Transcript Highlights:

• Services including the services provided under the Medicaid managed Care and Child Health plan programs
• Committee and Human Services.
• Issue 44,830 by FELA relating to the regulation of service contractors and service contract providers
• The 211 service provider for the Texas Information and Referral Network on Human Services, HB 4839 by
• the Committee and Human Services.

Transcript Highlights:

• Thank you for your service. Thank you for what you've done.
• Veterans Service Officers.
• Veterans Service Officers.
• called to service alongside them.
• called to service alongside them.

Keywords: 987, senate, all

Transcript Highlights:

• to the services that they deserve. to the services that they deserve.
• Services in the counties. Services in the counties.
• services.
• . services. services.
• > residential service recipients of residential service recipients of residential services<01:

Keywords: 1187, senate, all

Transcript Highlights:

• <00:02:33.240> are much-needed and necessary services are much-needed and necessary services
• can still get the services they need. can still get the services they need.
• service without a replacement ready. service without a replacement ready.
• . service. service.
• services versus just scattered services services versus just um<00:21:14.000> you<00:21:14.080

Keywords: 1183, house

Transcript Highlights:

• , and the elimination of remote services. and behavioral services.
• waiver services. waiver services.
• services program. services program.
• the commissioner of human services. the commissioner of human services.
• human<01:44:19.199> services human services human services >> and<01:44:19.920> and

Keywords: 918, senate, all

Summary: The joint hearing opened with chairs explaining that the program integrity omnibus bill is a combined draft assembled from individual member bills and governor proposals, many of which had already been heard in committee. Members emphasized the compressed end-of-session timeline, said the language was not yet ready for enactment, and invited continued revisions as the bill moves next to judiciary and finance. Several speakers stressed the need for bipartisan collaboration, while also warning that the Legislature must act this session on program integrity rather than defer reforms. The fiscal staff then walked through a spreadsheet showing the bill’s overall budget effects and major provisions. The package includes DHS proposals on transforming human services, market- and receipt-based rate reform, enhanced program and payment integrity, uniform service standards, nursing facility rate changes, ICS reforms, and a repeal/redesign of housing stabilization, along with child care assistance integrity and human services redesign items in DCYF. Staff highlighted that the bill combines multiple sources, including governor proposals and member bills, and noted several items that are also in the supplemental human services budget. Committee discussion focused heavily on prepayment review, remote supports, ICS, and provider accountability. Chairs said the bill would codify prepayment review with a 60-day notice requirement after providers were caught off guard by prior rollout, and that remote supports and ICS language were placeholders or under active debate. One member argued the system needs stronger standards but cautioned against harming compliant providers, while another urged the committee to learn from good providers and warned against repeating failed implementations. Staff also reviewed thematic indexes covering billing and service delivery oversight, EVV, administrative reform, licensing and background studies, provider enrollment, sanctions, and child care provider compliance training. No formal votes were taken in the portion provided. The hearing ended with staff beginning the index walkthrough and members indicating that posted amendments would be considered as the bill advances through the remaining committees.

Transcript Highlights:

• services unit.
• We're the ones providing the direct service.
• I've worked for the Department of Developmental Services for the past 32 years as a service coordinator
• The statement testimonial from my office is for all the service coordinators and the service coordinator
• I help individuals obtain residential and vocational services, and those services enable individuals

Keywords: 995, all

Summary: The committee heard testimony on several retirement and workforce-related bills. House Bill 2980 would place county correctional nurses and certain medical staff into Group 4 retirement. Representative Trino, Middlesex Sheriff Peter Koutoujian, and nurse manager Leanne Cameron argued that correctional nurses work in dangerous, high-stress settings with frequent contact with incarcerated people, high rates of mental illness and substance use in the jail population, and significant workplace violence, and that the change would help recruitment and retention with limited statewide fiscal impact. The committee also heard Senate Bill 210, which would create a commission to study additional regular compensation and annual expenses for members of the General Court. Senator John Keenan said Massachusetts has high leadership stipends compared with other states and argued the current structure can affect independence and public trust. Representative O'Day testified on House Bill 2928 to extend Group 2 retirement to additional Department of Children and Families social workers, and SEIU 509 witnesses described frequent transport of children, crisis response, threats, assaults, and other high-risk duties that they said match Group 2 work. Additional testimony supported House Bill 2943 for DDS service coordinators and supervisors, with witnesses describing home visits in unsafe conditions, transport of vulnerable individuals, direct care during staffing crises, and exposure to violence. House Bill 2899 drew support from the Association of Social Work Boards for social work field placement grants, incentives for supervisors, and expanded retirement benefits for DCF social workers. The committee also heard Senate Bill 2613, a local retirement bill for Salem police officer Kathleen Roachville, who described a severe line-of-duty injury during an arrest involving a combative person in a mental health crisis. Finally, Susan Smith Campbell testified for reclassifying certain DYS administrative officers into Group 2 because of their direct involvement in restraints, assaults, and crisis management. After testimony concluded, the committee adjourned without taking any votes.

Transcript Highlights:

• But in terms of paid services, we have about 44,000 individuals that receive a paid service.
• , and DD, or long-term care services.
• The rest are receiving services under home and community services.
• We've cuts to HCBS service.
• It cuts pediatric therapy services and visiting nurse services. Complex kids.

Summary: The committee heard testimony on the effects of H.R. 1 on Washington’s Medicaid, developmental disability, long-term care, and food assistance systems, followed by a separate discussion of juvenile rehabilitation caseloads and placement capacity. DSHS officials said HR1 could affect home equity rules, immigration-related eligibility, work requirements for some expansion-population enrollees, and provider taxes, while also creating a future opportunity for a new 1915(c) waiver. Advocates and providers warned that any state response that cuts home and community-based services would worsen already thin provider networks, increase waiting lists, push more people into hospitals or out-of-state placements, and strain families and workers. A pediatric behavioral health expert and a supported living provider said Medicaid reimbursement is already too low and further reductions would threaten outpatient, residential, and inpatient services for people with intellectual and developmental disabilities and severe behavioral needs. The committee then turned to SNAP and the state food assistance program. DSHS said HR1 would tighten work requirements and exemptions, end some immigrant eligibility for the federal program, eliminate the SNAP education program, raise state administrative costs, and eventually require Washington to share in benefit costs based on its error rate. Officials estimated large numbers of residents could lose or see reduced benefits, with significant added state costs. Anti-hunger advocates, a food bank director, and a SNAP recipient described the program as essential for low-income families, seniors, and people with disabilities, and said the changes would increase paperwork, reduce benefits, and worsen food insecurity while also harming local food economies. Testimony emphasized that food banks cannot replace SNAP and that work requirements may be difficult to meet for caregivers, people with disabilities, and those facing child care or transportation barriers. In the juvenile justice portion, the Caseload Forecast Council presented the JR forecast, which is currently mostly flat through the end of the biennium but expected to grow modestly over the longer term. Members discussed how policy choices, including the 2019 JR-25 law, have increased lengths of stay for adult-sentenced youth in JR, while diversion and other reforms have affected regular JR trends. A court researcher explained the data available to help forecast admissions and noted ongoing efforts to improve data sharing with JR, AOC, and county systems, though staffing and system-lag issues limit how quickly data can be produced. Juvenile court administrators and DCYF officials described the community-based juvenile justice continuum, rising complexity in the JR population, overcrowding at Green Hill and placement constraints at Echo Glen and Harbor Heights, and the need for more flexible community transition and mental health capacity. No votes were taken.

Transcript Highlights:

• . financial services.
• provided to service.
• Issue 4830 by Phelan related regulation of service contractors and service contract providers and administrators
• The 2-1-1 service provider. for the Texas Information and Referral Network for commenting on human services
• facilities or for the Committee on Human Services.

Bills: HB9, HB22, HB908, HB1392

Keywords: property tax, ad valorem tax, tangible personal property, income-producing property, business personal property, tax exemption, local government finance, appraisal district, chief appraiser, rendition statement, property tax relief, small business, commercial property, leased property, related business entity, unified business enterprise, tax situs, Texas Tax Code, local taxing unit, constitutional amendment

Transcript Highlights:

• which additionally provide CFI services. which additionally provide CFI services.
• services that might be cut? services that might be cut?
• services and supports funding. services and supports funding.
• long-term services and supports in it. long-term services and supports in it.
• better services. better services.

Keywords: 928, house, all

Summary: The committee to study long-term managed care met to approve the prior meeting minutes, with a clarification that “OB3” referred to the “one big beautiful bill.” The minutes were then approved. Chair Jim Kofalt outlined the day’s agenda, which included testimony from the Granite State Home Health and Hospice Association, the New Hampshire Association of Counties, and later DHHS. He also noted that future meetings were expected soon and that the meetings were being livestreamed on YouTube. Granite State Home Health and Hospice Association, represented by Kellyanne Totten and Amy Moore, urged inclusive planning and a cautious, phased approach if managed care is considered. They emphasized that home care providers are not uniform, with different licensing and service models, and said any pilot should include varied provider types, rural and southern regions, and agencies of different sizes. They warned that workforce shortages, inflation, and a possible 9% CMS cut to Medicare home health payments could force agencies to reduce service areas or service types. They also said the 2023 Medicaid CFI rate increase has begun to lose its effect. In response to questions, they said the rural health transformation fund may help with planning and telehealth but likely cannot be used directly for rates or recruitment/retention. They also described the New England Home Care Nurse Residency Program, a Department of Labor grant, as a way to bring new registered nurses into home care with added training and school partnerships. The New Hampshire Association of Counties, through county nursing home administrators Craig Labore and David Ross, revisited the earlier Step Two managed care discussions from 2016-2018. They said prior consultants found the long-term services and supports system was underfunded and needed investment to stabilize providers and expand community-based care. They argued the same concerns remain today and said a managed model would jeopardize the Medicaid quality incentive payment program and, for county nursing homes, the proportionate share payment program. Their testimony was generally opposed to moving forward with managed long-term services and supports without significant additional funding and safeguards.

Transcript Highlights:

• Housing Stabilization Services Program.
• service.
• A less expensive service, like a transition service.
• as a service program.
• case management services?

Transcript Highlights:

• , and other services, etc.
• So I oversee the Bureau of Developmental Services and Adult and Aging Services.
• services and adult and Aging Services services and adult and Aging Services thank<01:42:43.599><
• for 988 services.”
• for 988 services.”

Keywords: 1191, senate, all

Transcript Highlights:

• gender-affirming care services.
• These services include an initial needs assessment with linkage to appropriate long-term services and
• Aging services, HIV care, primary care, behavioral, Aging services, HIV care, primary care, behavioral
• So if you think about, for example, the service... Services they need.
• Something like the navigation services or legal services that he was mentioning?

Summary: The committee held an inaugural hearing on the health care and support needs of older LGBTQ Californians, with members and witnesses emphasizing that this population has made major gains in rights and longevity but still faces discrimination, isolation, economic insecurity, and gaps in services. Opening remarks highlighted concerns about older LGBTQ people entering nursing homes and feeling forced back into the closet, as well as the growing number of Californians aging with HIV. The hearing was structured into three panels, with public testimony considered if time allowed. The first panel focused on the overall health and support landscape. Justice in Aging described survey findings showing discrimination, poor health, difficulty with errands, and economic insecurity among older LGBTQ Californians, and warned that federal Medicaid cuts and broader federal actions could worsen access to home- and community-based services and culturally competent care. CalHHS and the Department of Aging described the Master Plan for Aging, the first statewide LGBTQIA older adult survey, and efforts to support gender-affirming care, PACE, care management, and community supports. Witnesses stressed the need for better outreach, data collection, and a “no wrong door” approach so people can more easily find and access services. The chair and senators pressed the departments on how survey findings are being translated into concrete action and how state agencies are coordinating across silos. The second panel addressed health care for seniors living with HIV. A longtime survivor described severe financial and benefits consequences from a federal clawback and argued that California needs stronger legal, navigation, and housing supports, including HIV-specific housing funding. The Department of Aging reported on implementation of SB 258, saying it has educated area agencies on aging, added HIV data to planning tools, and found that 20 of 33 area agencies identified HIV as a target population, with 16 including specific strategies. The Office of AIDS outlined Project Cornerstone, Ryan White, ADAP, HOPWA, a Medi-Cal waiver, and PrEP-AP, noting these programs serve thousands of older clients and that local case managers are expected to coordinate whole-person care. Case managers and advocates said housing, food, transportation, mental health, and premium assistance remain major needs, and senators asked whether future ADAP rebate funds could support navigation, housing, and other gap-filling services. The final panel turned to transgender, gender nonconforming, and intersex seniors. The Department of Social Services described protections under SB 219, including nondiscrimination notices, resident rights postings, required records for preferred names and pronouns, and annual inspections of licensed facilities. The Department of Public Health and a TransLatin Coalition leader were introduced to discuss additional supports for TGI seniors. Across the hearing, members repeatedly returned to the themes of visibility, coordination, and implementation, asking departments to follow up on how they will better connect services, improve outreach, and ensure that existing laws and programs are actually reaching the people they are meant to serve.

Transcript Highlights:

• <00:09:15.040> to for the Department of Human Services to for the Department of Human Services
• also important is that those Services also important is that those Services help<00:10:19.560>
• uh the costs for our home Services uh the costs for our home health<00:10:31.440> services<00
• :10:31.800> are<00:10:32.040> increasing health services are increasing health services
• Services, then it would be beyond just a lack of services.

Keywords: 910, house, all

Summary: The committee heard several Human Services measures focused on Medicaid access, long-term care benefits, home health reimbursement, SNAP administration, trauma-informed child welfare, and child abuse reporting. HP 702 would increase funding for Medicaid in-home services if federal matching funds are secured, and testimony from disability advocates supported the measure as needed to help people with disabilities cover medical expenses. HB 1477, described as a correction to a prior session’s mistake, would clarify that the monthly needs allowance for certain long-term care residents does not replace state supplemental payments and would raise the ceiling by $25 to fix the prior issue and by an additional $20 as a new benefit; DHS supported it with amendments, and the committee indicated it would amend accordingly. HB 713 would fund a DHS rate study for home health services, with the Healthcare Association of Hawaii strongly supporting it and describing rising labor costs, losses on Medicaid patients, and access concerns if agencies cannot keep serving Medicaid clients. HB 1099 would appropriate emergency funds to DHS after a USDA penalty tied to SNAP response times, with supporters including Catholic Charities Hawaii, Hawaii Public Health Institute, and others arguing the money should be reinvested in staffing and systems to improve access and avoid further penalties. HB 1079 would direct the Office of Wellness and Resilience and DHS to create trauma-informed assessments and training for Child Welfare Services staff; testimony from state offices and advocacy groups supported it, citing the Mālama ʻOhana Working Group, staff burnout, and the need for a sustainable train-the-trainer model. Finally, HB 239 would narrow when failure to provide a child’s needs constitutes abuse or neglect, but DHS raised concerns that the current wording could broaden abuse findings and leave families in poverty without a clear safety net, while the Honolulu prosecutor’s office opposed it, warning it could weaken mandatory reporting and hinder investigations of child abuse. No formal votes were taken in the portion provided, though the chair said HB 1477 would be amended and several measures were left open for further questions and testimony.

Transcript Highlights:

• that provide services to seniors. that provide services to seniors.
• prevention services. prevention services.
• to services to get those. to services to get those.
• fee-for-service claims. fee-for-service claims.
• Human Services. Human Services. Madam<01:39:07.160> Chair.

Keywords: 1187, senate, all

Transcript Highlights:

• . services. services.
• justice services.
• justice services.
• > and services, connection to services, and services, connection to services, and community<01
• service services for adolescent service expansion?

Keywords: 1191, senate, all

Transcript Highlights:

• gender-affirming care services.
• These services include an initial needs assessment with linkage to appropriate long-term services and
• So if you think about, for example, the service... Services they need.
• Something like the navigation services or legal services that he was mentioning?
• These services include personal care like dressing, grooming, and bathing; domestic and related services

Summary: The Select Committee on Older LGBTQ Californians held an inaugural hearing focused on the health care and support landscape for older LGBTQ Californians, including people aging with HIV and transgender, gender non-conforming, and intersex seniors. Opening remarks emphasized the long history of discrimination faced by older LGBTQ adults, the growth of the aging LGBTQ population, and the need to translate existing state commitments into concrete services. Senators highlighted concerns about nursing home vulnerability, the aging of people living with HIV, and the impact of federal actions and Medicaid cuts on California’s safety net. The first panel featured Justice in Aging, CalHHS, the Department of Aging, and the Aging and HIV Institute. Testimony described widespread inequities, including discrimination, social isolation, economic insecurity, and gaps in culturally competent care. State officials outlined the Master Plan for Aging, the first statewide survey of LGBTQIA older adults, gender-affirming care protections in Medi-Cal, and efforts to improve coordination across departments. Advocates argued the state has been too slow to respond to federal threats and that services are often hard to find or fragmented. Committee members pressed the departments on how survey findings are being turned into action, how rural and underserved communities are being reached, and whether more formal stakeholder coordination or “no wrong door” access systems are needed. The second panel focused on seniors living with HIV. A long-term survivor gave emotional testimony about the “survivorship penalty,” loss of benefits, housing insecurity, and the need for legal and navigation support, housing assistance, and protection from outdated disability standards. The Department of Aging reported on implementation of SB 258, which added HIV status to the definition of greatest social need for area agencies on aging; it said 20 of 33 area plans now identify HIV as a target population and many include specific strategies, such as LGBTQIA mental health connections programs. The Office of AIDS described Project Cornerstone, Ryan White, ADAP, HOPWA, the Medi-Cal waiver, and PrEP-AP, noting these programs serve thousands of older clients and rely on whole-person case management. Case management testimony underscored persistent needs for medication subsidies, transportation, food, and housing. Committee members questioned how ADAP rebate funds might be used, how SB 258 is enforced across local agencies, and how to reduce administrative barriers and auto-connect eligible people to benefits. The final panel began with the Department of Social Services outlining protections for TGI seniors in licensed care facilities, including SB 219’s nondiscrimination requirements and related provider notices and resident rights materials. The hearing remained focused on identifying service gaps, improving coordination across aging, health, and social service systems, and ensuring state programs better reflect the lived experience of older LGBTQ Californians.

Transcript Highlights:

• that direct service is the ones that are doing direct service, right, different than the coalition,
• You know, to state what exactly direct services entails, including that direct service is the ones that
• ways in certain types of services.
• Is it based on services, the quantity of services done last year historically?
• It's the amount of services and the category of services that are provided in a specific 24-hour period

Summary: The committee held a panel discussion on Florida’s domestic violence system, focusing on the roles of the state, the federally designated coalition, direct-service providers, and law enforcement. Members reviewed the history of the system after the dissolution of the former coalition in 2020, the creation of the Florida Partnership to End Domestic Violence, DCF’s Office of Domestic Violence, and the current contract structure involving Women in Distress and its subcontractors for hotline and legal services. Panelists also discussed the 2024 lethality assessment law, the workgroup’s conclusion that the evidence-based Maryland tool could not be used because of copyright and cost issues, and the state’s current use of statutory questions instead. DCF and FDLE described the statewide certification and funding framework, including more than $60 million in domestic violence funding for fiscal year 2025-26 and the requirement that law enforcement complete lethality-assessment training by October 1, 2026. Testimony highlighted both collaboration and conflict. Florida Partnership to End Domestic Violence and Women in Distress described overlapping training and technical-assistance roles, but disagreed sharply about the quality of their relationship with DCF and whether the current structure is duplicative. DCF said it maintains communication with both the coalition and the centers and emphasized that the coalition is federally required, while the coalition argued that the department has obstructed its work. Women in Distress and Hope Villages stressed direct services, prevention, and the need for more housing, staffing, and funding, especially in rural areas. They also described programs in schools, hospitals, and child welfare settings, and noted that children exposed to domestic violence often need specialized services. Members asked about funding flows, certification, rural coverage, the number of centers, and the lethality assessment rollout. DCF said the 41 certified centers serve all 67 counties and that no new applications have been received in about 15 years. FDLE reported that 46 of roughly 400 law enforcement agencies had completed the lethality-assessment training and attestation, with the statutory deadline still ahead. Panelists said domestic violence appears to be increasing, citing higher hotline demand, shelter occupancy, and local case numbers, while also noting that statewide crime data remains outdated. The discussion ended with calls for better coordination, clearer implementation of statutes, more funding, and possible legislative fixes to improve data collection, training, and service delivery.

Transcript Highlights:

• rare to provide for private insurance to cover the same services.
• rare to provide for private insurance to cover the same services.
• rare to provide for private insurance to cover the same services.
• rare to provide for private insurance to cover the same services.
• these critical cost saving Services these critical cost saving Services provided<00:10:46.800>

Keywords: 1183, house

Transcript Highlights:

• If they request to have the services continued, the health plan cannot reduce the services as it plays
• services in certain geographical areas.
• For institutional care services, approximately 71,000 individuals were there for hospice services and
• 6,504 for iBudget waiver services, and approximately 38,181 for home and community-based services, approximately
• ;  399 SERVICES AND APPROXIMATELY 38 TO 181 AND FOR HOME  AND COMMUNITY BASED SERVICES APPROXIMATELY

Summary: The Health Facilities Subcommittee met to receive implementation updates from the Agency for Health Care Administration on three bills passed in prior sessions. First, Deputy Secretary Brian Meyer reported on the transfer of the Children’s Medical Services managed care plan from the Department of Health to AHCA under HB 1085. He said the move was administrative only, with no change to enrollment, providers, services, or clinical eligibility functions, and that it was intended to create efficiencies by aligning procurement and shifting staff resources between agencies. Members then questioned AHCA about reports of reductions in private duty nursing and therapy services for medically fragile children, including concerns about appeals, provider credentialing, and whether families were losing services or being transitioned appropriately. AHCA said it was reviewing denials, monitoring the plan, and using contractual remedies while focusing on maintaining access for members. The committee also reviewed implementation of a bill creating permanent Medicaid eligibility for individuals with permanent disabilities. AHCA staff explained that the agency had submitted a federal 1115 waiver request after public comment and stakeholder meetings, but CMS had indicated it did not anticipate approving the requested authority. Members pressed AHCA on why the waiver was submitted later than the bill’s directive date and on whether the delay was avoidable. AHCA said the waiver was complex and required review, drafting, and public input, and noted that DCF already has a specialized unit to help with redeterminations while the agencies work on operational changes. The committee discussed the practical impact on families who struggle with annual eligibility renewals and the need for clearer communication and faster follow-up from the agency. Finally, AHCA presented on the home health aide program for medically fragile children and related Medicaid eligibility changes. The agency described the 2023 law that created a family caregiver provider type and the 2025 changes that increased the hourly rate, expanded hours, reduced training requirements, and removed caregiver earnings from Medicaid eligibility calculations, subject to federal approval. AHCA said it had completed state public comment, submitted the waiver amendment to CMS, and was awaiting federal action. Members raised concerns that some families may have enrolled or begun work before the eligibility fix was in place and may have lost benefits, especially in Broward County. AHCA said it would work with affected families and plans, review outreach through DCF and the health plans, and continue rulemaking, system updates, and provider training. The meeting ended with the chair noting that the committee had received the updates and adjourned without objection.

Transcript Highlights:

• This service amounts to nearly 77% of Southwest Transit's local service.
• This service amounts to nearly 77% of Southwest Transit's local service.
• Southwest Transit's local service. Southwest Transit's local service.
• not receiving service.
• routes and service transit service routes and service levels<01:38:31.679> for<01:38:31.920><

Bills: HF3676, HF3593, HF3785, HF3774, HF4111, HF3513

Keywords: Safe at Home, address confidentiality, domestic violence, sexual assault, stalking, harassment, victim privacy, survivor protection, confidential address, protected address, secret address, identity protection, residential confidentiality, program participant, nondiscrimination, court disclosure, protective order, service of process, driver's license, state ID