Video & Transcript Research : 'Secret Service'

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FL

Florida 2025 Regular Session

Health Policy Jan 14th, 2025

Transcript Highlights:
  • Nato clinical services will have perinatal workforce development, education and training social services
  • as with reproductive services.
  • So doula services are covered. There's increased prenatal services.
  • You know, the all services is not.
  • And the last thing we want is to have a duplication of services and pay for the same service twice.
Keywords: 999, senate, all
TX

Texas 89th Regular

Appropriations - S/C on Articles I, IV, & V Feb 25th, 2025

Appropriations - S/C on Articles I, IV, & V

Transcript Highlights:
  • General obligation bond debt service.
  • FAA to estimate debt service on commercial paper and bonds.
  • , and support. and direct services.
  • Services.
  • . changing life-saving support services to these survivors.
Keywords: 1184, house, all
FL

Florida 2025 Regular Session

February 4, 2025 - 09:00 AM

Transcript Highlights:
  • and families in need of services.
  • and families in need of services.
  • And by and large, the majority of the population is serviced through outpatient services.
  • Not only does it provide probation services in the community, it provides reentry services.
  • services, and education.
Summary: The Justice Budget Committee heard detailed presentations from the Department of Juvenile Justice and the Department of Corrections on staffing, services, and budget needs. DJJ Secretary Hall emphasized that the agency’s main public safety strategy is education, along with prevention and recidivism reduction. He described major staffing improvements after pay increases for probation, detention, residential care, and prevention workers, and outlined DJJ’s mental health, aftercare, and education continuum, including the Florida Scholars Academy and Florida Youth College. He said the new statewide education model is showing early gains in progress monitoring, high school graduation, and postsecondary enrollment, while also noting ongoing operational issues such as IT connectivity, rural staffing gaps, and the need for geographic pay adjustments for teachers. He also discussed detention center replacement plans in Hillsborough, Broward, and Palm Beach, and said DJJ would transition the Broward JAC to a security contractor after the sheriff’s office pulls sworn officers from the site. Members asked about campus performance differences, teacher pay, detention education quality, and concerns about the rollout and leadership of the Scholars Academy. Hall said some campuses face rural access and infrastructure problems, but the blended learning model provides continuity when internet or staffing issues arise. He defended the superintendent’s qualifications and said early problems with inappropriate online content were addressed. Representative Porras raised concerns about educational quality and the superintendent’s past disciplinary history, while Representative Barrera urged more mentorship and fatherhood-focused programming in juvenile facilities. DOC Secretary Dixon said the prison system is under pressure from rising inmate populations, staffing shortages, and overtime costs. He argued that the system needs funded posts for every functioning housing unit, noting that the department has added housing units without enough staff and now relies heavily on overtime, mobile officer deployments, and shift conversions to keep facilities operating safely. He highlighted that many officers are new, that outside-hospital transports have risen sharply, and that mental health units require additional staffing. DOC’s mental health chief described a large and growing treatment system with outpatient, inpatient, intensive outpatient, and court-ordered services, saying about a quarter of the prison population has a diagnosed mental illness. Community corrections staff described treatment programs, employment specialists, mobile probation and reentry units, and a new mental health first aid training initiative. Reentry staff reported expanded substance abuse, education, CTE, chaplaincy, and digital learning programs, including Edovo and a forthcoming Work Bay platform. No votes were taken.
AR

Arkansas 2026 Regular Session

TASK FORCE ON AUTISM Jun 4th, 2026

TASK FORCE ON AUTISM

Transcript Highlights:
  • , and 23% receive residential services.
  • The available services for seniors in Arkansas are really the same as the services I mentioned earlier
  • Well, not children's services, but these services are available to everybody, including individuals with
  • We represent 80 service providers in Arkansas.
  • So I've always understood that to be a function of the services, the diagnostic services that kind of
Keywords: 1204, all
KY
Transcript Highlights:
  • Medicaid Services.
  • services in a skilled nursing facility. services in a skilled nursing facility.
  • We can start services.
  • We can start services.
  • How long should people have to wait to provide services? They're getting Medicaid services.
Keywords: 958, all
Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.
MS

Mississippi 2026 Regular Session

Highways and Transportation - Room 216, January 14, 2026; 10:30 AM

Highways and Transportation

Transcript Highlights:
  • That is our new state-supported service and the newest service in the Amtrak network.
  • Amtrak was created by the Rail Passenger Services Act in 1970, went into service in 1971, and has been
  • that had their own passenger service gave that service up.
  • c><00:02:46.640> mph<00:02:47.280> there service services up to 160 mph there service services
  • Customer service...
Summary: Amtrak officials Todd Stenis and Jeff Mann briefed the committee on Amtrak service in Mississippi, with a focus on the new Mardi Gras state-supported route on the Gulf Coast. They reviewed Amtrak’s national structure, including the distinction between long-distance and state-supported service under PRIIA section 209, and noted that Mississippi is served by the City of New Orleans, the Crescent, and the new Mardi Gras service. They said the Mardi Gras began service on August 18 and operates four trains a day between New Orleans and Mobile with Mississippi stops, supported by Mississippi, Louisiana, and Mobile. The officials reported strong early performance for Mardi Gras, saying ridership had already exceeded 60,000 by the end of December against a 71,000 first-year projection, with about 435 passengers per day and a 64% average load factor. They also cited 86% on-time performance, a 94% customer satisfaction index, and average fares of $27 in coach and $66 in business class. They said the service is benefiting from strong demand, good coordination with host railroads CSX and Norfolk Southern, and planned capital improvements totaling more than $200 million that they said should reduce trip times by 30 to 40 minutes. Committee members responded positively, with Senator Williams praising the train experience and another senator noting personal use of the Mardi Gras service. The presenters invited members to ride the train and described it as a state investment paying off across South Mississippi and the Gulf Coast. After the Amtrak presentation, the committee returned to business and took up one bill, 2019, which would delete the sunset on the provision directing the first $80 million of lottery proceeds to the state highway fund. Senator Blackmon asked for clarification, the chairman confirmed the bill would make the road funding provision permanent, and the committee approved the title and reported the bill out.
CA
Transcript Highlights:
  • Elimination of food security services, including meal and grocery services.
  • These are public service employees.
  • It means immediate cuts to real people, real jobs, real services, real people who rely on those services
  • If not, the cities that provide critical services will face service reductions at no fault of their own
  • And so it's right-sizing all of our business services and all the services and programs that we oversee
Summary: The hearing began with a vote-only agenda and then focused first on San Mateo County’s request to restore in-lieu vehicle license fee (VLF) funding. County officials, city leaders, labor representatives, nonprofits, and public safety advocates argued that the loss of roughly $157 million would force major cuts to homelessness services, housing assistance, mental health programs, libraries, parks, fire and police staffing, and other local services. They described the current formula as outdated and unfair, tied to school funding and basic-aid dynamics that no longer work for San Mateo County, and urged both an immediate budget restoration and a permanent legislative fix. The Department of Finance said the payments are discretionary, not statutorily required, and noted the administration does not view the expenditure as sustainable in the current fiscal climate. Committee members expressed sympathy, questioned the formula, and said they would keep the issue under consideration; the committee later voted to move the two vote-only items on the agenda. The committee then received an update from the Department of General Services on state property redevelopment, including the Hillcrest DMV site in San Diego, the Fell Street DMV site in San Francisco, and other state-owned properties. DGS explained that Hillcrest is not currently an active project, while the Fell Street project shifted from an integrated DMV-housing plan to a more feasible relocation of the DMV into leased commercial space, with a budget change proposal pending. Members pressed DGS on the slow pace of redevelopment, the potential for housing on state sites, and the costs and feasibility of adaptive reuse. DGS said many state buildings are aging and that adaptive reuse depends heavily on building design, floorplate depth, light, and risk from unknown conditions behind walls. The Government Operations portion then turned to the California Education Learning Lab, which supports intersegmental higher education innovation grants. The Lab asked for permanent restoration of $4 million in ongoing funding and a move of its home agency from the Office of Land Use and Climate Innovation to GovOps, along with technical trailer bill changes. Supporters said the program has funded more than 120 projects reaching thousands of faculty and hundreds of thousands of students, including work on generative AI in higher education. The Legislative Analyst’s Office recommended rejecting the restoration and continuing the wind-down, citing the state’s projected deficit and suggesting the California Education Interagency Council could pursue non-state-funded grant opportunities instead. The committee held the item open. Finally, GovOps presented the new California Education Interagency Council staffing request, seeking four ongoing positions to support the council, with funding already included in last year’s budget. The department said the governor has appointed Debbie Cochran as executive officer and that the remaining positions are being recruited. Finance and LAO had no objections, and the committee began questions about how the council will be staffed and organized.
MN

Minnesota 2025 1st Special Session

House Veterans and Military Affairs Division 3/26/25

Veterans and Military Affairs Division

Transcript Highlights:
  • In order to programs and services.
  • <00:42:35.520> And Social Service of Minnesota. And Social Service of Minnesota.
  • And so this service, there's real dollars behind the service that I do as a reservist.
  • And so this service, there's real dollars behind the service that I do as a reservist.
  • Commissioner, Programs and Services for Commissioner, Programs and Services for the<00:56:53.520>
Keywords: 1183, house
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Nov 6th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • , what services are available, how they are overseen, how they are funded, how accessible those services
  • In the provision of services to young people and their families.
  • , which are the most intensive types of services.
  • for young people and the use of evidence-based services.
  • We need to individualize the services and interventions.
FL
Transcript Highlights:
  • HE SET OUT ON A MISSION TO ASSESS GAPS IN SERVICES AND KNOWLEDGES, KNOWLEDGE VETERANS TO THE SERVICES
  • WE PROVIDE ESSENTIAL SERVICES, SOCIAL SERVICES TO REGIONAL POPULATION 55 YEARS.
  • OUR SERVICES INCLUDE INDIVIDUAL CASE MANAGEMENT WAS GOING TO TRAINING, PROVISION OF WRAPAROUND SERVICES
  • SPOUSES RECEIVE PRIORITY OF SERVICE SO THAT MEANS ANYTHING TO VETERAN SEEK SERVICE THEY GO DIRECTLY
  • SERVICES.
Keywords: 999, senate, all
MN

Minnesota 2025 1st Special Session

House Health Finance and Policy Committee 2/24/25

Health Finance and Policy

Transcript Highlights:
  • ambulance services.
  • The long-term viability of many services is in jeopardy if an ambulance service fails.
  • ambulance services.
  • getting the money I know one Services getting the money I know one service<01:05:05.720> in service
  • That's why our service and several other services will do fundraisers.
Keywords: 1183, house
KY
Transcript Highlights:
  • legal services.
  • services they services professional services they contract<00:10:11.519> for<00:10:11.839>
  • legal services. legal services.
  • Administrative Services. Administrative Services.
  • service before. service before.
Keywords: 958, all
Summary: The committee first approved the April 13 minutes and then turned to a large agenda of contracts. Chairman Douglas said there were 52 contracts totaling about $369.3 million, and noted that most vendors were registered with the Secretary of State except for item 118 on the routine personal services green list and item 19 involving Morehead State University and Kentucky State University. The committee voted to defer item 118 to the June 26 meeting and later also deferred the Kentucky State University contract on the deferred list to the June 26 meeting. The main discussion centered on a deferred personal services contract for the Kentucky Board of Optometric Examiners, involving outside legal counsel. Senator Meredith raised concerns about KRS 320 and whether the board had authority to hire outside counsel when the statute says the Attorney General shall provide legal services to the board. Dr. Mary Beth Morris, the board president, and Christopher Thacker of the Attorney General’s office testified after being sworn in. Thacker explained that the statute and related law allow both Attorney General assistance and independent counsel, and argued that outside counsel is appropriate for day-to-day legal work because it avoids conflicts, especially on open records issues, regulatory advice, and disciplinary hearings. Senator Meredith said he agreed with approving the contract but questioned how the board had reached this point and whether the current statutes reflect modern practice. He raised concerns about transparency and accountability, referencing a prior advisory opinion involving the board’s handling of exam requirements during COVID and saying the board should have consulted the Attorney General before acting. Thacker responded that the Attorney General’s office serves the Commonwealth as a whole, not as counsel to one board, and that the board’s use of outside counsel is a reasonable and economical arrangement. The exchange ended with Meredith suggesting that broader legislative action may be needed to clarify reporting relationships and oversight for the board.
MA

Massachusetts 2025-2026 Regular Session

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

Joint Committee on Financial Services

Transcript Highlights:
  • Welcome to the Joint Committee on Financial Services public hearing.
  • So the fee-for-service models are arranged between the hospital and the private ambulance services.
  • H. 1061, an act to increase nurse midwifery services.
  • We offer comprehensive services at five community health centers, including services at Dorchester House
  • insurance plans to cover doula services.
Keywords: 995, all
Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.
KY
Transcript Highlights:
  • that they're involved with. vocation rehabilitation services for vocation rehabilitation services for
  • > procedure or standard for the service procedure or standard for the service fee<00:14:41.680> memo
  • And then there was also a new service memo issued, and that's the rates memo for the services that are
  • And then there was also a new service memo issued, and that's the rates memo for the services that are
  • need to be served these these services need to be served these these services are<00:26:42.279><
Summary: The Senate Committee for Economic Development, Tourism, and Labor heard two bills. Senate Bill 15, sponsored by Sen. Amanda Bledsoe, was presented with testimony from Major League Baseball in support of exempting minor league baseball players from Kentucky wage-and-hour treatment. Witnesses said the bill would preserve the negotiated collective bargaining structure for players, avoid impractical time-tracking requirements, and keep Kentucky aligned with other states. Senators discussed minor league salary levels, the importance of baseball to Kentucky communities, and the bill’s relationship to minimum wage law. The committee then took a roll call vote and passed the bill with unanimous support from members present. The committee next heard Senate Bill 103 from Sen. Danny Carroll, which would require the Office of Vocational Rehabilitation to adopt regulations under Chapter 13A, limit reciprocal agreements with other states until in-state provider contracts are exhausted, establish procedures for service fee memos before a new fiscal year, and require an annual report with operating and financial information. Testimony from community rehabilitation providers and disability advocates emphasized that the bill would increase transparency, protect local providers, and improve services for people with disabilities seeking competitive employment. They said Kentucky has a large disability population, that many working-age individuals with disabilities are not employed, and that better oversight could help address workforce shortages and reduce reliance on public assistance. Senators asked about the disability population, age ranges served, funding, and recent changes to provider rates and selection processes. The committee then voted to pass Senate Bill 103 unanimously.
WA

Washington 2025-2026 Regular Session

House Appropriations Dec 4th, 2025

Transcript Highlights:
  • So intensive residential treatment services reduce the need for hospitalization, crisis services, and
  • eligible for federal match, while the DSHS delivered services are state-only funded services, those
  • Social and Health Services.
  • Social and Health Services.
  • entitled to those services and the services that they utilize.
Summary: The committee held a work session focused first on juvenile rehabilitation system capacity. DCYF officials said the juvenile rehabilitation population is older, includes more adult-sentenced youth, and has longer lengths of stay, especially for “post-25” youth who must remain in secure facilities and cannot go to community beds. They described overcrowding at Green Hill School, placement limits at Echo Glen and Harbor Heights, staffing turnover, mental health acuity, and the need for more medium-security and specialized mental health beds. DCYF said it is pursuing a Parkland facility proposal, a staffing model decision package, and a broader feasibility study and master plan update. No votes were taken; members were asked to follow up with questions later. The committee then heard on behavioral health system capacity from the Behavioral Health Administration and the Health Care Authority. DSHS described growth in forensic and civil bed need, expansion at Olympic Heritage, Maple Lane, and Brockman, and construction of a new 350-bed forensic hospital at Western State expected to open in 2028. HCA reported progress on long-term civil commitment beds, intensive behavioral health treatment facilities, PACT teams, and intensive residential treatment teams, saying the community-based system is being expanded to support step-down care and reduce hospital reliance. Members asked about whether capacity is right-sized, the difference between facility types, and federal match eligibility for services. A federal funding update followed, covering the effects of H.R. 1 and H.R. 5371 on SNAP, Medicaid, marketplace coverage, long-term services and supports, K-12, higher education, and hemp regulation. OFM and agency staff said H.R. 1 adds work requirements, changes non-citizen eligibility, increases state administrative and benefit costs, reduces Medicaid and marketplace subsidies for some groups, tightens redeterminations, and may significantly affect provider payments and state-directed payments. H.R. 5371 extended federal funding through January 30, 2026 and included some agency appropriations and other provisions, including changes affecting hemp producers. Members asked about SNAP error rates and special enrollment periods. Finally, budget coordinator Mary Monroe gave a 2026 supplemental budget preview. She reviewed the state’s near general fund outlook, noting revenue declines since the enacted budget, the effect of reversions, and a preliminary maintenance-level outlook showing a projected increase in NGFO spending over the four-year period. She said the supplemental will reflect updated caseload and cost forecasts and mandatory impacts from H.R. 1, but not policy proposals. No actions or votes were taken during the session.
FL

Florida 2026 Regular Session

Governmental Oversight and Accountability Feb 18th, 2025

Governmental Oversight and Accountability

Transcript Highlights:
  • Thank you for the opportunity to speak to you today about procurement it. of management services.
  • They often have broad scopes and are generally related to complex types of services.
  • Roughly 21% of all purchase order spend is spent on IT services.
  • Chapter 282 of Florida statute requires coordination between agencies and Florida Digital Service.
  • to improve these processes as we seek to find value for IT commodities and services.
Summary: The Committee on Governmental Oversight and Accountability met with a quorum present and first took up SB 268, a public records exemption bill for public officers. Senator Brodeur explained the bill on behalf of Senator Jones, saying it would protect partial home addresses, phone numbers, and certain family information for the governor, cabinet members, and other elected officials because of threats and harassment against public servants. An amendment narrowing and clarifying the definition of public officer and the process for claiming the exemption was adopted without objection. Chair Fine and Senator Brodeur both spoke in support of the bill, citing personal experiences with threats and the need to protect officials and their families. CS for SB 268 was then reported favorably by roll call vote. The committee then heard a presentation from Brandon Spencer, Director of State Purchasing and Chief Procurement Officer at the Department of Management Services, on state agency procurement and contracting practices, including IT procurements. He described the state’s procurement structure, including state term contracts, alternate contract sources, and agency procurements, and said the division now manages more than 960 enterprise-wide agreements, with that number continuing to grow. He also highlighted that roughly 21% of purchase order spend is on IT services, discussed statutory requirements for IT procurements, and said the division is working with Florida Digital Service to improve oversight, training, vendor accountability, and procurement options. No committee action followed the presentation, and the meeting adjourned after no further business was raised.
ND

North Dakota 2025-2026 Regular Session

Information Technology Committee Jul 8th, 2026

Transcript Highlights:
  • Into the service fund. Correct, into the service fund.
  • That would also have been an hourly service.
  • Most things are moving towards platform as a service, software as a service.
  • An additional $1 million of dedicated emergency communication service revenue for prepaid wireless service
  • We needed some help with service desk.
Summary: The committee approved the March 26 minutes and then received a quarterly update on major IT projects from NDIT. Staff reported the portfolio included 116 major projects totaling about $546 million, with the overall portfolio under budget but slightly behind schedule. They reviewed projects over the 20% variance threshold, including an Industrial Commission grants management system and DOT’s roadway pre-construction replacement, and then heard startup and closeout reports from HHS, OMB, DPI, and DOT. Several previously troubled projects were closed, including HHS bed management, vital records modernization, and DOT roadway capital planning; some projects finished under budget and ahead of schedule, while others were significantly behind schedule or over budget but were now closed or being remediated. The committee also reviewed NDIT’s annual report, including service-fund financials, peer-state rate comparisons, records management, and customer satisfaction efforts. Members asked about how service-fund revenue and grant administrative charges are accounted for, how chargebacks work, and whether NDIT tracks customer satisfaction scores. NDIT said it does track CSAT-type measures in some service areas and has survey data, but it is not planning another customer survey this summer. Members encouraged more regular reporting of customer satisfaction, service-level metrics, and performance data to help guide future improvements. A major portion of the meeting focused on the state’s mainframe modernization effort. NDIT said the overall effort is still targeting about 2030, with multiple HHS and DOT projects underway and a $15 million tech-debt appropriation already removing some components. Staff described the main obstacles as data cleanup, complex integrations, limited staff capacity, retirements, and vendor constraints, and said they are seeking a vendor with modernization support in the next contract cycle. Members pressed for clearer accountability and faster progress, and NDIT and HHS emphasized that they are working jointly but need continued support and better tools. The committee then heard a cybersecurity update on NDIT’s statewide services and maturity assessments. NDIT explained that it provides vulnerability scanning, endpoint protection, security awareness training, threat briefings, and penetration testing, and that these services are tied to a cybersecurity maturity assessment based on CIS controls. Members questioned the sharp drop in participation since 2020 and whether the self-assessment should be mandatory or tied more strongly to StageNet access or insurance incentives. NDIT said participation is voluntary, but Enderf is now requiring annual assessments to keep a 4% insurance discount, and members discussed whether stronger requirements or audit authority may be needed. The meeting ended as the committee began a follow-up discussion on BEAD broadband connection costs and why some locations are much more expensive to connect than others.
FL
Transcript Highlights:
  • Kelly to come up and present the Health and Human Services budget, and she is the Health and Human Services
  • services.
  • In fee for service, sorry, current fee-for-service rates are lower than those paid by capitated plans
  • In fee for service, sorry, current fee for service rates are lower than those paid by capitated plans
  • services.
Summary: The Appropriations Committee on Health and Human Services heard a presentation on the governor’s proposed fiscal year 2026-27 budget for the health and human services silo, which totals $48.5 billion. Agency leaders outlined major requests for AHCA, APD, DCF, DOEA, DOH, and the Department of Veterans’ Affairs, including behavioral health redesign, Medicaid rate changes, developmental disability services, child welfare and opioid programs, senior services, cancer research, public health initiatives, and veterans’ facility and technology needs. The committee also received an overview of the overall state budget, which was described as $117.4 billion, up 1.1% from the current year. AHCA’s presentation focused on $71.6 million for a Medicaid behavioral health redesign, including funding for residential treatment, a serious mental illness waiver, and higher inpatient psychiatric rates for youth, plus $7.1 million to raise private duty nursing reimbursement in fee-for-service Medicaid, $2.5 million for the background screening clearinghouse, and $124.4 million for the Health Care Connection System (FX). APD requested funding to continue moving people off the pre-enrollment list and to support developmental disability centers, a new forensic facility, an electronic health record system, and higher operating costs. DCF highlighted $81.9 million for eligibility and system integrity, $187.5 million for opioid prevention and treatment, $35.5 million for community-based care lead agencies, and $72.7 million to expand behavioral health bed capacity, including 474 new beds at state hospitals. DOEA sought additional funding for Alzheimer’s services, home care, and community care for the elderly. DOH emphasized $278 million for cancer research and innovation, $5 million for food and product safety testing, $5 million for the Florida FIRST blood-on-ambulance initiative, and $5.7 million for a public lab feasibility study. Veterans Affairs requested funds for facility improvements, cybersecurity, and medication management equipment. Members asked detailed questions about several items, especially the proposed changes to the AIDS Drug Assistance Program (ADAP), which would reduce eligibility and the number of people served. Senators and public witnesses criticized the lack of transparency and urged the department to pause the changes and work with stakeholders; the Surgeon General said the issue was driven by funding constraints and federal changes, not a legal barrier, and that the agency was exploring alternatives. Questions also addressed the Office of Minority Health and Health Equity, the Kids Care/CHIP expansion implementation, the cancer research funding structure, and the timeline and cost of the FX system. Public testimony focused heavily on ADAP, with speakers warning that thousands could lose medication access and calling for community involvement and a review of the program’s finances. The committee adjourned after the presentations and questions, with no votes taken on the budget items during this meeting.
TX

Texas 89th Regular

Public Health May 5th, 2025

Public Health

Transcript Highlights:
  • depending on the county jail or no services.
  • So they'll provide that type of service.
  • There is one more small, I think, clarifying thing: housing services are currently one of the services
  • There are dozens of Catholic service providers currently providing holistic case management services
  • In addition to these supplies, the services also encompass: - **Educational Services** - Providing information
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Nov 6th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • The state general fund program has a limited service menu.
  • and important services in the traditional waiver.
  • The services are 100% Medicaid-required.
  • Currently, there is no impact on funding for home and community-based services. community-based services
  • , and all that, you get services.