational Rehabilitation and is also involved in improving website and document accessibility, especially for PDF materials. Public testimony highlighted barriers such as inaccessible CAPTCHA systems, online forms, driver’s license requirements on job applications, and limited transportation in rural areas. A deaf resident urged broader use of video remote interpreting and video relay services, along with training so people know how to use them effectively. Finally, Kay Larson presented the final report on the child care provider licensing study. The report recommended streamlining North Dakota’s child care licensing structure into three provider types plus a preschool designation, while preserving health and safety standards and maintaining eligibility for child care assistance. The committee discussed simplifying training and qualification rules, revising ratio and group-size requirements, and adjusting age bands for infants and toddlers. The report also noted that some changes would require statutory amendments and later administrative rule changes, with a transition period likely extending through 2029. No formal votes were taken in the transcript, but the committee accepted the updates and scheduled follow-up presentations for a later meeting.

Transcript Highlights:

• Thank you. heard in Human Services. heard in Human Services.
• Services. Services.
• I am the program services services services uh<00:58:13.160> director<00:58:13.640> at<
• Um, so under our Medicaid funding services, day support services, pre-vocational services, and all of
• where services or development services where services or development services where they<01:46

Keywords: 1187, senate, all

Transcript Highlights:

• This is the Assembly Budget Subcommittee No. 2 on Human Services hearing on human services issues.
• , legal services, and more.
• We need detention and deportation services. Moreover, we need to provide navigation services.
• truly servicing the pilot.
• an immigrant seeking services.

Keywords: 988, house, all

Transcript Highlights:

• Number nine, DHS Division of Aging and Adults and Behavioral Health Services with ATA Services.
• Number 9, DHS Division of Aging and Adults and Behavioral Health Services with ATA Services.
• Number 15, DHS with SHC Services.
• Senator Rice, Number 22, Shared Services. Someone with Shared Services here?"
• Janitorial Services. This is for janitorial services at the Department of Health.

Keywords: 1204, all

Transcript Highlights:

• services in the Senate. services in the Senate. All<00:02:58.239> right.
• services technical assistance language. services technical assistance language.
• On page services.
• service service standards.<00:27:20.400> On<00:27:20.640> page standards.
• from the Department of Human Services. from the Department of Human Services.

Keywords: 1187, senate, all

Transcript Highlights:

• It adds $70,000 to the contract, and it's for professional service fees for pharmacist services.
• for DCFS clients in specific service areas.
• So what is warranty service? Testing and comprehensive warranty service and support.
• So what is warranty service?
• This is for medical monitoring services.

Summary: The subcommittee first considered a used tire program contract for Arkansas District 4, an $88,000 one-year contract with LTR Intermediate Holdings. Senators raised concerns that the tire district’s revised business plan had not yet been approved and that the contract could leave the district unable to pay. Questions also focused on solicitation language that excluded bidders under corrective action plans. On motion, the committee held the contract until next month and encouraged the tire board to appear. Members then reviewed and, without objection, moved forward a series of methods of finance, alternative delivery projects, and discretionary grants. These included multiple university and college projects such as renovations, roof replacements, a new UCA multipurpose arena, and a revised financing package for UA Fayetteville’s Maple Hill residence hall. The committee also reviewed DHS and Department of Health grants for aging services, substance abuse prevention, mental health, nutrition outreach, hearing-loss follow-up, HIV services, maternal health, and rural hospital quality improvement. The committee next handled contract items, including a UAMS ratification for FMLA Source after an amendment was not submitted for review and payments continued past expiration; UAMS said it had retrained staff and would review for other missed contracts. Members also reviewed numerous construction, intergovernmental, out-of-state, and in-state contracts across state agencies and universities. Questions were raised about an out-of-state aeronautics study, a U of A Fayetteville parking guidance system, and a Veterans Affairs nursing contract. Most items were reviewed without objection, and the meeting adjourned after informational reports on contract amendments and minor contracts.

Transcript Highlights:

• It adds $70,000 to the contract, and it's for professional service fees for pharmacist services.
• This is a new $1 million contract for intensive in-home services for DCFS clients in specific service
• So what is warranty service?
• This is for medical monitoring services.
• Number 25, UA with Starlight Building Services.

Summary: The committee first considered an $88,000 used tire program contract for District 4 with LTR Intermediate Holdings. Senators raised concerns that the tire district’s revised business plan had not yet been approved and that the contract could worsen cash flow before funding was confirmed. Questions were also raised about procurement language in the RFP that excluded bidders under corrective action plans. After discussion, a motion was made and approved to hold the contract until next month so the tire board could appear and answer questions. Members then reviewed a large slate of methods of finance, alternative delivery projects, and discretionary grants. These included capital projects at ASU Mid-South, Arkansas Tech, Ozarka, UA Fayetteville, UA Little Rock, UAMS, and UCA; a new UCA multi-purpose arena project estimated at $75.5 million; and DHS and Department of Health grants for aging services, substance abuse prevention, mental health, nutrition, hearing-loss follow-up, HIV services, and rural hospital quality improvement. All of these items were reviewed without objection. The committee also heard a ratification request from UAMS for a Family and Medical Leave Act outsourcing contract with FMLA Source. UAMS said an amendment had been prepared but never submitted for review, and payments continued after expiration; members expressed frustration and asked UAMS to review whether other contracts had similarly lapsed. The committee then reviewed numerous construction-related, intergovernmental, out-of-state, and in-state contracts, including airport economic impact study work, parking guidance technology at the University of Arkansas, veteran nursing services, and multiple DHS service contracts. Most items were reviewed without objection, and the meeting adjourned after reports of routine contract amendments and minor contracts were presented for information.

Transcript Highlights:

• Services.
• Wraparound services, as well as when it's available for in-state residential services.
• that include social services.
• We do, it's a fee for service.
• services with the USCIS office and removal services with immigration courts.

Summary: The committee heard an extensive Department of Social Services presentation on child care budget issues, including the Governor’s proposed 2026-27 budget, federal CCDF changes, Prop. 64 revenue adjustments, and a one-time $11.5 million disaster-related infrastructure grant for licensed child care facilities affected by 2025 declared disasters. DSS said federal formula updates and lower Prop. 64 revenues would reduce funding and could result in about 4,176 CCTR slots being reduced, but the department said it was working to avoid impacts to currently enrolled children. The LAO supported aligning general child care funding with lower revenues and asked for more detail on the disaster grant. Members pressed DSS and Finance on why reductions were not being backfilled and why so many awarded slots remain uncontracted or unused; DSS said delays are largely due to providers building new infrastructure, licensing, staffing, and enrollment challenges, and that some unspent funds revert to the General Fund. The committee also discussed whether some contract dollars should be shifted to vouchers and whether more flexibility should be allowed for infrastructure and expansion costs. A second panel focused on the state’s commitment to expand child care and on rate reform. DSS reported that nearly 125,000 new slots have been awarded since 2021-22, but speakers from Stanislaus County Office of Education, Parent Voices California, and the California Budget and Policy Center argued that unmet need remains large and that the system still leaves many families without access. Stanislaus County described a large local shortage of infant and toddler care and said reimbursement disparities between child care programs and state preschool create disincentives for providers. Parent Voices gave testimony about the burdens and instability families face when trying to access care, especially for survivors and low-income parents, and called for a universal, publicly funded system. The Budget Center said only about 16% of eligible children were enrolled in 2024, urged expansion across the mixed delivery system rather than concentrating investment in TK, and called for faster rate reform and new revenue. LAO estimated that bringing certain CCTR adjustment factors up to CSPP levels would cost $88 million to $131 million ongoing. Members and witnesses discussed the single rate structure, automation needs, and the need for deadlines and a ramp-up plan; DSS said the goal is to eliminate disparities, but that policy decisions are still needed before automation can proceed. The committee then reviewed several trailer bill proposals. DSS outlined a 2026-27 COLA proposal that would apply a 2.41% increase through cost-of-care-plus payments, though the department said it had inadvertently excluded CalWORKs Child Care and the Emergency Child Care Bridge Program and would revise the proposal; LAO recommended making the COLA methodology uniform across programs. DSS also proposed replacing the market rate survey with the federally approved alternative methodology on a triennial schedule, limiting temporary absences in family child care homes to 20% of monthly hours, defining excessive unexplained absences as more than 30 days in a year, and aligning family fee deductions with new federal requirements so providers receive the full voucher value. Members generally supported the temporary absence change and asked about implementation timing for the family fee deduction, with DSS saying it was in contact with Riverside County. The committee also heard a brief update on the Early Childhood Policy Council reappropriation, which would extend unused funds through June 30, 2028 because prior costs came in higher than expected.

Transcript Highlights:

• We are not reducing services.
• those services for people.
• We think Department of Health Care Services and Social Services is a better model.
• services.
• setting or service type.

Keywords: 988, house, all

Transcript Highlights:

• and Behavioral Health Services.
• and Behavioral Health Services.
• Health Services.
• ASU requests ratification of services valued at $37,500 for services rendered prior to proper review.
• Is to make sure that a student that has been identified for needing services is getting those services

Keywords: 1204, all

Summary: The PEER Review Subcommittee met to consider a large set of appropriation, transfer, contract, and grant requests. Early items included temporary appropriations for the Auditor of State, Department of Education, and Labor and Licensing divisions; ARPA returns from Workforce Services; infrastructure grants for State Police CDL implementation and a Pope County wildlife protection plan; restricted reserve transfers for teacher scholarships, school facilities, and economic stimulus; and a Commerce reallocation shifting positions and $2 million in spending authority to support organizational realignment and avoid salary and match shortfalls. All of those items were approved without objection. Members asked several questions on specific requests. The Commerce site infrastructure grant was described as funding due diligence, environmental studies, and build-out for 30-plus-acre industrial sites, including rural communities, with matching requirements and grant agreements in place. A DHS RSVP grant item was held after concerns about state funding for volunteer stipends and administrative costs; the agency was asked to provide more information before the next meeting. In the contract section, members questioned a DHS sole-source contract for EMS Link, Inc. and a DHS Medicaid inspections-of-care bridge contract, both of which were held for further review or additional information. A Department of Education mental health referral contract with Care Solace drew questions about how the service works, whether Arkansas providers are used, and how schools and parents are involved; the agency explained it is a referral and follow-up service available to all districts and charter schools, and the item was allowed to proceed. The committee also reviewed numerous higher education construction methods of finance, agriculture promotion board grants, DHS intergovernmental and in-state contracts, and monthly reports. Questions were raised about the Arkansas Medicaid Trust Fund balance and the need to define a minimum reserve level; DFA and DHS said the fund remains adequate for the current fiscal year, though it is being drawn down and may require future restricted reserve transfers. The meeting ended with no further objections and the subcommittee adjourned.

Transcript Highlights:

• , mental health services, parenting support, services for children with special needs.
• , mental health services, parenting support, and services for children with special needs.
• For safety net services for children and families, mental health services, parenting support, services
• Whether it's medical services, food services, support services, grants are being cut regularly.
• Thank your husband for his service. And thank you for your service as a military spouse.

Summary: The House met in special session, opened with prayer and the Pledge of Allegiance, approved the journal, and adopted the special order report setting the day’s calendar. The chamber then took up CS/House Joint Resolution 1F, the Governor’s property tax proposal, which would raise the homestead exemption for non-school taxes, lower the annual assessment cap on non-homestead property from 10% to 5%, and restrict county and municipal ad valorem revenue to public safety and certain other uses. Sponsor Rep. Overdorf said the measure would return money to homeowners and give local governments flexibility, while opponents repeatedly argued the ballot language was misleading and that the proposal could create large local revenue shortfalls, shift costs to other taxpayers, and threaten local services and debt obligations. Members debated a series of amendments aimed at protecting specific programs from the bill’s effects. Rep. Bartleman’s amendment to exempt Children’s Services Councils and Children’s Trusts was defeated 25-74 after supporters said those entities fund child care, mental health, aftercare, and family support, while opponents said local governments could still choose to fund them. Rep. Cross’s amendment to include water management districts in allowable uses of ad valorem taxes was also defeated, despite testimony that the districts are essential for flood control, water supply, Everglades restoration, and drought response. Rep. Eskamani’s amendment to require the Legislature to backfill public safety funding failed 25-71 after debate over whether the proposal could reduce police and fire budgets and response times. The House then rejected Rep. Woodson’s amendment to require state backfill for senior services, with supporters citing Meals on Wheels, transportation, adult day care, and other aging services, and opponents saying the state already funds senior programs. Finally, Rep. Gant’s amendment to protect veteran services was introduced and debated, with members emphasizing housing, mental health, transition assistance, and homelessness concerns for veterans; the transcript cuts off before the vote on that amendment. Throughout the debate, sponsors and supporters of the main resolution maintained that local governments would retain spending discretion and could use other revenue sources, while critics argued the measure lacked clear backfill provisions and could force cuts or tax shifts at the local level.

Transcript Highlights:

• Health homes and fee for service Health homes and fee for service hospital<00:08:49.560> inpatient
• <00:19:21.880> we Lighthouse Child and Family Services we Lighthouse Child and Family Services
• <00:19:28.080> services programming and outpatient services programming and outpatient services
• <00:20:30.520> has Children's Mental Health Services has Children's Mental Health Services
• it sounds like it's equivalent service it sounds like it's equivalent service so<00:26:15.840>

Keywords: 919, house, all

Summary: House File 105 was presented by Representatives Beerman and Baker and then laid over for possible inclusion in a future omnibus bill. The bill would implement the remaining mental health and physician service recommendations from DHS’s rate study, including raising certain Medicaid reimbursement rates to at least 100% of Medicare where a Medicare equivalent exists, increasing community-based children’s and adult mental health rates and behavioral health home rates, and phasing in additional increases over three years. The authors said the proposal also addresses master’s-level clinician reimbursement and fee-for-service hospital inpatient mental health services, and they emphasized that the changes are intended to improve access, transparency, and provider stability. Both authors argued that low MA reimbursement rates are driving access problems across Minnesota, especially for children, families, and rural communities. They said providers are struggling to hire and retain staff, clinics are closing or shrinking, and patients are facing long waits, boarding in hospitals, or delayed care. Representative Baker said the issue is personal and described the bill as a phased, long-term approach because of state budget limits and the size of the cost, which he said is in the hundreds of millions but still awaiting a fiscal note. Public testimony was strongly supportive overall. A family physician said higher rates would improve access, keep clinics open, and help patients avoid emergency care, while a Children’s Minnesota mental health leader described more than 1,200 pediatric boarding episodes in 2024 and said outpatient investment is needed to reduce pressure on emergency and inpatient services. A rural provider said her organization had to close an in-home children’s mental health program because of insufficient reimbursement, harming access in underserved counties. A psychologist testifying for the Minnesota Psychological Association supported the bill’s general direction but objected to repealing the pay differential for doctoral-level psychologists, arguing that doctoral training is more extensive and that eliminating the differential could worsen workforce shortages. After testimony and member questions about the bill’s scope and cost, public testimony was closed and the bill was laid over.

Transcript Highlights:

• ESO offers a wide variety of services.
• The County Veteran Service Officers (CVSOs) that are in this room and the veteran service organizations
• The DAV is one of several veteran service organizations that is proud of the service that we provide
• service.
• It's truly service-connected and related to military service, and we guide them on how they can proceed

Transcript Highlights:

• However, support divisions within the department, such as human services, legal, and fiscal services,
• of Social Services.
• If you're unaccompanied and you need those types of services, we've been able to provide the services
• that include also social services.
• services with the USCIS office and removal services with immigration courts.

Keywords: 987, senate, all

Transcript Highlights:

• Of Child Support Services.
• Long-term services and supports, including home and community-based services, are not impacted.
• We do have a Medi-Cal fee-for-service fee schedule for payment rates in the fee-for-service delivery
• fee-for-service delivery system.
• Emergency services.

Keywords: 987, senate, all

Transcript Highlights:

• Community services are critical, but community services aren't being watched right now.
• This includes CAC mental health services, as well as forensic medical exams, and other community services
• So we actually are in statute required to provide these services already, but this is the newest service
• Services, as well as forensic medical exams and other community services if they need them.
• So we actually are in statute required to provide these services already, but this is the newest service

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Our witnesses here today and thank you all for your service.
• Senate Armed Services Committee.
• Service Loan Forgiveness and Tuition Assistance Program, making it easier for service members to get
• member complaints about student loan servicers went up.
• , across all services.

Keywords: NDAA, military recruitment, personnel readiness, testimony, military leaders

Summary: The committee meeting focused on pressing issues related to the U.S. military's recruitment and personnel strategies, especially in light of the upcoming NDAA for fiscal year 2026. Chairperson expressed appreciation for the service of witnesses including senior military leaders from different branches, emphasizing the importance of personnel as the backbone of national defense. Discussions revealed concerns regarding the recent lowering of recruitment standards across military branches, which could potentially affect the quality of service members and long-term military readiness. Witnesses were asked to address the implications of these changes on military health and efficiency.

Transcript Highlights:

• Joe's fortunate to have ABA services, but I always worry about the individuals not getting ABA services
• , ABA services, communication and assistive device tech services?
• We needed better services.
• but are waiting for services.
• and home care services.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing focused on two broad sets of issues: home- and community-based care, and school-based Medicaid reimbursement. In the morning session, legislators and advocates testified on bills affecting children and disabled enrollees, including proposals to clarify rate-setting for home health and home care services (H. 767/S. 870), allow family members and spouses to be paid caregivers under MassHealth (H. 1394/S. 886 and related bills), extend MassHealth coverage for applied behavior analysis and other therapies beyond age 21 for adults with autism and developmental disabilities (H. 1351/S. 871), and protect medically fragile children by improving access to continuous skilled nursing. In the later portion of the hearing, testimony shifted to a bill to improve MassHealth reimbursement for schools (S. 862), with speakers describing the school mental health crisis and the need to reinvest Medicaid funds directly into school health services. Witnesses on the home care rate-setting bill said current reimbursement methods are opaque and outdated, contributing to workforce shortages, unfilled shifts, long waitlists, and patients remaining in hospitals longer than necessary. Home care providers and trade groups argued the bill would not set rates directly but would require more transparent methodology and fuller consideration of real costs such as wages, benefits, taxes, training, and technology. On caregiver bills, many family members and provider organizations described the financial and emotional strain of caring for disabled or medically fragile relatives, especially when parents, spouses, or guardians are barred from being paid caregivers. They argued the bills would recognize existing unpaid care, help families remain at home, and reduce reliance on more expensive institutional care. Advocates for adult ABA coverage said services remain medically necessary after age 21 and that ending coverage at that age creates an inequitable “cliff” for MassHealth members compared with those with private insurance. For the PACE/community care bill, elder law attorneys and PACE advocates said current MassHealth income rules force some older adults with modestly higher incomes to spend down to $542 per month, making community living unrealistic and pushing people toward nursing homes. They supported changing the eligibility structure to a premium-based approach that would allow more people to remain in the community. On the school Medicaid bill, advocates said schools are providing effective, preventive mental health care, but reimbursement currently flows to municipalities rather than directly back to school health budgets, limiting districts’ ability to hire and retain staff. No votes were taken during the hearing; the committee heard testimony and several witnesses requested favorable reports on the bills.