Video & Transcript : 'vulnerable adults' :

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MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Consumer Protection and Professional Licensure Jun 21st, 2026 at 10:00 am

Joint Committee on Consumer Protection and Professional Licensure

Transcript Highlights:
  • I live in Lexington, Mass., with my wife and two adult sons.
  • they inhale more contaminated dust per body size than adults.
  • to chemicals, much more so than adults.
  • As a primary care doctor, I treated lots of young adults.
  • Of particular concern, cancers in children and young adults are rising faster than cancer in older adults
Keywords: 995, all
Summary: The hearing of the Joint Committee on Consumer Protection and Professional Licensure opened with logistical remarks about testimony procedures, time limits, accessibility supports, and the large number of witnesses. The first bill discussed was H. 451, which would allow professional license applicants who do not have a Social Security number to use an ITIN instead. Supporters said the bill would help qualified workers, especially immigrants, enter licensed trades and professions without lowering training or testing standards, while addressing workforce shortages. Committee members asked a few questions, and the bill was framed as a uniform statewide licensing reform. The bulk of the hearing focused on S. 210 and H. 1278, two bills aimed at improving wheelchair repair and warranty protections. Supporters included the Attorney General’s Office, disability advocates, wheelchair users, clinicians, and legislators, who described long repair delays, missed work and medical appointments, loss of independence, hospitalizations, pressure injuries, and other harms caused by broken wheelchairs and slow service. They argued for stronger timelines, two-year warranties, required parts availability, loaner chairs, and enforcement mechanisms, with H. 1278 modeled on a Connecticut-style repair deadline and S. 210 focused on warranty protections. Several witnesses emphasized that wheelchairs are essential medical equipment, not ordinary consumer goods. Opposition came from NCart, which said it supports solutions but raised concerns that the bills, as written, could be difficult to implement for complex rehab technology. NCart said some warranty provisions may not fit wear-and-tear components and noted that MassHealth has already taken steps such as preventive maintenance, reduced prior authorization, and transportation support. Other witnesses and advocates countered that the current market is dominated by a few profitable companies and that the legislature needs to impose clear standards because voluntary fixes have not worked. The committee also heard testimony on S. 195, a toxic-free kids bill from Senator Comerford and Representative Hawkins, which would restrict PFAS and other toxic chemicals in children’s products and create disclosure and phase-out requirements. No votes were taken during the hearing.
WA

Washington 2025-2026 Regular Session

House Appropriations Jan 14th, 2026 at 04:00 pm

Appropriations

Transcript Highlights:
  • In 2025, we cared for more than 300 residents and patients who are some of the most vulnerable elders
  • adults safe.
  • Underfunding doesn’t...” “...and protect the workforce that keeps vulnerable adults safe.
  • dental benefit and make no further cuts to either the children's or adult dental programs.
  • Thus, the most vulnerable among us will be hit the hardest here.
Bills: HB2289
MN
Transcript Highlights:
  • Um, on line 25, House File 3465, theft from a vulnerable adult.
  • There's a bed from a vulnerable adult.
  • It's on page 20 starting at line 16, and this increases the penalties for theft from a vulnerable adult
  • It's on page 20 starting at line 16, and this increases the penalties for theft from a vulnerable adult
  • It's on page 20 starting at line 16, and this increases the penalties for theft from a vulnerable adult
Keywords: 1183, house
Summary: The committee took up House File 1082 as a vehicle for the public safety finance bill and laid it over without taking official action. Staff walked through the DE6 amendment, which combines funding and policy provisions from several bills. The spreadsheet and bill summary showed appropriations for non-fatal shooting clearance grants, a domestic violence task force, a first responder uniform ID task force, and an increase to the Philando Castile training reimbursement fund, along with felony-related policy changes involving impersonating a police officer, medical facility security, theft from a vulnerable adult, and grooming offenses. The amendment also includes a $12 million transfer to the Minnesota victims of crime account, bringing the DE6 total to about $15.443 million for the biennium, with additional tail costs. Testimony focused heavily on the need to stabilize crime victim services funding. Katie Kramer of Violence Free Minnesota, speaking for multiple crime victims coalitions, urged support for the $12 million transfer, warning that flat funding and inflation have already forced program cuts, staff reductions, and service limits, and that a 20% cut could eliminate programs in rural areas. Tina Bronson of Alexandra House gave a similar account, describing how years of flat funding had reduced staff and programs and saying another cut would mean fewer advocates, longer waits, and less access for survivors. Both witnesses argued that victim services are an essential part of public safety and asked lawmakers to maintain existing services rather than expand them. In member discussion, the chair said the $12 million was intended as one-time funding to keep victim services at roughly prior-year levels and explained that the money would be distributed through the existing competitive grant process. A member asked about the grooming language and whether it could affect teenage relationships; nonpartisan staff clarified that the school-related offense applies only when there is a position of authority, and that existing criminal sexual conduct law already addresses age-differential situations. Members and the chair closed by describing the package as bipartisan and expressing appreciation for the committee’s work, with the chair noting the bill was being laid over for later consideration.
CA
Transcript Highlights:
  • adults, and a potential increase in uninsurance rates.
  • who are experiencing this level of vulnerability.
  • These figures reflect both scale and vulnerability.
  • These figures reflect both scale and vulnerability.
  • Especially for immigrants and vulnerable communities.
Summary: The subcommittee heard an extended briefing on the impacts of H.R. 1 on Medi-Cal and CalFresh, followed by testimony from the Legislative Analyst’s Office and county officials. DHCS described major Medi-Cal changes in H.R. 1, including work/community engagement requirements, six-month redeterminations, reduced federal matching for some emergency services, narrower immigrant eligibility, reduced retroactive coverage, and limits on provider taxes and directed payments. CDSS outlined CalFresh changes, especially the expanded able-bodied adults without dependents time limit, reduced exemptions and waivers, and the new federal-state-county administrative cost split. Both departments emphasized implementation plans, automation, outreach, and county coordination, while acknowledging significant expected coverage losses and administrative burden. The LAO and an independent policy expert discussed how H.R. 1 could increase demand on county indigent care systems and public hospitals as people lose Medi-Cal. They reviewed the history of county indigent care, 1991 realignment, and AB 85, explaining that counties already rely on a patchwork of funding and that current realignment revenues are often used for public health rather than indigent care. They warned that counties may face large increases in uninsured residents, with wide variation in how counties respond, and raised concerns about equity, financing, and whether a more standardized state-county program should be created. Committee members pressed witnesses on county funding, exemptions, homelessness, older adults, undocumented residents, and the effect of administrative burden versus true ineligibility. County representatives from Los Angeles, Santa Clara, Tulare, and San Bernardino described the expected local impacts and asked for additional state support. They said H.R. 1 would drive major losses in Medi-Cal and CalFresh enrollment, increase uncompensated care, strain eligibility staff, and worsen homelessness and food insecurity. Several counties urged the Legislature to fund eligibility workers, preserve enrollment, and consider a CalFresh match waiver; Santa Clara and San Bernardino also cited local tax measures and staffing reductions already underway. No formal vote or committee action was taken in the portion provided.
NH

New Hampshire 2025 Regular Session

House Health, Human Services and Elderly Affairs (01/16/2025)

Health, Human Services & Elderly Affairs

Transcript Highlights:
  • safety of vulnerable adults and identify and meet the needs of vulnerable adults to decrease, um, the
  • </c> adult and Aging Services we have adult adult and Aging Services we have adult protection<01:50:03.480
  • <c> and</c> of vulnerable adults and identify and of vulnerable adults and identify and meet<01:50:07.560
  • :08.880><c> vulnerable</c> meet the needs of vulnerable vulnerable meet the needs of vulnerable vulnerable
  • about 6,100 vulnerable adults in need of protection due to abuse, neglect, or exploitation.
Keywords: 1189, house, all
CA
Transcript Highlights:
  • adult members.
  • Issue 12 relates to CDSS's adult programs. Issue. Issue 12 relates to CDSS as adult programs.
  • It provides domestic personal care services to children and adults with disabilities and older adults
  • In terms of the criteria here for dependent adults versus older adults, there are different ways that
  • Adults and people with disabilities.
Keywords: 987, senate, all
CA
Transcript Highlights:
  • Really appreciate you all holding the line in protecting our most vulnerable Californians.
  • It's the enhanced services for vulnerable non-citizens. We asked for $8 million in the budget.
  • These are extremely vulnerable non-citizens that need these case management services.
  • These are some of our most vulnerable communities right now.
  • Brian Rutledge from the California Association for Adult Day Services. Thank you, Chair.
Summary: The Senate Budget Subcommittee No. 3 on Human Services held its final hearing on the budget, with the chair framing the Senate’s plan as a counterproposal that rejected major cuts and preserved revenues. Public comment was overwhelmingly supportive of the subcommittee’s actions, especially on Medi-Cal, IHSS, PACE, behavioral health, child care, CalFresh outreach, immigrant legal services, and long-term care. Testimony from disability, aging, county, health plan, provider, labor, and advocacy groups urged the committee to keep rejecting asset tests, immigrant coverage reductions, IHSS cost shifts, PACE rate cuts, and behavioral health reductions, while supporting mobile crisis, 988, Title IV-E workforce funding, and the “Be Home Soon California” proposal to expand home- and community-based care. Several speakers also pressed for additional or related funding and policy changes, including county alternatives for people losing Medi-Cal under federal HR1-related changes, more support for public hospitals and indigent care, CalFresh and Cal Food investments, child care slots and COLAs, dental rate cut delays, and expanded immigration legal and food assistance. Others thanked the committee for restoring or preserving funding for behavioral health innovation and advocacy grants, public health IT and disease investigation, diaper banks, hearing aids for children, and distressed hospital loans. The committee also heard concerns about fee-for-service shifts, outpatient dialysis coverage, and other implementation details, with some groups asking for trailer bill language or guardrails. After public comment, the subcommittee took three votes on large blocks of budget items. The first block of consent items passed 3-0, the second block passed 2-1, and the final block passed 2-0, with the chair announcing that the items were approved and out of committee. The hearing then adjourned.
WA

Washington 2025-2026 Regular Session

House Health Care & Wellness Jan 23rd, 2026

Transcript Highlights:
  • a significant challenge that can displace vulnerable young adults from their homes and family structures
  • So we believe that providing this narrow exemption from statute will give vulnerable adults exiting the
  • With care needs, this presents a significant challenge that can displace vulnerable young adults from
  • So we believe that providing this narrow exemption from statute will give vulnerable adults exiting the
  • foster care. from statute will give vulnerable adults exiting the foster care system the option to remain
Summary: The committee held public hearings on several health-related bills. House Bill 2384 would require continuing care retirement communities that offer life care contracts to submit actuarial analyses every other registration cycle for review by the Office of the Insurance Commissioner, with the Department of Social and Health Services using the review in registration decisions. The bill sponsor and residents’ advocates said it would improve transparency and protect seniors’ prepaid care promises, while the CCRC industry supported the goal but raised concerns about scope, cost, and implementation details. House Bill 2505 would exempt certain foster family homes and child-specific foster care homes from adult family home licensure when former foster youth remain in the home as adults and certain safety conditions are met; DSHS supported the narrow exemption as a way to avoid displacing vulnerable young adults. House Bill 2402 would phase out DEHP and other orthophthalates in IV solution containers and later IV tubing, with exemptions for certain blood and cell therapy products; supporters cited health and environmental risks and the availability of safer alternatives, while manufacturers and hospitals supported the goal but asked for longer timelines, supply-chain protections, and implementation assistance. In executive session, the committee took action on a series of bills. It adopted an amendment and passed House Bill 1904, which prohibits cat declawing, on a 13-3 vote. It passed a proposed substitute for House Bill 2145 on the 340B drug program on an 11-5 vote after debate over reporting requirements and the state’s authority. It rejected several amendments to House Bill 2182 on abortion medications held by the Department of Corrections, adopted an Indian health care provider priority amendment, and passed the bill on a 10-6 vote. House Bill 2211 on medically tailored meals passed 15-1. The committee also passed Substitute House Bill 2247 on veterinarian-client-patient relationships, Substitute House Bill 2329 on midwives and lactation consultants, and Substitute House Bill 2339 on nurse licensing, each with technical amendments and broad support.
MO

Missouri 2026 Regular Session

2026 Legislative Session - Day Forty Eight - Wednesday, April 8 - Morning Session

Missouri House Floor Meeting

Transcript Highlights:
  • If we compare this to other adult learning programs, the other adult learning programs provide a GED,
  • If we compare this to other adult learning programs, the other adult learning programs provide a GED,
  • But that's adult education for a GED.
  • vulnerable than them.
  • else that's more vulnerable than them.
Keywords: 959, house, all
CA

California 2025-2026 Regular Session

Senate Human Services Committee Apr 6th, 2026

Transcript Highlights:
  • participants and for the families and caregivers they live with, many of whom may be medically vulnerable
  • I am a mother of two young adults who are served by the regional center system.
  • Contrara's grandmother to a 33-year-old adult, and I want to thank especially Aaron Carruthers for...
  • I am Latina, an immigrant, a mother of a young adult with autism, a mother of a community integrator,
  • They connect older adults to home-delivered meals, health care counseling, and so, so much more.
Summary: The committee heard several bills focused on disability services, food security, veterans, aging services, and child care. SB 969 by Senator Reyes would make permanent the option for Californians with intellectual and developmental disabilities to receive certain regional center services remotely; supporters said remote services improve access, continuity, safety, and choice, and there was no opposition. The committee initially lacked a quorum, so action on the bill was delayed until later in the hearing, when it was moved on a 4-0 vote to Appropriations. SB 1025 by Senator Hurtado would create an Office of Food Security and Affordability to coordinate state food programs, improve CalFresh enrollment, reduce duplication, and support a 24-hour hunger hotline; supporters framed it as a coordination and strategic-planning measure, while some members questioned whether existing programs should be evaluated first and whether the bill needed stronger reporting and accountability. It passed 3-0 to Governmental Organization. The committee also heard SB 1052 by Senator Gonzalez, which would allow the State Council on Developmental Disabilities to appoint contingent authorized representatives so people with developmental disabilities are not left without support if a parent or other primary helper becomes unavailable. Supporters, including families and disability advocates, described emergencies, immigration enforcement fears, and service interruptions as reasons for the bill; members asked about the current approval and renewal process and whether the annual renewal requirement could be streamlined. The bill passed 3-0 to Appropriations. SB 1077, also by Senator Gonzalez, would require the Department of Social Services to prepare for future federal shutdowns by creating a communications and contingency plan for CalFresh disruptions and a state-backed emergency benefits mechanism; supporters cited the 43-day federal shutdown and delays in benefits, and the bill passed 4-0 to Appropriations. Other measures discussed included SB 1201 by Senator McNerney, the No Hungry Heroes Act, which would seek waivers and direct referrals to protect veterans from federal SNAP changes and job-search-related income calculations; it passed 3-0 to Military and Veterans Affairs. SB 1261 by Senator Laird would let aging and disability resource connections continue operating during partner transitions so people do not lose access to “no wrong door” services; it passed 3-0 to Appropriations. SB 1110 by Senator Becker would update child care subsidy funding and reimbursement structures to better reflect direct family services and stabilize providers; the author said a provision tied to the budget would be removed, and the bill passed 4-0 to Education. Finally, SB 991 by Senator Menjivar was presented to improve how abuse and neglect findings in residential care facilities for the elderly are categorized in the licensing database, so serious abuse is not lumped together with lesser violations; testimony described examples of sexual assault and restraint being recorded as generic residents’ rights violations.
CA

California 2025-2026 Regular Session

Senate Budget and Fiscal Review Committee Jun 15th, 2026

Budget and Fiscal Review

Transcript Highlights:
  • We have vulnerable working communities that are working full time. ...covered.
  • We have vulnerable working communities that are working full time, but because of the precariousness
  • The Medi-Cal changes by H.R. 1 require work and voluntary requirements for able-bodied adults with no
  • It could be a couple, but able-bodied adults and no families.
  • We support rejecting the increase in the age for Adult Protective Services.
Keywords: 987, senate, all
CA

California 2025-2026 Regular Session

Senate Human Services Committee Apr 20th, 2026

Human Services

Transcript Highlights:
  • Brian Rutledge, Executive Director of the California Association for Adult Day Services.
  • We know older adults benefit from opportunities to support health, connection, and independence.
  • California Association for Adult Day Services, CADS.
  • California, so all the adults, I respectfully ask for your aye vote on SB 971. Thank you.
  • California, so all the adults, I respectfully ask for your aye vote on SB 971. Thank you.
Summary: The committee adopted the consent calendar and then heard several bills on child care, aging, child welfare, food access, and youth services. SB 1200 by Sen. Menjivar would redefine infant and toddler age categories in child care licensing to allow providers to serve children beginning at 18 months in the toddler category, with supporters saying it would increase capacity and help family child care businesses stay open; it passed 4-0 to Appropriations. SB 971 by Sen. Choi would authorize counties to offer optional adult education and technology training programs for adults 55 and older through local partnerships; supporters said it would reduce isolation and improve digital literacy, and it passed 4-0 to the floor. SB 1234 by Sen. Alvarado-Gil would require fentanyl to be included in court-ordered drug testing in dependency cases, with testimony from an angel family and law enforcement about child deaths and exposure risks; it passed 4-0 to the floor. The committee also heard SB 1109 by Sen. Alvarado-Gil, which would require additional state review for short-term residential therapeutic programs in very small rural counties or facilities with repeated serious citations. The author and county officials from Alpine County argued that rural counties lack the hospitals, schools, and 24-hour emergency response needed to safely support these placements, while providers opposed the bill as overly broad and potentially destabilizing to STRTP capacity. After the author accepted committee amendments, members voted 4-0 to send the bill to Appropriations as amended. SB 961 by Sen. Ashby would require students applying for financial aid to be notified that they may also be eligible for CalFresh; student and advocacy witnesses described widespread food insecurity on campuses, and the bill passed 4-0 to Appropriations. The committee then heard SB 1099 by Sen. Gomez Reyes, which clarifies local governments’ authority to provide state or local public benefits to all residents under PRWORA-related exemptions; supporters said it would reduce legal uncertainty for local safety-net services, and the bill was voted 2-0 with the remaining members absent, leaving it on call. SB 1190 by Sen. Grove would create a licensing and regulatory framework for youth transport companies that move minors to out-of-state residential facilities; survivors testified about traumatic transports, supporters called for basic guardrails, and the bill passed 4-0 to Public Safety. Finally, SB 1325 by Sen. Jones would create a narrow pathway for Feeding San Diego to participate in CalFood, with supporters saying it would expand hunger relief in San Diego County and opponents warning it could divert limited food bank resources; the discussion focused on broader funding concerns, and no final vote was recorded in the excerpt.
MO

Missouri 2026 Regular Session

2026 Legislative Session - Day Twenty - Thursday, February 12

Missouri House Floor Meeting

Transcript Highlights:
  • And in every situation, children look to adults for truth. I'm honored to serve in this body.
  • When we target a small group of vulnerable kids—kids who are simply trying to grow up, go to school,
  • But if you you insist on that you need to change, I think you need to be a full-grown adult.
  • But if you insist on that you need to change, I think you need to be a full-grown adult.
  • This bill doesn't prevent counseling for young adults who are struggling.
Keywords: 959, house, all
FL

Florida 2025 Regular Session

January 15, 2025 - 01:00 PM

Transcript Highlights:
  • Similarly, we perform over 39,000 adult protective investigations each year, supporting disabled adults
  • And that is an adult day health care type program.
  • most vulnerable citizens in Florida.
  • And you're talking about the most vulnerable communities. If there's anything that has to...
  • You're talking about the most vulnerable communities.
Summary: The Health Care Budget Subcommittee met to organize the new term, take roll, and hear introductory presentations from the six agencies under its jurisdiction: the Agency for Health Care Administration, Agency for Persons with Disabilities, Department of Children and Families, Department of Elder Affairs, Department of Health, and Department of Veterans’ Affairs. The chair outlined the committee process, including assigning members to review agencies and make budget recommendations. Each agency head gave a high-level overview of their budget, staffing, major programs, and priorities, with recurring themes including Medicaid, long-term care, disability services, child welfare, mental health, aging services, public health, and veterans’ health care. Several agency leaders highlighted recent initiatives and funding priorities. AHCA emphasized Medicaid managed care, provider regulation, Hope Florida, hospital-at-home, and cancer-related efforts; APD discussed iBudget services, Hope Florida, a managed-care pilot, online applications, and forensic care costs; DCF focused on child protection, foster care, adult protective services, food/cash/medical assistance, mental health, and opioid treatment; Elder Affairs highlighted Alzheimer’s services, community-based senior care, guardianship, ombudsman services, and disaster outreach; DOH covered cancer innovation, maternal telehealth, cybersecurity, HIV/hepatitis/syphilis screening, and school nursing; and Veterans Affairs described benefits and health care access for veterans, long-term care, and federal reimbursement. Several speakers also raised concerns about rising costs, provider rates, disaster response, and access to services. The committee heard two public comments from disability advocates about Medicaid redeterminations affecting iBudget waiver recipients and provider payment delays. In response, AHCA and APD said they were coordinating on data sharing, early outreach, escalation processes, and efforts to reduce disenrollments and make recertification smoother. Members then asked questions about provider rates, opioid settlement spending, managed care quality measures, pediatric rare disease grants, group home transparency, senior outreach, ABA services moving into managed care, annual Medicaid recertification, veterans’ service utilization, waiting lists for elder services, and prevention spending. No formal votes were taken during the meeting.
CA
Transcript Highlights:
  • requiring... ...and community engagement requirement, which is a federal mandate requiring specific adults
  • Under H.R. 1, the work and community engagement provision requires adults eligible as part of the new
  • adult group or as part of the Affordable Care Act optional expansion to demonstrate work or community
  • So with regards to applying the work requirements to adults with unsatisfactory immigration status.
  • Additional barriers will only push vulnerable Californians further into crisis.
Summary: The Assembly Budget Subcommittee on Health held a hearing on the impacts of H.R. 1 and related federal actions on Covered California, Medi-Cal, and immigrant access to care. The chair framed the discussion around three main issues: expected losses in marketplace coverage as enhanced federal premium subsidies expire, new federal work and renewal requirements that would add administrative burden to Medi-Cal, and the loss of eligibility for certain lawfully present immigrants. Covered California testified that H.R. 1 and new federal rules, combined with the end of enhanced premium tax credits, are driving higher premiums, lower new enrollment, and more cancellations, especially among middle-income, Latino, and Black enrollees. The agency said California’s $190 million state subsidy program is helping lower-income enrollees but cannot replace the lost federal assistance, and it noted that roughly 120,000 lawfully present immigrants in Covered California will lose federal tax credits in 2027. On Medi-Cal, the Department of Health Care Services said H.R. 1 will require work and community engagement verification, six-month renewals for certain adults, and other changes that the department expects will reduce enrollment substantially. DHCS estimated 233,000 members could lose coverage by June 2027 from the work requirement and 289,000 from six-month renewals, with losses rising much higher by 2028; it also said it is using automation, outreach, clinic navigators, coverage ambassadors, community health workers, and street medicine providers to reduce procedural disenrollments. The department described a two-phase outreach plan and said it is working with counties on implementation, while the Department of Finance said the Governor’s budget maintains $190 million for the state subsidy program and does not propose additional changes at this time. The LAO said its independent forecast is somewhat higher than the administration’s, estimating about 2.1 million fewer Medi-Cal enrollees by June 2028, and urged the Legislature to review county administrative workload and readiness. Public testimony and member comments focused on the human and fiscal consequences of coverage losses. A representative from the Sacramento Native American Health Center warned that reduced reimbursement and coverage losses would destabilize community health centers, increase uncompensated care, and worsen outcomes by pushing patients into emergency care. Members raised concerns about paperwork burdens, county capacity, outreach effectiveness, and whether the state should do more to preserve coverage, including possible modeling of additional H-CARF spending and support for middle-income consumers and immigrant enrollees. The hearing did not take any votes or formal actions, but it ended with public comment and continued discussion of implementation and budget options.
CA
Transcript Highlights:
  • Really appreciate you all holding the line and protecting our most vulnerable Californians.
  • It's the enhanced services for vulnerable non-citizens. We asked for $8 million in the budget.
  • These are extremely vulnerable non-citizens that need these case management services.
  • These are some of our most vulnerable communities right now.
  • Brian Rutledge from the California Association for Adult Day Services. Thank you, Chair.
Keywords: 987, senate, all
CA

California 2025-2026 Regular Session

Assembly Privacy and Consumer Protection Committee Apr 16th, 2026

Privacy and Consumer Protection

Transcript Highlights:
  • I work in technology, AI, and adult learning.
  • elderly non-English-speaking adults.
  • Most marginalized and vulnerable children without a lifeline, and elderly, non-English-speaking adults
  • And you could maintain the current model for adults. This doesn't speak to adults.
  • And you could maintain the current model for adults. This doesn't speak to adults.
Keywords: 988, house, all
CA
Transcript Highlights:
  • adult members.
  • Issue 12 relates to CDSS adult programs. Issue 12 relates to CDSS's adult programs.
  • It provides domestic personal care services to children and adults with disabilities and older adults
  • In terms of the criteria here for the dependent adults versus older adults, there are different ways
  • Older adults won't stop being abused and neglected, and this change would put thousands of older adults
Summary: The committee heard opening budget remarks from the Department of Finance and the Legislative Analyst’s Office on the May Revision for Health and Human Services. Finance said the proposal significantly reduces projected out-year operating deficits through a mix of revenue increases and program cost reductions, while the LAO warned that even with booming revenues the state still faces a structural deficit and should prioritize reserves and avoid new ongoing commitments. The chair and members echoed concern about cuts to vulnerable populations, but also noted the need to maintain the overall level of budget solutions and add to reserves. The hearing then moved through a series of CalHHS and HCAI proposals, mostly held open after presentation. CalHHS requested additional legal support to respond to federal H.R. 1-related issues and a net-zero transfer of positions for a shared eligibility/data-sharing platform. Other items included ongoing funding for the 988 Behavioral Health Crisis Service Fund and a request for EMSA to fund maintenance of its enterprise data management system. HCAI presented proposals for hospital fair pricing implementation, the data exchange framework, the all-payer claims database, CalRx insulin development, the diaper access initiative, distressed hospital grants, opioid settlement fund reversion, and the Rural Health Transformation Program. Members questioned funding sources, special fund use, contracting exemptions, timelines, and whether some proposals should be more targeted or supported by alternative funding. A major discussion centered on HCAI’s diaper access initiative and the use of a Public Contract Code exemption to continue contracting for free diapers distributed through hospitals. The chair and some members criticized the optics of the selected vendor and questioned the lack of an income threshold, while HCAI said the program was designed to be universal and administratively simple, with future phase-two direct-to-consumer purchasing to be handled by a different vendor. Another extended exchange focused on distressed hospital funding, where HCAI said the May Revision would provide up to $50 million for hospitals at immediate risk of closure, but members argued the repeated annual need shows a structural problem and asked for broader reforms to hospital payment and care transitions. The final major topic was the Behavioral Health Services Oversight and Accountability Commission’s budget. The Commission opposed the May Revision’s reduction of the Innovation Partnership Fund from $20 million to $10 million and a $6.7 million cut to community advocacy contracts, arguing both are core Proposition 1 tools for statewide innovation and community engagement. Finance responded that the proposal is within Proposition 1’s allowable maximums and that prior unspent appropriations could be redirected if the Legislature wanted to restore the full amount. No votes were taken; items were generally held open for later action.
CA

California 2025-2026 Regular Session

Assembly Human Services Committee May 1st, 2025

Transcript Highlights:
  • Addressing these issues will not only help vulnerable families, but it also will reduce long-term state
  • To help this vulnerable population, AB 790 requires cities, counties, and continuum of cares receiving
  • The funding for these vulnerable communities should not be a partisan issue, and I applaud the chair
  • I'm the deputy executive director of the Adult Skills Center.
  • I'm the deputy executive director of the Adult Skills Center.
Summary: The Assembly Human Services Committee met with quorum established after beginning as a subcommittee. The committee heard AB 790, which would require jurisdictions receiving state homelessness funds to develop systems specifically supporting women and children, especially single mothers and survivors of domestic violence. Supporters said current homelessness programs overlook this population; the bill was amended and passed unanimously on a 7-0 vote. The committee also heard ACA 4, the Housing Opportunities Made Equal Act, which would dedicate a minimum share of the state general fund to affordable housing and homelessness programs. Supporters argued more stable funding is needed to address the housing crisis, while opponents questioned whether more spending would help; the measure passed 5-2 to the Assembly Appropriations Committee. Members then heard AB 349, which would index the infant supplement for parenting foster youth to inflation. The author and sponsor described the needs of pregnant and parenting teens in foster care and rising costs for diapers and formula; the bill passed 6-0 to Appropriations. AB 779, which expands a domestic violence consultant pilot in child welfare offices statewide, also passed 6-0 after testimony that it would help keep families together safely and improve trauma-informed responses. AB 1335, which would remove a private CARF accreditation requirement for regional center employment programs and rely on state oversight instead, drew support from disability service providers but opposition from the chair over concerns about weakening quality checks; it failed on a 2-2 vote and reconsideration was denied. The committee also considered AB 1066, a bill to bar state-funded immigration legal services for people unlawfully present in the country who have certain serious felony convictions. Supporters framed it as a public-safety and fiscal-responsibility measure, while opponents said it would restrict due process and align California with mass-deportation policies. The bill failed on a 2-2 vote. Two bills, AB 277 and AB 318, were pulled by the author and not heard. After final roll calls on absent members, the committee adjourned.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Ways and Means Mar 9th, 2026

Joint Committee on Ways and Means

Transcript Highlights:
  • , but any family seeking shelter is vulnerable.
  • , but any family seek shelter is vulnerable.
  • Over 14,000 people are employed within the adult use market.
  • It's for adults. It's for kids.
  • We were the only adult use east of the Mississippi.
Summary: The hearing in Barnstable opened with remarks from the House and Senate co-chairs about the importance of holding Ways and Means budget hearings on the Cape, especially given the region’s seasonal economy and infrastructure needs. The committee then heard testimony from Labor and Workforce Development Secretary Lauren Jones on the governor’s FY27 budget proposal. She highlighted funding for workforce programs including the Workforce Competitiveness Trust Fund, Career Technical Initiative, registered apprenticeship, YouthWorks, reentry workforce programs, and services for young adults with disabilities. She also discussed MassHire career centers, the MassHire Innovation Project, and the Department of Unemployment Assistance modernization effort, noting improved call wait times and claims processing, but acknowledging continued challenges and federal funding uncertainty. Members asked about job-seeker barriers such as child care, housing, and transportation; domestic outmigration of young workers; youth work permits; unemployment insurance costs and the COVID assessment on employers; and the state’s unemployment rate and UI trust fund solvency. Jones and Undersecretary Josh Cutler explained the difference between workforce training funds and the unemployment trust fund, described the statewide trigger that extends unemployment benefits from 26 to 30 weeks when regional unemployment averages 5.2 percent, and said the administration is reviewing the trust fund with labor and business stakeholders. They also said the administration is trying to preserve front-line DUA staffing while shifting resources to customer service and adjudication, including a Friday adjudication pilot and seasonal hires. Senators and representatives also pressed the administration on regional equity in workforce funding, especially for Hampshire Franklin MassHire, which was described as serving a large rural area with fewer resources than other regions. Administration officials said they are reviewing MassHire funding formulas and modernizing the system with a policy committee and state workforce board input, but did not offer an immediate fix. The committee also heard that early childhood education apprenticeships are expanding quickly, with state funding leveraged to secure federal grants and support new Grow Awards. The hearing then moved to the Executive Office of Economic Development, where Secretary Eric Paley outlined House 2 proposals for economic development, including support for the Community One Stop for Growth, rural economic development, workforce partnerships, life sciences, advanced manufacturing, AI, small business assistance, tourism, and tax incentives. Undersecretary Leila D’Amilia followed with testimony on consumer affairs and business regulation, describing funding for consumer protection, banking oversight, occupational licensure, and public safety inspections.